Subjects -> HEALTH AND SAFETY (Total: 1540 journals)
    - CIVIL DEFENSE (22 journals)
    - DRUG ABUSE AND ALCOHOLISM (86 journals)
    - HEALTH AND SAFETY (721 journals)
    - HEALTH FACILITIES AND ADMINISTRATION (390 journals)
    - OCCUPATIONAL HEALTH AND SAFETY (108 journals)
    - PHYSICAL FITNESS AND HYGIENE (131 journals)
    - WOMEN'S HEALTH (82 journals)

HEALTH AND SAFETY (721 journals)                  1 2 3 4 | Last

Showing 1 - 200 of 203 Journals sorted alphabetically
16 de Abril     Open Access   (Followers: 4)
Acta Informatica Medica     Open Access   (Followers: 2)
Acta Scientiarum. Health Sciences     Open Access   (Followers: 3)
Adultspan Journal     Hybrid Journal   (Followers: 1)
Advances in Child Development and Behavior     Full-text available via subscription   (Followers: 12)
Advances in Public Health     Open Access   (Followers: 28)
Adversity and Resilience Science : Journal of Research and Practice     Hybrid Journal   (Followers: 3)
African Health Sciences     Open Access   (Followers: 5)
African Journal for Physical, Health Education, Recreation and Dance     Full-text available via subscription   (Followers: 7)
African Journal of Health Professions Education     Open Access   (Followers: 6)
Afrimedic Journal     Open Access   (Followers: 3)
Ageing & Society     Hybrid Journal   (Followers: 47)
Air Quality, Atmosphere & Health     Hybrid Journal   (Followers: 7)
AJOB Empirical Bioethics     Hybrid Journal   (Followers: 3)
Akademika     Open Access   (Followers: 1)
American Journal of Family Therapy     Hybrid Journal   (Followers: 10)
American Journal of Health Economics     Full-text available via subscription   (Followers: 21)
American Journal of Health Education     Hybrid Journal   (Followers: 36)
American Journal of Health Promotion     Hybrid Journal   (Followers: 34)
American Journal of Health Sciences     Open Access   (Followers: 12)
American Journal of Health Studies     Full-text available via subscription   (Followers: 16)
American Journal of Preventive Medicine     Hybrid Journal   (Followers: 32)
American Journal of Public Health     Full-text available via subscription   (Followers: 279)
American Journal of Public Health Research     Open Access   (Followers: 28)
American Medical Writers Association Journal     Full-text available via subscription   (Followers: 6)
Analytic Methods in Accident Research     Hybrid Journal   (Followers: 8)
Annales des Sciences de la Santé     Open Access  
Annali dell'Istituto Superiore di Sanità     Open Access  
Annals of Global Health     Open Access   (Followers: 14)
Annals of Health Law     Open Access   (Followers: 6)
Annals of Tropical Medicine and Public Health     Open Access   (Followers: 15)
Applied Biosafety     Hybrid Journal   (Followers: 1)
Applied Research In Health And Social Sciences: Interface And Interaction     Open Access   (Followers: 5)
Apuntes Universitarios     Open Access   (Followers: 1)
Archive of Community Health     Open Access   (Followers: 1)
Archives of Community Medicine and Public Health     Open Access   (Followers: 2)
Archives of Medicine and Health Sciences     Open Access   (Followers: 5)
Archives of Suicide Research     Hybrid Journal   (Followers: 10)
Archivos de Prevención de Riesgos Laborales     Open Access   (Followers: 1)
Arquivos de Ciências da Saúde     Open Access  
Asia Pacific Journal of Counselling and Psychotherapy     Hybrid Journal   (Followers: 11)
Asia Pacific Journal of Health Management     Full-text available via subscription   (Followers: 5)
Asia-Pacific Journal of Public Health     Hybrid Journal   (Followers: 12)
Asian Journal of Gambling Issues and Public Health     Open Access   (Followers: 4)
Asian Journal of Medicine and Health     Open Access   (Followers: 1)
Atención Primaria     Open Access   (Followers: 2)
Atención Primaria Práctica     Open Access   (Followers: 1)
Australasian Journal of Paramedicine     Open Access   (Followers: 6)
Australian Advanced Aesthetics     Full-text available via subscription   (Followers: 4)
Australian Family Physician     Full-text available via subscription   (Followers: 3)
Australian Indigenous HealthBulletin     Free   (Followers: 5)
Autism & Developmental Language Impairments     Open Access   (Followers: 16)
Behavioral Healthcare     Full-text available via subscription   (Followers: 8)
Bijzijn     Hybrid Journal   (Followers: 1)
Bijzijn XL     Hybrid Journal  
Biomedical Safety & Standards     Full-text available via subscription   (Followers: 8)
Biosafety and Health     Open Access   (Followers: 5)
Biosalud     Open Access   (Followers: 1)
Birat Journal of Health Sciences     Open Access  
BLDE University Journal of Health Sciences     Open Access  
BMC Oral Health     Open Access   (Followers: 7)
BMC Pregnancy and Childbirth     Open Access   (Followers: 24)
BMJ Simulation & Technology Enhanced Learning     Hybrid Journal   (Followers: 12)
Boletin Médico de Postgrado     Open Access  
Brazilian Journal of Medicine and Human Health     Open Access  
British Journal of Health Psychology     Hybrid Journal   (Followers: 50)
Buletin Penelitian Kesehatan     Open Access   (Followers: 2)
Buletin Penelitian Sistem Kesehatan     Open Access  
Bulletin of the World Health Organization     Open Access   (Followers: 23)
Cadernos de Educação, Saúde e Fisioterapia     Open Access   (Followers: 1)
Cadernos de Saúde     Open Access   (Followers: 1)
Cadernos Saúde Coletiva     Open Access   (Followers: 1)
Cambridge Quarterly of Healthcare Ethics     Hybrid Journal   (Followers: 14)
Canadian Family Physician     Partially Free   (Followers: 13)
Canadian Journal of Community Mental Health     Full-text available via subscription   (Followers: 14)
Canadian Journal of Human Sexuality     Hybrid Journal   (Followers: 3)
Canadian Journal of Public Health     Hybrid Journal   (Followers: 27)
Cannabis and Cannabinoid Research     Hybrid Journal   (Followers: 2)
Carta Comunitaria     Open Access  
Case Reports in Women's Health     Open Access   (Followers: 4)
Case Studies in Fire Safety     Open Access   (Followers: 25)
CASUS : Revista de Investigación y Casos en Salud     Open Access   (Followers: 1)
Central Asian Journal of Global Health     Open Access   (Followers: 2)
CES Medicina     Open Access  
CES Salud Pública     Open Access   (Followers: 1)
Child Abuse Research in South Africa     Full-text available via subscription   (Followers: 1)
Child's Nervous System     Hybrid Journal  
Childhood Obesity and Nutrition     Open Access   (Followers: 11)
Children     Open Access   (Followers: 2)
CHRISMED Journal of Health and Research     Open Access   (Followers: 2)
Christian Journal for Global Health     Open Access  
Ciência & Saúde Coletiva     Open Access   (Followers: 2)
Ciencia & Salud     Open Access   (Followers: 2)
