Should coronavirus policies remain in place to prevent future paediatric influenza deaths?

The 2019–2020 to 2020–2021 influenza seasons in the USA saw a dramatic 99.5% decrease in paediatric mortality, with only one influenza death recorded during the latter season. This decrease has been attributed to a substantial reduction in transmission, resulting from the various restrictive measures enacted during the COVID-19 pandemic, onset March 2020. The relative disappearance of influenza raises specific policy questions, such as whether these measures should be kept in place after COVID-19 transmission reaches acceptable levels or herd immunity is achieved. Given the nature of these measures as liberty restricting, it is worth discussing their intended outcome and what values they promote. Do these measures in fact promote health, or simply give the comfort of safety while undermining long-term health and individual liberties? I argue that the year-long endurance of the pandemic well into 2021 may have flattened our value landscape into one where health reigns supreme. Discussions are underway regarding whether we should modify previously accepted health risks, such as the risk of contracting influenza. In this paper, I attempt to clarify the values that motivate our policies and discuss how our present historical context has appreciated the value of health. I also provide an analysis of various pandemic policies and their relation to influenza paediatric deaths. Ultimately, the cost of certain measures on values such as education, socialisation and liberty, among others, is too high to justify their use beyond regulating the spread of COVID-19.

Cabinet Composition, Collegiality, and Collectivity: Examining Patterns in Cabinet Committee Structure

This article examines one arena of decision-making in cabinet government: cabinet committees. It assesses the relationship between the composition of cabinets – their party make-up – and the structure of cabinet committees. Cabinet committees are groups of ministers tasked with specific policy or coordination responsibilities and can be important mechanisms of policymaking and cabinet management. Thus, the structure of committees informs our understanding of how cabinets differ in their distributions of policy influence among ministers and parties, a central concern in parliamentary government. We investigate two such dimensions: collegiality – interaction among ministers – and collectivity, the (de)centralization of influence. We find that cabinet committees in coalitions are significantly more collegial, on average, than single-party cabinets, though this is driven by minority coalitions. At the same time, influence within cabinet committees is less collectively distributed in most types of coalitions than in single-party cabinets.

Rules and regulations for a pregnant endourologist: the European perspective

Introduction Working in surgery while pregnant is challenging. Navigating this period safely is of paramount importance. Anecdotal observation suggests that there exists great variation among European nations in regard to maternity leave and radiation safety. The aim of this article was to gain insight into policy patterns and variations across Europe regarding these issues. Methods A series of core question items was distributed to representatives across 12 nations Austria, Belgium, Germany, Greece, Iceland, Italy, Netherlands, Norway, Poland, Republic of Ireland, Spain and the United Kingdom). Results The total number of weeks with full pay ranged from as little as 4 weeks in Belgium to 32 and Iceland. All countries included in this study give the option of additional weeks beyond the initial period, however at reduced pay. Some offer unpaid leave beyond this. Only 5/12 countries had a specific policy on when the pregnant surgeon should come off the on-call rota. Only Austria, Italy and Poland stipulate a requirement for the pregnant clinician to be replaced or be completely exempt in cases involving radiation. Only Germany, Iceland, Norway and Poland highlight the need to limit radiation dose in the first trimester. Beyond this, Germany alone provides written guidance for reduction in gown weight and along with Poland, display arguably the most forward-thinking approach to resting. Conclusion There is a marked range in maternal leave policies across Europe. There also exists a lack of universal guidance on radiation safety for the pregnant urologist. There is urgent need for this void to be addressed.

Engagement without accountability: The role of governments, field experts, and public intellectuals in the context of the covid-19 pandemic

The outbreak of the covid-19 pandemic represented a major shock. In their effort to adapt their responses to the crisis to their own conditions of survival, governments have tended to resort to arguments that limit accountability to the population. Despite the privileged place they are presumed to have within contemporary societies, experts have been displaced from the decision-making processes of governments and delegitimized by the anti-intellectual drift favored by the way in which arguments are presented and debated in social media. At the same time, despite being perceived as capable of offering inside-out evaluations of specific phenomena and therefore capable of distinguishing between truths and big lies (and anything in-between), the role of public intellectuals seems to have been limited. The article analyses the responses of great power governments and regional powers in terms of the discursive practices deployed in the context of the covid-19 crisis, and the capacity of the aforementioned non-institutional actors to confront these discourses. As editors-in-chief, policymakers have felt passionate about war metaphors that have allowed them to deconstruct and make complex subjects accessible, and as such, to ensure a sufficient level of attention and public approval so that the fight against the enemy could begin. In addition, they have prompted the implementation of emergency measures that, in a context of geopolitical confrontation, have allowed them to evade individual responsibilities. Rather than using their knowledge to provide constructive examination of complex issues and make them accessible, so the ones who listen to them can hopefully understand the impact of specific policy preferences and minimize their own losses in the increasingly competitive environment, experts and intellectuals have seen their room for maneuver to influence policy formulations severely limited.

