COVID19 PANDEMIC

 COVID19 pandemic in Jordan 

2020 . NOV

Jordan has shown an ideal and an optimal model for the world that how can the government health ministers , healthcare professionals and public people be alert and deal with any situation with wisdom and high manners .

The BBC news meet kings abdallah the king of jordan on the break news on the BBC TV to take about this pandemic and its effects on the world political status and economic situations. So that its sounds good to represent Jordan as a model to make research about this pandemic in every single details .

The Covid-19 pandemic and its socio-economic impact are evolving rapidly, with the impact of the crisis not only driven and shaped by the repercussions of the spread of the virus on the broader economy in Jordan and elsewhere but also the nature of the government response in terms of movement restrictions and other emergency measures and the reaction and support of Jordan’s key development partners.

While Jordan curbs the spread of COVID-19 and trust in Government response measures is high, the impact of the crisis on households across Jordan has been significant.

This report is part of a series of rapid assessments to explore the impact of COVID-19 and government response measures on households and businesses in Jordan. It focuses on the impact on households across Jordan and is based on an online survey of 12,084 respondents. The survey took place during the lockdown (last week of April until 3 May) and highlights the significant impact the measures had on the livelihoods of many. As lockdown measures are gradually easing and the economy is opening up, some of the challenges will ease yet many respondents feel that the COVID-19 crisis will have a long-term impact on their livelihoods.

The researchers survey result showed that how people can respond to the crisis and viruses spread across the country and how can that creat a crisis in economic and social sectors.

Survey split with obvious deference between male and female responding 51% of male was effected by covid19 on the other hand just 49% females infected,

The researchers said that may belong to our Arabian culture that stimulates men to work more than wemon. Other researchers relate that to immunology reasons in female stronger than male . Other couse that number of educated wemon across Jordanian universities and schools is higher than male that make them follow the health recommendations easier.

People responded to the viral outbreak with obvious contrast depending to the age defiances that come with thise percentage:

31.5 %.... 20 t0 29 year old

10 %.......less than 19

9.6 %..... 40 to 50 year old

8% ........over than 60 year old

This showed the highest awareness in young age oe educators line and their interest in hearing daily news and follow it by wearing the PSI and protective equipment to be safe and it decrease with age between young and younger, old and older has the lowest awareness.

Number of daily cases has a big variant between the 12 governorate .

Amman 40.8%

Irbid 18.3%

Zarqa 13.9%

Many things make this variation in cases number: amman is the highest population governorate and its logical to be the highest infected.

Zarqa is the second highest population and has a big unorganised camps in their skirts.

Irbid also has more than one million citizens but the main things made it extremely effected was the Syrian-Jordanian border .

Jordan was one of the 3 highest responding to the outbreak pandemic more than Iraq,Yaman,Syria. The couse stands behind that is people awareness also the political stability comparing to those countries. Jordan recorded the lowest number in April. 2020 and the strictest nation in the world that persuade CNN to represent it as an optimal and example for others.

Employment and unemployment have also a small variant:

Employment has 31.7%

Unemployment and retired 14.7%

Non daily workers 17%

That refers to the highly direct contact between employment people in the public and private sectors .

And the highest percentage recorded in male gender.

Its also variant across the 12 governorates .

The decision of locking down the country effected people financially and make the economy shaking.:

58% lose their income

17.3 % lower effected

11.3 % not effected

That make people tend to have a adept and looking for other income resources to survive in low income countries like Jordan.

Lockdown make a big economic change

.1% Some product price increases 48.

Slightly increase 36.6%

%Not effected 13.1 

Some researchers linked the outbreak velocity between the period of February to September and compared it with the fall of 2020 and what wil happen in the beginning og 2021 in winter, number of cases increase obviously in winter with highly humidity and lower temperatures but that still a suggestions without any scientific evidence. And variant across altitude and cooler and hotter countries. Also, across the 4 season specially in spring and winter season comparing with summer season.

A higher prevalence of smoking among men, often resulting in compromised lung function, may help explain their higher COVID-19 fatality rate.