Ciencia & Trabajo     Open Access   (Followers: 1)
Ciencia e Innovación en Salud     Open Access  
Ciencia y Cuidado     Open Access   (Followers: 1)
Ciencia y Salud     Open Access   (Followers: 4)
Ciencia y Salud Virtual     Open Access  
Ciencia, Tecnología y Salud     Open Access   (Followers: 2)
Cities & Health     Hybrid Journal   (Followers: 2)
Clinical and Experimental Health Sciences     Open Access   (Followers: 1)
ClinicoEconomics and Outcomes Research     Open Access   (Followers: 2)
Clocks & Sleep     Open Access   (Followers: 2)
CME     Hybrid Journal   (Followers: 2)
CoDAS     Open Access  
Community Health     Open Access   (Followers: 6)
Conflict and Health     Open Access   (Followers: 8)
Contraception and Reproductive Medicine     Open Access   (Followers: 2)
Cuaderno de investigaciones: semilleros andina     Open Access   (Followers: 3)
Cuadernos de la Escuela de Salud Pública     Open Access  
Current Opinion in Behavioral Sciences     Hybrid Journal   (Followers: 10)
Current Opinion in Environmental Science & Health     Hybrid Journal   (Followers: 1)
Das österreichische Gesundheitswesen ÖKZ     Hybrid Journal   (Followers: 1)
Day Surgery Australia     Full-text available via subscription   (Followers: 2)
Design for Health     Hybrid Journal  
Digital Health     Open Access   (Followers: 9)
Disaster Medicine and Public Health Preparedness     Hybrid Journal   (Followers: 14)
Diversity and Equality in Health and Care     Open Access   (Followers: 9)
Diversity of Research in Health Journal     Open Access  
Dramatherapy     Hybrid Journal   (Followers: 3)
Drogues, santé et société     Open Access   (Followers: 2)
Duazary     Open Access   (Followers: 1)
Düzce Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi / Journal of Duzce University Health Sciences Institute     Open Access  
Early Childhood Research Quarterly     Hybrid Journal   (Followers: 26)
East African Journal of Public Health     Full-text available via subscription   (Followers: 4)
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity     Hybrid Journal   (Followers: 24)
EcoHealth     Hybrid Journal   (Followers: 5)
Education for Health     Open Access   (Followers: 9)
ElectronicHealthcare     Full-text available via subscription   (Followers: 3)
Elsevier Ergonomics Book Series     Full-text available via subscription   (Followers: 5)
Emergency Services SA     Full-text available via subscription   (Followers: 2)
Ensaios e Ciência : Ciências Biológicas, Agrárias e da Saúde     Open Access  
Environmental Disease     Open Access   (Followers: 4)
Environmental Sciences Europe     Open Access   (Followers: 2)
Epidemics     Open Access   (Followers: 5)
Epidemiologic Perspectives & Innovations     Open Access   (Followers: 6)
Epidemiology, Biostatistics and Public Health     Open Access   (Followers: 22)
EsSEX : Revista Científica     Open Access   (Followers: 1)
Estudios sociales : Revista de alimentación contemporánea y desarrollo regional     Open Access   (Followers: 1)
Ethics & Human Research     Hybrid Journal   (Followers: 3)
Ethics, Medicine and Public Health     Full-text available via subscription   (Followers: 7)
Ethiopian Journal of Health Development     Open Access   (Followers: 7)
Ethiopian Journal of Health Sciences     Open Access   (Followers: 8)
Ethnicity & Health     Hybrid Journal   (Followers: 14)
Eurasian Journal of Health Technology Assessment     Open Access  
EUREKA : Health Sciences     Open Access   (Followers: 2)
European Journal of Investigation in Health, Psychology and Education     Open Access   (Followers: 5)
European Medical, Health and Pharmaceutical Journal     Open Access   (Followers: 1)
Evaluation & the Health Professions     Hybrid Journal   (Followers: 10)
Evidence-based Medicine & Public Health     Open Access   (Followers: 9)
Evidência - Ciência e Biotecnologia - Interdisciplinar     Open Access  
Expressa Extensão     Open Access  
Face à face     Open Access   (Followers: 1)
Families, Systems, & Health     Full-text available via subscription   (Followers: 9)
Family & Community Health     Hybrid Journal   (Followers: 14)
Family Medicine and Community Health     Open Access   (Followers: 10)
Family Relations     Partially Free   (Followers: 15)
Fatigue : Biomedicine, Health & Behavior     Hybrid Journal   (Followers: 2)
Finnish Journal of eHealth and eWelfare : Finjehew     Open Access  
Food and Public Health     Open Access   (Followers: 19)
Food Quality and Safety     Open Access   (Followers: 1)
Frontiers in Digital Health     Open Access   (Followers: 2)
Frontiers in Public Health     Open Access   (Followers: 9)
Frontiers of Health Services Management     Partially Free   (Followers: 4)
Gaceta Sanitaria     Open Access   (Followers: 3)
Galen Medical Journal     Open Access   (Followers: 1)
Ganesha Journal     Open Access  
Gazi Sağlık Bilimleri Dergisi     Open Access  
Geospatial Health     Open Access   (Followers: 1)
Gestão e Desenvolvimento     Open Access  
Gesundheitsökonomie & Qualitätsmanagement     Hybrid Journal   (Followers: 9)
Giornale Italiano di Health Technology Assessment     Full-text available via subscription  
Global Advances in Health and Medicine     Open Access  
Global Challenges     Open Access  
Global Health : Science and Practice     Open Access   (Followers: 8)
Global Health Annual Review     Open Access   (Followers: 4)
Global Health Journal     Open Access   (Followers: 2)
Global Health Promotion     Hybrid Journal   (Followers: 17)
Global Journal of Health Science     Open Access   (Followers: 10)
Global Journal of Public Health     Open Access   (Followers: 14)
Global Medical & Health Communication     Open Access   (Followers: 2)
Global Mental Health     Open Access   (Followers: 9)
Global Reproductive Health     Open Access   (Followers: 1)
Global Security : Health, Science and Policy     Open Access   (Followers: 1)
Global Transitions     Open Access   (Followers: 1)
Globalization and Health     Open Access   (Followers: 9)
Hacia la Promoción de la Salud     Open Access  
Hastane Öncesi Dergisi     Open Access  
Hastings Center Report     Hybrid Journal   (Followers: 5)
HCU Journal     Open Access  
HEADline     Hybrid Journal  
Health & Place     Hybrid Journal   (Followers: 19)
Health & Justice     Open Access   (Followers: 6)
Health : An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine     Hybrid Journal   (Followers: 15)
Health and Human Rights     Open Access   (Followers: 10)
Health and Research Journal     Open Access   (Followers: 4)
Health and Social Care Chaplaincy     Hybrid Journal   (Followers: 11)
Health and Social Work     Hybrid Journal   (Followers: 71)
Health Behavior and Policy Review     Full-text available via subscription   (Followers: 5)
Health Behavior Research     Open Access   (Followers: 6)

