Cuba's COVID-19 Strategy: Main Actions through April 23, 2020.
Authors: Abstract Following identifi cation of the coronavirus disease COVID-19, Cuba activated its National Action Plan for Epidemics and convened a National Intersectoral Commission to design measures to protect population health. Following approval of the COVID-19 Prevention and Control Plan, scores of measures were implemented to fi ght the pandemic. Internationally and in Cuba, these are organized according to three epidemiological phases: stage 1, pre-epidemic; stage 2, limited local transmission; and stage 3, epidemic. As of this writing, Cuba is in Stage 2. Actions and measures have been rolled out gradual...
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Educating Well-rounded Physicians for the 21st Century.
Authors: Abstract In MEDICC Review,[1] Natalia Orihuela presents her four-year journey at the Latin American School of Medicine (ELAM), Havana, Cuba, describing her didactic coursework and community rotations in vulnerable communities where access to healthcare is a major priority. Using a team-oriented approach, ELAM's educational program focuses on the value of primary care, where medical students strengthen their clinical knowledge and skills through community interactions with patients. As such, applying these insights to other nations can provide a framework about communities serving as learning powerhouses a...
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

COVID-19 and the Rocket Science of Public Health.
Authors: Abstract We are all fatigued, frazzled. Many of us have lost too many and too much, and still more will suffer long-term physical and mental effects. A strange geography has cropped into our lexicon: states, provinces and entire countries mapped by their rates of COVID-19, telling us how dangerous it is to go outside, go to work or school. It is also the geography of health care, leadership and policies that aim to protect people fi rst-or not-the willingness to embrace the simply brilliant and brilliantly simple lessons of public health. PMID: 33295311 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

SOBERANA, Cuba's COVID-19 Vaccine Candidates: Dagmar Garc ía-Rivera PhD.
SOBERANA, Cuba's COVID-19 Vaccine Candidates: Dagmar García-Rivera PhD. MEDICC Rev. 2020 Oct;22(4):10-15 Authors: Gorry C Abstract On August 13, 2020, Cuba's national regulatory agency, the Center for Quality Control of Medicines, Equipment and Medical Devices (CECMED), authorized clinical trials for SOBERANA 01-Cuba's fi rst vaccine candidate and the fi rst from Latin America and the Caribbean. On August 24, parallel Phase I/II double blind, randomized, controlled clinical trials were launched at clinical sites in Havana to evaluate the vaccine's safety and immunogenicity. Analysis of results a...
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Early Action, Applied Research & Collaboration to Combat COVID-19: Mar ía Guadalupe Guzmán MD PhD DSc.
Early Action, Applied Research & Collaboration to Combat COVID-19: María Guadalupe Guzmán MD PhD DSc. MEDICC Rev. 2020 Oct;22(4):16-19 Authors: Coutin G, Gorry C Abstract Virologist Dr María Guadalupe Guzmán is recognized as a global leader in dengue research and heads the Pedro Kourí Tropical Medicine Institute's work as a WHO/PAHO Collaborating Center for the Study of Dengue and Its Vector. The Institute (IPK) was founded in 1937 and is now Cuba's national reference center for the diagnosis, treatment, control and prevention of communicable diseases. Dr Guzm&aac...
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

