South Eastern European Journal of Public Health最新文献

{"title":"Immunomodulatory Effects Of Lactobacillus Plantarum NC8 In Poultry: Enhancing Immune Response Against Salmonellosis","authors":"Junaid Nazir, Shazia Tabassum, Saima Tabassum, Areeba Tabassum, Priyanka J Ha, Syed Mudasir Ahmad","doi":"10.70135/seejph.vi.4951","DOIUrl":"https://doi.org/10.70135/seejph.vi.4951","url":null,"abstract":"Salmonella Gallinarum is a major pathogen in poultry, causing fowl typhoid and significant economic losses. This study investigates the immunomodulatory effects of Lactobacillus plantarum NC8 in enhancing resistance against S. Gallinarum infection. A total of 45 chicks were divided into experimental groups and administered different doses of L. plantarum NC8. Birds that received a double-dose regimen (Day 1 and Day 10) revealed reduced tissue damage in the vaccinated groups compared to controls in histopathological analysis. The expression of key cytokines (IL-4, IL-10, and IL-17) was significantly upregulated, suggesting a balanced immune response that enhances both protection and immune regulation. These findings highlight the potential of Lactobacillus plantarum NC8 as a probiotic intervention to improve poultry immunity and reduce Salmonella infections, offering a natural and sustainable alternative to antibiotics in disease control.","PeriodicalId":37037,"journal":{"name":"South Eastern European Journal of Public Health","volume":"1 1","pages":"1374-1380"},"PeriodicalIF":0.0,"publicationDate":"2025-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.seejph.com/index.php/seejph/article/download/4951/3269","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147920053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reducing the Burden of HIV and HCV among Sex Workers Who Use Drugs in France","authors":"Konstantinos Angoumis, Amanda Langston, Kristin Mosler, Clémentine Rialland, Mathilde Veys, Jessica Neicun","doi":"10.56801/seejph.vi.373","DOIUrl":"https://doi.org/10.56801/seejph.vi.373","url":null,"abstract":"Context:The far-reaching effects of the Covid-19 pandemic exacerbated the adverse working and living conditions of Sex Workers (SWs) in France. These consequences, coupled with illicit drug use, and reduced access to prevention measures raise concerns for the transmission of the Human Immunodeficiency virus (HIV) and Hepatitis C virus (HCV) among Sex Workers Who Use Drugs (SWWUD), creating an urgent call for targeted interventions. There is an acute need for accessible, ongoing care for SWWUD to prevent HIV and HCV infections and mitigate adverse health effects. Current French health services such as harm reduction and HIV/HCV prevention services often operate separately and seldom address SWs and People Who Use Drugs (PWUD) simultaneously. Given the compounding set of challenges that SWWUD face, a holistic approach to policy interventions must be considered.Policy Options:Firstly, integrated services are particularly effective in promoting harm reduction and improving the health of their users. When these services include substance use care and HIV services, uptake of these interventions and primary care utilisation increases due to enhanced accessibility. Secondly, pre-exposure prophylaxis (PrEP) and needle and syringe programs (NSP) are clinically effective prevention methods that, when coupled with point-of-care-testing (POCT), can reduce the prevalence of HIV and HCV and improve the monitoring of these viruses. Finally, willingness to engage with health services is impacted by the attitudes of healthcare staff. Sensitisation training can promote trauma-informed care, a non-judgemental approach in health workers, encouraging SWWUD to seek care and achieve better health outcomes. \u0000Recommendations:A three-pronged approach to implementing integrated services is recommended. First, facilitating access to care can be attained through the linkage of patients to treatment, primary care, sexual and reproductive health, and social services. Existing service providers can be supported with interdisciplinary teams and telemedicine to reduce care fragmentation. Additionally, prevention and testing measures can be enhanced through the coordinated provision of needle and syringe programs, point-of-care testing, PrEP, and harm reduction supplies. These services should be linked to established integrated service centres to ensure a continuum of care. Finally, peer leaders may deliver sensitisation training for service providers to reduce stigma and improve understanding of the unique health needs of SWWUD. Integrated service providers should further employ peer leaders as peer navigators to promote the vision of community empowerment and inclusion.","PeriodicalId":37037,"journal":{"name":"South Eastern European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48719427","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Human Papillomavirus vaccines: Call for a European change to tackle current and future shortages","authors":"Arianna Maviglia, Elvis Bitar, Jelena Schmidt, Philippe Winters, Sander de Souza, Timo Clemens","doi":"10.56801/seejph.vi.368","DOIUrl":"https://doi.org/10.56801/seejph.vi.368","url":null,"abstract":"ContextThere is a global Human Papillomavirus (HPV) vaccine shortage until 2024. The World Health Organization recommended a temporary suspension of HPV vaccination for boys until all girls who need the vaccine