Scaling Up What Works: Using EMDR to Help Confront the World’s Burden of Traumatic Stress

2014 ◽  
Vol 8 (4) ◽  
pp. 187-195 ◽  
Author(s):  
Rolf C. Carriere
Keyword(s):  
Scaling Up ◽  
Trauma Therapy ◽  
Global Public Health ◽  
Mental Health Crisis ◽  
Public Health Response ◽  
Health Crisis ◽  
What Works ◽  
Health Response ◽  
Global Estimates ◽  
Timely Treatment

Global estimates of trauma exposure, classified under the heading “Four Violences,” demonstrate that the world faces a mental health crisis of truly epidemic proportions. Given the extent, severity, and consequences of trauma-based disorders (including posttraumatic stress disorder) worldwide for individuals, communities, and societies, the current minimal global public health response needs to be addressed. An important part of the response should involve the implementation of timely treatment both during and after a crisis. Eye movement desensitization and reprocessing (EMDR) therapy offers a potentially scalable intervention that combines effectiveness, efficiency, affordability, and acceptability—essential preconditions—for launching an ambitious global trauma therapy plan. An overview of both challenges and solutions to effective scaling up and global implementation is provided, including the areas of policy, funding, and ethics. This article concludes with a list of activities (including research) that should be initiated without delay as part of starting up a global trauma therapy plan.

scholarly journals Public Health Crisis during COVID-19 pandemic

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
David Gaus
Keyword(s):  
Public Health ◽  
Rapid Development ◽  
Well Being ◽  
Public Health Authority ◽  
Global Public Health ◽  
Public Health Response ◽  
Health Crisis ◽  
Business Interests ◽  
Health Response ◽  
Open Question

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.

scholarly journals Early analysis of the Australian COVID-19 epidemic

eLife ◽  
2020 ◽  
Vol 9 ◽  
Author(s):  
David J Price ◽  
Freya M Shearer ◽  
Michael T Meehan ◽  
Emma McBryde ◽  
Robert Moss ◽  
...  
Keyword(s):  
Public Health ◽  
Collective Actions ◽  
Public Health Response ◽  
Forecast Period ◽  
Individual Country ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Response Planning ◽  
Australian State ◽  
Health Response

As of 1 May 2020, there had been 6808 confirmed cases of COVID-19 in Australia. Of these, 98 had died from the disease. The epidemic had been in decline since mid-March, with 308 cases confirmed nationally since 14 April. This suggests that the collective actions of the Australian public and government authorities in response to COVID-19 were sufficiently early and assiduous to avert a public health crisis – for now. Analysing factors that contribute to individual country experiences of COVID-19, such as the intensity and timing of public health interventions, will assist in the next stage of response planning globally. We describe how the epidemic and public health response unfolded in Australia up to 13 April. We estimate that the effective reproduction number was likely below one in each Australian state since mid-March and forecast that clinical demand would remain below capacity thresholds over the forecast period (from mid-to-late April).

scholarly journals Making Smarter Decisions Faster: Systems Engineering to Improve the Global Public Health Response to HIV

2019 ◽  
Vol 16 (4) ◽  
pp. 279-291 ◽  
Author(s):  
Anjuli D. Wagner ◽  
Jonny Crocker ◽  
Shan Liu ◽  
Peter Cherutich ◽  
Sarah Gimbel ◽  
...  
Keyword(s):  
Public Health ◽  
Systems Engineering ◽  
Global Public Health ◽  
Public Health Response ◽  
Health Response

scholarly journals Anthropology in public health emergencies:what is anthropology good for?