A PAHO Perspective on COVID-19 in Cuba Jos é Moya MD MPH PhD.
A PAHO Perspective on COVID-19 in Cuba José Moya MD MPH PhD. MEDICC Rev. 2020 Oct;22(4):20-23 Authors: A G Abstract If all physicians are detectives, using their skills to track down what ails body and mind, then epidemiologists are medicine's social detectives, using their training to understand the great calamities of population health. For over 30 years, Dr José Moya has worked in the fi eld since his initial position as head of epidemiology in Ayacucho, in his home country of Peru. His journey into global health began with Doctors Without Borders in Guatemala, Mozambique and Nigeria. ...
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Ahora se habla m ás de lo frágiles que somos, y se hace más presente la pregunta acerca de cuáles son las verdaderas prioridades Reflexiones de la escritora española Belén Gopegui.
Ahora se habla más de lo frágiles que somos, y se hace más presente la pregunta acerca de cuáles son las verdaderas prioridades Reflexiones de la escritora española Belén Gopegui. MEDICC Rev. 2020 Oct;22(4):24-26 Authors: Castellanos-Serra L Abstract Belén Gopegui (Madrid, 1963) Licenciada en Derecho en la Universidad Autónoma de Madrid. Novelista y guionista española. Con su ópera prima La escala de los mapas, (1993) recibió varios premios y su tercera obra, La conquista del aire, fue adaptada al cine. Belén Gopegui fu...
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Fallen in the Face of COVID-19: Graduates of Cuba's Latin American School of Medicine (ELAM).
Authors: Reed G Abstract The 2020 fall semester at Havana's Latin American School of Medicine (ELAM) began on an especially somber note: honoring 17 of its alumni felled as they battled COVID-19 in their home countries and beyond. A few were recent graduates among the 30,047 from 118 countries who received scholarships from Cuba to study medicine at ELAM. Others were members of its fi rst graduating class in 2005. PMID: 33295316 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

COVID-19 in Cuba: Assessing the National Response.
This study presents a descriptive epidemiological analysis of the daily and cumulative incidence of confi rmed cases and deaths in Cuba from COVID-19 in the fi rst 110 days after fi rst-case confi rmation on March 11, 2020. During this period, 2340 cases (20.7 x 100,000 population) were confi rmed, of which 86 patients died (case fatality 3.67%; 52 men and 34 women). Mean age of the deceased was 73.6 years (with a minimum of 35 years and a maximum of 101), with the average age of men lower than that of women. More than 70% of all deceased had associated noncommunicable diseases. The incidence curve ascended for fi ve weeks...
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Characterization of Deaths from Cirrhosis of the Liver in Cuba, 1987-2017.
CONCLUSIONS Deaths from cirrhosis of the liver constitute a substantial health burden in Cuba. The upward trend and forecast, in addition to increased risk of mortality in men and older adults, are similar to those reported internationally. The fi nding that most of these deaths result from nonalcoholic cirrhosis should be further studied, as formulation of effective public health strategies depends largely on attaining a better understanding of the etiology, progression and social determinants of the disease. KEYWORDS Liver cirrhosis, alcoholic liver cirrhosis, fatty liver, mortality, Cuba. PMID: 33295318 [PubMed - in...
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Levels of Vitamins and Homocysteine in Older Adults with Alzheimer Disease or Mild Cognitive Impairment in Cuba.
Authors: Lanyau-Domínguez Y, Macías-Matos C, Jesús J, María G, Suárez-Medina R, Eugenia M, Noriega-Fernández L, Guerra-Hernández M, Calvo-Rodríguez M, Sánchez-Gil Y, García-Klibanski M, Herrera-Javier D, Arocha-Oriol C, Díaz-Domínguez M Abstract INTRODUCTION Age-related cognitive disorders, including Alzheimer disease, are among the main causes of disability and dependence in older adults worldwide. High blood homocysteine levels (hyperhomocysteinemia) are a risk factor for diseases whose metabolism involves different B vitamins. An...
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Determination of Reference Values for Double-Negative T Lymphocytes in Cuban Adults.
Authors: A C, Kokuina E, C M Abstract INTRODUCTION Double-negative T lymphocytes act as immunomodulators in immune response. This subpopulation is rare in blood but important in the immunopathogenesis of autoimmune diseases, viral infections, cancer and transplant rejection. These disorders have been studied in Cuba using fl ow cytometry, but normal values of these cells have not yet been established. OBJECTIVE Estimate preliminary reference values for doublenegative T lymphocytes according to sex and age in Cuban adults. METHODS A cross-sectional study was carried out in a population of 182 healthy adult residents...
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

