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Biological and Comorbidity as Risk Factors for COVID 19 High Morbidity and Mortality among the Aged Population and Its Implications for Public Health Education and Research in Ghana

机译：生物和合并症作为Covid 19人口老龄化人口的高发病率和死亡率的危险因素及其对加纳公共卫生教育和研究的影响

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Albert Opoku; Joseph Sarfo Antwi; Abdul Karim Boakye Yiadom; Joana Owusu Danso; Prince Twene;
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1. A.Martin1,N.Boyle2,J.Cooke3,S.P.Kennelly4,R.Martin5,M.Mulroy6,M.O’Connor7,S.O'Keeffe8,D.O’Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital,Dublin.2.St.Vincent’sUniversityHospital,Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital,Dublin.5.ConnollyHospital,Dublin.6.OurLadyofLourdesHospital,Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents in nursing home care have borne a disproprtionate morbidity and mortality in the COVID-19 pandemic in comparison to the general population. Although the high rate of infection, morbidity and mortality in older people living in nursing homes may be attributable to increased levels of frailty and comorbidity in residents, the physical infrastructure and governance structures within nursing homes is also likely to be highly significant. The authors present, on behalf of Irish Society of Physicians in Geriatric Medicine, a position paper on changes that should be implemented to enhance the safety and quality of care for nursing home residents in Ireland. IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1,asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage(3.7%)listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4%inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine(ISPGM)haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001,publishedintheIrishMedicalJournal3. [J] . Irish medical journal. . 2020,第9期

机译：A.Martin1，N.Boyle2，J.Cooke3，SPKennelly4，R.Martin5，M.Mulroy6，M.O'Connor7，S.O'Keeffe8，D.O'Neill4OnbehalfoftheIrishSocietyofPhysiciansinGeriatricMedicine.1.BeaumontHospital，Dublin.2.St .Vincent'sUniversityHospital，Dublin.3.UniversityHospitalWaterford.4.TallaghtUniversityHospital，Dublin.5.ConnollyHospital，Dublin.6.OurLadyofLourdesHospital，在家庭护理Drogheda.7.CorkUniversityHospital.8.GalwayUniversityHospital.AbstractResidents已经结出一个disproprtionate发病率和死亡率在COVID-19大流行相比于普通人群。虽然感染，发病率和死亡率在生活在养老院的老年人率高可能是由于增加了居民的脆弱性和合并症的水平，养老院内的物理基础设施和治理结构，也可能是非常显著。作者提出，对应该实施，加强安全和医疗质量养老院在爱尔兰的变化代表在老年医学，意见书医生的爱尔兰社会。 IntroductionResidentsinnursinghomesrepresentagroupwithhighlevelsofdisabilityandco-morbiditywhichrenderthemparticularlyvulnerabletoexternalandinternalstressors1，asexemplifiedbythehighdeathrateinIrishnursinghomesduringtheCOVID-19pandemic.Atthelastcensusin2016were22,762peopleover65yearsofage（3.7％）listedasresidentinnursinghomesinIreland2.Althoughthiswasadecreaseintheproportionoftheolderpopulationinresidentialcarefrom2011itreflectsanactualincreaseof9.4％inpeoplelivinginnursinghomesinthiscountry.Asoursocietyagesitwillbeincreasinglyimportanttoprovidehighqualitycareforthisvulnerablegroup.TheIrishSocietyofPhysiciansinGeriatricMedicine（ISPGM）haspromotedthedevelopmentofimprovedstandardsofcareinresidentialcareforseveraldecadesandwasthefirstIrishprofessionalgrouptoformulateimprovedstandardsofcarein2001，publishedintheIrishMedicalJournal3。
2. Informing the public health response to COVID-19: a systematic review of risk factors for disease, severity, and mortality [J] . Flook M., Jackson C., Vasileiou E., BMC Infectious Diseases . 2021,第1期

机译：通知公共卫生对Covid-19：对疾病，严重程度和死亡率的风险因素进行系统审查
3. How do age and major risk factors for mortality interact over the life-course? Implications for health disparities research and public health policy [J] . Neil K. Mehta, Hui Zheng, Mikko Myrskyl? SSM - Population Health . 2019,第2009期

机译：年龄和死亡率的主要危险因素在整个生命过程中如何相互作用？对卫生差距研究和公共卫生政策的影响
4. Risk factors and indicators for COVID-19 severity: Clinical severe cases and their implications to prevention and treatment [C] . Kexin Tang International Conference on Public Health and Data Science . 2020

机译：Covid-19严重程度的危险因素和指标：临床严重案例及其对预防和治疗的影响
5. Morbidity and the 19th-century decline of mortality: An analysis of the military population of Gibraltar, 1818 to 1899. [D] . Padiak, Janet. 2004

机译：发病率和19世纪的死亡率下降：对1818至1899年直布罗陀军事人口的分析。
6. Informing the public health response to COVID-19: a systematic review of risk factors for disease severity and mortality [O] . M. Flook, C. Jackson, E. Vasileiou, 2021

机译：通知公共卫生对Covid-19的反应：对疾病严重程度和死亡率的风险因素进行系统审查
7. Informing the public health response to COVID-19: a systematic review of risk factors for disease, severity, and mortality [O] . M. Flook, C. Jackson, E. Vasileiou, 2021

机译：通知公共卫生对Covid-19的反应：对疾病，严重程度和死亡率的风险因素进行系统审查
8. Surveillance of Certain Health Behaviors and Conditions Among States and Selected Local Areas Behavioral Risk Factor Surveillance System, United States, 2009. Morbidity and Mortality Weekly Report, Vol. 60, No. 9, August 19 [R] . 2011

机译：监测国家和部分地区的某些健康行为和状况行为风险因素监测系统，美国，2009年。发病率和死亡率每周报告，第一卷。 8月19日，第60号，第9号

Biological and Comorbidity as Risk Factors for COVID 19 High Morbidity and Mortality among the Aged Population and Its Implications for Public Health Education and Research in Ghana

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