South Eastern European Journal of Public Health (SEEJPH) https://www.seejph.com/index.php/seejph <p>The South Eastern European Journal of Public Health (SEEJPH) is an open-access international peer-reviewed journal involving all areas of health sciences and public health. Devoted to the global health SEEJPH welcomes submissions of scientists, researchers, and practitioners from all over the world, but particularly pertinent to southern and eastern countries in transition.</p> Jacobs Verlag en-US South Eastern European Journal of Public Health (SEEJPH) 2197-5248 <p class="hide_copyright_frontend">Authors retain copyright and grant the journal right of first publication in print and online. The work is distributed under the terms of the Creative Commons Attribution License CC-BY (<a class="moz-txt-link-freetext" href="http://creativecommons.org/licenses/by/4.0">http://creativecommons.org/licenses/by/4.0</a>), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p> National disaster preparedness and emergency response of nurses in Germany: An exploratory qualitative study https://www.seejph.com/index.php/seejph/article/view/3972 <p><strong>Aim:</strong> This study aimed to explore the German nurses’ perceptions of their knowledge, roles and experience in the field of national preparedness and emergency response.</p> <p><br><strong>Methods:</strong> An exploratory qualitative design was used with open-ended questions during semi-structured interviews with qualified nurses currently working in hospitals. The setting of the study consisted of wards of different hospitals in three northern federal states of Germany. The data analysis was done by summarizing analysis of the contents. From a convenient sample of n=31 hospitals, n=13 nurses were included in the study.</p> <p><br><strong>Results:</strong> The median age of the participants was 45 years and 38% were female. Within the three professional socialization fields, knowledge, roles and experience, 17 themes were clustered.</p> <p><br><strong>Conclusion:</strong> Within the themes of knowledge, role and experience in national disaster prepared-ness and emergency response, similarities and differences were explored in comparison to inter-national literature.</p> <p><br><strong>Source of funding:</strong> This study did not receive any form of financial or other support.</p> <p><br><strong>Acknowledgements</strong>: We would like to thank the nurses who participated in this study. We would also like to thank the nursing managers of the hospitals, the head of the departments and the head nurses for approaching their employees and colleagues.</p> <p><br><strong>Conflict of interest:</strong> None declared</p> Thomas Grochtdreis Peter Schröder-Bäck Niels Harenberg Stefan Görres Nynke de Jong Copyright (c) 2020 Thomas Grochtdreis, Peter Schröder-Bäck, Niels Harenberg, Stefan Görres, Nynke de Jong https://creativecommons.org/licenses/by/4.0 2020-11-29 2020-11-29 10.4119/seejph-3972 Can Russia’s high mortality return until 2030 to trajectory of the 1980-ies and reach the SDGs evenly across the country? https://www.seejph.com/index.php/seejph/article/view/3813 <p><strong>&nbsp;</strong></p> <p><strong>Aim: </strong>This study reviews the ability of the Russian Federation to reduce the high mortality until 2030 evenly across the country and in accordance with the Sustainable Development Goals (SDG).</p> <p><strong>Methods: </strong>We adopted the method suggested by Haenszel for estimating Premature Years of Life Lost for the age group &lt;70 years and applied a projected reduction of 33% by 2030 as proposed for SDG 3.4. To calculate the potential time gap we used the model of the United Nations Development Programme and standardized the rates by the OECD 1980 Standard Population employing the direct method.</p> <p>&nbsp;</p> <p><strong>Results: </strong>If Russia keeps the present level of effort the reduction by one third of the level of premature mortality as in 2013 will be in reach already in 2024 i.e. 5.9 years in advance of the SDG 3 target for 2030. This target is achieved quite evenly also throughout the 8 districts of the Russian Federation between 10.6 and 5.0 years in advance and in selected special districts/republics with the highest and lowest mortality rates.</p> <p>&nbsp;</p> <p><strong>Conclusion: </strong>After the steep decrease of life expectancy during the 1990ies the Russian Federation returned to the original trajectory.