Solidarity and universal preparedness for health after covid-19

Tomson, Göran; Causevic, Sara; Ottersen, Ole Petter; Peterson, Stefan; Rashid, Sabina Faiz; Wanyenze, Rhoda K.; Yamin, Alicia Ely

doi:10.1136/bmj.n59

Cited by 16 publications

(11 citation statements)

References 24 publications

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“…Effective and equitable responses to the systemic drivers of ill health require global solidarity 10 . Solidarity among nations, peoples, institutions, and industries should underpin the global health architecture we build.…”

Section: Universal Principles Underlying Good Health Governancementioning

confidence: 99%

“…Effective and equitable responses to the systemic drivers of ill health require global solidarity. 10 Solidarity among nations, peoples, institutions, and industries should underpin the global health architecture we build. Solidarity fosters shared goals, drives collective action, and is essential to realizing health-related rights, achieving the Sustainable Development Goals, and effective HEPR.…”

Section: Global Solidaritymentioning

confidence: 99%

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The Global Health Architecture: Governance and International Institutions to Advance Population Health Worldwide

2023

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r Global health institutions and instruments should be reformed to fully incorporate the principles of good health governance: the right to health, equity, inclusive participation, transparency, accountability, and global solidarity. New legal instruments, like International Health Regulations amendments and the pandemic treaty, should be grounded in these principles of sound governance.r Equity should be embedded into the prevention of, preparedness for, response to, and recovery from catastrophic health threats, within and across nations and sectors. This includes the extant model of charitable contributions for access to medical resources giving way to a new model that empowers low-and middle-income countries to create and produce their own diagnostics, vaccines, and therapeutics-such as through regional messenger RNA vaccine manufacturing hubs.r Robust and sustainable funding of key institutions, national health systems, and civil society will ensure more effective and just responses to health emergencies, including the daily toll of avoidable death and disease disproportionately experienced by poorer and more marginalized populations.

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Section: Universal Principles Underlying Good Health Governancementioning

confidence: 99%

Section: Global Solidaritymentioning

confidence: 99%

The Global Health Architecture: Governance and International Institutions to Advance Population Health Worldwide

2023

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“…A noteworthy publication in the wake of the COVID-19 pandemic suggested striving for equal access to care, soliciting greater solidarity among the nations and working toward universal preparedness for challenges. 8 …”

Section: Chapter 7—low- and Middle-income Countriesmentioning

confidence: 99%

Perspectives on research needs in healthcare epidemiology, infection prevention, and antimicrobial stewardship: what’s on the horizon—Part II

Marschall,

Snyders,

Sax

et al. 2023

ASHE

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In this overview, we articulate research needs and opportunities in the field of infection prevention that have been identified from insights gained during operative infection prevention work, our own research in healthcare epidemiology, and from reviewing the literature. The 10 areas of research need are: 1) Transmissions and interruptions, 2) personal protective equipment and other safety issues in occupational health, 3) climate change and other crises, 4) device, diagnostic, and antimicrobial stewardship, 5) implementation and deimplementation, 6) healthcare outside the acute care hospital, 7) low- and middle-income countries, 8) networking with the “neighbors,” 9) novel research methodologies, and 10) the future state of surveillance. An introduction and chapters 1–5 are presented in part I of the article and chapters 6-10 and the discussion in part II. There are many barriers to advancing the field, such as finding and motivating the future IP workforce including professionals interested in conducting research, a constant confrontation with challenges and crises, the difficulty of performing studies in a complex environment, the relative lack of adequate incentives and funding streams, and how to disseminate and validate the often very local quality improvement projects. Addressing research gaps now (i.e., in the post-pandemic phase) will make healthcare systems more resilient when facing future crises.

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“…Adaptive governance assumes that collaboration among actors and across scales, is necessary to identify what people need and what is best for a socio-ecological system. In most developed nations, protecting and promoting public health requires support from multiple actors across multiple scales, a term referred to in public health literature as solidarity (Dawson and Jennings, 2012;Tomson et al, 2021). Applying principles of public health law to adaptive governance can ensure that adaptive interventions adhere to public health values needed to preserve the conditions of good health in the population as a whole (Gostin, 2016).…”

Section: Introductionmentioning

confidence: 99%

Public health: a forgotten piece of the adaptation law puzzle

Boocock,

McDonald,

McCormack

2024

Front. Clim.

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This paper uses the problem of extreme heat to illustrate the inadequacy of laws for protecting public health under climate change. Climate change is already having serious effects on public health. The Intergovernmental Panel on Climate Change (IPCC) Sixth Assessment Report highlights significant adaptation gaps for human health protection, urging that public health adaptation must be ‘proactive, timely and effective’. The law can be a powerful tool for advancing adaptation to protect public health, but there has been very little scholarly analysis of its potential, or whether in some circumstances it may promote maladaptation. For example, legal regimes for land use planning typically respect existing uses of property and make retrofitting for climate-proofing hard to mandate. These regimes can take many years to amend so new infrastructure continues to comply with outdated approaches, such as relying on air conditioning for cooling and offering limited shading. Laws also promote a focus on crisis management during a heat event but fail to promote the preventive action necessary to foster resilience. We present a case study of how the law exacerbates public health risks from extreme heat and falls short of facilitating adaptation in the Greater Western Sydney region of Australia, an area with a population of 2.6 million. In 2019, this area experienced a record near-surface air temperature of 52°C (125.6°F) causing significant adverse physical and mental health impacts. The public health impacts of extreme temperatures in this region are well documented, as are the increasing strains on emergency and health services. This case study demonstrates that laws could help to control heat in the landscape and secure the safety of vulnerable populations, but to do so they must prioritize adaptation to the health impacts of climate change.

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Solidarity and universal preparedness for health after covid-19

Cited by 16 publications

References 24 publications

The Global Health Architecture: Governance and International Institutions to Advance Population Health Worldwide

The Global Health Architecture: Governance and International Institutions to Advance Population Health Worldwide

Perspectives on research needs in healthcare epidemiology, infection prevention, and antimicrobial stewardship: what’s on the horizon—Part II

Public health: a forgotten piece of the adaptation law puzzle

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