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1.
Rev. bioét. derecho ; (50): 353-368, nov. 2020.
Artigo em Espanhol | IBECS | ID: ibc-191362

RESUMO

El presente estudio ofrece una investigación sistemática, exhaustiva y actualizada del tratamiento de datos personales relativos a la salud de los ciudadanos afectados y/o potencialmente afectados por la situación excepcional derivada del COVID-19. Para ello, y tomando en consideración toda la normativa, general y sectorial, aplicable en materia de protección de datos y de sanidad, se procede al análisis de las bases legitimadoras procedentes y de las excepciones que, aplicables a situaciones de emergencia sanitaria como la actual, habilitan el tratamiento atendiendo a la naturaleza de quien intervenga como responsable, haciendo especial énfasis en el interés público perseguido por las Administraciones Públicas y en el interés vital del propio interesado


This study offers a systematic, exhaustive and updated investigation of the processing of personal data relating to the health of citizens affected and/or potentially affected by the exceptional situation resulting from COVID-19. For this purpose, and taking into account all the general and sectorial regulations applicable to data protection and health issues, it analyses the legitimate bases and the exceptions that, applicable to health emergency situations such as the present one, allow the processing according to the nature of the controller, with special emphasis on the public interest pursued by the Public Administrations and the vital interest of the data subject


El present estudi ofereix una investigació sistemàtica, exhaustiva I actualitzada del tractament de dades personals relatives a la salut dels ciutadans afectats i/o potencialment afectats per la situació excepcional derivada de la COVID-19. Per aquest motiu I tenint en compte tota la normativa, general I sectorial, aplicable en matèria de protecció de dades I de sanitat, es procedeix a l'anàlisi de les bases legitimadores procedents I de les excepcions que, aplicables a situacions d'emergència sanitària com l'actual, habiliten el tractament atenent a la naturalesa de qui intervingui com a responsable, fent especial èmfasi a l'interès públic perseguit per les administracions públiques I en l'interès vital de la persona interessada


Assuntos
Humanos , Emergências , Privacidade , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Pandemias , Consentimento Livre e Esclarecido , Legislação como Assunto
2.
BMC Surg ; 20(1): 220, 2020 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-33008424

RESUMO

BACKGROUND: Splenic rupture is an emergency condition and a vast number of cases are secondary to trauma. Several underlying pathologies have also been associated with splenic rupture, such as hematological diseases, malignancies, and infectious and inflammatory diseases. CASE PRESENTATION: The patient was a 52-year-old man who referred to the Poursina Hospital in Rasht while complaining of abdominal pain from the day before hospitalization. The patient reported a history of lethargy, fever, and nausea. In the examinations performed, there was a brief tenderness in the patient's epigastrium. The patient was monitored and about 12 h after hospitalization, ill appearance, respiratory (respiratory distress) symptoms, and high fever were reported for the patient. According to the examination, the patient was immediately transferred to the operating room and underwent laparotomy. During the operation, contrary to our expectations, a lot of blood (about 1000 cc) was observed in the patient's abdomen. After blood suctioning, the left upper quadrant (LUQ) was bleeding and the rupture of the spleen could also be observed. Therefore, a splenectomy was performed. In the examinations performed for the patient, the patient's rtPCR test confirmed COVID-19. CONCLUSION: The evaluation of the spontaneous splenic rupture (SSR) in our case shows that this type of risk should also be considered in patients with COVID-19 who refer to medical centers with abdominal pain, and if more cases are reported, the correctness of this process can be commented on.


