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During times of crisis, such as the COVID-19 pandemic, policymakers and the public reveal a strong preference for fairness in pricing even when that would reduce efficiency. For example, they support the application of price gouging laws that prevent prices for necessities from skyrocketing but probably also dampen incentives for firms to produce more and alleviate the shortage. More generally, a growing body of research reveals that consumers have a strong preference for fairness over wealth maximization. This suggests that in making price policy, governments should abandon neoclassical economics and its wealth maximization criterion in favor of an approach that treats fairness in pricing as a first principle and paramount value. The chapter considers the implications of this "neo-Kantian" approach to price policy for antitrust law and policy in particular.
We aimed to investigate the private health service delivery sector’s engagement in public health emergency preparedness and response in Cambodia, Laos, and Vietnam.
Methods
Between November 2022 and March 2023, private health care providers from registered clinics and hospitals (n = 574) and pharmacies (n = 1008) were surveyed on their participation and willingness to engage in specific public health emergency preparedness and response activities.
Results
In Vietnam, 40% of respondents reported being engaged in emergency response between 2020 and 2022, compared to 33% in Cambodia and 25% in Laos. Provider and pharmacist participation in the COVID-19 response was largely through their own initiative and included on-the-job COVID-19 trainings, providing health information to patients, and assisting with testing and contact tracing. Respondents expressed high levels of willingness to participate in a broad range of proposed activities, particularly those from clinics or hospitals and those with previous experience.
Conclusions
While respondent willingness for involvement in preparedness and response is high, only a small proportion of respondents had been engaged by health authorities, revealing missed opportunities for fully leveraging private health care providers. Future policy and programmatic efforts to strengthen health security in view of more resilient mixed health systems should proactively engage private sector actors.
The COVID-19 pandemic spurred efforts to develop emergency ventilators, though few progressed beyond laboratory testing. This study evaluates CoroVent, a rapidly manufactured ventilator, during real-life deployment in critically ill COVID-19 patients amid ventilator shortages.
Methods
This retrospective observational study included patients ventilated with emergency ventilator CoroVent. This device uses a novel and unique way of generating inspiratory flow and gas mixing using fast ON/OFF valves for air and oxygen, producing pneumatic pulses that are then smoothed into continuous flow. Clinical data were collected from 3 hospitals between October 2020 and March 2021, selected from 27 contacted, of which 23 responded and 4 reported clinical use.
Results
Eight male patients (mean age 67 years, BMI 37.2 kg·m–2) with COVID-19 or suspected infection were ventilated with CoroVent for 31.3 (10.0–58.5) hours. The mean FiO2 was 71.4%, PEEP 10.6 cmH2O, and Vt 8.9 mL·kg–1 predicted body weight. CoroVent was used as an initial or replacement ventilator during device shortages. No major technical failures occurred.
Conclusions
This is the first report of real-life clinical use of a rapidly manufactured emergency ventilator during the COVID-19 pandemic. The results confirm that such devices, if well-designed, can provide effective respiratory support when conventional ventilators are unavailable.
The COVID-19 pandemic highlighted significant vulnerabilities in long-term care (LTC) homes, severely impacting residents and care partners. This study investigates how care partners of older adults living in Ontario LTC homes perceived residents’ experiences during the COVID-19 pandemic, and how those perceptions shaped their own caregiving experiences. Using critical ethnography, we identified four key themes: (a) masks and miscommunication, (b) loneliness and loss, (c) from interaction to isolation, and (d) loss of the advocacy role. Supportive actions included transparent masks, increased allied health professionals, and enriching daily programs. These findings emphasize the need for policies that balance infection control with the emotional and social needs of LTC residents, addressing power imbalances, ageism, and systemic inequities.
The Centers for Disease Control and Prevention (CDC) released an official health advisory after receiving reports of patients in New Mexico and Arizona who experienced serious adverse health effects after swallowing methanol-based hand sanitizer (MBHS). CDC and America’s Poison Centers conducted enhanced surveillance using the National Poison Data System (NPDS) for all calls to poison centers (PCs) that reported exposure to MBHS.
