The impact of civil liberties, global health security, median age and population size on the spread of COVID-19 (SARS-CoV-2)

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Habtamu Legese ◽  
Wondmagegn Biru ◽  
Frezer Tilahun ◽  
Henock Semaw
Keyword(s):  
Global Health ◽  
Population Size ◽  
Civil Liberty ◽  
Civil Liberties ◽  
Ordinary Least Squares ◽  
Global Health Security ◽  
Health Security ◽  
Content Type ◽  
The Government ◽  
The Impact

PurposeThe purpose of this paper is to investigate the impact of civil liberties, global health security, median age and population size on the spread of COVID-19 across the globe.Design/methodology/approachThis study was done by taking data from 166 different countries from the Economist Intelligence Unit, European Centre for Disease Prevention and Control, World Bank, Johns Hopkins University and United Nations Population Division (UNPD). After conducting all the necessary standard econometric tests, the study was analyzed using the ordinary least squares (OLS) regression.FindingsThe finding of the study indicated that COVID-19 tests per million people (LTT/PM), Population Size (LPOP), Civil Liberty Index (CLI) are statistically significant and positively affect the number of confirmed COVID-19 cases; on the other hand, the Health Security Index (HSI) negatively affects the number of confirmed COVID-19 cases.Practical implicationsIn emergency circumstances, the government ought to have a special responsibility to align civil rights with the protection of public health cautiously. However, measures to restrict civil liberties must be proportionate.Originality/valueBesides other variables, the study included and considered civil liberties as a significant factor to affect the spread of COVID-19, which is a new contribution to the existing body of knowledge in the field.

scholarly journals Validation analysis of Global Health Security Index (GHSI) scores 2019

2020 ◽  
Vol 5 (10) ◽  
pp. e003276
Author(s):  
Matthew J Boyd ◽  
Nick Wilson ◽  
Cassidy Nelson
Keyword(s):  
Global Health ◽  
External Validity ◽  
Communicable Disease ◽  
Communicable Diseases ◽  
Linear Regression Models ◽  
Global Health Security ◽  
Health Security ◽  
Future Events ◽  
Security Index ◽  
The Impact

IntroductionThe COVID-19 pandemic powerfully demonstrates the consequences of biothreats. Countries will want to know how to better prepare for future events. The Global Health Security Index (GHSI) is a broad, independent assessment of 195 countries’ preparedness for biothreats that may aid this endeavour. However, to be useful, the GHSI’s external validity must be demonstrated. We aimed to validate the GHSI against a range of external metrics to assess how it could be utilised by countries.MethodsGlobal aggregate communicable disease outcomes were correlated with GHSI scores and linear regression models were examined to determine associations while controlling for a number of global macroindices. GHSI scores for countries previously exposed to severe acute respiratory syndrome (SARS), Middle East respiratory syndrome and Ebola and recipients of US Global Health Security Agenda (GHSA) investment were compared with matched control countries. Possible content omissions in light of the progressing COVID-19 pandemic were assessed.ResultsGHSI scores for countries had strong criterion validity against the Joint External Evaluation ReadyScore (rho=0.82, p<0.0001), and moderate external validity against deaths from communicable diseases (−0.56, p<0.0001). GHSI scores were associated with reduced deaths from communicable diseases (F(3, 172)=22.75, p<0.0001). The proportion of deaths from communicable diseases decreased 4.8% per 10-point rise in GHSI. Recipient countries of the GHSA (n=31) and SARS-affected countries (n=26), had GHSI scores 6.0 (p=0.0011) and 8.2 (p=0.0010) points higher than matched controls, respectively. Biosecurity and biosafety appear weak globally including in high-income countries, and health systems, particularly in Africa, are not prepared. Notably, the GHSI does not account for all factors important for health security.ConclusionThe GHSI shows promise as a valid tool to guide action on biosafety, biosecurity and systems preparedness. However, countries need to look beyond existing metrics to other factors moderating the impact of future pandemics and other biothreats. Consideration of anthropogenic and large catastrophic scenarios is also needed.