Assuntos
Betacoronavirus , Infecções por Coronavirus/complicações , Infecções por Coronavirus/diagnóstico , Pneumonia Viral/complicações , Pneumonia Viral/diagnóstico , Esplenectomia , Ruptura Esplênica/diagnóstico , Ruptura Esplênica/etiologia , Dor Abdominal/etiologia , Infecções por Coronavirus/terapia , Emergências , Hospitalização , Humanos , Laparotomia , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/terapia , Ruptura Espontânea , Ruptura Esplênica/cirurgia
3.
Rev Assoc Med Bras (1992) ; 66(9): 1187-1189, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33027443

RESUMO

OBJECTIVE: Social distancing during the COVID-19 pandemic has been associated with a decrease in the search for medical care. High-risk patients have avoided hospital environments fearing infection. We hypothesize that there was also a decrease in the search for medical care related to gastrointestinal emergencies. The aim of this study is to evaluate the frequency of consultations for severe gastrointestinal emergencies during and before the months of the pandemic. METHODS: This was a transversal study. The inclusion criteria were cases of consultation in the emergency department for gastrointestinal diseases that required hospitalization, from January to April, from 2015 to 2020. The pediatric population (under age 12) was excluded. RESULTS: A total of 2,457 cases of cases was included. The number of emergency hospitalizations for gastrointestinal cases decreased during the first four months of 2020: 108, 112, 82, and 77, respectively. Comparing April of 2020 with previous years, there was a lower than expected number of cases during the social distancing period (P=0.002). CONCLUSION: This study reports a pronounced decrease in consultations for severe gastrointestinal emergencies during the pandemic. Governments and society should be aware that health crises do not halt the natural occurrence of noninfectious diseases; otherwise, an increase in mortality from these morbidities may arise.


Assuntos
Betacoronavirus , Infecções por Coronavirus , Serviços Médicos de Emergência , Pandemias , Pneumonia Viral , Emergências , Humanos
4.
Rev Sci Tech ; 39(2): 625-635, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33046914

RESUMO

Livestock production systems and the societies in which they are embedded face a set of risks presented by infectious diseases and natural and human-made disasters which compromise animal health. Within this set, threats are posed by natural, deliberate and accidental actions that can cause sudden changes in animal health status, requiring the allocation of additional resources to manage animal health. Determining the benefit of preparing for such emergencies is a challenge when the total set of risks includes the unknown. Any method for analysing the economic costs and benefits of animal health emergencies must not only accommodate this uncertainty, but make it a central feature of the analysis. Cost-benefit analysis is a key approach to economically evaluating animal health interventions. However, the value of this approach in dealing with uncertainty is often called into question. This paper makes the case that, by restricting the outcomes of an emergency event to specified states of nature, boundaries can be placed on the uncertainty space, allowing cost-benefit analysis to be performed. This method, which merges state-contingent analysis with cost-benefit analysis, is presented here. Further discussion on the economic characteristics of emergency events, and the nature of the threats posed to animal health systems, is also provided.


Assuntos
Doenças Transmissíveis , Desastres , Animais , Doenças Transmissíveis/veterinária , Análise Custo-Benefício , Emergências/veterinária , Humanos , Gado
5.
Rev Sci Tech ; 39(2): 599-613, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33046916

RESUMO

Statistics show that disasters have expanded in scope and scale, with impacts on both humans and animals. As animals are valued not only for their economic value, but also for their companionship, people sometimes risk their lives to protect them, and emergency responders are expected to safeguard their welfare during emergencies. This paper discusses experiences from different regions of the world in animal disaster risk reduction and management in terms of legislation, funding streams, planning, capacity development, and communications. It is widely recognised that human, animal and environmental well-being are interconnected; therefore, as this is the case, and as veterinarians are at the forefront in ensuring animal welfare, they should be involved throughout the disaster management cycle. While animals and their welfare should always be considered in national disaster management plans, sub-regional authorities must be empowered to integrate animal welfare principles when responding to emergencies and implementing risk reduction programmes. Capacity development is key for Veterinary Services personnel who work in the fields of disaster management and risk reduction. Training tools and curricula developed by different organisations are available to foster skills such as incident coordination, risk communication, or response planning using tools such as the Livestock Emergency Guidelines and Standards (LEGS). Intergovernmental organisations also play a significant role in setting the standards and frameworks within which professionals operate.