Methods
We queried NPDS for human exposure cases to MBHS between June 22, 2020 and September 14, 2020. We conducted descriptive statistics to analyze by daily case volume, age group, sex, caller site, management site, exposure route, medical outcome, reason for exposure, clinical effects, and treatment.
Results
Forty-nine states, Washington, DC, and the US Virgin Islands reported at least 1 exposure, with a total of 2164 cases. Adults aged 20-59 represented the largest proportion of cases (44.8%). Most calls (94.2%) were from a non-health care facility and were managed on site (82.4%). The exposure route was primarily dermal (88.8%) followed by ingestion (12.0%).
Conclusions
Quick response and action for exposures to MBHS containing products is essential to ensure public health safety. PCs remain a valuable resource for providing guidance and advice for toxic exposures.
At present, COVID-19 has already spread rapidly as a global pandemic, just like SARS in 2003 and H1N1 swine influenza in 2009. This study analyzes surveillance and emergency responses to these three epidemics to identify gaps in public health emergency management.
Methods
This case-comparative study uses 6 critical time points to evaluate and compare the responses.
Results
Results indicate that China has demonstrated improvements in pathogen identification and governmental coordination since the SARS outbreak, though its overall responsiveness during COVID-19 remained slower than that of the U.S. during the H1N1 pandemic. Specifically, the total response time for COVID-19 was 47 days—64 days faster than during SARS, but still 19 days slower than the U.S. response to H1N1.
Conclusions
Big data technology is crucial for China’s epidemic prevention and control, and has a significant influence on future detection and prevention.
Jay Belsky’s career has always focused on important social and behavioral challenges, and Jay specialized in showing how childhood experience shapes people’s behavior in the face of such challenges. Here we describe a project that could have been done by Jay himself, and that drew on ideas shared with us by Jay over the years of our friendship. The social problem we studied emerged from the 2020–21 COVID-19 pandemic: resistance to the vaccines. We carried out the project in the five-decade Dunedin Study, where we compared groups who differed in their intentions toward the COVID-19 vaccine in the weeks before vaccines became available. We found that vaccine-resistant and vaccine-hesitant cohort members had histories of adverse childhood experiences that fostered mistrust of authority, early-life mental-health problems that fostered misinterpretation of health messages, and early-life personality styles including tendencies to have extreme negative emotions, shut down mentally under stress, to value being a nonconformist, and to be fatalistic about health. Making matters worse, many Vaccine-Resistant and Vaccine-Hesitant participants also had difficulty cognitively comprehending health information. We found that negative vaccine intentions are not short-term misunderstandings that can be readily cleared up by delivering more information to adults in the midst of a public-health crisis. Instead they are part of a person’s lifelong psychological style of misinterpreting information and making unhealthy decisions during stressful uncertain situations. The key contribution from our study is the appreciation that this style is laid down well before secondary school age. To prepare for pandemics of the future, education about viruses and vaccines in schools could reduce citizens’ level of uncertainty and fear during a pandemic and give people preexisting knowledge that prevents shutdown under emotional distress and enhances their capacity to hear health messages.
This study aims to develop a curve-fitting approach for long-term COVID-19 mortality projections and evaluate its effectiveness as a scalable, data-driven tool for pandemic forecasting.
Methods
The basic characteristics of a dynamic curve-fitting approach capable of generating long-term projections are described. To demonstrate its utility, the model was retrospectively applied using mortality data from the start of the pandemic, January to June 2020 (6-month data), to project into the period between June 2020 and April 2021 (11-month projections).
Results
For scenarios with the best fit, the difference between observed and projected total deaths varied in the projection period between 7.7% and 28.2%.
