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31. Role of Urbanization, Land-Use Diversity, and Livestock Intensification in Zoonotic Emerging Infectious Diseases

Author:
Jefferson Fox, Duong Nong, Miguel Castrence, James Spencer, Sumeet Saksena, Nguyen Lam, Tran Duc Vien, Michael Epprecht, Chinh Tran, Melissa Finucane, and Bruce Wilco
Publication Date:
10-2014
Content Type:
Working Paper
Institution:
East-West Center
Abstract:
Emerging infectious diseases (EIDs) continue to significantly threaten human and animal health. While there has been some progress in identifying underlying proximal driving forces and causal mechanisms of disease emergence, the role of distal factors is most poorly understood. This article focuses on analyzing the statistical association between highly pathogenic avian influenza (HPAI) H5N1 and urbanization, land-use diversity and poultry intensification. A special form of the urban transition—peri-urbanization—was hypothesized as being associated with 'hot-spots' of disease emergence. Novel metrics were used to characterize these distal risk factors. Our models, which combined these newly proposed risk factors with previously known natural and human risk factors, had a far higher predictive performance compared to published models for the first two epidemiological waves in Viet Nam. We found that when relevant risk factors are taken into account, urbanization is generally not a significant independent risk factor. However, urbanization spatially combines other risk factors leading to peri-urban places being the most likely 'hot-spots'. The work highlights that peri-urban areas have highest levels of chicken density, duck and geese flock size diversity, fraction of land under rice, fraction of land under aquaculture compared to rural and urban areas. Land-use diversity, which has previously never been studied in the context of HPAI H5N1, was found to be a significant risk factor. Places where intensive and extensive forms of poultry production are collocated were found to be at greater risk
Topic:
Health, Infectious Diseases, and Urbanization
Political Geography:
United States and Asia

32. Improving Maternal, Neonatal, and Child Health in Ghana

Author:
Katherine E. Bliss and Cathryn Streifel
Publication Date:
11-2014
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
In June 2014, a small team from the CSIS Global Health Policy Center traveled to Ghana to examine U.S. bilateral support for maternal, neonatal, and child health (MNCH). The purpose of the trip was to plan a return visit with a delegation of U.S. congressional staff in August 2014. Ghana's mixed progress toward meeting Millennium Development Goals (MDG) 4 and 5 related to maternal and child health; its strong relationship on immunizations with Gavi, the Vaccine Alliance; and its longstanding partnership on health with the United States were all reasons we decided to examine the country's MNCH situation. By late July, the acceleration of the Ebola outbreak in West Africa led us to postpone the trip until emergency preparations are not a major focus of the Ghanaian government, the United States, and other partners. Considering the fruitful meetings we had in June, we have captured here some of our initial impressions, observations, and recommendations.
Topic:
Health, Infectious Diseases, and Foreign Aid
Political Geography:
Africa, United States, and Ghana

33. Combating Global Poverty: Investing in the Governance and Growth Nexus

Author:
Conor M. Savoy
Publication Date:
12-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Foreign aid donors face a changed development landscape that necessitates a new approach to programming resources. In the last 20 years, countries across the developing world demo cratized, began to improve their governance, and experienced substantial economic growth. Yet, significant challenges remain that must be tackled, many of which fall within the governance and growth nexus. These issues—government effectiveness, rule of law, regulatory policies related to the business and investment climate, and barriers to entry to the formal economy—are the preeminent challenges to expanding broad- based economic growth and continuing to reduce global poverty. The United States needs to shift its focus away from meeting basic human needs toward broader institutional development if it is to increase support for the governance and growth nexus. U.S. foreign aid is overwhelmingly directed toward global health and the delivery of other public goods. This must change.
Topic:
Security, Development, Education, Emerging Markets, Health, Poverty, and Foreign Aid
Political Geography:
United States and United Kingdom

34. Preserving the military health care benefit: Needed steps for reform

Author:
John L. Kokulis
Publication Date:
10-2013
Content Type:
Working Paper
Institution:
American Enterprise Institute for Public Policy Research
Abstract:
The rise in military health care spending has been a primary driver of the large growth in military personnel compensation over the past decade. Left unchecked, these costs will impact the ability of the DoD's Military Health System (MHS) to support its three critical missions: 1. Readiness for deployment: Maintaining an agile, fully deployable medical force and a health care delivery system so they are capable of providing state-of-the-art health services anytime, anywhere; 2. Readiness of the fighting force: Helping commanders create and sustain the most healthy and medically prepared fighting forces anywhere; and 3. The benefits mission: Providing long-term health coaching and health care for 9.7 million DoD beneficiaries.
Topic:
Defense Policy, Economics, Health, and Governance
Political Geography:
United States

