A Beacon for Dark Times Rethinking Scientific Evidence for Environmental and Public Health Action in the Coronavirus Diseases 2019 Era

Abstract
As the COVID-19 pandemic emergence progresses and overwhelming healthcare systems, countries are reviewing their policies to protect those at increased risk of severe disease. These can be policies aimed at suppressing transmission in the wider population, vaccination (if vaccine becomes available) as the world anxiously awaits an effective COVID-19 vaccine that can be readily distributed. Until then, the priority is to reenergize countries to act rather than react. Even as the uncertainties of the COVID-19 crisis multiply, the aim must be to rebuild for the long-term protection i.e., explicit measures to protect people at increased risk by reducing interactions amongst people in danger, etc. The spread of the SARS-CoV-2 pandemic has forced us to realize the fact that progress towards Sustainable Development Goals is threatened and fragile, as the numbers of people heading into poverty are now at increased risk of setbacks. It also stresses the need to strengthen the relationship between scientific evidence to protect the environment and public health. This requires an understanding of the importance of the interventions to address structural inequity, global health care and coverage, and comprehensive social protection schemes as part of the response. It is time to recognize that not all of us are at equal risk of severe outcomes from COVID-19 and to work with stakeholders to formulate an effective response. This study presents evidence from studies informing policymakers about the number of individuals that might be at increased risk or high risk of severe COVID-19 in different nations. Therefore, there is a need to develop scientific evidence for rapid assessments of environmental and public health action in the era of coronavirus diseases, which should focus on different policies guidelines to prevent those at increased risk. Estimating the number of people at high risk of severe COVID-19 is important to help countries to design more effective interventions to protect vulnerable individuals and reduce strain on health systems. This information can provide and inform a comprehensive assessment of the health, social, and economic consequences of shielding different groups, suggesting the need to develop a longer-term Covid-19 management strategy
Description
Since the 2019 coronavirus disease (COVID-19) has triggered seismic economic and societal changes which grapple with an uncertain future, that has consumed and changed our lives, the COVID-19 crisis also revealed that the country is deteriorating in terms of environmental/public health readiness. As COVID-19 has become an imminent emerging, rapidly evolving situation of environmental/public health concern with ‘threat multiplier to health in the 21st century. As confusion, disorientation, agitation and even psychosis have been associated with symptoms of COVID-19. The body of research is linking infection as a result of virus and neurological symptoms. The number of publicly reported deaths rate of the population due to the coronavirus disease 2019 (COVID-19) may underestimate the pandemic’s death toll. These estimates are based on provisional data that are often incomplete and may rule out unreported deaths from COVID-19.
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