SARS-CoV-2 Transmission Channels: A Review of the Literature.
CONCLUSIONS This article provides a review of the published research regarding human-to-human transmission of SARS-CoV-2 and insights into developing effective control strategies to stop viral propagation. KEYWORDS COVID-19, SARS-CoV-2, transmission, pandemics, microbial viability. PMID: 33295321 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Cuban Contributions to Latin American Clinical Care and Research on Diabetes and Pregnancy.
Authors: Cruz-Hernández J, Márquez-Guillén A, Lang-Prieto J, Iglesias-Marichal I Abstract Cuban participation in and contributions to education, medical care and research on diabetes and pregnancy in Latin America dates back to the 1970s when the Latin American Diabetes Association was founded. The Cuban health system and its professionals recognized early the problems presented by diabetes during pregnancy for the health of an expectant mother and her children and assimilated and disseminated important lessons that became infl uential in the region. These included: importance of adopting a pro...
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

La voz de una enfermera desde la zona roja.
Authors: Guerra-Librero P Abstract Mi nombre es Paula. Nací en Madrid en 1995. Al acabar el bachillerato tenía muchas dudas sobre hacia dónde encaminar mi vida. Pensé qué hacer y qué se me daba bien o con qué era feliz. El caso es que desde siempre me ha gustado poco ser protagonista, pero me encantaba escuchar, conocer el más allá de la gente cuando se sentían en confi anza de contarme. Me sentía bien siendo receptora de sus historias, sus sentimientos y sus vidas. Además, siempre me gustaron las ciencias, la química, las ma...
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

COVID-19, Your Pet and Other Animals: Are You at Risk?
Authors: Irian M Abstract Despite fast-tracked research, the precise origin, transmission and evolution of COVID-19 are still unknown. While the bat genus Rhinolophus is likely the primary source of the zoonotic-origin pathogen SARS-CoV-2 that causes COVID-19, its transmission route into the human population is still being studied.[1,2] Coronaviruses (CoV) affect humans and various animal species. Bats were the original hosts of the CoV that causes Severe Acute Respiratory Syndrome (SARS-CoV) and Middle East Respiratory Syndrome coronavirus (MERS-CoV), for example, with masked palm civet cats and dromedaries, respe...
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Not Infected but Physically and Mentally Affected: Older Cubans and COVID-19.
Authors: E J Abstract COVID-19 has dominated the conversation this year. Following the fi rst outbreaks in December 2019, it became clear that older adults were predisposed to greater disease severity and death. What occurred in nursing homes across Europe and the Americas was brutal-as much for the older adults themselves as for their families. Many didn't even get to say goodbye. PMID: 33295325 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Silent or 'Happy' Hypoxemia: An Urgent Dilemma for COVID-19 Patient Care.
Authors: Machado-Curbelo C Abstract A perplexing clinical aspect of COVID-19 is presentation of patients with pronounced hypoxemia without expected signs of respiratory distress or dyspnea, even when cyanotic. Nonetheless, these patients frequently leapfrog clinical evolution stages and suffer acute respiratory distress syndrome (ARDS), with concomitant cardiorespiratory arrest and death.[1] This phenomenon is referred to as silent or 'happy' hypoxemia. PMID: 33295326 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

COVID-19 and the Kidneys: Risk, Damage and Sequelae.
Authors: Herrera-Valdés R, Almaguer-López M, López-Marín L, Bacallao-Méndez R, F J, Guerra-Bustillo G Abstract At fi rst, COVID-19 was thought to be primarily a respiratory disease, progressing in some patients to serious respiratory symptoms, pneumonia, severe respiratory distress syndrome and even death. Later analysis revealed entire systems were compromised, affecting other vital organs, including the kidneys, and a correlation was observed between chronic kidney disease (CKD) and COVID-19 severity COVID-19 severity. PMID: 33295327 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - December 11, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

