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The aim was to characterize reported food- and waterborne outbreaks in Finland, 2010-2020, and to test local investigation teams’ preparedness to investigate outbreaks.
Methods
The outbreaks reported to the Finnish registry for food and waterborne outbreaks were characterized by the number of outbreaks and people fallen ill, and the causative agent. Local investigation teams’ measures and their timeliness in a simulated time-constrained case study were scored and analyzed descriptively.
Results
In 537 outbreaks, 12 399 fell ill and 19 (0.15%) died. The causative agent remained unknown in 218 outbreaks. The local investigation teams’ median preparedness score was 15/29 (range 9-23) and the score differed markedly within regions. Differences in the speed of communication and the number of channels used were observed between the teams.
Conclusions
Differences between environmental health units’ scores indicated inconsistency in outbreak investigations between areas in Finland. The variability in preparedness scores was high in both the highest and lowest outbreak incidence regions. Because outbreaks occur rarely in most EHU areas, preparedness exercises are necessary to maintain investigation skills. Measures to enhance sampling would be needed because the causative agent was unknown in over 1/3 of the outbreaks. Many local investigation teams lack experience in public communication and training on communicating about outbreaks is needed.
Chapter 3 explores the work undertaken by Carl Byoir and Ivy Lee for German interests, the subsequent Congressional investigation into that work, and the public backlash that followed. Byoir and Associates worked for the German Tourist Information Office, while Lee worked for I. G. Farben. These connections to Nazi Germany quickly came to the attention of the US government. Congress investigated potential subversive activities and conflicts of interest between private PR interests and America’s broader national interests. While neither Byoir nor Lee was revealed as a puppet of the Nazi regime, both were tainted by the association. The incident revealed the depth of popular concerns about the use of PR to promote foreign interests in the United States.
Chapter 8 examines how, after 1945, a growing number of American PR firms took on foreign governments as clients. As the international PR business expanded through the 1950s, pretty much any country outside of the communist orbit was up for grabs. While there were numerous examples, the most notable was a government desperate to remain outside of the communist orbit: South Vietnam. Its leader, Ngo Dinh Diem, sought PR to strengthen his own image as well as that of his new nation. From the mid-1950s, Harold Oram’s firm provided PR counsel to South Vietnam in the United States as part of a wider “Vietnam Lobby.” For the most part, the PR firms in question believed they worked in the interests of the United States as much as the countries they represented. Yet it became increasingly clear that their own business interests were their priority. The fact that American PR firms worked for foreign governments at all caused controversy when news of the practice came to public attention in the 1960s. Through media reports and subsequent Congressional investigations, the role of PR firms in promoting foreign clients within the United States once again came under question.
Whilst thoracic myelopathy secondary to degenerative disease is relatively uncommon, left untreated it carries significant morbidity. It is thus of critical importance that patients are correctly diagnosed and managed expediently and effectively. Unfortunately, the management of thoracic myelopathy can be challenging, not least due to the technical difficulty accessing the site of compression and indeed optimum management is also debated. In this Element the authors present background, clinical features, diagnosis, and pitfalls and then a handy management algorithm for this critical neurosurgical condition.
Recurrent pregnancy loss (RPL) is a distressing condition affecting around 1-2% of women, with no universally accepted definition and many unanswered questions remaining. Causes associated with RPL include chromosomal abnormalities, anatomical uterine defects, autoimmune disorders and endometrial dysfunction. Nevertheless, around 50% of women with RPL have unexplained aetiology. This results in highly challenging and complex cases for clinicians to manage and a significant psychological impact on the couples experiencing it. Although numerous tests and treatment options have been suggested over the years, the evidence surrounding some of them is weak at best and remain controversial. Here we discuss these investigations in more detail.
Outlawing all forms of ill-treatment can only be achieved by effective investigation and prosecution of the offenders. This chapter considers the duty to investigate both torture and other cruel, inhuman, and degrading treatment or punishment. Where any ill-treatment is credibly alleged, a State is obligated by treaty and/or customary law to investigate. Where criminal wrongdoing amounting to torture or other ill-treatment is identified in the course of an impartial investigation, the perpetrators must be prosecuted and, if convicted at the end of a fair trial, duly punished. In practice, even when the crime is on the statute book in any given domestic legal regime and the various elements of the offence pertain to any individual, it is very rare for the specific charge of torture to be laid. More often, when a prosecution is mounted, for instance against a police officer or other law enforcement official alleged to have ill-treated a suspect, detainee, or other person, assault—not torture—is the charge on which the accused is indicted.