Discussion
When the COVID-19 pandemic started in early 2020, there was lack of understanding regarding its long-term impact. Available mathematical models were complex and typically provided short- and mid-term projections. The approach described generates long-term projections that are relatively easy to implement and can be enhanced to include other parameters such as vaccine impact or virus variants. The method could prove to be a valuable tool during a future pandemic.
In 2022, an anti-vaccine mandate protest in Canada received millions of dollars in support through online crowdfunding. This event catalyzed political crowdfunding in Canada by demonstrating its ability to disseminate ideological discourse and mobilize collective action. Given its newfound visibility and impact, this study examines the landscape of political crowdfunding in Canada. We examined 60 campaigns from the legal, current events and political categories on the crowdfunding platform GiveSendGo and classified campaigns into: COVID-19-related topics, alternative media and free speech, climate change skepticism, and other political campaigns. Thematic analysis of the interactive discourse between campaign hosts and donors revealed that many campaigns were motivated by defending individual rights and freedoms amidst perceived government overreach, which fuels a distrust towards authority, including the government and mainstream media. Our study suggests that political crowdfunding empowers individuals to symbolically reflect their political and ideological beliefs through financial donations.
Starting from an anecdote about Pablo Picasso’s fascination with faces recounted by Gertrude Stein, the Introduction argues that literary modernism revised nineteenth-century physiognomy. The Introduction posits a narrative arc that moves from Georg Simmel’s diagnosis of the centrality of the face in modernity to Mina Loy’s creative appropriation of the face through the concept of “auto-facial-construction.” Both Simmel and Loy framed the face as a form. The Introduction draws out the urgency of thinking about the face as form across a set of contemporary debates: the face as the site for the technologization of subjectivity, the face as a node of biometric surveillance, the face as a battleground for the politics of race, the face as a screen for the politics of the COVID-19 pandemic, the face as a capitalist commodity and contestations thereof.
Objectives: The COVID-19 pandemic has become a serious threat to global health. Current research shows that COVID-19 causes an increase in the incidence of multidrug-resistant organisms (MDRO) due to excessive use of antibiotics during COVID-19 [1,2]. Extended-spectrum β lactamase-producing Enterobacterales (ESBL-PE), especially Escherichia coli-producing ESBL (Eco-ESBL) and Klebsiella pneumoniae-producing ESBL (Kp-ESBL) are pathogens of current concern due to their potential for rapid spread in communities and healthcare [3]. Based on antibiogram data from Dr. M. Djamil General Hospital Padang in 2022, the incidence of MDRO in the inpatient, outpatient, and intensive care units was mostly caused by Kp-ESBL (12,7%), followed by Eco-ESBL (11,9%) [4]. This study aims to compare the incidence of MDRO caused by Eco-ESBL and Kp-ESBL before, during, and after COVID- 19. Methods: This research constitutes a retrospective descriptive study conducted at Dr. M. Djamil General Hospital Padang during three distinct periods: before, during, and after the COVID-19 pandemic. The population of this study was the results of all cultures from all specimen examinations that produced ESBL. Two thousand and seventeen samples were taken from the population that met the inclusion and exclusion criteria using the total sampling technique. Results: Comparison of the incidence showed that Eco-ESBL has an increased risk of incidents after the pandemic by 1.41 times compared to before the pandemic, while the risk of incidence during the pandemic does not show a significant relationship (p=0.63, p>0.05). In contrast to Kp-ESBL, there is a decrease in the risk of incidence after the pandemic by 0.62 times compared to before the pandemic (p<0.05), while the risk of incidence during the pandemic also does not show a significant relationship (p=0.63, p>0.05). Conclusion: There is a significant risk of incidence of MDRO caused by Eco-ESBL and Kp-ESBL after the pandemic compared to before the pandemic COVID-19.
