Competing health risks associated with the COVID-19 pandemic and early response: A scoping review.

<h4>Background</h4>COVID-19 has rapidly emerged as a global public health threat with infections recorded in nearly every country. Responses to COVID-19 have varied in intensity and breadth, but generally have included domestic and international travel limitations, closure of non-essenti...

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Main Authors: Stefan Baral, Amrita Rao, Jean Olivier Twahirwa Rwema, Carrie Lyons, Muge Cevik, Anna E Kågesten, Daouda Diouf, Annette H Sohn, Refilwe Nancy Phaswana-Mafuya, Adeeba Kamarulzaman, Gregorio Millett, Julia L Marcus, Sharmistha Mishra
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0273389
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author Stefan Baral
Amrita Rao
Jean Olivier Twahirwa Rwema
Carrie Lyons
Muge Cevik
Anna E Kågesten
Daouda Diouf
Annette H Sohn
Refilwe Nancy Phaswana-Mafuya
Adeeba Kamarulzaman
Gregorio Millett
Julia L Marcus
Sharmistha Mishra
author_facet Stefan Baral
Amrita Rao
Jean Olivier Twahirwa Rwema
Carrie Lyons
Muge Cevik
Anna E Kågesten
Daouda Diouf
Annette H Sohn
Refilwe Nancy Phaswana-Mafuya
Adeeba Kamarulzaman
Gregorio Millett
Julia L Marcus
Sharmistha Mishra
author_sort Stefan Baral
collection DOAJ
description <h4>Background</h4>COVID-19 has rapidly emerged as a global public health threat with infections recorded in nearly every country. Responses to COVID-19 have varied in intensity and breadth, but generally have included domestic and international travel limitations, closure of non-essential businesses, and repurposing of health services. While these interventions have focused on testing, treatment, and mitigation of COVID-19, there have been reports of interruptions to diagnostic, prevention, and treatment services for other public health threats.<h4>Objectives</h4>We conducted a scoping review to characterize the early impact of COVID-19 on HIV, tuberculosis, malaria, sexual and reproductive health, and malnutrition.<h4>Methods</h4>A scoping literature review was completed using searches of PubMed and preprint servers (medRxiv/bioRxiv) from November 1st, 2019 to October 31st, 2020, using Medical Subject Headings (MeSH) terms related to SARS-CoV-2 or COVID-19 and HIV, tuberculosis, malaria, sexual and reproductive health, and malnutrition. Empiric studies reporting original data collection or mathematical models were included, and available data synthesized by region. Studies were excluded if they were not written in English.<h4>Results</h4>A total of 1604 published papers and 205 preprints were retrieved in the search. Overall, 8.0% (129/1604) of published studies and 10.2% (21/205) of preprints met the inclusion criteria and were included in this review: 7.3% (68/931) on HIV, 7.1% (24/339) on tuberculosis, 11.6% (26/224) on malaria, 7.8% (19/183) on sexual and reproductive health, and 9.8% (13/132) on malnutrition. Thematic results were similar across competing health risks, with substantial indirect effects of the COVID-19 pandemic and response on diagnostic, prevention, and treatment services for HIV, tuberculosis, malaria, sexual and reproductive health, and malnutrition.<h4>Discussion</h4>COVID-19 emerged in the context of existing public health threats that result in millions of deaths every year. Thus, effectively responding to COVID-19 while minimizing the negative impacts of COVID-19 necessitates innovation and integration of existing programs that are often siloed across health systems. Inequities have been a consistent driver of existing health threats; COVID-19 has worsened disparities, reinforcing the need for programs that address structural risks. The data reviewed here suggest that effective strengthening of health systems should include investment and planning focused on ensuring the continuity of care for both rapidly emergent and existing public health threats.
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spelling doaj.art-668b431498d7412d803025b315a73c522023-09-04T05:32:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01178e027338910.1371/journal.pone.0273389Competing health risks associated with the COVID-19 pandemic and early response: A scoping review.Stefan BaralAmrita RaoJean Olivier Twahirwa RwemaCarrie LyonsMuge CevikAnna E KågestenDaouda DioufAnnette H SohnRefilwe Nancy Phaswana-MafuyaAdeeba KamarulzamanGregorio MillettJulia L MarcusSharmistha Mishra<h4>Background</h4>COVID-19 has rapidly emerged as a global public health threat with infections recorded in nearly every country. Responses to COVID-19 have varied in intensity and breadth, but generally have included domestic and international travel limitations, closure of non-essential businesses, and repurposing of health services. While these interventions have focused on testing, treatment, and mitigation of COVID-19, there have been reports of interruptions to diagnostic, prevention, and treatment services for other public health threats.<h4>Objectives</h4>We conducted a scoping review to characterize the early impact of COVID-19 on HIV, tuberculosis, malaria, sexual and reproductive health, and malnutrition.<h4>Methods</h4>A scoping literature review was completed using searches of PubMed and preprint servers (medRxiv/bioRxiv) from November 1st, 2019 to October 31st, 2020, using Medical Subject Headings (MeSH) terms related to SARS-CoV-2 or COVID-19 and HIV, tuberculosis, malaria, sexual and reproductive health, and malnutrition. Empiric studies reporting original data collection or mathematical models were included, and available data synthesized by region. Studies were excluded if they were not written in English.<h4>Results</h4>A total of 1604 published papers and 205 preprints were retrieved in the search. Overall, 8.0% (129/1604) of published studies and 10.2% (21/205) of preprints met the inclusion criteria and were included in this review: 7.3% (68/931) on HIV, 7.1% (24/339) on tuberculosis, 11.6% (26/224) on malaria, 7.8% (19/183) on sexual and reproductive health, and 9.8% (13/132) on malnutrition. Thematic results were similar across competing health risks, with substantial indirect effects of the COVID-19 pandemic and response on diagnostic, prevention, and treatment services for HIV, tuberculosis, malaria, sexual and reproductive health, and malnutrition.<h4>Discussion</h4>COVID-19 emerged in the context of existing public health threats that result in millions of deaths every year. Thus, effectively responding to COVID-19 while minimizing the negative impacts of COVID-19 necessitates innovation and integration of existing programs that are often siloed across health systems. Inequities have been a consistent driver of existing health threats; COVID-19 has worsened disparities, reinforcing the need for programs that address structural risks. The data reviewed here suggest that effective strengthening of health systems should include investment and planning focused on ensuring the continuity of care for both rapidly emergent and existing public health threats.https://doi.org/10.1371/journal.pone.0273389
spellingShingle Stefan Baral
Amrita Rao
Jean Olivier Twahirwa Rwema
Carrie Lyons
Muge Cevik
Anna E Kågesten
Daouda Diouf
Annette H Sohn
Refilwe Nancy Phaswana-Mafuya
Adeeba Kamarulzaman
Gregorio Millett
Julia L Marcus
Sharmistha Mishra
Competing health risks associated with the COVID-19 pandemic and early response: A scoping review.
PLoS ONE
title Competing health risks associated with the COVID-19 pandemic and early response: A scoping review.
title_full Competing health risks associated with the COVID-19 pandemic and early response: A scoping review.
title_fullStr Competing health risks associated with the COVID-19 pandemic and early response: A scoping review.
title_full_unstemmed Competing health risks associated with the COVID-19 pandemic and early response: A scoping review.
title_short Competing health risks associated with the COVID-19 pandemic and early response: A scoping review.
title_sort competing health risks associated with the covid 19 pandemic and early response a scoping review
url https://doi.org/10.1371/journal.pone.0273389
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