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Updated 19 March 2020
Уход на дому за пациентами со слабо выраженными симптомами COVID-19 и тактика ведения контактных лиц
Временные рекомендации
17 марта 2020 г.
Данный документ представляет собой адаптированную версию временных рекомендаций, разработанных для ближневосточного респ
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ираторного синдрома, вызванного коронавирусом (БВРС-КоВ), которые были опубликованы в июне 2018 г.1, и был составлен на основе опубликованных ВОЗ научно обоснованных рекомендаций, включая руководство «Infection prevention and control of epidemic- and pandemic-prone acute respiratory diseases in health care» (Профилактика инфекций и борьба с острыми респираторными инфекциями, способными вызывать эпидемии и пандемии, при оказании медико-санитарной помощи)2, а также имеющейся на сегодняшний день информации о COVID-19.
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Временные рекомендации
13 марта 2020 г.
Настоящий документ является вторым изданием руководства (версия 1.2), которое первоначально представляло собой адаптированн
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ый вариант Руководства по клиническому ведению тяжелой острой респираторной инфекции при подозрении на инфекцию MERS-CoV (ВОЗ, 2019 г.).
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Myanmar, as a country going through rapid socio-political transition and institutional development also suffers with a high burden of infectious disease. An ongoing challenge has been to effectively reach its 51 million population, most of whom battle tuberculosis, acute respiratory infections, diar
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rhoea and malaria including amongst under-five children.
Limited research data on the occurrence of resistant organisms in the nation have, makes it hard to estimate the exact antimicrobial resistance (AMR) scenario. Limited peer reviewed evidence indicates significant divergence from the average resistance trends in APAC region. Nevertheless, several key steps by Government of Myanmar have been instrumental in paving the way for the country to join other nations in the South East Asia Region to speed up its plan on addressing the AMR crisis. Combating antimicrobial resistance would, however, require highest political commitment, multi-sectoral coordination, sustained investment and technical assistance.
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Disease commodity package - COVID-19 v4
recommended
The African region reports the highest number of health emergencies of all the WHO regions every year: an average of
2-3 new events every week
Budgetary mechanisms in highly affected countries
Immunizations are an essential health service that protect susceptible individuals from vaccine-preventable diseases (VPD).2 By providing timely immunizations, individuals and communities remain protected and the likelihood
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of a VPD outbreak decreases, Preventing a VPD outbreak not only saves lives but requires fewer resources than responding to the outbreak and helps reduce burden on a health system already strained by the COVID-19 pandemic, While committing to sustaining immunization systems, countries should use approaches that respect the principle of do-no-harm and limit transmission of COVID-19 while providing immunization activities, Immunization visits can also be used as opportunities to disseminate messages to encourage behaviours to reduce transmission risk of the COVID-19 virus, to identify signs and symptoms of COVID-19 disease, and to provide guidance on what to do if symptoms emerge
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Immunization in the context of COVID-19 pandemic: frequently asked questions (FAQ), 16 April 2020 ترافق ھذه الأسئلة المتكررةالمبادئالتوجیھیة الخاصة بأنشطة التمنیع أثناء جائحةكوفید-19الصادرة عن
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منظمة الصحة العالمیة.1و ، حّن قُس تحسب الاقتضاء، وفقا لتطور جائحة كوفید-19.التمنیع ھو خدمة من الخدمات ال صحیة الأساسیة التي تحمي الأفراد ضین لّالمعرلأمراض التي یمكن الوقایة منھاباللقاحات.2وبفضلتوفیر التمنیعللأفراد والمجتمعات المحلیة في الوقت المناسب ،سّی ظ لونمحمیین،م م ا سیؤدي إلى انخفاض احتمالوقوع فاشیات الأمراض التي یمكن الوقایة منھا باللقاحات. وعلاوة على أن تلافيحدوثفاشیات الأمراض التي یمكن الوقایة منھا باللقاحاتیؤدي إلى إنقاذالأرواح، فإنھ یتطلب موارد أقل من تلك التي تتطلبھا الاستجابة للفاشیة، كما أنھیساعد على تخفیفالعبء الملقى على نظام صحي مرھق أصلا نتیجة جائحة كوفید-19.وبینما تلتزم البلدان بالحفاظ على نظم التمنیع ،ینبغي لھا أن تتبعالھ ج ُنا ل ت ي تحترم مبدأ عدم إلحاق الأذى وا ل ت ي تحد من انتقالمرض كوفید-19عند اضطلاعھا بأنشطة التمنیع. وا ًیمكن أیضاغتنام الفرص التي تتیحھا زیارات التمنیعّلنشر رسائل تشجع ي الّعلى تبنسلوكیات التي تحد من مخاطر انتقال عدوى الفیروس المسبب لمرض كوفید-19 ،والتعرف علىعلامات مرض كوفید-19وأعراضھ، وتقدیم إرشادات بشأنالتدابیر الواجب اتخاذھا في حال ظھور الأعراض
