Guest PostOutbreak NewsResearch & Publication

Are we ignoring the traditional medicine and inviting the poison calls in Corona Battle?

by Public Health Update
written by Public Health Update

Are we ignoring the traditional medicine and inviting the poison calls in Corona Battle?

Renu Ghimire

I guess no one had expected that we would be having such a long break from the world which was always in haste. Always in haste; in the sense of new discovery, innovation and for the steady development. We are now heading towards one of the biggest catastrophe anyone hadn’t experienced before and no one knows how this will end and what the result it shall bring. Renowned as: The Pandemic call of the Corona Virus or the COVID-19. It has affected more than 4 million lives along with health threats to 7 billion people all around the globe spreading in 216 territories. The increasing threats has forced people to be more concerned towards its prevention. Among all, the topmost priority is sanitary measure along with widespread use of disinfecting sprays and sanitizers for cleaning surface and hands. World Health Organization specifically recommends all individual to regularly and thoroughly clean their hands with an alcohol-based hand-rub or wash them with soap and water along with frequently disinfecting high-touch surface to cease the increasing Corona Infection.

Moreover, the rising use of certain product seems to specifically drive the increase of the poison calls, including products such as bleach, non-alcoholic disinfectants and hand sanitizers with the most common exposure route being inhalation. The National Poison Data System of United States, Jan 1st 2020-March 31st 2020, has reported that during the first three months of 2020, poison control centers nationwide received more than 45,500 calls about cleaners and disinfectants, about 20% more than the same period of 2019. Adding on to national context, number of Corona infection case has reached 292 while 2 people have died. Along with the chances of extension of lockdown, the use of disinfectants and sanitizer is more likely to increase creating shortage, in which people are more likely to buy them randomly and less likely to check the content which might increase the chances of chemical hazards, poisonings and allergies. Likewise Sanitizing tunnels have been installed at various place of the country which is basically used to kill the germs that are on the external surface of the body. But still, there is no clear data about its effectiveness and the amount of chemical used in it.  

Similarly, the present situation of Corona illustrates the increasing infection rate in our country with 357 confirmed cases along with 2 deaths. We can’t deny the fact that we are equally into the risk of getting it. Along with obeying lockdown rule, adopting necessary precautions by washing hands frequently, disinfecting surface timely and the use of sanitizers, we need to brainstorm on measure that is accessible, available and affordable as well. As nose is the main portal of entry for Coronavirus, we have to focus on nasal hygiene as we emphasize on hand hygiene. Nasal hygiene yoga called Jalneti, alone can prevent Coronavirus, middle ear infection, clear nasal blockades, ease asthmatic condition and the benefits are even more. This is just an example on how eastern medicine or traditional medicine help to combat Corona.

Furthermore, Eastern medicine/ Traditional medicine works with the elements like earth, fire, wood, metal, and water to interpret the relationship between the physiology and pathology of the human body and the natural environment while Western medicine uses vital signs like height, weight, and body temperature, and general appearance for health examination. They both are important in their own ways. All we need is a new way to connect eastern and western medicine at the molecular and systematic level so that more intervention will come up with least side effects and more effectiveness. Therefore, my topic of concern is about finding more measures for prevention of the gigantic public health crisis like this, which we are facing now if eastern medicine go side by side with western medicine. After all, Corona prevention is our main motto.

 Presently, there is no specific vaccine or treatment for COVID-19 and many clinical trials evaluating potential treatments are ongoing. Corona is likely to infect those with low immunity so we have to boost our immunity first. Eating varieties of food rich in vitamin, mineral and fiber, having proper sleep and moderate exercise for about 30 minute per day will help us to be healthy and stay active. We need to follow some natural modalities including plentiful of hydration and rest, prevention of minor illness through home remedies and use of adaptogens like turmeric, garlic, ginger, pepper etc that helps us to counteract the effects of stress on the body and helps in hormonal balance. For mental wellbeing, stress management is equally important. Practicing yoga helps to calm our body, mind and soul. Following our hobbies or the stuffs we love to do makes us happy. And the foremost measure is self-consciousness that comes from within.

References

Renu Ghimire, Student, Bachelor of Public Health (7th Semester), Pokhara University

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Are we ignoring the traditional medicine and inviting the poison calls in Corona Battle?

