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Infectious Disease: Outbreaks

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Resurgence of Vaccine-Preventable Disease: Ethics in the Pediatric Emergency Department
After a decades-long reduction in vaccine-preventable illnesses worldwide, there has been a reappearance of childhood illnesses once thought to be eradicated. This resurgence in illnesses such as polio and measles is a consequence of multifactorial events leading to decreased vaccination rates. A lack of resources in poor and war-torn countries, coupled with increasing global travel, and decisions to delay or defer vaccinations because of inaccurate studies further emphasized by media have combined to result in current state of frequent local and widespread epidemics, specifically the current outbreak of measles. As provid...
Source: Pediatric Emergency Care - September 1, 2019 Category: Emergency Medicine Tags: Review Articles Source Type: research

COVID 19: Impacts and Implications for Pediatric Practice
Since the rapid emergence of the novel coronavirus in December of 2019 and subsequent development of a global pandemic, clinicians around the world have struggled to understand and respond effectively and efficiently. With global response encompassing social, political, organizational, and economic realms, world leaders are struggling to keep pace with the rapid changes. Challenges within global healthcare system and the healthcare profession itself include rationing supplies and services within health care systems, many of which were stretched to the brink before this latest viral outbreak (American Hospital Association, 2020).
Source: Journal of Pediatric Health Care - July 8, 2020 Category: Pediatrics Authors: Jessica L. Peck Tags: Article Source Type: research

Quality Virtual Care Is Within Reach – But Only If We Act Now
By JULIA HU Though it will be impossible to overstate the devastation that the COVID-19 pandemic is leaving in its wake, we can also acknowledge that it has pushed humanity to creatively adapt to our new, socially-distanced reality—necessity is the mother of invention, as they say. Telehealth is not a new invention, but the necessity of keeping people physically apart, especially those particularly vulnerable to COVID, has suddenly put virtual health care at the center of our delivery system.  Patients and providers quickly pivoted to at-home care as in-person visits were limited for safety, and use of telehea...
Source: The Health Care Blog - August 4, 2020 Category: Consumer Health News Authors: Christina Liu Tags: Health Tech Health Technology Julia Hu Lark health virtual care Source Type: blogs

The role of a pediatric tertiary care center in avoiding collateral damage for children with acute appendicitis during the COVID-19 outbreak
ConclusionsDespite an increase in the number of children with appendicitis managed at our hospital during the COVID-19-related lockdown, management, and outcome remained similar. Although our pediatric center was strongly affected by this pandemic, maintaining our prior practice strategies for acute appendicitis avoided the occurrence of collateral damage for those children.
Source: Pediatric Surgery International - October 18, 2020 Category: Surgery Source Type: research

The ongoing impact of Covid-19 pandemic on children with medical complexity: the experience of an Italian pediatric palliative care network
ConclusionThe COVID-19 pandemic and the related restrictions impacted the families and caused a transitory contraction of the perceived support. The most significant change was reduced access to medical visits and physiotherapy, which lasted over a year after the start of the pandemic.
Source: Italian Journal of Pediatrics - January 18, 2022 Category: Pediatrics Source Type: research

Real time antimicrobial resistance surveillance in critical care: Identifying outbreaks of carbapenem resistant gram negative bacteria from routinely collected data
Background: Statistically significant variation in antimicrobial resistance (AMR) occurs between hospitals, within hospitals, and over time. Whilst case mix and antimicrobial use contribute, the impact of cross-transmission on these fluctuations is not well understood. We investigated the utility of applying a statistical algorithm to identify outbreaks of carbapenem-resistant infections across three critical care units in a multi-centre teaching hospital network serving a population of 2 million in London, UK.
Source: International Journal of Infectious Diseases - March 29, 2016 Category: Infectious Diseases Authors: L.S.P. Moore, R. Freeman, A. Charlett, J.A. otter, H. Donaldson, A.H. Holmes Tags: Type: Poster Presentation Source Type: research

Resurgence of Vaccine-Preventable Diseases in the United States: Anesthetic and Critical Care Implications.
Abstract Vaccine-preventable diseases (VPDs) such as measles and pertussis are becoming more common in the United States. This disturbing trend is driven by several factors, including the antivaccination movement, waning efficacy of certain vaccines, pathogen adaptation, and travel of individuals to and from areas where disease is endemic. The anesthesia-related manifestations of many VPDs involve airway complications, cardiovascular and respiratory compromise, and unusual neurologic and neuromuscular symptoms. In this article, we will review the presentation and management of 9 VPDs most relevant to anesthesiolog...
Source: Anesthesia and Analgesia - April 14, 2016 Category: Anesthesiology Authors: Porteous GH, Hanson NA, Sueda LA, Hoaglan CD, Dahl AB, Ohlson BB, Schmidt BE, Wang CC, Fagley RE Tags: Anesth Analg Source Type: research

Global research preparedness for outbreak-related critical illness
We thank authors Gobat, Butler, Webb and Nichol for their thoughtful and practical suggestions to advance our ability to perform practice-informing research in the context of outbreaks and pandemics. We too have been encouraged by the progress made with the Platform foR European Preparedness Against Re-emerging Epidemics (PREPARE) initiative - a model for well-resourced health care systems to consider in preparing for the certainty of uncertain emerging infectious threats. While focused upon European preparedness, one additional promising aspect of PREPARE, is the provision to assist in addressing threats wherever they emerge.
Source: Journal of Critical Care - April 1, 2017 Category: Intensive Care Authors: Robert Fowler, Asgar Rishu, Nicole Marinoff, Lisa Julien, Mariana Dumitrascu, Nicole Martin, Shauna Eggertson, Suzette Willems, Stacy Ruddell, Dan Lane, Bruce Light, Henry Stelfox, Philippe Jouvet, Richard Hall, Steven Reynolds, Nick Daneman Source Type: research

