COVID-19 management in ferment

Lindsay Edouard

Abstract

The dire circumstances of the COVID-19 pandemic have demonstrated1 the importance of a community, as opposed to hospital approach2, the value of prevention compared to treatment3, the need for objective information4, and the crucial role of access to services and commodities. Faced with a new disease, decision-makers often lacked reliable information on its natural history and value of proposed treatment modalities.  Navigating in unchartered waters, service purveyors introduced interventions that were often challenged and sometimes proven to be inappropriate.  Parallels can be drawn with the changing scenario of reproductive health over the last half-century.

During the 1970s, developments in technology were at the forefront of public interest in health to the detriment of a community perspective that emphasised the Benthamite principle of the best for the greatest number1.  Prominence was then given to clinical advances such as medical imaging in outpatient departments, microsurgical techniques in the operating theatre, and the development of synthetic drugs in laboratories.  Success in the control of infectious diseases had led to that specialty being far from appealing for a career by 1980.

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References

Gillon R. Utilitarianism. Br Med J 1985; 290: 1411-1413.

Sai FT and Nassim J. The need for a reproductive health

approach. Int J Gynecol Obstet 1989; 3(suppl): 103-13.

Edouard L. The epidemiology of perinatal mortality. World

Health Stat Q 1985; 38: 289-301.

Pollack AE, Balkin M, Edouard L, Cutts F and Broutet N.

WHO/UNFPA Working Group on Sexual and Reproductive Health and HPV Vaccines. Ensuring access to HPV vaccines through integrated services: a reproductive health approach. Bull World Health Organ 2007; 85: 57-63.

Wallis AB. How will a Biden presidency influence reproductive

and women’s health and development on the African continent? Afr J Reprod Health 2020; 24: 17-19.

Edouard L. Pill scare: communication conundrum. J Fam Plann

Reprod Health Care 2009; 35: 121-122.

Chalmers I. Data on perinatal mortality. Br Med J 1982; 284:

Grimes DA. How can we translate good science into good

perinatal care? Birth 1986; 13: 83-90.

Best J. How the JCVI sets who gets a covid-19 vaccine and

when? BMJ 2021; 373: 820-821.

Paterlini M. COVID-19: Italy makes vaccination mandatory for healthcare workers. BMJ 2021; 373: 905.

World Health Organization. Mask use in the context of COVID-

1 December 2020. Geneva: World Health Organization, 2020: 8-10.

Martini M, Gazzaniga V, Bragazzi NLand Barberis I. The

Spanish influenza pandemic: a lesson from 100 years after 1918. J Prev Med Hyg 2019; 60: E64-E67.

Adam R. The limits of R. Nature 2020; 583: 346-348.

Schneeberger C and Mathai M. Emergency obstetric care:

making the impossible through task shifting. Int J Gynaecol Obstet 2015; 3(suppl 1): S6-S9.

Collège de la Haute Autorité de Santé. Le type de vaccin à

utiliser pour la seconde dose. Avis No. 2021.0027/AC/SEESP, 8 avril 2021. Saint Denis La Plaine : Haute Autorité de Santé, 2021.

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