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Health and Telework: New Challenges after COVID-19 Pandemic 卫生与远程工作:新冠肺炎大流行后的新挑战
Pub Date : 2021-02-13 DOI: 10.21601/EJEPH/9705
G. Buomprisco, S. Ricci, R. Perri, S. De Sio
The COVID-19 pandemic represented a big challenge not only for the health systems but also for the working world that has been characterized by the spread of telework. The aim of this review is to resume the knowledge about the effects of telework on the health and safety of teleworkers, and to point out these implications in the light of the growing development and diffusion of it after COVID-19 pandemic. A literature research on the main scientific research engines (Pubmed, Scopus, Google Scholar, Cochrane Review) has been performed. No restrictions were applied for language or publication type. All the articles not concerned with the health effects of telework have been excluded. That kind of work arrangement can take advantages to both employers and workers by improving productivity and work-life balance. However, it has some potential disadvantages, represented by the possible negative implications on worker’s health. The main hazards for the health of teleworkers are: the unavailability of ergonomic work equipment and a dedicated working area, the risk of overwork, and psychosocial implications of working from home. Performing telework can affect both physical and psychosocial health but some authors also described potential health benefits.
新冠肺炎大流行不仅对卫生系统,而且对以远程工作传播为特征的工作世界来说,都是一个巨大的挑战。本次审查的目的是恢复关于远程工作对远程工作者健康和安全的影响的知识,并根据新冠肺炎大流行后远程工作的不断发展和扩散指出这些影响。对主要的科学研究引擎(Pubmed、Scopus、Google Scholar、Cochrane Review)进行了文献研究。没有对语言或发布类型应用任何限制。所有与远程工作对健康影响无关的文章都被排除在外。这种工作安排可以通过提高生产力和工作与生活的平衡,对雇主和工人都有好处。然而,它也有一些潜在的缺点,表现为可能对工人的健康产生负面影响。远程工作者健康的主要危害是:缺乏符合人体工程学的工作设备和专用工作区、过度工作的风险以及在家工作的心理影响。进行远程工作会影响身体和心理健康,但一些作者也描述了潜在的健康益处。
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引用次数: 105
An Assessment of Saudi Hospitals’ Disaster Preparedness 沙特医院防灾能力评估
Pub Date : 2021-01-23 DOI: 10.21601/EJEPH/9663
Majed Mohammed Alsalem, S. Alghanim
Objective: The study aims to assess the level of Saudi Hospital Disaster Preparedness (HDP).Methods: This study has utilized exploratory quantitative design with a structured self-administered questionnaire. It has adopted a convenient sampling technique, which has included nine hospitals within three Saudi Cities (Riyadh, Jeddah, and Dammam). The questionnaire contains 48 indicators in six HDP domains: planning, structural, non-structural, management, functional, and human resource competency capacities.Results: The level of Saudi HDP was 69.8%. The domain of management capacity had the highest level of preparedness, at 83.6%, while human resources competency capacity was the least prepared, at 63%. The Spearman correlation revealed a positive significant relationship between preparing to respond to a disaster when occur and all HDP capacity indicators, r (46) = 0.424, p = < .001. A one-way ANOVA test showed a significant difference in HDP between the three cities; Riyadh hospitals were the most prepared, F (2, 313) = 4.343, p < .05. It also showed that there were significant differences in preparedness between the MOH, other governmental, and university hospitals; university hospitals were the most prepared, F (2, 313) = 5.087, p < .05.Conclusion: Overall, Saudi hospitals have a high level of HDP, which indicates that they are likely to function well in the eventuality of disasters. There is a great opportunity to strengthen HDP capacities to improve hospital readiness in the medium-long term. The implemented HDP assessment tool should be built into hospitals’ systems and coordinated among involved governmental sectors.
