scholarly journals Balancing incomplete COVID-19 evidence and local priorities: risk communication and stakeholder engagement strategies for school re-opening

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Anna G. Hoover ◽  
Wendy Heiger-Bernays ◽  
Sweta Ojha ◽  
Kelly G. Pennell
Keyword(s):  
Public Health ◽  
Resource Constraints ◽  
Scientific Evidence ◽  
Local Tolerance ◽  
Engineering Controls ◽  
Engagement Strategies ◽  
Communication Processes ◽  
Local Decision ◽  
Face To Face Instruction ◽  
Context Specific

AbstractIn the midst of the COVID-19 pandemic, United States (U.S.) educational institutions must weigh incomplete scientific evidence to inform decisions about how best to re-open schools without sacrificing public health. While many communities face surging case numbers, others are experiencing case plateaus or even decreasing numbers. Simultaneously, some U.S. school systems face immense infrastructure challenges and resource constraints, while others are better positioned to resume face-to-face instruction. In this review, we first examine potential engineering controls to reduce SARS-CoV-2 exposures; we then present processes whereby local decision-makers can identify and partner with scientists, faculty, students, parents, public health officials, and others to determine the controls most appropriate for their communities. While no solution completely eliminates risks of SARS-CoV-2 exposure and illness, this mini-review discusses engaged decision and communication processes that incorporate current scientific knowledge, school district constraints, local tolerance for health risk, and community priorities to help guide schools in selecting and implementing re-opening strategies that are acceptable, feasible, and context-specific.

Japanese-language videos on YouTube as a source of public health information for COVID-19 (Preprint)

2020 ◽  
Author(s):  
Takeo Yasu
Keyword(s):  
Public Health ◽  
Health Information ◽  
Scientific Evidence ◽  
The State ◽  
Video Content ◽  
Sources Of Information ◽  
State Of Emergency ◽  
Public Health Information ◽  
Youtube Videos ◽  
Spread Of Infection

BACKGROUND Serious public health problems, such as the COVID-19 pandemic, can cause an infodemic. Sources of information that may cause an infodemic include social networking services; YouTube, which consists of content created and uploaded by individuals, is one such source. OBJECTIVE To survey the content and changes in YouTube videos that present public health information about COVID-19 in Japan. METHODS We surveyed YouTube content regarding public health information pertaining to COVID-19 in Japan. YouTube searches were performed on March 6, 2020 (before the state of emergency), April 14 (during the state of emergency), and May 27 (after the state of emergency was lifted), with 136, 113, and 140 sample videos evaluated, respectively. The main outcome measures were: (1) The total number of views for each video, (2) video content, and (3) the usefulness of the video. RESULTS In the 100 most viewed YouTube videos during the three periods, the number of videos on public health information in March was significantly higher than in May (p = .02). Of the 331 unique videos, 9.1% (n = 30) were released by healthcare professionals. Useful videos providing public health information about the prevention of the spread of infection comprised only 13.0% of the sample but were viewed significantly more often than not useful videos (p = .006). CONCLUSIONS Individuals need to take care when obtaining information from YouTube before or early in a pandemic, during which time scientific evidence is scarce.

India as a Pioneer of Innovation

2018 ◽  
Keyword(s):  
Public Health ◽  
Health System ◽  
Informal Economy ◽  
Urban Poor ◽  
Public Health System ◽  
Low Cost ◽  
Social Enterprises ◽  
Specific Context ◽  
Innovation Project ◽  
Context Specific

What does innovation mean to and in India? What are the predominant areas of innovation for India, and under what situations do they succeed or fail? This book addresses these all-important questions arising within diverse Indian contexts: informal economy, low-cost settings, large business groups, entertainment and copyright-based industries, an evolving pharma sector, a poorly organized and appallingly underfunded public health system, social enterprises for the urban poor, and innovations for the millions. It explores the issues that promote and those that hinder the country’s rise as an innovation leader. The book’s balanced perspective on India’s promises and failings makes it a valuable addition for those who believe that India’s future banks heavily on its ability to leapfrog using innovation, as well as those sceptical of the Indian state’s belief in the potential of private enterprise and innovation. It also provides critical insights on innovation in general, the most important of which being the highly context-specific, context-driven character of the innovation project.

