scholarly journals Visitor Management in World Heritage Destinations before and after Covid-19, Angkor

2020 ◽  
Vol 12 (23) ◽  
pp. 9929
Author(s):  
Antonio Alvarez-Sousa ◽  
Jose Luis Paniza Prados
Keyword(s):  
Public Health ◽  
Qualitative Methodology ◽  
World Heritage ◽  
Risk Society ◽  
The Public ◽  
Visitor Management ◽  
New Public Health ◽  
Health Goal ◽  
Before And After ◽  
Public Health Goal

The purpose of this research was to analyze the visitor-management tactics and strategies in World Heritage destinations. The Temples of Angkor (Cambodia) were selected as case studies. The analysis was carried out in two phases—before and after COVID-19. A qualitative methodology was used. Participant observation was employed for the pre-COVID-19 strategies, and recommendations of scholars and bodies responsible for tourism were the basis for the strategies proposed for the post-COVID-19 scenario. Grounded theory and the Atlas.ti qualitative analysis software were used. The results showed that the public health goal, together with its related strategies and tactics, should be added to the classic sustainability goals and the hard and soft strategies (physical, regulatory, and educational). It was also noted that new actors came into play—those responsible for public health. In conclusion, this new public health goal and its tactics will condition classic factors such as carrying capacity, and can conflict with goals such as the economic and social goals. The sustainability paradigm is maintained, but with the addition of risk society and the public health goal playing a key role.

scholarly journals Primary Prevention of Chemical Contamination

2003 ◽  
Vol 12 (4) ◽  
pp. 425-433 ◽  
Author(s):  
Joel Tickner ◽  
Sara Wright
Keyword(s):  
Public Health ◽  
Primary Prevention ◽  
Current Approach ◽  
Chemical Contamination ◽  
Health And Environmental Effects ◽  
New Approach ◽  
The Public ◽  
Health Goal ◽  
Public Health Goal ◽  
Health Concept

The current approach to addressing health and ecosystem risks from biosolids, or sludge, requires identification of so-called “safe” or “acceptable” levels of exposure and installation of controls to achieve such levels. This end-of-the pipe approach is inconsistent with the public health concept of primary prevention. Following an overview of the limitations in current approaches to understand and address risks of biosolids contamination, we present a new, preventative paradigm for addressing the hazards of sludge. We conclude that given the disparate and widely distributed sources of contaminants in biosolids and the amount of uncertainty in information about health and environmental effects, we need a new approach to this and other environmental dilemmas. This approach is embodied in the concept of the precautionary principle and public health goal-setting.

Funding models and expenditures with primary healthcare in Salvador, Bahia, Brazil metropolitan area

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T Vivas ◽  
M Duarte ◽  
A Pitta ◽  
B Christovam
Keyword(s):  
Public Health ◽  
Metropolitan Area ◽  
Primary Healthcare ◽  
Healthcare Services ◽  
Ministry Of Health ◽  
Healthcare Budget ◽  
Health Budget ◽  
The Public ◽  
Before And After ◽  
The Government

Abstract Background The government investments in quality primary healthcare are the basis to strengthening the health systems and monitoring the public expenditure in this area is a way to assess the effectiveness and efficiency of the public health policies. The Brazil Ministry of Health changed, in 2017, the method of onlending federal resources to states and cities seeking to make the public funds management more flexible. This change, however, suppressed mandatory investments in primary healthcare. This research aims to determine the difference of expenditures on primary healthcare in Salvador, Bahia, Brazil metropolitan area before and after this funding reform, seeking to verify how it can impact the quality of primary healthcare services and programs. Methods This is an ecological time-series study that used data obtained in the Brazil Ministry of Health budget reports. The median and interquartile range of expenditures on primary healthcare (set as the percentage of total public health budget applied in primary care services and programs) of the 13 cities in the Salvador metropolitan area were compared two years before and after the reform. Results The median of expenditures on primary healthcare in Salvador metropolitan area was 25.5% (13,9% - 32,2%) of total public health budget before and 24.8% (20.8% - 30.0%) of total public health budget after the reform (-0.7% difference). Seven cities decreased the expenditures on primary healthcare after the reform, ranging from 1.2% to 10.8% reduction in the primary healthcare budget in five years. Conclusions Expenditures on primary healthcare in Salvador metropolitan area decreased after the 2017 funding reform. Seven of 13 cities reduced the government investments on primary healthcare services and programs in this scenario. Although the overall difference was -0.7%, the budget cuts ranged from 1.2% to 10.8% in the analyzed period and sample. More studies should assess these events in wide areas and with long time ranges. Key messages Public health funding models can impact the primary healthcare settings regardless of the health policy. Reforms in the funding models should consider the possible benefits before implementation. Funding models and methods that require mandatory investments in primary healthcare may be considered over more flexible ones.

scholarly journals Consuming health, negotiating risk, "eating right"

