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February 23, 2016

Critical Care in Resource-Restricted Settings

Author Affiliations
  • 1Faculty of Tropical Medicine, Mahidol University, Bangkok, Thailand
  • 2Centre for Tropical Medicine and Global Health, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, United Kingdom
  • 3Department of Intensive Care, Bharati Vidyapeeth University Medical College, Pune, India
  • 4Department of Intensive Care, Academic Medical Center, Amsterdam, the Netherlands
JAMA. 2016;315(8):753-754. doi:10.1001/jama.2016.0976

In many low- and middle-income countries, with improved public health services like sanitation and immunization, the relative contribution of curative care for critically ill patients to overall health and life expectancy has increased considerably. The importance of intensive care facilities as a global good was emphasized by recent epidemics in which survival was highly dependent on adequate critical care. Examples include the SARS coronavirus (2002-2003), avian influenza H5N1 (2004 and onward), pandemic influenza A(H1N1) (2009), the MERS coronavirus (2012 and onward), and Ebola virus disease (2014-2015).