Prevent COVID-19 Transmission Research Articles

Educating First-Grade Elementary Students to Soap Handwashing to Enhance COVID-19 Readiness during the New Normal Era

Educating First-Grade Elementary Students to Soap Handwashing to Enhance COVID-19 Readiness during the New Normal Era

Disinfectant-induced ammonia oxidation disruption in microbial N-cycling process in aquatic ecosystem after the COVID-19 outbreak

Anthropogenic activities significantly impact the elemental cycles in aquatic ecosystems, with the N-cycling playing a critical role in potential nutrient turnover and substance cycling. We hypothesized that measures to prevent COVID-19 transmission profoundly altered the nitrogen cycle in riverine ecosystems. To investigate this, we re-analyzed metagenomic data and identified 60 N-cycling genes and 21 host metagenomes from four urban reaches (one upstream city, Wuhan, and two downstream cities) along the Yangtze River. Our analyses revealed a marked decrease in the abundance of bacterial ammonia monooxygenase genes, as well as in the host, ammonia-oxidizing autotrophic Nitrosomonas, followed by a substantial recovery post-pandemic. We posited that discharge of sodium hypochlorite (NaOCl) disinfectant may be a primary factor in the reduction of N-cycling process. To test this hypothesis, we exposed pure cultures of Nitrosomonas europaea to NaOCl to explore the microbial stress response. Results indicated that NaOCl exposure rapidly compromised the cell structure and inhibited ammonia oxidation of N. europaea, likely due to oxidative stress damage and reduced expression of nitrogen metabolism-related ammonia monooxygenase. Using the functional tagging technique, we determined that NaOCl directly destroyed the ammonia monooxygenase protein and DNA structure. This study highlights the negative impacts of chlorine disinfectants on the function of aquatic ecosystems and elucidates potential mechanisms of action.

Covid Classification System for Covid Detection

The ongoing global pandemic, which has now become an endemic has had a significant impact on the educational sector. Despite advancements in technology, there is no real- time prevention of COVID-19 transmission especially UiTM Tapah students that must go through crowd to reach health unit and have high possibility of spreading the disease. This research aims to develop a mobile application by utilizing machine learning for UiTM Tapah students to classify their COVID-19 status. To ensure a systematic and efficient development process, the research adopted the Mobile Application Development Life Cycle (MADLC) methodology. Within the application, the core of the machine learning functionality lies in the implementation of an Artificial Neural Network (ANN). By using 5,434 samples of data that had previously been classified by previous studies that analyzed student data such as symptoms to identify potential cases of the virus. The ANN approach performed greatly with the accuracy of 98%. Feedback from 32 respondents helped identify students' difficulties during the pandemic, which results in majority of the respondents agreeing that MCO affecting them adapting to online learning, and access to healthcare facilities. Furthermore, the usability testing conducted using the System Usability Scale (SUS) provided valuable insights into the system's user-friendliness and effectiveness. The results indicated a high level of usability, with a SUS score of 88.3 from 30 UiTM Tapah students while 76.25 from UiTM Tapah lecturers. This system was usable to classify the risk of infection among students who had not yet been diagnosed, while having some room for improvements. The system's ability to identify infected individuals promptly and accurately aided in controlling the spread of the virus, thereby protecting both students and staff. Thus, the classification system by using ANN was a valuable tool for public health organizations in their efforts to combat the COVID-19 pandemic.

Analysis of the 50 Most Impactful Publications Pertaining to COVID-19 and Orthopaedic Surgery: What Have we Learned?

