MSF is supporting several health facilities in Nairobi, Kiambu, Garissa, and Mombasa Counties. Coronaviruses are a large family of viruses, most of which are harmless for humans. MSF has started to build a COVID-19 treatment center in Bangui. Subsequently, the WHO and the MoH rolled out trainings in nine states. We participate in the Mozambica Government COVID-19 coordination meetings and technical groups providing advice on the response in the country and facilitating access to updated evidence for the latest COVID-19 protocols. This makes it much harder to get a good picture of the way it’s spreading. Meanwhile, in Boost hospital, screening and stabilization areas and a referral mechanism have been established for suspected COVID-19 patients. Once enrolled, timing of vaccination is determined by health care worker prioritization guidance from the CDC and Tennessee Department of Health based on risk of exposure. Video: You made our work possible in 2020. Our harm reduction services in Maputo have been adapted to reduce the risk of exposure to COVID-19 for our patients, notably by providing methadone in take-home doses. In spite of its community testing strategy (more than 200,000 people tested) Uganda has reported a low number of confirmed cases (1,043 as of July 14) and no COVID-19 deaths. MSF is also doing health promotion in camps for migrants and asylum seekers and increasing the provision of water and sanitation services. Postponing travel and staying home is the best way to protect yourself and others from COVID-19.. You and your travel companions (including children) may feel well and not have any symptoms, but you can still spread COVID-19 to family, friends, and community after travel.. In Penang, we are providing COVID-19 health education in different languages, including Rohingya and Burmese, and translations in hospitals. The first of Vanderbilt University Medical Center's front-line workers who serve patients with COVID-19 received the vaccine. On June 1 we opened both of our noncommunicable diseases (NCDs) clinics in Irbid and Ramtha, providing NCD medication and medical consultation face-to-face for unstable patients who require follow-up while maintaining IPC measures. We are also carrying out health promotion activities in the camps. MSF is prioritizing continuity of quality care for essential services for children and adults with TB, in collaboration with the MoH and Social Protection of the Population (MoHSPP) via existing MSF programs focused on diagnosis, treatment, and contact tracing. The virus is contagious, and everyone is presumed to be susceptible. In Beira we assisted in the installation of two isolation centers, 24 de Julho (100 beds) and Marazul (33 beds) and provide support for the follow-up of HIV patients with COVID-19 at the emergency isolation unit of the main hospital. In Gwange, the MSF-run hospital continues to provide comprehensive pediatric secondary health care services. Our teams have concluded technical and infrastructure assistance to health facilities in three other districts of the capital (Baskuy, Sig-Noghin, and Pissy). In the Centre (Ségou, Niono, Tenenkou, Ansongo, Douentza, Koro), in the South (Koutiala) and North (Kidal and Ansongo) of the country, we strengthened hygiene and IPC measures and set up isolation areas in MSF-supported hospitals and health centers. In all our projects we continue to follow up on patients with chronic diseases, and we have maintained our mental health and sexual and reproductive health activities with Venezuelan and Colombian populations living without access to the health system, as well as emergency attention for sexual violence and termination of pregnancy. In Port Harcourt MSF continues to provide medical and psychological care for victims of sexual violence in. Recreational activities for HIV-positive and negative teenagers in Arua and in Kasese are on standby. Over the last weeks we have adapted triage and infection prevention and control measures in the health structures we are supporting, set up isolation units, and trained staff on prevention and case management. MSF has carried out COVID-19 screening of DRTB and HIV patients in its private independent clinic and in an outpatient department co-managed with India’s national TB program. We are monitoring the spread of COVID-19 and liaising with the MoH in Gaza and Ramallah and with the WHO to follow up on the situation. MSF teams across Sudan are conducting health promotion and awareness sessions with patients and the local community or at non-MSF primary health care centers. COVID-19: Crises, politics and statistics. As of January 5, 2021, Tennessee ranks 9th by number of confirmed cases, 15th by number of deaths, and 21st by number of deaths per capita in the United States. REMINDER: VUMC resource identifies COVID-19 funding opportunities across all scientific disciplines Use enough