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2. Global Health Security and Pandemics: Community Involvement
- Author:
- Sophie Harman
- Publication Date:
- 03-2020
- Content Type:
- Video
- Institution:
- Mile End Institute, Queen Mary University of London
- Abstract:
- The second episode in the series on global health security and pandemics will focus on community involvement and responses to coronavirus. The episode is introduced by Professor Tim Bale and presented by Professor Sophie Harman.
- Topic:
- Infectious Diseases, Global Security, Public Health, and Pandemic
- Political Geography:
- Global Focus
3. Building Resilient Health Systems: Experimental Evidence from Sierra Leone and the 2014 Ebola Outbreak
- Author:
- Bilal Siddiqi, Maarten Voors, Johannes Haushofer, Oeindrila Dube, and Darin Christensen
- Publication Date:
- 03-2020
- Content Type:
- Working Paper
- Institution:
- Empirical Studies of Conflict Project (ESOC)
- Abstract:
- Developing countries are characterized by high rates of mortality and morbidity. A potential contributing factor is the low utilization of health systems, stemming from the low perceived quality of care delivered by health personnel. This factor may be especially critical during crises, when individuals choose whether to cooperate with response efforts and frontline health personnel. We experimentally examine efforts aimed at improving health worker performance in the context of the 2014–15 West African Ebola crisis. Roughly two years before the outbreak in Sierra Leone, we randomly assigned two accountability interventions to government-run health clinics — one focused on community monitoring and the other gave status awards to clinic staff. We find that over the medium run, prior to the Ebola crisis, both interventions led to improvements in utilization of clinics and patient satisfaction with the health system. In addition, child health outcomes improved substantially in the catchment areas of community monitoring clinics. During the crisis, the interventions also led to higher reported Ebola cases, as well as lower mortality from Ebola—particularly in areas with community monitoring clinics. We explore three potential mechanisms: the interventions (1) increased the likelihood that patients reported Ebola symptoms and sought care; (2) unintentionally increased Ebola incidence; or (3) improved surveillance efforts. We find evidence consistent with the first: by building trust and confidence in health workers, and improving the perceived quality of care provided by clinics prior to the outbreak, the interventions encouraged patients to report and receive treatment. Our results suggest that accountability interventions not only have the power to improve health systems during normal times, but can additionally make health systems resilient to crises that may emerge over the longer run.
- Topic:
- Health, Infectious Diseases, Health Care Policy, Mortality, Public Health, and Pandemic
- Political Geography:
- West Africa and Sierra Leone
4. New Findings on Links between Urban Expansion and Viral Disease in Vietnam Offer Lessons for COVID-19
- Author:
- James H. Spencer, Sumeet Saksena, and Jefferson Fox
- Publication Date:
- 04-2020
- Content Type:
- Commentary and Analysis
- Institution:
- East-West Center
- Abstract:
- The current COVID-19 pandemic, which started in Wuhan, China, underscores what the public health community has warned about for more than two decades—the risk of viral diseases capable of spreading from animal to human hosts. The first outbreaks of “bird flu” (highly pathogenic avian influenza—HPAI, subtype H5N1)—raised similar concerns 20 years ago, concerns that have persisted with the outbreak of SARS in 2002–2004 and COVID-19 today. A recent study compared information on infrastructure and other aspects of economic development in Vietnam with outbreaks of avian influenza. While this research focuses on avian influenza in Vietnam, the study of links between infrastructure characteristics and new and reemerging health risks has broad applicability, especially given the global importance of today’s rapidly expanding urban landscapes.
- Topic:
- Infectious Diseases, Urban, and COVID-19
- Political Geography:
- China, Asia, and Vietnam
5. Epidemiological Insurgency: Polio Persistence on the Afghanistan-Pakistan Border
- Author:
- Rand Quinn
- Publication Date:
- 07-2017
- Content Type:
- Journal Article
- Journal:
- Fletcher Security Review
- Institution:
- The Fletcher School, Tufts University
- Abstract:
- Despite a profound global impact over the first half of the twentieth century, polio is largely an afterthought throughout the developed world. Vaccines engineered in the late 1950s paved the way for a precipitous drop in global disease burden with the onset of the World Health Organization-led (WHO) Global Polio Eradication Initiative (GPEI) starting in 1988. Recent indicators of the program’s success include a declaration of eradication in India[1] and a teeteringly low infection rate in Nigeria;[2] two of the disease’s last bastions. This progress, however, has been notably stifled by the steady persistence of a wild poliovirus reservoir centered in northern Pakistan along the Afghanistan-Pakistan (Af-Pak) border. Throughout significant portions of recorded history this region’s volatility has been well-documented, including a currently sustained network for the training of terrorist fighters dating back to the period of the 1979 Afghan-Soviet War.[3] These networks serve to both attract fledgling radical jihadist recruits and supply fighters globally, markedly providing many of the transnational fighters taking part in the Syrian Civil War. Their movement in and out of the Af-Pak region has provided a major disease vector for poliovirus. The location of a terrorist network transit hub in by far the world’s largest remaining reservoir of wild poliovirus poses a major challenge for policymakers. Due to several factors, including a decline in healthcare infrastructure throughout the western world, the situation presents a legitimate epidemiological threat. However, the issue is more importantly an exemplar of the morphing nature of multidimensional threats, which are likely to become more prevalent in an era of globalization, failed states, and an inability to effectively address social issues amidst the threat of kinetic warfare...