        1 2 3 4 | Last

Similar Journals
Journal Cover
Disaster Medicine and Public Health Preparedness
Journal Prestige (SJR): 0.471
Citation Impact (citeScore): 1
Number of Followers: 14  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1935-7893 - ISSN (Online) 1938-744X
Published by Cambridge University Press Homepage  [395 journals]
  • Global Health Security Alliance (GloHSA)
    • Authors: John M. Quinn; James M. Wilson, Tracey McNamara, Stefan Goebbels, Jan-Cedric Hansen, Anja Opitz
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.70
      Issue No: Vol. 14, No. 5 (2020)
       
  • Shelter Hospital: Glimmers of Hope in Treating Coronavirus 2019
    • Authors: Feng Zhou; Xuan Gao, Mengwei Li, Ying Zhang
      Abstract: Since the first report of the 2019 novel coronavirus disease (COVID-19) in December 2019 in Wuhan, China, the outbreak of the disease has been continuously evolving. Until March 17, 2020, 185, 178 cases had been confirmed, including 81,134 cases in China and 104,044 cases outside of China. In this comment, we report the unexpected beneficial effect of a deployable rapid-assembly shelter hospital on the prevention and treatment of COVID-19. We describe the shelter hospital maintenance, treatment mode and primary treatment methods, which will provide a valuable experience in dealing with public health emergencies, such as COVID-19, for other countries and areas.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.105
      Issue No: Vol. 14, No. 5 (2020)
       
  • Coronavirus Disease 2019 Pandemic: Health System and Community Response to
           a Text Message (Text4Hope) Program Supporting Mental Health in Alberta
    • Authors: Vincent I. O. Agyapong
      Abstract: In an effort to support the mental health of Albertans during the coronavirus disease 2019 (COVID-19) pandemic, Alberta Health Services launched a supportive text message (Text4Mood) program on March 23, 2020. The program was simultaneously approved for funding by the 6 regional health foundations and launched within 1 week of conception. Residents of Alberta can subscribe to the program by texting “COVID19HOPE” to a sort code number. Each subscriber receives free daily supportive text messages, for 3 months, crafted by a team of clinical psychologists, psychiatrists, mental health therapist, and mental health service users. Within 1 week of the launch of Text4Hope, 32 805 subscribers had signed up to the program, and there have been expressions of interests from other jurisdictions to implement a similar program to support the mental health of those in quarantine, isolation, or lockdown.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.114
      Issue No: Vol. 14, No. 5 (2020)
       
  • Trust in Humanitarian Aid From the Earthquake in 2017 to COVID-19 in Iran:
           A Policy Analysis
    • Authors: Hamed Seddighi
      Abstract: The earthquake of November 2017, the great flood of April 2019, and the COVID-19 outbreak in 2020 are 3 major emergencies in Iran during the last 3 years. A common issue in all of these crises seems to be the issue of “trust.” Official authorities, including the Iranian President, ministers, and the judiciary system, tried to gain people’s trust by either changing policies or developing new ones. In August 2019, the new law on crisis management in Iran went into effect and the issue of public donation has been considered, too. Also, in their response to the COVID-19 outbreak, Iranian officials ordered all sectors to cooperate with the Ministry of Health and provide it with all necessary facilities. Therefore, it seems that new policies are still needed to overcome mistrust in Iran at times of emergency. Developing a policy on donation management was the first step, and there are several factors that could have contributed to the perception of the mistrust and failure in emergency missions. Mistrust can be the result of different causes, including but not limited to lack of knowledge on capabilities and efficiencies of humanitarian organizations, engagement of a wide range of organizations from different categories, extension of mistrust of an organization to other emergency organizations in the area or all of operation, lack of unity in emergency response, and poor public relations.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.54
      Issue No: Vol. 14, No. 5 (2020)
       
  • A Proposed COVID-19 Testing Algorithm
    • Authors: Alexander Hart; Michelangelo Bortolin, Oluwafunbi Awoniyi, Fahad Alhajjaj, Gregory R. Ciottone
      Abstract: The 2019 coronavirus disease (COVID-19) pandemic has led to physical distancing measures in numerous countries in an attempt to control the spread. However, these measures are not without cost to the health and economies of the nations in which they are enacted. Nations are now looking for methods to remove physical distancing measures and return to full functioning. To prevent a massive second wave of infections, this must be done with a data-driven methodology. The purpose of this article is to propose an algorithm for COVID-19 testing that would allow for physical distancing to be scaled back in a stepwise manner, which limits ensuing infections and protects the capacity of the health care system.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.218
      Issue No: Vol. 14, No. 5 (2020)
       
  • COVID-19: Are We Ready for the Second Wave'
    • Authors: Inayat Ali
      Abstract: The coronavirus disease 2019 (COVID-19) pandemic has already exerted an enormous impact on the entire world. Everything is overwhelmed in the face of a rapid escalation of cases. The countries that have already reported the peak of transmission are easing their preventive measures yet fearing a second wave of infection. If the virus causes that next wave, are we sufficiently prepared to deal with it' I argue that the stakeholders concerned should simultaneously handle the ongoing pandemic while making effective preparations for its second wave. To relax the preventive measures, countries must thoroughly revisit their situations based on scientific evidence.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.149
      Issue No: Vol. 14, No. 5 (2020)
       
  • The Episode of National Lockdown in the Pandemic: Air Traffic Restriction
           as the Control Strategy and Its Impact on Existing Cases and Recovery Rate
           of Novel Coronavirus Disease in Megacities of China
    • Authors: Jiannan Li; Zhaoguo Wang, Bocong Yuan, Haixuan Liang, Wenqi Liang
      Abstract: Objective:The effectiveness of air traffic restriction in containing the spread of infectious diseases is full of controversy in prior literature. In January 2020, the Civil Aviation Administration of China (CAAC) announced air traffic restriction in response to the coronavirus disease (COVID-19) pandemic. This study’s aim is to empirically examine the policy effectiveness.Method:The data from 2 third-party platforms are used in this investigation. The COVID-19 data from the platform DXY and the air traffic data from Airsavvi are matched to each other. The robust panel regression with controlling city effect and time effect is conducted.Results:The curvilinear relations are found between the air traffic restriction and the existing cases, and the recovery rate (quadratic term = 9.006 and −0.967, respectively). As the strength of air traffic restriction is growing, the negative effect (-8.146) of air traffic restriction on the existing cases and the positive effect (0.961) of air traffic restriction on the recovery rate, respectively, begin decreasing.Conclusion:On the macro level, the air traffic restriction may help alleviate the growth of existing cases and help raise the recovery rate of COVID-19 in megacities of China, but both these effects will marginally recede as the restriction strength is intensifying.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.294
      Issue No: Vol. 14, No. 5 (2020)
       
