Public health challenges最新文献

{"title":"The Task-Sharing Path to Safe and Accessible Anaesthesia Care in India: The Role of Professional Associations in Health Policy Reform.","authors":"Nobhojit Roy, Pranav Bhushan, Monali Mohan, Amal Paonaskar","doi":"10.1002/puh2.205","DOIUrl":"10.1002/puh2.205","url":null,"abstract":"<p><p>The worldwide anaesthesia workforce shortage is a concern and 'shared responsibility' for all the national or state anaesthetic societies and Ministries of Health. The Lancet Commission on Global Surgery estimated the need for 143 million additional surgeries each year globally. These would be included in the World Health Organization's (WHO) 44 essential surgeries to be performed at district hospitals. However, insufficient availability of safe anaesthesia is a key barrier. The World Federation of Societies of Anaesthesiologists (WFSA) recommends at least five specialist physician-anaesthesia providers per 100,000 population. India requires at least 60,000 additional physician-anaesthesiologists over the next 10 years. This paper discusses the two-decade journey of a policy initiative by the Ministry of Health and Family Welfare (MoHFW) in India to create a new category of a physician with Life Saving Anaesthetic Skills (LSAS). This addressed the shortage of anaesthetists specifically for the dire emergency obstetric situations at the First Referral hospitals. The annual training capacity for physicians for LSAS training was 40-100 in 5 of the poorest states of India, with the maximum shortages of anaesthetists. On following up a sample of 838 LSAS physicians, only about two-thirds were able to practice their life-saving skills. The MoHFW innovated further by pairing a physician trained in Emergency Obstetric Care with an LSAS-physician (buddy-pairing) as a functioning team. For comparison, we discuss the midwife model supported by the professional association of obstetricians in India. The flexible, 'team-based' task-sharing approach optimizes anaesthesia care within available resources. Leadership and vision from the professional societies of anaesthesiology are key to policy reform in India. National engagement can be facilitated through support for district-level non-specialist physician provider with life-saving anaesthesia skills training, engagement in research and formulation of the national surgical and anaesthesia plans to achieve universal healthcare in India.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"3 2","pages":"e205"},"PeriodicalIF":0.0,"publicationDate":"2024-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268066","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":"Flea Burden on Rodents and Its Associated Determinants in Plague-Endemic Localities of Karatu District, Tanzania: A Cross-Sectional Study.","authors":"Joshua Reuben Jakoniko, Apia Massawe, Elisa Daniel Mwega, Stella Thadeus Kessy","doi":"10.1002/puh2.201","DOIUrl":"10.1002/puh2.201","url":null,"abstract":"<p><strong>Background: </strong>Fleas infest rodents and other small mammals, serving as vectors for zoonotic diseases such as plague. This study investigates the flea burden on rodents and its associated determinants within the plague-endemic localities of Karatu district, Tanzania.</p><p><strong>Methods: </strong>A repeated cross-sectional design was employed to capture rodents with Sherman traps in farmland, peridomestic area, bush land, and forest buffer zones across the wet and dry seasons of 2022 in plague and nonplague foci villages. Captured rodents were anaesthetized and thoroughly brushed to collect fleas, which were then identified using a dichotomous key.</p><p><strong>Results: </strong>A total of 291 rodents (9 species) were captured, from which 190 fleas (4 species) were collected. The collected fleas were <i>Dinopsyllus lypusus</i> (46.32%), <i>Ctenophthalmus</i> sp (26.84%), <i>Xenopsylla brasiliensis</i> (16.32%), and <i>Xenopsylla cheopis</i> (10.53%). Approximately 38.42% of fleas were found on <i>Mastomys natalensis</i>, 22.63% on <i>Lemniscomys striatus</i>, and 18.42% on <i>Rattus rattus</i>. High flea abundance was recorded in farmland and peridomestic areas. The specific flea index (SFI) of <i>X. cheopis</i> on <i>R. rattus</i> was 1.0 in plague foci and <0.5 in nonplague foci. A generalized linear model revealed significant influences of rodent species, season, habitats, rodent weight, sex, and plague locations on flea abundance. Significant variation was observed between rodent sexes (<i>p</i> = 0.009), and a weak positive correlation existed between rodent weight and flea abundance (<i>R</i> = 0.17, <i>p </i>< 0.05).</p><p><strong>Conclusion: </strong>Villages in plague foci exhibited higher abundances of fleas in comparison to nonplague foci villages. The SFI results for <i>X. cheopis</i> on rats in both types of villages did not surpass critical thresholds. Factors such as dry season, farmlands, and rodent characteristics influenced flea abundance on rodents in the study area.