Purpose There has been abundant research published regarding the impact of COVID-19 on orthopaedic surgical patients which have varying degrees of impact on clinical practice. Thus, the purpose of this study was to examine the most influential articles relating to COVID-19 and patients undergoing orthopaedic surgical procedures. Though the global pandemic is over, it is beneficial to understand how the resilience of the healthcare system adapted to guide policy development and improve patient care amidst a worldwide time of crisis. Methods The Clarivate Web of Science Core Collection was searched for ‘COVID-19 AND orthopaedic surgery’ and returned 388 articles. The most influential peer-reviewed publications were determined by citation number. Expert opinion and review articles were excluded. Article title, journal name, type of study, country of publication, and clinically relevant findings of each study were collected. Results The top-50 most influential manuscripts concluded these articles were collectively cited 1875 times. The total citations ranged from 13 to 111 citations per article with a mean of 38 (95% confidence interval [31, 44]). England (14), the United States (11), and Italy (10) had the top number of publications. The top affiliations were IRCCS Istituto Ortopedico Galeazzi (5) and the University of London (4). The most popular journals were Bone & Joint Open (10) and International Orthopaedics (10). Though the articles were largely heterogeneous, they described the necessity of orthopaedic surgeons during the pandemic as well as safety precautions to prevent COVID-19 transmission in orthopaedic patients. Conclusion This comprehensive analysis identified the 50 most influential peer-reviewed clinical publications regarding COVID-19 and orthopaedic surgery, which is a concise resource that can be used to inform patient decision-making regarding orthopaedic care and COVID-19. The top-50 articles highlighted the importance of resource utilization, increased use of telemedicine, enhanced infection control measures, patient-centered care, and the well-being of healthcare workers during the COVID-19 pandemic.

Prevention Efforts of Covid-19 Qualitative Study Transmission in East Java Province

East Java has seen a steady increase in COVID-19 cases, with 1,221 people affected and 3547 lives lost. The study used in-depth interviews with stakeholders supported by NGOs and the Integrated Command Post to understand the phenomenon. The sample included nine cities in East Java Province, including Surabaya, Malang, Kediri, Batu, Blitar, Madiun, Mojokerto, Pasempuan, and Probalingga. The results of these interviews were disseminated to health workers in East Java using the Question-and-Answer lecture method. The health department and stakeholders at the Integrated Command Post collaborated to socialize technical guidelines for preventing COVID-19 transmission. The material presented in the program policies aims to prevent COVID-19 transmission in East Java. Stakeholders' policies towards the Integrated Command Post capacity building program are crucial for preventing COVID-19 transmission. Regulations or laws are necessary to regulate efforts in East Java. Monitoring and evaluation are carried out by stakeholders at the integrated post in East Java, with the health department monitoring its evaluation through monthly reports sent through puskesmas and hospitals based on the COVID-19 examination laboratory network. The study aims to provide information on self-isolation and increase support and cooperation across sectors and local governments in handling COVID-19.

The impact of internet health information seeking on COVID-19 vaccination behavior in China

BackgroundAmid the COVID-19 pandemic, the significance of vaccination has been emphatically underscored. As the foremost and pivotal measure for preventing COVID-19 transmission, the COVID-19 pneumonia vaccine plays an instrumental role in the global response to this infectious respiratory disease. However, COVID-19 vaccination coverage remains challenging in low- and middle-income countries and regions. Studies have found that frequent seeking to health information is also associated with healthier behaviors, but these studies have not yet focused on the impact of Internet health information seeking on individual vaccination and the mechanism of this effect.MethodsData were obtained from the Chinese General Social Survey (CGSS) conducted in 2021, which included 7,218 individual samples. This study used COVID-19 vaccination as indicators for the health of interest, the key independent variable is Internet health information seeking. This study tried to analyze the impact of Internet health information seeking on COVID-19 vaccination using an OLS model and PSM method.ResultsThe results show that Internet health information seeking has a significant positive impact on COVID-19 vaccination. This result passed a series of robustness tests. The mechanism analysis indicated that compared to non-Internet health information seeking individuals, Internet health information seeking individuals could know the superior advantages of vaccination and the potential for immunization through this method. And individuals who use Internet to seeking health information are more likely to acknowledge the constructive impact of online information on health behavior. This helps to explain why Internet health information seeking individuals have a higher rate of COVID-19 vaccination.ConclusionsThis study delves into the influence of Internet health information seeking on individual COVID-19 vaccination within the digital era. The outcomes underscore that Internet-mediated seeking vaccine information holds the potential to bolster individuals’ comprehension of vaccination benefits and foster increased acceptance of such information.

Risks and challenges in COVID-19 infection prevention and control in a hospital setting: Perspectives of healthcare workers in Thailand.

