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Crocker J, Liu K, Smith M, Nakamoto M, Mitchell C, Zhu E, Ma E, Morden FT, Chong A, Van N, Dang N, Borman P, Carrazana E, Viereck J, Liow KK. Early Impact of the COVID-19 Pandemic on Outpatient Neurologic Care in Hawai'i. Hawaii J Health Soc Welf 2022; 81:6-12. [PMID: 35028589 PMCID: PMC8742305] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/14/2023]
Abstract
In March 2020, Hawai'i instituted public health measures to prevent the spread of Coronavirus disease 2019 (COVID-19), including stay-at-home orders, closure of non-essential businesses and parks, use of facial coverings, social distancing, and a mandatory 14-day quarantine for travelers. In response to these measures, Hawai'i Pacific Neuroscience (HPN) modified practice processes to ensure continuity of neurological treatment. A survey of patients was performed to assess the impact of the COVID-19 pandemic and pandemic-related practice processes for quality improvement. Overall, 367 patients seen at HPN between April 22, 2020, and May 18, 2020, were surveyed via telephone. Almost half (49.6%) participated in a telemedicine appointment, with the majority finding it easy to use (87.4%) and as valuable as face-to-face appointments (68.7%). Many (44.5%) patients said they would have missed a health care appointment without the availability of telemedicine, and 47.3% indicated they might prefer to use telemedicine over in-person appointments in the future. Many reported new or worsening mental health problems, including depression (27.6%), anxiety (38.3%), or sleep disturbances (37.4%). A significant number reported worsening of their condition, with 33.1% of patients who experience migraines reporting increased symptom severity or frequency, 45.8% patients with Alzheimer's disease reporting worsened symptoms, 38.5% of patients with Parkinson's disease who had a recent fall, and 50.0% of patients with multiple sclerosis experiencing new or worsened symptoms. Insights from this survey applied to the practice's pandemic-related processes include emphasizing lifestyle modification, screening for changes in mental health, optimizing treatment plans, and continuing the option of telemedicine.
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Affiliation(s)
- Julie Crocker
- John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (JC, KL, MS, MN, EM, FTM, ND, PB, JV, KKL)
| | - Keke Liu
- John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (JC, KL, MS, MN, EM, FTM, ND, PB, JV, KKL)
| | - Maiya Smith
- John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (JC, KL, MS, MN, EM, FTM, ND, PB, JV, KKL)
| | - Max Nakamoto
- John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (JC, KL, MS, MN, EM, FTM, ND, PB, JV, KKL)
| | - Catherine Mitchell
- Clinical Research Center, Brain Research, Innovation & Translation Labs, Hawai‘i Pacific Neuroscience, Honolulu, HI (CM, EZ, PB, EC, JV, KKL)
| | - Ena Zhu
- Clinical Research Center, Brain Research, Innovation & Translation Labs, Hawai‘i Pacific Neuroscience, Honolulu, HI (CM, EZ, PB, EC, JV, KKL)
| | - Enze Ma
- John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (JC, KL, MS, MN, EM, FTM, ND, PB, JV, KKL)
| | - Frances Tiffany Morden
- John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (JC, KL, MS, MN, EM, FTM, ND, PB, JV, KKL)
| | - Ariel Chong
- University of Hawai‘i at Manoa, Honolulu, HI (AC, NV)
| | - Nicholas Van
- University of Hawai‘i at Manoa, Honolulu, HI (AC, NV)
| | - Nong Dang
- John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (JC, KL, MS, MN, EM, FTM, ND, PB, JV, KKL)
| | - Pat Borman
- John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (JC, KL, MS, MN, EM, FTM, ND, PB, JV, KKL)
- Clinical Research Center, Brain Research, Innovation & Translation Labs, Hawai‘i Pacific Neuroscience, Honolulu, HI (CM, EZ, PB, EC, JV, KKL)
| | - Enrique Carrazana
- Clinical Research Center, Brain Research, Innovation & Translation Labs, Hawai‘i Pacific Neuroscience, Honolulu, HI (CM, EZ, PB, EC, JV, KKL)
| | - Jason Viereck
- John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (JC, KL, MS, MN, EM, FTM, ND, PB, JV, KKL)
- Clinical Research Center, Brain Research, Innovation & Translation Labs, Hawai‘i Pacific Neuroscience, Honolulu, HI (CM, EZ, PB, EC, JV, KKL)
- Clinical & Translational Research, Department of Quantitative Health Sciences, John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (JV, KKL)
| | - Kore Kai Liow
- John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (JC, KL, MS, MN, EM, FTM, ND, PB, JV, KKL)
- Clinical Research Center, Brain Research, Innovation & Translation Labs, Hawai‘i Pacific Neuroscience, Honolulu, HI (CM, EZ, PB, EC, JV, KKL)
- Clinical & Translational Research, Department of Quantitative Health Sciences, John A. Burns School of Medicine, University of Hawai‘i, Honolulu, HI (JV, KKL)
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Darko DA, Seaneke SK, Sabblah GT, Ashie A, Asamoa-Amoakohene A, Ewudzie JS, Asa-Eck T, Agyei-Kwame E, Dwamena F, Mensah J, Boateng J. Preliminary findings from stimulated spontaneous reporting of adverse drug reactions during COVID-19 pandemic: an experience from Ghana. Ghana Med J 2021; 54:62-70. [PMID: 33976443 PMCID: PMC8087363 DOI: 10.4314/gmj.v54i4s.10] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/28/2022] Open
