Comparing the Corona Virus (COVID-19) pandemic in New Zealand and Iraq: A perspective of Preventive Medicine.

Abstract

A Preventive Medicine perspective:How COVID pandemic has impacted New Zealand and their adopted policies and strategiesElimination strategyMainstays of MethodolgyCOVID situation in Iraq, Impacting the economy of a developing countryStrategic implementation of preventive measures adopted by New ZealandCovid- 19: Strategic Implementation of Policies under the guidance of IOM:Discussion: Preparing to respond to COVID-19, what Iraq could learn from New ZealandConclusion and OutlookReferencesAbstract:Background. The first cases of COVID-19 pandemic were identified in people with pneumonia in Wuhan, China, in late December 2019. It is first and foremost the most publicized pandemic, which has taken the lives of many people. It has thrown everyone into doubt and has created a collective moment of contemplation about the future. The clinical enlistment organization MedWorld of New Zealand offered for resigned and low maintenance specialists to help endeavors by the health care division and Government to battle the spread of COVID-19, in New Zealand. (11“COVID-19 Pandemic in New Zealand.”) Starting in April, more than 20,000 tests have been done in Iraq in general (counting the Kurdistan Region), with 1202 of them turning out positive. Of those tests, half of the,m were finished by the Kurdish Ministry of Health, which implies that the other tests were finished by the Iraqi Ministry of Health. (22“COVID-19 Pandemic in Iraq.”) While KRG populace has been tried, just 0.05% of the remainder of the nation has been tried, along these lines featuring the conceivable difference between absolute positive case numbers between locales. Iraq is considered ”particularly powerless against the plague due to being desolated” – by war and United Nations sanctions, and by partisan clash in the course of recent decades. This paper primarily focuses on analyzing the accessible information through research papers, peer- reviewed and non-peer reviewed to understand the pandemic affecting two different countries like New Zealand- a developed country and Iraq- a developing country.1.2. Aim: The aim of this study is to provide information and access the current status of medical management in a developed country like New Zealand and a developing country like Iraq, based on current medical literature available. 1.3. Material used: The following review paper has considered published peer- reviewed papers and non peer-reviewed pre-print manuscripts on COVID-19 and related aspects with primary focus on preventive medicine. 1.4. Study Methodology: This retrospective view focuses on understanding the different preventive strategies implemented by the countries with different socio-economical backgrounds. 1.5. Preliminary thesis: The review paper focuses on comparing the strategic management and elimination of COVID-19, in the two countries, i.e. New Zealand and Iraq, in a public health and preventive medicine perspective.Introduction- 2.1. What is corona virus? Coronaviridae is a large family of viruses that cause mild to moderate upper-respiratory tract illnesses like the common cold. They are named for the crown-like spikes on their surfaces as seen on the electron microscope. In some cases these viruses infect the humans, which is called a spillover event and can cause several diseases. The international committee for the taxonomy of viruses has approved the naming of more than 40 corona viruses, majority of which infect animals, and lead to human transmission. The COVID-19 outbreak has brought the number of identified corona viruses that can infect humans to seven, out of which, four are community acquired. The other three are SARS-CoV, MERS-CoV and SARV-CoV-2, which has resulted in the highest mortality rate. Covid-19 or previously known as Novel corona virus is a new strain of coronavirus that first emerged in Hubei provenience in China in the late 2019. It is predominantly spread by respiratory droplets and from contact to contaminated surfaces. The spread is similar to that of influenza virus, so practicing same precautions as to prevent the influenza virus can provide protection against Covid-19. The most common symptoms are cough, severe dyspnea, fever, chills, myalgia, sore throat, congestion or runny nose. Majority of the cases have milder diseases with few having severe diseases which lead to pneumonia and respiratory failure. Deaths have generally occurred in older population, and in patients having underlining health conditions. Reports of severe cases in children are uncommon. Currently the treatment is supportive, but severe cases may require intensive care. (33Cui, Li, and Shi, “Origin and Evolution of Pathogenic Coronaviruses.”)(44Masters, “The Molecular Biology of Coronaviruses.”) Impact of corona virus pandemic on New Zealand: New Zealand recorded its first day of no new instances of coronavirus infection 2019 (COVID-19), more than a month after its severe lockdown started. New Zealand had recorded from less than 1200 affirmed instances of COVID-19, 20 deaths. On March 23, a month to the first case reported, New Zealand focused on a disposal system. A couple of days afterward, Prime Minister Jacinda Ardern declared a public lockdown at the point when it just had 102 cases and zero deaths. Her quick decision won universal recognition, including from WHO. New Zealand’s choice to seek after an end approach was a diverse way to deal with regular pandemic arranging, which has generally been in light of an alleviation model and centers around postponing the appearance of the infection, trailed by a scope of measures to level the bend of cases and passings. Michael Baker, teacher at the College of Otago’s specialty of general healthcare in Wellington, who has been exhorting the New Zealand Government on its reaction. ”The two greatest advantages of seeking after a disposal system is that you have barely any cases and hardly any deaths and you can get business back fully operational. The elective was that we are