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41. Climate Change and the Health of Nations: Famines, Fevers, and the Fate of Populations by Anthony McMichael

Author:
Anthony McMichael and Easwaran Narassimhan
Publication Date:
07-2018
Content Type:
Journal Article
Journal:
Fletcher Security Review
Institution:
The Fletcher School, Tufts University
Abstract:
Projecting the precise outcomes of climate change on the health and economic well-being of humans is integral to conceiving a coherent climate policy, yet forecasts are often associated with uncertainty. Given the complex nature of the problem: as Anthony McMichael points out in his book – Climate Change and the Health of Nations – famines, fevers, and the fate of populations “the Earth system’s behavior is less amenable to exact description and measurement, and behavior under future unfamiliar conditions cannot be confidently estimated.” As countries work hard to meet their commitments under the Paris Agreement, this unpredictability has become a reason for a dead- lock among nations who are finding it challenging to negotiate the finer, disputable aspects of the Agreement. The issue of “loss and damage” compensation to the more vulnerable regions of the world in particular, has become a bone of contention. It is in this context that McMichael’s book is unique. Instead of being focused on the clichéd discussions surrounding the science and politics of climate change, it provides an account of how humans have evolved, survived, and struggled in an ever changing global climate. In doing so, he views climate change through a historical lens. The book begins by exploring how the ever-so-restless global climate has played a pivotal role in shaping many historical events and the fate of various life forms on the planet. McMichael explains how extreme climate conditions have been responsible for most of the natural extinctions and catastrophic transitions since the Cambrian explosion of new life forms around 540 million years ago. In separate chapters, he throws light on how changing climate conditions have coincided with the rise and fall of human civilizations: from the European Bronze Age to the fall of Rome, the Mayans, and the Anasazi to the little Ice-Age that gripped Europe and China. Throughout the book, McMichael emphasizes how temperature anomalies have proven to be a bane for food supply, human health, and economic well-be- ing, and how they have resulted in the evolution of various infectious agents and vectors. The intriguing nature of changing temperature becomes evident as one is exposed to the many natural extinctions that have been followed by either a rapid cooling or a rapid warming period. McMichael also attempts to associate such naturally occurring warming and cooling with the evolution of some human species and de-evolution of others over time. He quotes John Hooker in saying that “every modification of climate, every disturbance of soil, every interference with the existing vegetation of an area, favors some species at the expense of others.”...
Topic:
Climate Change, Demographics, Health, and History
Political Geography:
Global Focus

42. Enhancing Public Health Outcomes in Developing Countries: From Good Policies and Best Practices to Better Implementation

Author:
Michael Woolcock
Publication Date:
02-2018
Content Type:
Working Paper
Institution:
The John F. Kennedy School of Government at Harvard University
Abstract:
In rich and poor countries alike, a core challenge is building the state’s capability for policy implementation. Delivering high-quality public health and health care – affordably, reliably, at scale, for all – exemplifies this challenge, since doing so requires deftly integrating refined technical skills (surgery), broad logistics management (supply chains, facilities maintenance), adaptive problem solving (curative care) and resolving ideological differences (who pays? who provides?), even as the prevailing health problems themselves only become more diverse, complex and expensive as countries become more prosperous. The current state of state capability in developing countries, however, is demonstrably alarming, with the strains and demands only likely to intensify in the coming decades. Prevailing ‘best practice’ strategies for building implementation capability – copying and scaling putative successes from abroad – are too often part of the problem, while individual training (‘capacity building’) and technological upgrades (e.g., new management information systems) remain necessary but deeply insufficient. An alternative approach is outlined, one centered on building implementation capability by working iteratively to solve problems nominated and prioritized by local actors.
Topic:
Health, Developing World, State, Public Policy, and Policy Implementation
Political Geography:
Global Focus