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Historic health assembly ends with global commitment to COVID-19 response

by Public Health Update
written by Public Health Update

Historic health assembly ends with global commitment to COVID-19 response

“Let our shared humanity be the antidote to our shared threat. “-Dr Tedros

19 May 2020 Media release Geneva
At meeting of the 73rd World Health Assembly —its first-ever to be held virtually—delegates adopted a landmark resolution to bring the world together to fight the COVID-19 pandemic.

The resolution, co-sponsored by more than 130 countries, was adopted by consensus.

It calls for the intensification of efforts to control the pandemic, and for equitable access to and fair distribution of all essential health technologies and products to combat the virus. It also calls for an independent and comprehensive evaluation of the global response, including, but not limited to, WHO’s performance.

As WHO convened ministers of health from almost every country in the world, the consistent message throughout the two-day meeting—including from the 14 heads of state participating in the opening and closing sessions —was that global unity is the most powerful tool to combat the outbreak. The resolution is a concrete manifestation of this call, and a roadmap for controlling the outbreak.

In his closing remarks, WHO Director-General Dr Tedros Adhanom Ghebreyesus said “COVID-19 has robbed us of people we love. It’s robbed us of lives and livelihoods; it’s shaken the foundations of our world; it threatens to tear at the fabric of international cooperation. But it’s also reminded us that for all our differences, we are one human race, and we are stronger together.”

The World Health Assembly will reconvene later in the year.

WHO

Seventy-third World Health Assembly #WHA73 [Watch live]

A live repository and dash-board for COVID-19 in Nepal

WHO Launches, WHO Academy and the WHO Info mobile applications

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A live repository and dash-board for COVID-19 in Nepal

by Public Health Update
written by Public Health Update

A live repository and dash-board for COVID-19 in Nepal

Link to Google Doc 

OUTBREAK NEWS

Nepal Disaster Risk Reduction and Management Authority COVID19 Dashboard

COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE)

WHO Coronavirus disease (COVID-19) Situation dashboard

Interim Clinical Guidance for Care of Patients with COVID-19 in Health Care Settings

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COVID-19 Forecast for Nepal and Active infections estimate (fraction of population)

COVID-19 Handbook for Health Workers |NHTC (Updated)

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WHO Launches, WHO Academy and the WHO Info mobile applications

by Public Health Update
written by Public Health Update

WHO Launches, WHO Academy and the WHO Info mobile applications

WHO announces the launch of the WHO Academy app designed to support health workers during COVID-19, and the WHO Info app designed to inform the general public.
Today, the WHO Academy, World Health Organization’s lifelong learning centre, launched a mobile app designed to enable health workers to expand their life-saving skills to battle the COVID-19 pandemic.The app provides health workers with mobile access to a wealth of COVID-19 knowledge resources, developed by WHO, that include up-to-the-minute guidance, tools, training, and virtual workshops that will help them care for COVID-19 patients and protect themselves.

“With this new mobile app, the WHO is putting the power of learning and knowledge-sharing directly into the hands of health workers everywhere,” said Dr. Tedros Adhanom Ghebreyesus, WHO Director-General. 

The app is built around the needs expressed by 20,000 global health workers in a WHO Academy survey conducted in March of 2020.

The survey found that two-thirds of respondents feel they need to be more prepared, particularly in infection prevention and control, case management, use of personal protective equipment and occupational safety, and risk communication and community engagement.

An overwhelming majority of respondents said virtual learning on demand would be helpful in preparing for COVID-19 challenges.

The establishment of the WHO Academy, based in Lyon, France, is planned for launch in May 2021. The state-of-the-art lifelong learning centre, will apply the latest technologies and adult learning science to meet the learning needs of millions of health workers, policy makers, and WHO staff around the world.

The application is available for free download from both the Apple App Store and Google Play Store in Arabic Chinese, English, French, Russian and Spanish.

You can also learn more about the WHO Academy here: http://academy.who.int

The WHO Info app.

Also today, WHO will launch the WHO Info app which will give millions of people real-time mobile access to the latest news and developments. WHO has developed the app from the ground up with an intuitive user-interface and a clean, smart design. From the COVID-19 front, the WHO Info app will provide the latest WHO initiatives, partnerships, and to up-to-date information on the race to find medicines and vaccines for fighting the disease. The number of COVID-19 cases, organized by country, and by timelines, are continually updated in the app from the official WHO COVID-19 data streams.