The Chronicle of a Disease Foretold: Pandemic H1N1 and the Construction of a Global Health Security Threat

2011 ◽  
Vol 59 (4) ◽  
pp. 797-812 ◽  
Author(s):  
Thomas Abraham
Keyword(s):  
United States ◽  
Global Health ◽  
Infectious Diseases ◽  
Pandemic Influenza ◽  
Influenza Pandemic ◽  
The United States ◽  
Global Health Security ◽  
Security Threat ◽  
Health Security ◽  
The Impact

The period beginning in 2004 saw an extraordinary spurt in attention paid to avian and pandemic influenza in the United States and at the global level. A disease that for decades had languished in the ‘dull but worthy’ category of infectious diseases was elevated to a risk to global health security. The securitisation of influenza was not unproblematic. The influenza pandemic of 2009 turned out to be far milder than anticipated, and much of the scientific basis on which planning had proceeded and resources had been mobilised turned out to be wrong. Developing countries with other disease priorities were urged to pour resources into pandemic planning exercises and change poultry-raising practices. The article argues that for an issue to be securitised as a global health threat, it is essential that the United States takes the lead role (or at the very least supports efforts by other leading powers). It uses the Copenhagen School's analysis to examine how avian and pandemic influenza was securitised in the United States, and then uses the concept of framing to examine why this disease was securitised by looking at the prior existence of an issue culture or discourse around emerging infectious diseases, which gained salience after the 2011 anthrax attacks. It finally looks at the impact of securitisation on countries with different priorities.

Measurement of social development: evidence from India

2017 ◽  
Vol 44 (9) ◽  
pp. 1211-1230 ◽  
Author(s):  
Naresh Kumar
Keyword(s):  
Social Development ◽  
Least Squares Method ◽  
Composite Index ◽  
Ordinary Least Squares ◽  
Social Sector ◽  
Content Type ◽  
The Social ◽  
Development Expenditure ◽  
The Government ◽  
The Impact

Purpose The purpose of this paper is to examine the progress of social development in terms of social development index (SDI) of India in the pre- and post-reforms period. Design/methodology/approach This study used the methodology of Ray (1989, 2008) for the construction of composite index for social development, i.e. SDI. The study also used the ordinary least squares method of regression analysis for checking the impact of development expenditure, non-development expenditure and Per Capita Net National Product (PCNNP) on the SDI value. Findings The results show an increasing trend in social development. The findings of this study also suggest that there is a sharp increase in the index over the period between 2002/2003 and 2010/2011. But in the remaining period, sluggish improvement in social development has been observed. Though there has been growth in the social sector, but it is not much heartening and perhaps more efforts need to be done in the social sector in India. The results also exhibit that development expenditure, non-development expenditure and PCNNP are significantly affecting the SDI value. Practical implications The study suggests that the government should focus more on social sector programs and there is an urgent need to increase development and non-development expenditures to improve the overall social condition of the country. Originality/value The work is different in terms of number of development variables from the already existing literature in India. The author constructed the SDI by using the weighted sum of 12 transformed social variables which has not been studied previously.

scholarly journals Shortage of essential antimicrobials: a major challenge to global health security

2021 ◽  
Vol 6 (11) ◽  
pp. e006961
Author(s):  
Nusrat Shafiq ◽  
Avaneesh Kumar Pandey ◽  
Samir Malhotra ◽  
Alison Holmes ◽  
Marc Mendelson ◽  
...  
Keyword(s):  
Global Health ◽  
Supply Chains ◽  
Low Income ◽  
Supply And Demand ◽  
Unintended Consequences ◽  
Human Populations ◽  
Global Health Security ◽  
Health Security ◽  
Middle Income ◽  
The Impact

The lack of access to safe and effective antimicrobials for human populations is a threat to global health security and a contributor to the emergence and spread of antimicrobial resistance (AMR). The increasingly common shortages of antimicrobials are an additional threat to the emergence of AMR. While the threat of such drug shortages is most acutely experienced in low-income and middle-income settings, their consequences impact the quality and effectiveness of antimicrobials worldwide. Furthermore, there is a need for robustly conducted studies examining the impact of these increasingly prevalent shortages on patient outcomes and on the emergence and spread of AMR. In this review, we have mapped common drivers for antimicrobial shortages and propose strategies for rethinking the regulation, supply and pricing of antimicrobials to secure their sustainable access across diverse healthcare systems and to help minimise the unintended consequences of weak and ineffective supply chains. Greater government involvement in antimicrobial manufacture and supply is essential to ensure no one is left behind. Dedicated demand systems need to be developed for antimicrobials which take into consideration evolving AMR patterns, burden of diseases, pandemic events and supply and demand issues and facilitate implementation of strategies to address them. Interventions, ranging from advocacy and forecasting to public–private collaborations, new economic models and international consortia working across countries and supply chains, will help assure access to safe and effective antimicrobials to all populations around the globe and ensure that shortages no longer contribute to AMR.

