Relatório ONU sobre mudanças climáticas: bate papo na Saúde

Bate Papo na Saúde – Relatório ONU sobre Mudanças Climáticas: Esta edição do Bate Papo na Saúde fala sobre o relatório ONU sobre Mudanças Climáticas. O mais recente relatório do Painel Intergovernamental sobre Mudanças Climáticas, o IPCC, na sigla em inglês, vinculado a Organização das Nações Unidas (ONU), não deixou dúvidas. A ação humana é responsável pelas mudanças climáticas que ameaçam o planeta. Por isso, o Bate Papo na Saúde discute o Relatório da ONU sobre Mudanças Climáticas. Com foco nisso, o apresentador Renato Farias discute o Relatório da ONU sobre Mudanças Climáticas com o geógrafo e pesquisador do Instituto de Comunicação e Informação Científica e Tecnológica em Saúde (Icict/Fiocruz), Christovam Barcellos e com o professor do Instituto de Física da Universidade de São Paulo (USP), Paulo Artaxo. Programa exibido em 6 de setembro de 2021. Apresentador: Renato Farias O Bate Papo na Saúde é um programa de entrevistas que leva temas da saúde pública para a tela do Canal Saúde.

Climate Change and the Practice of Medicine: Essentials for Resident Education.

Despite calls for including content on climate change and its effect on health in curricula across the spectrum of medical education, no widely used resource exists to guide residency training programs in this effort. This lack of resources poses challenges for training program leaders seeking to incorporate evidence-based climate and health content into their curricula. Climate change increases risks of heat-related illness, infections, asthma, mental health disorders, poor perinatal outcomes, adverse experiences from trauma and displacement, and other harms. More numerous and increasingly dangerous natural disasters caused by climate change impair delivery of care by disrupting supply chains and compromising power supplies. Graduating trainees face a knowledge gap in understanding, managing, and mitigating these many-faceted consequences of climate change, which-expected to intensify in coming decades-will influence both the health of their patients and the health care they deliver. In this article, the authors propose a framework of climate change and health educational content for residents, including how climate change (1) harms health, (2) necessitates adaptation in clinical practice, and (3) undermines health care delivery. The authors propose not only learning objectives linked to the Accreditation Council for Graduate Medical Education core competencies for resident education but also learning formats and assessment strategies in each content area. They also present opportunities for implementation of climate and health education in residency training programs. Including this content in residency education will better prepare doctors to deliver anticipatory guidance to at-risk patients, manage those experiencing climate-related health effects, and reduce care disruptions during climate-driven extreme weather events.

From natural disaster to pandemic: A health-system pharmacy rises to the challenge.

PURPOSE: This report describes a health-system pharmacy's response to a natural disaster while staff members simultaneously prepared for the coronavirus disease 2019 (COVID-19) pandemic. By detailing our experience, we hope to help other institutions that are current facing or could encounter similar crises. SUMMARY: In early March 2020, a tornado destroyed the health system's warehouse for storage of most clinical supplies, including personal protective equipment and fluids. The pharmacy purchasing team collaborated with suppliers and manufacturers to recover losses and establish alternative storage areas. Days later, the pharmacy department was forced to address the impending COVID-19 pandemic. Key elements of the COVID-19 response included reducing the potential for virus exposure for patients and staff; overcoming challenges in sourcing of staff, personal protective equipment, and medications; and changing care delivery practices to maintain high-quality patient care while maximizing social distancing. The pharmacy department also created distance learning opportunities for 70 pharmacy students on rotations. After an initial plan, ongoing needs include adjustment in patient care activities if significant staff losses occur, when and how to resume clinical activities, and how to best utilize the resources accumulated. Elements of practice changes implemented to reduce COVID-19 threats to patients and pharmacy personnel have proven beneficial and will be further evaluated for potential continuation. CONCLUSION: The pharmacy department's efforts to respond to a natural disaster and unprecedented pandemic have proven successful to this point and have illuminated several lessons, including the necessity of cohesive department communication, staff flexibility, prioritization of teamwork, and external collaboration.

What makes health systems resilient against infectious disease outbreaks and natural hazards? Results from a scoping review.

BACKGROUND: The 2014-2016 Ebola outbreak was a wake-up call regarding the critical importance of resilient health systems. Fragile health systems can become overwhelmed during public health crises, further exacerbating the human, economic, and political toll. Important work has been done to describe the general attributes of a health system resilient to these crises, and the next step will be to identify the specific capacities that health systems need to develop and maintain to achieve resiliency. METHODS: We conducted a scoping review of the literature to identify recurring themes and capacities needed for health system resiliency to infectious disease outbreaks and natural hazards and any existing implementation frameworks that highlight these capacities. We also sought to identify the overlap of the identified themes and capacities with those highlighted in the World Health Organization's Joint External Evaluation. Sources of evidence included PubMed, Web of Science, OAIster, and the websites of relevant major public health organizations. RESULTS: We identified 16 themes of health system resilience, including: the need to develop plans for altered standards of care during emergencies, the need to develop plans for post-event recovery, and a commitment to quality improvement. Most of the literature described the general attributes of a resilient health system; no implementation frameworks were identified that could translate these elements into specific capacities that health system actors can employ to improve resilience to outbreaks and natural hazards in a variety of settings. CONCLUSIONS: An implementation-oriented health system resilience framework could help translate the important components of a health system identified in this review into specific capacities that actors in the health system could work to develop to improve resilience to public health crises. However, there remains a need to further refine the concept of resilience so that health systems can simultaneously achieve sustainable transformations in healthcare practice and health service delivery as well as improve their preparedness for emergencies.

