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1. The Devastating Impact of Lebanon’s Environmental Failures

Author:
Peter S. Germanos and Samara Azzi
Publication Date:
01-2024
Content Type:
Commentary and Analysis
Institution:
The Washington Institute for Near East Policy
Abstract:
For decades, Lebanon has suffered under a systematic and intentional mismanagement of country resources and capital, with devastating repercussions. Poverty rates in Lebanon have skyrocketed, and the healthcare and education systems have crumbled, leaving millions vulnerable. Less discussed but no less dangerous is the environmental degradation that the country’s elite have allowed to occur. Lebanon’s deteriorating environment adds another layer of tragedy to the widespread economic crisis; sewage contaminates drinking water, generators spew toxic fumes, excessive groundwater usage renders it saline, and irrigation with sewage water contaminates agricultural produce. The price for Lebanese is becoming increasingly well documented. Cancer cases have surged, and the Lebanese people can expect to continue to suffer in the future as well. This situation was not, however, a foregone conclusion, or due solely to global climate change outside of Lebanese control. Rather, Lebanon’s significant environmental degradation is due in large part to systemic corruption and a total lack of effective regulation. Understanding the scope of this issue is vital to realizing what the people of Lebanon are facing, along with developing a plan to address some of these interconnected environmental and governance challenges.
Topic:
Corruption, Environment, International Cooperation, Pollution, and Public Health
Political Geography:
Middle East and Lebanon

2. Japan’s Border Measures during Covid-19: How the Crisis Shaped ‘Others’ to Protect the ‘Stability of Self’

Author:
Vuslat Nur Şahin Temel and Zhao Xiru
Publication Date:
01-2024
Content Type:
Journal Article
Journal:
Uluslararasi Iliskiler
Institution:
International Relations Council of Turkey (UİK-IRCT)
Abstract:
The Covid-19 pandemic has prompted countries to implement a wide range of specific cross-border security measures. The fear and anxiety induced by this crisis have rapidly expanded and contracted countries’ understanding of ‘self’ and ‘other’. This study examines Japan’s shift from liberal pre- Covid-19 border policies to the most stringent border closure measures among the G7 countries during the pandemic. In this study, we argue that the pandemic-induced fear increased anxiety in Japan’s public health safety identity, rapidly reshaping the conceptualization of the ‘self’ and ‘other’ in crisis scenarios. This shift aligns with Japan’s historical narrative of combating unprecedented threats to public health.
Topic:
Borders, Public Health, Human Security, COVID-19, Isolation, Ontological Security, and Anxiety
Political Geography:
Japan and Asia

3. Facing the next public health emergency: How do we know how (un)prepared we are?

Author:
Christian Haddad and Hugh Schmidt
Publication Date:
07-2023
Content Type:
Policy Brief
Institution:
Austrian Institute for International Affairs (OIIP)
Abstract:
In the realm of political preparedness, numerous benchmarks, metrics, and best practice models have emerged as integral sites in the ongoing debate. Taking the Global Health Security Index as a specific example, this paper delves into the advantages and disadvantages of such global security rankings. This analysis aims to explore the potential uses and drawbacks of employing metrics to evaluate and modify (inter-)national preparedness plans. Situating this discussion within the broader context of the escalating significance of crisis preparedness and management, particularly in the face of acute disruptions to vital infrastructures and the immense costs they entail, as well as their adverse impact on public health and societal safety. However, the findings of this analysis reveal a notable political and strategic risk associated with an excessive reliance on these metrics. It is important to recognize that these metrics not only rely on robust scientific methodologies but also rest upon selective assumptions about the world and the definition of threats. The case of the Global Health Security Index serves as an example, as the assumptions underpinning these metrics have proven inaccurate in the face of an actual pandemic. Consequently, overconfidence and misguided approaches to crisis preparedness have ensued. Additionally, this work offers a concise historical overview of preparedness thinking, outlines the field of Global Health Security, presents the existing metrics employed, and critically reflects on these tools. While metrics provide valuable insights, they should be approached with caution and an awareness of their limitations. By adopting a critical lens and recognizing the political dimensions inherent in these metrics, policymakers can make more informed decisions and develop more effective preparedness plans in an ever-evolving world of crises.
Topic:
Security, Governance, Public Health, COVID-19, and Global Health
Political Geography:
Global Focus

4. Disease Mix and How Economic Freedom Matters for Health Outcomes

Author:
Vincent Geloso, Kelly Hyde, and Ilia Murtazashvili
Publication Date:
03-2023
Content Type:
Working Paper
Institution:
The Cato Institute
Abstract:
We investigate the institutional foundations of public health. We argue that a key distinction in analysis of disease is between diseases of commerce (diseases associated with movement of people and with affluence) and diseases of poverty (primarily noncommunicable diseases that depend on wealth and income). We show that the mix of disease – the ratio of communicable diseases and those associated with longevity to diseases of poverty – increases in economically free countries. We argue that increasing burdens of diseases of commerce reflects the quality of institutions, as those diseases are better than living shorter, brutish lives where diseases of poverty claim many lives. This analysis also highlights an institutional trade‐​off: economically free institutions reduce certain types of disease while contributing to others.
Topic:
Health, Infectious Diseases, Economy, Institutions, and Public Health
Political Geography:
Global Focus

5. Information Manipulation and Repression: A Theory and Evidence from the COVID-19 Response in Russia

Author:
Natalia Lamberova and Konstantin Sonin
Publication Date:
06-2023
Content Type:
Policy Brief
Institution:
The Cato Institute
Abstract:
The COVID-19 pandemic has called for provision of public goods and services that require a high state capacity, including producing and distributing vaccines, enforcing mask mandates, limiting potential super‐​spreader events, and so on. The rationale for public intervention was that private actions, such as getting vaccinated, wearing masks, and avoiding large gatherings, have benefits to broader society, so they are likely to be undersupplied by individuals on their own. In these circumstances, one might expect the power of the state coercing others into compliance to be beneficial. Are authoritarian leaders, less constrained by institutions and less accountable to voters, better equipped to deal with health emergencies?
Topic:
Authoritarianism, Repression, Public Health, and COVID-19
Political Geography:
Russia and Eurasia

6. What the Compact Impact Fairness Act Means for Compact Host Governments and Migrants

Author:
Angelo Paule and Alec Weiker
Publication Date:
06-2023
Content Type:
Special Report
Institution:
East-West Center
Abstract:
The Biden-Harris Administration’s 2024 Department of the Interior (DOI) budget proposal supports passing the Compact Impact Fairness Act (CIFA). CIFA would restore federal benefits to migrants from three Pacific countries: Palau, the Federated States of Micronesia (FSM), and the Republic of the Marshall Islands (RMI). Support for CIFA is a welcome development for Compacts of Free Association (COFA) migrants and the US states and territories that host them. Yet, the budget proposal’s omission of funding support for host governments and uncertainty on implementation and prioritization for COFA migrants present acute issues that may linger for years ahead.
Topic:
International Relations, Politics, Governance, and Public Health
Political Geography:
Samoa, Marshall Islands, Palau, Guam, Micronesia, and Pacific Islands

7. Korea Matters for America/America Matters for Korea (2023)

Author:
East-West Center
Publication Date:
04-2023
Content Type:
Special Report
Institution:
East-West Center
Abstract:
The 4th edition of Korea Matters for America/America Matters for Korea, part of the Asia Matters for America initiative, maps the trade, investment, employment, business, diplomacy, security, education, tourism, and people-to-people connections between the United States and South Korea at the national, state, and local levels. This publication and the AsiaMattersforAmerica.org website are resources for understanding the robust and dynamic US-Indo-Pacific relationship.
Topic:
International Relations, Climate Change, Economics, Education, Environment, Politics, Science and Technology, Governance, Population, Public Health, and Travel
Political Geography:
Asia, South Korea, North Korea, North America, and United States of America

