Civil society promoting government accountability for health equity in the Caribbean: The Healthy Caribbean Coalition.
Authors: Hassell TA, Hutton MT, Barnett DB Abstract Achieving health equity and addressing the social determinants of health are critical to attaining the health and health-related targets of the 2030 Agenda for Sustainable Development and its Sustainable Development Goals. Frameworks for health, including the Sustainable Health Agenda for the Americas 2018 - 2030, emphasize reduction of health inequities and "leaving no one behind" in national sustainable development. Health equity includes advancing universal health and the primary health care approach, with equitable access for all people to timely, qu...
Source: Pan American Journal of Public Health - October 23, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[New Health Science Descriptors to classify and retrieve information on equity].
The objective of this article is to describe the methodology used during the terminology review of the DeCS and to report the results obtained and the impacts of the terminology expansion in the field of equity, which included the inclusion of 35 new descriptors. PMID: 33088290 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - October 23, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Theoretical and practical challenges of proportionate universalism: a review.
Conclusion: This review mapped available scientific literature on PU and its related concepts. PU principle originates from social theories. As highlighted by authors who implemented PU interventions, application raises many challenges from design to evaluation. Analysis of PU applications provided in this review answered to some of them but remaining methodological challenges could be addressed in further research. PMID: 33088291 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - October 23, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Seroprevalence of SARS-CoV-2 IgM and IgG antibodies in an asymptomatic population in Sergipe, Brazil.
Conclusions: A high prevalence of SARS-CoV-2 antibodies was found among asymptomatic persons in Sergipe. Women over 40 showed the highest rates. The capital, Aracaju, displayed the highest seroprevalence. Surveys like this one are important to understand how the virus spreads and to help authorities to plan measures to control it. Repeated serologic testing are required to track the progress of the epidemic. PMID: 33042199 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - October 13, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Financing of integrated health service networks].
Authors: Pedraza CC Abstract The countries of Latin America and the Caribbean need to increase their public resources in health to expand equitable and efficient access to health. The increase should finance a specific model with proven effectiveness, such as integrated health service networks (IHSN) based on primary health care. The global literature has not paid sufficient attention to financing IHSN; rather, it has focused on isolated facilities and agents, as well as on specific mechanisms. However, in the Region of the Americas, their development has been a necessity for years. An IHSN is a group of health org...
Source: Pan American Journal of Public Health - October 10, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Substandard, falsified and unregistered medicines in Latin America, 2017-2018.
Conclusions: In Latin America, substandard, falsified and unregistered medicines persist as a highly prevalent problem. An advanced degree of regulatory development in countries is associated with higher incident detection/reporting rates and a more comprehensive set of measures. The pharmaceutical supply chain is more vulnerable in its final node. Quality deviations identified in tested samples pose serious risks to public health. PMID: 33033498 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - October 10, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Understanding advanced practice nursing as a step towards its implementation in BrazilComprender la enfermer ía de práctica avanzada como un paso hacia su aplicación en Brasil].
Conclusions: The observation of advanced practice nursing in another context, such as the United States, is a relevant step in the process of its implementation in Brazil. Nursing professionals and other stakeholders need to understand this practice in order to truly support the implementation process. PMID: 33005186 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - October 3, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Antimicrobial resistance: time for action.
Authors: da Silva JB, Espinal M, Ramón-Pardo P PMID: 33005187 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - October 3, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Health working conditions and environment: conceptual model for remote and rural areas].
This report proposes a conceptual model on workplace environment and working conditions that integrates the available evidence to facilitate the design and evaluation of interventions aimed at improving the attraction, recruitment and retention of health personnel at the first level of care in rural and remote areas. Theoretical, empirical and testimonial evidence was consulted to support the model, and 15 frameworks disseminated in the last 20 years were synthesized. The article shows the diversity of perspectives and the complexity involved in establishing the dimensions to be considered in a proposal that is useful to a...
Source: Pan American Journal of Public Health - October 2, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Adequate, reliable and timely information in times of the COVID-19 pandemicInformaci ón adecuada, fiable y oportuna en tiempos de la pandemia por la COVID-19].
This article presents some of these resources. The production and synthesis of knowledge made available in a timely manner to professionals on the frontline of response to COVID-19 is essential and a basic requirement for improving response capacity. It is also important to strengthen and increase investment in the production of scientific evidence, and to recognize and build upon the tireless work of a large group of scientists and institutions that continue to respond to the COVID-19 pandemic. PMID: 32994790 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - October 2, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Social inequalities in the progression of COVID-19 in the Mexican population].
