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Assessment of the Implementation of the International Health Regulations during the COVID-19 Pandemic

2023-10-11Artigo científico Acesso aberto
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dc.contributor.authorQueiroz, Guilherme Bento Lago de
dc.contributor.authorMaia, Joana Sofia da Silva
dc.contributor.authorGomes, Filipa Isabel Abreu
dc.contributor.authorChen Xu, José
dc.contributor.authorChina, Joana Félix da Silva Simões
dc.contributor.authorPereira, Sofia Pedroso Carmezim Ribeiro
dc.contributor.authorFerreira, Patrícia da Silva Alves Pita
dc.contributor.authorRamalho, José Pedro Ribeiro
dc.contributor.authorRoque, Joana Marta Carvalho Miranda Augusto
dc.contributor.authorTeixeira, José Pedro Dinis
dc.contributor.authorCarvalho, Constança Pinto de
dc.contributor.authorOliveira, Luís Ferreira de
dc.contributor.authorSimões, Diogo
dc.contributor.authorGomes, João Filipe Morgado
dc.contributor.authorLopes, Carla Gabriela Pereira da Silva
dc.contributor.authorCorreia, Tiago
dc.contributor.institutionEscola Nacional de Saúde Pública (ENSP)
dc.contributor.institutionInstituto de Higiene e Medicina Tropical (IHMT)
dc.contributor.institutionPopulation health, policies and services (PPS)
dc.contributor.institutionGlobal Health and Tropical Medicine (GHTM)
dc.contributor.pblBiblioteca Nacional de Portugal, Centro de Estudos Históricos, CELOM
dc.date.accessioned2024-02-06T23:19:44Z
dc.date.available2024-02-06T23:19:44Z
dc.date.issued2023-10-11
dc.description.abstractIntroduction: The International Health Regulations (IHR) were developed to prepare countries to deal with public health emergencies. The spread of SARS-CoV-2 underlined the need for international coordination, although few attempts were made to evaluate the integrated implementation of the IHR's core capacities in response to the COVID-19 pandemic. The aim of this study was to evaluate whether IHR shortcomings stem from non-compliance or regulatory issues, using Portugal as a European case study due to its size, organization, and previous discrepancies between self-reporting and peer assessment of the IHR's core capacities. Methods: Fifteen public health medical residents involved in contact tracing in mainland Portugal interpreted the effectiveness of the IHR's core capabilities by reviewing the publicly available evidence and reflecting on their own field experience, then grading each core capability according to the IHR Monitoring Framework. The assessment of IHR enforcement considered efforts made before and after the onset of the pandemic, covering the period up to July 2021. Results: Four out of nine core IHR capacities (surveillance; response; risk communication; and human resource capacity) were classified as level 1, the lowest. Only two were graded level 3 (preparedness; and laboratory), the highest. The remaining three) (national legislation, policy & financing; coordination and national focal point communication; and points of entry) were classified as level 2. Conclusion: Portugal exemplifies the extent to which implementation of the IHR was not fully achieved, which has resulted in the underperformance of several core capacities. There is a need to improve preparedness and international cooperation in order to harmonize and strengthen the global response to public health emergencies, with better political, institutional, and financial support.en
dc.description.versionpublishersversion
dc.description.versionpublishersversion
dc.description.versionpublished
dc.format.extent434257
dc.format.extent326745
dc.identifier.issn1646-0758
dc.identifier.otherPURE: 73767802
dc.identifier.otherPURE UUID: 61ccd2d1-6551-488c-b82b-c7cf0925a18b
dc.identifier.otherScopus: 85178666341
dc.identifier.otherWOS: 01086123500001
dc.identifier.otherPubMed: 37819731
dc.identifier.urihttp://hdl.handle.net/10362/163176
dc.language.isomul
dc.peerreviewedyes
dc.subjectCOVID-19
dc.subjectDecision Making
dc.subjectHealth Policy
dc.subjectInternational Health Regulations
dc.subjectPandemics
dc.subjectPreparedness
dc.subjectRA0421 Public health. Hygiene. Preventive Medicine
dc.subjectHealth Policy
dc.subjectInfectious Diseases
dc.subjectPublic Health, Environmental and Occupational Health
dc.subjectSDG 3 - Good Health and Well-being
dc.titleAssessment of the Implementation of the International Health Regulations during the COVID-19 Pandemic
dc.title.alternativeAvaliação da implementação do regulamento sanitário internacional durante a pandemia de COVID-19o caso portuguêsen
dc.title.subtitlePortugal as a Case Study
dc.typejournal article
degois.publication.firstPage819
degois.publication.issue12
degois.publication.lastPage825
degois.publication.titleActa Médica Portuguesa
degois.publication.volume36
dspace.entity.typePublication
rcaap.rightsopenAccess

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