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1.
Glob Health Action ; 13(1): 1797296, 2020 12 31.
Artigo em Inglês | MEDLINE | ID: mdl-32757713

RESUMO

The Coronavirus Disease 2019 (COVID-19) pandemic has overwhelmed many health systems globally. Innovative initiatives are needed to combat the pandemic and scaleup response efforts. This communication describes a collaborative partnership between an international humanitarian organization and an academic university to develop and rapidly deploy a remote digital COVID-19 trainer-of-trainers (TOT) program to enhance global response. The ongoing program has resulted in more than 900 TOT personnel who have themselves trained over 22,000 frontline response providers from 21 different countries and territories. The developed and implemented COVID-19 digital training program is a key example of how academic-humanitarian partnerships can be leveraged to strengthen healthcare training and response capacity during pandemics.


Assuntos
Infecções por Coronavirus/epidemiologia , Assistência à Saúde/organização & administração , Educação/organização & administração , Medicina de Emergência/educação , Pneumonia Viral/epidemiologia , Saúde Pública/educação , Altruísmo , Betacoronavirus/fisiologia , Saúde Global , Humanos , Pandemias , Universidades
2.
Ethn Dis ; 30(3): 437-440, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32742148

RESUMO

As of late May 2020, more than 1.5 million people had tested positive for coronavirus infection in the United States; however, only 3% of Americans had been tested. However, testing is only one of the key elements in the effort to control communicable diseases. There is a need to investigate others who may have been exposed to the virus; this can be accomplished through a foundational public health strategy - contact tracing. Most public health students and professionals have been introduced to the concept of contact tracing; however, competency in this area is undetermined. The purpose of this perspective is to call for national standards for contact tracing training programs that lead to a widely recognized certification process.


Assuntos
Busca de Comunicante/métodos , Infecções por Coronavirus , Educação/normas , Pandemias , Pneumonia Viral , Saúde Pública/educação , Controle de Doenças Transmissíveis/métodos , Controle de Doenças Transmissíveis/organização & administração , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Humanos , Determinação de Necessidades de Cuidados de Saúde , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Saúde Pública/tendências , Estados Unidos
3.
OMICS ; 24(9): 515-517, 2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32603205

RESUMO

After the initial emergency responses deployed to control the coronavirus disease 2019 (COVID-19) pandemic in the first half of 2020, we should now start thinking about long-term strategies and concepts for pandemic and disaster governance such as resilience. In this context, COVID-19 health care and education are especially important because they are essential public goods that determine what kind of a society we live in, during the pandemic and afterward. So for, the focus has been a tactical efficiency perspective that prioritized instrumental, logistical, or pragmatic aspects in planetary health and university education, with much less attention paid to social justice, history of inequity, and power asymmetries that affect the pandemic impacts in society. For a resilient COVID-19 response, we need to address not only medical, technical, and logistical challenges, but also the social disparities that are inherited from the prepandemic world that are negatively affecting the current pandemic outcomes.


Assuntos
Betacoronavirus/patogenicidade , Infecções por Coronavirus/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Saúde Pública/ética , Justiça Social/ética , Acesso à Informação/ética , Pesquisa Biomédica/ética , Infecções por Coronavirus/diagnóstico , Infecções por Coronavirus/patologia , Disparidades em Assistência à Saúde/ética , Humanos , Cooperação Internacional , Pneumonia Viral/diagnóstico , Pneumonia Viral/patologia , Saúde Pública/educação , Saúde Pública/métodos
5.
Public Health ; 185: 270-274, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32707469

RESUMO

OBJECTIVE: The aim of this study was to examine New Jersey Sierra Leoneans' experiences, perceptions, and knowledge about the Ebola outbreak to better understand how to serve diaspora communities during disease outbreaks and improve international community engagement efforts. STUDY DESIGN: Five focus groups were conducted with a total of 34 members of a New Jersey Sierra Leonean community. A short demographic survey was also administered. METHODS: Focus groups were audio-taped, transcribed, and then analyzed using QSR NVIVO. Demographic data were analyzed using SPSS. RESULTS: Major themes emerged from the focus groups as related to the Ebola outbreak: (1) stigma and discrimination; (2) psycho-socio-economic impact; and (3) public health communication challenges. CONCLUSIONS: Novel findings reveal the impact of the Ebola virus on a West African diaspora community in the United States. These findings also advance existing literature. Diaspora communities are an underutilized resource in international disease education, management and prevention outreach research. It is vital that health professionals begin to find effective ways to fold them into relief efforts.


