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The interplay among conflict, water scarcity, and cholera in Northern Nigeria 尼日利亚北部冲突、缺水和霍乱之间的相互作用
Pub Date : 2023-08-19 DOI: 10.1002/puh2.118
B. Gulumbe, Z. Yusuf, A. Faggo, T. Yahaya, S. S. Manga
Cholera is a recurring issue in Nigeria, with outbreaks predominantly affecting the Northern states. In 2021, Nigeria experienced its most significant cholera epidemic in a decade, resulting in thousands of fatalities and cases. The spread of cholera and other waterborne diseases in Nigeria is linked to various factors such as flooding, conflict, and water scarcity. The country's poor drinking water quality and lack of equitable access to clean water exacerbate the problem, particularly in the conflict‐affected areas of the North. This paper discusses the interaction of conflict‐related displacement, water shortages, and cholera transmission in Northern Nigeria and provides insights into how these factors impact water resources and public health. This information can inform initiatives and policies to reduce the impact of conflict on water resources and enhance access to clean water in impacted areas. The article suggests that the primary challenges in eliminating cholera in the region include a lack of information due to severe security situations, bureaucratic requirements for delivering essential supplies, and a chronic shortage of water. A successful response to cholera in conflict and displacement situations also requires community engagement and the security and safety of humanitarian personnel. Long‐term solutions to the uprisings in the region are necessary to put an end to the issues related to banditry and insurgency.
霍乱在尼日利亚是一个反复出现的问题,疫情主要影响北部各州。2021年,尼日利亚经历了十年来最严重的霍乱疫情,导致数千人死亡和病例。霍乱和其他水传播疾病在尼日利亚的传播与洪水、冲突和缺水等多种因素有关。该国饮用水质量差,缺乏公平获得清洁水的机会,加剧了这一问题,尤其是在北方受冲突影响的地区。本文讨论了尼日利亚北部与冲突相关的流离失所、水资源短缺和霍乱传播的相互作用,并深入了解了这些因素如何影响水资源和公共卫生。这些信息可以为减少冲突对水资源的影响和增加受影响地区获得清洁水的机会的举措和政策提供信息。文章指出,该地区消灭霍乱的主要挑战包括由于严重的安全局势而缺乏信息,对提供基本物资的官僚要求,以及长期缺水。成功应对冲突和流离失所局势中的霍乱还需要社区参与以及人道主义人员的安全保障。该地区起义的长期解决方案对于结束与土匪和叛乱有关的问题是必要的。
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引用次数: 0
Beyond rhetoric in the pandemic treaty: Prioritizing equity and inclusion for marginalized populations 在大流行病条约的花言巧语之外:优先考虑边缘化人群的公平和包容
Pub Date : 2023-08-15 DOI: 10.1002/puh2.115
Y. Adebisi, Nelson Aghogho Evaborhene, Isaac Olushola Ogunkola, Calista Oluebube Onyike
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引用次数: 0
Progress of island health in the Maldives 马尔代夫岛屿卫生的进展
Pub Date : 2023-08-12 DOI: 10.1002/puh2.114
Lawson Ifeanyi Eya, Imran Mohamed Adam, Muiz Ibrahim, A. Miranda, Subbaram Kannan, D. Lucero‐Prisno
The provision of equitable healthcare on remote islands is critical in the fight to attain the sustainable development goals (SDGs). Many island countries, particularly the Small Island Developing States (SIDS), are confronted with numerous obstacles to accessing quality healthcare. Many SIDS are located in the Asia‐Pacific region, and they suffer shared challenges such as a lack of infrastructure, logistical concerns, and a shortage of health staff. As a SIDS, the Maldives has made significant progress in the health sector, when compared to its neighbours. Part of this is due to spending a large portion of the national budget on the social sector, and a well‐structured health system. Despite these accomplishments, it continues to struggle to provide equitable health care across the whole nation, especially to the small and underpopulated islands. One contributing factor is the dispersed geography. The pandemic highlighted the importance of telemedicine and its capacity to bridge the barriers to healthcare delivery, and its potential in the Maldives is huge. There is also a need to strengthen integrated health services through primary healthcare, train a larger workforce, and upgrade hospitals to be able to provide comprehensive medical services. This will limit the frequency of travel to the capital and abroad in search of better healthcare.
在偏远岛屿上提供公平的医疗保健对实现可持续发展目标至关重要。许多岛屿国家,特别是小岛屿发展中国家,在获得高质量医疗保健方面面临许多障碍。许多小岛屿发展中国家位于亚太地区,它们面临着共同的挑战,如缺乏基础设施、后勤问题和卫生人员短缺。作为一个小岛屿发展中国家,与邻国相比,马尔代夫在卫生部门取得了重大进展。部分原因是将国家预算的很大一部分用于社会部门和结构良好的卫生系统。尽管取得了这些成就,但它仍在努力在全国范围内提供公平的医疗保健,特别是在人口不足的小岛屿。一个促成因素是地理位置分散。这场疫情突显了远程医疗的重要性及其弥合医疗保健障碍的能力,它在马尔代夫的潜力巨大。还需要通过初级保健加强综合医疗服务,培训更多的劳动力,并升级医院,使其能够提供全面的医疗服务。这将限制前往首都和国外寻求更好医疗保健的频率。
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引用次数: 0
Rabies experts on demand: A cross-sectional study describing the use of a rabies telehealth service. 狂犬病专家随叫随到:描述狂犬病远程医疗服务使用的横断面研究
Pub Date : 2023-08-01 DOI: 10.1002/puh2.109
Sarah E Baker, Yasmeen B Ross, James A Ellison, Benjamin P Monroe, Lillian A Orciari, Brett W Petersen, Agam K Rao, Ryan M Wallace

