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Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage --The Lancet

Fragmented health systems in COVID-19: rectifying the misalignment between global health security and universal health coverage

The COVID-19 pandemic has placed enormous strain on countries around the world, exposing long-standing gaps in public health and exacerbating chronic inequities. Although research and analyses have attempted to draw important lessons on how to strengthen pandemic preparedness and response, few have examined the effect that fragmented governance for health has had on effectively mitigating the crisis.

By assessing the ability of health systems to manage COVID-19 from the perspective of two key approaches to global health policy—global health security and universal health coverage—important lessons can be drawn for how to align varied priorities and objectives in strengthening health systems.

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The C.D.C. warns Americans not to travel for the holidays and outlines ways to shorten quarantine times.

The C.D.C. warns Americans not to travel for the holidays and outlines ways to shorten quarantine times.

Citing the spiraling rise in coronavirus cases nationwide, the Centers for Disease Control and Prevention on Wednesday warned Americans not to travel over the holidays, and outlined two ways to shorten the recommended quarantine times for people who may have been exposed to the coronavirus, especially those who may choose to travel anyway.

“The best thing for Americans to do during the holiday season is to stay at home and not travel,” said Dr. Henry Walke, who oversees day to day management of pandemic response for the agency.

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WHO fine-tunes advice on COVID masks for public, health workers

GENEVA (Reuters) - The World Health Organization on Wednesday tightened guidelines on wearing face masks, recommending that, where COVID-19 is spreading, they be worn by everyone in health care facilities and for all interactions in poorly-ventilated indoor spaces.

In June, the WHO urged governments to ask everyone to wear fabric masks in indoor and outdoor public areas where there was a risk of transmission of the virus.

Since then, a second global wave of the epidemic has gathered pace. In all, more than 63 million people globally have caught COVID-19 and 1.475 million died of it, according to a Reuters tally.

In more detailed advice published on Wednesday, the WHO said that, where the epidemic was spreading, people - including children and students aged 12 or over - should always wear masks in shops, workplaces and schools that lack adequate ventilation, and when receiving visitors at home in poorly ventilated rooms.

Masks should also be worn outdoors and in well ventilated indoor spaces where physical distancing of at least one meter (3 ft) could not be maintained.

In all scenarios, masks - which protect against transmission of the virus rather than infection - needed to be accompanied by other precautions such as hand-washing, the WHO said.

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