In hospital settings, awareness of, and responsiveness to, COVID-19 are crucial to reducing the risk of transmission among healthcare workers and protecting them from infection. Healthcare professionals can offer insights into the practicalities of infection prevention and control (IPC) measures and on how the guideline aimed to ensure adherence to IPC, including use of personal protective equipment (PPE), could best be delivered during the pandemic. To inform future development of such guideline, this study examined the perspectives of healthcare professionals working in a large hospital during the pandemic regarding their infection risks, the barriers or facilitators to implementing their tasks and the IPC measures to protect their safety and health and of their patients. In-depth interviews were conducted with 23 hospital staff coming into contact with possible or confirmed cases of COVID-19, or were at potential risk of contracting the disease, including medical doctors, nurses, virology laboratory staff, and non-medical workers. This qualitative study was carried out as part of a knowledge, attitudes and practice survey to prevent COVID-19 transmission at Ramathibodi Hospital in Thailand. We used content analysis to categorize and code transcribed interview data. Existing IPC guideline and evidence synthesis of organisational, environmental, and individual factors to IPC adherence among healthcare workers were used to guide the development of the interview questions and analysis. Factors identified as influencing the use of, and adherence to, prevention measures among healthcare workers included knowledge, perceived risk and concerns about the infection. The extent to which these factors were influential varied based on the medical procedures, among other features, that individuals were assigned to perform in the hospital setting. Beyond availability of PPE and physical safety, ease of and readiness to utilize the equipment and implement IPC measures were crucial to motivate hospital staff to follow the practice guideline. Having a ventilated outdoor space for screening and testing, and interaction through mobile technology, facilitated the performance of healthcare workers while reducing the transmission risk for staff and patients. Adequate training, demonstration of guided practices, and streamlined communications are crucial organisational and management support factors to encourage appropriate use of, and adherence to, implementation of infection prevention and control measures among healthcare workers. This finding could help inform the development of recommendations to optimise compliance with appropriate use of these measures, and to improve guidance to reduce HCW's risk of disease in hospital settings. Further study should explore the perceptions and experiences of health professionals in smaller health facilities and community-based workers during the pandemic, particularly in resource-limited settings.

Cloth face masks are still useful in preventing COVID-19 transmission in Indonesia

Cloth face masks are still useful in preventing COVID-19 transmission in Indonesia

The Impact of COVID-19 on Pediatric Dentistry: A Study of the Knowledge and Attitudes of Parents in Jordan

Aims: This study aimed to assess parental knowledge of COVID-19, particularly in the dental setting, and to evaluate the attitudes of parents in Jordan with regard to prevention of COVID-19 transmission especially to children attending dental clinics.
 Methods: A cross-sectional study was carried out among parents of pediatric dental patients in Jordan. A questionnaire composed of 37 questions divided into three sections was used. The first covered socio-demographic characteristics of the sample, the second assessed parental knowledge; and the third evaluated the attitudes of parents towards COVID-19, particularly with regard to children visiting the dentist. An online form of the questionnaire was published on social media platforms. Parents who fulfilled the inclusion criteria were asked to complete the questionnaire and share it with acquaintances in a form of snowball sampling. Descriptive and analytical statistical analysis was performed using SPSS for Windows. Statistical significance was set at 0.05.
 Results: The number of questionnaires included in the study was 671. Only 44% of the study sample reported that they had accompanied a child to a dental clinic during the COVID-19 outbreak and 60.3% reported that the visit was for emergency reasons. Almost all the parents (94.5%) talked about COVID-19 with their children.
 Conclusions: Parents had good knowledge, positive attitude, and appropriate practices towards COVID-19.

Rancangan video animasi edukasi kesiapsiagaan bencana non alam COVID-19 bagi ibu hamil. Uji validitas dan reliabilitas instrumen

