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Coronavirus (COVID-19)

Managing COVID-19 in Low- and Middle-Income Countries

Educational Objective
Review the response to COVID-19 and the association of mortality with health care resources
1 Credit CME
JAMA
April 28, 2020
Viewpoint
Joost Hopman, MD, PhD, DTMH1,2;
Benedetta Allegranzi, MD, DTMH3,4;
Shaheen Mehtar, MBBS, MD (Lon)5
Author Affiliations
  • 1Radboudumc Center for Infectious Diseases, Department of Medical Microbiology, Radboud University Medical Center, Nijmegen, the Netherlands
  • 2Médecins Sans Frontières, Amsterdam, the Netherlands
  • 3Infection Prevention and Control Technical and Clinical Hub, Department of Integrated Health Services, World Health Organization, Geneva, Switzerland
  • 4Institute of Global Health, University of Geneva, Geneva, Switzerland
  • 5Infection Control Africa Network, Cape Town, South Africa
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CME Disclosure Statement: Unless noted, all individuals in control of content reported no relevant financial relationships. If applicable, all relevant financial relationships have been mitigated.

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Global Health Coronavirus (COVID-19)
Article Information

Corresponding Author: Joost Hopman, MD, PhD, DTMH, Radboudumc Center for Infectious Diseases, Department of Medical Microbiology, Radboud University Medical Center, Geert Grooteplein 10, Postbus 9101, 6500 HB, Nijmegen, the Netherlands (joost.hopman@radboudumc.nl).

Published Online: March 16, 2020. doi:10.1001/jama.2020.4169

Conflict of Interest Disclosures: None reported.

Disclaimer: The opinions expressed herein reflect the collective views of the coauthors and do not necessarily represent the official position of Radboud University Medical Center, Médecins Sans Frontières, Infection Control Africa Network, or the World Health Organization. The World Health Organization takes no responsibility for the information provided or the views expressed in this article.

References
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Wu  Z , McGoogan  JM .  Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention.   JAMA. Published online February 24, 2020. doi:10.1001/jama.2020.2648PubMedGoogle Scholar
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Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19). World Health Organization; 2020. https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf
3.
Ji  Y , Ma  Z , Peppelenbosch  MP , Pan  Q .  Potential association between COVID-19 mortality and health-care resource availability.   Lancet Glob Health. Published online February 25, 2020. doi:10.1016/S2214-109X(20)30068-1PubMedGoogle Scholar
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Gates  B .  Responding to Covid-19: a once-in-a-century pandemic?   N Engl J Med. Published online February 20, 2020. doi:10.1056/NEJMp2003762PubMedGoogle Scholar
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Nkengasong  JN , Mankoula  W .  Looming threat of COVID-19 infection in Africa: act collectively, and fast.   Lancet. Published online February 27, 2020. doi:10.1016/S0140-6736(20)30464-5PubMedGoogle Scholar
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Xie  J , Tong  Z , Guan  X , Du  B , Qiu  H , Slutsky  AS .  Critical care crisis and some recommendations during the COVID-19 epidemic in China.   Intensive Care Med. Published online March 2, 2020. doi:10.1007/s00134-020-05979-7PubMedGoogle Scholar
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Touray  S , Sanyang  B , Zandrow  G ,  et al.  An assessment of critical care capacity in the Gambia.   J Crit Care. 2018;47:245-253. doi:10.1016/j.jcrc.2018.07.022PubMedGoogle ScholarCrossref
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Minimum requirements for infection prevention and control (IPC) programmes. World Health Organization website. Accessed March 12, 2020. https://www.who.int/infection-prevention/publications/core-components/en/
9.
Roberts  B , Patel  P , McKee  M .  Noncommunicable diseases and post-conflict countries.   Bull World Health Organ. 2012;90(1):2. doi:10.2471/BLT.11.098863PubMedGoogle ScholarCrossref
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Kayali  M , Moussally  K , Lakis  C ,  et al.  Treating Syrian refugees with diabetes and hypertension in Shatila refugee camp, Lebanon: Médecins Sans Frontières model of care and treatment outcomes.   Confl Health. 2019;13:12. doi:10.1186/s13031-019-0191-3PubMedGoogle ScholarCrossref
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