Conclusions: The trends observed indicate that the effects of COVID-19 are not only related to the biological characteristics of SARS-CoV-2, but also to the resources (or lack thereof) to deal with it, which are distributed by social processes. PMID: 32983234 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 30, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[National surveillance of clinical isolates of Enterococcus faecalis resistant to linezolid carrying the optrA gene in Colombia, 2014-2019].
Conclusion: OptrA-positive clinical isolates present a high genetic diversity, with different optrA clones and variants related to two types of structures and different mobile genetic elements. PMID: 32968369 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Epidemiological profile of extensively drug-resistant tuberculosis in Peru, 2013-2015Perfil epidemiol ógico da tuberculose extremamente resistente no Peru, 2013-2015].
Conclusions: This study offers important details of the epidemiological profile of XDR-TB in Peru, where there has been an increase in cases of primary XDR-TB; that is, cases with no prior history of disease. Furthermore, this form of tuberculosis has spread to a greater number of departments in the country. PMID: 32973891 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Socioeconomic factors associated with antimicrobial resistance of Pseudomonas aeruginosa, Staphylococcus aureus, and Escherichia coli in Chilean hospitals (2008-2017).
Authors: Allel K, García P, Labarca J, Munita JM, Rendic M, Grupo Colaborativo de Resistencia Bacteriana, Undurraga EA Abstract Objective: To identify socioeconomic factors associated with antimicrobial resistance of Pseudomonas aeruginosa, Staphylococcus aureus, and Escherichia coli in Chilean hospitals (2008-2017). Methods: We reviewed the scientific literature on socioeconomic factors associated with the emergence and dissemination of antimicrobial resistance. Using multivariate regression, we tested findings from the literature drawing from a longitudinal dataset on antimicrobial resistance from 41 m...
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Identification and susceptibility profile of Candida species isolated from hemocultures in hospitals in ParaguayIdentifica ção e perfil de sensibilidade de Candida spp. isoladas de hemoculturas em hospitais no Paraguai].
Conclusions: This is the first report on candidemias in hospitals of Paraguay. Together with other studies, it will improve knowledge about this infection in the country. PMID: 32973893 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Prevention and control of antimicrobial stewardship: a review of evidenceGesti ón de las intervenciones en materia de prevención y control de la resistencia a los antimicrobianos en los hospitales: revisión de la evidencia].
Conclusion: Most of the strategies identified were effective for antimicrobial stewardship in hospital settings. The reliability of results may be strengthened with the performance of additional research of higher methodological quality. PMID: 32973894 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Antimicrobial resistance profiles of microorganisms isolated from hospitalized patients in Dominican Republic.
Conclusion: Antimicrobial resistance levels are high among hospitalized patients in Dominican Republic and may cause enhanced risk factors that impact clinical outcomes. Urgent measures are needed to address antimicrobial resistance in DR. PMID: 32973895 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Evolution of the performance of Latin America Reference Laboratories in the detection of mechanisms of antimicrobial resistanceEvolu ção do desempenho dos Laboratórios de Referência na América Latina na detecção de mecanismos de resistência antimicrobiana].
Conclusions: The LA-EQAS is an excellent tool for continuous quality improvement in the diagnosis of infections due to multiresistant microorganisms in NRLs in Latin America. PMID: 32973896 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

From environment to clinic: the role of pesticides in antimicrobial resistance.
This report draws attention to molecules, rather than antibiotics, that are commonly used in agrochemicals and may be involved in developing AMR in non-clinical environments, such as soil. This report examines pesticides as mediators for the appearance of AMR, and as a route for antibiotic resistance genes and antimicrobial resistant bacteria to the anthropic environment. Available evidence suggests that the natural environment may be a key dissemination route for antibiotic-resistant genes. Understanding the interrelationship of soil, water, and pesticides is fundamental to raising awareness of the need for environmental ...
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Results of the Program for the Rational Use of Antimicrobials in a Mexican hospital, 2013-2018Resultados de um programa para o uso racional de antimicrobianos num hospital no M éxico, 2013-2018].
Conclusions: Programs for the rational use of antimicrobials need to be evaluated continuously, by monitoring both consumption of agents by patients and related institutional expenditures. PMID: 32973898 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Antimicrobial profile of Acinetobacter baumannii at a tertiary hospital in Honduras: a cross-sectional analysis.
This report aims to describe the antimicrobial resistance profile of A. baumannii at a tertiary hospital in Honduras. The cross-sectional analysis was conducted at the tertiary care laboratory hospital in San Pedro Sula in 2015 - 2017. A total of 113 consecutive microbiological reports were analyzed, comprising 100 individuals from whom A. baumannii was isolated. Epidemiological and microbiological data, including the isolation setting and patient information, were recorded. Prevalence of multi-drug and extensive-drug resistance was assessed according to international standards. The median age of individuals was 22 years (...