‘Deliberative Rights Theory’ evaluates what deliberative democratic scholarship can contribute to the constitutional question of how to protect fundamental rights and freedoms. That scholarship primarily focuses on what occurs within the legislature, judiciary and citizen assemblies to test the relationship between deliberation and rights. This article argues that what occurs within federalism can also significantly influence rights deliberation and thus should be part of the conversation. The article explores federalism’s effect on rights deliberation through two case studies from the COVID-19 pandemic. The first considers Australia’s decision to close its international border and the way federalism influenced discussion and debate on the right of citizens to return to the country. The second considers Canada’s decision to end the ‘Freedom Convoy’ against vaccination mandates and the way federalism affected discussion and debate on the right to protest. The article concludes by considering some directions for future research on the topic.
When areas of the law are ambiguous or untested, such as in the compassionate release cases that proliferated during the height of the COVID-19 pandemic, district judges must rely on their discretion to fill in legal gaps. Discretion can be beneficial, because it means that it allows district judges to consider factors that may lead to potentially harmful outcomes for litigants or their communities. But discretion is imperfect, particularly in the face of ethically or factually complex problems. Perhaps a place to start with addressing this difficulty is greater transparency about the benefits and limitations of discretion.
Disease outbreaks have been some of the most impactful events in the history of cities. The specter of plague and other epidemics provides stories of dreaded rapid social disruption and in some cases social collapse. The objective of this application chapter is to investigate through a set of case studies how disease outbreaks and epidemics can rapidly shift from a stress to a crisis and in turn drive significant policy transitions and transformations. The chapter introduces how disease crises disrupt daily life in cities and what have been some basic approaches in response. The chapter examines four cases of disease outbreaks that resulted in crises and significant transitions. The examples include two bubonic plague outbreaks (Marseille, France, in the 1720s; Hong Kong, China, in the late 1890s), one flu event (Spanish flu in St. Louis, US, in 1918), and COVID-19 spread (in Seoul, Korea, in 2020). The cases illustrate how the rapid onset of disease simultaneously severely disrupted everyday life and brought on a sudden health crisis that was built upon existing social and economic tensions.
Analysis of feeder and early weaned pig markets, important segments in pork production, is nearly nonexistent. We derive and estimate a structural econometric model relating demand and supply for market hogs, feeder pigs, and early weaned pigs. Estimates from the econometric model predict how disruptions are transmitted through hog and pig markets. Results indicate that hog and pig markets are most sensitive to hog processing plant utilization relative to capacity and that this sensitivity has increased compared to prior estimates. A set of counterfactual scenarios quantify the effects of shocks to hog processing capacity, wholesale pork demand, and supply response.
The magnitude and duration of the COVID-19 pandemic has highlighted the need for countries to continuously reflect and improve on their ongoing response. The World Health Organization (WHO) introduced the guidance for conducting COVID-19 intra-action reviews (IARs) in July 2020. As of November 25, 2022, 136 IARs have been conducted by 78 countries in all 6 WHO regions. IARs are country-led and outcomes country-owned, with the flexible methodology enabling countries to focus on COVID-19-related priority issues in their national and subnational contexts. WHO’s approach to promoting the use of IARs recognizes the importance of 3 learning modalities: countries learning through self-reflection, countries learning from each other, and WHO and partners learning from countries to improve WHO guidance and tools. Moving forward, the value of reflective learning in public health emergencies can be further enhanced by institutionalizing an ongoing learning mindset and translating reflective learning-based recommendations into policy change and action.
Although unconditional cash transfers (UCTs) were an important government intervention during the COVID-19 crisis worldwide, research covering UCTs’ impact on compliance with public health recommendations, at an individual level, remains limited to low-income countries. This study assesses the association between UCTs’ reception and compliance with public health recommendations in the United States. Longitudinal data from the Understanding Coronavirus in America panel are applied to difference-in-differences models to estimate how Economic Impact Payments’ reception, associated with the CARES Act 2020, impacted a variety of pandemic health behaviours. UCTs’ reception was associated with increased uptake of explicitly costly health behaviours, such as facemasks, but not with increased compliance amongst behaviours more generally. Moreover, results document stronger effects amongst poorer households. These findings have theoretical implications for how government transfers impact individual behaviour during periods of crisis and for the direction of future research.
