In Taiz city,we continue to support lifesaving activities in three hospitals in addition to providing training on IPC, screening, triage, and identification of COVID-19 cases. In addition to trainings, MSF is working on preparedness for COVID-19 in all project locations across the country, as well as on preventive measures to be able to isolate and treat suspected patients who may eventually reach our health facilities. In collaboration with the WHO and the Sudanese health authorities, MSF provided “trainings of trainers” to key medical staff of 90 major (public and private) hospitals in Khartoum, including the two COVID-19 isolation centers identified by the government. Northeastern Syria: MSF is part of the COVID-19 humanitarian taskforce chaired by local health authorities in northeastern Syria. We see how the rapid spread of the disease has overwhelmed health care systems, disrupted economies, and altered social life in many parts of the world. Nursing home deaths make up more than 30 percent of the state’s total coronavirus fatalities since March. In the other MSF-supported or co-managed hospitals and health centers we have reviewed triage systems and patient flows to ensure fast detection of suspected COVID-19 cases and isolation from the rest of the patients. At the MSF hospital in Bar Elias, COVID-19 activities are still on stand-by and elective surgeries have resumed. by Marissa Shapiro Oct. 6, 2020, 9:00 AM As of January 5, 2021, Tennessee ranks 9th by number of confirmed cases, 15th by number of deaths, and 21st by number of deaths per capita in the United States. In spite of its community testing strategy (more than 200,000 people tested) Uganda has reported a low number of confirmed cases (1,043 as of July 14) and no COVID-19 deaths. Note: MSF teams are responding to the coronavirus pandemic in the more than 70 countries where we run existing programs, as well as opening projects in other countries that have become outbreak hotspots.This is a selective list of projects specifically related to MSF’s COVID-19 response, as of July 20, 2020. We adapted our activities to help contain the spread of the virus. We provided COVID-19-related trainings to medical staff in all project locations. We have donated food supplements to 100 vulnerable families. After the attack on Dasht-e-Barchi, the support to the Afghan-Japanese COVID-19 referral center in Kabul was been stopped. A message to Vanderbilt University Medical Center and its colleagues, patients and friends from Dr. Jeff Balser, Dean and CEO: As COVID-19 vaccination has begun across VUMC, it is important to be aware of the following considerations as appointments are scheduled. We have added COVID-19 related health promotion, medical screening, and distribution of soap and locally produced cloth masks (with a specific focus towards those most at risk of developing severe forms of the disease, such as the elderly and people living with HIV) to our community-based activities in the three districts where we run a malnutrition program. On March 11, the WHO declared that the global spread of this previously unknown disease is a pandemic. Simple infection control measures such as good handwashing and proper cough and sneeze etiquette are effective and important for prevention. MSF is now operating its mental health project remotely, talking to patients on the phone and providing two-month drug supplies when necessary. Keeping children healthy during the COVID-19 pandemic: ... Vanderbilt University Medical Center is committed to principles of equal opportunity and affirmative action. In South Beirut, in the Bekaa valley, and in Baalbek-Hermel, our teams are training and assisting families on the practice of shielding, a voluntary process that can provide additional protection to people at heightened risk of contracting COVID-19. In Benue, MSF-run clinics have adapted triage and screening, reinforced IPC, worked to ensure staff safety and use of PPE, and undertaken health promotion and water and sanitation activities with IDPs in collaboration with the MoH. We also reorganized patient flow and implemented pre-screening, triage, waiting, and consultation areas. MSF is working with local authorities in many of the countries where we have medical projects to help prepare for the impact of COVID-19. We have provided training and preparedness measures in Al Hassakeh National Hospital and Al Hol camp, including creating a 48-bed isolation ward, introducing surveillance measures, case identification and management, and patient flow and triage processes, along with IPC and training on PPE. We are also participating in technical advisory groups for the MoH and are implementing adjusted models of care for patients living with HIV, TB, and noncommunicable diseases in order to reduce their risk of infection with COVID-19. Activities in N’Djamena also include support for surveillance, contact tracing, home-based care for patients with simple forms of COVID-19, and health promotion and community