Browsing by Subject "Lockdown"

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    Changes in trauma-related emergency medical services during the COVID-19 lockdown in the Western Cape, South Africa
    (BioMed Central, 2023-06-27) Pettke, Aleksandra; Stassen, Willem; Laflamme, Lucie; Wallis, Lee A.; Hasselberg, Marie
    Abstract Background To limit virus spread during the COVID pandemic, extensive measures were implemented around the world. In South Africa, these restrictions included alcohol and movement restrictions, factors previously linked to injury burden in the country. Consequently, reports from many countries, including South Africa, have shown a reduction in trauma presentations related to these restrictions. However, only few studies and none from Africa focus on the impact of the pandemic restrictions on the Emergency Medical System (EMS). Methods We present a retrospective, observational longitudinal study including data from all ambulance transports of physical trauma cases collected during the period 2019–01-01 and 2021–02-28 from the Western Cape Government EMS in the Western Cape Province, South Africa (87,167 cases). Within this timeframe, the 35-days strictest lockdown level period was compared to a 35-days period prior to the lockdown and to the same 35-days period in 2019. Injury characteristics (intent, mechanism, and severity) and time were studied in detail. Ambulance transport volumes as well as ambulance response and on-scene time before and during the pandemic were compared. Significance between indicated periods was determined using Chi-square test. Results During the strictest lockdown period, presentations of trauma cases declined by > 50%. Ambulance transport volumes decreased for all injury mechanisms and proportions changed. The share of assaults and traffic injuries decreased by 6% and 8%, respectively, while accidental injuries increased by 5%. The proportion of self-inflicted injuries increased by 5%. Studies of injury time showed an increased share of injuries during day shift and a reduction of total injury volume during the weekend during the lockdown. Median response- and on-scene time remained stable in the time-periods studied. Conclusion This is one of the first reports on the influence of COVID-19 related restrictions on EMS, and the first in South Africa. We report a decline in trauma related ambulance transport volumes in the Western Cape Province as well as changes in injury patterns, largely corresponding to previous findings from hospital settings in South Africa. The unchanged response and on-scene times indicate a well-functioning EMS despite pandemic challenges. More studies are needed, especially disaggregating the different restrictions.
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    COVID-19 lockdown and natural resources: a global assessment on the challenges, opportunities, and the way forward
    (2022-01-29) Muche, Meseret; Yemata, Getahun; Molla, Eyayu; Muasya, A M; Tsegay, Berhanu A
    Background: The Coronavirus (COVID-19) is a global pandemic caused by SARS-CoV-2, which has an enormous effect on human lives and the global environment. This review aimed to assess the global scientific evidence on the impact of COVID-19 lockdown on natural resources using international databases and search engines. Thus, the unprecedented anthropause due to COVID-19 has positive and negative effects on natural resources. Main body This review showed that the unprecedented pandemic lockdown events brought a negative impact on the physical environment, including pollution associated with a drastic increase in person protective equipment, deforestation, illegal poaching and logging, overfishing, disruption of the conservation program and projects. It is noted that the spread of pandemic diseases could be aggravated by environmental pollution and a rapid increase in the global population. Despite these negative impacts of COVID-19, the anthropause appear to have also several positive effects on natural resources such as short term reduction of indoor and outdoor environmental pollutants (PM2.5, PM10, NO2, SO2, CO, and CO2), reduction in noise pollutions from ships, boats, vehicles, and planes which have positive effects on aquatic ecosystems, water quality, birds behaviour, wildlife biodiversity, and ecosystem restoration. Conclusion Therefore, governments and scientific communities across the globe have called for a green recovery to COVID-19 and implement multi-actor interventions and environmentally friendly technologies to improve and safeguard sustainable environmental and biodiversity management and halt the next pandemic.
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    Intersections between COVID-19 and socio-economic mental health stressors in the lives of South African adolescent girls and young women
    (2022-03-26) Duby, Zoe; Bunce, Brittany; Fowler, Chantal; Bergh, Kate; Jonas, Kim; Dietrich, Janan J; Govindasamy, Darshini; Kuo, Caroline; Mathews, Catherine
    Background In contexts where poverty and mental health stressors already interact to negatively impact the most vulnerable populations, COVID-19 is likely to have worsened these impacts. Before the COVID-19 pandemic, adolescent girls and young women (AGYW) in South Africa already faced intersecting mental health stressors and vulnerabilities. It is critical to understand how additional challenges brought on by COVID-19 have intersected with existing vulnerabilities and mental health risks AGYW faced, particularly given the intersections between psychological distress and increased risk behaviours that impact sexual and reproductive health. We aimed to examine socio-economic and mental health impacts of COVID-19 on South African AGYW in order to understand how additional challenges brought on by COVID-19 have intersected with existing challenges, compounding AGYW vulnerabilities. Methods Using qualitative and quantitative methods, framed by the syndemic theory, we examined the intersections between mental health and the COVID-19 epidemic amongst AGYW in six districts of South Africa characterised by high rates of HIV, teenage pregnancy and socio-economic hardship. Between November 2020 and March 2021 we conducted a cross-sectional telephone survey with 515 AGYW, and in-depth interviews with 50 AGYW, aged 15 to 24 years. Results Our findings reveal how COVID-19 restrictions led to increased experiences of stress and anxiety. Poor mental health was compounded by strained family relationships, increased fear of domestic violence, household unemployment, economic stress and food insecurity. Respondents described feelings of boredom, frustration, isolation, loneliness, fear and hopelessness. However, despite the multitude of challenges, some AGYW articulated emotional resilience, describing ways in which they coped and retained hope. Conclusion Various psycho-social risk factors already disproportionally affect the mental health of AGYW in these communities; the COVID-19 pandemic intersects with these pre-existing social and environmental factors. Understanding strategies AGYW have used to positively cope with the uncertainty of COVID-19 amongst an array of pre-existing mental health stressors, is key in informing efforts to respond to their needs. Multisectoral interventions are needed to address the drivers of poor mental health among AGYW, and bolster healthy coping mechanisms; interventions seeking to mitigate the mental health impacts on this vulnerable population need to be responsive to the unpredictable pandemic environment.