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Methicillin-resistant Staphylococcus aureus in the Americas: systematic review and metanalysis of prevalence in food-producing animalsStaphylococcus aureus resistente a la meticilina en la Regi ón de las Américas: revisión sistemática y metanálisis de la prevalencia en la actividad agropecuaria].
Conclusions: MRSA prevalence in food-producing animals in the Americas was higher in pigs, without significant changes across time. PMID: 32973900 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Social inequalities related to antimicrobial resistance in N. gonorrhoeae in ColombiaDesigualdades sociais relacionadas à resistência antimicrobiana de N. gonorrhoeae na Colômbia].
Conclusions: Six recommendations emerged with a view to largely containing AMR in N. gonorrhoeae: i) increase awareness of safe sexual and reproductive health; ii) rethink how to deliver key messages with an equity approach; iii) improve information, prescription, and drug chain systems; iv) form coalitions to improve response and share objectives with the private sector; v) improve the availability and disaggregation of data; and vi) support research on inequalities in AMR. PMID: 32973901 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Characteristics of dual carbapenemase-producing Klebsiella pneumoniae strains from an outbreak in Venezuela: a retrospective study.
Conclusions: Infection control strategies are needed at the central hospital in Cumaná and its surrounding areas to prevent the spread of these pathogens, especially given the high levels of migration from Venezuela to other countries in South America. PMID: 32973902 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Multicenter study of adherence to guidelines on surgical prophylaxis and the determinants of non-adherence in ArgentinaEstudo multic êntrico sobre a adesão a diretrizes de profilaxia cirúrgica e seus determinantes na Argentina].
[Multicenter study of adherence to guidelines on surgical prophylaxis and the determinants of non-adherence in ArgentinaEstudo multicêntrico sobre a adesão a diretrizes de profilaxia cirúrgica e seus determinantes na Argentina]. Rev Panam Salud Publica. 2020;44:e52 Authors: Rodríguez VM, Clara L, Klajn D, Colque Á, Herrera MP, Angeleri P Abstract Objective: Evaluate the level of adherence to guidelines on surgical prophylaxis in health facilities in Argentina and the determinants of non-adherence. Methods: Cross-sectional multicenter study in 35 centers in Argentin...
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Plasmidic resistance to colistin mediated by mcr-1 gene in Escherichia coli clinical isolates in Argentina: A retrospective study, 2012-2018.
Conclusions: The presence of IncI2 plasmids among highly diverse E. coli clones suggests that the mcr-1 gene's wide distribution in Argentina may be driven by the horizontal transmission of IncI2 plasmids. PMID: 32973904 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Impact of a pharmacist-driven antimicrobial stewardship program in a private hospital in Costa Rica.
Authors: Díaz-Madriz JP, Cordero-García E, Chaverri-Fernández JM, Zavaleta-Monestel E, Murillo-Cubero J, Piedra-Navarro H, Hernández-Guillén M, Jiménez-Méndez T Abstract Objective: To measure the impact generated by the implementation of the pharmacy-driven antimicrobial stewardship program of the Clínica Bíblica Hospital. Methods: This is a retrospective observational study that evaluates the consumption of antibiotics for the periods before and during implementation of the Clínica Bíblica Hospital antimicrobial stewardship program, c...
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Detection of the ermB gene associated with macrolide resistance in Campylobacter strains isolated from chickens marketed in Lima, PeruDetec ção do gene ermB associado à resistência a macrolídeos em cepas de Campylobacter isoladas de frangos comercializados em Lima, no Peru].
Conclusions: These results demonstrate that the chicken carcasses sold in markets in Lima present contamination by C. coli with high resistance to macrolides, which can be attributed to the presence of the ermB gene. PMID: 32973906 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Panorama of carbapenemases in PeruUm panorama das carbapenemases presentes no Peru].
Conclusions: There is a limited number of publications about carbapenemases among patients in Peru. The genotype reports come primarily from hospitals in the country's capital. This is the first review that aims to identify the types of carbapenemases reported in enterobacteria, P. aeruginosa, and A. baummani. PMID: 32973907 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Antimicrobial stewardship in hospitals in Latin America and the Caribbean: a scoping review.
Conclusions: Published hospital AMS initiatives have increased over time and have expanded across LAC. However, more programs need to be developed. Complete reporting of SPO elements is imperative to evaluating and replicating AMS actions. PMID: 32973908 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Resistencia a los antimicrobianos: tiempo para la acci ón.