engagement across the capital, including with marginalized groups with limited access to health information such as nomadic people in the outskirts of the city. How can I prevent myself from being infected? MSF teams continue to train health care staff in facilities designated to receive COVID-19 patients, particularly in the Gul province, where one of our tuberculosis projects is based. In Hajjah governorate’s Al Gumhouri hospital we work with the MoH to maintain essential lifesaving activities such as the emergency room, intensive care unit, operating theater, inpatient department, mental health services, and emergency referrals to Sana’a. Summary of Major Literature Related to COVID-19 (Week of March 30–April 5) Led by Loren Lipworth and Qi Dai, with contribution from XO Shu, D Yu, M Shrubsole, Q Cai, S Sudenga, T Su, W Wen (Division of Epidemiology) and A Ahonkhai (Infectious Diseases), Dept of Medicine Highlights of our global response so far include: MSF is still running the COVID-19 treatment center in Ouagadougou. Additionally, a separate outdoor waiting area with shade protection will be built for people with suspected COVID-19, the first time such a triage approach will be implemented in NTP facilities. Teams are also preparing for potential cases of COVID-19 in our projects. Our teams are working on COVID-19 preparedness and preventive measures in all our projects, in order to safely isolate and treat suspected patients who may seek treatment in our health facilities. Travel can increase your chance of spreading and getting COVID-19. After reinforcing triage, isolation, protection equipment, and IPC capacity at the University Hospital Center and the Medical Centers with Surgical Antennas of Do and Dafra MSF decided to phase out all activities from July 15 to focus on displaced people in the northern part of the country. by Evan Curran Dec. 18, 2020, 11:00 AM We also donated personal protective equipment (PPE) donations to vulnerable social groups, including elderly people, refugees, homeless people, victims of gender-based violence, detainees, and people with mental illness, as well as to the airlifting department of the National Emergency Aid Center. Public health measures such as isolation, quarantine, and social distancing are generally put in place to limit community transmission, reduce the number of new cases and severely ill patients, protect the most vulnerable people, and manage health resources. In Baghdad, MSF supports two hospitals run by the MoH (Ibn Al Khateeb & Al Kindi) with IPC support and other services and treats COVID-19 patients. In addition to the overall support and technical advice given to the national COVID-19 response mechanism, we continue COVID-19-related health promotion work and we are currently discussing how to support the MoH decentralization and community integration process by reinforcing surveillance and early detection of cases. As of January 5, 2021, there are 617,649 confirmed cases, 7,267 deaths, 539,207 recoveries, and 5,686,467 reported tests. We have also strengthened measures to prevent the spread of COVID-19 in the health facilities we support in Bamenda, Kumba, Muyuka, Mamfe, and Widikum and are providing logistical and training support to the main hospital in Tiko (District hospital), Limbe (Regional and District hospital) and Buea (Buea regional hospital and Mount Mary hospital). Our COVID-19 response plan includes assisting with medical supplies and staff recruitment as well as strengthening triage, diagnosis, treatment, IPC, and more in Amazonas, Anzoátegui, Bolívar, Sucre, and the Capital District. In Bamako, MSF supports the MoH’s 100-bed COVID-19 treatment unit within the grounds of the hospital where it runs its oncology program (“Point G” hospital). We also installed water points, distributed soap and hygiene products, and set up a holding center for potential COVID-19 patients before transfer to the MoH in Gussau. Phone consultations are also available. MSF is also bringing COVID-19-positive patients in Lower Dir district to the isolation ward by ambulance, but only under certain conditions. The teams provide technical support on alert verifications and organize the triage of patients at the call center’s level. We have started a wide-scale distribution of hygiene products that targets 8,000 families in IDP camps in north Idlib. The posts appear on this site in reverse chronological order and are dated. These measures include setting up additional washing points equipped with either chlorinated water or soap and reinforcing existing ones, training staff on triage and IPC, and identifying and establishing isolation areas or pre-screening areas for suspected COVID-19 patients. Non-urgent surgery is on standby due to the epidemic—we are advocating to restart surgery for cancer patients as soon as possible. Our teams have concluded technical and infrastructure assistance to health facilities in three other districts of the capital (Baskuy, Sig-Noghin, and Pissy). Local