Sexuality and public health

2021 ◽  
pp. 307-316
Author(s):  
Richard Parker ◽  
Jonathan Garcia ◽  
Miguel Muñoz-Laboy ◽  
Marni Sommer ◽  
Patrick Wilson

This chapter seeks to provide an overview of this rapidly growing body of work in public health. It describes the initial public health response to sexuality in the context of HIV and AIDS, as well as the ways in which that response has been gradually broadened over time in order to provide a more comprehensive approach to sexual health and well-being. It also focuses on both the local and the global dimensions of this work, in both developed and developing countries, and as much in the work of local communities struggling to respond to the needs of their own populations, as well as on the part of a range of international agencies that are increasingly seeking to address a range of challenges to sexual health.

2021 ◽  
Author(s):  
Tina D Purnat ◽  
Paolo Vacca ◽  
Christine Czerniak ◽  
Sarah Ball ◽  
Stefano Burzo ◽  
...  

BACKGROUND The COVID-19 pandemic has been accompanied by an information epidemic or “infodemic”: too much information including false or misleading information in digital and physical environments during an acute public health event, which leads to confusion, risk-taking and behaviors that can harm health, and lead to mistrust in health authorities and public health response. The analytical method described is part of the WHO work to develop tools for an evidence-based response to the infodemic, enabling prioritization of health response activities. OBJECTIVE The aim of this work was to develop a practical, structured approach to identifying narratives in public online conversations on social media platforms where concerns or confusion exist or where narratives are gaining traction, and to provide actionable data to help WHO prioritize its risk communications efforts where it is most critical in addressing the COVID-19 infodemic. METHODS We developed a taxonomy to filter global COVID-19 public online conversations in social media content in English and French into five themes, with 35 sub themes. The taxonomy and its implementation were validated for retrieval precision and retrieval recall, and reviewed and adapted as the linguistic expression about the pandemic in online conversations changed over time. The aggregated data were analyzed for each sub themes by volume, velocity and the presence of questions, on a weekly basis, to detect signals of information voids where there was potential for confusion or for mis- or dis-information to thrive. A human analyst reviewed the themes for potential information voids and used quantitative data to provide context and insight on narratives, influencers and public reactions. RESULTS A COVID-19 public health social listening taxonomy was developed and applied. A weekly analysis of public online conversations since 23 March 2020 has enabled the quantification of shifts of public interest in public health-related topics concerning the pandemic and has demonstrated the frequent resumption of information voids with verified health information. This approach therefore focuses on infodemic signal detection for actionable intelligence to rapidly inform decision-making for a more effective response, including adapting risk communication. CONCLUSIONS This approach been successfully applied during the COVID-19 pandemic to identify and take action on information voids based on analysis of infodemic signals. More broadly, the results have demonstrated the importance of ongoing monitoring and analysis of public online conversations, as information voids frequently resume and narratives shift over time. The approach is already being piloted in individual countries and WHO regions to generate localized insights and actions, while a pilot of an AI social listening platform is using this taxonomy to aggregate and compare online conversations across 20 countries. Looking beyond the COVID-19 pandemic, the taxonomy and methodology have the potential to be adapted for fast deployment in future public health events.


2020 ◽  
Vol 13 (1) ◽  
pp. 411-412
Author(s):  
G. Kalcev ◽  
A. Preti ◽  
G. Orrù ◽  
M.G. Carta

The current COVID-19 pandemic is likely to affect the physical and mental health and the well-being of people globally. The physicians and nurses on the frontline of patients care will be among the most affected in their psychosocial well-being, being exposed to trauma consequences and burnout syndrome. It is still unknown whether the COVID-19 infection will have direct neuropsychiatric consequences. The impact of the quarantine lockdown on mental health, too, has to be taken into account. The inclusion of mental health as part of national public health response to the COVID-19 pandemic is mandatory in assisting all those in need.


2016 ◽  
Vol 16 (3) ◽  
pp. 253-267 ◽  
Author(s):  
Ann Nolan ◽  
Fiona Larkan

Historical transnationalism offers a lens through which vectors of international ideas influence national social and political dimensions to illuminate the policy transfer pathways that may shape contemporary events. This article applies a historical transnational perspective to examine the ascendency of the liberal consensus in Ireland which largely defined the international response to the AIDS crisis in the 1980s. While AIDS was neither the initial nor the sole driver of policy change, it was a catalyst for the transformation of Ireland’s traditionally Catholic and conservative approach to sexuality and sexual health. In considering the role of a pioneering priest, a public health specialist and a gay collective during this initial era of HIV and AIDS in Ireland, conclusions will be drawn as to the extent to which these key actors operated as vectors of transnationality to promote a global ethic of non-discrimination and the conditions required by government to adopt a liberal response to HIV and AIDS.


