Healthcare Officials Research Articles

Investigating Risk Factors and Seroprevalence of Toxoplasma Gondii Antibodies in Patients Referred to the Central Laboratory of Ilam City, Iran

Background and Aims: Toxoplasmosis is a protozoan infection caused by a forced intracellular parasite called Toxoplasma gondii, a branch of the apicomplexa found in humans and numerous species of animals. This study aimed to determine the titer of anti-Toxoplasma antibodies in patients referred to the Central Laboratory of Ilam City and to define their effective factors in the prevalence of this disease using the enzyme-linked immunosorbent assay (ELISA) method.
 Materials and Methods: The current study was a descriptive cross-sectional study with a random sampling of 116 patients' serum referred to the Central Laboratory of Ilam City. Samples were analyzed using ELISA for the presence of Immunoglobulin (Ig)M, IgG antibodies against Toxoplasma gondii.
 Results: Twenty-three samples (19.8%) out of 116 serum samples were detected using anti-Toxoplasma antibodies. Nineteen samples out of these 23 (16.4%) samples were antibody IgG while the other 4 were IgM antibodies. The results of the Chi-square test showed a significant difference between IgG-positive titer and sex, level of education, place of residence, age, and marital status; however, no significant difference was found between these variables and positive IgM titer.
 Conclusion: As a large number of people are susceptible to acute toxoplasmosis infection and lack proper health information, it is necessary to adopt monitoring and control measures by health care officials to prevent the infection through the necessary training and health recommendations.

Exploring the Midwives' Experiences of Providing Delivery Care for Women with Suspected or Confirmed COVID-19 Infection: A Qualitative Study.

Midwives were at the forefront of caring for pregnant women during the COVID-19 pandemic, therefore, the present study was conducted with the purpose of exploring midwives' experiences of providing delivery care for women with suspected or confirmed COVID-19 infection. In this qualitative study, 18 midwives working in the public hospitals affiliated with Guilan University of Medical Sciences (Iran). Who had experience in providing delivery care to women with suspected or confirmed COVID-19 infection were selected using purposive sampling. Data were collected via individual semi-structured interviews until reaching data saturation, and analyzed through conventional content analysis. Data analysis led to the extraction of three main categories and six sub-categories. The main categories included "COVID-19 and organizational support" with two sub-categories including lack of resources/neglecting the role of midwives, "COVID-19 and positive achievements" with two sub-categories including professional resilience/turning threats into opportunities, "COVID-19 and informational support" with two sub-categories, including up-to-date training/empowering pregnant women. According to the findings, to realize and guarantee the provision of high-quality maternity care to pregnant women in dealing with epidemic diseases such as COVID-19 in the future, the attention of policymakers and healthcare service officials to the physical and psychological needs of midwives is necessary. Also, organizational and informational support, improving job satisfaction, and paying attention to the importance of midwives' role in the medical team are recommended. Moreover, empowering pregnant women during epidemic diseases is essential.

Psychological repercussions of COVID-19 on health care workers, Sudan.

Healthcare workers around the world were confronted with innumerable torments with the emergence of COVID-19. Amid the pandemic, frontline healthcare personnel serve crucial responsibilities and endure significant social, psychological and economic consequences. This cross-sectional study collected demographic data for 1 year from 385 healthcare officials from all the hospitals spread across the state of Khartoum to research the factors that affected the healthcare workers and doctors who were on the frontline to diagnose and treat the patients with potential or confirmed COVID-19. The degree of symptoms of depression, anxiety and insomnia was also assessed through validated measurement tools. The female participants showed more vulnerability to depression, anxiety and insomnia than their male counterparts. It was reported by the end of the study that the healthcare workers in Sudan are under immense psychological hazards.

