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MEDICC Rev ; 22(2): 31-37, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32478705


This MEDICC Review roundtable gathers some of Cuba's top researchers in the fi elds of vaccines and biotechnology, all of whom work in institutions belonging to BioCubaFarma, the umbrella company of Cuban biotech and pharmaceutical R&D, production, distribution and export. Founded in 2012, the company is comprised of 34 enterprises with 61 lines of production and some 20,000 employees. A total of 765 of its products are registered in 53 countries and exported to an-other 50. Its scientists' research has resulted in 2640 patents in Cuba and globally.

Betacoronavirus , Biotecnologia , Infecções por Coronavirus , Cooperação Internacional , Pandemias , Pneumonia Viral , Consenso , Cuba , Humanos
MEDICC Rev ; 22(2): 40-44, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32478707


This MEDICC Review roundtable brings you specialists from Havana's Pedro Kourí Tropical Medicine Institute (IPK), who are working directly with testing, research and patient care during the COVID-19 pandemic. Founded in 1937 by its namesake, the Institute has gained considerable worldwide prestige. Today, it is a PAHO-WHO Collaborating Center for the Study of Dengue and Its Vector, and for the Elimination of Tuberculosis. Its main role within Cuba's health system is as the national reference center for prevention, control, management and elimination of infectious diseases, including epidemics. Its 479 workers staff 32 departments, including laboratories, research and teach-ing facilities, a hospital and isolation center. The IPK's hospital treats later-stage AIDS patients, while the Institute is the nation-al reference center for attention to all HIV-positive patients and maintains the national HIV/AIDS registry, as well as registries for other infectious diseases. The institution was responsible for training the Cuban doctors who served in West Africa during the 2014-2016 Ebola outbreaks and for those going abroad to assist in the COVID-19 response today, and its professionals offer an internationally-recognized biennial course on dengue.

Academias e Institutos , Betacoronavirus , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Betacoronavirus/efeitos dos fármacos , Consenso , Infecções por Coronavirus/tratamento farmacológico , Infecções por Coronavirus/fisiopatologia , Infecções por Coronavirus/psicologia , Cuba/epidemiologia , Humanos , Transmissão de Doença Infecciosa do Paciente para o Profissional/prevenção & controle , Pneumonia Viral/tratamento farmacológico , Pneumonia Viral/fisiopatologia , Pneumonia Viral/psicologia , Prognóstico , Gestão da Segurança
MEDICC Rev ; 22(2): 45-46, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32478708


As the COVID-19 health crisis engulfs the planet, we are sub-merged in a parallel pandemic: the glut of misinformation and disinformation. The data associated with this phenomenon are creating a disaster within a disaster. In early April 2020, the Span-ish news agency EFE[1] reported that over one million internet ac-counts were dedicated to rumor-mongering, spreading unverifi ed information about the coronavirus. From January through April 13, fact-checkers at[2] had tracked over 400 lies and false alerts circulated about COVID-19 in Spain alone.

Betacoronavirus , Comunicação , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Revelação da Verdade , Cuba , Humanos , Internet
MEDICC Rev ; 22(2): 47-52, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32478709


Dr Durán is a native of eastern San-tiago de Cuba and his early medical career began in this mountainous re-gion, where he also headed provin-cial prevention and treatment of HIV/AIDS. He went on to become rector of the Medical University of Santiago de Cuba and provincial health direc-tor. Later in Havana, Dr Durán was director of medical education and vice minister at the Ministry of Public Health (MINSAP). Abroad, he served as advisor to Angola's Minister of Health, and on his return, as deputy director of Cuba's Pedro Kourí Tropical Medicine Institute (IPK). Dr Durán has been "battle-tested" over the years by his involvement in stemming dengue epidemics and other infectious dis-ease outbreaks, good preparation for his current position as National Direc-tor of Epidemiology. Today, his is the voice and the face on the 11:00 AM briefing carried daily by Cuban television, reporting the latest data on the un-folding COVID-19 pandemic globally, in the Americas and.

Betacoronavirus , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/prevenção & controle , Pandemias/prevenção & controle , Pneumonia Viral/epidemiologia , Pneumonia Viral/prevenção & controle , Cuba/epidemiologia , Testes Diagnósticos de Rotina , Hospitalização , Humanos , Programas de Rastreamento , Roupa de Proteção/provisão & distribução
MEDICC Rev ; 22(2): 53-57, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32478710


A strong foundation of primary care is critical to the health system and is particularly important during pandemics like COVID-19. Primary care practices should be a natural fi t for triaging, testing, treating, and educating patients.-Corinne Lewis, Shanoor Seervai, Tanya Shah, Melinda K. Abrams, and Laurie Zephyrin MD The Commonwealth Fund, April 22, 2020[1.