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"3 2","pages":"e201"},"PeriodicalIF":0.0,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039718/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268050","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":"Risk Factors of Smartphone Addiction: A Systematic Review of Longitudinal Studies.","authors":"Sina Crowhurst, Hassan Hosseinzadeh","doi":"10.1002/puh2.202","DOIUrl":"10.1002/puh2.202","url":null,"abstract":"<p><strong>Background: </strong>Smartphone addiction is exponentially increasing worldwide. It has negative health consequences. Previous systematic reviews identified several risk factors of smartphone addiction; however, they were based on cross-sectional data. This systematic review aimed to fill the gap by assessing smartphone addiction risk factors using longitudinal studies.</p><p><strong>Methods: </strong>This systematic review is registered with PROSPERO (CRD42023431529) and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Six databases, including Scopus, Medline, Web of Science, PubMed, ProQuest Central and PsycINFO, were searched to identify eligible studies. Studies were eligible if they assessed smartphone addiction as the outcome variable, were longitudinal and were published in English. All papers included in this review were assessed for the risk of bias and quality.</p><p><strong>Results: </strong>A total of 22 papers met the inclusion and exclusion criteria after the screening process. The results were categorised into three groups, including personal, social and environmental factors. Within the groups, seven risk factors, including mental health, emotions, academic stress, social rejection and peer victimisation as well as family dysfunction and parental phubbing, were identified. All of the risk factors were significant predictors of smartphone addiction. Mental health problems, social rejection and peer victimisation also displayed a bidirectional relationship with smartphone addiction. Inconsistent smartphone addiction measurements were used.</p><p><strong>Conclusion: </strong>This review has significant implications for policymakers as it identified seven risk factors for smartphone addiction. Further studies are warranted to improve the understanding of the aetiology of smartphone addiction and inform education, counselling and coping with smartphone addiction.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"3 2","pages":"e202"},"PeriodicalIF":0.0,"publicationDate":"2024-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268064","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":"Towards Addressing COVID-19 Vaccine Wastage in Cameroon: Challenges and Way Forward.","authors":"Nathan Ezie Kengo, Fodop Samuel Ghislain, Yvan Zolo, Shuaibu Saidu Musa, Mukhtar Musa Shallangwa, Usman Abubakar Haruna, Emery Manirambona, Don Eliseo Lucero-Prisno","doi":"10.1002/puh2.200","DOIUrl":"10.1002/puh2.200","url":null,"abstract":"<p><p>The coronavirus-2019 (COVID-19) pandemic has tremendously impacted both the small and large world economies. Schools and businesses were shut down and national borders closed, interrupting international trade and movement of people. This eventually led to huge economic losses and rendered many people jobless. Unlike in high-income countries, recovery in the post-pandemic period is yet to be fully actualized as many countries, especially from Africa that were hit the most by the pandemic continue to face other health and economic setbacks. The African continent is endemic to diseases such as tuberculosis, malaria and HIV which already required funding before the COVID-19 pandemic. During the pandemic, the Cameroonian health authorities reported numerous confirmed cases. Vaccination continues to be an effective means to avoid further spread of the virus and minimize possible occurrences of other COVID-19 variants across the globe. Despite the efforts made towards COVID-19 vaccination, only 12% of Cameroonians were reported to have completed the COVID-19 vaccinations in the basic series. In the country, multiple resorts were used to attenuate the impact of the virus, including barrier measures, vaccines and even traditional therapies. The initial promotion of traditional remedies as control measures created a preference over vaccines due to misinformation from social media platforms, contributing to fear of vaccines, and consequently resulted in a high vaccine hesitancy (VH) reported at 56.9%. This VH coupled with cold chain management challenges resulted in vaccine wastage. Consequently, the target of vaccinating 15 million Cameroonians by December 2022 to reach the threshold vaccination coverage expected to confer immunity was not attained. Hence, it is important to reduce expenditures on extra doses of vaccines, maximize uptake through vaccination sensitization campaigns and increase access to avoid vaccine wastage. This will be instrumental in attaining herd immunity and contribute to the fight against new COVID-19 variants.