Policing the Overdose Crisis

The opioid overdose crisis in Canada continues to claim the lives of people who use drugs (PWUD). Historically, Canadian crime policy has prioritized crime control forms of surveillance, interdiction and punishment in response to drug use. More recently, harm reduction measures have gained traction, including safe consumption sites (SCS) and police officer use of Naloxone to assist PWUD who have overdosed on opioids. The effectiveness of harm reduction efforts, however, is to some degree contingent on their embrace or acceptance by police agencies and officers. This paper is based on research conducted on the two largest city-level police services in Alberta, Canada. We conducted 94 interviews with officers and had 1,406 officers complete a quantitative survey on issues relating to illicit drugs, overdoses, and fentanyl. Our findings show that police officers generally see opioid use as a serious problem and are concerned about the dangers they face when dealing with PWUD. There is also considerable confusion about the nature and severity of these dangers. Even so, attitudes appear to be shifting and some police officers are changing their practices. In general, our research documents a softening of police attitudes in Canada towards SCS facilities and harm reduction more generally. This greater embrace of a public health orientation could improve the lives of PWUD and their interaction with law-enforcement in Canada. Given the prospect that fentanyl and related synthetic opioids will continue their global spread, these findings should be of interest to an international audience of scholars, police, and healthcare officials.

The public-private partnershipsin healthcare sector in China.

This manuscript is a narrative review on experience in the healthcare public-private partnerships (PPP) field project in China. The PPP model allows healthcare officials to share the risk of building new facilities with the private sector. The objective of this study is to evaluate and to review the PPP of healthcare sector in China, and to investigate the critical success factors and best practice of PPP. We adapted the PPP evaluation framework of the World Bank Independent Evaluation Group as our conceptual framework to summarize the literatures. The current study systematically reviewed the evolution and current status of public and private hospitals development in China, and to investigate factors related to the successful and less successful deployment and performance of PPP in the healthcare sector of China, and to develop best practice models of PPP among hospitals of China. We found that the PPP organizations providing finance and political risk coverage, thus enabling specific PPP transactions to reach financial closure-potentially setting demonstration effects. Such PPPs may then contribute to improving access to infrastructure and social services, which drives economic growth and other optimal outcomes.

Development and Usability Evaluation of a Web-Based Health Information Technology Dashboard of Quality and Economic Indicators

Introduction: Strategic dashboards, including hospital economic monitoring systems, play a major role in analyzing data and making decisions. As the health system is a multidimensional ecosystem, decision-makers and healthcare officials must gather and integrate information from numerous health information systems to monitor and direct healthcare centers. This study aims to develop and usability evaluation of a health information technology dashboard in Iran that utilizes qualitative and economic indicators.Material and Methods: This study was conducted in four phases. It included extracting the requirements of the system through the focus group technique. Based on these results, a comprehensive economic dashboard was developed. Then, the system’s usability is evaluated from the perspectives of experts and end-users by two scales of Nielsen and USE, respectively.Results: The dashboard was developed on the web and different access levels were defined for users according to their roles. This dashboard provides the ability to integrate information from different systems at the national level for decision-makers. The results of usability evaluation from users' point of view showed that it has a good level of usability. Furthermore, evaluation results revealed that aesthetic aspects and simple design and clarity of system status (0%), privacy (1.49%), "visibility and clarity of the system" and "adaptation between the system and the real world" (2.98%), have the fewest design errors. With 14 problems (20.89%), "recognition rather than remembering" and "compliance with uniformity and standards" have the highest frequency of problems.Conclusion: The development of an extensive integrated economic health dashboard, based on usability principles that are suitable for its stakeholders regardless of their specialty and granted access level, is welcomed by the health economist, hospital managers, and the ones who have an active role in monitoring and coordinating hospitals or even in greater scales such as national wide decision makers.

Epidemiology and Antimicrobial Resistance Patterns of Urinary Tract Infections: A Cross-Sectional Study from Southwestern Saudi Arabia.