Assuntos
Atitude Frente a Saúde , Ebolavirus , Doença pelo Vírus Ebola/epidemiologia , Migração Humana , Adulto , Idoso , Comunicação , Participação da Comunidade , Surtos de Doenças/prevenção & controle , Feminino , Grupos Focais , Doença pelo Vírus Ebola/psicologia , Humanos , Entrevistas como Assunto , Pessoa de Meia-Idade , Saúde Pública/educação , Serra Leoa/epidemiologia , Estigma Social , Estados Unidos/epidemiologia
6.
East Mediterr Health J ; 26(6): 626-629, 2020 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-32621492

RESUMO

The COVID-19 pandemic began as a cluster of reported cases of acute respiratory illness in China on 31 December 2019 and went on to spread with exponential growth across the globe. By the time it was characterized as a global pandemic on 11 March 2020, 17 of 22 countries in the Eastern Mediterranean Region (EMR) had reports of infected persons. EMR countries are particularly susceptible to such outbreaks due to the presence of globally interconnected markets; complex emergencies in more than half of the countries; religious mass gatherings that draw tens of millions of pilgrims annually; and variation in emergency care systems capacity and health systems performance within and between countries.


Assuntos
Infecções por Coronavirus/terapia , Serviços Médicos de Emergência/organização & administração , Serviço Hospitalar de Emergência/organização & administração , Epidemiologia/educação , Cooperação Internacional , Pneumonia Viral/terapia , Saúde Pública/educação , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Política de Saúde , Acesso aos Serviços de Saúde , Humanos , Região do Mediterrâneo/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Prática de Saúde Pública , Organização Mundial da Saúde
7.
Prev Chronic Dis ; 17: E56, 2020 07 09.
Artigo em Inglês | MEDLINE | ID: mdl-32644922

RESUMO

The COVID-19 pandemic has made the public more aware of public health and the role its professionals play in addressing the pandemic. Schools and programs in public health have a new opportunity to recruit, train, and sustain the public health workforce. Academic public health can further educate the public and prepare students for meaningful careers through interprofessional education and practice-based learning.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Administração em Saúde Pública/educação , Saúde Pública/educação , Estudantes de Medicina , Humanos , Seleção de Pessoal , Estados Unidos/epidemiologia , Recursos Humanos
8.
Afr J Prim Health Care Fam Med ; 12(1): e1-e3, 2020 Jun 03.
Artigo em Inglês | MEDLINE | ID: covidwho-543361

RESUMO

The novel coronavirus disease 2019 (COVID-19) pandemic has disrupted many lives worldwide. Training programmes in academic institutions have also been affected by the pandemic. Teaching and learning family medicine and public health medicine in the COVID-19 era require adjustments to training activities. At the University of Botswana, the pandemic presented an opportunity to steer training programmes in the Department of Family Medicine and Public Health Medicine more towards service-learning. The department collaborated with the Ministry of Health and Wellness as well as the District Health Management teams in the national response to the pandemic as essential service providers. The increased demands for service provision were balanced with educational opportunities for trainees during the COVID-19 public health emergency. Including structured ongoing reflections for trainees involved in the COVID-19 response helps to connect service and the academic curriculum.


Assuntos
Infecções por Coronavirus/epidemiologia , Medicina de Família e Comunidade/educação , Pandemias , Pneumonia Viral/epidemiologia , Saúde Pública/educação , Botsuana/epidemiologia , Currículo , Humanos , Universidades/organização & administração
9.
PLoS One ; 15(6): e0234462, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32525910