43. Anomie or Imitation? The Werther Effect of Celebrity Suicides on Suicide Rates in 34 OECD Countries, 1960–2014

Author:
Mark Lutter, Karlijn L. A Roex, and Daria Tisch
Publication Date:
04-2018
Content Type:
Commentary and Analysis
Institution:
Max Planck Institute for the Study of Societies
Abstract:
Anomie and imitation have been prominent mechanisms explaining the Werther effect, i.e., the effect of celebrity suicides on a general population’s suicide rate. This study presents a new approach to empirically disentangle both mechanisms. Imitation theory suggests that celebrities act as role models, and that the Werther effect is triggered by the status of the celebrity in question. Anomie theory, on the other hand, suggests that the Werther effect is triggered by the unexpectedness of the event. To this end, we empirically compare the effects of celebrity suicides with the effects of celebrities who died unexpectedly from causes other than suicide (accidents, illnesses, alcohol abuse). Based on language and page-link data from 3,855 Wikipedia pages of 495 celebrities who committed suicide between 1960 and 2014, we measure the status a celebrity has in a particular country and calculate the potential country-specific imitation effect of their suicide. In the same manner, we measure status effects of celebrities who died unexpectedly from accidents, illnesses, or alcohol abuse to reflect anomie-related effects. We use these measures in a time-series cross-sectional dataset for 34 OECD countries to assess their effects on a country’s overall annual suicide rate. Fixed-effects analyses reveal that country-specific status effects of celebrity suicides lead to significant increases in overall suicide rates, while anomie-related, unexpected celebrity deaths show no effects. The findings remain robust across a number of alternative specifications, such as controlling for further anomic factors at the macro level (divorce or unemployment rate, for instance). We conclude that the results support the imitation mechanism as an essential social explanation for the Werther effect.
Topic:
International Relations and Health
Political Geography:
Global Focus

44. Development Impact Bonds Targeting Health Outcomes

Author:
Lorcan Clarke, Kalipso Chalkidou, and Cassandra Nemzoff
Publication Date:
12-2018
Content Type:
Working Paper
Institution:
Center for Global Development
Abstract:
As of December 2018, seven development impact bonds (DIBs) have been launched across seven countries with nearly US$55million in cumulative outcome funding. DIBs fund public services through contracts where private investors provide upfront flexible funding to service providers and outcome funders repay these investors based on the outcomes achieved by people receiving services. Three DIBs specifically target health outcomes: the Humanitarian Impact Bond, the Utkrisht Impact Bond, and the Cameroon Cataract Bond. The three “health DIBs” involve US$26.5 million in upfront investment, US$38.1 million in outcome funding and aim to impact the health of at least 31,600 people. Using publicly available information, we describe all seven DIBs, and evaluate the three “health DIBs” in more detail, comparing their stakeholders, implementation, and outcome structures. Building on a scoping review of relevant literature, we outline health DIBs in the pipeline and note that the potential of DIBs as a funding structure is hindered by the lack of publicly available information on their estimated impact and value for money. We offer three recommendations to improve evaluation and inform development of DIBs in the future: (1) publish plans and evaluations, (2) create and use consistent reporting guidelines, and (3) allocate funding to evaluate impact and value for money.
Topic:
Development, Health, and Humanitarian Intervention
Political Geography:
Global Focus

45. How Individuals’ Birth Weight and Later Risk Factors Interact to Determine Their Risk of Cardiovascular Disease: A Longitudinal Study in the Philippines

Author:
Marjorie Pajaron
Publication Date:
12-2018
Content Type:
Working Paper
Institution:
Walter H. Shorenstein Asia-Pacific Research Center
Abstract:
Cardiovascular diseases (CVDs), which are disorders of the heart and blood vessels, are the world’s leading cause of death (WHO, 2016). The transition from infectious diseases to non-communicable diseases (NCDs), primarily CVDs, as the primary cause of mortality and morbidity worldwide— combined with the economic burden associated with heart-related diseases—prompted the World Health Organization (WHO) and its regional offices to identify CVDs’ risk factors (WHO, 2016). This paper examines these risk factors with a focus on the fetal environment and its interaction with adult body mass index (BMI), using longitudinal data from the Cebu Longitudinal Health and Nutrition Survey (CLHNS). Using a Cox proportional hazards model to estimate hazard ratios adjusted for age and risk factors in adulthood, such as cigarette smoking, the results suggest that there is a positive association between birth weight and heart disease. In addition, when birth weight is interacted with BMI, raised blood pressure is found to be higher among those who were bigger infants at birth and grew to be lighter adults, suggesting centile crossing. Probit models are also used for sensitivity analysis, and the results are consistent with those of the hazards model. Other factors such as adult obesity and a smoking habit are also positively associated with hypertension and CVD.
Topic:
Health, Medicine, Risk Factors, and Birthing
Political Geography:
Global Focus

