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Infrastructure, policy and regulatory interventions to increase physical activity to prevent cardiovascular diseases and diabetes: a systematic review

Durão, S.; Burns, J.; Schmidt, B. et al. BMC Public Health (2023) CC

Background Noncommunicable diseases are major contributors to morbidity and mortality worldwide. Modifying the risk factors for these conditions, such as physical inactivity, is thus essential. Addressing the context or circumstances in which physical activity occurs may promote physical activity a...t a population level. We assessed the effects of infrastructure, policy or regulatory interventions for increasing physical activity. Methods We searched PubMed, Embase and clinicaltrials.gov to identify randomised controlled trials (RCTs), controlled before-after (CBAs) studies, and interrupted time series (ITS) studies assessing population-level infrastructure or policy and regulatory interventions to increase physical activity. We were interested in the effects of these interventions on physical activity, body weight and related measures, blood pressure, and CVD and type 2 diabetes morbidity and mortality, and on other secondary outcomes. Screening and data extraction was done in duplicate, with risk of bias was using an adapted Cochrane risk of bias tool. Due to high levels of heterogeneity, we synthesised the evidence based on effect direction. Results We included 33 studies, mostly conducted in high-income countries. Of these, 13 assessed infrastructure changes to green or other spaces to promote physical activity and 18 infrastructure changes to promote active transport. The effects of identified interventions on physical activity, body weight and blood pressure varied across studies (very low certainty evidence); thus, we remain very uncertain about the effects of these interventions. Two studies assessed the effects of policy and regulatory interventions; one provided free access to physical activity facilities and showed that it may have beneficial effects on physical activity (low certainty evidence). The other provided free bus travel for youth, with intervention effects varying across studies (very low certainty evidence). Conclusions Evidence from 33 studies assessing infrastructure, policy and regulatory interventions for increasing physical activity showed varying results. The certainty of the evidence was mostly very low, due to study designs included and inconsistent findings between studies. Despite this drawback, the evidence indicates that providing access to physical activity facilities may be beneficial; however this finding is based on only one study. Implementation of these interventions requires full consideration of contextual factors, especially in low resource settings. more

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Air pollution exposure—the (in)visible risk factor for respiratory diseases

Bălă, G.P.; Râjnoveanu, R.M.; Tudorache, E. et al. Environmental Science and Pollution Research (2021) CC

There is increasing interest in understanding the role of air pollution as one of the greatest threats to human health worldwide. Nine of 10 individuals breathe air with polluted compounds that have a great impact on lung tissue. The nature of the relationship is complex, and new or updated data are... more

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Communicating on air quality and health – Inspiring practices, challenges and tips

Health and Environment Alliance (2018) CC

In spite of the work carried out by the EU institutions, the Member States, many cities and grassroot movements in Europe, the general public is still not engaging enough in air quality policy initiatives and the level of awareness and knowledge of the effects of poor air quality on health is often ... more

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Thirsting for a Future - Water and children in a changing climate

UN Children's Fund UNICEF (2017) C_UNICEF

Children without access to safe water are more likely to die in infancy -- and throughout childhood -- from diseases caused by water-borne bacteria, to which their small bodies are more vulnerable.

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Gesundheit - (K)ein Menschenrecht? - Ein Arbeitsheft zum Thema "Gesundheit weltweit" für Lehrende und Lernende

Deutsche Lepra- und Tuberkulosehilfe (2018)

Liebe Lehrende, das Recht auf Gesundheit ist ein weltweites Menschenrecht. Dennoch gestalten sich die vielen ge-sundheitlichen Facetten in jedem Land der Erde ganz unterschiedlich. So kann dieses Menschen-recht in vielen Ländern leider oftmals nicht vollständig oder sogar überhaupt nicht eingeha... more

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The 2020 report of The Lancet Countdown on health and climate change: responding to converging crises

Watts,N.; N. Amann, M. Arnell, et al. (2020) C1

The Lancet Volume 397, ISSUE 10269, P129-170, January 09, 2021

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Technical guide on community-based rehabilitation and leprosy
recommended

WHOILEP (2007) C_WHO

Meeting the rehabilitation needs of people affected by leprosy and promoting quality of life.

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Access to health care for people with disabilities in rural Malawi: what are the barriers?