health authorities remain in charge of the overall COVID-19 response in Aden. 24. We are also stepping up health promotion activities and providing technical advice or logistical support to set up isolation structures. NEW: Clinical trial to test HIV drugs to treat COVID-19. We have also ended our intervention in detention centers in Lombardy, Piedmont, and Liguria,where we conducted IPC and health promotion activities in 15 prisons and improved protocols and procedures for isolation of suspected cases and contact tracing activities. In order to limit the risk of transmission, the general strategy adopted is to avoid big vaccination sites and to divide the target areas into smaller zones, running activities on a longer timeframe. We need to ensure that we can continue to provide lifesaving medical care in our ongoing projects. In HaydanandKhamerwe have set up COVID-19 treatment centers to take care of moderate cases and have begun admitting small numbers of patients with symptoms resembling those of COVID-19. In Abs, in addition to supporting authorities in managing the key departments of the hospital and implementing IPC measures to protect staff and patients, we are also working with communities to understand more about perceptions and knowledge of COVID-19. In late May 2020 MSF deployed medical response teams (MRT) to support the Ministry of Public Health in its COVID-19 testing strategy across Lebanon. MSF also provides water trucking in the camp, as the quantity and quality of water doesn’t meet the needs. Vanderbilt researchers develop publicly available COVID-19 animal susceptibility prediction tool; suggests increased risk to horses. Vanderbilt University Medical Center researchers have found evidence of the rate of COVID-19 infection slowing in Tennessee, which reduces the chance that the … The objective is to decrease the risk of transmission of COVID-19 between individuals seeking care and the staff working there. We also continue to implore everyone to continue to wear masks when you leave your home, maintain social distancing from others (at least 6 feet) and wash your hands well and often. The MSF project in Hong Kong has shifted its focus from health education to mental health support. The team is also developing additional COVID-19 case management capacity for health care facilities in Eshowe and Mbongolwane. MSF has started to build a COVID-19 treatment center in Bangui. We have obtained a greenlight from public health authorities to run malaria chemoprevention campaigns in the district this year. We will provide technical and material support, staff and training, the establishment of a patient flow system, and the management of certain infection prevention protocols, including the laundry system for the center. In the Mathare informal settlements, teams are providing mental health consultations to survivors of sexual and gender-based violence by phone to continue providing adequate care throughout the pandemic. A new coronavirus was first reported in Wuhan, China, on December 31, 2019. Protecting patients and health care workers affected by the pandemic is essential. At Al-Kuwait we offer a full package of hands-on support to the MoH, including treating the most severely ill patients in the 15-bed intensive care unit and in the large inpatient department. In Gaza we have so far observed a small number of confirmed cases, though we are still concerned about the ability of the health system to manage an outbreak. We have now closed our projects in the Lodi area and Marche region, where we supported three hospitals and 44 homes for elderly people and provided remote monitoring of non-critical COVID-19 patients at home to ensure that only severe cases where sent to the hospital. A similar strategy including soap and mask distribution, food support, and awareness raising sessions has been implemented in Paoua and Carnot in collaboration with UNICEF and WFP, targeting around 4,000 patients and their families. Thank you so much for starting the process to complete your 2020 Statistical Reports. We have been asked by city authorities in the capital Quito to assist in nursing homes, and an MSF team there has confirmed that the situation there is distinctly alarming. We also organized 21 training sessions for 453 health staff and 104 community health workers in collaboration with the MoH. My name is Ben Osher, and I’m a fourth-year at Vanderbilt. Welcome to the Statistical Reporting Site. Regular MSF activities have been suspended in both Manila and Marawi. The teams implemented IPC measures and provided training sessions, including for health promotion, for both MoH and MSF staff and private caregivers. MSF teams are raising awareness on the ground via health promoters and through community radio. We continue our health promotion and prevention interventions. Capacity is now up to 110 beds and on July 16 14 patients were hospitalized (two suspected cases and 41 confirmed). It will take months for enough people to be vaccinated