scholarly journals Over-the-counter sales of antibiotics for human use in India: The challenges and opportunities for regulation

2021 ◽  
Vol 21 (2) ◽  
pp. 147-173
Author(s):  
Gerard Porter ◽  
Anita Kotwani ◽  
Lovleen Bhullar ◽  
Jyoti Joshi
Keyword(s):  
Stakeholder Participation ◽  
Economic Incentives ◽  
Social Scientists ◽  
Over The Counter ◽  
Middle Income ◽  
Information Campaigns ◽  
Challenges And Opportunities ◽  
Regulatory Instruments ◽  
Human Use ◽  
And Control

This article assesses the regulatory framework relating to over-the-counter (OTC) sales of antibiotics for human use in India. The OTC sale of antibiotics is recognised as a pathway for the emergence of antimicrobial resistance (AMR); a serious public health challenge in need of urgent regulatory responses. Analytically, this article identifies opportunities within existing laws in India and highlights gaps that need to be filled by modifying existing laws or developing new ones. Conceptually, it suggests a need to reflect on the limits of traditional, top-down, ‘command-and control’ regulation and to think about alternative approaches. The article therefore advocates for an approach to regulation that incorporates two elements. First, it argues for a broader concept of regulation that encompasses binding as well as non-binding regulatory instruments and initiatives aimed at influencing stakeholder behaviour (including soft regulation, economic incentives, information campaigns and uses of technology). Second, it makes the case for enhanced stakeholder participation in regulatory design. The article will be relevant for health policy and drug regulators in India and other low- and middle-income countries, as well as legal scholars, social scientists and others interested in the regulation of OTC sales of antibiotics for AMR containment.

Enrolling the Social Sciences in Nanotechnoscience

2006 ◽  
Vol 28 (2) ◽  
pp. 15-18 ◽  
Author(s):  
José López
Keyword(s):  
Social Sciences ◽  
Science Studies ◽  
Panel Discussion ◽  
Scientific Activity ◽  
Social Implications ◽  
Social Scientists ◽  
The Social ◽  
Challenges And Opportunities ◽  
Objects Of Knowledge ◽  
And Control

This article presents a reflection on the challenges and opportunities associated with the now ubiquitous requests inviting social scientists to participate in ELSI (Ethical, Legal and Social Implications) type frameworks, attached to large science projects such as nanotechnoscience. It elaborates on some ideas presented in a panel discussion titled "On the Social and Ethical Impacts of Nanotechnology" in Winnipeg at the Canadian Sociological and Anthropological Association (CSAA) annual meeting in the spring of 2004. This was the first panel session devoted to nanotechnology in the CSAA. I begin by briefly developing some key ideas from the field of social studies of science in order to draw attention to the fact that scientific activity has always required the mobilisation of a variety of social, political, cultural and economic resources. Nanotechnoscience is no different. What is distinctive, however, is the perceived need to enrol the social sciences in ELSI-type programs as a way securing legitimacy and to contribute to the overall success of these initiatives. I suggest that it is important to attend to the types of discursive spaces and objects of knowledge that are opened up to the social sciences in these ELSI frameworks. In light of work in science studies, the notion that the social implications of the technology can be grasped by simply projecting current trends into the future has to be problematised and treated with great care. I conclude by suggesting that sociology and anthropology's most important contribution might lie not in contributing to the illusion of predictability and control, which nanotechnoscience is currently attempting to foster as a way of securing social, political, ethical and economic legitimacy for its endeavour, but in short-circuiting these processes.

A cost-effective preventative approach to potentially save lives in the coronavirus pandemic, jointly using Vitamin D, Curcumin, and Vitamin C. Authors Bakare T A and Soar J S

2020 ◽  
Author(s):  
Jagjit S Soar
Keyword(s):  
Vitamin D ◽  
Vitamin C ◽  
Cost Effective ◽  
Risk Groups ◽  
The Elderly ◽  
Pharmaceutical Drugs ◽  
Over The Counter ◽  
Literature Searches ◽  
Pharmaceutical Agents ◽  
And Control

