Devastating flood emergency in Pakistan- a recent threat to country's health care system

Siddiqui, Tasmiyah; Saadat, Ayesha; Ameen, Aqleemaa Mohammad

doi:10.1016/j.amsu.2022.104633

Cited by 8 publications

(5 citation statements)

References 7 publications

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“…7 Another study done on 1,585 patients in Brazil came to a conclusion that there were greater changes in the AST levels when compared to ALT (63.4% vs. 45%). 8 As per Bowman et al, the liver involvement in dengue is more prevalent in women, children and patients with severe manifestations of dengue. 9 There can be even more dangerous in more patients who receive hepatotoxic drugs due to sheer ignorance or sometimes negligence of the attending doctors.…”

Section: Discussionmentioning

confidence: 85%

Prevalence of acute hepatitis in dengue patients

Khan¹,

Wahab²,

Jhagra³

et al. 2023

ijhs

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Background: Dengue is the most common disease that has caused mortality throughout Pakistan as it can cause diversified complications ranging from slightly deranged liver function tests to acute hepatitis and liver failure. Objective: To determine the prevalence of acute hepatitis in dengue patients. Methods: We conducted a cross-sectional study from September to November 2022 at department of Medicine of MMC General Hospital a tertiary-care hospital of Kabir Medical College Peshawar. A proper approval was taken from research ethical committee of the hospital. The inclusion criteria were patients of dengue and exclusion was all patients having deranged liver function tests due to other causes such drug induced liver injury and acute viral hepatitis. The total sample size was 81 patients and non probability convenient sampling technique was used. The data was analyzed by using SPSS latest version. Results: ALT, ALP and Bilirubin was compared in age groups of patients. Results showed no significant difference for ALT, ALP and Bilirubin at baseline and at 3rd day of admission in all age groups as seen in above table.

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Section: Discussionmentioning

confidence: 85%

Prevalence of acute hepatitis in dengue patients

Khan¹,

Wahab²,

Jhagra³

et al. 2023

ijhs

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“…This study is a wakeup call for all of us about finding concrete evidence for hepatitis E vaccination on a large scale. 11 Since this was a cross sectional study it will be difficult to generalize these findings Strengths & Limitations: The main strength of this crosssectional study is that it was relatively quick and inexpensive to conduct. Since the sample size was small, more studies are needed to generalize these results…”

Section: Discussionmentioning

confidence: 98%

Knowledge, Attitude and Perception of Pregnant Women towards Hepatitis E

Ayub¹,

Shah²,

Khan³

et al. 2022

PJMHS

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Background: Hepatitis E is one of the most common diseases during pregnancy which can cause increased mortality and devastating complications. Objective: To assess the knowledge, attitudes and perceptions of Pregnant Women towards Hepatitis E Materials and Methods: This cross sectional study was conducted in Maqsood Medical Complex General Hospital for a duration of six months. The sampling technique was non probability convenient sampling. The inclusion criteria were pregnant women in first trimester aged between18 and 45 years. Patients with molar pregnancy and those having history of gastrointestinal disorders were excluded from the study. A total of 100 patients were taken Results: Among women 80% heard about Hepatitis E, 81% known a person ever infected with viral infection, 60% don’t know that this infection was caused by virus, only 46% reported that they knew that It was transmitted through contaminated food and water, 56% reported that they knew it was transmitted by blood transfusion, 54% reported that they knew it can be transmitted sexually, 45% knew that it can be transmitted from mother to fetus, 61% reported that they knew that Hepatitis E is more dangerous in pregnancy, only 26% reported that they knew it can cause hepatic failure and only 38% reported that they knew there is vaccination of Hepatitis E. Questions regarding attitude of women towards Hepatitis-E showed that only 45% reported that they were at risk of getting Hepatitis-E infection Conclusion: From the above results one can conclude that there was good awareness of hepatitis E among pregnant women, yet there is a need for more health education and vaccination drive to reduce its mortality. Keywords: Hepatitis E, Pregnancy

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“…Additionally, climate change also results in more frequent and severe environmental disasters. The 2022 monsoon flooding in Pakistan affected over one third of the country's population and was thought to be particularly severe due to climate change [50]. Heat waves are also becoming more common, with a UNICEF report estimating that 23% of children (538 million) are exposed to high heat wave frequency, and by 2050, 1.6–1.9 billion children will be affected, threatening their health and well‐being [51].…”

Section: Introductionmentioning

confidence: 99%

Top 10 public health challenges to track in 2023: Shifting focus beyond a global pandemic

Lucero‐Prisno

Shomuyiwa

Kouwenhoven

et al. 2023

Public Health Challenges

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The year 2022 saw COVID‐19 as the primary public health concern, with vaccine rollout and mandates at the forefront. Other viral infectious diseases, such as Monkeypox and Ebola, emerged as public health concerns. Climate change and political conflicts significantly impacted global health, increasing the demand for humanitarian assistance and protection. In 2023, it remains crucial to identify global and public health priority areas to coordinate and implement effective solutions. Through discussions with public health practitioners and researchers, we have identified key priority areas for 2023, namely, health systems, the mental health crisis, substance abuse, infectious diseases, malnutrition and food insecurity, sexual and reproductive health challenges, environmental pollution, the climate crisis, cancer, and diabetes. These priority areas highlight shared concerns that should be addressed to facilitate proactive and innovative health interventions and practices. To achieve universal healthcare targets for 2030, prioritization, financial investment, international cooperation, and collaboration in addressing these global health challenges are crucial. This requires coordination among public health decision‐makers, the private health sector, and opinion leaders to implement country‐specific healthcare financing and food security measures. Research, scientific knowledge, and technical capacities must be leveraged to produce sustainable interventions that effectively reduce health disparities and improve health system responsiveness to prevent these challenges from progressing to public health emergencies.

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Devastating flood emergency in Pakistan- a recent threat to country's health care system

Cited by 8 publications

References 7 publications

Prevalence of acute hepatitis in dengue patients

Prevalence of acute hepatitis in dengue patients

Knowledge, Attitude and Perception of Pregnant Women towards Hepatitis E

Top 10 public health challenges to track in 2023: Shifting focus beyond a global pandemic

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