8. Japan Matters for America/America Matters for Japan (2023)

Author:
East-West Center
Publication Date:
02-2023
Content Type:
Special Report
Institution:
East-West Center
Abstract:
The 4th edition of Japan Matters for America/America Matters for Japan, part of the Asia Matters for America initiative, maps the trade, investment, employment, business, diplomacy, security, education, tourism, and people-to-people connections between the United States and Japan at the national, state, and local levels. This publication and the AsiaMattersforAmerica.org website are resources for understanding the robust and dynamic US-Indo-Pacific relationship.
Topic:
International Relations, Climate Change, Economics, Education, Politics, Science and Technology, Governance, Population, Public Health, and Travel
Political Geography:
Japan, Asia, North America, and United States of America

9. Ending the HIV epidemic in Europe: Moving toward the 2030 sustainable development goals

Author:
Elizabeth Kuiper and Danielle Brady
Publication Date:
11-2023
Content Type:
Working Paper
Institution:
European Policy Centre (EPC)
Abstract:
Despite significant progress, the human immunodeficiency virus (HIV) epidemic continues to pose a public health threat in Europe. The COVID-19 pandemic has exacerbated challenges by disrupting healthcare services and diverting attention and resources away from HIV prevention and treatment. Stigma and discrimination against those affected by HIV persist and are additional obstacles, slowing down progress to end the HIV epidemic. This Discussion Paper explores the current HIV prevalence in Europe, identifies barriers and challenges, and offers policy recommendations to overcome these obstacles and meet the sustainable development goals targets in Europe. The Paper emphasises the need for renewed political commitment and cooperation among the EU and its member states to prioritise HIV as well as for strong partnership and collaboration between authorities and stakeholders concerned, ultimately striving for success in ending the epidemic.
Topic:
HIV/AIDS, European Union, Public Health, and COVID-19
Political Geography:
Europe

10. Towards a cleaner air in Europe: Time for a stronger vision and more action

Author:
Annika Hedberg, Stefan Sipka, Simon Dekeyrel, Melanie Fessler, and Danielle Brady
Publication Date:
07-2023
Content Type:
Working Paper
Institution:
European Policy Centre (EPC)
Abstract:
As scientific evidence on the impact of air pollution on human life continues to grow, accepting air pollution as a given side product of our economies and activities can no longer be tolerated. This Discussion Paper highlights what the EU needs to do to recognise clean air for what it is: a necessary component for healthy societies, people and long-term economic prosperity and social well-being in Europe. A stronger vision and framework for action is needed, and this paper recommends what the EU needs to do next. Have a stronger vision and framework for action by: Adopting an ambitious and comprehensive clean air agenda; Making cleaner air an integral part of the EU’s vision and framework for greater well-being; Improving enforcement of the air quality standards and monitoring; Raising awareness about the causes of air pollution, benefits of action and measures to be taken. Provide concrete measures to address air pollution by: Ensuring all key sectors, including agri-food, industry, energy and mobility, play their role; Encouraging, empowering and enabling regional, local and citizen action.
Topic:
European Union, Public Health, and Air Pollution
Political Geography:
Europe

11. Is the European Health Union ready for the challenges of the 21st century?

Author:
Elizabeth Kuiper and Danielle Brady
Publication Date:
09-2023
Content Type:
Working Paper
Institution:
European Policy Centre (EPC)
Abstract:
The COVID-19 pandemic laid bare national health systems' unpreparedness and structural weaknesses. It also emphasised the disparities in national capabilities among European countries and the lack of a common European approach against cross-border health threats. As we enter a post-pandemic era, this Discussion Paper assesses the proposals under the European Health Union and sets out recommendations to address the identified shortcomings. These include: Adopting a more holistic approach by appointing a Vice President for Well-being. Strengthening crisis preparedness by elevating HERA to an agency. Promoting access and affordability by extending joint procurement. Strengthening the European health workforce by tackling shortages and addressing skills gaps. Mitigating the cost of inaction by increasing investment in health. Ensuring planetary health by promoting a Green European Health Union. Promoting Europe’s status as a global leader in health data by harmonising health data regulations with the European Health Data Space. Safeguarding the EU’s strategic autonomy by implementing the Versailles Declaration and strengthening supply chain resilience. Building on the EU’s Global Health Strategy by exploring global partnerships. This Paper builds on the findings of the European Policy Centre’s Task Force on the European Health Union. The multistakeholder Task Force was held under the auspices of the EPC's Social Europe and Well-being programme with the kind support of Amgen, MSD, Johnson&Johnson, SITRA and EIT Health.
Topic:
European Union, Public Health, COVID-19, and Strategic Autonomy
Political Geography:
Europe

12. The Guinea Worm, President Carter and Me: A Journey Through Health Diplomacy

Author:
Lisa Rotondo
Publication Date:
05-2023
Content Type:
Journal Article
Journal:
American Diplomacy
Institution:
American Diplomacy
Abstract:
In September 2001, just days before 9/11, I arrived in Pissila, Burkina Faso for my Peace Corps assignment. I was eager to get to work helping my new home community do surveillance for a neglected tropical disease (NTD) called dracunculiasis, or Guinea worm disease. As a Peace Corps Volunteer in rural Burkina Faso, I biked from village to village, asking community members if they were aware of anyone with Guinea worm disease, an infection that has impacted both humans and animals since ancient times. Thanks, in part, to the work of volunteers before me, I never actually saw a person with Guinea worm disease during my two years as a volunteer. Burkina Faso was on the brink of eliminating the disease, and I remember thinking that the children in my community would never know the word for Guinea worm in their language, Moorè; it would not be in their vocabulary because they would never have to worry about it. I’ve reflected on that more than once during my career in public health. Knowing that we are truly making diseases history has been the drive underlying my efforts for the last two decades.
Topic:
Diplomacy, Health, Memoir, and Public Health
Political Geography:
Africa, United States of America, and Burkina Faso

13. HIV, the Legacy of America’s Response, and Lessons for Future Outbreaks

Author:
Alisha Smith-Arthur
Publication Date:
11-2023
Content Type:
Journal Article
Journal:
American Diplomacy
Institution:
American Diplomacy
Abstract:
As I stood in line (safety distanced) to receive a COVID test before returning home to the US after a trip to Cote d’Ivoire in 2022, I was able to see and reflect upon the enduring legacy of the American public health diplomacy effort to fight the global pandemic of HIV. The testing site had the unmistakable dual-flag PEPFAR (The President’s Emergency Plan for AIDS Relief, announced by George W. Bush in 2003) logo outside, indicating that the testing equipment (and likely the training for the personnel inside) came via a PEPFAR project. I’ve seen similar stamps on rural labs and remote health posts across the countries I’ve worked in (as well as on the airport welcome signs of many a friendly health worker who has readily included me in their work), and it always serves to remind me of the common goals we are working towards in these health diplomacy projects.
Topic:
HIV/AIDS, Diplomacy, Public Health, and COVID-19
Political Geography:
Africa, North America, and United States of America

14. Drug Addiction in Syria: A Decades-Long Disease

Author:
Emad Bouzo
Publication Date:
04-2023
Content Type:
Commentary and Analysis
Institution:
The Washington Institute for Near East Policy
Abstract:
Numerous articles have recently appeared in international media about confiscated shipments of Captagon coming from Syria into various countries in the Middle East. Recent research has examined how Syria turned into a regional center for drug trafficking. Yet media interest appears comparatively silent about the spread of drug abuse inside Syria itself. According to available reports, domestic drug abuse has reached dangerous levels. While such a crisis has no doubt increased, the roots of this issue are decades old. Through my work as a doctor in Damascus from 1980 until September 2011, I witnessed how drug abuse spread during this period. My private clinic was located in one of the most significantly affected neighborhoods, and some of my personal observations from my time as a clinician may help shed light on the deeper origins of Syria’s current drug crisis and perhaps shed light on potential avenues to address it. Initially, the Lebanese civil war served as the main factor in the spread of drugs. Several militias exploited the collapse of state institutions in Lebanon to carry out drug cultivation, manufacturing, and drug trafficking within its borders. The Syrian military intervention in Lebanon in the mid-seventies and the establishment of partnerships between the leaders of these militias and Syrian officers that secured the drug trade with more protection allowed its revitalization and prosperity, as documented in a Washington Post article from that period. Tons of heroin were produced annually in Lebanon, and Syrian officers subsequently trafficked large quantities into Syria. This new ease of access captured the attention of numerous Syrian youth, who began using these highly addictive drugs. Their interest in drugs was often initially driven by being forced to leave education to enter the labor market at an early age and experiencing a sense of a bleak future. And whereas Syrian teenagers used to rebel by smoking or consuming alcohol, peer use of opioids—such as the proximal “dextropopoxyphene” that became popular globally in the sixties—opened the door to growing usage due to the drug’s quick tolerance. Some patients moved rapidly from two capsules to the entire envelope of ten capsules in order to obtain the same sense of euphoria, ultimately leading the user to try other drugs to experience the same high. Young Syrians also took to abusing codeine-containing cough syrup.
Topic:
Public Health, Drug Trafficking, Addiction, and Captagon
Political Geography:
Middle East and Syria