Several provisions of the Convention deal with obligations to punish or suppress genocide using criminal law mechanisms. States Parties to the Convention are required to prosecute the crime of genocide and to provide for appropriate penalties. The Convention provides explicitly for territorial jurisdiction, and makes no mention of other forms, such as active and passive personality jurisdiction. The drafters of the Convention rejected reference to universal jurisdiction although it is now recognized under customary international law. States are also required to cooperate in extradition of suspects to stand trial for genocide.
In March 2023 the EU-funded CHERISH project published its free user-guide and methodology for investigating heritage and climate change in the coastal and maritime environment (Barker and Corns 2023). This paper provides an overview of the publication, specifically the CHERISH toolkit – the 15 approaches employed by the multi-disciplinary project to investigate at-risk heritage sites in Wales and Ireland. Using the eroding coastal hillfort of Dinas Dinlle in Wales as a case study, the toolkit which combines air, land and sea-based investigation techniques is highlighted. This article will assist users going forward in identifying relevant approaches to the study of their own at-risk sites. It is relevant to a wide-ranging audience anywhere in the world, taking into consideration a variety of requirements such as the environment, budget, and outputs.
Criminal groups, like mafias and gangs, often get away with murder. States are responsible for providing justice but struggle to end this impunity, in part because these groups prevent witnesses from coming forward with information. Silencing Citizens explains how criminal groups constrain cooperation with the police not just by threatening retaliation but also by shaping citizens' perceptions of community support for cooperation. The book details a social psychological process through which criminal group violence makes community support for cooperation appear weaker than it is and thus reduces witnesses' willingness to share information with the police. The book draws on a wealth of data including original surveys in two contrasting cities - Baltimore, Maryland in the Global North and Lagos, Nigeria in the Global South. This title is part of the Flip it Open Programme and may also be available Open Access. Check our website Cambridge Core for details.
The chapter presents an overview of the procedural arrangements adopted at the international criminal jurisdictions, namely the UN ad hoc tribunals for the former Yugoslavia and Rwanda and the International Criminal Court (ICC), covering the main milestones from the initiation of the investigation to trial phase to appeals against the judgment and sentence and review. Before delving into the trajectories of an criminal case before international criminal courts and tribunals, the chapter highlights the origins of international criminal procedure in the common law (Anglo-American, or ‘adversarial’) and civil law (Continental, or ‘inquisitorial’) approaches, resulting in its legal nature as a hybrid scheme where the balance between the domestic influences varies by tribunal and over time due to reforms pursued by judge-legislators (ICTY and ICTR) or by states and, to a lesser extent, judges (ICC). The chapter reviews the role and functions of the main actors in international criminal proceedings, including repeat or professional players (judges, prosecutors, and defence) and other participants such as victims and witnesses and states and international organisations. It also highlights the normative importance of human rights to international criminal process and the imperative of complying with the principles of public, fair and expeditious proceedings.
The Conclusion first summarizes the study’s findings. It then presents the study’s policy implications that might help inform local actors’ decisions on interventions related to police–citizen cooperation in communities with criminal groups. Additional research questions are also proposed. In particular, how the study’s findings might relate to contexts experiencing political violence such as civil war or insurgency remains an avenue for future research. The final section highlights that populations are projected to grow fastest in countries with strong criminal groups and weak state institutions for fighting those groups. This trend increases the urgency to understand vacuums of justice and how they might be filled.
This chapter lays out the study’s research design. The design aims to enhance cycles of silence theory’s generalizability at two levels. At a macro level, the goal is to increase the potential that, contingent on local factors, the theory applies to as many of the communities facing criminal group violence as possible. It does so by drawing on logic derived from human social psychological dynamics, leveraging a wide range of existing datasets including a global survey of 109,000 citizens, and studying communities both the Global North (Baltimore, Maryland) and Global South (Lagos, Nigeria). At a micro level, the design combines cross-national data with original surveys as well as interviews and first- hand observations in Baltimore and Lagos. This multimethod approach improves the likelihood that the findings from the surveys and interviews in Baltimore and Lagos accurately reflect cooperation dynamics in the cities. Finally, the chapter provides definitions for key terms related to the study’s main actors – criminal groups, police, and citizens – and the main outcome of citizen cooperation with the police.
This chapter presents the results of a survey experiment testing cooperation interventions in Lagos. It provides background information on the relatively limited efforts to date to promote police–citizen cooperation in the megacity. The chapter describes the virtual reality–based survey experiment used to test the interventions in which respondents are shown a hypothetical area boy fight from a shopkeeper’s point of view. The results indicate that respondents who viewed the vignettes with an anonymous tip line and the intervention to raise awareness of cooperation support among shopkeepers boosts information sharing. Exposure to co-ethnic police officers in the vignette, however, shows little effect on information sharing. The chapter also discusses the mechanisms through which cooperation support exists despite widespread distrust of the Nigeria Police Force among Lagosians.
