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Swiss Med Wkly ; 150: w20277, 2020 05 04.
Artículo en Inglés | MEDLINE | ID: mdl-32374886


In Switzerland, the COVID-19 epidemic is progressively slowing down owing to “social distancing” measures introduced by the Federal Council on 16 March 2020. However, the gradual ease of these measures may initiate a second epidemic wave, the length and intensity of which are difficult to anticipate. In this context, hospitals must prepare for a potential increase in intensive care unit (ICU) admissions of patients with acute respiratory distress syndrome. Here, we introduce, a platform providing hospital-level projections for ICU occupancy. We combined current data on the number of beds and ventilators with canton-level projections of COVID-19 cases from two S-E-I-R models. We disaggregated epidemic projection in each hospital in Switzerland for the number of COVID-19 cases, hospitalisations, hospitalisations in ICU, and ventilators in use. The platform is updated every 3-4 days and can incorporate projections from other modelling teams to inform decision makers with a range of epidemic scenarios for future hospital occupancy.

Infecciones por Coronavirus , Predicción/métodos , Planificación en Salud/métodos , Capacidad de Camas en Hospitales , Unidades de Cuidados Intensivos/provisión & distribución , Pandemias , Neumonía Viral , Programas Informáticos , Ventiladores Mecánicos/provisión & distribución , Infecciones por Coronavirus/epidemiología , Toma de Decisiones Asistida por Computador , Capacidad de Camas en Hospitales/estadística & datos numéricos , Hospitalización/estadística & datos numéricos , Hospitalización/tendencias , Humanos , Unidades de Cuidados Intensivos/estadística & datos numéricos , Modelos Teóricos , Pandemias/estadística & datos numéricos , Admisión del Paciente/estadística & datos numéricos , Neumonía Viral/epidemiología , Programas Informáticos/normas , Suiza/epidemiología , Ventiladores Mecánicos/estadística & datos numéricos
Int J Occup Environ Med ; 11(2): 108-112, 2020 04.
Artículo en Inglés | MEDLINE | ID: mdl-32218558


In a short span, a novel coronavirus (SARS-CoV-2) has captured global consciousness by significantly affecting the day-to-day life of humans and emerged as a public health emergency. Undoubtedly, it indicates that lessons learnt from the past epidemics of coronaviruses such as the Middle East Respiratory Syndrome (MERS) and Severe Acute Respiratory Syndrome (SARS), had not enough and thus left us ill-prepared to deal with the challenges that COVID-19 pandemic is currently posing. Currently, as a global pandemic, COVID-19 poses major challenges and thus forcing the entire world to lockdown. However, the disease has prepared humankind in facing such outbreaks at present as well as in the future. Besides, it has also taught numerous lessons that are worth considering and implementing to make the world a better reality.

Betacoronavirus , Defensa Civil , Infecciones por Coronavirus , Control de Infecciones , Pandemias , Neumonía Viral , Precauciones Universales , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/transmisión , Infecciones por Coronavirus/virología , Brotes de Enfermedades , Planificación en Salud , Humanos , Pandemias/prevención & control , Neumonía Viral/epidemiología , Neumonía Viral/prevención & control , Neumonía Viral/transmisión , Neumonía Viral/virología , Salud Pública , Síndrome Respiratorio Agudo Grave/virología
Euro Surveill ; 25(9)2020 03.
Artículo en Inglés | MEDLINE | ID: mdl-32156332


Two months after the emergence of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the possibility of established and widespread community transmission in the European Union and European Economic Area (EU/EEA) is becoming more likely. We provide scenarios for use in preparedness for a possible widespread epidemic. The EU/EEA is moving towards the 'limited sustained transmission' phase. We propose actions to prepare for potential mitigation phases and coordinate efforts to protect the health of citizens.

Infecciones por Coronavirus/epidemiología , Planificación en Desastres , Epidemias , Planificación en Salud , Neumonía Viral/epidemiología , Anciano , Anciano de 80 o más Años , Betacoronavirus/patogenicidad , Comorbilidad , Infecciones por Coronavirus/transmisión , Europa (Continente)/epidemiología , Unión Europea , Predicción , Humanos , Internacionalidad , Persona de Mediana Edad , Modelos Teóricos , Neumonía Viral/transmisión , Salud Pública , Factores de Riesgo , Incertidumbre
Saude e pesqui. (Impr.) ; 13(1): 83-91, jan/mar 2020. tab
Artículo en Portugués | LILACS | ID: biblio-1052903


O objetivo foi identificar a distribuição dos fisioterapeutas no Estado do Paraná e conhecer a sua participação nas equipes NASF-AB das cidades sede das regionais de saúde do Estado. Foram consultadas no mês de agosto de 2018 as bases de dados do Cadastro Nacional de Estabelecimentos de Saúde - CNES, Conselho Regional de Fisioterapia e Terapia Ocupacional da 8ª Região - Crefito-8, e Instituto Brasileiro de Geografia e Estatística - IBGE. Os dados foram analisados de maneira descritiva. Os achados apontam um crescimento gradativo no número de profissionais e aumento no número de equipes NASF-AB com a presença do fisioterapeuta. Também foi evidenciada a falta de cadastro no CNES por profissionais inscritos no conselho de classe. O conhecimento da distribuição de fisioterapeutas no Estado pode subsidiar o planejamento de ações de saúde, para ampliação do acesso da população a este profissional.

Current paper identifies the distribution of physiotherapists in the state of Paraná, Brazil and their participation in NASF-AG teams of the cities featuring regional health centers. Databases of the National List of Health Centers (CNES), Regional Council of Physiotherapy and Occupational Therapy of the 8th region (Crefito-8, and the IBGE were consulted and data were descriptively analyzed. There was a gradual increase in the number of professionals and the number of teams with a physiotherapist. Lack of insertion in CNES of professionals was detected. Knowledge on the distribution of physiotherapists in the state may be of great help to plan health activities and for access of the professional by the population.

Atención Primaria de Salud , Fisioterapia , Recursos Humanos , Planificación en Salud