Facility Surveillance Research Articles

The Impact of Healthcare Reforms on the Epidemiology Workforce in Kazakhstan: An Interrupted Time Series Analysis with Predictive Modeling of Nationwide Data Sources from 1998 to 2022

Background: Following its independence, Kazakhstan implemented several reforms, including the adoption of the Entrepreneurial Code in 2008. This study aims to evaluate the impact of these reforms on the number and per capita rates of epidemiologists, nurse epidemiologists, epidemiological surveillance centers, and infectious morbidity from 1998 to 2022. Such an evaluation is critical for informing policy decisions regarding the future of epidemiological services in Kazakhstan. Methods: An interrupted time series analysis using a best-fit epidemiological model was conducted to assess the impact of key interventions—specifically, the adoption of the Entrepreneurial Code of the Republic of Kazakhstan and subsequent legislation—on the number and per capita rates of epidemiologists, nurse epidemiologists, and epidemiological surveillance facilities with infectious morbidity across the country. Results: Infectious morbidity per million individuals ranged from 4698.14 to 2263.79, with a consistent downward trend observed throughout the study period. Over the study period, the per capita rates of urban epidemiologists exhibited a downward trend, whereas the rates of rural epidemiologists showed an upward trajectory. The per capita rate of epidemiological surveillance centers declined from 26.89 to 15.24 over the study period. Substantial disparities were observed between urban and rural areas, with the epidemiology workforce in urban settings being 3–4 times larger than that in rural areas. Conclusions: This evaluation is important for informing policy decisions regarding the future of epidemiological surveillance services in Kazakhstan.

SEROPREVALENCE OF TOXOPLASMA GONDII IN GOATS FROM SOUTHWESTERN MISSISSIPPI, USA.

Parasitic infection with Toxoplasma gondii is prevalent in human and animal populations worldwide. Goat production for food and fiber has increased in popularity, and consumer demand for meat and dairy products has led to higher rates of human consumption in the United States. This trend has increased the importance of assessing the public health significance of these dietary commodities. The occurrence of T. gondii and its relevance to commercial goat production for the human food market in Mississippi has not been previously addressed. This study estimated the seroprevalence of T. gondii in breeding-age goats raised for human consumption from 4 counties in southwestern Mississippi. One hundred and forty-four goat serum samples were collected between August 2007 and April 2008 from Hinds (n = 55), Adams (n = 36), Yazoo (n = 36), and Copiah (n = 17) counties. The overall seroprevalence was 12.5% (18/144) and raises concern and justification for preventative measures including periodic surveillance of goat herds and production facilities to ensure a safe food commodity and food hygiene education for consumers.

Incidence, antimicrobial susceptibility & out of pocket expenditure of severe enteric fever in Chandigarh, north India.

Background & objectives Burden estimates of enteric fever are required to make policy decisions on introducing typhoid vaccine in India. Incidence, antimicrobial susceptibility, and out-of-pocket expenditure (OOPE) of enteric fever are estimated in Chandigarh, India. Methods A hybrid (facility and community-based) surveillance system was set up at a secondary care hospital to enrol patients above six months of age, hospitalized with fever, from a defined catchment population from May 2018 to March 2020. Blood samples were collected and cultured using an automated system (BD BACTECTM blood culture system). The Salmonella Typhi and S. Paratyphi isolates were characterized for antimicrobial susceptibility. OOPE was recorded after 14 and 28 days of discharge. Results Blood samples were collected from 97 per cent of the 1650 study participants enrolled. The incidence of enteric fever was 226.8 per 1,00,000 person-years (PY), severe typhoid fever 156.9 per 1,00,000 PY, and severe paratyphoid fever 69.9 per 1,00,000 PY. Salmonella was highly susceptible to ampicillin, azithromycin, and ceftriaxone (99.25%) and least susceptible to ciprofloxacin (11.3%). The OOPE due to hospitalization of individuals infected with S. Paratyphi [INR 8696.6 (USD 116)] was significantly higher than the individuals infected with S. Typhi [INR 7309 (USD 97.5), P=0.01], and among cases who were hospitalized for more than seven days [INR 12,251 (USD 163.3)] as compared with those with a stay of 3-7 days [INR 8038.2 (USD 107.2)] or less than three days [INR 5327.8 (USD 71), P<0.001]. Interpretation & conclusions There was a high incidence of enteric fever, high OOPE, and resistance to ciprofloxacin.

