7^th Epidemiology and Public Health Conference June 17-18, 2019 MENA Plaza Hotel Albarsha Dubai, UAE

Biography:

Hamzeh J Awad has completed his PhD from School of Medicine, University of Munich, Germany. He is currently working as the Associate Professor in Health Science Department at Al Khawarizmi International College in Abu Dhabi and Adjunct Faculty Member in Public Health Department at Abu Dhabi University, UAE and also Founder of SEHA eHealth. Recently, he started his new role in Academia at Higher College of Technology, teaching Health Information Management. He has several publications in ISI journals and chapters in Books and keynote speaker in several international conferences.

Abstract:

There are eight key elements that define a smart city: smart governance, smart building, smart healthcare, smart mobility, smart infrastructure, smart technology, smart energy and smart citizens. By 2025, it is estimate that there will be enormous increase in smart health applications in practice. The application of technology such as Telehealth and mobile health will give rise to smart healthcare cities, where the focus will be on improving the operating efficiency and quality. TeleHealth services with proven track records today can be broadly categorized into three groups: Teleconsultation, telemonitoring, and electronic health record. Teleconsultation allows patients to consult doctors about non-emergency medical conditions such as video call over an online link without having to step out of their house. Telemonitoring on the other hand, helps healthcare professionals keep a close eye on patients dealing with chronic medical conditions such as vital signs of blood pressure and glucose level. In the back, electronic health record keeping ties the whole system together with no more paper work. It allows healthcare professionals to see a patient’s entire medical history, helping them make more accurate and timely diagnoses and treatment of their conditions. Close management of metabolic disorders by monitoring vital signs such as blood glucose and blood pressure is considered to be the key element in any management or prevention protocol. Yet, the magnitude of TeleHealth effects remains debatable, especially with the variation in patients’ characteristics (e.g., background, ability for self-management, medical condition, education and healthcare infrastructure). In Middle East, increasing awareness about TeleHealth in general and telemonitoring in particular and investigation of telemonitoring efficacy and cost-effectiveness is needed to prevent and manage metabolic disorders by monitoring lifestyle parameters and control glycemic level and blood pressure as the main cause of metabolic disorders complications.

Biography:

Abstract:

Infection with Mycobacterium tuberculosis (M.tb) is the precursor to TB disease, which is responsible for 1.5 million deaths each year—more than any other infectious disease. Once infected, the individual is at highest risk of developing TB disease within the first two years, but can remain at risk for their lifetime. The population carrying a latent TB infection (LTBI) is commonly quoted as “one-third” of the global population, a reservoir of approximately 2.3 billion individuals. As the global community-Lead by WHO- looks to meet ambitious targets for reduction (90% reduction in TB incidence by 2035) and even elimination of TB (less than 1 incident case per 1,000,000 per year) by 2050, our ability to address the LTBI reservoir will be critical in our chance to succeed. Other challenges are the MDR Tuberculosis that are rising up and casing lot of complication in managing and caring for the patient and the society. As UAE healthcare system always adopt eagerly any united global strategies to end any threats on Human health, changes in polices for screening TB and treating LTB was one of the essential steps that have been taken recently

Biography:

Fereshte Sheybani is currently working as a Specialist and Assistant Professor in Infectious Diseases and Tropical Medicine at Mashhad University of Medical Sciences, Iran. She has studied Infectious Diseases and Tropical Medicine at Mashhad University of Medical Sciences. She has published more than 20 papers in reputed journals. Her research primarily focuses on four areas of research including diagnostic errors in infectious diseases, central nervous system infections, infectious granulomatous disorders and healthcare associated infections.