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"3 2","pages":"e200"},"PeriodicalIF":0.0,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039642/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268067","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":"A Study on the Possible Link of Brucellosis to Increased Stillbirths in the Maltese Islands from 1919 to 1954.","authors":"Lianne Tripp, Larry A Sawchuk, Mahinda Samarakoon","doi":"10.1002/puh2.203","DOIUrl":"10.1002/puh2.203","url":null,"abstract":"<p><strong>Background: </strong>Human brucellosis, otherwise known as undulant fever, is one of the most widespread zoonotic diseases in the world. Even though 9%-15% of stillbirths are known to be caused by infectious diseases, the study of the link between human <i>Brucella melitensis</i> and the termination of births in humans is a topic that has received little attention. This study examines if there was an association between infection of undulant fever, an endemic zoonotic disease in the Maltese Islands from 1919 until 1954, and reproductive loss through stillbirths.</p><p><strong>Methods: </strong>A univariate descriptive analysis was used to show the temporal trend of undulant fever time, as well as the age and sex distribution. Time series analysis was used to assess the relationship between time (months) and undulant fever cases with stillbirth proportions.</p><p><strong>Results: </strong>On the island of Gozo, the majority of undulant fever cases for both males and females occurred in their reproductive period between 15 and 45 years of age. Based on regression analysis, undulant fever had a statistically significant effect on the stillbirth rate for males (<i>t</i> = 2.8986, <i>p</i> = 0.0039). The effect of undulant fever on stillbirths was not significant for females (<i>p</i> = 0.9103).</p><p><strong>Conclusion: </strong>This paper highlights the importance of undulant fever as having implications for the health burden in pregnant women and potential fetal loss through stillbirths in the contemporary context.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"3 2","pages":"e203"},"PeriodicalIF":0.0,"publicationDate":"2024-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268047","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":"Climate change, flooding, and HIV transmission in Africa: Potential relationships and a call for action.","authors":"Emmanuel Abiodun Oyinloye, Isaac Olushola Ogunkola, Yusuff Adebayo Adebisi, Iwatutu Joyce Adewole, Don Eliseo Lucero-Prisno","doi":"10.1002/puh2.192","DOIUrl":"10.1002/puh2.192","url":null,"abstract":"<p><p>The increasing effects of climate change have intensified floods globally, especially in Africa, where millions of people live in poverty and are highly vulnerable to flooding. Climate change disproportionately affects the vulnerable, who are least equipped to handle its consequences, by exacerbating their situation. One such consequence is the potential for increased human immunodeficiency virus (HIV) transmission. Africa has been disproportionately affected by the HIV epidemic. It now faces the additional challenge of a changing climate and floods, which are capable of increasing HIV transmission in Africa through several pathways. They can force population displacement and migration, leading to the expansion of sexual networks among people living with HIV (PLWHIV). They may also create conditions conducive to the spread of other infections. Floods can cause food insecurity, which can result in various sexual behaviors that expose people to HIV infection. As global warming is linked to a decrease in African food production capacity, the effect of food insecurity on HIV may be prominent in countries where transactional sexual means is a major route of HIV transmission. Floods can also hinder the provision of HIV services, such as pre- and postexposure prophylaxis and antiretroviral therapy distribution, which may worsen the health outcomes of PLWHIV and promote HIV transmission, particularly in rural and remote communities. It is crucial to develop a climate-resilient framework, including education, sustained access to HIV services, and promotion of social welfare for HIV prevention and treatment, to address the complex relationship between HIV, floods, and climate change.