scholarly journals Flying with Covid: The visual presence of the pandemic in airports

2021 ◽  
Vol 7 (2) ◽  
Author(s):  
Paride Bollettin

Since the beginning of 2020, with the eclosion of the Covid-19 pandemic, airports have been included among the main hotspots for the diffusion of the disease. Several limitations affected the possibility for people to travel, with diverse approaches between the countries, and with differences among who was authorized to travel and who was not. This caused a contraction on the number of passengers transiting in the airports in all the countries. However the commercial international aviation has never stopped, and despite the reduction of passengers the airports managed to implement health security protocols for the Covid-19 diffusion control. Before the pandemic, other challenges already affected airports’ security protocols, such as the “terrorist threat”, making of these places “nervous systems” (as defined by Maguire and Pétercsak). After one year and half from the beginning of the pandemic, with the vaccination campaigns accelerating in various countries (with the clear differences due to governments’ political choices and countries’ access to vaccines) the air travels have returned to a condition similar to previous one. An increasing number of planes flying and an increasing number of passengers can be registered everywhere. Meanwhile, the sanitary attention to the Covid-19 diffusion contention continues to be a concern in the space organization of airports.This ethnographic photoessay aims at describing the visual presence of the Covid in the airports. The work focuses on four airports in three countries the author passed through in June 2021. They are the airports of Salvador da Bahia (Brazil), Lisbon (Portugal), Rome and Venice (Italy). Despite the differences between the countries in the approached adopted to contain the diffusion of the pandemic, airports are subjected to standardized international protocols. These are intended to (re)produce similar safety measures in the diverse airports. Meanwhile, airports are designed not to be identitarian, historical and relational, but yes to be experienced as “non places” (as Augé defined these places). However, each airport introduces several dimensions of its specific location, of its specific local health politics, of its specific passengers’ flow, and so on, making of them a peculiar place to observe the space design for Covid diffusion control. Despite the definition of the Covid as an “invisible enemy”, used in general media in diverse countries, the thesis is that the presence of the virus is highly visible to everyone passing in some airport, independently from the specific country. Meanwhile, the diverse airports introduce their own local and specific visual modalities to achieve passengers. Pictures included in this ethnographic photoessay focus on some of these modalities, such as the hand gel dispensers, instructions and prohibitions for preventing Covid dissemination, among other. Covid’s aesthetics in airports highlights how the pandemic affected people visual and sensorial experiences of these places and of their designs.

2005 ◽  
Author(s):  
◽  
Peeranuch Jantarakupt

[ACCESS RESTRICTED TO THE UNIVERSITY OF MISSOURI AT AUTHOR'S REQUEST.] The purpose of this phenomenological study was to describe the experience of middle-aged men who were managing symptoms of COPD. A longitudinal design with non-probability sampling was used. Participants were recruited through local health-care agencies. Data were obtained through three in-depth interviews with each of 8 men, aged 45 to 65 years, who lived with one or more family members and had been diagnosed with moderate (Stage II) COPD for at least one year. Interviews were tape-recorded and transcribed. Data pertaining to the participants' perceptions, actions, and intentions were analyzed using Porter's descriptive phenomenological method. Three-level taxonomies were created to describe the personal-social context of the experience (element, descriptor, and feature) and the experience (intention, component phenomenon, and phenomenon). The three contextual features were: (a) living with my physical limitations, (b) having a hard time breathing, and (d) living with a slow progressive disease. The three phenomena were: (a) adjusting to my limits in life, (b) dealing with my breathing problems, and (c) keeping my life stable with COPD. Findings led to new insights about how middle-aged men experience symptoms of COPD and develop skills to manage symptoms. Findings suggested new self-management interventions for pulmonary rehabilitation and for nursing.


2020 ◽  
Vol 5 (6) ◽  
pp. e002606 ◽  
Author(s):  
Matthew R Boyce ◽  
Rebecca Katz

Urbanisation will be one of the defining demographic trends of the 21st century—creating unique opportunities for sustainable capacity development, as well as substantial risks and challenges for managing public health and health emergencies. Plans and policies for responding to public health emergencies are generally framed at higher levels of governance, but developing, improving and sustaining the capacities necessary for implementing these policies is a direct function of local-level authorities. Evaluating local-level public health capacities is an important process for identifying strengths and weaknesses that can impact the preparedness for, detection of and response to health security threats. However, while various evaluations and assessments exist for evaluating capacities at other levels, currently, there are no readily available health security assessments for the local-level. In this paper, we describe a tool—the Rapid Urban Health Security Assessment (RUHSA) Tool—that is based on a variety of other relevant assessments and guidance documents. Assessing capacities allow for local-level authorities to identify the strengths and weaknesses of their local health security systems, create multiyear action plans and prioritise opportunities for improving capacities, effectively engage with development partners to target resources effectively and develop compelling narratives and a legacy of leadership. While the RUHSA Tool was not designed to be used in the midst of a public health emergency, such as the ongoing COVID-19 pandemic, it may also be adapted to inform a checklist for prioritising what capacities and activities a city needs to rapidly develop or to help focus requests for assistance.


2017 ◽  
Vol 66 (2) ◽  
pp. 273-285 ◽  
Author(s):  
Hiranthi Jayaweera

The focus of this article is on post-migration entitlement and access to health security of women international migrants in England who are in vulnerable circumstances. Here ‘health security’ is defined as the protection of health within a broader public health context. The aim is to understand the factors underlying migrants’ vulnerabilities and how national and local health policies and practices respond in allowing or denying them rights to healthcare, thus impacting their ability to safeguard their health. This article is predominantly concerned with experiences of access to healthcare of categories of migrant women who may be in vulnerable situations including asylum seekers, refugees, refused asylum seekers or other undocumented migrant women, women with no recourse to public funds who are supported by local authorities, trafficked women, Roma women, women with limited fluency in English, and migrants from the European Union (EU) with no health insurance card. By examining empirical evidence of such women’s experiences of entitlement and access to healthcare we are able to gain theoretical insight into the relationship between migration, gender and human (health) security.