A User-Centric CPTED-Based Approach to Investigate Physical Environmental Variables Influencing Perceived Security of Urban Park Users in Tiruchirappalli, India

The link between Fear of Crime (FC) and physical environment and crime levels is referred to as Crime Prevention Through Environmental Design (CPTED). However, FC, irrespective of the level of crime through physical environmental features, can hinder people's access to urban parks. This study is a novel attempt to evaluate the Perceived Security (PS) related to fear of (theft, robbery) crime under the CPTED classification by assessing actual users' perceptions of multiple physical environmental variables within and around fifteen Tiruchirappalli urban parks. The objectively measured CPTED variables were documented through observations and measurements by the authors, whereas subjectively measured ones were assessed using actual users’ (n=524) perceptions. The results majorly highlight the significance of park design and landscape-based surveillance and park facilities and landscape-based maintenance variables towards predicting PS. The findings from this study can aid policymakers, park designers, and managers in adopting strategies that can enhance the PS of users, prioritise interventions, and engage residents in addressing specific design considerations.

Project Vayoraksha: Implementation of novel mHealth technology for healthcare delivery during COVID-19 in geriatric population of Kerala.

Background & objectives mHealth technologies, with their potential in improving public health, have recently gained considerable interest in India, offering an opportunity to deliver tailored and low cost interventions to the selected populations, especially in resource-poor settings. Project Vayoraksha aimed at developing and pilot testing mHealth technology-assisted strategies (Vayoraksha mobile application and field Vayoraksha network) to improve healthcare delivery and reverse quarantine at the field level among the geriatric population. Methods This field operational research study was implemented in Pathanamthitta, Kerala, from October 2020 to July 2021. The Vayoraksha mobile phone application for the geriatric users and a web interface used by healthcare workers involved in the field Vayoraksha network was developed with multisectoral expertise. Vayoraksha had facilities for symptom surveillance, teleconsultation and assessment of needs and included a community-based system to monitor and meet their needs that can help in reverse quarantine of the geriatric population. Results The project was implemented using the field Vayoraksha campaign involving frontline health workers and community volunteers. A baseline survey of 4782 geriatric population in the study area was conducted in Phase I, and 2383 (49.8%) had access to a smartphone facility to use Vayoraksha. Of these, 1257 (52.7%) were covered under the 'field Vayoraksha campaign' using intersectoral coordination and community participation. A total of 750 (59.6%) geriatric individuals downloaded the application of whom, 452 (60.3%) used the services of Vayoraksha. Needs were registered by 56 (12.3%) individuals of which 46 (82.1%) were medical needs related to the management of chronic diseases. More than 70 per cent of the needs were met through the Vayoraksha field network under the local primary health centre. More than 80 per cent of the geriatric individuals reported symptoms related to COVID-19 during the intervention period. Compliance with quarantine was observed in 77.7 per cent of the geriatric populations. Among those who used Vayoraksha, 26 (5.7%) availed tele-counselling services, and 3 (0.6%) used teleconsultation facilities. It was observed that Vayoraksha users had a higher proportion of the geriatric population who were young, educated, having chronic morbidity and living with family. Regular symptom surveillance was done within this group; only 12 (2.6%) of them tested positive for COVID-19 during this study. Interpretation & conclusions Results of this pilot study are promising, with 60 per cent of the geriatric population downloading and using Vayoraksha within a short time. Technology-assisted interventions can supplement the existing system for improved healthcare delivery among the vulnerable groups and have good potential for scale-up in the near future in developing countries.

Bridging the Gap: Specialized Training Programs for Infection Prevention Specialists Increase Certification Success