目的:本研究旨在评估沙特医院备灾(HDP)水平。方法:本研究采用探索性定量设计,采用结构化自填问卷。它采用了一种方便的抽样技术,包括沙特三个城市(利雅得、吉达和达曼)内的9家医院。问卷包含六个HDP领域的48个指标:规划、结构、非结构、管理、职能和人力资源胜任能力。结果:沙特HDP水平为69.8%。管理能力领域的准备程度最高,为83.6%,而人力资源能力领域的准备程度最低,为63%。Spearman相关揭示灾难发生时的应对准备与所有HDP能力指标之间存在显著正相关,r (46) = 0.424, p = < .001。单因素方差分析显示,三个城市的HDP存在显著差异;利雅得医院准备程度最高,F (2,313) = 4.343, p < 0.05。它还表明,卫生部、其他政府医院和大学医院之间的准备工作存在显著差异;高校医院准备程度最高,F (2,313) = 5.087, p < 0.05。结论:总体而言,沙特医院的HDP水平较高,这表明他们可能在灾难发生时发挥良好的作用。从中长期来看,加强HDP能力以改善医院准备状况的机会很大。实施的HDP评估工具应纳入医院系统,并在相关政府部门之间进行协调。
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引用次数: 4
“It Makes you Fly to the Moon” - Stakeholder Perceptions of Physical Activity in the School Environment “它能让你飞向月球”——利益相关者对学校环境中体育活动的看法
Pub Date : 2021-01-05 DOI: 10.21601/ejeph/9372
Jaimie M. McMullen, Katie L. Hodgin, Jennifer Krause, Brian Dauenhauer, R. Carson
Abstract. Children are not achieving recommended levels of physical activity (PA), and a comprehensive school PA program (CSPAP) has been suggested as a way to address this within the school environment (CDC, 2017). Purpose: The purpose of this study, was to explore multiple stakeholders’ perceptions (i.e., students, teachers, principal) of PA in the school environment. Method: Semi-structured interviews were conducted; students in Kindergarten through grade two (N = 31) participated in focus group interviews, while teachers (N = 9) and the principal (N = 1) participated in individual interviews. Data were analyzed inductively using open and axial coding (Corbin & Strauss, 2008). Results: Teachers and the principal had favorable perceptions of PA in school, identified barriers and needed supports (teachers). Students liked PA, believed it was good for them, and wanted more PA opportunities at school. Conclusion: These results provide multi-level stakeholder support for PA promotion within the school environment; and are important to consider within the CSPAP framework.
摘要孩子们没有达到推荐的身体活动水平(PA),一个综合的学校PA计划(CSPAP)已经被建议作为在学校环境中解决这个问题的一种方法(CDC, 2017)。目的:本研究的目的是探讨多个利益相关者(即学生、教师、校长)在学校环境中对PA的看法。方法:采用半结构化访谈法;幼儿园至二年级学生(N = 31)参与焦点小组访谈,教师(N = 9)和校长(N = 1)参与个人访谈。使用开放和轴向编码对数据进行归纳分析(Corbin & Strauss, 2008)。结果:教师和校长对学校PA有良好的认知,识别出障碍和需要的支持(教师)。学生们喜欢PA,认为这对他们有好处,并希望在学校有更多的PA机会。结论:本研究结果为学校环境下PA的推广提供了多层次的利益相关者支持;在CSPAP框架内考虑这些问题非常重要。
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引用次数: 1
Review of the Lessons from the Mental Health Care in a Public Health Context Short Course: Australia Awards Africa 回顾公共卫生背景下短期课程中的精神保健经验教训:澳大利亚奖励非洲
Pub Date : 2021-01-04 DOI: 10.21601/ejeph/9369
B. Maila, D. Jato
The World Health Organisation (WHO) recommends human resource development as a key strategy to promote global mental health. The optimal approach to building capacity in global mental health care requires partnerships between professional resources in high-income countries and promising health-related institutions in low- and middle-income countries. In this paper, we briefly describe the objectives of one of such initiatives, the Australia Awards Short Course titled, ‘Mental Health Care in a Public Health Context’, sponsored by the Australian Government, share our experience and reflections as participants in the program, and highlight key lessons relevant for scale-up of mental health care in low-middle income countries in Africa.