2020 ◽  
Vol 5 (1) ◽  
pp. 45-57
Author(s):  
Barbara Parker
Keyword(s):  
Public Health ◽  
Dietary Guidelines ◽  
Risk Society ◽  
Individual Responsibility ◽  
Structural Constraints ◽  
Public Health Nutrition ◽  
New Public Health ◽  
New Public ◽  
Hegemonic Femininity ◽  
Dietary Food

In the health-risk society, food choice is framed through public health nutrition and dietary risks which are produced through nutritionism and econutrition. Dietary guidelines recommend the consumption of functional foods to target bodily health (Scrinis 2013; Mudry 2010), whereas ecological nutrition pushes sustainable diets for planetary health (Mason & Lang 2017; Friedberg, 2016). These healthy eating discourses construct dietary food risks and reorient ideas about what constitutes good food and eating right. This paper explores how food risk discourses extend the moralizing of healthism through emerging public health nutrition discourses and the ‘new public health.’ I suggest that in considering what constitutes eating right, dietary health risks extend individual responsibility for bodily health to increasing responsibility for the health of our environment or ecosystems, exercised as choice over the foods one chooses to eat. The feminine-citizen-subject is particularly targeted because as Moore (2010) contends, hegemonic femininity is constructed through beliefs about health and the healthy body. Thinking through feminist intersectionality (Crenshaw, 1991) however, I draw attention to the limits of choice and individualized approaches to managing food risk given the structural constraints of food and health.

scholarly journals Overview on Cigarettes and Other Tobacco Products Act and its implementation: current update

2020 ◽  
Vol 8 (1) ◽  
pp. 463
Author(s):  
Dhwanit Thakore ◽  
Mahesh Chavda ◽  
Girish Parmar ◽  
Tejal Sheth
Keyword(s):  
Public Health ◽  
Tobacco Control ◽  
Tobacco Use ◽  
Control Measures ◽  
Public Health Issue ◽  
Tobacco Products ◽  
Health Goal ◽  
The Status ◽  
Public Health Goal ◽  
Almost All

Tobacco use- a major public health issue in India has an enormous effect on the lower SES population. . There is an evident link between tobacco use or consumption and poverty. The widespread use of almost all forms of tobacco among the Indian population can be attributed to the social and cultural acceptance in the country. Cigarette and Other Tobacco Products Act, 2003 (COTPA) is the legislation that regulates tobacco in India. The prime objective of this review is to compile the literature with information about the laws regulating tobacco use and the status of implementation of tobacco control provisions covered under COTPA. Since effective tobacco control measures involve multi-stakeholders i.e public health, law, trade and commerce, industry, consumer, human rights and child development, coordinated efforts are required to successful enforcement. The outcome of the current literature is bridging the gaps to make the tobacco control a very important public health goal and thereby protect the population from the consequent morbidity and mortality due to tobacco use.

Exempting the state and responsibilizing individuals during pandemic governance: Analyzing the health minister’s responses to the Covid-19 pandemic in Turkey

2021 ◽  
pp. 136345932110607
Author(s):  
G Ezgi Akguloglu ◽  
Gulcin Con Wright
Keyword(s):  
Public Health ◽  
Active Role ◽  
Collective Actions ◽  
Protective Measures ◽  
The Public ◽  
New Public Health ◽  
New Public ◽  
Unique Nature ◽  
Primary Focus ◽  
Public Health Strategies

The COVID-19 pandemic pushed the governments of the world to implement different regulative and protective measures. Although these measures required serious re-considerations of public health strategies, they were still grounded on pre-existing contexts of countries’ health systems, namely the “new public health” paradigm. Turkey’s neoliberal health reforms since 2003 coincide with the principles of this paradigm’s trends toward marketizing services and responsibilizing individuals; yet the Turkish context of the pandemic also stands out due to its mixed and unique form of governance. Utilizing the tweets of the Turkish Health Minister between March 13th and October 1st, 2020, we conducted a thematic qualitative analysis investigating the Turkish state’s response to the COVID-19 pandemic. Our analysis revealed that state responsibility was framed around building new pandemic hospitals, informing the public, and building trust. Conversely, his tweets assigned Turkish individuals an active role in shaping pandemic outcomes through their “informed” and “empowered” agency. Finally, he coined “togetherness,” referring to the sum of individual actions, as an indispensable goal in assuring public compliance with precautions. The Minister’s tweets reflect the unique nature of pandemic governance in Turkey with a relatively imposing and swift response of centralized power but a primary focus on “responsibilized” individuals’ collective actions.

