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BACKGROUND: Prior to the COVID-19 pandemic, nearly 60% of children under 5 years of age were cared for in out-of-home child care arrangements in the United States. Thus, child care provides an opportunity to identify and address potential child maltreatment. However, during the pandemic, rates of reporting child maltreatment decreased-likely because children spent less time in the presence of mandated reporters. As children return to child care, states must have regulations in place to help child care providers prevent, recognize and report child maltreatment. However, little is known about the extent to which state regulations address child maltreatment. Therefore, the purpose of this cross-sectional study was to assess state regulations related to child maltreatment and compare them to national standards. METHOD: We reviewed state regulations for all 50 states and the District of Columbia for child care centres ('centres') and family child care homes ('homes') through 31 July 2021 and compared these regulations to eight national health and safety standards on child maltreatment. We coded regulations as either not meeting, partially meeting or fully meeting each standard. RESULTS: Three states (Colorado, Utah and Washington) had regulations for centres, and one state (Washington) had regulations for homes that at least partially met all eight national standards. Nearly all states had regulations consistent with the standards requiring that caregivers and teachers are mandated reporters of child maltreatment and requiring that they be trained in preventing, recognizing and reporting child maltreatment. One state (Hawaii) did not have regulations consistent with any of the national standards for either centres or homes. CONCLUSIONS: Generally, states lacked regulations related to the prevention, recognition and reporting of child maltreatment for both centres and homes. Encouraging states to adopt regulations that meet national standards and further exploring their impact on child welfare are important next steps.
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Objective: to identify the sociodemographic profile and the characteristics of interpersonal violence against older adults during the first year of the COVID-19 pandemic in a capital city from the Brazilian Southeast region. Method: a descriptive and exploratory research study with a cross-sectional design based on the notifications of suspected or confirmed cases of violence against older adults between March 2020 and March 2021. A univariate statistical analysis and Fisher's exact test (p<0.05) were performed. Results: a total of 2,681 notifications were recorded during the period. The main victims were individuals aged between 60 and 64 years old, female, white-skinned and with low schooling levels. The instances of violence were more frequent in the victims' homes. Physical and psychological violence predominated, through physical force/beatings and threats, respectively. Most of the aggressors were male, younger than the victims and generally their children or intimate partners. The aggressions were perpetrated more than once and were driven by generational conflicts. There was low referral to entities for the protection of older adults. Conclusion: the sociodemographic profile found evidences vulnerable victims, subjected to many types of violence, and at a potential risk against their overall health. (PsycInfo Database Record (c) 2023 APA, all rights reserved)
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Background: Cancer patients are at high risk of severe COVID infection and recommended at least three doses of SARS-CoV2 mRNA vaccines. Various anti-neoplastic treatments may affect long-term vaccine immunogenicity. Methods: Patients with solid or haematological cancer were recruited from two Singapore hospitals between July 2021 and March 2022. GenScript cPASS surrogate virus neutralisation assays measured antibody responses, which were correlated with clinical outcomes obtained from medical records and national mandatory-reporting databases. Results: In total, 273 patients were recruited (40 with haematological malignancies and the rest solid tumours). Two-hundred and four patients (74.7%) were receiving active cancer therapy: 98 (35.9%) receiving systemic chemotherapy and the rest targeted or immunotherapy. All patients were seronegative at baseline. After receiving one, two and three doses of SARS-CoV-2-mRNA vaccination, seroconversion rate was 35.2%, 79.4% and 92.4% respectively. After three doses, patients on active treatment for haematological malignancies had lower antibodies (57.3%±46.2) as compared to patients on immunotherapy (94.1%±9.56, p<0.05) and chemotherapy (92.8%±18.1, p<0.05). SARS-CoV-2 infection was reported in 77 (28.2%) patients of which 18 were severe. Conclusion: This study demonstrates high immunogenicity of three doses of vaccines and protection against severe infection in cancer patients.
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The authors call for the inclusion of reporting in prisons in pandemic treaty. They offer a look into the impact of the COVID-19 pandemic on people in detentions and updates of COVID-19 cases from the World Health Organization (WHO). Emphasis is given on the obligation of states to assess prison conditions, ensure equal access to medical care for prisoners, respect their right to health and its obligations on transparency including collection and reporting of health and human rights data.
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Research has shown that sustainability reporting can positively influence organizational accountability and transparency. However, little research has been done to compare how sectors present their sustainability efforts. This research uses content analysis to examine how the two sectors leading reporting efforts detail their work. Specifically, sustainability reports published in 2020 were sought from the Fortune 50 and the top 50 institutions from U.S. News & World Report (USNWR)’s Best Global University rankings to examine compliance with the standard reporting frameworks and how the United Nations Sustainable Development Goals were presented. Results suggest Fortune 500 companies and educational institutions did not report sustainability in the same fashion, nor did either grouping follow a standardized reporting framework. For-profit corporations were more likely to publish a stand-alone sustainability report and more likely to address more of the United Nations’ Sustainable Development Goals.