2018 ◽  
Vol 3 (2) ◽  
pp. e000534 ◽  
Author(s):  
Darryl Stellmach ◽  
Isabel Beshar ◽  
Juliet Bedford ◽  
Philipp du Cros ◽  
Beverley Stringer
Keyword(s):  
Public Health ◽  
Disease Transmission ◽  
Ebola Virus ◽  
Virus Disease ◽  
Disease Outbreak ◽  
Outbreak Response ◽  
Public Health Response ◽  
Health Crisis ◽  
Health Response ◽  
Increasing Demand

Recent outbreaks of Ebola virus disease (2013–2016) and Zika virus (2015–2016) bring renewed recognition of the need to understand social pathways of disease transmission and barriers to care. Social scientists, anthropologists in particular, have been recognised as important players in disease outbreak response because of their ability to assess social, economic and political factors in local contexts. However, in emergency public health response, as with any interdisciplinary setting, different professions may disagree over methods, ethics and the nature of evidence itself. A disease outbreak is no place to begin to negotiate disciplinary differences. Given increasing demand for anthropologists to work alongside epidemiologists, clinicians and public health professionals in health crises, this paper gives a basic introduction to anthropological methods and seeks to bridge the gap in disciplinary expectations within emergencies. It asks: ‘What can anthropologists do in a public health crisis and how do they do it?’ It argues for an interdisciplinary conception of emergency and the recognition that social, psychological and institutional factors influence all aspects of care.

scholarly journals Coronavirus pandemic highlights critical gaps in rural Internet access for migrant and seasonal farmworkers: a call for partnership with medical libraries

2020 ◽  
Vol 108 (4) ◽  
Author(s):  
Joseph G. L. Lee ◽  
Catherine E. LePrevost ◽  
Emery L. Harwell ◽  
Jamie E. Bloss ◽  
Leslie E. Cofie ◽  
...  
Keyword(s):  
Public Health ◽  
Internet Access ◽  
Global Public Health ◽  
Public Health Response ◽  
Migrant And Seasonal Farmworkers ◽  
Outreach Workers ◽  
Health Response ◽  
Seasonal Farmworkers ◽  
Medical Libraries ◽  
Public Health Practitioners

Migrant and seasonal farmworkers, who are essential workers in the coronavirus global public health emergency, face unique risks to their health as well as longstanding health inequities. This commentary highlights these risks and argues that Internet access represents an underappreciated but critical part of the public health response. The authors first discuss the unique risk farmworkers face. We note the importance of Internet access in the time of physical distancing, the fact that many health outreach workers are no longer visiting camps, the need for telemedicine infrastructure, and the role of Internet access in providing connections to families in communities of origin. We describe existing efforts that have been implemented in North Carolina to raise awareness among public health and health promotion practitioners and researchers. The current coronavirus pandemic demands the attention of medical libraries, public health practitioners, and policy makers to address the digital divide for farmworkers and their families.

scholarly journals Early analysis of the Australian COVID-19 epidemic

2020 ◽  
Author(s):  
David J Price ◽  
Freya M Shearer ◽  
Michael T Meehan ◽  
Emma McBryde ◽  
Robert Moss ◽  
...  
Keyword(s):  
Public Health ◽  
Threshold Value ◽  
Collective Actions ◽  
Public Health Response ◽  
Individual Country ◽  
Health Crisis ◽  
Response Planning ◽  
Australian State ◽  
Health Response ◽  
Using Data

AbstractAs of 18 April 2020, there had been 6,533 confirmed cases of COVID-19 in Australia [1]. Of these, 67 had died from the disease. The daily count of new confirmed cases was declining. This suggests that the collective actions of the Australian public and government authorities in response to COVID-19 were sufficiently early and assiduous to avert a public health crisis — for now. Analysing factors, such as the intensity and timing public health interventions, that contribute to individual country experiences of COVID-19 will assist in the next stage of response planning globally. Using data from the Australian national COVID-19 database, we describe how the epidemic and public health response unfolded in Australia up to 13 April 2020. We estimate that the effective reproduction number was likely below 1 (the threshold value for control) in each Australian state since mid-March and forecast that hospital ward and intensive care unit occupancy will remain below capacity thresholds over the next two weeks.

scholarly journals The COVID-19 vaccine evidence gap: Decisions without data for pregnant and breastfeeding women

2021 ◽  
Vol 11 (S1) ◽  
Author(s):  
Amy Johnston
Keyword(s):  
Severe Disease ◽  
Severe Infection ◽  
Sociodemographic Factors ◽  
Global Public Health ◽  
Comorbid Conditions ◽  
Public Health Response ◽  
Health Response ◽  
Increased Risk ◽  
Disaggregated Data ◽  
Health Organization

