Maintaining a Firm Social Justice Lens During a Public Health Crisis

2021 ◽  
pp. 97-120
Author(s):  
Frederic Fovet
Keyword(s):  
Natural Disasters ◽  
Parental Support ◽  
Global Education ◽  
School Administrators ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Global Pandemic ◽  
Global North ◽  
School Preparedness ◽  
Emergency Measures

School preparedness for national emergencies and natural disasters has long been part of the literature on global education. The recent COVID-19 crisis, however, has demonstrated the degree to which this literature had to date been ignored by school administrators in the Global North, and dismissed as a topic mostly relevant to Global South countries facing armed conflict, political instability, and lacking resources to address natural disasters. The global pandemic has been sustained, severe, and has led to the full or partial closure of schools in many Global North jurisdictions. While emergency measures have sought to maintain basic educational services, little focus has been given to inclusion and to the needs of diverse learners. In the absence of structured responses, parental support has become a key solution for many districts, and concepts such as the learning pod have popped up in various countries. These strategies have exacerbated inequities rather than offered sustainable and socially just responses. This chapter draws lessons from these initiatives.

scholarly journals ‘Long COVID’ syndrome

2021 ◽  
Vol 14 (4) ◽  
pp. e241485
Author(s):  
Priyal Taribagil ◽  
Dean Creer ◽  
Hasan Tahir
Keyword(s):  
Public Health ◽  
Cognitive Deficits ◽  
Recent Literature ◽  
Complex Case ◽  
Shortness Of Breath ◽  
Gastrointestinal Dysfunction ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Global Pandemic ◽  
Poor Memory

SARS-CoV-2 has resulted in a global pandemic and an unprecedented public health crisis. Recent literature suggests the emergence of a novel syndrome known as ‘long COVID’, a term used to describe a diverse set of symptoms that persist after a minimum of 4 weeks from the onset of a diagnosed COVID-19 infection. Common symptoms include persistent breathlessness, fatigue and cough. Other symptoms reported include chest pain, palpitations, neurological and cognitive deficits, rashes, and gastrointestinal dysfunction. We present a complex case of a previously well 28-year-old woman who was diagnosed with COVID-19. After resolution of her acute symptoms, she continued to experience retrosternal discomfort, shortness of breath, poor memory and severe myalgia. Investigations yielded no significant findings. Given no alternative diagnosis, she was diagnosed with ‘long COVID’.

scholarly journals How To Prepare for the Unexpected: a Public Health Laboratory Response

2021 ◽  
Vol 34 (3) ◽  
Author(s):  
Carmen L. Charlton ◽  
Noah Hull ◽  
Cari Roark Sloma ◽  
Mary Bonifas ◽  
Matthew Johnson ◽  
...  
Keyword(s):  
Public Health ◽  
Infectious Diseases ◽  
Natural Disasters ◽  
Subject Matter ◽  
Subject Matter Experts ◽  
Health Crisis ◽  
Direct Involvement ◽  
Public Health Crisis ◽  
Selection Of ◽  
Increased Pressure

SUMMARY Public health laboratories (PHLs) continue to face internal and external challenges to their abilities to provide successful, timely responses to public health crises and emerging threats. These laboratories are mandated to maintain the health of their communities by identifying, diagnosing, and warning constituents of potential and real health emergencies. Due to the changing characteristics of public health threats and their cross-jurisdictional nature, laboratories are facing increased pressure to ensure that they respond in a consistent and coordinated manner. Here, the Association of Public Health Laboratories (APHL) Emerging Leader Program Cohort 11 members have compiled stories from subject matter experts (SMEs) at PHLs with direct involvement in crises to determine the characteristics of a successful response. Experts examined a diverse selection of emerging threats from across PHLs, including infectious diseases, opioids, natural disasters, and government shutdowns. While no public health crisis will be identical to another, overarching themes were consistent across subjects. Experiences from SMEs that could improve future responses to emerging threats are highlighted.