- Topic:
- Security, Environment, Health, Terrorism, World Health Organization, Infectious Diseases, and Borders
- Political Geography:
- Pakistan, Afghanistan, South Asia, Middle East, and United States of America
6. 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
7. Socio-cultural Factors Influencing the Ebola Virus Disease-related Stigma among African Immigrants in the United States
- Author:
- Guy-Lucien S. Whembolua, Donaldson Conserve, and Daudet Ilunga Tshiswaka
- Publication Date:
- 12-2017
- Content Type:
- Research Paper
- Institution:
- Ìrìnkèrindò: a Journal of African Migration
- Abstract:
- African immigrants, one of the fastest-growing immigrant populations in the United States (U.S.), face many unique challenges. Since December 2013, the Ebola Virus Disease (EVD) has been claiming lives and altering the societies of origin of West and Central African immigrants. Using the PEN-3 cultural model, a thematic analysis of mainstream U.S. news media was conducted to assess the socio-cultural factors influencing EVD-related stigma experienced by African immigrants. Results of this analysis revealed the perceptions and enabling/nurturing factors that exacerbated or prevented EVD-related stigma. Future interventions designed to address stigma experienced by African immigrants should include EVD-related stigma.
- Topic:
- Health, Migration, Infectious Diseases, and Ebola
- Political Geography:
- Africa and United States
8. Ebola, Liberia, and the “Cult of Bankable Projects”
- Author:
- Shefa Siegel
- Publication Date:
- 03-2016
- Content Type:
- Journal Article
- Institution:
- Carnegie Council
- Abstract:
- Fragile states are unable to cope with additional shocks like Ebola; without passable roads, electricity, and social solidarity there is no viable way to administer basic medical care or prevent minerals from illegally crossing porous borders, much less suddenly contain a runaway virus. Yet instead of addressing core issues of state failure, development aid continues pushing narrowly focused agendas that have little meaning in places where institutions and infrastructure are broken. Why, in response to the disastrous events we saw unfolding in Liberia, were we not calling for public and private investment in the region to be shifted from one bureaucratic budget line to another?
- Topic:
- Development, Humanitarian Aid, Infectious Diseases, Health Care Policy, and Ebola
9. Preparedness Rather Than Response: A Strategy to Prevent the Next Ebola Crisis
- Author:
- Andrew Koltun, Brittany Mcnena, and Nawroos Shibli
- Publication Date:
- 07-2015
- Content Type:
- Policy Brief
- Institution:
- Centre for International Governance Innovation
- Abstract:
- The 2013 West African Ebola crisis exposed two weaknesses: the inability of the international community to rapidly mobilize an effective response and a lack of adequate domestic health care systems for epidemic preparedness response. While a number of proposals have addressed gaps in the international response, none have yet addressed the remaining issue of building adequate domestic health systems. Although the World Health Organization’s (WHO’s) 2005 International Health Regulations require that all member countries develop and implement a core set of health system capacities, funding constraints have prevented many low-income countries from meeting these requirements. This brief proposes that the World Bank, in collaboration with the WHO, should develop a Pandemic Prevention Program to assist low-income countries in building strong and robust health systems. This program would assist low-income countries in meeting their international obligations, while ensuring sustainable national ownership in order to prevent the next infectious disease epidemic.
- Topic:
- Health, Infectious Diseases, and World Bank
- Political Geography:
- West Africa
10. U.S. Actions Can Help Keep Global Polio Eradication Strategy on Track
- Author:
- Nellie Bristol
- Publication Date:
- 07-2015
- Content Type:
- Working Paper
- Institution:
- Center for Strategic and International Studies
- Abstract:
- The Global Polio Eradication Initiative (GPEI) in April 2013 unveiled an ambitious six-year strategy aimed at finally ending polio worldwide. The four-pronged approach called for stopping transmission in the remaining polio endemic countries while also eliminating rare but paralyzing vaccine-related polio. It outlined plans to ensure proper laboratory and health facility containment of poliovirus as eradication neared. Lastly, the Polio Eradication & Endgame Strategic Plan 2013–2018 urged countries, donors, and international partners to begin planning for the transition of polio program resources to country heath systems and other health initiatives. The drive to eradicate polio is at a pivotal point. The number of cases is down globally compared to last year. Polio programs in both Nigeria and Pakistan are moving in a positive direction while progress in Afghanistan is holding steady. A successful move to bivalent OPV would greatly reduce the number of polio cases caused by vaccine viruses and set the stage for an eventual worldwide switch to IPV. But extraordinary efforts still are required to reach the endgame strategy’s goals.
- Topic:
- Infectious Diseases and Health Care Policy
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