Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 2.765
Filtrar
1.
J Environ Manage ; 280: 111701, 2021 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-33288316

RESUMO

Flood disasters have appeared more frequently in recent years because of climate change and urbanization, and Integrated Flood Risk Management (IFRM) has emerged as an effective method to reduce damage from these floods. This research studies IFRM methods in three aspects: flood risk identification of high-risk areas, flood risk assessment to quantify economic losses, and flood risk management to identify structural measures with the greatest engineering benefits. These methods were applied to Beijing as a case study, and the results showed that the Zuoan-Road area was a high-risk area with economic losses ranging from 0.7 million to 35.9 million euros over different return periods. There are five structural measures in Zuoan-Road area, with engineering benefits ranging from 0.97 to 1.60 over different return periods, and the one with the greatest engineering benefits had a fifty-year return period. The results of this research can be used to support urban flood risk management in Beijing.


Assuntos
Desastres , Inundações , Pequim , Mudança Climática , Medição de Risco , Urbanização
2.
Disabil Rehabil ; 43(1): 126-132, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33280457

RESUMO

PURPOSE: The healthcare system and service capacity are overwhelmed by the Covid-19 pandemic. There is a substantial unmet need for rehabilitation service to all patients affected by Covid-19 directly or indirectly. This article aims to describe how to rapidly reconfigure and bring rehabilitation services back during the pandemic. METHOD: The Steer committee meeting was held for the development of a strategic preparedness plan and safety management based on principles and evidence of rehabilitation, which will lead to effective mitigation of consequences resulted from Covid-19. RESULTS: Five measures were taken in Southwest China during the pandemic, which includes the "First contact responsibility" and management system; the full-coverage system for nosocomial infection control; the "Closed-off management" system; the full-coverage system for body temperature monitoring; the adoption of 5G-based telerehabilitation. With the implementation of these measures, the capacity and capability were enhanced to safely reopen and operate rehabilitation facilities in Southwest China. CONCLUSION: Further measurement of quality of care and outcomes during and beyond the pandemic is needed in transforming the healthcare system and improving rehabilitation services. Hopefully, the positive message conveyed by this paper could encourage and support communities and the society of physical medicine and rehabilitation worldwide during this challenging time. IMPLICATIONS FOR REHABILITATION Rehabilitation services are essential and there is an unmet need posed by the Covid-19 pandemic. A feasible strategic plan and safety management measures are critical to reconfigure the capacity and capability of rehabilitation services suspended by Covid-19. The adoption of tele-rehabilitation technology has the potential to reshape public health emergency responses and the delivery of care. Measurement of quality and outcomes is of great importance to inform transformation and adaptation of rehabilitation services during and after the Covid-19 pandemic.


Assuntos
Defesa Civil , Reabilitação/organização & administração , Telerreabilitação , China , Assistência à Saúde , Serviço Hospitalar de Emergência/organização & administração , Medicina Baseada em Evidências , Humanos , Pandemias , Saúde Pública
3.
Harm Reduct J ; 17(1): 95, 2020 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-33261636

RESUMO

BACKGROUND: People who inject drugs are at increased health risk in a pandemic due to their greater susceptibility to severe disease and as a consequence of the restrictions put in place to halt the spread of infection. Harm reduction (HR) services, which aim to reduce the negative effects of drug use on health, are likely to be diminished in a pandemic. However, innovative HR interventions and messaging may also develop in response to such a crisis. It is vital to understand the most effective ways to deliver HR in pandemic situations so that guidance can be provided for current and future disruptions to service provision. METHODS: A rapid evidence review was conducted with the aim of exploring what HR interventions and messaging are most effective during a pandemic-type situation. Ten health databases were systematically searched using terms relevant to the research aim. A search was also made of grey literature, including a targeted search of HR messaging from key national and service provider websites. RESULTS: In the initial search, 121 pieces of evidence were identified which, after screening and de-duplication, resulted in 60 for inclusion. The included evidence consists mainly of non-peer reviewed, pre-publication or expert opinion pieces. The rapid findings suggest that HR services should be deemed essential during a pandemic, with staff supported to work safely and social distancing adaptations implemented. Services should be encouraged to operate more flexibly; for instance, in deciding the amounts of take-home supplies of injecting equipment and medications. The evidence on HR communication was very limited but key messages on infection control, uncertain drug supply and accessing services were identified. CONCLUSIONS: This rapid evidence review identifies implications for national policy makers, commissioners and HR service providers. A person-centred rather than disease-centred approach to HR delivered by collaborating partners, as well as prioritizing tailored HR messaging, is recommended. Further research evaluating the delivery of HR services and messaging, particularly focusing on health inequalities, is urgently needed.


