Project description:Background:Children with sickle cell disease (SCD) face unique problems that attendance at a camp with their peers is well suited to address. However, because the staff members at ordinary summer camps are not accustomed to accommodating children with chronic diseases, the potential for significant health consequences exists.Methods:We searched the literature in PubMed and CINAHL using the keywords summer camp, camp, sickle, and anemia to identify the unique characteristics of camps for children with SCD and the recommendations for care and/or lessons learned.Results:Published data are limited. Accommodations to avoid triggering sickle vaso-occlusive pain have been developed empirically and extrapolated from other settings. Camp experiences provide peer learning opportunities, positive role models, and a safe area to explore personal growth. The supportive atmosphere of the camp and escape from social stigma are welcome changes from the daily routine. Camp experiences can help with education on self-care and the transition from adolescent to adult healthcare.Conclusion:Camp offers unique opportunities for care coordination. Camps for children with SCD provide a setting for dissemination of best practices for the disease. Community-based organizations should partner in recruiting young adults with SCD as counselors. Educational material now available could be modified for use in the camp setting. All stakeholders in the care of children with SCD should work in unison to ensure these children enjoy the benefits of summer camp.
Project description:The COVID-19 pandemic has direct effects on the operations of riding lesson facilities and summer camps, with little government guidance on how to implement these. An online survey link was distributed to riding lesson facilities in Ontario. Descriptive statistics of respondents (n = 72) reported a decrease in both the number of riding lessons offered and the number of riding students per lesson. Scheduling riding times and limiting access to specific places on the farm ensured controlled access to the farms. Strict hygiene procedures were implemented including disinfecting high contact areas and shared tack. Summer camps followed the same procedures, although some farms chose not to offer camps at all. The use of facemasks was not prevalent in either riding lessons (43.3%) or camps (25%), likely because the activities took place outside. However, recent evidence shows that facemasks are perhaps even more important when outdoors, and it is recommended that riding lesson facilities re-evaluate their requirements for students and staff to wear facemasks while in the barn. In spite of the hardships, many positive aspects were noted including time to attend to repair and maintenance needs, scrutinizing business practices, more respect for barn rules, and more time to bond with the horses.
Project description:BackgroundInfection Prevention and Control (IPC) is critical in controlling the COVID-19 pandemic and is one of the pillars of the WHO COVID-19 Strategic Preparedness and Response Plan 2020. We conducted an Intra-Action Review (IAR) of IPC response efforts to the COVID-19 pandemic in Cox's Bazar, Bangladesh, to identify best practices, challenges, and recommendations for improvement of the current and future responses.MethodsWe conducted two meetings with 54 participants purposively selected from different organizations and agencies involved in the frontline implementation of IPC in Cox's Bazar district, Bangladesh. We used the IPC trigger questions from the WHO country COVID-19 IAR: trigger question database to guide the discussions. Meeting notes and transcripts were then analyzed manually using content analysis, and results were presented in text and quotes.ResultsBest practices included: assessments, a response plan, a working group, trainings, early case identification and isolation, hand hygiene in Health Facilities (HFs), monitoring and feedback, general masking in HFs, supportive supervision, design, infrastructure and environmental controls in Severe Acute Respiratory Infection Isolation and Treatment Centers (SARI ITCs) and HFs and waste management. Challenges included: frequent breakdown of incinerators, limited PPE supply, inconsistent adherence to IPC, lack of availability of uniforms for health workers, in particular cultural and gender appropriate uniforms and Personal Protective Equipment (PPE). Recommendations from the IAR were: (1) to promote the institutionalization of IPC, programs in HFs (2) establishment of IPC monitoring mechanisms in all HCFs, (3) strengthening IPC education and training in health care facilities, and (4) strengthen public health and social measures in communities.ConclusionEstablishing IPC programmes that include monitoring and continuous training are critical in promoting consistent and adaptive IPC practices. Response to a pandemic crisis combined with concurrent emergencies, such as protracted displacement of populations with many diverse actors, can only be successful with highly coordinated planning, leadership, resource mobilization, and close supervision.
Project description:AimInfection prevention and control (IPC) within residential settings is a central focus of the coronavirus disease 2019 (COVID-19) pandemic. Youth residential summer camps are an excellent model for such environments and have thus far had mixed results. The aim of this report was to describe the successful implementation of a seven-week overnight summer camp with rapid return to normal activities from June to August 2020.Subjects and methodsThis retrospective study included 427 individuals who traveled from 24 US states. All staff and campers were tested by serial nasopharyngeal PCR tests in the context of strict infection prevention and control (IPC) measures, including cohorts and masking. The entire camp population was isolated from non-camp personnel with special measures for food, supply, and mail delivery.ResultsDuring the two-week staff session, one staff member tested positive for SARS-CoV-2, was isolated, and sent safely off premises. All other campers and staff had three negative PCR tests: 1-8 days before arrival, upon arrival, and 5-6 days after arrival. After these three negative tests, 6 days into camp, most IPCs, including masking, were successfully lifted and a normal camp experience was possible.ConclusionsThese findings indicate that serial PCR-based testing and strict adherence to IPC measures among cohorts can allow for successful assumption of near normal group activities in a residential setting during the COVID-19 pandemic. This result at an overnight summer camp has broad implications for similar residential communities such as boarding schools, other youth education and development programs, as well as nursing homes and military installations.Supplementary informationThe online version contains supplementary material available at 10.1007/s10389-021-01597-9.
