Mental Health Policy and Service Guidance Package
Languages: Arabic, English, French, Chinese, Russian
N Engl J Med. 2016 Jan 13. [Epub ahead of print] Free full text
The explosive pandemic of Zika virus infection occurring throughout South America, Central America, and the Caribbean (see map) and potentially threatening the United States is the most recent of four unexpected arrivals of important a...rthropod-borne viral diseases in the Western Hemisphere over the past 20 years. It follows dengue, which entered this hemisphere stealthily over decades and then more aggressively in the 1990s; West Nile virus, which emerged in 1999; and chikungunya, which emerged in 2013. Are the successive migrations of these viruses unrelated, or do they reflect important new patterns of disease emergence?
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n 2015, Member States of the United Nations adopted the 2030 Agenda for Sustainable Development and its accompanying Sustainable Development Goals (SDGs), with the third goal of the agenda focusing on health – good health and well-being. This has the attainment of universal health coverage (UHC) a...s its umbrella target. Since then, the WHO Regional Office for Africa has been supporting countries plan, and monitor progress towards this goal. This report represents an analysis of the evidence so far countries are making towards this goal, and includes the effect COVID-19 has had on its attainment so far. It also makes recommendations on how countries can prioritize their health actions post COVID-19, in a manner that allows acceleration of progress towards UHC.
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n this study, low-dose azithromycin did not meet the prespecified non-inferiority margin compared with standard-dose azithromycin in achieving clinical and serological cure in PCR-confirmed active yaws. Only a single participant (with presumed latent yaws) had definitive serological failure. This wo...rk suggests that 20 mg/kg of azithromycin is probably effective against yaws, but further data are needed.
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N Engl J Med 2018; 378:577-579; DOI: 10.1056/NEJMc1711583
A dose of oral vaccine provides effective short-term protection against cholera during an outbreak, a study in Zambia shows.
According to researchers, a shortage in the global stockpile of cholera vaccines meant that single-dose oral vacc...ination was necessary to tackle an outbreak in Lusaka, Zambia, in February 2016. The emergency vaccination campaign was implemented in April 2016, targeting more than 500,000 people in Lusaka’s overcrowded township areas.
The 2016 outbreak happened when Zambia had not reported a case of cholera in four years.
To determine the effectiveness of the single-dose cholera vaccine, the researchers enrolled 66 patients with confirmed cholera and 330 people without the disease who were neighbours of the patients.
According to the study the effectiveness of the single dose vaccination was about 90 per cent.
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Le programme de Participation Communautaire pour la Santé Reproductive et Sexuelle des Jeunes au Burkina se fonde sur la conviction que pour mieux contribuer à la résolution des problèmes des jeunes, l’élaboration et la mise en ouvre des programmes doivent se faire de sorte que ce soient les ...jeunes eux-mêmes qui soient les principaux acteurs, avec l’appui des adultes. Ainsi les jeunes ne devraient plus être considérés tout simplement comme des cibles vers lesquelles il faut développer des interventions ; mais plutôt des partenaires par qui et pour qui les programmes doivent être développés.
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Disease Control Division,
Standard Management Guideline
Directorate General of Health Services, Ministry of Health & Family Welfare
First Published: 15th May 2017
N Engl J Med 2019;380:2429-39.DOI: 10.1056/NEJMoa1901113
n este documento de orientación se abordan las las consecuencias sociales, económicas y en materia de salud de las medidas adoptadas para controlar la pandemia en relación con el cierre de las escuelas, así como los elementos que deben tenerse en cuenta al reabrir y cerrar las escuelas, haciendo... hincapié en los niños, niñas y adolescentes en situación de vulnerabilidad. Además, se plantean otras consideraciones para que los planes de reapertura de las escuelas incluyan medidas concebidas específicamente para beneficiar a los niños, niñas y adolescentes que tienen más riesgo de tener resultados desfavorables en materia de educación y salud por el impacto negativo, directo e indirecto, de la pandemia de COVID-19.
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n light of the potential risk posed by SARS-CoV-2 variants, in January 2021 WHO organized an ad hoc consultation to discuss the development of an R&D agenda in response to existing and emerging SARS-CoV-2 variants.
The key objectives were to identify the critical research questions related to var...iants and agree on a research approach to address them. Six breakout groups covered a range of specific issues related to COVID-19 variants: Epidemiology and mathematical modelling; evolutionary biology; animal models; assays and diagnostics; clinical management and therapeutics; and vaccines.
This report is a summary of presentations and panel discussions.