scholarly journals Public health decisions in the COVID-19 pandemic require more than ‘follow the science’

2021 ◽  
pp. medethics-2020-107134
Author(s):  
Thana Cristina de Campos-Rudinsky ◽  
Eduardo Undurraga
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Health Policy ◽  
Empirical Evidence ◽  
Empirical Data ◽  
Public Health Policy ◽  
Scientific Evidence ◽  
Ethical Reasoning ◽  
Reliable Data ◽  
Good Decision

Although empirical evidence may provide a much desired sense of certainty amidst a pandemic characterised by uncertainty, the vast gamut of available COVID-19 data, including misinformation, has instead increased confusion and distrust in authorities’ decisions. One key lesson we have been gradually learning from the COVID-19 pandemic is that the availability of empirical data and scientific evidence alone do not automatically lead to good decisions. Good decision-making in public health policy, this paper argues, does depend on the availability of reliable data and rigorous analyses, but depends above all on sound ethical reasoning that ascribes value and normative judgement to empirical facts.

Understanding barriers to consumers to stop washing raw poultry through in-depth interviews

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Abigail Gilman ◽  
Shauna C. Henley ◽  
Jennifer Quinlan
Keyword(s):  
Public Health ◽  
Thematic Analysis ◽  
Transtheoretical Model ◽  
Scientific Evidence ◽  
Cross Contamination ◽  
Preparation Methods ◽  
Content Type ◽  
Raw Poultry ◽  
Depth Interviews ◽  
Health Messaging

PurposeFoodborne illness from poultry may be associated with improper handling that results in cross contamination. Washing of raw poultry is one practice that can lead to cross contamination. Some consumers continue to wash raw poultry after learning that not washing raw poultry is the safe behavior. There is a need to better understand why some consumers continue this practice and identify barriers to them adopting the correct behavior.Design/methodology/approachThis research utilized qualitative, in-depth interviews to understand some consumer's barriers to adopting the behavior of not washing raw poultry. The interview questioning route was iteratively developed and designed to allow both structure and flexibility. Questions were anchored in the Transtheoretical Model of Behavior Change. Interviews (N = 23) were conducted over Zoom. Thematic analysis identified themes around consumers' resistance to adopting the correct behavior for handling raw poultry.FindingsResults from the thematic analysis indicate that chicken preparation methods were primarily influenced by family. A desire to control the process of preparing food, lack of trust in chicken processing, and the habitual nature of the behavior all contributed to the continuation of washing raw poultry. Over half of the participants (61%) expressed interest in changing behaviors in the future. Needing supporting scientific evidence, and an alternative behavior to replace washing were two key factors to support the development of future public health messaging.Originality/valueThis study investigates the barriers to safe raw poultry handling utilizing in-depth interviews and contributes to the development of more effective public health messaging.

scholarly journals An Uncertain Risk: The World Health Organization's Account of H1N1

2014 ◽  
Vol 27 (3) ◽  
pp. 511-529 ◽  
Author(s):  
Sudeepa Abeysinghe
Keyword(s):  
Public Health ◽  
Influenza Pandemic ◽  
Scientific Evidence ◽  
H1n1 Influenza ◽  
World Health ◽  
Scientific Uncertainty ◽  
Global Public Health ◽  
The World ◽  
Public Risk ◽  
Health Organization

ArgumentScientific uncertainty is fundamental to the management of contemporary global risks. In 2009, the World Health Organization (WHO) declared the start of the H1N1 Influenza Pandemic. This declaration signified the risk posed by the spread of the H1N1 virus, and in turn precipitated a range of actions by global public health actors. This article analyzes the WHO's public representation of risk and examines the centrality of scientific uncertainty in the case of H1N1. It argues that the WHO's risk narrative reflected the context of scientific uncertainty in which it was working. The WHO argued that it was attempting to remain faithful to the scientific evidence, and the uncertain nature of the threat. However, as a result, the WHO's public risk narrative was neither consistent nor socially robust, leading to the eventual contestation of the WHO's position by other global public health actors, most notably the Council of Europe. This illustrates both the significance of scientific uncertainty in the investigation of risk, and the difficulty for risk managing institutions in effectively acting in the face of this uncertainty.