Assuntos
/prevenção & controle , Redução do Dano , Abuso de Substâncias por Via Intravenosa/prevenção & controle , Abuso de Substâncias por Via Intravenosa/psicologia , Humanos , Pandemias
4.
Simul Healthc ; 15(6): 427-431, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33156259

RESUMO

STATEMENT: The coronavirus disease 19 (COVID-19) pandemic, caused by severe acute respiratory distress syndrome coronavirus 2, has spread globally and requires effective preparedness within healthcare institutions. The British Columbia Simulation Network COVID-19 Simulation Guide was created to disseminate information throughout the province of British Columbia, Canada, and to allow simulation educators, from novice to expert, to participate in COVID-19 simulations. As of July 15, 2020, the guide had been downloaded 465 times from the British Columbia Simulation Network website, with downloads in 41 countries around the world. The guide has been frequently updated and revised to reflect evolving guidelines as new knowledge about COVID-19 was established.


Assuntos
/epidemiologia , Planejamento em Desastres/organização & administração , Pessoal de Saúde/educação , Treinamento por Simulação/organização & administração , Colúmbia Britânica , Planejamento em Desastres/normas , Feedback Formativo , Humanos , Pandemias , Guias de Prática Clínica como Assunto , Treinamento por Simulação/normas
5.
Artigo em Inglês | MEDLINE | ID: mdl-33158215

RESUMO

The growing densities of human and economic activities in cities lead to more severe consequences when a catastrophe such as an earthquake occurs. This study on urban seismic risk evaluation is carried out from the perspective of the direct loss caused by disasters in urban areas, including the measurement of both the expected direct economic loss and loss of life in the face of characteristic earthquakes. Aiming to estimate, quantify and visualize the earthquake risk in each unit of urban space, this research proposes to assess urban seismic risk by integrating the direct economic loss and the loss of statistical life in a disaster, with consideration of diverse earthquake frequencies. Empirical research of the proposed assessment framework and corresponding models is then conducted to measure urban seismic risk in Xiamen, China. Key findings of the case study include the expected direct economic losses and the expected number of deaths in three characteristic earthquakes, their estimated spatial distributions, the average loss of the value of a statistical life (VSL) of one average local resident and the overall seismic risk distributions in Xiamen.


Assuntos
Terremotos , China/epidemiologia , Cidades , Pesquisa Empírica , Humanos , Medição de Risco
6.
Harmful Algae ; 98: 101904, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-33129461

RESUMO

During the 2015/2016 West Coast Dungeness crab (Metacarcinus magister) season, the opening of the fishery in California was delayed almost five months due to high and persistent concentrations of domoic acid in crab following a massive coast-wide Pseudo-nitzschia australis (P. australis) bloom. A hurdle model was used to estimate lost revenues to fishers due to the delay in the opening of the 2015/2016 season, and an input-output model is used to calculate resulting losses in income and employment statewide. The analysis suggests that Dungeness crab revenue was decreased as a result of the season delay, but the reduction was less than was initially estimated when a request for disaster assistance was submitted. However, the analysis also shows that fishers lost out on revenue from other fisheries equal in magnitude to the reduction in crab revenues because the delayed opening led fishers to reduce effort in non-crab fisheries. The research demonstrates the need to consider impacts beyond the revenue losses to directly affected fisheries. Potential management and industry responses that might mitigate future losses if future large scale P. australis blooms threaten fishery delays or closures are discussed along with the research needed to determine whether and how to implement these strategies.