Background: The role of the infection preventionist (IP) is complex and encompasses a range of responsibilities requiring extensive knowledge in infection control practices, data analysis, surveillance, performance improvement and collaboration with multidisciplinary teams. Infection prevention certification (CIC) by the certification Board of Infection Control (CBIC) is a standardized marker of knowledge and competencies required for practice in the field. In a 2020 survey of IPs, less than half were certified or planned to become certified. Of those that do take the certification exam, less than three quarters pass on their initial exam attempt. Methods: From 2017 to 2023, fifty-two new IPs were enrolled in a competency-based training program which combined didactic and applied learning on core IP job functions, and a structured mentoring program. The initial didactic phase consisted of evidence-based learning modules with validation of competency through post-training testing and practical demonstration. Education was provided by an advanced practice IP via remote webinars, which included discussion of questions, skills coaching, and review of post-tests. Novice IPs were partnered with at least two preceptors: one advanced practice lead preceptor guided the novice IPs through assigned education modules and oversaw program management and training benchmarks. A second, near-peer preceptor or mentor collaborated with the novice IP in the facility setting. Initial training focused on facility operations, surveillance, rounding and other facility specific activities. Facility mentors were responsible for combining education module topics with practical application of skills. Mentors guided novice IPs through National Healthcare Surveillance network (NHSN) surveillance training and validated surveillance and infection coding until the novice IP had an interrater reliability validation assessing surveillance competency. After the initial training phase, the novice IPs began preparation for certification. This phase included additional training modules aligned with the CBIC certification content outline and practice exams. Results: All 52 novice IPs completed the training program and attempted the CIC examination. The initial pass rate for the certification exam among IPs in the supervised training and mentorship program was 98.1% (n=51). This is 33% higher than the initial pass rate published by CBIC, which was 73.9% (Figure 1). Conclusions: Organizing evidence-based guidelines into topic-specific modules builds a foundation of infection prevention and control knowledge, which is enhanced through remote instruction and direct application of skills under a preceptor’s supervision. This method allows IPs to be introduced to concepts covered in the board certification exam upon hire and support certification with improved outcome

ANALYSIS OF CORRECTIVE MAINTENANCE MONITOR CCA TOOL DVOR SELEX TYPE-1150A

In the aviation industry, navigation has a crucial role in supporting the smooth running of flight routes to maintain the safety and security of air transportation. Perum LPPNPI Pekanbaru branch provides communication, Navigation, Surveillance, and Data Processing facilities to ensure flight safety, regularity, and comfort. One of the navigation facilities available at Perum LPPNPI Pekanbaru branch is the Doppler VHF-Omnidirectional Range (DVOR), an air navigation system control tool that can guide aircraft to land precisely at the destination airport by providing information in the form of azimuth or artificial bearing. This research aimed to analyze the care and maintenance system for DVOR equipment, and identify several potential problems that have arisen during the operation of DVOR equipment at Perum LPPNPI Pekanbaru branch. In this research, evaluations and observations were carried out to assess the level of DVOR maintenance in accordance with Advisory Circular CASR Part 171-12. This research focused on evaluating Corrective Maintenance Monitor (CMM) analysis on DVOR Selex Type-1150A equipment at Perum LPPNPI Pekanbaru Branch. DVOR is a critical air navigation system that requires effective corrective maintenance. The method used in the research is procedural analysis of equipment maintenance as in research conducted by Widasari Mutiara, this research also focused on CMM evaluation, identification of potential problems, and performance analysis to improve maintenance efficiency. Research adopted a qualitative research method with a descriptive approach, because the data collected is textual in nature. This research method involved CMM system inspection, equipment maintenance analysis, and interviews with engineering personnel. The research results provide insights for improving corrective maintenance procedures, and increasing the availability and reliability of the DVOR system. The implications of these findings support safe and reliable flight operations at Perum LPPNPI Pekanbaru Branch.

Multidrug-resistant Escherichia coli strains isolated from swine manure biofertilizer in Brazil.

Escherichia coli is one of the key bacteria responsible for a variety of diseases in humans and livestock-associated infections around the globe. It is the leading cause of mortality in neonatal and weaned piglets in pig husbandry, causing diarrhea and significant harm to the industry. Furthermore, the frequent and intensive use of antimicrobials for the prevention of diseases, particularly gastrointestinal diseases, may promote the selection of multidrug-resistant (MDR) strains. These resistant genotypes can be transmitted through the excrement of animals, including swine. It is common practice to use porcine manure processed by biodigesters as fertilizer. This study aimed to examine the antimicrobial susceptibility, the presence of virulence genes frequently associated with pathotypes of intestinal pathogenic E. coli (InPEC), and antimicrobial resistance genes (ARGs) of 28 E. coli isolates collected from swine manure fertilizers. In addition, the enterobacterial repetitive intergenic consensus-PCR (ERIC-PCR) technique was used to investigate the genetic relationship among the strains. Using disk diffusion, the antimicrobial susceptibility profiles of the strains were determined. Using polymerase chain reaction (PCR), 14 distinct virulence genes associated with the most prevalent diarrhea and intestinal pathogenic E. coli (DEC/InPEC) and five ARGs were analyzed. All isolates tested positive for multidrug resistance. There was no detection of any of the 14 virulence genes associated with InPECs, indicating the presence of an avirulent commensal microbiota. Molecular classification by ERIC-PCR revealed that the majority of isolates (27 isolates) coalesced into a larger cluster with a genetic similarity of 47.7%; only one strain did not cluster in this cluster, indicating a high level of genetic diversity among the analyzed isolates. Thus, it is of the utmost importance to conduct epidemiological surveillance of animal breeding facilities in order to determine their microbiota and formulate plans to reduce the use of antimicrobials and improve animal welfare.