Project description:Vaccine hesitancy and refusal continue to hamper COVID-19 control efforts. Throughout the pandemic, scientists and journalists have attributed lagging COVID-19 vaccination rates to a shifting set of factors including demography, experiences during the height of the pandemic, political views, and beliefs in conspiracy theories and misinformation, among others. However, these factors have rarely been tested comprehensively, in tandem, or alongside other potentially underlying psychological factors, thus limiting our understanding of COVID-19 vaccine hesitancy. This cross-sectional study assesses a diverse set of correlates of COVID-19 vaccine hesitancy identified in previous studies using US survey data (N = 2055) collected in July-August 2021. The survey contained modules designed to assess various sociopolitical domains and anti- and pro-social personality characteristics hypothesized to shape vaccine hesitancy. Using logistic and multinomial regression, we found that the strongest correlate of vaccine hesitancy was belief in misinformation about the COVID-19 vaccines, though we surmise that this common explanation may be endogenous to vaccine hesitancy. Political beliefs explained more variation in vaccine hesitancy-and in particular, vaccine refusal-after belief in COVID-19 vaccine misinformation was excluded from the analysis. Our findings help reconcile numerous disparate findings across the literature with implications for health education and future research.
Project description:The dataset combines and aggregates two data types at the scale of 2400 residential zones ("wijken", in the terminology used by the Dutch Central Bureau for Statistics) of the Netherlands, 2014. The first type of data is summer surface temperature, the average of 40 dates in the summer of 2014, comprising the observations of four satellite images of four local overpassing times: MODIS Terra day (10:30 a.m.), MODIS Terra night (10:30 p.m.), MODIS Aqua day (1:30 p.m.), and MODIS Aqua night (1:30 a.m.). Second, ten variables describing the socioeconomic status of the residential zones: Western immigrants (%), Non-Western immigrants (%), Rental dwelling (%), Building age (median), Population age 65 or older (%), Population age 15-24 (%), Population age 14 or younger (%), Income per capita (x 1000 €), Property value (x 1000 €), Female minus male (%).
Project description:BackgroundEffective vaccines, improved testing technologies, and decreases in COVID-19 incidence prompt an examination of the choices available to residential college administrators seeking to safely resume in-person campus activities in fall 2021.ObjectiveTo help college administrators design and evaluate customized COVID-19 safety plans.DesignDecision analysis using a compartmental epidemic model to optimize vaccination, testing, and other nonpharmaceutical interventions depending on decision makers' preferences, choices, and assumptions about epidemic severity and vaccine effectiveness against infection, transmission, and disease progression.SettingU.S. residential colleges.ParticipantsHypothetical cohort of 5000 persons (students, faculty, and staff) living and working in close proximity on campus.MeasurementsCumulative infections over a 120-day semester.ResultsUnder base-case assumptions, if 90% coverage can be attained with a vaccine that is 85% protective against infection and 25% protective against asymptomatic transmission, the model finds that campus activities can be resumed while holding cumulative cases below 5% of the population without the need for routine, asymptomatic testing. With 50% population coverage using such a vaccine, a similar cap on cumulative cases would require either daily asymptomatic testing of unvaccinated persons or a combination of less frequent testing and resumption of aggressive distancing and other nonpharmaceutical prevention policies. Colleges returning to pre-COVID-19 campus activities without either broad vaccination coverage or high-frequency testing put their campus population at risk for widespread viral transmission.LimitationUncertainty in data, particularly vaccine effectiveness (preventive and transmission); no distinguishing between students and employees; and assumes limited community intermixing.ConclusionVaccination coverage is the most powerful tool available to residential college administrators seeking to achieve a safe return to prepandemic operations this fall. Given the breadth of potential outcomes in the face of uncontrollable and uncertain factors, even colleges with high vaccination rates should be prepared to reinstitute or expand testing and distancing policies on short notice.Primary funding sourceNational Institute on Drug Abuse.
Project description:BackgroundChildren and adolescents have suboptimal physical activity and eating habits during summer breaks. Unlike the school setting, there is little evidence on interventions to promote healthy lifestyle behaviors in Summer Day Camps (SDCs).MethodsThe aim of this scoping review was to examine physical activity, healthy eating, and sedentary behavior interventions in the SDCs. A systematic search on four platforms (EBSCOhost, MEDLINE, EMBASE, and Web of Science) was performed in May 2021 and was updated in June 2022. Studies related to promoting healthy behaviors, physical activity, sedentary behaviors and/or healthy eating among campers aged 6 to 16 in Summer Day Camps were retained. The protocol and writing of the scoping review were done according to the guidelines of the "Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for scoping reviews (PRISMA-ScR)".ResultsMost interventions had a positive effect on the behavioral determinants or the behaviors themselves (i.e., physical activity, sedentary behaviors, or healthy eating). Involving counsellors and parents, setting camp goals, gardening, and education are all relevant strategies in promoting healthy lifestyle behaviors in SDCs.ConclusionsSince only one intervention directly targeted sedentary behaviors, it should strongly be considered for inclusion in future studies. In addition, more long-term and experimental studies are needed to establish cause-and-effect relationships between healthy behavior interventions in SDCs and behaviors of children and young adolescents.
Project description:This study aims to understand the level of residential satisfaction of the host communities' aftermath of the influx of Rohingya in Bangladesh. A total of 151 household heads were randomly interviewed from Ukhiya and Ramu Upazila of Cox's Bazar district, Bangladesh. A residential satisfaction index is developed with a total of twenty-two variables comprised of four components- social environment (SE), neighbourhood environment (NE), public services and facilities (PS&F), and dwelling units (DU). The coefficients of the components indicate that the PS&F, SE, and NE impact much on the overall residential satisfaction compare to the DU. The analysis demonstrates that the people who have tertiary level education, who is Muslim and whose work opportunities remain the same as before, are more satisfied, but older people are less satisfied than younger. Besides, the degradation of social harmony, livestock and agricultural land losses, and decreased wages were the significant causes of dissatisfaction. These findings may contribute to taking appropriate policies and programs for the host communities taken by the government and non-government organizations.