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Pandemics Science And Policy

Author: S. Abeysinghe
Publisher: Springer
ISBN: 1137467207
Size: 36.86 MB
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Pandemics, Science and Policy analyses the World Health Organisation's (WHO) management of the 2009 H1N1 Pandemic. Abeysinghe illustrates the ways in which the WHO's account was vulnerable to contestation, and ultimately how uncertain risks can affect policy and action on the global level.

1918 Die Welt Im Fieber

Author: Laura Spinney
Publisher: Carl Hanser Verlag GmbH Co KG
ISBN: 3446259589
Size: 19.66 MB
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Der Erste Weltkrieg geht zu Ende, und eine weitere Katastrophe fordert viele Millionen Tote: die Spanische Grippe. Binnen weniger Wochen erkrankt ein Drittel der Weltbevölkerung. Trotzdem sind die Auswirkungen auf Gesellschaft, Politik und Kultur weitgehend unbekannt. Ob in Europa, Asien oder Afrika, an vielen Orten brachte die Grippe die Machtverhältnisse ins Wanken, womöglich beeinflusste sie die Verhandlung des Versailler Vertrags und verursachte Modernisierungsbewegungen. Anhand von Schicksalen auf der ganzen Welt öffnet Laura Spinney das Panorama dieser Epoche. Sie füllt eine klaffende Lücke in der Geschichtsschreibung und erlaubt einen völlig neuen Blick auf das Schicksalsjahr 1918.

Citizen Engagement In Emergency Planning For A Flu Pandemic

Author: Disasters Roundtable
Publisher: National Academies Press
ISBN: 030910792X
Size: 58.27 MB
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Although human cases of avian influenza to date have been rare, there is growing concern that an influenza pandemic may arise from the mutation of avian influenza strains and subsequent transmission among humans. On October 23, 2006, the Disasters Roundtable of the National Academies in cooperation with the Board on Population Health and Public Health Practice of the Institute of Medicine (IOM) convened a workshop on Citizen Engagement in Emergency Planning for a Flu Pandemic to explore the roles and needs of the citizenry in pandemic influenza preparedness planning. Panelists stressed the importance of citizen engagement in all stages of pandemic preparation and response. Topics of discussion included national and local preparedness, citizen education and cooperation, the importance of communication, and possible pandemic scenarios which highlighted key issues of citizen involvement. This report is a summary of that discussion.

Avian Influenza

Author: Ian Scoones
Publisher: Earthscan
ISBN: 1849775044
Size: 47.95 MB
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Over the past decade, substantial resources have been spent on tackling avian influenza and building a global capacity for a pandemic response. The catastrophic costs of the 1918 influenza pandemic are well documented, and the swine flu pandemic of 2009-10 has raised the alarm yet again. Across the world, surveillance systems have been upgraded, stockpiles of antiviral drugs and influenza vaccines have been created, veterinary and public health systems have been improved and poultry production and marketing has been dramatically restructured. What are the lessons from this experience? And what does this suggest for the future? This book explores how virus genetics, ecology and epidemiology intersect with economic, political and policy processes in a variety of places - from Bangkok to Washington, to Jakarta, Cairo, Rome and London. It focuses on the interaction of the international and national responses - and in particular the experiences of Cambodia, Vietnam, Indonesia and Thailand. It asks how effective is the disease surveillance and response system - can it respond to a new pandemic threat? The comparative analysis reveals the challenges and limitations of a technocratic, centralised response, and the need to take seriously local contexts. Drawing from these experiences, the book concludes with a discussion of future prospects and challenges, examining in particular what a 'One World, One Health' approach - where approaches to animal, human and ecosystem health are integrated - would look like in practice.Published in association with the Economic and Social Research Council (ESRC)

Preventing Transmission Of Pandemic Influenza And Other Viral Respiratory Diseases

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309214297
Size: 20.98 MB
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In 2009, the H1N1 influenza pandemic brought to the forefront the many unknowns about the virulence, spread, and nature of the virus, as well as questions regarding personal protective equipment (PPE) for healthcare personnel. In this book, the Institute of Medicine assesses the progress of PPE research and identifies future directions for PPE for healthcare personnel.