世界卫生组织(世卫组织)建议将人力资源开发作为促进全球精神卫生的一项关键战略。全球精神卫生保健能力建设的最佳办法需要高收入国家的专业资源与低收入和中等收入国家有前途的卫生相关机构建立伙伴关系。在本文中,我们简要介绍了其中一项倡议的目标,即由澳大利亚政府赞助的题为“公共卫生背景下的精神卫生保健”的澳大利亚奖励短期课程,分享了我们作为该方案参与者的经验和思考,并强调了与扩大非洲中低收入国家精神卫生保健有关的关键教训。
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引用次数: 1
Biodegradable Potential of Bacillus amyloliquefaciens and Bacillus safensis Using Low Density Polyethylene Thermoplastic (LDPE) Substrate 低密度聚乙烯热塑性塑料基质对解淀粉芽孢杆菌和安全芽孢杆菌的生物降解潜力
Pub Date : 2021-01-04 DOI: 10.21601/ejeph/9370
A. Abdullah, M. Waqas, M. Haris, N. Asim, Hanif ul Islam, A. Khan, Huma Khattak, Sarfaraz Ali
Increase of plastics accumulation in the environment cause ecological threats and has been one of the serious issue worldwide. In the current study, two bacterial isolated strains Bacillus safensis and Bacillus amyloliquefaciens were used for their plastic degradation capabilities. The biodegradation of low density polyethylene thermoplastic was assessed by weight reduction, Scanning electron microscopy (SEM) analysis and by culture media pH alteration. The results shows that Bacillus safensis was more efficient and degrade 18.6% LDPE than Bacillus amyloliquefaciens that degrade 18% of LDPE after incubation period of 30 days. Moreover, it was also noted that longer incubation periods results in higher biodegradation of low density polyethylene thermoplastic. It is concluded that the biodegrading ability of Bacillus safensis is more than Bacillus amyloliquefaciens as confirm from weight reduction of low density polyethylene thermoplastic.
塑料在环境中积累的增加造成了生态威胁,已成为世界范围内的严重问题之一。在目前的研究中,使用了两种分离的细菌菌株安全芽孢杆菌和解淀粉芽孢杆菌的塑料降解能力。通过重量减轻、扫描电子显微镜(SEM)分析和培养基pH变化来评估低密度聚乙烯热塑性塑料的生物降解。结果表明,在培养30天后,安全芽孢杆菌对LDPE的降解率为18.6%,比解淀粉芽孢杆菌降解LDPE的效率高18%。此外,还注意到,培养时间越长,低密度聚乙烯热塑性塑料的生物降解性越高。结果表明,低密度聚乙烯热塑性塑料的生物降解能力高于解淀粉芽孢杆菌。
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引用次数: 6
A Planetary Health Perspective to Decarbonising Public Hospitals in Ireland: A Health Policy Report 爱尔兰公立医院脱碳的行星健康视角:一份健康政策报告
Pub Date : 2021-01-04 DOI: 10.21601/ejeph/9368
A. Kirk, P. Grenfell, P. Murage
Background: Decarbonisation refers to the process by which countries, individuals or other entities aim to achieve zero fossil carbon emissions through reduction of greenhouse gas (GHG) emissions, including procurement, energy and buildings, pharmaceuticals, transport, and waste which impacts public health. Preliminary findings on decarbonisation in healthcare systems suggest that further research is required.Aims: This research was undertaken to explore the opportunities and barriers of decarbonisation of public hospitals within the ‘climate health’ planetary health boundary in the Republic of Ireland.Methodology: A literature review was used in conjunction with semi-structured qualitative interviews to explore barriers and opportunities of decarbonisation of Irish healthcare sector. The purposive sampling for the qualitative interviews resulted in the selection of five key decision-makers within cross-sector fields including environmental, public health, management and transport.Results: Themes emerged which reflected the cross-cutting planetary health principle. Barriers such as financial incentives and the requirement for a transdisciplinary approach were raised. The need for preparing the healthcare sector through adaptation and mitigation of the effects of climate change was also highlighted, as was the importance of leadership within the hospital from all sectors.Recommendations: The findings emerging from this novel research through a planetary health lens can be used to further inform the ‘Climate Action Plan’ in the Republic of Ireland, with adaption to other healthcare sectors internationally, in order to ensure investment within the health sector in preparation for climate change.
