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101. Enhancing U.S. Leadership in a New Era of Global Immunization

Author:
Nellie Bristol, Michaela Simoneau, and Katherine E. Bliss
Publication Date:
09-2019
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies (CSIS)
Abstract:
The U.S. government plays a leading role in supporting immunization services worldwide, an investment that helps increase global stability and prosperity while protecting Americans from potentially epidemic-prone diseases. While tremendous progress has been made in improving vaccine coverage, momentum has stalled over the last decade. New approaches are needed to reach populations that chronically lack access to health services and those in volatile and conflict-affected settings. The authors offer recommendations to enhance U.S. policy as key global immunization partners are developing new strategies to expand global vaccine coverage.
Topic:
Public Health, Humanitarian Crisis, Pandemic, and Immunization
Political Geography:
Global Focus

102. Managing Urban Flood Risk: A Framework for Evaluating Alternative Policy Instruments

Author:
Daniel Henstra and Jason Thistlethwaite
Publication Date:
03-2019
Content Type:
Working Paper
Institution:
Centre for International Governance Innovation (CIGI)
Abstract:
To maximize the effectiveness of flood risk management, city governments should employ multiple policy instruments to balance the objectives of resilience (i.e., risk reduction), efficiency (i.e., benefits exceed costs) and legitimacy (i.e., political and public support). Flood risk management instruments differ to the extent that they emphasize some of these objectives over others, so informed trade-offs are required when selecting and combining them. Contextual factors, such as available resources, the level of flood risk and the degree of public risk awareness, are also salient when choosing among policy instruments for flood risk management.
Topic:
Natural Disasters, Legitimacy, Public Health, and Flood
Political Geography:
Global Focus

103. Regulation: The Responsible Control of Drugs

Author:
Global Commission On Drug Policy
Publication Date:
03-2018
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
This new report provides a practical roadmap that tackles the real implications and recognizes the difficulties of transitioning from illegal to legally regulated drug markets. It offers concrete answers regarding the organizational capacity of state institutions to regulate and control a legal market of potentially dangerous products. It highlights the challenges facing impoverished populations that constitute the “working class” of the illegal drug markets. It offers possible ways forward to deal with the risks inherent to the resilience of organized crime. Finally, this report calls for a reform of the prohibition-based international drug control system, which is compromising a universal and holistic approach to the “drug problem.”
Topic:
Crime, Health, War on Drugs, Drugs, and Public Health
Political Geography:
Global Focus

104. New Psychoactive Substances: Challenges for Law Enforcement Agencies and the Law

Author:
Kalliroi Ziavrou
Publication Date:
06-2018
Content Type:
Working Paper
Institution:
George C. Marshall European Center for Security Studies
Abstract:
New psychoactive substances (NPS) present a new global phenomenon in the drug market. This phenomenon is characterized by the emergence of a significant number of new substances every year that are not controlled under international drug control conventions, which means that their trafficking is legal. These substances are designed to mimic traditional illicit drugs and may cause severe adverse health effects.Over the last few years, the unprecedented rate of NPS proliferation has resulted in significant risk to public health; the numbers of people who become sick or addicted as well as the number of fatalities are consistently growing at an alarming pace. With the aid of the internet, new psychoactive substances are spreading at such a rapid rate that law enforcement agencies cannot respond quickly enough when it comes to identifying and regulating these substances. This paper will address the NPS phenomenon, presenting why the issue is generating increased interest worldwide and how it has provoked new challenges for law enforcement agencies (LEA) and policymakers. Beginning with a presentation of the current NPS crisis, this paper will demonstrate how illicit networks have managed to flood the drug market with NPS and examine the emerging issues for the involved communities and countries, legislative and judicial communities, and populations worldwide. Finally, it will discuss current governmental responses and containment measures and offer suggestions on how to counter the challenge using a holistic approach.
Topic:
Law Enforcement, Internet, Drugs, and Public Health
Political Geography:
Global Focus

105. The World Drug PERCEPTION Problem: Countering Prejudices About People Who Use Drugs

Author:
Global Commission On Drug Policy
Publication Date:
11-2017
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
Drug policy reforms have been difficult to design, legislate or implement because current policies and responses are often based on perceptions and passionate beliefs, and what should be factual discussions leading to effective policies are frequently treated as moral debates. The present report aims to analyze the most common perceptions and fears, contrast them with available evidence on drugs and the people who use them, and provides recommendations on changes that must be enacted to support reforms toward more effective drug policies.
Topic:
Crime, Health, War on Drugs, Drugs, Public Health, and Criminology
Political Geography:
Global Focus

