Groupe indépendant d’experts de la redevabilité de l’initiative Chaque femme, chaque enfant. (2020). Dans la tourmente de la pandémie de COVID-19: la santé de la femme, de l’enfant et de l’adolescent dans le contexte de la couverture sanitaire universelle et des objectifs de dével...oppement durable : rapport 2020 : résumé d'orientation.
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The Asthma Control Questionnaire (ACQ)1 was developed and validated to measure the primary clinical goal of asthma management as identified by international guidelines. They indicate that to achieve good control, treatment should minimise day and night time symptoms, activity limitation, airway narr...owing and rescue bronchodilator use and thus reduce the risk of life-threatening exacerbations and long-term morbidity. The importance of including all aspects of control in the assessment of individual patients was emphasised by a recent factor analysis which showed that clinical asthma is composed of distinct components which are not closely correlated with each other.6 However, in some studies it may not be possible to collect airway calibre or short-acting β2-agonists data. Previous analysis of non-clinical trial data suggested that when ACQ scores are analysed as group data, the heterogeneity of the way in which individual patients present with inadequate control is lost in the estimation of the mean and the need to measure each individual component of asthma control may become unnecessary. In this analysis, ACQ data from a clinical trial was used to evaluate the measurement properties (reliability, responsiveness, validity and interpretability), of three shortened versions of the ACQ. In addition, we have examined whether the precision and accuracy of estimating the effect of the intervention on asthma control was maintained when the two questions concerning airway calibre and short-acting β2-agonists use were omitted from the trial analysis.
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The pharmacological management of asthma has changed considerably in recent decades, as it has come to be understood that it is a complex, heterogeneous disease with different phenotypes and endotypes. It is now clear that the goal of asthma treatment should be to achieve and maintain control of the... disease, as well as to minimize the risks (of exacerbations, disease instability, accelerated loss of lung function, and adverse treatment effects). That requires an approach that is personalized in terms of the pharmacological treatment, patient education, written action plan, training in correct inhaler use, and review of the inhaler technique at each office visit. A panel of 22 pulmonologists was invited to perform a critical review of recent evidence of pharmacological treatment of asthma and to prepare this set of recommendations, a treatment guide tailored to use in Brazil. The topics or questions related to the most significant changes in concepts, and consequently in the management of asthma in clinical practice, were chosen by a panel of experts. To formulate these recommendations, we asked each expert to perform a critical review of a topic or to respond to a question, on the basis of evidence in the literature. In a second phase, three experts discussed and structured all texts submitted by the others. That was followed by a third phase, in which all of the experts reviewed and discussed each recommendation. These recommendations, which are intended for physicians involved in the treatment of asthma, apply to asthma patients of all ages.
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Guide et outils pour les professionnels de santé
Outil pour la communication comportementale et sociale dans le cadre de la riposte aux flambées épidémiques
La crise humanitaire que traverse la Centrafrique demeure complexe. Un total de 621 035 personnes sont déplacées à l’intérieur du pays et 572 984 personnes dans les pays voisins à la fin du mois d’août 2018. Le nombre de personnes dans le besoin est passé de 2,5 millions à 2,9 millions d...ont 1,6 million en besoin d’assistance aiguë et immédiate, soit une augmentation de 16% par rapport à l’année 2017. Cette augmentation est la conséquence directe de la multiplication des foyers de conflit dans plusieurs régions du pays, du nombre croissant d’incidents sécuritaires affectant les civils et les humanitaires, et du manque de ressources nécessaires qui mettent en péril les efforts de restauration des services de base. Les conséquences humanitaires de cette crise sont ressenties dans les domaines de la protection, du déplacement forcé des populations et de l’accès aux services sociaux de base.
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Guide technique pour la prise en charge des maladies cardiovasculaires dans le cadre des soins de santé primaires
La troisième génération de la Stratégie de Coopération de l’OMS avec les Pays (SCP) concrétise le programme majeur de réforme adopté par l’Assemblée mondiale de la Santé pour renforcer la capacité de l’OMS et faire en sorte que ses prestations répondent mieux aux besoins du pays. E...lle reflète le douzième programme général de travail de l’OMS au niveau du pays, vise à assurer une pertinence accrue de la coopération technique de l’OMS avec les États Membres. Elle met l’accent sur l’identification des priorités et des mesures d’efficience pour la mise en œuvre des réformes de l’OMS et de l’agenda de transformation régional. L’agenda de transformation vise à faire de l’organisation sanitaire régionale une institution clairvoyante, proactive, capable de répondre aux attentes, axée sur les résultats, transparente et responsable. Cette génération de SCP tient compte du rôle des différents partenaires, y compris les acteurs non étatiques, dans la fourniture d’un appui aux gouvernements et aux communautés.
