311 results
Search Results
2. Ethical Guidance on Family Caregiving, Support, and Visitation in Hospitals and Residential Health Care Facilities, Including During Public Health Emergencies: an American College of Physicians Position Paper.
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Dugdale, Lydia S., Esbensen, Kari L., and Sulmasy, Lois Snyder
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HEALTH facilities , *VISITATION in hospitals , *EMERGENCY physicians , *RESIDENTIAL care , *COVID-19 pandemic , *PHYSICIANS , *PUBLIC health - Abstract
Public health emergencies create challenges for the accommodation of visitors to hospitals and other care facilities. To mitigate the spread of COVID-19 early in the pandemic, health care institutions implemented severe visitor restrictions, many remaining in place more than 2 years, producing serious unintended harms. Visitor restrictions have been associated with social isolation and loneliness, worse physical and mental health outcomes, impaired or delayed decision-making, and dying alone. Patients with disabilities, communication challenges, and cognitive or psychiatric impairments are particularly vulnerable without caregiver presence. This paper critically examines the justifications for, and harms imposed by, visitor restrictions during the COVID-19 pandemic and offers ethical guidance on family caregiving, support, and visitation during public health emergencies. Visitation policies must be guided by ethical principles; incorporate the best available scientific evidence; recognize the invaluable roles of caregivers and loved ones; and involve relevant stakeholders, including physicians, who have an ethical duty to advocate for patients and families during public health crises. Visitor policies should be promptly revised as new evidence emerges regarding benefits and risks in order to prevent avoidable harms. [ABSTRACT FROM AUTHOR]
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- 2023
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3. Searching for evidence in public health emergencies: a white paper of best practices.
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Brody, Stacy, Loree, Sara, Sampson, Margaret, Mensinkai, Shaila, Coffman, Jennifer, Mueller, Mark Heinrich, Askin, Nicole, Hamill, Cheryl, Wilson, Emma, McAteer, Mary Beth, and Staines, Heather
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PROFESSIONAL practice , *PUBLIC health , *EVIDENCE-based medicine , *MEDICAL emergencies , *INFORMATION retrieval , *DECISION making , *QUESTIONNAIRES , *INTERPROFESSIONAL relations , *INFORMATION resources , *OPEN access publishing , *INFORMATION science , *COVID-19 pandemic , *DELPHI method - Abstract
Objectives: Information professionals have supported medical providers, administrators and decision-makers, and guideline creators in the COVID-19 response. Searching COVID-19 literature presented new challenges, including the volume and heterogeneity of literature and the proliferation of new information sources, and exposed existing issues in metadata and publishing. An expert panel developed best practices, including recommendations, elaborations, and examples, for searching during public health emergencies. Methods: Project directors and advisors developed core elements from experience and literature. Experts, identified by affiliation with evidence synthesis groups, COVID-19 search experience, and nomination, responded to an online survey to reach consensus on core elements. Expert participants provided written responses to guiding questions. A synthesis of responses provided the foundation for focus group discussions. A writing group then drafted the best practices into a statement. Experts reviewed the statement prior to dissemination. Results: Twelve information professionals contributed to best practice recommendations on six elements: core resources, search strategies, publication types, transparency and reproducibility, collaboration, and conducting research. Underlying principles across recommendations include timeliness, openness, balance, preparedness, and responsiveness. Conclusions: The authors and experts anticipate the recommendations for searching for evidence during public health emergencies will help information specialists, librarians, evidence synthesis groups, researchers, and decision-makers respond to future public health emergencies, including but not limited to disease outbreaks. The recommendations complement existing guidance by addressing concerns specific to emergency response. The statement is intended as a living document. Future revisions should solicit input from a broader community and reflect conclusions of meta-research on COVID-19 and health emergencies. [ABSTRACT FROM AUTHOR]
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- 2023
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4. Retraction of scientific papers: the case of vaccine research.
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Elisha, Ety, Guetzkow, Josh, Shir-Raz, Yaffa, and Ronel, Natti
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PUBLISHING , *VACCINATION , *VACCINES , *SCHOLARLY communication , *ATTITUDE (Psychology) , *RESEARCH methodology , *INTERVIEWING , *QUALITATIVE research , *THEMATIC analysis , *POLICY sciences , *MEDICAL research , *COVID-19 pandemic - Abstract
The controversy over vaccines, which has recently intensified following the COVID-19 pandemic, provokes heated debates, with both advocates and opponents raising allegations of bias and fraud in research. Researchers whose work raises doubts about the safety of certain vaccines claim to be victims of discriminatory treatment aimed at suppressing dissent, including the unjustified retraction of their published research. Such practices have previously been discussed in other controversial fields in science (e.g., AIDS, the environment, and water fluoridation) but not in the field of vaccines. The purpose of this study was to analyze, for the first time, the subjective views of researchers whose papers were retracted. Study participants are active researchers, most with international reputations in their respective fields. They perceived retraction as a means of censoring and silencing critical voices with the aim of preserving the pro-vaccination agenda of interested parties. Participants also reported additional measures aimed at harming them personally and professionally. These findings point to the need for a fair, open, and honest discourse about the safety of vaccines for the benefit of public health and the restoration of trust in science and medicine. [ABSTRACT FROM AUTHOR]
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- 2022
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5. Environmentally sustainable critical care: A call for papers.
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Baid, Heather and Sundberg, Fredrika
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SUSTAINABILITY , *WELL-being , *SERIAL publications , *PUBLIC health , *MEDICAL care , *CRITICAL care medicine , *PERSONAL protective equipment , *COVID-19 pandemic - Abstract
The article presents the discussion on COVID-19 pandemic highlighting the contributions critical care. Topics include intensive care units (ICUs) around the world suddenly inundated with patients who were critically ill from an unknown virus, along with all the other patients needing critical care services; and warrants consideration of energy, clinical supplies, pharmaceuticals, technical equipment and physical facilities.
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- 2023
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6. Features of databases that supported searching for rapid evidence synthesis during COVID-19: implications for future public health emergencies.
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Hagerman, Leah, Clark, Emily C., Neil-Sztramko, Sarah E., Colangeli, Taylor, and Dobbins, Maureen
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COVID-19 pandemic , *LEGAL evidence , *KNOWLEDGE management , *EMERGENCY contraceptives , *PUBLIC health , *DATABASES - Abstract
Background: As evidence related to the COVID-19 pandemic surged, databases, platforms, and repositories evolved with features and functions to assist users in promptly finding the most relevant evidence. In response, research synthesis teams adopted novel searching strategies to sift through the vast amount of evidence to synthesize and disseminate the most up-to-date evidence. This paper explores the key database features that facilitated systematic searching for rapid evidence synthesis during the COVID-19 pandemic to inform knowledge management infrastructure during future global health emergencies. Methods: This paper outlines the features and functions of previously existing and newly created evidence sources routinely searched as part of the NCCMT's Rapid Evidence Service methods, including databases, platforms, and repositories. Specific functions of each evidence source were assessed as they pertain to searching in the context of a public health emergency, including the topics of indexed citations, the level of evidence of indexed citations, and specific usability features of each evidence source. Results: Thirteen evidence sources were assessed, of which four were newly created and nine were either pre-existing or adapted from previously existing resources. Evidence sources varied in topics indexed, level of evidence indexed, and specific searching functions. Conclusion: This paper offers insights into which features enabled systematic searching for the completion of rapid reviews to inform decision makers within 5–10 days. These findings provide guidance for knowledge management strategies and evidence infrastructures during future public health emergencies. [ABSTRACT FROM AUTHOR]
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- 2024
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7. Bioethics of pandemics and disasters within the context of public health ethics and ethics of social consequences.
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Novotný, Rudolf, Novotná, Zuzana, Andraščíková, Štefánia, and Smatana, Juraj
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BIOETHICS , *COVID-19 pandemic , *PUBLIC health , *MEDICAL care , *NATURAL disasters - Abstract
Introduction: Public health ethics addresses moral dilemmas arising from balancing individual healthcare needs with societal interests. Ethical considerations in public health during pandemics and disasters aim to reduce mortality rates and minimize social injustice through fair principles. Objective: This paper analyzes public health ethics and ethical values in allocating resources during mass casualty incidents. The intersection of public health ethics, applied bioethics, and ethics of social consequences (through non-utilitarian consequentialism) guides addressing serious public health challenges in catastrophic scenarios. The application of the given interaction is significant for professional medical ethics. Methodology: The paper employs inductive, deductive, and normative methods of bioethics and the methodology of ethics of social consequences. Conclusion: The paradigmatic disparity between the bioethics of pandemics and disaster bioethics lies in the fluid application of bioethical principles and the accentuation of utilitarian demands depending on the severity and scale of mass casualty incidents. Applied bioethics in crisis situations respects the approaches of public health ethics and attempts to increase positive social outcomes. The application of (scarce) resource allocation criteria and triage of patients is derived from ethical decisions beneficial to public health and lege artis approaches of medical bioethics. The paper presents professional and ethical criteria for medically inappropriate treatment within the framework of patient triage; we approach crisis ethics from the perspective of maximization of benefit. Age is not an exclusion criterion of acute healthcare provision in crisis situations. Ethics of social consequences as a form of non-utilitarian consequentialism allowing for social consequences bridges public health ethics and applied bioethics. [ABSTRACT FROM AUTHOR]
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- 2024
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8. Dying a lonely death: A conceptual and normative analysis.
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Lederman, Zohar
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ATTITUDES toward death , *PSYCHOLOGY of the terminally ill , *DEATH , *TOUCH , *LONELINESS , *MATHEMATICAL models , *THEORY , *PUBLIC health , *COVID-19 pandemic - Abstract
This paper argues that a lonely death is, by definition, a bad death and that society as a whole, as well as individuals in society are obligated to assure a certain degree of well‐being, flourishing, or care among and for fellow individuals. Individuals can then be said to have a right against dying a lonely death. Such a right has corresponding duties. The paper further specifies what such duties may entail based on what individuals may need on their deathbed, specifically focusing on the need for human touch. Assuming that human touch might indeed be needed by some individuals in order to avoid a lonely death, the paper explores potential implications from a public health perspective, particularly during infectious disease outbreaks such as COVID. [ABSTRACT FROM AUTHOR]
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- 2024
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9. COVID-19 Response of the Journal Public Health Reports (PHR), March 2020–March 2023.