soap, and make sure all parts of both your hands are washed. In addition, MSF mobile teams supported 50 health structures in four health zones in Kinshasa to reinforce hygiene measures, provide masks and handwashing stations, and train medical staff and community relays on infection prevention and control. Avoid crowded places and large gatherings, and generally keep some physical distance between you and other people. We had flown over cargo, including an inflatable hospital and staff, and were preparing to start activities when authorities unexpectedly revoked permission. At the MSF hospital in Bar Elias, COVID-19 activities are still on stand-by and elective surgeries have resumed. More specifically, we are working to infection-proof four main hospitals in Kadamjay Rayon, not only through advice and training in line with robust infection prevention guidelines, but also by providing disinfectants and PPE for health staff. Together with state health authorities, we are conducting a large-scale community sensitization campaign on COVID-19. We have now closed our projects in the Lodi area and Marche region, where we supported three hospitals and 44 homes for elderly people and provided remote monitoring of non-critical COVID-19 patients at home to ensure that only severe cases where sent to the hospital. We have also ended our intervention in detention centers in Lombardy, Piedmont, and Liguria,where we conducted IPC and health promotion activities in 15 prisons and improved protocols and procedures for isolation of suspected cases and contact tracing activities. In Las Anod, Galkayo, and Baidoa, where MSF was already running medical activities, we have put in place hygiene and preventive measures to protect our frontline staff, including trainings on IPC, triage, and identification of COVID-19 symptoms. In Sokoto we have supported the MoH in renovating a 32-bed isolation and treatment center, handed over to the MoH in early May. In Ngala MSF's hospital has ceased 24-hour services but continues to provide primary health care services during the day as well as community-based health promotion services. Since April 27 MSF teams have been treating COVID-19 patients at Saint-Joseph hospital in Limete, Kinshasa, in support of the Diocesan Medical Office, the MoH, and in coordination with the COVID-19 national response team. We had to suspend mobile clinics, but patients can still reach us through our phone hotline. MSF is developing health promotion activities, in addition to installing handwashing points and distributing hygiene kits to residents, in partnership with local leaders. We have added COVID-19 related health promotion, medical screening, and distribution of soap and locally produced cloth masks (with a specific focus towards those most at risk of developing severe forms of the disease, such as the elderly and people living with HIV) to our community-based activities in the three districts where we run a malnutrition program. Given the current problems with the supply of masks, gloves, and other personal protective equipment, the needs of health care staff should be prioritized. In Port-au-Prince, our teams have also supported the Chancrelles hospital in Cité Soleil, the Saint Michel health center in Martissant, and the State University hospital of Haiti in implementing IPC measures, triage, and isolation. The number of cases is increasing in the country (2,430 as of July 15, with 39 deaths). So far we have treated 75 patients. MSF is providing mental health care in an isolation center dedicated solely to people deported from Mexico and the US while evaluating others for possible intervention. We are expected to finish activities at the field hospital on mid-September. We are progressively reducing our support. Also at the northern border, MSF continue its intervention in Nuevo Laredo by assessing and implementing IPC in all migrant shelters, where more than 200 people are staying in confinement. We implemented measures to keep staff and patients safe in our existing projects across 13 Yemeni governorates while ensuring the continuation of lifesaving activities in the existing hospitals where we work and helping prepare hospitals to receive COVID-19 cases. Epidemiological surveillance is ongoing. In the east we rehabilitated an 18-bed provisional treatment site at the regional health center in Fada and identified isolation units in all MSF-supported medical structures in the area. As with other coronaviruses, droplet infection seems to be the main mode of transmission. In Athens, we collaborate with the Third Clinic of Internal Medicine of Athens University by providing psychological support to frontline health workers and COVID-19 patients and their relatives. In Mariinka Rayon, Donetsk region, an MSF mobile team provides screening and home-based care for people suspected of having COVID-19 and those with mild symptoms