  • Limited Early Warnings and Public Attention to Coronavirus Disease 2019 in
           China, January–February, 2020: A Longitudinal Cohort of Randomly Sampled
           Weibo Users
    • Authors: Yuner Zhu; King-Wa Fu, Karen A. Grépin, Hai Liang, Isaac Chun-Hai Fung
      Abstract: Objective:Awareness and attentiveness have implications for the acceptance and adoption of disease prevention and control measures. Social media posts provide a record of the public’s attention to an outbreak. To measure the attention of Chinese netizens to coronavirus disease 2019 (COVID-19), a pre-established nationally representative cohort of Weibo users was searched for COVID-19-related key words in their posts.Methods:COVID-19-related posts (N = 1101) were retrieved from a longitudinal cohort of 52 268 randomly sampled Weibo accounts (December 31, 2019–February 12, 2020).Results:Attention to COVID-19 was limited prior to China openly acknowledging human-to-human transmission on January 20. Following this date, attention quickly increased and has remained high over time. Particularly high levels of social media traffic appeared around when Wuhan was first placed in quarantine (January 23–24, 8–9% of the overall posts), when a scandal associated with the Red Cross Society of China occurred (February 1, 8%), and, following the death of Dr Li Wenliang (February 6–7, 11%), one of the whistleblowers who was reprimanded by the Chinese police in early January for discussing this outbreak online.Conclusion:Limited early warnings represent missed opportunities to engage citizens earlier in the outbreak. Governments should more proactively communicate early warnings to the public in a transparent manner.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.68
      Issue No: Vol. 14, No. 5 (2020)
       
  • Pandemic March: 2019 Coronavirus Disease’s First Wave
           Circumnavigates the Globe
    • Authors: James M. Shultz; Alanna Perlin, Russell Gary Saltzman, Zelde Espinel, Sandro Galea
      Abstract: Objective:March 2020 was a pivotal month for the worldwide geographic and numeric expansion of the first wave of Coronavirus Disease 2019 (COVID-19). We examined the major storylines that depicted this explosive spread of COVID-19 around the globe.Methods:A detailed review of World Health Organization (WHO) situation reports, surveillance summaries, and online resources allowed us to quantify the increases in cases and deaths by region and by country throughout the month of March 2020.Results:During March, COVID-19 was officially declared by the WHO to be a pandemic. COVID-19 emerged from a focalized outbreak in the Western Pacific Region and rapidly proliferated across all continents worldwide. Globally, cumulative numbers of confirmed cases increased by a factor of nine throughout the month. During the entire month, cases rose exponentially throughout Europe. Starting in mid-March, confirmed cases accelerated coast-to-coast throughout the United States and, on March 26, the United States surpassed all other nations to rank first in numbers of cases. COVID-19 mortality lagged several weeks behind but by month’s end, death tolls were also rising exponentially.Conclusion:March 2020 was a consequential month when the COVID-19 pandemic wrapped completely around the planet, with outbreaks erupting in most nations worldwide.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.103
      Issue No: Vol. 14, No. 5 (2020)
       
  • Outbreak Trends of Coronavirus Disease–2019 in India: A Prediction
    • Authors: Sunita Tiwari; Sushil Kumar, Kalpna Guleria
      Abstract: Objective:The objective of this paper is to prepare the government and citizens of India to take or implement the control measures proactively to reduce the impact of coronavirus disease 2019 (COVID-19).Method:In this work, the COVID-19 outbreak in India has been predicted based on the pattern of China using a machine learning approach. The model is built to predict the number of confirmed cases, recovered cases, and death cases based on the data available between January 22, 2020, and April 3, 2020. The time series forecasting method is used for prediction models.Results:The COVID-19 effects are predicted to be at peak between the third and fourth weeks of April 2020 in India. This outbreak is predicted to be controlled around the end of May 2020. The total number of predicted confirmed cases of COVID-19 might reach around 68 978, and the number of deaths due to COVID-19 are predicted to be 1557 around April 25, 2020, in India. If this outbreak is not controlled by the end of May 2020, then India will face a severe shortage of hospitals, and it will make this outbreak even worse.Conclusion:The COVID-19 pandemic may be controlled if the Government of India takes proactive steps to aggressively implement a lockdown in the country and extend it further. This presented epidemiological model is an effort to predict the future forecast of COVID-19 spread, based on the present scenario, so that the government can frame policy decisions, and necessary actions can be initiated.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.115
      Issue No: Vol. 14, No. 5 (2020)
       
  • How to Surge to Face the SARS-CoV-2 Outbreak: Lessons Learned From
           Lombardy, Italy
    • Authors: Roberto Faccincani; Federico Pascucci, Sten Lennquist
      Abstract: Italy is fighting against one of the worst medical emergency since the 1918 Spanish Flu. Pressure on the hospitals is tremendous. As for official data on March 14th: 8372 admitted in hospitals, 1518 in intensive care units, 1441 deaths (175 more than the day before). Unfortunately, hospitals are not prepared: even where a plan for massive influx of patients is present, it usually focuses on sudden onset disaster trauma victims (the most probable case scenario), and it has not been tested, validated, or propagated to the staff. Despite this, the All Hazards Approach for management of major incidents and disasters is still valid and the “4S” theory (staff, stuff, structure, systems) for surge capacity can be guidance to respond to this disaster.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.64
      Issue No: Vol. 14, No. 5 (2020)
       
  • Evidence Review and Practice Recommendation on the Material, Design, and
           Maintenance of Cloth Masks
    • Authors: Anthony Paulo Sunjaya; Lidia Morawska
      Abstract: Despite numerous masking recommendations from public health agencies, including the World Health Organization, editorials, and commentaries providing support for this notion, none had examined different homemade masks or demonstrated that perhaps not all cloth masks are the same. This article aims to provide evidence-based recommendations on cloth-mask materials, its design, and, importantly, its maintenance. Articles were obtained from PubMed and preprint servers up to June 10, 2020. Current evidence suggests that filtration effectiveness can range from 3% to 95%. Multiple layer (hybrid) homemade masks made from a combination of high density 100% cotton and materials with electrostatic charge would be more effective than one made from a single material. Mask fit greatly affects filtration efficiency, and adding an overhead knot or nylon overlay potentially provides the best fit for cloth masks. There is a paucity of evidence for masks maintenance as most studies are in the laboratory setting; however, switching every 4 hours as in medical masks and stored in dedicated containers while awaiting disinfection is recommended. Outside of these recommendations to improve the effectiveness of cloth masks to reduce infection transmission, there is a need for countries to set up independent testing labs for homemade masks made based on locally available materials. This can use existing occupational health laboratories usually used for accrediting masks and respirators.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.317
      Issue No: Vol. 14, No. 5 (2020)
       