COVID-19 in the Americas: Strategies that Mark the Difference.
Authors: Abstract Four months after COVID-19 was declared a pandemic, it has found a new epicenter: the Americas. With over four million cases and nearly half a million deaths at this writing, the United States is providing the best example of a failed response to a crisis in which GDP is not proving the best predictor of success. Zero coordinat-ed national strategy combined with unnecessary delays in testing, confusing and often contradictory messaging, and politicization of even the most elementary measures to combat the virus have led some US states to surpass infection and death rates in even the most hard-hit...
Source: MEDICC Review - August 21, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Strategies Needed to Ensure Higher Immunization Rates in the Americas.
Authors: Abstract In their MEDICC Review Perspective, Galindo-Santana and colleagues highlight the challenges presented by anti-vaccination groups, stressing that immunization is an essential cost-effective preventive measure that promotes population health.[1] In 2019, WHO identifi ed vaccine hesitancy, fragile and vulnerable settings and weak primary health care as 3 of 10 main global health threats. Close attention to these threats can detect potential areas of missed opportunities for immunization across populations and mitigate risk of preventable diseases. PMID: 32812891 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - August 21, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Cuba's covid-19 strategy: updated epidemic control and recovery measures.
CUBA'S COVID-19 STRATEGY: UPDATED EPIDEMIC CONTROL AND RECOVERY MEASURES. MEDICC Rev. 2020 Jul;22(3):5 Authors: Abstract MEDICC Review continues documentation of Cuba's COVID-19 Prevention and Control Plan and its implementation, begun with our April issue (see https://mediccreview.org/cubas-covid-19-strategy-main-actions-through-april-23-2020). This time, we present two tables: the first refers to measures taken to confront the epidemic, and the second, to the phased recovery process that is expected to lead to changes in many, if not all, sectors of Cuban society. In both cases, we have indicated th...
Source: MEDICC Review - August 21, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Science as a Social Good: Iramis Alonso-Porro Director, Juventud T écnica.
Science as a Social Good: Iramis Alonso-Porro Director, Juventud Técnica. MEDICC Rev. 2020 Jul;22(3):12-15 Authors: Gorry C Abstract Science journalism was little known in Cuba when Iramis Alonso wrote her the-sis on the specialized fi eld in 1990. That year, journalism degree from the Uni-versity of Havana in hand, she set off to Cuba's eastern countryside to complete two years of social service reporting for local, regional and national print media. Living in the mountains of Holguín, a typical day for the cub reporter took her to caves, forests and fi elds for stories on the intersecti...
Source: MEDICC Review - August 21, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Economic Packages for COVID-19 Recovery Must Invest in More Resilient Health SystemsCristian Morales MS MPHPAHO/WHO Permanent Representative, Mexico.
Authors: Reed G Abstract Cristian Morales, an economist by training, has dedicated his career to improving health and health equity in the Americas through his work with PAHO/WHO. This has taken him from hurricanes, earthquakes and epidemics in Haiti to PAHO's Washington DC offi ces, where he was instrumental in achieving consensus on a resolution aiming for universal health-coverage plus access-approved by all governments in the Americas. In 2015, he was appointed PAHO/WHO Permanent Representative in Cuba, and in 2018 to the same post in Mexico. PMID: 32812894 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - August 21, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Health Must Be Recognized as the Human Right It Is: H éctor Javier Sánchez MD MSSenior Researcher, Department of Society, Culture and HealthEl Colegio de la Frontera Sur (ECOSUR), Chiapas, Mexico.
Health Must Be Recognized as the Human Right It Is: Héctor Javier Sánchez MD MSSenior Researcher, Department of Society, Culture and HealthEl Colegio de la Frontera Sur (ECOSUR), Chiapas, Mexico. MEDICC Rev. 2020 Jul;22(3):20-23 Authors: Alerm-González A Abstract Dr Héctor Javier Sánchez specializes in public health and research methodology and holds a master's degree in epidemiology. He is a senior researcher in the Society, Culture and Health Department at El Colegio de la Frontera Sur, Mexico. The Colegio is a public research institu-tion concentrating on environme...
Source: MEDICC Review - August 21, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Epidermal Growth Factor in Healing Diabetic Foot Ulcers: From Gene Expression to Tissue Healing and Systemic Biomarker Circulation.
Authors: Berlanga-Acosta J, Camacho-Rodríguez H, Mendoza-Marí Y, Falcón-Cama V, García-Ojalvo A, Herrera-Martínez L, Guillén-Nieto G Abstract Lower-extremity diabetic ulcers are responsible for 80% of annual worldwide nontraumatic amputations. Epidermal growth factor (EGF) reduction is one of the molecular pillars of diabetic ulcer chronicity, thus EGF administration may be considered a type of replacement therapy. Topical EGF ad-ministration to improve and speed wound healing began in 1989 on burn patients as part of an acute-healing therapy. Further clinical studies based...
Source: MEDICC Review - August 21, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