No Change in Surgical and Hospitalization Trends Despite Higher Exposure to Anti-Tumor Necrosis Factor in Inflammatory Bowel Disease in the Québec Provincial Database From 1996 to 2015

2020 ◽  
Author(s):  
Christine Verdon ◽  
Jason Reinglas ◽  
Janie Coulombe ◽  
Lorant Gonczi ◽  
Talat Bessissow ◽  
...  
Keyword(s):  
Public Health ◽  
Inflammatory Bowel Disease ◽  
Tumor Necrosis Factor ◽  
Tumor Necrosis ◽  
Major Surgery ◽  
Newly Diagnosed ◽  
The Public ◽  
Before And After ◽  
Inflammatory Bowel ◽  
Necrosis Factor

Abstract Background Crohn disease (CD) and ulcerative colitis (UC) have high health care expenditures because of medications, hospitalizations, and surgeries. We evaluated disease outcomes and treatment algorithms of patients with inflammatory bowel disease (IBD) in Québec, comparing periods before and after 2010. Methods The province of Québec’s public health administrative database was used to identify newly diagnosed patients with IBD between 1996 and 2015. The primary and secondary outcomes included time to and probability of first and second IBD-related hospitalizations, first and second major surgery, and medication exposures. Medication prescriptions were collected from the public prescription database. Results We identified 34,644 newly diagnosed patients with IBD (CD = 59.5%). The probability of the first major surgery increased after 2010 in patients with CD (5 years postdiagnosis before and after 2010: 8% [SD = 0.2%] vs 15% [SD = 0.6%]; P < 0.0001) and patients with UC (6% [SD = 0.2%] vs 10% [SD = 0.6%] ;P < 0.0001). The probability of the second major surgery was unchanged in patients with CD. Hospitalization rates remained unchanged. Patients on anti-tumor necrosis factor (anti-TNF) medications had the lowest probability of hospitalizations (overall 5-year probability in patients with IBD stratified by maximal therapeutic step: 5-aminosalicylic acids 37% [SD = 0.6%]; anti-TNFs 31% [SD = 1.8%]; P < 0.0001). Anti-TNFs were more commonly prescribed for patients with CD after 2010 (4% [SD = 0.2%] vs 16% [SD = 0.6%]; P < 0.0001) in the public health insurance plan, especially younger patients. Corticosteroid exposure was unchanged before and after 2010. Immunosuppressant use was low but increased after 2010. The use of 5-ASAs was stable in patients with UC but decreased in patients with CD. Conclusions The probability of first and second hospitalizations remained unchanged in Québec and the probability of major surgery was low overall but did increase despite the higher and earlier use of anti-TNFs.

scholarly journals Municipal public health officials and the Public Health Act

2016 ◽  
Vol 1 ◽  
Author(s):  
Heidi Lyshol
Keyword(s):  
Public Health ◽  
Health Workers ◽  
Relevant Literature ◽  
Vocational Teachers ◽  
The Public ◽  
New Public Health ◽  
New Public ◽  
Public Health Officials ◽  
Public Health Workers ◽  
Public Health Act

Introduction: The Norwegian Public Health Act of 2012 was intended to give the municipalities a bigger stake in the health of the population by emphasizing public health at a municipal level. The aim of this study was to investigate the effects of the Act on public health officials in the execution of their vocational roles.Research questions: How do public health officials in Norwegian municipalities balance the requirements of the new Public Health Act and what their local leaders, both politicians and bureaucrats, want? How do they use the Act in the performance of their vocational roles? Does this have any relevance for vocational teachers? Method :After a literature search, semi-formal interviews were conducted with 13 municipal public health officials who were also given practical tasks and short questionnaires. The interview transcripts were analysed using Thematic Analysis. This qualitative research technique is defined and described. Discussion and Results: The study shows that the public health workers see the Act as a useful tool and actively use it to leverage the public health field into greater importance. They feel that the Act is empowering, gives them greater pride in their work, and that it helps both them and their superiors to achieve greater understanding of public health workers’ roles in their municipalities. Using the informants’ own words, changes in the municipal public health workers’ roles and vocational self-definitions are discussed in the context of the new Act and selections from the relevant literature. Conclusion: The Public Health Act has changed the roles of municipal public health workers and helped them to further public health by giving them more responsibility and expanded their duty to safeguard health in all policies. The Act is seen as empowering, giving public health professionals pride in their work and greater role understanding, and should be heavily featured in the curriculum of future public health workers.

scholarly journals Return to Treatment in the Formal Health Care Sector: Evidence from Tanzania

2015 ◽  
Vol 7 (3) ◽  
pp. 29-57 ◽  
Author(s):  
Achyuta Adhvaryu ◽  
Anant Nyshadham
Keyword(s):  
Public Health ◽  
Health Care ◽  
Low Income ◽  
Health Care Sector ◽  
Health Facilities ◽  
Low Income Countries ◽  
Formal Sector ◽  
Health Goal ◽  
Public Health Goal ◽  
Formal Health Care

Improving access to the formal health care sector is a primary public health goal in many low-income countries. But the returns to this access are unclear, given that the quality of care at public health facilities is often considered inadequate. We exploit temporal and geographic variation in the cost of traveling to formal sector health facilities to show that treatment at these facilities improves short-term health outcomes for acutely ill children in Tanzania. Our results suggest that these improvements are driven in part by more timely receipt of and better adherence to antimalarial treatment. (JEL I11, I12, I15, I18, J13, O15)

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