Continuity of TB services during the COVID-19 pandemic in China

Shen, Xin; Wang, Sha; Yang, Chongguang; Pan, Qinxue; Cohen, Ted; Cheng, Shi Ming; Cai, Qingshan; Kan, Xiao-Hong; Zong, Peilan; Zeng, Zhao‐Cheng; Tan, Shou Yong; Liang, Ruixia; Bai, Lianhua; Xia, Jiaan; Wu, Shucai; Sun, Pengyong; Wu, Guihui; Cai, Cui; Wang, X; Ai, K; Liu, J; Yuan, Zhigang

doi:10.5588/ijtld.20.0632

Cited by 9 publications

(17 citation statements)

References 10 publications

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“…[85]. In China [87], 3 out of 4 hospital beds for TB were closed during the pandemic phase. Moreover, lockdowns disrupted patient and staff access to services [62, 88].…”

Section: Resultsmentioning

confidence: 99%

Impact of COVID-19 pandemic and anti-pandemic measures on tuberculosis, viral hepatitis, HIV/AIDS and malaria – a systematic review

Kessel

Heinsohn

Ott

et al. 2022

Preprint

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COVID-19 pandemic puts an enormous strain on health care systems worldwide and may have a detrimental effect on prevention, treatment and outcomes of tuberculosis (TB), viral hepatitis, HIV/AIDS and malaria, whose ending is part of the United Nations 2030 Agenda for Sustainable Development. We conducted a systematic review of scientific and grey literature in order to collect wide-ranging evidence with emphasis on quantification of the projected and actual indirect impacts of COVID-19 on the four infectious diseases with a global focus. We followed PRISMA guidelines and the protocol registered for malaria (CRD42021234974). We searched PubMed, Scopus, preView (last search: January 13, 2021) and websites of main (medical) societies and leading NGOs related to each of the four considered infectious diseases. The identified modelling studies warned about under-diagnosis (TB), anti-retroviral therapy interruption/decrease in viral load suppression (HIV), disruptions of insecticide-treated nets (ITN) distribution and access to effective treatment (malaria), and treatment delays and vaccination interruptions (viral hepatitis). The reported disruptions were very heterogeneous both between and within countries. If observed at several points in time, the initial drops (partly dramatic, e.g. TB notifications/cases, or HIV testing volumes decreased up to -80%) were followed by a gradual recovery. However, the often-missing assessment of the changes against the usual pre-pandemic fluctuations hampered the interpretation of less severe ones. Given the recurring waves of the pandemic and the unknown mid- to long-term effects of adaptation and normalisation, the real consequences for the fight against leading infectious diseases will only manifest over the coming years.

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“…[85]. In China [87], 3 out of 4 hospital beds for TB were closed during the pandemic phase. Moreover, lockdowns disrupted patient and staff access to services [62, 88].…”

Section: Resultsmentioning

confidence: 99%

Impact of COVID-19 pandemic and anti-pandemic measures on tuberculosis, viral hepatitis, HIV/AIDS and malaria – a systematic review

Kessel

Heinsohn

Ott

et al. 2022

Preprint

View full text Add to dashboard Cite

show abstract

“…A nível mundial, há um número significativo de bons exemplos sobre como manter o padrão de tratamento no combate à tuberculose. (2,(8)(9)(10)(11) Em primeiro lugar, é importante manter a educação sobre tuberculose, tanto para a população como para os profissionais de saúde. Conferências virtuais, seminários, workshops e consciencialização da comunidade devem ser incentivadas.…”

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“…(12) Quanto ao tratamento e ao apoio aos doentes, várias mudanças simples podem ser feitas: redução do número de visitas às clínicas, (8,9) substituição de esquemas injetáveis por orais para tuberculose resistente, (9) fornecimento de uma quantidade adequada de medicamentos antituberculosos aos doentes para armazenamento seguro em casa (2) e uso de tecnologias de assistência virtual e digital à saúde para apoio à adesão, início precoce do tratamento, monitorização remota de doentes com tuberculose, aconselhamento e acompanhamento. (2,8) Por fim, a respeito do controlo de infeção, deve-se incentivar o uso de máscaras cirúrgicas tanto para doentes e visitantes como para profissionais de saúde, (8,10,11) a higienização das mãos (8,10,11) e também ambientes com sistemas germicidas ultravioleta. (10) Não há dúvida de que a pandemia de COVID-19 nos trouxe um enorme desafio em todos os níveis e tem pesado muito sobre a mortalidade global.…”

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“…(2,8) Por fim, a respeito do controlo de infeção, deve-se incentivar o uso de máscaras cirúrgicas tanto para doentes e visitantes como para profissionais de saúde, (8,10,11) a higienização das mãos (8,10,11) e também ambientes com sistemas germicidas ultravioleta. (10) Não há dúvida de que a pandemia de COVID-19 nos trouxe um enorme desafio em todos os níveis e tem pesado muito sobre a mortalidade global. No entanto, o impacto da COVID-19 não se limita à doença em si, e não nos devemos esquecer de que as interrupções causadas pela COVID-19 podem matar milhões de outras pessoas.…”

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“…12 With regard to treatment and patient support, various simple changes can be made: reducing the number of visits to clinics, 8 , 9 switching from injectable-based to oral regimens for drug-resistant tuberculosis, 9 providing an adequate supply of tuberculosis medication to patients for safe storage at home 2 and using virtual care and digital health technologies for adherence support, early initiation of treatment, remote monitoring of tuberculosis patients, counselling and follow-up. 2 , 8 Finally, with regard to infection control, the use of surgical masks must be encouraged for patients, visitors and health care staff, 8 , 10 , 11 and hand hygiene 8 , 10 , 11 and environmental disinfection with germicidal ultraviolet systems 10 can be implemented.…”

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confidence: 99%

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