15. China’s New Historic “Leap” Narrative: Coverup for the Zero-COVID Policy Failure?

Author:
Dominik Mierzejewski
Publication Date:
02-2023
Content Type:
Journal Article
Journal:
China Brief
Institution:
The Jamestown Foundation
Abstract:
With Chinese authorities having shifted away from a zero-COVID policy at the end of November, the country now faces an unresolved dilemma as to its future approach to economic development and public health policies. A critical question is: will the Dengist doctrine of “Reform and Opening-up” return to the political discourse? But the most critical issue revealed by People’s Daily is how Chinese propaganda has portrayed the recent chaos, as well as how it has promoted General Secretary Xi Jinping’s image in spite of the failure of the zero-COVID policy. These questions are of particular importance ahead of the second plenum of the 20th Party Congress, which is planned for February 2023. A brief analysis of the theoretical section of the People’s Daily, “An Intersection of Thoughts” (思想纵横), throughout December 2022, may offer some preliminary answers. The critical points introduced in People’s Daily indicate how China is likely to be led moving forward, with major features such as governing within a “one way” approach and a Chinese-style modernization process representing what is seen as a rational path of development going forward.
Topic:
Governance, Public Health, COVID-19, and Zero-COVID
Political Geography:
China and Asia

16. A Health-Centred Framework for Establishing Ambient Air Quality Standards

Author:
Bhargav Krishna and Abinaya Sekar
Publication Date:
09-2023
Content Type:
Working Paper
Institution:
Centre for Policy Research, India
Abstract:
Air quality standards are primarily health-based standards that define the ambient concentration of air pollution to which the public can be exposed without suffering harm to their health. In India, the Central Pollution Control Board (CPCB) is tasked with setting the National Ambient Air Quality Standards (NAAQS) under the Air (Prevention and Control of Pollution) Act of 1981. The NAAQS were first established in 1982 for four pollutants (suspended particulate matter, nitrogen dioxide, sulphur dioxide and carbon monoxide) and subsequently revised in 1994 and 1998 to include several more. The current iteration of the NAAQS were notified in 2009 and were aligned with the World Health Organization’s (WHO) interim air quality guidelines. The most recent revision of the WHO guidelines for ambient air quality in September 2021 rendered the NAAQS as substantially weaker in comparison. The alignment of the NAAQS with these global guidelines will require integration of the wealth of new health data generated since 2009 on the deleterious effects of air pollution on health both locally and globally. The 2009 NAAQS revisions were notified through the Gazette of India with no contextual information provided on the composition of the committee tasked with the revisions, or on the kind of data or information used by the committee to draw its conclusions on the acceptable levels of exposure to various pollutants. In August 2021, the CPCB convened a committee to review and update the NAAQS. The committee’s wide-ranging remit includes an assessment of the health risks of air pollution, establishing guidelines for monitoring, identifying non-attainment areas, and revising the Air Quality Index (AQI) through which health risks are communicated to the public.
Topic:
Regulation, Public Health, and Air Pollution
Political Geography:
South Asia and India

17. How Is India Adapting to Heatwaves?: An Assessment of Heat Action Plans With Insights for Transformative Climate Action

Author:
Aditya Valiathan Pillai and Tamanna Dalal
Publication Date:
03-2023
Content Type:
Special Report
Institution:
Centre for Policy Research, India
Abstract:
What are heat action plans (HAPs)? HAPs are India’s primary policy response to economically damaging and life threatening heatwaves. They prescribe a variety of preparatory activities, disaster responses, and post-heatwave response measures across state, district, and city government departments to decrease the impact of heatwaves. Our assessment of Indian HAPs In this report, we conduct what is, to our knowledge, the first critical review of heat action plans in India. We analyse 37 heat action plans at the city (9), district (13) and state (15) levels across 18 states and identify several opportunities to strengthen Indian HAPs. We also document an encouragingly wide range of solutions (covering 62 distinct intervention types) prescribed across these HAPs, from promoting green roofs to state-wide school awareness programs (see the interactive figure below). This lays out a consolidated toolbox of options for the Indian HAP designer and policymaker.
Topic:
Climate Change, Public Policy, Public Health, and Heat Waves
Political Geography:
South Asia and India

18. Pradhan Mantri Matru Vandana Yojana and Janani Suraksha Yojana

Author:
Avani Kapur, Tanya Rana, and Jenny Susan John
Publication Date:
02-2023
Content Type:
Policy Brief
Institution:
Centre for Policy Research, India
Abstract:
This brief reports on two maternity benefit schemes of the Government of India (GoI): a) Pradhan Mantri Matru Vandana Yojana (PMMVY) provides partial wage compensation to improve health-seeking behaviour of pregnant women and lactating mothers for two live births; and b) Janani Suraksha Yojana (JSY) incentivises institutional and safe delivery for reducing infant and maternal mortality. Using government data, this brief reports on: ■ Trends in finances; ■ Coverage and payments; and ■ Outcomes
Topic:
Public Policy, Public Health, Public Benefits, and Maternity
Political Geography:
South Asia and India

19. Kosovo COVID-19 Management

Author:
Plator Avdiu, Donika Elshani, and Shpat Balaj
Publication Date:
03-2023
Content Type:
Special Report
Institution:
Kosovar Centre for Security Studies (KCSS)
Abstract:
The purpose of this research is to provide a general overview of the manifestation of the COVID-19 pandemic in Kosovo and the overall management of the pandemic by relevant institutions. The analysis is based on data collected through publicly available information, national statistics, news articles, as well as research reports by local non-governmental organizations (NGOs) and international organizations and missions in the country. The COVID-19 pandemic of the novel coronavirus was first identified in Wuhan, China in December 2019. It quickly spread to other parts of the world, leading to the World Health Organization declaring a pandemic on March 11, 202012. Countries across the globe implemented various measures to control the spread of the virus, including lockdowns, travel restrictions and mask mandates. The COVID-19 vaccine was soon developed, and the vaccine roll out began in the first months of 2021, with many countries still being in the process of vaccinating their populations. The COVID-19 pandemic has had a significant impact on Kosovo, as it has had in many countries around the world. The first cases of COVID-19 in Kosovo were reported in March 202014, and since then the country has implemented measures such as lockdowns, mask mandates, and travel restrictions to try to control the spread of the virus. Kosovo faced many challenges in its efforts to control the spread of the virus, including limited healthcare resources, vaccine hesitancy, political instability and economic hardship, to name a few.15 The COVID-19 vaccine roll-out in Kosovo began in the first months of 2021 and was implemented with a phased approach, whereby some groups, such as healthcare workers, the elderly, and persons with underlying conditions, were given priority, before vaccinating the rest of the population. AstraZeneca and Pfizer BioNTech were the two vaccinees administered in Kosovo. These vaccines were secured through various sources, including through the COVAX facility.
Topic:
Public Policy, Public Health, Vaccine, and COVID-19
Political Geography:
Eastern Europe and Kosovo

