Global Epidemics Local Implications

How fear and stigma affected the lives of African immigrants during the global Ebola epidemic—and the resilient ways in which immigrant communities responded. In December 2013, a series of Ebola infections in Meliandou, Guinea, set off a chain of events culminating in the world's largest Ebola epidemic. Concerns about the virus in the United States reached a peak when Thomas Duncan, a Liberian national visiting family in Dallas, became the first person to be diagnosed with Ebola and die of the disease on US soil. In Global Epidemics, Local Implications, Kevin J. A. Thomas highlights the complex ways in which disease outbreaks that begin in one part of the world affect the lives of immigrants in another. Drawing on information from a community survey, participant observations, government documents, and newspapers, Thomas examines how African immigrants were negatively affected by public backlash and their agency and resilience in responding to the consequences of epidemic. Ultimately, this book shows how these responses underscore the importance of immigrant resources for developing public health interventions.

A quarter of a century into the HIV pandemic, this multi-country comparative book demonstrates how the response to a common, global threat is shaped by the history, culture, institutions and health systems of individual nations.

The emergence of severe acute respiratory syndrome (SARS) in late 2002 and 2003 challenged the global public health community to confront a novel epidemic that spread rapidly from its origins in southern China until it had reached more than 25 other countries within a matter of months. In addition to the number of patients infected with the SARS virus, the disease had profound economic and political repercussions in many of the affected regions. Recent reports of isolated new SARS cases and a fear that the disease could reemerge and spread have put public health officials on high alert for any indications of possible new outbreaks. This report examines the response to SARS by public health systems in individual countries, the biology of the SARS coronavirus and related coronaviruses in animals, the economic and political fallout of the SARS epidemic, quarantine law and other public health measures that apply to combating infectious diseases, and the role of international organizations and scientific cooperation in halting the spread of SARS. The report provides an illuminating survey of findings from the epidemic, along with an assessment of what might be needed in order to contain any future outbreaks of SARS or other emerging infections.

As the culminating volume in the DCP3 series, volume 9 will provide an overview of DCP3 findings and methods, a summary of messages and substantive lessons to be taken from DCP3, and a further discussion of cross-cutting and synthesizing topics across the first eight volumes. The introductory chapters (1-3) in this volume take as their starting point the elements of the Essential Packages presented in the overview chapters of each volume. First, the chapter on intersectoral policy priorities for health includes fiscal and intersectoral policies and assembles a subset of the population policies and applies strict criteria for a low-income setting in order to propose a "highest-priority" essential package. Second, the chapter on packages of care and delivery platforms for universal health coverage (UHC) includes health sector interventions, primarily clinical and public health services, and uses the same approach to propose a highest priority package of interventions and policies that meet similar criteria, provides cost estimates, and describes a pathway to UHC.

The most recent Ebola epidemic that began in late 2013 alerted the entire world to the gaps in infectious disease emergency preparedness and response. The regional outbreak that progressed to a significant public health emergency of international concern (PHEIC) in a matter of months killed 11,310 and infected more than 28,616. While this outbreak bears some unique distinctions to past outbreaks, many characteristics remain the same and contributed to tragic loss of human life and unnecessary expenditure of capital: insufficient knowledge of the disease, its reservoirs, and its transmission; delayed prevention efforts and treatment; poor control of the disease in hospital settings; and inadequate community and international responses. Recognizing the opportunity to learn from the countless lessons of this epidemic, the National Academies of Sciences, Engineering, and Medicine convened a workshop in March 2015 to discuss the challenges to successful outbreak responses at the scientific, clinical, and global health levels. Workshop participants explored the epidemic from multiple perspectives, identified important questions about Ebola that remained unanswered, and sought to apply this understanding to the broad challenges posed by Ebola and other emerging pathogens, to prevent the international community from being taken by surprise once again in the face of these threats. This publication summarizes the presentations and discussions from the workshop.

