ABSTRACT
The emergence of Covid-19 demonstrates a breakdown in humanity's relationship with the natural world (Frumkin and Myers, Planetary health: protecting nature to protect ourselves, pp 487–496, 2020). Escaping the “Pandemic Era” will need transformational adjustments and a profound rethinking of our connection with nature (The Lancet Planetary Health, Lancet Planet Health 5(1):E1, 2021;Harris, Participatory media in environmental communication, 2019). Considering how demanding—and at the same time unique this time is- early Anthropocene 2.0 consciousness is a concept worth exploring. Anthropocene 2.0 requires the development of communication skills on issues of environmental and public health concern. Our global health research and training communities and institutions must examine, reflect on, and reform the methods through which we promote and maintain planetary health (Haldane and Berry, The Lancet Planetary Health 5:E10, 2021). Professionals must successfully translate science, convey costs and benefits, and involve stakeholders in pressing environmental issues. Lessons from the pandemic emphasize the significance of systems thinking, the need for collaborative action, and the potential of rapidly changing global behavior. The present Covid-19 “silent period” offered a unique chance to launch a new graduate program in Environmental Communication and Health Promotion at the University of West Attica in Greece. It is critical to know the profile characteristics of those who were selected to attend this graduate program. The pertinent information will give a clear understanding of why people choose the specific field of study. This paper evaluates trainees’ health consciousness, environmental awareness, pro-environmental behavior, environmental activism, and personal values. © 2022, The Author(s), under exclusive license to Springer Nature Switzerland AG.
ABSTRACT
OBJECTIVE: Primary Care (PC) must attend and follow COVID-19 patients with mild and moderate symptoms, and identify severe cases. The aim of this study was to describe the characteristics of patients attended in PC with suspicious COVID-19 and health care provision by PC. METHODS: Retrospective longitudinal observational study of electronic health records (EHR) and agendas. Probabilistic sampling of suspicious COVID-19 patients' pathway in 5 health centers in Madrid between March 16 and 20, 2020. The variables used were sociodemographic, symptoms, examination, radiography, characteristics of schedules and professional sick leaves. Descriptive analysis and time to event (pneumonia). RESULTS: 240 EHR were reviewed. Average age 48 years, 60% women. Most frequent symptoms: cough (80%) and elevation of temperature (63%). Pneumonia appeared in 23%. 73% were bilateral. Age and male gender were related to pneumonia. 20% required admission. 7 patients died (2.9%). 19,027 COVID-19 appointments were scheduled in PC. 60% of patients were attended in PC without performing chest X-ray or assistance by other care level. 22.4% of GPs working days were absent because of sick leaves. Differences were found amongst facilities in chest X-ray requesting (max. 62%, min. 2%). The PC center with the fewest X-rays requested was the one with the major number of sick leaves. CONCLUSIONS: Age and male gender were related to pneumonia onset in PC. Health care activity was intense, and variability was found amongst facilities. Professional sick leaves could affect the quality of care.