7.
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
8.
Rev Sci Tech ; 39(2): 579-590, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-33046918

RESUMO

All-hazards preparedness and response planning requires ongoing individual, organisational and multi-jurisdictional learning. Disaster after-action reviews are an established emergency management practice to acquire knowledge through a process of analysing what happened and why, to improve the emergency response before the next crisis. After-action reviews help individuals and organisations learn, and are an essential step in the preparedness cycle. Human and animal health authorities have begun to employ after-action reviews for disaster preparedness and response among public health and Veterinary Services. The World Organisation for Animal Health (OIE) encourages Members to establish after-action reviews and share best practice. The adoption of afteraction review is an essential step for all provincial, national and multinational emergency management authorities to mitigate the impact of disasters on human and animal health. Emerging and re-emerging infectious diseases with pandemic potential pose unique preparedness challenges, requiring high-level policy attention to close long-standing gaps. A review of after-action reports from the 2001 anthrax bioterror attacks and of naturally occurring infectious disease crises, from the 2003 outbreak of severe acute respiratory syndrome (SARS) to the 2014 Ebola epidemic, reveal a similar pattern of repeated weakness and failures. These phenomena are described as 'lessons observed but not lessons learned'. Most infectious disease outbreaks with pandemic potential are zoonotic and require a One Health approach to prevent, prepare for and respond to global health security crises. After-action reviews in a One Health security context are essential to improve the pandemic preparedness of public health and Veterinary Services. After-action reviews can also provide the evidence-based 'feedback loop' needed to galvanise public policy and political will to translate lessons observed into sustained and applied lessons learned.


Assuntos
Desastres , Doença pelo Vírus Ebola , Animais , Surtos de Doenças/prevenção & controle , Surtos de Doenças/veterinária , Saúde Global , Doença pelo Vírus Ebola/epidemiologia , Doença pelo Vírus Ebola/veterinária , Humanos , Saúde Pública
9.
Sci Rep ; 10(1): 16487, 2020 10 05.
Artigo em Inglês | MEDLINE | ID: mdl-33020508

RESUMO

The Italian Government has decreed a series of progressive restrictions to delay the COVID-19 pandemic diffusion in Italy since March 10, 2020, including limitation in individual mobility and the closure of social, cultural, economic and industrial activities. Here we show the lockdown effect in Northern Italy, the COVID-19 most affected area, as revealed by noise variation at seismic stations. The reaction to lockdown was slow and not homogeneous with spots of negligible noise reduction, especially in the first week. A fresh interpretation of seismic noise variations in terms of socio-economic indicators sheds new light on the lockdown efficacy pointing to the causes of such delay: the noise reduction is significant where non strategic activities prevails, while it is small or negligible where dense population and strategic activities are present. These results are crucial for the a posteriori interpretation of the pandemic diffusion and the efficacy of differently targeted political actions.


Assuntos
Infecções por Coronavirus/epidemiologia , Terremotos/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Quarentena/estatística & dados numéricos , Infecções por Coronavirus/prevenção & controle , Humanos , Itália , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Razão Sinal-Ruído , Tempo
10.
Ethiop J Health Sci ; 30(3): 439-448, 2020 May.
Artigo em Inglês | MEDLINE | ID: mdl-32874087

RESUMO

Background: Non-communicable diseases (NCD) such as hypertension (HTN) and diabetes mellitus (DM) have been one of the major health problems in the world. The aim of this study was to evaluate the prevalence rate of DM and HTN following natural and man-made disasters that impose significant economic and psychological burdens on human communities. Methods: In this systematic and meta-analysis review, all cross-sectional studies that at least one of their objectives was to measure the prevalence of HTN or DM in individuals affected by natural and man-made disasters were included. Literature review was done in international databases including PubMed, Scopus and Web of Science, from database inception to February 17, 2019. The extracted data included the bibliographic characteristics of the article, the age of the participants, number of participants, gender, sample size, outcome, duration of the follow-up, and prevalence of DM and HTN. Data were analyzed by STATA software (version 11) and random effect method and the I2 index were used to investigate heterogeneity between the articles. Results: A total of 16 articles met the inclusion criteria. Based on the quality assessment, 11 papers were categorized as moderate and 5 paper were categorized as high quality. The prevalence of HTN and DM in disaster-exposed populations were 47.35 (CI 95%: 38.53-56.17) and 13.56 (CI 95%: 10.12-17.01), respectively. Conclusion: The results of this study show a high prevalence of HTN and DM in survivors of major disasters, which is higher in comparison to the general population.

