Fortbildung | VNR 2760602016064370005 | Hessisches Ärzteblatt 5/2016 | Die weltweit zu beobachtende Flucht von Menschen vor Krieg, Gewalt, Verfolgung und Hunger stellt auch für die medizinischen Versorgungssysteme in Deutschland eine große Herausforderung dar. Neben der Versorgung somatischer Kra...nkheiten kommt der Diagnostik und Therapie psychischer Erkrankungen eine hohe Bedeutung zu. In einer in einer bayrischen zentralen Aufnahmeeinrichtung für Flüchtlinge durchgeführten Studie wurden bei 63,6 Prozent der Flüchtlinge eine oder mehrere psychiatrische Diagnosen gestellt, wobei die Posttraumatische Belastungsstörung (PTBS) mit 32,2 Prozent am häufigsten vorkam. Die Angaben zur Prävalenz der PTBS in weniger belasteten Stichproben haben eine weite Bandbreite, die durch unterschiedliche Studiendesigns und durch unterschiedliche diagnostische Kriterien in der ICD 10 und dem DSM 5 bedingt sind. In den USA findet sich in der Allgemeinbevölkerung eine hochgerechnete Lebenszeitprävalenzrate von etwa 8 Prozent. In Europa liegen die Schätzungen mit 0,5–1 Prozent deutlich niedriger. Für Deutschland werden 1-Monatsprävalenzraten von 1–3 Prozent berichtet.
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PNAS 119 (8) e2113947119 | https://doi.org/10.1073/pnas.2113947119
Environmental exposure to active pharmaceutical ingredients (APIs) can have negative effects on the health of ecosystems and humans. While numerous studies have monitored APIs in rivers, these employ different analytical methods, m...easure different APIs, and have ignored many of the countries of the world. This makes it difficult to quantify the scale of the problem from a global perspective. Furthermore, comparison of the existing data, generated for different studies/regions/continents, is challenging due to the vast differences between the analytical methodologies employed. Here, we present a global-scale study of API pollution in 258 of the world’s rivers, representing the environmental influence of 471.4 million people across 137 geographic regions. Samples were obtained from 1,052 locations in 104 countries (representing all continents and 36 countries not previously studied for API contamination) and analyzed for 61 APIs. Highest cumulative API concentrations were observed in sub-Saharan Africa, south Asia, and South America. The most contaminated sites were in low- to middle-income countries and were associated with areas with poor wastewater and waste management infrastructure and pharmaceutical manufacturing. The most frequently detected APIs were carbamazepine, metformin, and caffeine (a compound also arising from lifestyle use), which were detected at over half of the sites monitored. Concentrations of at least one API at 25.7% of the sampling sites were greater than concentrations considered safe for aquatic organisms, or which are of concern in terms of selection for antimicrobial resistance. Therefore, pharmaceutical pollution poses a global threat to environmental and human health, as well as to delivery of the United Nations Sustainable Development Goals.
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This European compendium was produced to provide operational examples of the new nursing and midwifery roles and new service delivery models currently being employed across the Region. The case studies directly relate to the priority areas in Health 2020 and exemplify the types of activities needed ...to fully implement the objectives within the Strategic Directions framework.
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20 April 2022. The response to the COVID-19 pandemic continues to adversely affect essential TB services in many countries. A first report of case studies was published in 2021 comprising 23 examples of innovative interventions implemented by countries to effectively respond to disruptions of TB ser...vices caused or exacerbated by the COVID-19 pandemic. This second, consolidated report incorporates new case studies, as well as updates to previously reported case studies
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Gesundheitliche Folgen von Rassismus sowie deren strukturelle Probleme werden auch im deutschen Gesundheitswesen immer offensichtlicher. Studien dazu liefern zwar vor allem Länder wie die USA, Kanada und Großbritannien. Aber auch in Deutschland liegen mit dem Afrozensus und einer Studie zu Tod...esfällen bei ausländischen Staatsangehörigen während der Pandemie Hinweise vor.
