Time and time again, we are reminded of the importance of public health interventions as opposed to total reliance on hospital care. Whether it’s the recent surge of non-communicable diseases like diabetes, cancer and hypertension; or epidemic proportions or the ongoing infectious Covid-19 pandemic, a common theme of overwhelming hospitals is evident. Modern healthcare, in understanding of this, has increasingly advocated for preventive approaches to healthcare. High income countries tend to place emphasis on public health intervention as it tends to actually cut down the burden of diseases and healthcare expenditure in the long run.
For example: In the Covid-19 expenditure, Canada allocated about 15% of its total covid funds to screening alone. Screening, though not commonly heard in the news like vaccination, is a very important preventive health practice. It relies on strong evidence based scientific principles and regular research to investigate conditions when it is most likely to occur and in people most susceptible to it. Screening has produced tremendous benefits in modern healthcare; specifically, a decline in most diseases have been recorded with its incorporation.

The success and actualisation of screening, however, requires both a preventive-conscious health system as well as compliance of the population involved.This is why it is important for better education and media coverage on the necessary screening needed by people so as to increase awareness.This is because a woman would likely seek help from a physician when she notices a bloody discharge from her nipple but would neglect an asymptomatic mass she occasionally feels on her breast. When she knows that a mass like that needs to be investigated, she is likely to seek care which would lead to earlier detection and cure of cancer.
Some people may not visit their caregivers due to fear. Hence, it is important that these fears are allayed by the health media as early detection can be the difference between life and death. People should be made to understand that late presentation is always worse than early presentation. Screening ought to be viewed as a form of self care much like vaccination.
Screening guidelines vary from country to country and also from one individual to another. For example: a traveller, foreigner, immigrant or visitor from a Tuberculosis prevalent country is expected to be screened for TB.

The Canadian Task Force on Preventive Health Care (CTFPHC) recommendations on screening are so broad that it would be difficult to exhaust them. However, there are some common ones people should be aware of, they include:
 Screening for chlamydia and gonorrhoea in young sexually active adults
 HIV screening
 Regular breast exam
 Regular testicular exam
 Cervical cancer screening every 3-5 years
 Pap smears from 21 to 65 years
 Regular blood pressure checks
 Lipid studies
 Colonoscopy every 10 years for those above 50 years for colon cancer screening
 Diabetes screen for individuals > 45years
 Screening for common elderly problems like osteoporosis and abdominal aortic aneurysm in women and men more than 65years of age
 Screening in elderly men and women who have smoked for lung cancer, the commonest cause of cancer deaths in both men and women

Although there have been concerns about increased risk of unnecessary interventions due to screening, it is important to understand that screening is backed by scientific principles and health systems always research to know if it is beneficial to the individuals recommended. Regardless of any controversies, healthcare data support the truth that screening, just like vaccination, deserves the attention of any preventive health system.

Despite the lifting of bans and restrictions surrounding Covid in almost every part of the world, the virus is still very much with us. Some people may even argue that-like the flu, COVID has become the new norm. Globally, as of April 15, 2022, there have been over four hundred and ninety-seven million (497,960,492) confirmed cases of COVID-19, including about six million (6,181,850) deaths. Additionally, as of 5 April 2022, a total of 11,250,782,214 vaccine doses have been administered- these numbers, according to World Health Organization, continue to rise daily.

Certainly, the pandemic continues to affect the world both socially and economically. Economically, the world GDP has been negatively impacted to a large extent. Since World War II, the COVID-19 global recession is the toughest recession faced by humankind, affecting virtually every part of the world. According to the International Monetary Fund’s World Economic Outlook Report published in April 2021, global economy decreased by 3.5 percent in 2020, a 7 percent loss compared to the 3.4 percent growth forecast back in October 2019. This decrease in economic growth was most vivid in the poorest parts of the world, although almost every country was affected.

As Organization for Economic Co-operation and Development (OECD) succinctly puts it, the COVID-19 pandemic worsened already present social and economic inequalities within and between societies. During the peak of the pandemic, pregnant women, low-income households, sick individuals, disabled people and seniors, were disproportionally affected. These already vulnerable groups experienced increased vulnerability to infection by covid, as well as, faced barriers to accessing healthcare. Pregnant women could not have their partners or family present during childbirth, this decreased the amount of support received by these women in such crucial times. On the other hand, seniors- due to lowered immunity, experienced increased susceptibility to COVID-19 and its complications. These groups are still recovering from the traumatic experiences faced during the peak of the pandemic.

Similar to Covid-19, the present war between Russia and Ukraine, like adding fuel to fire, is creating a major humanitarian crisis which has affected millions of people. Additionally, the war has caused an extreme economic shock of significant magnitude that will potentially linger for an extended period of time. Over three million people have already fled Ukraine- a significantly higher number than the number of asylum-seekers that moved into European countries at the height of the Syrian refugee crisis in 2015-16. Certainly, accommodating and providing for these numerous Ukrainian refugees will strain the receiving countries. In the midst of the already strenuous economic conditions caused by COVID, the cost of housing, food, healthcare and childcare will have to be provided by these countries, a totally unplanned economic expenditure.

As an organization whose aim is to affect the world through health, Blessworld Foundation International is available to partner with individuals, government, international organization and other charities in providing support for people impacted negatively by both COVID and the war. Please reach us via our contact numbers.