11.
Int J Pharm Pract ; 2020 Sep 02.
Artigo em Inglês | MEDLINE | ID: mdl-32881173

RESUMO

OBJECTIVES: In the aftermath of a disaster, the services provided by pharmacists are essential to ensure the continued health and well-being of the local population. To continue pharmacy services, it is critical that pharmacists are prepared for disasters. A systematic literature review was conducted to explore pharmacists' and pharmacy students' preparedness for disasters and the factors that affect preparedness. METHODS: This review was conducted in April 2020 through electronic databases CINAHL, MEDLINE, Embase, PubMed, Scopus and PsycINFO, and two disaster journals. Search terms such as 'pharmacist*', 'disaster*' and 'prepared*' were used. The search yielded an initial 1781 titles. Articles were included if they measured pharmacists or pharmacy students' disaster preparedness. After screening and quality appraisal by two researchers, four articles were included in final analysis and review. Data were extracted using a data collection tool formulated by the researchers. Meta-analysis was not possible; instead, results were compared across key areas including preparedness ratings and factors that influenced preparedness. KEY FINDINGS: Three articles focused on pharmacy students' preparedness for disasters, and one on registered pharmacists' preparedness. Preparedness across both groups was poor to moderate with <18% of registered pharmacists found to be prepared to respond to a disaster. Factors that potentially influenced preparedness included disaster competency, disaster interventions and demographic factors. CONCLUSION: For pharmacists, the lack of research around their preparedness speaks volumes about their current involvement and expectations within disaster management. Without a prepared pharmacy workforce and pharmacy involvement in disaster management, critical skill and service gaps in disasters may negatively impact patients.

13.
Psychiatr Q ; 91(4): 1265-1290, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-32901423

RESUMO

Our study systematically reviews articles about the prevalence of Post-traumatic Stress Disorder (PTSD) among children and adolescents, aiming to evaluate its prevalence after earthquakes and floods.Three databases (PubMed, Scopus, and Web of Science) were searched for articles published from 1981 to 2019 containing information on PTSD prevalence among survivors of earthquakes and floods. Articles with insufficient data on the prevalence of PTSD or without any available full-text were excluded. Major study variables consist of the prevalence of PTSD of the included studies, gender, and the elapsed time after the disaster. The overall PTSD prevalence was determined using a fixed-effect model for eligible studies. Of 4107 studies listed using our search strategy, 439 underwent full-text review, 59 records included in the systematic review, and 39 records met the criteria for meta-analysis. The pooled prevalence of PTSD among children and adolescent survivors after earthquakes and floods was 19.2% (95%CI = 18.6-19.7%), 30.0% (95%CI = 29.5-30.6%), 24.4% (95%CI = 23.4-25.4%) and 20.4% (95%CI = 19.1-21.7%), in the first, second, third and fourth six-month intervals after the disaster, respectively. Our analysis also revealed that PTSD was more prevalent among girls (p < 0.001). The absence of psychological support for affected areas considerably increases the risk of PTSD among survivors. Our results indicated that children and adolescents, especially girls, are more vulnerable and should be in top priority. The governments should refine their policies on post-disaster services and run early screening, immediate intervention, and ongoing monitoring for PTSD, as well as mental and emotional supports.

14.
PLoS One ; 15(9): e0239293, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32966335

RESUMO

Economies are frequently affected by natural disasters and both domestic and overseas financial crises. These events disrupt production and cause multiple other types of economic losses, including negative impacts on the banking system. Understanding the transmission mechanism that causes various negative second-order post-catastrophe effects is crucial if policymakers are to develop more efficient recovery strategies. In this work, we introduce a credit-based adaptive regional input-output (ARIO) model to analyse the effects of disasters and crises on the supply chain and bank-firm credit networks. Using real Japanese networks and the exogenous shocks of the 2008 Lehman Brothers bankruptcy and the Great East Japan Earthquake (March 11, 2011), this paper aims to depict how these negative shocks propagate through the supply chain and affect the banking system. The credit-based ARIO model is calibrated using Latin hypercube sampling and the design of experiments procedure to reproduce the short-term (one-year) dynamics of the Japanese industrial production index after the 2008 Lehman Brothers bankruptcy and the 2011 Great East Japan earthquake. Then, through simulation experiments, we identify the chemical and petroleum manufacturing and transport sectors as the most vulnerable Japanese industrial sectors. Finally, the case of the 2011 Great East Japan Earthquake is simulated for Japanese prefectures to understand differences among regions in terms of globally engendered indirect economic losses. Tokyo and Osaka prefectures are the most vulnerable locations because they hold greater concentrations of the above-mentioned vulnerable industrial sectors.