Understanding the effect(s) of the COVID-19 pandemic is key for planning for future pandemics.
Aims
This study examines change in self-reported mental health difficulties during three months of the pandemic among adolescent (10- to 15-year-olds) participants from the UK Household Longitudinal Study (waves 7, 9 and 11 of the main survey and waves 4, 5 and 8 of the COVID-19 surveys).
Method
We focused on mental health difficulties using the Strengths and Difficulties Questionnaire (SDQ), using repeated cross-sectional and longitudinal analyses to examine data among 6471 adolescents who responded to at least one survey since 2015, and 2,300 who responded to at least one COVID-19 survey during July 2020, November 2020 or March 2021.
Results
Repeated cross-sectional data showed similar mean total SDQ across surveys before and during the pandemic (range during pandemic 11.4 to 11.9; range pre-pandemic 11.1 to 11.8). Longitudinal analyses provided no evidence of mental health change compared with pre-pandemic trends (estimated change mean SDQ (β) = 0.05, 95% CI −0.42 to 0.51; p = 0.85), or differential sociodemographic effects, except greater effects in rural households (β = 0.67, 95% CI −0.08 to 1.41) than urban environments (β = −0.18, 95% CI −0.69 to 0.33). Though subscales generally saw higher scores during the pandemic than before, these were consistent with pre-pandemic trends, excepting a slight improvement in conduct problems (β = −0.26, 95% CI 0.12 to 0.40).
Conclusions
The study offers evidence among a representative sample that mental health difficulties did not, on average, deteriorate for adolescents during three months of the pandemic.
Acute poisoning is a major cause of pediatric emergency department (PED) visits, with the COVID-19 pandemic potentially altering exposure risks and care-seeking behaviors. This study compares pediatric poisoning characteristics before and during the pandemic.
Methods
A retrospective analysis was conducted at the Gazi University PED between January 2018 and June 2022. Patients aged 1 month-18 years diagnosed with poisoning were identified via ICD codes grouped into before pandemic and during pandemic cases. A systematic random sampling yielded 178 BP (before the pandemic) and 94 DP (during the pandemic) cases with complete data. Demographic and clinical properties of cases were analyzed.
Results
The mean age was significantly higher during the pandemic (BP:7.63±0.49; DP:9.27±0.69). A higher prevalence of chronic diseases was noted in DP cases (BP:0.29±0.049; DP:0.57±0.100). Hotline consultations were higher in DP period (54.5% vs.72.5%) while hospitalization rates were lower (55% vs. 35.2%). While suicide attempts were significantly higher in women compared to men before the pandemic, this difference disappeared during the pandemic period (BP:8.6% of males vs. 37.2% of females; DP: 25% of males vs. 39% of females).
Conclusion
The COVID-19 pandemic significantly impacted pediatric poisoning profiles, underscoring the need for targeted prevention strategies and adaptive emergency protocols.
The COVID-19 pandemic has posed a significant health threat to people in corrections facilities due to communal living, inability to social distance, and high rates of comorbidity among incarcerated populations. Combined with the First Step Act of 2018, which granted incarcerated individuals seeking compassionate release access to the courts, the pandemic increased the number of people in federal prisons petitioning for early release due to health risk. Analysis of federal compassionate release case law throughout the pandemic reveals inconsistent judicial reasoning related to COVID-19-based requests. Inconsistently interpreted compassionate release factors include vaccination status, COVID-19 reinfection, and the “degree” of extraordinary circumstances considered. Varied application among federal districts produced inequitable access to compassionate release. Therefore, this analysis provides insight into how an unclear policy can create disparate public health outcomes and considerations for compassionate release determinations in future times of uncertainty, such as a pandemic.