A Collect of Recommendations and Guidelines for Management and Treatment of Underlying Malignancies During the COVID-19 Pandemic

The coronavirus disease 2019 (COVID-19) pandemic is the main challenges to public health systems worldwide now. Cancer patients are considered as a high risk group during the COVID-19 pandemic. Considering the evidence so far, cancer as underlying comorbidities might increase the risk of death in patients with COVID-19. Many cancer patients with increased risk of contracting COVID-19 than the general population regularly visit health facilities for treatment and disease surveillance. Thus, the COVID-19 pandemic has a profound impact on cancer care and treatment. Here, we attempted to summarize the current suggestions for handling of cancer patients during COVID-19 pandemic. We carried out a integrative literature review using several online bibliographies. A total of 113 papers were accessed for the time frame between October 05 2020 and October 10 2020. After screening of titles and full-texts, 10 publications were selected in this study. In this work some recommendations and guidelines that would help for management and treatment of cancer for the purpose of address the challenges during COVID-19 pandemic were collected. We hope that this collection recommendations and guidelines assist health care providers in management of individuals with underlying malignancy during the COVID-19 pandemic.

Liquefied Petroleum Gas or Biomass Cooking and Severe Infant Pneumonia

BackgroundExposure to household air pollution is a risk factor for severe pneumonia. The effect of replacing biomass cookstoves with liquefied petroleum gas (LPG) cookstoves on the incidence of severe infant pneumonia is uncertain.MethodsWe conducted a randomized, controlled trial involving pregnant women 18 to 34 years of age and between 9 to less than 20 weeks’ gestation in India, Guatemala, Peru, and Rwanda from May 2018 through September 2021. The women were assigned to cook with unvented LPG stoves and fuel (intervention group) or to continue cooking with biomass fuel (control group). In each trial group, we monitored adherence to the use of the assigned cookstove and measured 24-hour personal exposure to fine particulate matter (particles with an aerodynamic diameter of ≤2.5 μm [PM2.5]) in the women and their offspring. The trial had four primary outcomes; the primary outcome for which data are presented in the current report was severe pneumonia in the first year of life, as identified through facility surveillance or on verbal autopsy.ResultsAmong 3200 pregnant women who had undergone randomization, 3195 remained eligible and gave birth to 3061 infants (1536 in the intervention group and 1525 in the control group). High uptake of the intervention led to a reduction in personal exposure to PM2.5 among the children, with a median exposure of 24.2 μg per cubic meter (interquartile range, 17.8 to 36.4) in the intervention group and 66.0 μg per cubic meter (interquartile range, 35.2 to 132.0) in the control group. A total of 175 episodes of severe pneumonia were identified during the first year of life, with an incidence of 5.67 cases per 100 child-years (95% confidence interval [CI], 4.55 to 7.07) in the intervention group and 6.06 cases per 100 child-years (95% CI, 4.81 to 7.62) in the control group (incidence rate ratio, 0.96; 98.75% CI, 0.64 to 1.44; P=0.81). No severe adverse events were reported to be associated with the intervention, as determined by the trial investigators.ConclusionsThe incidence of severe pneumonia among infants did not differ significantly between those whose mothers were assigned to cook with LPG stoves and fuel and those whose mothers were assigned to continue cooking with biomass stoves. (Funded by the National Institutes of Health and the Bill and Melinda Gates Foundation; HAPIN ClinicalTrials.gov number, NCT02944682.)

Mission analysis, dynamics and robust control of an indoor blimp in a CERN detector magnetic environment.