Assuntos
Comércio/economia , Economia , Desastres Naturais/economia , Falência/economia , Terremotos/economia , Humanos , Japão , Tóquio
15.
Am J Disaster Med ; 15(2): 113-128, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32804391

RESUMO

During the 2017-2018 listeriosis outbreak in South Africa (SA), the total number of cases reached 1,060. In this study, the disaster management response to the 2017-2018 South Africa listeriosis outbreak is analyzed. The hazard was in part the contamination of a brand of a ready-to-eat (RTE) "polony" with a strain of Listeria monocytogenes ST6. The initial phase of the 2017-2018 listeriosis outbreak was characterized by a rapid increase in the number of detected human cases. The listeriosis outbreak was officially proclaimed in December 2017, resulting in listeriosis being added to the list of notifiable diseases in SA. The delay between onset and proclamation was a result of the difficulty in identifica-tion of the actual number of cases of listeriosis in the country. The response to the disaster included the coordination of the National Department of Health, the National Institute of Communicable Diseases (NICD), businesses/producers of the contaminated brand of RTE products, and the public. Some of these activities led to the removal of the contami-nated products from the retail sector in March 2018, resulting in a decrease in the number of cases found in SA. In re-sponse to the outbreak, the National Department of Health formed a multisector incidence response team and imple-mented the Emergency Response Plan. Impacts of future listeriosis outbreaks could be mitigated by the adoption of international listeriosis guidelines such as the WHO/FAO and FDA. Practical steps in this context should include setting a limit of L. monocytogenes in RTE products. WHO/FAO and FDA listeriosis policies which are described "zero toler-ance" where a limit of < 100 L. monocytogenes cells/g at the moment of consumption is acceptable can be adopted. Additional resources must be provided for research into infectious doses and the various routes of human exposure.


Assuntos
Surtos de Doenças/prevenção & controle , Guias como Assunto , Legislação como Assunto , Listeria monocytogenes , Listeriose/epidemiologia , Formulação de Políticas , Desastres , Notificação de Doenças , Microbiologia de Alimentos , Humanos , Listeriose/diagnóstico , África do Sul
16.
J Emerg Manag ; 18(4): 349-354, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32804402

RESUMO

This work is a companion paper to "Quantifying the Relationship Between Predisaster Mitigation Spending and Major Disaster Declarations for US States and Territories." Mitigation is a relatively new undertaking, especially for local jurisdictions, within the United States disaster policy. The Disaster Mitigation Act of 2000 (DMA 2000) requires local jurisdictions to plan for and implement mitigative strategies in order to access federal grant funding options for emergency management. After DMA 2000 went into effect in the mid-2000s, a supporting study by the Multi-Hazard Mitigation Council (MMC 2005) found that on average, mitigation projects yielded a benefit-cost ratio of 4:1 at the local level.1 This paper evaluates and compares predisaster mitigation spending and postdisaster assistance spend-ing at the state and FEMA Regional levels, hypothesizing that as mitigation spending increases, postdisaster spend-ing should decrease. The results however indicate the opposite, with most states showing increasing in both types of spending over time.


Assuntos
Planejamento em Desastres/economia , Desastres/economia , Organização do Financiamento/estatística & dados numéricos , Custos e Análise de Custo , Humanos , Governo Local , Estados Unidos
17.
Am J Disaster Med ; 14(4): 247-254, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32803744