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We have created a special Toolbox on Tuberculosis (TB), please click here to see all guidelines, manuals, reports & studies
The COVID-19 pandemic is having a major impact on the mental health of populations in the Americas. Studies
show high rates of depression and anxiety, among other psychological symptoms, particularly among women, young
people, those with pre-existing mental health conditions, health workers, and p...ersons living in vulnerable condi-
tions. Mental health systems and services have also been severely disrupted. A lack of financial and human resource
investments in mental health services, limited implementation of the decentralized community-based care approach
and policies to address the mental health gap prior to the pandemic, have all contributed to the current crisis. Coun-
tries must urgently strengthen their mental health responses to COVID-19 by taking actions to scale up mental
health and psychosocial support services for all, reach marginalized and at-risk populations, and build back better
mental health systems and services for the future.
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Children’s mental health is top concern for Ukrainian parents, new World Vision report finds; Studies show 22 per cent of people in conflict zones suffer mental disorders; Prevention programs must be urgently prioritised
Recency assays use one or more biomarkers to identify whether HIV infection in a person is recent (usually within a year or less) or longstanding. Recency assays have been used to estimate incidence in representative cross-sectional surveys and in epidemiological studies to better understand the pat...terns and distributions of new and longstanding HIV infections.
This technical guidance outlines best practices regarding the appropriate use of HIV recency assays for surveillance purposes and updates 2011 technical guidance from the World Health Organization (WHO) and the Joint United Nations Programme on HIV/AIDS (UNAIDS) on the use of HIV recency assays.
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Der russische Angriffskrieg auf die Ukraine hat die größte Fluchtbewegung in Europa
seit Ende des Zweiten Weltkriegs ausgelöst. Seit Kriegsbeginn sind mehr als eine Million
Menschen aus der Ukraine nach Deutschland geflohen.
Erste repräsentative Erkenntnisse über deren Lebenssituation und Zu...kunftspläne er-
möglicht die Studie „Geflüchtete aus der Ukraine in Deutschland (IAB-BiB/FReDA-
BAMF-SOEP-Befragung)“, eine gemeinsame Studie des Instituts für Arbeitsmarkt- und
Berufsforschung (IAB), des Bundesinstituts für Bevölkerungsforschung (BiB), des For-
schungszentrums des Bundesamts für Migration und Flüchtlinge (BAMF-FZ) und des
Sozio-oekonomischen Panels (SOEP) am Deutschen Institut für Wirtschaftsforschung
(DIW Berlin) . Es wurden für diese Studie 11.225 geflüchtete Ukrainerinnen und Ukrainer
in der Zeit zwischen August und Oktober 2022 befragt.
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n Deutschland leben zurzeit etwa 22 Millionen Menschen mit Migrationshintergrund, davon sind über 2,23 Millionen älter als 65 Jahre. Eine Studie des Robert Koch-Instituts (2008) kam zu dem Ergebnis, dass Migrantinnen und Migranten ab 55 Jahren höhere Gesundheitsrisiken aufweisen als vergleichbare... Gruppen aus der Aufnahmegesellschaft. Dies liegt vor allem daran, dass sie ein höheres Armutsrisiko und einen geringeren sozialen Status haben als andere ältere Menschen.
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It is impossible to address the many complex needs of respiratory virus surveillance with a single surveillance system. Multiple systems, investigations and studies must each be fit-for-purpose to specific priority surveillance objectives, and only together can they provide essential information to ...policy-makers. In essence, each surveillance approach fit together as “tiles in a mosaic” that provides a complete picture of respiratory viruses and the impact of associated illnesses and interventions at the country level. This mosaic framework demonstrates how surveillance approaches may be implemented as coordinated and collaborative systems, well-matched to specific priority objectives.
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The guidance in this publication consists of generic definitions and methodologies for the characterization of extreme weather and climate events. This publication contribute to ensuring consistent exchange of information that underpins the WMO State of the Climate Reports, Climate Watches, climate ...change studies and other emerging applications.
The purpose of the present guidelines is not to change the practice at the national level. Instead, it provides guidance for generic definitions, which are useful in contributing to WMO State of the Climate reports, climate watches, climate change studies and other emerging applications, including the recently adopted methodology for cataloguing hazardous events (WMO-CHE). These applications require regional and/or international exchange of information on extreme events.
