The COVID-19 pandemic has taken the world by storm, with the medical industry bearing the brunt of the outbreak. Singapore was one of the earliest countries outside of China to be affected by the outbreak, and the nation’s healthcare sector had to react quickly in order to maintain continuity of care. This commentary is a narrative review of our center’s dynamic response to the evolving COVID-19 pandemic. We reviewed the logistical considerations and workflow modifications made by our center following the outbreak. We compared our protocols with local and international guidelines by performing a literature review. Logistical considerations taken into account included the designation of an isolation area and a dedicated team to run the area. Workflow modifications made included triaging patients into isolation and non isolation groups, modifying protocols for patients requiring admission or transfer to other tertiary institutions, and starting a Swab and Send Home Protocol for discharge. The COVID-19 pandemic has taught us that response to an evolving outbreak is dynamic and continued reassessment of processes and workflows in place is the key to help us curb this outbreak.

Learning has been of dominant consequence to the progress of human civilization. In Pakistan, international pledge to worldwide education was initially established back in 1984. General statement of Human rights in Pakistan mainly in mixed urban areas for women are mostly positioned at the lowermost end of the current classification in contrast to their male equivalents. Habitually, it is expected that women are inadequate to become family leader, men are the wage-earner of the household. In the condition like that, education can help in refining the position of women and retaining them on an equivalent place with male in the same society. Not only that, this one too surges women’s capability to protect work in the official working area. The cardiovascular health risk factors are poorly managed and most of the cases are not reported. The aim of this research was to Identify the significance of education in women’s cardiovascular health in mixed urban society of Pakistan, here portion of the women are living under poor conditions [1]. And, to assess the awareness of cardiovascular health risk factors and to determine life-styles of the common women in contrast to their literacy level. Urban mixed population of Karachi (Malir district and its surroundings) was selected. The area has population of 2008901from which 934491 are female [2]. 200 individual females participated in the study, and sample were = 18 years age all female. Information about demographic, body weight, height, life style, medical and cardiac history were taken [2]. Questionnaire was designed to estimate life-styles and awareness in face to face meetings. The data showed very low level of education, 62% of them have no education at all, while 19% had secondary level of education, 17% had graduate degrees and only 2% were with post graduate education. Most had no job and 68% were housewives. Most of them were obese and physically inactive, total 49% women were not happy with their health status, 40% of women had positive family history of elevated blood pressure and diabetes. Sample showed elevated blood pressure 37%, diabetes 28% and other cardiovascular health risk factors. 48% of women were under extreme mental stress, 38% were under extending medicine therapy out of which only 24% knew their medicine its usage and complications. The awareness regarding consequence of cardiovascular risk factors and their role in origin of cardiovascular disease was absent in the community at large. Food and its connection to coronary heart disease showed majority were unaware.