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The overall objective of this implementation plan is to define the strategy for implementation of the Xpert MTB/RIF test for rapid detection of TB and rifampicin (RIF) resistance in Tanzania, within the context of the National Tuberculosis and Leprosy Programme (NTLP) strategic plan and other nation...al health guidelines. It is intended to serve as the main guiding document for national, regional and local programme managers, clinicians, coordinators, laboratory staff and other health workers; national and regional reference laboratories; local and international implementing partners; and donors involved in TB control.more
Der Klimawandel und seine Folgen bedrohen schon heute Millionen von Menschen weltweit. Wissenschaftler/-innen warnen seit Jahren davor, dass ein ungebremster Klimawandel die Welt ins Chaos führen wird. Obwohl der Klimaschutz seit Jahren im Zentrum der öffentlichen Debatte steht und auch weltweit i...n unzähligen Initiativen, Aktionsplänen und konkreter Politik Berücksichtigung findet, steigt der Ausstoß klimaschädlicher Treibhausgase nach wie vor.more
This report presents the main characteristics of Ebola emergency preparedness in three EU Member States. Findings are organised in five sections: preparedness planning, organisational structures, recourses and capacities, intersectoral and cross-border collaboration, and country-specific findings
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.more
This report aims to estimate the economic cost of providing regular access to healthcare for migrants in an irregular situation, compared with the cost of providing treatment in emergency cases only. Two specific medical conditions – hypertension and prenatal care – were selected as examples, an...d their associated costs were calculated using an economic model. This model was then applied to three EU Member States: Germany, Greece and Sweden. The testing suggests that providing access to regular preventive healthcare for migrants in an irregular situation
would be cost-saving for governments.more
The document covers: introduction on contact tracing in the Ebola response; general considerations for contact tracing; case definition; planning and preparation; personnel; implementation, and tools for contact tracing.
The National Strategy for Natural Disaster, Prevention, Response and Mitigation to 2020, which outlines Vietnam’s main disaster risk management objectives and the National Target Program (NTP) form the overarching policy framework for disaster risk management and climate change adaption activities.... The CCFSC’s main mandate is to translate this strategy into action. Other decrees and laws are also complementary. The Government of Vietnam has prioritized disaster preparedness, recognizing that the most cost-effective measures to mitigate flood related disasters are often non-structural. These measures include flood mapping, river flood warning systems, television-based disaster information and warning systems, training at all government and grassroots levels on disaster preparedness, and reforestation of certain areas. Land use and development have also been addressed through government regulations. more
This study aims to analyze national and international stakeholders and their initiatives in Early Warning Systems in Myanmar, to identify priority gaps that need to be addressed by all stakeholders. It is presented as a first step towards supporting GoUM in information-gathering under the Myanmar Ac...tion Plan for Disaster Risk Reduction (MAPDRR), in particular under Components (2) Risk Assessment, (3) Multi-hazard Early Warning System and (4) Preparedness at all levels, and especially in implementing Sub-Component (3.4) Enhanced Flood Monitoring and Forecasting Capacities at Township Levels. more
La troisième génération de la Stratégie de Coopération de l’OMS avec les Pays (SCP) concrétise le programme majeur de réforme adopté par l’Assemblée mondiale de la Santé pour renforcer la capacité de l’OMS et faire en sorte que ses prestations répondent mieux aux besoins du pays. E...lle reflète le douzième programme général de travail de l’OMS au niveau du pays, vise à assurer une pertinence accrue de la coopération technique de l’OMS avec les États Membres. Elle met l’accent sur l’identification des priorités et des mesures d’efficience pour la mise en œuvre des réformes de l’OMS et de l’agenda de transformation régional. L’agenda de transformation vise à faire de l’organisation sanitaire régionale une institution clairvoyante, proactive, capable de répondre aux attentes, axée sur les résultats, transparente et responsable. Cette génération de SCP tient compte du rôle des différents partenaires, y compris les acteurs non étatiques, dans la fourniture d’un appui aux gouvernements et aux communautés.more
Le plan stratégique du Centre des Opérations d'Urgence Sanitaire du Sénégal 2016-2018 s'inscrit dans la vision des authorités politiques, et en premier lieu dans le deuxième pilier du Plan Sénégal Émergent, visent à renforcer le capital humain, la protection sociale et le développement du...rable.
Les crises sanitaires étant susceptibles d'ébranler les efforts du Sénégal vers l'émergence, leur maîtrise est du la toute première importance.
Ce plan stratégique est par ailleurs aligné au Plan national de Dévloppement Sanitaire et contribue à fournir un cadre pécis d'action dans son rôle de renforcement du système de gestion des urgences et catastrophes sanitaires d'ampleur nationale.more
These guidelines have been prepared by the Sub directorate: Maternal Health for the guidance of health workers (doctors and midwives) providing obstetric, surgical and anaesthetic services for pregnant women in district clinics, health centres and district hospitals. These guidelines are intended fo...r use in clinics, community health centres and district hospitals where specialist services are not normally available. The guidelines deal mainly with the diagnosis and especially the management of common and serious pregnancy problems. The assumption is made that the reader has a basic knowledge and understanding about the care of pregnant women. With a few exceptions (e.g. pre-eclampsia), there is no mention of aetiology and pathogenesis of the conditions described.https://www.knowledgehub.org.za/elibrary/guidelines-maternity-care-south-africa-2016more
Environmental Research Volume 151, November 2016, Pages 115-123
Dengue is the world’s most important arboviral disease in terms of number of people affected. Over the past 50 years, incidence increased 30-fold: there were approximately 390 million infections in 2010. Globalization, trade, travel,... demographic trends, and warming temperatures are associated with the recent spread of the primary vectors Aedes aegypti and Aedes albopictus and of dengue. Overall, models project that new geographic areas along the fringe of current geographic ranges for Aedes will become environmentally suitable for the mosquito’s lifecycle, and for dengue transmission. Many endemic countries where dengue is likely to spread further have underdeveloped health systems, increasing the substantial challenges of disease prevention and control. Control focuses on management of Aedes, although these efforts have typically had limited effectiveness in preventing outbreaks. New prevention and control efforts are needed to counter the potential consequences of climate change on the geographic range and incidence of dengue, including novel methods of vector control and dengue vaccines.more