46. 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

47. What Is the Status of Women’s Health and Health Care in the U.S. Compared to Ten Other Countries?

Author:
Sara R. Collins, Shanoor Seervai, Roosa Tikkanen, and Munira Z. Gunja
Publication Date:
12-2018
Content Type:
Special Report
Institution:
The Commonwealth Fund
Abstract:
Women in the United States have long lagged behind their counterparts in other high-income countries in terms of access to health care and health status. This brief compares U.S. women’s health status, affordability of health plans, and ability to access and utilize care with women in 10 other high-income countries by using international data.
Topic:
Health, Health Care Policy, Women, and Reproductive Health
Political Geography:
United States and Global Focus

48. Bird Flu — It’s What’s for Dinner: What Human Population Growth and Climate Change Mean for the Future of Avian Influenza Outbreaks

Author:
Nahid Bhadelia
Publication Date:
07-2017
Content Type:
Journal Article
Journal:
Fletcher Security Review
Institution:
The Fletcher School, Tufts University
Abstract:
China is currently experiencing its fifth epidemic of “bird flu,” or avian influenza H7N9, since 2013 when it was first noted to cause human infections. The virus, which is mainly transmitted from poultry to humans, is also prone to limited human-to-human transmission. To date, there have been 1,258 human cases, with one-third of those cases (460) occurring during this year’s epidemic alone.[1] There are many “subtypes” of avian influenza circulating in birds around the world and most of these viruses cause limited or no human infections. However, two avian influenzas subtypes causing high human mortality have jumped from birds to humans in the last decade, H5N1 and then H7N9. The significant potential of this class of viruses to cause a human pandemic is a global public health concern, particularly because the conditions leading to the rise of these infections are becoming more favorable — for the viruses.
Topic:
Climate Change, Environment, Health, and Infectious Diseases
Political Geography:
China, Asia, and Global Focus

49. Compelling Priorities for Global Health

Author:
Tedros Adhanom, Lee C. Bollinger, Jeffrey D. Sachs, Elizabeth Cameron, Gavin Schmidt, and Wilmot James
Publication Date:
09-2017
Content Type:
Video
Institution:
Columbia University World Leaders Forum
Abstract:
A discussion featuring an address by Dr. Tedros Adhanom, Director General of the World Health Organization (WHO). The world today is trying to manage health risks associated with population growth, climate change, deforestation, institutional collapse, state failure, accidents, human error, war and terrorism. The full range of risks include infectious disease outbreaks, biological, chemical, radiological and nuclear spill-overs or attacks, multiple hazards, food insecurity, state fragility and cyber security failure or attacks. This is a breath-taking range of risks and no single institution can tackle it alone. It truly is humanity's common concern. As the UN agency responsible for global health, the World Health Organisation (WHO) is the organizational expression for humanity's common concern and we are honored to have the recently elected Director-General Dr. Tedros Adhanom address us on the priorities for his leadership. To discuss and debate with Dr. Tedros, we are delighted to have world leading experts in development, disease control and prevention and climate change and health dissect the opportunities and challenges in managing the health risks the world faces today. Welcoming remarks by Lee C. Bollinger, introduction by Jeffrey D. Sachs. Participants: Jeffrey D. Sachs, Elizabeth Cameron, and Gavin Schmidt. Moderator: Wilmot James
Topic:
Climate Change, Health, War, World Health Organization, Nuclear Power, and Food Security
Political Geography:
New York, Global Focus, and United States of America

50. 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