Is possible to train health professionals in prevention of high-risk pathogens like the Ebola by using the mobile phone?

Health professionals are a concerning risk population because of the high prevalence of exposure to biological, especially during training that involves procedures implying direct contact with bodily fluids. Notwithstanding, the considerable advance of information and communication technologies (ICTs) during the last decades has provided with the divergence of new paths of research applied to training in the health field, allowing it integration in the field of biological risk prevention. The objectives of this study are: firstly, to estimate the level of knowledge about risk situations and the immediate response capacity of future professionals, prepare health professionals before different scenarios that can be presented in health care, and contribute to the appropriate decision making in possible scenarios. Secondly, to design and develop a mobile web application that, in a fast and ever-present manner, allows the healthcare professional, to have a quick response system that is clear and concise; and to evaluate by health students’ and professionals’ opinions the effectiveness of the technology developed. This study has been structured in two phases: first, to determine the degree of knowledge and compliance of biosecurity measures; and second, to perform a dual evaluation of the application. The survey of graduating students concerning practices has shown that the knowledge of risk prevention is adequate; meanwhile, a dynamic and efficient platform has been obtained, and its double assessment is satisfactory. It has been shown that the incidence of biological accidents is in the mean of the results of previous studies. An upgradeable web platform, ubiquitous and capable of being used in any electronic device available in the market, was obtaine

Updates from the field\u2026stories of regional collaboration ; issue 28, spring 2019

AFRICA\u2022 West Africa Comes Together to Confront Monkeypox\u2022 Zambia at the Forefront on Data for Health\u2022 Tracking Lassa Fever Across Three Countries\u2022 Southern Africa Leads the Regional Approach to Public HealthAMERICAS\u2022 Venezuela Crisis Presents Complex Global Health Security Challenges\u2022 Taming a Triple Threat Fungus\u2022 Colombia\u2019s NPHI Keeps the Public HealthyMIDDLE EAST/EUROPE\u2022 Ensuring Data Quality in the Midst of Insecurity and Uncertainty\u2022 Georgia: A Neutral Hub Brings Disease Detectives Together\u2022 Do You Speak Data?\u2022 ASIA\u2022 Disease Detectives Working Toward Polio Eradication\u2022 Keeping Safe around Highly Dangerous Pathogens and Toxins\u2022 Responding to a Rohingya Refugee CrisisGLOBAL\u2022 Connecting Networks to Solve the Mystery of Zika\u2022 Closing Critical Gaps in Laboratory Leadership\u2022 International Community Renews Commitment to the Global Health Security Agendadghp-field-updates-2019-spring-P.pd2019618

Updates from the field ; issue 28, spring 2019

Stories of regional collaboration.dghp-field-updates-2019-spring-P.pdf2019684

Precision global health in the digital age.

Precision global health is an approach similar to precision medicine, which facilitates, through innovation and technology, better targeting of public health interventions on a global scale, for the purpose of maximising their effectiveness and relevance. Illustrative examples include: the use of remote sensing data to fight vector-borne diseases; large databases of genomic sequences of foodborne pathogens helping to identify origins of outbreaks; social networks and internet search engines for tracking communicable diseases; cell phone data in humanitarian actions; drones to deliver healthcare services in remote and secluded areas. Open science and data sharing platforms are proposed for fostering international research programmes under fair, ethical and respectful conditions. Innovative education, such as massive open online courses or serious games, can promote wider access to training in public health and improving health literacy. The world is moving towards learning healthcare systems. Professionals are equipped with data collection and decision support devices. They share information, which are complemented by external sources, and analysed in real time using machine learning techniques. They allow for the early detection of anomalies, and eventually guide appropriate public health interventions. This article shows how information-driven approaches, enabled by digital technologies, can help improving global health with greater equity