in order to prevent health facilities from being overwhelmed. We train these committees on improving IPC and identifying suspected cases, how to alert the authorities, and how to act as first responders through the use of COVID-19 kits. MSF continues to monitor the flow of Mexicans repatriated by US authorities and deported non-Mexican migrants. We are also stepping up health promotion activities and providing technical advice or logistical support to set up isolation structures. It is the only maternal clinic in the city, so all patients are referred there for deliveries and prenatal care consultations. So far, the COVID-19 situation in northeastern Syria has notdeteriorated at the rate we initially feared. We are carrying out ongoing awareness activities on prevention measures in communities in an around Monrovia. We have visited around one-third of the facilities designated to treat COVID-19 patients in Zhytomyr and have launched telephone hotlines to provide psychological support for both health workers and COVID-19 patients. We provided training and technical advice to the MoH in setting up isolation units in Boma hospital in Chiradzulu and in Blantyre. As we get ready to enter the seasonal malaria peak, our priority is now to lay the groundwork for these campaigns, which will have to be carried out in accordance with COVID-19 prevention measures (door-to-door when possible, and with strict IPC measures when it’s not). We’ve also carried out trainings on infection prevention and PPE use for all staff. We are also supporting COVID-19 preparedness and prevention activities and inmate and visitor flow in Chichiri prison in Blantyre. We have provided training and preparedness measures in Al Hassakeh National Hospital and Al Hol camp, including creating a 48-bed isolation ward, introducing surveillance measures, case identification and management, and patient flow and triage processes, along with IPC and training on PPE. Vanderbilt University Medical Center researchers have found evidence of the rate of COVID-19 infection slowing in Tennessee, which reduces the chance that the … In MSF projects across Sudan, we have implemented safety and hygiene measures to avoid the emergence of cases among our staff. At Al-Kuwait we offer a full package of hands-on support to the MoH, including treating the most severely ill patients in the 15-bed intensive care unit and in the large inpatient department. MSF teams have reinforced measures to prevent and control infections and also helped with logistics and hygiene measures in three MoH isolation units in Arua and Kasese. MSF also provides water trucking in the camp, as the quantity and quality of water doesn’t meet the needs. In nearby Wajir county, our teams have organized training for health care workers. We have ended our activities assisting health centers and nursing/care homes in the Guayaquil region, which was the first area in Ecuador to be hit hard by COVID-19. The team also implemented triage infrastructure in six hospitals bordering Thailand. With limited testing, these figures are only confirmed cases and deaths and do not reveal the full extent of the epidemic, which is difficult to estimate. This pandemic threatens the lives of people around the world, and presents even greater risks in countries with weak or fragile health systems. Thank you! MSF supported the rehabilitation of the hospital’s oxygen network and provides medical, nursing, and hygiene control staff as well as logistical and technical support. Twenty-six confirmed cased have been discharged and four were referred. In Mora, an MSF team constructed an eight-bed isolation ward in the district hospital and similar support has now started in neighboring health centers. Over 400 patients have been admitted to this unit so far, including 44 to the intensive care unit. In Goma, we ended support of the COVID-19 treatment center in Munigi, previously used as an Ebola Treatment Centre, and handed over its activities to MoH teams. The team has moved to the coastal Esmeraldas province in the northwest, where cases are rapidly rising. Follow-up is limited to urgent cases. Teams are also conducting community health promotion and education activities. An MSF team provided on-the-job training to the MoH staff with a focus on IPC, patient flows, and triage protocols. In cooperation with a team of the Basque health authorities in Spain we are treating severely ill patients in the hospitals of Tarapoto, Huánuco and Tingo María while also providing support to primary health centres in the provinces of Datem de Marañón and Condorcanqui through donations and training. COVID-19 Vaccines: Chorus of Communication is Critical, Occupational Health reminders for COVID-19 vaccination, More than half VUMC's workforce enrolled to date for COVID-19 vaccines, First COVID-19 vaccines given to VUMC employees, NEW! In Bamenda, we provided additional