he current COVID-19 pandemic now believed to be based on the mutation of the SARS-CoV virus (first reported in 2002) to SARS-CoV-2 emerging in 2019, is naturally causing extreme worry and concern around the world with sometimes mixed and incoherent messages on how to deal with it. There is a plethora of information from previous epidemics caused by other coronaviruses such as severe acute respiratory syndrome, SARS (2002) and Middle East respiratory syndrome MERS (2012) from which we can extrapolate guidance on how to deal with the current pandemic. In the current absence of specific pharmaceutical agents, we propose assessing the extended tools that we already possess in our biological armoury to combat, prevent and control the spread of this virus. Using a set of precise criteria to locate such possible contenders, we conducted literature searches to find compounds that met these criteria. We have now reduced this to a shortlist of three agents that may be the best candidates. We propose vitamin C, vitamin D and Curcumin fit our criteria well. These compounds are widely available to the general public. They are available online and over-the-counter as supplements. Otherwise healthy individuals are safely able to self-administer these agents as a prophylactic to protect themselves and to enhance their immune response. This would be especially desirable for the elderly and at risk groups. These agents can also be used as adjunct therapy, particularly for those who may have early symptoms. This preventative therapy could be implemented whilst awaiting specific pharmaceutical drugs to emerge as a treatment for COVID-19. Our suggested compounds are a highly cost-effective way to potentially reduce the mortality that is regretfully mounting as a result of COVID-19 infection. The biological mode of action and the dosing of these compounds are summarised.

An Overview of the Ethics of Injury in Public Health

2019 ◽  
pp. 597-603
Author(s):  
Adnan A. Hyder
Keyword(s):  
Public Health ◽  
Injury Prevention ◽  
Prevention And Control ◽  
Public Health Ethics ◽  
Ethical Challenges ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health Ethics ◽  
Prompt Attention ◽  
And Control

This chapter briefly introduces ethics issues in injury prevention and control in low- and middle-income countries (LMICs), using a series of examples that prompt attention to the ethical principles of autonomy and justice. The chapter also introduces the section of The Oxford Handbook of Public Health Ethics dedicated to an examination of injury and public health ethics, with attention given to the complex ethical challenges arising in injury prevention and control in LMICs. The section’s two chapters discuss public health ethics issues arising in the prevention and control of unintentional injuries and intentional injuries, respectively. Those chapters define a set of ethics issues within international injury work and provide an initial analysis of the nature of those ethics issues, their specificity, and potential pathways for addressing them.

scholarly journals Firms' Choice of Regulatory Instruments to Reduce Pollution: A Transaction Cost Approach

2004 ◽  
Vol 6 (3) ◽  
pp. 1-20 ◽  
Author(s):  
Magali Delmas ◽  
Alfred Marcus
Keyword(s):  
Transaction Costs ◽  
Transaction Cost ◽  
Transaction Cost Economics ◽  
Command And Control ◽  
Governance Structure ◽  
Governance Structures ◽  
Negotiated Agreements ◽  
Regulatory Instruments ◽  
Market Opportunities ◽  
And Control

This paper compares the economic efficiency of firm-agency governance structures for pollution reduction using transaction costs economics. Two governance structures are analyzed with the transaction costs approach: command and control regulation (CCR) and negotiated agreements (NAs). We propose that the choice of governance structure depends on the strategies firms pursue given the attributes of their transactions and their market opportunities. The application of transaction cost economics analysis leads to different choices of regulatory instruments. Firms in more mature, stable industries are likely to choose command and control, while firms in new, dynamic sectors are more likely to opt for negotiated agreements. Frequency of transactions is a key factor in firm choice.

Heavy Lifters, India: Towards a Circular Economy Era

2021 ◽  
pp. 097226292110435
Author(s):  
Anupama Prashar
Keyword(s):  
Operations Management ◽  
Circular Economy ◽  
Business Models ◽  
Total Cost Of Ownership ◽  
Total Cost ◽  
Planning And Control ◽  
Cost Of Ownership ◽  
Challenges And Opportunities ◽  
And Control ◽  
The Impact

The case helps students to understand the emerging concept of linear and circular economies. It facilitates to examine the implications of circular business models such as remanufacturing on operations management decisions. It also introduces them to the concept of total cost of ownership and impact of remanufacturing on reducing total cost of ownership. The cases help students to evaluate the challenges and opportunities of remanufacturing business in emerging economy like India. This case is among the first few cases on the application of circular economy principles in context of heavy-duty and off-road sector and the impact of these principles on product design and production planning and control decisions.