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Harada, Noelle M., Kuzmichev, Andrey, and Dean, Hazel D.
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PUBLISHING , *PUBLIC health surveillance , *COVID-19 , *IMMUNIZATION , *SERIAL publications , *CONVALESCENCE , *PUBLIC health , *COMMUNITIES , *EMERGENCY management , *GOVERNMENT policy , *DESCRIPTIVE statistics , *HEALTH equity , *CONTACT tracing , *INFORMATION needs , *AUTHORSHIP , *COVID-19 pandemic - Abstract
Objective: Publication science is the scholarly study of various aspects of the academic publishing process. Its applications to COVID-19 literature have been limited. Here, we describe COVID-19 submissions to, and resulting articles published by, the journal Public Health Reports (PHR), an important resource for US public health practice. Methods: We reviewed PHR 's COVID-19 submissions and articles published between March 27, 2020, and March 27, 2023. We coded each article for article type, author affiliation, the categories listed in PHR 's call for COVID-19 papers, and the public health emergency preparedness and response capabilities from the Centers for Disease Control and Prevention (CDC). Results: During the study period, PHR received 1545 COVID-19 submissions and published 190 of those articles in a collection, COVID-19 Response. The COVID-19 Response collection included 102 research articles, 29 case study/practice articles, and 24 commentaries. The corresponding author of more than half (52.1%; n = 99) of the articles was affiliated with academia. By the categories listed in PHR 's call for COVID-19 papers, 51 articles addressed health disparities, 38 addressed public health surveillance, and 34 addressed COVID-19 vaccination. By the CDC public health emergency preparedness and response capabilities, 87 articles addressed public health surveillance and epidemiologic investigation, 38 addressed community preparedness, and 32 addressed community recovery. The percentage of articles focused on policy/law was higher early in the pandemic (2020-2021) than later (2022-2023) (9.5% vs <3.0%). During the latter period, articles largely focused on vaccination (12.8%) and contact tracing (10.6%). Conclusions: Articles published in PHR 's COVID-19 Response collection covered a broad range of topics and were authored by contributors from diverse organizations. Our characterization of the COVID-19 output of a representative US public health practice journal can help academic publishing better address informational needs of public health responders. [ABSTRACT FROM AUTHOR]
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- 2024
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10. Global learning: A post-COVID-19 approach to advance health equity.
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Parke, Dana Marie, Ogbolu, Yolanda, and Rowthorn, Virginia
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MIDDLE-income countries , *INTERDISCIPLINARY education , *ENDOWMENTS , *INTERPROFESSIONAL relations , *LEARNING , *WORLD health , *INTERNATIONAL relations , *HEALTH equity , *PUBLIC health , *COMMUNITY services , *COVID-19 pandemic , *WEBINARS , *LOW-income countries - Abstract
The COVID-19 pandemic has accelerated acceptance of learning from other countries, especially for high-income countries to learn from low- and middle-income countries, a practice known as global learning. COVID-19’s rapid disease transmission underscored how connected the globe is as well as revealed stark health inequities which facilitated looking outside of one’s borders for solutions. The Global Learning for Health Equity (GL4HE) Network, supported by Robert Wood Johnson Foundation, held a 3-part webinar series in December 2021 to understand the current state of global learning and explore how global learning can advance health equity in the post-COVID-19 era. This paper reflects on these cutting-edge discussions about the current state of global learning, drawing upon the highlights, perspectives, and conclusions that emerged from these webinars. The paper also comments on best practices for global learning, including adapting for context, addressing biases, funding considerations, ensuring bidirectional partnerships, community engagement, and adopting a multidisciplinary approach. [ABSTRACT FROM AUTHOR]
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- 2024
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11. The precautionary principle in public health emergency regime: Ethical and legal examinations of Vietnamese and global response to COVID‐19.
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Doan, Hai, Nie, Jing‐Bao, and Fenton, Elizabeth
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HEALTH policy , *PUBLIC health , *MEDICAL emergencies , *PREVENTIVE health services , *COVID-19 pandemic - Abstract
Responses to the COVID‐19 pandemic have been widely criticized for being too delayed and indecisive. As a result, the precautionary principle has been endorsed, applauded, and proposed to guide future responses to global public health emergencies. Drawing from controversial issues in response to COVID‐19, especially in Vietnam, this paper critically discusses some key ethical and legal issues of employing the precautionary principle in public health emergencies. Engaging with discussions concerning this principle, especially in environmental law where the precautionary principle first appeared as a guiding principle with objective content(s), this paper formulates the precautionary principle as 'in dubio pro salus', which is about advising, justifying and demanding states to proactively prepare for scenarios arising out of any public health emergency. It distinguishes the precautionary principle into moderate and hard versions. A moderate version largely takes a holistic approach and fulfils a series of criteria specified in this paper, while a hard version either permits restrictive measures to be deployed primarily on a hypothetic basis or expresses an instrumental mentality. The hard version should be rejected because of the ethical and legal problems it raises, including risk‐risk tradeoffs, internal paradoxes, unjustified causing of fear and unreasonable presupposition. Ultimately, this paper defends the moderate version. [ABSTRACT FROM AUTHOR]
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- 2024
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12. Beyond Birth Work: Addressing Social Determinants of Health With Community Perinatal Support Doulas.
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Rice, Heather, Collins, Cyleste, and Cherney, Emily
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COMMUNITY health services , *HEALTH services accessibility , *SOCIAL constructionism , *SOCIAL determinants of health , *AFRICAN Americans , *HEALTH attitudes , *QUALITATIVE research , *FOCUS groups , *DIVERSITY & inclusion policies , *INFANT mortality , *HEALTH status indicators , *RESEARCH funding , *INTERVIEWING , *CONTENT analysis , *SOCIAL factors , *CHILD health services , *FOOD security , *PREGNANT women , *MATERNAL mortality , *DESCRIPTIVE statistics , *TRANSPORTATION , *THEMATIC analysis , *RESEARCH methodology , *PREGNANCY complications , *HOUSING stability , *HEALTH equity , *PERINATAL period , *COVID-19 pandemic , *EMPLOYMENT , *EDUCATIONAL attainment - Abstract
Adverse maternal and infant health outcomes among African Americans are increasingly recognized as indicators of a critical public health crisis in the United States. Research has found that stress is related to structural racism and the social determinants of health (SDOH) that cause avoidable, unfair inequities in resources, education, power, and opportunities across ethnic groups. This paper describes the SDOH needs and experiences of pregnant Black women from the perspective of doulas and Birthing Beautiful Communities (BBC) clients. The design was a qualitative description, using data collected over time (2017–2018, 2020–2021, and 2023). This study took place in Cleveland and Akron, Ohio and the sample included 58 clients, 26 doulas, and 2 resource intake specialist assistants (RISAs). Qualitative data included individual client interviews, three doula focus groups, and one interview with two BBC RISAs. Three coders used content analysis to deductively identify SDOHs and calculate the number of interviews that contained information about specific SDOHs. Although the sample reported issues with all SDOH, particular ones caused a cascade of SDOH effects. Transportation issues, for example, impeded women from being able to make it to work, doctor's appointments, and to purchase essential baby items (e.g., food, infant supplies). An inability to work—whether because of transportation challenges or pregnancy-related health complications—led to unstable housing and an inability to deal with transportation challenges. Many clients mentioned that housing was a major issue, with many clients experiencing housing instability. Implications include ensuring SDOH information is collected from a trusted source who can advocate and ensure access to a wide range of local resources, ensuring policies protect pregnant women from experiencing a cascade of SDOH that may contribute to continuing health disparate infant and maternal health outcomes in African American women. [ABSTRACT FROM AUTHOR]
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- 2024
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13. 'Acceleration' of the food delivery marketplace: Perspectives of local authority professionals in the North‐East of England on temporary COVID regulations.
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Bradford, Callum P. J., O'Malley, Claire L., Moore, Helen J., Gray, Nick, Townshend, Tim G., Chang, Michael, Mathews, Claire, and Lake, Amelia A.
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MOBILE apps , *GOVERNMENT policy , *QUALITATIVE research , *FOCUS groups , *RESTAURANTS , *RESEARCH funding , *INTERVIEWING , *NUTRITIONISTS , *FOOD service , *UNCERTAINTY , *JUDGMENT sampling , *THEMATIC analysis , *FOOD supply , *PUBLIC health , *COVID-19 pandemic , *GOVERNMENT regulation - Abstract
In January 2021, we assessed the implications of temporary regulations in the United Kingdom allowing pubs and restaurants to operate on a takeaway basis without instigating a change of use. Local authorities (LAs) across the North‐East of England were unaware of any data regarding the take‐up of these regulations, partially due to ongoing capacity issues; participants also raised health concerns around takeaway use increasing significantly. One year on, we repeated the study aiming to understand the impact of these regulations on the policy and practice of key professional groups. Specifically, we wanted to understand if LAs were still struggling with staff capacity to address the regulations, whether professionals still had public health trepidations, and if any unexpected changes had occurred across the local food environment because of the pandemic. We conversed with 16 public health professionals, planners and environmental health officers across seven LAs throughout the North‐East of England via focus groups and interviews. Data collated were analysed via an inductive and semantic, reflexive‐thematic approach. Through analysis of the data, three themes were generated and are discussed throughout: popular online delivery services as a mediator to increased takeaway usage; potential long‐term health implications and challenges; continued uncertainty regarding the temporary regulations. This paper highlights important changes to local food environments, which public health professionals should be aware of, so they are better equipped to tackle health inequalities across urban and sub‐urban areas. [ABSTRACT FROM AUTHOR]
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- 2024
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14. Herd immunity to endemic diseases: Historical concepts and implications for public health policy.
