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Samy S, Lami F, Rashak HA, Al Nsour M, Eid A, Khader YS, Afifi S, Elfadul M, Ghaleb Y, Letaief H, Alaya NB, Ikram A, Akhtar H, Barkia A, Taha HA, Adam R, Saeed KMI, Almudarra SS, Hassany M, El Sood HA, ur Rahman F, Saaed FAK, Hlaiwah MS. Public health workers' knowledge, attitude and practice regarding COVID-19: the impact of Field Epidemiology Training Program in the Eastern Mediterranean Region. J Public Health (Oxf) 2021; 43:iii1-iii11. [PMID: 34580723 PMCID: PMC8500047 DOI: 10.1093/pubmed/fdab240] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 04/22/2021] [Accepted: 06/08/2021] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND This study aimed to compare knowledge, attitude and practice (KAP) regarding COVID-19 between public health workers (PHWs) attended field epidemiology training program (FETP-trained) and those who did not attend FETP (non-FETP trained). METHODS Multi-country cross-sectional survey was conducted among PHWs who participated in COVID-19 pandemic in 10 countries at EMR. Online questionnaire that included demographic information, KAP regarding COVID-19 pandemic was distributed among HCWs. Scoring system was used to quantify the answers, bivariate and Multivariate analysis performed to compare FETP-trained with non-FETP trained PHWs. RESULTS Overall, 1337 PHWs participated, with 835 (62.4%) < 40 years of age, and 851 (63.6%) males. Of them, 423 (31.6%) had FETP, including that 189 (44.7%) had advanced level, 155 (36.6%) intermediate and 79 (18.7%) basic level training. Compared with non-FETP trained, FETP trained were older, having higher KAP scores. FETP participation was low in infection control, and PH laboratories. KAP mean scores for intermediate level attendees are comparable to advanced level. CONCLUSIONS FETP-trained are having better KAP than non-FETP PHWs. Expanding the intermediate level, maintain the Rapid Response training and introduce the laboratory component are recommended to maximize the benefit from FETP. Infection control, antimicrobial resistance and coordination are areas where training should include.
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Affiliation(s)
- Sahar Samy
- Communicable Disease Control Department, Preventive sector, Ministry of Health and Population, Cairo, Egypt
| | - Faris Lami
- Community and Family Medicine, University of Baghdad, Iraq
| | | | - Mohannad Al Nsour
- Global Health Development (GHD)|The Eastern Mediterranean Public Health Network (EMPHNET), Amman, Jordan
| | - Alaa Eid
- Preventive sector, Ministry of Health and Population, Cairo, Egypt
| | - Yousef S Khader
- Department of Public Health, Jordan University of Science & Technology
| | - Salma Afifi
- Department of Epidemiology and Surveillance, Preventive sector, Ministry of Health and Population, Cairo, Egypt
| | - Maisa Elfadul
- Public Health Institute, Federal Ministry of Health, Sudan
| | - Yasser Ghaleb
- Field Epidemiology Training Program, Ministry of Public Health and Population, Sana'a, Yemen
| | - Hajer Letaief
- National Observatory of New and Emerging Diseases, Tunis, Tunisia
| | | | - Aamer Ikram
- National Institute of Health, Islamabad, Pakistan
| | - Hashaam Akhtar
- Yusra Institute of Pharmaceutical Sciences, Yusra Medical and Dental Collage, Islamabad, Pakistan
| | | | - Hana Ahmad Taha
- Global Health Development (GHD)|The Eastern Mediterranean Public Health Network (EMPHNET), Amman, Jordan
| | - Reema Adam
- Public Health Institute, Federal Ministry of Health, Sudan
| | | | - Sami S Almudarra
- Field Epidemiology Training Program, Saudi Ministry of Health, Riyadh, Saudi Arabia
| | - Mohamed Hassany
- National Hepatology and Tropical Medicine Research Institute, Ministry of Health and Population, Cairo, Egypt
| | - Hanaa Abu El Sood
- Department of Epidemiology and Surveillance, Preventive sector, Ministry of Health and Population, Cairo, Egypt
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BahaaEldin H, El Sood HA, Samy S, Khader Y, AbdelFatah M, Hassany M, Afifi S, Eid A. COVID-19 outcomes among pregnant and nonpregnant women at reproductive age in Egypt. J Public Health (Oxf) 2021; 43:iii12-iii18. [PMID: 34741171 PMCID: PMC8660011 DOI: 10.1093/pubmed/fdab376] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2021] [Revised: 09/11/2021] [Accepted: 10/04/2021] [Indexed: 01/20/2023] Open
Abstract
BACKGROUND To describe demographic, clinical and epidemiological characteristics of pregnant and nonpregnant women with confirmed COVID-19 at reproductive age and determine risk factors of COVID-19 severe outcomes during pregnancy. METHODS A retrospective study for females aged 18-49 with confirmed COVID-19 by RT-PCR in Egypt, February-July 2020. Data were obtained from Egypt National Surveillance, bivariate and multivariate analysis for demographic and clinical characteristics and outcomes of COVID-19 between pregnant and nonpregnant women including ICU admission, need for ventilator and death was performed. RESULTS A total of 23 095 females were identified, with mean (SD) age of 35.1 (8.1) year. Of those, 408 (1.8%) were pregnant, with mean (SD) age of 29.3 (8.1) years. Compared to nonpregnant, pregnant patients were more likely to be admitted to hospital (OR = 1.7 CI = 1.4-2.1), ICU (OR = 2.4, CI = 1.3-4.3), need ventilator (OR = 3.9, CI = 2.1-7.4) and have severe outcome (OR = 3.0, CI = 1.9-4.7). Factors associated with severe outcome included: pregnancy, age > 30 years, underlying medical conditions, and living in rural areas. CONCLUSION Pregnant women with COVID-19 are at higher risk of severe symptoms and outcome including ICU admission, requiring ventilator and death. To reduce risk of severe outcome, counseling about for seeking medical care and health education about COVID-19 preventive measures should be performed.
