Effects of public health emergencies of international con- cern on disease control: a systematic review
Rev Panam Salud Publica
; 47, abr. 2023
Article
em En
| PAHOIRIS
| ID: phr-57396
Biblioteca responsável:
US1.1
ABSTRACT
[ABSTRACT]. Objectives. To assess the accumulated knowledge of the effects of public health emergencies of international concern on disease control and local health systems, and contribute to a better understanding of their effects on health programs and systems. Methods. This was a systematic review of published and gray literature (in English, Portuguese, or Spanish). Electronic databases (BVS/LILACS, PubMed, and SciELO) and Google Scholar were searched. Search terms were COVID-19 OR H1N1 OR Ebola OR Zika OR poliomyelitis AND (outbreaks OR epidemics) AND (public health systems OR public health surveillance). Results. A total of 3 508 studies were retrieved, of which 31 met the inclusion criteria. The studies addressed the effects of the emergencies on communicable diseases notification systems; malaria, HIV/AIDS, tubercu- losis, poliomyelitis, and malaria surveillance, control, and treatment; microcephaly; dengue; and vaccinations. The populations affected by the emergencies experienced reduced health services, which included fewer health visits, failures in the diagnostic chain, decrease in vaccination, and increased incidence or underreport- ing of notifiable diseases. Conclusions. Socioeconomic inequity is a determinant of the effects of public health emergencies of inter- national concern within affected populations. The diversion of resources and attention from health authorities disproportionately affects vulnerable populations and can lead, over time, to a weakening of health systems. The analysis of the effects of public health emergencies is important for the development of new protocols that can better respond to future crises.
Texto completo:
1
Coleções:
04-international_org
Base de dados:
PAHOIRIS
Assunto principal:
Sistemas de Saúde
/
Doenças Transmissíveis
/
Surtos de Doenças
/
Atenção à Saúde
Tipo de estudo:
Guideline
/
Prognostic_studies
/
Systematic_reviews
Aspecto:
Determinantes_sociais_saude
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article