  • Face Masks Are Beneficial Regardless of the Level of Infection in the
           Fight Against COVID-19
    • Authors: Mervin L. Burnett; Consolato M. Sergi
      Abstract: Coronavirus disease 2019 (COVID-19) due to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is currently a global pandemic that has affected over 7 million people worldwide, resulting in over 400,000 deaths. In the past 20 years, they have been several viral epidemics that were primarily transmitted by respiratory droplets. The use of face masks is proven to be effective in protecting health-care workers as they perform their duties. Still, there is limited evidence about whether the widespread use of face mask would be very useful in protecting the general population. This study aimed to conduct a review to determine if face masks would be beneficial in the general population as a means of reducing the spread of COVID-19. The widespread implementation of wearing face masks by the general population is challenging due to a variety of factors. However, the extensive use of cloth masks in conjunction with other preventative measures such as social distancing and handwashing can potentially reduce the risk of transmission of COVID-19.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.320
      Issue No: Vol. 14, No. 5 (2020)
       
  • A Proposed COVID-19 Testing Algorithm–Corrigendum
    • Authors: Alexander Hart; Michelangelo Bortolin, Oluwafunbi Awoniyi, Fahad Alhajjaj, Gregory R. Ciottone
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.306
      Issue No: Vol. 14, No. 5 (2020)
       
  • DMP volume 14 issue 5 Cover and Front matter
    • PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.463
      Issue No: Vol. 14, No. 5 (2020)
       
  • DMP volume 14 issue 5 Cover and Back matter
    • PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.464
      Issue No: Vol. 14, No. 5 (2020)
       
  • Examination of Safety Climate, Affective Organizational Commitment, and
           Safety Behavior Outcomes Among Fire Service Personnel
    • Authors: Todd D. Smith
      Pages: 559 - 562
      Abstract: Objectives:This research aims to provide guidance on means to bolster safe and effective emergency response. Safe and effective performance among firefighters is key to protecting firefighters, to ensure mission completion, and to protect the public during emergency response situations. Although some studies have shown the impact of safety climate on firefighter performance, few studies have explored the impact of safety climate on affective organizational commitment and safety behaviors among firefighters, which are critical to more effective emergency response.Methods:Data collected from 349 career firefighters in the southern United States were analyzed by means of structural equation modeling to assess posited relationships in the proposed model.Results:This study confirmed a model that describes the relationships between safety climate, affective organizational commitment, and safety behaviors. Safety climate significantly predicted affective organizational commitment (P 
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.117
      Issue No: Vol. 14, No. 5 (2020)
       
  • Why Is Treatment Urgency Often Overestimated' An Experimental Study on
           the Phenomenon of Over-triage
    • Authors: Nils Ellebrecht
      Pages: 563 - 567
      Abstract: In the 19th century, triage emerged as an administrative concept to overcome the unjust and medically unreasonable consequences of an unsystematic adhoc selection of casualties. Until today, however, triage concepts are often applied incorrectly. High over-triage rates are a well-known phenomenon, which increase mortality rates. In order to examine their frequent occurrences, the article discusses different reasons and presents results of an experimental study. Two triage exercises were conducted: a paper-based triage exercise and a real-world simulation. Both exercises used the same case-vignettes consisting of 5 pairs. Each pair described a patient with the same injury pattern and vital parameters but with differing behaviour (calm/highly excited). Different behavior has a minor but no significant effect on over-triage rates. Over-triage is significantly higher in the real-world simulation than in the paper exercise. This is explained by the characteristics of face-to-face situations themselves: they are more complex and ambiguous, and hold more normative power. Accordingly, over-triage is understood as a means to resolve unclear situations (“better to over- than to under-triage”) and to comply with normative demands “within” the strict margins of an administrative concept.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.74
      Issue No: Vol. 14, No. 5 (2020)
       
  • Medical Civil–Military Relationships: A Feasibility Study of a United
           Kingdom Deployment in South Sudan
    • Authors: S. T. Horne; I. Gurney, J.E. Smith, R. Sullivan
      Pages: 568 - 576
      Abstract: Objectives:Civil–military relationships are necessary in humanitarian emergencies but, if poorly managed, may be detrimental to the efforts of humanitarian organizations. Awareness of guidelines and understanding of risks relating to the relationship among deployed military personnel have not been evaluated.Methods:Fifty-five military and 12 humanitarian healthcare workers in South Sudan completed questionnaires covering experience, training and role, agreement with statements about the deployment, and free text comments.Results:Both cohorts were equally aware of current guidance. Eight themes defined the relationship. There was disagreement about the benefit to the South Sudanese people of the military deployment, and whether military service was compatible with beneficial health impacts. Two key obstacles to the relationship and 3 areas the relationship could be developed were identified.Conclusion:This study shows that United Kingdom military personnel are effectively trained and understand the constraints on the civil–military relationship. Seven themes in common between the groups describe the relationship. Current guidance could be adapted to allow a different relationship for healthcare workers.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.76
      Issue No: Vol. 14, No. 5 (2020)
       
  • Research on National Disaster Life Support Course in China
    • Authors: Lujia Tang; Shuming Pan, Ying Chen, Hongmei Tang, Xuejing Li
      Pages: 577 - 584
      Abstract: Objectives:To provide scientific, theoretical support for the improvement of medical disaster training, we systematically analyzed the National Disaster Life Support (NDLS) Course and established a training curriculum with feedback based on the current status of disaster medicine in China.Methods:The gray prediction model is applied to long-term forecast research on course effect. In line with the hypothesis, the NDLS course with feedback capability is more scientific and standardized.Results:The current training NDLS course system is suitable for Chinese medical disasters. After accepting the course training, audiences’ capabilities were enhanced. In the constructed GM (1,1) model prediction, the developing coefficients of the pretest and the posttest are 0.04 and 0.057, respectively. In light of the coefficient, the model is appropriate for the long-term prediction. The predicted results can be used as the basis for constructing training closed-loop optimization feedback. It can indicate that the course system has a good effect as well.Conclusions:According to the constructed GM model, the NDLS course system is scientific, practical, and operational. The research results can provide reference for relevant departments and be used for the construction of similar training course systems.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.83
      Issue No: Vol. 14, No. 5 (2020)
       
  • Tornado Disaster Casualties Admitted to a County Hospital in the Jiangsu
           Province of China
    • Authors: Junqiang Dong; Bing Wang, Qiangyu Deng, Wenya Yu, Haiping Chen, Lulu Zhang
      Pages: 585 - 589
      Abstract: Objective:We analyzed characteristics of tornado-related injuries and medical impact on a county-level hospital in China in June 23, 2016. The objective of this study was to describe and analyze local government rescue responses following the tornado.Methods:County hospital medical records of 288 tornado-related injury patients were collected. Descriptive analyses to study injury characteristics and associated risk factors were performed.Results:Of the studied population, 84% of the wounded were older than 45 years. Only 30 (10.4%) people were sent to the hospital for treatment within 3 hours following the disaster. Heavy objects or collapsing houses accounted for 191 (66.3%) of the documented injuries. The proportion of people with resulting brain injuries was 46.2% of the entire injured population, and the incidence of lower extremity injuries was 27.8%. A total of 89.6% of the wounded had skin and soft tissue injuries. Multiple injuries were found in 129 (44.8%) people and 156 had a single injury (54.2%), and 3 cases with acute stress disorder were admitted to the hospital.Conclusions:Preparation plans, including tornado warnings, prevention, and rescue, are a basic requirement for the mitigation of tornado-related injuries. Protection awareness of tornado disasters is also critical to ensure injury prevention.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.86
      Issue No: Vol. 14, No. 5 (2020)
       