背景:脱碳是指国家、个人或其他实体通过减少温室气体排放来实现零化石碳排放的过程,包括采购、能源和建筑、药品、运输和影响公众健康的废物。关于医疗系统脱碳的初步发现表明,还需要进一步的研究。目的:本研究旨在探索爱尔兰共和国“气候健康”全球健康边界内公立医院脱碳的机会和障碍。方法:采用文献综述和半结构化定性访谈相结合的方法,探索爱尔兰医疗保健部门脱碳的障碍和机会。定性访谈的目的性抽样选出了环境、公共卫生、管理和交通等跨部门领域的五位关键决策者。结果:出现了反映贯穿各领域的全球健康原则的主题。提出了诸如财政激励和跨学科方法要求等障碍。还强调了通过适应和缓解气候变化影响来为医疗保健部门做好准备的必要性,以及医院内各部门领导的重要性。建议:从行星健康角度来看,这项新研究的发现可用于进一步为爱尔兰共和国的“气候行动计划”提供信息,并适应国际上的其他医疗保健部门,以确保卫生部门在应对气候变化方面的投资。
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引用次数: 2
Physician Training Related to Environmental Hazards near Ash Superfund Sites. 灰超级基金场址附近环境危害相关的医师培训。
Pub Date : 2021-01-01 Epub Date: 2021-07-18 DOI: 10.21601/ejeph/11096
Alan Becker, Rima Tawk, Gebre Kiros, Sandra Suther, Aaron Hilliard, Richard Gragg, Fran Close, Cynthia M Harris

Physicians do not receive formal environmental health training in medical schools. The objectives of this study were to provide health care providers with basic environmental medicine training to better advise, treat or refer patients in the community and to observe any differences in the environmental medicine learning gains pre/post- test assessment. To rectify the problem of the lack of physicians' training related to environmental hazards, we conducted an environmental health workshop which targeted physicians living near Health Zone 1, Superfund ash sites. Fifty health care providers from both St. Vincent Family Medicine and Department of Health, Duval County Health Department (DOH-Duval) participated in a pre-test survey before the training and a post-test survey following the training. We used a non-parametric Wilcoxon Signed-Rank test to compare pre- and post- knowledge of training participants. At the 10% level of significance, the number of incorrect answers significantly declined in the post-training survey compared to the pre-training survey for all participants from both facilities combined (p=0.083). Site-specific analysis show, while a significant difference was found for participants from the St. Vincent's site (p=0.084), the difference for participants from the DOH-Duval site was not significant (p = 0.102), although the number of incorrect answers declined. The training resulted in learning gains for the 50 participants and the evaluations were very positive with 100% of physicians recommending this training to other health care providers. Additionally, training participants gave a high mark for the environmental medicine pocket guide. In 2019, the ash sites are 90% remediated and cleanup is expected to be completed in 2022. There is still a need for additional training for physicians due to other active sites (i.e., Kerr-McGee) in the community. This study highlights the importance of providing environmental hazards training to physicians and the approach by which it could be delivered effectively.

医生没有在医学院接受正式的环境健康培训。本研究的目的是为卫生保健提供者提供基本的环境医学培训,以便更好地为社区中的患者提供建议、治疗或转诊,并观察环境医学学习收益在测试前/测试后评估中的任何差异。为了解决缺乏与环境危害相关的医生培训的问题,我们举办了一次环境健康研讨会,对象是居住在超级基金灰场卫生区1附近的医生。来自圣文森特家庭医学院和杜瓦尔县卫生部卫生部(DOH Duval)的50名医疗保健提供者参加了培训前的测试前调查和培训后的测试后调查。我们使用非参数的Wilcoxon符号秩检验来比较训练参与者的前后知识。在10%的显著性水平上,与两个设施的所有参与者的训练前调查相比,训练后调查中错误答案的数量显著下降(p=0.083)。特定场地的分析显示,虽然圣文森特场地的参与者存在显著差异(p=0.084),来自DOH Duval网站的参与者的差异并不显著(p=0.102),尽管错误答案的数量有所下降。培训为50名参与者带来了学习上的收获,评估非常积极,100%的医生向其他医疗保健提供者推荐了这种培训。此外,培训参与者对环境医学袖珍指南给予了很高的评价。2019年,灰场已修复90%,清理工作预计将于2022年完成。由于社区中的其他活跃场所(即Kerr-McGee),仍需要对医生进行额外的培训。这项研究强调了向医生提供环境危害培训的重要性,以及有效提供培训的方法。
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引用次数: 0
Self-medication and its Consequences during & after the Coronavirus Disease 2019 (COVID-19) Pandemic: A Global Health Problem 2019冠状病毒病(COVID-19)大流行期间和之后的自我药疗及其后果:一个全球性的健康问题
Pub Date : 2020-11-30 DOI: 10.29333/ejeph/9308
S. Mudenda, B. Witika, M. Sadiq, M. Banda, R. Mfune, V. Daka, Damaless Kalui, M. N. Phiri, M. Kasanga, F. Mudenda, W. Mufwambi
