The challenges faced by women-owned companies in Afghanistan under COVID-19 and Taliban

The COVID-19 pandemic and the shift of power to the Taliban have negatively affected women-owned companies. This study aimed to explore the external and internal challenges of women-owned businesses from March 2020 to January 2022 in Afghanistan. In-depth semi-structured interviews were conducted from December 2021 to January 2022 with 29 women-owned company owners and chief executive officers (CEOs) based in five provinces of Afghanistan. Data were analyzed using thematic analysis. The themes are COVID-19 external challenges: movement restriction, inability to access the market, and financial issues. COVID-19 internal challenges: financial and production problems. Taliban governance external challenges: regulation on women's activities, economic crisis, and market downturn, and Taliban governance internal challenges: financial issues, production issues, and staff mental wellbeing. The study concluded that challenges due to the COVID-19 and Taliban governance presented strong shocks to women-owned companies that may precipitate the closure of these companies or the immigration of businesswomen. © 2023 The Author(s). Published by Informa UK Limited, trading as Taylor & Francis Group.

Early Impact of Collaborative Remote Patient Monitoring (C-RPM) for Hypertension on Underserved Populations during the COVID19 Pandemic: A Multicenter Retrospective Observational Study

Introduction: Underserved populations are 40% more likely to have hypertension and three times more likely to die from heart diseases due to uncontrolled blood pressure (BP). Disrupted access to care from the COVID-19 pandemic further puts these populations at higher risks of complications. A C-RPM for hypertension was established in response to this threat. Research Question or Hypothesis: Will C-RPM promote timely BP control among underserved patients during the COVID19 pandemic? Study Design: A retrospective, single-arm observational study conducted in two federally qualified health center sites. Method(s): All adult patients with uncontrolled BP (>=140/90) who received physician or nurse practitioner referral to participate in CRPM were included. Patients who failed to use BP device independently were excluded. All participants received a BP device that transmitted their BP measurements to the institution electronic health records. Clinical pharmacists, under a collaborative practice agreement, followed the readings and provided dose adjustments via telemedicine. Patient demographics were collected at baseline and BP readings were tracked daily for the first three months. Descriptive analysis, ASCVD risk calculator and paired t-test were used accordingly. Result(s): Between August and December 2021, 89 patients were referred, of which 70 (78.7%) monitored BP daily while 19 (21.3%) were lost to follow up. The average age of the patients was 60.8 years with majority being Hispanic (76.4%), female (63%), and diagnosed with type 2 diabetes (52.8%). The average BP improved from 163/82 at baseline to 132/71 at three months (p<0.001) with an average ASCVD risk score reduction of 25%. Approximately 76% achieved BP target (<140/90) within three months. BP of those lost to follow up maintained uncontrolled over the three months. Conclusion(s): C-RPM achieved clinically meaningful and timely improvement in BP control and cardiovascular risks among underserved patients, bypassing the threat of care access disruption due to the COVID19 pandemic.

Health, Wellbeing and Community Recovery in Fukushima

This book examines the issue of disaster recovery in relation to community wellbeing and resilience, exploring the social, political, demographic and environmental changes in the wake of the 2011 Fukushima disaster. The contributors reflect on the Fukushima disaster of earthquake, tsunami and radiation contamination and its impacts on society from an interdisciplinary perspective of the social sciences, critical public health, and the humanities. It focuses on four aspects, which form the sections of the work: Living with Risk and Uncertainty Vulnerability and Inequality Community Action, Engagement and Wellbeing Notes from the Field The first three sections present research on the long-term consequences of the disaster on community health and wellbeing. These findings are enhanced and developed in the 'Notes from the Field' section where local practitioners from medicine and community recovery reflect on their experiences in relation to concepts developed in the previous sections. This work significantly extends the literature on long-term wellbeing following disaster. The case study of Fukushima is a multi-faceted process that illuminates wider issues around post-disaster regeneration in Fukushima. This problem takes on new importance in the context of Covid-19, including direct parallels in the issues of risk measurement, social inequality, and wider wellbeing impacts, which public health disciplines. © 2022 selection and editorial matter, Sudeepa Abeysinghe, Claire Leppold, Akihiko Ozaki and Alison Lloyd Williams;individual chapters, the contributors.

SArS-Cov-2 / COviD-19: Salient facts and strategies to combat ongoing pandemic

Severe acute respiratory syndrome coronavirus – 2 (SARS-CoV-2), an emerging novel coronavirus causing coronavirus disease 2019 (COVID-19) pandemic, has now rapidly spread to more than 215 countries and has killed nearly 0.75 million people out of more than 20 million confirmed cases as of 10th August, 2020. Apart from affecting respiratory system, the virus has shown multiple manifestations with neurological affections and damaging kidneys. SARS-CoV-2 transmission mainly occurs through close contact of COVID-19 affected person, however air-borne route is also now considered as dominant route of virus spread. The virus has been implicated to have originated from animals. Apart from bats, pangolins and others being investigates to play role in transmitting SARS-CoV-2 as intermediate hosts, the recent reports of this virus infection in other animals (cats, dogs, tigers, lions, mink) suggest one health approach implementation along with adopting appropriate mitigation strategies. Researchers are pacing to develop effective vaccines and drugs, few reached to clinical trials also, however these may take time to reach the mass population, and so till then adopting appropriate prevention and control is the best option to avoid SARS-CoV-2 infection. This article presents an overview on this pandemic virus and the disease it causes, with few recent concepts and advances.

Underestimation of COVID-19 cases in Japan: an analysis of RT-PCR testing for COVID-19 among 47 prefectures in Japan.

BACKGROUND: Under the unique Japanese policy to restrict reverse transcriptase-polymerase chain reaction (RT-PCR) testing against severe acute respiratory syndrome coronavirus 2, a nationwide number of its confirmed cases and mortality remains to be low. Yet the information is lacking on geographical differences of these measures and their associated factors. AIM: Evaluation of prefecture-based geographical differences and associated predictors for the incidence and number of RT-PCR tests for coronavirus disease 2019 (COVID-19). DESIGN: Cross-sectional study using regression and correlation analysis. METHODS: We retrieved domestic laboratory-confirmed cases, deaths and the number of RT-PCR testing for COVID-19 from 15 January to 6 April 2020 in 47 prefectures in Japan, using publicly available data by the Ministry of Health, Labour and Welfare. We did descriptive analyses of these three measures and identified significant predictors for the incidence and RT-PCR testing through multiple regression analyses and correlates with the number of deaths through correlation analysis. RESULTS: The median prefectural-level incidence and number of RT-PCR testing per 100 000 population were 1.14 and 38.6, respectively. Multiple regression analyses revealed that significant predictors for the incidence were prefectural-level population (P < 0.001) and the number of RT-PCR testing (P = 0.03); and those for RT-PCR testing were the incidence (P = 0.025), available beds (P = 0.045) and cluster infections (P = 0.034). CONCLUSION: Considering bidirectional association between the incidence and RT-PCR testing, there may have been an underdiagnosed population for the infection. The restraint policy for RT-PCR testing should be revisited to meet the increasing demand under the COVID-19 epidemic.