Barefoot Global Health Diplomacy: Field Experiences in International Relations, Security, and Public Health Epidemics fills real-world gaps in training for those destined to work on health and health systems in challenging, resource-deprived environments. Key topics include global health programs and individual adaptability for developing country settings, the interface between different actors in the global health diplomacy realm (e.g. ambassadors, embassies and the military), the ethical and economic implications of global health diplomacy at the service delivery level, the definition and illustration of the ‘smart global health’ paradigm, and the essential elements for individuals and organizations to design and deliver advances in international relations and altruism. This book provides an accessible, practical resource on advanced aspects of global health program design and delivery for global health practitioners and other international staff working on public health initiatives and programs in developing countries. Offers an innovative, accessible field guide for global health workers in diplomatic aspects of their work Provides helpful insight on how to resolve ethical dilemmas in global health (e.g. resource allocation decisions) Maintains a high level of focus on advanced aspects of global health program design and delivery

"The presence, or absence, of neglected tropical diseases (NTDs) can be seen as a proxy for poverty and for the success of interventions aimed at reducing poverty. Today, coverage of the public-health interventions recommended by the World Health Organization (WHO) against NTDs may be interpreted as a proxy for universal health coverage and shared prosperity - in short, a proxy for coverage against neglect. As the world's focus shifts from development to sustainable development, from poverty eradication to shared prosperity, and from disease-specific goals to universal health coverage, control of NTDs will assume an important role towards the target of achieving universal health coverage, including individual financial risk protection. Success in overcoming NTDs is a "litmus test" for universal health coverage against NTDs in endemic countries. The first WHO report on NTDs (2010) set the scene by presenting the evidence for how these interventions had produced results. The second report (2013) assessed the progress made in deploying them and detailed the obstacles to their implementation. This third report analyses for the first time the investments needed to achieve the scale up of implementation required to achieve the targets of the WHO Roadmap on NTDs and universal coverage against NTDs. INVESTING TO OVERCOME THE GLOBAL IMPACT OF NEGLECTED TROPICAL DISEASES presents an investment strategy for NTDs and analyses the specific investment case for prevention, control, elimination and eradication of 12 of the 17 NTDs. Such an analysis is justified following the adoption by the Sixty-sixth World Health Assembly in 2013 of resolution WHA6612 on neglected tropical diseases, which called for sufficient and predictable funding to achieve the Roadmap's targets and sustain control efforts. The report cautions, however, that it is wise investment and not investment alone that will yield success. The report registers progress and challenges and signals those that lie ahead. Climate change is expected to increase the spread of several vector-borne NTDs, notably dengue, transmission of which is directly influenced by temperature, rainfall, relative humidity and climate variability primarily through their effects on the vector. Investments in vector-borne diseases will avoid the potentially catastrophic expenditures associated with their control. The presence of NTDs will thereby signal an early warning system for climate-sensitive diseases. The ultimate goal is to deliver enhanced and equitable interventions to the most marginalized populations in the context of a changing public-health and investment landscape to ensure that all peoples affected by NTDs have an opportunity to lead healthier and wealthier lives."--Publisher's description.

Recent epidemics have prompted large-scale international interventions, aimed at mitigating the spread of disease in a globalized world. During a crisis, however, global health actions – including planning and organizing, communicating about risk, and cost–benefit evaluations – aren’t usually part of a single, integrated global response. Arguing that an uncoordinated approach can be challenged by local conditions and expectations, generating a wide range of resistance and difficulties, this volume provides important insights for future outbreak management and global health governance. Drawing on experiences with A(H1N1) and Ebola virus disease, the book is divided into three parts looking at how responses to global health crises have developed, lessons learned from particular pandemics and the ethical implications of our management of them. Individual chapters focus on, among other issues, financing, cost–benefit analysis, matrix management, risk communication and organizational strategies. Taking a social science perspective, this valuable book outlines the current state of global health emergency responses and explores ways in which they can be improved. It is a useful read for academics and practitioners interested in global health, the sociology of health and illness, health economics and emergency management.