Tetanus: A Potential Public Health Threat in Times of Disaster

Finkelstein, Paige; Teisch, Laura F.; Allen, Casey J.; Ruiz, Gabriel

doi:10.1017/s1049023x17000012

Cited by 40 publications

(37 citation statements)

References 21 publications

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“…En diferentes países, la mortalidad por tétanos se ha observado de forma predominante en adultos mayores de 60 años. 66,67 Otras vacunas: la aplicación de ciertas vacunas rutinariamente recomendadas durante la niñez y la adolescencia puede estar también indicada en ciertos adultos, y debe ser considerada en la asesoría individual de los requerimientos de inmunización. Estas vacunas incluyen las de sarampión, rubéola, varicela y fiebre amarilla.…”

Section: Cuadro 3 Propuesta De Recomendaciones Generales De Vacunaciunclassified

Vacunación en adultos

Mora

Lazo-Páez

Schauer

2020

AMC

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Section: Cuadro 3 Propuesta De Recomendaciones Generales De Vacunaciunclassified

Vacunación en adultos

Mora

Lazo-Páez

Schauer

2020

AMC

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“…Isto pode ser feito através de sedação, suporte respiratório e controle autonômico como necessário. Grandes doses de benzodiazepínicos são frequentemente usadas para ajudar a controlar espasmos musculares (FINKELSTEIN et al, 2017).…”

Section: Discussionunclassified

Mediastinite Aguda Secundária a Angina De Ludwig

Muniz¹,

Araújo²,

Carvalho³

et al. 2020

Difusão Do Conhecimento Através Das Diferentes Áreas Da Medicina 6

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Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição 4.0 Internacional (CC BY 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.

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“…Elimination of MNT in the WHO-Afro has been evasive to some extent, with most of the countries prioritised for MNT elimination being affected by PHEs (47)(48)(49). In other PHE endemic contexts, where MNT elimination remains unattained, low tetanus vaccine coverage among women of reproductive age, unhygienic birth practices, delayed treatment, and inadequate MNT surveillance have been cited to delay progress (48,50,51).…”

Section: Discussionmentioning

confidence: 99%

Characterisation of National Immunisation Programmes (NIPs) in the context of Public Health Emergencies (PHEs): A Case Study of 13 Countries in the WHO African Region

Chepkurui

Amponsah-Dacosta

Eposi

et al. 2020

Preprint

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Background In the World Health Organisation African region (WHO-Afro), multiple public health emergencies (PHEs) are experienced annually. PHEs are known to affect the provision of health services including immunisation. To our knowledge, there is limited information on the characterisation of PHEs and the performance of national immunisation programmes (NIPs) in countries within the WHO-Afro. This study assessed PHEs (armed conflicts, disasters, and disease outbreaks) and the performance of NIPs within PHE contexts using global and regional immunisation targets.MethodsCountries recorded to have benefitted from PHE mitigation funds from the African Public Health Emergency Fund (APHEF) were used as case studies. Data on PHEs and immunisation indicators between 2010 and 2019 in the selected countries were extracted from different PHE electronic databases and the WHO/UNICEF immunisation database, respectively.The PHEs and immunisation indicators were stratified by country and summarised using descriptive statistics. The Mann-Whitney U test was carried out to determine the association between the frequency of PHEs and the performance of NIPs. Statistical significance was defined at p-value < 0.05. ResultsBetween 2010 and 2019 there were a total of 175 disease outbreaks, 288 armed conflicts, and 318 disasters in the 13 countries selected as case studies. The Democratic Republic of Congo had the highest total PHE count (n=208), while Liberia had the lowest (n=20). Only three of the 13 countries had a median coverage value for the third dose of the combined Diphtheria, Tetanus, and Pertussis vaccine (DTP3) that had attained the target for ≥90% immunisation coverage.Higher counts of armed conflict and total PHEs were associated with not meeting the immunisation targets for national DTP3 coverage of ≥90% and Maternal and Neonatal Tetanus (MNT) elimination, p<0.01. Higher disaster counts were also associated with not attaining MNT elimination, p=0.03.ConclusionPHEs are prevalent in the WHO-Afro, irrespective of the level of a country’s immunisation maturity. In absence of effective interventions, the PHEs have the potential to derail the progress of NIPs in the WHO-Afro. As we transition towards the Immunisation Agenda 2030, we recommend that the WHO-Afro prioritises interventions to mitigate the impacts of PHEs on the NIPs.

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Tetanus: A Potential Public Health Threat in Times of Disaster

Cited by 40 publications

References 21 publications

Vacunación en adultos

Vacunación en adultos

Mediastinite Aguda Secundária a Angina De Ludwig

Characterisation of National Immunisation Programmes (NIPs) in the context of Public Health Emergencies (PHEs): A Case Study of 13 Countries in the WHO African Region

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