《LANCET,3月11日,Adoption of COVID-19 triage strategies for low-income settings》

  • 来源专题:COVID-19科研动态监测
  • 编译者: zhangmin
  • 发布时间:2020-03-12
  • Adoption of COVID-19 triage strategies for low-income settings

    Rodgers R Ayebare

    Robert Flick

    Solome Okware

    Bongomin Bodo

    Mohammed Lamorde

    Published:March 11, 2020DOI:https://doi.org/10.1016/S2213-2600(20)30114-4

    Despite major advances in epidemic preparedness, Africa remains uniquely susceptible to novel coronavirus disease 2019 (COVID-19). According to the Infectious Disease Vulnerability Index,1 22 of the 25 countries most susceptible to an infectious disease outbreak are in Africa. The high prevalence of HIV, tuberculosis, and other pathogens might potentiate the severity of COVID-19 and contribute to diagnostic uncertainty. Health-care systems and human resources are already spread thin.

  • 原文来源:https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30114-4/fulltext
相关报告
  • 《3月11日_针对低收入环境采用COVID-19分流策略》

    • 来源专题:COVID-19科研动态监测
    • 编译者:xuwenwhlib
    • 发布时间:2020-03-13
    • 3月11日_针对低收入环境采用COVID-19分流策略 1.时间:2020年3月11日 2.机构或团队:乌干达马凯雷雷大学,美国约翰霍普金斯医院,世卫组织乌干达办事处 3.事件概要: 3月11日,The Lancet Respiratory Medicine期刊发表了来自乌干达马凯雷雷大学、美国约翰霍普金斯医院、世卫组织乌干达办事处研究团队的题为“Adoption of COVID-19 triage strategies for low-income settings”的通讯文章。 文章指出,根据传染病脆弱指数,25个最容易受传染病暴发影响的国家中有22个位于非洲,非洲国家的流行病防范仍然较为薄弱。2020年2月27日,尼日利亚报告了撒哈拉以南非洲地区首例COVID-19病例,这使得非洲更容易传播该疾病。 该文章指出,Zhang等人[1]将有关病因不明的新型病原体患者的分流和临床护理的复杂信息提炼成简洁的流程图,但是,其方法中的核心指数如胸部CT、具有差异的全血细胞计数以及C反应蛋白在乌干达难于获取,因此该方法不适用该区域。为了培训乌干达的一线卫生工作者有效地对患者进行分流,该文章提出了一种改进的COVID-19筛查流程,可用于尚未建立本地传播途径的资源有限的环境。 该文章指出,该方法最初根据发烧(主观或测量结果)或咳嗽(在COVID-19患者中普遍存在的症状)对患者进行分流;如果这些症状与流行病学风险相结合,则将患者隔离,采取适当的感染预防和控制措施,并进行SARS-CoV-2检测。该文章指出,该方法最大的突破是取消了胸部成像方法的使用。该文章指出在乌干达,大部分医疗机构都无法提供胸部X光检查。该文章指出,该方法旨在成为一种快速、简单的工具,用于确定谁需要隔离和进行SARS-CoV-2病毒检测。 4.附件: 原文链接https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(20)30114-4/fulltext [1] Zhang J, Zhou L, Yang Y, Peng W, Wang W, Chen X. Therapeutic and triage strategies for 2019 novel coronavirus disease in fever clinics. Lancet Respir Med. 2020; 8: e11-e12
  • 《LANCET,5月12日,Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling study》

    • 来源专题:COVID-19科研动态监测
    • 编译者:zhangmin
    • 发布时间:2020-05-13
    • Early estimates of the indirect effects of the COVID-19 pandemic on maternal and child mortality in low-income and middle-income countries: a modelling study Timothy Roberton, DrPH Emily D Carter, PhD Victoria B Chou, PhD Angela R Stegmuller, BS Bianca D Jackson, MSPH Yvonne Tam, MHS et al. Show all authors Open AccessPublished:May 12, 2020DOI:https://doi.org/10.1016/S2214-109X(20)30229-1 Summary Background While the COVID-19 pandemic will increase mortality due to the virus, it is also likely to increase mortality indirectly. In this study, we estimate the additional maternal and under-5 child deaths resulting from the potential disruption of health systems and decreased access to food. Methods We modelled three scenarios in which the coverage of essential maternal and child health interventions is reduced by 9·8–51·9% and the prevalence of wasting is increased by 10–50%. Although our scenarios are hypothetical, we sought to reflect real-world possibilities, given emerging reports of the supply-side and demand-side effects of the pandemic. We used the Lives Saved Tool to estimate the additional maternal and under-5 child deaths under each scenario, in 118 low-income and middle-income countries. We estimated additional deaths for a single month and extrapolated for 3 months, 6 months, and 12 months.