COVID-19 and the Unfinished Agenda of VISION 2020

Ung, Lawson; Jonas, Jost B; Lietman, Thomas M.; Chodosh, James

doi:10.1016/j.ajo.2020.11.016

Cited by 15 publications

(9 citation statements)

References 14 publications

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“…19 Many high-quality healthcare institutions were befuddled, unable to prioritize, and lacking in vision when it came to implementing response and comprehensive containment strategy. 20 Risk assessment, risk categorization, and risk mitigation measures remained poor, failing to offer full protection for vulnerable high-risk groups, which had resulted in numerous victims and contributed to significant losses. In terms of creating medicines, Vaccinations, and fast assessment kits, there were no coordinated worldwide initiatives.…”

Section: Resultsmentioning

confidence: 99%

Untitled

2022

JDMDC

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Backgrounds:The response Covid19 pandemic by different EMR national and regional health systems reflected tangible fragility and clear weakness pandemic in management at the policy and practice level in the face of rapid epidemic spread and steadily accelerating mortality and morbidity. Many lessons can be learned from the exuberance of the existing pandemic, as pandemic control measures were not guided by strong local evidence and were not tailored to national contexts. In this review, we sought to assess the gaps and challenges of COVID-19 control measures in Eastern Mediterranean Region during the early months of the pandemic.Objectives: To study policy and practices evidenced gaps in response to Covid19 pandemic in the east Mediterranean region. MethodologyThe design of scoping review was applied in the existing work; by applying Search engines strategy with highly selected keywords in the following medical data base, Google Scholar, PubMed, LitCovid, MedRx, ChemRxiv, BioRx, and, Web of Sciences, Embase. Original peer-reviewed research articles preprinted on COVID-for the period (January 2020-December 2021) were included in this review. About 200 articles were identified, and exclusion/ inclusion criteria were applied based on originality, study designs. Relevant Technical reports & official governmental releases were considered as well. Findings:The 22 countries of the eastern Mediterranean region will likely report over 17 million cases of COVID-19 and more than 314,000 deaths by the end of 2021; the current study revealed that the global health system showed remarkable fragility and obvious weakness in confronting the rapid out breaking and spreading of the epidemic and the continuous increase in the number of sicknesses and deaths resulting from it. There are many lessons to be communicated regarding the current pandemic: Pandemic management strategies -experienced strict containment measures during an early stage of the pandemic outbreaking -have proven some results in controlling human losses and the diseases spreading in the region. The sanitary situation appears much more fragile elsewhere in the region. The crisis is an opportunity to be a critical test for the region's fragile resilience and could erode dramatically its population wellbeing, and challenge the political stability, economies, and societies alike. Countries may want to capitalize on their innovative policy efforts to improve inclusiveness, sustain welfare provisions, and promote a structural reform agenda for more open and private sector-led economies, aligned with the Sustainable Development Goals. This update includes the latest analysis on the economic and social consequences of the crisis, including new sections on the fiscal and educational challenges, as well as insights on the resilience of the healthcare system. At a policy level, although the previous policy capacity in the region witnessed good experience public health in policy development, yet it takes a relatively long time until the national systems recovered to be able t...

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Section: Resultsmentioning

confidence: 99%

Untitled

2022

JDMDC

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“…Despite the established national vitamin A supplementation programs in 82 countries, vitamin A deficiency remains prevalent in south Asia and Africa ( Supplementary Figure 18 ). With COVID-19 interrupting global nutrition programs, it is entirely possible vision loss due to vitamin A deficiency may become newly resurgent in many countries ( 31 ). Among communicable diseases, onchocerciasis is still the most common cause of vision impairment in Central Africa.…”

Section: Discussionmentioning

confidence: 99%

Prevalence, Years Lived With Disability, and Time Trends for 16 Causes of Blindness and Vision Impairment: Findings Highlight Retinopathy of Prematurity

et al. 2022

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BackgroundCause-specific prevalence data of vision loss and blindness is fundamental for making public health policies and is essential for prioritizing scientific advances and industry research.MethodsCause-specific vision loss data from the Global Health Data Exchange was used. The burden of vision loss was measured by prevalence and years lived with disability (YLDs).FindingsIn 2019, uncorrected refractory error and cataract were the most common causes for vision loss and blindness globally. Women have higher rates of cataract, age-related macular degeneration (AMD), and diabetic retinopathy (DR) than men. In the past 30 years, the prevalence of moderate/severe vision loss and blindness due to neonatal disorders has increased by 13.73 and 33.53%, respectively. Retinopathy of prematurity (ROP) is the major cause of neonatal disorders related vision loss. In 2019, ROP caused 101.6 thousand [95% uncertainty intervals (UI) 77.5–128.2] cases of vision impairment, including 49.1 thousand (95% UI 28.1–75.1) moderate vision loss, 27.5 thousand (95% UI 19.3–36.60) severe vision loss and, 25.0 thousand (95% UI 14.6–35.8) blindness. The prevalence of new-onset ROP in Africa and East Asia was significantly higher than other regions. Variation of preterm birth prevalence can explain 49.8% geometry variation of ROP-related vision loss burden among 204 countries and territories. After adjusting for preterm prevalence, government health spending per total health spending (%), rather than total health spending per person, was associated with a reduced burden of ROP-related vision loss in 2019 (−0.19 YLDs for 10% increment). By 2050, prevalence of moderate, severe vision loss and blindness due to ROP is expected to reach 43.6 (95% UI 35.1–52.0), 23.2 (95% UI 19.4–27.1), 31.9 (95% UI 29.7–34.1) per 100,000 population.ConclusionThe global burden of vision loss and blindness highlights the prevalent of ROP, a major and avoidable cause for childhood vision loss. Advanced screening techniques and treatments have shown to be effective in preventing ROP-related vision loss and are urgently needed in regions with high ROP-related blindness rates, including Africa and East Asia.

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“…Visual exams can be done by home healthcare clinicians (Gudgel, 2021). Home vision assessment may be particularly important now because many older adults have foregone healthcare services, including vision care, during the COVID-19 pandemic (Ung et al, 2021). There are several different types of home eye exams, both tangible and digital.…”

Section: Interventions To Reduce Vision-related Fall Risks In the Homementioning

confidence: 99%

Reducing Fall Risks Among Visually Impaired Older Adults

Nguyen

Combs

Wright

et al. 2021

Home Healthcare Now

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Falls are the leading cause of death due to unintentional injuries in the older adult population, and fall-related death rates among older adults are escalating annually. Visual deficits are underrecognized and underdiagnosed, which increases fall risk. The purpose of this article is to provide a review of the common types of visual impairment, their etiology, and treatment and to present strategies to reduce falls among older adults with visual impairments. Both traditional home safety interventions and emerging technology-based interventions to reduce falls are described. Appropriate use of both traditional and emerging fall prevention interventions may reduce fall risk and falls among older adult home healthcare patients.

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COVID-19 and the Unfinished Agenda of VISION 2020

Cited by 15 publications

References 14 publications

Untitled

Untitled

Prevalence, Years Lived With Disability, and Time Trends for 16 Causes of Blindness and Vision Impairment: Findings Highlight Retinopathy of Prematurity

Reducing Fall Risks Among Visually Impaired Older Adults

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