Background: Urinary tract infections (UTIs) are a prevalent form of urinary tract diseases affecting individuals of all ages and genders. In the Kingdom of Saudi Arabia (KSA), UTIs are a significant burden on the healthcare system, comprising 10% of all infections and ranking as the second leading cause of emergency department admissions. Despite this, limited research has been conducted in Saudi Arabia, particularly in Jazan Province, located in the southwestern region. Methods: This retrospective, cross-sectional study encompassed individuals with positive urine cultures who sought care at a tertiary hospital in Jazan between January 2022 and March 2023. A standardized data collection form was utilized to retrieve relevant information from microbiology lab test results and patients' electronic medical records. Variables such as sex, urine sample collection date, bacterial isolates, antibiotic sensitivity, and resistance were collected using the data collection form. Data were analyzed using SPSS software, version 23.0 (IBM Corp., Armonk, NY, USA). Results: A total of 1082 urinary bacterial samples were isolated and identified. Females accounted for more bacterial infections (62.66%) than males (37.34%). Gram-negative bacteria represented 94% of all isolated strains. The most prevalent pathogens associated with UTIs were Escherichia coli (47.97%), Klebsiella pneumoniae (24.58%), and Pseudomonas aeruginosa (11.55%). Antimicrobial resistance patterns indicated the presence of extended-spectrum beta-lactamase (ESBL) (30.13%), carbapenemase-resistant Enterobacter (CRE) (1.94%), methicillin-resistant Staphylococcus aureus (MRSA) (0.74%), and vancomycin-resistant Enterococci (VRE) (0.18%). UTI incidence demonstrated a higher prevalence in September (13%) compared to other months in 2022. Escherichia coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa were the predominant Gram-negative multidrug-resistant organisms (MDRO), accounting for 34.42%, 13.95%, and 1.63% of the population. Conclusions: The prevalence of UTIs caused by antibiotic-resistant microbes is notable in Jazan. Consistent with findings from other regions, Escherichia coli remains the most common causative pathogen of UTIs, displaying a seasonal pattern that warrants attention. Approximately 35% of reported cases involve MDRO, with ESBLs accounting for 30%. These results should raise concerns among healthcare officials, highlighting the necessity for further investigations into factors contributing to the circulation of MDRO in Jazan.

Preface

The 3rd Geoscience and Environmental Management symposium as a part of the 8th International Conference on Science and Technology (ICST) 2022 held by Universitas Gadjah Mada, Indonesia. Following the advice and guidelines from healthcare officials and local authorities, the conference was conducted virtually on 7-8 September 2022 from Universitas Gadjah Mada, Yogyakarta, Indonesia via Zoom Meeting platform. The conference aimed to provide an ideal academic platform for researchers to present the latest research findings and describe emerging technologies and directions in engineering and the natural sciences.This year, we have invited eight renowned speakers around the world: Prof. Eryk Dutkiewicz from the University of Technology Sydney, Australia; Prof. Lee Wah Lim from Gifu University, Japan; Prof. Tomohiro Kuroda from Kyoto University, Japan; Prof. Taifo Mahmud from Oregon State University, USA; Prof. Abraham Cardenas Tristan from Universidad Autónoma de San Luis Potosí, Mexico; Prof. Jackie Y. Ying from NanoBio Lab, IMRE, A*STAR, Singapore; Prof. Nasir Bin Nayan from Universiti Pendidikan Sultan Idris, Malaysia; and Dr. Vipin Kumar from Oak Ridge National Laboratory, USA. Each speaker delivered 30 minutes of lecture with 10 minutes for question and answer session.About 161 submissions were received and after a rigorous review process, 74 papers were chosen and presented virtually in the 3rd Geoscience and Environmental Management symposium. The presenters were given 15 minutes to present their paper and answer questions from the audience regarding their findings.The conference will not have become a reality without the support and assistance of many parties such as the Rector of Universitas Gadjah Mada, BPP, DSSDI officers, all invited speakers and the organizing committee for arranging all needed facilities for the success of this conference.Wahyono, PhDConference chairList of Committee members are available in this pdf.

