How Can We Improve Our Healthcare System – Since the beginning of the pandemic, there has been more support, solidarity, and gratitude than health care providers have provided. However, attacks on healthcare continue to be reported and now include incidents linked to the global COVID-19 pandemic.
This unprecedented public health emergency has shown that health facilities, medical transport, patients, as well as health care workers and their families can – and do – become targets anywhere. This alarming trend reinforces the need for better measures to protect healthcare from violent acts. During the Covid-19 pandemic, more than ever, protecting the health and lives of healthcare providers on the front lines is essential to enable a better global response.
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This page provides a brief overview of the nature of covid-19-related attacks, their impact on the response, stigma in driving and, finally, steps taken to mitigate their impact.
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Ensuring access to health services is fundamental to a successful health response. Any verbal or physical abuse, obstruction or threat that interferes with the provision, access and delivery of these services is defined as an attack on health protection by the WHO.
As shown in the infographic below, the nature of attacks on health care related to Covid-19 varies greatly by context and can range from the use of heavy weapons targeting health facilities to the isolation of health care workers. Ultimately—whether cyberattacks or physical attacks—they take away immediate care, put health care providers at risk and disrupt health systems.
The Covid-19 pandemic has put some health systems under severe pressure and stretched others beyond their capacity. Therefore, responding to this public health emergency and successfully mitigating its effects requires the use of every health resource. Failure to protect health care in this rapidly changing context exposes the health system to critical gaps in services when they are most needed and have lasting effects on the health and well-being of the population.
In a fragile and conflict-ridden country, violence during the Covid-19 pandemic has cost medical services hundreds of thousands and severely affected the response. Among other things, the bombing and destruction of 400 beds in Libya
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(United Nations, 2020) has further reduced the capacity of health authorities and aid agencies to prepare for severe pandemics.
In other countries where violence in healthcare has been observed, the COVID-19 pandemic has created a hostile environment for healthcare providers, with incidents of violence, discrimination and harassment at times. In many countries where the disease is considered contagious, some have been attacked, others have been denied transportation to work, and entire families have been driven from their homes. In addition, medical vans carrying Covid-19 samples, working Covid-19 drivers and patients are increasing, causing concern around the world.
However, attacks on healthcare not only directly affect the health system’s ability to provide services to those most vulnerable, but also impact patients, critical frontline healthcare providers and their families. . As they continue to be targeted during this public health emergency, health systems must prepare for shortages of healthcare workers who are unwilling or unable to report to work due to, among other things, an unsafe environment or disruption to their personal lives.
Acts of violence related to the Covid-19 pandemic have been fueled by increasing social isolation and discriminatory behavior against anyone suspected of having contact with the virus. Health resources, patients, health care providers and their family members are highly vulnerable to violence due to the mistaken belief that the disease is contagious in the community.
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Covid-19 misinformation is playing a major role in shaping beliefs and behaviors around the world. Misinformation about the ‘infodemic’ disease exacerbates transmission, misconceptions and myths about the virus. As mistrust grows, health care providers are increasingly seen as a threat to the community rather than a solution to this public health emergency. For example, healthcare workers described being called ‘contagious rats’, being attacked after riding public transport, having their property vandalized and their children being ostracized by their classmates.
This attack on health care speaks to the need for adequate risk communication at all levels of society to reduce fear, stigma, and—ultimately—violence. The way we communicate about COVID-19 is critical to helping people take effective action to fight the disease and protect healthcare.
In the wake of the pandemic, the international community, governments and civil society have taken the first steps to protect health systems by addressing attacks on health care and at its grassroots.
The international community is calling for a ceasefire in conflict-ridden areas to stop attacks on critical infrastructure such as health facilities and water and sanitation systems. Some national and local governments have introduced new policies to protect healthcare, including India, where offenders face up to 7 years in prison. In Mexico, several cities have implemented dedicated transportation services for healthcare workers after banning public buses.
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Doctors’ associations around the world have begun discussions with authorities to protect their workplaces from infection and better protect healthcare providers outside hospitals. Through its healthcare initiative, the International Committee of the Red Cross has published a checklist for a safe Covid-19 response for healthcare service managers, individual practitioners and health policy makers. And partners are running a national communications and outreach campaign to support governments in addressing healthcare violence.
The government and the international community have taken action to address the stigma around Covid-19. In addition to the usual social media campaigns, the UK government has launched a ‘Stop the Spread’ campaign to raise awareness of the dangers of misinformation in Africa, Asia, Europe, the Middle East and Latin America. It has also produced a Covid-19 crisis communication package for healthcare facilities, as well as crisis communication and community engagement (RCCE) guidance for countries and guidance for government, media and local organizations on preventing and addressing social exclusion.
It continues to collect information and data to improve our understanding of covid-19-related attacks, inform its network of partners and document good practice.
United Nations (2020) Statement by the Spokesman of the Secretary-General on Libya (press release). Available at https://www.un.org/sg/en/content/sg/statement/2020-04-07/statement-attributable-the-spokesman-for-the-secretary-general-libyaPocket-size ultrasound equipment. 50 seconds cheaper than the machine at the hospital (and connect to your phone). Virtual reality that accelerates healing in rehabilitation. Artificial intelligence is better than doctors in detecting lung tumors. These are just some of the innovations that are changing medicine at an amazing rate.
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No one can predict the future, but at least it can be glimpsed in the dozen inventions and concepts below. They are as healthy as the people behind them. Neither exhaustive nor exclusive, the list, rather, represents the redistribution of public health and medical science that may come in the 2020s.
Since March, UPS has been running a pilot program called Flight Forward, using autonomous drones to deliver critical medical samples, including blood or tissue, between two hospital branches in Raleigh, N.C., 150 yards away. The flying biped can cover the same distance as a drone, but it has been successful as a proof-of-concept program, and in October the FAA gave the company permission to expand to 20 hospitals across the U.S. in the next two years. year. David Abney, CEO of the service that ships urine, blood and tissue samples as well as medical needs such as drugs and blood transfusions, said: “We expect UPS flights to be part of our company one day.” UPS is not alone in its air superiority. Wing, a division of Google’s parent company Alphabet, has received similar, but more limited, FAA approval to make deliveries for Walgreens and FedEx. And in Ghana and Rwanda, drones powered by Silicon Valley startup Zipline are delivering medical supplies to rural villages. – Jeffrey Kluger
There are 7.5 billion people, and tens of millions of us monitor our health with wearables like smart watches as well as traditional devices like blood pressure monitors. If there was a way to collect all that data from several million of us and make it anonymous but searchable, medical researchers would have a powerful tool for drug development, lifestyle research and more. California-based big data firm Evidation has developed such a tool, providing trillions of data points from data from 3 million volunteers. evidence partners with pharmaceutical manufacturers such as Sanofi and Eli Lilly to analyze the data; That work has led to dozens of peer-reviewed studies on topics ranging from sleep and nutrition to patterns of cognitive health. One of EVIDENCE’s ongoing projects to look at how new technologies can effectively measure chronic pain is personal to founder Christine Lemke.
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