Resistencia a los antimicrobianos: tiempo para la acción. Rev Panam Salud Publica. 2020;44:e122 Authors: da Silva JB, Espinal M, Ramón-Pardo P PMID: 32973909 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 26, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Is COVID-19 a turning point for the health workforce?
Authors: Aith F, Castilla Martínez M, Cho M, Dussault G, Harris M, Padilla M, Murphy GT, Tomlin P, Valderas JM PMID: 32952532 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 23, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Response capacity to the COVID-19 pandemic in Latin America and the Caribbean].
Conclusions: The countries of the region show a heterogeneous evolution in the incidence of COVID-19. This heterogeneity is associated with both the public health measures adopted, as well as with the population size, poverty levels and pre-existing health systems. PMID: 32952533 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 23, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Factors and interventions that affect working conditions and environment to increase the attraction, recruitment and retention of human resources for health at the primary care level in rural, remote or underserved areas].
Conclusions: Evidence on factors that are positively related to recruitment and retention of workers at the first level of care in rural, remote or underserved areas is sufficient and should be taken into account when designing interventions. Quality evidence on the effectiveness of interventions is scarce. More controlled studies with methodological rigor are needed, particularly in the Americas. PMID: 32952534 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 23, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Recommendations for reopening elective surgery services during the SARS-CoV-2 pandemic].
Authors: Mendivelso Duarte FO, Rodríguez Bedoya M, Barrios Parra AJ Abstract Given the uncertainty that accompanies the SARS-CoV-2 pandemic and the need to respond to multiple chronic and acute health problems affecting the general population, including those requiring surgical intervention, the recommendations implemented in clinics and hospitals in Colombia are presented as a guide to achieve a reopening of elective surgery services in a safe, staggered and monitored manner in accordance with the dynamics imposed by the pandemic, national and international guidelines and the speed of production of scientif...
Source: Pan American Journal of Public Health - September 23, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Risk of Zika virus-associated birth defects in congenital confirmed cases in the Brazilian Amazon.
Conclusions: Results showed a low incidence of ZIKV-associated birth defects, stillbirth, and miscarriage, which contrasts with previous studies in other Brazilian regions. Previous exposure to yellow fever vaccine and/or multiserotype DENV infection could be implicated in the protection from ZIKV congenital infection. PMID: 32952536 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 23, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Health and social inequalities in maternal and child health in Paraguay].
Conclusions: Paraguay needs to make significant efforts to reduce the health and social inequalities that exist in the MMR, U5MR and NMR between departments. Numerical targets must be established to improve national values and reduce inequalities in these indicators, which will allow for accountability on the commitment to "leave no one behind" established in the SDG, and will help generate strategies to improve the health of women and children in Paraguay. PMID: 32905374 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 12, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Behavior and social inequalities in prioritized indicators of Sustainable Development Goal 3 in Bolivia].
Conclusions: National averages hide differences between subpopulations and departments in Bolivia. The findings show that the behavior and social inequality of some ODS-3 indicators have improved, but regarding other indicators interventions by different stakeholders must be strengthened to reduce social inequalities in health. PMID: 32884564 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 6, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Educational strategies for human resources in home health care: 8 years' experience from Brazil.
Authors: Savassi LCM, Dias MB, Boing AF, Verdi M, Lemos AF Abstract Objective: To analyze characteristics, enrollments and completion rates of healthcare professionals enrolled in Self-Instructional Online Courses of the Home Health Care Multicentre Qualification Program, developed by the Ministry of Health and the Universidade Aberta do SUS (UNASUS), and its relationship with Home Health Care Teams implementation. Methods: Data were extracted from the Self-Instructional Online Courses' UNASUS enrollment platform database (2012-2018), cross-referenced with the Health Facilities' National Database and compared t...
Source: Pan American Journal of Public Health - September 6, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Bottlenecks and barriers to effective coverage of early childhood health and development interventions in Guatemala: A scoping review.
Conclusions: Most bottlenecks and barriers to ECHD interventions in Guatemala occur around acceptability, followed by accessibility and availability. There is considerable potential for national leadership, leverage, scale-up, and collaboration of ongoing efforts in the country. These results may be used to inform future research and policymaking. The Tanahashi approach is an effective lens of analysis that can be applied to other countries, geographic areas, and contexts in future studies. PMID: 32884566 [PubMed] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - September 6, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

SARS-CoV-2 outbreak on the Caribbean islands of the Dutch Kingdom: a unique challenge.