Face Mask Detection System

Abstract: Since the infectious coronavirus disease (COVID-19) was first reported, it has become a public health problem in and even around the world. This pandemic is having devastating effects on societies and economies around the world. Healthcare officials from the World Health Organization and local authorities are propelling people to wear face masks as it is one of the comprehensive strategies to overcome the transmission. However, wearing a face mask that prevents the transmission of droplets in the air and maintaining an appropriate physical distance between people, and reducing close contact with each other can still be beneficial in combating this pandemic. Therefore, we focus on implementing a face mask detection model as a vision system. People violating social distancing or not wearing masks were detected using this model. It has been trained with the dataset that contains around 4000 images and compiled for differentiating accuracy to choose the best for this type of model. This solution tracks the people with or without masks in a scenario and this can be used with the existing embedded infrastructure to enable these analytics which can be applied to various verticals, as well as in an office building or at airport terminals/gates Mask has been a comprehensive strategy to overcome the transmission. So, the face mask detection model detects the face of individuals and concludes whether they are wearing masks or not at that particular moment when they are captured in the image. Existing system uses manpower. It indicates whether a person is wearing a face mask or not manually by means of manpower. Due to COVID pandemic masks are essential in public places such as airports, railways, schools, offices, shopping malls etc... So, manual checking is a hectic process. Face Mask Detection model is an application to detect people if they are wearing a mask or not. This system is capable of training the dataset of both persons wearing masks and without wearing masks. It uses python and machine learning. After training the model the system can predict whether the person is wearing the mask or not.

Partisan self-identification predicts attitudes of South Dakota nurses toward COVID-19 vaccine mandate for healthcare workers

ObjectivesNurses are at greater risk of infection from COVID-19. However, mistrust of the vaccine exists even among this group. In the United States, the government implemented a vaccine mandate for health care workers to increase vaccination rates. This study investigated the drivers of nurses’ attitudes toward the mandate. MethodsWe fielded a survey to study the attitudes of nurses toward COVID-19 vaccine mandate for HCWs. We contacted nurses in South Dakota, United States, based on the information from the South Dakota Board of Nursing. The survey was open in June and July 2022. We conducted a multivariate regression analysis to identify the factors that predict attitudes toward this regulation. ResultsWe received 1,084 responses. Results of regression analysis showed statistically significant relationships between partisan self-identification, evangelical identity, gender, and COVID-19 vaccination status and support for COVID-19 vaccine mandate for healthcare workers. Age, time with patients, positive COIVD-19 test in the last year, education, and nurse classification variables were not statistically significant. ConclusionsThe same factors that drive people's attitudes toward COVID-19 mitigation policies also explain nurses’ attitudes toward a vaccine mandate for healthcare workers. The politicization of the COVID-19 pandemic is present also among nurses. Health care officials should be mindful of the influence of these biases as they evaluate the vaccine mandate and develop new regulations.

The Push to Integrate Mid-Level Providers into Dentistry

The Push to Integrate Mid-Level Providers into Dentistry

Delivering Safe Surgical Care While Simultaneously Caring for Patients With COVID-19; Assessment of Patient Selection, Volume and Outcomes in a Tertiary Care Hospital.

Objectives: Compare patient selection and postoperative outcomes after surgical treatment for gastrointestinal disorders before and during the SARS-CoV-2 pandemic. Methods: We assessed gastrointestinal surgeries conducted at a tertiary center from 2017-2021 for differences in patient populations and procedures before (up to February 2020) and during the pandemic (March 2020 to December 2021). We analyzed mortality, Intensive Care Unit (ICU) length of stay, admission to ICU and postoperative complications for complex procedures using descriptive statistics and regression models. Results: 7309 procedures were analyzed, showing a caseload reduction in March and October 2020, but no statistical evidence for fewer overall procedures overall. Population characteristics differed with lower Body Mass Indices in 2020 and 2021, more patients smoking and with diabetes treated in 2020. There was no increased mortality, ICU length of stay and in 1,144 complex procedures assessed low overall morbidity at 90days postoperative. Conclusion: Delivering surgical care while treating patients for COVID-19 in the same hospital was safe. Healthcare officials should consider continuing surgical care during future health crises as consequences of limiting surgical treatment for gastrointestinal disorders may be fatal for patients.

