Prevention and control of non-communicable diseases in the COVID-19 response

Kluge, Hans; Wickramasinghe, Kremlin; Rippin, Holly; Mendes, Romeu; Peters, David H.; Kontsevaya, А. V.; Breda, João

doi:10.1016/s0140-6736(20)31067-9

Cited by 280 publications

(300 citation statements)

References 8 publications

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“…These study participants moreover repeatedly mentioned transportation problems as a reason for discontinuing NCD follow-up. In line with that, evidence has shown the impact on NCDs of COVID-19 response measures are complex; reduction of transport links alongside restricted access to primary health care units, pharmacies and community services all disrupt continuity of care for people with NCDs [23].…”

Section: Discussionmentioning

confidence: 90%

Challenges and coping strategies in non-communicable disease management during COVID-19 in Addis Ababa, Ethiopia: A qualitative study

Ketema

Kaba

Addissie

et al. 2020

Preprint

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Background People with comorbidities are at higher risk of becoming severely ill with COVID-19. Evidence has shown that those with cardiovascular diseases, chronic respiratory diseases, diabetes and cancer had more severe illness and worse prognosis with COVID-19 compared to patients without comorbidities. Insufficient numbers of health workers, high financial barriers and lack of access to quality-assured medicines have been challenges for patients with non-communicable diseases (NCDs) in developing countries, even before COVID-19. Therefore, this study aimed to explore the challenges and coping strategies in NCD management during COVID-19 in Addis Ababa, Ethiopia.Methods This study followed a phenomenological study approach to explore challenges and coping strategies using the experience of healthcare professionals (HCPs) and people with NCDs. Twenty-two individuals (13 HCPs and nine people with NCDs) were recruited purposively and invited for in-depth interview. All interviews were made by telephone and data collected using interview guide. There was pre-interview telephonic conversation to ask participants for a convenient time and date for the actual interview. At the end of every interview, a summary of the interview notes was read to the participants to ensure the correct interpretation of participants’ original views. ATLAS.ti version 7 software was used to assist in the coding and categorisation. Thematic analysis was employed to understand the challenges and coping strategies in NCD management during COVID-19 in Addis Ababa, Ethiopia.Results Challenges posed by COVID-19 to people with NCD included postponement of NCD follow-up due to fear of COVID-19 infection, transportation problems and unwelcoming healthcare facilities; stress related to fear of death and absence of social support; and reduced physical activity in relation to staying at home. For the HCPs, a shortage of personal protective equipment and an absence of standards and guidelines were the common challenges. Telemedicine was the typical coping strategy used by HCPs, while people with NCDs were mostly expecting spiritual protection and safeguarding.Conclusions We concluded that the postponement of NCD follow-up, in addition to stress and reduced physical activity, may worsen the increasing mortality from preventable NCDs in the country. We recommend every COVID-19 response measures to target NCD health service independently.

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Section: Discussionmentioning

confidence: 90%

Challenges and coping strategies in non-communicable disease management during COVID-19 in Addis Ababa, Ethiopia: A qualitative study

Ketema

Kaba

Addissie

et al. 2020

Preprint

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“…Various studies have shown that poor and marginalized section of society has a higher burden of non-communicable diseases and chronic conditions [18]. In current COVID-19 pandemic, studies from China, Italy, Spain, and the United States have shown that NCD patient are at higher risk of mortality due to COVID-19 [19][20][21]. In the elderly population, these comorbid conditions further aggravate the COVID-19 condition and increase mortality [22].…”

Section: Discussionmentioning

confidence: 99%

Equity and Elderly Health in India: Reflections from 75th Round National Sample Survey, 2017-18, amidst the COVID-19 Pandemic

Ranjan

Muraleedharan

2020

Preprint

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Background: Severe Acute Respiratory Syndrome Coronavirus-2 (SARS-CoV-2) outbreak, called coronavirus disease - 2019 (COVID-19), has affected more than 200 countries across the globe with a higher fatality rate in the elderly population. Historical experience shows that the pandemic disproportionately afflicts the socioeconomically disadvantaged population. Aim of the study is to highlight the vulnerability of the aged amidst the current pandemic, in the light of the recent international evidence, and what government could do to mitigate their vulnerability. Methods: Data from the recently released (November 2019) 75 th Round National Sample Survey (NSS), which was conducted from July 2017 to June 2018, across 8077 rural villages and 6181 urban wards was used for this study. Data collected from 555115 individuals (rural: 325232; urban: 229232) included that of 42762 elderly individuals (60 years or above). Bivariate and multivariate analysis was used for the calculation. Results: 27.7 % of elderly reported suffering from any ailment in the last 15 days, whereas 8.5% had hospitalization during the last 365 days. Hospitalization rate was higher in the urban areas (OR: 1.21), general category (OR: 1.18), richest economic quintile (OR: 1.68), and among elderly living alone (OR: 2.05), which was statistically significant. 64% of the scheduled tribe and 51.0% of the poorest income quintile elderly utilized public facilities during hospitalization. Cardiovascular ailments were major cause for hospitalization (18.1%) and outpatient visit (32.0%) in the elderly. Diabetes and hypertension together constituted 55% of outpatient visit for the elderly. 18.9% of the elderly has health insurance though chances of facing catastrophic health expenditure was high in the elderly. 6.6% of elderly female and 1.6% male live alone, and 27.5% of elderly of age 80 years or above are immobile. 50% of male and 90% of female are financially dependent on others and more so in poorer economic quintiles. Conclusions: The vulnerability of India’s elderly increases across various equity dimensions which include the place of residence, gender, caste, marital status, economic quintile, living arrangements, surviving children, and economic dependence. The current COVID-19 pandemic poses a greater risk of social isolation among the elderly, which may lead to detrimental health impact.

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“…These two epidemics are closely connected and act synergistically on morbidity and mortality: people with NCDs are more vulnerable to severe covid-19 and death2; covid-19 and NCDs share a common set of underlying risk factors, including deprivation, obesity, older age, and ethnicity.…”

Section: Synergismmentioning

confidence: 99%