Assuntos
Planejamento em Desastres , Desastres , Médicos Veterinários , Bem-Estar do Animal , Animais , Emergências/veterinária , Humanos
6.
Rev Sci Tech ; 39(2): 533-541, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33046922

RESUMO

Animal health emergencies can also have serious socio-economic and public health consequences, including impacts on human health, as well as food security and safety. Therefore, policy-makers and advisers should take an active part in the development of emergency management systems. A formally structured animal health emergency management system sets out, in a systematic way, the elements required to achieve the necessary level of preparedness, and provides for planning and implementation of the appropriate actions to be taken in an emergency. Good emergency management practices, as laid down by the Emergency Management Centre for Animal Health (EMC-AH) of the Food and Agriculture Organization of the United Nations, should incorporate all four phases of an animal health event: peacetime (i.e. before the event occurs), alert, emergency and reconstruction. Five actions are implemented before, during and after an animal health event: prepare, prevent, detect, respond and recover. A strategic action plan can be drafted to schedule the activities required to develop the emergency management system and increase a country's level of preparedness, step by step. The EMC-AH aims to support all components of emergency management at the national, regional and international levels along this progressive pathway for emergency preparedness.


Assuntos
Emergências , Abastecimento de Alimentos , Animais , Emergências/veterinária , Humanos
7.
Rev Sci Tech ; 39(2): 523-531, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33046923

RESUMO

A lack of human and material resources can limit effective responses to animal disease emergencies. Drawing upon examples from Australia and New Zealand, this paper proposes a framework for identifying human and material resources and securing the necessary personnel and materials before or during an animal disease emergency. This staged process involves: a) assessing the nature of the risks to be managed, b) identifying the types of resources required, c) assessing available resources and identifying gaps and d) developing arrangements to ensure availability of resources. It discusses the advantages and disadvantages of different strategies to secure access to human and material resources, including whole-of-government arrangements to access other government resources, national and international reserve models for responders, just-in-time employment and purchase of materials, and purchase of stockpiles.


Assuntos
Doenças dos Animais , Animais , Austrália , Emergências/veterinária , Governo , Humanos , Nova Zelândia
8.
Rev Sci Tech ; 39(2): 513-521, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33046924

RESUMO

Those involved in emergency response and recovery, including the military, require an acute level of awareness of livelihoods that rely on livestock and their associated implications for human security. Emergencies cause injury and death and devastate livestock-based livelihoods, a key characteristic of the lives of many of the world's rural poor. The role for military forces in emergency management is expanding, and this can cause friction during an emergency due to competing agendas and objectives. Opportunities exist to make greater use of the military, such as providing support to livestock-based livelihoods, but there are challenges and barriers that must be overcome. A common framework for civil-military interaction may help to coordinate response efforts and enhance local and international responses to emergencies. The Livestock Emergency Guidelines and Standards and the proposed livelihood security model are constructs that can help to develop a shared understanding of the security environment during a livestock emergency response. Examples from the Philippines' response to Typhoons Sarika and Haima and Sri Lankan military agricultural engagements provide context for a proposed common operational framework.


Assuntos
Militares , Socorro em Desastres , Agricultura , Animais , Emergências/veterinária , Humanos
9.
Rev Sci Tech ; 39(2): 491-501, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33046926