Former ASHP executive Manasse named 2023 Remington medalist.

In what may be a first for pharmacy, former ASHP Chief Executive Officer (CEO) Henri R. Manasse Jr was exiting the ski slopes at Vail, CO, when he took a phone call informing him he was to receive the Remington Honor Medal, the highest recognition bestowed by the American Pharmacists Association (APhA). “I was pleasantly surprised when I got a call from the interim CEO at APhA, Ilisa Bernstein,” Manasse recalled. “And I said, ‘I’m already at 9,200 feet, so you’ve just added another thousand feet, I think.’” APhA established the Remington Honor Medal in 1918 to recognize distinguished service on behalf of American pharmacy. In recognizing Manasse, APhA honors his work to elevate the role of pharmacists in society, improve pharmacy education, and advance pharmacy practice through collaboration among healthcare leaders, government officials, and other stakeholders. Manasse was officially recognized in March at APhA’s Annual Meeting & Exposition in Phoenix, AZ, where he delivered remarks as part of the annual Remington Honor Medal award ceremony.

Factors associated with contact tracing compliance among communities of color in the first year of the COVID-19 pandemic

RationaleThe disproportionate impact of COVID-19 on communities of color has raised questions about the unique experiences within these communities not only in terms of becoming infected with COVID-19 but also mitigating its spread. The utility of contact tracing for managing community spread and supporting economic reopening is contingent upon, in part, compliance with contact tracer requests. ObjectiveWe investigated how trust in and knowledge of contact tracers influence intentions to comply with tracing requests and whether or not these relationships and associated antecedent factors differ between communities of color. MethodData were collected from a U.S. sample of 533 survey respondents from Fall (2020) to Spring 2021. Multi-group SEM tested quantitative study hypotheses separately for Black, AAPI, Latinx, and White sub-samples. Qualitative data were collected via open-ended questions to inform the roles of trust and knowledge in contact tracing compliance. ResultsTrust in contact tracers was associated with increased intentions to comply with tracing requests and significantly mediated the positive relationship between trust in healthcare professionals and government health officials with compliance intentions. Yet, the indirect effects of trust in government health officials on compliance intentions were significantly weaker for the Black, Latinx, and AAPI samples compared to Whites, suggesting this strategy for increasing compliance may not be as effective among communities of color. Health literacy and contact tracing knowledge played a more limited role in predicting compliance intentions directly or indirectly, and one that was inconsistent across racial groups. Qualitative results reinforce the importance of trust relative to knowledge for increasing tracing compliance intentions. ConclusionsBuilding trust in contact tracers, more so than increasing knowledge, may be key to encouraging contact tracing compliance. Differences among communities of color and between these communities and Whites inform the policy recommendations provided for improving contact tracing success.

Twitter-Based Sentiment Analysis and Topic Modeling of Social Media Posts using Natural Language Processing, to Understand People’s Perspectives Regarding COVID-19 Omicron Subvariants XBB.1.5 and BF.7

Concerns about an increase in cases during the COVID-19 pandemic have been heightened by the emergence of a new Omicron subvariant XBB.1.5 that joined the previously reported BF.7 as a source of public health concern. COVID-19 cases have been on the rise intermittently throughout the ongoing pandemic, likely because of the continuous introduction of SARS-CoV-2 subtypes. The present study analyzed the Indian citizen’s perceptions of the latest covid variants XBB.1.5 and BF.7 using the natural language processing technique, especially topic modeling and sentiment analysis. The tweets posted by Indian citizens regarding this issue were analyzed and used for this study. Government authorities, policymakers, and healthcare officials will be better able to implement the necessary policy effectively to tackle the XBB 1.5 and BF.7 crises if they are aware of the people’s sentiments and concerns about the crisis. A total of 8,54,312 tweets have been used for this study. Our sentiment analysis study has revealed that out of those 8,54,312 tweets, the highest number of tweets (n = 3,19,512 tweets (37.3%)) about COVID variants XBB.1.5 and BF.7 had neutral sentiments, 3,16,951 tweets (37.1%) showed positive sentiments and 2,17,849 tweets (25.4%) had negative sentiments. Fear of the future and concerns about the immunity of the vaccines are of prime concerns to tackle the ongoing pandemic.