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Robertson, David, Heriot, George, and Jamrozik, Euzebiusz
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HISTORY of immunology , *HERD immunity , *MICROBIAL virulence , *RESPIRATORY syncytial virus , *HEALTH policy , *PUBLIC health , *CONCEPTS , *SARS-CoV-2 , *COVID-19 , *COVID-19 pandemic - Abstract
Background: "Herd immunity" became a contested term during the COVID‐19 pandemic. Although the term "herd immunity" is often used to refer to thresholds at which some diseases can be eliminated (e.g., due to mass vaccination), the term has multiple referents. Different concepts of herd immunity have been relevant throughout the history of immunology and infectious disease epidemiology. For some diseases, herd immunity plays a role in the development of an endemic equilibrium, rather than elimination via threshold effects. Methods: We reviewed academic literature from 1920 to 2022, using historical and philosophical analysis to identify and develop relevant concepts of herd immunity. Results: This paper analyses the ambiguity surrounding the concept of herd immunity during the pandemic. We argue for the need to recapture a long‐standing interpretation of this concept as one of the factors that leads to a dynamic endemic equilibrium between a host population and a mutating respiratory pathogen. Conclusions: Informed by the history of infectious disease epidemiology, we argue that understanding the concept in this way will help us manage both SARS‐CoV‐2 and hundreds of other seasonal respiratory pathogens with which we live but which have been disrupted due to sustained public health measures/non‐pharmaceutical interventions targeting SARS‐CoV‐2. [ABSTRACT FROM AUTHOR]
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- 2024
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15. The academic left, human geography, and the rise of authoritarianism during the COVID-19 pandemic.
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Simandan, Dragos, Rinner, Claus, and Capurri, Valentina
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COVID-19 pandemic , *HUMAN geography , *GEOGRAPHY , *AUTHORITARIANISM , *HEALTH policy , *CIVIL rights - Abstract
In this paper, we critically analyse the response to the COVID-19 pandemic, highlighting not only the breadth of knowledge geographers have already contributed to this assessment, but also the surprisingly limited critique within geography, social sciences and the broadly defined 'Academic Left' of the authoritarian dimension of the public health policies of 2020 onwards. We conclude with a number of research questions for the aftermath of the pandemic, with the hope that they will help spur the growth of a new wave of anti-authoritarian Leftist geographical thinking that reaffirms the centrality of human rights and civil liberties to making the world a better place. [ABSTRACT FROM AUTHOR]
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- 2024
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16. Effects of Territorial Party Politics on Horizontal Coordination among the German Länder – An Analysis of the COVID-19 Pandemic Management in Germany.
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Person, Christian, Behnke, Nathalie, and Jürgens, Till
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POLITICAL science , *PRACTICAL politics , *COVID-19 pandemic , *PUBLIC health - Abstract
The outbreak of the COVID-19 pandemic in early 2020 not only put the public health system under considerable pressure, but it also posed a huge challenge for established routines of intergovernmental coordination in Germany. As the Länder are responsible for implementing infection prevention measures, the most senior intergovernmental council, the minister presidents' conference (MPK), became the central body for pandemic crisis management. In light of high uncertainty, time pressure and public attention, drastic actions were taken to contain the dissemination of the corona virus. Against this background, our paper investigates how party politics impacted on horizontal coordination in times of crisis. The analysis shows that indeed territorial party politics interferes with routines of intergovernmental coordination. While congruence between the federal and Länder governments promotes homogenous implementation of joint MPK resolutions, increasing coalition size and intense party competition make deviations more likely. Finally, partisan ideology plays a key role as parties pursue clearly distinct pandemic management strategies. [ABSTRACT FROM AUTHOR]
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- 2024
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17. Partnering With Churches to Address COVID-19 Vaccine Hesitancy and Uptake in Trustworthy Contexts.
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Bateman, Lori B., Hall, Allyson, Hannon, Lonnie, Ryan, Melissa, Osborne, Tiffany, Whitfield, Samantha, Okoro, Grace, Stager, Catanya, Driggers, Susan, Jones, Valerie, Rhinehart, Jessica, and Fouad, Mona N.
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COMMUNITY health services , *IMMUNIZATION , *MEDICAL protocols , *RELIGIOUS institutions , *SOCIAL media , *AFRICAN Americans , *HUMAN services programs , *AT-risk people , *COVID-19 testing , *EVALUATION of human services programs , *COVID-19 vaccines , *CHURCH buildings , *TRUST , *VACCINE hesitancy , *PUBLIC health , *HEALTH promotion , *COVID-19 pandemic - Abstract
The Black church has long been seen as a crucial partner in addressing public health issues. This paper describes the development, implementation, and evaluation of a community-engaged church intervention addressing COVID-19 vaccine hesitancy in underserved Black communities in Jefferson County, Alabama. We partnered with churches to implement and evaluate the intervention between March and June of 2022 and found that our church partners were capable of significant messaging reach, particularly through electronic means. (Am J Public Health. 2024;114(S5):S392–S395. https://doi.org/10.2105/AJPH.2024.307683) [ABSTRACT FROM AUTHOR]
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- 2024
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18. Reducing Transmission of Airborne Respiratory Pathogens: A New Beginning as the COVID-19 Emergency Ends.
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Marr, Linsey C. and Samet, Jonathan M.
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INDOOR air pollution prevention , *VENTILATION , *RESPIRATORY infections , *AIR microbiology , *ULTRAVIOLET radiation , *COVID-19 vaccines , *STERILIZATION (Disinfection) , *MEDICAL radiology , *PUBLIC health , *COVID-19 pandemic , *COVID-19 , *LABOR supply , *INFECTIOUS disease transmission - Abstract
BACKGROUND: In response to the COVID-19 pandemic, new evidence-based strategies have emerged for reducing transmission of respiratory infections through management of indoor air. OBJECTIVES: This paper reviews critical advances that could reduce the burden of disease from inhaled pathogens and describes challenges in their implementation. DISCUSSION: Proven strategies include assuring sufficient ventilation, air cleaning by filtration, and air disinfection by germicidal ultraviolet (UV) light. Layered intervention strategies are needed to maximize risk reduction. Case studies demonstrate how to implement these tools while also revealing barriers to implementation. Future needs include standards designed with infection resilience and equity in mind, buildings optimized for infection resilience among other drivers, new approaches and technologies to improve ventilation, scientific consensus on the amount of ventilation needed to achieve a desired level of risk, methods for evaluating new air-cleaning technologies, studies of their long-term health effects, workforce training on ventilation systems, easier access to federal funds, demonstration projects in schools, and communication with the public about the importance of indoor air quality and actions people can take to improve it [ABSTRACT FROM AUTHOR]
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- 2024
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19. The impact of the COVID‐19 pandemic on speech and language therapy services in Ireland: A mixed‐methods survey at two time points during the pandemic.
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Müller, Nicole, Lyons, Rena, Devlin, Anne Marie, Antonijevic‐Elliott, Stanislava, and Kirkpatrick, Vickie
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CROSS-sectional method , *SPEECH therapists , *SEASONS , *PERSONAL protective equipment , *HEALTH occupations students , *STATISTICAL sampling , *PRIMARY health care , *CONTENT analysis , *JUDGMENT sampling , *CHI-squared test , *DESCRIPTIVE statistics , *TELEMEDICINE , *RESEARCH methodology , *MEDICAL needs assessment , *NEEDS assessment , *PUBLIC health , *DATA analysis software , *COVID-19 pandemic , *SPEECH therapy , *MEDICAL referrals - Abstract
Background: During the COVID‐19 pandemic, Ireland implemented a series of stringent public health measures, including lockdowns and suspension of non‐urgent clinical services. Aims: To investigate the impact of the COVID‐19 pandemic on the demand for and delivery of speech and language therapy (SLT) services in Ireland in 2020. Methods & Procedures: Two iterations of a cross‐sectional, mixed‐methods online survey were distributed to speech and language therapists (SLTs) and SLT students in Ireland in the spring and autumn of 2020 using a combination of purposive and snowball sampling. The spring survey yielded 407 responses (including 14 from SLT students), while 197 respondents took part in the autumn (13 students). Survey analysis focused on questions related to the impact of the COVID‐19 pandemic on delivery and demand for SLT services (student responses were excluded from analysis owing to low response rate). The largest group in respect of experience were senior SLTs (58% in both surveys). The work settings most strongly represented were HSE primary care (34.4%) and disability services (26.5%) in the spring, and HSE primary care (39.1%), acute hospitals (22.8%) and disability services (20.8%) in the autumn. We used descriptive statistics, including distribution analysis, to analyse the quantitative data. Free text data were interrogated through a variant of a conventional qualitative content analysis. Outcomes & Results: In the spring, cessation of face‐to‐face services featured prominently (reported by 65.6% versus 14.2% in the autumn), across SLTs' work settings, except acute hospitals. Lower demand was reported by 42.5% in the spring, while in the autumn, 48.7% indicated that demand was higher. SLTs experienced large‐scale redeployment (spring: 45.9%, autumn: 38.4%), with HSE primary care SLTs redeployed most (spring: 71.7%; autumn: 62.3%). The need to suddenly pivot to telehealth was a significant challenge in terms of training, technology and logistics. New ways of working emerged and gradually, telehealth became more embedded. SLTs also had to adapt to working with evolving public health measures, such as space restrictions and personal protective equipment (PPE) requirements. Across the two survey iterations, SLTs reported tensions between demands and capacity: while referrals and demand initially decreased in the spring, this led to increased backlog and longer waiting lists, ongoing and increasing pressure on clinicians and services, and negatively impacted clients and families. Conclusions & Implications: The COVID‐19 pandemic had a significant negative impact on SLT services in Ireland. Going forward, the SLT profession and its services will require sustained support to mitigate long‐term negative consequences, such as increased waiting lists. WHAT THIS PAPER ADDS: What is already known on this subject: The negative impact of the COVID‐19 pandemic on SLT services has been examined in several countries. Ireland imposed more stringent pandemic‐management measures than many other countries, and it was therefore warranted to investigate how SLT services in the country were affected. What this study adds to the existing knowledge: Face‐to‐face SLT services effectively ceased in most non‐urgent contexts in spring 2020. This coincided with large‐scale redeployment of SLTs to non‐SLT contexts. By autumn 2020, demand had increased again, but not all services had recommenced, and redeployment was still a factor. Although SLTs adapted to the ongoing changes imposed by the pandemic, they voiced concern about increasing backlogs and longer waiting lists, ongoing and increasing pressure on both SLTs and services, and negative impacts on clients and families. What are the actual and clinical implications of this work?: The COVID‐19 pandemic had a significant negative impact on SLT services in Ireland. Going forward, the SLT profession and its services will require sustained support to mitigate long‐term negative consequences, such as increased waiting lists. [ABSTRACT FROM AUTHOR]
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- 2024
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20. SARS-CoV-2 wastewater surveillance at two university campuses: lessons learned and insights on intervention strategies for public health guidance.