scholarly journals Crisis clinical pathway for COVID-19

2020 ◽  
Vol 37 (11) ◽  
pp. 700-704
Author(s):  
Edward Hyun Suh ◽  
David J Bodnar ◽  
Laura D Melville ◽  
Manish Sharma ◽  
Brenna M Farmer
Keyword(s):  
New York ◽  
Critically Ill ◽  
Clinical Pathway ◽  
Medical Decision Making ◽  
Care Pathway ◽  
Medical Decision ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Global Pandemic ◽  
The Usa

The pandemic of COVID-19 has been particularly severe in the New York City area, which has had one of the highest concentrations of cases in the USA. In March 2020, the EDs of New York-Presbyterian Hospital, a 10-hospital health system in the region, began to experience a rapid surge in patients with COVID-19 symptoms. Emergency physicians were faced with a disease that they knew little about that quickly overwhelmed resources. A significant amount of attention has been placed on the problem of limited supply of ventilators and intensive care beds for critically ill patients in the setting of the ongoing global pandemic. Relatively less has been given to the issue that precedes it: the demand on resources posed by patients who are not yet critically ill but are unwell enough to seek care in the ED. We describe here how at one institution, a cross-campus ED physician working group produced a care pathway to guide clinicians and ensure the fair and effective allocation of resources in the setting of the developing public health crisis. This ‘crisis clinical pathway’ focused on using clinical evaluation for medical decision making and maximising benefit to patients throughout the system.

scholarly journals Cardio‐Oncology in the Era of the COVID‐19 Pandemic and Beyond

2020 ◽  
Vol 9 (19) ◽  
Author(s):  
Daniel Addison ◽  
Courtney M. Campbell ◽  
Avirup Guha ◽  
Arjun K. Ghosh ◽  
Susan F. Dent ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Cancer Survival ◽  
Lessons Learned ◽  
Health Crisis ◽  
Public Health Crisis ◽  
The Past ◽  
Global Pandemic ◽  
Oncology Care ◽  
After Cancer ◽  
The Relationship

Abstract Coronavirus disease 2019 (COVID‐19) has emerged as a global pandemic and public health crisis. Increasing waves of intermittent infectious outbreaks have dramatically influenced care among broad populations. Over the past 2 decades, there has been a rapid increase in cancer survival, with >400 000 new survivors each year. The increasingly common presence of cardiovascular disease in patients during or after cancer treatment led to the rapid growth of the field of cardio‐oncology with a mandate of identifying, treating, and preventing the various forms of cardiovascular disease seen among this population. This review evaluates the implications of the pandemic on the practice and study of cardio‐oncology. The evolving understanding of the relationship between comorbid disease and clinical outcomes among this population is assessed. With the impetus of the pandemic, cardio‐oncology can be deliberate in embracing changes to cardiac screening, monitoring, and intervention during oncology care. Bridging 2 specialties, consideration of the lessons learned in cancer and cardiovascular may pivotally inform ongoing therapeutic efforts. Further, the development of multicenter registries focused on understanding and optimizing outcomes among these patients should be considered. Together, these insights may critically inform strategies for the care of cardio‐oncology patients in future phases of the COVID‐19 pandemic and beyond.

scholarly journals Bayesian Model Infers Drug Repurposing Candidates for Treatment of COVID-19

2021 ◽  
Vol 11 (6) ◽  
pp. 2466
Author(s):  
Michael A. Kiebish ◽  
Punit Shah ◽  
Rangaprasad Sarangarajan ◽  
Vivek K. Vishnudas ◽  
Stephane Gesta ◽  
...  
Keyword(s):  
Drug Repurposing ◽  
Enrichment Analysis ◽  
Chemical Compounds ◽  
Host Proteins ◽  
Topology Analysis ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Global Pandemic ◽  
Data Output ◽  
Proteomic Dataset