106. Wash Interventions in Disease Outbreak Response

Author:
Jelena Allen
Publication Date:
02-2017
Content Type:
Research Paper
Institution:
Oxfam Publishing
Abstract:
Water, sanitation and hygiene interventions (WASH) are commonly implemented as part of emergency response activities (i.e. in response to disease outbreaks) in low and middle-income countries. But what does the existing evidence tell us about what works? How does the use of WASH interventions reduce disease outbreaks? What are the programme design and implementation characteristics associated with more effective programmes? What is the cost effectiveness of WASH interventions in emergency outbreak situations? What are the barriers and facilitators to WASH interventions in outbreaks? This evidence synthesis identifies, synthesizes and evaluates the available evidence in order to find a response. It is accompanied by a stand-alone executive summary and evidence brief. It forms part of a series of humanitarian evidence syntheses and systematic reviews commissioned by the Humanitarian Evidence Programme.
Topic:
Health, Sanitation, Public Health, and Humanitarian Crisis
Political Geography:
Global Focus

107. Advancing Drug Policy Reform: a new approach to decriminalization

Author:
Global Commission On Drug Policy
Publication Date:
07-2016
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
Building on current partial decriminalization models that have helped to achieve more effective drug policies and positive outcomes, with a greater emphasis on justice, dignity and human rights, this report advocates ending all penalties – both civil and criminal – on people who use drugs. Detailing the destructive and harmful consequences of punitive drug policies and the need to reconsider them, the report calls for the implementation of alternatives to punishment for all low-level, non-violent actors in the drug trade, and to consider market regulation as the next logical step.
Topic:
Health, War on Drugs, Drugs, Public Health, and Criminology
Political Geography:
Global Focus

108. Pandemic Declarations of the World Health Organization as an Exercise of International Public Authority: The Possible Legal Answers to Frictions Between Legitimacies

Author:
Pedro A. Villarreal
Publication Date:
06-2016
Content Type:
Journal Article
Journal:
The Goettingen Journal of International Law
Institution:
The Goettingen Journal of International Law
Abstract:
The institutional decisions regarding the 2009–2010 influenza A(H1N1) pandemic displayed how the World Health Organization’s (WHO) role as the international organization in charge of coordinating the pandemic response amounts to an exercise of authority. Notably, the 11 June, 2009 Pandemic Declaration was grounded in the WHO’s guidelines that do not have a binding nature according to international law. However, this is not an obstacle for considering them as an act of authority, since their effects can constrain the decision-making of States. If these non-binding acts have an authoritative nature, then it is necessary to address various legitimacy issues that may be present. This is where the concept of international public authority (IPA) can prove useful, since it enables to combine the non-binding nature of Pandemic Declarations and the respective guidelines with broad legally-oriented figures such as transparency and accountability. The controversies surrounding the 2009 Pandemic Declaration illustrate how the strictly technical-scientific elements that led to such a decision were not necessarily harmonious with other aspects more related to political decision making in general, such as transparency and accountability. This can be considered as an example of how so-called ‘technocratic legitimacy’ sometimes generates friction with lato sensu ‘political legitimacy’. As the 2009–2010 pandemic period unraveled, it became clear that expertise-based legitimacy is not sufficient in itself to consider the act as generally legitimate. On the contrary, the strongest criticisms directed at the decision-making process of the WHO during this event were leveled against deficits of transparency and accountability. This article purports to discuss the issue of how both types of legitimacies, technical-scientific and political, are necessary components for deeming Pandemic Declarations as legitimate enough, since they amount to an exercise of international public authority.
Topic:
International Law, World Health Organization, Public Health, and H1N1
Political Geography:
Global Focus

109. Law as an Antidote? Assessing the Potential of International Health Law Based on the Ebola-Outbreak 2014

Author:
Robert Frau
Publication Date:
11-2016
Content Type:
Working Paper
Institution:
The Goettingen Journal of International Law
Abstract:
The Ebola-Outbreak of 2014 has put international health law in the limelight. This contribution assesses the measures taken by the international community with regard to the outbreak of 2014 with a special focus on the World Health Organization and the UN Security Council. International law provides different actors with means to cooperate in order to fight the outbreak. The list of actors does not include the UN Security Council, which has addressed the outbreak in one resolution under chapter VII without taking any effective legal remedies. In addition, the relevant human right to health has not been addressed by actors, creating leeway in further emergencies.
Topic:
International Cooperation, United Nations, World Health Organization, Ebola, Public Health, and Pandemic
Political Geography:
Global Focus

110. The Negative Impact of Drug Control on Public Health: the global crisis of avoidable pain

Author:
Global Commission On Drug Policy
Publication Date:
10-2015
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
Ninety-two percent of the world’s supply of morphine is consumed by just 17 percent of the global population, with consumption primarily concentrated in the global north and 75 percent of the world’s population does not have access to any pain relieving drugs. The reasons for this have little to do with issues of cost or scarcity of supplies- and everything to do with with the prohibition and repressive stand the world has taken on drugs. This Global Commission report explores the current crisis related to the lack of access to controlled medicines and makes concrete policy recommendations to Member States and UN agencies on ways to improve these conditions. This report is available in English, Spanish, Russian, French and Arabic.
Topic:
Health, War on Drugs, Drugs, Public Health, and Medicine
Political Geography:
Global Focus