The role of microbiology in gonococcal control in the West: helping to understand the enemy

2017 ◽  
Vol 38 (4) ◽  
pp. 171
Author(s):  
David J Speers

Western Australia (WA), Australia's largest state by area, has one of the highest notification rates of gonorrhoea in the world. This is likely a reflection of the challenges of providing health services over a vast remote area combined with a unique set of sociocultural aspects. Despite this, microbiology can play a pivotal role in the public health management of gonorrhoea even if the primary health services are thousands of kilometres away from the laboratory. However, it requires new approaches to how diagnostic testing and laboratory surveillance are conducted and the repurposing of existing technologies to cater for novel demands. In this article I describe some of the microbiological approaches that have been undertaken in WA to help address the public health challenge of gonorrhoea. That is, facilitating the appropriate antimicrobial management of gonorrhoea in an era of increasing resistance to prevent treatment failure, timely provision of an accurate diagnosis to inform appropriate treatment, and providing molecular insights to better understand gonococcal transmission (Table 1).

2021 ◽  
Vol 2 (4) ◽  
pp. 26-30
Author(s):  
Syefiq Marliaz ◽  
Shahril Azih

The purpose of this study was to determine the role of government mass communication in ASEAN countries in health services during the COVID-19 pandemic. In an effort to increase awareness of COVID-19, the development of digital-based information is increasingly needed. The public needs credible and reliable information to find out the Covid-19 phenomenon and its various impacts. people are increasingly understanding ways to protect themselves, their families, and the environment appropriately. This will also affect the improvement of public health services by providing good education and guidelines in mass media communication in ASEAN countries, especially in improving health services to the community


2016 ◽  
Vol 40 (6) ◽  
pp. 588-591 ◽  
Author(s):  
Alex Y.C. Tai ◽  
Marion Easton ◽  
Jess Encena ◽  
Jessica Rotty ◽  
Mary Valcanis ◽  
...  

2020 ◽  
Vol 7 (2) ◽  
pp. 147-161
Author(s):  
Putri Karina Syafitri ◽  
Vetty Yulianty Permanasari

The increase in non-communicable diseases such as hypertension, stroke, diabetes mellitus, joint disease, lack of physical activity, injury, and disability in line with the increasing need for physiotherapy services in health facilities, including in Public Health Centers. The role of the physiotherapist in the Public Health Centers is to carry out activities in the form of promotive and preventive without prejudice to curative and rehabilitative. The purpose of this study is to analyze physiotherapy services at the Public Health Centers using five levels of prevention measures, namely are health promotion, specific protection, early diagnosis and prompt treatment, disability limitation, and rehabilitation efforts at 6 PHC in DKI Jakarta. This study uses qualitative research methods through a phenomenological approach. The results of this study obtained a depth-overview of the efforts of health services that the provision of medical services is preferred over promotive and preventive efforts. Physiotherapy services at the PHC have been regulated in the Decree of the PHC’s Head by referring to Permenkes 75 (2014). Public health activities in collaboration with the Physiotherapy Services are only carried out by 3 PHC, and some of them only conduct individual services. This study recommends that adding one physiotherapist to be able to help physiotherapy services outside the building PHC and physiotherapy organizations can create public health training to support physiotherapy competencies.


2018 ◽  
Vol 8 (1) ◽  
pp. 142-163
Author(s):  
Claudia Regina Rosal Carvalho ◽  
Flávia Rezende Campos ◽  
Mirian Castro Portilho Dias Amorim ◽  
Fernanda Machado Ferreira

A saúde no contexto brasileiro é vista como um direito de todos os cidadãos e um dever do poder público. Em meio às diversidades culturais, econômicas e sociais que permeiam um país de dimensões continentais como o Brasil, as desigualdades inter e intrarregionais fazem-se visíveis de diversas formas. Desse modo, o objetivo desse estudo foi verificar de que forma as desigualdades existentes entre os municípios goianos são projetadas na estrutura pública de saúde. Para isso, realizou-se um levantamento de dados nos sítios eletrônicos do Conecta SUS e do Instituto Mauro Borges, de dezoito municípios goianos, que são sedes das regionais de saúde do estado de Goiás. Foram coletados dados referentes ao ano de 2010 e 2016. A seguir, analisaram-se indicadores públicos com o intuito de abranger aspectos de demografia, economia, desenvolvimento social e serviços de saúde. Os aspectos mapeados incluíram: quantitativo populacional, taxa de alfabetização, renda média da população, IDH, índice de Gini, quantitativo de estabelecimentos, médicos e leitos do sistema público de saúde desses municípios. O trabalho procurou contribuir para a discussão acerca do papel da saúde pública no contexto do desenvolvimento regional, reafirmando a relação entre saúde e desenvolvimento.AbstractHealth in Brazil is seen as a right of all citizens and a duty of the public power. Amid the cultural, economic and social diversities that permeate a country with continental dimensions such as Brazil, inter and intra-regional inequalities become visible in a variety of ways. Thus, the objective of this study was to verify how inequalities between the counties of Goiás are projected in the public health structure. For that, a data survey was carried out on the websites of Conecta SUS and the Mauro Borges Institute, from eighteen counties in Goiás, which are headquartered in the health centers of the state of Goiás. Data were collected for the year 2010 and 2016. Next, public indicators were analyzed in order to cover aspects of demography, economy, social development and health services. The mapped aspects included: population quantification, literacy rate, average income of the population, HDI, Gini index, quantitative of establishments, doctors and beds of the public health system of these conties. The paper sought to contribute to the discussion about the role of public health in the context of regional development, reaffirming the relationship between health and development.