The emergence of COVID-19 progressed into a global pandemic that has functionally put the world at a standstill and catapulted major healthcare systems into an overburdened state. The dire need for therapeutic strategies to mitigate and successfully treat COVID-19 is now a public health crisis with national security implications for many countries. The current study employed Bayesian networks to a longitudinal proteomic dataset generated from Caco-2 cells transfected with SARS-CoV-2 (isolated from patients returning from Wuhan to Frankfurt). Two different approaches were employed to assess the Bayesian models, a titer-center topology analysis and a drug signature enrichment analysis. Topology analysis identified a set of proteins directly linked to the SAR-CoV2 titer, including ACE2, a SARS-CoV-2 binding receptor, MAOB and CHECK1. Aligning with the topology analysis, MAOB and CHECK1 were also identified within the enriched drug-signatures. Taken together, the data output from this network has identified nodal host proteins that may be connected to 18 chemical compounds, some already marketed, which provides an immediate opportunity to rapidly triage these assets for safety and efficacy against COVID-19.

scholarly journals Protest, policing and law during COVID-19: On the legality of mass gatherings in a health crisis

2021 ◽  
pp. 1037969X2110299
Author(s):  
Greg Martin
Keyword(s):  
Legal Status ◽  
New South ◽  
Community Safety ◽  
Health Crisis ◽  
Mass Gatherings ◽  
Terror Attacks ◽  
Public Health Crisis ◽  
Protest Policing ◽  
South Wales ◽  
Emergency Measures

This article considers the legal status of protest rights in Australia during the COVID-19 public health crisis. It discusses jurisprudence of the New South Wales Supreme Court regarding the legality of mass gatherings for the purpose of protest during the COVID pandemic. Balancing protest rights with risks to community safety posed by possible coronavirus transmission at public assemblies, the Court has sometimes allowed and sometimes prohibited protests. The article critically examines the policing of protest during the pandemic and explores some of the implications of comparing emergency measures introduced during the COVID crisis with similar measures introduced in the wake of the 9/11 terror attacks.

scholarly journals A review on the SARS-CoV-2 mediated global pandemic: proximal origin, pathogenicity and therapeutic approaches

2020 ◽  
Author(s):  
Soumi Chatterjee ◽  
Bikram Dhara ◽  
Dattatreya Mukherjee ◽  
Arup Kumar Mitra
Keyword(s):  
Vaccine Development ◽  
Geographical Area ◽  
Antiviral Drug ◽  
Drug Repurposing ◽  
The Novel ◽  
Therapeutic Approaches ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Global Pandemic ◽  
Viral Outbreak

The world is amidst a public health crisis as the pandemic has shook us to the core. The COVID-19 caused by the novel SARS-CoV-2 is of zoonotic origin and this tries to explain what could have been the possible proximal origins for the disease in humans. Our review aims at addressing the question like what structural or genomic vicissitude enabled the viral outbreak across genera and so efficiently infect the human populace across the globe. We also try to discuss the prospect of drug repurposing and scope for vaccine development considering the rapid genome modification of the virus. Another finding lies into the action of pre-existing drugs when they are applied in combination and probably that shades some light on the therapeutic approaches. Several investigation have been performed but we are still in search of a novel antiviral drug. With that vision, our focus shifted on the evaluation of existing drugs with positive response against the novel corona virus. We also try discussing certain trends including increased immunity to the disease in the population from a particular geographical area.

scholarly journals Applying feminist principles to social work teaching: Pandemic times and beyond

2021 ◽  
Vol 20 (1-2) ◽  
pp. 529-536
Author(s):  
Jessica Hutchison
Keyword(s):  
Social Work ◽  
Black Women ◽  
Global Public Health ◽  
Health Crisis ◽  
Call To Action ◽  
Social Work Educators ◽  
Social Work Research ◽  
Public Health Crisis ◽  
Global Pandemic ◽  
Praxis I