Pandemics

Author: Peter C. Doherty
Publisher: Oxford University Press
ISBN: 0199986789
Size: 32.12 MB
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Pandemics. The word conjures up images of horrific diseases sweeping the globe and killing everyone in their path. But such highly lethal illnesses almost never create pandemics. The reality is deadly serious but far more subtle. In Pandemics: What Everyone Needs to Know?, Peter Doherty, who won the Nobel Prize for his work on how the immune system recognizes virus-infected cells, offers an essential guide to one of the truly life-or-death issues of our age. In concise, question-and-answer format, he explains the causes of pandemics, how they can be counteracted with vaccines and drugs, and how we can better prepare for them in the future. Doherty notes that the term "pandemic" refers not to a disease's severity but to its ability to spread rapidly over a wide geographical area. Extremely lethal pathogens are usually quickly identified and confined. Nevertheless, the rise of high-speed transportation networks and the globalization of trade and travel have radically accelerated the spread of diseases. A traveler from Africa arrived in New York in 1999 carrying the West Nile virus; one mosquito bite later, it was loose in the ecosystem. Doherty explains how the main threat of a pandemic comes from respiratory viruses, such as influenza and SARS, which disseminate with incredible speed through air travel. The climate disruptions of global warming, rising population density, and growing antibiotic resistance all complicate efforts to control pandemics. But Doherty stresses that pandemics can be fought effectively. Often simple health practices, especially in hospitals, can help enormously. And research into the animal reservoirs of pathogens, from SARS in bats to HIV in chimpanzees, show promise for our prevention efforts. Calm, clear, and authoritative, Peter Doherty's Pandemics is one of the most critically important additions to the What Everyone Needs to Know? series. What Everyone Needs to Know? is a registered trademark of Oxford University Press.

Preparing For An Influenza Pandemic

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309110467
Size: 51.94 MB
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During an influenza pandemic, healthcare workers will be on the front lines delivering care to patients and preventing further spread of the disease. As the nation prepares for pandemic influenza, multiple avenues for protecting the health of the public are being carefully considered, ranging from rapid development of appropriate vaccines to quarantine plans should the need arise for their implementation. One vital aspect of pandemic influenza planning is the use of personal protective equipment (PPE)-the respirators, gowns, gloves, face shields, eye protection, and other equipment that will be used by healthcare workers and others in their day-to-day patient care responsibilities. However, efforts to appropriately protect healthcare workers from illness or from infecting their families and their patients are greatly hindered by the paucity of data on the transmission of influenza and the challenges associated with training and equipping healthcare workers with effective personal protective equipment. Due to this lack of knowledge on influenza transmission, it is not possible at the present time to definitively inform healthcare workers about what PPE is critical and what level of protection this equipment will provide in a pandemic. The outbreaks of severe acute respiratory syndrome (SARS) in 2003 have underscored the importance of protecting healthcare workers from infectious agents. The surge capacity that will be required to reduce mortality from a pandemic cannot be met if healthcare workers are themselves ill or are absent due to concerns about PPE efficacy. The IOM committee determined that there is an urgent need to address the lack of preparedness regarding effective PPE for use in an influenza pandemic. Preparing for an Influenza Pandemic : Personal Protective Equipment for Healthcare Workers identifies that require expeditious research and policy action: (1) Influenza transmission research should become an immediate and short-term research priority so that effective prevention and control strategies can be developed and refined. The current paucity of knowledge significantly hinders prevention efforts. (2) Employer and employee commitment to worker safety and appropriate use of PPE should be strengthened. Healthcare facilities should establish and promote a culture of safety. (3) An integrated effort is needed to understand the PPE requirements of the worker and to develop and utilize innovative materials and technologies to create the next generation of PPE capable of meeting these needs.

