Estimation of COVID-19 burden in Egypt

Hassany, Mohamed; Abdel-Razek, Waël; Asem, Noha; AbdAllah, Mohamed; Zaid, Hala

doi:10.1016/s1473-3099(20)30319-4

Cited by 63 publications

(68 citation statements)

References 1 publication

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“…Suicidal cases were reported in India (Goyal et al, 2020) but also in other countries, Italy included, where two infected Italian nurses committed suicide in a period of a few days probably due to fear of spreading COVID-19 to patients (Montemurro, 2020). The situation in Egypt is becoming more critical with the increasing number of cases and mortality with the possibility of higher actual numbers than the reported (Hassany et al, 2020;Tuite et al, 2020). Moreover the governmental health expenditure in Egypt is only 5.3% of gross domestic product (GDP), such limited resources combined with the ever increasing number of cases place a huge burden on healthcare workers (The world bank, 2020).…”

Section: Mental Health Of Frontline Healthcare Workers Exposed To Covmentioning

confidence: 99%

Mental health of frontline healthcare workers exposed to COVID-19 in Egypt: A call for action

Elkholy

Tawfik

Ibrahim

et al. 2020

Int J Soc Psychiatry

101

106

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Background: World Health Organization (WHO) declared Coronavirus disease 2019 (COVID-19) as a pandemic in March 2020. Such widespread outbreaks are associated with adverse mental health consequences. Aims: To evaluate mental health outcomes among Egyptian healthcare workers (HCW) treating patients with confirmed or suspected Coronavirus Disease 2019 (COVID-19) to direct the promotion of mental wellbeing, by screening for symptoms of anxiety, insomnia, depression and stress, and analyzing potential risk factors. Methods: This cross-sectional, hospital-based survey study collected demographic data and mental health measurements from 502 HCW dealing with COVID-19. HCW were surveyed in 20 hospitals (Fever, Chest, and Quarantine hospitals) in different parts of Egypt, in April and May 2020. Results: Among the 502 HCW surveyed; 60.0% were physicians, 16.1% were specialized nurses, and 23.9% were non-specialized nurses. About 35.3% worked in chest hospitals, 17.5% in fever hospitals, and 47.2% in quarantine hospitals. A considerable proportion of HCW had symptoms of anxiety, insomnia, depression, and stress. Females were at higher risk of experiencing symptoms of severe anxiety (odds ratio [OR], 1.85; 95% CI, 1.12–3.05; p = .016), severe depression (OR, 2.013; 95% CI, 1.17–3.4; p = .011), and severe stress (OR, 2.68; 95% CI, 1.5–4.6; p < .001). Fever hospital workers were at higher risk of severe depression (OR, 1.52; 95% CI, 1.11–2.09; p < .01), compared to Quarantine hospital workers. Conclusion: Ensuring proper mental health support for HCW is an important component of public health measures for addressing the COVID-19 epidemic and safeguarding the continuity of appropriate medical service.

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Section: Mental Health Of Frontline Healthcare Workers Exposed To Covmentioning

confidence: 99%

Mental health of frontline healthcare workers exposed to COVID-19 in Egypt: A call for action

Elkholy

Tawfik

Ibrahim

et al. 2020

Int J Soc Psychiatry

101

106

View full text Add to dashboard Cite

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“…Additionally, screening at the Egyptian airports by measurement of body temperature, clinical evaluation, and the use of the rapid diagnostic specific IgM and IgG test was performed. 6 Since no previous Egyptian studies could be traced in the literature regarding COVID-19, we performed a retrospective analysis of a cohort of patients proved to have COVID-19 who were managed in ESNA's quarantine hospital, Upper Egypt. The analysis included their characteristics and outcomes.…”

Section: Introductionmentioning

confidence: 99%

<p>Characteristics, Outcomes and Indicators of Severity for COVID-19 Among Sample of ESNA Quarantine Hospital’s Patients, Egypt: A Retrospective Study</p>