Infectious Diseases: Critical Developments and Global Forecast
New York University, International Center for Enterprise Preparedness. 04/18/2017 This six-page document is the summary of a discussion on infectious diseases, including recent developments and the global forecast for 2017. It details how understanding emerging and re-emerging infectious diseases is critical given their potential role as global disruptors of business. It discusses the Zika virus, chikungunya, influenza, Ebola, Middle East respiratory syndrome (MERS), and severe acute respiratory syndrome (SARS). It also illustrates the Disruptor Outbreak Dashboard, which summarizes and color-codes information about health ...
Source: Disaster Lit: Resource Guide for Disaster Medicine and Public Health - May 5, 2017 Category: Global & Universal Authors: The U.S. National Library of Medicine Source Type: news

Zika virus-induced neurological critical illness in Latin America: Severe Guillain-Barre Syndrome and encephalitis
We report adult patients in Latin America diagnosed with ZIKAV infection admitted to Intensive Care Units (ICUs).
Source: Journal of Critical Care - August 8, 2017 Category: Intensive Care Authors: Sebasti án U. Ugarte, Angel Ricardo V. Arenas, Bruno C. Alvarez, Angela Cubides, Angélica F. Luna, Max Arroyo-Parejo, Cayri E. Acuña, Agamenón V. Quintero, Orlando Ch. Villareal, Oscar S. Pinillos, Elías Vieda, Manuel Bello, Susana Peña, Carmelo Due Source Type: research

Critical care response to a hospital outbreak of the 2019-nCoV infection in Shenzhen, China
Source: Critical Care - February 19, 2020 Category: Intensive Care Authors: Yong Liu, Jinxiu Li and Yongwen Feng Tags: Editorial Source Type: research

Peri-operative and critical care concerns in coronavirus pandemic
Sukhminder Jit Singh Bajwa, Rashi Sarna, Chashamjot Bawa, Lalit MehdirattaIndian Journal of Anaesthesia 2020 64(4):267-274 World Health Organization (WHO) declared novel coronavirus outbreak a “pandemic” on March 11th, 2020. India has already reached Stage 2 (local transmission) and the Indian Government, in collaboration with the Indian Council of Medical Research (ICMR), is taking all necessary steps to halt the community transmission(Stage 3). Anaesthesiologists and intensivists around the globe are making untiring efforts akin to soldiers at the final frontier during war. All efforts pertaini...
Source: Indian Journal of Anaesthesia - March 27, 2020 Category: Anesthesiology Authors: Sukhminder Jit Singh Bajwa Rashi Sarna Chashamjot Bawa Lalit Mehdiratta Source Type: research

I'm disabled but was told I won't receive critical care if I get Covid. It's terrifying
I use a ventilation machine at night and by early March, I could see that if I were to catch coronavirus, I ’d be in serious troubleTowards the end of last year, I ’d just got my life back on track after a long stay in hospital. I was discharged with round-the-clock care that transformed my life.I am disabled and the care package I was on before I was admitted to hospital didn ’t provide enough support; I was admitted to a ward with problems associated with a lack of care, including malnutrition and serious pressure sores. But then I was given a personal health budget from my local authority, with responsibility for ...
Source: Guardian Unlimited Science - August 13, 2020 Category: Science Authors: Anonymous as told to Sarah Johnson Tags: Disability Society Coronavirus outbreak Infectious diseases Medical research Science Social care Local government Politics UK news Care workers Hospitals Society Professionals Source Type: news

New York City ’s COVID-19 outbreak from the eyes of a pulmonary and critical care team’s biostatistician
December 15, 2018.  My coworker is moving to California. She’s a statistician for a group of pulmonary and critical care physicians at our New York City hospital, and I’m a statistician who’s trying not to do too many things wrong, only three months into my first job out of school. “I think you’d be good wi th […]Find jobs at  Careers by KevinMD.com.  Search thousands of physician, PA, NP, and CRNA jobs now.  Learn more.
Source: Kevin, M.D. - Medical Weblog - October 7, 2020 Category: General Medicine Authors: < span itemprop="author" > < a href="https://www.kevinmd.com/blog/post-author/katherine-hoffman" rel="tag" > Katherine Hoffman < /a > < /span > Tags: Conditions COVID-19 coronavirus Infectious Disease Source Type: blogs

Don ’t think I could cope with a Omicron outbreak
I single cover a small 16 bed closed ICU. I don’t know how I got through last week. It was Thanksgiving and no PICC team or IR available for most of the week. I was responsible for all procedures. It was bad. Non stop stream of Covid’s. Everyone by the end was proned and paralyzed. No one looking remotely like they could get extubated. I wanted to transfer a couple but was spending hours on the phone with 3-4 hospitals none of which had beds. Left home every day at 7:00 AM and was reaching... Read more
Source: Student Doctor Network - December 2, 2021 Category: Universities & Medical Training Authors: Nephro critical care Tags: Critical Care Source Type: forums