At the European Organization for Nuclear Research (CERN), a Research and Development (R&D) program studies robotic systems for inspection and maintenance of the next-generation of particle detectors. The design and operation of these systems are affected by the detector's cavern harsh environment consisting of high magnetic fields and radiations. This work presents a feasibility study for aerial inspection and mapping around a CERN particle detector using a robotic Lighter-than-Air (LtA) Unmanned Aerial Vehicle (UAV), specifically a blimp. Firstly, mission scenarios and the detector environment are introduced; in this context a new empirical model is proposed for the estimation of magnetic disturbances resulting from the interaction of electromagnetic motors with the external magnetic field. Subsequently, the design of a reference blimp and the control system is presented, comparing different control techniques, namely, Computed Torque Control (CTC), Sliding Mode Control (SMC) and Nonsingular Terminal Sliding Mode Control (NTSMC). Finally, the results of trajectory tracking simulations are reported, considering both the uncertainties of the dynamic parameters and the estimated magnetic disturbances. This work demonstrates that the blimp successfully follows desired trajectory, navigating complex environments while maintaining stability and accuracy. Despite the challenges posed by high magnetic fields, indoor blimps can effectively offer safer and more efficient approaches to facility surveillance and maintenance, reducing radiation exposure for human personnel and minimizing detector downtime.

Clinical profiles, epidemiological characteristics and treatment outcomes of COVID-19 patients in North-eastern Ethiopia: A retrospective cohort study.

COVID-19 is a rapidly emerging global health threat and economic disaster. The epidemiology and outcomes of COVID-19 patients in Ethiopia are scarce. Thus, the present study aimed to assess clinical profiles, epidemiological characteristics, and treatment outcomes of patients with COVID-19 and to identify determinants of the disease outcome among COVID-19 patients in North-eastern Ethiopia. A retrospective observational cohort study was conducted in North-eastern Ethiopia, from May 2020 to Jan 2022 on a total of 364 SARS-COV-2 infected patients. Demographic and clinical data were abstracted from the medical records of patients. Bivariable and multivariable analyses were conducted to determine the factors associated with the mortality of COVID-19 patients and variables with a P-value < 0.05 were considered statistically significant. Among 364 COVID-19 patients included in this study, two-thirds (68.1%) were males with a median age of 34 years. The majority; 42.9% & 33.0% respectively cases were detected at the health facility and community level surveillance. Furthermore, 6.6% of patients had pre-existing comorbidities of which diabetes mellitus (23.1%) and hypertension (15.3%) had the highest frequency. The symptomatic rate of COVID-19 patients was 30.5%. The most common clinical presentations were cough (26.9%), fever (26.1%), and shortness of breath (15.2%). Moreover, the mortality rate of COVID-19 patients was 4.1% which was independently predicted by a history of underlining co-morbidity (AHR:6.09; 95%CI:1.299-28.56; P = 0.022) and a history of severe or critical conditions (AHR 11.8; 95%CI:4.89-28.83; P = 0.003). Severe or critical acute COVID-19 and underlining comorbidities are associated with higher mortality. Therefore, critical follow-up and management should be given to patients with underlying diseases is required.

Surveillance of respiratory viruses at health facilities from across Kenya, 2014

Background: Acute respiratory illnesses (ARI) are a major cause of morbidity and mortality globally. With (re)emergence of novel viruses and increased access to childhood bacterial vaccines, viruses have assumed greater importance in the aetiology of ARI. There are now promising candidate vaccines against some of the most common endemic respiratory viruses. Optimal delivery strategies for these vaccines, and the need for interventions against other respiratory viruses, requires geographically diverse data capturing temporal variations in virus circulation. Methods: We leveraged three health facility-based respiratory illness surveillance platforms operating in 11 sites across Kenya. Nasopharyngeal (NP) and/or oropharyngeal (OP) specimens, patient demographic, and clinical characteristics were collected in 2014 from individuals of various ages presenting with respiratory symptoms at the surveillance facilities. Real time multiplex polymerase chain reaction was used to detect rhinoviruses, respiratory syncytial virus (RSV), influenza virus, human coronaviruses (hCoV), and adenoviruses. Results: From 11 sites, 5451 NP/OP specimens were collected and tested from patients. Of these, 40.2% were positive for at least one of the targeted respiratory viruses. The most frequently detected were rhinoviruses (17.0%) and RSV A/B (10.5%), followed by influenza A (6.2%), adenovirus (6.0%) and hCoV (4.2%). RSV was most prevalent among infants aged &lt;12 months old (18.9%), adenovirus among children aged 12–23 months old (11.0%), influenza A among children aged 24–59 months (9.3%), and rhinovirus across all age groups (range, 12.7–19.0%). The overall percent virus positivity varied by surveillance site, health facility type and case definition used in surveillance. Conclusions: We identify rhinoviruses, RSV, and influenza A as the most prevalent respiratory viruses. Higher RSV positivity in inpatient settings compared to outpatient clinics strengthen the case for RSV vaccination. To inform the design and delivery of public health interventions, long-term surveillance is required to establish regional heterogeneities in respiratory virus circulation and seasonality.