Background: Rabies expert on demand (REOD) telehealth service is provided by the U.S. Centers for Disease Control and Prevention (CDC) to assist public health practitioners, health providers, and the public to interpret national and international rabies prevention guidelines. REOD is staffed by subject matter experts of the CDC Poxvirus and Rabies Branch to assess each unique situation and provide evidence-based guidance to stakeholders. This study aims to describe the utilization of a rabies telehealth system and provide insight into common consultations.

Methods: A cross-sectional study of the nature of inquiries to REOD was done using the data collected from September 1, 2017 to September 30, 2021. An inquiry tracking form and Microsoft Access database were developed to document all inquiries received. Inquired ones were summarized to determine the frequency of inquiries by month, category, and location.

Results: Over a 49-month period, REOD received 5228 inquiries. Peak inquiries (n = 108) occurred during August 2019. The most frequent inquiries received pertained to risk assessment and management of rabies exposures (n = 1109), requests for testing assistance (n = 912), consultation for suspected human rabies (n = 746), rabies exposures and post-bite treatment occurring internationally (n = 310), and consultation for deviations in the recommended pre- and postexposure prophylaxis regimen (n = 300).

Conclusion: REOD is a global resource for consultation related to managing rabies exposures, diagnostic issues, and rabies control strategies. REOD is a regularly utilized CDC service, as the demand for up-to-date rabies guidance remains high. REOD fulfills a critical role for the interpretation and consultation on rabies prevention guidelines to stakeholder.

