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Published in: BMC Medicine 1/2020

01-12-2020 | Coronavirus | Opinion

Indirect implications of COVID-19 prevention strategies on non-communicable diseases

An Opinion Paper of the European Society of Hypertension Working Group on Hypertension and Cardiovascular Risk Assessment in Subjects Living in or Emigrating from Low Resource Settings

Authors: Pietro A. Modesti, Jiguang Wang, Albertino Damasceno, Charles Agyemang, Luc Van Bortel, Alexandre Persu, Dong Zhao, Faical Jarraya, Ilaria Marzotti, Mohamed Bamoshmoosh, Gianfranco Parati, Aletta E. Schutte

Published in: BMC Medicine | Issue 1/2020

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Abstract

Background

After its outbreak in China, the novel COronaVIrus Disease 19 is spreading across the globe. It is an emergency the world has never seen before.

Main text

The attention of health systems is mainly focused on COronaVIrus Disease 19 patients and on the risk that intensive care units might be overwhelmed by the serious pulmonary complications. Different countries are also attempting to establish infection prevention and control strategies which proved effective in China where the outbreak was initially reported. We reflect on important lessons to be learnt from different countries. The effects that infection prevention and control strategies, such as social distancing or isolation, can have on the care of millions of patients with non-communicable diseases, who may be indirectly affected, have not been taken into consideration so much.

