International Journal of Travel Medicine and Global Health
Volume:10 Issue: 2, Spring 2022

Air pollution is responsible for one in eight deaths globally per year. The severity of air pollution and its effects on global health are frequently discussed in the literature but are poorly reflected in health policy and have not yet resulted in sufficient actionable change. Air pollution mitigation policies should embody the planetary health concept, which highlights the interdependence between the health of humans and the planet. There is an urgent need for the standardisation of air quality measurement and programmes on a global scale. A reduction in fine particulate matter has been shown to contribute to the greatest degree of public health benefits. Current efforts to improve urban air quality include a significant focus on the transition to sustainable energy and transportation through the electrification of transportation. There are two main fronts in the campaign against pollution, one being the reduction of anthropogenic emissions through public and government policy, and the other being the introduction of novel attempts to decrease pollution and other innovative research to develop new approaches that will ultimately improve global health.

The coronavirus disease 2019 (COVID-19) has persisted as a pandemic for just over two years; vaccines have been developed to prevent the clinical disease and treatment regimens improved upon, but severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) appears to be up to the task, coming up with mutations resulting in multiple variants, alpha, beta, delta, Omicron and so much more. The most important and recent one, the omicron variant, with an amazing 50 genetic mutations, 37 of which are on the spike protein, has emerged as a massive public health problem, rapidly replacing the delta-variant and the predominant variant in many countries, and foretelling a new and likely more devastating wave of the pandemic. To deliver a comprehensive overview to global health authorities and prospective readers worldwide, we detailed in this review, the properties of the Omicron Variant, its infectiousness, and the perils it poses to the general public; we also discuss the situation in Nigerian and the rest of the world alike.

Although there are several international cleft-care organizations, there are variations in how these organizations are structured. The purpose of this paper was to analyze international cleft-care organizations based out of the United States. We provided an analysis of each, with a specific focus on team structure, funding, location, and model of care.

A systematized review was conducted using PubMed using specific MeSH terms and related keywords. Organizations screened had to have the following inclusion criteria: (1) be based out of the United States (2) have a valid web presence.

Nineteen unique international cleft-care organizations were identified in the database search. Most international cleft-care organizations included in this review had originally started with the vertical model and, over time, adopted a diagonal approach including a team-based structure, resulting in an increased need for volunteers. Most organizations reviewed in this paper also demonstrated expansion of care beyond cleft lip and/or palate treatment. The cost of trip per volunteer was variable. The number of trips per year ranged from a minimum of one trip per year to a maximum of 150 trips.

Throughout the analysis of each international cleft-care organization, a common theme of sustainability and self-sufficiency was present. The data compiled in this manuscript enables critical appraisal of various cleft-care organizations, comparison of different models of care, and provides insight on engaging in international cleft-care initiatives.

Ill health and poor physical and mental conditioning adversely affects pilgrims’ ability to optimally perform the arduous physical rituals of Hajj. We postulate that a supervised, pre-departure exercise programme improves their health status and may reduce morbidity. Ninety-three accredited pilgrims completed a 6-12 weeks graduated, supervised walking programme designed to get the participants fit to do a 10 km walk. Assessments including a morbidity survey, a six-minute walk test, and a POMS (Profile of Mood States) were conducted before and immediately after the exercise programme. A morbidity questionnaire, the six-minute walk test, and POMS were completed post-Hajj (n = 88). A group of 200 non-matched pilgrims who were not part of the exercise programme, were approached post-Hajj to fill in the morbidity questionnaire, with eight-two responding. Results for 88 participants were available with 13.7% reporting medical events during the Hajj period, significantly less than the non-participants (62.2% of 82 respondents), and less when compared to other studies (up to 91%). The mean distance recorded in the six-minute walk test increased by 5% after the exercise programme (481.3 meters before to 506.3 m after) and 3% after Hajj (520.7 m). Similar positive changes in the POMS were noted across the three time periods. The resting heart rate did not show significant changes. This study shows that a supervised exercise programme for Hajj pilgrims has a positive effect on their physical and mental conditioning, which may reduce morbidity. Larger controlled trials are warranted to determine the optimum dose of exercise.