training on PPE and IPC and support the teams with oxygen for severe cases. Over the weekend, the COVID-19 vaccine received emergency use authorization (EUA) from the Food and Drug Administration. In the Sud department we have provided this support to Immaculate Conception hospital in Les Cayes, the Port-à-Piment health center, and the community hospital of Port-Salut, as well as support for patient referrals. They also conduct assessments and provide guidance and support to medical teams and positive patients in isolation sites. Our team completed the first assessment of the Republican Center TB dispensary. Teams are also preparing for potential cases of COVID-19 in our projects. We must be able to receive people with COVID-19, while making sure that no one is consequently infected in our structures, including other patients as well as staff. Some things are done differently now. Unrestricted support from our donors allows us to mobilize quickly and efficiently to provide lifesaving medical care to the people who need it most, whether those needs are in the spotlight or not. Nursing home deaths make up more than 30 percent of the state’s total coronavirus fatalities since March. MSF also runs a mobile COVID-19 unit that supports other facilities and works on early detection and prevention of the spread of the disease. A similar strategy including soap and mask distribution, food support, and awareness raising sessions has been implemented in Paoua and Carnot in collaboration with UNICEF and WFP, targeting around 4,000 patients and their families. We are also assessing health and humanitarian needs in the region to evaluate the needs of people living in informal settlements or other camp settings. In Bossangoa, a targeted distribution of prophylactic treatment for malaria is in full preparation. So far, teams are able to continue medical activities, but securing future supplies of key items—such as surgical masks, swabs, gloves, and chemicals used to diagnose COVID-19—is a matter of concern. Read the transcript. Our teams have implemented COVID-19 preparedness measures in all our projects in the regions of Zinder (Zinder and Magaria), Maradi (Maradi and Madarounfa), Agadez, and Diffa. After reinforcing triage, isolation, protection equipment, and IPC capacity at the University Hospital Center and the Medical Centers with Surgical Antennas of Do and Dafra MSF decided to phase out all activities from July 15 to focus on displaced people in the northern part of the country. In Hajjah governorate we are helping with preventive measures in hospitals, including the set-up of screening points for patients and support to set up an isolation unit in Abs hospital, as well as training of staff on symptoms and case definition, case management, and IPC. In Delhi, MSF continues to run the Umeed Ki Kiran (UKK) clinic providing comprehensive medical and psychosocial care to survivors of sexual and gender-based violence in the Jahangirpuri neighborhood, a major hotspot for COVID-19. Kabul has surpassed Herat as the epicenter of the outbreak in Afghanistan, but little is known about the true scale of confirmed cases in other locations as testing capacity remains limited. Simple infection control measures such as good handwashing and proper cough and sneeze etiquette are effective and important for prevention. In Douala, Cameroon’s second-most affected city, we have trained staff in infection prevention and control measures at the three main hospitals in charge of COVID-19 case management (Yasa, Laquintinie, and General Hospital). Learn more about MSF's response in our Responding to COVID-19: MSF Global Accountability Report. Northwestern Syria: The first COVID-19 case in an area outside of government control was reported on July 9, and, as of July 19, 18 cases have been confirmed in these areas and 30 more in Aleppo. There is a gap in psychosocial care in Sierra Leone. The Vanderbilt Institute for Clinical and Translational Research (VICTR) is funded by the National Center for Advancing Translational Sciences (NCATS) Clinical Translational Science Award (CTSA) Program, Award Number 5UL1TR002243-03. MSF is very concerned about the potential consequences in countries with weak or fragile health care systems. Note: MSF teams are responding to the coronavirus pandemic in the more than 70 countries where we run existing programs, as well as opening projects in other countries that have become outbreak hotspots.This is a selective list of projects specifically related to MSF’s COVID-19 response, as of July 20, 2020. Our teams are responding to the coronavirus emergency on multiple fronts—caring for patients, offering health education and mental health support, and providing training for vital infection control measures in health facilities around the world. COVID-19 Info for Future Applicants; Admission Process; Admission Timeline; Admission