The Portuguese alcohol industry: friend or foe of public health authorities?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Paixão ◽  
M Mialon
Keyword(s):  
Public Health ◽  
Control Measures ◽  
Alcoholic Beverages ◽  
Effective Control ◽  
Trade Association ◽  
Control Policies ◽  
Trade Associations ◽  
Alcohol Industry ◽  
Health Authorities ◽  
Public Health Authorities

Abstract The influence of the alcohol industry is considered one of the most important obstacles to the implementation of policies that aim to tighten alcohol control. However, to our knowledge, our research is the first one to document the influence of the alcohol industry in the country, despite a 6.8% prevalence of alcohol use disorders and alcohol not featuring in the current National Health plan. We performed a qualitative thematic analysis of information available on websites and social media pages of trade associations, charities funded by the alcohol industry, government, universities and media material. This analysis was based on the “Policy Dystopia” framework, dividing the strategies we found as either instrumental (action-based) and discursive (argument-based). Overall, out of the 198 written records, 56% were instrumental and 44% discursive. The alcohol industry's representatives are part of the executive commission of the national task force responsible for consulting on policies regarding alcohol. We also found evidence of extensive community involvement through cooperation with security forces, among others. Also, after a discussion by the Portuguese Parliament of a possible increase in taxation of alcoholic beverages, a trade association delivered a study it had ordered from a consultancy company refuting any increase. Trade associations also claimed stricter control measures were not necessary in southern European countries, such as Portugal, and they were only appropriate for countries with more harmful drinking patterns. When referring to health risks causes by alcohol consumption, the association with breast cancer was only found once with misleading language describing it as “chest cancer”. This research has shown several tactics employed by the alcohol industry in Portugal and, as such, helped counteract some arguments used by the industry. This can enable the implementation of more effective control policies. Key messages Public health authorities should document the industry’s tactics in order to implement effective control policies regarding alcohol and other substances. There is a need for audits of health information made public by the alcohol industry.

scholarly journals An interim review of the epidemiological characteristics of 2019 novel coronavirus

2020 ◽  
Vol 42 ◽  
pp. e2020006 ◽  
Author(s):  
Sukhyun Ryu ◽  
Byung Chul Chun
Keyword(s):  
Public Health ◽  
Public Health Emergency ◽  
Control Measures ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Novel Coronavirus ◽  
Epidemiological Characteristics

OBJECTIVES: The 2019 novel coronavirus (2019-nCoV) from Wuhan, China is currently recognized as a public health emergency of global concern.METHODS: We reviewed the currently available literature to provide up-to-date guidance on control measures to be implemented by public health authorities.RESULTS: Some of the epidemiological characteristics of 2019-nCoV have been identified. However, there remain considerable uncertainties, which should be considered when providing guidance to public health authorities on control measures.CONCLUSIONS: Additional studies incorporating more detailed information from confirmed cases would be valuable.

scholarly journals Can Wastewater be Used to Improve our COVID-19 Surveillance Efforts?

CommonHealth ◽  
2020 ◽  
Vol 1 (3) ◽  
pp. 141-147
Author(s):  
Shannon McGinnis ◽  
Shane Mclouglin ◽  
Tiffany Buturla ◽  
Nishita D'Souza ◽  
José Logo ◽  
...  
Keyword(s):  
Public Health ◽  
Control Strategies ◽  
Population Level ◽  
The United States ◽  
Control Measures ◽  
Clear Understanding ◽  
Health Control ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Wastewater Samples