Conclusions

When dealing with COronaVIrus Disease 19, policy makers and healthcare personnel should consider the indirect effects on the treatment of non-communicable diseases.
Literature
1.
10.
go back to reference Dong E, Du H, Gardner L. An interactive web-based dashboard to track COVID-19 in real time. Lancet Infect Dis. 2020;20(5):533–4. Dong E, Du H, Gardner L. An interactive web-based dashboard to track COVID-19 in real time. Lancet Infect Dis. 2020;20(5):533–4.
18.
go back to reference Pan A, Liu L, Wang C, Guo H, Hao X, Wang Q, Huang J, He N, Yu H, Lin L, Wei S, Wu T. Association of public health interventions with the epidemiology of the COVID-19 outbreak in Wuhan, China. JAMA. 2020;323(19):1–9.PubMedCentralCrossRef Pan A, Liu L, Wang C, Guo H, Hao X, Wang Q, Huang J, He N, Yu H, Lin L, Wei S, Wu T. Association of public health interventions with the epidemiology of the COVID-19 outbreak in Wuhan, China. JAMA. 2020;323(19):1–9.PubMedCentralCrossRef
19.
go back to reference Chinazzi M, Davis JT, Ajelli M, Gioannini C, Litvinova M, Merler S, et al. The effect of travel restrictions on the spread of the 2019 novel coronavirus (COVID-19) outbreak. Science. 2020;368(6489):395–400.PubMedPubMedCentralCrossRef Chinazzi M, Davis JT, Ajelli M, Gioannini C, Litvinova M, Merler S, et al. The effect of travel restrictions on the spread of the 2019 novel coronavirus (COVID-19) outbreak. Science. 2020;368(6489):395–400.PubMedPubMedCentralCrossRef
20.
go back to reference Wu JT, Leung K, Leung GM. Nowcasting and forecasting the potential domestic and international spread of the 2019-nCoV outbreak originating in Wuhan, China: a modelling study. Lancet. 2020;395(10225):689–97.PubMedPubMedCentralCrossRef Wu JT, Leung K, Leung GM. Nowcasting and forecasting the potential domestic and international spread of the 2019-nCoV outbreak originating in Wuhan, China: a modelling study. Lancet. 2020;395(10225):689–97.PubMedPubMedCentralCrossRef
25.
go back to reference Choi JY. Covid-19 in South Korea. Postgrad Med J. 2020 doi: 10.1136/postgradmedj-2020-137738. Online ahead of print. Choi JY. Covid-19 in South Korea. Postgrad Med J. 2020 doi: 10.1136/postgradmedj-2020-137738. Online ahead of print.
27.
go back to reference Nagesh S, Chakraborty S. Saving the frontline health workforce amidst the COVID-19 crisis: challenges and recommendations. J Glob Health. 2020;10(1):010345.PubMedPubMedCentralCrossRef Nagesh S, Chakraborty S. Saving the frontline health workforce amidst the COVID-19 crisis: challenges and recommendations. J Glob Health. 2020;10(1):010345.PubMedPubMedCentralCrossRef
31.
go back to reference Kluytmans-van den Bergh MFQ, Buiting AGM, Pas SD, Bentvelsen RG, van den Bijllaardt W, van Oudheusden AJG, et al. Prevalence and clinical presentation of health care workers with symptoms of coronavirus disease 2019 in 2 Dutch hospitals during an early phase of the pandemic. JAMA Netw Open. 2020;3(5):e209673. Kluytmans-van den Bergh MFQ, Buiting AGM, Pas SD, Bentvelsen RG, van den Bijllaardt W, van Oudheusden AJG, et al. Prevalence and clinical presentation of health care workers with symptoms of coronavirus disease 2019 in 2 Dutch hospitals during an early phase of the pandemic. JAMA Netw Open. 2020;3(5):e209673.
32.
go back to reference Lai X, Wang M, Qin C, Tan L, Ran L, Chen D, et al. Coronavirus disease 2019 (COVID-2019) infection among health care workers and implications for prevention measures in a tertiary hospital in Wuhan, China. JAMA Netw Open. 2020;3(5):e209666.PubMedPubMedCentralCrossRef Lai X, Wang M, Qin C, Tan L, Ran L, Chen D, et al. Coronavirus disease 2019 (COVID-2019) infection among health care workers and implications for prevention measures in a tertiary hospital in Wuhan, China. JAMA Netw Open. 2020;3(5):e209666.PubMedPubMedCentralCrossRef
34.
go back to reference Ohannessian R, Duong TA, Odone A. Global telemedicine implementation and integration within health systems to fight the COVID-19 pandemic: a call to action. JMIR Public Health Surveill. 2020;6(2):e18810.PubMedPubMedCentralCrossRef Ohannessian R, Duong TA, Odone A. Global telemedicine implementation and integration within health systems to fight the COVID-19 pandemic: a call to action. JMIR Public Health Surveill. 2020;6(2):e18810.PubMedPubMedCentralCrossRef
