Tackling emerging infections: clinical and public health lessons from the West African Ebola virus disease outbreak, 2014–2015

Walker, Naomi F.; Whitty, Christopher J M

doi:10.7861/clinmedicine.15-5-457

Cited by 26 publications

(21 citation statements)

References 17 publications

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“…6 Furthermore, in 2014, the Ebola outbreak in West Africa caused the death of hundreds of healthcare workers. 7 One of the first reports from Wuhan, China, including 138 patients hospitalized due to COVID-19, stated that close to 30% of these patients were healthcare workers, who presumably became infected in the hospitals. 8 The COVID-19 pandemic has raised many questions and dilemmas surrounding the physical and mental health status of healthcare workers.…”

Section: Introductionmentioning

confidence: 99%

Evaluating the effects of the COVID‐19 pandemic on the physical and mental well‐being of obstetricians and gynecologists in Turkey

Bahat

Talmaç

Bestel

et al. 2020

Intl J Gynecology & Obste

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Objective To apply online surveying to assess the general physical and mental well‐being of obstetricians/gynecologists (OB/GYNs) working in COVID‐19 designated hospitals in Turkey. Methods A prospective survey‐based study using an online survey platform. Three hundred participants working at COVID‐19 designated hospitals in Turkey identified from a hospital database were sent a link to the survey by email between April 29 and May 20, 2020. Results A total of 253 OB/GYNs (31 consultants and 222 residents) completed the survey, for a response rate of 84.3%. Of respondents, 191 (76.4%) were anxious about coming into contact with pregnant women infected with COVID‐19. 74.4% stated that they were afraid of getting sick. 64.8% reported that they had fallen into despair at times because of the pandemic. 66.5% stated that their family lives were affected. 72.4% started living separately from their families because of the pandemic. Conclusion Despite the difficulties in patient care during the pandemic, OB/GYNs continued providing for their patients, which reflected positively on their perceptions of the profession. The importance of trust in the national healthcare system, presence of adequate PPE, finding a suitable coping mechanism, and family support were essential for Turkish OB/GYNs during the COVID‐19 pandemic. ClinicalTrials.gov identifier: NCT04327531. Turkish obstetricians/gynecologists reported anxiety and stress caused by the current situation and future implications of the COVID‐19 pandemic.

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Section: Introductionmentioning

confidence: 99%

Evaluating the effects of the COVID‐19 pandemic on the physical and mental well‐being of obstetricians and gynecologists in Turkey

Bahat

Talmaç

Bestel

et al. 2020

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

“…In addition, medical supplies during a pandemic are desperately needed (WHO 2015). For example, during the 2014 West Africa Ebola epidemic, evidence suggests that earlier supplies modestly reduced mortality (Walker and Whitty 2015). Efforts to add supplies such as lifesaving medicines and trained clinicians could increase public trust and encourage people to seek clinical care (WHO Ebola Response Team 2014).…”

mentioning

confidence: 99%

The Effects of Governmental and Individual Predictors on COVID‐19 Protective Behaviors in China: A Path Analysis Model

Dai

Meng

et al. 2020

Public Administration Review

102

110

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The COVID‐19 pandemic has plunged the world into a crisis. To contain this crisis, it is essential to build full cooperation between the government and the public. However, it is unclear which governmental and individual factors are determinants and how they interact with protective behaviors against COVID‐19. To resolve this issue, this study builds a multiple mediation model. Findings show that government emergency public information such as detailed pandemic information and positive risk communication had greater impact on protective behaviors than rumor refutation and supplies. Moreover, governmental factors may indirectly affect protective behaviors through individual factors such as perceived efficacy, positive emotions, and risk perception. These findings suggest that systematic intervention programs for governmental factors need to be integrated with individual factors to achieve effective prevention and control of COVID‐19 among the public.

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“…In fact, physicians accept a primary ethical duty to place the well-being and health of their patients above their own welfares (4): in 1918, the Spanish flu pandemic killed more than 600 physicians in the United States and nearly two percent of South African physicians (5). During the Ebola outbreak in 2014, hundreds of health care workers died in West Africa (6). However, does the duty to patient well-being has any limit?…”

Section: Resultsmentioning

confidence: 99%

Lebanese Doctors Facing the SARS-CoV-2 Pandemic: Practical and Ethical Issues

Gebara

Dabar

Eid

et al. 2020

Preprint

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Background In the light of the COVID-19 pandemic, the role of health care providers is essential to maintain the functioning of the health care system. Physicians accept a primary ethical duty to place the well-being and health of their patients above their own welfares. However, does the duty to patient well-being have any limit? Two ethical concerns are debated: public health’s ethical principles and medical ethics values. We aimed in this study to assess Lebanese physicians’ attitudes, practice and ethical considerations when treating their patients during the COVID-19 pandemic. Materials and methods It’s a cross-sectional study conducted in March 2019 among a random sample of Lebanese physicians, using a questionnaire based mainly on a five-point Likert numerical scale to make the answers more reliable and valid. The questionnaire focused on the medical practice during the pandemic and the ethical considerations in public health and in medical practice. It also evaluates the physicians’ point of view toward the management of the pandemic in Lebanon. Results A total of 318 physicians responded, with a mean age of 40 years. Five doctors of the total were affected by the COVID-19 infection (1.6%). 51.4% of medical specialists considered themselves to be at a higher risk of contracting the infection, while 52.3% of surgeons stated that they were at a lower risk. Doctors expressed a neutral position regarding the prioritization of patients during treatment and the disconnection of patients with poor prognosis from ventilators to treat other patients. The majority of doctors disagreed regarding the respect of the patient’s autonomy in refusing COVID-19 treatment with a mean score of 1.7/5. Finally, doctors expressed a neutral opinion regarding the ability of the country to manage such a pandemic with a mean score of 3.1/5. Conclusion Although physicians recognize that they are at high risk of contracting COVID-19, they assume their responsibilities and their duty to treat, and they were neutral against any prioritization in treatment approach. However, applying the four ethical principles (autonomy, beneficence, non-maleficence and justice) may become challenging. Hence, more medical and ethical recommendations are required to guide physicians during this pandemic.

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Tackling emerging infections: clinical and public health lessons from the West African Ebola virus disease outbreak, 2014–2015

Cited by 26 publications

References 17 publications

Evaluating the effects of the COVID‐19 pandemic on the physical and mental well‐being of obstetricians and gynecologists in Turkey

Evaluating the effects of the COVID‐19 pandemic on the physical and mental well‐being of obstetricians and gynecologists in Turkey

The Effects of Governmental and Individual Predictors on COVID‐19 Protective Behaviors in China: A Path Analysis Model

Lebanese Doctors Facing the SARS-CoV-2 Pandemic: Practical and Ethical Issues

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