Imperial College London

DrElizabethDubois

Faculty of MedicineSchool of Public Health

Research Associate
 
 
 
//

Contact

 

e.dubois Website

 
 
//

Location

 

352Reynolds BuildingCharing Cross Campus

//

Summary

 

Publications

Publication Type
Year
to

35 results found

Abuhaloob L, Purnat T, Tabche C, Atwan Z, Dubois E, Rawaf Set al., 2024, Management of infodemics in outbreaks or health crises: a systematic review, Frontiers in Public Health, Vol: 12, ISSN: 2296-2565

Introduction: The World Health Organization (WHO) defined an infodemic as an overabundance of information, accurate or not, in the digital and physical space, accompanying an acute health event such as an outbreak or epidemic. It can impact people’s risk perceptions, trust, and confidence in the health system, and health workers. As an immediate response, the WHO developed the infodemic management (IM) frameworks, research agenda, intervention frameworks, competencies, and processes for reference by health authorities.Objective: This systematic review explored the response to and during acute health events by health authorities and other organizations operating in health. It also assessed the effectiveness of the current interventions.Methods: On 26 June 2023, an online database search included Medline (Ovid), Embase, Cochrane Library, Scopus, Epistemonikos, and the WHO website. It included English-only, peer-reviewed studies or reports covering IM processes applied by health organizations that reported their effectiveness. There was no restriction on publication dates. Two independent reviewers conducted all screening, inclusion, and quality assessments, and a third reviewer arbitrated any disagreement between the two reviewers.Results: Reviewers identified 945 records. After a final assessment, 29 studies were included in the review and were published between 2021 and 2023. Some countries (Pakistan, Yemen, Spain, Italy, Hong Kong, Japan, South Korea, Singapore, United Kingdom, United States, New Zealand, Finland, South Korea, and Russia) applied different methods of IM to people’s behaviors. These included but were not limited to launching media and TV conservations, using web and scientific database searches, posting science-based COVID-19 information, implementing online surveys, and creating an innovative ecosystem of digital tools, and an Early AI-supported response with Social Listening (EARS) platform. Most of the interventions were effective in

Journal article

Yang N, Jenkins R, Dubois E, Quezada Yamamoto H, Ward H, Junghans Minton Cet al., 2021, Small music programs for mental health and well-being: an evaluation framework, Music and Medicine, ISSN: 1943-8621

Journal article

Rawaf S, Al-Saffar M, Quezada Yamamoto H, Alshaikh M, Pelly M, Rawaf D, Dubois E, Majeed Aet al., 2020, Chloroquine and hydroxychloroquine effectiveness in human subjects during coronavirus: a systematic review, Publisher: medRxiv

In a search to find effective treatments for COVID-19, chloroquine and hydroxychloroquine have gained attention. We aim to provide evidence to support clinical decision-making regarding medication for the treatment of COVID-19 by carrying out a systematic review of the literature. The electronic databases MEDLINE, EMBASE, Global Health, and HMIC were searched up to April 2020. Eligible study outcomes included: extubation or patient recovery. Relevant data were extracted and analysed by narrative synthesis. Our results included six studies in the review of which four studies were of good or fair quality. All eligible studies included were for coronavirus involving the use of either chloroquine or hydroxychloroquine to treat common symptoms such as fever, cough, shortness of breath and fatigue. Outcomes most commonly reported were improved lung function, viral clearance, and hospital discharge. Strong evidence to support the use of chloroquine and hydroxychloroquine in the treatment of COVID-19 is lacking. Fast track trials are riddled with bias and may not conform to rigorous guidelines which may lead to inadequate data being reported. The use of these drugs in combination with other medications may be useful but without knowing which groups they are suited for and when they may cause more harm than good.

Working paper

Quezada Yamamoto H, Dubois E, Mastellos N, Rawaf Set al., 2019, Primary care integration of sexual and reproductive health services for chlamydia testing across WHO-Europe: a systematic review, BMJ Open, Vol: 9, ISSN: 2044-6055

