Masic Izet, Naser Nabil, Zildzic Muharem
Academy of Medical Sciences of Bosnia and Herzegovina, Sarajevo, Bosnia and Herzegovina.
Polyclinic "Dr. Nabil", Sarajevo, Sarajevo, Bosnia and Herzegovina.
Mater Sociomed. 2020 Mar;32(1):71-76. doi: 10.5455/msm.2020.32.71-76.
COVID-19 is the disease caused by an infection of the SARS-CoV-2 virus, first identified in the city of Wuhan, in China's Hubei province in December 2019. COVID-19 was previously known as 2019 Novel Coronavirus (2019-nCoV) respiratory disease before the World Health Organization (WHO) declared the official name as COVID-19 in February 2020.
The aim of this study is to search scientific literature in the biomedicine and analyzed current results of investigations regarding morbidity and mortality rates as consequences of COVID-19 infection of Cardiovascular diseases (CVD), and other most common chronic diseases which are on the top mortality and morbidity rates in almost all countries in the world. Also, to propose most useful measures how to prevent patients to keep themselves against COVID-19 infection.
We used method of descriptive analysis of the published papers with described studies about Corona virus connected with CVD, and, also, Guidelines proposed by World Health Organization (WHO) and European Society of Cardiology (ESC), and some other international associations which are included in global fighting against COVID-19 infection.
After searching current scientific literature we have acknowledged that not any Evidence Based Medicine (EBM) study in the world during last 5 months from the time when first cases of COVID-10 infection was detected. Also, there is no unique proposed ways of treatments and drugs to protect patients, especially people over 65 years old, who are very risk group to be affected with COVID-19. Expectations that vaccine against COVID-19 will be produced optimal during at least 10 months to 2 years, and in all current Guidelines most important proposed preventive measures are the same like which one described in Strategic documents of WHO, in statements of Declaration of Primary Health Care in Alma Ata in 1978.
WHO proposed preventive measures can be helpful to everybody. Physicians who work at every level of Health Care Systems, but especially at primary health care level, must follow those recommendations and teach their patients about it. But, the fact is that current focus of COVID-19 epidemic has targeted on protection of physical health of population in global, however, the influence on mental health which will be one of the important consequences of COVID-19 pandemic in the future, and which could be declared as «Post-coronavirus Stress Syndrome" (PCSS) could be bigger challenge for Global Public Health.
新型冠状病毒肺炎(COVID-19)是由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)感染引起的疾病,于2019年12月在中国湖北省武汉市首次发现。在世界卫生组织(WHO)于2020年2月宣布将其正式命名为COVID-19之前,COVID-19曾被称为2019新型冠状病毒(2019-nCoV)呼吸道疾病。
本研究的目的是检索生物医学领域的科学文献,并分析有关COVID-19感染导致心血管疾病(CVD)以及世界上几乎所有国家死亡率和发病率最高的其他最常见慢性病的发病率和死亡率的当前调查结果。此外,提出最有用的措施,以防止患者感染COVID-19。
我们采用描述性分析方法,对已发表的有关与CVD相关的冠状病毒研究的论文,以及世界卫生组织(WHO)和欧洲心脏病学会(ESC)以及其他一些参与全球抗击COVID-19感染的国际协会提出的指南进行分析。
在检索当前科学文献后,我们认识到自首次检测到COVID-19感染病例以来的过去5个月里,世界上没有任何循证医学(EBM)研究。此外,也没有独特的治疗方法和药物来保护患者,特别是65岁以上的人群,他们是感染COVID-19的高风险群体。预计至少在10个月至2年内才能生产出最佳的COVID-19疫苗,并且在所有现行指南中,最重要的预防措施与WHO战略文件、1978年阿拉木图《初级卫生保健宣言》声明中所述的措施相同。
WHO提出的预防措施对每个人都有帮助。在各级卫生保健系统工作的医生,尤其是在初级卫生保健层面工作的医生,必须遵循这些建议并向患者进行宣传。但是,事实上,当前COVID-19疫情的重点是全球人群身体健康的保护,然而,对心理健康的影响将是COVID-19大流行未来的重要后果之一,并且可能被称为“新冠后应激综合征”(PCSS),这可能对全球公共卫生构成更大挑战。