COVID-19 Forecasts for Cuba Using Logistic Regression and Gompertz Curves.
CONCLUSIONS The validity of models was confi rmed based on logis-tic regression and the Gompertz curve to forecast the dates of peak infections and deaths, as well as total number of cases in Cuba. KEYWORDS COVID-19, SARS-CoV-2, logistic models, pandemic, mortality, Cuba. PMID: 32812897 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - August 21, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Antimicrobial Resistance in Bacteria Isolated from Foods in Cuba.
CONCLUSIONS These results serve as an alert to the dangers of acquiring antibiotic-resistant bacteria from food and demonstrate the need to establish a surveillance system and institute measures bacte-rial control in food products.KEYWORDS Microbial drug resistance, bacteria, food, foodborne disease, Cuba. PMID: 32812898 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - August 21, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Prognostic Scale to Stratify Risk of Intrahospital Death in Patients with Acute Myocardial Infarction with ST-Segment Elevation.
CONCLUSIONS The numeric scale we designed estimates and strati-fi es risk of death during hospitalization for patients with ST-segment elevation myocardial infarction and has good metric properties for predictive ability and calibration. KEYWORDS ST-segment elevation myocardial infarction, mortality, risk assessment, Cuba. PMID: 32812899 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - August 21, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Biomodulina T May Restore Immunity in Older Adults.
Authors: Suárez-Formigo GM, Saavedra-Hernández D Abstract Worldwide, there has been a progressive demographic shift over the past 50 years resulting in a larger proportion of older adults in the general population. Aging itself is a complex biological phenomenon characterized in part by changes in the immune system known as "immunosenescence", which makes older adults more susceptible to infectious, cardiovascular and autoimmune diseases, as well as cancers. Several strategies have been proposed in an attempt to reverse immunosenescence, including use of hormones, cytokines and thymic factor...
Source: MEDICC Review - August 21, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Why Aren't Cuban Men Healthier?
Authors: Rivero-Pino R Abstract Analyzing any bio-psycho-social paradigm is complex and requires a comprehensive, integrative approach. Parsing the health picture of individuals, as well as whole populations, is no exception. Considering masculinity as a factor may shed light on health status, especially since traditional ideas of 'manhood' work against health promotion and prevention, as revealed in studies worldwide. In fact, these studies show a direct association between traditional understandings of masculinity and risks, vulnerabilities and the construction of health. In the last decade, such observations hav...
Source: MEDICC Review - August 21, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

COVID-19 in East and Southern Africa: Rebuilding Differently and Better Must Start Now.
Authors: Loewenson R Abstract By June 2020, the cumulative cases and deaths related to COVID-19 in 16 East and Southern African (ESA) countries were still rising, with an average case fatality rate of 1.46%.[1] From its initial presence in cities and regional transport hubs, cases are spreading, including to rural areas, among health workers and as migrants cross borders to return home.[2]. PMID: 32812902 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - August 21, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

