Publications by authors named "P Sonenthal"

Article Synopsis
  • - The long-term effects of tuberculosis (TB), particularly post-tuberculosis lung disease (PTLD), are a major global health issue, affecting over half of patients after TB treatment, yet it's largely ignored in policies.
  • - There is a critical need for clear guidelines on diagnosing and managing PTLD, which should include mandatory screening for all individuals finishing TB therapy and ensuring they have access to necessary chronic care resources.
  • - Major funding organizations like The Global Fund are encouraged to incorporate PTLD into their strategies to improve care, emphasizing the importance of addressing long-term complications of TB beyond just the initial treatment.
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Little is known about the burden of silicosis in Africa, despite extensive mining and construction operations in the region putting numerous people at risk. The implementation experience and costs of case-finding for occupational lung disease in resource-limited settings are also currently unknown. We describe the first-ever silicosis case-finding project in rural Rwanda using chest X-ray, symptom questionnaires, and spirometry.

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Introduction: As low-income countries (LICs) shoulder a disproportionate share of the world's burden of critical illnesses, they must continue to build critical care capacity outside conventional intensive care units (ICUs) to address mortality and morbidity, including on general medical wards. A lack of data on the ability to treat critical illness, especially in non-ICU settings in LICs, hinders efforts to improve outcomes.

Methods: This was a secondary analysis of the cross-sectional Malawi Emergency and Critical Care (MECC) survey, administered from January to February 2020, to a random sample of nine public sector district hospitals and all four central hospitals in Malawi.

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Article Synopsis
  • * Findings show a limited number of critical care beds and common issues such as lack of equipment and stockouts of supplies, which hinder healthcare delivery.
  • * The research underscores regional disparities in critical care access and suggests that improvements should focus on enhancing basic care capabilities, especially in rural areas.
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