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Expressa Extensão Capa > v. 26, n. 1 (2021)
Este trabalho, abordar debates e questionamentos sobre a eficácia e a segurança da manipulação e aplicação das vacinas. Os autores perceben, nesse período de pandemia, onde aguarda-mos ansiosos por uma resposta da ciência em relação a uma vacin...a para o Covid-19, ressurge o debate antivacina.
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n dem von medica mondiale e. V. veröffentlichten Konzeptpapier "Qualifizierungsmaßnahmen zu Stress- und Traumasensibilität für multidisziplinäre Teams im Kontext von Flucht" werden Erfahrungswerte für die Entwicklung und Umsetzung einer stress- und traumasensiblen Organisationskultur vorgestel...lt. Das Konzeptpapier ist gedacht für Organisationen, die Fortbildungen zu Gewalt und Trauma für Mitarbeitende im Kontext Flucht, insbesondere in Geflüchteten-Unterkünften, durchführen (möchten)
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n the countries of the Region of the Americas, there are different forms of organization of health services at the first level of care. Some countries include certain laboratory, dental and diagnostic imaging practices in the first level of care, while other countries centralize these practices in t...he second and third levels of care. Consequently, so that the List of Priority Medical Devices (LPMD) could be adapted to these different forms of organization of health systems in the region of the Americas, modular lists were developed that complement the main list. In this way, to use the LPMD, only those modules that are planned to be offered in a first-level care center are selected, and it is those lists that are analyzed.
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N Engl J Med 2022; 386:911-922, DOI: 10.1056/NEJMoa2104535
Four months of antituberculosis treatment was noninferior to 6 months of treatment in children with drug-susceptible, nonsevere, smear-negative tuberculosis (SHINE Study)
n view of the situation in Ukraine, IRSN has produced an information note presenting the nuclear facilities in Ukraine and an overview on the radiological monitoring of the country.
An increase of the radiological atmosphere around the Chernobyl site was reportedly observed on the stations nea...r the installations. The Ukrainian safety authority mentions a resuspension of contamination by the passage of military tanks.
IRSN does not have any information to confirm or refute this information. It is advisable to remain very cautious about these measurements at this stage. No increase in radioactivity has been detected in the European countries with which IRSN is in contact.
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n view of the situation in Ukraine, IRSN has produced an information note presenting the nuclear facilities in Ukraine and an overview on the radiological monitoring of the country.
An increase of the radiological atmosphere around the Chernobyl site was reportedly observed on the stations nea...r the installations. The Ukrainian safety authority mentions a resuspension of contamination by the passage of military tanks.
IRSN does not have any information to confirm or refute this information. It is advisable to remain very cautious about these measurements at this stage. No increase in radioactivity has been detected in the European countries with which IRSN is in contact.
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n response to the outbreak, the Africa Centres for Disease Control and Prevention (Africa CDC) has been supporting African Union Member States in responding to the COVID-19 pandemic through a variety of interventions such as non-pharmaceutical interventions, quarantine, testing, isolation, contact t...racing, and clinical management. The Test to Treat guideline aims to increase continental testing efforts and reduce COVID-19 transmission in Africa and put-up response measures to control the impact of the virus, both to limit spread and to reduce substantially the risks of severe health outcomes related to COVID-19 infection. These countermeasures include highly effective vaccines and boosters, rapid testing options for monitoring exposure, and effective therapeutic options for both pre-exposure prevention and treatment of mild-to-moderate disease, oxygen therapy for moderate-severe disease, all of which can potentially be updated efficiently as new variants emerge that may affect the effectiveness of the available tools.
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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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n recent decades, a significant improvement in people’s general health conditions has occurred, leading to an increase in life expectancy at birth in most countries in the Region of the Americas. This progress has been the result of both health technology advances – antibiotics, vaccines, and ot...her treatments – and improvements in the conditions in which people live, including increased access to improved drinking water and sanitation, and health services. Nevertheless, progress has slowed in recent years, and achievements have varied among countries and territories, as well as within them. In the journey toward universal health, it is essential to have the ability to monitor and assess progress in terms of the ultimate goal of health systems: improving the health and well-being of populations. To this end, this edition of Health in the Americas analyzes the standardized rate of potentially avoidable premature mortality as an indicator of health system performance, considering both its preventable component through public and intersectoral health interventions, as well as the treatable component, related to the effectiveness of health services, that is, the quality of health care. The analysis of potentially avoidable premature mortality provides a metric for comparing and tracking performance over time.
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