Background: COVID-19 is transmitted through air transmission. Prevention of transmission of the COVID-19 virus in pregnant women will certainly reduce complications in pregnant women and the fetus. An educational animated video design can help increase pregnant women's understanding of preventing the transmission of COVID-19. The Coronavirus disease 2019 or COVID-19 in pregnant women will increase the risk of severe infection and pregnancy complications such as preterm labour. Pregnancy will cause physiological changes and maternal immunity, so pregnant women are in a high-risk group for COVID-19 infection. Prevention of COVID-19 virus transmission in pregnant women needs to be done to prevent complications in pregnant women and fetuses. Research objectives: The design of educational animated videos can help increase the understanding of pregnant women in preventing COVID-19 transmission and to test the validity and reliability of instruments.Method: Developing an educational video animation for non-natural disaster preparedness is carried out in several stages, namely making scenarios, storyboards, sketches, choosing colors, coloring, layering and combining them into animated videos. Then, the animated video was validated by a team of experts from the Langsa City Health Office. The content of this video is about preventing COVID-19 transmission in pregnant women. The animated video was tested on 20 respondents in June 2021 in Karang Anyar village, Langsa City. Furthermore, the instrument was tested for validity and reliability on 20 respondents in July 2021 in Paya Bujok Tunong Village, Langsa City.Results: Are 10 components assessed from educational animated videos, and the majority are very good ≥65%. The results of the validity and reliability tests show that the questionnaire is suitable for use in the condition of pregnant women when facing COVID-19 (p > 0,05). However, one invalid statement item was found. The reliability test results show that all variables have an alpha value above 0,378.Conclusion: Respondents can use and distribute animated videos and research instruments.

The Effectiveness of Face Masks in Preventing COVID-19 Transmission: A Systematic Review.

Since the beginning of the COVID-19 pandemic, face masks have been among the cornerstones of COVID-19 prevention. Therefore, evaluating their preventive effects against COVID-19 is crucial. This review aimed to systematically search for the systematic review articles that explored the role of various types of face masks in preventing COVID-19. We browsed the keywords of this study in the online databases of Scopus, Web of Science, PubMed, and Cochrane on 10th January 2023 and retrieved all the relevant systematic review articles. The records were downloaded into an Endnote file, and the duplicates were removed. A two-step screening process consisting of title/abstract and full-text screenings was conducted to select the most relevant articles. To ensure the validity and reliability of the results, this study adhered to the PRISMA protocol. A total of 28 systematic reviews were included in this review. Most studies found that face masks are beneficial against viral respiratory infections, such as COVID-19. Different types of masks were evaluated in included studies. It appeared that mask efficacy depends on the material, layers, fitting on the face and user compliance. N 95 respirator had maximum efficacy, especially when used continuously. Face masks have a beneficial effect against COVID-19. Home masks are less protective than surgical masks or N95 personal breathing masks. Besides, the use of masks may elicit a false sense of security in people, which may lead to poor hand hygiene and violation of social distancing. Therefore, the necessary training should be provided to the public to increase awareness and encourage the right practice of using the mask, emphasizing the preventive effects of washing hands, social distancing, and using a face mask against COVID-19.

Determinants of Adapted Behaviors on Employee and Entrepreneurs Against the Covid-19 Pandemic: Theory of Planned Behavior

New Normal is a change in behavior to continue carrying out normal activities but coupled with the implementation of health protocols to prevent Covid-19 transmission. In Indonesia itself, the new normal is applied as a realistic response from the Indonesian government to the existence of COVID-19 as well as the results of the analysis in various sectors of national life, especially the future of the national economy in the medium and long term. After the implementation of the new normal, it automatically affects the routine activities carried out by the community, especially those activities that were restricted by the government at the time of the New Normal. This study aims to analyze the factors that influence behavior change after the application of the New Normal in the Covid-19 Pandemic. A modified Theory of Planned Behavior is used in this study using testing through Structural Equation Modeling (SEM-PLS). A total of 427 respondents who have worked have answered the online questionnaire containing 61 questions. The results of this study indicate that knowledge and understanding of covid-19 make people understand the severity they feel and the vulnerabilities they may experience. The severity and vulnerability they feel also have an influence on their attitudes, behavior control, past behavior, and subjective norms so that they have a strong factor in building their intention to behave during the pandemic when the new normal is enacted. The intention that has been built with the support of attitudinal factors, past behavior, subjective norms, and behavior control also changes people's behavior. Employees are able to more moderate the relationship between attitudes towards intention and the relationship between past behavior and intention than entrepreneurs.

Efficacy of facemasks in preventing transmission of COVID-19 in non-healthcare settings: A scoping review.