Coronaviruses ◽  
2020 ◽  
Vol 01 ◽  
Author(s):  
Saeed Khan ◽  
Tusha Sharma ◽  
Basu Dev Banerjee ◽  
Scotty Branch ◽  
Shea Harrelson

: Currently, Coronavirus disease 2019 (COVID-19) has transformed into a severe public health crisis and wreaking havoc worldwide. The ongoing pandemic has exposed the public healthcare system's weaknesses and highlighted the urgent need for investments in scientific programs and policies. A comprehensive program utilizing the science and technologydriven strategies combined with well-resourced healthcare organizations appears to be essential for current and future outbreak management.


2021 ◽  
Vol 29 (Supplement_1) ◽  
pp. i45-i46
Author(s):  
A Peletidi ◽  
R Kayyali

Abstract Introduction Obesity is one of the main cardiovascular disease (CVD) risk factors.(1) In primary care, pharmacists are in a unique position to offer weight management (WM) interventions. Greece is the European country with the highest number of pharmacies (84.06 pharmacies per 100,000 citizens).(2) The UK was chosen as a reference country, because of the structured public health services offered, the local knowledge and because it was considered to be the closest country to Greece geographically, unlike Australia and Canada, where there is also evidence confirming the potential role of pharmacists in WM. Aim To design and evaluate a 10-week WM programme offered by trained pharmacists in Patras. Methods This WM programme was a step ahead of other interventions worldwide as apart from the usual measuring parameters (weight, body mass index, waist circumference, blood pressure (BP)) it also offered an AUDIT-C and Mediterranean diet score tests. Results In total,117 individuals participated. Of those, 97.4% (n=114), achieved the programme’s aim, losing at least 5% of their initial weight. The mean % of total weight loss (10th week) was 8.97% (SD2.65), and the t-test showed statistically significant results (P<0.001; 95% CI [8.48, 9.45]). The programme also helped participants to reduce their waist-to-height ratio, an early indicator of the CVD risk in both male (P=0.004) and female (P<0.001) participants. Additionally, it improved participants’ BP, AUDIT-C score and physical activity levels significantly (P<0.001). Conclusion The research is the first systematic effort in Greece to initiate and explore the potential role of pharmacists in public health. The successful results of this WM programme constitute a first step towards the structured incorporation of pharmacists in public’s health promotion. It proposed a model for effectively delivering public health services in Greece. This study adds to the evidence in relation to pharmacists’ CVD role in public health with outcomes that superseded other pharmacy-led WM programmes. It also provides the first evidence that Greek pharmacists have the potential to play an important role within primary healthcare and that after training they are able to provide public health services for both the public’s benefit and their clinical role enhancement. This primary evidence should support the Panhellenic Pharmaceutical Association, to “fight” for their rights for an active role in primary care. In terms of limitations, it must be noted that the participants’ collected data were recorded by pharmacists, and the analysis therefore depended on the accuracy of the recorded data, in particular on the measurements or calculations obtained. Although the sample size was achieved, it can be argued that it is small for the generalisation of findings across Greece. Therefore, the WM programme should be offered in other Greek cities to identify if similar results can be replicated, so as to consolidate the contribution of pharmacists in promoting public health. Additionally, the study was limited as it did not include a control group. Despite the limitations, our findings provide a model for a pharmacy-led public health programme revolving around WM that can be used as a model for services in the future. References 1. Mendis S, Puska P, Norrving B, World Health Organization., World Heart Federation., World Stroke Organization. Global atlas on cardiovascular disease prevention and control [Internet]. Geneva: World Health Organization in collaboration with the World Heart Federation and the World Stroke Organization; 2011 [cited 2018 Jun 26]. 155 p. Available from: http://www.who.int/cardiovascular_diseases/publications/atlas_cvd/en/ 2. Pharmaceutical Group of the European Union. Pharmacy with you throughout life:PGEU Annual Report [Internet]. 2015. Available from: https://www.pgeu.eu/en/library/530:annual-report-2015.html


Author(s):  
R. Quentin Grafton ◽  
John Parslow ◽  
Tom Kompas ◽  
Kathryn Glass ◽  
Emily Banks

Abstract Background We investigated the public health and economy outcomes of different levels of social distancing to control a ‘second wave’ outbreak in Australia and identify implications for public health management of COVID-19. Methods Individual-based and compartment models were used to simulate the effects of different social distancing and detection strategies on Australian COVID-19 infections and the economy from March to July 2020. These models were used to evaluate the effects of different social distancing levels and the early relaxation of suppression measures, in terms of public health and economy outcomes. Results The models, fitted to observations up to July 2020, yielded projections consistent with subsequent cases and showed that better public health outcomes and lower economy costs occur when social distancing measures are more stringent, implemented earlier and implemented for a sufficiently long duration. Early relaxation of suppression results in worse public health outcomes and higher economy costs. Conclusions Better public health outcomes (reduced COVID-19 fatalities) are positively associated with lower economy costs and higher levels of social distancing; achieving zero community transmission lowers both public health and economy costs compared to allowing community transmission to continue; and early relaxation of social distancing increases both public health and economy costs.


2007 ◽  
Vol 97 (Supplement_1) ◽  
pp. S93-S97 ◽  
Author(s):  
Enrique Regidor ◽  
Luis de la Fuente ◽  
Juan L. Gutiérrez-Fisac ◽  
Salvador de Mateo ◽  
Cruz Pascual ◽  
...  

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