Abstract
Background The novel coronavirus disease 2019 (COVID-19) is an ongoing pandemic caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). There is limited information on the safety of drugs used for the treatment of COVID-19. Objective Objective of this study is to describe the pattern of stimulated spontaneous adverse drug reaction (ADR) reports received from healthcare professionals for SARS-CoV-2 positive patients in Ghana and lessons learnt particularly for low- and middle-income countries. Methods This is a study of individual case safety reports (ICSRs) received from healthcare professionals between 1st April 2020 to 31st July 2020 in SARS-CoV-2 positive patients in Ghana. The ICSRs were retrieved from the SafetyWatch System and descriptive statistics used to describe the ADRs by System Organ Classification and Preferred Term. Results Information was received from 40 COVID-19 Treatment Centres across the country with 9 centres submitting a total of 53 ICSRs containing 101 ADRs; approximately two ADRs per ICSR. Females accounted for 29(54.7%) of the ICSRs and males 24(45.3%). Newly reported ADRs of interest were one report each of tremor for doxycycline; scrotal pain, dyspnoea, gait disturbances and dysgeusia for chloroquine; and dry throat, hyperhidrosis, restlessness and micturition frequency increased for hydroxychloroquine. A strong spontaneous system with the availability of focal persons at the Treatment Centres played a key role in reporting ADRs during the pandemic. Conclusion This is the first experience with spontaneous reporting during COVID-19 pandemic in Ghana. The profile of most of the ADRs reported appears consistent with what is expected from the summary of product characteristics. A study with a larger sample size with well-defined denominator in future studies is paramount in determining the relative risk of these medications in SARS-CoV-2 positive patients. Funding None declared
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Affiliation(s)
| | | | | | - Adela Ashie
- Food and Drugs Authority, P. O. Box CT 2783, Accra
| | | | | | | | | | | | - Josephine Mensah
- University of Ghana Medical Centre, Post Office Box LG 25, Legon, Accra
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4
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Chan EYY, Dubois C, Fong AHY, Shaw R, Chatterjee R, Dabral A, Loyzaga A, Kim YK, Hung KKC, Wong CS. Reflection of Challenges and Opportunities within the COVID-19 Pandemic to Include Biological Hazards into DRR Planning. Int J Environ Res Public Health 2021; 18:1614. [PMID: 33567697 PMCID: PMC7915833 DOI: 10.3390/ijerph18041614] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/30/2020] [Revised: 01/28/2021] [Accepted: 02/05/2021] [Indexed: 12/30/2022]
Abstract
COVID-19 has reinforced the need to revisit the integration of health within disaster risk reduction (DRR) strategies for biological hazards in a system-wide approach. In November 2020, DRR experts attended the Asia-Pacific Partnership for Disaster Risk Reduction (APP-DRR) Forum to share progress and learnings in the areas of health system resilience, data management, residual risk management, risk communication, digital literacy, and knowledge product marketing. Advancements for health in DRR included the importance of multi-sectoral, multi-hazard action plans; adaptation to technological advancements in data collection, dissemination and protection; promoting the health and wellbeing of essential and nonprofessional workers; and improving inclusivity in digital literacy. COVID-19 has affected progress towards the Sustainable Development Goals (SDG) and created a unique opportunity within DRR to re-evaluate the adequacy of response mechanisms against concurrent, cascading or interacting risks of future biological hazards. Health emergency disaster risk management (Health-EDRM) is a new World Health Organization paradigm that includes DRR at intra-, inter- and multidisciplinary levels. Scientific advancement under Health-EDRM is necessary for health and non-health actors in DRR education and research. Continuous education on the multifaceted risk governance is a key to building awareness, capacity and accelerating towards achieving the international DRR and the SDG targets.
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Affiliation(s)
- Emily Ying Yang Chan
- Collaborating Centre for Oxford University and CUHK for Disaster and Medical Humanitarian Response (CCOUC), The Chinese University of Hong Kong, Hong Kong, China; (K.K.C.H.); (C.S.W.)
- Nuffield Department of Medicine, University of Oxford, Oxford OX37BN, UK
- JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China;
- GX Foundation, Hong Kong, China;
- Accident & Emergency Medicine Academic Unit, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
| | - Caroline Dubois
- JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China;
- GX Foundation, Hong Kong, China;
| | | | - Rajib Shaw
- Graduate School of Media and Governance, Keio University, Fujisawa 252-0882, Japan;
- Resilience Innovation Knowledge Academy (RIKA), New Delhi 110059, India or (R.C.); (A.D.)
| | - Ranit Chatterjee
- Resilience Innovation Knowledge Academy (RIKA), New Delhi 110059, India or (R.C.); (A.D.)
