scholarly journals Predicting the Size and Duration of the COVID-19 Pandemic

Author(s):  
Ted G. Lewis ◽  
Waleed I. Al Mannai

This article explores the ongoing COVID-19 pandemic, asking how long it might last. Focusing on Bahrain, which has a finite population of 1.7M, it aimed to predict the size and duration of the pandemic, which is key information for administering public health policy. We compare the predictions made by numerical solutions of variations of the Kermack-McKendrick SIR epidemic model and Tsallis-Tirnakli model with the curve-fitting solution of the Bass model of product adoption. The results reiterate the complex and difficult nature of estimating parameters, and how this can lead to initial predictions that are far from reality. The Tsallis-Tirnakli and Bass models yield more realistic results using data-driven approaches but greatly differ in their predictions. The study discusses possible sources for predictive inaccuracies, as identified during our predictions for Bahrain, the United States, and the world. We conclude that additional factors such as variations in social network structure, public health policy, and differences in population and population density are major sources of inaccuracies in estimating size and duration.

Author(s):  
Monika Mitra ◽  
Linda Long-Bellil ◽  
Robyn Powell

This chapter draws on medical, social, and legal perspectives to identify and highlight ethical issues pertaining to the treatment, representation, and inclusion of persons with disabilities in public health policy and practice. A brief history of disability in the United States is provided as a context for examining the key ethical issues related to public health policy and practice. Conceptual frameworks and approaches to disability are then described and applied. The chapter then discusses the imperativeness of expanding access to public health programs by persons with disabilities, the need to address implicit and structural biases, and the importance of including persons with disabilities in public health decision-making.


2007 ◽  
Vol 19 (1) ◽  
pp. 1-2
Author(s):  
James Mohr

The makers of public health policy face enormous challenges in the twenty-first century. In the past, their field has been imprecisely defined, deeply conflicted, poorly organized, and constantly changing. Lines of responsibility within the field are blurred at best, and groups with similar goals sometimes find themselves at cross-purposes. In the United States, state and local agencies interact with each other, with federal programs, and with powerful private interests. Many decisions that profoundly affect the health of the public are made for reasons largely unrelated to public health per se. Since the human and financial stakes involved in public health policies are immense, these challenges are, to say the least, serious issues. Underlying this volume is the belief that historical analyses and international perspectives can help policymakers understand, and hopefully begin to address, some of those old challenges in new ways.


2010 ◽  
Vol 7 (13) ◽  
Author(s):  
Lars Thorup Larsen

The literature on policy learning has focused our attention on how governments ’puzzle’ over society’s great problems and foster solutions based on the experience of previous policy as well as new knowledge and ideas. While policy learning is often seen as a linear process, this article aims to show how the learning process can also be circular in the sense that the previous policy from which a given new policy departs is constructed over and over again, which should not be confused with actual past policy. The argument is backed by a comparative policy analysis of lifestyle-focused public health policy in Denmark and the United States over the past three decades. While downplaying their belief in traditional medical treatment technology, most Western nations shifted their health policy objectives in the mid-1970s in order to get into what one report termed ’the business of modifying behaviour’, i.e. to counter lifestyle diseases by getting citizens to exercise more, but eat, drink, and smoke less. Based on a study of three decades of Danish and American public health programs, the article shows how two very different health care systems experienced a similar pattern of policy failure. While both systems continually experience that citizens fail to live by what they know is healthy, public health policies always seem to able to generate strong optimism for each new policy program, because the values responsible for policy failure are associated with the medical treatment paradigm that the policies depart from, but never with prevention itself.


PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0253381
Author(s):  
Ioannis Chalkiadakis ◽  
Hongxuan Yan ◽  
Gareth W. Peters ◽  
Pavel V. Shevchenko

During the COVID-19 pandemic, governments globally had to impose severe contact restriction measures and social mobility limitations in order to limit the exposure of the population to COVID-19. These public health policy decisions were informed by statistical models for infection rates in national populations. In this work, we are interested in modelling the temporal evolution of national-level infection counts for the United Kingdom (UK—Wales, England, Scotland), Germany (GM), Italy (IT), Spain (SP), Japan (JP), Australia (AU) and the United States (US). We model the national-level infection counts for the period January 2020 to January 2021, thus covering both the pre- and post-vaccine roll-out periods, in order to better understand the most reliable model structure for the COVID-19 epidemic growth curve. We achieve this by exploring a variety of stochastic population growth models and comparing their calibration, with respect to in-sample fitting and out-of-sample forecasting, both with and without exposure adjustment, to the most widely used and reported growth model, the Gompertz population model, often referred to in the public health policy discourse during the COVID-19 pandemic. Model risk as we explore it in this work manifests in the inability to adequately capture the behaviour of the disease progression growth rate curve. Therefore, our concept of model risk is formed relative to the standard reference Gompertz model used by decision-makers, and then we can characterise model risk mathematically as having two components: the dispersion of the observation distribution, and the structure of the intensity function over time for cumulative counts of new infections daily (i.e. the force of infection) attributed directly to the COVID-19 pandemic. We also explore how to incorporate in these population models the effect that governmental interventions have had on the number of infected cases. This is achieved through the development of an exposure adjustment to the force of infection comprised of a purpose-built sentiment index, which we construct from various authoritative public health news reporting. The news reporting media we employed were the New York Times, the Guardian, the Telegraph, Reuters global blog, as well as national and international health authorities: the European Centre for Disease Prevention and Control, the United Nations Economic Commission for Europe, the United States Centres for Disease Control and Prevention, and the World Health Organisation. We find that exposure adjustments that incorporate sentiment are better able to calibrate to early stages of infection spread in all countries under study.


2009 ◽  
Vol 36 (3) ◽  
pp. 464-475 ◽  
Author(s):  
Elizabeth H. Howze ◽  
M. Elaine Auld ◽  
Lynn D. Woodhouse ◽  
Jessica Gershick ◽  
William C. Livingood

The Galway Consensus Conference articulated key definitions, principles, values, and core domains of practice as the foundation for the diffusion of health promotion across the globe. The conference occurred in the context of an urgent need for large numbers of trained health workers in developing countries, which face multiple severe threats to the health of their people. In this article, the authors draw on the experience acquired by the health promotion profession in the United States to illustrate what might be done to build health promotion capacity in developing countries. They examine the profession's experience in the areas of accreditation and certification, research and publications, advocating for the profession, and advocating for public health policy. Finally, the authors direct a challenge to the profession in the United States to extend a hand to developing countries to assist them in expanding their capacity to prepare health promotion professionals and deliver health promotion services.


2007 ◽  
Vol 19 (1) ◽  
pp. 71-94 ◽  
Author(s):  
Constance A. Nathanson

Dangers to life and health abound. Even among the subset known to medicine and science, however, there is no guarantee that any particular danger will rise to the level of a recognized public health problem or elicit a response from the makers of public policy. The path from knowledge to policy is not straightforward; scientific consensus does not lead automatically to policy consensus. Judgments of what dangers should be most feared, how to explain them, what to do about them, and even whether they are public health problems at all are the outcome of social processes. A couple of examples may help to clarify these points.


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