It runs in the family: parental influence on adolescents’ compliance with social distancing measures during Covid-19 lockdowns

Compliance with public health measures of adolescents who are often unfairly portrayed as spreaders of the Coronavirus is essential for controlling the pandemic. But does adolescents’ compliance develop independently from their parents? Using nationally representative longitudinal data and cross-lagged Structural Equation Panel Models I study compliance with social distancing measures of 6,754 triplets that comprise the adolescent child (age 19), their mother, and father during two national lockdowns in the UK. Results show that adolescents have the lowest and their mothers have the highest levels of compliance, and compliance generally drops over time. Moreover, parents, particularly mothers have significant influence on their adolescent child’s compliance. The child also has, albeit smaller effects on their parents’ compliance. Parental influence on adolescents’ compliance documented here thus redistributes some of the responsibility off adolescents towards all generations and calls for public health policies and campaigns that consider these family dynamics.

‘Health in All Policies’ and the Urge for Coordination: The Work of Public Health Coordinators and Their Impact and Influence in Local Public Health Policies: A Cross-Sectional Study

Building heavily on the Health in All Policies (HiAP) approach, Norway implemented the Public Health Act in 2012 to reduce social inequalities in health. Local public health coordinators (PHCs) at municipal levels were seen as tools to provide local intersectoral public health work. In this study, we examine factors related to intersectoral agency and if intersectoral work is understood as relevant to securing social justice in local policy outcomes. A national web-based survey in 2019 of all Norwegian PHCs (n = 428) was conducted with a response rate of 60%. Data were analysed through multiple linear regression, hierarchical regression modelling and structural equation modelling. Neither factors relating to community contexts nor individual characteristics were associated with intersectoral agency. Organisational factors, especially position size, being organised at the top level and having a job description, were significantly associated with perceptions of intersectoral agency. PHCs seeing themselves as intersectoral agents also found themselves able to affect annual budgets and policy outcomes. We conclude that municipal PHC positions can be important HiAP tools in local public health policies. However, organisational factors affect how PHCs perceive their influence and role in the municipal organisation and thereby their possibilities to influence local policymaking through intersectoral agency.

Let's End HepC: Modelling Public Health Epidemiological Policies Applied to Hepatitis C in Spain

Background: The WHO has defined international targets toward the elimination of hepatitis C by 2030. Most countries cannot be on track to achieve this goal unless many challenges are surpassed. The Let's End HepC (LEHC) tool aims to contribute to the control of hepatitis C. The innovation of this tool combines the modelling of public health policies (PHP) focused on hepatitis C with epidemiological modelling of the disease, obtaining a unique result that allows to forecast the impact of policy outcomes. The model was applied to several countries, including Spain.Methods: To address the stated objective, we applied the “Adaptive Conjoint Analysis” for PHP decision-making and Markov Chains in the LEHC modelling tool. The tool also aims to be used as an element of health literacy for patient advocacy through gamification mechanisms and country comparability. The LEHC project has been conducted in several countries, including Spain. The population segments comprised in the project are: People Who Inject Drugs (PWID), prisoners, blood products, remnant population.Results: A total of 24 PHP related to hepatitis C were included in the LEHC project. It was identified that Spain had fully implemented 14 of those policies to control hepatitis C. According to LEHC's model forecast, the WHO's Hepatitis C elimination goal on reducing the number of patients living with Hepatitis C to 10% can be achieved in Spain by 2026 if current policies are maintained. The model estimates that the total population in Spain, by 2026, is expected to comprise 26,367 individuals living with hepatitis C. Moreover, if the 24 PHP considered for this study are fully implemented in Spain, the elimination goal may be achieved in 2024, with 29,615 individuals living with hepatitis C by that year.Conclusion: The findings corroborate the view that Spain has set great efforts in directing PHP toward Hepatitis C Virus (HCV) elimination by 2030. However, there is still room for improvement, namely in further implementing 10 of the 24 PHP considered for the LEHC project. By maintaining the 14 PHP in force, the LEHC model estimates the HCV elimination in the country by 2026, and by 2024 if further measures are employed to control the disease.