The prevalence of anemia among patients with malaria is very common from subsequent erythrocytes destruction and should be managed most appropriately. This study aimed to explore the changes in hematological parameters and their underlying influence among people with uncomplicated Plasmodium falciparum infection. A cross-sectional study was conducted among uncomplicated malaria patients infected by P. falciparum on community-based active screening days in one of the highest malaria hot-spot areas of northwestern Cambodia. Descriptive statistics, and student t-tests were used to analyze the data. Among 103 malaria blood samples, the results showed that most participants had thrombocytopenia (84.5%). More than one-half of the participants presented normal levels of the following hematological parameters: red blood cells, hemoglobin, hematocrit, mean corpuscular volume (MCV) and red cell distribution width (RDW). A significant correlation was noted between parasite counts and three body mass index (BMI) groups (P=0.047). Next, a strong association was also seen between parasite counts and body temperature (P=0.03). Statistically significant differences in parasite count were observed across three levels of neutrophil (P=0.005), lymphocyte (P=0.001), eosinophil (P<0.001), absolute lymphocyte (P=0.001) and absolute eosinophil (P<0.001) counts. The results of this study revealed the significant role of hematological parameters in predicting the presence of malaria infection, parasite density, and forecasting adverse consequences of malaria, together with the underlying risk factors.

COVID-19 is a novel infection caused by severe acute respiratory syndrome coronavirus (SARS-CoV-2). This study was a descriptive analysis of COVID-19 during the first and second waves in Kwara State, North-Central Nigeria. This study investigated COVID-19 cases and deaths in Kwara State between 2nd April 2020 when Kwara State recorded her index case till the 15th of September 2020 (first wave), and between 16th September 2020 till 15th March 2021 (second wave). Case definitions of COVID-19 as obtained from the Nigeria Centre for Disease Control (NCDC) was used. Data were extracted from the case notes of patients and the Surveillance Outbreak Response Management System, and on-site activities engaged in by the field investigation team were duly captured. Overall, 3015 confirmed cases of COVID-19 have been identified in Kwara State as of 15th March 2021. The median age was 38 years and ranged between 24 days to 97 years. Also, 1056 (35%) were aged 25 – 39 years, 1695 (56.2%) were males. The case fatality rate was less than 2%. A total of 1064 (35.3%) symptomatic COVID-19 cases had been identified as of the reference date, among whom 696 (65.4%) were mild, 308 (28.9%) were moderate, and 60 (5.6%) were severe/critical cases. COVID-19 remains a public health problem. A scale-up of COVID-19 surveillance activities should be conducted by the Ministry of Health through active case search and regular refresher training for volunteers. In addition, active community engagement should be prioritized by stakeholders in the national COVID-19 outbreak response.

The COVID-19 pandemic has widely affected medical tourism on a global scale, thereby reducing the number and volume of medical services. Given the importance of this topic, the present study aimed to determine the challenges of medical tourism after the prevalence of COVID-19 in the field of neurosurgery. The present descriptive study was conducted by the neurosurgery department of Isfahan University of Medical Sciences, Isfahan, Iran in the first quarter of 2022. Using the convenience sampling method and based on Morgan’s table, 500 patients with neurosurgical diseases registered in Medical Tourism companies were identified and included in the study. The data were analyzed in SPSS. 142 (28.4%) out of 500 patients with COVID-19 were willing to come to Iran for neurosurgical treatment. The most important non-medical reasons included natural attractions (4.37±0.44), cost-effective accommodation (4.03±0.23), and support from a country of destination (place of residence) (3.75±0.22). The most important medical reasons included the short waiting list, the fast treatment response (4.26±0.76), the availability of qualified doctors (3.96±0.27), and the low-cost treatment (3.87±0.53). The present study focused on the functions and potentials of medical tourism in neurosurgery. It can be more successful by providing the right conditions to improve the current situation.