Sociotechnical systems, risk management, and public health: comparing the North Battleford and Walkerton outbreaks

2003 ◽  
Vol 80 (3) ◽  
pp. 253-269 ◽  
Author(s):  
Dennis M. Woo ◽  
Kim J. Vicente
Author(s):  
Alyshia Gálvez

In the two decades since the North American Free Trade Agreement (NAFTA) went into effect, Mexico has seen an epidemic of diet-related illness. While globalization has been associated with an increase in chronic disease around the world, in Mexico, the speed and scope of the rise has been called a public health emergency. The shift in Mexican foodways is happening at a moment when the country’s ancestral cuisine is now more popular and appreciated around the world than ever. What does it mean for their health and well-being when many Mexicans eat fewer tortillas and more instant noodles, while global elites demand tacos made with handmade corn tortillas? This book examines the transformation of the Mexican food system since NAFTA and how it has made it harder for people to eat as they once did. The book contextualizes NAFTA within Mexico’s approach to economic development since the Revolution, noticing the role envisioned for rural and low-income people in the path to modernization. Examination of anti-poverty and public health policies in Mexico reveal how it has become easier for people to consume processed foods and beverages, even when to do so can be harmful to health. The book critiques Mexico’s strategy for addressing the public health crisis generated by rising rates of chronic disease for blaming the dietary habits of those whose lives have been upended by the economic and political shifts of NAFTA.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
B L O Luizeti ◽  
E M M Massuda ◽  
L F G Garcia

Abstract In view of the national scenario of scarcity of material and human resources in public health in Brazil, the survey verified the demographics of doctors who attend the Unified Health System (SUS) in municipalities of extreme poverty. An observational, analytical and cross-sectional study was carried out, based on secondary quantitative data from the Department of Informatics of the SUS using the TABNET of December 2019. The care networks variable was restricted to infer the number of physicians who attend the SUS in extreme poverty municipalities in Brazil. Municipalities of extreme poverty are those that at least 20% of the population have a household income of up to 145 reais per capita monthly. In Brazil, there are 1526 municipalities in extreme poverty, 27.4% of the country's total municipalities. 14,907 doctors linked to SUS work in this condition, 3.19% of the total of these professionals in Brazil. There is still disproportion between regions: North concentrates 11.2% of the municipalities in extreme poverty and 8.61% of the total number of doctors; Northeast, with 61.33% of these municipalities, for 61.5% of doctors; Southeast, with 15.46% of the municipalities in this condition, has 20.6% of doctors; South concentrates 10.87% of the municipalities under discussion with 5.61% of doctors and the Midwest, with 4.87% of these municipalities, has 3.54% of doctors. Between 2009 and 2018, there was a 39% increase in the number of doctors in these locations, however, for 2019, there was a decrease of 3.89%. The medical demographic distribution in Brazil is uneven, especially in the North. There is also the vulnerability of this population in view of the observed reduction in the number of professionals between 2018 and 2019 in municipalities of extreme poverty, for political reasons. It is evident the need to restructure the health system to guarantee access to health for this population, through the attraction and fixation of doctors in needy regions in Brazil. Key messages Shortage of doctors in extreme poverty municipalities reinforces the health vulnerability of the population in Brazil. The uneven medical demography in Brazil requires restructuring in the public health system.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Michelle Seiler ◽  
Georg Staubli ◽  
Julia Hoeffe ◽  
Gianluca Gualco ◽  
Sergio Manzano ◽  
...  

Abstract Background We aimed to document the impact of the coronavirus disease 2019 (COVID-19) pandemic on regions within a European country. Methods Parents arriving at two pediatric emergency departments (EDs) in North of Switzerland and two in South of Switzerland completed an online survey during the first peak of the pandemic (April–June 2020). They were asked to rate their concern about their children or themselves having COVID-19. Results A total of 662 respondents completed the survey. Parents in the South were significantly more exposed to someone tested positive for COVID-19 than in the North (13.9 and 4.7%, respectively; P <  0.001). Parents in the South were much more concerned than in the North that they (mean 4.61 and 3.32, respectively; P <  0.001) or their child (mean 4.79 and 3.17, respectively; P <  0.001) had COVID-19. Parents reported their children wore facemasks significantly more often in the South than in the North (71.5 and 23.5%, respectively; P <  0.001). Conclusion The COVID-19 pandemic resulted in significant regional differences among families arriving at EDs in Switzerland. Public health agencies should consider regional strategies, rather than country-wide guidelines, in future pandemics and for vaccination against COVID-19 for children.