(COVID-19) Coronavirus disease 2019 (COVID-19) is a respiratory tract infection that emerged from China in December 2019 and is caused by severe acute respiratory syndrome coronavirus 2. Due to the airborne nature of its transmission, COVID-19 spread to the rest of the world rapidly. Thus, the World Health Organization declared COVID-19 a pandemic. This paper evaluated the factors that lead to self-medication in people suffering from respiratory tract infections such as COVID-19, and the consequences of practicing self-medication using antimicrobial agents. Most of the signs and symptoms of COVID-19 are also seen in infections such as malaria, flu, and the common cold. For this reason, and also due to poor healthcare-seeking behaviour, most people tend to self-medicate using medicines that are known to be effective against malaria, common cold, and COVID-19. Among the commonly used medicines in the practice of self-medication include antibacterials, antimalarials, and antivirals. Some vitamins such as vitamin C boost the immune system enabling it to provide effective defence mechanisms against microbes. However, self-medication may pose consequences such as the emergence of antimicrobial-resistant microorganisms, hypersensitivity reactions as well as dose-dependent toxicities viz dermatoxicity, cardiotoxicity, and hepatoxicity. Infectious diseases caused by antimicrobial-resistant microbes are difficult and, in some instances, impossible to treat thereby leading to increased morbidity and mortality among infected people. Consequently, antimicrobial resistance poses another global public health problem and requires a multisectoral approach to curb. It is our recommendation that all governments ensure that there are adequate medicines and efficient human resources in healthcare facilities as well as sufficient public awareness to prevent people from seeking self-medication.
2019冠状病毒病(COVID-19)是2019年12月在中国出现的一种呼吸道感染,由严重急性呼吸综合征冠状病毒2引起。由于其传播的空气传播性质,COVID-19迅速蔓延到世界其他地区。因此,世界卫生组织宣布COVID-19为大流行。本文评估了导致COVID-19等呼吸道感染患者自我药疗的因素,以及使用抗菌药物进行自我药疗的后果。COVID-19的大多数体征和症状也出现在疟疾、流感和普通感冒等感染中。出于这个原因,也由于就医行为不佳,大多数人倾向于使用已知对疟疾、普通感冒和COVID-19有效的药物进行自我治疗。自我药疗实践中常用的药物包括抗菌药、抗疟药和抗病毒药物。一些维生素,如维生素C,可以增强免疫系统,使其能够提供有效的防御微生物的机制。然而,自我药疗可能造成诸如耐药微生物的出现、过敏反应以及剂量依赖性毒性(即皮肤毒性、心脏毒性和肝毒性)等后果。耐药微生物引起的传染病很难治疗,在某些情况下无法治疗,从而导致感染者发病率和死亡率增加。因此,抗菌素耐药性构成另一个全球公共卫生问题,需要采取多部门办法加以遏制。我们建议各国政府确保医疗机构有充足的药品和高效的人力资源,并确保公众有足够的意识来防止人们寻求自我药疗。
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引用次数: 26
Health Impacts of a Traditional Illicit Brew (Kaanga) Consumed in Meru County, Kenya 肯尼亚梅鲁县饮用传统非法啤酒(Kaanga)对健康的影响
Pub Date : 2020-11-04 DOI: 10.29333/ejeph/9146
B. Chaka, Atuna Titus Gitari, O. Aloys, Bulitia Godrick
Health Impacts of a Traditional Illicit Brew (Kaanga) Consumed in ABSTRACT Kaanga brew is a common illicit liquor from Meru county in Kenya. Popularity of this brew has been growing and is religiously passed down from one generation to the next. The substrates, preparation process and additives used in making it are unhygienic and toxic. As a result, numerous social and health effects have stemmed from its consumption. This study aimed at analyzing the health impacts arising from consumption of Kaanga brew in Meru county, Kenya. A cross-sectional design of study was employed. The research tools used included questionnaires, interviews and observations. Descriptive statistics was used to analyze and present the findings. The results indicated that popularity of this brew was mainly because it was cheaper than other alcoholic beverages. Its consumption was projected to continue for a long period, if strict intervention measures are not taken. The additives used, such as battery acid, methanol and dry cells were indeed toxic for human consumption. Several social effects which had public health effects (such as irresponsible sex activities), by extension were experienced from the consumers. Kaanga brew had significantly more chances (P > 0.05) of causing health effects compared to the other brews. Some of the direct health conditions arising from its consumption include loss of vision, memory and appetite, inflammation and regular stomach upsets. 80% of the respondents had witnessed or heard of a death case caused by the brew.