RESUMO

Disasters and disease outbreaks have long been a catalyst for innovative applications of emerging technologies. The urgent need to respond to an emergency leads to resourceful uses of the technologies at hand. However, the best and most cost-effective use of new technologies is to prevent disease and improve resilience. In this paper, the authors present a range of approaches through which both opportunities can be grasped. Global connectedness enables more data to be collected and processed in emergencies, especially with the rise of open-source data, including social media. In general, the poorest and most remote populations are most vulnerable to disaster. However, with smaller, faster, smarter, cheaper and more connected technology, reliable, efficient, and targeted response and recovery can be provided. Initially, crowdsourcing was used to find people, map affected areas, and determine resource allocation. This led to the generation of an overwhelming amount of data, and the need to extract valuable information from that data in a timely manner. As technology evolved, organisations started outsourcing many tasks, first to other people, then to machines. Since the volume of data generated outpaces human capacity, data analysis is being automated using artificial intelligence and machine learning, which furthers our abilities in predictive analytics. As we move towards prevention rather than remediation, information collection and processing must become faster and more efficient while maintaining accuracy. Moreover, these new strategies and technologies can help us to move forwards, by integrating layers of human, veterinary, public, and environmental health data for a One Health approach.


Assuntos
Desastres , Mídias Sociais , Animais , Inteligência Artificial , Surtos de Doenças/prevenção & controle , Emergências/veterinária , Humanos
10.
Rev Sci Tech ; 39(2): 461-470, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33046929

RESUMO

In recent times, there has been an increased focus on animal health and zoonotic diseases that have the potential to trigger epidemics or pandemics that disproportionately affect the poor and most vulnerable. The recent Ebola, Zika and COVID-19 outbreaks demonstrate the devastating human, social and economic impacts of such diseases if they are not prevented or controlled, ideally at source. The risk drivers for zoonoses, which are complex and often interdependent, include climate change and related disasters, antimicrobial resistance, and anthropogenic drivers such as land-use changes and animal production practices. Understanding these drivers requires a better understanding of the ecology of zoonotic diseases at the human-animal-environment interface. Biosecurity and biosafety are critical for reducing the risk of accidental or deliberate release and should be included in risk management strategies. International frameworks for sustainable development, climate change, and disaster risk reduction have all integrated health as one of the core areas of work, calling for better preparedness and response to biological hazards and increased health system resilience. To improve their ability to prevent, prepare for, and respond to emerging and re-emerging threats, countries should address these risk drivers, taking a multidisciplinary One Health approach that involves the animal and human health and environment sectors. Cross-border cooperation is also vital, as diseases know no boundaries.


Assuntos
Infecções por Coronavirus , Desastres , Pandemias , Pneumonia Viral , Infecção por Zika virus , Zika virus , Animais , Betacoronavirus , Mudança Climática , Emergências/veterinária , Humanos , Gestão de Riscos , Infecção por Zika virus/veterinária , Zoonoses/epidemiologia
11.
Rev Sci Tech ; 39(2): 435-443, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33046932

RESUMO

Complex emergencies, also known as major humanitarian emergencies, differ from emergencies related to natural disasters or major disease outbreaks, in that they are essentially political in nature and will, in most cases, erode the cultural, civil, political and economic stability of societies. They can be exacerbated by natural disasters and eventually require external interventions. National Veterinary Services are usually weakened or partially or totally disrupted. Interventions to support livestock-dependent communities should build on local capacity. Multisector, integrated disaster management plans should be in place and should include not only preparedness and response, but also mitigation, prevention and recovery strategies. National Veterinary Services and their partners should work in close collaboration and are encouraged to look beyond animal-health-related interventions, also addressing access to feed and water, and keeping marketing chains for livestock open. This paper also touches on the specific needs of displaced people, host communities, and pastoralists, as well as addressing disease eradication programmes in the context of complex emergencies.


Assuntos
Planejamento em Desastres , Desastres , Animais , Surtos de Doenças/prevenção & controle , Surtos de Doenças/veterinária , Emergências/veterinária
12.
Rev Sci Tech ; 39(2): 399-405, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33046935

RESUMO

Emergency operations centres take many forms. In the context of an animal disease emergency, they may be established by a country's Veterinary Services to coordinate all aspects of the response. The systems and processes applied within emergency operations centres are based on established incident management systems, adopting consistent approaches for the operation and management of response activities.