2021 ◽  
Vol 6 (2) ◽  
Author(s):  
David Gaus

During the COVID pandemic, biomedicine and the rapid development of anti-COVID vaccines has been widely praised, while the global public health response has been questioned. Fifteen United States based combined experts in primary healthcare and public health responded to an open question focusing on this issue. Eleven of these experts responded. Four major themes emerged from their answers, including: fragmentation between public health and biomedicine; underfunding of public health; lack of centralized public health authority; business interests over the public good and well-being.


2020 ◽  
Vol 32 (2 (Supp)) ◽  
pp. 269-272
Author(s):  
Shreyaswi Sathyanath M ◽  
Shashwath Sathyanath

Stigma reduction and provision of mental health services are unique challenges associated with the new COVID 19 pandemic. Stigma and discrimination may affect the patients diagnosed with COVID 19, those who have been placed under quarantine as well as the frontline. Effective, accurate and timely communication delivered in a coordinated manner along with community engagement is the cornerstone for stigma reduction and promotion of mental health. Although several steps have been taken to address stigma and promote mental health, it is imperative that a clearly defined strategy be put in place to integrate mental health services into the public health response to COVID 19.


Author(s):  
Edmund M. Ricci ◽  
Ernesto A. Pretto ◽  
Knut Ole Sundnes

In this chapter we define the five basic categories of evaluation, namely structure (resources), process (activities), outcomes, adequacy, and costs associated with the response(s). Structure refers to the equipment and personnel and the way in which these resources were organized for use in the medical response. Process refers to the activities carried out during the disaster response. Outcome assessment concerns the results of the care provided on the patients served, usually measured over time. Adequacy describes the extent to which the search-and-rescue, pre-hospital and hospital, and public health responses were able to meet the needs of the community during the disaster response. In general, these categories are consistent with the design of a typical logic model. Following the discussion of ‘evaluation categories’ we suggest questions that the evaluation team might consider for inclusion in the evaluation study. For each category we suggest questions which could be addressed in any disaster evaluation study which focuses on the medical and public health response. The stakeholder group should be fully involved in the selection of questions to be addressed by the evaluation team.


Author(s):  
Holly A. Taylor

Modern public health in the United States is conducted by a network of private, public, local, state, tribal, and federal organizations, agencies, individuals, and communities. The ethical mandate of public health has always been to protect and promote the health and well-being of the population. This chapter introduces the ways in which public health actors work to achieve those goals, and how their efforts can be squared with the quintessential American value of personal liberty, as well as with the increasing recognition of the importance of justice as a foundation for public health. It also provides chapter overviews for the related section of The Oxford Handbook of Public Health Ethics, which includes chapters on the ethics and public health system, public health interventions, and public health law and regulation.


2019 ◽  
Vol 14 (1) ◽  
pp. 18-22 ◽  
Author(s):  
Charles W. Cange ◽  
Jacy McGaw-Césaire

ABSTRACTThis statement responds to the public health challenges in Puerto Rico in the wake of Hurricane Maria during September 2017. As a result of Maria, and to a certain extent Hurricane Irma, the territory sustained unprecedented damage. We call for a mid- and long-term public health response and research to assess the long-term impacts of high-impact weather events, such as Maria’s effects on Puerto Rico, including impacts on vulnerable populations’ environmental health and well-being.


2012 ◽  
Vol 6 (1) ◽  
pp. 67-71 ◽  
Author(s):  
Betty Pfefferbaum ◽  
David Schonfeld ◽  
Brian W. Flynn ◽  
Ann E. Norwood ◽  
Daniel Dodgen ◽  
...  

ABSTRACTIn substantial numbers of affected populations, disasters adversely affect well-being and influence the development of emotional problems and dysfunctional behaviors. Nowhere is the integration of mental and behavioral health into broader public health and medical preparedness and response activities more crucial than in disasters such as the 2009-2010 H1N1 influenza pandemic. The National Biodefense Science Board, recognizing that the mental and behavioral health responses to H1N1 were vital to preserving safety and health for the country, requested that the Disaster Mental Health Subcommittee recommend actions for public health officials to prevent and mitigate adverse behavioral health outcomes during the H1N1 pandemic. The subcommittee's recommendations emphasized vulnerable populations and concentrated on interventions, education and training, and communication and messaging. The subcommittee's H1N1 activities and recommendations provide an approach and template for identifying and addressing future efforts related to newly emerging public health and medical emergencies. The many emotional and behavioral health implications of the crisis and the importance of psychological factors in determining the behavior of members of the public argue for a programmatic integration of behavioral health and science expertise in a comprehensive public health response.(Disaster Med Public Health Preparedness. 2012;6:67–71)


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