The WHO Info app is available for free download from both the Apple App Store and Google Play Store

13 May 2020, News release, Geneva

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COVID-19 Forecast for Nepal and Active infections estimate

by Public Health Update
written by Public Health Update

COVID-19 Forecast for Nepal and Active infections estimate

(Last updated: May 18, 23:30)

OFFICIAL WEBSITE

EpidemicForecasting.org was created by a team of research scholars from the Future of Humanity Institute, University of Oxford, with collaborators from Australian National University, Harvard University and a number of volunteer data scientists and developers from Google, GitLab and other organisations.

This research is led by Jan Kulveit (Senior Research Scholar, University of Oxford). The project is managed by Jacob Lagerros (Research Scholar, University of Oxford). 

This modelling is in part based on

  • GLEAMviz computational tool, a publicly available software to explore realistic epidemic spreading scenarios at the global scale. W. Van den Broeck, C. Gioannini, B. Gonçalves, M. Quaggiotto, V. Colizza, and A. Vespignani. BMC Infectious Diseases 11, 37 (2011).
  • Seasonal transmission potential and activity peaks of the new influenza A(H1N1): a Monte Carlo likelihood analysis based on human mobility. D. Balcan, H. Hu, B. Gonçalves, P. Bajardi, C. Poletto, J. J. Ramasco, D. Paolotti, N. Perra, M. Tizzoni, W. Van den Broeck, V. Colizza, and A. Vespignani. BMC Medicine 7, 45 (2009).
  • Modeling the spatial spread of infectious diseases: The Global Epidemic and Mobility computational model. D. Balcan, B. Gonçalves, H. Hu, J. J. Ramasco, V. Colizza, and A. Vespignani. Journal of Computational Science 1, 132 (2010).
ESTIMATED ACTIVE INFECTIONS

ESTIMATED ACTIVE INFECTIONS

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Guideline for RDT Test Authorization to Private and Community Hospitals

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Guideline for RDT Test Authorization to Private and Community Hospitals

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Guest PostOutbreak NewsPublic HealthResearch & Publication

Mental Health and Coronavirus disease (COVID19)

by Public Health Update
written by Public Health Update

Mental Health and Coronavirus disease (COVID19)

Astha Sharma

As the coronavirus pandemic rapidly sweeps across the world, it is generating degree of fear, worry and concern among all with underlying health conditions. COVID-19 has changed daily life in unprecedented ways. However, this time of
crisis is generating psychological impact such as- stress or anxiety throughout the population.

Recommended: Policy Brief: COVID-19 and the Need for Action on Mental Health

Many of us are staying at home and doing less in terms of social interactions and exercise. Also, new measures and impacts are introduced – especially during this quarantine, it impact on many people’s usual activities, routines or livelihood. Level of loneliness, self-harm or suicidal behavior are also expected to rise. The new realities of working from home, temporary unemployment , lack of physical contact with others family members, friends and colleagues take time to get used to and might seems unusual which may leads towards psychological imbalance.

Recommended: Mental health and psychosocial considerations during the COVID-19 outbreak

Making sure that you take care of your mental health is vital.

There are lots of things we can do to look after our mental health as-

  • Stick with daily routines as far as possible, or make new ones.
  • Seek information only from trusted sources at specific time.
  • Limit the amount of alcohol or don’t drink at all. Avoid using them as the way of dealing with fear, boredom, anxiety and social isolation.
  • Enjoy your hobbies. Take time to engage in relaxing activities like, reading a book, cooking a nice meal, or doing something creative like painting knitting.
  • Take a few regular break from your chores or onscreen tasks.
  • Find opportunities to share and amplify positive and hopeful stories.
  • Stay connected and stay in touch with your family, friends and relatives you haven’t spoken to in a while and be able to lean on each other for emotional support.
  • Consider some stretches or yoga or engaging in a short mindfulness activities.
  • Take opportunities online or through your community to thank your country’s health care workers and all those working to respond COVID-19.

Astha Sharma, BPH 7th semester, Pokhara University, astha6209@gmail.com

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Send us your articles to mail4sagun@gmail.com with your name and photo. Public Health Update encourages public health students and professionals to submit views and voices.

