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The document provides recommendations for migraine sufferers during the COVID-19 pandemic, including having an adequate supply of migraine medications, considering alternatives to in-person doctor visits, being mindful of routines and diet to reduce triggers, practicing social distancing and good hand hygiene, and finding alternative methods of social interaction while social distancing.
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World Health Day
World Health Day is celebrated annually on April 7th to raise awareness of global health issues and support the work of the World Health Organization (WHO). It focuses on a different health theme each year, with 2014 highlighting vector-borne diseases. Events are organized worldwide by governments, NGOs, and health organizations to educate the public and encourage prevention of diseases. The WHO works to address health issues globally and has helped reduce diseases like smallpox, polio, and others in developing nations.
World Health Day
World Health Day is celebrated annually on April 7th to highlight global health issues and raise awareness of important topics. The World Health Organization (WHO) works with other health organizations to organize events around the world like at schools, colleges, and public spaces. This year's theme is "vector-borne diseases" like malaria and dengue fever, which spread through mosquitoes and other organisms. On World Health Day, governments, NGOs, and health groups pledge support and hold events like conferences, art shows, and competitions to encourage healthy behaviors and disease prevention worldwide.
Family approach to comprehensive care irene muteti-fhi nak
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The COVID-19 pandemic has negatively impacted mental health worldwide. Social isolation and stress about the virus, health, jobs and financial security have increased anxiety, depression, and exacerbated existing mental illness. Accessing mental health services has also become more difficult due to social distancing. Coping strategies include exercising, connecting with others virtually, getting enough sleep, and avoiding drugs/alcohol. However, the Philippines lacks sufficient mental healthcare resources as there is less than one provider per 100,000 people.
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In 2020, SARS-CoV-2 brought an almost–instantaneous rewriting of disease management principles as countries, with few exceptions, disregarded existing pandemic plans and replaced them with policies of ‘lockdown’.
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The American Gastroenterological Association (AGA) has published new guidance on gastrointestinal (GI) symptoms of COVID-19. The guidance notes that while GI symptoms like diarrhea, nausea and abdominal pain are present in some COVID-19 patients, they are less common than initially estimated, affecting around 7-8% of patients. However, COVID-19 can in some cases present initially with GI symptoms alone before developing respiratory symptoms. The guidance advises gastroenterologists to monitor patients for additional COVID-19 symptoms if new GI issues emerge and consider testing if respiratory symptoms develop. It also states that liver abnormalities in COVID-19 patients are usually due to secondary effects rather than direct virus-induced injury.
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In 2020, SARS-CoV-2 brought an almost–instantaneous rewriting of disease management principles as countries, with few exceptions, disregarded existing pandemic plans and replaced them with policies of ‘lockdown’.
There is no evidence that lockdowns have reduced mortality from Covid-19 and research is now revealing the devastation that lockdowns are causing, particularly in the developing world. In these draconian lockdown policies, we have also seen the biggest infringement on civil liberties in democratic countries during peacetime.
PANDA believes that, at this juncture, the science is quite clear on what key policy responses should be—or should have been. The cure should not be worse than the disease. It is critically important that societies are reopened, whilst protecting those who may be vulnerable to serious illness from SARS-CoV-2. Human agency must be upheld, and individuals should be empowered to make their own choices.
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The document provides safety tips from the CDC to protect yourself and others from COVID-19. It recommends washing hands frequently, avoiding close contact with others, staying home as much as possible, wearing a cloth face covering in public, and cleaning and disinfecting surfaces. It notes that older adults and those with underlying medical conditions are at higher risk. For mild illness, it advises staying home and separating from others in the home. Emergency warning signs include trouble breathing and bluish lips or face.
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The American Gastroenterological Association (AGA) has published new guidance on gastrointestinal (GI) symptoms of COVID-19. The guidance notes that while GI symptoms like diarrhea, nausea and abdominal pain are present in some COVID-19 patients, they are less common than initially estimated, affecting around 7-8% of patients. However, COVID-19 can in some cases present initially with GI symptoms alone before developing respiratory symptoms. The guidance advises gastroenterologists to monitor patients for additional COVID-19 symptoms if new GI issues emerge and consider testing if respiratory symptoms develop. It also states that liver abnormalities in COVID-19 patients are usually due to secondary effects rather than direct virus-induced injury.