20. Hazardous Drinking in Privatized Industrial Towns of Russia

Author:
Alexi Gugushvili, Aytalina Azarova, Darja Irdam, and Lawrence King
Publication Date:
12-2023
Content Type:
Working Paper
Institution:
Political Economy Research Institute (PERI), University of Massachusetts Amherst
Abstract:
Hazardous drinking, defined as the consumption of homemade, unofficially made alcohol and non-beverages, is prevalent and accounts for a high proportion of alcohol-related deaths in Russia. Individual-level characteristics are important explanations of hazardous drinking, but they are unlikely to explain spatial variation in this type of alcohol consumption. Areas that attracted insufficient attention in the research of hazardous drinking are the legacy of industrialization and the speed of economic reforms mainly through the privatization policy of major enterprises in the 1990s. Applying multilevel mixed-effects logistic regressions to a unique dataset from 30 industrial towns in the European part of Russia, we find that in addition to individual-level characteristics such as gender, age, marital status, education, social isolation, labor market status, and material deprivation, the types of towns where individuals resided such as industrial structure and speed of privatization also accounted for the variance in hazardous alcohol consumption among both males and females.
Topic:
Privatization, Alcohol, Public Health, and Industry
Political Geography:
Russia and Eurasia

21. China’s Changing COVID-19 Policies: Market and Public Health

Author:
Zhun Xu
Publication Date:
05-2023
Content Type:
Working Paper
Institution:
Political Economy Research Institute (PERI), University of Massachusetts Amherst
Abstract:
After the outbreak of COVID-19 in early 2020, China took fast and decisive measures to successfully contain the spread of the virus within its borders. While the rest of the world saw huge human and social costs in the pandemic, the Chinese mainland for about two years was largely free from COVID. The zero-COVID model, however, met great challenges by early 2022. Despite some efforts to save the zero-COVID model, in November 2022, the Chinese government abruptly abandoned its signature COVID controls during the pandemic and switched to the opposite. This article reviews the evolution of the Chinese COVID policies and places the dramatic turns in the context of the changing Chinese political economy. The findings show that the shifting class interests and actions were an important force behind China’s retreat from zero- COVID.
Topic:
Markets, Political Economy, Public Health, and COVID-19
Political Geography:
China and Asia

22. HIV, Hepatitis & Drug Policy Reform

Author:
Global Commission On Drug Policy
Publication Date:
12-2023
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
This report, “HIV, Hepatitis & Drug Policy Reform” follows the Global Commission’s thematic reports on “The War on Drugs and HIV/AIDS” (2012) and “The Negative Impact of the War on Drugs on Public Health: The Hidden Hepatitis C Epidemic” (2013). Despite a decade-old call for urgent action, current drug control efforts fail, with HIV and hepatitis prevalence persisting among drug users. In 2023, approximately 354 million people around the world are currently living with hepatitis B or C. People who use drugs, especially people who inject drugs, are at a higher risk for blood- borne HIV, hepatitis B and hepatitis C. Although there has been some success — for example, the scale-up of antiretroviral treatments that reduced HIV related deaths to their lowest in almost three decades — progress has been uneven and people who use drugs are still left behind. This must change. Prohibition and criminalization of drug use hinder HIV and hepatitis prevention, escalating risks and obstructing treatment. People who use drugs face disproportionate incarceration, abusive policing, and stigma. Inadequate resources are dedicated to proven harm reduction options while billions are spent on punitive law enforcement measures. Achievable UN targets for ending these epidemics by 2030 exist, but a crucial course correction demands political will to embrace a new approach to drugs. The time to act is now.
Topic:
HIV/AIDS, Reform, Drugs, Public Health, and Hepatitis
Political Geography:
Global Focus

23. The Rise and Fall of Social Housing? Housing Decommodification in Long-Run Perspective

Author:
K.A. Kholodilin, Sebastian Kohl, and F. Mueller
Publication Date:
01-2022
Content Type:
Working Paper
Institution:
Max Planck Institute for the Study of Societies
Abstract:
The comparative study of housing decommodification lags behind classical welfare state research, while housing research itself is rich in homeownership studies but lacks comparative accounts of private and social rentals due to missing comparative data. Building on existing works and various primary sources, this study presents a new collection of up to forty-eight countries’ social housing shares in stock and new construction since the first housing laws around 1900. The interpolated benchmark time series generally describe the rise and fall of social housing across a residual, a socialist, and a Northern-European housing group. The decline was steeper than for the classical welfare state, but the degree of erosion was surprisingly small in some countries where public housing associations remained resilient. Within the broader housing welfare state, social housing correlates positively with rent regulation and allowances, but negatively with homeownership subsidies and liberal mortgage regulation. A multivariate analysis shows that social housing is rather explained by housing shortages and complementarities with rental and welfare policies than by typical welfare state theories (GDP, political parties). Generally, the paper shows that conventional housing typologies are difficult to defend over time and argues more generally for including housing decommodification in welfare state research.
Topic:
Welfare, Public Health, Housing, and Social Order
Political Geography:
Global Focus

24. The Rise and Fall of Barrio Adentro

Author:
Amy Cooper and Oscar Feo
Publication Date:
03-2022
Content Type:
Commentary and Analysis
Institution:
The North American Congress on Latin America (NACLA)
Abstract:
With Hugo Chávez’s celebrated health care project progressively in ruins, the pandemic underlines the need to rebuild.
Topic:
Health Care Policy, Public Health, COVID-19, and Hugo Chavez
Political Geography:
South America and Venezuela

25. Does WASH Infrastructures conforms to Nature Based Solutions? An exploration of FSTP at Shakhipur

Author:
Afsara Binte Mirza, Savio Rousseau Rozairo, Fatema Akhter, Ali Mohammad Rezaie, and Saleemul Huq
Publication Date:
12-2022
Content Type:
Special Report
Institution:
International Centre for Climate Change and Development (ICCCAD)
Abstract:
The report highlights challenges and achievements, potential avenues to expand our existing Faecal Sludge Treatment Plant (FSTP) at Shakipur which was recognized by the Bangladesh Government in the 8th FYP. WaterAid undertook this study in collaboration with International Centre for Climate Change and Development (ICCCAD).
Topic:
Climate Change, Development, Water, Infrastructure, Public Health, Nature, and WASH Projects
Political Geography:
Bangladesh and South Asia

26. Multilateralism Index: Pilot Report

Author:
International Peace Institute
Publication Date:
09-2022
Content Type:
Policy Brief
Institution:
International Peace Institute
Abstract:
In the past several years, there has been a much-discussed rise in strain on multilateralism. However, there have been few efforts to quantifiably assess the state of the multilateral system. This Multilateralism Index (MI) report is the first known attempt to do so. It focuses on developments in the system over the past decade, providing a snapshot of its relative strength in 2020 compared to 2010. It seeks to answer questions including: What is the state of the multilateral system? What is working? What is not? And how has the multilateral system changed over time? The MI examines five domains of multilateral coordination: Peace and Security, Human Rights, Environment, Public Health, and Trade. Each domain is evaluated across three dimensions: Participation, Performance, and Inclusivity. Analysis of sixty-five indicators across these domains and dimensions reveals several trends in multilateral cooperation over the past decade: Participation scores for Human Rights, Public Health, and Trade have improved, while the scores for Peace and Security and Environment have deteriorated. Performance scores have deteriorated in four out of five domains. Inclusivity scores have improved across all five domains. These trends shed light on the nature of the crisis of multilateralism. Rather than decreased international cooperation and widespread exit from multilateral institutions, we are seeing a battle over the nature and purpose of the multilateral system—not decay, but transformation. The MI provides a basis for tracking this transformation and informing decision making on the future of multilateralism.
Topic:
Security, Environment, Human Rights, Multilateralism, Peace, Trade, and Public Health
Political Geography:
Global Focus

27. Behavioral Responses to Supply‐​Side Drug Policy during the Opioid Epidemic

Author:
Simone Balestra, Heige Liebert, and Nicole Maestas
Publication Date:
12-2022
Content Type:
Policy Brief
Institution:
The Cato Institute
Abstract:
In the last 20 years, the use of prescription opioids has grown dramatically in the United States. Since 1999, the number of opioid prescriptions increased by 300 percent, surpassing 255 million prescriptions in 2012 (81.3 prescriptions per 100 people) before declining to 153 million prescriptions by 2019 (46.7 per 100 people). Opioids may be an effective analgesic for acute pain, but they are also associated with high risks of addiction and overdose. Death rates from opioid poisoning tripled between 2000 and 2014, contributing to a stunning reversal in 1999 of the long‐​running decline in midlife mortality. The increase in overdose deaths was initially driven by prescription opioid poisonings, but the more recent surge in deaths has been attributed to illicit opioids such as heroin and fentanyl.
Topic:
Economy, Drugs, Public Health, and Opioid Crisis
Political Geography:
North America and United States of America