41.
go back to reference Ghinai I, McPherson TD, Hunter JC, Kirking HL, Christiansen D, Joshi K, et al. First known person-to-person transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the USA. Lancet. 2020;395(10230):1137–44.PubMedPubMedCentralCrossRef Ghinai I, McPherson TD, Hunter JC, Kirking HL, Christiansen D, Joshi K, et al. First known person-to-person transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in the USA. Lancet. 2020;395(10230):1137–44.PubMedPubMedCentralCrossRef
47.
go back to reference Pessa Valente E, Cruz Vaz da Costa Damásio L, Luz LS, da Silva Pereira MF, Lazzerini M. COVID-19 among health workers in Brazil: the silent wave. J Glob Health. 2020;10(1):010379. Pessa Valente E, Cruz Vaz da Costa Damásio L, Luz LS, da Silva Pereira MF, Lazzerini M. COVID-19 among health workers in Brazil: the silent wave. J Glob Health. 2020;10(1):010379.
48.
go back to reference Hallo A, Rojas A, Hallo C. Perspective from Ecuador, the second country with more confirmed cases of coronavirus disease 2019 in South America: a review. Cureus. 2020;12(3):e7452.PubMedPubMedCentral Hallo A, Rojas A, Hallo C. Perspective from Ecuador, the second country with more confirmed cases of coronavirus disease 2019 in South America: a review. Cureus. 2020;12(3):e7452.PubMedPubMedCentral
49.
56.
go back to reference Rosenbaum L. The untold toll - the pandemic’s effects on patients without Covid-19. N Engl J Med. 2020;382(24):2368–71.PubMedCrossRef Rosenbaum L. The untold toll - the pandemic’s effects on patients without Covid-19. N Engl J Med. 2020;382(24):2368–71.PubMedCrossRef
58.
go back to reference Tam CF, Cheung KS, Lam S, Wong A, Yung A, Sze M, et al. Impact of coronavirus disease 2019 (COVID-19) outbreak on ST-segment-elevation myocardial infarction care in Hong Kong, China. Circ Cardiovasc Qual Outcomes. 2020;13(4):e006631.PubMedCrossRef Tam CF, Cheung KS, Lam S, Wong A, Yung A, Sze M, et al. Impact of coronavirus disease 2019 (COVID-19) outbreak on ST-segment-elevation myocardial infarction care in Hong Kong, China. Circ Cardiovasc Qual Outcomes. 2020;13(4):e006631.PubMedCrossRef
59.
go back to reference Masroor S. Collateral damage of COVID-19 pandemic: delayed medical care. J Card Surg. 2020;35(6):1345–7.PubMedCrossRef Masroor S. Collateral damage of COVID-19 pandemic: delayed medical care. J Card Surg. 2020;35(6):1345–7.PubMedCrossRef
60.
go back to reference Mantica G, Riccardi N, Terrone C, Gratarola A. Non-COVID-19 visits to emergency departments during the pandemic: the impact of fear. Public Health. 2020;183:40–1.PubMedCrossRef Mantica G, Riccardi N, Terrone C, Gratarola A. Non-COVID-19 visits to emergency departments during the pandemic: the impact of fear. Public Health. 2020;183:40–1.PubMedCrossRef
62.
go back to reference Chen T, Wu D, Chen H, Yan W, Yang D, Chen G, et al. Clinical characteristics of 113 deceased patients with coronavirus disease 2019: retrospective study. BMJ. 2020;368:m1091.PubMedPubMedCentralCrossRef Chen T, Wu D, Chen H, Yan W, Yang D, Chen G, et al. Clinical characteristics of 113 deceased patients with coronavirus disease 2019: retrospective study. BMJ. 2020;368:m1091.PubMedPubMedCentralCrossRef
64.
go back to reference Wang L, He W, Yu X, Hu D, Bao M, Liu H, et al. Coronavirus disease 2019 in elderly patients: characteristics and prognostic factors based on 4-week follow-up. J Inf Secur. 2020;80(6):639–45. Wang L, He W, Yu X, Hu D, Bao M, Liu H, et al. Coronavirus disease 2019 in elderly patients: characteristics and prognostic factors based on 4-week follow-up. J Inf Secur. 2020;80(6):639–45.
65.
go back to reference Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497–506.PubMedPubMedCentralCrossRef Huang C, Wang Y, Li X, Ren L, Zhao J, Hu Y, et al. Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China. Lancet. 2020;395(10223):497–506.PubMedPubMedCentralCrossRef
66.
