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                <text>In 2020, health care has had to pivot dramatically to keep up with the havoc created by the pandemic. COVID-19 and its aftermath are about the basics, including in medicine.</text>
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                <text>Medicine (General)</text>
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                <text>Why the public need a say in how patient data are Used for Covid-19 Responses</text>
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                <text>Mhairi Aitken, Sarah Cunningham-Burley, Amy Darlington, Stephen Elstub, Oliver Escobar, Kerina Jones, Nayha Sethi, Rachel Thompson</text>
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                <text>The global coronavirus pandemic has clearly demonstrated the great urgency to collect and use patient data effectively to understand, track and manage the spread of Covid-19. The value of patient data in this pandemic is undeniable, however considerations around how - and by whom - such data should be collected, accessed and used, and for what purposes, remain to be fully debated and resolved. Who decides, and how such decisions are made remain unclear. We argue that public engagement and deliberation are essential for good governance and are key to establish and maintain a legitimate social licence for data practices around Covid-19.</text>
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                <text>covid-19, public engagement, Patient Data, social licence</text>
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                <text>Epidemiology and Health</text>
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                <text>Korean Society of Epidemiology</text>
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                <text>Demography. Population. Vital events</text>
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                <text>Why there were few cases of coronavirus disease 2019 in Libya during the first two months of the pandemic?</text>
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                <text>Abdunnabi A. Rayes, Badereddin B. Annajar, Abdunaser S. Dayhum, Ibrahim M. Eldaghayes</text>
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                <text>Coronavirus disease 2019 (COVID-19) is a pandemic that affected almost all countries worldwide with more than 29,439,120 confirmed cases and 932,486 deaths recorded till on September 14, 2020. However, on May 25, 2020, after 2 months from the first reported case of COVID-19 in Libya, the country was among very few countries in the world that had very few cases of COVID-19 with a total of 75 confirmed cases and three deaths during the first 2 months since the detection of the first case on March 24, 2020. Based on the global epidemiological pattern of the disease, the magnitude of COVID-19 in Libya could have been much worse. However, the reality is eccentrically different and the epidemiology exhibited different scenario with very few cases being recorded during the first 2 months of pandemic in Libya. In this article, a review of COVID-19 situation in Libya is presented with thoughts about the potential reasons that could explain the very few cases of COVID-19 in the country in context with the global figures of the pandemic.</text>
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                <text>epidemiology, Incidence, Pandemic, Coronavirus disease 2019, Libya</text>
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                <text>10.14202/IJOH.2020.160-164</text>
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                <text>International Journal of One Health</text>
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                <text>Veterinary World</text>
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                <text>Medicine, Medicine (General)</text>
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                  <text>Dominio científico: Coronavirus</text>
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                <text>Why tocilizumab could be an effective treatment for severe COVID-19?</text>
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                <text>Binqing Fu, Xiaoling Xu, Haiming Wei</text>
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                <text>Abstract A severe pneumonia-associated respiratory syndrome caused by a new coronavirus was identified in December 2019 (COVID-19), spread rapidly and has become a world-wide public health challenge. About 25% of COVID-19 patients experienced severe complications including acute respiratory distress syndrome (ARDS), and even progressed into an intensive care unit (ICU) admission and died. The exploration for the mortality causes and advancing novel therapeutic development of severe COVID-19 is crucial at the moment. The biopsy samples analysis at autopsy suggested that increased alveolar exudate caused by aberrant host immune response and inflammatory cytokine storm probably impedes alveolar gas exchange and contributes to the high mortality of severe COVID-19 patients. Our research has identified that pathogenic T cells and inflammatory monocytes incite inflammatory storm with large amount of interleukin 6, therefore monoclonal antibody that targets the IL-6 pathways may potentially curb inflammatory storm. Moreover, Tocilizumab treatment that blocking IL-6 receptors showed inspiring clinical results including temperature returned to normal quickly and respiratory function improved. Therefore, we suggest that Tocilizumab is an effective treatment in severe patients of COVID-19 to calm the inflammatory storm and reduce mortality.</text>
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                <text>DOI: 10.1186/s12967-020-02339-3</text>
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                <text>Journal of Translational Medicine</text>
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                <text>Wicked problems and proportionality: Is the lesser of two evils the best we can do?</text>
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                <text>Ahmad Makhdoum, Derrick Y Tam, Stephen E Fremes</text>
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                <text>The Journal of thoracic and cardiovascular surgery</text>
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