Abstract:

Although there is still much to learn about the types of errors committed in health care and why they occur, enough is known today to recognize that a serious concern exists for patients. Tuberculosis (TB) is an infectious disease that is frequently subject to diagnostic errors. Missed or delayed diagnosis of TB can affect patients and community adversely. The current is a multicenter study that was conducted in three university hospital in Mashhad, Iran. We tried to evaluate the type of diagnostic errors in TB patients from symptom onset to diagnosis. Errors in the diagnostic process were identified in 97.5% of patients. Although an important part of the delay in diagnosis of TB was related to the delay from onset of symptoms until the first medical visit by patient, but more significant part was associated with delayed time from first medical visit to diagnosis, which was associated with diagnostic errors. Similar to other diagnostic errors, in the TB patients, a combination of cognitive and system errors led to a delayed or missed diagnosis. The most common type of error in diagnosing TB was failure in hypothesis generation (72%), followed by history taking and physical examination. It seems likely that efforts to improve public awareness of and health literacy for TB, to coordinate the referral and follow up systems of patients and to improve physicians' skills in history taking and physical examination and clinical reasoning will result in reduced delay in diagnosis of TB and perhaps, improved patient safety and community health.

Biography:

Bharat Mishra has completed his PhD from Jodhpur National University and Masters in Pharmacology from Rajiv Gandhi University of Health Sciences, India. He is currently working the Professor and Head of Department of Pharmacology in Nirmala College of Pharmacy, India. He has published more than 25 papers in reputed journals and has been serving as an Editorial Board Member of repute.

Abstract:

Introduction & Objective: Diabetes is a complex disorder, demands different therapeutic approaches. The therapies like insulin and oral agents have their own drawbacks and high cost. Herbal formulations believed to be least side effects and low cost used along with synthetic therapy without considering consequences of concomitant uses. The main objective is to assess the prevalence of herbal plants use among diabetic patients, identify the plant products used, source of motivation and pattern of herbal uses and investigate the effectiveness, awareness, consequences of simultaneous use of herbal with synthetic drug.

Method: A community based cross-sectional study was conducted among type-2 diabetes using pre-structured questionnaire consisting socio-demographic and herbal use characteristics. Patients with type-1 and gestational diabetes and using only herbal products were excluded.

Results: A total of 470 patients, 340 were using herbal plants simultaneously with synthetic drugs and 130 were only synthetic drugs. Most of the herbal users belonged to rural areas (62.55%) (P= 0.011) were maximum users belongs to 40 to 55 years. Herbal use found to be higher among females (54.89%) (P=0.001) .About 34 herbal plants identified, 10% of were using ayurveda products and commonly used were Guava (17.6%), bitter gourd (12.9%), Indian gooseberry (7.5%). About (67%) were satisfactory with herbal use, but only (35%) informed to physician of herbal use, (25%) experienced hypoglycemia and negligible patient reported their hypoglycemic occurrence.

Conclusion: The physician should have knowledge about herbal medicines safety and efficacy, so that they can make safe choices and avoid potential interactions with conventional therapy.

Biography:

Research Assistant at Georgetown University Hospital, I performed an integral research-focused role in conducting intake interviews, administering surveys, completing data collection and managing all aspects of study coordination, research and data acquisition regarding Zika Virus, Yellow Fever, and MERS in collaboration with the lead researcher. As a performance-driven, process-focused and proactive, public health management professional, and an aspiring Global & Community Health professional.

Abstract:

The World Health Organization (WHO) declared Zika virus and its associated complications a Public Health Emergency of International Concern (PHEIC) in February 2016. Zika virus infection, transmitted by the Aedes mosquito, can result in severe health conditions, most notably neurological disorders such as congenital Zika Syndrome (which includes microcephaly) and systemic neurological complications such as Guillain-Barre syndrome. In the years since the PHEIC declaration, the global research community has introduced 45 prophylactic vaccine candidates, as well as several candidates’ therapeutics for the virus infection itself, some of which have progressed into human clinical trials. Meanwhile, mathematical modelling is being used to predict where and when future Zika outbreaks may occur. While there is not yet a vaccine for the virus, important information regarding its transmission and mechanism of infection has been elucidated; for example, it has been determined that rates of transmission tend to be highest in the early morning and late afternoon/early evening, since the Aedes mosquito is most active during those hours. Studies in animal models have produced promising results of vaccines for the purpose of preventing maternal-fetal transmission and also generating immunity in the mother and other clinical and translational methods for developing vaccines and therapeutics for the virus are currently being investigated.