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Porter, Alexis M., Hart, John J., Rediske, Richard R., and Szlag, David C.
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SEWAGE , *PUBLIC health officers , *COVID-19 pandemic , *SARS-CoV-2 , *PUBLIC health , *STUDENT health - Abstract
Wastewater surveillance has been a tool for public health officials throughout the COVID-19 pandemic. Universities established pandemic response committees to facilitate safe learning for students, faculty, and staff. These committees met to analyze both wastewater and clinical data to propose mitigation strategies to limit the spread of COVID-19. This paper reviews the initial efforts of utilizing campus data inclusive of wastewater surveillance for SARS-CoV-2 RNA concentrations, clinical case data from university response teams, and mitigation strategies from Grand Valley State University in West Michigan (population 21,648 students) and Oakland University in East Michigan (population 18,552 students) from November 2020 to April 2022. Wastewater positivity rates for both universities ranged from 32.8 to 46.8%. Peak viral signals for both universities directly corresponded to variant points of entry within the campus populations from 2021 to 2022. It was found that the organization of clinical case data and variability of wastewater testing data were large barriers for both universities to effectively understand disease dynamics within the university population. We review the initial efforts of onboarding wastewater surveillance and provide direction for structuring ongoing surveillance workflows and future epidemic response strategies based on those that led to reduced viral signals in campus wastewater. [ABSTRACT FROM AUTHOR]
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- 2024
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21. Narrative and Framing of a Pandemic: Public Health Communication in the Vietnamese Public Sphere.
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Le, Mirjam and Nicolaisen, Franziska Susana
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PUBLIC health communication , *COVID-19 pandemic , *PUBLIC sphere - Abstract
This paper explores the Vietnamese government's approach toward public health risk communication in the context of citizen mobilization during the Covid-19 pandemic. We analyze the government's communication strategy using images and videos published during the pandemic, such as artwork, leaflets, campaigns, music videos, and public announcements in public spaces. The government's visual risk communication strategy is embedded in an idealized vision of cooperative citizenship. The focus is on the moral obligation of citizens toward the Vietnamese nation and the morality of caring, in which the state communicates behavior it deems morally correct. [ABSTRACT FROM AUTHOR]
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- 2024
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22. Examining the role of community resilience and social capital on mental health in public health emergency and disaster response: a scoping review.
- Author
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Hall, C. E., Wehling, H., Stansfield, J., South, J., Brooks, S. K., Greenberg, N., Amlôt, R., and Weston, D.
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SOCIAL capital , *EMERGENCY management , *COVID-19 pandemic , *MENTAL health , *PUBLIC health - Abstract
The ability of the public to remain psychologically resilient in the face of public health emergencies and disasters (such as the COVID-19 pandemic) is a key factor in the effectiveness of a national response to such events. Community resilience and social capital are often perceived as beneficial and ensuring that a community is socially and psychologically resilient may aid emergency response and recovery. This review presents a synthesis of literature which answers the following research questions: How are community resilience and social capital quantified in research?; What is the impact of community resilience on mental wellbeing?; What is the impact of infectious disease outbreaks, disasters and emergencies on community resilience and social capital?; and, What types of interventions enhance community resilience and social capital? A scoping review procedure was followed. Searches were run across Medline, PsycInfo, and EMBASE, with search terms covering both community resilience and social capital, public health emergencies, and mental health. 26 papers met the inclusion criteria. The majority of retained papers originated in the USA, used a survey methodology to collect data, and involved a natural disaster. There was no common method for measuring community resilience or social capital. The association between community resilience and social capital with mental health was regarded as positive in most cases. However, we found that community resilience, and social capital, were initially negatively impacted by public health emergencies and enhanced by social group activities. Several key recommendations are proposed based on the outcomes from the review, which include: the need for a standardised and validated approach to measuring both community resilience and social capital; that there should be enhanced effort to improve preparedness to public health emergencies in communities by gauging current levels of community resilience and social capital; that community resilience and social capital should be bolstered if areas are at risk of disasters or public health emergencies; the need to ensure that suitable short-term support is provided to communities with high resilience in the immediate aftermath of a public health emergency or disaster; the importance of conducting robust evaluation of community resilience initiatives deployed during the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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23. Examining the role of community resilience and social capital on mental health in public health emergency and disaster response: a scoping review.
- Author
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Hall, C. E., Wehling, H., Stansfield, J., South, J., Brooks, S. K., Greenberg, N., Amlôt, R., and Weston, D.
- Subjects
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SOCIAL capital , *EMERGENCY management , *COVID-19 pandemic , *MENTAL health , *PUBLIC health - Abstract
The ability of the public to remain psychologically resilient in the face of public health emergencies and disasters (such as the COVID-19 pandemic) is a key factor in the effectiveness of a national response to such events. Community resilience and social capital are often perceived as beneficial and ensuring that a community is socially and psychologically resilient may aid emergency response and recovery. This review presents a synthesis of literature which answers the following research questions: How are community resilience and social capital quantified in research?; What is the impact of community resilience on mental wellbeing?; What is the impact of infectious disease outbreaks, disasters and emergencies on community resilience and social capital?; and, What types of interventions enhance community resilience and social capital? A scoping review procedure was followed. Searches were run across Medline, PsycInfo, and EMBASE, with search terms covering both community resilience and social capital, public health emergencies, and mental health. 26 papers met the inclusion criteria. The majority of retained papers originated in the USA, used a survey methodology to collect data, and involved a natural disaster. There was no common method for measuring community resilience or social capital. The association between community resilience and social capital with mental health was regarded as positive in most cases. However, we found that community resilience, and social capital, were initially negatively impacted by public health emergencies and enhanced by social group activities. Several key recommendations are proposed based on the outcomes from the review, which include: the need for a standardised and validated approach to measuring both community resilience and social capital; that there should be enhanced effort to improve preparedness to public health emergencies in communities by gauging current levels of community resilience and social capital; that community resilience and social capital should be bolstered if areas are at risk of disasters or public health emergencies; the need to ensure that suitable short-term support is provided to communities with high resilience in the immediate aftermath of a public health emergency or disaster; the importance of conducting robust evaluation of community resilience initiatives deployed during the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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24. Philadelphia Department of Health Doula Support Program: Early Successes and Challenges of a Program Serving Birthing People Affected by Substance Use Disorder.
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Haerizadeh-Yazdi, Nadia, Huynh, My-Phuong, Narva, Arielle, Grasty, Amirah, Lemon, MaryNissi, Claxton, Nick, Gillespie, Kelly, and Kallem, Stacey
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INSTITUTIONAL cooperation , *MATERNAL health services , *MOTHERS , *EVALUATION of human services programs , *SOCIAL support , *SUBSTANCE abuse in pregnancy , *RESEARCH methodology , *OPIOID epidemic , *DRUG overdose , *INTERVIEWING , *PUBLIC health , *EMPLOYEE recruitment , *PREGNANT women , *GOVERNMENT programs , *HUMAN services programs , *COMMUNITY-based social services , *INTERPROFESSIONAL relations , *CHILD health services , *THEMATIC analysis , *POSTNATAL care , *PATIENT compliance , *EMPLOYEE retention , *COVID-19 pandemic - Abstract
Purpose: Maternal substance use and deaths due to overdoses are increasing nationwide. Evidence suggests that the rate of resumed substance use, and fatal and non-fatal overdose is greatest in the first year after birth, particularly around six months postpartum, compared to other parts of the perinatal period. Doula care has been linked to improvements in perinatal health and outcomes. Description: In response to the opioid epidemic, the Philadelphia Department of Public Health developed and implemented the Doula Support Program (DSP), with a focus on one year of postpartum care for birthing people with a substance use disorder (SUD). In this paper, we describe the program and its formation and report on the early challenges and successes of the program implementation, based on information we received from program founders and managers in a group interview. Assessment: Early successes of the program include partnering with local community-based programs to recruit and retain doulas, supplementing traditional doula education with perinatal SUD-specific trainings, and maximizing client referrals by collaborating with local organizations and treatment centers that serve birthing people with SUD. Client retention, however, has proven to be challenging, especially during the COVID-19 pandemic. Conclusion: The DSP continues to grow, and lessons learned will facilitate program improvements. The goal of this paper is to outline the development and launch of the DSP and to act as a model for other state and local health departments interested in providing doula care for birthing people with SUD. Significance: Maternal substance use and fatal overdoses are increasing in Philadelphia, Pennsylvania. In response to this crisis, the Philadelphia Department of Public Health's Division of Maternal, Child and Family Health developed the Doula Support Program (DSP), offering doula care to pregnant people with a current or past SUD history up to one-year postpartum. To our knowledge, this is the only doula program in Pennsylvania offering one-year postpartum support to birthing people affected by SUD. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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25. Challenges for public-service delivery: the case of Covid-19 vaccine hesitancy.
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Lindvall, Johannes and Rönnerstrand, Björn
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VACCINE hesitancy , *COVID-19 vaccines , *COVID-19 pandemic , *POLITICAL affiliation , *SOCIAL goals - Abstract
The aim of this paper is to identify the most vaccine-hesitant groups in a contemporary democratic state, Sweden. We rely on two representative surveys that were conducted in 2020 and that asked Swedish citizens how likely they were to accept immunization with a Covid-19 vaccine if one were offered to them. Using clustering methods, we find a wide variety of vaccine-hesitant groups, with the highest levels of vaccine hesitancy among individuals who combine low personal health risks with political orientations and ideological convictions that are associated with antivaccinationist attitudes. The paper's findings have important implications for public-health policy and, more broadly, for theories of how governments can convince individual citizens to play their part in achieving important social goals. [ABSTRACT FROM AUTHOR]
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- 2023
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26. Association between meteorological factors and COVID-19: a systematic review.
