Journal of World-Systems Research
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Exploring Mental Health & COVID-19: How a Pandemic Could Become
Eastern Kentucky University Encompass Honors Theses Student Scholarship Spring 5-2021 Exploring Mental Health & COVID-19: How a Pandemic Could Become America's Next Mental Health Crisis Ashley D. Shofner Eastern Kentucky University, [email protected] Follow this and additional works at: https://encompass.eku.edu/honors_theses Recommended Citation Shofner, Ashley D., "Exploring Mental Health & COVID-19: How a Pandemic Could Become America's Next Mental Health Crisis" (2021). Honors Theses. 834. https://encompass.eku.edu/honors_theses/834 This Open Access Thesis is brought to you for free and open access by the Student Scholarship at Encompass. It has been accepted for inclusion in Honors Theses by an authorized administrator of Encompass. For more information, please contact [email protected]. EASTERN KENTUCKY UNIVERSITY Exploring Mental Health and COVID-19: How a Pandemic Could Become America’s Next Mental Health Crisis Honors Thesis Submitted in Partial Fulfillment of the Requirements of HON 420 Spring 2021 By Ashley D. Shofner Mentor Dr. Molly A. McKinney Associate Professor, Department of Health Promotion and Administration 3 An Abstract Of Exploring Mental Health and COVID-19: How a Pandemic Could Become America’s Next Mental Health Crisis By Ashley D. Shofner Mentor Dr. Molly A. McKinney Associate Professor, Department of Health Promotion and Administration Abstract Description: A pandemic can be described as an epidemic disease that has spread over a large geographical area and has become prevalent in numerous sectors of the globe. In 2020, just over 100 years since our last major pandemic, the 1918 Influenza outbreak, the global community is facing yet another threat: COVID-19. -
Introduction of Inactivated Poliovirus Vaccine and Impact on Vaccine- Associated Paralytic Poliomyelitis — Beijing, China, 2014–2016
Morbidity and Mortality Weekly Report Introduction of Inactivated Poliovirus Vaccine and Impact on Vaccine- Associated Paralytic Poliomyelitis — Beijing, China, 2014–2016 Dan Zhao, MD1; Rui Ma, MD1; Tao Zhou, MD1; Fan Yang, MD1; Jin Wu, MD2; Hao Sun3; Fang Liu, MD4; Li Lu, MD1; Xiaomei Li1; Shuyan Zuo, MD5; Wei Yao6; JianYin6 When included in a sequential polio vaccination schedule, the risk for VAPP associated with subsequent OPV doses. inactivated polio vaccine (IPV) reduces the risk for vaccine- Countries that have previously introduced at least 1 IPV dose associated paralytic poliomyelitis (VAPP), a rare adverse event before vaccination with OPV have rapidly eliminated VAPP associated with receipt of oral poliovirus vaccine (OPV). (1). IPV has been available in China’s private sector since During January 2014, the World Health Organization (WHO) 2009. After completion of immunogenicity studies (3–5), recommended introduction of at least 1 IPV dose into routine Beijing introduced IPV into the public sector EPI program in immunization schedules in OPV-using countries (1). The December 2014 as part of a sequential schedule that included Polio Eradication and Endgame Strategic Plan 2013–2018 1 dose of IPV at age 2 months, followed by 3 doses of trivalent recommended completion of IPV introduction in 2015 and OPV at ages 3, 4, and 48 months. After the global synchronized globally synchronized withdrawal of OPV type 2 in 2016 (2). withdrawal of all Sabin type 2 vaccines in April 2016, trivalent Introduction of 1 dose of IPV into Beijing’s Expanded Program OPV was replaced with bivalent OPV, which contains types 1 on Immunization (EPI) on December 5, 2014 represented and 3 oral polio vaccine viruses. -
Valuing the Cost of Improving Chilean Primary Vaccination: a Cost Minimization Analysis of a Hexavalent Vaccine