This chapter presents the results of a survey experiment testing cooperation interventions in Baltimore. It describes existing efforts in the city to promote cooperation with the police and how police rely on information from witnesses. The survey experiment entails respondents viewing and responding to a professionally produced fictional news report of a shooting with experimental variations to test the various interventions. The results show police encouraging cooperators to call an anonymous tip line (as opposed to a non-anonymous line) as well as creating awareness of cooperation norms both increase information sharing. The police commander portrayed in the news report being the same race as the respondent does not change the amount information that they are willing to share. The chapter also discusses the mechanisms of how support for cooperation exists in Baltimore despite distrust of the police.
This chapter theorizes how interventions employed by police and community safety advocates might promote cooperation. The evaluation focuses on two interventions that plausibly reverse cycles of silence: facilitating cooperator anonymity to reduce the risk involved in information sharing and creating awareness of support for cooperation to strengthen the perceived norms favoring information sharing. Given that these interventions do not address distrust in the police, which places a ceiling on cooperation support, the evaluation also includes the trust-based intervention of exposing citizens to police officers of the same race or ethnicity. The chapter concludes with enumerating principles that should be considered when evaluating the appropriateness of implementing interventions to promote cooperation.
This chapter explains the motivation for the study. A stark reality is that states often fail to provide justice in many communities enduring criminal group violence. Deaths from criminal group violence roughly equal deaths from war between states, intrastate conflict (namely, civil war and insurgency), and terrorism combined. Moreover, criminal group affiliates who engage in the violence do so with near impunity in many communities. Criminal groups’ ability to escape accountability means that these communities face what I term vacuums of justice. The chapter goes on to argue that justice provision is a core responsibility of the state and, by failing in this regard, states shirk one of their raisons d’être (reasons for existence) under the social contract. The chapter’s final section explains the link between justice provision and cooperation with the police, positing that the police’s reliance on information from witnesses often makes cooperation a necessary albeit insufficient linchpin for justice provision.
The Introduction previews cycles of silence theory, which seeks to explain how criminal groups constrain citizen cooperation with the police. The Introduction focuses on laying out the book’s central contributions. Theoretically, the book provides a new explanation for how criminal groups prevent cooperation with the police, highlighting the role of their violence in suppressing perceived norms favoring cooperation. The theory speaks to the political science literatures on state-building, political conflict, and criminal governance as well as literatures from other social science disciplines including criminology. Methodologically, the study bridges research divides between the Global North and Global South by testing the theory in both regions. The study also employs realistic survey experiments including a virtual reality–based survey experiment. Finally, the Introduction puts the study into perspective: While the book’s focus may be centered around the effect of violence, the violence should not be interpreted as a defining feature of communities that endure criminal groups.
Chapter 6 introduces scientific inquiry in the early years. This chapter describes the inquiry-based approach to learning science, where children are actively involved in finding the answers to questions. The scientific inquiry process of identifying and posing questions; planning, conducting and reflecting on activities and investigations; processing, modelling and analysing data; evauluating evidence, and communicating findings is presented. The following science inquiry activities that can be used with young children are described: observation, observation and measurement over time, classification, skills activities, research activities, conducting a survey, exploration activities and fair test investigation. Various case studies demonstrate these activities.
When it comes to what many of us think of as the deepest questions of existence, the answers can seem difficult to make out. This difficulty, or ambiguity, is the topic of this Element. The Element begins by offering a general account of what evidential ambiguity consists in and uses it to try to make sense of the idea that our world is religiously ambiguous in some sense. It goes on to consider the questions of how we ought to investigate the nature of ultimate reality and whether evidential ambiguity is itself a significant piece of evidence in the quest.
This book is grounded in empirically evidenced developmental models and linked closely to practical classroom practice. While many classrooms have been resourced with equipment such as base-10 materials, counters, shape kits, mobile devices, dice kits, drawing tools and interactive whiteboard (IWB) technology, and even a laptop trolley in some cases, extensive professional development is required to enable the range of classroom resources to be transformed into teaching tools. The difficulty faced by the teaching profession is in integrating a wide range of teaching approaches and resources to weave a pedagogically sound learning sequence. This book provides mathematics teachers and pre-service teachers with detailed teaching activities that are designed and informed by research-based practices. The aim is to provide you with a sensible and achievable integration of available educational tools, with research-based approaches to mathematical development that provide for the mathematical needs of all learners. It is intended for primary pre-service teachers, and teachers looking for ways to enhance their teaching of primary mathematics, to assist them to design student tasks that are meaningful and to use educationally sound ways to improve their mathematics teaching.