Manuscript word count 3,662) (Abstract word count 250)Correspondence Abstract Objective In the current absence of vaccine for COVID-19, public health response target breaking the chain of infection by focusing on the mode of transmission. This paper summarizes current evidence-base around the transmission dynamics, pathogenic, and clinical features of COVID-19, to critically identify if there are any gaps in the current IPC guidelines.Methods This study involved a review of global COVID-19 IPC guidelines such as WHO, the CDC, and European Centre for Disease Prevention and Control (ECDC). Guidelines from two high income countries (Australia and UK) and one middle income country (China) were also reviewed. We searched publications in English on 'Pubmed' and Google Scholars. We extracted information related to COVID-19 transmission dynamics, clinical presentations and exposures that may facilitate the transmission and compared and contrasted these findings with the recommended IPC measures. ResultsThe review findings showed nosocomial transmission of SARS-CoV-2 in health settings through droplet, aerosol and by an oral-fecal or fecal-droplet route. However, the IPC guidelines fail to cover all transmission modes and the recommendations also conflict with each other. Most guidelines recommend surgical masks for healthcare providers during routine care and N95 respirators for aerosol generating procedures. However, recommendations around type of surgical masks varied. In addition, CDC recommends cloth masks when the surgical mask is totally unavailable.
Background: During an evolving outbreak or pandemic, non-pharmaceutical interventions (NPIs) including physical distancing, isolation, and mask use may flatten the peak in communities. However, these strategies rely on community understanding and motivation to engage to ensure appropriate compliance and impact. To support current activities for COVID-19, the objectives of this narrative review was to identify the key determinants impacting on engagement. Methods: An integrative narrative literature review focused on NPIs. We aimed to identify published peer-reviewed articles that focused on the general community (excluding healthcare workers), NPIs (including school closure, quarantine, isolation, physical distancing and hygiene behaviours), and factors/characteristics (including social, physical, psychological, capacity, motivation, economic and demographic) that impact on engagement. Results: The results revealed that there are a range of demographic, social and psychological factors underpinning engagement with quarantine, school closures, and personal protective behaviours. Aside from the factors impacting on acceptance and compliance, there are several key community concerns about their use that need to be addressed including the potential for economic consequences. Conclusion: It is important that we acknowledge that these strategies will have an impact on an individual and the community. By understanding the barriers, we can identify what strategies need to be adopted to motivate individuals and improve community compliance. Using a behavioural framework to plan interventions based on these key barriers, will also ensure countries implement appropriate and targeted responses.
BackgroundThe economy is being lifted by the new concept of robotics, but we cannot be sure of all the possible benefits. At this early stage, it therefore becomes important to find out the possible benefits/limitations associated with robotics, so that the positives can be capitalized, established, and developed further for the employment and motivation of employees in the health care sector, for overall economic development. The negatives should also be further studied and mitigated.MethodsThis study is an exploratory research, based on secondary data, such as books on topics related to robotics, websites, public websites of concerned departments for data and statistics, journals, newspapers and magazines, websites of health care providers, and different printed materials (brochures, etc).ResultsThe impact of robotics has both positive and negative impacts on the employment and motivation of employees in the retail sector. So far, there has been no substantial research done into robotics, especially in the health care sector.ConclusionReplacing employees with robots is an inevitable choice for organizations in the service sector, more so in the health care sector because of the challenging and sometimes unhealthy working environments, but, at the same time, the researchers propose that it should be done in a manner that helps in improving the employment and motivation of employees in this sector.
Globally, multiple factors have elevated the risk and contributed to the fast spread of COVID-19. Alongside this, unsolicited rumours and social stigma are believed to be two possible barriers to the effective prevention of the disease. Despite measures taken, rumours and social stigma related to COVID-19 tend to increase globally. Several studies document that rumours and social stigma may fuel the risk and rapid spread of COVID-19. However, how these rumours and social stigma act as barriers to the prevention of the COVID-19 outbreak remain unclear. This article aims to discuss how rumours and social stigma can undermine the preventive and clinical efforts to fight against the spread of COVID-19 and suggest potential policy implications for addressing rumours and social stigma and optimising preventive efforts. A narrative review of secondary sources of data, including published studies, grey literature and authentic press reports was conducted. The analysis indicates that unverified rumours associated with COVID-19 may weaken people's preparedness for a new infectious disease by driving them to wrong treatment and preventing them from adhering to evidence-based medical suggestions and treatment. Findings also suggest that social stigma may reduce healthcare workers' agency and self-respect to provide support, treatment and care for those with COVID-19. Social stigma may also constrain participation in screening, testing, quarantine, isolation, and treatment of the disease. This article offers six potential policy pathways and emphasises the national and international coordination of all stakeholders for addressing rumours and social stigma associated with COVID-19.
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