  • Injury Patterns and Medical Evacuation of Patients in Chifeng Tornado in
           China, August 11, 2017
    • Authors: Fangjie Zhao; Chaoqun Hu, Zhenqing Xu, Qiangyu Deng, Yaomin Wu, Lulu Zhang
      Pages: 590 - 595
      Abstract: Objectives:To study injury patterns and medical rescue operations related to tornadoes that occur in rural areas, this study investigated the data pertaining to the 2017 Chifeng tornado (China).Methods:Medical records of 52 tornado-related patients were investigated. Data were collected from 3 local hospitals that received all the tornado victims.Results:A total of 148 injuries were diagnosed. Tornado-related injuries were mainly caused by collapsed houses (51.9%) and direct physical trauma caused by the tornado (38.5%). Most injuries occurred outdoors (63.5%). The head (20.3%) and thorax (14.8%) were most 2 frequent anatomical injury sites. Soft-tissue injuries (43.9%) and contusions and lacerations (37.3%) were the 2 most common injury types. On evaluating the Abbreviated Injury Scale scores, a score of 1 was the most common (66.2%), and a score of 6 was not recorded.Conclusions:A trailing phenomenon in the distribution of time to admission among the victims of a particular tornado in China was observed. The delivery is timely compared with nondisaster situation. There was a statistically significant difference of injury causes between outdoor and indoor patients. Helmets should be used by potential tornado victims. Basement units capable of functioning as shelters should be built in villages.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.100
      Issue No: Vol. 14, No. 5 (2020)
       
  • Emergency Management for the Outpatient Health Care Environment
    • Authors: Emma Paras; Matthew Butler
      Pages: 596 - 600
      Abstract: Utilization of ambulatory and outpatient services for primary, specialty, and surgical care has risen in the United States over the last decade, in parallel with the evolution of health care emergency management. Regulatory and accreditation authorities; legislature and policies; and real-life events such as hurricanes, tornadoes, and wildfires throughout the country have caused health care systems to take a more all-hazards approach for emergency management. While health care emergency management has grown tremendously in significance, outpatient settings have yet to see the same growth. However, concepts of comprehensive emergency management and the incident command system are important and valuable across all health care system settings, including outpatient facilities. The purpose of this article is to summarize regulatory requirements for outpatient health care emergency management, describe nuances of outpatient settings, and provide recommendations for how to successfully incorporate outpatient and ambulatory locations into the “Enterprise” model for comprehensive health care emergency management.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.104
      Issue No: Vol. 14, No. 5 (2020)
       
  • Data Collection Tools for Maternal and Child Health in Humanitarian
           Emergencies: An Updated Systematic Review
    • Authors: Juliana Lima Constantino; Fernanda Dias Romeiro, Theresa Diaz, Allisyn C Moran, Cynthia Boschi-Pinto
      Pages: 601 - 619
      Abstract: The worst rates of preventable mortality and morbidity among women and children occur in humanitarian settings. Reliable, easy-to-use, standardized, and efficient tools for data collection are needed to enable different organizations to plan and act in the most effective way. In 2015, the World Health Organization (WHO) commissioned a review of tools for data collection on the health of women and children in humanitarian emergencies. An update of this review was conducted to investigate whether the recommendations made were taken forward and to identify newly developed tools. Fifty-three studies and 5 new tools were identified. Only 1 study used 1 of the tools identified in our search. Little has been done in terms of the previous recommendations.
      Authors may not be aware of the availability of such tools and of the importance of documenting their data using the same methods as other researchers. Currently used tools may not be suitable for use in humanitarian settings or may not include the domains of the authors’ interests. The development of standardized instruments should be done with all key workers in the area and could be coordinated by the WHO.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.103
      Issue No: Vol. 14, No. 5 (2020)
       
  • Developing a Public Health Monitoring System in a War-torn Region: A Field
           Report From Iraqi Kurdistan
    • Authors: Stefania Moramarco; Faiq B. Basa, Haveen H. Alsilefanee, Sivar A. Qadir, Leonardo Emberti Gialloreti
      Pages: 620 - 622
      Abstract: Wars, terrorism, and embargos destroyed facilities and shattered the public health system of Iraq. Today, there is limited documented knowledge about the health situation of the Iraqi population, particularly because health data are not systematically collected. Therefore, the capacity of the health system to address the major health problems of the population is considerably reduced. This report describes the implementation, started in 2015, of an electronic system for epidemiological monitoring and health surveillance, designed to collect and manage health care data in Iraqi Kurdistan. The aim of the program is to network all of the main health centers and hospitals of the region, then of the whole country, and to train medical and administrative staff in the management and analysis of health data. In countries recovering from war, a functioning health monitoring system is essential in guiding the development of appropriate public health interventions, a key instrument to prepare the health system to respond to future emergencies.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2019.116
      Issue No: Vol. 14, No. 5 (2020)
       
  • COVID-19 Community Stabilization and Sustainability Framework: An
           Integration of the Maslow Hierarchy of Needs and Social Determinants of
           Health
    • Authors: Benjamin J. Ryan; Damon Coppola, Deon V. Canyon, Mark Brickhouse, Raymond Swienton
      Pages: 623 - 629
      Abstract: All levels of government are authorized to apply coronavirus disease 2019 (COVID-19) protection measures; however, they must consider how and when to ease lockdown restrictions to limit long-term societal harm and societal instability. Leaders that use a well-considered framework with an incremental approach will be able to gradually restart society while simultaneously maintaining the public health benefits achieved through lockdown measures. Economically vulnerable populations cannot endure long-term lockdown, and most countries lack the ability to maintain a full nationwide relief operation. Decision-makers need to understand this risk and how the Maslow hierarchy of needs and the social determinants of health can guide whole of society policies. Aligning decisions with societal needs will help ensure all segments of society are catered to and met while managing the crisis. This must inform the process of incremental easing of lockdowns to facilitate the resumption of community foundations, such as commerce, education, and employment in a manner that protects those most vulnerable to COVID-19. This study proposes a framework for identifying a path forward. It reflects on baseline requirements, regulations and recommendations, triggers, and implementation. Those desiring a successful recovery from the COVID-19 pandemic need to adopt an evidence-based framework now to ensure community stabilization and sustainability.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.109
      Issue No: Vol. 14, No. 5 (2020)
       
