ABSTRACT
The COVID-19 pandemic induces a social dilemma: engaging in preventive health behaviors is costly for individuals but generates benefits that also accrue to society at large. The extent to which individuals internalize the social impact of their actions may depend on their prosociality, i.e. the willingness to behave in a way that mostly benefits other people. We conduct a nationally representative online survey in Germany (n = 5843) to investigate the role of prosociality in reducing the spread of COVID-19 during the second coronavirus wave. At the individual level, higher prosociality is strongly positively related to compliance with public health behaviors such as mask wearing and social distancing. A one standard deviation (SD) increase in prosociality is associated with a 0.3 SD increase in compliance (p < 0.01). At the regional (NUTS-2) level, a one SD higher average prosociality is associated with an 11% lower weekly incidence rate (p < 0.01), and a 2%p lower weekly growth rate (p < 0.01) of COVID-19 cases, controlling for a host of demographic and socio-economic factors. This association is driven by higher compliance with public health behaviors in regions with higher prosociality. Our correlational results thus support the common notion that voluntary behavioral change plays a vital role in fighting the pandemic and, more generally, that social preferences may determine collective action outcomes of a society.
Subject(s)
COVID-19 , COVID-19/epidemiology , Health Behavior , Humans , Pandemics/prevention & control , Physical Distancing , SARS-CoV-2ABSTRACT
BACKGROUND: The impact of gastrointestinal endoscopy on COVID-19 infection remains poorly investigated. We herein performed a systematic review and meta-analysis to evaluate the outcomes of COVID-19 in patients undergoing gastrointestinal endoscopy. METHOD: Ovid Medline, Ovid EMBASE, Ovid the Cochrane Library, and other electronic databases were searched until 30 November 2020 to identify publications with confirmed COVID-19 infection in patients undergoing gastrointestinal endoscopy. The primary outcomes were SARS-CoV-2 transmission, personal protective equipment use, rates of case fatality, complications, and procedural success. RESULTS: A total of 18 articles involving 329 patients were included in this systematic review and meta-analysis. The overall basic reproduction rate is 0.37, while the subgroup results from Asia, Europe, and North America are 0.13, 0.44, and 0.33, respectively. The differences in personal protective equipment use between the positive transmission and non-transmission group are mainly in isolation gowns, N95 or equivalent masks, and goggles or face-shields. The rate of case fatality, complication, and procedural success are 0.17 (95% confidence interval = 0.02-0.38), 0.00 (95% confidence interval = 0.00-0.02), and 0.89 (95% confidence interval = 0.50-1.00), respectively. The fatality rate in Europe was the highest (0.23, 95% confidence interval = 0.04-0.50), which is significantly different from other continents (p = 0.034). CONCLUSION: The risk of SARS-CoV-2 transmission within gastrointestinal endoscopy units is considerably low if proper use of personal protective equipment is applied. Similarly, a low fatality and complication rate, as well as a high procedural success rate, indicated that a full recovery of endoscopic units should be considered.
ABSTRACT
To propose the architectural layout for the big general hospital in the face of public health emergencies, we analyzed the conditions, methods, problems and countermeasures for the reconstruction of the isolation ward from the existing medical building layout of a general hospital. The affected areas met the requirements of isolation ward in the reconstruction, and realized the corresponding partition and separation of people. But the cost of occupying the medical room should be concerned. General hospital should be alerted to potential risks of public health emergencies. The characteristics of different construction types, defects, and the function of the hospital should be considered in the construction, rebuilding, and expansion of the hospital, which shouldnot only meet the needs of the development of the hospital daily usage but also consider dealing with emergent public health events. We can adopt the reasonable layout, including setting up a firewall-like device between the channel and the floor, an ordinary ward at ordinary times, and an independent space for emergency by pulling down the gate. This strategy can not only avoid the problem of low utilization rate of the space occupied by the corresponding area in the ward for diseases spread by air and droplets, maximizing the efficiency of the medical site, but also avoid the problem of emergency response to the temporary reconstruction.