Ghweil¹,

Hassan²,

Khodeary³

et al. 2020

IDR

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Background: The risk factors, disease characteristics, severity, and mortality of COVID-19 are unclear, particularly in Egypt. Objective: The objective was to analyze the patients' characteristics, hematological, biochemical, and chest imaging findings among the cohort of patients with COVID-19 in Egypt and also to shed light on the predictors of COVID-19 severity. Patients and Methods: A retrospective study was conducted on 66 patients with COVID-19 in Egypt. Medical history, imaging data (CT chest findings), and measured hematological and biochemical parameters at diagnosis were recorded in the form of complete blood counts and differential counts; CRP, ESR, serum ferritin, creatinine, and liver function tests. Results of realtime reverse transcription-polymerase chain reaction (rRT-PCR) for detection of SARS-CoV-2 RNA at diagnosis and during follow up of these patients were also recorded. Results: The study included 36 patients with mild to moderate COVID-19 and 30 patients with severe/critical infection. There was a significant older age among severe (62.6 years old ±10.1SD) than mild to moderate infection (55.5 ± 10.1) (p˂0.05). Fever, dry cough, dyspnea, and sore throat malaise were highly frequent among COVID-19 patients, while headache and diarrhea were the least frequently occurring manifestations. All included cases (30 patients, 100%) with severe COVID-19 showed crazy-paving appearance (in the form of reticular and/or interlobular septal thickening) with or without GGO. There were significantly lower mean values of WBCs, lymphocytic count, total protein, and albumin among the severely infected than those who had mild to moderate COVID-19 infection, p˂0.05 for all. Additionally, there were significantly higher mean values of CRP, ESR, ferritin, ALT, and AST among patients with severe/critical COVID-19 when compared with those having mild to moderate COVID-19, p˂0.05 for all. Conclusion: Among the studied demographic, clinical, hematological, biochemical, and imaging data, dyspnea, diabetes mellitus, lymphopenia, raised CRP, ESR, ferritin, ALT, AST, low albumin, and presence of CT chest findings could be considered as predictors for COVID-19 severity using binary logistic regression analysis.

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“…The number of cases increased substantially to reach 26,384 cases by June 1st and exceed 80 000 cases by July 10th 2020 [3] , [4] . It is assumed that there is a significant number of unreported cases due to several reasons [5] . Fig.…”

Section: Introductionmentioning

confidence: 99%

SARS-CoV-2 infection among healthcare workers of a gastroenterological service in a tertiary care facility

Kassem

Talaat

Shawky

et al. 2020

Arab Journal of Gastroenterology

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Background and study aims Frontlines healthcare workers (HCWs) during the coronavirus disease 2019 (COVID-19) pandemic are at increased risk of infection by SARS-CoV-2, but there are limited data on the prevalence of COVID-19 among HCWs in Egypt. This study aimed to assess SARS-CoV-2 infection among HCWs providing gastroenterological services. Subjects and methods Seventy-four HCWs at the gastroenterological service of Al-Manial University Hospital, the main hospital of the largest tertiary university hospitals complex in Egypt (Kasr Al-Ainy Faculty of Medicine, Cairo University) were tested using real-time reverse transcription–polymerase chain reaction (RT-PCR) on nasopharyngeal samples, and rapid serological IgM/IgG tests (RST). A questionnaire was used to collect demographic, occupational and clinical data. Results Of the 74 HCWs, 10 tested positive by RT-PCR (13.5%). In 9/74 (12.2%) HCWs, antibodies could be detected by RST: three with both IgM and IgG lines; six with IgM line only and none with IgG line only. Frequency of positive tests was more among subjects with minor symptoms compared to completely asymptomatic HCWs (50% vs 16.1%, respectively). Neither age, gender or occupation was a risk factor for SARS-CoV-2 infection. Conclusions Point prevalence of COVID-19 in gastroenterology HCWs is 13.5% by RT-PCR. Continued measures are warranted to assure HCWs safety and reduce transmission from healthcare settings to the community during COVID-19 pandemic. Presence of positive test results among asymptomatic HCWs illustrates the importance of screening all HCWs irrespective of symptoms.

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Estimation of COVID-19 burden in Egypt

Cited by 63 publications

References 1 publication

Mental health of frontline healthcare workers exposed to COVID-19 in Egypt: A call for action

Mental health of frontline healthcare workers exposed to COVID-19 in Egypt: A call for action

<p>Characteristics, Outcomes and Indicators of Severity for COVID-19 Among Sample of ESNA Quarantine Hospital’s Patients, Egypt: A Retrospective Study</p>

SARS-CoV-2 infection among healthcare workers of a gastroenterological service in a tertiary care facility

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