Latin America and Its Global Partners Toil to Procure Medical Supplies as COVID-19 Pushes the Region to Its Limit

Rubin, Rita; Abbasi, Jennifer; Voelker, Rebecca

doi:10.1001/jama.2020.11182

Cited by 33 publications

(50 citation statements)

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“…However, the pandemic has caused significant challenges related to health human resources in many jurisdictions, including Ontario, as operating room staff have been reallocated to other hospital departments and may be experiencing work fatigue. [19][20][21][22][23][24][25] Regions are also coping with a reduction in beds resulting from the movement of patients from long-term care into hospitals, coupled with a reduction of beds per room to accommodate physical distancing protocols. 26 Therefore, it may be difficult to ensure adequate staffing and beds to support ramp-up plans.…”

Section: Limitationsmentioning

confidence: 99%

Clearing the surgical backlog caused by COVID-19 in Ontario: a time series modelling study

Wang

Vahid

Eberg

et al. 2020

CMAJ

135

163

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declared a global pandemic of coronavirus disease 2019 (COVID-19), which has exacted a massive global impact on health, politics and the economy. 1 With some jurisdictions past the peak of the first wave, the strain on the health care system is becoming apparent-specifically, the impact on surgical care. 2 The CovidSurg Collaborative estimated that 28 404 603 surgeries would be cancelled or postponed across 190 countries in the initial 12 weeks of COVID-19, including 37.7% of cancer surgeries and 81.7% of other (benign) surgeries. 3 If countries increased normal surgical volume by 20%, it would take a median of 45 weeks to clear the backlog. Modelling postpandemic recovery for elective orthopedic surgery in the United States suggested it would take 7-16 months to reach a steady state with a backlog of more than 1 million surgeries. 4 On Mar. 15, 2020, Ontario's Ministry of Health directed hospitals to begin a measured "ramping down of elective surgeries and other nonemergent clinical activity" in anticipation of a COVID-19 surge. 5 On May 26, 2020, the Ministry of Health lifted the directive, allowing hospitals to gradually increase elective and time-sensitive surgeries. 6 The reduction in nonemergent surgeries in Ontario because of COVID-19 has created a substantial surgical backlog. Our objective was to estimate the size of the nonemergent surgical backlog owing to COVID-19 in Ontario, and the time and resources required to clear this backlog. Methods The framework for developing these estimates is outlined in Figure 1. At the recommendation of our regional and hospital partners for feasible surge scenarios, we considered a +10% (1 d per week at 50% capacity) surge scenario, adding 8 hours per day incremental to a 5-day operating week. We included surgeries performed in a fully equipped operating room and categorized RESEARCH HEALTH SERVICES

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Section: Limitationsmentioning

confidence: 99%

Clearing the surgical backlog caused by COVID-19 in Ontario: a time series modelling study

Wang

Vahid

Eberg

et al. 2020

CMAJ

135

163

View full text Add to dashboard Cite

show abstract

“…8 Latin America's shortages are compounded by a fundamental lack of preparedness and a lack of manufacturing resources to make PPE or ventilators. 9 However, these countries are receiving global support and help to face the pandemic and these challenges. 9 The use of facemasks in public places and business closed spaces is compulsory in many countries.…”

Section: Introductionmentioning

confidence: 99%

“…9 However, these countries are receiving global support and help to face the pandemic and these challenges. 9 The use of facemasks in public places and business closed spaces is compulsory in many countries. 10 The purpose of wearing masks is to reduce the spread of respiratory droplets containing viruses, preventing infected people from transmitting the virus to others and offering protection to healthy people against infection.…”

Section: Introductionmentioning

confidence: 99%

<p>The Use of Facemasks During the COVID-19 Pandemic by the Brazilian Population</p>

Cotrin¹,

Bahls²,

Silva³

et al. 2020

JMDH

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Objective: To evaluate the use of facemasks by the Brazilian population during the COVID-19 pandemic. Materials and Methods: This cross-sectional study involved 1277 participants who answered a web-based open survey with questions about the use of facemasks during the COVID-19 pandemic. Descriptive statistics with percentages was performed, and the responses were analyzed with chi-square and independent t-tests. Results: A total of 1277 answered the questionnaire, and most participants were female (81.8%). Almost all the participants (99.1%) reported wearing facemasks, and 34.2% are wearing just because it is mandatory; 65.8% would continue to wear masks even if it was not mandatory. Most subjects (50.4%) believe that masks' use effectively prevents infection by the novel coronavirus. Reusable fabric facemasks are the most used by the participants (49.5%). Almost all subjects were wearing masks to go to crowded and public places. Most respondents (67.3%) are bothered with the use of facemasks, and the most cited reason for the discomfort was feeling trapped or suffocated (58.9%). Discussion: The use of facemasks can help prevent the COVID-19, but it is most effective at reducing the spread of the virus when the general population's compliance is high. Some factors that limit the population's compliance with the use of masks are discomfort and a sense of embarrassment. Media campaigns and public health promotion activities supported by governmental agencies can increase the use of facemasks by the population. Conclusion: The mean level of anxiety with the COVID-19 pandemic was 6.18. Almost all the participants were wearing facemasks, and they believe that its use effectively prevents infection by the novel coronavirus. Reusable fabric facemasks are the most used by the participants. Almost all subjects were wearing masks to go to crowded and public places. The great majority of the participants feel more protected with the use of facemasks.

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“…Latin America relies largely on medical supplies from abroad, leaving it vulnerable to market shortages. When supplies of commercial diagnostic kits and reagents bottlenecked in March under protectionist policies and a surge in global demand, the region was left to compete with the rest of the world to procure PCR tests 6…”

Section: Winning the Testing Warmentioning

confidence: 99%

Uruguay is winning against covid-19. This is how

Taylor¹

2020

BMJ

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Latin America and Its Global Partners Toil to Procure Medical Supplies as COVID-19 Pushes the Region to Its Limit

Cited by 33 publications

References 0 publications

Clearing the surgical backlog caused by COVID-19 in Ontario: a time series modelling study

Clearing the surgical backlog caused by COVID-19 in Ontario: a time series modelling study

<p>The Use of Facemasks During the COVID-19 Pandemic by the Brazilian Population</p>

Uruguay is winning against covid-19. This is how

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