to end the pandemic. There were more than 85.8 million cases of the coronavirus around the world—with more cases in the United States (20.8 million) than in any other country. While curfew and lockdown measures further reduce the already extremely limited ability of migrants and refugees to access basic services, MSF participated in interagency food distributions in Tripoli and offered medical and humanitarian assistance to migrants and refugees living in urban settings. Read article. In Pemba we helped local health authorities install two isolation centers, 18 de Outubro (30 beds) and Decimo Congresso (100 beds). It’s important to protect yourself and protect others too. MSF teams trained more than 500 health workers on IPC procedures and conducted psychosocial support sessions. A key priority is to keep our regular medical programs running for the tens of thousands of patients and extremely vulnerable communities we help support. MSF has visited several hospitals in Port-au-Prince that were forced to close their services, totally or partially, due to COVID-19, with the goal of assessing what support we can provide and to reduce the impact of the epidemic on other medical needs. Spend at least 20 seconds washing your hands. MSF is supporting several health facilities in Nairobi, Kiambu, Garissa, and Mombasa Counties. And in Fori, our inpatient therapeutic feeding center continues to operate, both with reinforced IPC and adapted triage and patient flow systems. Psychosocial support is provided to shelter staff and also to members of the surrounding communities. Some construction activities in our various projects have also been put on-hold. We have also provided the MoH with PPE, including N-95 masks and gloves, thermometers, chlorine tablets, and alcohol pads. There have been nearly 80 million cases reported so far—and many more go undocumented. In Ngala MSF's hospital has ceased 24-hour services but continues to provide primary health care services during the day as well as community-based health promotion services. The Bombali COVID-19 treatment center in Makeni Regional Hospital is operational, with MSF providing logistical support for the initial setup. This makes it much harder to get a good picture of the way it’s spreading. The Ministry of Health recently increased the hospital's capacity by 200 beds and we are helping prepare to care for more severe cases of COVID-19. All students in good standing are welcome to return to campus for the spring 2021 semester regardless of their on-campus or remote status for the fall semester. We provided training and technical advice to the MoH in setting up isolation units in Boma hospital in Chiradzulu and in Blantyre. In Kandahar, our team is supporting both the provincial TB center and the MSF TB center, and isolation units have been set up for the admission and treatment of DR-TB patients who are COVID-19 positive or suspected. In several neighborhoods of Port-au-Prince, community awareness and mobilization activities on prevention measures and timely admissions continue through door-to-door health promotion, radio spots, and training for community organizations and leaders. In Mafraq we are preparing for the resumption of face-to-face consultations in our mental health project but will continue remote consultations for patients who are not able or willing to come. At the Omdurman Teaching hospital, the largest hospital in Sudan, we are working closely with the MoH in the emergency department and preparedness to cope with COVID-19. 04. Unrestricted support from our donors allows us to mobilize quickly and efficiently to provide lifesaving medical care to the people who need it most, whether those needs are in the spotlight or not. While the number of confirmed COVID-19 cases keeps rising (there were 4,485 as of July 18, according to the MoH), MSF remains committed to ensuring the continuity of care in our 13 projects and ensuring that all needed supplies and medications are available for both patients and staff. As a mitigation measure for the spread of COVID-19, patients with NCDs have been provided medicine for three months in Embu county, where MSF supports the five county-level hospitals with triage and screening of patients and boosting IPC in 11 health facilities. We adapted the patient circuit and triage at the facilities we assist and implemented water and sanitation services to minimize the risk of infections. We also provided extra drugs to HIV and NCD patients. It contains current information about COVID-19 prevention, updates from Medical Center leadership and from the Department of Infection Prevention, along with newly created COVID-related guidance for employees and patients. Everywhere we work, we see how this pandemic hurts already vulnerable and marginalized communities. In Laylan camp, Kirkuk governorate, we are mobilizing a 20-bed caravan isolation and treatment facility and continue to implement triage measures for any suspected COVID-19 patients and raise awareness