scholarly journals Global policy responses to the COVID-19 pandemic: proportionate adaptation and policy experimentation: a study of country policy response variation to the COVID-19 pandemic

2020 ◽  
Vol 10 (4) ◽  
pp. 359-365 ◽  
Author(s):  
Arlina Dewi ◽  
Achmad Nurmandi ◽  
Erna Rochmawati ◽  
Eko Priyo Purnomo ◽  
Muhammad Dimas Rizqi ◽  
...  
Keyword(s):  
Global Health ◽  
Virus Transmission ◽  
Secondary Data ◽  
Policy Formulation ◽  
Policy Response ◽  
Global Health Security ◽  
Health Security ◽  
Policy Experimentation ◽  
National Capacity ◽  
The Government

Background: Concern for the development of actions against COVID-19 has continued to grow since February 2020. Government responses remain a crucial part of preventing virus transmission through policy formulation and strengthening national capacity. Methods: This study has used quantitative analysis, using secondary data from 177 countries. The variables consist of Global Health Security (GHS) category and COVID-19 pandemic. An analysis of the appropriateness of the government’s policy response in dealing with the COVID-19 pandemic was carried out by comparing the two variables. Results: The study indicated a significant relationship between global health security category and pandemic score (P < 0.01). There were 37 countries out of 177 (20.9%) categorized as under-reaction and least-reaction. Conclusion: Pandemic COVID-19 score, rated based on doubling time, is directly significant with the health security category. The government should improve its responsiveness and preparation to improve national capacity during the novel coronavirus pandemic.

scholarly journals Analysing COVID-19 outcomes in the context of the 2019 Global Health Security (GHS) Index

2021 ◽  
Vol 6 (12) ◽  
pp. e007581
Author(s):  
Sophie M Rose ◽  
Michael Paterra ◽  
Christopher Isaac ◽  
Jessica Bell ◽  
Amanda Stucke ◽  
...  
Keyword(s):  
Global Health ◽  
Social Cohesion ◽  
Elderly Population ◽  
Excess Mortality ◽  
Outcome Data ◽  
Future Research ◽  
Linear Regression Models ◽  
Global Health Security ◽  
Health Security ◽  
The Impact

IntroductionThe Global Health Security Index benchmarks countries’ capacities to carry out the functions necessary to prevent, detect and respond to biological threats. The COVID-19 pandemic served as an opportunity to evaluate whether the Index contained the correct array of variables that influence countries’ abilities to respond to these threats; assess additional variables that may influence preparedness; and examine how the impact of preparedness components change during public health crises.MethodsLinear regression models were examined to determine the relationship between excess mortality per capita for the first 500 days of countries’ COVID-19 pandemic and internal Index variables, as well as external variables including social cohesion; island status; perceived corruption; elderly population size; previous epidemic experience; stringency of non-pharmaceutical interventions; and social and political polarisation.ResultsCOVID-19 outcomes were significantly associated with sociodemographic, political and governance variables external to the 2019 Index: social cohesion, reduction in social polarisation and reduced perceptions of corruption were consistently correlated with reduced excess mortality throughout the pandemic. The association of other variables assessed by the Index, like epidemiological workforce robustness, changed over time. Fixed country features, including geographic connectedness, larger elderly population and lack of prior coronavirus outbreak experience were detrimental to COVID-19 outcomes. Finally, there was evidence that countries that lacked certain capacities were able to develop these over the course of the pandemic.ConclusionsAdditional sociodemographic, political and governance variables should be included in future indices to improve their ability to characterise preparedness. Fixed characteristics, while not directly addressable, are useful for establishing countries’ inherent risk profile and can motivate those at greater risk to invest in preparedness. Particular components of preparedness vary in their impact on outcomes over the course of the pandemic, which may inform resource direction during ongoing crises. Future research should seek to further characterise time-dependent impacts as additional COVID-19 outcome data become available.