传统非法酿酒对健康的影响摘要Kaanga酿酒是肯尼亚梅鲁县的一种常见非法酒。这种啤酒的受欢迎程度一直在增长,并在宗教上代代相传。它的基质、制备工艺和添加剂都是不卫生和有毒的。因此,它的消费产生了许多社会和健康影响。本研究旨在分析肯尼亚梅鲁县Kaanga啤酒消费对健康的影响。采用横断面研究设计。使用的研究工具包括问卷调查、访谈和观察。描述性统计用于分析和呈现研究结果。结果表明,这种啤酒之所以受欢迎,主要是因为它比其他酒精饮料便宜。如果不采取严格的干预措施,预计其消费将持续很长一段时间。使用的添加剂,如电池酸、甲醇和干电池,确实对人类消费有毒。消费者经历了一些对公共健康有影响的社会影响(如不负责任的性活动)。与其他啤酒相比,Kaanga啤酒引起健康影响的几率显著增加(P>0.05)。食用它会导致一些直接的健康状况,包括视力、记忆力和食欲下降、炎症和经常胃部不适。80%的受访者曾目睹或听说过由啤酒酿造引起的死亡案例。
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引用次数: 1
Knowledge on the Pathogenesis and New Diagnosing Techniques Approach for Low SARS-CoV-2 Testing Rates: A Case Study of Nigeria 对严重急性呼吸系统综合征冠状病毒2型检测率低的发病机制和新诊断技术的认识——以尼日利亚为例
Pub Date : 2020-11-04 DOI: 10.29333/ejeph/9145
Abass A Ohilebo, Samuel Olarewaju Ogunsola, A. Aborode, A. Aiyenuro
SARS-CoV-2 (novel coronavirus responsible for coronavirus disease 2019) is a beta (β-) sub-class of the coronavirus which has caused more harm to live than expected. SARS-CoV-2 which was declared as a pandemic by the World Health Organization (WHO) on 11 March 2020, has caused governments globally to declare and implement the “lock down” policy for its citizen, including Nigeria with a large population in Africa. The country National Centre for Disease Control (NCDC) made it known the testing methods adopted by them are not effective at curtaining the large population of her citizens. Our main goal in this review is to focus on the SARS-CoV-2 pathogenesis and new diagnostic techniques approaches that can be adopted in Nigeria. A total of 88,432 testing has been carried out by the NCDC, with 14,554 confirmed cases in 200 million populations. Although the SARS-CoV-2 test adopted by the NCDC has been on the molecular testing using real-time reverse transcriptase polymerase chain reaction (RT-PCR) and antibody tests using blood, which has many demerits. We therefore recommend the NCDC should approach new diagnostic techniques like use of saliva samples and loop-mediated isothermal amplification (LAMP). Conclusively, when these methods are considered, testing rates will greatly improve.
SARS-CoV-2(导致2019冠状病毒病的新型冠状病毒)是冠状病毒的β亚类,对生活造成的危害比预期的更大。世界卫生组织(世界卫生组织)于2020年3月11日宣布SARS-CoV-2为大流行,导致全球各国政府宣布并实施针对其公民的“封锁”政策,包括非洲人口众多的尼日利亚。该国国家疾病控制中心(NCDC)明确表示,他们采用的检测方法无法有效遏制大量公民。我们在这篇综述中的主要目标是关注严重急性呼吸系统综合征冠状病毒2型的发病机制和尼日利亚可以采用的新诊断技术方法。NCDC共进行了88432次检测,2亿人口中有14554例确诊病例。尽管NCDC采用的严重急性呼吸系统综合征冠状病毒2型检测一直在使用实时逆转录聚合酶链式反应(RT-PCR)进行分子检测,并使用血液进行抗体检测,但这有许多缺点。因此,我们建议NCDC应该采用新的诊断技术,如使用唾液样本和环介导的等温扩增(LAMP)。总之,当考虑这些方法时,测试率将大大提高。
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引用次数: 1
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European journal of environment and public health
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