Targeting COVID-19 interventions towards migrants in humanitarian settings

Hargreaves, Sally; Zenner, Dominik; Wickramage, Kolitha; Deal, Anna; Hayward, S E

doi:10.1016/s1473-3099(20)30292-9

Cited by 36 publications

(38 citation statements)

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“…Countries without a strong history of community engagement need to identify where this may be most beneficial, for instance, to support ethnic minorities in the global North who in many countries, because of inequitable systems, are being infected and killed at a disproportionate rate. 64 Community engagement may be specifically appropriate and needed for complex contexts, such as for migrants in humanitarian settings 65 or in urban informal settlements. 66 It is also needed to address more complex situations, such as settings dealing with both COVID-19 and risk of hunger 67 or supporting already overburdened health systems.…”

Section: Discussionmentioning

confidence: 99%

“…Community engagement may be specifically appropriate and needed for complex contexts, such as for migrants in humanitarian settings 65 or in urban informal settlements. 66 It is also needed to address more complex situations, such as settings dealing with both COVID-19 and risk of hunger 67 or supporting already overburdened health systems.…”

Section: Discussionmentioning

confidence: 99%

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Community engagement for COVID-19 prevention and control: a rapid evidence synthesis

et al. 2020

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IntroductionCommunity engagement has been considered a fundamental component of past outbreaks, such as Ebola. However, there is concern over the lack of involvement of communities and ‘bottom-up’ approaches used within COVID-19 responses thus far. Identifying how community engagement approaches have been used in past epidemics may support more robust implementation within the COVID-19 response.MethodologyA rapid evidence review was conducted to identify how community engagement is used for infectious disease prevention and control during epidemics. Three databases were searched in addition to extensive snowballing for grey literature. Previous epidemics were limited to Ebola, Zika, SARS, Middle East respiratory syndromeand H1N1 since 2000. No restrictions were applied to study design or language.ResultsFrom 1112 references identified, 32 articles met our inclusion criteria, which detail 37 initiatives. Six main community engagement actors were identified: local leaders, community and faith-based organisations, community groups, health facility committees, individuals and key stakeholders. These worked on different functions: designing and planning, community entry and trust building, social and behaviour change communication, risk communication, surveillance and tracing, and logistics and administration.ConclusionCOVID-19’s global presence and social transmission pathways require social and community responses. This may be particularly important to reach marginalised populations and to support equity-informed responses. Aligning previous community engagement experience with current COVID-19 community-based strategy recommendations highlights how communities can play important and active roles in prevention and control. Countries worldwide are encouraged to assess existing community engagement structures and use community engagement approaches to support contextually specific, acceptable and appropriate COVID-19 prevention and control measures.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Community engagement for COVID-19 prevention and control: a rapid evidence synthesis

et al. 2020

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“…4 Moreover, refugees, displaced persons, and people in informal settlements in LMIC are particularly vulnerable populations, due to living in crowded conditions with weakened health systems and poor water and sanitation infrastructure. 5,6 One hygiene intervention increasingly being used in SARS-CoV-2 contexts is cleaning and/or disinfecting masks for reuse in resource-limited contexts. 7 Since December 2019, there has been an explosion of research articles related to SARS-CoV-2.…”

Section: Introductionmentioning

confidence: 99%

A systematic review of mask disinfection and reuse for SARS-CoV-2 (through July 10, 2020)

Rothe

Rohm

Mitchell

et al. 2020

Preprint

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We conducted a systematic review of hygiene intervention effectiveness against SARS-CoV-2, including developing inclusion criteria, conducting the search, selecting articles for inclusion, and summarizing included articles. We reviewed 104,735 articles, and 109 articles meeting inclusion criteria were identified, with 33 additional articles identified from reference chaining. Herein, we describe results from 58 mask disinfection and reuse studies, where the majority of data were collected using N95 masks. Please note, no disinfection method consistently removed >3 log of virus irrespective of concentration, contact time, temperature, and humidity. However, results show it is possible to achieve >3 log reduction of SARS-CoV-2 using appropriate concentrations and contact times of chemical (ethanol, hydrogen peroxide, peracetic acid), radiation (PX-UV, UVGI), and thermal (autoclaving, heat) disinfection on N95 masks. N95 mask reuse and failure data indicate that hydrogen peroxide, heat, and UV-GI are promising for mask reuse, peracetic acid and PX-UV need more data, and autoclaving and ethanol lead to mask durability failures. Data on other mask types is limited. We thus recommend focusing guidelines and further research on the use of heat, hydrogen peroxide, and UVGI for N95 mask disinfection/reuse. All of these disinfection options could be investigated for use in LMIC and humanitarian contexts.TOC ArtSynopsisIn resource-limited contexts, N95s are reused. We recommend using heat, hydrogen peroxide, or UVGI to disinfect and reuse N95 masks.

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“…Naciones Unidas haya tenido que pronunciarse en 2000 y 2020 en las Resoluciones 1308 y 2532 sobre el peligro que las pandemias suponen para la paz y la seguridad internacionales. Aunque es indudable que ambos virus pueden convertirse en factores de desestabilización política por los impactos militares, sociales y económicos que traen consigo, las respuestas de los Estados y de las organizaciones internacionales no deberían perder como eje de actuación los valores y principios de la ética de la salud pública y los derechos de las personas, prestando especial atención al impacto sobre los derechos de las mujeres y de las niñas (Mills y Nachega, 2006) o de otros colectivos minoritarios en situación de vulnerabilidad, como puede ser la población desplazada (Hargreaves et al, 2020) o los trabajadores y las trabajadoras sexuales (Platt et al, 2020).…”

Section: El Vih Y El Sars-cov-2 Como Un Asunto De Seguridadunclassified

Historia de dos epidemias: una respuesta basada en derechos

Avilés¹

2020

Igualdades

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La respuesta médica a la pandemia por SARS-CoV-2 debe complementarse con una respuesta basada en derechos. La epidemia por VIH permite tener un punto de referencia a la hora de abordar algunas cuestiones controvertidas como son la afectación a la seguridad, entendida como salud pública; el acceso a los medicamentos esenciales; o la importancia del derecho a la intimidad. La protección de la salud pública y la defensa de los derechos no debe entenderse como una empresa antagónica, pues cabe configurar una ética de la salud pública que permita la compatibilidad basada en la autonomía relacional.

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Targeting COVID-19 interventions towards migrants in humanitarian settings

Cited by 36 publications

References 1 publication

Community engagement for COVID-19 prevention and control: a rapid evidence synthesis

Community engagement for COVID-19 prevention and control: a rapid evidence synthesis

A systematic review of mask disinfection and reuse for SARS-CoV-2 (through July 10, 2020)

Historia de dos epidemias: una respuesta basada en derechos

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