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Chen, Sujuan, Huang, Lin, Cai, Dongjie, Li, Bixia, and Yang, Jun
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ONLINE information services , *HEALTH policy , *TEMPERATURE , *COVID-19 , *MEDICAL information storage & retrieval systems , *SYSTEMATIC reviews , *HUMIDITY , *DISEASES , *ECOLOGY , *PUBLIC health , *RISK assessment , *SOCIOECONOMIC factors , *RESEARCH funding , *MEDLINE , *BAROCLINICITY , *COVID-19 pandemic , *ENVIRONMENTAL exposure , *DISEASE risk factors - Abstract
The outbreak of coronavirus disease in 2019 has become a serious threat to human health. Whether meteorological conditions could influence the transmission and virulence of COVID-19 remains controversial. In this study, we systematically reviewed the impact of temperature and humidity on the replication, morbidity, and mortality of COVID-19. We also discussed the main factors underlying the inconsistency across studies. Pubmed, Web of Science, Embase, and Scopus were used to identify papers published up to 7 December 2020. We initially identified 3515 papers, and 28 articles met the inclusion criteria after screening. Most studies showed high temperature and high humidity can partly reduce the reproduction, morbidity, and mortality of COVID-19. But the rest papers failed to identify a significant association. The discrepant results may be related to the difference in the climate context, study design, exposure assessment, policy intervention, socioeconomic status, and public health service. [ABSTRACT FROM AUTHOR]
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- 2023
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27. Contextualizing the experiences of Black pregnant women during the COVID-19 pandemic: 'It's been a lonely ride'.
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Dahl, Alicia A., Yada, Farida N., Butts, Shanika Jerger, Tolley, Annalise, Hirsch, Sophie, Lalgondar, Priyanka, Wilson, Kala S., and Shade, Lindsay
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MATERNAL health services , *STATISTICS , *HEALTH services accessibility , *CROSS-sectional method , *RESEARCH methodology , *SELF-evaluation , *COMMUNITY health services , *PUBLIC health , *INTERVIEWING , *SOCIAL adjustment , *EXPERIENCE , *COMPARATIVE studies , *SURVEYS , *PSYCHOLOGY of women , *DESCRIPTIVE statistics , *QUESTIONNAIRES , *RESEARCH funding , *PSYCHOLOGICAL adaptation , *DATA analysis software , *THEMATIC analysis , *COVID-19 pandemic , *AFRICAN Americans , *PREGNANCY - Abstract
The emergence of the COVID-19 pandemic significantly changed the prenatal care experience, specifically regarding medical appointments and social opportunities. It is critical to capture this change through the narratives of pregnant people, particularly those of marginalized populations, whose voices may often be underrepresented in the literature. This mixed-methods paper summarizes the experiences of 40 pregnant Black/African American (AA) women during the COVID-19 pandemic. A cross-sectional, online survey was administered between 2020 and 2021 to assess prenatal health and the impacts of the COVID-19 pandemic on patients' pregnancy experience. Coping behaviors during the pandemic were self-reported using the COPE-IS. Univariate analyses were conducted. An additional analysis of participants (n = 4) was explored through a week-long qualitative exercise using a photo documentation procedure. Photo-Elicitation Interviews (PEI) were conducted to capture and center their pandemic pregnancy experiences. Sources of stress during the pandemic varied, with the most common being financial concerns (n = 19, 47.5%). Over half of the sample (n = 18, 54.5%) self-reported increases in their positive coping behaviors during the pandemic, such as communicating with friends and family, talking to healthcare providers, listening to music, and engaging in spiritual practices–such as prayer. The four PEI study participants reflected on the impacts of social distancing on their prenatal experience and mentioned hospital and provider-related weariness due to their race. The findings of this study suggest that during the COVID-19 pandemic, Black/AA pregnant women in Charlotte, NC used social support, mindfulness practices, self-advocacy, and health literacy to navigate challenges present during their prenatal health experience. This paper highlights the personal, social, and structural experiences of pregnant women during a public health crisis so that responsive and effective programs or policies can be planned in the future. [ABSTRACT FROM AUTHOR]
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- 2023
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28. Into the Great Wide Open—From Classroom to Virtual Learning.
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Weitzman, Charney and Perrin, Jan
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COVID-19 pandemic , *BLENDED learning , *ADULT learning , *DIGITAL learning , *FLIPPED classrooms , *LEARNING , *PUBLIC health - Abstract
This paper charts the journey from classroom-based training delivery to hybrid and virtual learning opportunities used to overcome the challenges imposed by public health restrictions introduced in response to the COVID-19 pandemic. The public health measures introduced in March 2020 had a significant effect on the ability of the Children First Information and Advice Service (CFIAS), in Tusla, Ireland's Child and Family Agency, to deliver services. One of the key tools used by the CFIAS to support understanding of responsibilities, and best practice, in child safeguarding by professionals, and within organisations, has been the provision of direct training and information sessions. The introduction of public health restrictions necessitated a complete rethink by the CFIAS on how child safeguarding training and information are delivered. The paper presents an outline of the background and context of child safeguarding in Ireland, followed by a description of some of the challenges experienced by the CFIAS in response to the pandemic public health restrictions. It includes discussion on strategies and solutions considered to overcome these challenges. There is further discussion on the tools and methods eventually used, followed by a reflection on lessons learned by the CFIAS in areas including training delivery and methodology, eLearning, and information provision. The paper provides an analysis of limited qualitative and quantitative data, as well as a reflection on the lived experience of the CFIAS team members responding to the challenges posed during this time period, rather than a preplanned research study on pedagogical approaches in adult learning. [ABSTRACT FROM AUTHOR]
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- 2023
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29. COVID-19 community pantries as community health engagement: the case of Maginhawa community pantry in the Philippines.
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Abesamis, Luis Emmanuel A, Suarez, Charles Anthony P, Rivera, Mary Louise B, Montevirgen, Natasha Denise S, and Cleofas, Jerome V
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COVID-19 pandemic , *PUBLIC health , *SOCIAL systems , *PANTRIES - Abstract
The COVID-19 pandemic has exacerbated and surfaced long-standing inadequacies in the country's health and social systems. In response to the Philippine government's inefficient and ineffective COVID-19 response and their dismissal of the calls for accountability, Filipinos at the barangay level organized community pantries to respond to the needs of the community. Using WHO's Framework for Community Health Engagement, this study positions community pantries as a unique health phenomenon during the COVID-19 pandemic within the Philippine context. This study explores the ways that the Maginhawa Community Pantry—the critical case study—addresses both emergent and pre-existing health needs among Filipinos during the COVID-19 pandemic. By examining community pantries from the perspective of the Maginhawa Community Pantry organizer, this paper elucidates how community pantries engage in diverse initiatives that: (1) mobilize the community for health, (2) improve access to healthcare, (3) ensure community collaboration and (4) call for collective action for systemic issues. The findings of this paper highlight the capacity and potential of community pantries as a health response beyond the COVID-19 pandemic and address gaps in the Philippine healthcare system. [ABSTRACT FROM AUTHOR]
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- 2023
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30. PulPaper 2022 Enables Networking in June.
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RAW materials , *PAPER industry , *PACKAGING industry , *PUBLIC health , *COVID-19 pandemic - Published
- 2022
31. Global matters of epidemiology and the ethical challenges of addressing the health of populations.
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Salerno, Jennifer, Weed, Douglas L., Pandey, Chandra M., Crabb, Victoria, Peters, Edward S., and Hlaing, WayWay M.
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POPULATION health , *SOCIAL determinants of health , *EPIDEMIOLOGY , *COVID-19 pandemic , *HEALTH equity - Abstract
The American College of Epidemiology (ACE) held its 2022 Annual Meeting, September 8–11, with a conference theme of 'Pandemic of Misinformation: Building Trust in Epidemiology'. The ACE Ethics Committee hosted a symposium session in recognition of the global spotlight placed on epidemiology and public health due to the COVID-19 crisis. The ACE Ethics Committee invited previous Chairs of the Ethics Committee and current President of the International Epidemiological Association to present at the symposium session. This paper aims to highlight the ethical challenges presented during the symposium session. Three speakers with diverse backgrounds representing expertize from the fields of ethics, epidemiology, public health, clinical trials, pharmacoepidemiology, statistics, law, and public policy, covering perspectives from the U.S., Europe, and Southeast Asia were selected to present on the ethical challenges in epidemiology and public health applying a global theme. Dr. D. Weed presented on 'Causation, Epidemiology and Ethics'; Dr. C.M. Pandey presented on the 'Ethical Challenges in the Practice of Digital Epidemiology'; and Dr. J. Acquavella presented on 'Departures from Scientific Objectivity: A Cause of Eroding Trust in Epidemiology.' The collective goal to improve the public's health was a mutually shared theme across the three distinct areas. We highlight the common ethical guidance and principle-based approaches that have served epidemiology and public health in framing and critical analysis of novel challenges, including autonomy, beneficence, justice, scientific integrity, duties to the profession and community, and developing and maintaining public trust; however, gaps remain in how best to address health inequalities and the novel emergence and pervasiveness of misinformation and disinformation that have impacted the health of the global community. We introduce an ethical framework of translational bioethics that places considerations of the social determinants of health at the forefront. The COVID-19 pandemic required an expedited public health response and, at the same time, placed the profession of epidemiology and public health, its system, and structures, under the microscope like never before. This article illustrates that revisiting our foundations in research and practice and orienting contemporary challenges using an ethical lens can assist in identifying and furthering the health of populations globally. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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32. An automated face mask detection system using transfer learning based neural network to preventing viral infection.