Olivera et al. BMC Health Services Research (2020) 20:295 https://doi.org/10.1186/s12913-020-05115-7 RESEARCH ARTICLE Open Access Valuing the cost of improving Chilean primary vaccination: a cost minimization analysis of a hexavalent vaccine Ignacio Olivera1, Carlos Grau1, Hugo Dibarboure2, Juan Pablo Torres3, Gustavo Mieres1, Luis Lazarov1, Fabián P. Alvarez4 and Juan Guillermo López Yescas5* Abstract Background: The phased withdrawal of oral polio vaccine (OPV) and the introduction of inactivated poliovirus vaccine (IPV) is central to the polio ‘end-game’ strategy. Methods: We analyzed the cost implications in Chile of a switch from the vaccination scheme consisting of a pentavalent vaccine with whole-cell pertussis component (wP) plus IPV/OPV vaccines to a scheme with a hexavalent vaccine with acellular pertussis component (aP) and IPV (Hexaxim®) from a societal perspective. Cost data were collected from a variety of sources including national estimates and previous vaccine studies. All costs were expressed in 2017 prices (US$ 1.00 = $Ch 666.26). Results: The overall costs associated with the vaccination scheme (4 doses of pentavalent vaccine plus 1 dose IPV and 3 doses OPV) from a societal perspective was estimated to be US$ 12.70 million, of which US$ 8.84 million were associated with the management of adverse events related to wP. In comparison, the cost associated with the 4-dose scheme with a hexavalent vaccine (based upon the PAHO reference price) was US$ 19.76 million. The cost of switching to the hexavalent vaccine would be an additional US$ 6.45 million. Overall, depending on the scenario, the costs of switching to the hexavalent scheme would range from an additional US$ 2.62 million to US$ 6.45 million compared with the current vaccination scheme. -
The Hepatitis B Vaccine Is the Most Widely Used Vaccine in the World, with Over 1 Billion Doses Given
Hepatitis B Vaccine Protect Yourself and Those You Love What is Hepatitis B? Hepatitis B is the most common serious liver infection in the world. It is caused by the hepatitis B virus (HBV), which attacks liver cells and can lead to liver failure, cirrhosis (scarring), or liver cancer later in life. The virus is transmitted through direct contact with infected blood and bodily fluids, and from an infected woman to her newborn at birth. Is there a safe vaccine for hepatitis B? YES! The good news is that there is a safe and effective vaccine for hepatitis B. The vaccine is a series, typically given as three shots over a six-month period that will provide a lifetime of protection. You cannot get hepatitis B from the vaccine – there is no human blood or live virus in the vaccine. The hepatitis B vaccine is the most widely used vaccine in the world, with over 1 billion doses given. The hepatitis B vaccine is the first "anti-cancer" vaccine because it can help prevent liver cancer! Who should be vaccinated against hepatitis B? The World Health Organization (WHO) and the U.S. Centers for Disease Control and Prevention (CDC) recommend the hepatitis B vaccine for all newborns and children up to 18 years of age, and all high-risk adults. All infants should receive the first dose of the vaccine in the delivery room or in the first 24 hours of life, preferably within 12 hours. (CDC recommends the first dose within 12 hours vs. the WHO recommendation of 24 hours.) The HBV vaccine is recommended to anyone who is at high risk of infection. -
CEPI and COVID-19 VACCINES
CEPI and COVID-19 VACCINES June 9, 2020 Nicole Lurie, MD, MSPH Strategic Advisor to the CEO and Incident Manager, COVID response team CEPI A world in which epidemics are no longer a threat to humanity CEPI accelerates development of vaccines against emerging infectious diseases and enables equitable access to these vaccines for affected populations during outbreaks 2 Image left slide (right-click to replace image) CEPI Strategic Objectives Preparedness Response Sustainability Advance access to safe and Accelerate the research, Create durable and equitable effective vaccines against development and use of solutions for outbreak emerging infectious diseases vaccines during outbreaks response capacity 3 3 Column slide Small images or graphics can be used to highlight key items. These should always be circular CEPI has multiple investments against its priority pathogens MERS Lassa Nipah Chikungunya Rift Valley fever Disease X 5 vaccine 6 vaccine 4 vaccine 2 vaccine 2 vaccine 3 platform candidates candidates candidates candidates candidates technologies 4 COVID-19 portfolio goals Speed Scale Access Developing Covid-19 vaccines at Scaling up and scaling out vaccine Working with global partners to pandemic speed manufacturing capacity ensure fair allocation of COVID-19 vaccines 5 CEPI vaccine development so far…. 23th May 31st Dec 2019 11th March 12th April 14th Feb First meeting of the ACT WHO notified of pneumonia-like case Wellcome Trust launch First cases reported in WHO declares Accelerator cluster in Wuhan, China COVID-Zero resource Africa -