r9
This document summarizes international data on gastrointestinal (GI) and liver manifestations of COVID-19 from a systematic review and meta-analysis of 47 studies including 10,890 patients. The pooled prevalence of GI symptoms was 7.7% for diarrhea, 7.8% for nausea/vomiting, and 2.7% for abdominal pain. Studies outside of China reported higher prevalences, with diarrhea in 18.3% of patients. Liver enzyme abnormalities occurred in 15.0% of patients for AST and ALT. Based on these findings, the document provides best practice statements for the consultative management of GI and liver issues in patients with COVID-19.
r2
This document provides guidance for clinicians on the clinical management of patients with severe acute respiratory infection (SARI) when COVID-19 is suspected. It recommends screening all patients for suspected COVID-19 at the first point of contact. It defines mild, severe and critical COVID-19 illness and recommends immediate implementation of infection prevention and control measures. The document is organized to guide clinicians through patient care from screening to management of complications.
r1
People with asthma should continue their prescribed inhaled medications to control their condition. During asthma attacks, oral corticosteroids should be taken if instructed and severe asthma may require long-term oral steroids combined with other treatments. Nebulizers should be avoided due to risk of spreading COVID-19, instead using pressurized inhalers with spacers. Patients should continue routine asthma medications and nasal steroids for allergies while limiting medical appointments and tests.
r1
The document provides an update from the American Society for Reproductive Medicine (ASRM) Coronavirus/COVID-19 Task Force on their recommendations for patient management and clinical care during the pandemic. It affirms their previous recommendations from March 17th to suspend new treatment cycles and considers cancelling embryo transfers. It also clarifies that infertility treatment is a disease, though some treatments may be postponed. The task force emphasizes maximizing telehealth, ensuring safety of in-person care, and supporting the broader pandemic response effort.
r8
The document discusses gastrointestinal manifestations and potential fecal-oral transmission of COVID-19. It notes that while respiratory symptoms are most common, diarrhea and other gastrointestinal symptoms have been reported. Mounting evidence suggests the virus can infect cells in the digestive system and be present in stool. This raises the possibility of fecal-oral transmission, making the digestive system an alternative infection route. More research is still needed to understand the virus's effects on the gastrointestinal system and liver.
r7
Patients with inflammatory bowel disease should continue their usual IBD therapies including scheduled infusions during the COVID-19 pandemic. Having IBD does not increase the risk of SARS-CoV-2 infection or developing COVID-19. For IBD patients who develop COVID-19, they should stop thiopurines, methotrexate, tofacitinib, and biological therapies and only restart after complete resolution of COVID-19 symptoms, though they should speak to their healthcare team first before stopping any medications.
r6
Investigators from China published two papers describing the impact of the coronavirus on the digestive tract. Key findings included that a significant portion of patients experienced gastrointestinal symptoms like diarrhea and nausea before respiratory symptoms, viral RNA was detectable in patient stool, and viral gastrointestinal infection and potential fecal-oral transmission can persist even after respiratory tract clearance, suggesting prevention of fecal-oral transmission is important to control virus spread.
r5
This study provides evidence that SARS-CoV-2, the virus that causes COVID-19, can infect and replicate in human gastrointestinal tissues and may be transmitted via the fecal-oral route. The study found that SARS-CoV-2 RNA was present in the stool of over 50% of hospitalized COVID-19 patients and that some patients continued testing positive in stool even after respiratory samples became negative. Examination of gastrointestinal tissues from one patient found the SARS-CoV-2 receptor ACE2 expressed abundantly in gastrointestinal epithelial cells and detected viral proteins in these cells, indicating they were infected. This suggests the gastrointestinal tract may be an additional transmission route and that stool testing and precautions may be needed after respiratory clearance of the
r4
- The document provides guidance for hepatology and liver transplant providers during the COVID-19 pandemic. It discusses what is known about how SARS-CoV-2 impacts the liver and patients with liver disease, and provides recommendations for evaluating COVID-19 patients with elevated liver enzymes. It also offers recommendations for managing stable outpatients with liver disease or HCC, including severely limiting non-essential visits, screening patients for COVID-19 symptoms, and using telemedicine when possible. The goal is to protect at-risk patients while continuing to provide care during the pandemic.
r3
- The document provides clinical insights and recommendations for hepatology and liver transplant providers during the COVID-19 pandemic.
- It discusses the effects of SARS-CoV-2 on the liver, recommendations for evaluating patients with liver disease and elevated liver enzymes who have COVID-19, and considerations for managing outpatients and inpatients with liver disease during the pandemic.