28. New Opportunities for the United States-Kingdom of Thailand Alliance in the Indo-Pacific

Author:
Lance D. Jackson
Publication Date:
09-2022
Content Type:
Special Report
Institution:
East-West Center
Abstract:
In March 2022, the East-West Center in Washington (EWCW), in collaboration with the Royal Thai Embassy, Washington, DC, convened a two-day seminar in which experts from Thailand and the United States discussed issues and opportunities for the US-Thailand alliance. The workshop included a diverse array of discussants hailing from government, military, academic, think tank, and private sector backgrounds. This report, which adheres to the “Chatham House Rule” under which observations referred to in the report are not attributed to any individual participant, is a summary of the group discussions and the key themes from the seminar. The recent signing of the United States-Thailand Communique on Strategic Alliance and Partnership and a memorandum of understanding (MOU) focused on promoting supply chain resilience on July 10, 2022, highlight the pertinence of this report and the associated seminar. The topics detailed in this report aligned with many of the pressing issues addressed in the Communique and MOU, including expanding law enforcement cooperation, deepening cybersecurity collaboration, supporting resilient transportation corridors, advancing military modernization, and catalyzing Thailand’s bio-circular-green (BCG) economy. The report also covered topics and key themes from a series of jointly produced public webinars and an Asia Pacific Bulletin series of policy briefs on US-Thai affairs.
Topic:
International Relations, Climate Change, Economics, Education, Environment, Politics, Science and Technology, Governance, Population, Leadership, Public Health, and Travel
Political Geography:
Asia, North America, Thailand, Southeast Asia, United States of America, and Indo-Pacific

29. A lockdown a day keeps the doctor away: The effectiveness of non-pharmaceutical interventions during the Covid-19 pandemic

Author:
Anthonin Levelu and Alexander Sandkamp
Publication Date:
05-2022
Content Type:
Working Paper
Institution:
Kiel Institute for the World Economy (IfW)
Abstract:
Countries have employed a variety of non-pharmaceutical interventions (NPIs) in order to curtail the COVID-19 pandemic. However, the success of individual measures in reducing the number of infections remains controversial. This paper exploits a panel data set of 107 countries to estimate the effects of 14 NPIs on the spread of the disease. While almost all measures had a dampening effect on the reproduction rate of the virus, public information campaigns and school closings were most effective, followed by testing policies, contact tracing and international travel restrictions. Public event cancellation and school closings were less effective during the second wave of the pandemic, while public information campaigns and the obligation to wear masks worked better. Several NPIs had a stronger impact on infections in autocratic countries, while others were less effective.
Topic:
Health, Economy, Public Policy, Public Health, and COVID-19
Political Geography:
Global Focus

30. Tracking Chinese Aid through China Customs: Darlings and Orphans after the COVID-19 Outbreak

Author:
Andreas Fuchs, Lennart Kaplan, Krisztina Kis-Katos, Sebastian Schmidt, Felix Turbanisch, and Feicheng Wang
Publication Date:
09-2022
Content Type:
Working Paper
Institution:
Kiel Institute for the World Economy (IfW)
Abstract:
Since the outbreak of the COVID-19 pandemic, China's mask and vaccine diplomacy have been widely discussed, but the debate relies on a few stylized data points. This article introduces a systematic way to measure China's foreign aid in almost real-time through official customs records of exported aid goods. Our results show significant shifts in China's aid after the outbreak of the COVID-19 pandemic. First, medical aid skyrocketed after the outbreak. It was initially dominated by face masks and other protective equipment and later by vaccines. This came at the expense of non-medical aid, which was 16.3 percent below its pre-pandemic level. Second, China's aid became global, clearly extending beyond the Global South. Third, in the aftermath of the initial outbreak in March 2020, China's aid became less responsive to both recipient need and political friendship, which can be mainly attributed to the rise of aid through non-government sources. However, in the vaccine diplomacy period of 2021, economic needs and political factors have regained their original importance.
Topic:
Development, Diplomacy, Public Health, Vaccine, and COVID-19
Political Geography:
China and Asia

31. Policy Responses to COVID-19: Why Social Cohesion and Social Protection Matter in Africa

Author:
Julia Leininger, Armin von Schiller, Christoph Strupat, and Daniele Malerba
Publication Date:
01-2022
Content Type:
Working Paper
Institution:
German Institute of Development and Sustainability (IDOS)
Abstract:
This empirical analysis investigates whether and to what extent social cohesion and the coverage of social protection schemes influence governments’ decisions about the stringency of COVID-19 containment policies during the first and second waves in 2020 in Africa. Our results indicate that societal and social factors influenced the stringency of containment policies. Social cohesion has a negative effect on the stringency of containment policies in response to COVID-19 over time. Social protection coverage has a positive effect on the stringency of containment policies in response to COVID-19 over time. States implemented more stringent containment policies in less cohesive societies if they already had social protection schemes in place before the pandemic. Contextual factors mediated these effects. While stringency of containment policies softened over time where levels of democracy, poverty, and inequality were higher, social protection made a mediating difference only in autocratic states and societies with higher poverty. Three contributions of the empirical analysis stand out. First, the conceptual integration of societal and social factors (“societal triangle”) provides a novel basis from which to analyse policy responses during external shocks like a global pandemic. Second, to overcome the limitations of current measurements of social cohesion, we use a novel measurement to determine pre-pandemic levels of social cohesion. Third, this is the first cross-national study that addresses a world region, Africa, which has gained little attention in the study of policy responses to the COVID-19 pandemic.
Topic:
Public Health, Social Cohesion, COVID-19, and Protection
Political Geography:
Africa

32. Muddling Through: Alaska’s Budget Process in 2021

Author:
Glenn Wright
Publication Date:
01-2022
Content Type:
Journal Article
Journal:
California Journal of Politics and Policy
Institution:
Institute of Governmental Studies, UC Berkeley
Abstract:
In 2021, the State of Alaska faced substantial challenges due to the public health and economic impacts of COVID-19. COVID damaged Alaska’s state revenues by driving down global oil prices. COVID also harmed the state’s economy more broadly, with substantial impacts on some extractive industries and tourism. However, Alaska’s budgetary problems—high expenditures and low revenues—long predate COVID and are related to Alaska’s historical dependence on fossil fuel extraction for state revenue. Alaska’s budget situation has improved somewhat through 2021 as oil prices have risen globally, though this may also complicate budgetary debates in Spring 2022.
Topic:
Fiscal Policy, Public Health, Pandemic, and COVID-19
Political Geography:
North America, Alaska, and United States of America

33. New Mexico’s Box of Pandoras

Author:
Kim Seckler
Publication Date:
01-2022
Content Type:
Journal Article
Journal:
California Journal of Politics and Policy
Institution:
Institute of Governmental Studies, UC Berkeley
Abstract:
In the spring of 2020, the global coronavirus pandemic brought deadly disease to New Mexico, a state already struggling with inadequate health care, vulnerable populations and an unreliable state revenue base. A strong executive and mostly willing legislature met multiple times in multiple special sessions to reduce budgets, allocate federal funds, and shore up public finances. They also had to deal with social and cultural fights aggravated by strict public health orders and plunging revenues. By the close of 2020, the state was slowly regaining its fiscal footing and physical health, though the underlying problems of inadequate health care, educational and economic inequality, and a budget overly reliant on extractive industries remain. As a result of the 2020 general election, the public officials chosen to resolve these issues are more likely to be progressive Democrats, more likely to be women, and more demographically reflective of the majority-minority state they call home.
Topic:
Governance, Budget, Public Health, Pandemic, and COVID-19
Political Geography:
North America, United States of America, and New Mexico