During the COVID-19 pandemic, an abundance of literature relating to the efficacy of face masks on reducing transmission of COVID-19 in non-healthcare settings emerged. The aim of this scoping review was to allow the identification of: types of evidence conducted in this area; knowledge gaps and common concepts relating to mask efficacy in non-healthcare settings. A comprehensive literature search was conducted in PubMed, CINAHL, MEDLINE, Embase and the Irish Management Institute bibliographic database on December 15th, 2021. All types of face masks were included. Of 722 records, 16 were included after full text screening. Themes from an adapted model of Howard et al. framework were used to group results and identify common concepts. The grouped thematic results were then applied to the socio-ecological model. This illustrated the multifactorial elements determining the efficacy of masks themselves while also illustrating how other factors such as individual behaviours, social interactions, settings and national policy can influence the degree of the protective effect. The findings from this scoping review indicate that an abundance of experimental literature is available indicating that masks are effective at preventing COVID-19 transmission but their degree of efficacy is impacted by external factors. This review highlights that the quality of the evidence available is low.

COVID-19 measures implemented for nursing home staff and their perspectives on the importance of the measures: A qualitative study

BackgroundMeasures against COVID-19 in nursing homes affected not only clients but also staff. However, staff perspectives on the importance of these measures remain underexplored. ObjectiveTo investigate measures related to staff during the COVID-19 pandemic, staff perspectives of important measures and the involvement of staff in deciding on these measures. DesignA qualitative study. Setting(s)We analysed minutes of nursing home outbreak teams in the Netherlands and conducted group meetings with Dutch nursing home staff in different positions, prioritizing measures and discussing staff’ involvement in deciding on the measures. Participants were recruited purposefully. ParticipantsThe minutes of 41 nursing home organizations were collected during March–November, 2020. Four group meetings were organized in the same period, each with 5 to 7 participants, resulting in 23 participants. MethodsThe meeting minutes were analysed using qualitative content analysis, whereas reflexive thematic analysis was used for the group meeting data. The group meetings were conducted online and structured by the Nominal Group Technique to discuss the importance of measures for staff. ResultsMeasures implemented for staff focused on prevention of COVID-19 transmission, (suspension of) educational activities, testing, additional tasks and staffing capacity, promoting well-being, and other means of support. The implemented measures overlapped with the measures considered important by staff. In addition, staff considered measures on decision-making support and communication to be important. Staff prioritized the measures in the group meetings because they affected their well-being, workforce scheduling, decision-making, or infection prevention. Furthermore, the group meetings revealed that decision-making shifted from mainly implementing national measures to more context-adjusted decision-making in the staff's or clients’ situations. ConclusionsWe showed that although nursing home staff were not always involved in decision-making during the first COVID-19 wave, there was overlap between the measures implemented by the organizations and measures considered important by staff. We suggest that organizations should be encouraged to explore ways of promoting timely involvement of staff in decision-making; for example, through monitoring staff needs and well-being and giving staff more autonomy to deviate from standard measures during future outbreaks or medical emergencies.

Implementation of COVID-19 measures for Dutch nursing home staff and their insights

Abstract Background Measures against COVID-19 in nursing homes impacted both clients and staff, yet the importance of measures from the staff's perspective remain underexplored. This study examined measures related to staff during the COVID-19 pandemic, staff perspectives of their importance and the involvement of staff in deciding these measures. Methods In this qualitative study, the minutes of 41 nursing home outbreak teams in the period March to November 2020 were analyzed and 4 group meetings were conducted between June-November 2020. Qualitative content analysis was used for the minutes data, whereas reflexive thematic analysis was used for the group meeting data. Results Measures implemented for staff focused on prevention of COVID-19 transmission, (suspension of) educational activities, testing, additional tasks and staffing capacity, promoting well-being, and other means of support. The results showed overlap between the implemented measures and the measures considered important by staff, except for measures on decision-making support and communication, which were considered important by staff but not listed among the implemented measures. Measures were prioritized by staff because they affected their well-being, workforce scheduling, decision making, or preventing infections. Furthermore, the group meetings revealed that decision making shifted from mainly implementing national guidelines to more context -adjusted decision making in the staff's or clients’ situation. Conclusions Although there was overlap regarding measures taken, our findings suggest that organizations should be encouraged to explore ways of timely involvement of staff in decision making when implementing measures in future pandemics. During the COVID-19 pandemic, information about the pandemic response strategies and policies were shared with policymakers and nursing home organizations to learn from each other and make more informed decisions about how to respond to the pandemic. Key messages • The information gained through the group meetings can lead to an improved fit between implemented measures and staffs’ working procedures during future pandemics. • Decision making support and communication should receive more attention according to staff during future pandemics.