Using Twitter Data to Monitor Natural Disaster Social Dynamics: A Recurrent Neural Network Approach with Word Embeddings and Kernel Density Estimation.

In recent years, Online Social Networks (OSNs) have received a great deal of attention for their potential use in the spatial and temporal modeling of events owing to the information that can be extracted from these platforms. Within this context, one of the most latent applications is the monitoring of natural disasters. Vital information posted by OSN users can contribute to relief efforts during and after a catastrophe. Although it is possible to retrieve data from OSNs using embedded geographic information provided by GPS systems, this feature is disabled by default in most cases. An alternative solution is to geoparse specific locations using language models based on Named Entity Recognition (NER) techniques. In this work, a sensor that uses Twitter is proposed to monitor natural disasters. The approach is intended to sense data by detecting toponyms (named places written within the text) in tweets with event-related information, e.g., a collapsed building on a specific avenue or the location at which a person was last seen. The proposed approach is carried out by transforming tokenized tweets into word embeddings: a rich linguistic and contextual vector representation of textual corpora. Pre-labeled word embeddings are employed to train a Recurrent Neural Network variant, known as a Bidirectional Long Short-Term Memory (biLSTM) network, that is capable of dealing with sequential data by analyzing information in both directions of a word (past and future entries). Moreover, a Conditional Random Field (CRF) output layer, which aims to maximize the transition from one NER tag to another, is used to increase the classification accuracy. The resulting labeled words are joined to coherently form a toponym, which is geocoded and scored by a Kernel Density Estimation function. At the end of the process, the scored data are presented graphically to depict areas in which the majority of tweets reporting topics related to a natural disaster are concentrated. A case study on Mexico's 2017 Earthquake is presented, and the data extracted during and after the event are reported.

[Investigation of Factors Related to Stockpiling of Oral Care Hygiene Materials in Normal Times: Internet Survey Analysis].

OBJECTIVES: The aim of this study was to clarify the current status of stockpiling of oral care hygiene materials in case of a disaster and to determine methods to support stockpiling during disaster preparation. METHODS: We conducted an Internet questionnaire survey on stockpiling and disaster prevention measures among 300 adults. For statistical analysis, the χ² test, Mann-Whitney U-test and Spearman rank test were employed. Logistic regression analysis was conducted to review factors related to stockpiling. RESULTS: Among the questions on stockpiling and disaster prevention (14 of 15 items), seven items on disaster prevention measures and two on disaster prevention experiences significantly differed. Analysis of disaster prevention knowledge revealed that disaster prevention measures and disaster experiences significantly differed in terms of the presence or absence of stockpiling, albeit a positive correlation was noted with stockpiling. Logistic regression analysis was conducted with stockpiling as a dependent variable. As a result, the items 'I am aware about the hazard map of the residential area', 'I am aware about the type of oral care hygiene materials prepared for emergency' and 'Devising the living environment such that large furnitures and cupboards do not collapse during disasters' were effective. CONCLUSIONS: Stockpiling at home is considered necessary for self-sufficiency during a disaster on the basis of the experiences in disaster management, disaster prevention knowledge and disaster prevention measures. Hence, stockpiling is a strong measure against disaster prevention along with provision of appropriate knowledge about the necessity of oral care in daily life. Disaster prevention education that empowers a population to prepare itself by implementing disaster prevention measures, such as improving the home environment, is considered effective. In addition, considering that relying on stockpiling at an individual level is ineffective, it is necessary to create mechanisms and systems that jointly manage disaster situations according to local circumstances.

Detection, extinguishing, and monitoring of a coal fire in Xinjiang, China.

Coal fire is a global catastrophe. Xinjiang suffers the most severe coal fire in China and even in the world. Coal firefighting work has been being conducted for decades in Xinjiang. In this paper, coal fire detection, extinguishing, and monitoring approaches that were derived from coal firefighting experience are introduced in detail by taking the Fifth Fire Area (FFA) of the Heshituoluogai coal fire for instance. We first introduce the geology and fire situation in the FFA. Before developing efficient strategies to extinguish it, magnetic and self-potential methods are adopted to delineate the extent of the fire. A composite index is proposed to better indicate the fire. The comprehensive coal firefighting method is illustrated in detail, which consists of surface cooling, excavation and leveling, borehole drilling, borehole water injection and grouting, and loess backfill. The subsequent temperature and CO monitoring records show that the fire is extinguished successfully without burnback. The methodology presented here provides guidance and reference for putting out other coal fires around the world.