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   Table of Contents - Current issue
Coverpage
September-December 2021
Volume 2 | Issue 3
Page Nos. 51-74

Online since Monday, December 27, 2021

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EDITORIAL  

COVID-19 in India: Current status-prevalence, research area, public health, and primary care p. 51
Sweety Sharma
DOI:10.4103/jphpc.jphpc_10_21  
COVID-19 remains a serious global public health emergency. As of June 18, 2021, there had been 177,108,695 confirmed cases of COVID-19 worldwide, with 3,840,223 deaths. India is currently experiencing the world's worst outbreak, with the new emerging cases. This pandemic has a negative impact on India's public health, primary care, economic activity, and research. There are no proven treatments, and medicines have only been approved for emergency use or as an off-label drug. The growing number of COVID-19 cases causes a shortage of health-care resources such as medicines, testing, hospital beds, oxygen support, ventilators, and so on. The abrupt change in scenario has exacerbated mental health issues. Several clinical trials are underway, and many Indian companies are expected to begin supplying vaccine doses in July, with the hope that the crisis will be under control by the end of the year. This review focuses on the current state of COVID-19 in India in terms of research, public health, primary care, and prevalence.
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ORIGINAL ARTICLES Top

Effect on mental health of health-care providers during COVID-19 pandemic p. 58
Arvind Sharma, Priyanka Dubey, Deepali Soni, Richa Sharma, Aditi Bharti, Tej Pratap Singh
DOI:10.4103/jphpc.jphpc_4_21  
Background: Health-care providers played a crucial role in responding to the public health emergency due to COVID-19 pandemic. Therefore, our study aimed to assess depression, anxiety, and stress (DAS) levels among the health-care providers in a COVID-19 dedicated health-care facility. Methodology: From the month of August to December 2020, a cross-sectional study was conducted on health-care providers who were involved in providing health-care services to COVID-19 patients in a tertiary care institute of Jabalpur by purposive convenient sampling through online Google Forms. The study tool used was validated depression, anxiety, and stress scale-21 having a good internal consistency having Cronbach's alpha value 0.85. Results: From 112 health-care providers, higher level of anxiety was found (29.46%) followed by depression (17.85%) and stress (16.07%). Mild, moderate, severe, and extremely severe anxiety were found in 18.75%, 7.14%, 1.78%, and 1.78%, respectively. Mild and moderate depression were found in 9.82% and 8.03%. Mild, moderate, and severe stress were found in 8.92%, 6.25%, and 0.89% of health-care providers, respectively. A significant association of depression, stress, and anxiety with designation of the participants was found (P < 0.001). Conclusion: To combat DAS, it is necessary to cascade awareness and knowledge should be disseminated. Regular screening of health-care providers, counseling, and stress management programs should be conducted.
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How immunization clinic and cold chain point are organized and functioning? – Status of a tertiary care hospital, West Bengal p. 64
Arup Chakraborty, Debasis Das
DOI:10.4103/jphpc.jphpc_4_20  
Background: Universal immunization program is one of the large public health programs in our country which plays very crucial role to improve child's health and reduce infant and under-five mortality. Aim: The study was planned to determine the organization of the immunization clinic and cold chain point and to assess the managerial problems and finding out probable solutions. Materials and Methods: It was an observational study done in 2016 in the immunization clinic of Medical College, Kolkata. A predesigned and pretested data collection form, relevant registers and records, a checklist of Government of India was used for collecting data. Interviewing different stakeholders, examination or records, and observation of functions was done. Results: The study revealed few major issues like lack of knowledge and motivation among the staffs. Limited supervision by the higher authority and uneven supply chain especially for Vitamin A was also highlighted. Conclusion: Priority analysis found that the most priority issue of the immunization clinic was the lack of knowledge of the Public Health Nurses and Junior Doctors. Hence, most suitable intervention was to arrange a training session for the Doctors and the nurses. The detailed action plan and budget regarding the training activity were also calculated. Clinical Significance: Success of Universal Immunization Programme depends on cold chain planning, maintaining and evaluation of temperature-sensitive vaccination program. Hence, the present study of cold chain organization and functioning is immensely important repeatedly over time.
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CASE REPORT Top

The spider web sign in the COVID lung p. 70
Rudrajit Paul, Kunal Som
DOI:10.4103/jphpc.jphpc_12_20  
The COVID-19 infection causes a severe form of viral pneumonia in a proportion of the infected patients. Over the last 1 year, a lot of typical and atypical radiological changes in COVID pneumonia have been documented. These radiological appearances can help in the diagnosis of COVID infection even before genetic test results are available. While some of these signs are nonspecific and found in a lot of other infections, there are a few signs that have been newly described specifically during the current pandemic. Here, we present such a rare sign in a patient from Eastern India.
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LETTER TO EDITOR Top

The rising biohazard of discarded protective gear during the COVID-19 pandemic: Possible solutions p. 73
Satvinder Singh Bakshi, Sumita Bakshi
DOI:10.4103/jphpc.jphpc_15_20  
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