2020 ◽  
Author(s):  
Delphin Kolie ◽  
Remco Van De Pas ◽  
Alexandre Delamou ◽  
Nafissatou Dioubaté ◽  
Foromo Timothée Beavogui ◽  
...  

Abstract IntroductionHealth workforce reform was undertaken in Guinea in 2016 following the Ebola outbreak to overcome the decades-long shortage and maldistribution of HCWs. This study aims to assess the effects of this programme on local health systems and its influence on HCWs turnover in rural Guinea. MethodsAn exploratory study design using a mixed-method approach was conducted in five rural health districts. Data were collected through a semi-structured questionnaire, in-depth interviews guides and documentary review. ResultsOut of the 611 HCWs officially deployed in the selected districts, 600 (98%) took-up duties. Female HCWs (64%), assistant nurses (39%), nurses (26%) and medical doctors (20%) represented the majority. Findings showed that 69% of HCWs were posted in health centres; the majority of which were medical doctors, nurses and midwives. The deployment has reportedly enhanced quality and timely data reporting. However, challenges were faced by local health authorities in the posting of HCWs including the unfamiliarity of some with primary healthcare delivery, collaboration conflicts between HCWs and the high feminization of the recruitment. One year after their deployment, 31% of the HCWs were absent from their posts. This included 59% of nurses, 29% of medical doctors and 11% of midwives. Main reasons for absenteeism were unknown (51%), continuing training (12%), illness (10%) and maternity leave (9%). Finding showed a confusion of roles and responsibilities between national and local actors in the management of HCWs; which was accentuated by lack of policy documents. ConclusionThe post-Ebola healthcare workers policy appears to have been successfully positive in the redistribution of HCWs, quality improvement of staffing levels in peripheral healthcare facilities, and the enhancing of district health offices capacities. However, greater attention should be given to the development of policy guidance documents with the full participation of all actors and a clear distinction of their roles and responsibilities for improved implementation and efficacy of this programme.


Author(s):  
Matthew Sparke

This chapter examines how the politics of global health have been shaped by globalisation. This means evaluating its effects on both the material level of political-economic integration and on the ideational level of political-cultural discourse. The former is conventionally tied through a focus on trade and travel to global public health security, and the latter is often associated with global humanitarian care. Going beyond this dualistic divide, however, this chapter argues that globalisation has spun a connective thread running through both regimes. This connective thread is the pro-market neo-liberal governance that sutures globalisation’s integrative and ideational dynamics with powerful binding implications for health. Due to these ties that bind, processes of neo-liberalisation deeply influence global health, creating global health vulnerabilities and problems through structural violence while also shaping and steering the delivery of global health responses. Global health governance remains influenced by other international and postcolonial health regimes that continue to inspire alternatives to the global expansion of neo-liberal norms. However, the same market forces that have made globalisation a synonym for processes of neo-liberalisation have also now become the dominant transnational influence shaping the ‘global’ in global health politics.


2020 ◽  
Vol 8 (3) ◽  
pp. 208
Author(s):  
Mugi Wahidin ◽  
Fiona Kong ◽  
Hadi Safaat

Background: Pandeglang, a district in Banten province, Indonesia, was the worst affected area of the Sunda Strait tsunami which occurred on 22nd December, 2018. Aside from threats of communicable disease outbreaks, the district faced the challenges of managing non-communicable diseases (NCD) in the community. Purpose: The aim of the study is to describe the post tsunami impact on cases of hypertension and diabetes mellitus and the expected one-year projections of these diseases in the district of Pandeglang, Banten. Methods: In January 2019, we collected primary data from Pandeglang District Health Office (DHO) and 15 Public Health Centres (PHCs) that were heavily affected by the tsunami. Surveillance officers were also interviewed for their subjective opinions on disease projections in both the DHO and PHCs. Aggregated data of cases presenting to the PHCs for assistance were analysed in relation to the post tsunami period. The diseases of interest included hypertension and diabetes mellitus. Results: Reported cases of hypertension and diabetes mellitus increased a few days after the tsunami. For hypertension, the cases spiked on the 5th and 8th days, but for diabetes mellitus the spike came much later. Average cases of hypertension and diabetes mellitus per PHC were 62 and 3, respectively. At district and PHC level, hypertension and diabetes mellitus were considered as minor contributing factors to the morbidity and mortality in the affected communities. The projection of these diseases was optimistic after the first month. Conclusion: It can be concluded that the volume of cases with hypertension and diabetes in the district of Pandeglang tended to be in the first few weeks post tsunami These diseases are projected to lessen in the second month after the disaster due to the recovery of local health services.  


Author(s):  
Amy Patterson ◽  
Mary A. Clark

Political scientists bring important tools to the analysis of the coronavirus disease 2019 (COVID-19) pandemic, particularly a focus on the crucial role of power in global health politics. We delineate different kinds of power at play during the COVID-19 crisis, showing how a dearth of compulsory, institutional, and epistemic power undermined global cooperation and fueled the pandemic, with its significant loss to human life and huge economic toll. Through the pandemic response, productive and structural power became apparent, as issue frames stressing security and then preserving livelihoods overwhelmed public health and human rights considerations. Structural power rooted in economic inequalities between and within countries conditioned responses and shaped vulnerabilities, as the crisis threatened to deepen power imbalances along multiple lines. Calls for global health security will surely take on a new urgency in the aftermath of the pandemic and the forms of power delineated here will shape their outcome.


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