Информационный бюллетень Июнь 2020 г.
Уязвимые группы населения в контексте ответных мер в отношении COVID-19
Vulnerable populations during COVID-19 response - Drug users
The WHO COVID-19 LENS (Living Evidence Synthesis) working group consolidated available evidence, based on rapid reviews of the literature and results of a living systematic review on pregnancy and COVID-19 (up to October 7, 2020), on potential mechanisms of vertical transmission of infectious pathog...ens, feasibility of vertical transmission of SARS-CoV-2, data related to interpretation of positive SARS-CoV-2 virologic and serologic neonatal tests, lessons from diagnosis of other congenital infections, and existing proposed definitions to classify timing of vertical transmission of SARS-CoV-2.
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As countries aim to progress towards the Sustainable Development Goals (SDGs) and achieving universal health coverage, health inequities driven by racial discrimination and intersecting factors remain pervasive. Inequities experienced by indigenous peoples as well as people of African descent, Roma ...and other ethnic minorities are of concern globally; they are unjust, preventable and remediable.
Health systems themselves are important determinants of health and health equity. They can perpetuate health inequities by reflecting structural racism and discriminatory practices of wider society. For instance, systemic racism, implicit bias, misinformed clinical practice, or discrimination by health professionals contributes to health inequities. However, health systems can also be a leading force for tackling the inequities faced by populations experiencing racial discrimination.
Primary health care (PHC) is the essential strategy for reorientating health systems and societies to become healthier, equitable, effective and sustainable. In 2018, on the 40th anniversary of the Declaration of Alma-Ata, the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF) renewed the emphasis on PHC with their strategy,
WHO outlines 14 strategic and operational levers for policy-makers to strengthen PHC. Within each lever, there are multiple potential entry points for targeted actions to address racial discrimination, foster intercultural care, and reduce health inequities experienced by indigenous peoples as well as people of African descent, Roma and other ethnic minorities.
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The MHPSS MSP is an easy-to-follow intersectoral package, which spells out the activities and actions that all humanitarian actors should put in place in all emergencies for an effective MHPSS response. It speaks to different actors at the global, regional, national, and local levels to plan, coordi...nate and implement an effective MHPSS response.
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Trustworthy, evidence-based health guidelines form the basis of national policies affecting both patients and health-care workers. Emphasizing the link between robust evidence and people’s trust in their health systems, Dr Hans Henri P. Kluge, WHO Regional Director for Europe said at the launch ev...ent, “Trust and transformation are key words for us, especially when we talk about improving and strengthening our health systems. Transformation should first and foremost serve the interests of patients and health-care workers”.
While it is not always easy to demonstrate the immediate effect of guidelines on people’s health, there is no viable alternative to utilizing guidelines based on the best available evidence.
Yet, developing robust guidelines remains a challenge for most countries. “Guidelines need to be both simple to use and timely, they need to address people’s real needs, especially at the local level, and should ultimately reflect the resources available,” said Dr Natasha Azzopardi-Muscat, Director, Country Health Policies and Systems, WHO/Europe. “This means that any successful guideline needs to be adjusted and adapted to local contexts and realities.”
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ثیوبری هی 19 ّبی يفًَی ًهیز وٍَیذ تَاًٌذ هختل وٌٌذُ هحیف ّبیی ثبضٌذ وِ وَدوبى در آًْب رضذ هی وٌٌذ. اختلال ّبیی وِ در ایي ضزایف در خبًَادُ، رٍاثف دٍستبًِ، فًبلیت ّبی رٍ...سهزُ ٍ در سكحی ٍسیى تز در اجتوبو ایجبد هی هی، ضَد تَاًذ پیبهذّبی هٌفی ثز ثْشیستی، رضذ، تَسًِ ٍ حوبیت اس وَدوبى اًجبم هی 19 داضتِ ثبضذ. يلاٍُ ثز آى الذاهبتی وِ ثِ هٌهَر پیطگیزی ٍ وٌتزل ضیَو ٍیزٍس وٍَیذ ضَد ًیش هی تَاًذ هخبقزاتی را در سهیٌِ حوبیت اس وَدوبى ثِ ّوزاُ داضتِ ثبضذ .ثِ يٌَاى ًوًَِ لزًكیٌِ خبًگی، لزًكیٌِ هجتٌی ثز هزاوش یب ًَاحی یب ایشٍلِ ضذى در یه هحیف هحذٍد اس جولِ هَاردی ّستٌذ وِ هی ذ تبحیزات هٌفی ثز وَدوبى ٍ خبًَادُ ٌ تَاً 2 ّبیطبى ثگذارد. ّذف اس هختػزی وِ در اداهِ هی آیذ پطتیجبًی اس وسبًی است وِ در سهیٌِ حوبیت اس وَدوبى فًبلیت هی وٌٌذ تب ثتَاًٌذ پبسخگَیی ثْتزی ًسجت ثِ هخبقزات حوبیت اس وَدوبى در سهبى ّوِ گیزی ٍیزٍس وزًٍب داضتِ ثبضٌذ. در ثخص اٍل ثِ خكزات ثبلمَُ ی حوبیت اس وَدوبى در دٍرُ ّوِ گیزی ٍیزٍس پزداختِ ضذُ ٍ در ثخص دٍم ثزًبهِ19وٍَیذ حوبیت اس ٍ )2019 ّبی پیطٌْبدی ثز اسبس حذالل استبًذاردّبی حوبیت اس وَدوبى در الذاهبت ثطزدٍستبًِ(
وَدوبى در سهبى ضیَو ثیوبری ّبی يفًَی آهذُ است.