Assuntos
Emergências , Animais , Emergências/veterinária
13.
Rev Sci Tech ; 39(2): 393-398, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33046936

RESUMO

This paper outlines the role of laboratories in animal-health-related disasters and emergencies, with a particular focus on biological threats - intentional, accidental and natural. Whilst multisectoral coordination is increasingly recognised as necessary for effective preparedness and response to all kinds of disasters, the role of the laboratory is often overlooked. The laboratories' involvement, not just in the response, but across all phases of disaster management - mitigation, planning, response and recovery - is essential, not only for improved animal health but for preservation of livelihoods and for food security, social cohesion and economic stability.


Assuntos
Planejamento em Desastres , Desastres , Animais , Emergências/veterinária , Laboratórios
14.
Rev Lat Am Enfermagem ; 28: e3378, 2020.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-33084778

RESUMO

OBJECTIVE: to compare the performance of the rapid triage conducted by nurses at the emergency entrance and of the Manchester Triage System (MTS) in identifying the priority level of care for patients with spontaneous demand and predicting variables related to hospitalization. METHOD: a cross-sectional study carried out in an Emergency Department (ED) of a university hospital in São Paulo. The priority levels established in the rapid triage performed by nurses were high priority (patients of spontaneous demand directed to the emergency room) or low priority (those referred to the institution's usual flow). Diagnostic accuracy measures were calculated to assess the performance of the indexes. RESULTS: of the 173 patients (52.0% female, with mean age of 60.4 ± 21.2 years old) evaluated, it was observed that rapid triage was more inclusive for high priority and had better sensitivity and worse specificity than the MTS. The probability of non-severe patients being admitted to the emergency observation unit was lower due to the rapid triage. For the prediction of the other variables, the systems presented unsatisfactory results. CONCLUSION: the nurses overestimated the classification of patients as high priority, and rapid triage performed better than MTS in predicting admission to the emergency observation unit.


Assuntos
Serviço Hospitalar de Emergência , Triagem , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Emergências , Feminino , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade
15.
G Ital Nefrol ; 37(5)2020 Oct 05.
Artigo em Italiano | MEDLINE | ID: mdl-33026199

RESUMO

Lombardy was violently hit by Covid-19 between the end of February and the beginning of March 2020. On 09.05.2020 there were 81225 total registered Covid-19+ cases (8051 / million inhabitants) with 14924 deaths (1479 deaths / million inhabitants). The province of Cremona presented a higher number of Covid-19+ cases and a worse relative mortality than the already high regional average. Patients on regular hemodialysis treatment present a high risk of infection due to the co-pathologies present, while healthcare workers may represent a risk for themselves and for the patients, due to the treatment environment and the close contact with them. All patients and healthcare workers of the Dialysis Center in Crema were evaluated (oro-pharyngeal swab for viral RNA research, qualitative anti-Covid-19 antibodies, quantitative IgG antibodies, co-pathologies), regardless of the symptomatology, over a 60-day period. Hemodialysis patients have a risk of infection that is 12.7 times that of the local population, while healthcare workers outperform the patients for Covid-positivity (30.3% vs 21.6%). Lethality in infected patients is high (31% of Covid-19+ subjects), while it is zero among healthcare professionals. The antibody response (qualitative and quantitative) in Covid-19+ patients is adequate, when compared to that of Covid-19+ healthcare staff. In our Center, the most critical phase lasted about 45 days but, thanks to the measures taken, it was possible to make the dialysis area Covid-free, as it remains after 128 days.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Falência Renal Crônica/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Diálise Renal , Adulto , Anticorpos Antivirais/sangue , Betacoronavirus/imunologia , Betacoronavirus/isolamento & purificação , Técnicas de Laboratório Clínico , Comorbidade , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/prevenção & controle , Infecção Hospitalar/prevenção & controle , Emergências , Feminino , Pessoal de Saúde , Unidades Hospitalares de Hemodiálise/estatística & dados numéricos , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Transmissão de Doença Infecciosa do Profissional para o Paciente/prevenção & controle , Itália/epidemiologia , Falência Renal Crônica/terapia , Masculino , Pessoa de Meia-Idade , Orofaringe/virologia , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Risco , Taxa de Sobrevida
16.
G Ital Nefrol ; 37(5)2020 Oct 05.
Artigo em Italiano | MEDLINE | ID: mdl-33026200