35. US-Guatemalan Relations: Continuing the Partnership

Author:
Arnold A. Chacon
Publication Date:
04-2013
Content Type:
Journal Article
Institution:
Council of American Ambassadors
Abstract:
From the United Nations Security Council (UNSC) and the Organization of American States (OAS) to regional law enforcement and counternarcotics cooperation, Guatemala is emerging as a key actor. It is a willing partner with the United States in six US presidential priority initiatives: improving food security, preventing HIV/AIDS, mitigating the impact of climate change, and promoting health, citizen security, and educational exchanges.
Topic:
Security, Climate Change, and Health
Political Geography:
United States and America

36. Replenishing the Global Fund in 2013

Author:
Katherine E. Bliss
Publication Date:
05-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
Hopes are high for a successful outcome of the 2013 replenishment process, through which the Global Fund to Fight AIDS, Tuberculosis and Malaria seeks pledges of $15 billion to support planned activities for 2014-2016. Yet at a time when some experts argue it is finally possible to “turn the tide” on HIV/AIDS, malaria, and tuberculosis, it is unclear whether countries and other donors will pledge adequate funding to meet the revitalized Fund's replenishment goal. The United States has an essential leadership role to play in helping ensure a successful 2013 replenishment outcome. In the short term it must come through with a strong pledge of its own and engage diplomatically with a range of donor and beneficiary countries to demonstrate support for the organization. In the longer term the U.S. will need to work with the Fund and other governments to identify new ways for public and private-sector entities, as well as individuals, to support the Global Fund's work.
Topic:
Diplomacy, Health, Humanitarian Aid, Foreign Aid, and Health Care Policy
Political Geography:
United States

37. Strengthening U.S. Investments in Women's Global Health

Author:
Janet Fleischman and Alisha Kramer
Publication Date:
05-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
U.S. policymakers and private-sector partners increasingly appreciate the importance of targeted U.S. investments in women's health to achieve global health outcomes, especially in sub-Saharan Africa.With budgetary constraints worsening, progress in women's health will require maximizing investments by engaging new partners, identifying program synergies, and aligning with countries' national priorities to meet women's needs. Such strategic coordination—involving maternal newborn and child health, voluntary family planning, and HIV and AIDS services—presents new opportunities to expand the impact of U.S. investments.
Topic:
Gender Issues, Health, Humanitarian Aid, Foreign Aid, and Health Care Policy
Political Geography:
Africa and United States

38. The Changing Landscape of Global Health Diplomacy

Author:
Katherine Bliss (ed) and Victor D. Cha
Publication Date:
05-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
In the fall of 2012 the Center for Strategic and International Studies (CSIS) Global Health Policy Center organized a working group to analyze progress on diplomatic outreach to advance global health during the first four years of the Barack Obama administration. Over three sessions the working group members, who included health policy researchers, former diplomats, and an ex- officio group of current government officials, met to discuss emerging trends related to global health diplomacy and to develop a set of recommendations to enhance U.S. diplomatic outreach on global health for the next four years. Much of the working group's effort focused on the important role played by the secretary of state in raising the visibility of global health challenges on the world stage and on the Department of State's potential to promote greater coherence and integration of U.S. overseas health programs in the next presidential term.
Topic:
Foreign Policy, Diplomacy, Emerging Markets, Globalization, Health, and Health Care Policy
Political Geography:
United States

39. The Future of the U.S.–South Africa HIV/AIDS Partnership

Author:
J. Stephen Morrison, Sharon Stash, and Todd Summers
Publication Date:
03-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
South Africa has the highest burden of HIV/AIDS in the world, with 5.6 million people living with the virus and over 400,000 newly infected annually. Since 2004, the U.S. government has committed more than $4 billion to combating HIV/AIDS in South Africa—the largest U.S. investment in HIV/AIDS worldwide. Continued progress in controlling HIV/AIDS in South Africa, the epicenter of the pandemic, is pivotal to sustained progress against the disease worldwide.
Topic:
Foreign Policy, Health, International Cooperation, Bilateral Relations, and Health Care Policy
Political Geography:
Africa, United States, and South Africa

40. Reinventing Health Care: The barriers to Innovation

Publication Date:
09-2013
Content Type:
Working Paper
Institution:
Aspen Institute
Abstract:
In many respects, the U.S. health care system is breathtakingly innovative. It produces new technology, medical procedures, and scientific knowledge at a dazzling speed, enabling patients to recover from diseases and injuries once thought incurable or untreatable. As a consequence, the U.S. has one of the highest survival rates for cancers, excels at acute and trauma care, and has produced half of the world's Nobel laureates.
Topic:
Economics, Health, Social Stratification, and Governance
Political Geography:
United States