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"3 2","pages":"e192"},"PeriodicalIF":0.0,"publicationDate":"2024-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268048","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":"Zoonoses in the workplace: A Seroprevalence study of <i>Coxiella</i>, <i>Brucella</i>, and <i>Leptospira</i> among marine mammal rescue and rehabilitation workers in California.","authors":"Adam Bjork, Robyn A Stoddard, Alicia D Anderson, Marie A de Perio, Richard Todd Niemeier, Joshua S Self, Kelly A Fitzpatrick, Frances M D Gulland, Cara L Field, Gilbert J Kersh, John D Gibbins","doi":"10.1002/puh2.132","DOIUrl":"10.1002/puh2.132","url":null,"abstract":"<p><strong>Background: </strong>Q fever, brucellosis, and leptospirosis are zoonoses typically associated with terrestrial animal reservoirs. These bacterial agents are now known to infect marine mammal species, though little is known about potential human health risks from marine mammal reservoir species. We investigated potential risks of these bacteria in humans associated with marine mammal exposure.</p><p><strong>Methods: </strong>The Marine Mammal Center (TMMC) in Sausalito, California, requested a Health Hazard Evaluation by the National Institute for Occupational Safety and Health. In June 2011, an investigation occurred, which included a written questionnaire and serosurvey among workers for <i>Coxiella burnetii, Brucella</i> spp., and Leptospira spp., and an environmental assessment for <i>C. burnetii</i>.</p><p><strong>Results: </strong>Serologic evidence of past exposure was detected in 4% (<i>C. burnetii</i>), 0% (<i>Brucella</i>), and 1% (<i>Leptospira</i>) of 213 participants, respectively. One of 130 environmental samples tested positive for <i>C. burnetii.</i> No significant marine mammal-specific risk factors were identified, but some safety deficiencies were noted that could lead to a higher risk of exposure to zoonotic diseases.</p><p><strong>Conclusion: </strong>Although this study did not identify disease exposure risks associated with marine mammals, additional studies in different settings of other groups with frequent exposure to marine mammals are warranted. Some deficiencies in safety were noted, and based on these, TMMC modified protocols to improve safety.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951298/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143756283","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":"Seroprevalence of leptospirosis in a Mexican military population working with animals.","authors":"Juan Ramon Ayala-Torres, María Fernanda Hernández-Morales, Valeria María Alanis-Gallardo, Laura Olivia Arvizu-Tovar, Orbelin Soberanis-Ramos","doi":"10.1002/puh2.193","DOIUrl":"10.1002/puh2.193","url":null,"abstract":"<p><strong>Background: </strong>Leptospirosis is a zoonotic disease and a challenge to global public health. There is an occupational risk, particularly in populations with direct contact with animals and in high-humidity environments, which favors the survival of leptospires. This study aimed to determine the seroprevalence of leptospirosis in military personnel working in close contact with animals in México and to describe the available preventive measures and protection levels.</p><p><strong>Methods: </strong>A cross-sectional study was conducted from March to October 2015. Information regarding protective factors in daily activities was gathered through a self-evaluation questionnaire. The serum samples of participants were analyzed through enzyme-linked immunoassay (ELISA) and microscopic agglutination test.</p><p><strong>Results: </strong>Serums were obtained from 65 active military personnel, 56 males (86.2%) and 9 females (13.8%). Out of the total, 54 (83.1%) tested positive for infection by leptospirosis, 49 were males (87.5%) and 5 were females (55.6%). The highest seroprevalence age group was in the ≥45 years group (15, 23.07%), where all tested positive. Regarding military ranks, 100% of the highest hierarchy turned out positive: Officers (4 out of 4) and Chiefs (14 out of 14); and troops resulted in a seroprevalence of 76.5%. Protection equipment available during daily chores included: Overall, 64.6% had gloves and 53.8% had boots; the reported frequency for the use of gloves was 35.3% (46/65) if worn during more than half of the workday, yet 29.2% (19/65) reported never wearing them.</p><p><strong>Conclusions: </strong>This study makes the petition to implement protocols of continuous training regarding labor risks and having an epidemiologic surveillance program for exposed personnel indispensable to improve the health and sanitary conditions of military personnel who work in direct contact with animals.