Non-Pharmacological Strategies and Interventions for Effective COVID-19 Control: A Narrative Review.

The COVID-19 pandemic had a devastating impact on the world, causing widespread illness and death. Focusing on prevention strategies to limit the spread of the disease remains essential. Despite the advent of vaccines, maintaining a vigilant approach to prevention remains paramount. We reviewed effective strategies to prevent COVID-19 transmission, including various prevention measures and interventions and both established practices and unresolved issues that have been addressed in meta-analyses, literature reviews, or in the health care context. Standard precautions are the cornerstone of infection control, with hand hygiene and mask use as key components. The use of surgical masks is recommended to prevent droplet transmission, while eye protection is recommended in combination with masks. In terms of room occupancy, ventilation is critical in reducing the risk of transmission in poorly ventilated environments. Chemical disinfection of indoor air with Triethylene glycol-based products can provide safe additional protection. Since viral RNA detection on surfaces does not necessarily indicate infectivity, the risk of transmission by surface contact remains low if surfaces are properly maintained and hand hygiene is practiced regularly. Thus, prevention of SARS-CoV-2 transmission requires a multifaceted approach, including reducing particle emissions from infected persons by wearing masks, eliminating aerosols by ventilation and air treatment, ensuring physical separation, and protecting exposed persons with masks and eye protection.

Learning from the covid-19 outbreaks in long-term care facilities: a systematic review

BackgroundThe COVID-19 pandemic has devastatingly affected Long-Term Care Facilities (LTCF), exposing aging people, staff members, and visitors. The world has learned through the pandemic and lessons can be taken to adopt effective measures to deal with COVID-19 outbreaks in LTCF. We aimed to systematically review the available evidence on the effect of measures to minimize the risk of transmission of COVID-19 in LTCs during outbreaks since 2021.MethodsThe search method was guided by the preferred reporting items for systematic reviews (PRISMA) and the reporting guideline synthesis without meta-analysis (SWiM) in systematic reviews. The search was performed in April 2023. Observational and interventional studies from the databases of PubMed, Web of Science, Scopus, Cochrane Systematic Reviews, CINAHL, and Academic Search were systematically reviewed. We included studies conducted in the LTCF with outbreaks that quantitatively assess the effect of non-pharmacological measures on cases of COVID-19. Two review authors independently reviewed titles for inclusion, extracted data, and undertook the risk of bias according to pre-specified criteria. The quality of studies was analyzed using the Joanna Briggs Institute Critical Appraisal.ResultsThirteen studies were included, with 8442 LTCF experiencing COVID-19 outbreaks and 598 thousand participants (residents and staff members). Prevention and control of COVID-19 infection interventions were grouped into three themes: strategic, tactical, and operational measures. The strategic measures reveal the importance of COVID-19 prevention and control as LTCF structural characteristics, namely the LTCF size, new admissions, infection control surveillance, and architectural structure. At the tactical level, the lack of personal and long staff shifts is related to COVID-19's spread. Operational measures with a favorable effect on preventing COVID-19 transmission are sufficient. Personal protective equipment stock, correct mask use, signaling, social distancing, and resident cohorting.ConclusionsOperational, tactical, and strategic approaches may have a favorable effect on preventing the spread of COVID-19 in LTCFs experiencing outbreaks. Given the heterogeneous nature of the measures, performing a meta-analysis was not possible. Future research should use more robust study designs to explore similar infection control measures in LTCFs during endemic situations with comparable outbreaks.Trial registrationThe protocol of this systematic review was registered in PROSPERO (CRD42020214566).