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Verma, Sonia, Rani, Preeti, Gupta, Shelly, Sharma, Richa, Yadav, Kusum, Aledaily, Arwa N., and Alharbi, Meshal
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MEDICAL masks , *VIRUS diseases , *COVID-19 pandemic , *PUBLIC health - Abstract
As the "Internet of Medical Things (IoMT)" grows, healthcare systems can collect and process data. It is also challenging to study public health prevention requirements. Virus transmission can be prevented by wearing a mask. The World Health Organization (WHO) recommends wearing a facemask to protect against the COVID‐19 pandemic—the levels of a pandemic rise across almost all regions of the world. By following the WHO rules, we support the development of face mask‐detecting technologies and determine whether or not people are using masks in public locations. The proposed paradigm in this paper will work in three stages. Firstly, we use an Image data generator to import the images. In addition to using a Haar cascade (HC) classifier for detecting faces, residual learning (ResNet152V2) trains a model that detects whether someone is wearing a face mask. Detection and classification are carried out in real‐time with high precision. Compared with other recently proposed methods, the model achieved 99.65% accuracy during training and 99.63% during validation. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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33. Daily Case Trends of COVID-19: A Comparative Analysis of Indiana and Washington State.
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Marble, Lillia G. and McKillip, John L.
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COVID-19 pandemic , *MEDICAL personnel , *HEALTH facilities , *COMPARATIVE studies , *PARTISANSHIP - Abstract
The COVID-19 pandemic has caused immense and immeasurable disruption to billions of lives worldwide, and the strain on healthcare workers and facilities will undoubtedly be seen for years to come. Many factors impact the incidence and prevalence of COVID-19 in states, such as policies and legislation, funding, partisanship of the statehouse, vaccination rates, and rurality. The purpose of this paper is to analyze the differences in the daily positive cases between Indiana and Washington State and examine the respective ways each state tried to mitigate the morbidity and mortality of the virus. Indiana and Washington State were chosen as the states have similar populations in different geographical locations in the country and varying responses to the pandemic. Data was obtained from the respective state health departments over a period of two and a half years from March 2020 to December 2022. Independent t-tests were used for the analysis of the data between Indiana and Washington. Overall, Indiana had a higher daily positive case rate when compared to Washington. Indiana had a lower vaccination rate and had more hospitalizations and deaths compared to Washington and the US population as a whole. The difference in the findings of each state could be attributed to the partisanship of the state and the ways in which partisanship influences the enacting of legislation and policies intended to mitigate disease, as well as public health funding allocated by the state. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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34. Forensic examination of security features of the CDC‐issued COVID‐19 vaccination card and suggested improvements to minimize counterfeiting.
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Sheth, Devansh and De Alcaraz‐Fossoul, Josep
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COVID-19 vaccines , *COVID-19 pandemic , *FORGERY , *VACCINATION status , *SMART cards , *PUBLIC health , *VACCINATION - Abstract
During the COVID‐19 pandemic, the United States released the CDC‐issued vaccination card to document the status of immunizations. It eventually was used as a verification system to allow patrons to safely access public venues. This is/was apparently a simple printed piece of paper with minimal security features which made it an easy target for counterfeiters with little expertise required. Those unvaccinated who wished to enter areas that required proof of the COVID‐19 vaccine were soon finding alternative illegal methods to do so which led to public health concerns. This research was divided into two parts. Part A aimed to forensically identify the security features with a video spectral comparator and a stereomicroscope. Ten "known" blank cards were collected directly from dispensaries that administered the vaccine and 68 "unknowns" from individuals who received the COVID‐19 vaccine. Part B aimed to evaluate the authentication systems employed by countries outside the United States to propose a model on how the vaccination card could be improved and what security features should be included for future instances requiring proof of immunization. The results revealed the CDC document was produced with minimal security features making the document prone to counterfeiting. Furthermore, based on the information collected from other countries' vaccination certificates, it is recommended to develop a dual authentication system, with digital and printable aspects, that contains a QR code linked to a database. Other security features may include a non‐optical brightener substrate, security fibers, a watermarked logo, offset printing, and a geographical color‐coded system. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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35. A new national survey of centers for cognitive disorders and dementias in Italy.
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Bacigalupo, Ilaria, Giaquinto, Francesco, Salvi, Emanuela, Carnevale, Giulia, Vaccaro, Roberta, Matascioli, Fabio, Remoli, Giulia, Vanacore, Nicola, Lorenzini, Patrizia, the Permanent Table of the National Dementia Plan Study Group and the CCDDs Study Group, Arabia, Gennarina, Amorosi, Alessandro, Bargagli, Anna Maria, Bartorelli, Luisa, Basso, Cristina, Berardinelli, Manuela, Bernardi, Maria Pompea, Bianchi, Caterina B. N. A, Blandi, Lorenzo, and Boschi, Federica
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COGNITION disorders , *DEMENTIA , *COVID-19 pandemic , *DEMENTIA patients , *ACQUISITION of data , *NEUROLOGISTS - Abstract
Introduction: A new national survey has been carried out by the Italian Centers for Cognitive Disorders and Dementias (CCDDs). The aim of this new national survey is to provide a comprehensive description of the characteristics, organizational aspects of the CCDDs, and experiences during the COVID-19 pandemic. Methods: A list of all national CCDDs was requested from the delegates of each Italian region. The online questionnaire is divided in two main sections: a profile section, containing information on location and accessibility, and a data collection form covering organization, services, treatments, activities, and any service interruptions caused by the COVID-19 outbreak. Results: In total, 511 out of 534 (96%) facilities completed the profile section, while 450 out of 534 (84%) CCDDs also completed the data collection form. Almost half of the CCDDs (55.1%) operated for 3 or fewer days a week. About one-third of the facilities had at least two professional figures among neurologists, geriatricians and psychiatrists. In 2020, only a third of facilities were open all the time, but in 2021, two-thirds of the facilities were open. Conclusion: This paper provides an update on the current status of CCDDs in Italy, which still shows considerable heterogeneity. The survey revealed a modest improvement in the functioning of CCDDs, although substantial efforts are still required to ensure the diagnosis and care of patients with dementia. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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36. Self-Transcendence: A Cross-Cultural Study With Democracy in the COVID-19 Pandemic.
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Lau, Jennifer, Huang, Yi-Hui Christine, Cai, Qinxian, Li, Jun, Sun, Jie, and Liu, Ruoheng
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HEALTH policy , *CONFIDENCE , *SELF-perception , *CROSS-sectional method , *TRANSCENDENCE (Philosophy) , *PUBLIC health , *PSYCHOLOGY , *REGRESSION analysis , *SURVEYS , *THEORY , *HYPOTHESIS , *QUESTIONNAIRES , *GOVERNMENT policy , *SCALE analysis (Psychology) , *FACTOR analysis , *DESCRIPTIVE statistics , *RESEARCH funding , *COVID-19 pandemic - Abstract
The COVID-19 pandemic and the steps governments took to combat it tormented societies across the globe. Accordingly, existential positive psychologists have emphasized the importance of self-transcendence in mitigating the distress and agony caused by prolonged and rigorous health measures. In this cross-cultural study, the correlation between self-transcendence, people's confidence in government, and democracy was examined. Based on the findings of an online survey (n = 36,304) conducted in 16 societies in Europe, Latin America, Asia, and the Commonwealth of Independent States (CIS), the multi-level analysis established that self-transcendence had a negative relationship with people's confidence in their own government, especially in less democratic societies. Besides expanding the Schwartz theory of basic values and inspiring theoretical developments for new research, this paper recommends that related institutions obtain community consent before pushing out strict health measures. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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- View/download PDF
37. 'Including us, talking to us and creating a safe environment'—Youth patient and public involvement and the Walking In ScHools (WISH) Study: Lessons learned.
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Gallagher, Alison M., O'Kane, Sarah Maria, Doherty, Leanne C., Faulkner, Maria, McDermott, Gary, Jago, Russell, Lahart, Ian M., Murphy, Marie H., and Carlin, Angela
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WORK environment , *MEETINGS , *PUBLIC health , *PHYSICAL activity , *SURVEYS , *CONCEPTUAL structures , *SCHOOLS , *QUESTIONNAIRES , *DATA analysis software , *THEMATIC analysis , *COVID-19 pandemic - Abstract
Background: Young people have the right to be informed and consulted about decisions affecting their lives. Patient and public involvement (PPI) ensures that research is carried out 'with' or 'by' young people rather than 'to', 'about' or 'for' them. The aim of this paper is to outline how youth PPI can be embedded within a physical activity intervention, reflect on the impact of PPI and provide recommendations for future PPI in a similar context. Methods: A Youth Advisory Group (YAG) was set up within the Walking In ScHools (WISH) Study to involve adolescent girls in the delivery, implementation and dissemination of a physical activity intervention targeted at adolescents. Schools invited pupils aged 12–14 years and 15–18 years to YAG meetings (n3, from 2019 to 2023). Participative methods were used to inform recruitment strategies and data collection methods for the WISH Study. Results: Across the three YAG meetings, n51 pupils from n8 schools were involved. Pupils enjoyed the YAG meetings, felt that their feedback was valued and considered the meetings a good way to get young people involved in research. The YAG advised on specific issues and although measuring impact was not the primary aim of the YAG meetings, over the course of the study there were many examples of the impact of PPI. Recruitment targets for the WISH Study were exceeded, the attrition rate was low and pupils were engaged in data collection. Conclusion: Youth PPI is a developing field and there are few physical activity studies that report the PPI work undertaken. Within the WISH Study, three YAG meetings were held successfully, and the views of adolescent girls were central to the development of the study. Considering the specific issues that the YAG advised on (study recruitment, attrition and data collection), there was evidence of a positive impact of PPI. Patient or Public Contribution: Pupils from post‐primary schools interested/participating in the WISH Study were invited to attend YAG meetings. YAG meetings were set up to consult adolescent girls on the delivery, implementation and dissemination of the WISH intervention. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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- View/download PDF
38. Indoor Air Quality and COVID-19: A Scoping Review.
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Braggion, Axelle, Dugerdil, Adeline, Wilson, Olwen, Hovagemyan, Francesca, and Flahault, Antoine
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INDOOR air quality , *COVID-19 , *AIR quality , *COVID-19 pandemic , *PUBLIC health - Abstract
Objectives: The COVID-19 pandemic has been a major public health concern for the past 3 years. Scientific evidence on the relationship between SARS-CoV-2 infection and indoor air quality still needs to be demonstrated. This scoping review aims to study the association between air quality indoors and COVID-19. Methods: A scoping review analyzing the association between indoor air quality and epidemiological outcomes was conducted. Papers published between 1 January 2020 and 31 October 2022 were included. Hospital settings were excluded from the study. Results: Eight relevant articles met the inclusion criteria. Indoor settings included workplaces, schools, restaurants, and public transport. Types of ventilation used to improve indoor air quality were dilution methods (opening windows) and mechanical systems with or without filtration or purifier. CO2 sensors were employed in one study. All the studies showed a positive association between indoor air quality and its improvement and epidemiological indicators. Conclusion: The findings of this scoping review indicate that indoor air quality, which can be improved with ventilation methods, may reduce the risk of developing COVID-19. Ventilation could thus be viewed as a possible effective mitigating method. [ABSTRACT FROM AUTHOR]
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- 2024
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39. Sport and Recreation Undergraduate Students' Perspectives on Disruption of Lifestyle, Active Lives, Learning, and Livelihood during Pandemic Times.
