Mccabevance0213

In the tribal and slum areas, we observed increased reporting of illnesses from health diaries when compared with baseline data. We observed that influenza-like illnesses were reported with the highest frequency of 58.9% (2972/5044) at the tribal site.

We observed high levels of acceptability and participation among the communities. From our initial field studies, we have observed the benefits to both our study participants (timely preventive education and referrals) and to service providers (obtaining health data to allow improved planning).

We observed high levels of acceptability and participation among the communities. From our initial field studies, we have observed the benefits to both our study participants (timely preventive education and referrals) and to service providers (obtaining health data to allow improved planning).

To assess the characteristics of cooking-related burn injuries in children reported to the World Health Organization Global Burn Registry.

On 1 February 2021, we downloaded data from the Global Burn Registry on demographic and clinical characteristics of patients younger than 19 years. CB-839 order We performed multivariate regressions to identify risk factors predictive of mortality and total body surface area affected by burns.

Of the 2957 paediatric patients with burn injuries, 974 involved cooking (32.9%). More burns occurred in boys (532 patients; 54.6%) than in girls, and in children 2 years and younger (489 patients; 50.2%). Accidental contact and liquefied petroleum caused most burn injuries (729 patients; 74.8% and 293 patients; 30.1%, respectively). Burn contact by explosions (odds ratio, OR 2.8; 95% confidence interval, CI 1.4-5.7) or fires in the cooking area (OR 3.0; 95% CI 1.3-6.8), as well as the cooking fuels wood (OR 2.2; 95 CI% 1.3-3.4), kerosene (OR 1.9; 95% CI 1.0-3.6) or natural gas (OR 1.5; 95% CI 1.0-2.2) were associated with larger body surface area affected. Mortality was associated with explosions (OR 7.5; 95% CI 2.2-25.9) and fires in the cooking area (OR 6.9; 95% CI 1.9-25.7), charcoal (OR 4.6; 95% CI 2.0-10.5), kerosene (OR 3.9; 95% CI 1.4-10.8), natural gas (OR 3.0; 95% CI 1.5-6.1) or wood (OR 2.8; 95% CI 1.1-7.1).

Preventive interventions directed against explosions, fires in cooking areas and hazardous cooking fuels should be implemented to reduce morbidity and mortality from cooking-related burn injuries.

Preventive interventions directed against explosions, fires in cooking areas and hazardous cooking fuels should be implemented to reduce morbidity and mortality from cooking-related burn injuries.

To assess the prevalence and exacerbating factors of violence against women and children in Germany during the coronavirus disease 2019 pandemic.

We conducted a representative online survey with partnered women (18-65years) between 22 April and 8 May 2020, when participants had been under lockdown for a month. We determined the prevalence of several forms of violence within the previous month using both direct elicitation and a list experiment. We conducted a multivariable logistic regression to assess the impact of pandemic-associated risk factors.

Of our 3818 survey respondents, 118 (3.09%; 95% confidence interval, CI 2.54 to 3.64) reported incidents of physical conflict, 293 (7.67%; 95% CI 6.83 to 8.52) reported emotional abuse, and 97 (6.58%; 95% CI 5.31 to 7.85) of 1474 respondents with children reported child corporal punishment. We estimated that 3.57% (95% CI -0.33 to 7.46) had non-consensual intercourse with their partner. Our regression analysis revealed an increased risk of physical conflict with home quarantine (odds ratio, OR 2.38; 95% CI 1.56 to 3.61), financial worries (OR 1.60; 95% CI 0.98 to 2.61), poor mental health (OR 3.41; 95% CI 2.12 to 5.50) and young (< 10years) children (OR 2.48; 95% CI 1.32 to 4.64); we obtained similar results for other forms of violence. Awareness and use of pertinent support services was low.

Our findings of an increased risk of domestic violence during the pandemic should prompt policy-makers to improve the safety of women and children. Interventions to alleviate risks factors and extend support services are required.

Our findings of an increased risk of domestic violence during the pandemic should prompt policy-makers to improve the safety of women and children. Interventions to alleviate risks factors and extend support services are required.

To assess the implementation of a mobile dispensing service to improve opioid users' access to methadone maintenance therapy.

In March 2019, we started mobile methadone dispensing in an urban underprivileged locality in Delhi, India. The doctor was available only at the main community drug treatment clinic for clinical services, while the nurse dispensed methadone from a converted ambulance. We involved patients in identifying community leaders for sensitization and in deciding the location and timings for dispensing. We conducted a retrospective chart review of the programme data collected during delivery of clinical services. We compared the numbers of patients registered for methadone therapy and their retention and adherence to therapy in the 12-month periods before and after implementation of the mobile service.

The number of patients registered for therapy at the clinic increased from 167 in the year before implementation to 671 in the year after. A significantly higher proportion of patients were retained in therapy at 3, 6 and 9months after enrolment; 9-month retention rates were 19%(32/167 patients) and 45%(44/97 patients) in the year before and after implementation, respectively. There was no significant difference in patients' adherence to therapy between the two periods. Challenges included providing suitable dispensing hours for patients in employment and concerns of local community near to the dispensing sites.

It is feasible to dispense methadone by a mobile team in an urban setting, with better retention rates in therapy compared with dispensing through a stationary clinic.

It is feasible to dispense methadone by a mobile team in an urban setting, with better retention rates in therapy compared with dispensing through a stationary clinic.