In the face of rapid increases in the number of hospitalizations due to COVID-19 in Latin America and the Caribbean, coupled with shortages of human and material resources, including medical equipment and gases, there is a need to redesign models of care in the Region to optimize available resources... and ensure that more patients receive the quantity and quality of oxygen they need. Oxygen is included in the World Health Organization’s list of essential medicines and is used to care for patients at all levels of integrated health services networks. The efficacy of oxygen use in the treatment of patients with respiratory conditions caused by COVID-19 has been demonstrated, but there is great opportunity to improve the effectiveness of its use if it is used in a rational, sustainable, and safe way. Bearing in mind that the efficacy of a health technology is measured by its benefit under actual conditions of use, practical actions can be taken to improve the use of medical oxygen and avoid oxygen shortages. A drug is considered to be used rationally when patients receive it according to their clinical needs, in doses appropriate to their individual needs, for an appropriate period, and at a low cost to them and their community. By providing instruction on the rational use of oxygen and promoting it, negative repercussions can be avoided, such as loss of efficacy as a result of activities related to oxygen storage, distribution, and administration. Rational use of oxygen also involves controlling waste due to leaks in storage and distribution systems, use of gas at incorrect pressures, use of incorrectly adjusted flowmeters, and disconnections, among other problems. Another aspect to consider is the provision of adequate technical support for all oxygen production systems, in terms of maintenance and calibration, availability of electrical energy, and specific knowledge about these systems. For these reasons, a set of guidelines has been put together for the development of an efficient management system to deal with situations of oxygen scarcity, both now and in the future.
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A Fiocruz tem produzido uma série de materiais informativos sobre a pandemia da doença pelo SARS-CoV-2 (Covid-19). A reprodução do material é livre e gratuita. Baixe e compartilhe informação correta e de qualidade.
Guide to bio-safety procedures for dental practices during the COVID-19 pandemic
Website with information about TB and Respiratory diseases
At least 2.2 million people were exposed to the earthquake, about 2,100 people have died, and more than 12,000 were injured as at 20 August. The death toll is expected to rise as the search for victims trapped under rubble continues. The Government has declared a month-long state of emergency for th...e most affected departments (LCI 19/08/2021; USAID 18/08/2021 a).
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Uso de doxiciclina para prevenção e tratamento de pacientes com Covid-19
The report offers a snapshot of the drivers behind the persistent exclusion of persons with disabilities and proposes a framework to build an actionable agenda building on promising practices available in the region. The COVID-19 pandemic has laid bare the urgent need to build more inclusive and res...ilient societies. The region has shown its resilience in recovering from many crises in the past. Today, we are at a crucial flection point where it is clear that universal policies and economic growth alone are insufficient to eradicate the remaining pockets of exclusion. A disability-inclusive recovery should be at the core of the region’s rebuilding strategy. This matters in its own right but is also of utmost importance for the sustainability of the region.
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Herd immunity by mass vaccination offers the potential to substantially limit the continuing spread of COVID-19, but high levels of vaccine hesitancy threaten this goal. In a cross-country analysis of vaccine hesitant respondents across Latin America in January 2021, we experimentally tested how fiv...e features of mass vaccination campaigns—the vaccine’s producer, efficacy, endorser, distributor, and current population uptake rate—shifted willingness to take a COVID-19 vaccine. We find that citizens preferred Western-produced vaccines, but were highly influenced by factual information about vaccine efficacy. Vaccine hesitant individuals were more responsive to vaccine messengers with medical expertise than political, religious, or media elite endorsements. Citizen trust in foreign governments, domestic leaders, and state institutions moderated the effects of the campaign features on vaccine acceptance. These findings can help inform the design of unfolding mass inoculation campaigns.
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WHO Information Leaflet COVID-19: Considerations on tuberculosis (TB) care
Objectives: This paper reviews the mental health policies that have been implemented in Chile in response to the COVID-19 pandemic and the international context of countries' responses. Even before the start of the pandemic, there were significant barriers to access mental health services in Chile, ...coupled with a scenario of nationwide social unrest and protests that questioned the legitimacy of public institutions; now the rapidly worsening outbreaks of COVID-19 are exacerbating the pre-existing mental health crisis.
Methods: We conducted a bibliometric and content analysis of the Chilean mental health public policies implemented during the COVID-19 pandemic and then compared these policies with international experiences and emerging scientific evidence on the mental health impact of pandemics.
Results: Our analysis of the policies identifies five crucial points of action developed in Chile: (i) an established framework to address mental health in emergency and disaster situations; (ii) a timely COVID-19 Mental Health Action Plan; (iii) inclusion of mental health in the public health agenda; (iv) development of a presidential strategy during the pandemic for comprehensive mental health and well-being; and (v) emerging research assessing the mental health implications of COVID-19.
Conclusions: In Chile, the public policy responses to address the mental health consequences of the COVID-19 pandemic has been characterized by the coordinated implementation of mental health plans, ranging from a health sectoral initiative to inter-agency and intersectoral efforts. However, it is imperative that increased funding is allocated to mental health, and efforts should be made to promote the participation of people with lived experiences and communities in the design and implementation of the proposed actions. This aspect could be of key importance to social peace and community recovery after the pandemic.
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Apresentação do PLANO NACIONAL DE EXPANSÃO DA TESTAGEM PARA COVID-19 e orientações acerca dos dois
El libro de cuentos, una secuela del inmensamente exitoso "Mi héroe eres tú: ¡cómo pueden los niños luchar contra el COVID-19!", Se lanzará en el segundo año de la pandemia del COVID-19. La nueva historia, dirigida principalmente a niños de 6 a 11 años, ve el regreso de Ario, una criatura d...e fantasía que viaja por el mundo ayudando a los niños a encontrar esperanza en el futuro y alegría en placeres simples. Junto con viejos y nuevos amigos, Ario aborda los miedos, frustraciones y preocupaciones que enfrentan los niños durante esta fase de la pandemia y explora con ellos los diversos mecanismos de afrontamiento que pueden utilizar cuando se enfrentan a emociones difíciles como el miedo, el dolor, la ira y la tristeza. A través de las voces de los niños que Ario conoce en sus viajes, el libro proporciona una ilustración vívida del impacto de COVID-19 en la salud mental y el bienestar de los niños.
El contenido del libro se basó en las respuestas de la encuesta de más de 5000 niños, padres, cuidadores y maestros de todo el mundo sobre los desafíos que continúan enfrentando en el segundo año de la pandemia.
Disponible en más idiomas
El libro -dirigido principalmente a niños de 6 a 11 años- es un proyecto del Grupo de Referencia del Comité Permanente entre Organismos sobre Salud Mental y Apoyo Psicosocial en Situaciones de Emergencia, una colaboración única de organismos de las Naciones Unidas, organizaciones no gubernamentales nacionales e internacionales y organismos internacionales que prestan servicios de salud mental y apoyo psicosocial en situaciones de emergencia.
Disponible en varios idiomas
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La presente publicación describe las medidas de bioseguridad para disminuir el riesgo de infección por COVID-19 durante la atención estomatológica., así como las actividades y procedimientos del personal que brinda atención estomatológica para disminuir el riesgo de infección por COVID-19.