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Objective: There are an estimated 38 million people with HIV (PWH), with significant economic consequences. We aimed to collate global lifetime costs for managing HIV.
Design: We conducted a systematic review (PROSPERO: CRD42020184490) using five databases from 1999 to 2019.
Methods: Studies were ...included if they reported primary data on lifetime costs for PWH. Two reviewers independently assessed the titles and abstracts, and data were extracted from full texts: lifetime cost, year of currency, country of currency, discount rate, time horizon, perspective, method used to estimate cost and cost items included. Descriptive statistics were used to summarize the discounted lifetime costs [2019 United States dollars (USD)].
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Comprehensive and comparable estimates of health spending in each country are a key input for health
policy and planning, and are necessary to support the achievement of national and international health goals. Previous
studies have tracked past and projected future health spending until 2040 and ...shown that, with economic development,
countries tend to spend more on health per capita, with a decreasing share of spending from development assistance
and out-of-pocket sources. We aimed to characterise the past, p
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Background: Mental health has recently gained increasing attention on global health and development agendas, including calls for an increase in international funding. Few studies have previously characterized official development assistance for mental health (DAMH) in a nuanced and differentiated ma...nner in order to support future funding efforts. Methods: Data from the Organisation for Economic Cooperation and Development Creditor Reporting System were obtained through keyword searches. Projects were manually reviewed and categorized into projects dedicated entirely to mental health and projects that mention mental health (as one of many aims). Analysis of donor, recipient, and sector characteristics within and between categories was undertaken cumulatively and yearly.
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The majority of Countdown countries did not reach the fourth Millennium Development Goal (MDG 4) on reducing child mortality, despite the fact that donor funding to the health sector has drastically increased. When tracking aid invested in child survival, previous studies have exclusively focused on... aid targeting reproductive, maternal, newborn, and child health (RMNCH). We take a multi-sectoral approach and extend the estimation to the four sectors that determine child survival: health (RMNCH and non-RMNCH), education, water and sanitation, and food and humanitarian assistance (Food/HA). Methods and findings: Using donor reported data, obtained mainly from the OECD Creditor Reporting System and Development Assistance Committee, we tracked the level and trends of aid (in grants or loans) disbursed to each of the four sectors at the global, regional, and country levels. We performed detailed analyses on missing data and conducted imputation with various methods. To identify aid projects for RMNCH, we developed an identification strategy that combined keyword searches and manual coding. To quantify aid for RMNCH in projects with multiple purposes, we adopted an integrated approach and produced the lower and upper bounds of estimates for RMNCH, so as to avoid making assumptions or using weak evidence for allocation. We checked the sensitivity of trends to the estimation methods and compared our estimates to that produced by other studies. Our study yielded time-series and recipient-specific annual estimates of aid disbursed to each sector, as well as their lower- and upper-bounds in 134 countries between 2000 and 2014, with a specific focus on Countdown countries. We found that the upper-bound estimates of total aid disbursed to the four sectors in 134 countries rose from US$ 22.62 billion in 2000 to US$ 59.29 billion in
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An adequate amount of prepaid resources for health is important to ensure access to health services and for the pursuit of universal health coverage. Previous studies on global health financing have described the relationship between economic development and health financing. In this study, we furth...er explore global health financing trends and examine how the sources of funds used, types of services purchased, and development assistance for health disbursed change with economic development. We also identify countries that deviate from the trends.
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Adolescence, defined as the period between 10 and 19 years of age, is a developmental stage during which many psychosocial
and mental health challenges emerge (1). Studies show that 34.6% of all mental health disorders begin by 14 years of age and 62.5% by 25 years (2). More broadly, adolescents ar...e also navigating the transition to adulthood, exploring their autonomy and identity as they undergo rapid physical and social changes. In the context of
these significant developmental, physical and social shifts, mental health needs may increase, even for adolescents and young people with no diagnosis.
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A country’s ability to manage a crisis depends on its level of resilience. Efforts are made to clarify the concept of health system resilience, but its operationalisation remains little studied. In the present research, we described the capacity of the local healthcare system in the Islamic Republ...ic of Mauritania, in West Africa, to cope with the COVID-19 pandemic.
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