A review of the library and information science profession in the Maldives: Development, challenges and opportunities

IFLA Journal ◽  
2021 ◽  
pp. 034003522110315
Author(s):  
Gina de Alwis Jayasuriya ◽  
Aminath Riyaz ◽  
Shaheen Majid
Keyword(s):  
Information Science ◽  
Information And Communications Technology ◽  
Small Island ◽  
Educational Institutions ◽  
Library And Information Science ◽  
Middle Income ◽  
Initial Development ◽  
Challenges And Opportunities ◽  
The Indian Ocean ◽  
The Republic

The Republic of Maldives, a small island developing state in the Indian Ocean, has achieved upper-middle-income and high human development category status, and one of the strongest information and communications technology infrastructures in South Asia. However, the country’s library and information science sector, which saw its inception over seven decades ago, has yet to advance beyond the initial development phase. This article traces the emergence of the library and information science sector in the country and draws attention to the myriad challenges faced by it. The article is also an attempt to draw the attention of government decision-makers and motivate them to understand and resolve the difficulties faced by the library and information science sector through engaging library and information science employers, educational institutions, professional trainers, and library and information science professionals. Some concerns are identified and five key action areas with associated action steps are suggested. These may resonate with other small developing countries that are facing similar scenarios.

scholarly journals Challenges and Opportunities Developing Mathematical Models of Shared Pathogens of Domestic and Wild Animals

2018 ◽  
Vol 5 (4) ◽  
pp. 92 ◽  
Author(s):  
Kathryn Huyvaert ◽  
Robin Russell ◽  
Kelly Patyk ◽  
Meggan Craft ◽  
Paul Cross ◽  
...  
Keyword(s):  
Mathematical Models ◽  
Domestic Animals ◽  
Domestic Animal ◽  
Pathogen Transmission ◽  
Management Actions ◽  
Animal Populations ◽  
Challenges And Opportunities ◽  
Conservation Concern ◽  
Transmission Pathways ◽  
And Control

Diseases that affect both wild and domestic animals can be particularly difficult to prevent, predict, mitigate, and control. Such multi-host diseases can have devastating economic impacts on domestic animal producers and can present significant challenges to wildlife populations, particularly for populations of conservation concern. Few mathematical models exist that capture the complexities of these multi-host pathogens, yet the development of such models would allow us to estimate and compare the potential effectiveness of management actions for mitigating or suppressing disease in wildlife and/or livestock host populations. We conducted a workshop in March 2014 to identify the challenges associated with developing models of pathogen transmission across the wildlife-livestock interface. The development of mathematical models of pathogen transmission at this interface is hampered by the difficulties associated with describing the host-pathogen systems, including: (1) the identity of wildlife hosts, their distributions, and movement patterns; (2) the pathogen transmission pathways between wildlife and domestic animals; (3) the effects of the disease and concomitant mitigation efforts on wild and domestic animal populations; and (4) barriers to communication between sectors. To promote the development of mathematical models of transmission at this interface, we recommend further integration of modern quantitative techniques and improvement of communication among wildlife biologists, mathematical modelers, veterinary medicine professionals, producers, and other stakeholders concerned with the consequences of pathogen transmission at this important, yet poorly understood, interface.

scholarly journals The burgeoning role of global health diplomacy to alleviate suffering of cancer patients in low- and middle-income countries

2020 ◽  
Vol 12 (3) ◽  
pp. 231-233
Author(s):  
Melissa Adomako ◽  
Alaei Kamiar ◽  
Abdulla Alshaikh ◽  
Lyndsay S Baines ◽  
Desiree Benson ◽  
...  
Keyword(s):  
Global Health ◽  
Evidence Base ◽  
International Affairs ◽  
Global Health Diplomacy ◽  
Middle Income ◽  
Middle Income Countries ◽  
Health Diplomacy ◽  
Health Practitioners ◽  
And Control ◽  
Low And Middle Income

Abstract The science of global health diplomacy (GHD) consists of cross-disciplinary, multistakeholder credentials comprised of national security, public health, international affairs, management, law, economics and trade policy. GHD is well placed to bring about better and improved multilateral stakeholder leverage and outcomes in the prevention and control of cancer. It is important to create an evidence base that provides clear and specific guidance for health practitioners in low- and middle-income countries (LMICs) through involvement of all stakeholders. GHD can assist LMICs to negotiate across multilateral stakeholders to integrate prevention, treatment and palliative care of cancer into their commercial and trade policies.

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