</p> <p><strong>&nbsp;</strong></p> <p><strong>Keywords: </strong>gap analysis, premature mortality, public health, Russian Federation, SDG.</p> <p>&nbsp;</p> <p><strong>Conflicts of interest: </strong>None declared.</p> <p><strong>&nbsp;</strong></p> <p><strong>Statement of Funding: </strong>None declared.</p> <p><strong>&nbsp;</strong></p> <p><strong>Note: </strong>This article by Valery Chernyavskiy, Helmut Wenzel, Julia Mikhailova, Alla Ivanova, Elena Zemlyanova, Vesna Bjegovic-Mikanovic, Alexander Mikhailov, Ulrich Laaser: Can Russia’s high mortality return until 2030 to trajectory of the 1980-ies and reach the SDGs evenly across the country? will be published also in the Russian journal Social aspects of population health with permission of authors and editorial staff of the South Eastern European Journal of Public Health, translation of the article into Russian by V.E. Chernyavsky&nbsp; and&nbsp; E.V. Zemlyanova. The title of the article, the names of the authors, affiliations, and abstract in Russian fully correspond to the original. </p> Valery Chernyavskiy Helmut Wenzel Julia Mikhailova Alla Ivanova Elena Zemlyanova Vesna Bjegovic-Mikanovic Alexander Mikhailov Ulrich Laaser Copyright (c) 2020 Valery Chernyavskiy, Helmut Wenzel, Julia Mikhailova, Alla Ivanova, Elena zemlyanova, Vesna Bjegovic-Mikanovic, Alexander Mikhailov, Ulrich Laaser 2020-09-21 2020-09-21 10.4119/seejph-3813 Professionalization of Public Health – an exploratory case study https://www.seejph.com/index.php/seejph/article/view/3845 <p><strong>Introduction: </strong>Public health is continuously challenged by a shortage of workforce. There are various reasons for this: 1) public health is less visible than traditional health professions and people may be unfamiliar with the nature and opportunities involved in entering this career field; 2) lack of official recognition of public health as a professional category; and 3) no umbrella organization that supports its members and governs professional standards as is the case of other more established professions. To adequately address the challenges of public health for the 21<sup>st</sup> century, a key policy element will need to focus on adequately cultivating, training and growing the future workforce of professionals in the field. The aim of this study was to examine why professionalization of public health in Europe is not as robust as it deserves to be and what steps can be taken to assure an adequate supply of professionals with the proper education and training background, and career guidance to tackle the public health needs of the future.</p> <p><strong>Method:</strong> A case study approach was used collecting data via a scoping literature review, a focus group with public health students and interviews with public health experts for convergence. Data was analysed using directed content analysis and pattern matching logic.</p> <p><strong>Results:</strong> Public health fulfilled five out of seven attributes of a profession, such as skills, training and education, certification and an altruistic service. Recognition of Public Health as multidisciplinary and multi-professional field, derived from the interviews as an additional characteristic. A code of ethics and professional conduct and a formal organization were missing.</p> <p><strong>Conclusion:</strong> Public health professionals and organisations that govern best practices in this field should consider introducing a shared code of ethics and professional conduct as well as establishing a coordinated body to help advance the public status as a the profession to increase interest in studying and specializing in this area.</p> <p><strong>&nbsp;</strong></p> <p><strong><em>&nbsp;</em></strong></p> <p><strong>Conflicts of interest: </strong>None declared.</p> <p><strong>&nbsp;</strong></p> Hilke Mansholt Katarzyna Czabanowska Robert Otok Jascha de Nooijer Copyright (c) 2020 Hilke Mansholt, Katarzyna Czabanowska, Robert Otok, Jascha de Nooijer 2020-09-28 2020-09-28 Childhood adversity and leisure time physical and sports activity in older adults: A cross-sectional analysis from the International Mobility in Aging Study https://www.seejph.com/index.php/seejph/article/view/3890 <p><strong>Aim</strong>: The purpose is to examine the relationship between childhood adversity and leisure time physical activity (LTPA) among community-dwelling older adults from high and middle-income sites.