can get it. In the European Union (EU), practices to define and monitor HPV vaccine shortages differ between the Member States. Prior policy initiatives were insufficient to address current vaccine shortages.Policy optionsDifferent policy options are recommended, divided into three self-developed clusters: prevention, response, and supply side. The policy options for the prevention part include decentralised surveillance and centralised surveillance. The policy options for the response part include dose sparing, EU joint procurement, postponing injection for young children, postponing vaccination for boys, and prioritisation in favour of low- and middle-income countries. The policy option for the supply side part is novel procurement agreements.RecommendationsA traffic light system to assist policymakers has been developed. The traffic light system recommends when policymakers should implement the suggested policy options. The traffic light system describes four stages: Green light (shortage prevention); Amber light (imminent shortage prevention); Red light (shortage management); Shortage lessons. These recommendations will improve EU crisis management.","PeriodicalId":37037,"journal":{"name":"South Eastern European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46817225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stemming the Tide of Disinformation in Public Health","authors":"Marie Derstroff, Victoria E. Härtling, Wilhelmiina Hölttä, Mike H. Traub, Linda A. P. J. van der Linden, James C. Thomas","doi":"10.56801/seejph.vi.374","DOIUrl":"https://doi.org/10.56801/seejph.vi.374","url":null,"abstract":"Context: Disinformation, or incorrect information that is intended to mislead, was pronounced during the COVID pandemic. Disinformation that steers away from life-saving practices or toward life-threatening practices can be fatal. The European Union has in place policies and offices to combat disinformation. However, they lack the full mandate and clarity of systems to meet the needs for quick and effective responses.Policy Options:Means to enhance the effectiveness of existing policies include [1] clarifying a rapid response framework, [2] enhancing media literacy in the public, [3] inoculating the public against anticipated disinformation, and [4] engendering public trust through coordinated and consistent communication. \u0000Recommendations:Among these four, options 2 and 3 were deemed the best opportunities for quick action, early successes, and the fewest institutional or political hurdles. We recommend [a] that the EU Commission establishes an EU Media Agency with a solid governance structure to support innovative media literacy undertakings and successful implementation; [b] that the existing Media Literacy Expert Group create a media literacy program implementation framework; and [c] that existing EU initiatives on disinformation debunking, media literacy, and inoculation strategies be merged into a single Misinformation Community within the European Institute of Innovation and Technology [EIT].","PeriodicalId":37037,"journal":{"name":"South Eastern European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44386058","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Policy Recommendations to Improve Mental Health in Polish Prisons","authors":"Juan Roman Mora Barrios, Anne van den Broek, Riccardo Buttarelli, Han Reuvers, Wiktoria Sobotka, Martina Paric","doi":"10.56801/seejph.vi.367","DOIUrl":"https://doi.org/10.56801/seejph.vi.367","url":null,"abstract":"Context: Mental health is a central aspect of public health and social development, as such it corresponds to target 3.4 of the Sustainable Development Goals. This target aims to promote mental health and well-being, making it especially necessary to address this matter in environments such as prisons where exposure to risk factors is high. Incarceration itself is a cause of mental illness. Central and Eastern European countries hold some of the highest prison populations in the region and Poland numbers in this regard are 50% higher than the average in the European Union (EU) (about 179 inmates per 100,000 inhabitants). In Polish prisons, the chance of receiving adequate psychiatric and psychological care is limited due to a shortage of trained personnel and scarce infrastructure. However, data on mental health in Polish prisons is not routinely reported from official sources. Article 150 of the Polish Penal Code attempts to protect the mental health of inmates; yet, in reality, there is no legal enforcement to apply these measures, a feature shared with most of its neighbouring countries. The aim of this policy brief is to offer recommendations to lower recidivism rates, up-scale prison staff and create spill-over effects on (mental) healthcare and security in Polish prisons.Policy Options: The World Health Organization (WHO) European Framework for Action on Mental Health 2021-2025 should be adapted to the Polish Prison System. Best practices focus on a collaborative approach centred on healthcare services, labour policies, well-being and rehabilitation. Ideally, incarceration provides inmates with the possibility to be included and active, to see their relatives, to vote, to be engaged and maintain contact with the outside society. These best practices statistically reduce mental illnesses, lower recidivism and promote inclusion and rehabilitation. \u0000Recommendations: To tackle mental health challenges that prisoners in Poland experience, it is recommended to adapt a new approach with the following components: improving methodological quality of data collection as well as routine reporting to enable good governance structures, promoting collaborative efforts among stakeholders, and strengthening existing resources through capacity building which has been convincingly demonstrated as the most cost-effective type of interventions.","PeriodicalId":37037,"journal":{"name":"South Eastern European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42259190","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"On Urgently Tackling the Mosquito-Borne Diseases in the European Union","authors":"Zuwaira Paula Hashim, Jeny Aguilera-Cruz, Addiena Luke-Currier, Karolina Airapetian, Loredana Andreea Silaghi, Issam Alsamara","doi":"10.56801/seejph.vi.370","DOIUrl":"https://doi.org/10.56801/seejph.vi.370","url":null,"abstract":"Context: According to a recent Lancet report the world is dangerously close to reaching climate-driven points of no return. Climate change, together with other drivers, contributed to a large diffusion of mosquito-borne diseases (MBDs) in the last decades. The intensity of such a phenomenon led various mosquito species to migrate to new areas, outside their historical habitats. Europe is among the affected territories. Moreover, the problem is projected to rise and expand within the continent, including populations who have never been exposed to MBDs and impacting the whole society, especially the most vulnerable groups. As Europe is a relatively new area for the diffusion of MBDs, no strong and unified measures have been put into practice yet. Meanwhile, MBDs surveillance experiences implemented across Europe report gaps, such as the absence of entomological research and legal support, the capacity limitation for surveillance, and variability in entomological and epidemiological surveillance systems. Hence, it could be necessary to use the experiences from Latin America, Asia and Africa. Given the aforementioned overview, this policy brief aims to provide policy options in order for the European Union to address MBDs, with a particular emphasis on strengthening surveillance across the Member. States given recent attention drawn to this issue by the ECDC’s 2021 report on vector control and surveillance. \u0000Policy Options and recommendations: This advisory group conducted a non-systematic literature review to determine three policy options, with a specific focus on surveillance, to address the issue of MBDs. 1. Surveillance systems for mosquitoes and MBDs should be implemented in all member states, and case definitions for these MBDs should be harmonised to enable coordination and consistency of MBDs surveillance across the European Union (EU). 2. Create an EU-level networks umbrella for financial and organisational coordination of Member States (MS)’ multi-sectoral collaboration on MBDs surveillance. 3. Developing the competencies for surveillance and research professionals for mosquitoes and MBDs surveillance.","PeriodicalId":37037,"journal":{"name":"South Eastern European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43450971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Silos: A Call to Include Hospital Support Staff in Cultural Competency Training","authors":"Ciara Sheehan, Estefanía Callejas De Luca, Hélène Marguerite Leon, Simon Boch","doi":"10.56801/seejph.vi.369","DOIUrl":"https://doi.org/10.56801/seejph.vi.369","url":null,"abstract":"Context: Patient populations are becoming more diverse. As a result, the “one-size fits all” approach to healthcare delivery is no longer sufficient. Today, quality of care is highly influenced by the cultural competency (CC) of healthcare providers (HCPs). HCPs, however, are not the only members of hospital staff who influence quality of care. Another group, hospital support staff (HSS), also play a critical role in the healthcare delivery process. Yet, HSS remain under-recognized and have been left out of hospital-led CC training.Aim: This policy brief offers a novel perspective, advocating for the inclusion of HSS in hospital-led CC training, as it has been acknowledged by previous research that increasing the CC of healthcare staff is an appropriate strategy to improve the quality of care for patients.Methods: To gain more insight, interviews and surveys were conducted (October 2022) among a group of HSS at the Ronald McDonald House (RDMH). These HSS include volunteers and managers who enable Family Centred Care (FCC) for Maastricht University Medical Centre (MUMC+). A non-systematic literature review on the topic of cultural competency development was also conducted.Results: To develop policy recommendations, options were first assessed using a pre-established framework for developing organisational CC by Castillo & Guo (10). In addition, a stakeholder analysis was completed. Together with the survey responses and interviews, this confirmed HSS, need and want to be culturally competent. These results feed into the development of policy recommendations. \u0000Recommendations:Thus, three policy recommendations are made: (1) formalise CC training at MUMC+; (2) include HSS in such a CC training; and (3) develop and monitor training with Participatory Action Research (PAR).","PeriodicalId":37037,"journal":{"name":"South