34. Delay, Detect, Defend: Preparing for a Future in which Thousands Can Release New Pandemics

Author:
Kevin M. Esvelt
Publication Date:
11-2022
Content Type:
Working Paper
Institution:
The Geneva Centre for Security Policy
Abstract:
The world is demonstrably vulnerable to the introduction of a single pandemic virus with a comparatively low case fatality rate. The deliberate and simultaneous release of many pandemic viruses across travel hubs could threaten the stability of civilisation. Current trends suggest that within a decade, tens of thousands of skilled individuals will be able to access the information required for them to single-handedly cause new pandemics. Safeguarding civilisation from the catastrophic misuse of biotechnology requires delaying the development and misuse of pandemic-class agents while building systems capable of reliably detecting threats and preventing nearly all infections.
Topic:
Security, Public Health, Pandemic, and Health Crisis
Political Geography:
Global Focus

35. Global Health Security COVID-19 and Its Impacts – Vaccine Resilience: Next Stage in ASEAN’s War?

Author:
Jose M. L. Montesclaros
Publication Date:
08-2022
Content Type:
Commentary and Analysis
Institution:
Centre for Non-Traditional Security Studies, S. Rajaratnam School of International Studies
Abstract:
The next stage in ASEAN’s COVID-19 war lies in partnerships to establish local vaccine manufacturing centres within member states, to strengthen the region’s “vaccine resilience”.
Topic:
Public Health, Vaccine, Resilience, COVID-19, and Medicine
Political Geography:
Asia and ASEAN

36. Lessons from the Coronavirus Pandemic: Leveraging Biotechnology to Tackle Infectious Diseases in India

Author:
Shruti Sharma
Publication Date:
06-2022
Content Type:
Working Paper
Institution:
Carnegie Endowment for International Peace
Abstract:
In India, the coronavirus pandemic encouraged partnerships between academia and industry, fostered collaboration among competitor companies, and stimulated cooperation within different government departments to leverage biotechnology to develop new test kits, protective equipment, vaccines, and respiratory devices. Despite this collaborative ecosystem, a few stakeholders faced several challenges during different stages of product development including discovery, research and development (R&D), clinical trial, or commercialization of their products. Some of these challenges can be attributed to a lack of an ecosystem that encourages collaborative research in India, limited involvement of private funding entities, a gap between academia and industry where university researchers lack sufficient awareness of the imperatives of industry, and a lack of awareness regarding contemporary applications of biotechnology among the regulatory community. The goal of this paper is to provide all stakeholders and the Indian public an overview of the role that advancements in biotechnology can play in strengthening India’s public health capacity. While the pandemic offered significant opportunities to the scientific community and private players in India to develop medical countermeasures, this paper only illustrates examples that discuss strategies that were adopted to accelerate the development of diagnostics and vaccines in the country. It further elucidates the challenges, both regulatory and funding, that some stakeholders faced in introducing new diagnostics and vaccines into the market during the pandemic. The paper argues that it is important for India to adopt a systematic approach to sustain the collaborative ecosystem that was cultivated during the pandemic. It further provides a brief assessment of the policies that regulate vaccines and diagnostic kits in India and the scope of enhanced and better implementation in the future. The paper also suggests strategies to maintain a continuous flow of investment to sustain research, streamline the regulatory infrastructure to minimize ambiguities regarding product approvals, and foster multistakeholder collaboration to create a sustainable research and innovation ecosystem that can be leveraged during health emergencies in the future.
Topic:
Infectious Diseases, Public Health, COVID-19, and Biotechnology
Political Geography:
South Asia and India

37. Consumption of New and Emerging Tobacco and Nicotine Products in Zambia: Implications for Policy

Author:
Shimukunki Manchishi, Edna Kabala, and Mulenga Chonzi Mulenga
Publication Date:
04-2022
Content Type:
Working Paper
Institution:
Zambia Institute for Policy Analysis and Research (ZIPAR)
Abstract:
The global economy has in recent years observed a rapid increase in the consumption of New and Emerging Tobacco and Nicotine Products (NETNPs). Consumers of the NETNPs in Zambia and elsewhere justify consumption of these products on grounds that they are less harmful and expose them to fewer health risks compared to traditional tobacco smoke. However, studies have shown that these NETNPs do not entirely filter out harmful chemicals from tobacco as presumed by many people, and in some cases may even expose smokers to more smoke over longer periods of time as is the case of water pipe (shisha). This study investigated the consumption and taxation of NETNPs in Zambia to generate knowledge and come up with evidence-based policy recommendations aimed at informing appropriate stakeholders on the consumption and taxation of NETNPs. The study employed a mixed methodology encompassing a desk review, a survey of 400 respondents and key informant interviews. In terms of the consumption of NETNPs, the study revealed that a majority of those surveyed consume water pipe, which ranked highest among the NETNPs consumed in Zambia. Other NETNPs commonly consumed include bidis, e-cigarettes and dry snuff (nsunko). The consumption of these products varied according to the economic status of the consumers, with products such as snus and e-cigarettes being much more preferred and consumed by those in employment because they can afford more costly products. Meanwhile, products such as water pipe and bidis were the products of choice among those not employed and this could also be attributed to the relatively lower cost of the products. Regarding the socio-demographic characteristics of the surveyed sample, the study established that most of the consumers of NETNPs were young, unmarried males. A notable finding in the study was that those who had attained tertiary level of education were the biggest consumers of NETNPs. With regards to taxation of NETNPs, the study has found that there is potential to increase taxes substantially based on consumers’ willingness to pay which would require very high tax levels to deter consumption. This would require the government to considerably increase excise taxes on these products which would ultimately increase their price and hence curtail their consumption. The study has established that the taxation of all tobacco products in Zambia is the sole responsibility of the ZRA which draws its mandate from various provisions of the Zambian law. Broadly there are eight categories used to classify tobacco and nicotine products based on the HS codes. This broad classification forms the basis for taxation of tobacco and nicotine products in Zambia. The study has established that there are four main taxes applied on tobacco products in Zambia, these include: a 25% customs duty levied on the value of the product imported; a VAT of 16% on the value of the product; a 5% surtax; and excise duty of 145% of the value for duty purposes (VDP) or K355 per kg for all tobacco products.
Topic:
Health, Digital Economy, Business, Tax Systems, Public Policy, Tobacco, Public Health, and Gender
Political Geography:
Africa and Zambia

38. Pandemic Management – Lessons Learned for a Safer Future

Author:
Milja Dimitrijevic and Rade Panic
Publication Date:
06-2022
Content Type:
Working Paper
Institution:
Belgrade Centre for Security Policy
Abstract:
How the pandemic was managed in Serbia and what are the recommendations for better coping in similar situations in the future, read in the analysis made by BCSP in cooperation with the Union of Doctors and Pharmacists of Serbia. The political and social context in which the pandemic management in Serbia is analysed is marked by a drastic decline in the level of democracy in the country, as well as the strengthening of authoritarian tendencies in the state and society within the process of “capturing the state” by the ruling elite. Unfortunately, Serbia cannot boast of successful results, especially if we take into account the number of deceased citizens, as well as the low level of vaccination compared to European Union countries. The number of deceased citizens in 2021 is as much as 18 percent higher than in the same period in 2020. Statistical data show that in 2021, most people died in Serbia within one year since the end of World War II. These data speak volumes about the results of the crisis management caused by the COVID-19 epidemic in Serbia. In this analysis, the focus is on two aspects of pandemic management – the legal aspects of crisis management and the health system’s readiness to deal with the crisis. The analysis was created within the framework of informal cooperation between the Belgrade Centre for Security Policy and the Union of Doctors and Pharmacists of Serbia. The author of the paper on the legal aspects of pandemic management is a lawyer from the Union of Doctors and Pharmacists Milja Dimitrijević, while the part about the capacities of the health system was written by Dr. Rade Panić, the President of the Union of Doctors and Pharmacists. The analysis was created within the survey that was conducted from October 2021 to March 2022. Precisely because of that, some data in the analysis were presented during the writing of the analysis itself, which were relevant during the research and writing the analysis (for example, when writing about the number of infected citizens, or the number of deceased doctors). Finally, the analysis concludes with certain recommendations necessary to improve the management of the COVID-19 pandemic, but possibly some other pandemics in the future.
Topic:
Governance, Public Health, Pandemic, and COVID-19
Political Geography:
Europe and Serbia