Government's Policies on the Prevention of COVID-19 Transmission Impacting Household Food Security in Indonesia

Household food security is an essential issue for a country and has become a national issue in poor and developing countries worldwide during the COVID-19 pandemic. Various problems could arise if household food-nutrition needs are not met. This study aims to explore factors related to household food security during the COVID-19 pandemic in Indonesia. A systematic literature review that was used twelve articles. Three electronic databases (Google Scholar, ProQuest, and ScienceDirect) were used to find the articles between January 2020 to April 2023. The original articles were selected based on the PRISMA-P flowchart model. The results show the socio-demographic (sex of household’s head, age, education, literacy) and socio-economic (occupation, income, wealth, area of living) factors influencing household food security. Households having a male head of household, good literacy, and an adequate economy have a significant effect on having nutritious food security during COVID-19 pandemic. These findings recommend that the central government of Indonesia provide financial assistance to food-insecure households, improve access to food, and promote healthy food products

64 Consensus Practice Recommendations Regarding Parental Presence in Canadian NICUs to Inform Ongoing and Post Pandemic Policies

Abstract Introduction/Background In March 2020, parental presence restriction policies were introduced in Canadian NICUs as institutions aimed to prevent COVID-19 transmission during the emerging global pandemic. However, parental presence in NICUs is necessary for maximizing parent and infant health outcomes, and there continues to be significant variation in parental restriction across Canadian NICUs. Objectives To identify the impact of parental restriction policies in Canadian NICUs on parents, infants, and healthcare providers and co-create practice recommendations for ongoing pandemic management and post-pandemic policies. Design/Methods A national survey was conducted to assess the impact of Canadian NICU restriction policies. Recommendations were developed through Delphi and Values and Preferences research methods. For the first Delphi survey, participants rated 50 items of importance from the national survey on a scale from 1 (very low importance) to 5 (very high). On the second Delphi survey, participants ranked the top 20 items from highest relative to lowest importance. A literature review was conducted for the top 10 items, and evidence of known benefits and harms was presented to the panel of decision-makers during the Values and Preferences consensus meetings. Participants voted on the inclusion of each item as a national recommendation and discussed additional caveats. A vote of 80% or more was deemed a consensus. Results Parents (n=426) and healthcare providers (n=205) completed a national survey, from which a list of reported impacts was derived. After two separate Delphi rounds (n=39, and n=20), a series of 10 recommendations with the highest rated importance were identified. A representative panel of decision-makers (n=20), including parents of NICU infants, NICU healthcare providers and managers, and infectious disease and public health policy-makers, took part in a Values and Preferences task. Items of importance included 7 strong recommendations (parents as essential caregivers, providing skin-to-skin contact, direct or mothers’ own expressed milk feeding, attending medical rounds, mental health and psychosocial services access, food and drink access, and inclusion of parent partners in pandemic response planning) and 6 conditional recommendations (providing hands-on care tasks, touch, two parents present at the same time, use of communication devices, and in-person access to medical rounds and mental health and psychosocial services). Consensus was reached on all items in favour of inclusion in national recommendations for Canadian NICUs. Conclusion These recommendations will guide ongoing and future pandemic management and policies with respect to parental presence and involvement in their infants’ care.

An increase of human immunodeficiency virus infection amongs blood donor during COVID-19 pandemic

Human immunodeficiency virus (HIV) is a one of crucial concern to blood safety because of their prolonged presence in the blood. Unsafe blood transfusion from infected donor contribute to spread the virus as well. Indonesia health ministry reported that HIV infection increase significantly in 2019 to 2021, and HIV case diagnose in population still way from the prediction in 2020, only 78.7% cases reported from 90% prediction case. A retrospective cross-sectional study was conducted and collected 51,351 blood donors during COVID-19 pandemic, 2020-2021. Blood sample analyzed using serological methods to detect the present of HIV antibodies. A reactive result of HIV screening from 21,260 donor in 2020 showed 12 donors reactive (0.00056%), while in 2021 from 30,091 donor showed 42 donors reactive (0.142899%) and showed a significant different from 2020 and 2021 (p-value <0.05). The number of reactive donors increase numerously from 2020 to 2021, while total donor also increased. The level of social restriction has contribution of HIV reactive case among blood donor and showed from two years of pandemic with p-value <0.05. A significant increase of HIV infection among blood donor and the effect of restriction level to prevent COVID-19 transmission are clearly show in this study.