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Godber, Kathleen Ann and Atkins, Denise Robyn
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UNDERGRADUATES , *COVID-19 vaccines , *COVID-19 pandemic , *PUBLIC health , *HEALTH outcome assessment - Abstract
This paper highlights curriculum and policy reforms and innovations in a Higher Education (HE) institution in response to undergraduate student perspectives about the phenomenon of the COVID-19 restrictions imposed by the New Zealand government (2020–2022). The advent of the coronavirus pandemic precipitated unexpected and unprecedented changes in HE learning and in the pedagogy required for undergraduate students. Consequently, HE institutions have had to be agile, resulting in 'emergency' adaptations to curriculum practice and policy implementation. This paper discusses triggers for change, reactions to restrictions, strategic measures, and the emergence of a 'new normal' from an undergraduate student perspective. Local and global concerns about student participation in undergraduate study (in Sport and Recreation), sport, and physical activity during restricted periods prompted the researchers to investigate the challenges these young people faced. Student voice was collected through semi-structured interviews and focus groups, collected post lockdown periods. Research findings, elicited from lecturers using a collaborative auto-ethnographical method, along with interpretative analysis (hermeneutic phenomenology) of students' perspectives about the four pillars of lifestyle, active lives, learning, and livelihood provide insights about the impact of unexpected curriculum and policy change for HE students in New Zealand. This research provides real-time data to inform recommendations on policy and practice in HE institutions, to enhance student wellbeing in times of crises, like the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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40. Psychoeducational interventional programme during the COVID‐19 pandemic for nurses with severe occupational stress: A randomized controlled trial.
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Alkhawaldeh, Ja'far M.
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JOB stress , *JOB stress prevention , *SOCIAL support , *ANALYSIS of variance , *PUBLIC health , *PSYCHOLOGY of nurses , *RANDOMIZED controlled trials , *SURVEYS , *QUESTIONNAIRES , *DESCRIPTIVE statistics , *PSYCHOLOGICAL adaptation , *STATISTICAL sampling , *DATA analysis software , *COVID-19 pandemic , *PROBABILITY theory - Abstract
Background: Occupational stress is generally acknowledged as a major issue in the health sector that may have a detrimental impact on nurses' psychological and physical health, particularly during the COVID‐19 epidemic. Aim: This study evaluated the effectiveness of a psychoeducational interventional programme in decreasing occupational stress and improving coping methods among nurses during the COVID‐19 pandemic. Methods: This study used a cluster‐randomized approach. Data were collected from 80 nurses working in two public health‐care centres from May to August 2020 in Jordan. Two centres were assigned randomly to the intervention and control groups. The psychoeducational programme was delivered to the intervention group in six sessions over 6 days for 2 weeks. The collected data were analysed using SPSS through descriptive and inferential statistics. Occupational stress and coping strategies were measured. Results: Repeated‐measures analysis of variance (ANOVA) indicated that the degrees of occupational stress and coping strategies significantly differed between study groups over the three points of data collection. Conclusion: This psychoeducational interventional programme is a valuable noninvasive method that can improve individual coping strategies to manage stress in practice during the COVID‐19 pandemic. Summary statement: What is already known about this topic?: Nurses face high degrees of occupational stress throughout the COVID‐19 pandemic.Nurses are vulnerable to mental and physical health problems because of the high degrees of stress.Current evidence of the effectiveness of psychoeducational programmes on occupational stress and coping strategies is limited due to a lack of well‐designed randomized trials. What this paper adds?: This psychoeducational interventional programme can effectively reduce occupational stress and improve coping strategies among nurses in clinical settings during the COVID‐19 pandemic.The results of this study are expected to serve as a guide for nursing leaders and policymakers to modify plans, procedures and protocols to utilize effective stress‐preventive strategies for nurses and occupational stress management during the COVID‐19 pandemic.The study can help nursing educators develop an efficient clinical education plan that addresses the needs of nurses and students to manage future occupational stress appropriately. The implications of this paper: This study can help nurses improve individual coping strategies to manage occupational stress in clinical practice during the COVID‐19 pandemic.This research can inform future researchers who would like to study the same issue in another context and use a qualitative approach for in‐depth analysis.This study offers nursing educators, including clinical nursing instructors, lecturers and other academic faculty staff, a better understanding regarding occupational stress among nursing staff in clinical practice and their coping strategies. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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41. Counterpoint: Preprints and the Future of Scientific Publishing—In Favor of Relevance.
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Glymour, M Maria, Charpignon, Marie-Laure, Chen, Yea-Hung, and Kiang, Mathew V
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PUBLISHING , *PROFESSIONAL peer review , *SERIAL publications , *PREPRINTS , *COVID-19 pandemic - Abstract
Peer-reviewed journals provide an invaluable but inadequate vehicle for scientific communication. Preprints are now an essential complement to peer-reviewed publications. Eschewing preprints will slow scientific progress and reduce the public health impact of epidemiologic research. The coronavirus disease 2019 (COVID-19) pandemic highlighted long-standing limitations of the peer-review process. Preprint servers, such as bioRxiv and medRxiv, served as crucial venues to rapidly disseminate research and provide detailed backup to sound-bite science that is often communicated through the popular press or social media. The major criticisms of preprints arise from an unjustified optimism about peer review. Peer review provides highly imperfect sorting and curation of research and only modest improvements in research conduct or presentation for most individual papers. The advantages of peer review come at the expense of months to years of delay in sharing research methods or results. For time-sensitive evidence, these delays can lead to important missteps and ill-advised policies. Even with research that is not intrinsically urgent, preprints expedite debate, expand engagement, and accelerate progress. The risk that poor-quality papers will have undue influence because they are posted on a preprint server is low. If epidemiology aims to deliver evidence relevant for public health, we need to embrace strategic uses of preprint servers. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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42. Time-Space Companions: Digital Surveillance, Social Management, and Abuse of Power During the Covid-19 Pandemic in China.
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Chen, Xiaoling and Oakes, Tim
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COVID-19 pandemic , *PUBLIC health , *SURVEILLANCE detection , *SOCIAL control , *DISCIPLINE - Abstract
Based on ethnographic research carried out during the 2022 Covid-19 surge in southern China, this paper examines the roll-out of a contact-tracing tool called the Time-Space Companion project. The project exemplifies a state effort to incorporate data-driven surveillance technology into the public health apparatus during the coronavirus outbreak. By exploring the definition, identification, and management of Time-Space Companions, the paper shows that the project was used to discipline Chinese citizens and shift public health responsibilities onto them by transforming daily life into sites of public health regulation, discipline, and criminalization. The project also exemplified an on-going state effort to leverage surveillance technologies for the purposes of social management. The paper draws attention to the social repercussions that resulted when technology offered a tempting tool to enhance the infrastructural and despotic powers of mundane state actors. [ABSTRACT FROM AUTHOR]
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- 2023
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43. The Right to Protest During a Pandemic: Using Public Health Ethics to Bridge the Divide Between Public Health Goals and Human Rights.
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Wood, Stephanie L.
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PUBLIC health laws , *HEALTH policy , *HUMAN rights , *CROWDS , *SOCIAL change , *PUBLIC health , *CONFLICT (Psychology) , *COVID-19 pandemic , *BIOETHICS - Abstract
Public protest continued to represent a prominent form of social activism in democratic societies during the COVID-19 pandemic. In Australia, a lack of specific legislation articulating protest rights has meant that, in the context of pandemic restrictions, such events have been treated as illegal mass gatherings. Numerous large protests in major cities have, indeed, stirred significant public debate regarding rights of assembly during COVID-19 outbreaks. The ethics of infringing on protest rights continues to be controversial, with opinion divided as to whether public health goals or human rights should take precedence. This paper applies public health ethical theory to an in-depth analysis of arguments on both sides of the debate. Using the Nuffield Council on Bioethics framework as a backdrop, proportionality and necessity of restrictions are understood as key concepts that are common to both public health and human rights perspectives. The analysis presented here finds a middle-ground between the prevailing arguments on opposing sides and is further able to rationalize the use of protest itself as an important element of a mature public health ethics response to restrictive policy. Thus, this paper aims to influence public health policy and legislation regarding protest rights during public health emergencies. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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44. Pandemic urbanization: How South Africa's history of labor and disease control creates its current disparities.