(DTP-Hep B-Hib) Vaccine Into the EPI Programme
EPIDEMIOLOGICAL UNIT Department of Health Services Ministry of Health Care and Nutrition 231, de Saram Place, Colombo 01000, Sri Lanka Telephone: (+94-11-) 2681548, 2695112, Fax: (+94-11-) 2696583, E-mail: [email protected], [email protected] My No: EPI/81/VII/2007 22nd October 2007 Provincial /Regional Directors of Health Services, Directors of Teaching Hospitals/Specialized Campaigns, M. SS /D.M.OO of Provincial /Base Hospitals, Heads of Decentralized Units and, Medical Officers of Health Introduction of combined pentavalent (DTP-Hep B- Hib) Vaccine into the EPI A decision has been taken to introduce Hib (Haemophilus Influenzae B) vaccine into the EPI programme in Sri Lanka from year 2008. This decision is based on the recommendation by the National Advisory Committee on Communicable Diseases. The Hib vaccine will be in the form of a combined pentavalent (DTP-HepB-Hib) vaccine, which would include DTP and Hep B and therefore would replace both DTP and Hepatitis B in the present schedule. Background The bacterium, Haemophilus influenzae type B (Hib), is an important cause of infections in infants and young children; severe disease in adults due to Hib is uncommon. Where it has been studied carefully, Hib is the leading cause of acute bacterial meningitis in infants and children less than five years old, accounting for one-third to one-half of all cases of bacterial meningitis in this age group. Bacterial meningitis is fatal unless treated immediately with antibiotics. Even with proper treatment 3-25% of affected children may die. Permanent disability with sequelae that include deafness, learning disabilities, and difficulties in movement is not uncommon among those who survive the infection. -
Pentavalent and Hexavalent Vaccines
Pentavalent and Hexavalent Vaccines Cold Chain Equipment Database ID 3_7 Year 2004 The freeze indicator is used to warn of freezing and is packed with vaccines that are sensitive to freezing temperatures: DTP, TT, DT, Td (freezing point of -6.5°C), hepatitis B (-0.5°C), liquid Hib and their combinations (DTP-HepB, and DTP-HepB+Hib vaccines) and JE. Every refrigerator storing vaccines should have a freeze indicator (Freeze Watch™). It is strongly recommended that one freeze indicator be placed in each cold box during vaccine transport and distribution. This is critical in places subject to low temperatures. Immunization in practice: a practical resource guide for Health workers – 2004 update_____Module 3: The cold chain WHO/IVB/04.06 Page 13 Vaccine Handling Database ID 81_1 Year 2006 The recommended conditions for storing vaccines used in immunization programmes are shown in Appendix 81_1. This diagram also indicates the maximum times and temperatures in each case. At the higher levels of the cold chain, i.e., at national (primary), and regional or province level, OPV must be kept frozen between - 15oC and -25oC. Freeze-dried vaccines (i.e., BCG, measles, MMR and yellow fever) may also be kept frozen at -15oC to -25oC if cold chain space permits, but this is neither essential nor recommended. At other levels of the cold chain (intermediate vaccine stores and health facilities), these vaccines should be stored between +2oC and +8oC. All other vaccines should be stored at between +2oC and +8oC at all levels of the cold chain. Liquid formulations of vaccines containing diphtheria, pertussis, tetanus, hepatitis B, Haemophilus influenzae type b, IPV and their combinations should not be frozen. -
COVID-19 (Novel Coronavirus): What We Know, What We Don’T Know, and How We Can Plan Within Our Communities
COVID-19 (novel coronavirus): What we know, what we don’t know, and how we can plan within our communities March 5, 2020 Andrew Lover, MS MPH PhD Dept. of Biostatistics and Epidemiology [email protected] School of Public Health and Health Sciences Updated Mar 7; v1.1. Overview 1. Some background 2. The virus and epidemiology 3. Response measures and community preparedness 4. Q & A School of Public Health and Health Sciences 2 Disclaimers All opinions in this talk are my personal views, and do not represent those of the Department of Biostatistics and Epidemiology; the School of Public Health and Health Sciences; or UMass-Amherst. Guidance is being rapidly updated; always consult your local, state and federal authorities for the most up-to-date information. (mass.gov and cdc.gov) General note: most/many current studies are preprints and are not yet peer reviewed; and data change hourly/daily. School of Public Health and Health Sciences 3 Terminology § Coronaviruses are a small class of human pathogens; four of which cause ‘normal’ respiratory infections. § Two others may cause severe infections: SARS-CoV, and MERS-CoV. MERS-CoV § Original name (Jan 2020): Wuhan flu or novel coronavirus-2019 § Current standard (allows for expansion) § Illness: COVID-19 (“coronavirus disease”) § Virus: SARS-CoV-2 § This structure parallels HIV/AIDS School of Public Health and Health Sciences 4 Population-level metrics § Endemic: The constant presence of a disease or infectious agent within a given geographic area or population group § Epidemic: The occurrence in a community or region of cases of an illness clearly in “excess of normal expectancy” (preferred) § Outbreak: An epidemic limited to localized increase in the incidence of a disease (avoid) § Pandemic: An epidemic occurring over a very wide area, crossing international boundaries and usually affecting a large number of people (national or global), but no specific criteria School of Public Health and Health Sciences 5 The first signal…. -
An Overview of COVID-19 Vaccine Efficacy Trials
An Overview of COVID-19 Vaccine Efficacy Trials NISS-Merck Meet Up January 13, 2021 \ Natalie Dean Department of Biostatistics PHHP/COM Emerging Pathogens Institute University of Florida [email protected] VACCINE BASICS COVID- 19 VACCINES WHO R&D Blueprint Prioritized pathogens Crimean Congo Hemorrhagic Fever (CCHF) Ebola and Marburg virus disease Lassa fever MERS-CoV and SARS Nipah and henipaviral diseases Rift Valley Fever (RVF) Zika Disease X COVID- 19 VACCINES Expectations for COVID-19 vaccines “The principal goal of a vaccine efficacy trial is to obtain efficacy and effectiveness data that can support broader use of a vaccine under a defined regulatory framework.” Intended use for COVID-19: billions vaccinated Dean et al. 2019 https://stm.sciencemag.org/content/11/499/eaat0360.abstract COVID- 19 VACCINES Regulatory pathway for vaccines Preclinical data REGULATORY Phase 1 trials Evidence of safety APPROVAL and anti-disease Phase 2 trials activity in animals Smallest trials Phase 3 trials Requires a First-in-human Larger trials validated animal Focus on safety model More safety data Largest trials Establish dosing More immune Field trials Some immune response data response data Disease-related Explore sub- primary outcome groups (e.g. prevent COVID-19) More safety data COVID- 19 VACCINES Accelerating this pathway during a pandemic Accelerated review process Emergency Use Authorization instead of full licensure Preclinical data REGULATORY Phase 1 trials Evidence of safety APPROVAL and anti-disease Phase 2 trials activity in animals Smallest trials Phase 3 trials Requires a First-in-human Larger trials validated animal Focus on safety model More safety data Largest trials Establish dosing More immune Field trials Some immune response data Disease-related response data Explore sub- Start scaling up manufacturing primary outcome before receiving regulatory groups (e.g. -
Shaping the Market: Gavi's Model for Bringing the Power of Vaccines To
#GaviSeth Shaping the market: Gavi’s model for bringing the power of vaccines to the world’s poorest children Seth Berkley MD National Vaccine Advisory Committee 2 February 2015, Washington DC www.gavi.org The challenge: Reducing delays in launching new vaccines in poor countries 2 #vaccineswork Gavi: an innovative public-private partnership Building on the comparative advantages of both public and private partners 3 #vaccineswork Gavi-supported vaccination programmes: an overview Refers to the first Gavi-supported introduction of each vaccine. Vaccine Investment Strategy: Gavi’s approach to prioritsing new vaccines Category VIS Criteria • Cholera Impact on child mortality Health Impact on overall mortality • Dengue impact • Hepatitis A Impact on overall morbidity • Hepatitis B (birth dose) Epidemic potential Global or regional public health priority • Hepatitis E Herd immunity Additional • Influenza* impact Availability of alternative interventions considerations • Meningococcal CYW Socio-economic inequity • Malaria Gender inequity • Rabies Disease of regional importance • Yellow Fever** Capacity and supplier base • DTP booster GAVI market shaping potential Implementation Ease of supply chain integration • Enterovirus 71 feasibility • Mumps Ease of programmatic integration Vaccine efficacy and safety * Maternal vaccination Vaccine procurement cost Cost and value ** Additional mass campaigns In-country operational cost for money Procurement cost per event averted Gavi’s unusual development model Co-financing Market- shaping Donor base -
Cuban Experience in Immunization, 1962–2016*
Pan American Journal Special report of Public Health Cuban experience in immunization, 1962–2016* Lena López Ambrón,1,2 Liudmila Ibelin Egües Torres,1 Alina Pérez Carreras,3 Belkys María Galindo Santana,4 Miguel Ángel Galindo Sardiña,1 Sonia Resik Aguirre5 and Alina Tejeda Fuentes6 Suggested citation (original manuscript) López Ambrón L, Egües Torres LI, Pérez Carreras A, Galindo Santana BM, Galindo Sardiña MA, Resik Aguirre S, et al. Experiencia cubana en inmunización, 1962–2016. Rev Panam Salud Publica. 2018;42:e34. https://doi.org/10.26633/RPSP.2018.34 ABSTRACT Cuba’s Immunization Program was created in 1962. It arose from the political, economic and social transformations initiated in 1959 when communicable diseases—including vaccine-pre- ventable diseases—were the main cause of child morbidity and mortality. The program’s organi- zation and uninterrupted implementation have led to the eradication of six diseases, two severe clinical forms and two serious complications, as well as incidence and mortality rates of remaining diseases maintained at such low levels they do not constitute a health problem. An average of 4.8 million doses of simple or combined vaccines that protect against 13 diseases are administered annually in Cuba, including a pentavalent vaccine whose five components are produced domesti- cally. The 1962 oral polio vaccine campaign was the first intersectoral experience with community participation in the Americas region, and Cuba was the first country to eradicate the disease. Recent Cuban research results have influenced the Global Polio Eradication Initiative. Universal vaccination against hepatitis B administered 24 hours after birth, using a domestic vaccine, was achieved in Cuba 19 years before the World Health Organization set the goal. -
Lesson Learned from Emerging Infectious Diseases: Are We Ready for the Next Pandemic?
Lesson Learned from Emerging Infectious Diseases: Are We Ready for the Next Pandemic? Ching Man Chan, Jenny (2nd year Mphil) Supervisor: Dr. Martin Chan Joint Graduate Seminar Department of Microbiology, Faculty of Medicine, CUHK 13th December, 2018 1 What are Emerging Infectious Diseases? Why does it matters? Emerging Infectious Diseases (EIDs) Definition Increasing frequency to describe the appearance of 1. An unrecognised infection 2. A previously recognised infection → to a new ecological niche/geographical zone → significant change in pathogenicity Facts o Infectious diseases are continuously emerging o Majority of human emerging infectious diseases are zoonoses o Those that are not zoonoses have zoonotic origins o Globalisation and human invasiveness → emergence opportunities (Howard and Fletcher, Emeging Microbes and Infections, 2012; van Doorn, Medicine (Abingdon), 2014) Severity of Emerging Infectious Diseases (Bean et al. Nature Reviews Immunology, 2013) List of Blueprint Priority Diseases 2018 o Crimean-Congo haemorrhagic fever (CCHF) o Ebola virus disease and Marburg virus disease o Lassa fever o Middle East respiratory syndrome coronavirus (MERS-CoV) and Severe Acute Respiratory Syndrome (SARS) o Nipah and henipaviral diseases o Rift Valley fever (RVF) o Zika o Disease X Why most of them are viral diseases? Where do they come from and how they evolve to infect human? Mutation Rate V.S. Genome Size (Gago et al. Science, 2009) Many of the viruses are UNKNOWN (Dr Peter Daszak’s talk on “The beginning of an end to the Pandemic Era”, Uppsala Health Summit, 2017) Emergence of Zoonoses (Wolfe, Dunavan and Diamond. Nature, 2007) Multiple Species Barrier to become Zoonotic (Bean et al.