RESUMO

PURPOSE: With the emergence of zoonoses such as Ebola, many medical educators, have recommended the need for providing Interprofessional Education (IPE) as a pedagogical tool for familiarizing medical (MD) students with the framework of One Health (OH). This is important as students need to understand, the wider impacts of animal and environmental health factors on human health. IPE initiatives which typically incorporate the principles of OH, can provide MD and veterinary (DVM) students with a greater awareness of the role that animal diseases and climate change have on global health. However, negative attitudes to IPE have been reported as a key limitation to IPE implementation. The purpose of this paper is to examine the differences in readiness for interprofessional learning of medical and other allied human health professional students, including veterinarians and students undertaking dual degrees in combination with a Master of Public Health (MPH). Reflecting on Role Theory (RT) and Social Identity Theory (SIT), the paper aims to contribute to the understanding of differences in perceptions that exist between different types of health professionals. METHODS: Students at a medical University enrolled in MD, DVM, DVM MPH and MD MPH programs, were invited to complete the standardized Readiness for Interprofessional Learning Scale (RIPLS), which consists of 19 Likert scale items measuring concepts relating to teamwork, professional identity and roles and responsibilities. A total of 364 students across the four programs took part. Descriptive and inferential statistical analyses were performed to assess differences between the programmes. RESULTS: Results indicate that MD students score lower on the different RIPLS items compared to DVM, MD MPH and DVM MPH students. DVM and DVM MPH students are generally more positive about the need for teamwork, while MD MPH and DVM MPH students have a stronger positive identity about the need for IPE. CONCLUSIONS: The findings drawn from this study suggests that the MD students keep on seeing themselves as a separate group of health professionals in their own right. In order to guarantee an increased level of understanding on issues relating to the human-animal-environmental spectrum, medical curricula might benefit from the incorporation of shared learning and teamwork, as occurs within the MPH, enabling students to appreciate the value of interprofessional collaboration to their future practice. This is especially important during a time at which human-animal-environmental issues are affecting social and economic life worldwide.


Assuntos
Educação Médica/métodos , Educação em Veterinária/métodos , Práticas Interdisciplinares , Saúde Pública/educação , Estudantes de Ciências da Saúde , Adolescente , Adulto , Currículo , Educação Médica/organização & administração , Humanos , Aprendizagem , Modelos Educacionais , Setor Privado/organização & administração , Faculdades de Medicina/organização & administração , Inquéritos e Questionários , Adulto Jovem
10.
PLoS One ; 15(6): e0234796, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32584846

RESUMO

The 2014-2016 Ebola virus disease outbreak revealed the fragility of the Guinean public health infrastructure. As a result, the Guinean Ministry of Health is collaborating with international partners to improve compliance with the International Health Regulations and work toward the Global Health Security Agenda goals, including enhanced case- and community-based disease surveillance. We assessed the case-based disease surveillance system during October 1, 2015-March 31, 2016, in the Boffa prefecture of Guinea. We conducted onsite interviews with public health staff at the peripheral (health center), middle (prefectural), and central (Ministry of Health) levels of the public health system to document leadership structure; methods for maintaining case registers and submitting weekly case reports; disease surveillance feedback; data analysis; and baseline surveillance information on four epidemic-prone diseases (cholera, meningococcal meningitis, measles, and yellow fever). The surveillance system was simple and paper-based at health centers and computer spreadsheet-based at the prefectural and central levels. Surveillance feedback to stakeholders at all levels was infrequent. Data analysis activities were minimal at the peripheral levels and progressively more robust at the prefectural and central levels. Reviewing the surveillance reports from Boffa during the study period, we observed zero reported cases of the four epidemic-prone diseases in the weekly reporting from the peripheral to the central level. Similarly, the national District Health Information System 2 had no reported cases of the four diseases in Boffa but did indicate reported cases among all four neighboring prefectures. Based on the assessment findings, which suggest low sensitivity of the case-based disease surveillance system in Boffa, we recommend additional training and support to improve surveillance data quality and enhance Guinean public health workforce capacity to use these data.