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Finn, Brandon Marc
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COVID-19 pandemic , *URBANIZATION , *PUBLIC health , *PUBLIC spaces , *TUBERCULOSIS - Abstract
The COVID-19 pandemic highlights the need for scholars to rethink how cities and urban spaces create and reproduce disproportionate social outcomes. The social, economic, and public health effects of the COVID-19 pandemic in South Africa have been shaped by the country's legacy of "pandemic urbanization." Pandemic urbanization refers to the use of urban space as a mechanism to create social, economic, and racialized divides in the name of pandemic control. Illness and infectious disease are used as instruments for segregation, and as justification for segregation through spatial policies. Through a systematic review and synthesis of peer-reviewed literature, this paper argues that the early urbanization of pre-apartheid South Africa, which is intimately tied to the control of bubonic plague, tuberculosis, and Spanish influenza outbreaks in the early 20th century, is central to the country's current inequalities, including those brought into stark relief by COVID-19. It shows that methods of labor and infectious disease control worked in tandem to structure South African spatial division. In doing so, this paper synthesizes important literature to tie the production of South African urban space to the active creation of categories of "race." South Africa's historical geography informs global discussions on racial capitalism, as the country's past illustrates a process well beyond its borders. Given the centrality of urbanization and space within this history, a theorization highlighting spatial justice should be at the heart of pandemic and post-pandemic responses. [ABSTRACT FROM AUTHOR]
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- 2023
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45. Challenges and opportunities regarding the COVID-19 pandemic on urban mobility in Constanta, Romania.
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Stan, Mari-Isabella, Tasențe, Tănase, and Rus, Mihaela
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COVID-19 pandemic , *PUBLIC health , *PUBLIC transit , *PUBLIC education - Abstract
The global COVID-19 pandemic has had a significant impact on urban mobility in Constanta, Romania and other cities around the world. This has resulted in reduced travel, increased bicycle and pedestrian trips, fewer taxicabs, and shorter public transport hours. It has also generated increased challenges for local authorities regarding safety, hygiene, air quality, road network management and public trust in public transit systems. On the other hand, the pandemic presents many opportunities for cities to rethink their urban mobility plans and adopt more sustainable transport solutions. This paper will look at the challenges and opportunities posed by the pandemic on urban mobility in Constanta and the measures that can be taken to mitigate the negative impacts while taking advantage of the opportunities it provides. This paper aims to provide an overview of the perception of urban mobility in the city of Constanța, Romania. It draws upon the results of a survey conducted among citizens in the city, which asked respondents to assess their perception regarding the quality, availability, and efficiency of urban mobility services in their area. The results show that most respondents feel that the availability of urban mobility services is limited and that the quality and efficiency of these services are poor. Additionally, majority of respondents feel that the lack of public transportation options and the lack of bicycle lanes impede urban mobility in Constanța. The paper concludes by suggesting that the city should consider investing in improved public transportation options and bike lanes in order to increase its urban mobility. Additionally, public education surrounding urban mobility and transportation safety is recommended. [ABSTRACT FROM AUTHOR]
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- 2023
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46. Dynamic Mode Decomposition with Control: A Case Study of Covid-19 and Vaccination.
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Eroglu, Simge Kacar and Yukse, Gamze
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COVID-19 pandemic , *VACCINATION , *PUBLIC health , *DYNAMIC models , *MACHINE learning - Abstract
Epidemic diseases have posed great threats to human societies throughout history and have seriously affected public health. Epidemic diseases can spread rapidly and cause major deaths and economic losses. Therefore, the control and management of epidemic diseases requires new approaches developed with scientific and technological developments. The method of Dynamic Mode Decomposition with Control (DMDc) is a machine learning technique that predicts the state of systems, that affect the dynamic system from the outside and change the nature of the system. This technique is used to examine how the variables, factors, and effects in the data are related to each other and how they change over time. In this article, the DMDc method used the weekly cumulative number of COVID-19 cases per 100 thousand of Turkey's 81 provinces between February 8 and September 11, 2021, as the situation matrix, and the total number of vaccines per 100 thousand in the same time interval as the control matrix and then calculated error values of the DMD and DMDc are compared with under the different error metrics. In this paper, the number of cases and vaccines in the Turkish Ministry of Health TURCOVID-19 open data set was used. [ABSTRACT FROM AUTHOR]
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- 2023
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47. Civil Liberties in a Lockdown: The Case of COVID-19.
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Director, Samuel and Freiman, Christopher
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COVID-19 pandemic , *CIVIL rights , *STAY-at-home orders , *CITIZENS , *LOCKDOWNS (Safety measures) - Abstract
In response to the spread of COVID-19, governments across the world, with very few exceptions, have enacted sweeping restrictive lockdown policies that impede citizens' freedom to move, work, and assemble. This paper critically responds to the central arguments for restrictive lockdown legislation. We build our critique on the following assumption: public policy that enjoys virtually unanimous support worldwide should be justified by uncontroversial moral principles. We argue that the virtually unanimous support in favor of restrictive lockdowns is not adequately justified by the arguments given in favor of them. Importantly, this is not to say that states ought not impose restrictive lockdown measures, but rather that the extent of the acceptance of these measures is not proportionate to the strength of the arguments for lockdowns. [ABSTRACT FROM AUTHOR]
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- 2023
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48. When it "Feels Like We're in This Together": Toward a Trauma-Informed Public Health Pedagogy Drawing on Lived Experiences.
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Tsui, Emma K., Cooper, Spring, Elsayed, Ayah, Billings, Stella, Stewart, Sindy, and Andrews, Daviann
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PUBLIC health education , *HEALTH policy , *PUBLIC health , *INSTITUTIONAL racism , *COVID-19 pandemic , *THEMATIC analysis - Abstract
Since 2020, graduate public health students have been living through the intersecting pandemics of COVID-19 and structural racism while simultaneously experiencing classroom lessons on these topics. In this paper, we analyze 14 oral history interviews exploring these experiences, and identify needed shifts in public health pedagogy that these interviews illuminate. Interviews were produced through a participatory oral history project called Public Health Education Now, which was led by a team of faculty and MPH students based at the City University of New York Graduate School of Public Health and Health Policy. We analyzed the interviews using reflexive thematic analysis. In these interviews, students described lived experiences of trauma, isolation, and tensions in public health (Theme 1), as well as a desire for public health education anchored in their lived experiences that activates hope (Theme 2), and public health education that nourishes and sustains them (Theme 3). Our analysis advances a view of public health students of this era as survivor-learners whose lived experiences can be a rich resource for informing the future of public health education, provided appropriate supports are in place. We discuss the ways that trauma-informed teaching and learning responds to these findings. Finally, we suggest action steps toward incorporating trauma-informed public health pedagogy drawing on lived experiences into public health classrooms, programs, and schools. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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49. Syndemic effect of COVID-19 outbreak on HIV care delivery around the globe: A systematic review using narrative synthesis.
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Chakrabarti, Rohini, Agasty, Debdutta, Majumdar, Agniva, Talukdar, Rounik, Bhatta, Mihir, Biswas, Subrata, and Dutta, Shanta
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HEALTH services accessibility , *SYNDEMICS , *HIV-positive persons , *MEDICAL care , *HIV infections , *SOCIAL change , *DESCRIPTIVE statistics , *WORLD health , *SYSTEMATIC reviews , *MEDLINE , *ONLINE information services , *QUALITY assurance , *COUNSELING , *PUBLIC health , *COVID-19 pandemic , *AIDS - Abstract
Background: The burden of the COVID-19 pandemic on healthcare systems worldwide has been compromising the progress made in the fight against HIV. This paper aims to determine how the COVID-19 pandemic has impacted HIV comprehensive care service delivery globally as well as to consolidate the evidence and recommendations that may be useful in averting future crisis. Methods: This review adheres to PRISMA guidelines. PubMed, DOAJ, Science Direct and other sources like Google Scholar and citations from included studies were searched methodically to locate studies evaluating the effects of COVID on services for HIV care. The NIH and JBI quality assessment tools were used for the quality assessment of individual studies. Results: In the present review 31 eligible studies were included and the impact on HIV care cascade were summarised under six themes: Lab services, Treatment and allied services, Counselling services, Outreach services, Psycho-social impact and Implementation of sustainable strategies. The studies also presented many innovative alternatives which were lucidly highlighted in the present article. Conclusion: Current evidence depicts multiple factors are responsible for the interruption of HIV care service delivery during the pandemic, especially in low resources settings. The prospective, alternative solutions that have been used to circumvent the threat have also been addressed in this review, in addition to the negative aspects that have been observed. Transition with new innovative, sustainable care paradigms may prove to be the building blocks in removing HIV-AIDS as a public health threat. Registration: Open Science Framework (DOI: 10.17605/OSF.IO/74GHM). [ABSTRACT FROM AUTHOR]
- Published
- 2023
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50. Key topics in social science research on COVID-19: An automated literature analysis.
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Xian Cheng, Ying Zhao, and Stephen Shaoyi Liao
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SERIAL publications , *BIBLIOMETRICS , *ARTIFICIAL intelligence , *MENTAL health , *PUBLIC health , *SOCIAL sciences , *DESCRIPTIVE statistics , *MENTAL depression , *RESEARCH funding , *THEMATIC analysis , *STAY-at-home orders , *ANXIETY , *MEDICAL research , *COVID-19 pandemic , *LITERATURE , *DATA mining , *PSYCHOLOGICAL stress , *EVALUATION - Abstract
Background: The COVID-19 pandemic has triggered a significant increase in academic research in the realm of social sciences. As such, there is an increasing need for the scientific community to adopt effective and efficient methods to examine the potential role and contribution of social sciences in the fight against COVID-19. Objectives: This study aims to identify the key topics and explore publishing trends in social science research pertaining to COVID-19 via automated literature analysis. Methods: The automated literature analysis employed utilizes keyword analysis and topic modelling technique, specifically Latent Dirichlet Allocation, to highlight the most relevant research terms, overarching research themes and research trends within the realm of social science research on COVID-19. Results: The focus of research and topics were derived from 9733 full-text academic papers. The bulk of social science research on COVID-19 centres on the following themes: 'Clinical Treatment', 'Epidemic Crisis', 'Mental Influence', 'Impact on Students', 'Lockdown Influence' and 'Impact on Children'. Conclusion: This study adds to our understanding of key topics in social science research on COVID-19. The automated literature analysis presented is particularly useful for librarians and information specialists keen to explore the role and contributions of social science topics in the context of pandemics. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
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