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Обеспечение возможностей быстрого развертывания сил и средств для оказания неотложной помощи и интенсивного лечения (6 апреля 2020 г.)
Главный вопрос, рассматривае...мый в предлагаемом техническом руководстве, заключается в том, как
обеспечить возможности быстрого развертывания сил и средств для оказания неотложной помощи и
интенсивного лечения больных COVID-19 при сохранении основных видов больничных услуг.
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Внебольничная аптека :
Назначение этого документа состоит в том, чтобы оказать фармацевтам и другим работникам
внебольничных аптек поддержку в виде методических... рекомендаций по вопросам, возникающим в связи
со вспышкой COVID-19.
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he Western Pacific is the world’s most disaster-prone region. When a disaster occurs, people may need to seek accommodation in a disaster evacuation shelter. However, it may be difficult for people in a disaster evacuation shelter to avoid confined and enclosed spaces with poor ventilation; crowde...d places with many people nearby; and close-contact settings, such as close-range conversations. This document outlines key considerations and strategies that should be considered for the establishment of a disaster evacuation shelter in the context of COVID-19. In particular, considerations and strategies as outlined for the preparedness, response and recovery phases of disasters.
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Infection prevention and control (IPC) in a CTC/ CTU IPC are all practical measures taken in the healthcare facility to prevent harm caused by infections to patients, health workers and communities.
The main goal of IPC in the cholera response is to
• To reduce transmission of health care-as...sociated infections of cholera and any other infectious disease
• To enhance the safety of staff, patients and visitors
• To enhance the ability of the organization/health care facility to respond to an outbreak
• To reduce the risk of the hospital (health care facility) itself amplifying the outbreak
Water, Sanitation and Hygiene (WASH)
WASH are all measures taken to guarantee environmental hygiene, safe water of all used within the health facility. It encompasses water, sanitation, waste management, cleaning within the health facility which in this case is CTU/C. A complete WASH package in the CTU/CTC reduces the risk of spread of Vibrio cholerae inside and outside the CTC/CTU.
The probability of spreading or acquiring cholera through a CTC/CTU can be highly reduced when proper IPC and WASH measures are respected, followed and monitored. These measures are, in principle, valid in CTC/CTUs and ORPs, although they need to be adapted to the specific characteristics of the facility concerned.
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Healthcare-associated infections (HAI) are a significant burden globally, with millions of patients affected each year. These infections affect both high- and limited-resource healthcare settings, but in limited-resource settings, rates are approximately twice as high as high-resource settings (15 o...ut of every 100 patients versus 7 out of every 100 patients). Furthermore, rates of infections within certain patient populations are significantly higher in limited-resource settings, including surgical patients, patients in intensive-care units (ICU) and neonatal units. It is well documented that environmental contamination plays a role in the transmission of HAIs in healthcare settings. Therefore, environmental cleaning is a fundamental intervention for infection prevention and control (IPC).It is a multifaceted intervention that involves cleaning and disinfection (when indicated) of the environment alongside other key program elements to support successful implementation (e.g., leadership support, training, monitoring, and feedback mechanisms). To be effective, environmental cleaning activities must be implemented within the framework of the facility IPC program, and not as a standalone intervention. It is also essential that IPC programs advocate for and work with facility administration and government officials to budget, operate and maintain adequate water, sanitation and hygiene (WASH) infrastructure to ensure that environmental cleaning can be performed according to best practices.
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A recent survey of the literature and experience identified five broad actions that development institutions and governments, as well as their partners and stakeholders, can take to improve disability-inclusive disaster risk management. Those five actions are:
- Include persons with disabilitie...s as valued stakeholders in disaster risk management activities
- Help remove barriers to the full participation of persons with disabilities
- Increase awareness among governments and their partners of the safety and security needs of persons with disabilities
- Collect data that is disaggregated by disability
- Ensure that new construction, rehabilitation and reconstruction are accessible to persons with disabilities
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Is the first appendix for the Psychological First Aid Field for Schools (PFA-S) Operations Guide. This appendix provides recommendations for school staff (including principals and administrators, teachers, health-related professionals, and support staff) on providing Psychological First Aid at a sch...ool.
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Пособие для социальных работников программ профилактики ВИЧ/СПИД. В целом, МИ настолько же эффективный метод, как и другие признанные подходы к преодолению зависи...остей, такие как программа «12 шагов» и рационально-поведенческие методы психотерапии. МИ может одинаково успешно применяться и как самостоятельный метод, и как подготовка или дополнение к другим методам помощи или терапии.
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