Eastern European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43664126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Out of cars, onto the cycle paths: Aligning Granada's traffic infrastructure with the European Green Deal","authors":"Larissa Federmann, Merle Wilhelm, Lena Strohmaier, Andrea Fiallos Rodriguez, John Middleton","doi":"10.56801/seejph.vi.371","DOIUrl":"https://doi.org/10.56801/seejph.vi.371","url":null,"abstract":"If greenhouse gas emissions are not sharply reduced, air pollution, extreme weather events, and desertification in southern Spain will occur, along with many deaths, and collapses of the health system and the country’s main economic sectors, agriculture, and tourism. The European Union adopted a strategy in 2019 with a series of environmental policy initiatives to protect the population from climate change hazards as ‘the Green Deal’.This strategy provides funding opportunities for Granada, one of Spain's most polluted and climate change-vulnerable cities, to reduce its high emissions of harmful greenhouse gases from transport.A spacious, well-connected, and safe cycling infrastructure is needed. New on-road cycle lanes and cycle paths with planted barriers to the car lane should be constructed. An e-bike sharing system can also enable people with special needs to cycle in the hilly city and drive tourism. Extensive participation opportunities and assessments of disparate impacts on access and health outcomes of different population groups need to be used to ensure that existing inequalities are not exacerbated.","PeriodicalId":37037,"journal":{"name":"South Eastern European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44022078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sustainable Reform of European Union (EU): Common Fisheries Policy","authors":"Chungwan Lo, Selin Deniz, Jakob Hardt, Rosario Pérez López, Jule Pleyer, Suzanne M. Babich","doi":"10.56801/seejph.vi.372","DOIUrl":"https://doi.org/10.56801/seejph.vi.372","url":null,"abstract":"Context:Oceans are encountering great loss of biodiversity. Global overfishing and overconsumption of aquatic foods prompted the European Union to create the Common Fishery Policy (CFP) with the intention of supporting sustainability of the environment, economy, and society, and to protect the long-term supply of aquatic foods. The Mediterranean Sea is a vulnerable European region due to fishing at unsustainable levels. Factors exacerbating the situation in this region include socio-economic conditions, weakregulatory power of the EU, poor communication and low levels of consensus among stakeholders.Policy Options:Three policy options are highlighted: 1) Fish-restricted areas (FRA) in eight Mediterranean regions to maintain or reverse fish collapse, as a means to recover fish stocks in regions with higher exploitation rates: 2) Supporting and improving small-scale fisheries (SSF) to reduce the impact on marine wildlife and increase selectivity, including standard gear and size restrictions,as well asstrict seasonal closures; 3) Integration of Participatory Action Research (PAR) to improve stakeholder compliance with the landing obligation.Recommendations:Policy options were assessed by four evaluation criteria (economic feasibility, effectiveness, political feasibility, and equity). Integrating the PAR into the CFP was deemed to be the best option of those examined. A positive impact on the economy, political feasibility, and equity for stakeholders would be expected outcomes of implementation of this alternative. Regular evaluation and continuous improvement would increase the likelihood of policy success.","PeriodicalId":37037,"journal":{"name":"South Eastern European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42829553","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Disentangling the relationship between falls, fear of falling, physical function and walking by applying a socioecological framework to the International Mobility in Aging Study","authors":"Phoebe W. Hwang, Mohammad Auais, Afshin Vafaei, Nicole T.A. Rosendaal, Yan Yan Wu, Catherine M. Pirkle","doi":"10.56801/seejph.vi.366","DOIUrl":"https://doi.org/10.56801/seejph.vi.366","url":null,"abstract":"Introduction:The relationships between falls, fear of falling, poor mobility, and PA avoidance occur in a cyclic, multi-directional fashion. Aim: This study investigates the concomitant associations of fall history, fear of falling, and physical performance (SPPB) on physical activity using a cross-national sample of community-dwelling older adults from middle and high-income countries.Methods:Linear mixed-effects models looking at the influence of individual and environmental factors were used and participants were nested within each study site.Results:Estimated walking minutes was 52% lower for those with low SPPB compared to high SPPB, 20% lower for those with medium level fear of falling compared to low levels, and 50% lower for those with high level fear of falling compared to low levels.Conclusion:An individual’s fear of falling and physical performance may be important to consider when making PA recommendations to older adults regardless of sex, age, and environment.","PeriodicalId":37037,"journal":{"name":"South Eastern European Journal of Public Health","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45517552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}