FAILURE ANALYSIS OF CHANNEL 1 MONOPULSE SECONDARY SURVEILLANCE RADAR IRS 20 MPS

Radio Detection and Ranging (Radar) is an electromagnetic wave used to monitor the movement of a moving object. RADAR will get information about the height and distance of an object by utilizing electromagnetic waves. Radar is surveillance equipment to monitor the aircraft’s position in the environment around the radar up to a radius of ± 250 NM. This article aims to analyze the surveillance facility at Kualanamu Airport Monopulse Secondary Surveillance Radar (MSSR) INDRA. This paper uses an exploratory study method with descriptive qualitative research to investigate and trace the problem. The problem on the INDRA IRS 20 MPS Radar is offline due to PLN supply maintenance activities, causing the supply voltage on the radar to be unstable. The failure problem on MSSR is due to damage to the Sum Amplifier Unit (SAU) module, which causes the SUM output on the Radar to be abnormal. The result of channel 1 INDRA IRS Radar 20 MPS operation can operate normally again after replacing a new SAU module. The conclusion of the operation of channel 1 INDRA IRS Radar 20 MPS can operate normally again after the replacement of a new SAU module.

PERAN UNIT TERMINAL INSPECTION SERVICE DALAM PELAKSANAAN PENGAWASAN TERHADAP FASILITAS LANDSIDE DI BANDAR UDARA TJILIK RIWUT PALANGKARAYA

ABSTRACT, Terminal Inspection Service (TIS) officers when carrying out surveillance still often find facilities that are damaged or unfit for use, coupled with a lack of TIS personnel, totaling 3 people. This researcher aims to find out how the Terminal Inspection Service Unit carries out a monitoring system for landside facilities at airports and to find out what obstacles and efforts are faced by the Terminal Inspection Service Unit (TIS) when carrying out surveillance of airport landside facilities.&#x0D; This study uses a qualitative method. The tools used were data collectors with the results of observations, interviews and documentation at the Terminal Inspection Service (TIS) unit. Observations, interviews and documentation as supporting documents to answer the research question formulation, then used data validity tests and finally the researchers performed data analysis techniques. which consists of data reduction, Data Presentation and Drawing Conclusions.&#x0D; The results of this study indicate that 1) The control system carried out by Terminal Inspection Service (TIS) officers refers to PM 178 2015 concerning service standards for airport service users and refers to the Standard Operating Procedure (SOP) for the Terminal Inspection Service Unit (TIS) for facility supervision. carried out periodically every day this is done to ensure that every airport facility functions properly and is safe to use so that zero accidents do not occur in accordance with airport principles. 2) data obtained that Terminal Inspection Service officers are still experiencing problems, both constraints on coordination between divisions and constraints on facilities that are still inadequate in dealing with service users and constraints on the number of personnel totaling 3 people due to lack of human resources which makes TIS officers experience pressure such as boredom, fatigue caused by facilities that are often damaged, plus the number of personnel who are so few, numbering 3 people, of course, the need for a Human Resources (HR) budget to fix all of this, but currently the budget is not enough to repair all facilities and lack of personnel.

Mapping malaria incidence using routine health facility surveillance data in Uganda

IntroductionMaps of malaria risk are important tools for allocating resources and tracking progress. Most maps rely on cross-sectional surveys of parasite prevalence, but health facilities represent an underused and powerful...