39. (Absence of) Trust and Security in the Second Year of the Pandemic – Serbian Citizens’ Opinions about the COVID-19 Pandemic

Author:
Maja Bjelos and Srdan Hercigonja
Publication Date:
06-2022
Content Type:
Working Paper
Institution:
Belgrade Centre for Security Policy
Abstract:
What do Serbian citizens think about the COVID-19 pandemic? What are their opinions about vaccination? Do they trust the institutions that were managing the pandemic? We present you an analysis of citizens' attitudes on these topics. The public opinion poll on the management of the COVID-19 pandemic, the process of immunisation of the population and the impact of the pandemic on the work of institutions and the status of democracy was conducted during the relatively calm epidemiological period, just before the big wave in late 2021 and early 2022, when Serbia had a record number of registered citizens newly infected with the Coronavirus. At the same time, the survey was conducted in the period when all adult citizens were offered the so-called booster or the third dose of the vaccine against COVID-19. The observed period was marked by the political and security crisis in Kosovo, so the pandemic was not in the focus of public and political discussion. In the meantime, the gradual calming of the situation regarding the pandemic itself, and primarily the reduction of the number of newly infected and dead, created space for the analysis and assessment of the way the pandemic had been managed.
Topic:
Public Opinion, Public Health, Pandemic, and COVID-19
Political Geography:
Europe and Serbia

40. The Department of Defense Contributions to Pandemic Response

Author:
Tom Cullison and J. Stephen Morrison
Publication Date:
05-2022
Content Type:
Special Report
Institution:
Center for Strategic and International Studies
Abstract:
The Department of Defense (DOD) should be systematically incorporated into any evolving U.S. government vision on international health security. A process of strategic planning that encompasses a spectrum of valuable DOD contributions to contain the global Covid-19 pandemic should begin right away. DOD has broad capabilities that have consistently proven their high value in addressing the current Covid-19 pandemic and other historical disease outbreaks, in support of the U.S. civilian-led response. The knowledge and experience gained in crisis response at home and overseas contribute to military readiness and improved coordination of all actors involved in preventing, detecting, and responding to infectious disease events. This report draws from months of deliberations organized by the CSIS Commission on Strengthening America’s Health Security’s DOD Working Group. It lays out four concrete and pragmatic recommendations to strengthen DOD’s contributions overseas in advancing U.S. global health security interests
Topic:
Defense Policy, Military Strategy, Public Health, Pandemic, and COVID-19
Political Geography:
North America and United States of America

41. Patents, Pandemics, and the Private Sector: The Battle Over Public Health Norms During COVID-19

Author:
Vartika Neeraj
Publication Date:
05-2022
Content Type:
Journal Article
Journal:
Journal of Public and International Affairs (JPIA)
Institution:
School of Public and International Affairs (SPIA), Princeton University
Abstract:
The COVID-19 pandemic has revealed the influence that private pharmaceutical companies and philanthropic foundations have on global health governance. Private actors have been able to maintain the norm of intellectual property rights, despite opposition from developing countries and growing opposition from powerful actors in developed countries. This article examines how private actors have wielded their material resources, expert authority, and discursive powers to overrule the wishes of governments. It concludes by exploring the public health consequences of their growing hold on international governance and offers some policy recommendations to mitigate distorted public health outcomes.
Topic:
International Relations, Intellectual Property/Copyright, International Development, Public Health, Vaccine, and COVID-19
Political Geography:
Global Focus

42. North Korea’s Covid-19 Lockdown: Current Status and Road Ahead

Author:
Victor D. Cha, Katrin Fraser Katz, and J. Stephen Morrison
Publication Date:
03-2022
Content Type:
Policy Brief
Institution:
Center for Strategic and International Studies
Abstract:
CSIS hosted a panel of experts for a discussion of the impact of the Covid-19 pandemic on North Korea. The group discussed what is known about the current situation, the primary and secondary effects of the border lockdown, and the broader impact on North Korean society and markets. The group also examined North Korea’s path going forward, the possibility of an easing of restrictions, and the feasibility of humanitarian aid policies to North Korea. The meeting took place under Chatham House Rule on a not-for- attribution basis.
Topic:
Public Health, Pandemic, COVID-19, and Quarantine
Political Geography:
Asia and North Korea

43. From emergency to structure: ways to fight Covid-19 via international cooperation in health from Brazil

Author:
Andemar Pozzatti and Luiza Witzel Farias
Publication Date:
03-2022
Content Type:
Journal Article
Journal:
Revista Brasileira de Política Internacional (RBPI)
Institution:
Instituto Brasileiro de Relações Internacionais (IBRI)
Abstract:
This article argues the need for complementarity between emergency and structuring international cooperation in scenarios of health crises in developing countries. Through a review of contemporary literature and document analysis, it analyzes some aspects of the performance of global and Latin American institutions in the Covid-19 pandemic in light of this argument. It also makes a brief survey of forms of international cooperation that emerge from Brazil, with BRICS and Latin American partners, to fight the pandemic, which have a local and sectoral character: paradiplomacy, structuring networks and the role of local agents and health experts.
Topic:
International Cooperation, Public Health, Humanitarian Crisis, Pandemic, COVID-19, and Health Crisis
Political Geography:
Brazil and South America

44. Residual capacity and the political economy of pandemic response in Ghana

Author:
Kofi Takyi Asante
Publication Date:
04-2022
Content Type:
Working Paper
Institution:
United Nations University
Abstract:
On the whole, poor countries in Africa and elsewhere seem to have weathered the coronavirus (SARS-CoV-2, or COVID-19) pandemic better than wealthier countries with superior healthcare systems. Using the Ghanaian case, this paper draws on newspaper articles, policy statements, and other secondary sources to explain how the country’s competitive clientelist political settlement mediated the public health outcomes of the pandemic. It argues that while it lacks overall state capacity, Ghana was able to surmount the limitations of its weak and underresourced public health system by leveraging ‘residual capacity’ from previous public health programmes and a strong proactive response from the continental and subregional organizations. The government’s strong early response enabled it to gain control of the situation in the crucial first few months of the outbreak. However, with an upcoming election later in the year and unwilling to bear the political costs of sustaining its initial efforts, the government subsequently wavered in its response. The country’s infection and death rates spiked and dipped in response to these waves of enforcement. The paper concludes with a brief discussion of the limits of ‘residual capacity’ in public service delivery.
Topic:
State, Public Health, Settlements, COVID-19, and Clientelism
Political Geography:
Africa and Ghana

45. The effect of COVID certificates on vaccine uptake, public health, and the economy

Author:
Philippe Aghion, Guntram Wolff, Philippe Martin, Lionel Guetta-Jeanrenaud, Bary Pradelski, Miquel Oliu-Barton, Nicolas Woloszko, Patrick Artus, and Arnaud Fontanet
Publication Date:
01-2022
Content Type:
Working Paper
Institution:
Bruegel
Abstract:
In the COVID-19 pandemic, governments have, among other measures, mandated the use of COVID certificates to prove vaccination, recovery or a recent negative test, and have required individuals to show certificates to access shops, restaurants, and education or workplaces. While arguments for and against COVID certificates have focused on reducing transmission and ethical concerns, the incentive effects of COVID certificates on vaccine uptake, health outcomes and the economy has not yet been investigated. To estimate these effects, we construct counterfactuals based on innovation diffusion theory for France, Germany and Italy. We estimate that the announcement of COVID certificates during summer 2021 led to increased vaccine uptake in France of 13.0 (95% CI 9.7–14.9) percentage points (p.p.) of the total population up to the end of the year, in Germany 6.2 (2.6–6.9) p.p., and in Italy 9.7 (5.4–12.3) p.p. Further, this averted an additional 3,979 (3,453–4,298) deaths in France, 1,133 (-312–1,358) in Germany, and 1,331 (502–1,794) in Italy; and prevented gross domestic product (GDP) losses of €6.0 (5.9–6.1) billion in France, €1.4 (1.3–1.5) billion in Germany, and €2.1 (2.0–2.2) billion in Italy. Notably, the application of COVID certificates substantially reduced the pressure on intensive care units (ICUs) and, in France, prevented occupancy levels being exceeded where prior lockdowns were instated. Varying government communication efforts and restrictions associated with COVID certificates may explain country differences, such as the smaller effect in Germany. Overall, our findings are more sizeable than predicted. This analysis may help inform decisions about when and how to employ COVID certificates to increase vaccine uptake and thus avoid stringent interventions, such as closures, curfews, and lockdowns, with major social and economic consequences.
Topic:
Government, Economy, Public Health, Vaccine, and COVID-19
Political Geography:
Europe