</p> <p><br><strong>Methods</strong>: Cross-sectional analysis of 2012 data from older adult ages 64-75 years old from King-ston, Canada; St. Hyacinthe, Canada; Tirana, Albania; Manizales, Colombia; and Natal, Brazil. Principal exposure variables were childhood social and economic adversity. Covariates included participant age, sex, income, and educational attainment. Outcome variables were LTPA and lei-sure time sports activity (LTSA).</p> <p><br><strong>Results</strong>: High-income sites had higher LTPA prevalence than middle-income sites. Females were less likely to engage in LTPA compared to males in Tirana (OR:0.53, 95%CI:0.30-0.94), but were more likely to engage in LTPA in Manizales (OR:2.54, 95%CI:1.54-4.18). Low education was less likely than high education to engage in LTPA in Kingston (OR:0.38, 95%CI:0.19-0.73) and Natal (OR: 0.52, 95%CI:0.28-0.97). Low income was less likely than high income to engage in LTPA in St. Hyacinthe (OR: 0.42, 95%CI:0.20-0.89) and Manizales (OR:0.33, 95%CI:0.16-0.55). In Tirana, low income was more likely than high income to engage in LTPA (OR:5.27, 95%CI:2.06-13.51).</p> <p><br><strong>Conclusions</strong>: Childhood economic and social adversity were not significantly associated with LTPA. Sex, income, and education were associated with older adult PA engagement, however the direction of the association varied by site location. This suggests that the paradigms surrounding PA behavior may vary from city to city. Understanding the site-specific risk factors to PA engage-ment may better inform clinical recommendations and public health approaches to increase PA engagement among older adults across the globe.</p> <p><br><strong>Conflicts of interest</strong>: None declared.</p> Phoebe W. Hwang Cristiano dos Santos Gomes Mohammad Auais Kathryn L. Braun Catherine M. Pirkle Copyright (c) 2020 Phoebe W. Hwang, Cristiano dos Santos Gomes, Mohammad Auais, Kathryn L. Braun, Catherine M. Pirkle 2020-10-26 2020-10-26 10.4119/seejph-3890 How the Kurnool district in Andhra Pradesh, India, fought Corona https://www.seejph.com/index.php/seejph/article/view/3963 <p><strong> Background</strong>: Kurnool, one of the four districts in the Rayalaseema region of the Indian state of Andhra Pradesh, emerged as a COVID-19 hotspot by mid-April 2020.</p> <p><br><strong>Method</strong>: The authors compiled the publicly available information on different public health measures in Kurnool district and related them to the progression of COVID-19 from March to May 2020.</p> <p><br><strong>Results</strong>: Two surges in pandemic progression of COVID-19 were recorded in Kurnool. The ini-tial upsurge in cases was attributed to return of people from other Indian states, along with return of participants of a religious congregation in Delhi, followed by in-migration of workers and truckers from other states and other districts of Andhra Pradesh, particularly from the state of Maharashtra (one of the worst affected states in India) and Chennai (the Koyambedu wholesale market - epicenter of the largest cluster of COVID-19 in Tamil Nadu). In a quick response to surging infections the state government launched operation ‘Kurnool Fights Corona’ to contain the outbreak. Kurnool had taken a targeted approach to testing, scaled up testing in areas with high case load, and conducted contact tracing for each positive case, along with requisitioning oxygenated beds in the district hospitals to meet the anticipated spurt in the number of positive cases. This combined approach paid rich dividends and from 26th April to May 9th, the growth curve flattened.</p> <p><br><strong>Conclusion</strong>: Although the in migration of laborers and return of residents from other Indian states and abroad during the COVID-19 pandemic was a complex challenge, the timely actions of testing, tracing and isolation conducted by the district authorities in Kurnool greatly reduced transmission. Although this response assessment is based on a single district, the perspectives have revealed some important lessons regarding risk communication, preparedness and response for pandemics which will facilitate consolidation of the policy and program response to pandem-ics in future.</p> <p><strong>Acknowledgement</strong>: Dr Sanjoy Sadhukhan (Professor, AIIH&amp;PH) and District Authorities of Kurnool for their support.<br>Conflicts of interest: None.</p> Madhumita Dobe Monalisha Sahu Copyright (c) 2020 Madhumita Dobe, Monalisha Sahu https://creativecommons.org/licenses/by/4.0 2020-11-18 2020-11-18 10.4119/seejph-3963