<i>Notes from the Field</i>: Tuberculosis Control Activities After Hurricane Harvey — Texas, 2017

Morris, Sandra A.; Miner, Mark C.; Rodríguez, Tomás Gómez; Stancil, Richard; Wiltz-Beckham, Dana; Chorba, Terence

doi:10.15585/mmwr.mm6649a5

Cited by 10 publications

(8 citation statements)

References 3 publications

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“…VDOT can overcome the limitations of in-person DOT at the patient and health system levels. For example, VDOT studies have shown that the distance barrier is mostly eliminated [24][25][26], patients have greater autonomy to choose when and where to take their medications [25,27], the costs of travel are minimised [24,28], and providers can support a higher number of patients, thus increasing the health system efficiency [24,29].…”

Section: Introductionmentioning

confidence: 99%

Video directly observed therapy for supporting and monitoring adherence to tuberculosis treatment in Uganda: a pilot cohort study

et al. 2020

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IntroductionNonadherence to treatment remains an obstacle to tuberculosis (TB) control worldwide. The aim of this study was to evaluate the feasibility of using video directly observed therapy (VDOT) for supporting TB treatment adherence in Uganda.MethodsFrom May to December 2018, we conducted a pilot cohort study at a TB clinic in Kampala City. We enrolled patients aged 18–65 years with ≥3 months remaining of their TB treatment. Participants were trained to use a smartphone app to record videos of medication intake and submit them to a secured system. Trained health workers logged into the system to watch the submitted videos. The primary outcome was adherence measured as the fraction of expected doses observed (FEDO). In a secondary analysis, we examined differences in FEDO by sex, age, phone ownership, duration of follow-up, reasons for missed videos and patients' satisfaction at study exit.ResultsOf 52 patients enrolled, 50 were analysed. 28 (56%) were male, the mean age was 31 years (range 19–50 years) and 35 (70%) owned smartphones. Of the 5150 videos expected, 4231 (82.2%) were received. The median FEDO was 85% (interquartile range 66%–94%) and this significantly differed by follow-up duration. Phone malfunction, uncharged battery and VDOT app malfunctions were the commonest reasons for missed videos. 92% of patients reported being very satisfied with using VDOT.ConclusionVDOT was feasible and acceptable for monitoring and supporting TB treatment. It resulted in high levels of adherence, suggesting that digital technology holds promise in improving patient monitoring in Uganda.

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Section: Introductionmentioning

confidence: 99%

Video directly observed therapy for supporting and monitoring adherence to tuberculosis treatment in Uganda: a pilot cohort study

et al. 2020

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“…The same study also showed that the odds of dehydration was higher among children with high water insecurity when compared to the children with low water insecurity. Dehydration following hurricanes might be due to lack of food, water, and access to refrigeration and air conditioning [55,56]. In this study, we observed a 14% increase in ED visits for dehydration during the flood period in the flooded tracts compared to non-flooded tracts.…”

Section: Discussionmentioning

confidence: 47%

Emergency department visits associated with satellite observed flooding during and following Hurricane Harvey

Ramesh

Jagger

Zaitchik

et al. 2021

J Expo Sci Environ Epidemiol

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BACKGROUND: Flooding following heavy rains precipitated by hurricanes has been shown to impact the health of people. Earth observations can be used to identify inundation extents for subsequent analysis of health risks associated with flooding at a fine spatio-temporal scale. OBJECTIVE: To evaluate emergency department (ED) visits before, during, and following flooding caused by Hurricane Harvey in 2017 in Texas. METHODS: A controlled before and after design was employed using 2016-2018 ED visits from flooded and non-flooded census tracts. ED visits between landfall of the hurricane and receding of flood waters were considered within the flood period and postflood periods extending up to 4 months were also evaluated. Modified Poisson regression models were used to estimate adjusted rate ratios for total and cause specific ED visits. RESULTS: Flooding was associated with increased ED visits for carbon monoxide poisoning, insect bite, dehydration, hypothermia, intestinal infectious diseases, and pregnancy complications. During the month following the flood period, the risk for pregnancy complications and insect bite was still elevated in the flooded tracts. SIGNIFICANCE: Earth observations coupled with ED visits increase our understanding of the short-term health risks during and following flooding, which can be used to inform preparedness measures to mitigate adverse health outcomes and identify localities with increased health risks during and following flooding events.

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“…Ensuring continuity of TB treatment is a priority during times of public health emergencies. Studies have described successful maintenance of TB treatment services for patients during natural disasters such as floods in Kerala, India ( 5 ), during hurricanes in the United States ( 6 , 7 ) and Puerto Rico ( 8 ), and after an earthquake in Haiti ( 9 ). In each of these circumstances, coordination across agencies and programs, accurate contact information, and dispensation of additional medication were necessary to ensure retention of TB patients.…”

Section: Discussionmentioning

confidence: 99%

Retaining Patients with Drug-Resistant Tuberculosis on Treatment During the COVID-19 Pandemic — Dharavi, Mumbai, India, 2020–2022

Gomare¹,

Bhide²,

Deshmukh³

et al. 2023

MMWR Morb. Mortal. Wkly. Rep.

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Notes from the Field: Tuberculosis Control Activities After Hurricane Harvey — Texas, 2017

Cited by 10 publications

References 3 publications

Video directly observed therapy for supporting and monitoring adherence to tuberculosis treatment in Uganda: a pilot cohort study

Video directly observed therapy for supporting and monitoring adherence to tuberculosis treatment in Uganda: a pilot cohort study

Emergency department visits associated with satellite observed flooding during and following Hurricane Harvey

Retaining Patients with Drug-Resistant Tuberculosis on Treatment During the COVID-19 Pandemic — Dharavi, Mumbai, India, 2020–2022

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