Biography:

Obi-Nwafor Ugochukwu has completed his MSc degree from the University of Ibadan and is currently pursuing his PhD. He is the Director of Programs at Muty-Josie support foundation. Delta State, Nigeria. 

Abstract:

Postnatal period is the period beginning immediately after the birth of a child and extending for about six weeks. The postnatal period is the most vulnerable time for both mother and baby and is critical not only for survival but also to the future of mothers and neonates. However, utilization of postnatal services remains low in Nigeria despite its effectiveness in reducing maternal and neonatal mortality and morbidity. Hence this study is aimed at determining the factors associated with utilization of post-natal care among Nigerian mothers, the quality of post-natal care being assessed in Nigeria and to determine the influence of utilization of antenatal service on postnatal care utilization. Postnatal service information of women from 2008-2013 was extracted from the NDHS survey data, which made use of a multi-stage cluster sampling design, postnatal care information was obtained and analyzed. At first, individual and community level factors was determined, chi-square test was used to test the association of social, economic and demographic characteristics of mothers with the experience of postnatal care service. Subsequently, a logistic regression model was used to estimate the relative association of factors that influence postnatal care utilization after excluding variables that were not significant at the bivariate level. Out of the 38,948 women aged 15-49 years interviewed in the 2013 NDHS, a total of 19,538 (50.2%) of them had at least a birth (which survived beyond two months) in the previous five years before the survey. The mean age at last birth was 28.2+7.0 years. The results showed both individual and community characteristics to be associated with postnatal care utilization. About 48.8% of women who utilized antenatal care services within the first five months along with the other 17.8% who utilized antenatal care services within 6-10 months (OR=3.10; CI=2.74-3.51) and women who had a higher birth weight (OR=2.58; CI=1.10-1.82) had a higher probability of utilizing postnatal care services. In contrast, only 462 (2.4%) were delivered by caesarean session while majority (18951, 97.0%) of them were not delivered by a caesarean session (OR=0.49; CI=0.38-0.63) and 21.7% women with poorest wealth index (OR=0.49; CI=0.40-0.60) were less likely to utilize postnatal care services. Also 20.2% of women who had primary education along 89.1% of women with the desire for the pregnancy were also associated with a reduction in postnatal care utilization. Findings from this study revealed that utilization of postnatal care service in Nigeria is still low. Both individual and community characteristics showed a significant impact on postnatal care utilization. Implementation of community-based interventions targeting poverty alleviation and women empowerment will help improve postnatal care utilization. The study also provides evidence that emphasis should be placed on the availability of antenatal care services which enhances postnatal care utilization and assistance rendered to women who do not have access to health services.

Biography:

Suaad Aljaberi is an Expertise in the Microbiology with excellent organizing and management skills and a passion for learning and research. She holds a Master degree in Medical Microbiology and Doctorate degree in Infection Disease and Tropical Medicine from London University

Abstract:

Starting her career in microbiology, medical microbiology was becoming more interesting for here, which have led to obtaining MSc in medical microbiology from UCL- London School of hygiene and tropical diseases in the United Kingdom. As the microbial problems was growing exponentially worldwide, studding them start directing toward molecular biology. Therefore, studied molecular microbiology, which make here gain more skills and get directed toward molecular epidemiology and phylogeny. She has worked with many research groups in UCL in phylogeny and whole genome comparisons. She has been trained also in Sanger institute in UK and gained skills in sequencing and virulence factors studying. As an infection diseases specialist, she also practices infection control and led teams for the managements of various outbreaks in police campuses and prisons for the past seven years. Being a trainer and instructor, she has trained over 3000 candidates from Police medical staff and forces in addition to MOH healthcare workers. Furthermore, she has been a speaker in many conferences and addressed researches in infection diseases and control, Health information managements systems and analysis, molecular genotyping and phylogeny

Biography:

Ibrahim M Gosadi is currently working as an Associate Professor of Epidemiology at College of Medicine, Jazan University. He is author of book “Introduction to Epidemiology” in addition to multiple publications of clinical investigations in reputable peer-reviewed local and international journals.