go back to reference Liu Y, Yang Y, Zhang C, Huang F, Wang F, Yuan J, et al. Clinical and biochemical indexes from 2019-nCoV infected patients linked to viral loads and lung injury. Sci China Life Sci. 2020;63(3):364–74.PubMedPubMedCentralCrossRef Liu Y, Yang Y, Zhang C, Huang F, Wang F, Yuan J, et al. Clinical and biochemical indexes from 2019-nCoV infected patients linked to viral loads and lung injury. Sci China Life Sci. 2020;63(3):364–74.PubMedPubMedCentralCrossRef
67.
go back to reference Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;382(18):1708–20.CrossRefPubMed Guan WJ, Ni ZY, Hu Y, Liang WH, Ou CQ, He JX, et al. Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med. 2020;382(18):1708–20.CrossRefPubMed
68.
go back to reference Guan WJ, Liang WH, Zhao Y, Liang HR, Chen ZS, Li YM, et al. Comorbidity and its impact on 1590 patients with Covid-19 in China: a nationwide analysis. Eur Respir J. 2020;55(5):2000547.PubMedPubMedCentralCrossRef Guan WJ, Liang WH, Zhao Y, Liang HR, Chen ZS, Li YM, et al. Comorbidity and its impact on 1590 patients with Covid-19 in China: a nationwide analysis. Eur Respir J. 2020;55(5):2000547.PubMedPubMedCentralCrossRef
69.
go back to reference Hartnett KP, Kite-Powell A, DeVies J, Coletta MA, Boehmer TK, Adjemian J, et al. Impact of the COVID-19 pandemic on emergency department visits - United States, January 1, 2019-May 30, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(23):699–704.PubMedPubMedCentralCrossRef Hartnett KP, Kite-Powell A, DeVies J, Coletta MA, Boehmer TK, Adjemian J, et al. Impact of the COVID-19 pandemic on emergency department visits - United States, January 1, 2019-May 30, 2020. MMWR Morb Mortal Wkly Rep. 2020;69(23):699–704.PubMedPubMedCentralCrossRef
73.
go back to reference Garcia S, Albaghdadi MS, Meraj PM, Schmidt C, Garberich R, Jaffer FA, et al. Reduction in ST-segment elevation cardiac catheterization laboratory activations in the United States during COVID-19 pandemic. J Am Coll Cardiol. 2020;75(22):2871–2.PubMedPubMedCentralCrossRef Garcia S, Albaghdadi MS, Meraj PM, Schmidt C, Garberich R, Jaffer FA, et al. Reduction in ST-segment elevation cardiac catheterization laboratory activations in the United States during COVID-19 pandemic. J Am Coll Cardiol. 2020;75(22):2871–2.PubMedPubMedCentralCrossRef
75.
go back to reference Brunetti ND, Molinari G, Acquistapace F, Zimotti T, Parati G, Indolfi C, et al. 2019 Italian Society of Cardiology Census on telemedicine in cardiovascular disease: a report from the working group on telecardiology and informatics. Open Heart. 2020;7(1):e001157.PubMedPubMedCentralCrossRef Brunetti ND, Molinari G, Acquistapace F, Zimotti T, Parati G, Indolfi C, et al. 2019 Italian Society of Cardiology Census on telemedicine in cardiovascular disease: a report from the working group on telecardiology and informatics. Open Heart. 2020;7(1):e001157.PubMedPubMedCentralCrossRef
76.
go back to reference Tütüncü S, Honold M, Koehler K, Deckwart O, Koehler F, Haeusler KG. Non-invasive telemedical care in heart failure patients and stroke: post hoc analysis of TIM-HF and TIM-HF2 trials. ESC Heart Fail. 2020;7(3):884–91.PubMedPubMedCentralCrossRef Tütüncü S, Honold M, Koehler K, Deckwart O, Koehler F, Haeusler KG. Non-invasive telemedical care in heart failure patients and stroke: post hoc analysis of TIM-HF and TIM-HF2 trials. ESC Heart Fail. 2020;7(3):884–91.PubMedPubMedCentralCrossRef
79.
go back to reference Donaghy E, Atherton H, Hammersley V, McNeilly H, Bikker A, Robbins L, et al. Acceptability, benefits, and challenges of video consulting: a qualitative study in primary care. Br J Gen Pract. 2019;69(686):e586–e94.PubMedPubMedCentralCrossRef Donaghy E, Atherton H, Hammersley V, McNeilly H, Bikker A, Robbins L, et al. Acceptability, benefits, and challenges of video consulting: a qualitative study in primary care. Br J Gen Pract. 2019;69(686):e586–e94.PubMedPubMedCentralCrossRef
80.
go back to reference Hollander JE, Carr BG. Virtually Perfect? Telemedicine for Covid-19. N Engl J Med. 2020;382(18):1679–81.PubMedCrossRef Hollander JE, Carr BG. Virtually Perfect? Telemedicine for Covid-19. N Engl J Med. 2020;382(18):1679–81.PubMedCrossRef
81.
