COVID 19 Pandemic &amp; Pakistan; Limitations and Gaps

Noreen, Nadia; Dil, Saima; Niazi, Saeed Ullah Khan; Naveed, Irum; Khan, Naveed Ullah; Khan, Farida; Tabbasum, Shehla; Kumar, Dilip

doi:10.31646/gbio.63

Cited by 89 publications

(93 citation statements)

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“…As Pakistan is listed among "Low-density-high-mortality" countries, the overall density of the health care workforce is well below the threshold level of 2.5 workers per 1,000 population 12,18 . As of 2019, there are 3705 doctors working in AJ&K so the doctor to population ratio in AJK (one doctor for every 3893 person) is much higher than the national average (one doctor per 1038 persons) 19 . ii.…”

Section: Discussionmentioning

confidence: 97%

“…Azad Jammu & Kashmir, having also been affected by the disease, prevailed successfully due to timely mitigation response, which effectively controlled the spread of the virus in the general populace of the province, allowing AJK to emerge as an exemplar among provinces with respect to aggressive mitigation policies 6 . 19). As a public health intervention to control the spread of the disease within the community, and to flatten the curve of disease spread, the entire country was put under a nation-wide lockdown, which was initiated on 1 April until 9 May, and later extended twice.…”

Section: Introductionmentioning

confidence: 99%

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Evaluation of Covid-19 Pandemic in Azad Jammu and Kashmir Pakistan

Nazeer¹,

Sardar

Mashhadi

2020

PAFMJ

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Objective: To examine mitigation measures in Azad, Jammu and Kashmir and compare their effectiveness to rest of Pakistan. Study Design: Prospective observational study. Place and Duration of Study: Province of Azad, Jammu and Kashmir, from Mar to Aug 2020. Methodology: This study was conducted by Provincial Disease Surveillance Department of World HealthOrganization at Azad, Jammu and Kashmir Muzaffarabad after getting approval from Health Department.Data were collected from different hospitals of Azad Jammu and Kashmir as per a specially designedproforma. Results: No significant variation from national averages was observed, adapting mitigation measures andlockdown were success in decreasing epidemic curve. Conclusion: The easing of the lockdown policy resulted in widespread outbreak in the province and noncompliance with infection control best practices by members of the community, similar to rest of Pakistan.

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Section: Discussionmentioning

confidence: 97%

Section: Introductionmentioning

confidence: 99%

Evaluation of Covid-19 Pandemic in Azad Jammu and Kashmir Pakistan

Nazeer¹,

Sardar

Mashhadi

2020

PAFMJ

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“…Pakistan’s healthcare system has small number of 1650 ventilators, with a health spending of 0.75% of GDP, the requirements might not be met if there is exponential increase in COVID-19 cases. 16 Pakistan’s preventive, acute medical care infrastructure and rehabilitative health care needs to be drastically revamped and funding significantly enhanced commensurate to any surge in COVID-19 patients.…”

Section: Discussionmentioning

confidence: 99%

COVID-19 Rehab Fright Management

Mumtaz

Saqulain²,

Mumtaz³

2020

Pak J Med Sci

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Being diagnosed as positive for SARS-2 CoV RNA on PCR generates anxiety and stress as well as depression due to the prospects of being isolated. With genetically varied forms of virus on the rise the widely adopted manner to protect oneself is social distancing. This is frightening for rehabilitation professionals who at times are exposed at close quarters to the patients as rehabilitation is essential. Data in this backdrop is lacking, as this is a recent and ongoing pandemic. As such the current study was conducted with an attempt to review and highlight the causes of fright among rehabilitation professionals and possible management options in the wake of current pandemic of COVID-19 in the perspective of Pakistan. For this purpose literature was searched from major electronic databases including PubMed, Google, Google Scholar and Web-of-science, with keywords “Covid-19, mental health, telehealth, telemedicine, tele-rehabilitation and combination of words”. Eighty English, full text articles were studied out of which 36 were used for the literature review. With this literature review we conclude that COVID-19 has resulted in fear of contracting and transmitting this disease among health professionals and can be reduced and managed by provision of tele-rehabilitation and telehealth facilities. Patients emerging from prolonged mechanical ventilations require extensive rehabilitation to restore routine body functions. The role of the otolaryngologist and speech language pathologist (SLP) is formal and direct to ensure appropriate and timely long term intervention and rehabilitation to ensure that these individuals re-enter mainstream activities. doi: https://doi.org/10.12669/pjms.37.1.3187 How to cite this:Mumtaz N, Saqulain G, Mumtaz N. COVID-19 Rehab Fright Management. Pak J Med Sci. 2021;37(1):277-282. doi: https://doi.org/10.12669/pjms.37.1.3187 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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“…As of 23rd October 2020, there have been about 326,216 con rmed cases with 309,646 recoveries and 6,715 deaths in the country (2). Karachi, the economical hub of Pakistan has maximum number of reported cases due to its dense population (3). Since then the number of cases, linear trend and deaths are increased, which is an alarming situation for a developing country, like Pakistan.…”

Section: Introductionmentioning

confidence: 99%

Clinical Outcome of COVID 19 Patients After Hospitalization: Observational Study from a Tertiary Care Hospital, PAKISTAN

Ishaque¹,

Syed²,

Akhter

et al. 2020

Preprint

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Introduction: The outbreak of novel coronavirus (COVID-19) is a public health emergency that had caused disastrous results in more than 100 countries. Method: This observational study is conducted with aim to track the course of clinical outcomes of the course of COVID 19 patients after discharge. Demographics, baseline characteristics of COVID-19 patients discharged from May till August 2020, in Liaquat National hospital Karachi, Pakistan were collected and analyzed by reviewing the medical records retrospectively. Post-hospitalization data related to clinical outcomes were obtained by following up the patients for 4 weeks. Results: Total 96 records of discharged patients were reviewed. Mean age of them was 53.83 ± 12.89 years with male predominance (78.1%). Out of 96 patients, 19(19.8%) patients were asymptomatic at the time of discharge whereas 77(80.2%) had improved symptoms. The frequent symptoms at time of discharged was fatigue (69.8%) followed by shortness of breath (34.4%). Over the follow-up of 4 weeks, there was significant reduction in symptoms from discharge to 4th week excluding first week only. Patients were found to have significantly improved chest x-ray findings from discharge to first week of follow-up. Out of 77 symptomatic patients, 50(64.9%) patients were found to be asymptomatic while 27(35.1%) were persistently symptomatic on fourth week of the discharge with most frequent symptom of fatigue (33%) followed by shortness of breath (18%).Conclusion: There was significant recovery in most of the COVID 19 survivors after discharge, confirmed by reduction in the symptoms and radiological improvement.

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COVID 19 Pandemic & Pakistan; Limitations and Gaps

Cited by 89 publications

References 0 publications

Evaluation of Covid-19 Pandemic in Azad Jammu and Kashmir Pakistan

Evaluation of Covid-19 Pandemic in Azad Jammu and Kashmir Pakistan

COVID-19 Rehab Fright Management

Clinical Outcome of COVID 19 Patients After Hospitalization: Observational Study from a Tertiary Care Hospital, PAKISTAN

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