scholarly journals Risk Management and Early Measures Taken by Pakistan to Combat with Novel Corona Virus (COVID-2019) in the Light of Global Health Security Index (GHS)

2020 ◽  
Author(s):  
Wajahat Ali Ghulam ◽  
Jiuchang Wei
Keyword(s):  
Risk Management ◽  
Global Health ◽  
Recovery Rate ◽  
Death Rate ◽  
Line Graph ◽  
Global Health Security ◽  
Health Security ◽  
Corona Virus ◽  
Security Index ◽  
The Government

This research paper is mainly aimed to elaborate the initial risk management and measures which government of Pakistan took towards Novel Corona Virus (COVID-2019). This initial response and planning was devised after the early outbreak of COVID-2019 in Wuhan, China in early time of January 2020. Pakistan devised a comprehensive plan that not to evacuate their student from Wuhan, China. The government of Pakistan in compliance with the National Institute of Health (NIH) devised and documented comprehensive plans such as the flight operations postponed related to Umerah pilgrims, which were intended to go to sacred places of KSA (The Kingdom of Saudi Arabia). The process of visa, immigration policy totally changed and the government of Pakistan notified it officially that, no new visas of visit, student, and business would be issued in due course of uncertainty due to COVID-2019. The government of Pakistan also announced medical emergency and notified through the country&rsquo;s provinces the process of testing and treatment of COVID-2019. The government of Pakistan also allocated funds for medical supplies and named out the particular country&rsquo;s best laboratories. The government of Pakistan also locked down all the cities with the emergency announcement that people should stay inside the home in quarantine or self-isolation. NIH (The National Institute of Health) played a vital role in executing the planning to cope with COVID &ndash; 2019). The National Institute of Health responded as &ldquo;The Centre for Disease Control&rdquo;. In aid to the government, the national army of Pakistan responded in a proactive manner towards planed execution. The medical corps of Pakistan army dedicated themselves to treat the suspected patients of COVID &ndash; 2019. Due to plans, policies being documented, implemented in such a way productive way that from February 28, 2020 to till date there is not much critical situation and issues are not present. There are much productive results as there is not much boom in a rise of COVID-2019 patients. This lockdown under the authority of the provinces resulted in fruitful outcomes. Background: On January 02, 2020, authorities of the People Republic of China elaborated that they have encountered with a novel type of infectious viral disease 2019. Later on January 12, the authorities from China elaborated the related sequence of Corona Virus diseases 2019 names as COVID &ndash; 2019. When COVID-2019 being identified in Wuhan, Hubei China, as an early response the Government of Pakistan in support of the National Institute of Health (Field Epidemiology &amp; Disease Surveillance Division) published a health advisory about novel coronavirus. Methods: According to Global Health Security Index, Pakistan is ranked as 105th country among 195 countries in GHS index. Overall Score of Pakistan is 35.5. The score of Early Detection and Reporting for Epidemics of Potential International Concern is 41.7. A Graphical depiction of the COVID-19 cases placed until April 10, 2020 as well as a graph trend line of recovered as well as death rate is also depicted. According to the graphical facts of Government of Pakistan and World meters, the recovery rate of COVID-19 is about 98 percent and 2.1 percent death rate is reported against the total cases. Trend analysis with line graph was drawn based on available data from official dashboard web portal of the government of Pakistan and worldometers.info. Data figures were incorporated from March to August 18, 2020 in MS Excel and then subsequently deployed to draw trend analysis from managing risk to recovery. Results: The line graph showed a slowdown in the COVID-19 cases and high rate of recoveries from COVID-19 in Pakistan. On March 11, 2020, there were 20 confirmed cases of coronavirus reported in Pakistan. No death was recorded in very first seven days, on March 18, 2020 only two deaths were reported. On August 18, 2020, there were 272128 recoveries, 6201 deaths, total confirmed cases 290445, and total test were 2340072 in Pakistan. As a results, we can report that due to early measures taken by government of Pakistan no mass scale destruction in terms of death and cases been recorded in Pakistan. Conclusions: To till date, the government of Pakistan tried its level best to minimize the coronavirus cases as much as they can. However, the ending of the potential attack of an outbreak would depend upon the well organized and coordinated approach at all levels such as true directed decisions, fully preparedness, as well implementation and evaluation of continuous decisions. As the recovery rate of the cases is 98 percent and merely death rate is 2.1 percent, concluded that in future it would be a good sign to stop the potential outbreak. Also, lock down as well as precautionary measurement taken by the provincial governments resulted a decline number of COVID-19 cases in the country. Another good sign is that merely 4 percent population of Pakistan is of more than 60 years of old it can be concluded that there are less chances of mass death due to outbreak of COVID-19.