It took a global pandemic for me to recognize how my social work teaching was an act of feminist praxis. I have long identified as a feminist and regularly engage efforts to advance equity for women, primarily centered on the abolition of prisons which disproportionately incarcerate Indigenous and Black women in Canada. Surprisingly, I have never considered how my feminism shows up in my teaching. The following reflexive essay explores the ways in which the feminist principles of centring emotions, rejecting patriarchal hierarchy, and challenging white feminism were embedded into the development and delivery of a graduate level social work research course that was rapidly adapted to being taught online during a global public health crisis. It ends with a call to action for social work educators to incorporate feminist principles into their pedagogies, not only in times of crisis, but as standard practice.

scholarly journals Emergencies End Eventually: How to Better Analyze Human Rights Restrictions Sparked by the COVID-19 Pandemic Under the International Covenant on Civil and Political Rights

2021 ◽  
pp. 105
Author(s):  
Eric Richardson ◽  
Colleen Devine
Keyword(s):  
Human Rights ◽  
International Human Rights Law ◽  
Political Rights ◽  
Human Rights Law ◽  
Rigorous Analysis ◽  
Health Crisis ◽  
Freedom Of Movement ◽  
Public Health Crisis ◽  
Civil And Political Rights ◽  
Emergency Measures

In the wake of the COVID-19 pandemic, states have been quick to adopt emergency measures aimed at curbing the spread of the virus. However, poorly constructed restrictions threaten to undermine hard won human rights protections and may in fact erode important elements of international human rights law as a result of overreaching implementation or lack of rigorous analysis in how the restrictions are put, and kept, in place. This article analyzes the International Convent on Civil and Political Rights (ICCPR) standards which apply to emergency regulation in times of public health crisis and the tangled morass of legal tests which have been used to balance human rights and emergency restrictions. We argue that in the current pandemic, human rights are best protected when states act under the Article 4 derogation mechanism to put emergency measures in place because it provides opportunities for oversight ensuring the end of emergency restrictions after the crisis subsides and provides certainty as to how states are justifying their emergency measures under the treaty regime. Given that so few states have provided notice of derogation under the ICCPR, this Article also considers what a rigorous analysis would look like when restricting freedom of movement, privacy, and freedom of assembly using the limitation language found in each article, suggesting best practices for better balancing COVID-19-related emergency measures with human rights.

scholarly journals Bayesian model infers drug repurposing candidates for treatment of COVID-19

2020 ◽  
Author(s):  
Michael A. Kiebish ◽  
Punit Shah ◽  
Rangaprasad Sarangarajan ◽  
Vivek K. Vishnudas ◽  
Stephane Gesta ◽  
...  
Keyword(s):  
Drug Repurposing ◽  
Enrichment Analysis ◽  
Chemical Compounds ◽  
Host Proteins ◽  
Topology Analysis ◽  
Health Crisis ◽  
Public Health Crisis ◽  
Global Pandemic ◽  
Data Output ◽  
Proteomic Dataset

Abstract Background The emergence of COVID-19 progressed into a global pandemic that has functionally put the world at a standstill and catapulted major healthcare systems into an overburdened state. The dire need for therapeutic strategies to mitigate and successfully treat COVID-19 is now a public health crisis with national security implications for many countries.Methods The current study employed Bayesian networks to a longitudinal proteomic dataset generated from Caco-2 cells transfected with SARS-CoV-2 (isolated from patients returning from Wuhan to Frankfurt) [1]. Two different approaches were employed to assess the Bayesian models, a titer-center topology analysis and a drug signature enrichment analysis.Results Topology analysis identified a set of proteins directly linked to the SAR-CoV2 titer, including ACE2, a SARS-CoV-2 binding receptor, MAOB and CHECK1. Aligning with the topology analysis, MAOB and CHECK1 were also identified within the enriched drug-signatures.Conclusions Taken together, the data output from this network has identified nodal host proteins that may be connected to 18 chemical compounds, some already marketed, which provides an immediate opportunity to rapidly triage these assets for safety and efficacy against COVID-19.

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