RESUMO

The epidemic wave that hit Italy from February 21st, 2020, when the Italian National Institute of Health confirmed the first case of SARS­CoV­2 infection, led to a rapid and efficient reorganization of Dialysis Centers' activities, in order to contain large-scale spread of disease in this clinical setting. We herein report the experience of the Hemodialysis Unit of Parma University Hospital (Azienda Ospedaliero-Universitaria, Parma, Italy) and the Dialysis Centers of Parma territory, in the period from March 1st, 2020 to June 15, 2020. Among patients undergoing chronic haemodialysis, 37/283 (13%) had positive swabs for SARS­CoV­2, 9/37 (24%) died because of COVID-19. Twenty-three patients required hospitalization, while the remaining were managed at home. The primary measures applied to contain the infection were: the strengthening of personal protective equipment use by doctors and nurses, early identification of infected subjects by performing oro-pharyngeal swabs in every patient and in the healthcare personnel, the institution of a triage protocol when entering Dialysis Room, and finally the institution of two separate sections, managed by different doctors and dialysis nurses, to physically separate affected from unaffected patients and to manage "grey" patients. Our experience highlights the importance and effectiveness of afore-mentioned measures in order to contain the spread of the virus; moreover, we observed a higher lethality rate of COVID-19 in dialysis patients as compared to the general population.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Unidades Hospitalares de Hemodiálise/organização & administração , Reestruturação Hospitalar , Falência Renal Crônica/terapia , Pandemias , Pneumonia Viral/epidemiologia , Diálise Renal , Betacoronavirus/isolamento & purificação , Técnicas de Laboratório Clínico , Comorbidade , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/prevenção & controle , Diagnóstico Precoce , Emergências , Unidades Hospitalares de Hemodiálise/estatística & dados numéricos , Hemodiálise no Domicílio/estatística & dados numéricos , Mortalidade Hospitalar , Hospitais Universitários/estatística & dados numéricos , Humanos , Controle de Infecções/métodos , Itália/epidemiologia , Falência Renal Crônica/epidemiologia , Nasofaringe/virologia , Pandemias/prevenção & controle , Isolamento de Pacientes , Diálise Peritoneal , Equipamento de Proteção Individual , Pneumonia Viral/prevenção & controle , Utilização de Procedimentos e Técnicas , Triagem
17.
Zhong Nan Da Xue Xue Bao Yi Xue Ban ; 45(8): 881-885, 2020 Aug 28.
Artigo em Inglês, Chinês | MEDLINE | ID: mdl-33053527

RESUMO

Clinical research is an important part in responding to public health emergencies, reducing epidemic hazards, and protecting public health and life safety. However, different from the general clinical research, there are many uncertainties and knowledge gaps in the clinical research of public health emergencies, and there is no unified standard for the clinical research ethics of public health emergencies in the world, which poses a new challenge to the practice of ethical research in China. In this article, we will combine with the ethical experience of clinical research on public health emergencies in China, propose the ethical guidelines for clinical research related to public health emergencies, including fast and efficient ethical review mechanism, scientific and reasonable research design, a reasonable balance of risk and benefit, adhere to the fundamental value of bioethics, to ensure that fully informed consent, to protect the subject's privacy, and recruiting fairly and reasonably. Further emphasized the prioritizing of public health and clinical emergency treatment, that is, under the situation of outbreak, all kinds of relevant public health clinical research can't affect the priority of epidemic prevention and control and clinical supportive treatment measures.