Outbreaks: Protecting Americans From Infectious Diseases 2015

Infectious diseases -- most of which are preventable -- disrupt the lives of millions of Americans each year. But the country does not sufficiently invest in basic protections that could help avoid significant numbers of outbreaks and save billions of dollars in unnecessary healthcare costs. U.S. investments in infectious disease prevention ebb and flow, where there is a major ramp up when a new eminent threat emerges, but then falls back when the problem seems contained.In the most recent example last year, the Ebola outbreak resulted in ephemeral attention and emergency supplemental funding to backfill gaps in the nation's ability to respond. But, lags in even emergency funding processes meant much of the support came too late to address immediate needs in states and in Africa. And the funding was not at a sufficient level to shore up ongoing gaps, leaving the United States still vulnerable for when the next emerging threat arises.Fighting infectious disease requires constant vigilance. Policies and resources must be in place to allow scientists and public health and medical experts to have the tools they need to: control ongoing outbreaks -- such as HIV/AIDS, antibiotic-resistant superbugs and foodborne illnesses; detect new or reemerging outbreaks -- such as Middle East Respiratory Syndrome Coronavirus (MERS-CoV), measles and avian flu; and monitor for potential bioterrorist threats -- such as anthrax or smallpox

Occupational Infection Prevention and Control Training for the Protection of Hospital Healthcare Workers

It has been suggested that when adherence to infection prevention control (IPC) protocols is in place, the risk of transmission of infectious diseases to patients and other healthcare workers (HCWs) appears low. Adherence to IPC recommendations and protocols depends on many factors including availability of resources, health priorities, staff ratios, workload allocation, and patient turnover. Lastly, HCWs may be unsure of how and when to adhere to local guidelines. Evidence to date has established that HCW feel there is a lack of training about infections, IPC and about how to use personal protective equipment. While guidelines often stipulate that HCWs should be trained, there is currently a gap in our understanding about how IPC training programs are being designed and implemented across low, middle- and high-income settings. This research program aimed to examine how the topic of training is framed and discussed in policies, as well as critically analyse the current landscape of IPC training and the factors impacting on delivery. Following a multi-method approach, four studies were undertaken to examine IPC training across a range of countries, with a focus on pandemic and non-pandemic recommendations. The first study, a scoping review of publicly available IPC guidelines, was conducted to examine recommendations around IPC training programs. This study highlighted that mode of delivery and IPC curriculum differed across guidelines. It also highlighted that there is a failure to acknowledge adult learning principles. The second study examined the current landscape around occupational IPC training of HCW, across six low/middle-income/high-income countries via in-depth interviews. This work identified policy variations, lack of dedicated funding, poor resource allocation and impact of COVID-19 as factors affecting the delivery of training. Focusing on pandemic relevant IPC training, the third study examined the discourse around IPC training from the pandemic plans and COVID-19 specific guidelines from countries across every WHO region. This study found omissions and inconsistencies in the way pandemic specific IPC training programs were considered within the documents. Based on an extensive literature review as well as the factors identified in the previous three studies, a modified Delphi approach was used in the final study, to develop best practice principles to optimize the provision of occupational IPC training programs for HCWs. The thesis contributes new knowledge regarding the framing of the topic of training across guidelines and policy documents, as well as an absence to recognise the need for dedicated resources and trained personnel. The recommendations offered can potentially support policy development and improvement in the delivery of occupational IPC training programs for HCWs in low-, middle- and high-income countries

Current Perspectives on Viral Disease Outbreaks

The COVID-19 pandemic has reminded the world that infectious diseases are still important. The last 40 years have experienced the emergence of new or resurging viral diseases such as AIDS, ebola, MERS, SARS, Zika, and others. These diseases display diverse epidemiologies ranging from sexual transmission to vector-borne transmission (or both, in the case of Zika). This book provides an overview of recent developments in the detection, monitoring, treatment, and control of several viral diseases that have caused recent epidemics or pandemics

Event-based surveillance at health facility and community level in low-income and middle-income countries: a systematic review.

