The value proposition of the Global Health Security Index

Ravi, Sanjana; Warmbrod, Kelsey Lane; Müllen, Lisa A.; Meyer, Diane; Cameron, Elizabeth; Bell, Jessica; Bapat, Priya; Paterra, Michael; Machalaba, Catherine; Nath, Indira; Gostin, Lawrence O.; James, William L.; George, Dylan B.; Nikkari, Simo; Gozzer, Ernesto; Tomori, Oyewale; Makumbi, Issa; Nuzzo, Jennifer B.

doi:10.1136/bmjgh-2020-003648

Cited by 49 publications

(38 citation statements)

References 22 publications

(25 reference statements)

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“…Existing disparities in equitable access to timely and effective cancer care globally are expected to increase as the gap widens between healthcare systems with and without sufficient resources to mitigate the negative effects of the pandemic on cancer prevention, early diagnosis and treatment -as well as access to COVID-19 vaccines [2]. Furthermore, the pandemic has exposed significant deficits in how cancer care and health systems prepare, respond and mitigate such events [3,4].…”

Section: Introductionmentioning

confidence: 99%

Global cancer research in the era of COVID-19: a bibliometric analysis

Hemelrijck¹,

Lewison²,

Fox³

et al. 2021

ecancer

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Background: Patients with cancer across the world have been impacted by the COVID-19 pandemic due to increased risk of infection and disruption to cancer diagnosis and treatment. Widening of healthcare disparities is expected as the gap between health systems with and without adequate resources to mitigate the pandemic become more apparent. We undertook a bibliometric analysis of research related to cancer and COVID-19 to understand (1) the type of research that has been conducted (e.g. patients, services and systems) and (2) whether the pandemic has impacted the state of global cancer research as measured by research outputs to date.Methods: An existing filter for cancer research consisting of title words and the names of specialist cancer journals was used to identify cancer and COVID-19 related articles and reviews in the Web of Science (©Clarivate Analytics) between January 2019 and February 2021.Results: One thousand five hundred and forty-five publications were identified. The majority (57%) were reviews, opinion pieces or concerned with modelling impact of delays to diagnosis and treatment. The main research domains focused on managing or estimating COVID-19 risk to cancer patients accounting for 384 papers (25%). High Income countries contributed the largest volume (n = 1,115; 72%), compared to Upper Middle (n = 302; 20%), Lower Middle (n = 122; 8%) and Low Income countries (n = 2.4; 0.2%). No evidence of a reduction in global cancer research output was observed in 2020. Conclusions: We observed a shift in research focus rather than a decline in absolute output. However, there is variation based on national income and collaborations are minimal. There has been a focus on pan-cancer studies rather than cancer site-specific studies.Strengthening global multidisciplinary research partnerships with teams from diverse backgrounds with regard to gender, clinical expertise and resource setting is essential to prevent the widening of cancer inequalities.

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Section: Introductionmentioning

confidence: 99%

Global cancer research in the era of COVID-19: a bibliometric analysis

Hemelrijck¹,

Lewison²,

Fox³

et al. 2021

ecancer

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“…Absolute goalpost values of 0–100 will be used in the normalization approach, thus, the values derived per unit will be relative to the identified minimum and maximum. This methodology is widely used in the construction of indices including the recent global health security index [ 28 ], the UHC service coverage index [ 29 ], the human development index [ 30 ], the SDG Index [ 31 ], among others.…”

Section: Methodsmentioning

confidence: 99%

Monitoring Quality of Care in the WHO Africa Region-A study design for measurement and tracking, towards UHC attainment

Titi-Ofei

Osei-Afriyie

Karamagi

2021

Global Health Action

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This paper reports on the design of a study to generate a quality of care index for countries in the World Health Organization Africa Region. Quality of care, for all people at all times, remains pivotal to the advancement of the 2030 agenda and the attainment of Universal Health Coverage. We present a study protocol for deriving a quality of care index, hinged on indicators and data elements currently monitored through routine information systems and institutionalized facility assessments in the World Health Organization Africa Region. This paper seeks to offer more insight into options in the Region for strengthening monitoring processes of quality of care, as a step towards generating empirical evidence which can galvanize action towards an improved care process. The methodology proposed in this study design has broad implications for policymaking and priority setting for countries, emphasizing the need for robust empirical measures to understand the functionality of health systems for the delivery of quality essential services. Application of this protocol will guide policymaking, as countries work to increasingly improve quality of care and adopt policies that will best facilitate their advancement towards Universal Health Coverage.

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“…Public health indexes measuring the risk of catastrophic events to a country draw information from internationally accepted sources, and governments are crucial for global policy development ( 49 – 51 ). These indexes estimate the risk to infectious microorganisms by characterizing factors influencing vulnerability: demographic, health care, public health, disease dynamics, political-domestic, political-international, and economics.…”

Section: Limitations Of Biosurveillance and Capability Assessment Systemsmentioning

confidence: 99%

Known and Unknown Transboundary Infectious Diseases as Hybrid Threats

Valdivia-Granda¹

2021

Front. Public Health

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The pathogenicity, transmissibility, environmental stability, and potential for genetic manipulation make microbes hybrid threats that could blur the distinction between peace and war. These agents can fall below the detection, attribution, and response capabilities of a nation and seriously affect their health, trade, and security. A framework that could enhance horizon scanning regarding the potential risk of microbes used as hybrid threats requires not only accurately discriminating known and unknown pathogens but building novel scenarios to deploy mitigation strategies. This demands the transition of analyst-based biosurveillance tracking a narrow set of pathogens toward an autonomous biosurveillance enterprise capable of processing vast data streams beyond human cognitive capabilities. Autonomous surveillance systems must gather, integrate, analyze, and visualize billions of data points from different and unrelated sources. Machine learning and artificial intelligence algorithms can contextualize capability information for different stakeholders at different levels of resolution: strategic and tactical. This document provides a discussion of the use of microorganisms as hybrid threats and considerations to quantitatively estimate their risk to ensure societal awareness, preparedness, mitigation, and resilience.

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The value proposition of the Global Health Security Index

Cited by 49 publications

References 22 publications

Global cancer research in the era of COVID-19: a bibliometric analysis

Global cancer research in the era of COVID-19: a bibliometric analysis

Monitoring Quality of Care in the WHO Africa Region-A study design for measurement and tracking, towards UHC attainment

Known and Unknown Transboundary Infectious Diseases as Hybrid Threats

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