Abstract:

According to the Saudi Cancer Registry, most common types of cancers in Saudi Arabia are breast cancer, colorectal cancer and thyroid cancer. The Saudi Ministry of Health launched national program for early detection for breast cancer. However, the process of seeking screening for breast cancer is not clear. In a paper titled Breast cancer screening in Saudi Arabia: Free but almost no takers; it was reported that among 1135 women who were aged 50 and older, 92% of them reported never having a mammogram. Although colorectal cancer is most common type of cancer among Saudi men, currently, there is no nationwide screening program for colorectal cancer in Saudi Arabia. According to the Saudi MOH, only 9% of colorectal cancer cases are diagnosed at early stages of colorectal cancer. Despite lack of a nationwide program for colorectal cancer screening, the Saudi MOH does promote for the importance of screening for the disease. However, awareness raising efforts about colorectal cancer screening can be described as modest in comparison to breast cancer. In a sample of 2946 selected from The Saudi National Survey for Elderly Health, it was reported that utilization of colorectal cancer screening was 5.64% where less than 1% utilized colonoscopy. The low participation rates in screening for cancers in Saudi Arabia can be partially explained by extreme lack of information concerning available screening services.

Biography:

Bharat Mishra has completed his PhD from Jodhpur National University and Masters in Pharmacology from Rajiv Gandhi University of Health Sciences, India. He is currently working the Professor and Head of Department of Pharmacology in Nirmala College of Pharmacy, India. He has published more than 25 papers in reputed journals and has been serving as an Editorial Board Member of repute.

Abstract:

Diabetes Mellitus (DM) has assumed the status of an epidemic resulting in total estimated expenditures for diabetes approaching $132 billion. The rise in diabetic patients from 171 million in 2000 to 366 million in 2030 is projected. Available treatment of DM helps lower blood sugar in a different way and shows serious side effects. Not only the economy but also the prominent side-effects of such drugs are the main reason for increasing interest in alternative therapies with less severe or no side-effects. The herbal drugs show delayed onset of action as compared with synthetic drugs while the synthetic drugs exhibit more side effects, therefore, some novel therapeutic combinations of synthetic and herbal drugs are being investigated for better effects viz. reducing the dose, cost and side effects. The present investigation explores the effect of concomitant use of aqueous leaf extract of Gymnema Sylvestre (GS) and Momordica Charantia (MC) in combination with different fractions of Pioglitazone (PGL) in high fat fed and Streptozotocin (STZ) induced type-2 diabetic albino rats. Diabetic rats were treated with extracts of GS and MC with reducing doses of PGL and parameters like blood glucose level, kidney function, body weight, organ weight & urine volume were observed at different time intervals for a period of 40 days. The combination was found to control the blood glucose levels to a greater extent as compared to the synthetic drug. It was also observed that there was an improvement in diabetes-associated complications. The psychological, biochemical and histopathological results indicated that the combination has shown better hepatoprotective, renoprotective and neuroprotective effects as compared to PGL alone.

Biography:

Félix Cantarovich is a Chief in Nephrology Service at HMC, Argerich, Buenos Aires, Argentine. He is the Founder and National Director of
CUCAI and also Assistant Professor National University Buenos Aires, Argentine.

Abstract:

Organ shortage depends on people's decision. However, persistent unfair dead awaiting organ transplantation, are expression that globally public remains unresponsive to this dramatic health problem. Paradoxically, although patient mortality waiting for organs increases each year, social education programs on organ donation have remained unchanged throughout the time. To donate is a gift of life persisted as the main slogan supporting people’s social education. It has been suggested that fear of death, mutilation, distrust of medical teams, hostility towards new ideas and religious uncertainties, are more relevant barriers to donation than lack of public education and information. Society must accept that organ donation is a moral responsibility. The concept that using organs of a deceased individual implies to sharing a source of health could be, with people’s understanding of the health crisis, a future social agreement. Education might reshape public opinion about organ donation. However, public programs proposing new suggestions should be attempted to improve social response towards organ donation. Suggestions to change people’s attitudes towards donation may include the following catchphrases: 1. During life, everybody may be a potential organ receptor. 2. The organs of the deceased are an irreplaceable source of health. 3. The body after death is a chance to share health with everyone. A survey has shown that the lack of knowledge of organ donation and transplants persists unchanged through the years in university medical education. Finally, in an attempt to improve the present reality, education in schools, colleges and universities, with programs that consider new encouraging options of organ donation social communication, should be seriously evaluated and put into practice by those responsible for international health education plans.

