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Canadian Liver Journal ; 2022.
Article in English | Web of Science | ID: covidwho-2005842


BACKGROUND: Infection with chronic hepatitis C virus is a global public health concern. A recent study concluded that Canada is on track to achieve hepatitis C elimination goals set by the World Health Organization if treatment levels are maintained. However, recently a falling temporal trend in treatments in Canada was observed, with most provinces seeing a decrease before the global coronavirus pandemic. This study assesses the timing of elimination of hepatitis C in the 10 provinces of Canada. METHODS: Previously published disease and economic burden model of hepatitis C infection was populated with the latest epidemiological and cost data for each Canadian province. Five scenarios were modelled: maintaining the status quo, decreasing diagnosis and treatment levels by 10% annually, decreasing diagnosis and treatment levels by 20% annually, increasing them by 10% annually, and assuming a scenario with no post-coronavirus pandemic recovery in treatment levels. Year of achieving hepatitis C elimination, necessary annual treatments for elimination, and associated disease and economic burden were determined for each province. RESULTS: If status quo is maintained, Manitoba, Ontario, and Quebec are off track to achieve hepatitis C elimination by 2030 and would require 540, 7,700, and 2,800 annual treatments, respectively, to get on track. Timely elimination would save 170 lives and CAD$122.6 million in direct medical costs in these three provinces. CONCLUSIONS: Three of Canada's provinces-two of them most populous in the country-are off track to achieve the hepatitis C elimination goal. Building frameworks and innovative approaches to prevention, testing, and treatment will be necessary to achieve this goal.

Revista Conhecimento Online ; 1:189-212, 2022.
Article in Spanish | Scopus | ID: covidwho-1754178


Telepsychology is an alternative for online psychological assistance, this proposal suggests the use of information and communication technology to guarantee psychosocial intervention and with a humanistic nature to respond to the psycho-emotional and psychosocial needs experienced by the Santiago population that demands professional guidance in a situation of epidemiological crisis as a result of Covid -19. Santiago se Levanta is a group of psychological help where 52 psychology professionals participate and until the moment of the investigation it had a scope of a total of 19,564 users and the objective of this investigation is to systematize the psychological orientations in 84 topics, the which meet from January 2021 to the present, with the aim of guiding the psychosocial rehabilitation of the Santiago population in this stage of the pandemic. The research is qualitative and the method used is systematization. Taking into account the degree of satisfaction, the evaluation of the users has been favorable based on the depth, systematicity and scientificity of each topic addressed and the therapeutic, educational and investigative scope of each work session. © 2022 UNIVERSIDADE FEEVALEÂ. All rights reserved.

Revista Universidad Y Sociedad ; 13(4):195-206, 2021.
Article in Spanish | Web of Science | ID: covidwho-1312109


Despite the actions carried out by government institutions and health department in Santiago de Cuba, there has been an increase in the number of confirmed cases of Covid-19, causing the need to increase hospital beds for isolation and treatment. of patients and contacts demanding a greater number of health and support workers for these services, among which an increase in cases has been observed and for this reason it was considered necessary to characterize the perception of risk about Covid-19 who have case contacts confirmed and health workers who work in these institutions, for which a qualitative study was designed in which 106 subjects participated, of them 70 case contacts and 36 health workers. The results showed that there is a contradiction between the perception of the subjects about the negativity - mortality of the disease and the actions to avoid getting infected, as well as the perception of risk is considered only in the beliefs of perceived susceptibility and the perceived benefits and not in the perceived barriers, functional self-efficacy and the signal for action, showing a low perception from the belief in health in these subjects.