BACKGROUND: The International Health Regulations require member states to establish "capacity to detect, assess, notify and report events". Event-based surveillance (EBS) can contribute to rapid detection of acute public health events. This is particularly relevant in low-income and middle-income countries (LMICs) which may have poor public health infrastructure. To identify best practices, we reviewed the literature on the implementation of EBS in LMICs to describe EBS structures and to evaluate EBS systems. METHODS: We conducted a systematic literature search of six databases to identify articles that evaluated EBS in LMICs and additionally searched for grey literature. We used a framework approach to facilitate qualitative data synthesis and exploration of patterns across and within articles. RESULTS: We identified 778 records, of which we included 15 studies concerning 13 different EBS systems. The 13 EBS systems were set up as community-based surveillance, health facility-based surveillance or open surveillance (ie, notification by non-defined individuals and institutions). Four systems were set up in outbreak settings and nine outside outbreaks. All EBS systems were integrated into existing routine surveillance systems and pre-existing response structures to some extent. EBS was described as useful in detecting a large scope of events, reaching remote areas and guiding outbreak response. CONCLUSION: Health facility and community-based EBS provide valuable information that can strengthen the early warning function of national surveillance systems. Integration into existing early warning and response systems was described as key to generate data for action and to facilitate rapid verification and response. Priority in its implementation should be given to settings that would particularly benefit from EBS strengths. This includes areas most prone to outbreaks and where traditional 'routine' surveillance is suboptimal

Review on the Use of ICT Driven Solutions Towards Managing Global Pandemics

A pandemic is a contagious disease outbreak that happens over a large geographic area and affects a great portion of the population while new pathogens appear for which people have less immunity and no vaccines are available. The disease can spread from person to person in a very short time. Health workers are at greater risk of infection because of patients who are carriers. In the 21st century, where everyone is connected through digital technologies, information and communication technology (ICT) plays a critical role in improving healthcare for individuals and larger communities. ICT can be divided into a wide variety of application domains that signify its importance as a major technological paradigm. It is currently drawing large attention because of its potential to alleviate the burden on healthcare systems caused by the rise in chronic diseases, aging populations and pandemic situations. This study surveyed substantial knowledge on how effective ICT healthcare solutions can be used towards managing global pandemics. In order to make it more comprehensive, we also present a four-phase strategic framework that can be deployed to alleviate the strain on healthcare resources during a pandemic, which was derived from the reviewed literature. Further, we also discuss how ICT technologies can be used towards managing pandemic situations chronographically during the transformation from a simple disease outbreak into a global pandemic

MEETING REPORT: UNESCO-MERCK AFRICA RESEARCH SUMMIT 2015- ACCELERATING ACCESS AND SUSTAINING INNOVATION 'FROM AFRICA FOR AFRICA'.

Background: The Ebola virus disease outbreak of 2014 was the largest, longest and most devastating in the history of the disease. It demonstrated the social and economic impact an emerging infectious disease can have in a globalized world. Health systems in affected countries were stretched to the point of near collapse, while social relations and traditional practices were negatively impacted. Heads of African research institutions, African government representatives, leaders of global pharmaceutical companies, global infectious disease experts and close to 100 young African researchers from 25 countries; Assembled in Geneva on 19 and 20th October 2015, for the inaugural UNESCO-Merck Africa Summit sponsored by the United Nations Educational, Science and Culture Organization and Merck KGA Goal of Summit: The primary goal of the summit was to develop strategies to increase health research capacity in Africa, with special focus on Ebola and enhancing pandemic preparation for emerging infectious diseases. The summit was also provide a forum to showcase the research taking place in Africa, and provided platform for African researchers to network. Some of the key issues discussed included; strategies for enhancing policy frameworks to promote knowledge translation, strengthening of health systems, enhancing knowledge and data sharing, and increasing innovation in Africa. Conclusions: Summit attendees recognized that Africa still bore the heaviest burden of infectious disease, and increased commitment by African governments to fund health research, offered the best hope for developing health solutions and interventions to improve the health of Africans. Improved health in turn would enhance the productivity of Africans, further supporting the socio-economic transformation currently taking place on the contine