scholarly journals Mass Evacuation and Quarantine Stay during COVID-19 Pandemic: An Experience of Nepalese Students Evacuated from Wuhan, China

2020 ◽  
Vol 3 (1) ◽  
pp. 8-12
Author(s):  
Naveen Phuyal ◽  
Bibek Rajbhandari ◽  
Bikal Shrestha ◽  
Moon Thapa ◽  
Lee Budhathoki ◽  
...  

Introduction: Many Nepalese students were struck in China demanding to be evacuated to Nepal during COVID pandemic. Government of Nepal had evacuated and rescued 175 students from China and kept them in Quarantine for maximum incubation period. This study aimed to seek experience of the students who stayed in the quarantine center designated for Nepalese evacuees from Wuhan during the Covid-19 pandemic. Methods: All of the students repatriated from Wuhan were included in the study. Total of 165 participated for the study. A structured questionnaire was made and used for the study. Data was collected within a period of one week. Data was analyzed using SPSS. Ver 20.0, appropriate descriptive statistics were calculated and appropriate graphical representation done. Results: More than 77% of the respondents rated the evacuation procedure from Wuhan China to Nepal to be excellent. 60 % of the respondents rated the screening procedure at Tribhuwan International airport as excellent. Nearly 2/3rd of the respondents felt that their movement from airport to Quarantine area was excellent. All of the respondents said that the behavior of the staffs in quarantine to be courteous. 66.1% of the respondents rated their experience in quarantine as excellent. Regarding Hygiene and sanitation of the camp almost all of the respondents felt it was very good while nearly 2/3rd saying it excellent. Conclusions: Majority of the respondents rated their overall experience in Kharipati quarantine as excellent. Lessons from the quarantine’s residents can be used further in development of quarantine centers so that people follow normal prevention and control measures during pandemics and stay in quarantine happily for the period of maximum incubation period.

2021 ◽  
Author(s):  
Ghamdan Gamal Alkholidy ◽  
Labiba Saeed Anam ◽  
Ali Ali Al Mahaqri ◽  
Yousef S. Khader

BACKGROUND The national Severe Acute Respiratory Illness surveillance system in Yemen was established in 2010 to monitor SARI occurrence in humans and provide a foundation for detecting SARI outbreaks. OBJECTIVE To ensure that the objectives of the national surveillance are being met, this study aimed to determine the level of usefulness and assess the performance of the SARI surveillance system in Yemen. METHODS The updated Centers for Disease Control and Prevention (CDC) guidelines were used for the purpose of evaluation. Related documents and reports were reviewed. Data were collected from four central-level managers and stakeholders, and from ten focal points at four Sentinel sites using semi-structured questionnaire. For each attribute, the score percent was calculated and ranked as the following: very poor (≤ 20 %), poor (>20-≤ 40%), average (>40-≤ 60%), good (>60-≤80 %) and excellent (>80 %). RESULTS As rated by the evaluators, SARI surveillance system achieved its targets. The system attributes flexibility (percent score: 86%) and acceptability (percent score: 82%) were rated as excellent, and simplicity (percent score: 74%) and stability (percent score: 75%) were rated as good. The percent score of timeliness was 23% in 2018, indicating poor timeliness. The overall data quality percent score of SARI system was 98.5%. Despite its many strengths, the SARI system has some weakness in that it depends on irregular external financial support. CONCLUSIONS Overall, the SARI surveillance system was useful in estimating morbidity and mortality, monitoring the trend of disease, stimulating researches to inform prevention and control measures. SARI surveillance system was excellent in flexibility, acceptability and data quality. Its simplicity and stability were good; its timeliness was poor. It is recommended to expand the system and engage private sites in SARI surveillance, establish an electronic database at central and peripheral levels, and provide the lab with the reagents needed for confirmation.


2021 ◽  
Vol 11 (2) ◽  
pp. 147-153
Author(s):  
Kenneth LL Sube ◽  
Akram G Nyok ◽  
Oromo F Seriano ◽  
Joseph DW Lako ◽  
Justin B Tongun ◽  
...  

Background: With global spread of COVID-19, countries began to develop scientific activities ranging from detection, prevention and control measures to vaccine development. In order to develop sound strategies to mitigate COVID-19 pandemic, there is a need to conduct postmortem audit. Objectives: The study is to determine the prevalence of COVID-19 related death in both Juba Military Referral Hospital and Juba Teaching Hospital. Methods and materials: This is a retrospective post mortem audit study. Data related to corpses were collected from registers of both JMRH and JTH from January to July 2020. Data was cleaned and entered in SPSS version 21 for statistical analysis and variables with p < 0.05 were considered statistically significant. Results: Out of 201 corpses recorded between Jan-July, 72.6% were from JMRH, and 27.4% from JTH. Male were 76.6% and 23.4% female, Age range 21-100 years with mean of 61 years (SD+/- 17.73). Respiratory failure was the leading cause of death (26.9%) p=0.036. More than half of the corpses (52.7%) reported, died at hospital while 19.9% community death, 27.4% had no place of death indicated p=001. Furthermore 39% of the corpses were of age group (61-80 years), while 38.7% of age group (41-60 Years) died due to respiratory failure p=0.001 Conclusion: This study revealed that higher COVID-19 related death more in males with respiratory failures.


