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Management of a cholera epidemic - Practical guide for doctors, nurses, laboratory technicians, medical auxiliaries, water and sanitation specialists and logisticians
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Médecins Sans Frontières MFS (2023) CC

Cholera is a transmissible diarrhoeal infection caused by Vibrio cholerae. Endemic and/or epidemic in over 40 countries (mainly in Africa and Asia), cholera continues to be a major global public health issue. The World Health Organization (WHO) estimates that the number of cases reported worldwid...e represents in reality only 5 to 10% of actual cases. This guide is intended for medical and non-medical staff responding to a cholera outbreak. It attempts to provide concrete answers to the questions and problems faced by staff, based on the recommendations of reference organisations, such as WHO and UNICEF, as well as Médecins Sans Frontières’ experience in the field. It is divided into 8 chapters. Chapter 1, Cholera overview, outlines the epidemiological and clinical features of cholera. Chapter 2, Outbreak investigation, explains the method and stages of a field investigation, from the alert to implementation of initial activities. Chapter 3, Cholera control measures, details measures and tools to prevent and/or control cholera transmission and mortality in populations affected, or at risk of being affected, by an epidemic (curative care, prevention means and health promotion activities). Chapter 4, Strategies for epidemic response, addresses the roll-out strategies of the measures described in Chapter 3 which depend on context (e.g. urban, rural, endemic, non-endemic setting, etc.), resources and particular constraints. Chapter 5, Cholera case management, details the different stages of cholera treatment, from diagnosis through to cure. Chapter 6, Setting up cholera treatment facilities, focuses on the installation of treatment facilities that vary in size and complexity according to operational requirements (treatment centres and units and oral rehydration points). Chapter 7, Organisation of cholera treatment facilities, describes the organisation of these specialized facilities in terms of human resources, supply, water, hygiene and sanitation, etc. Chapter 8, Monitoring and evaluation, presents the key data to be collected and analysed during an epidemic to facilitate a tailored response and evaluate its quality and effectiveness. The guide includes various practical tools in the appendices to facilitate activities (e.g. water quality tests, job descriptions, documents, etc.). Moreover, the toolbox also contains additional tools in editable formats (individual patient file, cholera case register, pictograms). Despite all efforts, it is possible that certain errors may have been overlooked in this guide. Please inform the authors of any errors detected. To ensure that this guide continues to evolve while remaining adapted to field realities, please send any comments or suggestions. more

Prevention, Screening and Control of Common Non-Communicable Diseases: Hypertension, Diabetes an Common Cancers (Oral, Breast, Cervix)

National Health Mission (2016) CC

Comprehensive Primary Health Care has an important role in the primary and secondary prevention of several disease conditions, including non-communicable diseases which today contribute to over 60% of the mortality in India. The provision of Comprehensive primary health care reduces morbidity, disab... more

Management of type 2 diabetes in adults

Department of Health: Republic of South Africa (2014) CC2

Diabetes is a major public health problem. The rising incidence of Diabetes Type 2 is related to the effects of urbanization and unhealthy lifestyles. Research studies show that healthy eating and regular physical activity can prevent or delay the onset of Diabetes Type 2, even in high-risk individu... more

Capacity Building for Physical Activity of Older People

German Gymnastics Federation (Deutscher Turner-Bund, DTB) German Gymnastics Federation (Deutscher Turner-Bund, DTB) (2014) CC

The “ActiveAge Handbook” is an outcome of the “ActiveAge Project, which was carried out from January 2013 until June 2014 in the frame of “2012 Preparatory Actions in the Field of Sport” of the European Commission Directory General Education and Cul- ture (DG EAC) in cooperation with 13 E... more

A summary of the new GINA strategy: a roadmap to asthma control

Reddel, H. K.; Bateman, E. D.; Becker, A.; et al. (2015) CC2

Over the past 20 years, the Global Initiative for Asthma (GINA) has regularly published and annually updated a global strategy for asthma management and prevention that has formed the basis for many national guidelines. However, uptake of existing guidelines is poor. A major revision of the GINA r... more