  • Epidemiologic Features of 135 Patients With Coronavirus Disease (COVID-19)
           in Tianjin, China
    • Authors: Chunxia Cao; Yue Li, Shuyu Liu, Haojun Fan, Liangchen Hao
      Pages: 630 - 634
      Abstract: Objective:This study describes the epidemiologic features of an outbreak of the coronavirus disease (COVID-19) in Tianjin caused by a novel coronavirus and provides the scientific basis for prevention and control measures.Methods:Data from COVID-19 cases were collected from daily notifications given to the National Health Commission of the People’s Republic of China and Tianjin Health Committee. All of the data were analyzed with SPSS, version 24.0 software (IBM Corp, Armonk, NY).Results:As of February 24, 2020, there have been 135 confirmed cases, 3 deaths, and 87 recoveries in Tianjin, China. The incidence of COVID-19 was 8.65/1 000 000 with a 2.22% case fatality rate. Regarding geographic distribution, the incidence was 8.82 per 1 000 000 in urban areas and 8.00 per 1 000 000 in suburbs. During the early stage of the epidemic, most cases came from urban areas and in patients with a history of sojourning in Hubei Province. The majority of patients were 31–70 years old (75.97%). A familial clustering was the most important characteristic of COVID-19 (accounting for 74.81%).Conclusions:Current information suggests that people are generally susceptible to COVID-19, which has shown a familial clustering in Tianjin.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.63
      Issue No: Vol. 14, No. 5 (2020)
       
  • Public Health Communication in Time of Crisis: Readability of On-Line
           COVID-19 Information
    • Authors: Corey H. Basch; Jan Mohlman, Grace C. Hillyer, Philip Garcia
      Pages: 635 - 637
      Abstract: Objective:The purpose of this study was to assess the readability of information on the Internet posted about coronavirus disease 2019 (COVID-19) to determine how closely these materials are written to the recommended reading levels.Methods:Using the search term “coronavirus,” information posted on the first 100 English language websites was identified. Using an online readability calculator, multiple readability tests were conducted to ensure a comprehensive representation would result.Results:The mean readability scores ranged between grade levels 6.2 and 17.8 (graduate school level). Four of the 5 measures (GFI, CLI, SMOG, FRE) found that readability exceeded the 10th grade reading level indicating that the text of these websites would be difficult for the average American to read. The mean reading level for nearly all noncommercial and commercial websites was at or above the 10th grade reading level.Conclusions:Messages about COVID-19 must be readable at an “easy” level, and must contain clear guidelines for behavior. The degree to which individuals seek information in response to risk messages is positively related to the expectation that the information will resolve uncertainty. However, if the information is too complex to interpret and it fails to lead to disambiguation, this can contribute to feelings of panic.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.151
      Issue No: Vol. 14, No. 5 (2020)
       
  • Predicted Effects of Stopping COVID-19 Lockdown on Italian Hospital Demand
    • Authors: Jordy Bollon; Matteo Paganini, Consuelo Rubina Nava, Nello De Vita, Rosanna Vaschetto, Luca Ragazzoni, Francesco Della Corte, Francesco Barone-Adesi
      Pages: 638 - 642
      Abstract: Objectives:Italy has been one of the first countries to implement mitigation measures to curb the coronavirus disease 2019 (COVID-19) pandemic. There is currently a debate on when and how such measures should be loosened. To forecast the demand for hospital intensive care unit (ICU) and non-ICU beds for COVID-19 patients from May to September, we developed 2 models, assuming a gradual easing of restrictions or an intermittent lockdown.Methods:We used a compartmental model to evaluate 2 scenarios: (A) an intermittent lockdown; (B) a gradual relaxation of the lockdown. Predicted ICU and non-ICU demand was compared with the peak in hospital bed use observed in April 2020.Results:Under scenario A, while ICU demand will remain below the peak, the number of non-ICU will substantially rise and will exceed it (133%; 95% confidence interval [CI]: 94-171). Under scenario B, a rise in ICU and non-ICU demand will start in July and will progressively increase over the summer 2020, reaching 95% (95% CI: 71-121) and 237% (95% CI: 191-282) of the April peak.Conclusions:Italian hospital demand is likely to remain high in the next months. If restrictions are reduced, planning for the next several months should consider an increase in health-care resources to maintain surge capacity across the country.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.157
      Issue No: Vol. 14, No. 5 (2020)
       
  • Epidemiological Characteristics on the Clustering Nature of COVID-19 in
           Qingdao City, 2020: A Descriptive Analysis
    • Authors: Jing Jia; Xiaowen Hu, Feng Yang, Xin Song, Liyan Dong, Jingfei Zhang, Fachun Jiang, Ruqin Gao
      Pages: 643 - 647
      Abstract: Objectives:As an emerging infectious disease, COVID-19 has involved many countries and regions. With the further development of the epidemic, the proportion of clusters has increased.Methods:In our study, we collected information on COVID-19 clusters in Qingdao City. The epidemiological characteristics and clinical manifestations were analyzed.Results:Eleven clusters of COVID-19 were reported in Qingdao City between January 29, and February 23, 2020, involving 44 confirmed cases, which accounted for 73.33% of all confirmed cases. From January 19 to February 2, 2020, the cases mainly concentrated in the district that had many designated hospitals. Patients aged 20-59 y old accounted for the largest proportion (68.18%) of cases; the male-to-female sex ratio was 0.52:1. Three cases were infected from exposure to confirmed cases. The average incubation period was 6.28 d. The median number of cases per cluster was 4, and the median duration time was 6 d. The median cumulative number of exposed persons was 53.Conclusion:More attention should be paid to the epidemic of clusters in prevention and control of COVID-19. In addition to isolating patients, it is essential to track, screen, and isolate those who have come in close contact with patients. Self-isolation is the key especially for healthy people in the epidemic area.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.59
      Issue No: Vol. 14, No. 5 (2020)
       
  • COVID-19 Pandemic: Perspective From Italian Pediatric Emergency Physicians
    • Authors: Alice Monzani; Luca Ragazzoni, Francesco Della Corte, Ivana Rabbone, Jeffrey M. Franc
      Pages: 648 - 651
      Abstract: Objectives:To document the lived experience of Italian pediatric emergency physicians during the coronavirus disease 2019 (COVID-19) pandemic.Methods:We developed a structured interview to collect the lived experience of the staff of the pediatric emergency department (PED) of a tertiary referral university hospital in Northern Italy. The open-ended questions were draft according to the suggestions of Canadian colleagues and administered by 1 interviewer, who was part of the PED staff, at the end of March 2020. All the PED staff was interviewed, on a voluntary basis, using purposive sampling.Results:Most respondents declared to be afraid of becoming infected and of infecting their families. The number of patients seen in the PED has decreased, and the cases tend to be more severe. A shift in the clinical approach to the ill child has occurred, the physical examination is problem-oriented, aiming to avoid un-necessary maneuvers and to minimize the number of practitioners involved. The most challenging aspects reported are: (1) performing a physical examination in personal protective equipment (PPE), (2) being updated with rapidly evolving guidelines, and (3) staying focused on the possible COVID-19 clinical presentation without failing in differential diagnosis.Conclusions:During the COVID-19 pandemic, it seems that pediatric emergency physicians are radically changing their clinical practice, aiming at prioritizing essential interventions and maneuvers and self-protection.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.198
      Issue No: Vol. 14, No. 5 (2020)
       