Biography:

Naveeda Akhtar Qureshi is working as an Associate Professor in the Quaid-i-Azam University. She is also running number of projects awarded by HEC. She has published more than 35 papers in reputed journals and has been serving as an Editorial Board Member of repute.

Abstract:

Leishmaniasis is a vector borne infection caused by various species of genus Leishmania and transmitted by Phlebotomine female sand flies. The metrological data was collected from Khyber Pakhtoonkhwah (district Dir) and correlated with CL cases of previous five years (2012-2016) obtained from basic health units. Blood samples of (n=1270) cases of leishmaniasis were collected and conformed for the presences of Leishmania tropica kDNA-PCR detection. The leaves extracs of Grevillea robusta, Bombax ceiba and two herbs Voila canescens and Euphorbia heliscopia were evaluated for antileishmanial activity. The spatial patterns of CL infection were analyzed by ArcGIS 10.3 software. The Highest Annual Parasitic Incidence (API) was found in 2014 (0.049/1000), whereas lowest API was recorded in 2016 (0.024/1000). This appearance of CL cases revealed the highest peak of infection in spring followed by winter season. However no gender wise difference was observed and mostly children up to 20 year of ages were greatly affected. Current study provides a detailed insight into the CL epidemiology and its various risk factors in Dir. The highest spatial distribution of CL cases in tehsils was noticed as following, Balambat>Khal>Temergara>Warrai respectively. We also predicted that due to raise in global temperature and population of Dir, the tehsils adjacent to Balambat and Khal will be at risk in future. According to kDNA-PCR detection method, 95% specimens were positive and 5% were negative. The V. canescens showed the most significant antileishmanial activity with LCâ‚…â‚€ of 0.506 μg/ml.

Biography:

Dr. Tanveer Yadgir PhD scholar in Public Health, Post Graduate in Management & Medical Graduate. Presently working with Fatima College of Health Sciences as an Academic Faculty. He was working as Head of Research & Studies Unit with Dubai Corporation for Ambulance Services for almost 12 years, he was leading numerous development projects for Dubai Ambulance, few of the projects won the International Awards. He has assigned as project officer for PAROS (Pan Asian Resuscitation Outcome Study), Singapore to collect data on Out of Hospital Cardiac Arrest. He has presented numerous research papers on Prehospital emergency care topics in International Conferences and published numerous research paper in peer reviewed and scientific journals.

Abstract:

Objective: Ambulance over-triage is wasteful and can cause delayed treatment for serious emergencies. Existing prehospital triage systems have limited accuracy in the absence of physi- ological measurements prior to arriving at the scene. This study proposes two new computerized models in a prehospital self-triage setting, based on information available to patients themselves, investigates safety and accuracy in terms of under- and over-triage rates, and compares them with established scores such as the Modified (MEWS) or National Early Warning System (NEWS) and the Emergency Severity Index (ESI).

Study Design: This was a retrospective cohort study.  

Results: Among the 433,498 missions considered, 17.6% were classified as serious and 3.9% life-threatening.  Both self-triage models, based on a decision tree (DT) and Neural Network (NN), showed better discriminative power between serious and non-serious calls compared to established scoring systems, with a sensitivity of 98.3% (DT) / 88.2% (NN) and negative predic- tive value of 96.7% (DT) / 95.0% (NN), compared to physiological scoring systems with sensi- tivities of 98.0% (MEWS), 74.7% (NEWS), 51.8% (ESI), negative predictive values of 82.6% (MEWS), 90.2% (NEWS), and 84.7% (ESI). The safer model (DT) has the potential to reduce current call load by 13.5% at only 1.7% risk of misclassifying serious calls and less than half the rate of under-triage of existing scores.

