ABSTRACT
Background and Objective: One of the basic strategies to reduce the prevalence of diseases among people in society, especially children and adolescents, during the epidemic of COVID-19 disease, is to observe hygiene and personal protection behaviors. The present study was conducted to determine the level of compliance with health protocols in primary schools of Ilam city during the outbreak of the SARS-CoV-2 in 1400-1401. Materials and Methods: This descriptive-cross-sectional study was conducted in primary schools of Ilam city with a statistical sample of 49 schools (25 girls' schools and 24 boys' schools). In this study, the 2019 new coronavirus disease care and control checklist was used in schools, which has 15 questions with a total score of 100. Data with Kolmogorov-Smirnov and T-Test statistical tests using SPSS software. V21 was analyzed. Results: The results of this study showed that the highest and lowest scores are respectively related to the parameters of school health assessment before reopening (100 percent) and screening of people in terms of vaccination by PCR test (zero percent). The average score of compliance with the checklist was 74.3 in girls' schools and 74.38 in boys' schools. Also, the results of the T-Test showed that there is no significant relationship between the mean scores of girls' and boys' schools (p<0.05). Conclusion: The results of the present study showed that the score obtained for compliance with the checklist parameters of all schools in Ilam city is less than 85 points, and the main reason for this is the non-compliance of the screening parameter of people in terms of vaccination/PCR test in schools. © 2023 Iranian Association of Environmental Health, and Tehran University of Medical Sciences.
ABSTRACT
Background: The aim of the present study was to investigate behavior changes related to food hygiene and safety during Covid-19 outbreak. Methods: In this cross-sectional study, a digital questionnaire was used to collect the data. The questionnaire consisted of 36 questions in three sections: demographic characteristics, knowledge of food hygiene during the coronavirus epidemic, and food hygiene performance before and after Covid-19 outbreaks. Results: 675 questionnaires were completed. The ways through which foods are washed and subsequently packed, before and after the Covid-19 outbreak, have changed significantly. It was revealed that the use of dishwashing liquid, sanitizing liquid, vinegar (P<0.001), and alcohol (P=0.03) has drastically increased for washing the fruits;salt and bleach are used for washing the vegetables (P<0.05), and dishwashing liquid, sanitizing liquid and alcohol for washing egg and packaged food (P<0.001) after the outbreak. Covid-19 caused 35.5% of the participants to avoid sweetmeat, 23.7% of them did not use takeaway foods, and 21.4% of them eliminate nuts and seeds from their diet. Conclusion: According to the results of this study, people's knowledge about coronavirus transmission and food disinfection is insufficient. Given that people's knowledge about the mentioned cases can affect the choice of food groups and the quality of people's diet, introducing valid information sources and providing necessary training to people in the community can lead to the correction of beliefs and behaviors regarding food hygiene during the Corona outbreak. © 2022 Shriaz University of Medical Sciences. All right reserved.
ABSTRACT
The outbreak of coronavirus disease 2019 (COVID-19) has involved more than 159 countries and more than 5 million people worldwide. A 40-year-old man with a history of rheumatoid arthritis treated with prednisolone, Disease-Modifying Anti-Rheumatic Drugs (DMARDs), and biologic agents was admitted with chief complaints of fever, chills, malaise, myalgia, and dyspnea. Chest computed tomography showed bilateral subsegmental atelectasis and diffuse ground-glass opacities in both lungs inducing the suspicion of COVID-19 infection. The oro-nasopharynx swab sample for COVID-19 polymerase chain reaction was positive. In addition to supportive care, lopinavir/ritonavir 400/100 mg twice daily and oseltamivir (75 mg) twice daily were started in combination with a starting dose of hydroxychloroquine (400 mg). The methotrexate dose was decreased, and the dose of prednisolone was increased to 30 mg for 10 days. Azathioprine and adalimumab were continued at previous doses. The use of biologic agents and DMARDs in rheumatic patients is a serious challenge in the COVID-19 pandemic. In conclusion, during the COVID-19 pandemic, due to the key roles of cytokines in the promotion of the disease, the rheumatic patients may benefit from continuing their previous treatment, which may have protective effects.