46. The failure of global public health governance: a forensic analysis

Author:
Jean Pisani-Ferry, Anne Bucher, and George Papaconstantinou
Publication Date:
02-2022
Content Type:
Policy Brief
Institution:
Bruegel
Abstract:
COVID-19 has underlined that in a context of recurring pandemics, public health is a basic global public good, the provision of which presupposes effective and timely collective action at global level. It has exposed the limitations of the prevailing framework. This Policy Contribution positions global public health governance in the wider debate on the reform of international governance arrangements. It distinguishes between the ‘before’ phase of pandemic preparedness, characterised by ‘denial and neglect’; the first phase (‘addressing the outbreak’), with scientific cooperation and an uncoordinated response to the outbreak; the second phase (‘responding and containing’), with a scaling up of testing, but also competition for scarce equipment and slow development of tests; the third ‘protecting’ phase, with the exceptional development of new vaccines but also rival vaccine diplomacy; and the final ‘exit’ phase, with ramping up of vaccine distribution, but also a glaring failure to vaccinate poor countries. In the evolution of global governance arrangements in different policy areas, six ingredients have been important, and two were clearly present in public health: joint identification of the problem, and shared expertise, as demonstrated especially in the scientific and institutional response. This was much less the case with two others: common action principles, and transparent reporting mechanisms. Finally, there have been significant problems with the last two ingredients: there is no accepted outcome-evaluation process to assess results and adapt instruments, while trust issues continue to hamper the work of the World Health Organisation. The decision to work towards a new pandemic treaty should be assessed against the reform agenda of global health security governance. Four proposals can be made. The WHO should be turned it into a strong and independent standard-setting and surveillance authority for preparedness, prevention, and response, while existing institutions and initiatives should be streamlined and consolidated to better provide essential medical supplies globally. Meanwhile, a G20-type body should be established to provide leadership and ensure a whole-of-government approach that repositions global health governance in the world order and puts it on par with economic interdependence or financial stability in terms of governance, institutional backing and resources. Adequate funding should be provided through a self-standing fund to address the shortfalls COVID-19 has revealed in preparedness of national health systems, detection and containment, and shortages and misallocations of critical medical supplies.
Topic:
Governance, Public Health, COVID-19, and Forensic Science
Political Geography:
Global Focus

47. Sanitation Marketing in Tajikistan: Business model for sustainable WASH market development

Author:
Orkhan Ali
Publication Date:
05-2022
Content Type:
Research Paper
Institution:
Oxfam Publishing
Abstract:
Water, sanitation and hygiene (WASH) remains a critical problem in Tajikistan, particularly for its rural areas. In terms of sanitation and the market within which it operates locally, there have been no sectoral tools on market-based WASH programming in Tajikistan, and therefore little available guidance around the facilitation of better interactions between the demand and supply of sanitation products. And while specified state departments are responsible for applying and upholding sanitation standards, in practice they continue to rely on guidelines from Soviet times, and rarely carry out household-level inspections – hence the legal frameworks governing sanitation should be revised accordingly. To fill this gap, Oxfam launched its first sanitation marketing programme in 2018 (as part of its wider Tajikistan Water Supply and Sanitation (TajWSS) Project funded by the Swiss Government) and played a market broker role that transformed the relationship between buyers and sellers of sanitation products. The project approached the process by influencing both supply and demand sides, and by designing affordable and desirable trading processes for rural households to meet their sanitation needs.
Topic:
Development, Infrastructure, Sanitation, Public Health, and Sustainability
Political Geography:
Central Asia, Asia, and Tajikistan

48. Decentralised Sanitation Solutions in Tajikistan: Decentralised wastewater treatment systems (DEWATS) in peri-urban and urban areas in Tajikistan

Author:
Orkhan Ali
Publication Date:
05-2022
Content Type:
Research Paper
Institution:
Oxfam Publishing
Abstract:
An important milestone for the sanitation sector was the adoption by the UN of Sustainable Development Goal (SDG) targets 6.2 (safely managed sanitation and hygiene services) and 6.3 (reducing the portion of untreated wastewater), which focus on managing the entire sanitation service chain. Tajikistan has been at the forefront of promoting these at global level. Meanwhile, the fourth initiative of the President of Tajikistan on the International Decade for Action on Water for Sustainable Development, 2018–20281 is being implemented at national level. Over the past decade, sanitation has been given low priority within the focus areas of water sector reform. For example, not all aspects of regulations have been duly revised to adopt new technologies. In addition, many regulations for wastewater treatment remain outdated and pose legal constraints for testing new approaches in the country. The Tajikistan Water Supply and Sanitation (TajWSS) (Phase III) project piloted a decentralised wastewater treatment system (DEWATS) in the peri-urban Rudaki district in Tajikistan with two hospitals with the aim of scaling up to national level. This learning paper showcases the project findings, assessments and lessons learned in application of the DEWATS.
Topic:
Development, Infrastructure, Sanitation, Public Health, and Hygiene
Political Geography:
Central Asia, Asia, and Tajikistan

49. Abortion Legalization in Uruguay: Effects on Adolescent Fertility

Author:
Wanda Cabella and Rafael-Andrés Velázquez-Pérez
Publication Date:
06-2022
Content Type:
Working Paper
Institution:
Center for Distributive, Labor and Social Studies (CEDLAS)
Abstract:
The Latin America and the Caribbean adolescent fertility rate is among the highest in the world: about 1.7 million children are born to teen mothers every year, and most of them are declared as being unintended pregnancies. The region also has the highest rate of unintended pregnancy of any world region, and nearly half of such pregnancies end in abortion. However, fewer than 18% of the region’s women live in countries where abortion is broadly legal. This paper estimates the causal effect of abortion legalization on adolescent fertility in Uruguay, using official data on legal abortions provided after the 2012 reform. We employed a difference-in-differences strategy, classifying states by whether they are responsive or unresponsive to the reform. The results suggest that abortion reform had a negative impact on the adolescent birth rate by 2.5 to 2.8 births per thousand adolescents aged 15–19 (4% decrease from the preintervention average). Additionally, we exploited variation in reform implementation intensity through the estimation of fixed-effect linear regression models and found consistent results. Our findings are robust to controlling for a concurrent large-scale program of contraceptive implants. We conclude that legislation aimed at enhancing rights and reducing avoidable deaths and complications from unsafe abortions may also have spillover effects that help reduce adolescent fertility.
Topic:
Public Health, Adolescence, Fertility, Abortion, and Gender
Political Geography:
South America and Uruguay

50. The Pandemic Exposes and Exacerbates Existing Problems of Inequality and Polarization

Author:
Joshua Kurlantzick
Publication Date:
01-2022
Content Type:
Commentary and Analysis
Institution:
East Asia Institute (EAI)
Abstract:
During the COVID-19 pandemic, while some democracies (such as Canada and Australia) have been able to respond effectively, the five large democracies of the United States, Brazil, India, Indonesia, and the Philippines have suffered severe effects on public health. In this commentary, Joshua Kurlantzick, a Senior Fellow for Southeast Asia at the Council on Foreign Relations, explains how social and economic inequalities in these countries are the cause of their ineffective responses to the pandemic. He then points out how populist politicians in these countries have exacerbated inequality during the pandemic with their rhetoric and policy. The author then argues that despite political, economic, and social problems in these countries, leaders have an opportunity to alleviate inequality through major democratizing reforms, as there is a public sentiment of wanting to work together to overcome the pandemic.
Topic:
Democracy, Inequality, Populism, Public Health, and COVID-19
Political Geography:
Indonesia, India, Brazil, Philippines, and United Nations