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Version 3.1. Le but des procédures opérationnelles standardisées (POS) est d’offrir des orientations politiques et de fournir des normes de performance de riposte à tout type d’épidémie ou d’évènement lié au poliovirus de manière rapide et efficace, et en particulier, d’arrêter un...e épidémie dans les 120 jours.
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This guidance document addresses how physical distancing (referred to in previous guidance documents as ‘social distancing’) can help slow down transmission.
Early Childhood Matters is a journal about early childhood.
It looks at specific issues regarding the development
of young children, in particular from a psychosocial
perspective.
It is published twice per year by the Bernard
van Leer Foundation. The views expressed in Early Childhood
Matters ...are those of the authors and do not necessarily
reflect those of the Bernard van Leer Foundation. Work
featured is not necessarily funded by the Bernard van Leer
Foundation.
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Unlike foot and mouth disease, the avian flu, e-coli or listeria, the COVID-19 pandemic has not spread directly through livestock or agriculture commodities, and has therefore not directly disrupted on-farm production. However, the crisis is undermining the ability of farms and agri-enterprises to e...nsure consistent supplies of food to markets due to enforced closures, labour shortages resulting from illness, and slowdowns in operations caused by physical distancing and lockdowns.
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In response to COVID-19, countries around the globe have implemented several public health and social measures (PHSM), including large scale measures such as movement restrictions, closure of schools and businesses, geographical area quarantine, and international travel restrictions.
2023 is seeing intense heatwaves. According to a July 2023 briefing by the World Meteorological Association temperatures will frequently reach above 35–40°C in many places across the Mediterranean region, with temperatures in the Middle East and southeastern Türkiye reaching up to 45°C and, in ...North Africa, 44–49°C. April–May 2023 also saw temperature records broken across many parts of Asia, including Thailand, Laos and Myanmar.
The IPCC predicts that 420 million people will be exposed to extreme heat and heatwaves in the near future. Hundreds of thousands of people die from preventable heat-related causes each year, while temperature extremes and wildfires cause devastation to lives and livelihoods. According to the WMO, ‘heatwaves are amongst the deadliest natural hazards [and] heat is a rapidly growing health risk’.
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Children in every country, every culture and at every social level face various forms of abuse,
neglect, exploitation and violence1. The abuse takes place at home, in school, in institutions,
at work, in the community, in armed conflict and natural disasters. Much violence against
children, such ...as corporal punishment and sexual abuse, remains legal and socially approved
in many countries. Growing up with violence and abuse seriously affects a child’s development,
dignity, and physical and psychological integrity. Save the Children works to prevent
abuse and neglect from happening, ensure the victims of violence are supported and that
justice is ensured.
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La inmunización es un servicio esencial de salud que protege a las personas susceptibles de contraer enfermedades prevenibles mediante vacunación.2 L a vacunación oportuna protege a los individuos y las comunidades, al tiempo quereduce las posibilidades de que se produzcan brotes d...e enfermedades prevenibles mediante vacunación. La prevención de un brote de una enfermedad prevenible mediante vacunación no solo salva vidas, sino que requiere menos recursosque la respuesta al brote y ayuda a reducir la carga que supone para los sistemas de salud, los cuales ya están sometidos a una fuerte presión por la pandemia de COVID-19. En sus esfuerzos por mantener los sistemas de inmunización, los países deben adoptar enfoques que respeten el principio de «no hacer daño» y limiten la transmisión de la COVID-19 durante la realización de actividades de inmunización. Las visitas para la administración de vacunas también pueden ser una ocasión para divulgar mensajes que fomenten comportamientos que reducen el riesgo de transmisión del virus de la COVID-19 y para proporcionar orientaciones sobre las medidas que deben adoptarse si se observan síntomas.
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A sanitary inspection is a simple, on-site evaluation (traditionally using a checklist) to help identify and support the management of priority risk factors that may lead to contamination of a drinking-water supply. Sanitary inspections are a well-established and widely-applied practice. They can su...pport water safety planning, and in some contexts, may be a simplified alternative to water safety plans.
This publication presents the World Health Organization’s (WHO’s) sanitary inspection packages. These packages update the sanitary inspection forms in WHO’s 1997 Guidelines for drinking-water quality. Volume 3: surveillance and control of community supplies. With more than 25 years of practical experience with the application of sanitary inspections, these packages have been developed from a comprehensive evidence review and established good practices.
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