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Affiliation(s)
- Hala BahaaEldin
- Department of Epidemiology and Surveillance - Preventive Sector, Ministry of Health and Population, Cairo 11516, Egypt
| | - Hanaa Abu El Sood
- Department of Epidemiology and Surveillance - Preventive Sector, Ministry of Health and Population, Cairo 11516, Egypt
| | - Sahar Samy
- Communicable Disease Control Department - Preventive Sector, Ministry of Health and Population, Cairo 11516, Egypt
| | - Yousef Khader
- Department of Public Health, Jordan University of Science and Technology, Irbid 22110, Jordan
| | - Mohamad AbdelFatah
- Central Administration of Preventive Affairs, Ministry of Health and Population, Cairo 11516, Egypt
| | - Mohamed Hassany
- National Hepatology and Tropical Medicine Research Institute, Ministry of Health and Population, Cairo 11516, Egypt
| | - Salma Afifi
- Department of Epidemiology and Surveillance - Preventive Sector, Ministry of Health and Population, Cairo 11516, Egypt
| | - Alaa Eid
- Preventive Sector, Ministry of Health and Population, Cairo 11516, Egypt
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Abu El Sood H, Abu Kamer SA, Kamel R, Magdy H, Osman FS, Fahim M, Mohsen A, AbdelFatah M, Hassany M, Afifi S, Eid A. The Impact of Implementing the Egypt Pandemic Preparedness Plan for Acute Respiratory Infections in Combating the Early Stage of the COVID-19 Pandemic, February-July 2020: Viewpoint. JMIR Public Health Surveill 2021; 7:e27412. [PMID: 33830932 PMCID: PMC8108937 DOI: 10.2196/27412] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/26/2021] [Revised: 04/06/2021] [Accepted: 04/06/2021] [Indexed: 12/02/2022] Open
Abstract
This article briefly describes Egypt’s acute respiratory infection (ARI) epidemic preparedness and containment plan and illustrates the impact of implementation of the plan on combating the early stage of the COVID-19 epidemic in Egypt. Pillars of the plan include crisis management, enhancing surveillance systems and contact tracing, case and hospital management, raising community awareness, and quarantine and entry points. To identify the impact of the implementation of the plan on epidemic mitigation, a literature review was performed of studies published from Egypt in the early stage of the pandemic. In addition, data for patients with COVID-19 from February to July 2020 were obtained from the National Egyptian Surveillance system and studied to describe the situation in the early stage of the epidemic in Egypt. The lessons learned indicated that the single most important key to success in early-stage epidemic containment is the commitment of all partners to a predeveloped and agreed-upon preparedness plan. This information could be useful for other countries in the region and worldwide in mitigating future anticipated ARI epidemics and pandemics. Postepidemic evaluation is needed to better assess Egypt’s national response to the COVID-19 epidemic.
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Affiliation(s)
- Hanaa Abu El Sood
- Department of Epidemiology and Surveillance, Preventive Sector, Ministry of Health and Population, Cairo, Egypt
| | - Shimaa Ali Abu Kamer
- Department of Epidemiology and Surveillance, Preventive Sector, Ministry of Health and Population, Cairo, Egypt
| | - Reham Kamel
- Department of Epidemiology and Surveillance, Preventive Sector, Ministry of Health and Population, Cairo, Egypt
| | - Hesham Magdy
- Department of Epidemiology and Surveillance, Preventive Sector, Ministry of Health and Population, Cairo, Egypt
| | - Fatma S Osman
- Department of Epidemiology and Surveillance, Preventive Sector, Ministry of Health and Population, Cairo, Egypt
| | - Manal Fahim
- Department of Epidemiology and Surveillance, Preventive Sector, Ministry of Health and Population, Cairo, Egypt
| | - Amira Mohsen
- Egypt Country Office, World Health Organization, Cairo, Egypt
| | - Mohamad AbdelFatah
- Central Administration of Preventive Affairs, Ministry of Health and Population, Cairo, Egypt
| | - Mohamed Hassany
- National Hepatology and Tropical Medicine Research Institute, Ministry of Health and Population, Vairo, Egypt
| | - Salma Afifi
- Department of Epidemiology and Surveillance, Preventive Sector, Ministry of Health and Population, Cairo, Egypt
| | - Alaa Eid
- Preventive Sector, Ministry of Health and Population, Cairo, Egypt
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