2021 ◽  
Vol 23 (8) ◽  
Author(s):  
K. F. McCartan ◽  
K. Richards

Abstract Purpose of Review We are reviewing recent research into the community integration of men convicted of a sexual offence and their (risk) management. This is a high-profile political issue that binds together research in psychology, criminology, politics, health, public health, and policy studies. The review will demonstrate that a multi-disciplinary, life course, EpiCrim-oriented approach is the most effective way of reducing re-offending and promoting desistance in this population. Recent Findings Research demonstrates that life course development, especially from psychology and criminology, has an impact on whether people sexually offend or not. Therefore, to understand sexual offending behaviour, we need to look at the aetiology of said behaviour from a nature and a nurture perspective. Therefore, we need to use an Epidemiological Criminology (a marriage of Public Health and criminology) approach that works at all four stages of the Socio-Ecological Model (SEM) (individual, interrelationship, community, and societal). The research encourages a person first approach, that we look at Adverse Childhood Experiences and past trauma in the lives of men who sexually offend and use this, in conjunction with strength-based approaches, to inclusively integrate them into society. Summary The prevention of sexual offending, both first time offending, and relapse prevention require a multi-level, multi-disciplinary approach. Successful desistance from sexual offending is as much about the community and society as it is about the individual.


Author(s):  
M. Kiwan ◽  
D.V. Berezkin ◽  
M. Raad ◽  
B. Rasheed

Statement of a problem. One of the main tasks today is to prevent accidents in complex systems, which requires determining their cause. In this regard, several theories and models of the causality of accidents are being developed. Traditional approaches to accident modeling are not sufficient for the analysis of accidents occurring in complex environments such as socio-technical systems, since an accident is not the result of individual component failure or human error. Therefore, we need more systematic methods for the investigation and modeling of accidents. Purpose. Conduct a comparative analysis of accident models in complex systems, identify the strengths and weaknesses of each of these models, and study the feasibility of their use in risk management in socio-technical systems. The paper analyzes the main approaches of accident modeling and their limitations in determining the cause-and-effect relationships and dynamics of modern complex systems. the methodologies to safety and accident models in sociotechnical systems based on systems theory are discussed. The complexity of sociotechnical systems requires new methodologies for modeling the development of emergency management. At the same time, it is necessary to take into account the socio-technical system as a whole and to focus on the simultaneous consideration of the social and technical aspects of the systems. When modeling accidents, it is necessary to take into account the social structures and processes of social interaction, the cultural environment, individual characteristics of a person, such as their abilities and motivation, as well as the engineering design and technical aspects of systems. Practical importance. Based on analyzing various techniques for modeling accidents, as well as studying the examples used in modeling several previous accidents and review the results of this modeling, it is concluded that it is necessary to improve the modeling techniques. The result was the appearance of hybrid models of risk management in socio-technical systems, which we will consider in detail in our next work.


2014 ◽  
Vol 8 (6) ◽  
pp. 779-783 ◽  
Author(s):  
Thitima Wongsaroj ◽  
Choosak Nithikathkul ◽  
Wichit Rojkitikul ◽  
Worayut Nakai ◽  
Louis Royal ◽  
...  

Abstract Background: Helminth infections continue to pose serious health problems in Thailand. The infections of greatest concern are opisthorchiasis and hookworm. Objectives: We evaluated the prevalence of these infections. The Thai Ministry of Health established a national health plan in 1995 to coordinate health plans for the provincial public health sectors. Methods: A national survey based on probability sampling, interviews, and stool examinations was conducted in 2009 to gather prevalence information of the helminth infections. Results: We found an overall prevalence of helminthiasis among 15,555 Thai people of 18.1%. The highest prevalence was found in the northeastern regions of Thailand. By comparison with previous surveys conducted over the past 5 decades, the prevalence rates have decreased. However, pockets of high infection remain, particularly in the north and northeast of Thailand. Conclusions: Targeted intervention by means of educational programs and public health intervention, and continuing surveillance are indicated.


2016 ◽  
Vol 4 (1-2) ◽  
pp. 85-99
Author(s):  
Bryan R. Moser ◽  
Ralph T. Wood ◽  
Kazuo Hiekata

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