Local Alcohol Policies in New Zealand: An overview of their implementation and effects on crime

We document the implementation of local alcohol policies in New Zealand and then study their impacts on crime. A key contribution of our study is that we construct a detailed data set on local alcohol policies applicable across territorial authorities between July 2014 and January 2019. To our knowledge, we are the first ones to provide such a comprehensive overview. In a subsequent analysis, we find that local alcohol policies as recently implemented in New Zealand do not appear to have reduced crime. This result holds for specific policy dimensions and their stringency (e.g., closing times and geographic restrictions on issuing new licences), and is reasonably robust across crime types, days/times of occurrence, and socioeconomic subgroups. Our failure to identify significant reductions in crime following the imposition of local alcohol policies may partly reflect the policies being non-binding in some cases: for example, licensed premises had sometimes already operated within the restricted trading hours specified by a local alcohol policy.

Protecting Biodiversity from Invasive Alien Species by Improving Policy Instruments in Greece: The INVALIS Project Action Plan

The Protecting European Biodiversity from Invasive Alien Species (INVALIS) project objective is to improve policies for protecting biodiversity from invasive alien species (IAS), by bringing together seven partners from seven countries and supporting policy measures for prevention, early detection, and control of IAS in their respective territories. The project is funded by the Interreg Europe program. The learning process of the INVALIS project consisted of various experience-exchanging activities among the project partners (interregional workshops, site visits, etc.), as well as among stakeholders at a regional level. This exchange of experiences led to the drafting of regional Action Plans by each partner. The INVALIS Action Plan of Greece is based on an analysis of the current situation of IAS management in Greece, and the transfer of good practices and conclusions derived from the exchange of experiences. Gaps in IAS management were identified mainly in the areas of raising public awareness of IAS and networking among IAS stakeholders. As a result, three actions were proposed to address these deficits: initiating a project on education and raising awareness about IAS, creating a web portal on these species, and establishing an IAS management working group. These actions will contribute towards improving specific policy instruments in Greece.

Why and How Do Cities Plan for Extreme Heat?

Heat is the deadliest weather-related hazard in the United States. This paper studies municipal heat adaptation using survey and planning data from California. We first analyze the characteristics of municipalities that innovate. Cities with heat-related policies have greater degrees of projected extreme heat, leadership support, environmental justice planning, and smaller Hispanic population shares. We then assess specific policy innovations of six large cities by plan type. Some strategies, including expanding tree canopies, have been widely adopted while others, such as cool walls, are rarely included. Findings suggest that planners can—and should—play a central role in heat adaptation planning.

Austria

In the Austrian parliament a strict time regime keeps the length of debates at bay. While the government sets most of the agenda, opposition parties can get some proposals debated, and new instruments provide room for debate of topics independent of government legislation and reports. Debates are under tight party control with regard to the speakers’ nomination and the speakers sticking to the party line. Individual MPs do have electoral incentives to seek speaking assignments, but for most this results in low-level satisficing rather than maximizing speaking assignments. Party-size is a crucial factor determining the floor presence: MPs belonging to a small party have better chances to speak. Within parties, individual talent of MPs as speakers and their occupation of key party functions such as parliamentary party leader, or party spokesperson in a specific policy area are crucial for nominations.

Joining up well-being and sexual misconduct data and policy in HE: ‘To stand in the gap’ as a feminist approach

This article joins up evidence and policy relating to two linked concerns in higher education (HE) that are treated as unrelated: postgraduate research student (PGR) well-being, and staff sexual misconduct towards students. Against the standard methodology of systematic reviews, we build on feminist approaches to apply a ‘re-performance’ approach to the review. Re-performance re-enacts established methods, contextualising previous analysis through ethnographic and desk-based research, exposing gaps in evidence, analysis, representation, care and policy. We reveal how aspects of PGR experience, particularly the cultures that engender ill-being and enable sexual misconduct, are silenced in evidence-making. Our ‘re-performance’ uncovers how this occurs in three ways, through: the (mis)construction of the ‘typical student’ in well-being literatures; the (mis)construction of the phenomenon of ‘well-being’ exacerbated by generic survey tools focusing on a medicalised model of mental health; the (mis)construction of HE institutions as integrated, agential and ethical, aided by the fragmentation of administrative systems and knowledge production between disciplines. Together, these organising modes conceal lack of care, staff sexual misconduct and poor well-being. From these findings, specific policy issues are identified: the risks to giving more responsibility to supervisors for PGR well-being; a pattern of institutional listening while silencing; and the need to explore feedback loops between patterns of vulnerability to ill-being and staff sexual misconduct. Through our analysis, the article demonstrates how to ‘stand in the gaps’ – between knowledges; and between evidence and action; between policy and care – in a way that can be generalised across policy domains, epistemologies and policy-making contexts.