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Global Health Economics and
            Sustainability
                                                                              Peace and quality health is entrepreneurship


            activities (Martykanova et al., 2019). For example, before   Infectious diseases that require an athlete to recover
            training on a mat, only two microbial species, Acinetobacter   before returning to sport can inflict psychological trauma.
            schindleri and Pseudomonas stutzeri, were isolated. After   Depending on the nature  of the disease, the type of
            training, four infectious agents –  Acinetobacter lwoffii,   sporting activity, the nature of the competition, and the
            S.  aureus, Staphylococcus epidermidis, and  Micrococcus   duration of the return-to-sport process (Lindsay  et al.,
            luteus – were identified (Martykanova et al., 2019). This   2021; Yung et al., 2022), the psychological impact can be
            illustrates that as athletes acquire infections from sports   similar to that  caused by a  broken heart (Smith, 2022).
            activities, they can also transmit infections to stadiums   Individuals  experiencing  severe  emotional  distress  often
            and parks.                                         exhibit depression, lose interest in daily activities, and

              Sports-accidental infections negatively impact players’   withdraw from social interactions, which are particularly
            performances. The “return-to-play” policy is an effective   severe when pharyngitis is accompanied by infective
            disease control strategy that prohibits infected athletes   endocarditis, another condition that can be caused by S.
            from participating until fully recovered (Herrero, 2020;   pyogenes (Dass & Kanmanthareddy, 2023; Primera et al.,
            Nincevic et al., 2023; Yao et al., 2021). This approach helps   2023; Smith, 2022).
            prevent the spread of infections, which could escalate   In extreme cases, some individuals may contemplate or
            in pandemics. During the COVID-19 pandemic, many   commit suicide (Smith, 2022). The signs and symptoms of
            nations implemented lockdowns to contain the virus,   emotional distress from a broken heart are not significantly
            requiring athletes to recover at home before rejoining   different from the pain caused by pharyngitis due to  S.
            their teams (Börjesson et al., 2017; Nincevic et al., 2023;   pyogenes (Chatzantonis et al., 2020) and the psychological
            Lindblad et al., 2022; Yao et al., 2021).          impact of the return-to-sport process due to infection,
              Before an athlete is qualified to participate in a game,   especially when the infection becomes systemic.
            they must be part of the training process that leads to   Infections can lead to inevitable depression and anxiety
            player selection. Infectious diseases or injuries can prevent   among infected athletes (Lindsay et al., 2021; Shafiee et al.,
            athletes from taking part, effectively disqualifying talented   2017; Yung et al., 2022). These are serious health problems
            players (Ahmadinejad et al., 2014; Likness, 2011). All types   that can exacerbate other health conditions, such as anemia
            of infections can disqualify athletes from competition   and mental health. Depression is identified as one of the
            (Martínez et al., 2017; Newberger & Gupta, 2023; Nincevic   most common indicators of mental illness, affecting nearly
            et al., 2023).                                     350 million people globally (Shafiee  et al., 2017). Some
              Sports-accidental infections impede athletes’ progress,   individuals with depression may resort to substance abuse
            just as infectious diseases can affect global peace and   (Mills, 2023; Shakespeare et al., 2021), which can be worsened
            entrepreneurship. A  current example is the COVID-19   by infections, including sports-accidental infections.
            pandemic, which negatively affected global peace, quality   3.3. Identifying the diagnostic roles of medical
            health, and entrepreneurship (Ksinan Jiskrova  et   al.,   laboratories in preventing sports-accidental
            2021; Nincevic  et al., 2023; Posel  et al., 2021; Pulle,   infections for global peace, quality health, and
            2022), including sports when people were confined to   entrepreneurship
            their homes for extended periods. Evidence shows that
            COVID-19 reduced the performance of some football   Treating patients without identifying the cause is akin to
            players (Nincevic et al., 2023).                   fighting an unknown enemy in warfare. This analogy is
                                                               particularly relevant in disease prevention, disease control,
              Injuries, infections, and diseases impede quality health,
            peace, and entrepreneurship (Pulle, 2022; Pulle  et al.,   and healthcare delivery (Lindblad  et al., 2022; Nincevic
            2022). For example,  S. pyogenes alone causes infections   et  al., 2023; Yao et al., 2021). Microbiological investigations
            in approximately 18.1 million people globally, with an   play a critical role in identifying infectious agents, which
            associated annual mortality of 500,000 individuals, making   are essential for providing effective and quality health care,
            it  a  pathogen  of  public  health  importance  (Avire  et al.,   especially during pandemics. This principle also applies to
                                                               managing sports-accidental infections. Once the pathogen
            2021). Although not the most common cause of infections   is identified and treated/cured, the athlete can safely return
            in athletes and non-athletes, S. pyogenes is responsible for   to sports (Börjesson  et al., 2017; Lindblad  et al., 2022;
            many diseases that negatively affect athletes’ performances   Nincevic et al., 2023).
            and well-being. The most common soft tissue infection
            caused by S. pyogenes is pharyngitis, commonly known as   Accurate diagnosis relies on selecting the correct
            sore throat (Avire et al., 2021; Newberger & Gupta, 2023;   sample. For example, if an athlete presents with a skin
            Stevens & Brt, 2016).                              infection, the optimal diagnostic samples would be skin


            Volume 3 Issue 1 (2025)                         22                       https://doi.org/10.36922/ghes.2904
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