Tobacco use also contributes to the onset of co-occurring conditions such as cardiovascular diseases, lung cancer, COPD, and diabetes. These are more prevalent among males and also increase the risk of disease severity and death among COVID-19 patients. 

Data presented in the New England Journal of Medicine article further illustrates the impact that smoking has on COVID-19 progression and mortality in China: 

Among those severely affected by the disease, 16.9% were current smokers and 5.2% former smokers.

Among patients who were admitted to an intensive care unit, put on ventilation, or died, 25.8% were current smokers and 7.6% were former smokers.

Data from Italy similarly shows that a high proportion of COVID-19 patients had a history of smoking and high rates of COPD and heart disease. Researchers in Indonesia have also found that the high prevalence of smoking among men (one of the world’s highest) is contributing to the high COVID-19 fatality rate in the country.

Some researchers linked the infection increase at the morning because of higher humidity at the early morning also the circadian cycle make patients with asthma sensitive for any pathologic invasion.

Others research linked between number of people who weren't complaining from psychological disorders but with covid19 they start suffering from bipolar and clustrophopia disorders

One in every 17 people who have had Covid-19 could be diagnosed with anxiety, depression or insomnia for the first time, a study of millions of US patient health records suggests.

The researchers tracked 62,000 people with Covid for three months after diagnosis and compared them with thousands of people with other conditions, such as flu, kidney stones and broken bones.

The proportions diagnosed with a psychiatric illness were:

18% of those with Covid

13% of those with flu

12.7% of those with a fracture

Recommendation about covid -19

Current evidence suggests that transmission of SARS-CoV-2 occurs primarily between people through direct, indirect, or close contact with infected people through infected secretions such as saliva and respiratory secretions, or through their respiratory droplets, which are expelled when an infected person coughs, sneezes, talks or sings so there ao many recommendation must be take in care to avoid this spreading outbreak and breaking the chains by following these steps in our daily life ae will easily flatten the carve :

Use the first line for protection is the face mask by waering the disposable maske in every single crowded area and highly population regions. There many types of face mask surgical masks and N95 masks are the main kind of mask can be use dfor public and medical care workers in hospitals and emergency or civil defense centres.

Short and small quarantine duration can be an effective procedure to avoid Covid19 outbreaks in many countries the lockdown for 14 days succeeded in flatten the the carve and decrease number of daily cases.

The early closure for border can reduce number of effected people coming from highly populated or infected nations like china ,Italy and USA .aslo the classification for each country into a green .yellow and red in higher risk and prohibited travel in any way .

Doing the PCR test in the Airport and assest the temperature and persuading travellers to to get 14 days in closed hotel as a small quarantine period in their destination country.

Give the company with high employee number an permissions to give vacation for them to be divided :

Some workers work in their home online full time

Other workers work part time in company in shift A and other workers work in shift B

Some employers in the sensitive and important sectors that play an important role in economic status must keep their work but with daily detection about the PPE using.

The neighbor's countries must take caution to keep their enough amount of nutrition and drugs before the big national lockdown come again to avoid a sufficient of food and other daily products resources.

Nationas must avoid any protesting and demonstration acting to keep their indoors political stability to give the world health organisation WHO and peace charities to take their place and play an important role in managing thise health crisis.

Spreading the knowledge by the newspaper , television , social media in Facebook,Twitter and website's announcements .also acting a short film and movie for the importance of using PPE and other medical precaution and showing a animation model that hiw can viruse transmitted from animals into humans also between humans each other and how we can breakdown this chain.

There is no chance for volunteering and social working to invest like working with UNICEF and UN or other social charities and organisations to get new experience and certification of volunteering to help poor and limited salaries people and other infected nations who are suffering from bad situations in the middle east or rest of the world .

Nations must pay attention for daily workers who are suffering from limited monthly income by easing the process of retested them in in schedule organized work and get their full chance to be a member in social guarantee company .

Each governmental or private sectors in the regions like schools , universities, factories and companies to placement an paramedic in their institutions that help in medical management and reduce numbers of unemployed people in medical sectors.