Authors: Maria P, Jeung L, Duits A, Busari J Abstract As the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) pandemic progresses, countries are depending on one another to acquire knowledge regarding effective measures to contain the virus. Public health measures to suppress transmissions have proven successful in Singapore, Hong Kong and Taiwan. Implementing and adhering to these interventions is challenging, with governments struggling to find a balance between necessary mitigation and suppression strategies, and interruptions of social-economic activities. While large high-income countries are strug...
Source: Pan American Journal of Public Health - August 23, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Regulation of nursing practice in the Region of the Americas.
Conclusion: Regulations promote and protect professional integrity. The Pan American Health Organization/World Health Organization recommends that countries make efforts to evaluate competency and training, consider the use of competency exams for initial registration, and add continuing education as requirements for registration renewal. PMID: 32821257 [PubMed - as supplied by publisher] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - August 23, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Monitoring access barriers to health services in the Americas: a mapping of household surveys.
Conclusions: This study identified tracer indicators that countries in the Americas could use to monitor the population that experience healthcare needs but fail to seek and obtain appropriate healthcare, and what the main barriers are. The surveys identified are well validated and allow the disaggregation of these indicators by equity stratifiers. Given the variability of the methodologies used in these surveys, comparability across countries could be limited. As such, their virtue lies in helping stakeholders compare levels of access barriers over time for a given country or a group of countries. Country buy-in will dire...
Source: Pan American Journal of Public Health - August 23, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Epidemic trends, public health response and health system capacity: the Chilean experience in four months of the COVID-19 pandemic.
Conclusions: Our findings suggest that the implemented public health interventions have been initially effective in decreasing the spread of the pandemic. Premature decisions to relax these interventions may have resulted in a rebound in cases with a rapid saturation of the health care system. PMID: 32821259 [PubMed - as supplied by publisher] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - August 23, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

Leveraging household survey data to measure barriers to health services access in the Americas.
Conclusions: The analysis indicates major inequalities by wealth status and uneven progress in multiple access barriers that hinder progress towards the goals of equity as part of the Sustainable Development Goals and universal health in the Americas. Access barriers were multiple, which highlights the need for integrated and multisectoral approaches to tackle them. Given the variability between instruments across countries, future efforts are needed to standardize questionnaires and improve data quality and availability for regional monitoring of access barriers. PMID: 32821260 [PubMed - as supplied by publisher] (Sou...
Source: Pan American Journal of Public Health - August 23, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[High-risk clusters and temporal trends in congenital syphilis infection in Brazil].
Conclusions: The identification of municipality clusters at high risk for CS and of increasing trends in CS infection across the country, even in the presence of prenatal care, suggests the need for improvement of public health actions to fight this disease. PMID: 32818032 [PubMed - as supplied by publisher] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - August 21, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

A COVID-19 opportunity: Applying a systems approach to food security and noncommunicable diseases.
Authors: Murphy MM, Guariguatax L, Samuels TA PMID: 32818033 [PubMed - as supplied by publisher] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - August 21, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Factors associated with unsuccessful treatment of patients with drug-sensitive tuberculosis in Paraguay].
Conclusion: Paraguay has a high percentage of unsuccessful treatment in almost the entire country, without reaching the target proposed by the World Health Organization. Associated risk factors such as HIV, consumption of legal and illicit drugs, and being indigenous highlight the need to revise the treatment strategies with an inter-institutional approach. PMID: 32818034 [PubMed - as supplied by publisher] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - August 21, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Use of point-of-care technologies for the management of the COVID-19 pandemic in Colombia].
Conclusion: This model may be useful for countries in the region with weak or absent technological platforms for PCR diagnosis to maximize existing resources, estimate the epidemiological burden of COVID-19 (infection, morbidity, mortality and lethality) and implement containment, mitigation and control plans according to their needs. PMID: 32818035 [PubMed - as supplied by publisher] (Source: Pan American Journal of Public Health)
Source: Pan American Journal of Public Health - August 21, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research

[Perinatal COVID-19 in Latin America].
Authors: Sola A, Rodríguez S, Cardetti M, Dávila C Abstract Objective: To evaluate and report the clinical characteristics and outcomes of SARS-CoV-2 infection in pregnant women and newborns in Latin America. Methods: Descriptive study based on the prospective report of the units of the Ibero-American Society of Neonatology Network. Results: Of 86 pregnant women with COVID-19 confirmed by RT-PCR in seven countries (6 from Latin America, and Equatorial Guinea) 68% (59) were asymptomatic. Of 32% of symptomatic women, 89% (24) had mild symptoms and 3.5% (3) had severe respiratory symptoms. No wom...
Source: Pan American Journal of Public Health - August 13, 2020 Category: International Medicine & Public Health Tags: Rev Panam Salud Publica Source Type: research