Objective To identify current uptake of chlamydia testing (UCT) as a sexual and reproductive health service (SRHS) integrated in primary care settings of the WHO European region, with the aim to shape policy and quality of care.Design Systematic review for studies published from January 2001 to May 2018 in any European language.Data sources OVID Medline, EMBASE, Maternal and Infant Care and Global Health.Eligibility criteria Published studies, which involved women or men, adolescents or adults, reporting a UCT indicator in a primary care within a WHO European region country. Study designs considered were: randomised control trials (RCTs), quasi-experimental, observational (eg, cohort, case–control, cross-sectional) and mixed-methods studies as well as case reports.Data extraction and synthesis Two independent reviewers screened the sources and validated the selection process. The BRIGGS Critical Appraisal Checklist for Analytical Cross-Sectional Studies, the Mixed Methods Appraisal Tool 2011 and Critical Appraisal Skills Programme (CASP) checklists were considered for quality and risk of bias assessment.Results 24 studies were finally included, of which 15 were cross-sectional, 4 cohort, 2 RCTs, 2 case–control studies and 1 mixed-methods study. A majority of the evidence cites the UK model, followed by the Netherlands, Denmark, Norway and Belgium only. Acceptability if offered test in primary healthcare (PHC) ranged from 55% to 81.4% in women and from 9.5% to 70.6% when both genders were reported together. Men may have a lower UCT compared with women. When both genders were reported together, the lowest acceptability was 9.5% in the Netherlands. Denmark presented the highest percentage of eligible people who tested in a PHC setting (87.3%).Conclusions Different health systems may influence UCT in PHC. The regional use of a common testing rate indicator is suggested to homogenise reporting. There is very little evidence on integration of SRHS such as chla

Journal article

Jamil H, Rawaf S, Alsaghayer A, Lee JT, Dubois E, Hadithi T, Majeed A, Hamid F, Swaka A, Arnetez BBet al., 2019, Health Assessments of Iraqi Scientists Abroad: Chronic Diseases and Legal Status, ACTA SCIENTIFIC MEDICAL SCIENCES

Journal article

Jamil H, Hamdanm T, Rawaf S, Dubois E, Yasso SSS, Aljoboori S, Jamil SW, Arnetz Bet al., 2019, Pregnancy outcome among Iraqi soldiers & civilians in Iraq and Gulf War 1991, Archives of Epidemiology, Vol: 4, Pages: 1-8, ISSN: 2577-2252

Context: Although Iraqis were exposed to very severe conditions during the 1991 Gulf War, we have very little information on the effect of distance from the war zone on the outcomes of pregnancy and congenital anomalies in children.Aim: To determine if pregnancy outcomes vary by distance from the 1991Gulf War battle zone.Methods: The study sample consisted of men between the ages 18-45 years and residents within 360 kilometres in Iraqi providences of Basra & Messan at time of 1991 Gulf War. During 2002, 720 out of 1150 participant were enrolled in the study because they were married and had at least one child. We divided the population study into two main groups: battle and non-battle zone and studied the effects of war on pregnancy outcomes.Results: Congenital anomalies in the non-battle zones appear to be significantly higher, which implies that the impact of war was not restricted to the war zone.Conclusion: There is no relationship between geographical closeness to Kuwait and adverse pregnancy outcome.

Journal article

Dubois E, McNally L, Andrews L, Dungbo F, Rawaf S, Short E, Wassum Ket al., 2019, Developing and implementing health systems policy to improve the delivery of brief tobacco interventions, Strengthening health systems for treating tobacco dependence in primary care: building capacity for tobacco control, WHO Technical Report Series, ISSN: 0512-3054

Journal article

Rawaf S, Allen L, Dubois E, Majeed A, Myrup AC, Raheem M, Rawaf D, Razavi Aet al., 2018, Primary health care: closing the gap between public health and primary care through integration, WHO Technical Report Series, ISSN: 0512-3054

Journal article

Elmontsri M, Almashrafi A, Dubois E, Banarsee R, Majeed Aet al., 2018, Improving patient safety in Libya: insights from the British health system perspective, International Journal of Health Care Quality Assurance, Vol: 31, Pages: 237-248, ISSN: 0952-6862

Purpose: The overall aim of patient safety is to make health care safe for both patients and health professionals. The purpose of this paper is to explore the UK’s patient safety improvement programmes over the past 15 years and whether lessons can be learnt to improve patient safety in Libya.Design/methodology/approach: Publications focused on patient safety in the UK were searched in academic databases. A content analysis was conducted on the selected publications.Findings: In Britain, several initiatives have been undertaken over the past fifteen years to improve patient safety and the British health system. Many stakeholders are involved including regulatory and professional bodies, educational providers and non-governmental organisations. Lessons can be learnt from the British journey in improving patient safety in Libya Research limitations/implications:Practical implications: Developing a national patient safety strategy for the country which reflects the context and needs is paramount. Above all, patient safety strategy in Libya should reference internationally approved guidelines, evidence and policy as well as learning from the unique British experience.Social implications:Originality/value: This review is first to examine patient safety improvement strategies that were adopted in Britain to help developing countries develop local strategies based on lessons learnt from Britain’s unique experience.

