THE PEDIATRICIAN AND THE PUBLIC

PEDIATRICS ◽  
1949 ◽  
Vol 4 (3) ◽  
pp. 373-383

THE two communications in this issue are from Dr. George Baehr, President of the New York Academy of Medicine, an organization which has a long tradition of study of the problems of medical care. First is the statement made in behalf of this Academy before the Senate Committee which has been hearing testimony concerned with the various medical care bills now before Congress. This statement is a succinct and thoughtful appraisal of these bills and indicates that S-1970 (Flanders-Ives-Herter-Javits Bill) comes nearest to meeting the Academy's requirements for a voluntary prepaid comprehensive medical service plan. The second communication is Dr. Baehr's analysis and comments upon S-1970 (Flanders-Ives-Herter-Javits Bill). He points out that, in the words of Senator Flanders, S-1970 is essentially a "'voluntary health insurance bill calling for compulsory public contribution,'" which is to take the form of a subsidy for the operating deficits of voluntary prepayment agencies. Other outstanding features of the bill are the provisions designed to stimulate group practice and the requirement that subscription charges shall vary with income. The implications of a subsidy for the operating deficits of voluntary agencies and the fostering of group practice on a nation-wide scale will warrant careful study. It should also be noted that individuals with wide experience in existing prepayment organizations have expressed real concern as to the feasibility of private organizations doing business with clients on a sliding premium basis.

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Anthony P. West ◽  
Joel O. Wertheim ◽  
Jade C. Wang ◽  
Tetyana I. Vasylyeva ◽  
Jennifer L. Havens ◽  
...  

AbstractWide-scale SARS-CoV-2 genome sequencing is critical to tracking viral evolution during the ongoing pandemic. We develop the software tool, Variant Database (VDB), for quickly examining the changing landscape of spike mutations. Using VDB, we detect an emerging lineage of SARS-CoV-2 in the New York region that shares mutations with previously reported variants. The most common sets of spike mutations in this lineage (now designated as B.1.526) are L5F, T95I, D253G, E484K or S477N, D614G, and A701V. This lineage was first sequenced in late November 2020. Phylodynamic inference confirmed the rapid growth of the B.1.526 lineage. In concert with other variants, like B.1.1.7, the rise of B.1.526 appears to have extended the duration of the second wave of COVID-19 cases in NYC in early 2021. Pseudovirus neutralization experiments demonstrated that B.1.526 spike mutations adversely affect the neutralization titer of convalescent and vaccinee plasma, supporting the public health relevance of this lineage.


2020 ◽  
pp. 096701062093351
Author(s):  
Nathaniel O’Grady

This article contributes to emergent debates in critical security studies that consider the processes and effects that arise where new forms of automated technology begin to guide security practices. It does so through research into public Wi-Fi infrastructure that has started to appear across the globe and its mobilization as a device for warning the public about emergencies. I focus specifically on an iteration of this infrastructure developing in New York called LinkNYC. According to the infrastructure’s operators, the processes that underpin emergency communication have gradually become ‘automated’ to accelerate LinkNYC’s deployment during crises. The article pursues three lines of inquiry to explore the automation of security infrastructure, in turn making three correspondent original contributions to wider debates. First, it unpacks the real-time analytics and platform-based data-sharing techniques cultivated to automate emergency communication. Here, I expand understanding of the new forms of automation now integrated into technologies harnessed for security and their practical effects. These forms of automation, I demonstrate secondly, are situated by those governing into wider imaginaries concerning the transformative promise automation bears. I argue that the proliferation of these imaginaries play a crucial role in justifying and dictating the enrolment of new devices into security. Third, it explores how automation affords private companies the opportunity to exercise discretionary decisionmaking that changes how and when infrastructure should operate during emergencies. Developing this argument, I add new dimensions to debates regarding the political ramifications associated with automation by claiming that automation redistributes authority across the public and private organizations that increasingly coordinate in bringing new technologies to bear in the security domain.


2021 ◽  
pp. 51-78

Transparency requires that online government information be both numerically accurate and ‘cognitively accessible’ to members of the public. This paper provides a normative critique of various crime-data presentation formats informed by the literature on cognitive biases with regard to quantitative information. The analysis finds that interactive crime maps often apply (1) relative scaling, (2) arbitrary rate-magnification, (3) context-free absolute numbers, (4) ratios of small proportions, and (5) wrong baselines of comparison. These formats risk portraying non-White and/or Hispanic urban areas as ‘high crime’ in absolute rather than relative terms. This may discourage cautious (White) individuals from visiting, doing business in, or relocating to such neighborhoods, thus reinforcing residential segregation. Proportional scaling may provide an easy solution: In 2017, New York City emerges as a safe zone with regard to violent crime. Proportional scaling is easy to implement and it may help prevent inadvertent reinforcement of racist stereotypes and residential segregation.


Author(s):  
Anthony P West ◽  
Joel O. Wertheim ◽  
Jade C. Wang ◽  
Tetyana I. Vasylyeva ◽  
Jennifer L. Havens ◽  
...  

Wide-scale SARS-CoV-2 genome sequencing is critical to tracking viral evolution during the ongoing pandemic. Variants first detected in the United Kingdom, South Africa, and Brazil have spread to multiple countries. We developed the software tool, Variant Database (VDB), for quickly examining the changing landscape of spike mutations. Using VDB, we detected an emerging lineage of SARS-CoV-2 in the New York region that shares mutations with previously reported variants. The most common sets of spike mutations in this lineage (now designated as B.1.526) are L5F, T95I, D253G, E484K or S477N, D614G, and A701V. This lineage was first sequenced in late November 2020 when it represented <1% of sequenced coronavirus genomes that were collected in New York City (NYC). By February 2021, genomes from this lineage accounted for ~32% of 3288 sequenced genomes from NYC specimens. Phylodynamic inference confirmed the rapid growth of the B.1.526 lineage in NYC, notably the sub-clade defined by the spike mutation E484K, which has outpaced the growth of other variants in NYC. Pseudovirus neutralization experiments demonstrated that B.1.526 spike mutations adversely affect the neutralization titer of convalescent and vaccinee plasma, indicating the public health importance of this lineage.


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