Betacoronavirus , Infecções por Coronavirus , Pandemias , Pneumonia Viral , Atenção Primária à Saúde/organização & administração , Cuba , Humanos , Assistência de Saúde Universal
MEDICC Rev ; 22(2): 58-63, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32478711


Meningitis, neuropathy, HIV, dengue-since the 1960s, Cuba has faced its share of epidemics. More recently, Cuban health pro-fessionals tackled domestic outbreaks of H1N1 (2009) and Zika (2016), and worked alongside colleagues from around the world to stem Ebola in West Africa; all three were categorized by WHO as public health emergencies of international concern. In December 2019, China reported its fi rst cluster of pneumo-nia cases, later identifi ed as the novel coronavirus disease COVID-19. In January 2020, Cuban authorities convened a multi-sector working group coordinated by the Ministry of Pub-lic Health (MINSAP) and Civil Defense to tailor its national epi-demic control plan to confront the rapidly-spreading disease. The plan features a national reporting system and database, with standard protocols including early case detection, contact tracing and regularly-scheduled public health messaging. In late January, no fewer than six ministries, plus the National Sports and Recreation Institute, Customs, Immigration and national media outlets, came together to adapt domestic proto-cols and design multi-phase control and response mechanisms to combat the SARS-CoV-2 virus.

Betacoronavirus/isolamento & purificação , Infecções por Coronavirus/diagnóstico , Programas de Rastreamento/organização & administração , Pneumonia Viral/diagnóstico , Cuba , Humanos , Armazenamento e Recuperação da Informação , Pandemias , Saúde Pública
MEDICC Rev ; 22(2): 64-66, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32478712


The days are long and arduous, with end-less patients to attend, often in a foreign language, always on foreign shores. Far from family and the familiar. Sleep is fi tful at best for health profession-als serving in emergency situations-when sickness obeys no clock and patients' pain haunts even the quiet moments. The crisis scenario varies: post-earthquake, hurricane or tsunami; amid a cholera or Ebola epidemic. The countries vary: Haiti, Pakistan, Guatemala, Mozambique, Sierra Leone. What does not vary is the answer to the calls for help and Cuban professionals' commitment to care for the most vulner-able. These aren't armchair musings or a political pat on the back: they are my own conclusions after living for weeks in close-quarter tents with Cuban doctors, nurses and biomedical engineers in post-earth-quake Pakistan and Haiti, and witnessing their work.

Betacoronavirus , Infecções por Coronavirus , Medicina de Emergência , Cooperação Internacional , Pandemias , Pneumonia Viral , Cuba , Humanos , Recursos Humanos
MEDICC Rev ; 22(2): 69-71, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32478713


Speaking remotely with US graduates of Havana's Latin American School of Medicine (ELAM), I found them at work on hospital floors, in ICUs and health centers across the United States, putting their professional and personal commitment to the test against COVID-19. Nowhere was that more evident than in New York City, the disease's epicenter, where one grad told me virtually every hospital has at least one MD from the Cuban school, which has provided free 6-year medical training for some 30,000 doctors since the school's founding in 1999. The student body comes primarily from low- and middle-income countries worldwide, but Cuba also provided 200 US students with scholarships. One of them is Dr Joaquín Morante (ELAM Class of 2012), who did his medical residency in internal medicine, followed by fellowships in pulmonary disease and critical care medicine. Triple-licensed in internal medicine, pulmonary and critical care medicine, he is now an attending physician on staff at Jacobi Medical Center in The Bronx, one of New York City's public hospitals, and considered a 'hot spot' due to its COVID-19 caseload. I spoke with him during a break at home in mid-April.Dr Joaquín Morante, ELAM Class of 2012: Pulmonologist, critical care attending physician at Jacobi Medical Center, New York City.

Betacoronavirus , Infecções por Coronavirus/epidemiologia , Médicos , Pneumonia Viral/epidemiologia , Cuba , Administração Hospitalar , Humanos , Unidades de Terapia Intensiva/organização & administração , Masculino , Cidade de Nova Iorque/epidemiologia , Pandemias , Roupa de Proteção/provisão & distribução , Ventiladores Mecânicos/provisão & distribução
Res Vet Sci ; 93(2): 1046-9, 2012 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-22357366


The emergence of new infectious bronchitis virus (IBV) genotypes or serotypes along with the poor cross-protection observed among IBV serotypes have complicated the avian infectious bronchitis (IB) control programs in different geographic regions. In Cuba, the lack of genetic information regarding IBV and the increasing epidemiological importance of this virus in Cuban chicken flocks demand further characterization of IBV isolates. In the present work, studies of genetic diversity and phylogenetic relationships among recent IBV isolates from Cuban chicken flocks showing respiratory disorders were performed. Two putative genotypes genetically different to the Massachusetts genotype H120 strain used in the Cuban vaccination program were found in the flocks assessed. In addition, a potential nephropathogenic IBV isolate was found by first time in Cuba.

Galinhas , Doenças Transmissíveis Emergentes/veterinária , Infecções por Coronavirus/virologia , Genótipo , Vírus da Bronquite Infecciosa/genética , Doenças das Aves Domésticas/virologia , Animais , Infecções por Coronavirus/epidemiologia , Cuba/epidemiologia , Regulação Viral da Expressão Gênica/fisiologia , Filogenia , Doenças das Aves Domésticas/epidemiologia , Proteínas Virais/genética , Proteínas Virais/metabolismo