Harrison, J.A.K.; Thomson, R.; Banda, H.T. et al. BMC Public Health (2020) CC

People with disabilities experience significant health inequalities. In Malawi, where most individuals live in low-income rural settings, many of these inequalities are exacerbated by restricted access to health care services. This qualitative study explores the barriers to health care access experi... more

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WHO disability-inclusive health services training package: a companion to the Disability-inclusive health services toolkit

World Health Organisation (WHO) (2023) C_WHO

The WHO Disability-Inclusive Health Services Training Package is a companion to the “WHO Disability-Inclusive Health Services Toolkit: A resource for health facilities in the Western Pacific Region” published by WHO in 2020. This package offers a range of additional training materials including ... more

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Handreichung Humanitäre Hilfe auf Distanz

VENRO Verband Entwicklungspolitik und Humanitäre Hilfe (2020) C1

Empfehlungen zur Umsetzung von Projekten in Fernsteuerung Die Handreichung gibt einen Überblick über verschiedene Arten der Fernsteuerung. Sie zeigt Instrumente und Fallbeispiele auf, die NRO bei der Planung und Umsetzung solcher Projekte unterstützen.

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Reducing the health and water, sanitation and hygiene (WASH) impacts of climate change: Setting the scene on health, water, sanitation and hygiene (WASH) response in a changing climate

IFRC; Red Cross Red Crescent Climate Centre (2021) CC

A new brief published by the IFRC and Climate Centre today details the adverse impacts of climate change on human health and provides more detail on the second of four pillars of action in the Red Cross Red Crescent Movement ambitions on climate.

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Management of post-acute covid-19 in primary care

Greenhalgh, T.; et al. (2020) CC

BMJ 2020; 370 doi: https://doi.org/10.1136/bmj.m3026 (Published 11 August 2020) The BMJ "practice pointer" inlcudes a one-page visual summary of assessment and initial management of patients with persistant symptoms following acute SARS-CoV-2 infection

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A People’s Vaccine for Refugees: Ensuring access to COVID-19 vaccines for refugees and other displaced people

Oxfam (2021) C1

For most people in displacement contexts, there are simply not enough vaccines available in the places where they are hosted: 85% of refugees are hosted in lower- and middle-income countries, while in the first six months of this year 85% of vaccines went to wealthy countries; lower- and middle inco... more

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Tracking infectious diseases in a warming world

Murray, C.A.; L.E. Escobar, R. Lowe et al. British Medical Journal (2020) CC

BMJ 2020; 371 doi: https://doi.org/10.1136/bmj.m3086 Using infectious diseases sensitive to climate as indicators of climate change helps stimulate and inform public health responses

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Considerations to integrate climate change mitigation and adaptation into health care system strengthening

USAID (2022) CC

Addressing gaps and improving health system performance is simply not enough to prepare a health system to tackle the effects of the climate crisis. Climate change’s impact on the health and well-being of people globally is reaching catastrophic levels. As the earth continues to warm, tens of mill... more

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Guidelines on International Protection No. 12

UN High Commissioner for Refugees (2016) CC

Claims for refugee status related to situations of armed conflict and violence under Article 1A(2) of the 1951 Convention and/or 1967 Protocol relating to the Status of Refugees and the regional refugee definitions UNHCR issues these Guidelines on International Protection pursuant to its mandate,... more

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HIV care and support

UNAIDS (2016) C2

UNAIDS 2016, Reference HIV care and support taking into account the 2016 WHO consolidated guidelines

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Global mortality of snakebite envenoming between 1990 and 2019

Nature Communications (2022) CC

Snakebite envenoming affects millions of people worldwide annually and is a significant source of mortality. Preventing and treating the problem is complex and requires collaboration among the fields of public health, medicine, ecology, and laboratory science. After being removed from the category A... more

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CONSENSUS DOCUMENT FOR MANAGEMENT OF Non Hodgkin’s Lymphoma (High Grade)

Indian Council of Medical Research (ICMR) (2016) C1

Prepared as an outcome of ICMR Subcommittee on Non Hodgkin’s Lymphoma (High Grade) | This consensus document on management of non- hodgkin’s lymphoma – high grade summarizes the modalities of treatment including the site-specific anti-cancer therapies, supportive and palliative care and molec... more

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Standard treatment Guideline for Primary Hospital
recommended

Food, Medicine and Healthcare Administration and Control Authority of Ethiopia (2014) C_WHO

3rd edition!

Technical guide on community-based rehabilitation and leprosy recommended

Standard treatment Guideline for Primary Hospital recommended

Technical guide on community-based rehabilitation and leprosy
recommended

Standard treatment Guideline for Primary Hospital
recommended