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"3 2","pages":"e193"},"PeriodicalIF":0.0,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039678/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268065","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":"How did states in the United States adapt their cancer control plan in response to the COVID-19 pandemic?","authors":"Jason Semprini","doi":"10.1002/puh2.179","DOIUrl":"10.1002/puh2.179","url":null,"abstract":"<p><p>The COVID-19 pandemic upended the delivery of cancer services across the care continuum. By outlining specific strategies for addressing cancer in the state, cancer control plans serve a critical role during a public health emergency. This policy analysis aims to understand how states updated their cancer control plan as a response to COVID-19. All plans from 50 states and the District of Columbia were reviewed for language related to \"COVID.\" Among the 51 cancer plans analyzed, 7 plans met the inclusion criteria (Illinois [IL], Iowa [IA], Maine [ME], Nevada [NV], North Carolina [NC], Utah [UT], and Vermont [VT]). These seven plans adapted their cancer control plan in response to the COVID-19 pandemic across three main themes: (1) improving care across the cancer care continuum, from prevention to screening and treatment; (2) improving cancer care service delivery by expanding telehealth, addressing workforce shortages, and investing in public health systems; and (3) achieving population health equity by addressing social determinants of health. Two states only adapted their plans by prioritizing future monitoring and evaluation activities as related to the COVID-19 pandemic (ME and VT). The other five states all took different approaches to improve cancer care by adapting their service delivery and addressing social determinants of health. IL prioritized access to cancer screenings through expanding equity informed telehealth models. IA also prioritized equitable screenings as well as clinical trial participation, by addressing workforce shortages. NV focused on prevention, leveraging telehealth and specifically targeted food security and job loss resulting from the pandemic. NC-directed cancer treatment efforts by addressing workforce shortages. UT integrated telehealth and equity initiatives to combat barriers like food insecurity and social disparities. Continued policy surveillance is needed to ensure that patients receive timely, appropriate cancer care during future public health emergencies. Research evaluating whether these plan adaptations improved outcomes or advanced equity remains warranted.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"3 2","pages":"e179"},"PeriodicalIF":0.0,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268051","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":"Informing future quarantine practices through the experiences of COVID-19 quarantine facility staff.","authors":"Angela Sheedy, Dianne Stephens, Lisa Vermeulen","doi":"10.1002/puh2.184","DOIUrl":"10.1002/puh2.184","url":null,"abstract":"<p><strong>Background: </strong>The COVID-19 pandemic necessitated the rapid development of quarantine sites, prompting the need for new staff models and scopes of practice. This project surveyed health and non-health staff at a large outdoor quarantine facility in regional Australia to gather insights for future quarantine facility guidelines based on their experiences and perceptions.</p><p><strong>Methods: </strong>This translational research project implemented a mixed-methods approach to analyse staff perceptions of working at a quarantine facility to inform the development of a policy and practice guide. An anonymous online survey utilising purposive sampling was distributed to 410 multidisciplinary survey participants over an 8-week period. Survey questions focussed on site processes, challenges and recommendations for future implementation of quarantine services. Qualitative data was thematically analysed with the aid of Leximancer, and a descriptive statistical method was used for quantitative data analysis.</p><p><strong>Results: </strong>There were 92 survey respondents from health and non-health roles; of these, 85% indicated they would work at the quarantine facility again, and 90% agreed residents were well cared for. There was a lack of anxiety of acquiring COVID-19, with 95% feeling safe from COVID-19 transmission onsite. Challenges staff identified highlighted future investment areas, including leadership communication models, information technology (IT) management systems specific for quarantine services and site processes to better accommodate weather elements.</p><p><strong>Conclusion: </strong>Overall, staff validated the primary health model of quarantine care with key challenges highlighting the importance of leadership and investment in communication and IT. The results were aligned with site functions and operations and will inform the development of a pandemic quarantine facility guide.</p>","PeriodicalId":74613,"journal":{"name":"Public health challenges","volume":"3 2","pages":"e184"},"PeriodicalIF":0.0,"publicationDate":"2024-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12039748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144268052","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}