Beyond diagnosis and treatment The social protection landscape for people affected by TB in the WHO South-East Asia Region, 2024

World Health Organization WHO (2024) C_WHO

The social protection landscape for people affected by TB in the WHO South-East Asia Region

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Guidelines on the provision of Manual Wheelchairs in less resourced settings

World Health Organization; USAID; ISPO (2008) C_WHO

Guidance on oral pre-exposure prophylaxis (PrEP) for serodiscordant couples, men and transgender women who have sex with men at high risk of HIV: recommendations for use in the context of demonstratio

World Health Organization (2012)

Pneumonia: The forgotten killer for the children

Wardlaw, Tessa M.; Johansson, Emily White; Hodge, Matthew UNICEF; World Health Organization (2006)

Pneumonia kills more children than any other illness – more than AIDS, malaria and measles combined. Over 2 million children die from pneumonia each year, accounting for almost 1 in 5 under five deaths worldwide. Yet, little attention is paid to this disease. This joint UNICEF/WHO report examines ... more

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Responding to urban disasters: Learning from previous relief and recovery operations

David Sanderson and Paul Knox-Clarke ALNAP (2012)

Guidance for national tuberculosis programmes on the management of tuberculosis in children

Stephen Graham, Malgosia Grzemska, Suzanne Hill et al World Health Organization WHO (2014) C_WHO

2nd edition. Like the original, this second edition of the guidance aims to inform the revision of existing national guidelines and standards for managing Tuberculosis (TB), many of which include guidance on children. It includes recommendations, based on the best available evidence, for improving ... more

Prevención de las infecciones nosocomiales

Organización Mundial de la Salud (2002)

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Ethical issues in obstetrics and gynaecology by the FIGO committee for the Study of Ethical aspects of Human Reproduction and Woman's Health

FIGO (2012)

'Ethical Issues in Obstetrics and Gynecology' represents the results of carefully researched and considered discussion. The guidelines are intended to provide material for consideration and debate about ethical aspects of our discipline for member organisations and their constituent membership.

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PRINCIPLES AND PRACTICE OF BIOETHICS : CASE - STUDIES IN WOMEN’S HEALTH

By the Committee on Ethical Aspects of Human Reproduction and Women's Health, International Federation of Gynaecologists and Obstetricians (FIGO) (2012)

This curriculum can be used freely in order to stimulate means of ethical analysis, reflection and decision-making.

Factors influencing ART adherence: Qualitative findings from selected sites in Tanzania - January 2008

Ministry of Health and Social Welfare, Tanzania (2008) C1

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Preventing violence and reducing its impact: how development agencies can help.

Alexander Butchart, David Brown, Andrew Wilson, and Christopher Mikton World Health Organization (2008)

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Directrices para el Abordaje del VIH en Contextos de Asistencia Humanitaria

Comité Permanente Interagencial IASC (2011)

Las presentes Directrices para el Abordaje del VIH en Contextos de Asistencia Humanitaria tienen el propósito de ayudar a las organizaciones de asistencia humanitaria y VIH a planificar la administración de un conjunto mínimo de servicios de prevención, tratamiento, atención y apoyo para el VIH... more

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Ambulance and Pre-Hospital Services in Risk Situations

ICRC - International Committee of the Red Cross (2013)

This report sets out ways to make pre-hospital care and ambulance services operating in areas of armed violence safer. Written by the Norwegian Red Cross with support from the ICRC and the Mexican Red Cross, the report summarizes field experience in over 20 countries.

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Ending Violence Against Children: Six Strategies for Action

UNICEF (2014)

Response to Ebola Virus Disease (EVD)

Vitillo, B. Caritas Internationalis (2014)

Guidelines for planning and provision of pastoral and social support services

Management of a cholera epidemic - Practical guide for doctors, nurses, laboratory technicians, medical auxiliaries, water and sanitation specialists and logisticians recommended

Management of a cholera epidemic - Practical guide for doctors, nurses, laboratory technicians, medical auxiliaries, water and sanitation specialists and logisticians
recommended