Contributions of the History and Philosophy of Science and Methodology of Problematization to the Public Health Policies teaching and their connection with the Environment

This paper aims to report and analyze a pedagogical practice developed for Public Health Policies teaching in a course held at the Federal University of Lavras, in the first semester of 2018. For the development of this paper, a class was created and taught in a Public Health Policies teaching course based on the History and Philosophy of Science and Problem-solving Methodology, seeking to understand how these pedagogical strategies contribute to the teaching of this theme and its connection with the environment. At the end of the class, students were asked to evaluate the practice, pointing out the strengths and points to be improved. These feedbacks were organized and analyzed qualitatively through the Content Analysis and, later, were discussed. The results of the analyzes indicate that Environmental Education cannot be conservative of social conditions, but rather present the connection between man and nature, highlighting the link between the exploration of nature and the production of goods. In addition, the History and Philosophy of Science, starting with questions about the reality of students, can enhance the teaching-learning process, since it can avoid fragmentation of knowledge, allowing an approximation of students to scientific knowledge and its social use.

Has Omicron Changed the Evolution of the Pandemic? (Preprint)

BACKGROUND Variants of the SARS-CoV-2 virus carry differential risks to public health. The Omicron (B.1.1.529) variant, first identified in Botswana on November 11, 2021, has spread globally faster than any previous variant of concern. Understanding the transmissibility of Omicron is vital in the development of public health policy. OBJECTIVE To compare SARS-CoV-2 outbreaks driven by Omicron to those driven by prior variants of concern in terms of both the speed and magnitude of an outbreak. METHODS We analyzed trends in outbreaks by variant of concern with validated surveillance metrics in several southern African countries. The region offers an ideal setting for observational studies given that most outbreaks thus far have been driven primarily by a single variant at a time. To control for differences in total vaccinations and prior infections during different outbreaks, we estimated dynamic panel regressions to assess whether Omicron has a different trajectory. RESULTS The observed Omicron outbreaks in this study reach the outbreak threshold within 5-10 days after first detection, whereas other variants of concern have taken at least 14 days and up to as many as 35 days. The Omicron outbreaks also reach peak rates of new cases that are roughly double those of prior variants of concern. Dynamic panel regression estimates confirm Omicron has created a statistically significant shift in viral spread. CONCLUSIONS The transmissibility of Omicron is markedly higher than prior variants of concern. At the population level, the Omicron outbreaks occurred more quickly and with larger magnitude, despite substantial increases in vaccinations and prior infections, which should have otherwise reduced susceptibility to new infections. Unless public health policies are substantially altered, Omicron outbreaks in other countries are likely to occur with little warning. CLINICALTRIAL NA

Rapid Serological Testing for Managing the COVID-19 Pandemic: A Review

With the onset of the novel coronavirus disease pandemic (COVID-19) that emerged from Wuhan in China, the need of the hour can be summarized into two groups. The first one is a potent vaccine as a prophylactic measure to prevent the virus from infecting people, and the second is a rapid diagnosis of the disease to help healthcare professionals and government authorities to plan and control the spread and provide effective care and treatment. This review delves into the latter, describing the COVID-19 and its treatment, including the race for an effective vaccine, and highlighting the role of serological testing in managing the pandemic since a well-designed study to understand mechanisms and serological correlations of protective immunity is crucial for rational clinical and public health policies. In conclusion, swift vaccination and response tactics, such as social distancing, hand hygiene, wearing of masks, and, if required, lockdown practices continue to be important in managing the pandemic while carefully monitoring any possible outbreak due to the variants.

China's Public Health Policies in Response to COVID-19: From an “Authoritarian” Perspective

Background: China is generally regarded internationally as an “authoritarian” state. Traditional definitions have assigned many negative connotations surrounding the term of authoritarian. We realize that it might not be considered value-neutral in other countries. But authoritarian in the Chinese context emphasizes more on centralized decision making, collectivism, coordinating all activities of the nation, and public support, which is considered a value-neutral term. Therefore, it is adopted in this paper. We would like to clarify this. Authoritarian governance is considered an important mechanism for developing China's economy and solving social problems. The COVID-19 crisis is no exception. Most of the current research on crisis management and government crises focuses on advanced, democratic countries. However, the consequences of crisis management by authoritarian governments have not been fully appreciated. Although prior research has addressed authoritarian initiatives to manage crises in China, authoritarian interventions have rarely been theorized in public health emergencies.Methods: Based on a literature review and theoretical analysis, we use a descriptive and qualitative approach to assess public health policies and mechanisms from an authoritarian perspective in China. In light of the key events and intervention measures of China's government in response to COVID-19, the strategic practices of the Communist Party of China (CPC) to construct, embody, or set political goals through authoritarian intervention in public health crisis management are discussed.Results: China's government responded to the COVID-19 pandemic with a comprehensive authoritarian intervention, notably by establishing a top-down leadership mechanism, implementing a resolute lockdown, rapidly establishing square cabin hospitals, enhancing cooperation between different government departments, mobilizing a wide range of volunteer resources, enforcing the use of health codes, imposing mandatory quarantine on those returning from abroad, and implementing city-wide nucleic acid testing. These measures ensured that China was able to contain the outbreak quickly and reflect on the unique role of the Chinese authoritarian system in responding to public health crises.Conclusions: Our paper contributes to expanding the existing understanding of the relationship between crisis management and authoritarian system. China's response to COVID-19 exemplifies the unique strengths of authoritarian institutions in public health crisis management, which is a helpful and practical tool to further enhance the CPC's political legitimacy. As a socialist model of crisis management with Chinese characteristics, it may offer desirable experiences and lessons for other countries still ravaged by the epidemic.

