Pandemic-Inspired Strategies for Cross-Sector Collaboration on Food Equity Across the Lifespan

Early during the pandemic, access to food by residents across the lifespan was problematic in many communities. We observed well-intentioned responses by community organizations but a lack of centralized coordination across sectors, even as donations and resources significantly increased. Most of the organizations were in various sectors and not aware of the efforts and capabilities of others causing duplication or gaps in services. To prepare for future emergencies, our team created a project to develop and pilot a user-friendly, evidence-based roadmap to guide communities through the process of developing and sustaining effective collaborative partnerships for food and nutrition-related problems they could address together. We will describe the process through which we developed the roadmap structure and recruited stakeholders and content experts for our advisory board. To determine the effectiveness of our interventions, we designed methods with which we can analyze the organizations willing to use the roadmap and participate in the collaborative partnership; how they implement the roadmap; and ways they cope with challenges they face during implementation using strategies in the roadmap. We will describe elements of an effective, efficient roadmap development process using as many currently available evidence-based resources as possible and creating evidence-informed resources when we identify gaps. Expected outcomes are: 1) format of the final roadmap; 2) types of groups willing to use it; 3) how well the roadmap was implemented; 4) feasibility of continued use of the roadmap by groups over the long term; and 5) potential to expand roadmap use to other communities.

Facilitating Access to Cross-Border Supplies of Patented Pharmaceuticals: The Case of the COVID-19 Pandemic

ABSTRACT The COVID-19 pandemic has brought into stark relief the gaps in global preparedness to address widespread outbreaks of deadly viral infections. This article proposes legal mechanisms for addressing critical issues facing the international community in terms of providing equitable access to vaccines, treatments, diagnostics, and medical equipment. On the supply side, the authors propose the establishment of mandatory patent pools (‘Licensing Facilities’) on a global or regional, or even national basis, depending upon the degree of cooperation that may be achieved. The authors also discuss the importance of creating shared production facilities. On the demand side, the authors propose the establishment of Regional Pharmaceutical Supply Centers (RPSCs) for the collective procurement of products, and the need to coordinate the issuance of necessary compulsory licenses for production and/or importation, depending on relevant circumstances. The authors envisage that centralized coordination by RPSCs should assist in overcoming difficulties individual countries may encounter in addressing administrative and technical issues in procuring supplies, as well as creating improved bargaining leverage with potential suppliers. The authors finally address the problem created by the decision of various high-income countries to ‘opt out’ as eligible importing countries under the World Trade Organization TRIPS Agreement Article 31bis amendment that addresses the predominant export of pharmaceutical products under compulsory licenses.

From Uncoordinated Patchworks to a Coordinated System: MERS-CoV to COVID-19 in Korea

South Korea has experienced two national public health crises during this decade. The 2015 Middle East respiratory syndrome-coronavirus (MERS-CoV) response’s failure to address coordination problems or authority conflicts provided an opportunity to revise its national disease control system before the 2020 coronavirus disease 2019 (COVID-19) crisis. Our reflection on Korea’s MERS-CoV and COVID-19 responses provides a perspective on public health emergency management. It is difficult to project the scale of an emerging infectious disease in advance because of its contagious nature and ability to cross geographic boundaries. In a national epidemic or global pandemic, a centralized coordination effort at the national level is desirable, rather than fragmented local, city, or regional efforts.

“Peer-to-Peer Plus” Electricity Transaction within Community of Active Energy Agents Regarding Distribution Network Constraints

This paper proposes the concept “active energy agent (AEA)” to characterize the autonomous and interactive entities of power system. The future distribution network is a peer-to-peer (P2P) community based on numbers of AEAs. A two-stage “P2P Plus” mechanism is developed to address the electricity transaction within AEA community. In the first “P2P” stage, electricity is directly traded among AEAs via P2P price bidding. The model of P2P transaction is established, and the method of multi-dimensional willingness is adopted in price bidding. In the second “Plus” stage, the centralized coordination by distribution company (DisCo) is formulated as a constrained optimization problem, in which the objective is to maximize profit and the constraints are the basic rights of AEAs and line ratings of distribution network. A 30-bus test system including 29 AEAs and main grid is investigated. Numeric simulation results verify the effectiveness of the proposed models and methods regarding flow constraint. Comparative study reveals the economic motivations of AEAs to participate in P2P transaction, the efficiency of combined search, and the benefit of DisCo from pricing control.

Medical assistance in dying for cancer patients one year after legalization: a collaborative approach at a comprehensive cancer centre

Medical assistance in dying (maid) is a new medical service in Canada. Access to maid for patients with advanced cancer can be daunting during periods of declining health near the end of life. In this report, we describe a collaborative approach between the centralized coordination service and a regional cancer centre as an effective strategy for enabling interdisciplinary care delivery and enhancing patient-centred care at the end of the patient’s cancer journey.