As the spread of COVID-19 continues to significantly impact daily life in the United States and globally, there is a need for a clear understanding of disease prevalence in communities. Traditional methods that rely on counting individual cases often result in underreporting due to limited access to testing or healthcare. This issue is further exacerbated by the spread of COVID-19 by asymptomatic or presymptomatic individuals who may not seek testing. Historically, wastewater surveillance has been used to provide population-level data on the prevalence of infectious diseases in communities. Data collected through wastewater surveillance has been used to advise public health control measures, such as vaccination campaigns, and to detect local outbreaks before cases are reported to public health authorities. For this reason, researchers around the globe have been analyzing wastewater samples for SARS-CoV-2 to assist in our response to the existing COVID-19 pandemic. This commentary discusses the potential utility of wastewater-based surveillance to advise public health control strategies for COVID-19 and discusses how it may be used to strengthen local surveillance efforts in Philadelphia.

scholarly journals Help or Hindrance? The Alcohol Industry and Alcohol Control in Portugal

2019 ◽  
Vol 16 (22) ◽  
pp. 4554 ◽  
Author(s):  
Maria Margarida Paixão ◽  
Mélissa Mialon
Keyword(s):  
Task Force ◽  
Political Activity ◽  
Corporate Political Activity ◽  
Control Policies ◽  
Trade Associations ◽  
Alcohol Industry ◽  
Alcohol Control ◽  
Health Authorities ◽  
Qualitative Thematic Analysis ◽  
Average Alcohol

The influence of the alcohol industry, also known as “corporate political activity” (CPA), is documented as one of the main barriers in implementing effective alcohol control policies. In Portugal, despite an alcohol consumption above the European average, alcohol control does not feature in the current National Health Plan. The present research aimed to identify and describe the CPA of the alcohol industry in Portugal. Publicly-available data published between January 2018 and April 2019 was extracted from the main websites and social media accounts of alcohol industry trade associations, charities funded by the industry, government, and media. A “Policy Dystopia” framework, used to describe the CPA strategies of the tobacco industry, was adapted and used to perform a qualitative thematic analysis. Both instrumental and discursive strategies were found. The industry works in partnership with health authorities, belonging to the national task force responsible for planning alcohol control policies. Additionally, it emphasizes the role alcohol plays in Portuguese culture as a way to disregard evidence on control policies from other countries. This paper presents the first description of CPA by the alcohol industry in Portugal and provides evidence for the adoption of stricter control policies in the country.

scholarly journals Widespread activity of multiple lineages of Usutu virus, western Europe, 2016

2017 ◽  
Vol 22 (4) ◽  
Author(s):  
Daniel Cadar ◽  
Renke Lühken ◽  
Henk van der Jeugd ◽  
Mutien Garigliany ◽  
Ute Ziegler ◽  
...  
Keyword(s):  
Public Health ◽  
Western Europe ◽  
Late Summer ◽  
Control Measures ◽  
Usutu Virus ◽  
Dead Bird ◽  
Outbreak Area ◽  
Health Authorities ◽  
Public Health Authorities ◽  
And Control

In the summer of 2016, Belgium, France, Germany and the Netherlands reported widespread Usutu virus (USUV) activity based on live and dead bird surveillance. The causative USUV strains represented four lineages, of which two putative novel lineages were most likely recently introduced into Germany and spread to other western European countries. The spatial extent of the outbreak area corresponded with R0 values > 1. The occurrence of the outbreak, the largest USUV epizootic registered so far in Europe, allowed us to gain insight in how a recently introduced arbovirus with potential public health implications can spread and become a resident pathogen in a naïve environment. Understanding the ecological and epidemiological factors that drive the emergence or re-emergence of USUV is critical to develop and implement timely surveillance strategies for adequate preventive and control measures. Public health authorities, blood transfusion services and clinicians in countries where USUV was detected should be aware of the risk of possible USUV infection in humans, including in patients with unexplained encephalitis or other neurological impairments, especially during late summer when mosquito densities peak.

scholarly journals Cluster detection with random neighbourhood covering: application to invasive Group A Streptococcal disease.

