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Review Article



Public Health Aspects of COVID19 Infection with Focus on Cardiovascular Diseases

Izet Masic, Nabil Naser, Muharem Zildzic.




Abstract

Introduction: COVID-19 is the disease caused by an infection of the SARS-CoV-2 virus, first identified in the city of Wuhan, in China›s Hubei province in December 2019. COVID-19 was previously known as 2019 Novel Coronavirus (2019-nCoV) respiratory disease before the World Health Organization (WHO) declared the official name as COVID-19 in February 2020. Aim: The aim of this study is to search scientific literature in the biomedicine and analyzed current results of investigations regarding morbidity and mortality rates as consequences of COVID-19 infection of Cardiovascular diseases (CVD), which are on the top mortality and morbidity rates in almost all countries in the world, and also to propose most useful measures how to prevent CVD patients to keep themselves against COVID-19 infection. Methods: We used method of descriptive analysis of the published papers with described studies about Corona virus connected with CVD, and, also, Guidelines proposed by World Health Organization (WHO) and European Society of Cardiology (ESC), and some other international associations which are included in global fighting against COVID-10 infection. Results: After searching current scientific literature we have acknowledged that not any Evidence Based Medicine (EBM) realized study in the world during last 5 months from the time when first cases of COVID-10 infection was detected. Also, there is no unique proposed ways of treatments and drugs to protect patients, especially people over 60 years old, who are very risk group to be affected with COVID-19. Expectations that vaccine against COVID-19 will be produced optimal during at least 10 months to 2 years, and in all current Guidelines most important proposed preventive measures are the same like which one described in Strategic documents of WHO, given by pioneer of Social medicine and Health Care organization. Professor Andrija Stampar, in statements of Declaration of Primary Health Care in Alma Ata in 1978, are not so much positive. Conclusion: Frequent hand washing, avoiding crowds and contact with sick people, and cleaning and disinfecting frequently touched surfaces can help prevent coronavirus infections are the main proposal of WHO experts. Those preventive measures at least can help to everybody, including also to patients who have evidenced CVDs in their histories of illness. Physicians who work on every level of Health Care System, but especially at primary health care level and in Family Practice surgeries must follow those recomendations and teach their patients about it.

Key words: COVID-19, CVS, Epidemilogy, Public health, WHO, ESC, Guidelines, Preventive measures






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