By Todd LeDuc, Dr. Sara Jahnke, and Dr. Lori Moore-Merrell
Recently Dr. Sara Jahnke and Todd LeDuc penned a commentary for188金宝搏是正规吗题为，“Should We Be Thinking of a Long-Term COVID 19 Medical Surveillance Program for First Responders?”Since publication of that opinion piece, the International Association of Fire Chief’s “COVID-19 Fire & EMS Dashboard” with 2,258 departments reporting shows 14,172 fire service personnel had been exposed, 12,470 had been quarantined and 709 had been diagnosed with188.博金宝 。(iafc.org)
鉴于这些数字，我们熟悉识别现场潜在的Covid-19患者的重要性以及通过NFORS曝光跟踪器捕获第一响应者暴露的重要性，以确保文件。测试的作用同样重要的是在识别出暴露并具有病毒的响应者或患有曝光的响应者是无症状的，随后开发抗体。
自出版的社论,进一步public health data has been published that continues to suggest the need to have an organized, systematic, and ongoing approach to monitoring first responders and health care providers who have been exposed to this coronavirus or been hospitalized with the diagnosis of COVID-19. We know from current data that COVID-19 is more detrimental for many with underlying co-morbid conditions. This group also demonstrates higher rates of morbidity and mortality than those without underlying health issues. Research also shows that many of the co-morbid conditions like hypertension, excess weight, cardiovascular risk, and elevated blood sugar are also prevalent among many first responders.
过去由类似病毒引起的流行病已经证明，健康后果可以持续十年或更长时间。事实上，one study of survivors of severe acute respiratory syndrome (SARS) showed that they suffered lung ailments, had elevated cholesterol levels, and were sick more frequently in general compared to others, for up to 12 years post virus。
根据一份报告Chicago Times雪松 - 西奈医疗中心对意大利和中国的90例武汉冠状病毒患者进行了一项研究。该研究发现，从医院排出的70名患者中，66例对其最后一次CT的残留肺异常有轻微。此外，研究指出，由于持续炎症，恢复后可能会出现慢性心脏病。
Additional evidence has suggestedthat there may also be a neurological impact for persons that had contracted COVID-19 and recovered. The evidence suggests that a non-traumatic form of a brain injury was caused by the viral exposure and the release of inflammatory cytokines or autoimmune encephalitis. AJournal of the American Medical Associationpublished study (JAMA 3 (2)) found 36.4% of 214 Chinese patients had some type of neurological symptoms ranging from loss of smell and nerve pain to seizures and large vessel strokes.
科学家已经在制定建议，以确定大流行的短期和长期影响。与这些团队合作的消防服务将重要，以确保全面而有影响的跟踪。展望未来，需要进一步调查几个区域，包括当疫苗可用时预防，疫苗接种的潜在健康风险，反复暴露的身体效应，以及对火灾和EMS人员的心理健康影响。目前，所有第一个响应者都必须追踪其暴露于Covid-19，或潜在的Covid-19患者，并保持其测试和/或抗体状态。像nfors这样的移动应用程序可在App商店中获得曝光跟踪，并且新的测试状态应用肯定是在途中。我们还不知道我们对这个病毒不了解的内容。
Todd J. LeDuc，MS，CFO，Fifire，近30年后退休，担任佛罗里达州佛罗里达州佛罗里达州的助理火灾总部，这是一个国际认可的职业生态部门。他曾担任生命扫描健康中心的首席战略官，全国综合体育和早期检测考试的国家提供者。他曾担任过十年多次国际火灾酋长，健康和生存部分协会的成员，目前是该科的秘书。他是专业凭证和机构认证的同伴评论者。他是编辑的Surviving the Fire Service(Fire Engineering Books) and serves on numerous advisory boards and publications. He can be contacted at Todd.LeDuc@lifescanwellness.com
Sara A. Jahnke., Ph.D. is the director of the Center for Fire, Rescue and EMS Health Research at the National Development and Research Institutes. She was the principal investigator on two large-scale, DHS-funded studies of the health and readiness of the U.S. fire service and on a study on the health of women firefighters. She is a co-investigator of several studies focused on fitness, nutrition and health behaviors in firefighters. She completed her doctorate in psychology with a health emphasis at the University of Missouri – Kansas City and the American Heart Associations’ Fellowship on the Epidemiology and Prevention of Cardiovascular Disease.
Dr. Lori Moore-Merrell是国际公共安全数据研究所的首席执行官。
This168博金宝 反映了作者的意见，并不一定反映的意见188金宝搏是正规吗。It has not undergone188金宝搏是正规吗对同行评审过程。