- Key recommendations include limiting unnecessary in-person visits, screening patients for COVID-19 symptoms, continuing surveillance of HCC patients while delaying some tests and procedures, and developing policies for accepting organ offers and performing transplants during the pandemic.
r2
This document is an infographic image file from the American Gastroenterological Association discussing the coronavirus and inflammatory bowel disease. The image file is titled "Coronavirus IBD CPU digital graphics_Infographic_Twitter.jpg" and is 1024x512 pixels in size located at an Amazon S3 URL. It is part of a project labeled "COM20-015".
r1
This document provides guidance on managing patients with inflammatory bowel disease (IBD) during the COVID-19 pandemic. It recommends first determining if a patient's symptoms are due to active IBD or COVID-19 infection by testing for SARS-CoV-2 virus and considering disease activity markers. For COVID-19 negative patients, IBD treatment should continue based on disease severity. If infected, IBD treatment is adjusted based on COVID-19 severity and includes continuing certain medications, holding others, and resuming treatments after recovery. The focus is treating both diseases while minimizing risks.
r1
This document provides recommendations for everyday health and preparedness steps in clinics in response to the COVID-19 outbreak. It recommends screening patients prior to arrival by assessing the need for the visit and asking about symptoms. It also recommends minimizing non-essential visits, implementing social distancing measures, frequent cleaning and disinfection of surfaces, and educating patients and staff on COVID-19 symptoms and protocols. Recommendations are provided on personal protective equipment, between-patient cleaning, end of day cleaning, hand hygiene, limiting items in waiting areas, and informing staff not to work if symptomatic.
r2
- The document provides tips for dementia caregivers during the COVID-19 pandemic, including monitoring for increased confusion as an illness symptom, practicing good hand hygiene, planning alternatives if regular care is disrupted, having backup care plans if the primary caregiver gets sick, and checking on visitation policies and communication options for those in assisted living.
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- 1. Ref: https://americanmigrainefoundation.org/resource-library/covid-19-migraine/ AMERICAN MIGRAINE FOUNDATION
- 2. Have an adequate supply of your medicine People with migraine should have a supply on hand of both their acute and also any rescue medications or preventative medications they need. Ref: https://americanmigrainefoundation.org/resource-library/covid-19-migraine/
- 3. Consider alternatives for in-person doctor visits Face-to-face doctor visits may not be necessary if you are stable and no adjustments to the medication are needed. Other option might be to write or call your doctor to see if it’s important to still maintain the appointment. Ref: https://americanmigrainefoundation.org/resource-library/covid-19-migraine/
- 4. Be mindful of routine and diet to reduce migraine triggers At this time when many of us find their schedules adjusted to accommodate remote work, those with migraine should make a concentrated effort to stick to a regular schedule when it comes to diet, hydration and sleep. It’s important to be cognizant of maintaining hydration and eating regularly scheduled meals throughout as these may oftentimes be triggers for people who have migraine. Ref: https://americanmigrainefoundation.org/resource-library/covid-19-migraine/
- 5. Stay calm and limit stress People who experience migraine, stress and anxiety can trigger attacks so it’s important to do what you can to limit these triggers. Practice self-care or reaching out for support to help manage stress or anxiety. Ref: https://americanmigrainefoundation.org/resource-library/covid-19-migraine/
- 6. Look for alternative methods of social interaction Look out for other avenues for staying connected to other people during times of social distancing and isolation. Video chatting, messaging or taking online educational classes if looking at a screen is not a trigger. Visit the Move Against Migraine group on Facebook to stay connected to others with migraine. Ref: https://americanmigrainefoundation.org/resource-library/covid-19-migraine/
- 7. Practice social distancing Everyone who is exposed to COVID-19 has a risk of complications, for those who are older or have chronic conditions such as diabetes, hypertension and immunosuppression, the risk is higher. The COVID-19 virus is highly communicable and the current recommended response is to practice social distancing to slow down community transmission. Ref: https://americanmigrainefoundation.org/resource-library/covid-19-migraine/
- 8. Maintain good hand hygiene Maintaining good hand hygiene is the key. The preferred method is hand washing for at least 20 seconds, which is essentially singing happy birthday twice. If it’s not possible to wash your hands because you’re going to a doctor’s appointment or something like that, you may use hand sanitizer that has over 60% alcohol within it. Ref: https://americanmigrainefoundation.org/resource-library/covid-19-migraine/