Analysis of Facility Surveillance System by Tata Terminal Unit at Juwata Tarakan International Airport, North Kalimantan

The terminal is a liaison between land transportation and air transportation systems that accommodate all departure process activities from the transfer of passengers to goods. Passenger terminals must be able to accommodate operational activities and must meet operational security and safety requirements. In addition to taking part in the processing of existing activities, ensuring passenger comfort in using facilities is also important. Supervision of facilities can have a major impact on the safety and comfort of airport service users. The approach with qualitative methods is the approach that will be applied in this study. Qualitative research is research used to describe, explain, investigate, and find the quality of influence that cannot be explained, measured or described through a quantitative approach. The data obtained is in the form of research observations located at Juwata Tarakan International Airport, interviews with Tata Terminal Unit officers, and documentation. Data analysis techniques used include data collection, data reduction, and conclusions. The results of this study show that in supervising facilities at Juwata Tarakan International Airport there are still several obstacles experienced by Tata Terminal Unit officers, especially in terms of coordination and cooperation between Tata Terminal Unit and other units which are considered to have an impact on the satisfaction services provided at Juwata Tarakan International Airport.

Qualitative exploration of perspectives of the pharmacists working in public-sector hospitals during COVID-19 pandemic

BackgroundThe COVID-19 pandemic, a serious global health threat, has excruciating social and economic implications given its transmissibility, lack of therapy, and severity. In such a situation, pharmacists as frontline healthcare professionals hold a significant position to tackle. This study was designed to explore the perception and preparedness of pharmacists working in public sector hospitals amid such a pandemic in Pakistan.MethodsA total of 11 pharmacists were interviewed for this qualitative study design through a semi-structured interview guide. The interviews were recorded and transcribed verbatim.ResultsThe thematic content analysis yielded six major themes; understanding of COVID-19, perceptions towards COVID-19, preventive aspects, management aspects, changes to lifestyle, and psychological aspects. Though efficient preparedness and approach to fighting against such pandemics were reported, pharmacists were found susceptible to infection and psychological stress. They also expressed lockdown as an effective measure to prevent the disease from spreading but still were concerned about its economic and social impact.ConclusionsAdequate planning and facilities from the national level should be made available for strengthening the hospital pharmacy service that helps improve the overall healthcare system of low- and middle-income countries like Pakistan. The provision of a protective facility, incentives, and occupational health surveillance packages are deemed necessary to boost the self-esteem and morale of hospital pharmacists that safeguard the early and effective management of such disasters.

Strategy to prevent illegal fishing by fishermen from foreign countries in Indonesia's Exclusive Economic Zone

Illegal fishing by foreign fishing boats in the Indonesian Exclusive Economic Zone is increasing every year. Along with these conditions the country suffered huge losses from this action. There is an assumption that this happened because the law enforcement authority by the Indonesian state was limited due to the provisions contained in the 1982 Convention on the Law of the Sea (UNCLOS 1982). Then when viewed from the perspective of law enforcement by the government, the handling of illegal fishing seems to be still concerning. This article examines the causes of illegal fishing activities by foreign fishermen which still occur frequently and how strategies to prevent illegal fishing by foreign fishermen in the Indonesian Exclusive Zone. The method used is a normative juridical legal research method with statuta approach and conceptual approach. The results of the study found that the causes of illegal fishing activities in Indonesian waters include limited surveillance facilities and infrastructure, limited funds for surveillance operations, limited fisheries police and Civil Servant Investigators (PPNS) and still limited ability of Indonesian fishermen to exploit their potential. fisheries in Indonesian waters. The strategies that can be taken to prevent illegal fishing are by conducting bilateral cooperation, closing access rights for fishermen from foreign countries in Indonesia's ZEE, and optimizing law enforcement in Indonesia's exclusive economic zone.

Wild poliovirus type 3 (WPV3)-shedding event following detection in environmental surveillance of poliovirus essential facilities, the Netherlands, November 2022 to January 2023.

On 21 November 2022, a wild poliovirus type 3 (WPV3) was isolated from an environmental surveillance sample of poliovirus essential facilities in the Netherlands. All 51 employees with access to this strain were screened for ongoing or recent poliovirus infection. One employee shedding WPV3 was identified on 8 December and placed in isolation; monitoring and contact tracing were initiated. WPV3 shedding continued for 4 weeks and stopped 5 January 2023. Isolation was lifted 11 January and no further transmission was detected.