Also nursing and paramedic or other health care workers can use their knowledge for household nursing for people whom discharged from hospital and have to be daily controlled and s

Assest their vital signs.

Open the door for epidemiologists and researchers in bio statistic field to advise public people by paying their attention about the severity of being infected with covid19.

Persuade our domestic universities to get involvement in competition to make a research about vaccines and protection possibilities to improve the protocols depending on the last newest and updated outcomes.

Avoid any shape of traditional celebrating in ceremonies or weeding day or funeral and obsequies gathering . And make it in private and closed areas.

Persuade community and rich people who have a turnover to donate for public to reduce the sufficient in main daily products for poor families .

Also volunteering as a fundraiser to collect the coins from public.

Annonsuaction about any myths that spreading by public people in social media yhat help in spreading fear.

Tell public people to deal with pandemic as a real threat not as a political conspiracy .

Stopping the hospital visiting to patients partner or limiting it just for one attendant.

Hand washing and sanitizing before getting any market or holding any product and pushing the shopping trolley.

Nations must get benefit and learn from other previous infected nations in past time when SARS COVID 2 spreading take place in Europe , epola in Africa and tuberculosis or other type of contagious disease. And how they equalize between health and economy.

Give public daily physiological recommendations to avoid being stress with quarantine or by excessive of using alcohol or hypnotic drugs.

Allow students to learn more about social destance 2 meters (6 feets) between them. Make a official website for destance learning and meeting for effected students by organizing their attendance in weeks day.

Creating a new formal for testing students by zoom or meeting mimic app on their phones and laptops.

Feeding our economy by creating a new factory to make gloves and masks that all citizens have to buy. Also creating a domestic ventilators which pt must use it after discharge for home use

Creating medical websites to allow patients to continue their treatment and drugs course without visiting hospitals or medical centres, specially for people with asthma , elderly, COPD , respiratory distress and DM .

Make a random test in highly population areas and take care of people who are in Gail because they are siting and spending a long time near each other .

Coins and money papers are one of the most serious couses to spread the viruse so if we have clean them and make it sanitised from the central bank we will protect bankers and public.

Edit a new protocols for medical providers to use face shield, HEPA masks in CPR or delivery procedures normal or cesarean.

Recommend health care workers to wash their scraps and clothes to keep it sanitized immediately when they arrive home.

Put the light on young people who are careless about health recommendation that they can be infected also they can be a source of spreading the viruses even though they have strong immunity systems.

Resources:

World health organisation WHO

Jordan ministry of health

US public health centre

Jordan university of science and technology . JUST

Medlab jordan laboratory MJL

Jordanian association for paramedic JPS .

 Written by :

Mr. Ahmad majed alqayem

ALQAYEM

Alqayem1999@gmail.com

+962789381815

Bachelor in advanced paramedic and health emergency.

Dr. Nehaya alshiyab.

Phd . nursing and maternity and pediatric care.

Jordan university of science and technology JUST

[16/11, 5:12 pm] ٠٠: WHO/Europe | Coronavirus disease (COVID-19) outbreak - Mental health and COVID-19 https://www.euro.who.int/en/health-topics/health-emergencies/coronavirus-covid-19/publications-and-technical-guidance/noncommunicable-diseases/mental-health-and-covid-19

[16/11, 5:13 pm] ٠٠: psychological impact of COVID-19 on the mental health in the general population | QJM: An International Journal of Medicine | Oxford Academic https://academic.oup.com/qjmed/article/113/8/531/5860841

[16/11, 5:13 pm] ٠٠: High Temperature and High Humidity Reduce the Transmission of COVID-19 by Jingyuan Wang, Ke Tang, Kai Feng, Xin Lin, Weifeng Lv, Kun Chen, Fei Wang :: SSRN https://papers.ssrn.com/sol3/Papers.cfm?abstract_id=3551767

[16/11, 5:13 pm] ٠٠: Temperature significantly changes COVID-19 transmission in (sub)tropical cities of Brazil - ScienceDirect https://www.sciencedirect.com/science/article/abs/pii/S0048969720323792