 

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Mental Health and Coronavirus disease (COVID19)

10 innovative things you can do during lockdown [Public Health Students Edition]

Opportunities and Challenges in Education due to COVID-19

COVID-19 and Health Facts: Immunity boosting foods and right eating pattern

Coronavirus disease (COVID-19) and the Economy

The Situation of Country after COVID-19 | Moiz Khan

A state of Dual Pandemic: COVID-19 & Falsified Products
Digital advocacy in context of COVID-19 | Rashmi Acharya

The science of hand sanitizers

Tips for staying healthy in lockdown | Anushree Acharya

Digital advocacy in context of COVID-19 | Rashmi Acharya

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Is Lockdown a Solution? | Asbin Ghimire

by Public Health Update
written by Public Health Update

Is Lockdown a Solution?

Asbin Ghimire

Countries put stringent measure in place called Lockdown in response to transmission of COVID-19. Many have used the time to ramp up their activity to test, address, isolate and care for patient which is the best way to trace the virus, slow its spread and take pressure off from the Government Health System. The good news is that there has been a great deal of success in slowing the virus spread and ultimately saving lives of millions. Until there is vaccine to be found to eradicate virus, the comprehensive package of measure i.e. Lockdown is our most effective set of tool to slow down the consequences of virus.

Recommended: COVID-19 fallout could push half a billion people into poverty in developing countries

In countries with poverty and high population, the stay-at-home orders and other restrictions used may not be practical because residents living in crowded quarters, need to work daily in order to survive and receive meals in regular interval. Serious socio-economical lock down have a detrimental effect on daily life of people. With no source of education and no savings for future, majority of people of high labor induced countries depend upon the daily wages they receive at the end of the day after hard labor. Therefore to protect lives and livelihood of these people, a slow steady and lifting of lock down is key to sustain their economy and lifestyle.

Related: Effects of COVID-19 Pandemic in Daily Life of Nepalese People

However, such strong measure comes at a cost. Physical distancing restrictions are only part of the equation for this Lockdown and there are many other basic public health measures that need to be put in place which makes Lockdown effective. When stay-at-home measures are used, there must not be the violence of human rights. Each government must access their situation while protecting all their citizens, especially the most vulnerable. So government officials must rise from their internal disputes and fight as one for a better cause ie. consequences of this pandemic. Government should protect its people from this economical breakdown, secure their future as well as  keep a vigilant eye on the virus so control measure can be quickly implemented if an upswing in case is identified.

Even if a country wants to lift the lockdown, government must ask itself if the healthcare system is able to cope with a resurgence of cases after initiating certain measure or not. Is the optical surveillance system able to detect and manage contacts and cases of identified resurgence of cases is another question to be considered before country slowly can uplift the Lockdown. However are these questions and answers enough to remove it? Government must understand and analyze the situation of recurring pandemic for second time on some country like Republic Of Korea, Wuhan region of China and some area of Germany which are facing second wave of pandemic even though high preventive measures were taken. WHO is working closely with Government to ensure that public measures remain in place to deal with the challenges of lifting Lockdown.

COVID-19 Dashboard by the Center for Systems Science and Engineering (CSSE)

Asking people to stay at home and shutting down their movement is buying time and reducing the pressure on health system, yet these measures on their own will not extinguish pandemics. WHO said that “Lockdown alone won’t be enough, how many more is decided on the basis of decision we make and action we take”. If we want to remove Lockdown in gradual way, restrictions need to be lifted slowly and strategically in order to successfully re-enter a new normal life. If the measures are not enough to slow down the spread of virus after uplifting Lockdown, we might face the harsh reality of pandemic and its consequences much more than we can possibly imagine. In a nutshell surveillance, case finding, contact tracing campaign to inform affected population solidarity is needed now more than ever to defeat COVID-19.

Asbin Ghimire, 7th Sem BPH Student, School of Health and Allied Sciences, Pokhara University, Email:  asbing5t45@gmail.com, Cell No. +977-9860080199

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Want to submit an article?

Send us your articles to mail4sagun@gmail.com with your name and photo. Public Health Update encourages public health students and professionals to submit views and voices.

Mental Health and Coronavirus disease (COVID19)

10 innovative things you can do during lockdown [Public Health Students Edition]

Opportunities and Challenges in Education due to COVID-19

COVID-19 and Health Facts: Immunity boosting foods and right eating pattern

Coronavirus disease (COVID-19) and the Economy

The Situation of Country after COVID-19 | Moiz Khan

A state of Dual Pandemic: COVID-19 & Falsified Products
Digital advocacy in context of COVID-19 | Rashmi Acharya

The science of hand sanitizers

Tips for staying healthy in lockdown | Anushree Acharya

Digital advocacy in context of COVID-19 | Rashmi Acharya

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Recommended online courses on hypertension

by Public Health Update
written by Public Health Update

Recommended online courses on hypertension

Here are the recommended online courses on hypertension offered by various universities and societies.

