Epidemiology
Nezal Azh; Seyyedeh Zahra Hajiasghari
Abstract
Introduction: Hospitals may have an adverse effect on the environment. The World Health Organization (WHO) introduced the concept of Green Hospital to reduce these complications while also improving the environment. The purpose of this study was to assess how many hospitals in Qazvin met Green Hospital ...
Read More
Introduction: Hospitals may have an adverse effect on the environment. The World Health Organization (WHO) introduced the concept of Green Hospital to reduce these complications while also improving the environment. The purpose of this study was to assess how many hospitals in Qazvin met Green Hospital standards.Methods: This descriptive-observational study was carried out in all of the hospitals in Qazvin that were included in the study via the census sampling method. The standard green hospital questionnaire was used to collect data, which was completed with environmental experts through interviews and document observation. This questionnaire has 96 questions and is divided into eight dimensions: environmental, energy, hazardous materials, water, sewage, greenhouse gas emissions, external water consumption, material, and environmentally friendly purchasing management. Each question is graded on a three-point Likert scale ranging from 0 to 2.Results: This study included nine hospitals. Six were teaching/public (5 teaching hospitals and 1 Social Security Hospital), and three were public. The average ratio of active beds to approved beds was 90%, with private hospitals reaching more than 100% (131%). The mean achievement rates for the first through eighth dimensions were 70.08, 74.07, 74.07, 60.88, 40.87, 27.77, and 31.48, respectively. The overall mean score for meeting Green Hospital standards was 57.46%.Conclusions: Although hospitals achieved higher achievement rates in some dimensions, overall results showed low achievement rates. As a result, their managers and employees must learn how to prevent environmental degradation.
Epidemiology
Itse Olaoye; Akinola Ayoola Fatiregun; Ekun Opeyemi; David Adeleke; Tsemaye Jacdonmi; Stephen Fagbemi; Famokun Gboyega; Abiona Samuel; Adefesoye Victor Akinpelumi; Onyibe Ifeoma Rosemary
Abstract
Background: The last case of the indigenous Wild Polio Virus in Ondo state was in 2008, and the last Polio compatible infection was in 2010. Poliovirus transmission was stopped thanks to the World Health Organization's (WHO) standards, which included acute flaccid paralysis (AFP) surveillance. We wanted ...
Read More
Background: The last case of the indigenous Wild Polio Virus in Ondo state was in 2008, and the last Polio compatible infection was in 2010. Poliovirus transmission was stopped thanks to the World Health Organization's (WHO) standards, which included acute flaccid paralysis (AFP) surveillance. We wanted to describe the state's polio surveillance performance during the last five years, from 2016 to 2020, using WHO-recommended measures and find areas where it could improve.Methods: Between January 2016 and December 2020, AFP case-based surveillance data was used to undertake a retrospective examination of records. Microsoft Excel was used for data processing, and Quantum Geographic Information System was used for mapping (GIS).Results: From 2016 to 2020, a total of 1,096 AFP instances were recorded, none of which were confirmed as Poliomyelitis. The bulk of the cases (77.2 percent) were found in children under the age of five. Males made up more than half of the cases (53.4%). More than 89 percent of reported cases received three or more OPV doses. Between 2016 and 2020, there was a 79 percent decline in reported incidents. Between 2016 and 2020, the average Non-Polio AFP rate was 11.2 per 100,000, with a stool adequacy of 98.4%.Conclusion: AFP surveillance in Ondo state met the minimum WHO targets during the study period, according to the findings. However, because of the possibility of poliovirus being imported from endemic countries, which might threaten Nigeria's polio-free status, all surveillance actors' sensitization and active case search should be strengthened, particularly in underperforming local government areas (LGAs).
Epidemiology
Itse Olaoye; Akinola Ayoola Fatiregun; Stephen Fagbemi; Famokun Gboyega; Rosemary Onyibe
Abstract
Background: Acute gastroenteritis, a very common disease in humans affecting both children and adults, remains a major public health concern worldwide. Several groups of viruses have been reported as the causative agents of acute gastroenteritis. An outbreak of acute gastroenteritis with a high fatality ...
Read More
Background: Acute gastroenteritis, a very common disease in humans affecting both children and adults, remains a major public health concern worldwide. Several groups of viruses have been reported as the causative agents of acute gastroenteritis. An outbreak of acute gastroenteritis with a high fatality rate was reported in Ondo State, Southwest, Nigeria, in September 2020. Methods: To provide a descriptive epidemiology of the outbreak, a field investigation was carried out in affected communities in September 2020. Results: Four Local Government Areas (LGA) were affected, with Odigbo LGA having the highest attack rate of 14.9 per 100,000 population. The epidemic curve was propagated in nature. 50 cases were reported with 21 deaths (42%). The outbreak primarily affected 15-year-olds (94%, n=47) and more males (58%, n=29). Conclusion: Poor sanitation, food, and water hygiene conditions in communities of the LGA visited were observed. The spread of the outbreak was probably facilitated by water sellers.
WHO
Semeeh Akinwale Omoleke; Yolanda V. Bayugo; Ukam Ebe Oyene; Jonathan Abrahams; Nina Gobat; Suvajee Good; Mary Manandhar; Samar Elfeky; Ana Gerlin Hernandez Bonilla; Nicole Valentine; Jackeline Alger; Qudsia Huda; Saqif Mustafa; Maria Isabel Echavarria; Ankur Rakesh; Taylor Warren; Jostacio Moreno Lapitan; Jana Deborah Mier-Alpano; Dayo Spencer-Walters; Meredith Del Pilar Labarda; Mihai Mihut; Aphaluck Bhatiasevi; Obinna I. Ekwunife
Abstract
Community Engagement (CE) plays a crucial role in successful public health actions, achieving universal health coverage, and the realization of the United Nations Sustainable Development Goals. It has emerged as an effective strategy across different settings through prevention, preparedness, readiness ...
Read More
Community Engagement (CE) plays a crucial role in successful public health actions, achieving universal health coverage, and the realization of the United Nations Sustainable Development Goals. It has emerged as an effective strategy across different settings through prevention, preparedness, readiness and response, and recovery towards attaining community resilience, Primary Health Care (PHC) strengthening and universal health coverage (UHC), health security, and sustainable development. We reviewed the existing literature and various data sources and found that several CE training packages are available from international partners, focusing on the principles, theories, general questions, and CE techniques. However, there are still challenges because they are often fragmented, with little or no systematic procedures to guide the CE processes in different settings.In this light, WHO initiated a discourse on the CE Package (CEP) development in consultation with some selected international partners. The CEP Project will focus on developing a database, learning, and workshop packages based on curation of CE experiences in different settings using defined criteria. The CEP would harmonize CE processes and facilitate the reinforcement of the CE integration into public health. Further, the CEP Project serves as a collection of selected best practices for pre-service and in-service training packages for health professionals. Also, there is an anticipated inclusion into curricula of health training institutions and WHO staff capacity development. Finally, the database for compiling best practices is designed such that it can be periodically updated and becomes a compendium of CE for learning, research, and informing practice.
