ON LIFE SUPPORT3The Democratic Republic of Congo’s Ebola outbreak has been contained, but confl ict and under-development leave over three million children at risk from measles and other killer diseases. The country’s medical services – ill-equipped and under-resourced – are on life support ...and in no condition to protect children unless urgent measures are taken.
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Refugees and migrants face similar health threats from COVID-19 as their host populations. However, inadequate access to essential services and exclusion may makes early detection, testing, diagnosis, contact tracing and seeking care for COVID-19 difficult for refugees and migrants thus increasing t...he risk of outbreaks in these population and presenting an additional threat to public health. This document offers guidance to Member States and partners for the inclusion of refugees and migrants, as part of holistic efforts to respond to COVID-19 epidemics in the general populations.
17 April 2020
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12 April 2020
This Guidance Note on making COVID-19 response Age & Disability-inclusive provides advice for organizations and sectors to ensure essential responses, communication about the outbreak and adapt to services and support are inclusive and accessible for older persons and persons with d...isabilities.
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interim guidance, 23 December 2020
Временное руководство
21 марта 2020 г.
Учреждения долговременного ухода (далее – УДУ), такие как дома-интернаты и реабилитационные центры, – это учреждения по уходу... за лицами с физической или психической инвалидностью, многие из которых – лица пожилого возраста. Проживающие в УДУ лица относятся к уязвимым категориям населения; для них характерен более высокий уровень риска неблагоприятных исходов и инфекционных заболеваний в связи с постоянным пребыванием в замкнутом пространстве с другими людьми.
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Le HCSP a fondé ses recommandations sur les connaissances actuellement disponibles en particulier les publications scientifiques relatives au COVID-19 mais aussi de recommandations relatives à la prise en charge des pneumonies post grippales, et des pneumonies sévères en réanimation.
Cet avi...s du HCSP délivre également des indications sur la prise en charge non spécifique, et de possibles thérapeutiques antivirales, dans l’attente de la mise en place d’essais thérapeutiques académiques afin de progresser dans la connaissance de la maladie. Ces recommandations relatives aux traitements spécifiques seront adaptées en fonction des résultats des essais cliniques lorsqu’ils seront disponibles.
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Научная справка
24 апреля 2020 г.
При инфицировании в естественных условиях выработка иммунитета к патогенному микроорганизму проходит в несколько этапов и заним...ет от 1 до 2 недель. При вирусной инфекции врожденный иммунитет обеспечивает немедленную реакцию организма, которая заключается в активации неспецифического иммунного ответа, приводящего к замедлению инфекционного процесса макрофагами, нейтрофилами и дендритными клетками, и которая в ряде случаев обусловливает бессимптомное течение инфекции. Затем происходит активация адаптивного иммунного ответа, при котором в организме начинается выработка специфических антител, способных к связыванию с вирусными частицами. Данные антитела являются белками и носят название иммуноглобулинов. Кроме того, в организме образуются Т-клетки, способные распознавать и уничтожать другие клетки, пораженные вирусом. Это звено иммунитета носит название клеточного. Функционирование нескольких звеньев иммунитета при адаптивном ответе может способствовать элиминации вируса из организма, а при достаточной активности реакции – препятствовать переходу заболевания в тяжелую форму и повторному заражению той же инфекцией. Количественной мерой данного процесса является уровень антител в крови.
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Efficient triage of patients with COVID-19 at all health facility levels (primary, secondary and tertiary) will help the national response planning and case management system cope with patient influx, direct necessary medical resources to efficiently support the critically ill and protect the safety... of health-care workers. The objective of this algorithm is to give overall guidance for the triage and referral of symptomatic COVID-19 patients. Intended for use by ministries of health, hospital administrators and health workers involved in response planning for COVID-19 and/or patient triage, management and referral, this algorithm provides a general framework to be adapted to local health systems in countries.
