People across the globe are facing increasingly complex public health emergencies that are responsible for the loss of life, economic and social problems with unprecedented damage and costs. For some sociologists, our society is even “a risk society” and our time is highly violative. Emergencies of different origin: stemming from natural environmental disasters, such as floods, hurricanes, intense drought, technical accidents, social unrest and last but not least—outbreaks of infectious diseases. This decade started with one of the most significant pandemics in the history of man-kind—COVID-19. Hence, the problems of resilient health and healthcare systems have become urgent. Especially since SARS-CoV-2 may cause long-term health threats and recurrent crises. It is very important to have a common language. So far, definitions and concepts of health and healthcare resilience differ substantially and are seldom clearly defined. The aim of this paper is to describe how health and healthcare system resilience is defined to either uncover, recall, or in combination, its concept and prepare an introductory conceptual review as a preliminary step for further studies.

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Colorectal cancer is one of the most common cancers in Europe and the world. Cancer treatments have side effects and cause significant deterioration of the patient’s nutritional status. Patient malnutrition may worsen the health condition and prevent the deliberate effects of the therapy. The aim of this review was to describe the available data about clinical nutrition in colorectal cancer patients. A large proportion of colorectal cancer patients suffer from malnutrition, which negatively affects the survival prognosis, quality of life, and oncological therapy. Therefore, monitoring nutritional status during the treatment is essential and can be used to arrange proper nutritional therapy to enhance patient responses, prevent side effects, and shorten recovery time. The principles of nutrition during anticancer therapy should mainly consider light and low-fat foods, the exclusion of lactose and gluten-containing foods in certain cases, or the introduction of special dietary products such as oral nutrition supplements and it should be tailored to patients’ individual needs.

The aim of the article was to present selected problems of health policy in the context of legislative changes in health care on the example of activities related to the SARS-CoV-2 virus epidemic, as well as to show the scope and pace of changes and their assessment. The first group of issues covers the analysis of the provisions introduced regarding organizational changes in entities providing medical activities, which, from the beginning of the pandemic, changed the scope of inpatient care and developed teleporting activities. The second group consists of changes that overlapped with regulations counteracting SARS-CoV-2 virus infections in the scope of GDPR and medical documentation. The third is an analysis of legal provisions regulating in detail the rights and obligations of medical personnel and patients, which on the one hand modify the legal liability of persons providing services, and on the other, introduce restrictions on access to them.

Introduction: The scope and schedule of immunization in Poland is regulated by the Immunization Programme prepared and announced by the State Sanitary Inspector. There are two kinds of vaccines: compulsory vaccines, financed by the state budget at the disposal of the Minister of Health, and vaccines recommended by the central health authorities but financed by local governments within health policy programmes. Compulsory vaccines cover people up to 19 years of age and individuals at higher risk of infections. The public health programmes organized and financed by local governments play an important role in infectious disease control in the country. Objective: The objective of this study is to analyse health policy programmes including immunization programmes, which were developed, implemented and financed by local government units of all levels in Poland between 2016 and 2019. Material and Methods: This analysis covers data compiled by voivodes and submitted to the Minister of Health as annual information on public health tasks carried out by local government units. From the aggregate information, data on all health policy programmes conducted by individual local government units between 2016 and 2019, including immunization, were extracted and analysed. The data were obtained pursuant to the provisions of the act on access to public information. Results: In the analysed period, local government units implemented a total of 1737 health policy programmes that financed the purchase of vaccines, qualification tests for immunization and carrying out immunization by authorized medical entities. Among the vast majority of programmes, promotional activities were also implemented. Conclusions: In Poland, local governments are deeply engaged in the immunization of their citizens by organizing and financing specific health care programmes. These programmes are an essential addition to the state financial resources in infectious disease control. This engagement expresses local government maturity regarding the health needs of the population and public health measures. Communes are the most engaged units among all levels of local governments. It is probably due to close mutual communication between the people and local governments. The growing awareness of the important role of HPV immunization in the prevention of cervical cancer among local government units is reflected in the increase in the number of girls vaccinated against HPV and the increase in financial resources allocated for primary HPV prevention. The decrease in the number of people vaccinated against pneumococci may result from including pneumococcal vaccines in the compulsory immunization schedule.