Requirements; Incoming Class of 2020 Stats; Acceptance; Student Right to Know; Technical Standards; International Students; Request Information; Interview. We’re also providing health and safety promotion to patients and caretakers in the health facilities we support, as well as to pregnant women from the city and surrounding communities. I’m from Lexington, Massachusetts, and I graduated from Bowdoin College in Brunswick, Maine, in 2015. We are pushing for the construction of another treatment center outside the Regional Hospital. In Marib, we trained a large group of community health workers in COVID-19 health promotion and have been providing for 42 health promotion supervisors of the Governorate Health Office in Marib on COVID-19 messaging. After the attack on Dasht-e-Barchi, the support to the Afghan-Japanese COVID-19 referral center in Kabul was been stopped. This intervention should end at the end of September. Teams are mapping people most vulnerable to severe illnesses as a result of COVID-19 and sharing targeted health awareness messages. In the first days of the workforce COVID-19 vaccination effort, more than 3,000 vaccinations have been given. COVID-19 had killed more than one million people, Responding to COVID-19: MSF Global Accountability Report, Donate now to help us respond to the coronavirus pandemic, facility set up in a converted sports hall. We expanded our field teams and reoriented part of our services to respond to COVID-19. We also provide support and training on the triage system of the National Public Health Organization, which is responsible for COVID-19 triage and case management. The pandemic caused the largest global recession in history, with more than a third of the global population at the time being placed on lockdown. MSF is supporting an existing fever clinic and scaling up capacity for the treatment of mild to moderate cases of COVID-19 in a newly built hospital of 1,100 beds. One mobile team continues to support care homes, with IPC measures, organisation of care, and psychosocial support for both residents and staff. ... Hello! In both cities we have started medical activities in two adapted centers for severe COVID-19 patients. We have also issued a call to the Malaysian government to repeal a circular obliging public health facilities to report irregular migrants, including refugees and asylum seekers. In Kamrangirchar urban slum, MSF has reduced regular activities to focus resources on our main clinic, where we continue to provide sexual and reproductive health services care for victims of sexual and gender-based violence, as well as health promotion for COVID-19. We support the Hôpital Général in triage, safer patient flow, and IPC, and set up a systematic triage service at Jamot Hospital. As the SARS-CoV-2 virus has spread around the globe, many people have begun to think about the economic effects such as the decreased business and unemployment. The preliminary results are being shared with partner organisations and health authorities. These measures include setting up additional washing points equipped with either chlorinated water or soap and reinforcing existing ones, training staff on triage and IPC, and identifying and establishing isolation areas or pre-screening areas for suspected COVID-19 patients. How is Doctors Without Borders responding to COVID-19? Alongside the MRTs, MSF’s project-based Rapid Response Teams (part of the UN-led multi-sectoral emergency scheme) are also part of the testing campaign in their project areas, notably in Tripoli and the Bekaa Valley. Staff have established IPC measures at all work sites. In Tumaco we are carrying out medical and mental health activities in the city’s two public hospitals. Thank you so much for starting the process to complete your 2020 Statistical Reports. In Taiz governate we have adapted IPC measures and patient and triage flows to protect staff and patients in our Mother and Child hospital in Taiz Houban. In Bangui MSF has also launched shielding activities for people living with HIV in four outpatient treatment centers, targeting at least 7,500 people. Information in newer posts are necessarily more current (unless a dated update note is included on an old post). The teams provide technical support on alert verifications and organize the triage of patients at the call center’s level. MSF teams doing COVID-19 triage in Brussels. In Kunduz, wound care clinic activities have been temporarily suspended, as have MSF activities in the small stabilization clinic in Chardara district, west of the city. In Yaounde, MSF is treating moderate COVID-19 patients in the Djoungolo health facility, where we increased the capacity by building four rooms with 20 beds each. From mid-March, MSF shifted its operational priorities to help draft IPC and clinical care management guidelines. 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