Assuntos
Confiabilidade dos Dados , Monitoramento Epidemiológico , Saúde Pública/educação , Planejamento em Saúde Comunitária/estatística & dados numéricos , Surtos de Doenças/estatística & dados numéricos , Guiné , Doença pelo Vírus Ebola/epidemiologia , Humanos , Projetos de Pesquisa
11.
Afr J Prim Health Care Fam Med ; 12(1): e1-e3, 2020 Jun 03.
Artigo em Inglês | MEDLINE | ID: mdl-32501020

RESUMO

The novel coronavirus disease 2019 (COVID-19) pandemic has disrupted many lives worldwide. Training programmes in academic institutions have also been affected by the pandemic. Teaching and learning family medicine and public health medicine in the COVID-19 era require adjustments to training activities. At the University of Botswana, the pandemic presented an opportunity to steer training programmes in the Department of Family Medicine and Public Health Medicine more towards service-learning. The department collaborated with the Ministry of Health and Wellness as well as the District Health Management teams in the national response to the pandemic as essential service providers. The increased demands for service provision were balanced with educational opportunities for trainees during the COVID-19 public health emergency. Including structured ongoing reflections for trainees involved in the COVID-19 response helps to connect service and the academic curriculum.


Assuntos
Infecções por Coronavirus/epidemiologia , Medicina de Família e Comunidade/educação , Pandemias , Pneumonia Viral/epidemiologia , Saúde Pública/educação , Botsuana/epidemiologia , Currículo , Humanos , Universidades/organização & administração
12.
J Med Internet Res ; 22(6): e21820, 2020 06 29.
Artigo em Inglês | MEDLINE | ID: mdl-32589589

RESUMO

In this issue of the Journal of Medical Internet Research, the World Health Organization (WHO) is presenting a framework for managing the coronavirus disease (COVID-19) infodemic. Infodemiology is now acknowledged by public health organizations and the WHO as an important emerging scientific field and critical area of practice during a pandemic. From the perspective of being the first "infodemiologist" who originally coined the term almost two decades ago, I am positing four pillars of infodemic management: (1) information monitoring (infoveillance); (2) building eHealth Literacy and science literacy capacity; (3) encouraging knowledge refinement and quality improvement processes such as fact checking and peer-review; and (4) accurate and timely knowledge translation, minimizing distorting factors such as political or commercial influences. In the current COVID-19 pandemic, the United Nations has advocated that facts and science should be promoted and that these constitute the antidote to the current infodemic. This is in stark contrast to the realities of infodemic mismanagement and misguided upstream filtering, where social media platforms such as Twitter have advertising policies that sideline science organizations and science publishers, treating peer-reviewed science as "inappropriate content."


Assuntos
Infecções por Coronavirus , Educação em Saúde/métodos , Educação em Saúde/organização & administração , Pandemias , Pneumonia Viral , Saúde Pública/métodos , Mídias Sociais/organização & administração , Mídias Sociais/normas , Organização Mundial da Saúde/organização & administração , Betacoronavirus , Infecções por Coronavirus/economia , Infecções por Coronavirus/epidemiologia , Educação em Saúde/normas , Letramento em Saúde , Humanos , Pandemias/economia , Pneumonia Viral/economia , Pneumonia Viral/epidemiologia , Política , Saúde Pública/educação , Saúde Pública/normas , Mídias Sociais/provisão & distribução
15.
Lancet Infect Dis ; 20(6): e142-e147, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32386611

RESUMO

Chronic and emerging infectious diseases and antimicrobial resistance remain a substantial global health threat. Microbiota are increasingly recognised to play an important role in health. Infections also have a profound effect beyond health, especially on global and local economies. To maximise health improvements, the field of infectious disease epidemiology needs to derive learning from ecology and traditional epidemiology. New methodologies and tools are transforming understanding of these systems, from a better understanding of socioeconomic, environmental, and cultural drivers of infection, to improved methods to detect microorganisms, describe the immunome, and understand the role of human microbiota. However, exploiting the potential of novel methods to improve global health remains elusive. We argue that to exploit these advances a shift is required in the teaching of infectious disease epidemiology to ensure that students are well versed in a breadth of disciplines, while maintaining core epidemiological skills. We discuss the following key points using a series of teaching vignettes: (1) integrated training in classic and novel techniques is needed to develop future scientists and professionals who can work from the micro (interactions between pathogens, their cohabiting microbiota, and the host at a molecular and cellular level), with the meso (the affected communities), and to the macro (wider contextual drivers of disease); (2) teach students to use a team-science multidisciplinary approach to effectively integrate biological, clinical, epidemiological, and social tools into public health; and (3) develop the intellectual skills to critically engage with emerging technologies and resolve evolving ethical dilemmas. Finally, students should appreciate that the voices of communities affected by infection need to be kept at the heart of their work.