left with the infection and stuck between relief furthermore, concealment. Concealment is lovely terrible .” (55“Coronavirus Outbreak: Live Updates on COVID-19.”) While the methodology has had its experts, for Baker, the proof was overpowering that end could be accomplished. The full lockdown permitted the nation to get the major frameworks up and rushing to viably oversee fringes, furthermore, to do contact tracing, testing, and observation. Since January, more than half a million individuals have been tried in a nation of only 5 million. Testing has been centered around individuals who have presenting symptoms, with following of both close contacts and easygoing contacts. But currently, more broad testing has being presented. The Ministry of Health is in conversation with regions to organize testing of explicit networks who are at higher danger of gaining the infection such as human services laborers. Testing tests from sewerage is additionally being thought of to screen control and disposal. The reaction has additionally been one that set science, authority, and cautious language at the front line. Ardern has consistently showed up on online media, grinning and sharing parts of her own life under lockdown yet without underplaying the earnestness of the circumstance, which has served to construct open trust. Travelers from abroad are to be isolated as a major aspect of endeavors to forestall transmission in New Zealand. As New Zealand currently facilitates its limitations and its economy gradually resumes, there are conversations about how it can open up its fringes while guaranteeing that everybody is ensured, especially vulnerable populations. (66“(PDF) Coronavirus-19 Intervention Approach in New Zealand.”) Impact of corona virus pandemic on Iraq: On 31 December 2019, a group of pneumonia of obscure beginning was accounted for in Wuhan City, Hubei Province of the People’s Republic of China. On 11 March 2020, the World Health Organization’s (WHO) declared that the microorganism known as the Coronavirus Disease 2019 (COVID-19), established a pandemic. By 13 March, WHO announced that the expansion in instances of COVID-19 in the Eastern Mediterranean locale, including Iraq was ”of specific and incredible concern”. Starting at 20 April 2020, there were 1,539 affirmed instances of COVID-19 and 82 deaths in Iraq with the quantity of affirmed cases detailed expanding. The COVID-19 episode took steps to weaken the effectively delicate framework and effect the numerous networks who are as yet defenseless and recuperating from the Islamic State in Iraq and the Levant (ISIL) emergency and ensuing monetary downturn. The center public capacities with regards to anticipation, readiness and reaction, limit with regards to general wellbeing, and the medicinal services framework has been debilitated by years of contention, sanctions, helpless administration and low interests in wellbeing. There was an absence of wellbeing workforce across various units, with many having fled Iraq, and deficiencies in basic drugs and gear. The absence of open administrations, including medicinal services, were among the variables driving distress all through 2018, especially in the southern governorates. The exhibitions and related political flimsiness brought about the abdication of the Prime Minister. At the local and worldwide level, there are proceeded and rising strains among US and Iranian intermediaries; and ISIL have additionally expressed their expectation to abuse the current emergency, which could be especially horrendous for regular citizens seeking after an arrival to normalcy. Lengthy and permeable fringes aggravate the test of overseeing dangers related with human portability and episodes; Iraq has long land and ocean fringes with Iran, Jordan, Kuwait, Saudi Arabia, Syria and Turkey, with 26 Points of Entry (PoE), including five air terminals, six ports and 15 ground intersections that convey worldwide traffic. Iraq is a country with many travelers and hence a significant number of whom are trapped in emergency and in considerably more dubious conditions. Iraq additionally has hundreds of thousands of south Asian, southeast Asian and African traveler laborers utilized in the residential, development also, administration divisions, prone to disproportionally affected by the wellbeing emergency, financial downturn and travel limitations. Travelers and evacuees in Iraq, incorporating those in outcast camps who may have residency and money related status issues, are at uplifted hazard, especially with regards to air terminal terminations, travel limitations, the stopping of worldwide resettlement program and failure to execute helped willful return and reintegration (AVRR) programming. To help stop transmission, the Government of Iraq (GoI) including the Kurdistan Regional Government (KRG) have progressively implemented bans on travelers from countries with significant COVID-19 outbreaks from entering the country, quarantine requirements and closures of the main airports in Baghdad and Erbil. (77“WHO | Iraq Health Situation Reports.”)A Preventive Medicine perspective:How COVID pandemic has impacted New Zealand and their adopted policies and strategies: 3.1.1 Elimination strategy in New Zealand: The Government’s health policy methodology in regard of the COVID-19 pandemic influencing New Zealand is elimination. That is, to apply a scope of control measures all together to stop the transmission of COVID-19 in New Zealand. Disposal doesn’t mean annihilating the infection forever from New Zealand; rather it is being certain we have disposed of chains of transmission in our locale for at any rate 28 days and can successfully contain any future imported cases from abroad. It is acknowledged that this methodology will be required in the drawn out i.e., for a long time or more, contingent upon the developing the study of disease transmission and proof around the sickness and its the executives and progress with creating protected and powerful medicines and additionally antibodies. 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