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Иммунизация является важной медицинской услугой, которая защищает человечество от болезней, предупреждаемых вакцинацией (БПВ)2. Благодаря своевременной имму
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низации люди и сообщества обретают защиту, и вероятность вспышки БПВ уменьшается.Предотвращение вспышки БПВ не только спасает жизни, но и требует меньше ресурсовпо сравнению среагированиемна вспышку и помогает снизить нагрузку на систему здравоохранения, и без того перегруженную в результате пандемии COVID-19.
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Guidance to Countries
-1-توصیاتللدول الأعضاء بشأن تحسین ممارسات نظافة الأیدي للمساعدة علىمنع انتقال فیروس كوفید-19
Implications and Actions
WHO Academy’s mobile learning app
recommended
The WHO Academy’s mobile learning app was developed specifically for health workers and is designed to enable them to expand their life-saving skills to battle COVID-19. It delivers mobile access to a wealth of COVID-19 knowledge resources develo
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ped by WHO, including up-to-the-minute guidance, tools, training, and virtual workshops to support health workers in caring for patients infected by COVID-19 and in protecting themselves as they do their critical work.
With content in seven languages – Arabic, Chinese, English, French, Portuguese, Russian and Spanish – the app focuses on providing health workers with critical, evidence-based information and tools to respond to the pandemic.
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Based on scientific evidence, expert consensus and country experiences, the WHO core components for infection prevention and control (IPC) are the foundation for establishing or strengthening effective programmes at the national and facility level.
These new guidelines on core components of infecti
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on prevention and control (IPC) at the national and acute health care facility level will enhance the capacity of Member States to develop and implement effective technical and behaviour modifying interventions. They form a key part of WHO strategies to prevent current and future threats from infectious diseases such as Ebola, strengthen health service resilience, help combat antimicrobial resistance (AMR) and improve the overall quality of health care delivery. They are also intended to support countries in the development of their own national protocols for IPC and AMR action plans and to support health care facilities as they develop or strengthen their own approaches to IPC.
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RAPID CORE CRF Completion Guidance
recommended
DESIGN OF THIS CASE REPORT FORM (CRF)This CRF has 3 modules:Module 1to be completed on the first day of admission to the health centre.Module 2 to be completed daily during hospital stay for as many days as resources allow. Continue to follow-up pat
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ients who transfer between wards. Module 3 to be completed at discharge or death
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Augmented reality PPE course
recommended
he app has a new feature that deploys augmented reality (AR) technology to help health workers address a critical challenge that many face every day during the pandemic – staying free of infection while they care for patients. This 20-minute cour
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se demonstrates the proper techniques and sequence to put on and remove personal protective equipment (PPE), which are critical to keeping health workers safe.
With content in seven languages – Arabic, Chinese, English, French, Portuguese, Russian and Spanish – the app focuses on providing health workers with critical, evidence-based information and tools to respond to the pandemic.
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Recommendations to Member States to improve hand hygiene practices to help prevent the transmission of the COVID-19 virus: interim guidance.
WHO recommends member states provide universal access to public hand hygiene stations and making their use obligatory on entering and leaving any public or
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private commercial building and any public transport facility. It is also recommended that healthcare facilities improve access to and practice of hand hygiene.
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