Assuntos
Controle de Doenças Transmissíveis/métodos , Doenças Transmissíveis/epidemiologia , Microbiologia Ambiental , Microbiota , Humanos , Saúde Pública/educação
17.
Am J Public Health ; 110(7): 978-985, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32437275

RESUMO

As postsecondary tuition and debt levels continue to rise, the value proposition of higher education has been increasingly called into question by the popular media and the general public. Recent data from the National Center for Education Statistics now show early career earnings and debt, by program, for thousands of institutions across the United States. This comes at an inflection point for public health education-master's degrees have seen 20 years of growth, but forecasts now call for, at best, stagnation.Forces inside and outside the field of public health are shifting supply and demand for public health master's degrees. We discuss these forces and identify potential monetary and nonmonetary costs and benefits of these degrees.Overall, we found a net benefit in career outcomes associated with a public health master's degree, although it is clear that some other master's degrees likely offer greater lifetime earning potentials or lower lifetime debt associated with degree attainment. We outline the issues academic public health must engage in to successfully attract and train the next generation of public health graduates.


Assuntos
Educação de Pós-Graduação/economia , Saúde Pública/educação , Salários e Benefícios , Escolha da Profissão , Análise Custo-Benefício , Emprego , Humanos , Saúde Pública/economia , Apoio ao Desenvolvimento de Recursos Humanos , Estados Unidos
18.
Asia Pac J Public Health ; 32(4): 168-169, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32429681

RESUMO

The main purpose of this paper is to highlight the important information sources of the Public Health awareness used by the library and information sources in this Pandemic situation. Social distancing phase Information professional used a different medium to connect with their patron and try to serve the best manner. The role of the information professional in health information and health literacy is very vital. Information professional public health awareness information with the library patrons and the general public. In this paper, the researchers provide a brief introduction to different information channel support in information dissemination.


Assuntos
Betacoronavirus , Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Saúde Pública , Conscientização , Humanos , Pandemias , Saúde Pública/educação , Mídias Sociais
19.
PLoS One ; 15(5): e0233360, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32437384

RESUMO

BACKGROUND: Recent infectious disease outbreaks highlight the importance of competent professionals with expertise on public health preparedness and response at airports. The availability of a competency profile for this workforce supports efficient education and training. Although competency profiles for infectious disease control professionals are available, none addresses the complex airport environment. Therefore, the main aim of this study is to develop a competency profile for professionals involved in infectious disease preparedness and response at airports in order to stimulate and direct further education and training. METHODS: We developed the competency profile through the following steps: 1) extraction of competencies from relevant literature, 2) assessment of the profile in a national RAND modified Delphi study with an interdisciplinary expert group (n = 9) and 3) assessment of the profile in an international RAND modified Delphi study with an airport infectious disease management panel of ten European countries (n = 10). RESULTS: We systematically studied two competency profiles on infectious disease control and three air transport guidelines on event management, and extracted 61 relevant competencies for airports. The two RAND modified Delphi procedures further refined the profile, mainly by specifying a competency's target group, the organizational level it should be present on, and the exact actions that should be mastered. The final profile, consisting of 59 competencies, covers the whole process from infectious disease preparedness, through the response phase and the recovery at airports. CONCLUSION: We designed a profile to support training and exercising the multidisciplinary group of professionals in infectious disease management in the airport setting, and which is ready for use in practice. The many adaptations and adjustments that were needed to develop this profile out of existing profiles and air transport guidelines suggest that other setting-specific profiles in infectious disease control are desirable.


Assuntos
Aeroportos , Controle de Doenças Transmissíveis/normas , Competência Profissional/normas , Saúde Pública/normas , Aeroportos/organização & administração , Aeroportos/normas , Defesa Civil/educação , Defesa Civil/organização & administração , Defesa Civil/normas , Doenças Transmissíveis/transmissão , Consenso , Técnica Delfos , Europa (Continente) , Feminino , Humanos , Masculino , Saúde Pública/educação , Administração em Saúde Pública
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