scholarly journals Social work in municipalities

2013 ◽  
Vol 8 (1) ◽  
pp. 71-94
Author(s):  
Rolv Lyngstad
Keyword(s):  
Decision Making ◽  
Social Work ◽  
Wide Sense ◽  
Professional Discretion ◽  
Local Decision ◽  
Local Discretion ◽  
Specific Meaning ◽  
Local Decision Making ◽  
Context Specific ◽  
The Relationship

The point of departure of this article is contemporary changes in the relationship between national and local decision making in the Norwegian political system. The last decades’ centralization tendencies seem to be challenged by a “new” emphasis on local discretion, and the article discusses how this will affect social work in municipalities. The changes are contested and controversial and allude to questions such as how much discretion should be given to local decision makers in the name of local democracy, and how much difference should be accepted in the name of diversity? The article argues that professional social work must be context-specific, meaning that in a wide sense local knowledge is a prerequisite for good social work. Devolution and local political and professional discretion are necessary in many cases, but not sufficient in themselves as conditions for success. Professional social workers will encounter a lot of difficult dilemmas arousing from issues related to the equality/liberty debate and the diversity/difference/equality debate in social work discourses. In order to approach these dilemmas, more of a focus on local deliberation and place shaping, in combination with a social work focus on democratic professionalism, is necessary. If this is done successfully, devolution and a recapturing of local discretion and decision-making power will empower clients as well as professionals. Thus, current changes in the relationship between different levels of decision making will enlarge the possibilities for professional social work in the municipalities.

scholarly journals Penile transplantation as an appropriate response to botched traditional circumcisions in South Africa: an argument against

2017 ◽  
Vol 44 (2) ◽  
pp. 86-90 ◽  
Author(s):  
Keymanthri Moodley ◽  
Stuart Rennie
Keyword(s):  
Public Health ◽  
South Africa ◽  
Male Circumcision ◽  
Resource Constraints ◽  
Cultural Practice ◽  
Public Health Response ◽  
Genital Mutilation ◽  
Ethical Implications ◽  
Healthcare Needs ◽  
Health Response

Traditional male circumcision is a deeply entrenched cultural practice in South Africa. In recent times, there have been increasing numbers of botched circumcisions by untrained and unscrupulous practitioners, leading to genital mutilation and often, the need for penile amputation. Hailed as a world’s first, a team of surgeons conducted the first successful penile transplant in Cape Town, South Africa in 2015. Despite the euphoria of this surgical victory, concerns about the use of this costly intervention in a context of severe resource constraints have been raised. In this paper, we explore some of the ethical implications of penile transplants as a clinical and public health response to the adverse consequences of traditional male circumcision. Given the current fiscal deficits in healthcare and public health sectors, how can one justify costly, high-technology interventions for conditions affecting a small section of the population? Since botched traditional male circumcisions are preventable, is a focus on penile transplantation as a form of treatment reasonable? Finally, do such interventions create undue expectations and false hope among a highly vulnerable and stigmatised group of young men? In this paper, we argue that given limited healthcare resources in South Africa and competing healthcare needs, prevention is a more appropriate response to botched traditional circumcisions than penile transplants.

Mystery

Toxic Shock ◽  
2018 ◽  
pp. 48-76
Author(s):  
Sharra L. Vostral
Keyword(s):  
Public Health ◽  
Great Degree ◽  
Toxic Shock Syndrome ◽  
Scientific Evidence ◽  
Family Physicians ◽  
Epidemiological Data ◽  
Medical Professionals ◽  
Toxic Shock ◽  
Convincing Case ◽  
Definition Of

How a set of symptoms was stabilized into a defined illness with correlative healthcare practices required a great degree of consensus. This chapter traces how medical professionals, including family physicians, pediatricians, nephrologists, and specialized epidemiologists at the state and national levels, encountered ill girls and women, and collaborated through their networks to create a definition of toxic shock syndrome (TSS) and identify emerging cases. It took careful epidemiology to link TSS with tampon use, in part due to the assumption that tampons were inert. Scientific evidence associating TSS with tampons was all the more crucial in order to create a convincing case that it was a threat to public health, and that women should be warned of their use. Challenges by corporations and corporate-sponsored scientists to the epidemiological data questioned the legitimacy and the conclusion that tampons were associated with TSS.

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