Journal article

Woringer M, cecil E, watt H, chang K, hamid F, khunti K, dubois E, evason J, Majeed A, soljak Met al., 2017, Evaluation of community provision of a preventive cardiovascular programme - the National Health Service Health Check in reaching the under-served groups by primary care in England: cross sectional observational study, BMC Health Services Research, Vol: 17, ISSN: 1472-6963

Background:Cardiovascular disease (CVD) is the leading cause of premature mortality and a major contributor of health inequalities in England. Compared to more affluent and white counterparts, deprived people and ethnic minorities tend to die younger due to preventable CVD associated with lifestyle. In addition, deprived, ethnic minorities and younger people are less likely to be served by CVD prevention services. This study assessed the effectiveness of community-based outreach providers in delivering England’s National Health Services (NHS) Health Check programme, a CVD preventive programme to under-served groups.Methods:Between January 2008 and October 2013, community outreach providers delivered a preventive CVD programme to 50,573 individuals, in their local communities, in a single consultation without prescheduled appointments. Community outreach providers operated on evenings and weekends as well as during regular business hours in venues accessible to the general public. After exclusion criteria, we analysed and compared socio-demographic data of 43,177 Health Check attendees with the general population across 38 local authorities (LAs). We assessed variation between local authorities in terms of age, sex, deprivation and ethnicity structures using two sample t-tests and within local authority variation in terms of ethnicity and deprivation using Chi squared tests and two sample t-tests respectively.Results:Using Index of Multiple Deprivation, the mean deprivation score of the population reached by community outreach providers was 6.01 higher (p < 0.05) than the general population. Screened populations in 29 of 38 LAs were significantly more deprived (p < 0.05). No statistically significant difference among ethnic minority groups was observed between LAs. Nonetheless some LAs – namely Leicester, Thurrock, Sutton, South Tyneside, Portsmouth and Gateshead were very successful in recruiting ethnic minority groups. The mean proportion of men s

Journal article

Rawaf S, Hassounah S, Dubois E, Abdalrahman B, Raheem M, Jamil H, Majeed Aet al., 2014, Living conditions in Iraq: 10 years after the US-led invasion, JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, Vol: 107, Pages: 187-193, ISSN: 0141-0768

Journal article

Dubois E, McNally, Lisa LM, Andrews, Lisa LA, Fu, Dungbo DF, Rawaf, Salman SR, Short, Etta ES, Wassum, Ken KWet al., 2013, Developing and implementing health systems policy to improve the delivery of brief tobacco interventions, Strengthening health systems for treating tobacco dependence in primary care: building capacity for tobacco control, Editors: World Health Organization, Geneva, Publisher: World Health Organization, Geneva, Pages: 0-74, ISBN: 9789241505413

Treatment of tobacco use and dependence is mandated in Article 14 of the World Health Organization (WHO) Framework Convention on Tobacco Control (WHO FCTC) as a key component of comprehensive tobacco control strategy. Tobacco dependence treatment is also recommended by WHO as part of a comprehensive package of essential services for prevention and control of noncommunicable diseases (NCDs) in primary care in accordance to the revised draft of the WHO Global Action Plan for the Prevention and Control of NCDs (2013-2020).

Book chapter

Ismail SA, McDonald A, Dubois E, Aljohani FG, Coutts AP, Majeed A, Rawaf Set al., 2013, Assessing the state of health research in the Eastern Mediterranean Region, JOURNAL OF THE ROYAL SOCIETY OF MEDICINE, Vol: 106, Pages: 224-233, ISSN: 0141-0768

Journal article

Ismail S, Coutts A, Aljohani F, Dubois E, McDonald A, Majeed A, Rawaf Set al., 2012, "Assessing the state of health research in the Eastern Mediterranean Region: towards a regional strategy for health research", Journal of the Royal Society of Medicine

Journal article

Yaghi K, Yaghi Y, McDonald AA, Yadegarfar G, Cecil E, Seidl J, Dubois E, Rawaf S, Majeed Aet al., 2012, Diabetes or war? Incidence of and indications for limb amputation in Lebanon, 2007, Eastern Mediterranean Health Journal, Vol: 18, Pages: 1178-1186, ISSN: 1020-3397

Chronic diseases such as diabetes and vascular disease are a major public health problem in Lebanon, where primary care is not well developed. This study aimed to describe the incidence and indications for limb amputation in Lebanon and identify associated factors (age, sex, level of surgery, length of hospital stay). There were 1.6 amputations per 10 000 persons. The rate of amputation was highest in southern Lebanon at 3.8 per 10 000. The most important indication for surgery was diabetes (59%). Diabetic patients were older (mean age 73 years versus 30 years), more likely to have major surgery (OR = 7.87; 95% CI: 2.83-21.9) and stay in hospital longer (RR = 4.56, 95% CI: 2.41-8.64) than patients with trauma-related amputation. Diabetes prevention, detection and management should be prioritized in any attempt to reduce the current incidence of amputation in Lebanon.

