RESUMO
Following the first COVID-19 case in Chiapas, Mexico in March 2020, the non-governmental organisation Compañeros En Salud (CES) and the state's Ministry of Health (MOH) decided to join forces to respond to the global pandemic. The collaboration was built over 8 years of partnership to bring healthcare to underserved populations in the Sierra Madre region. The response consisted of a comprehensive SARS-CoV-2 infection prevention and control programme, which included prevention through communication campaigns to combat misinformation and stigma related to COVID-19, contact tracing of suspected and confirmed COVID-19 cases and their contacts, outpatient and inpatient care for patients with respiratory symptoms, and CES-MOH collaboration on anti-COVID-19 immunisation campaigns. In this article, we describe these interventions and their principal outcomes, as well as reflect on notable pitfalls identified during the collaboration, and we suggest a series of recommendations to prevent and mitigate their occurrence. As with many cities and towns across the globe, the poor preparedness of the local health system for a pandemic and pandemic response led to the collapse of the medical supply chain, the saturation of public medical facilities and the exhaustion of healthcare personnel, which had to be overcome through adaptation, collaboration and innovation. For our programme in particular, the lack of a formal definition of roles and clear lines of communication between CES and the MOH; thoughtful planning, monitoring and evaluation and active engagement of the communities served in the design and implementation of health interventions affected the outcomes of our efforts.
Assuntos
COVID-19 , COVID-19/epidemiologia , COVID-19/prevenção & controle , Humanos , México/epidemiologia , Organizações , Órgãos Governamentais , Controle de Doenças Transmissíveis , Pandemias/prevenção & controleRESUMO
RESUMEN La Displasia Fibrosa es una rara patología benigna, generalmente asintomática, que afecta el tejido óseo. Debido al remplazo gradual del tejido óseo por tejido conectivo amorfo, se pueden producir alteraciones óseas estéticas y funcionales. Se presenta un paciente masculino, de la raza blanca, de 56 años de edad, al Servicio de Imagenología del Hospital Provincial Vladimir Ilich Lenin, de Holguín, Cuba, remitido de la consulta de Oftalmología, que refiere cefalea y trastornos visuales de largo tiempo de evolución. Con este caso pretendemos ofrecer una secuencia imagenológica para establecer el diagnóstico de la Displasia Fibrosa Monostótica, y brindar los principios básicos para el manejo adecuado de los pacientes con esta enfermedad.
ABSTRACT Fibrous Dysplasia is a rare benign pathology, generally asymptomatic, which affects bone tissue. Aesthetic and functional alterations may occur due to bone tissue gradual replacement by amorphous on connective tissue. This article describes a bibliographical revision on Fibrous Dysplasia, together with a clinical case of a 56 year-old white male patient; who attended Imagenology Service of Vladimir Ilich Lenin Hospital form Holguín, Cuba. The patient was suffering from headache and visual blurring for a long time, and he was previously assisted at the Ophthalmology consulting room. In this case, we offer an imagenological sequence to establish Monostotic Fibrous Dysplasia diagnose and the basic principles of management of patients who suffer from this disease.