Epidemics

Author: Sarah Dry
Publisher: Routledge
ISBN: 1136532218
Size: 16.30 MB
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Recent disease events such as SARS, H1N1 and avian influenza, and haemorrhagic fevers have focussed policy and public concern as never before on epidemics and so-called 'emerging infectious diseases'. Understanding and responding to these often unpredictable events have become major challenges for local, national and international bodies. All too often, responses can become restricted by implicit assumptions about who or what is to blame that may not capture the dynamics and uncertainties at play in the multi-scale interactions of people, animals and microbes. As a result, policies intended to forestall epidemics may fail, and may even further threaten health, livelihoods and human rights. The book takes a unique approach by focusing on how different policy-makers, scientists, and local populations construct alternative narratives-accounts of the causes and appropriate responses to outbreaks- about epidemics at the global, national and local level. The contrast between emergency-oriented, top-down responses to what are perceived as potentially global outbreaks and longer-term approaches to diseases, such as AIDS, which may now be considered endemic, is highlighted. Case studies-on avian influenza, SARS, obesity, H1N1 influenza, HIV/AIDS, tuberculosis, and haemorrhagic fevers-cover a broad historical, geographical and biological range. As this book explores, it is often the most vulnerable members of a population-the poor, the social excluded and the already ill-who are likely to suffer most from epidemic diseases. At the same time, they may be less likely to benefit from responses that may be designed from a global perspective that neglects social, ecological and political conditions on the ground. This book aims to bring the focus back to these marginal populations to reveal the often unintended consequences of current policy responses to epidemics. Important implications emerge - for how epidemics are thought about and represented; for how surveillance and response is designed; and for whose knowledge and perspectives should be included. Published in association with the Economic and Social Research Council (ESRC)

The Aids Pandemic

Author: Lawrence O. Gostin
Publisher: Univ of North Carolina Press
ISBN: 080787583X
Size: 17.95 MB
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In this collection of essays, Lawrence O. Gostin, an internationally recognized scholar of AIDS law and policy, confronts the most pressing and controversial issues surrounding AIDS in America and around the world. He shows how HIV/AIDS affects the entire population--infected and uninfected--by influencing our social norms, our economy, and our country's role as a world leader. Now in the third decade of this pandemic, the nation and the world still fail to respond to the needs of persons living with HIV/AIDS and continue to tolerate injustice in their treatment, Gostin argues. AIDS, both in the United States and globally, deeply affects poor and marginalized populations, and many U.S. policies are based on conservative moral values rather than public health and social justice concerns. Gostin tackles the hard social, legal, political, and ethical issues of the HIV/AIDS pandemic: privacy and discrimination, travel and immigration, clinical trials and drug pricing, exclusion of HIV-infected health care workers, testing and treatment of pregnant women and infants, and needle-exchange programs. This book provides an inside account of AIDS policy debates together with incisive commentary. It is indispensable reading for advocates, scholars, health professionals, lawyers, and the concerned public.

Reusability Of Facemasks During An Influenza Pandemic

Author: Institute of Medicine
Publisher: National Academies Press
ISBN: 0309101824
Size: 50.56 MB
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Any strategy to cope with an influenza pandemic must be based on the knowledge and tools that are available at the time an epidemic may occur. In the near term, when we lack an adequate supply of vaccine and antiviral medication, strategies that rely on social distancing and physical barriers will be relatively more prominent as means to prevent spread of disease. The use of respirators and facemasks is one key part of a larger strategy to establish barriers and increase distance between infected and uninfected individuals. Respirators and facemasks may have a role in both clinical care and community settings. Reusability of Facemasks During an Influenza Pandemic: Facing the Flu answers a specific question about the role of respirators and facemasks to reduce the spread of flu: Can respirators and facemasks that are designed to be disposable be reused safely and effectively? The committee-assisted by outstanding staff-worked intensively to review the pertinent literature; consult with manufacturers, researchers, and medical specialists; and apply their expert judgment. This report offers findings and recommendations based on the evidence, pointing to actions that are appropriate now and to lines of research that can better inform future decisions.