Journal article

Rawaf S, Dubois E, Holloway C, 2012, Iran: Development and Design of a Model for Urban Primary Care (WHO Report)

Report

Amati F, McDonald A, Rawaf S, Dubois E, Majeed Aet al., 2012, Implementation and evaluation of patient-centred care inexperimental studies from 2000-2010: systematic review, International Journal of Person Centered Medicine, Vol: 1, Pages: 348-357, ISSN: 2043-7730

Background: Key areas have been identified in the British National Health Service where patient centred care is not achieved. Although patient centred care is an effective as well as an innovative way to improve multiple aspects of health services, it is unclear how exactly it should be defined and thus how it should be implemented and evaluated. Objective: To investigate how patient centred care interventions are currently implemented and evaluated in experimental studies and see if there has been any recent development in the approach. Methods: A systematic literature review was conducted to identify experimental studies investigating the impact of patient centred care on outcomes including clinical indicators and patient satisfaction scores. Studies were required to have a suitable control or comparison group and be published between August 2000 and July 2010. Results: Each of the eligible studies used different methods to implement and evaluate patient centred care. Study quality was mixed and although there was frequently statistical significance, several studies lacked clinical relevance. Patients did not appear to be involved in designing the implementation or evaluation of patient centred care. Conclusion: The standardisation of a patient centred approach will make the implementation and evaluation of a future patient centred NHS a much more achievable goal. A combination of study methods is required and any attempt at a consensus of patient centred care indicators must include input from patients.

Journal article

Dubois E, Rawaf S, 2012, 'Public Health Aspects of Non-Communicable Diseases' (WHO Report)

Report

Dubois E, 2011, Key Components of Family Practice According to International Experience, Primary Health Care and Family Practice in Iran

Conference paper

Dubois E, Rawaf S, Alsheikh G, 2010, 2010/11 WHO Collaborating Centre Annual Report

Report

Dubois E, Seidl J, Carroll S, Valler Cet al., 2010, "Getting Ahead of the Curve" - How far have we come?, Health Protection 2010, Univ of Warwick

Poster

Dubois E, Rawaf S, Patel B, Urwin G, Fish G, Seidl Jet al., 2010, Management review of a waterborne gastrointestinal outbreak - Seychelles

Report

Rawaf S, Dubois E, Kubba A, Al-Shawaf T, Zoma A, Al-Hadithi T, Elhassani Set al., 2009, Iraqi doctors' training in the UK: Looking to build Iraq's healthcare system, BMJ, Pages: 1101-1101

The British government has instigated a training scheme in the UK for Iraqi doctors, 1 who for many years have worked under UN sanctions restricting access to all imported materials for continuing professional development, including the BMJ.

Journal article

Dubois E, Rawaf S, Alsheikh G, Augustyniak E, Seidl Jet al., 2009, 2009/10 WHO Collaborating Centre Annual Report

Report

Dubois E, Rawaf S, Khatib O, Omar Set al., 2009, Cancer Prevention and Control in the Eastern Mediterranean Region: Can the World Health Organisation and National Governments meet the challenges?, Public Health Medicine, ISSN: 1465-1505

Journal article

Dubois E, Rawaf S, Alsheikh G, 2008, 2008/09 WHO Collaborating Centre Annual Report

Report

Dubois E, Rawaf S, et als, 2007, 2007/08 WHO Collaborating Centre Annual Report

Report

Falinski M, Dubois E, 2007, Public Health in Austria, Public Health Medicine, Vol: 6, Pages: 71-73, ISSN: 1465-1505

As a European country, Austria faces problems similar to those in the Western world. Growth in the number of older persons, coupled with low birth rates as well as high immigration are causes for concern with regards to the burden of disease. To save resources and improve quality, Austrianministries set forth a re-structuring of the health system. Public Health and Health Promotion are still at the forefront but there has been a change in the way of thinking with regards to these topics. This paper will describe how theAustrian Health System works, current changes andactivities in Public Health and Health Promotion.

Journal article

Dubois E, 2007, The Effectiveness of Primary Care, 6th GCC Primary Health Care Conference

Conference paper

Dubois E, 2007, Strengths and Weaknesses of the British NHS: An application to Arab countries (Yemen)., WHO Intercountry Consultation on Primary Healthcare

Conference paper

This data is extracted from the Web of Science and reproduced under a licence from Thomson Reuters. You may not copy or re-distribute this data in whole or in part without the written consent of the Science business of Thomson Reuters.

Request URL: http://wlsprd.imperial.ac.uk:80/respub/WEB-INF/jsp/search-html.jsp Request URI: /respub/WEB-INF/jsp/search-html.jsp Query String: respub-action=search.html&id=00618069&limit=30&person=true