A Cuban Physician on the Front Lines in Barcelona Reflects on COVID-19 Responses in Europe and Cuba.
Authors: de Delàs M Abstract Several territorial governments in Spain are considering inviting Cuban doctors to participate in the fi ght against the coronavirus epidemic, just as they have done in Italy and Andorra...Cuba's healthcare culture is different from Europe's, and the response to the epidemic likely would have been different if criteria were used similar to those followed in Cuba. PMID: 32812903 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - August 21, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

The Cuban Strategy for Combatting the COVID-19 Pandemic.
Authors: Pérez Riverol A Abstract The emerging SARS-CoV-2, a novel human coronavirus, caused the COVID-19 pandemic, with more than 9.5 million cases and 484 000 known fatalities to date (June 24th, 2020). In several regions, healthcare systems have collapsed whereas interventions applied to slow the viral spreading have had major social and economic impacts. After China, Europe, and the United States, Latin America has emerged as the new epicenter of the pandemic. By late-June, the region accounted for roughly 50% of global daily deaths (Gardner, 2020). The evolution of the COVID-19 pandemic in the region ha...
Source: MEDICC Review - August 21, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

COVID-19 in the Americas: We Are in This Together.
Authors: Abstract COVID-19 has upended the world's healthcare infrastructures and its economies, casting a glaring light on the failings and flaws already in place, all suffered unequally. This has forced leaders and the public at large to face the stark contrast between human society as it exists and the society that is possible, with both the world's majority and the planet leaping to the top of a new agenda...an agenda as urgently needed as a new vaccine. PMID: 32478697 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

We are calling for adoption of universal, redistributive and solidarity-based policies with a rights-oriented approach to leave no one behind.
Authors: Reed G Abstract Serving in her present role since the economic crisis of 2008, Alicia Bárcena is no newcomer to regional and global emergencies, economic or otherwise. She also has extensive experience in the UN system, including as chief of staff to the UN Secretary-General and later, during Ban Ki-moon's tenure in that position, as Under-Secretary General for Management. From 2016 to 2017, she co-chaired the International Resource Panel at the UN Environment Program. A biologist trained in her home country of Mexico, she later received a master's degree in public administra-tion from Harvard Unive...
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

We are living in the geologic age when human activities have dramatically affected our planet and its environment.
Authors: Reed GA Abstract Dr Barry is incoming Board Chair of the Consortium of Universities for Global Health (CUGH) and past President of the American Society of Tropical Medicine and Hygiene. She is a member of the National Academies of Sciences, Engi-neering, and Medicine, and serves on the National Academy of Medicine's Board of Global Health. She has received the Elizabeth Blackwell Medal for outstand-ing contributions to women in the fi eld of medicine, and is founder of WomenLift Health, a global initiative to transform global health outcomes by unleashing and elevating talented mid-career women to become g...
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

The COVID-19 Pandemic and Paradigm Change in Global Scientific Research.
Authors: Cárdenas-González M, Álvarez-Buylla ER Abstract The current pandemic has rocked the lives of human beings every-where in ways never imagined, forcing us to question where our civilization is headed. In this article, we explore and discuss scien-tifi c evidence that helps explain recent events in the context of the COVID-19 pandemic.COVID-19 is caused by infection with a zoonotic-origin novel virus, SARS-CoV-2, that is genetically close to two coronavirus types iso-lated in bats. The transmission dynamics to humans from the original and intermediary hosts remain poorly understood, but i...
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