RESUMO

OBJECTIVE: The Pandemic and All-Hazards Preparedness Act calls for establishing a competency-based training program to train public health practitioners. To inform such training, the Centers for Disease Control and Prevention and the Association of Schools of Public Health managed groups of experts to produce a competency model which could function as a national standard of behaviorally based, observable skills for the public health workforce to prevent, protect against, respond to, and recover from all hazards. DESIGN: A systematic review of existing competency models generated a competency model of proposed domains and competencies. PARTICIPANTS: National stakeholders were engaged to obtain consensus through a three-stage Delphi-like process. RESULTS: The Delphi-like process achieved 84 percent, 82 percent, and 79 percent response rates in its three stages. Three hundred sixty six unique individuals responded to the three-round process, with 45 percent (n = 166) responding to all three rounds. The resulting competency model features 18 competencies within four core learning domains targeted at midlevel public health workers. CONCLUSIONS: Practitioners and academics have adopted the Public Health Preparedness and Response Core Competency Model, some of whom have formed workgroups to develop curricula based on the model. Efforts will be needed to develop evaluation materials for training and education programs to refine the model as well as for future training and education initiatives.


Assuntos
Planejamento em Desastres/organização & administração , Pessoal de Saúde/educação , Competência Profissional/normas , Saúde Pública/normas , Consenso , Currículo , Técnica Delfos , Humanos
18.
Pediatrics ; 146(3)2020 09.
Artigo em Inglês | MEDLINE | ID: mdl-32839245

RESUMO

Children and adolescents should be included in exercises and drills to the extent that their involvement advances readiness to meet their unique needs in the event of a crisis and/or furthers their own preparedness or resiliency. However, there is also a need to be cautious about the potential psychological risks and other unintended consequences of directly involving children in live exercises and drills. These risks and consequences are especially a concern when children are deceived and led to believe there is an actual attack and not a drill and/or for high-intensity active shooter drills. High-intensity active shooter drills may involve the use of real weapons, gunfire or blanks, theatrical makeup to give a realistic image of blood or gunshot wounds, predatory and aggressive acting by the individual posing to be the shooter, or other means to simulate an actual attack, even when participants are aware that it is a drill. This policy statement outlines some of the considerations regarding the prevalent practice of live active shooter drills in schools, including the recommendations to eliminate children's involvement in high-intensity drills and exercises (with the possible exception of adolescent volunteers), prohibit deception in drills and exercises, and ensure appropriate accommodations during drills and exercises based on children's unique vulnerabilities.


Assuntos
Defesa Civil/organização & administração , Decepção , Violência com Arma de Fogo/psicologia , Angústia Psicológica , Instituições Acadêmicas , Adolescente , Fatores Etários , Criança , Pré-Escolar , Abrigo de Emergência , Violência com Arma de Fogo/prevenção & controle , Humanos , Lactente , Recém-Nascido , Pediatria , Treinamento por Simulação , Sociedades Médicas , Sobreviventes/psicologia , Estados Unidos , Adulto Jovem
19.
Lima; Perú. Ministerio de Salud; 20200800. 27 p. graf.
Monografia em Espanhol | LILACS, MINSAPERÚ | ID: biblio-1100332

RESUMO

El documento contiene los procedimientos de atención para los viajeros que ingresan y salen del país en vuelos especiales en el contexto de la emergencia sanitaria por COVID-19 a nivel nacional declarada por el Decreto Supremo N° 008-2020.


Assuntos
Assistência Individualizada de Saúde , Infecções por Coronavirus , Estado de Alerta em Emergências , Doença Relacionada a Viagens
20.
PLoS Biol ; 18(8): e3000889, 2020 08.
Artigo em Inglês | MEDLINE | ID: mdl-32853196

RESUMO

The SARS-CoV-2 epidemic challenged universities and other academic institutions to rapidly adapt to urgent and life-threatening situations. It forced most institutions to shut down nearly every aspect of their research and educational enterprises. In doing so, university leaders were thrust into unchartered waters and forced them to make unprecedented decisions. Successes and failures along the way highlighted how the autonomous nature of the American academic research enterprise and skillsets normally required of university leaders were ill-suited to mounting an emergency response. Here, as faculty from medical centers in the United States, we draw lessons from these experiences and apply them as we plan for the next possible COVID-19-induced shutdown as well as other large-scale pandemics and emergencies at universities in the United States and throughout the world.


Assuntos
Betacoronavirus/patogenicidade , Pesquisa Biomédica/organização & administração , Defesa Civil/organização & administração , Infecções por Coronavirus/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Humanos , Guias de Prática Clínica como Assunto , Saúde Pública , Estados Unidos/epidemiologia , Universidades
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA