Articles: pandemics.
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Anesthesia and analgesia · Jan 2025
The Association of the Coronavirus Disease-2019 Pandemic With Disparities in Maternal Outcomes.
In the United States, Black and Hispanic patients have substantially worse maternal outcomes than non-Hispanic White patients. The goals of this study were to evaluate the association between the coronavirus disease-2019 (COVID-19) pandemic and maternal outcomes, and whether Black and Hispanic patients were disproportionately affected by the pandemic compared to White patients. ⋯ In this national study of 2.5 million deliveries in the United States, the COVID-19 pandemic was associated with increases in maternal mortality and failure-to-rescue but not in severe maternal morbidity or cesarean deliveries. While the pandemic did not exacerbate disparities for Black and Hispanic patients with private or Medicaid insurance, uninsured Black patients experienced greater increases in mortality and failure-to-rescue compared to insured White patients.
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Pol. Arch. Med. Wewn. · Jan 2025
Changes in the epidemiological situation of multidrug-resistant tuberculosis in Poland in 2018-2022.
The presented analysis was conducted against the backdrop of the global pandemic and the Russian-Ukrainian war. The conflict on Poland's eastern border raised concerns about potential deterioration of the epidemiological situation in Poland due to the influx of immigrants from countries with a high incidence of multidrug‑resistant (MDR) tuberculosis (TB) and the Beijing genotype. ⋯ The war in Ukraine caused a massive influx of immigrants to Poland, many of whom were infected with MDR and Beijing strains of TB. There is a significant risk of an increase in the incidence of MDR‑TB in Poland in the future, as well as a potential for TB transmission between the immigrants and the native population.
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To describe changes in the volume and types of emergency medical services (EMS) calls for children during the COVID-19 pandemic and after availability of the COVID-19 vaccine ("reopening period"). ⋯ The pre-pandemic increase in EMS call volume was disrupted by an acute pandemic-related decline followed by a rebound during reopening. During the pandemic, children were more likely to present with more severe manifestations of disease processes, particularly increased on-scene death for trauma and respiratory illness, and less likely to be transported - with only partial reversal of trends in reopening.