2021 ◽  
Author(s):  
Massimo Cavallaro ◽  
Juliana Coelho ◽  
Derren Ready ◽  
Valerie Decraene ◽  
Theresa Lamagni ◽  
...  
Keyword(s):  
Public Health ◽  
Group A Streptococcus ◽  
Geographical Information ◽  
Effective Control ◽  
Invasive Group ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Group A ◽  
Sporadic Cases ◽  
Spatio Temporal

The rapid detection of outbreaks is a key step in the effective control and containment of infectious diseases. The identification of cases which might be epidemiologically linked is crucial in directing outbreak-containment efforts shaping the intervention of public health authorities. Often this requires the detection of clusters of cases whose numbers exceed those expected by a background of sporadic cases. Quantifying exceedances rapidly is particularly challenging when only few cases are typically reported in a precise location and time. To address such important public health concerns, we present a general method which can detect spatio-temporal deviations from a Poisson point process and estimate the odd of an isolate being part of a cluster. This method can be applied to diseases where detailed geographical information is available. In addition, we propose an approach to explicitly take account of delays in microbial typing. As a case study, we considered invasive group A Streptococcus infection events as recorded and typed by Public Health England from 2015 to 2020.

scholarly journals Effectiveness of airport screening at detecting travellers infected with 2019-nCoV

2020 ◽  
Author(s):  
Billy Quilty ◽  
Sam Clifford ◽  
Stefan Flasche ◽  
Rosalind M. Eggo ◽  
Keyword(s):  
Public Health ◽  
Incubation Period ◽  
Control Measures ◽  
Baseline Scenario ◽  
Online Tool ◽  
Health Authorities ◽  
New Information ◽  
Public Health Authorities ◽  
Novel Coronavirus

As the number of novel coronavirus cases grows both inside and outside of China, public health authorities require evidence on the effectiveness of control measures such as thermal screening of arrivals at airports. We evaluated the effectiveness of exit and entry screening for 2019-nCoV infection. In our baseline scenario, we estimated that 46.5% (95%CI: 35.9 to 57.7) of infected travellers would not be detected, depending on the incubation period, sensitivity of exit and entry screening, and the proportion of cases which are asymptomatic. Airport screening is unlikely to detect a sufficient proportion of 2019-nCoV infected travellers to avoid entry of infected travellers. We developed an online tool so that results can be updated as new information becomes available.

Bioterrorism

2020 ◽  
pp. 1718-1724
Author(s):  
Manfred S. Green
Keyword(s):  
Public Health ◽  
Early Identification ◽  
Specific Treatment ◽  
Control Measures ◽  
The Public ◽  
Contagious Diseases ◽  
Health Authorities ◽  
Incubation Periods ◽  
Public Health Authorities ◽  
Barrier Nursing

Bioterrorism is the deliberate use of biological agents to cause illness, death, and fear for ideological or personal purposes. The agents might be disseminated through aerosolization, food, human carriers, infected insects, or water. The incubation periods of these agents can vary from hours to weeks, with early symptoms mimicking many other infectious diseases. The diagnosis might not be suspected unless cases occur in clusters. Early identification of outbreaks will depend largely on the ability of primary care and emergency room physicians to identify and promptly report cases to the public health authorities. Specific treatment (if available) of affected individuals will depend on the pathogen, and for contagious diseases such as smallpox and plague, isolation of patients and their contacts, barrier nursing, quarantine, and restriction of the movements and social interactions of people are important control measures.

scholarly journals Epidemiological and virological characterization of a large community-wide outbreak of hepatitis A in southern Italy

2007 ◽  
Vol 136 (8) ◽  
pp. 1027-1034 ◽  
Author(s):  
G. PONTRELLI ◽  
D. BOCCIA ◽  
M. DI RENZI ◽  
M. MASSARI ◽  
F. GIUGLIANO ◽  
...  
Keyword(s):  
Public Health ◽  
Hepatitis A ◽  
Southern Italy ◽  
Hepatitis A Virus ◽  
Control Measures ◽  
Common Source ◽  
Local Public Health ◽  
Health Authorities ◽  
Route Of Transmission ◽  
Public Health Authorities

