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Clinical officers

Global project to map drug resistance and tackle “superbugs” is launched

The Global Burden of Disease AMR project is a collaboration between the UK government, the UK health research charity the Wellcome Trust, the Bill and Melinda Gates Foundation, the University of Oxford, and the Institute for Health Metrics and Evaluation, an independent research centre at the University of Washington, Seattle.

Over the next four years the project will gather and publish data on the spread and effects of antimicrobial resistance around the world.

BMJ: Too Much Medicine (3)

Thus, it's a multifactoral issue involving several areas from upbringing (social-cultural) factors; in most African societies like where I come from people have been sensitized that the more drugs you get the better and also that 1st line drugs are no good e.g. paracetamol, secondly people /clients prefer to spend money at a private clinic/hospital because it is assumed they will get better drugs as compared to government/public hospitals.

Large-Scale Evaluation of Quality of Care in 6 Countries of Eastern Europe and Central Asia Using Clinical Performance and Value Vignettes

Background:

A significant determinant of population health outcomes is the quality of care provided for noncommunicable diseases, obstetric, and pediatric care. We present results on clinical practice quality in these areas as measured among nearly 4,000 providers working at more than 1,000 facilities in 6 Eastern European and Central Asian countries.

Methods:

BMJ: Too much medicine (7)

1. Health providers (doctor, clinical officer,nurse etc) should have adequate time with each consumer (client/patient) of health services. At least 20-30 minutes if possible. This will assist to get the complaints, assess, investigate (laboratory, radiology) and make a diagnosis/provisional diagnosis which will be a basis for prescribing

2. Health providers need to concentrate on what the consumer is saying (listen, observe, feel, ask) and not to rush in prescribing drugs even before the consumer has finished explaining as we see/observe happening in our many public facilities

Ebola in West Africa (130) The Lancet Ebola Resource Centre

On the inside front cover of this week's print issue of The Lancet (20 September), there is a full-page announcement about The Lancet Ebola Resource Centre.

'The Lancet wishes to assist health workers and researchers working under difficult and dangerous conditions to bring this outbreak to a close. In an effort to support the vital work being done, all related content from The Lancet is freely accessible on our online Ebola Resource Centre. Visit www.thelancet-ebola.com

Assessment of the risk of Ebola virus transmission from bodily fluids and fomites

Although Ebola virus (EBOV) is transmitted by unprotected physical contact with infected persons, few data exist on which specific bodily fluids are infected or on the risk of fomite transmission. Therefore, we tested various clinical specimens from 26 laboratory-confirmed cases of Ebola hemorrhagic fever, as well as environmental specimens collected from an isolation ward, for the presence of EBOV.

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