  • Prediction of the Rehabilitation Duration and Risk Management for
           Mild-Moderate COVID-19
    • Authors: Qiong-Na Zheng; Mei-Yan Xu, Yong-Le Zheng, Xiu-Ying Wang, Hui Zhao
      Pages: 652 - 657
      Abstract: Objectives:More than 80% of coronavirus disease 2019 (COVID-19) cases are mild or moderate. In this study, a risk model was developed for predicting rehabilitation duration (the time from hospital admission to discharge) of the mild-moderate COVID-19 cases and was used to conduct refined risk management for different risk populations.Methods:A total of 90 consecutive patients with mild-moderate COVID-19 were enrolled. Large-scale datasets were extracted from clinical practices. Through the multivariable linear regression analysis, the model was based on significant risk factors and was developed for predicting the rehabilitation duration of mild-moderate cases of COVID-19. To assess the local epidemic situation, risk management was conducted by weighing the risk of populations at different risk.Results:Ten risk factors from 44 high-dimensional clinical datasets were significantly correlated to rehabilitation duration (P < 0.05). Among these factors, 5 risk predictors were incorporated into a risk model. Individual rehabilitation durations were effectively calculated. Weighing the local epidemic situation, threshold probability was classified for low risk, intermediate risk, and high risk. Using this classification, risk management was based on a treatment flowchart tailored for clinical decision-making.Conclusions:The proposed novel model is a useful tool for individualized risk management of mild-moderate COVID-19 cases, and it may readily facilitate dynamic clinical decision-making for different risk populations.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.214
      Issue No: Vol. 14, No. 5 (2020)
       
  • Strategies for Optimizing the Supply of N95 Filtering Facepiece
           Respirators During the Coronavirus Disease 2019 (COVID-19) Pandemic
    • Authors: Marie A. de Perio; Chad H. Dowell, Lisa J. Delaney, Lewis J. Radonovich II, David T. Kuhar, Neil Gupta, Anita Patel, Satish K. Pillai, Maryann D’Alessandro
      Pages: 658 - 669
      Abstract: N95 respirators are personal protective equipment most often used to control exposures to infections transmitted via the airborne route. Supplies of N95 respirators can become depleted during pandemics or when otherwise in high demand. In this paper, we offer strategies for optimizing supplies of N95 respirators in health care settings while maximizing the level of protection offered to health care personnel when there is limited supply in the United States during the 2019 coronavirus disease pandemic. The strategies are intended for use by professionals who manage respiratory protection programs, occupational health services, and infection prevention programs in health care facilities to protect health care personnel from job-related risks of exposure to infectious respiratory illnesses. Consultation with federal, state, and local public health officials is also important. We use the framework of surge capacity and the occupational health and safety hierarchy of controls approach to discuss specific engineering control, administrative control, and personal protective equipment measures that may help in optimizing N95 respirator supplies.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.160
      Issue No: Vol. 14, No. 5 (2020)
       
  • Behavioral Health and Response for COVID-19
    • Authors: Tonya Cross Hansel; Leia Y. Saltzman, Patrick S. Bordnick
      Pages: 670 - 676
      Abstract: Research from financial stress, disasters, pandemics, and other extreme events, suggests that behavioral health will suffer, including anxiety, depression, and posttraumatic stress symptoms. Furthermore, these symptoms are likely to exacerbate alcohol or drug use, especially for those vulnerable to relapse. The nature of coronavirus disease 2019 (COVID-19) and vast reach of the virus, leave many unknows for the repercussions on behavioral health, yet existing research suggests that behavioral health concerns should take a primary role in response to the pandemic. We propose a 4-step services system designed for implementation with a variety of different groups and reserves limited clinical services for the most extreme reactions. While we can expect symptoms to remit overtime, many will also have longer-term or more severe concerns. Behavioral health interventions will likely need to change overtime and different types of interventions should be considered for different target groups, such as for those who recover from COVID-19, health-care professionals, and essential personnel; and the general public either due to loss of loved ones or significant life disruption. The important thing is to have a systematic plan to support behavioral health and to engage citizens in prevention and doing their part in recovery by staying home and protecting others.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.180
      Issue No: Vol. 14, No. 5 (2020)
       
  • Allocation of Scarce Resources in a Pandemic: A Systematic Review of US
           State Crisis Standards of Care Documents
    • Authors: Douglas Romney; Hannah Fox, Stephanie Carlson, Daniel Bachmann, Donal O’Mathuna, Nicholas Kman
      Pages: 677 - 683
      Abstract: The aim of this systematic review was to locate and analyze United States state crisis standards of care (CSC) documents to determine their prevalence and quality. Following PRISMA guidelines, Google search for “allocation of scarce resources” and “crisis standards of care (CSC)” for each state. We analyzed the plans based on the 2009 Institute of Medicine (IOM) report, which provided guidance for establishing CSC for use in disaster situations, as well as the 2014 CHEST consensus statement’s 11 core topic areas. The search yielded 42 state documents, and we excluded 11 that were not CSC plans. Of the 31 included plans, 13 plans were written for an “all hazards” approach, while 18 were pandemic influenza specific. Eighteen had strong ethical grounding. Twenty-one plans had integrated and ongoing community and provider engagement, education, and communication. Twenty-two had assurances regarding legal authority and environment. Sixteen plans had clear indicators, triggers, and lines of responsibility. Finally, 28 had evidence-based clinical processes and operations. Five plans contained all 5 IOM elements: Arizona, Colorado, Minnesota, Nevada, and Vermont. Colorado and Minnesota have all hazards documents and processes for both adult and pediatric populations and could be considered exemplars for other states.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.101
      Issue No: Vol. 14, No. 5 (2020)
       
  • How Is COVID-19 Affecting South Korea' What Is Our Current
           Strategy'
    • Authors: Minyoung Her
      Pages: 684 - 686
      Abstract: The outbreak of coronavirus disease 2019 (COVID-19) caused by the virus SARS-CoV-2 is expanding globally. South Korea is one of the countries most affected by COVID-19 from the very early stages of this pandemic. Explosive outbreaks occurred across South Korea in the first two months, and efforts to control this new virus have involved everyone across the country. To curb the transmission of the virus, health-care professionals, committees, and governments have combined many approaches, such as extensive COVID-19 screening, effective patient triage, the transparent provision of information, and the use of information technology. This experience could provide some valuable ideas and lessons to others who are fighting against COVID-19.
      PubDate: 2020-10-01T00:00:00.000Z
      DOI: 10.1017/dmp.2020.69
      Issue No: Vol. 14, No. 5 (2020)
       
 
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