Global Agenda, Local Health: Including Concepts of Health Security in Preparedness Programs at the Jurisdictional Level

Author(s):  
Chas Eby
2020 ◽  
Vol 5 (6) ◽  
pp. e002606 ◽  
Author(s):  
Matthew R Boyce ◽  
Rebecca Katz

Urbanisation will be one of the defining demographic trends of the 21st century—creating unique opportunities for sustainable capacity development, as well as substantial risks and challenges for managing public health and health emergencies. Plans and policies for responding to public health emergencies are generally framed at higher levels of governance, but developing, improving and sustaining the capacities necessary for implementing these policies is a direct function of local-level authorities. Evaluating local-level public health capacities is an important process for identifying strengths and weaknesses that can impact the preparedness for, detection of and response to health security threats. However, while various evaluations and assessments exist for evaluating capacities at other levels, currently, there are no readily available health security assessments for the local-level. In this paper, we describe a tool—the Rapid Urban Health Security Assessment (RUHSA) Tool—that is based on a variety of other relevant assessments and guidance documents. Assessing capacities allow for local-level authorities to identify the strengths and weaknesses of their local health security systems, create multiyear action plans and prioritise opportunities for improving capacities, effectively engage with development partners to target resources effectively and develop compelling narratives and a legacy of leadership. While the RUHSA Tool was not designed to be used in the midst of a public health emergency, such as the ongoing COVID-19 pandemic, it may also be adapted to inform a checklist for prioritising what capacities and activities a city needs to rapidly develop or to help focus requests for assistance.


2017 ◽  
Vol 66 (2) ◽  
pp. 273-285 ◽  
Author(s):  
Hiranthi Jayaweera

The focus of this article is on post-migration entitlement and access to health security of women international migrants in England who are in vulnerable circumstances. Here ‘health security’ is defined as the protection of health within a broader public health context. The aim is to understand the factors underlying migrants’ vulnerabilities and how national and local health policies and practices respond in allowing or denying them rights to healthcare, thus impacting their ability to safeguard their health. This article is predominantly concerned with experiences of access to healthcare of categories of migrant women who may be in vulnerable situations including asylum seekers, refugees, refused asylum seekers or other undocumented migrant women, women with no recourse to public funds who are supported by local authorities, trafficked women, Roma women, women with limited fluency in English, and migrants from the European Union (EU) with no health insurance card. By examining empirical evidence of such women’s experiences of entitlement and access to healthcare we are able to gain theoretical insight into the relationship between migration, gender and human (health) security.


2020 ◽  
pp. 6-10
Author(s):  
Erin Bassett ◽  
Carmel Phillips

Thailand has been faced the challenge to solve alcohol, tobacco, and drugs for decades. Many government sectors, especially ministry of public health, and nongovernment organizations, have critical roles in control and prevention. However, the other mechanisms are graduate volunteers and local health insurance funds that have not been yet cleared for their roles in these management. This study aimed to explore and develop the capacity of both mechanisms in generating plans and projects for fixing these health risk problems in community level. The study was conducted during June 2017-December 2018by a participatory action approach in 27 pilot provinces of 12 health regions, Thailand. The 578 participants consisting of100 graduate volunteers, 306local health security fund committee and 172 provincial coaching teams that were trained to create plans and projects through a specific website. The findings revealed that both mechanisms actioned in developing 843 plans for alcohol, tobacco, and drugs equally 276, 276, and 291, respectively. The 1,053 projects were approved to be done inside the community for alcohol, tobacco, and the drugs that were 325, 386, and 342, respectively. The strategic approaches in those plans and projected were categorized into8items:(1) New case prevention (2) Reducing an access (3) Quitting services (4) Alternative rehabilitation (5) Increasing social measures (6) Health protection for all (7) Increasing health risk communication (8) Personal role models and learning centers. These indicated that both mechanisms could be used for health risk solutions at the community level in all parts of Thailand.


The Lancet ◽  
2016 ◽  
Vol 387 (10034) ◽  
pp. 2173-2174 ◽  
Author(s):  
François Hollande

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Paride Bollettin

Since the beginning of 2020, with the eclosion of the Covid-19 pandemic, airports have been included among the main hotspots for the diffusion of the disease. Several limitations affected the possibility for people to travel, with diverse approaches between the countries, and with differences among who was authorized to travel and who was not. This caused a contraction on the number of passengers transiting in the airports in all the countries. However the commercial international aviation has never stopped, and despite the reduction of passengers the airports managed to implement health security protocols for the Covid-19 diffusion control. Before the pandemic, other challenges already affected airports’ security protocols, such as the “terrorist threat”, making of these places “nervous systems” (as defined by Maguire and Pétercsak). After one year and half from the beginning of the pandemic, with the vaccination campaigns accelerating in various countries (with the clear differences due to governments’ political choices and countries’ access to vaccines) the air travels have returned to a condition similar to previous one. An increasing number of planes flying and an increasing number of passengers can be registered everywhere. Meanwhile, the sanitary attention to the Covid-19 diffusion contention continues to be a concern in the space organization of airports.This ethnographic photoessay aims at describing the visual presence of the Covid in the airports. The work focuses on four airports in three countries the author passed through in June 2021. They are the airports of Salvador da Bahia (Brazil), Lisbon (Portugal), Rome and Venice (Italy). Despite the differences between the countries in the approached adopted to contain the diffusion of the pandemic, airports are subjected to standardized international protocols. These are intended to (re)produce similar safety measures in the diverse airports. Meanwhile, airports are designed not to be identitarian, historical and relational, but yes to be experienced as “non places” (as Augé defined these places). However, each airport introduces several dimensions of its specific location, of its specific local health politics, of its specific passengers’ flow, and so on, making of them a peculiar place to observe the space design for Covid diffusion control. Despite the definition of the Covid as an “invisible enemy”, used in general media in diverse countries, the thesis is that the presence of the virus is highly visible to everyone passing in some airport, independently from the specific country. Meanwhile, the diverse airports introduce their own local and specific visual modalities to achieve passengers. Pictures included in this ethnographic photoessay focus on some of these modalities, such as the hand gel dispensers, instructions and prohibitions for preventing Covid dissemination, among other. Covid’s aesthetics in airports highlights how the pandemic affected people visual and sensorial experiences of these places and of their designs.


2019 ◽  
Vol 4 (1) ◽  
pp. e001145 ◽  
Author(s):  
Clare Wenham ◽  
Rebecca Katz ◽  
Charles Birungi ◽  
Lisa Boden ◽  
Mark Eccleston-Turner ◽  
...  

Global health security and universal health coverage have been frequently considered as “two sides of the same coin”. Yet, greater analysis is required as to whether and where these two ideals converge, and what important differences exist. A consequence of ignoring their individual characteristics is to distort global and local health priorities in an effort to streamline policymaking and funding activities. This paper examines the areas of convergence and divergence between global health security and universal health coverage, both conceptually and empirically. We consider analytical concepts of risk and human rights as fundamental to both goals, but also identify differences in priorities between the two ideals. We support the argument that the process of health system strengthening provides the most promising mechanism of benefiting both goals.


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