go back to reference Seuren LM, Wherton J, Greenhalgh T, Cameron D, A'Court C, Shaw SE. Physical examinations via video for patients with heart failure: qualitative study using conversation analysis. J Med Internet Res. 2020;22(2):e16694.PubMedPubMedCentralCrossRef Seuren LM, Wherton J, Greenhalgh T, Cameron D, A'Court C, Shaw SE. Physical examinations via video for patients with heart failure: qualitative study using conversation analysis. J Med Internet Res. 2020;22(2):e16694.PubMedPubMedCentralCrossRef
82.
go back to reference Francaise R. Décret n° 2020-227 du 9 mars 2020 adaptant les conditions du bénéfice des prestations en espèces d'assurance maladie et de prise en charge des actes de télémédecine pour les personnes exposées au covid-19. Republique Francaise; 10 mars 2020. Francaise R. Décret n° 2020-227 du 9 mars 2020 adaptant les conditions du bénéfice des prestations en espèces d'assurance maladie et de prise en charge des actes de télémédecine pour les personnes exposées au covid-19. Republique Francaise; 10 mars 2020.
90.
go back to reference Smith AC, Thomas E, Snoswell CL, Haydon H, Mehrotra A, Clemensen J, et al. Telehealth for global emergencies: implications for coronavirus disease 2019 (COVID-19). J Telemed Telecare. 2020;26(5):309–13.PubMedCrossRef Smith AC, Thomas E, Snoswell CL, Haydon H, Mehrotra A, Clemensen J, et al. Telehealth for global emergencies: implications for coronavirus disease 2019 (COVID-19). J Telemed Telecare. 2020;26(5):309–13.PubMedCrossRef
93.
102.
go back to reference Watnick S, McNamara E. On the frontline of the COVID-19 outbreak: keeping patients on long-term dialysis safe. Clin J Am Soc Nephrol. 2020;15(5):710–3.PubMedCrossRefPubMedCentral Watnick S, McNamara E. On the frontline of the COVID-19 outbreak: keeping patients on long-term dialysis safe. Clin J Am Soc Nephrol. 2020;15(5):710–3.PubMedCrossRefPubMedCentral
104.
go back to reference McDermott MM, Newman AB. Preserving clinical trial integrity during the coronavirus pandemic. JAMA. 2020;323(21):2135–6.CrossRefPubMed McDermott MM, Newman AB. Preserving clinical trial integrity during the coronavirus pandemic. JAMA. 2020;323(21):2135–6.CrossRefPubMed
108.
go back to reference Kuster GM, Pfister O, Burkard T, Zhou Q, Twerenbold R, Haaf P, et al. SARS-CoV2: should inhibitors of the renin-angiotensin system be withdrawn in patients with COVID-19? Eur Heart J. 2020;41(19):1801–3.PubMedCrossRefPubMedCentral Kuster GM, Pfister O, Burkard T, Zhou Q, Twerenbold R, Haaf P, et al. SARS-CoV2: should inhibitors of the renin-angiotensin system be withdrawn in patients with COVID-19? Eur Heart J. 2020;41(19):1801–3.PubMedCrossRefPubMedCentral
111.
go back to reference Kreutz R, El-Hady Algharably EA, Azizi M, Dobrowolski P, Guzik T, Januszewicz A, Persu A, Prejbisz A, Günther RiemerT, Wang J, Burnier M. Hypertension, the renin-angiotensin system and the risk of lower respiratory tract infections and lung injury: implications for COVID-19 European Society of Hypertension COVID-19 Task Force Review of Evidence. Cardiovasc Res. Published online 15 Apr 2020. doi:10.1093/cvr/cvaa097. Kreutz R, El-Hady Algharably EA, Azizi M, Dobrowolski P, Guzik T, Januszewicz A, Persu A, Prejbisz A, Günther RiemerT, Wang J, Burnier M. Hypertension, the renin-angiotensin system and the risk of lower respiratory tract infections and lung injury: implications for COVID-19 European Society of Hypertension COVID-19 Task Force Review of Evidence. Cardiovasc Res. Published online 15 Apr 2020. doi:10.1093/cvr/cvaa097.
Metadata
Title
Indirect implications of COVID-19 prevention strategies on non-communicable diseases
An Opinion Paper of the European Society of Hypertension Working Group on Hypertension and Cardiovascular Risk Assessment in Subjects Living in or Emigrating from Low Resource Settings
Authors
Pietro A. Modesti
Jiguang Wang
Albertino Damasceno
Charles Agyemang
Luc Van Bortel
Alexandre Persu
Dong Zhao
Faical Jarraya
Ilaria Marzotti
Mohamed Bamoshmoosh
Gianfranco Parati
Aletta E. Schutte
Publication date
01-12-2020
Publisher
BioMed Central
Published in
BMC Medicine / Issue 1/2020
Electronic ISSN: 1741-7015
DOI
https://doi.org/10.1186/s12916-020-01723-6

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