背景:狂犬病专家点播(REOD)远程医疗服务由美国疾病控制和预防中心(CDC)提供,旨在协助公共卫生从业人员、医疗服务提供者和公众解释国家和国际狂犬病预防指南。REOD 由疾病预防控制中心痘病毒和狂犬病处的主题专家组成,负责评估每种独特的情况,并为利益相关者提供循证指导。本研究旨在描述狂犬病远程医疗系统的使用情况,并深入了解常见的咨询情况:利用从 2017 年 9 月 1 日至 2021 年 9 月 30 日收集的数据,对向 REOD 咨询的性质进行了横截面研究。开发了一份咨询跟踪表和 Microsoft Access 数据库,用于记录收到的所有咨询。对查询的内容进行了汇总,以确定按月份、类别和地点分列的查询频率:在 49 个月的时间里,REOD 共收到 5228 次咨询。咨询高峰期(n = 108)出现在 2019 年 8 月。收到的最常见咨询涉及狂犬病暴露的风险评估和管理(n = 1109)、检测援助请求(n = 912)、疑似人类狂犬病咨询(n = 746)、国际狂犬病暴露和咬伤后处理(n = 310)以及建议的暴露前和暴露后预防方案偏差咨询(n = 300):REOD是与狂犬病暴露管理、诊断问题和狂犬病控制策略相关的全球咨询资源。由于对最新狂犬病指导的需求居高不下,REOD 是疾控中心经常使用的一项服务。REOD 在向利益相关者解释和咨询狂犬病预防指南方面发挥着重要作用。
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引用次数: 0
Developing a suicide prevention action plan in Kisumu County, Kenya 肯尼亚基苏木县制定自杀预防行动计划
Pub Date : 2023-07-31 DOI: 10.1002/puh2.112
Sarah Atieno Ouma, Florina Frey, Gregory Ganda, Beryl Annie Arogo, Douglas Onyango Otieno, P. Andrä, Rick Peter Fritz Wolthusen
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引用次数: 0
Abortion care in women with underlying medical conditions: The role of multidisciplinary team approach in increasing safety of abortion procedures 有潜在医疗条件的妇女的流产护理:多学科团队方法在提高流产程序安全性方面的作用
Pub Date : 2023-07-28 DOI: 10.1002/puh2.113
A. F. Sium, S. Prager, F. A. Abubeker, Lucero-Prisno Iii Don Eliseo, W. Gudu
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引用次数: 0
Differential health outcomes of the COVID‐19 pandemic among minority populations: An analysis based on Chicago's neighborhoods 新冠肺炎疫情在少数族裔人群中的健康结果差异:基于芝加哥社区的分析
Pub Date : 2023-07-21 DOI: 10.1002/puh2.111
S. Geletta, K. Soyemi
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引用次数: 0
Towards stunting eradication in Indonesia: Time to invest in community health workers 印度尼西亚实现消除发育迟缓:是时候投资于社区卫生工作者了
Pub Date : 2023-07-21 DOI: 10.1002/puh2.108
A. Miranda, Trio Sirmareza, Ryan Rachmad Nugraha, Maritta Rastuti, Habibi Syahidi, Rindang Asmara, Zack Petersen
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引用次数: 1
The FIFA World Cup as a Tool for Global Health Diplomacy 作为全球卫生外交工具的国际足联世界杯
Pub Date : 2023-07-17 DOI: 10.1002/puh2.106
Deborah Oluwaseun Shomuyiwa, Oluwatomisin Temidayo Ajayi, Manatee Jitanan, Shuaibu Saidu Musa, E. Gregorio, E. Manirambona, Monu Tamang, Alhaji Umar Sow, Dorji Ledra, Theerapon Phungdee, Dawa Gyeltshen
{"title":"The FIFA World Cup as a Tool for Global Health Diplomacy","authors":"Deborah Oluwaseun Shomuyiwa, Oluwatomisin Temidayo Ajayi, Manatee Jitanan, Shuaibu Saidu Musa, E. Gregorio, E. Manirambona, Monu Tamang, Alhaji Umar Sow, Dorji Ledra, Theerapon Phungdee, Dawa Gyeltshen","doi":"10.1002/puh2.106","DOIUrl":"https://doi.org/10.1002/puh2.106","url":null,"abstract":"","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42535789","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Plane crash in Lake Victoria, Tanzania: What it says of air safety in Africa 坦桑尼亚维多利亚湖空难:对非洲航空安全的评价
Pub Date : 2023-07-17 DOI: 10.1002/puh2.107
I. K. Paul, J. A. Thomas, Zenno joseph Kavishe, Alfred Jubilate, Goodluck Nchasi
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引用次数: 0
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Public health challenges
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