On March 11th, 2020, the Word Health Organization officially declared the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) outbreak a pandemic, setting in motion an unprecedented modern-day global public health response [1, 2]. Since that time, COVID-19’s impact has been wide-reaching and complex; influenced by a diverse set of biologic, clinical, psychologic, and sociodemographic factors [3, 4]. Indeed, not all members of society are at equal risk of SARS-CoV-2 infection or experiencing severe infection-related outcomes [3, 4]. For example, older adults and individuals with comorbid conditions (e.g., cardiovascular disease) are at increased risk for severe disease [5]. Further, males are at higher risk of serious COVID-19 outcomes compared to females, underscoring the importance of including sex as a fundamental variable in the design and conduct of COVID-19 research [6]. Certainly, without sex-disaggregated data, it is impossible to know if, or to what extent, sex-specific approaches to the care and prevention of SARS-CoV-2 infection should be employed [7].

scholarly journals Predictors of Mental Health during the Covid-19 Pandemic in the US: role of economic concerns, health worries and social distancing

2020 ◽  
Author(s):  
Fabrice Kämpfen ◽  
Iliana V. Kohler ◽  
Alberto Ciancio ◽  
Wändi Bruine de Bruin ◽  
Jürgen Maurer ◽  
...  
Keyword(s):  
Mental Health ◽  
Online Survey ◽  
Adult Population ◽  
Anxiety Symptoms ◽  
Mental Health Crisis ◽  
Public Health Response ◽  
Health Crisis ◽  
Social Distancing ◽  
The Us ◽  
The Impact

ObjectiveTo assess mental health in the US adult population in the Covid-19 pandemic and explore the roles of economic concerns, health worries and social distancing in shaping mental health outcomes.MethodsWe analyze online survey data from the “Understanding America Study” (UAS) that is representative of the US adult population and covers the period of March 10-31st 2020 (sample size: 6436).ResultsAbout 29% (CI:27.4-.30.4%) of the US adult population reported some depression/anxiety symptoms osver the study period, with symptoms deteriorating over the month of March. Worsening mental health was most strongly associated with concerns about the economic consequences of the pandemic, while concerns about the potential impact of the virus on respondents’ own health and the practice of social distancing also predicted the presence of depression and anxiety symptoms, albeit less strongly.ConclusionsOur findings point towards a major mental health crisis unfolding simultaneously with the pandemic in the US. They also highlight the importance of economic countermeasures and social policy for mitigating the impact of Covid-19 on adult mental health in the US over and above an effective public health response.

scholarly journals Local Covid-19 Syndemics and the Need for an Integrated Response

IDS Bulletin ◽  
2021 ◽  
Vol 52 (1) ◽  
Author(s):  
Megan Schmidt-Sane ◽  
Melissa Leach ◽  
Hayley MacGregor ◽  
Jessica Meeker ◽  
Annie Wilkinson
Keyword(s):  
Public Health ◽  
Public Health Response ◽  
Middle Income ◽  
Health Crisis ◽  
The Public ◽  
Adverse Conditions ◽  
Health Response ◽  
Health And Development ◽  
Multiple Challenges ◽  
Integrated Response

The Covid-19 pandemic is more than a health crisis. It has worse outcomes among individuals with co-morbidities, has exposed fault lines in our societies, and amplified existing inequalities. This article draws on emerging evidence from low- and middle-income contexts to highlight how Covid-19 becomes syndemic when it interacts with local vulnerabilities. A syndemic approach provides a frame for understanding how Covid-19 is amplified when clustered with other diseases and how this clustering is facilitated by contextual and social factors that create adverse conditions. Public health responses to Covid-19 have also exacerbated these adverse conditions as many face social and economic crises as a result of some policies. These multiple challenges generate major implications for both the public health response and for broader development action: first, one size does not fit all and we must attend to local vulnerabilities; second, short-term public health response and longer-term development approaches must be integrated for improved intersectoral coordination and synergy. A synergised public health and development response will allow us to better prepare for the next pandemic.

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