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Policies and practices-Concrete opportunities in response to the Covid19 pandemic in the eastern mediterranean region: systematic scoping review

Journal of Diabetes, Metabolic Disorders & Control
Hamid Yahay Hussain,1# Wafa Kammoun Rebai,2# Hind Bouguerra

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Backgrounds: The response Covid19 pandemic by different EMR national and regional health systems reflected tangible fragility and clear weakness pandemic in management at the policy and practice level in the face of rapid epidemic spread and steadily accelerating mortality and morbidity. Many lessons can be learned from the exuberance of the existing pandemic, as pandemic control measures were not guided by strong local evidence and were not tailored to national contexts. In this review, we sought to assess the gaps and challenges of COVID-19 control measures in Eastern Mediterranean Region during the early months of the pandemic. Objectives: To study policy and practices evidenced gaps in response to Covid19 pandemic in the east Mediterranean region. Methodology The design of scoping review was applied in the existing work; by applying Search engines strategy with highly selected keywords in the following medical data base, Google Scholar, PubMed, LitCovid, MedRx, ChemRxiv, BioRx, and, Web of Sciences, Embase. Original peer-reviewed research articles preprinted on COVID- for the period (January 2020-December 2021) were included in this review. About 200 articles were identified, and exclusion/ inclusion criteria were applied based on originality, study designs. Relevant Technical reports & official governmental releases were considered as well.

Findings: The 22 countries of the eastern Mediterranean region will likely report over 17 million cases of COVID-19 and more than 314,000 deaths by the end of 2021; the current study revealed that the global health system showed remarkable fragility and obvious weakness in confronting the rapid out breaking and spreading of the epidemic and the continuous increase in the number of sicknesses and deaths resulting from it. There are many lessons to be communicated regarding the current pandemic: Pandemic management strategies –experienced strict containment measures during an early stage of the pandemic outbreaking – have proven some results in controlling human losses and the diseases spreading in the region. The sanitary situation appears much more fragile elsewhere in the region. The crisis is an opportunity to be a critical test for the region’s fragile resilience and could erode dramatically its population wellbeing, and challenge the political stability, economies, and societies alike. Countries may want to capitalize on their innovative policy efforts to improve inclusiveness, sustain welfare provisions, and promote a structural reform agenda for more open and private sector-led economies, aligned with the Sustainable Development Goals. This update includes the latest analysis on the economic and social consequences of the crisis, including new sections on the fiscal and educational challenges, as well as insights on the resilience of the healthcare system. At a policy level, although the previous policy capacity in the region witnessed good experience public health in policy development, yet it takes a relatively long time until the national systems recovered to be able to develop solid Covid 19 management policies. Conclusions: the true burden of the pandemic is likely to be underestimated due to limited testing and surveillance systems. The country might have been faced with the dilemma of balancing between minimizing the humanitarian crisis due to the pandemic and limiting the economic impact of the public health measures. The strategies taken to control the outbreak might have also suffered from a lack of local scientific evidence, cultural conflicts, and political interference. Moreover, adopting interventions designed for settings with different cultural contexts, economic situations, and pandemic risk might have resulted in low public trust


policy and practice, response gaps, EMRO, Covid19