Teledescante nº1: polyphony in time of plague

This report contemplates an instrumental composition as a project for audiovisual production in social isolation, during the Covid-19 pandemic. Based on the problematization of the impact of the pandemic in music making, solutions were sought that were not only viable as an artistic result but that could also be projected in a purposeful and prospective way in times of humanitarian crisis, of dismal symmetry between capitalist neoliberalism and programmed neglect in public health policies. After a description of the research on the use of art in past pandemics as a guiding principle in the choice of materials, the audiovisual production is detailed. The piece was written in April 2020 as a result of the analysis of a Renaissance motet, which, in turn, was conceived as a tribute to a composer who had perished from the plague and as a palliative against the disease.

National Narcissism predicts the Belief in and the Dissemination of Conspiracy Theories During the COVID-19 Pandemic: Evidence From 56 Countries

Conspiracy theories related to coronavirus disease 2019 (COVID-19) have propagated around the globe, leading the World Health Organization to declare the spread of misinformation an “Infodemic.” We tested the hypothesis that national narcissism—a belief in the greatness of one’s nation that requires external recognition—is associated with the spread of conspiracy theories during the COVID-19 pandemic. In two large-scale national surveys ( NTotal = 950) conducted in the United States and the United Kingdom, and secondary analysis of data from 56 countries ( N = 50,757), we found a robust, positive relationship between national narcissism and proneness to believe and disseminate conspiracy theories related to COVID-19. Furthermore, belief in COVID-19 conspiracy theories was related to less engagement in health behaviors and less support for public-health policies to combat COVID-19. Our findings illustrate the importance of social identity factors in the spread of conspiracy theories and provide insights into the psychological processes underlying the COVID-19 pandemic.

Ticks (Acari: Ixodidae) in wild animals treated at the Federal University of Lavras, Minas Gerais State, Brazil

Ticks have a great diversity of hosts, many of which are still being discovered. These parasites may be responsible for the transmission of several pathogens to animals and humans. For this reason, knowledge on tick species and their hosts is essential for planning actions in public health and fauna conservation. From February 2018 to July 2019, ticks found in animals treated at the Wild Animal Clinic of the Federal University of Lavras (UFLA) were surveyed. Animals came from nine municipalities at the southern region of Minas Gerais State, all close to the municipality of Lavras. During veterinary procedures the animals were inspected, and tick specimens were removed from the hosts’ skins with the help of tweezers, and posteriorly identified. One hundred and three specimens of ticks were removed from the hosts and allocated in five species of Amblyomma Koch, 1844 (Ixodidae) [A. nodosum (Neumann, 1899), A. sculptum Berlese, 1888, A. aureolatum (Pallas, 1772), A. calcaratum Neumann, 1899, and A. ovale (Koch, 1844)] and one of Rhipicephalus Latreille, 1806 [R. (Boophilus) microplus (Canestrini, 1888)]. Ticks were collected from: Cariama cristata (Linnaeus, 1766) (Cariamidae); Cerdocyon thous Linnaeus, 1766 and Chrysocyon brachyurus Illiger,1815 (Canidae); Leopardus pardalis Linnaeus, 1758 (Felidae); Mazama gouazoubira Fischer, 1814 (Cervidae); Myrmecophaga tridactyla Linnaeus, 1758 (Myrmecophagidae); Sphiggurus villosus (F. Cuvier, 1823) (Erethizontidae). In this study no new parasite-host relationships were found, however, wild animals can be vectors of important diseases, and monitoring the occurrence of ectoparasites in wildlife is a significant step in public health policies.