Assuntos
Emergências , Saúde Pública , China/epidemiologia , Humanos
18.
Washington, D.C.; PAHO; 2020-10-16.
em Inglês | PAHO-IRIS | ID: phr-52852

RESUMO

To the Member States: In accordance with the Constitution of the Pan American Health Organization, I have the honor to present the 2020 annual report on the work of the Pan American Sanitary Bureau, Regional Office for the Americas of the World Health Organization. This report highlights the technical cooperation undertaken by the Bureau during the period July 2019 through June 2020, within the framework of the 2014–2019 Strategic Plan of the Pan American Health Organization, defined by its Governing Bodies and amended by the Pan American Sanitary Conference in 2017, and the 2020–2025 Strategic Plan of the Pan American Health Organization, defined and approved by the Governing Bodies. This report is complemented by the Financial Report of the Director and the Report of the External Auditor for the year 2019. Carissa F. Etienne - Director, Pan American Health Organization.


Assuntos
Cooperação Técnica , Cooperação Internacional , Organização Pan-Americana da Saúde , Fatores de Risco , Doenças Transmissíveis , Cobertura Universal de Saúde , Emergências , Serviços de Saúde , Sistemas de Saúde , Prioridades em Saúde , Política Informada por Evidências , Uso da Informação Científica na Tomada de Decisões em Saúde , Coronavirus , Pandemias , Doenças não Transmissíveis , América
19.
Brasília, D.F.; OPAS; 2020-10-22. (OPAS/BRA/PHE/COVID-19/20-131).
em Português | PAHO-IRIS | ID: phr2-52911

RESUMO

Desde a confirmação dos primeiros casos de COVID-19 e até 5 de outubro de 2020, um total de 35.109.317 casos de COVID-19 havia sido registrado no mundo todo, incluindo 1.035.341 mortes. A Região das Américas responde por 49% do total de casos e 55% do total de mortes registrados mundialmente. A análise de tendências nos casos de COVID-19 em âmbito global, por região da OMS, mostra um novo aumento nos casos na Região da Europa e na Região do Pacífico Ocidental da OMS


Assuntos
Infecções por Coronavirus , Emergências , América , Regulamento Sanitário Internacional , Região do Caribe , Pandemias
20.
Pathog Glob Health ; 114(6): 309-317, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32862823

RESUMO

BACKGROUND: The aim of this study is to describe the successful emergency plan implemented by Padova University Hospital (AOUP) during the COVID-19 pandemic. METHODS: The emergency plan included early implementation of procedures aimed at meeting the increasing demand for testing and care while ensuring safe and timely care of all patients and guaranteeing the safety of healthcare workers. RESULTS: From 21 February to 1 May 2020, there were 3,862 confirmed cases of SARS-CoV-2 infection in the Province of Padua. A total of 485 patients were hospitalized in AOUP, of which 91 were admitted to the ICU; 12 .6% of admitted patients died. The average bed occupancy rate in the ICU was 61.1% (IQR 43.6%:77.4%). Inpatient surgery and inpatient admissions were kept for 76% and 74%, respectively, compared to March 2019. A total of 123,077 swabs were performed, 19.3% of which (23,725 swabs) to screen AOUP workers. The screening of all staff showed that 137 of 7,649 (1.8%) hospital workers were positive. No healthcare worker died. DISCUSSION: AOUP strategy demonstrated effective management of the epidemic thanks to the timely implementation of emergency procedures, a well-coordinated effort shared by all hospital Departments, and their continuous adjustment to the ongoing epidemic. Timely screening of all hospital workers proved to be particularly important to defend the hospital, avoiding epidemic clusters due to unknown positive cases.


Assuntos
Betacoronavirus/fisiologia , Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Idoso , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Infecções por Coronavirus/virologia , Emergências , Feminino , Pessoal de Saúde , Hospitalização , Hospitais Universitários , Humanos , Unidades de Terapia Intensiva , Itália/epidemiologia , Masculino , Programas de Rastreamento , Pessoa de Meia-Idade , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Pneumonia Viral/virologia , Centros de Atenção Terciária
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