Biography:

Cicilia Windi Yaningsih has completed PhD from University of Indonesia in epidemiological study. She has previously worked as Head of Treatment, Surveillance and Partnership in Zoonosis, Directorate of UBDC, Ministry of Health Republic Indonesia (MOH RI). Currently she is the Head of Research and Community in URINDO. She has already published books and journal about epidemiology in reputed international journal.

Abstract:

Background: The incidence and the death rate of diphtheria in Indonesia continues to increase from 2014 to 2017 as well as at RSPI SS an increase in cases of diphtheria has continued to occur. DAT (Diphtheria AntiToxin) is very important to reduce the severity of diphtheria. The aim of the study was to prove the effect of DAT and other factors to decrease the severity of diphtheria patients at RSPI Prof. Dr. Sulianti Saroso 2014-2017.

Method: Observational analytics, case control design was used. Samples of cases were 86 people, controls 86 people, the dependent variable was a decrease in severity, independent variables were DAT treatment, DAT dose, DAT time, antibiotics, corticosteroids, age, sex, residence, immunization status, pseudomembranous, bullneck, myocarditis and culture.

Results: Variables that were significantly associated with a decrease in the severity of diphtheria patients were DAT treatment (OR=4.063; 95% CI: 1.354-12.195; p=0.012); corticosteroids (OR=3.653, 95% CI: 1.568-8.513; p=0.003) and culture (OR=0.170; 95% CI: 0.054-0.547; p=0.170), myocarditis was a confounding variable (OR=1,690,95%; CI: 0,565-5,052; p=0.348).

Conclusion: DAT treatment has been shown to affect the severity of diphtheria contributed 7.6%. Four factors that were significantly associated with a decrease in the severity of diphtheria were contributed 26.3%. Suggestion DAT and confirmation laboratory diagnosed must be available in primary health care and hospital.

Biography:

Bharat Mishra has completed his PhD from Jodhpur National University and Masters in Pharmacology from Rajiv Gandhi University of Health Sciences, India. He is currently working the Professor and Head of Department of Pharmacology in Nirmala College of Pharmacy, India. He has published more than 25 papers in reputed journals and has been serving as an Editorial Board Member of repute.

Abstract:

The happiness is not something which can be designed, conditioned or associated with some things, people or situations, it is there, it is always there. We are always talking about happiness and get worried and panic while feeling unhappiness. The process will be right if we understand the reasons for unhappiness before trying to be happy. The cataloguing is required to create the understating for those reasons. The categorization of the conditions, situations, people and things which are behind the cause for unhappiness is the right process. When the analysis for such things and situations establishes, it is quite evident that there are some common reasons irrespective of places and people. Here the effort is to take the audience to their acceptance of those common things which actually trouble them and then the pathway will be very simple to deal with these things and come out of them and to be happy.

Biography:

Naveen Ramzan is currently Proceeding Master’s in Public Health with concentration in Epidemiology from East Tennessee State University.
Intend to graduate in 2019.

Abstract:

Background: Chronic Kidney Disease (CKD) can be described as the loss of the kidney function over time. Symptoms usually develop slowly and it may not appear in early stages. Lab tests can confirm a CKD diagnosis. The approximate number of incidents per year is more than 200,000 cases and approximately 30 million people are living with CKD today in the United States. This long-standing disease ultimately leads to renal failure at the end. At this present time, there are no known cures for CKD and the only treatment available is dialysis.

Objectives: The purpose of this study is to determine the association between CKD and further with Hemodialysis (HD) and medical condition such as cardiac complications, cardiogenic shock, hemorrhage, anemia, vascular complication, postop respiratory failure, post op infarct hemorrhage, acute renal failure, new temporary pacemaker, new permanent pacemaker, pericardial complications, and death.

