Management of the first severe case of COVID-19 in the small islands of Maldives

Hussain, Mohammad Enayet; Ali, Mohamed; Ismail, Mohamed; Soliman, Mohame; Muhsin, M; Nazeer, Aminath; Solih, Maeesha; Arifa, Aminath; Latheef, Ali; Ziyan, Ahmed; Shaheed, Ahmed; Luthfee, Nazla; Rafeeq, Nazla; Shifaly, Aishath; Moosa, Sheena

doi:10.1016/j.rmcr.2020.101118

Cited by 6 publications

(6 citation statements)

References 6 publications

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Section: Introductionmentioning

confidence: 99%

“…Previously, the case studies, current scenario, government implications, and mathematical model based control strategy were reported from each SAARC country [7,13,[37][38][39][40][41][42]. Those publications have not described all the necessary information regarding the overall scenario, reasons behind success/failure, and future directions for each of the countries, for example, we have very little concrete knowledge on the COVID-19 situation of Maldives [42]. Moreover, a comparative review with comprehensive visualization of related data will bring out significant pieces of information that may help in future implications to tackle pandemic, or at least reduce its lash on any country.…”

Section: Introductionmentioning

confidence: 99%

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Onset, Transmission, Impact, and Management of COVID-19 Epidemic at Early Stage in SAARC Countries

Shohan¹,

Alam²,

Rakhi³

et al. 2020

Preprint

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The impact of the COVID-19 outbreak had devastating consequences globally with 20,675,770 affected and 749,061 dead. Despite different measures to restrict transmission, the death toll continues to rise. The SAARC group of countries comprising eight nations-Afghanistan, Bangladesh, Bhutan, India, Maldives, Nepal, Pakistan and Sri Lanka, where 23.75% of the world population reside, implemented containment measures at different stages of the outbreak with varying consequences. In this review, we examined the onset and transmission of the virus in each country at an early stage and critically appraised their response with respect to their medical facilities for diagnosis and management. We found that countries that succeeded to contain the spread of COVID-19 were able to do so by prioritizing non-pharmaceutical interventions (e.g. early and stricter lockdowns). Currently, the epicentre of COVID-19 appears to be shifting to India (the largest SAARC nation), the death toll is likely to steeply increase if effective and aggressive measures are not taken urgently. The authors believe that authorities of each of the SAARC countries should act decisively and cooperatively as a matter of urgency increasing the regional collaboration in an eloquent and durative way.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Onset, Transmission, Impact, and Management of COVID-19 Epidemic at Early Stage in SAARC Countries

Shohan¹,

Alam²,

Rakhi³

et al. 2020

Preprint

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“…Considering these factors and the threats, prior to the emergence of the epidemic in the country, a multi‐sectoral National Emergency Operations Centre (NEOC) was activated on 1 March 2020 10 . The country reported its first case of COVID‐19 from a tourist resort on 7 March, 11 and soon after, Maldives declared a Public Health Emergency on 12 March, in tandem with the declaration of the pandemic by the WHO.…”

Section: Resultsmentioning

confidence: 99%

Navigating the health system in responding to health workforce challenges of the COVID‐19 pandemic: the case of Maldives (short case)

Usman

Moosa

Abdullah

2021

Health Planning & Management

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Being a small island and low-middle income country (LMIC) heavily dependent on global markets for sustaining its basic needs and health system, Maldives faced specific challenges during the COVID-19 pandemic. This was reinforced through tensions between the heavily centralized healthcare delivery and a partially decentralized public health system. Using the pillars of pandemic response proposed by

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“…In this study, around 1/4 of all respondents were actively involved in pre-travel consultation of overseas workers in the year before the collection of the survey, and this share has substantially decreased in 2022 compared to 2021 (15.6% vs. 32.1%). These figures can be easily explained as a consequence of the SARS-CoV-2 pandemic, including the implementation of an extensive travel ban that clearly affected work-related travel [34,65], but stress the improperly low implementation of this potentially useful intervention. In fact, our study specifically targeted TD, a mostly benign condition, but through pre-travel consultations, more insidious issues can be properly targeted, including the enactment of mandatory vaccinations (ranging from yellow fever to the requirements for meningococcus and SARS-CoV-2 immunizations) [13,66,67], the tailoring of malaria prophylaxis according to international guidelines and baseline clinical conditions of the traveler where needed [13,67], and providing basic recommendations for travels in areas characterized by increased health risks.…”

Section: Discussionmentioning

confidence: 99%

Management and Prevention of Traveler’s Diarrhea: A Cross-Sectional Study on Knowledge, Attitudes, and Practices in Italian Occupational Physicians (2019 and 2022)

et al. 2022

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Even though Italian Occupational Physicians (OP) are increasingly involved in the managing of overseas workers, their knowledge, attitudes, and practices (KAP) in travel medicine are mostly undefined. We, therefore, permed a KAP study specifically targeting the management of travelers’ diarrhea (TD) by OP. A total of 371 professionals (43.4% males; mean age 40.8 ± 10.9 years) completed in 2 rounds (2019 and 2022) a specifically designed web questionnaire that inquired participating OP on their knowledge status (KS), risk perception, and management of TD through pre- and post-travel advice and interventions. Multivariable odds ratios (aOR) for predictors of a better knowledge status were calculated through regression analysis. Eventually, the majority of participants (53.4%) had participated in the management of cases of TD in the previous months, but only 26.4% were reportedly involved in pre-travel consultations. The overall knowledge status was unsatisfying (potential range: 0–100%, actual average of the sample 59.6% ± 14.6), with substantial uncertainties in the management of antimicrobial treatment. Interestingly, only a small subset of participants had previously prescribed antimicrobial prophylaxis or treatment (3.5% and 1.9%, respectively). Main effectors of a better knowledge status were: having a background qualification in Hygiene and Public Health (aOR 14.769, 95%CI 5.582 to 39.073), having previously managed any case of (aOR 3.107, 95%CI 1.484 to 6.506), and having higher concern on TD, reported by acknowledging high frequency (aOR 8.579, 95%CI 3.383 to 21.756) and severity (aOR 3.386; 95%CI 1.741 to 6.585) of this disorder. As the adherence of participating OP to official recommendations for TD management was unsatisfying, continuous Education on Travel Medicine should be improved by sharing up-to-date official recommendations on appropriate treatment options for TD.

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Management of the first severe case of COVID-19 in the small islands of Maldives

Cited by 6 publications

References 6 publications

Onset, Transmission, Impact, and Management of COVID-19 Epidemic at Early Stage in SAARC Countries

Onset, Transmission, Impact, and Management of COVID-19 Epidemic at Early Stage in SAARC Countries

Navigating the health system in responding to health workforce challenges of the COVID‐19 pandemic: the case of Maldives (short case)

Management and Prevention of Traveler’s Diarrhea: A Cross-Sectional Study on Knowledge, Attitudes, and Practices in Italian Occupational Physicians (2019 and 2022)

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