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Global consultation report Lyon, France 12-15 December 2023
Medical evacuation in emergencies
recommended
A guidance for medical teams and specialized care teams.
This guidance aims to provide a comprehensive framework for the safe and context-adapted coordination, clinical care, operations support and logistics relevant to governments, national authorities, including ministries of health, civil protec
...
tion and civil defence, national and international Emergency Medical Teams (EMTs), nongovernmental organizations (NGOs), Emergency Medical Services (EMS) and other key stakeholders operating in the medevac space, or wishing to build this kind of capacity. It defines minimum standards and recommendations for the development and classification of respective specialized care teams (SCTs). This is particularly relevant for contexts without pre-existing or functional prehospital or medevac systems, and can support country-level capacity building, regional and sub-regional planning, and the development of SCTs.
more
This edition provides detailed guidance on essential components such as infrastructure, human resources, equipment, logistics, governance, and monitoring and evaluation (M&E). These elements are crucial for the successful establishment and sustainable operation of NPHIs, which are envisioned as Cent
...
res of Excellence for public health in Africa.
more
The handbook is intended as a guide and tool for anyone It focuses in particular on warehouse management and stock involved in logistics activities
The resurgence of mpox in multiple African countries since 2022 has highlighted urgent gaps in preparedness, detection, and response capacities across the continent. While the mpox outbreak was initially classified as a Public Health Emergency of International Concern (PHEIC) and a Public Health Eme
...
rgency of Continental Security (PHECS), the risk of continued transmission in high-risk areas of Africa remains significant, particularly due to persistent zoonotic reservoirs, cross-border spread, and fragile surveillance systems.
more
The lack of an African research ethics framework during epidemic emergencies (EE) has been a glaring concern
amongst African scholars for decades. In the context of major public health emergencies of continental and global health concern over the last five years, such as Ebola in 2019, COVID in 202
...
0 and Mpox in 2024, and ongoing epidemics, including those of pandemic potential, the need for such a framework is evident. Ethics frameworks for research during emergencies have been published (World Health Organisation, 2016; Nuffield Council on Bioethics, 2020). However, there is currently no African and continent-wide, coherent guidance that promotes African values, elaborated by Africans for hosting research during EE on the continent. To address this gap, the African Centre for Disease Control convened an Ethics Working Group (Ethics WG) to develop an African
framework that embraces dominant African principles/values that might guide the ethical conduct of research in
more
Seulement 3 % de la recherche mondiale en santé provient d’Afrique, malgré sa part de 18 % de la population
mondiale et de 25 % de la charge de morbidité. L’un des défis auxquels est confrontée cette recherche limitée en
matière de santé sur le continent provient du cadre défaillant d
...
e l’éthique de la recherche et de l’incapacité des
principes internationaux d’éthique de la recherche à protéger de manière optimale les participants africains à la
recherche. Les populations africaines possèdent des cultures, des valeurs, des systèmes de croyances et des
vertus spécifiques qu'il convient d'explorer et de comprendre pour mener la recherche de manière éthiques. Par
exemple, une étude menée en Afrique a révélé que l'information sur les diagnostics, notamment ceux de cancer,
lors du consentement éclairé a été jugée défavorable, ce qui peut altérer le traitement et les résultats des soins
prodigués aux patients. En Afrique, contrairement aux pays développés, l'accent est davantage mis sur
l'autonomie communautaire que sur l'autonomie individuelle. Le niveau d’alphabétisation en santé des populations
africaines est faible par rapport à celui des pays développés, ce qui affecte leur compréhension du consentement
éclairé et compromet leur capacité à prendre des décisions éclairées. Le statut socio-économique inférieur des
populations africaines pourrait également rendre les participants à l'étude vulnérables, car les incitations offertes
pourraient influencer leur décision de participer à l'étude.
more
Apenas 3% da investigação global em saúde provém de África, apesar da sua quota de 18% da
população mundial e de 25% da carga de doença. Um desafio para esta investigação limitada
em saúde no continente decorre do deficiente quadro de ética de investigação e da falha dos
princípios
...
internacionais de ética na investigação em proteger de forma óptima os participantes
africanos da investigação. As populações africanas possuem culturas, valores, sistemas de
crenças e virtudes peculiares que necessitam de ser explorados e compreendidos no processo
de conduta ética na investigação. Por exemplo, um estudo realizado num contexto africano
reportou que a informação sobre os diagnósticos de cancro como desfavorável durante o
processo de consentimento informado poderia alterar o tratamento e o resultado dos cuidados
aos doentes. Nos contextos africanos, ao contrário dos países desenvolvidos, a ênfase é
colocada na autonomia comunitária em detrimento da autonomia individual. Nas populações
africanas onde os níveis de literacia em saúde são comparativamente baixos, a compreensão da
investigação e da doença durante o consentimento informado pode comprometer a capacidade
de tomar decisões informadas. Além disso, o menor estatuto socioeconómico das populações
africanas pode tornar os participantes do estudo vulneráveis, dado que os incentivos oferecidos
podem afectar as suas decisões de participar no estudo.
more
Este año cumplimos 150 años de historia... Tal vez nuestros antecesores no imaginaron que, siglo y medio después, la escuela que fundaron seguiría firme no solo en un valle rodeado de montañas, sino también en el espíritu de cada uno de sus hijos más allá de las fronteras: estudiantes, prof
...
esores, egresados y colaboradores que en cada lugar del mundo han hecho del sello UdeA una premisa de excelencia.
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Timely detection of novel coronavirus (2019-nCoV) infection cases is crucial to interrupt the spread of this virus. We assessed the required expertise and capacity for molecular detection of 2019-nCoV in specialised laboratories in 30 European Union/European Economic Area (EU/EEA) countries. Thirty-
...
eight laboratories in 24 EU/EEA countries had diagnostic tests available by 29 January 2020. A coverage of all EU/EEA countries was expected by mid-February. Availability of primers/probes, positive controls and personnel were main implementation barriers.
more
Patients with suspected coronavirus disease 2019 (COVID-19) can infect others at any time, including during transfer and transport. COVID-19 is a new infectious disease that requires contact and droplet precautions; lapses in infection prevention and control (IPC) can easily happen at vulnerable mom
...
ents such as during transfer. This guide aims to identify key steps to prepare the community and health system response to ensure IPC is maintained during transfer and transport. This guide is intended for personnel involved in coordinating and performing transfer and transport of patients with suspected COVID-19 requiring hospital care.
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