ABSTRACT
Objective: To assess the risk of public health emergencies, both the indigenous ones and the imported ones, which might occur in the mainland of China in June 2021. Methods: An internet based expert counsel was conducted to analyze the surveillance data of public health emergencies and priority communicable diseases in China reported through different channels, and the experts in all provincial centers for disease control and prevention attended this video conference. Results: Generally speaking, it is predicted that the incidence of public health emergencies would be similar in June with May. The risk of imported cases and secondary infections of COVID-19 would continue to exist, but would be controllable. It is the high incidence season of severe fever with thrombocytopenia syndrome and most cases would be sporadic, however, the risk of cluster exits especially in previous epidemic areas. The incidences of food poisoning caused by toxic animal or plant or poisonous mushroom would increase significantly, and the incidences of food poisoning caused by microbe would be high. The earthquake-stricken areas such as Yunnan and Qinghai should further strengthen post-disaster public health responses. The potential flood-stricken areas predicted by the meteorological department need to pay attention to the risks of water-borne, food-borne and vector-borne diseases that may increase after the disaster. Conclusion: Special attention should be paid to COVID-19, and general attention should be paid to severe fever with thrombocytopenia syndrome, food poisoning and natural disaster.
ABSTRACT
Indonesia is often referred to as the Ring of Fire so that there are many natural disasters, especially earthquakes, volcanic eruptions, tsunamis and landslides. Based on the Environmental Profile, geography and population can increase the risk of natural disasters in Indonesia. To overcome these losses, it is necessary to mitigate natural disaster losses. The efforts of the Indonesian government as regulated in Law No. 24 of 2007, have allocated a budget for disaster management in the APBN/APBD. The government needs to reform natural disaster risk financing policies to meet the need for large amounts of disaster funding, timely and targeted, more planned, sustainable and transparent to reduce economic losses and the burden on the state budget. This disaster risk financing must also be able to answer the financing needs when there is no disaster in the context of disaster risk mitigation and transfer, financing when a disaster occurs (emergency response) and financing after a disaster occurs (rehabilitation and reconstruction). One way of financing disaster risk that can be done is with insurance services or insurance companies. The insurance company is referred to as the individual risk insurer who follows the insurance. In insurance there is a contractual agreement between the insured and the insurer called the policy. The agreement is regarding the insurer who is willing to bear a number of risks that may arise in the future in exchange for certain payments from the insured. Payments made by the insured to the insurer are called premiums.
ABSTRACT
Background: Countermeasures against COVID-19 outbreak, such as lockdowns and voluntary restrictions against going out, adversely affect human stress and depress economic activity. Particularly, this stress might lead to suicide. Object: We examined excess mortality attributable to COVID-19 related suicide. Method: We applied the National Institute of Infectious Diseases (NIID) model to suicide deaths, by gender, throughout Japan during October 2009-January 2021. Effects of the great earthquake that struck eastern Japan on March 11, 2011 were incorporated into the estimation model.
ABSTRACT
Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) causing coronavirus disease 2019 (COVID-19) pandemic in 2020 remains a major public health challenge until mass vaccination. The number of SARS-CoV-2 positive children aged 0-17 years has been increasing as older adults are vaccinated. Infected children tend to have less severe illness compared with adults, have predominantly respiratory or GI symptoms, or no symptoms. Children have an increased risk for multisystem inflammatory syndrome in children (MIS-C), which is unique. Neuropsychological complications of COVID-19 remain uncommon. Case reports and data from series exist. We report a case of tremors as sequelae of SARS-CoV-2 infection in a non-verbal adolescent with autism spectrum disorder (ASD).
ABSTRACT
Hydroxychloroquine (HCQ) has been used as an investigational drug for patients with moderate to severe coronavirus disease 2019 (COVID-19). There have been concerns of potential harms from side effects of the drug. We present a case of a 38-year-old male who was started on HCQ for COVID-19 pneumonia. He was referred for evaluation of myoclonus of all extremities, which resolved after discontinuation of HCQ. The involuntary movements were first reported after the initiation of HCQ, persisted despite improvement in inflammatory and radiologic parameters and eventually resolved after HCQ discontinuation. This supports a possible causality related to adverse drug reactions from HCQ that have not been commonly reported.