Methods: The study employed secondary data in a cross-sectional design. A sample of 106,969 was drawn from the population. The outcome variables were a diagnosis of CKD and/or CKD with HD. The predictor variables were cardiac complications, cardiogenic shock, hemorrhage, anemia, vascular complication, postop respiratory failure, post op infarct hemorrhage, acute renal failure, new temporary pacemaker, new permanent pacemaker, pericardial complications and death. Logistic regression was conducted to analyze the relationship between outcome variable and each independent variable. Variables with a p-value <0.05 were considered significant. Odds Ratio (OR) and 95% Confidence Intervals (CI) were reported and discussed. The statistical analysis was performed using SAS version 9.4.

Results: Analysis shows that subjects with cardiac complications were 17% less likely to have CKD as compared to those who did not have cardiac complications (OR: 0.83, 95% CI: 0.78-0.88). CKD patients who had cardiac complications were 18% more likely to have HD than the subjects who did not have cardiac complications (OR: 1.18, 95% CI: 1.01-1.39). Patients with cardiogenic shock were 86% more likely to have CKD than the subjects who did not have cardiogenic shock (OR: 1.86, 95% CI: 1.82-1.91). CKD patients who had cardiogenic shock were also 18% more likely to have HD than the subjects who did not have cardiogenic shock (OR: 1.18, 95% CI: 1.11-1.25). Similar results have been reported if a patient had other conditions.

Conclusion: Chronic kidney disease with hemodialysis is significantly associated by the other medical conditions such as cardiac complications cardiogenic shock, hemorrhage, anemia, vascular complication, postop respiratory failure, post op infarct hemorrhage, acute renal failure, new temporary pacemaker, new permanent pacemaker, pericardial complications and death in the United States. Further studies are needed to confirm the results and to understand the prognosis.

Biography:

Sadoof Habib Ahmad from Saudi Arabia has pursued Bachelor’s degree in Basic Medical Sciences. Also, he has completed his Postgraduate degree in Field Epidemiology FETP. He has worked in Ministry of Health first as a Medical Physician. He is a Field Epidemiologist and Head of Infection Control Unit in general hospital, Jubail Saudi Arabia.

Abstract:

Introduction: The Field Epidemiology Training Program (FETP) assigned to investigate a cluster of Middle East Respiratory Syndrome Coronavirus (MERS-CoV) in Riyadh, March 2015, focusing on identifying the source infection, the transmission sequence and the role of public health response in cluster identification and containment and follow up.

Method: FETP team visited the Riyadh Health Directorate to get information about the cluster, actions taken by different sectors of the health department and current status of the cluster regarding MERS-CoV infection. The team visited different hospitals which notified and managed cases in order to collect information and also the team called the family members for data collection.

Results: A cluster of five MERS-CoV positive cases belonging to a single family have been identified (two symptomatic and three asymptomatic). Case Fatality Rate 40%, the mean age of these cases 64.8 years±21.77 SD. No community-based case investigation of the first patient was conducted and this led to case missing. Transmission of infection was due to close contact of first case and delay in diagnosis.

Conclusion: Five (5) MERS-CoV cases have identified in one family. Follow-up of the cases and contacts was not efficient resulting in loss of follow-up of detected cases, transmission and missed early diagnosis among contacts.

Biography:

Lama Alshawi has pursued his BSc degree at King Saud University in Health Education Program. She is the Director of Health Education Club and Cultural Social Club at KSU. She is always interested in research that focuses on public health, especially in developing behavior
change interventions and campaigns.

Abstract:

This study provides an overview of workplaces need for health education specialist in Saudi Arabia and provide the explanation of the importance and implications for the presence of health education specialist in all workplaces not merely in the hospitals to achieve overall health for the employees. The study was designed as a questionnaire-based cross-sectional study. The major findings indicate the percent of the responses who dealt with health education specialists (23.5%) which are considered few compared to the whole sample. Also, the responses who dealt with health education specialists proved the presence of the health education specialists contribute to understand and prevent diseases by (26.5%), improve the health of individuals by (25.9%), increase the quality of productivity by (24.1%) and reduce the health care costs by (23.5%). This review seeks to describe the shortage in number and distribution of health education specialist and what extent the workplaces and workers need they presence.