scholarly journals An evaluation of the global health security agenda steering group governance interventions

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N E DeShore ◽  
J A Johnson ◽  
P Malone ◽  
R Greenhill ◽  
W Wuenstal
Keyword(s):  
Global Health ◽  
Health System ◽  
System Performance ◽  
Health System Performance ◽  
Global Health Security ◽  
Member States ◽  
Health Security ◽  
Governance Indicators ◽  
Positive Effect ◽  
Global Health Security Agenda

Abstract Background Member States lack of compliance with 2005 IHR implementation led to the launched of the Global Health Security Agenda. This research will provide an understanding of how the Global Health Security Agenda Steering Group (GHSA SG) governance interventions impact health system performance and global health security. This will enhance the understanding of a Steering Group's governance interventions in complex Global Health initiatives. Research questions: To what extent have GHSA SG governance interventions contributed towards enabling health system performance of WHO Member States? To what extent have GHSA SG governance interventions contributed towards the implementation of global health security among WHO Member States? Methods Correlational analysis using Spearman's rho examined the relationship between governance, health system performance and global health security variables at one point in time. A convenience non-probability sample consisting of eight WHO Member States was used. SPSS Statistics generated the bivariate correlation analyzes. Results Governance and health system performance analysis indicated a statistically significant strong positive effect size in 11 out of 18 and moderate positive effect size in the remaining seven out of 18 health system performance indicators. Governance and global health security analysis concluded three of the governance indicators had strong and moderate positive coefficients. Global health security variables demonstrated weak effects in the remaining three governance indicators. Conclusions This study presents a case for health systems embedding in global health security. Health system performance is only as effective at protecting populations when countries achieve core capacities of preparedness and response to global health threats. The associations provide stakeholders information about key characteristics of governance that influence health system performance and global health security implementation. Key messages This study provides an argument for the continued support of the GHSA 2024 Framework with implementation of global health security capabilities and meeting 2005 IHR requirements. The GHSA SG governance role remains profoundly important in establishing sustainable efforts internationally towards achieving the objectives of the GHSA in support of the 2005 IHR standards.

Assessing sustainability marketing from macromarketing perspective: a multistakeholder approach

2020 ◽  
Vol 16 (4) ◽  
pp. 287-305 ◽  
Author(s):  
Soha Abutaleb ◽  
Noha El-Bassiouny
Keyword(s):  
Theory Of Planned Behavior ◽  
Planned Behavior ◽  
Purchase Intentions ◽  
Marketing Strategies ◽  
Content Type ◽  
Quantitative Research Methods ◽  
Sustainable Products ◽  
Government Role ◽  
The Government ◽  
The Impact

PurposeThe paper examines three main stakeholders in the market and their roles toward achieving sustainability marketing. Those stakeholders are consumers, companies and policymakers. The current study is examining consumers’ attitudes toward sustainability marketing and their purchase intentions of sustainable products through the use of theory of planned behavior. The paper is also examining the role of companies and policymakers in encouraging consumers to consider sustainability in their purchasing decisions.Design/methodology/approachConcurrent research study is applied, where qualitative and quantitative research methods are conducted at the same time for different purposes with equal weights. Qualitative interviews were applied with fast-moving consumer goods companies and policymakers, while quantitative surveys were applied with Egyptian consumers.FindingsThe results showed that companies are taking serious and effective steps in transforming their marketing strategies into sustainable marketing ones. The government role is still limited as there are no strict laws and regulations that force companies and factories in Egypt to develop sustainability marketing strategies. Consumers’ attitudes were highly affected by firms' sustainable practices as well as subjective norms that led to influencing their intentions toward purchasing sustainable products.Originality/valueAlthough the topic of sustainability marketing is considered by a plenty of researchers in the academic discipline, there are no studies that have combined the main three stakeholders' roles in achieving sustainability marketing in one study. The study highlights the impact of government role and firms' role on consumers' attitudes and purchase intentions toward sustainable products, especially convenient products. This was done through the adoption of the theory of planned behavior.

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