Challenges of implementing diagnostic-related groups and healthcare promotion in Iran: A strategic applied research.

Implementing the diagnostic-related groups (DRGs) promotes the efficiency of healthcare. Therefore, the present study aimed to identify the challenges facing implementing the DRGs in Iran. The present study is a strategic applied research conducted in two phases. In the first phase, the challenges facing DRGs were extracted through a literature review. Then the collected data is entered into a checklist consisting of five sections including technological, cultural, organizational, strategic, and natural challenges. In the second phase, data were collected by purposive sampling and semistructured interviews with 10managers of the Medical Services Organization of Tehran, Iran. Data analysis was performed by conventional content analysis using MAXQDA software and descriptive using SPSS software version 19. The challenges facing the implementing DGRs from the experts'perspective included technological, organizational, nature, strategic, and cultural in order of priority. The three main fundamental challenges were reported; lack of integrating the DGRs with health information system(70%),frequent changes of management (70%),reducing the quality of care following early patient discharge (60%). The results of the present study showed that the DRG system faced with challenges and healthcare officials should apply policies and guidelines to reform the system before changing the reimbursement system in Iran. By considering the leading countries experiences in the nationalizing the DRG system field, the problems and solutions of the system can be identified and aid in the more successful implementation of these systems.

Epidemic forecasting and COVID-19

Since December 2019, the COVID-19 pandemic has had a major impact on global health and the economy. Epidemiological forecasts are crucial for governmental decisions, healthcare officials, and the general public. A collaboration between the Institute of Global Health at the University of Geneva and the Swiss Data Science Center created an interactive dashboard providing forecasts for over 200 countries and territories. This dashboard has been a valuable tool for the public and authorities alike. The pandemic has highlighted the importance of international collaborations and a robust national surveillance system. Data collection systems, pathogen-agnostic models, and communication tools need to be consolidated and maintained in operation.

Establishing a telemedicine program for interventional radiology: a study of patient opinion and experience.

PURPOSE The COVID-19 pandemic forced healthcare officials to implement new policies, such as the use of virtual consultations over office-based medical appointments, to reduce the transmission of the virus. The purpose of this study is to quantitatively compare patients' experiences with virtual outpatient telemedicine encounters at a single academic institution in Interventional Radiology (IR) and in-person visits during the course of the COVID-19 pandemic. METHODS The TeleENT Satisfaction Questionnaire and the Medical Communication Competence Scale (MCCS) were used to survey patients' satisfaction with both in-person and virtual office visits. RESULTS Ninety respondents (38 in-person, 52 virtual) acknowledged numerous benefits of virtual visits versus in-person office visits including reductions in time, cost, and potential viral transmission risk during the COVID-19 pandemic. No statistically significant difference was noted, based on a Likert scale from 1 to 7, between in-person and virtual visits (all p > 0.05) for scheduling related factors. No statistically significant difference was noted in any of the MCCS subscales between the two cohorts in regards to medical information communication (all p > 0.05). A majority of patients with virtual encounters (82.7%) stated that it was easy to obtain an electronic device for use during the telemedicine visit, and 73.1% of patients felt that setting up the telemedicine encounter was easy. CONCLUSION This study demonstrates that telemedicine is an acceptable alternative to in-office appointments and could increase access to IR care outside of the traditional physician-patient interaction. With telemedicine visits, patients can communicate their concerns and obtain information from the doctor with noninferior communication compared to in-person visits.

Attitudes towards Monkeypox vaccination and predictors of vaccination intentions among the US general public.