In this kind of situation, health as a public good once again becomes paramount...
Authors: Reed GA Abstract Dr Jeanette Vega is well known in global health circles for her work in the areas of health equity, social determinants of health and health systems. She has served as Chile's Vice Minister of Health, and as director of the country's National Health Fund (FONASA). For fi ve years, she was also WHO Director of Equity and Social Determinants of Health. She currently sits on the 13-member Global Preparedness Monitoring Board (GPMB), co-chaired by H.E. Gro Harlem Brundt-land, Former Prime Minister of Norway and Former WHO Director-General; and Mr Elhadj As Sy, Chair, Kofi Annan Foun-dation Boa...
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

"Universal" doesn't just apply to health care, but to every sector's actions taken to protect the population's health.
"Universal" doesn't just apply to health care, but to every sector's actions taken to protect the population's health. MEDICC Rev. 2020 Jan;22(2):21-23 Authors: Bacallao-Gallestey J Abstract Dr Pastor Castell-Florit's career in public health spans work at local, na-tional and international levels. In 2016, he received PAHO's Award for Health Administration in the Americas, for "outstanding leadership and valuable contributions to the management and administration of the Cuban National Health System." He serves as presi-dent of Cuba's National Council of Sci-entific Societies in Heal...
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Are we witnessing the swan song of neoliberalism?
Authors: Alerm-González A Abstract Dr José Ramón Acosta-Sariego is full professor of basic and preclinical scienc-es at the Medical University of Havana's Victoria de Girón Institute, where he also chairs the Scientifi c Research Ethics Committee. He serves as vice-chair of the Board of Directors of UNESCO's Latin American and Caribbean Bioethics Net-work (REDBioética) and in 2020, UNES-CO's Director-General appointed him to its 36-member International Bioethics Committee. Dr Acosta-Sariego has been academic coordinator for the bioethics master's degree program at the Univer-sity ...
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Much more visible now are the inequalities that have always existed in our system and much clearer the need for stronger state intervention.
Authors: Baird C Abstract Dr Armando De Negri Filho is an epide-miologist whose work has centered on development and maintenance of Brazil's universal healthcare system. Along with his training in epidemiology, Dr De Negri has a specialty in emergency medicine and a PhD involving research focused on policy, planning, economics and health systems management. In addition to his other responsibilities, he serves as an expert on the right to development for the UN Human Rights Council. He spoke with MEDICC Review from his hometown in Porto Alegre. PMID: 32478704 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Bringing Cuban Biotech Research to Bear on COVID-19:All Hands and Minds on Deck.
Authors: Castellanos-Serra L Abstract This MEDICC Review roundtable gathers some of Cuba's top researchers in the fi elds of vaccines and biotechnology, all of whom work in institutions belonging to BioCubaFarma, the umbrella company of Cuban biotech and pharmaceutical R&D, production, distribution and export. Founded in 2012, the company is comprised of 34 enterprises with 61 lines of production and some 20,000 employees. A total of 765 of its products are registered in 53 countries and exported to an-other 50. Its scientists' research has resulted in 2640 patents in Cuba and globally. PMID: 32478705 [PubM...
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Severe COVID-19 Cases: Is Respiratory Distress Partially Explained by Central Nervous System Involvement?
Authors: Machado-Curbelo C Abstract The main characteristics and challenging symptoms of COVID-19, caused by the novel coronavirus SARS-CoV-2, are related to re-spiratory distress. Although most patients have mild symptoms such as fever, headache, cough, myalgia and anosmia, some develop acute respiratory distress syndrome, leading to death in many cases. Human coronavirus (CoVs) were responsible for two previ-ous worldwide outbreaks: Severe Acute Respiratory Syndrome (SARS-CoV) and Middle East Respiratory Syndrome (MERS-CoV). Several reports of these outbreaks demonstrated that these diseases affected the central ...
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Cuba's Pedro Kour í Tropical Medicine Institute:Battling COVID-19 One Study, One Test, One Patient at a Time.
Cuba's Pedro Kourí Tropical Medicine Institute:Battling COVID-19 One Study, One Test, One Patient at a Time. MEDICC Rev. 2020 Jan;22(2):40-44 Authors: Coutin G, Bacallao-Gallestey J, Castellanos-Serra L Abstract This MEDICC Review roundtable brings you specialists from Havana's Pedro Kourí Tropical Medicine Institute (IPK), who are working directly with testing, research and patient care during the COVID-19 pandemic. Founded in 1937 by its namesake, the Institute has gained considerable worldwide prestige. Today, it is a PAHO-WHO Collaborating Center for the Study of Dengue and Its Vector...
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Curbing Misinformation and Disinformation in the COVID-19 Era: A View from Cuba.
Authors: Alonso-Galbán P, Alemañy-Castilla C Abstract As the COVID-19 health crisis engulfs the planet, we are sub-merged in a parallel pandemic: the glut of misinformation and disinformation. The data associated with this phenomenon are creating a disaster within a disaster. In early April 2020, the Span-ish news agency EFE[1] reported that over one million internet ac-counts were dedicated to rumor-mongering, spreading unverifi ed information about the coronavirus. From January through April 13, fact-checkers at Maldita.es[2] had tracked over 400 lies and false alerts circulated about COVID-19 in Sp...
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Stemming COVID-19 in Cuba: Strengths, Strategies, ChallengesFrancisco Dur án MD.
Stemming COVID-19 in Cuba: Strengths, Strategies, ChallengesFrancisco Durán MD. MEDICC Rev. 2020 Jan;22(2):47-52 Authors: Reed G Abstract Dr Durán is a native of eastern San-tiago de Cuba and his early medical career began in this mountainous re-gion, where he also headed provin-cial prevention and treatment of HIV/AIDS. He went on to become rector of the Medical University of Santiago de Cuba and provincial health direc-tor. Later in Havana, Dr Durán was director of medical education and vice minister at the Ministry of Public Health (MINSAP). Abroad, he served as advisor to Angol...
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Mobilizing Primary Health Care:Cuba's Powerful Weapon against COVID-19.
Authors: Aguilar-Guerra TL, Reed G Abstract A strong foundation of primary care is critical to the health system and is particularly important during pandemics like COVID-19. Primary care practices should be a natural fi t for triaging, testing, treating, and educating patients.-Corinne Lewis, Shanoor Seervai, Tanya Shah, Melinda K. Abrams, and Laurie Zephyrin MD The Commonwealth Fund, April 22, 2020[1. PMID: 32478710 [PubMed - in process] (Source: MEDICC Review)
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