Author(s):  
Peng Shao ◽  
Yingji Shan

SummaryBackgroundThe 2019 new coronavirus, “2019-nCoV”, was discovered from Wuhan Viral Pneumonia cases in December 2019, and was named by the World Health Organization on January 12, 2020. In the early stage, people knows little about the 2019-nCoV virus was not clear, and the spread period was encountering China’s annual spring migration, which made the epidemic spread rapidly from Wuhan to almost all provinces in China.MethodsThis study builds a SEIRD model that considers the movement of people across regions, revealing the effects of three measures on controlling the spread of the epidemic.Based on MATLAB R2017a, computational experiments were performed to simulate the epidemic prevention and control measures.FindingsThe research results show that current prevention and control measures in China are very necessary. This study further validates the concerns of international and domestic experts regarding asymptomatic transmission (E-status).InterpretationThe results of this study are applicable to explore the impact of the implementation of relevant measures on the prevention and control of epidemic spread, and to identify key individuals that may exist during the spread of the epidemic.


Author(s):  
Y. Arockia Suganthi ◽  
Chitra K. ◽  
J. Magelin Mary

Dengue fever is a painful mosquito-borne infection caused by different types of virus in various localities of the world. There is no particular medicine or vaccine to treat person suffering from dengue fever. Dengue viruses are transmitted by the bite of female Aedes (Ae) mosquitoes. Dengue fever viruses are mainly transmitted by Aedes which can be active in tropical or subtropical climates. Aedes Aegypti is the key step to avoid infection transmission to save millions of people in all over the world. This paper provides a standard guideline in the planning of dengue prevention and control measures. At the same time gives the priorities including clinical management and hospitalized dengue patients have to address essentially.


2020 ◽  
Author(s):  
Qiangsheng Huang

BACKGROUND As of the end of February 2020, 2019-nCoV is currently well controlled in China. However, the virus is now spreading globally. OBJECTIVE This study aimed to evaluate the effectiveness of outbreak prevention and control measures in a region. METHODS A model is built for find the best fit for two sets of data (the number of daily new diagnosed, and the risk value of incoming immigration population). The parameters (offset and time window) in the model can be used as the evaluation of effectiveness of outbreak prevention and control. RESULTS Through study, it is found that the parameter offset and time window in the model can accurately reflect the prevention effectiveness. Some related data and public news confirm this result. And this method has advantages over the method using R0 in two aspects. CONCLUSIONS If the epidemic situation is well controlled, the virus is not terrible. Now the daily new diagnosed patients in most regions of China is quickly reduced to zero or close to zero. Chinese can do a good job in the face of huge epidemic pressure. Therefore, if other countries can do well in prevention and control, the epidemic in those places can also pass quickly.


Author(s):  
Ann M. Krake

This chapter covers extremes of temperature conditions, physiological effects, and prevention. All deaths caused by exposure to hot and cold temperature extremes are preventable when proper measures are taken. Described in this chapter are the effects of extreme heat and extreme cold on the health of members of the public, particularly older people and young people, and workers employed in various workplace settings. The differences between heat stress and heat strain are also discussed, as are various regulations governing exposure to temperature extremes. The nature and magnitude of heat- and cold-related conditions and symptoms are described in detail. Final sections of the chapter address various assessment and evaluation tools as well as prevention and control measures. In addition, an appendix describes the hazards related to hyperbaric and hypobaric environments and adverse health effects.


Author(s):  
Maria Luisa Ricci ◽  
Maria Cristina Rota ◽  
Maria Grazia Caporali ◽  
Antonietta Girolamo ◽  
Maria Scaturro

Legionnaires’ disease (LD) is a severe pneumonia caused by bacteria belonging to the genus Legionella. This is a major public health concern and infections are steadily increasing worldwide. Several sources of infection have been identified, but they have not always been linked to human isolates by molecular match. The well-known Legionella contamination of private homes has rarely been associated with the acquisition of the disease, although some patients never left their homes during the incubation period. This study demonstrated by genomic matching between clinical and environmental Legionella isolates that the source of an LD cluster was a private building. Monoclonal antibodies and sequence-based typing were used to type the isolates, and the results clearly demonstrated the molecular relationship between the strains highlighting the risk of contracting LD at home. To contain this risk, the new European directive on the quality of water intended for human consumption has introduced for the first time Legionella as a microbiological parameter to be investigated in domestic water systems. This should lead to a greater attention to prevention and control measures for domestic Legionella contamination and, consequently, to a possible reduction in community acquired LD cases.


2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Li-Ping Wang ◽  
◽  
Shi-Xia Zhou ◽  
Xin Wang ◽  
Qing-Bin Lu ◽  
...  

AbstractNational-based prospective surveillance of all-age patients with acute diarrhea was conducted in China between 2009‒2018. Here we report the etiological, epidemiological, and clinical features of the 152,792 eligible patients enrolled in this analysis. Rotavirus A and norovirus are the two leading viral pathogens detected in the patients, followed by adenovirus and astrovirus. Diarrheagenic Escherichia coli and nontyphoidal Salmonella are the two leading bacterial pathogens, followed by Shigella and Vibrio parahaemolyticus. Patients aged <5 years had higher overall positive rate of viral pathogens, while bacterial pathogens were more common in patients aged 18‒45 years. A joinpoint analysis revealed the age-specific positivity rate and how this varied for individual pathogens. Our findings fill crucial gaps of how the distributions of enteropathogens change across China in patients with diarrhea. This allows enhanced identification of the predominant diarrheal pathogen candidates for diagnosis in clinical practice and more targeted application of prevention and control measures.


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