SUMMARYA large outbreak of hepatitis A virus (HAV) infection occurred in 2004 in Campania, a region of southern Italy, with 882 cases reported between 1 January and 1 August. The local public health authorities and the Italian National Institute of Health carried out investigations in order to characterize the agent, identify the source of infection and the route of transmission, and implement appropriate control measures. A web-based reporting system enhanced the flow of information between public health authorities, providing real-time epidemic curves and frequency distributions. The same 1B HAV genotype was found in 90% of sera from a subset of patients with acute disease, suggesting a local common source. A case-control study in the municipality with the highest attack rate showed that raw seafood consumption, in particular if illegally sold in water, was strongly associated with HAV illness. Samples of seafood systematically collected from retailers were found contaminated by HAV.

scholarly journals Users’ Beliefs Toward Physical Distancing in Facebook Pages of Public Health Authorities During COVID-19 Pandemic in Early 2020

2021 ◽  
pp. 109019812110144
Author(s):  
Soon Guan Tan ◽  
Aravind Sesagiri Raamkumar ◽  
Hwee Lin Wee
Keyword(s):  
Public Health ◽  
Health Belief Model ◽  
United States Public Health ◽  
Health Belief ◽  
The United States ◽  
Health Authorities ◽  
Public Health Authorities ◽  
Control And Prevention ◽  
Belief Model ◽  
The Health Belief Model

This study aims to describe Facebook users’ beliefs toward physical distancing measures implemented during the Coronavirus disease (COVID-19) pandemic using the key constructs of the health belief model. A combination of rule-based filtering and manual classification methods was used to classify user comments on COVID-19 Facebook posts of three public health authorities: Centers for Disease Control and Prevention of the United States, Public Health England, and Ministry of Health, Singapore. A total of 104,304 comments were analyzed for posts published between 1 January, 2020, and 31 March, 2020, along with COVID-19 cases and deaths count data from the three countries. Findings indicate that the perceived benefits of physical distancing measures ( n = 3,463; 3.3%) was three times higher than perceived barriers ( n = 1,062; 1.0%). Perceived susceptibility to COVID-19 ( n = 2,934; 2.8%) was higher compared with perceived severity ( n = 2,081; 2.0%). Although susceptibility aspects of physical distancing were discussed more often at the start of the year, mentions on the benefits of intervention emerged stronger toward the end of the analysis period, highlighting the shift in beliefs. The health belief model is useful for understanding Facebook users’ beliefs at a basic level, and it provides a scope for further improvement.

scholarly journals Fueling the Covid-19 pandemic: summer school holidays and incidence rates in German districts

2021 ◽  
Author(s):  
Thomas Plümper ◽  
Eric Neumayer
Keyword(s):  
Public Health ◽  
Fixed Effects ◽  
Summer School ◽  
Incidence Rates ◽  
Contact Tracing ◽  
Robert Koch Institute ◽  
Cross Sectional ◽  
Holiday Period ◽  
Health Authorities ◽  
Public Health Authorities

AbstractBackgroundThe Robert-Koch-Institute reports that during the summer holiday period a foreign country is stated as the most likely place of infection for an average of 27 and a maximum of 49% of new SARS-CoV-2 infections in Germany.MethodsCross-sectional study on observational data. In Germany, summer school holidays are coordinated between states and spread out over 13 weeks. Employing a dynamic model with district fixed effects, we analyze the association between these holidays and weekly incidence rates across 401 German districts.ResultsWe find effects of the holiday period of around 45% of the average district incidence rates in Germany during their respective final week of holidays and the 2 weeks after holidays end. Western states tend to experience stronger effects than Eastern states. We also find statistically significant interaction effects of school holidays with per capita taxable income and the share of foreign residents in a district’s population.ConclusionsOur results suggest that changed behavior during the holiday season accelerated the pandemic and made it considerably more difficult for public health authorities to contain the spread of the virus by means of contact tracing. Germany’s public health authorities did not prepare adequately for this acceleration.

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