COVID-19 Case Detection: Cuba's Active Screening Approach.
Authors: Gorry C Abstract Meningitis, neuropathy, HIV, dengue-since the 1960s, Cuba has faced its share of epidemics. More recently, Cuban health pro-fessionals tackled domestic outbreaks of H1N1 (2009) and Zika (2016), and worked alongside colleagues from around the world to stem Ebola in West Africa; all three were categorized by WHO as public health emergencies of international concern. In December 2019, China reported its fi rst cluster of pneumo-nia cases, later identifi ed as the novel coronavirus disease COVID-19. In January 2020, Cuban authorities convened a multi-sector working group coordinated by the Min...
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research

Global Collaboration in Times of COVID-19: Cuba's Emergency Medical Contingent.
Authors: Gorry C Abstract The days are long and arduous, with end-less patients to attend, often in a foreign language, always on foreign shores. Far from family and the familiar. Sleep is fi tful at best for health profession-als serving in emergency situations-when sickness obeys no clock and patients' pain haunts even the quiet moments. The crisis scenario varies: post-earthquake, hurricane or tsunami; amid a cholera or Ebola epidemic. The countries vary: Haiti, Pakistan, Guatemala, Mozambique, Sierra Leone. What does not vary is the answer to the calls for help and Cuban professionals' commitment to care for th...
Source: MEDICC Review - June 3, 2020 Category: International Medicine & Public Health Tags: MEDICC Rev Source Type: research