Amidst an unprecedented Monkeypox outbreak, we aimed to measure knowledge, attitudes, practices and Monkeypox vaccination intentions among the U.S. adult population. We conducted an online cross-sectional survey, representative of the U.S. adult general public in June 2022. We asked participants whether they would receive a Monkeypox vaccine, if they were recommended to do so. Participants also answered questions on their self-assessed level of Monkeypox knowledge, risk perception, perceived exaggeration of the threat, and self-efficacy around Monkeypox. Furthermore, we asked about their trusted sources of information, COVID-19 vaccination status and administered the 6-item Vaccine Trust Indicator (VTI). Survey weights were created based on age, gender and race. We analyzed predictors of Monkeypox vaccination intentions using logistic regression, adjusted for education, age, race and ethnicity. A total of 856 respondents completed the survey, of which 51% (n = 436) were female and 41% (n = 348) had a college degree or higher. If recommended, 46% of respondents intended to get vaccinated against Monkeypox, 29% would not get vaccinated and 25% did not know. Almost half the respondents (47%) found their own knowledge level about Monkeypox poor or very poor. The most trusted sources of information about the outbreak were healthcare professionals and officials, but also known doctors and researchers with a large online following. Only 24% indicated that the U.S. Centers for Disease Control and Prevention should be in charge of the outbreak response. Being vaccinated against COVID-19 was a strong predictor of intention to receive a Monkeypox if recommended (adjusted Odds Ratio (aOR) 29.2, 95% Confidence Interval (CI) 13.1-65.3). Increased risk perception was positively associated with vaccination intentions (aOR 2.6, 95% CI 1.8-3.6), scoring high on the VTI as well (5.4, 95% CI (3.2-9.1). The low levels of self-assessed knowledge, vaccination intentions and influence of COVID-19 vaccination status point to a lack of clear communication.

One-year recurrence of stroke and death in Lebanese survivors of first-ever stroke: Time-to-Event analysis.

To date, despite the application of secondary prevention worldwide, first-ever stroke survivors remain at imminent risk of stroke recurrence and death in the short and long term. The present study aimed to assess the cumulative risk rates and identify baseline differences and stroke characteristics of Lebanese survivors. A prospective longitudinal study was conducted among survivors ≥18 years old who were followed-up for 15 months through a face-to-face interview. Kaplan-Meier method was used to calculate the cumulative rates of stroke mortality and recurrence. Cox-regression univariate and multivariable analyses were performed to identify the predictors of both outcomes. Among 150 subjects (mean age 74 ± 12 years; 58.7% men vs. 44.3% women; 95.3% with ischemic stroke vs. 4.3% with intracerebral hemorrhage), high cumulative risk rates of stroke recurrence (25%) and death (21%) were highlighted, especially in the acute phase. Survival rates were lesser in patients with stroke recurrence compared to those without recurrence (Log rank test p < 0.001). Older age was the main predictor for both outcomes (p < 0.02). Large artery atherosclerosis was predominant in patients with stroke recurrence and death compared to small vessel occlusion (p < 0.02). Higher mental component summary scores of quality of life were inversely associated with stroke recurrence (p < 0.01). Lebanese survivors exhibited the highest percentages of depression and anxiety; elevated Hospital Anxiety and Depression Scale (HADS) scores were seen in those with stroke recurrence and those who died (≥80% with mean HADS scores ≥8). Lower Mini-Mental State Examination scores at the acute phase increased the risk of both outcomes by 10% (p < 0.03). Three out of 13 mortalities (23.1%) were presented with early epileptic seizures (p = 0.012). High educational level was the protective factor against stroke recurrence (p = 0.019). Administration of intravenous thrombolysis decreased the risk of both outcomes by 10% (p > 0.05). Higher rates of stroke recurrence and death were observed in the first year following a stroke in Lebanon. Various factors were identified as significant determinants. Thus, health care providers and officials in Lebanon can use these findings to implement effective preventive strategies to best address the management of these factors to reduce the stroke burden and improve the short and long-term prognosis of stroke survivors.