about prevention measures. Four types are known to cause colds, and two other types can cause severe lung infections: Severe Acute Respiratory Syndrome (SARS) and Middle East Respiratory Syndrome (MERS). We also provide psychological support. Coronaviruses are a large family of viruses, most of which are harmless for humans. At the forefront of discovery and innovation, improving lives of people affected by critical illness. A message to Vanderbilt University Medical Center and its colleagues, patients and friends from Dr. Jeff Balser, Dean and CEO: COVID-19 Stats: Dec. 21, 2020 December 22, 2020 Through the exceptional capabilities and caring spirit of its people, Vanderbilt will lead in improving the healthcare of individuals and communities regionally, nationally and internationally. We will combine our transformative learning programs and compelling discoveries to provide distinctive personalized care. In Patna, Bihar, MSF works in a facility set up in a converted sports hall to care for mild to moderate COVID-19 patients, to support the Nalanda Medical College Hospital. On July 17 a decision was made to decrease capacity from 60 beds to 30 beds due to progressively lower admission numbers both in our partner hospital and across the Western Cape province. In both cities we have started medical activities in two adapted centers for severe COVID-19 patients. In Borno state, MSF continues to provide technical and material support to the MoH COVID-19 isolation center in Maiduguri with staff training, the establishment of a patient flow system, and the management of certain IPC protocols, including the laundry system. In Goma, we ended support of the COVID-19 treatment center in Munigi, previously used as an Ebola Treatment Centre, and handed over its activities to MoH teams. In Las Anod, Galkayo, and Baidoa, where MSF was already running medical activities, we have put in place hygiene and preventive measures to protect our frontline staff, including trainings on IPC, triage, and identification of COVID-19 symptoms. More specifically, we are working to infection-proof four main hospitals in Kadamjay Rayon, not only through advice and training in line with robust infection prevention guidelines, but also by providing disinfectants and PPE for health staff. Thank you! EOE/AA/Women/Minority/Vets/Disabled In the past months, MSF’s intervention dedicated to COVID-19 significantly decreased following the general downward epidemiological trend across the country. MSF has helped distribute nearly 30,000 PPE, conducted IPC training to staff at 22 facilities, provided 5,100 hygiene kits, and is continuing to provide hand hygiene and COVID-19 health education workshops to high-risk groups. We’re also working in Bobo-Dioulasso, western Burkina Faso, where the second-most severe epicenter of the outbreak is located. Many patients picked up by MSF ambulances in Mathare have tested positive for COVID-19, even those who did not initially meet the case definition for the disease. In Zahle, MSF set up tents outside the Elias Hraoui Governmental Hospital for triage and screening of children. We are also helping with laboratory support in Juba, with MSF co-facilitating trainings for staff of different institutions. The construction of the Zaatari COVID-19 treatment center has been completed, and MSF is on standby until there is a confirmed COVID-19 case in the camp. In Marib, we trained a large group of community health workers in COVID-19 health promotion and have been providing for 42 health promotion supervisors of the Governorate Health Office in Marib on COVID-19 messaging. In addition, we are raising awareness among communities where we work (Omugo refugee settlement, HIV peer groups in Arua, youth communities in Kasese, and fishing communities near lake George) and distribute masks to patients and staff in MSF-supported health structures and PPE to medical staff working with COVID-19 patients. An MSF team provided on-the-job training to the MoH staff with a focus on IPC, patient flows, and triage protocols. The team has visited several state hospitals, including the Ciudad Altamirano health center, Arcelia Community hospital, and the Teloloapan Community hospital, where we carry out trainings for health staff and provide support in setting up circuits for staff and patients. Beyond Tripoli, we continue to work in four detention centers (in Khoms, Zliten, Zintan, and Zuwara) to provide first aid to people disembarked in Libya and primary health care and referrals to migrants and refugees in Bani Walid. In Masisi, in North Kivu, we set up an isolation circuit at the Nyabiondo Reference Health Center and a 20-bed isolation unit at the Masisi General Reference Hospital. The COVID-19 pandemic has caused a larger effect more than the disease itself. We are collaborating with Kunduz regional hospital to provide IPC training to ensure better protection of their frontline medical and support staff. 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