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Child maltreatment (CM) is a public health problem with devastating effects on individuals, families, and communities. Resident physicians have varied formal education in CM, and report feeling inadequately trained in identifying and responding to CM. The purpose of this study is to explore residents' understanding of the impacts of CM, and their perceptions of their role in recognizing and responding to CM to better understand their educational needs. This study analyzed qualitative data obtained from a larger project on family violence education. Twenty-nine resident physicians enrolled in pediatric, family medicine, emergency medicine, obstetrics and gynecology, and psychiatry training programs in Alberta, Ontario, and Québec participated in semi-structured interviews to elicit their ideas, experiences, and educational needs relating to CM. Conventional (inductive) content analysis guided the development of codes and categories. Residents had thorough knowledge about the impacts of CM and their duty to recognize CM, but there was less consistency in how residents understood their role in responding to CM. Residents identified the need for more education about recognizing and responding to CM, and the need for educational content to be responsive to training, patient and family factors, and systemic issues. Despite knowledge about the impacts of CM and laws pertaining to mandated reporting, residents reported challenges with responding to concerns of CM. Findings of this study emphasize the need for better training in response to CM. Future educational interventions should consider a multidisciplinary, experiential approach.
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Child Abuse , Domestic Violence , Gynecology , Obstetrics , Physicians , Child , HumansABSTRACT
Background: Victoria introduced mandatory anaphylaxis reporting for all hospitals in 2018 to allow rapid identification and removal of undeclared food allergens in packaged food to prevent further allergic events. To our knowledge this is the first mandatory anaphylaxis surveillance system in the world and the most comprehensive Victorian dataset. We describe the 2019-2020 paediatric data including demographics, anaphylaxis trigger, recurrent anaphylaxis episodes, clinical outcomes and geographical distribution. Method: Registered medical practitioners are required to notify the Victorian Department of Health of anaphylaxis cases within 1-5 days of diagnosis. Cases entered from the 2019-2020 period were analysed. Results: There were 3822 total anaphylaxis notifications, with 1493 (39%) in those aged <18 years. Numbers were similar in both years (despite COVID19 restrictions for the majority of 2020). Anaphylaxis was more common in males under 12 years and in females from ages 12-18 years. An allergen in packaged food was the most common anaphylaxis trigger in children (34%). 46% of notifications were for a first episode of anaphylaxis. Recurrent anaphylaxis despite a known trigger was most common amongst children aged 12-18 years, and these were the most likely to require ICU admission (5%). In 2019, based on residential address and anaphylaxis cases per 100,000 population aged <18 years, the Local Government Areas (LGAs) with the highest anaphylaxis rates were Melbourne (186.9), Hepburn (137.9) and Banyule (134.4). In 2020, Queenscliffe (241.5), Ararat (135.4) and Port Phillip (110.6) had the highest rates, however results were influenced by the small populations of some rural areas. Conclusions: 1. Victorian paediatric anaphylaxis rates are high compared to published data and were unaffected by COVID-19 restrictions. 2. Older children are more likely to present with recurrent anaphylaxis and require ICU. 3. Paediatric anaphylaxis service provision is centred in Melbourne, but high case numbers are present in other LGAs with less access to allergy services.
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Introduction: From the beginning of the corona pandemic until August 19, 2020, more than 21,989,366 cases have been reported worldwide - 228,495 in Germany alone, including 12,648 children aged 0-14. In many countries, the proportion of infected children in the total population is comparatively low; in addition, children often have no or milder symptoms and are less likely to transmit the pathogen to adults than the other way round. Based on the registration data in Frankfurt am Main, Germany, the symptoms of children in comparison with adults and the likely routes of transmission are presented below. Materials and methods: The documentation of the mandatory reports includes personal data (name, date of birth, gender, place of residence), disease characteristics (date of report, date of onset of the disease, symptoms), possible contact persons (family, others) and i.a. possible activity or care in children's community facilities. All reports were viewed, especially with regard to likely transmission routes. Results: From March 1 to July 31, 2020, 1,977 infected people were reported, including 138 children between the ages of 0 and 14 years. Children had fewer and milder symptoms than adults. None of the children experienced severe respiratory symptoms or the need for ventilation. 62% of the children had no symptoms at all (19% adults), 5% of the children were hospitalized (24% adults), and none of the children died (3.8% adults). After excluding a cluster of 34 children from refugee accommodations and 14 children from a parish, 78% of the remaining 90 children had been infected by an adult within the family, and only 4% were likely to have a reverse transmission route. In 5.5% of cases, transmission in a community facility was likely. Discussion: The results of the registration data from Frankfurt am Main, Germany confirm the results published in other countries: Children are less likely to become infected, and if infected, their symptoms are less severe than in adults, and they are apparently not the main drivers of virus transmission. Therefore, scientific medical associations strongly recommend reopening schools.