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People with underlying noncommunicable diseases (NCDs) such as hypertension, diabetes, cardiovascular disease, chronic respiratory disease and cancer have a high risk for developing severe and even fatal COVID-19. It is important for them to strictly follow basic protective measures and make sure th...eir chronic diseases are well managed. However, pandemics cripple health systems and compromise provision routine medical care. This technical note gives general guidance to people living with NCDs, their caregivers and family members, the public, health programme managers and health-care workers on how to reduce risks of a COVID-19 infection and maintain care for people living with NCDs during the outbreak.
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March 2020
The number of African Union Member States reporting COVID-
19 cases is increasing and there is a likelihood of community transmission. The WHO recently modified the COVID-19 suspect case definition to include severe acute respiratory infection and advises testing of all severe acute r...espiratory illness (SARI) cases.1 However, many Member States have not yet started implementing these changes, they are still focussing surveillance efforts on individuals with travel history to an area with local COVID-19 transmission. This means patients with similar symptoms, but no apparent contact, may not
be investigated.
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Proporcionar recomendaciones sobre la gestión de cadáveres en el contexto del nuevo coronavirus (COVID-19) en las instalaciones de atención de salud. Estas recomendaciones son preliminares y están sujetas a revisión a medida que se disponga de nuevas evidencias.
O protocolo a seguir foi desenvolvido para investigar o alcance da infecção, conforme determinado pela soropositividade da população geral, em qualquer país com casos confirmados de infecção pelo COVID-19. Os países talvez tenham que adaptar alguns aspectos deste protocolo para os respectivo...s sistemas de saúde pública, bem como sistemas laboratoriais e clínicos, de acordo com a capacidade, disponibilidade de recursos e adequação cultural. No entanto, usando-se um protocolo padronizado, tal como o descrito abaixo, dados de exposição epidemiológica e amostras biológicas podem sercoletados de forma sistemática, e rapidamente compartilhados em um formato que facilite sua agregação, tabulação e análise em diferentes cenários globais, para estimar prontamente a gravidade as taxas de ataque da infecção pelo vírus COVID-19, bem como embasar respostas de saúde públicae decisões relativas a políticas públicas. Isso é particularmente importante no contexto de um novo patógeno respiratório, como o COVID-19.
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Fornecer recomendações sobre manejo de cadáveres no contexto do novo coronavírus (COVID-19) em locais de assistência à saúde. Essas recomendações são preliminares e estão sujeitas à revisão conforme novas evidências forem disponibilizadas.
تطرح جائحة ك و ف ی د -19الجاریة ّتحد وغیر مسبوق ً استثنائیاًیاأمام السلطات المختصة أالمسؤولة عن النظم الوطنیة لمراقبة سلامة الأغذیة بیفرض علیھا مواصلة الاضطلاع... بالوظائف والأنشطة الروتینیة التي تقضي بھااللوائح التنظیمیة الوطنیة والتوصیات الدولیة. وفي كثیر من البلدان، تعمل قطاعات واسعة من العاملین بالسلطات المختصة من المنزل، حیث یّعدالعمل عن بعد ھو الممارسة المعتادة، عن إلغاء ًفضلاجمیع الاجتماعات الشخصیةأو تعدیلد عن بعد. وَعقُھا إلى مؤتمرات تمن بین التحدیات القائمة الحفاظ دون انقطاع على استمراریة الأنشطة الروتینیة مثل التفتیش على عملیات قطاعاتالأعمال في مجال الأغذیة، وإصدار تراخیص الد ُّصادرات، ومراقبة الأغذیة المستوردة، ورصد وترصسلامةسلسلة الإمداداتالغذائیة، وأخذ عینات من الأغذیة وتحلیلھا، وإدارة العوارضالغذائیة، وإسداء المشورة بشأن سلامة الأغذیة ولوائح تنظیمالأغ ذ یة لدوائرصناعة الأغذیة، والتواصل بشأن قضایاسلامة الأغذیة مع الجمھور
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Government measures in response to the outbreak have included severe restrictions on movement and physical distancing, which will inevitably impact the way we engage communities. This document provides key messages and practical tips for such community engagement.
This guidance document addresses how physical distancing (referred to in previous guidance documents as ‘social distancing’) can help slow down transmission.