TY - BOOK AU - Sasha Abdallah Fahme AU - Margaret McNairy AU - Jennifer A Downs AU - Jyoti S Mathad AU - Fouad M Fouad AU - Justin Roy Kingery AU - Hyasinta Jaka AU - Puja Chebrolu AU - Vanessa Rouzier AU - Kathleen F Walsh TI - Practical recommendations for the prevention and management of COVID-19 in low-income and middle-income settings: adapting clinical experience from the field PY - 2021/// CY - Mwanza, Tanzania: PB - BMJ Publishing Group &, Catholic University of Health and Allied Sciences [CUHAS – Bugando] N2 - Introduction: Efforts to contain and respond to the novel COVID-19 in both high-income and low-income countries remain extremely challenging. Resource-constrained countries face the additional obstacles of limited health infrastructure and inability to socially distance due to crowded and often multigenerational living conditions. As Western nations begin mass vaccination campaigns, many countries in the Global South may not receive the vaccine for months or years. Until this ‘vaccination gap’ is filled, we must prioritise community-based prevention measures, while continuing to share and learn from each other’s clinical experiences, adapting management approaches to severely resource-limited settings in which vaccination may be delayed. We are global health physicians who have been COVID-19 first responders in hospitals and clinics in both New York City and diverse low-income and middle-income countries (LMICs) across Africa, the Middle East and the Caribbean. We report our experiences in the field across these various settings with the goal to summarise our practices in the prevention and management of this disease, emphasising evidence-based interventions that can be realistically implemented in LMICs. All efforts should be contextualised to the individual setting, which is partially dependent on the capacity of each country’s health systems UR - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8023753/ ER -