World Hypertension Day 2020: Measure Your Blood Pressure, Control It, Live Longer #KnowYourNumber

Fundamentals for Implementing a Hypertension Program in Resource-Constrained Settings

The Johns Hopkins Bloomberg School of Public Health, in collaboration with other organisations including the International Society of Hypertension (ISH), have designed an online course, “Fundamentals for Implementing a Hypertension Program in Resource-Constrained Settings”  This course is geared toward program managers and implementers but will also be useful for physicians, nurses, and community health workers. There are six modules in this course:

Course Topics
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World Hypertension Day 2020
Fact SheetHealth in DataHealth Literacy, Health Education & PromotionHypertensionNon- Communicable Diseases (NCDs)PH Important DayPublic HealthPublic Health Events

World Hypertension Day 2020: Measure Your Blood Pressure, Control It, Live Longer #KnowYourNumber

by Public Health Update
written by Public Health Update

World Hypertension Day 2020: Measure Your Blood Pressure, Control It, Live Longer #KnowYourNumber

17 May is celebrated as a World Hypertension Day (WHD), which is initiated by the World Hypertension League (WHL). Officially, the World Hypertension League (WHL) has announced that it will postpone the celebration of World Hypertension Day (WHD) 2020 until October 17, 2020, due to global COVID-19 pandemic. 

Recommended online courses on hypertension

Theme

The theme for World Hypertension Day is Know Your Numbers with a goal of increasing high blood pressure (BP) awareness in all populations around the world. 

The expanded theme for World Hypertension Day is Measure Your Blood Pressure, Control It, Live Longer, with a goal of increasing high blood pressure (BP) awareness in all populations around the world. 

Purpose

The purpose of the WHD is to promote public awareness of hypertension and to encourage citizens of all countries to  prevent and control this silent killer, the modern epidemic.

According to WHO, Hypertension is diagnosed if, when it is measured on two different days, the systolic blood pressure readings on both days is ≥140 mmHg and/or the diastolic blood pressure readings on both days is ≥90 mmHg.

Key facts

  • Hypertension – or elevated blood pressure – is a serious medical condition that significantly increases the risks of heart, brain, kidney and other diseases.
  • An estimated 1.13 billion people worldwide have hypertension, most (two-thirds) living in low- and middle-income countries.
  • In 2015, 1 in 4 men and 1 in 5 women had hypertension.  
  • Fewer than 1 in 5 people with hypertension have the problem under control. 
  • Hypertension is a major cause of premature death worldwide.
  • One of the global targets for noncommunicable diseases is to reduce the prevalence of hypertension by 25% by 2025 (baseline 2010).
Risk factors 
  • Modifiable risk factors include unhealthy diets (excessive salt consumption, a diet high in saturated fat and trans fats, low intake of fruits and vegetables), physical inactivity, consumption of tobacco and alcohol, and being overweight or obese.
  • Non-modifiable risk factors include a family history of hypertension, age over 65 years and co-existing diseases such as diabetes or kidney disease.
Prevention is KEY! 
  • Eat healthily and reduce salt consumption
  • Eat more fruit and vegetables Limit alcohol intake
  • Don’t smoke Be physically active
  • Maintain a healthy body weight

Untreated hypertension can cause death or serious health consequences

  • HEART ATTACK
  • STROKE
  • DEMENTIA
  • KIDNEY FAILURE
  • VISION LOSS

Ways to reduce burden of hypertension

Reducing hypertension prevents heart attack, stroke, and kidney damage, as well as other health problems.
Prevention

  • Reducing salt intake (to less than 5g daily)
  • Eating more fruit and vegetables
  • Being physically active on a regular basis
  • Avoiding use of tobacco
  • Reducing alcohol consumption
  • Limiting the intake of foods high in saturated fats
  • Eliminating/reducing trans fats in diet

Management

  • Reducing and managing mental stress
  • Regularly checking blood pressure
  • Treating high blood pressure
  • Managing other medical conditions

SOURCE OF INFORMATION: WHO, World Hypertension League and ISH.

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Why is hypertension important?

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