- Graduate School of Informatics, Kyoto University, Kyoto 606-8501, Japan
| | - Ambika Dabral
- Resilience Innovation Knowledge Academy (RIKA), New Delhi 110059, India or (R.C.); (A.D.)
| | | | - Yong-kyun Kim
- Ministry of Interior and Safety, Sejong 30128, Korea;
| | - Kevin Kei Ching Hung
- Collaborating Centre for Oxford University and CUHK for Disaster and Medical Humanitarian Response (CCOUC), The Chinese University of Hong Kong, Hong Kong, China; (K.K.C.H.); (C.S.W.)
- JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China;
- Accident & Emergency Medicine Academic Unit, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, China
| | - Chi Shing Wong
- Collaborating Centre for Oxford University and CUHK for Disaster and Medical Humanitarian Response (CCOUC), The Chinese University of Hong Kong, Hong Kong, China; (K.K.C.H.); (C.S.W.)
- JC School of Public Health and Primary Care, Faculty of Medicine, The Chinese University of Hong Kong, Hong Kong, China;
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7
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Farrell P, Thow AM, Wate JT, Nonga N, Vatucawaqa P, Brewer T, Sharp MK, Farmery A, Trevena H, Reeve E, Eriksson H, Gonzalez I, Mulcahy G, Eurich JG, Andrew NL. COVID-19 and Pacific food system resilience: opportunities to build a robust response. Food Secur 2020; 12:783-791. [PMID: 32837656 PMCID: PMC7369468 DOI: 10.1007/s12571-020-01087-y] [Citation(s) in RCA: 61] [Impact Index Per Article: 15.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2020] [Accepted: 07/09/2020] [Indexed: 11/30/2022]
Abstract
The unfolding COVID-19 pandemic has exposed the vulnerability of the Pacific food system to externalities and has had far-reaching impacts, despite the small number of COVID-19 cases recorded thus far. Measures adopted to mitigate risk from the pandemic have had severe impacts on tourism, remittances, and international trade, among other aspects of the political economy of the region, and are thus impacting on food systems, food security and livelihoods. Of particular concern will be the interplay between loss of incomes and the availability and affordability of local and imported foods. In this paper, we examine some of the key pathways of impact on food systems, and identify opportunities to strengthen Pacific food systems during these challenging times. The great diversity among Pacific Island Countries and Territories in their economies, societies, and agricultural potential will be an important guide to planning interventions and developing scenarios of alternative futures. Bolstering regional production and intraregional trade in a currently import-dependent region could strengthen the regional economy, and provide the health benefits of consuming locally produced and harvested fresh foods - as well as decreasing reliance on global supply chains. However, significant production, processing, and storage challenges remain and would need to be consistently overcome to influence a move away from shelf-stable foods, particularly during periods when human movement is restricted and during post-disaster recovery.
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Affiliation(s)
- Penny Farrell
- Menzies Centre for Health Policy, Level 2, Charles Perkins Centre (D17), Sydney School of Public Health, The University of Sydney, Sydney, NSW 2006 Australia
| | - Anne Marie Thow
- Menzies Centre for Health Policy, Level 2, Charles Perkins Centre (D17), Sydney School of Public Health, The University of Sydney, Sydney, NSW 2006 Australia
| | | | - Nichol Nonga
- Food and Agriculture Organization of the United Nations (FAO), Honiara, Solomon Islands
| | - Penina Vatucawaqa
- Food and Agriculture Organization of the United Nations (FAO), Suva, Fiji
| | - Tom Brewer
- Australian National Centre for Ocean Resources and Security, University of Wollongong, Wollongong, Australia
| | - Michael K Sharp
- Australian National Centre for Ocean Resources and Security, University of Wollongong, Wollongong, Australia.,Pacific Community, Noumea, New Caledonia
| | - Anna Farmery
- Australian National Centre for Ocean Resources and Security, University of Wollongong, Wollongong, Australia
| | - Helen Trevena
- Menzies Centre for Health Policy, Level 2, Charles Perkins Centre (D17), Sydney School of Public Health, The University of Sydney, Sydney, NSW 2006 Australia
| | - Erica Reeve
- Global Obesity Centre, Institute for Health Transformation, Faculty of Health, Deakin University, Geelong, Australia
| | - Hampus Eriksson
- WorldFish, Honiara, Solomon Islands.,Australian National Centre for Ocean Resources and Security, University of Wollongong, Wollongong, Australia
| | - Itziar Gonzalez
- Food and Agriculture Organization of the United Nations (FAO), Suva, Fiji
| | - Georgina Mulcahy
- Menzies Centre for Health Policy, Level 2, Charles Perkins Centre (D17), Sydney School of Public Health, The University of Sydney, Sydney, NSW 2006 Australia
| | - Jacob G Eurich
- Marine Science Institute, University of California Santa Barbara, Santa Barbara, CA USA.,Department of Ecology, Evolution and Marine Biology, University of California, Santa Barbara, Santa Barbara, CA USA
| | - Neil L Andrew
- Australian National Centre for Ocean Resources and Security, University of Wollongong, Wollongong, Australia
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