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The challenges of insularity for health systems

Nunes, Ana Beatriz; Simões, Jorge

The article analyzes the particularities of health systems of Small Island Developing States, also known as island countries, highlighting their geographical isolation, territorial fragmentation and climate vulnerabilityas determinants of the specificities of their health systems. The text identifies key challenges of insular health systems: training and retention of specialized human resour...


Community intervention strategies to reduce and prevent alcohol consumption, a ...

Vital Brito, Duarte; Nunes, Ana Beatriz; Vidal Castro, Joana; Lima Duarte, Sara

In 2016, alcohol consumption was the seventh risk factor for premature mortality and disability worldwide, accounting for 2.8 million deaths in the same year. Alcohol consumption increases the risk of developing neoplasms, cardiovascular and neuropsychiatric diseases. The present literature review aims to summarize the main community intervention strategies to reduce and prevent alcohol consumption, according t...


Public health failures in the 20th century

Leiras, Gisela; Perez Duque, Mariana; Ribeiro, Martin; Lourenço da Silva, Renato; Ferrinho, Paulo

Introduction: the 20th century is characterized for its considerable developments in the public health sector. Notwithstanding those important accomplishments, this review aims to depict the unsuccessful endeavours of that period.  Materials and method: a narrative review of the literature was carried, organised by topics and by the consultation of informative sources provided by experts in public health. ...


Public health challenges in the XXI century

Miranda, Joana; Neto, Joana; Magalhães, João; Pessoa, Vera

Public health, as an art and a practical science, focuses on population health and seeks to promote and protect health and prevent disease, through proactive and healthy behaviours. In a global context, health systems are dealing with major challenges and a reflection is due in order to develop risk minimization strategies. Some examples of these challenges are the shortage of resources, rising health expenses,...




Travellers’ health services

Sá Machado, Rita; Pereira, Filomena; Antunes, Delfina; Pereira Igreja, Ricardo; Patel, Dipti; Conceição, Cláudia

With the increasing of population mobility, there is a need to focus attention on the prevention of health problems related to travellers. The traveller’s medical consultation and availability of up to date information on all regions of the world is an essential part of this type of prevention. Due to the importance of Traveller’s Medicine, a roundtable was organized at the 5th National Congress of Tropical Med...



COVID-19’s epidemiological and demographic analysis in Africa

Martins, Helder F. B.; Hansine, Rogers

Africa has 17% of the world population, but at the close of this analysis (12 October 2020), it had only 4.2% of cases and 3.5% of COVID-19 deaths in the world. Therefore, we can state that it is a continent that is little affected by COVID-19. All African countries fall within between latitude 37º 21' and 34° 50' S and about 80% of African territory is in the intertropical zone, having ultraviolet radiation th...


Protecting healthcare workers against SARS-CoV-2

Ferrinho, Paulo; Vidal Castro, Joana; Sidat, Mohsin; Mansinho, Kamal; Correia, Artur; Masseca, Carlos; Neves, Clotilde

COVID-19 is a serious threat to the responsiveness of health services. In this context, health workers (HW) are expected to work long hours, under great professional, family and emotional pressure, with resources often inadequate, while accepting the dangers inherent in the activity, the proximity to infectious people, inseparable dangers of work environments. The impact of the pandemic is reflected in HW as in...


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