To Do No Harm: Humanitarian Aid in Conflict Demands Political Engagement

2018 ◽  
Vol 12 (5) ◽  
pp. 567-568 ◽  
Author(s):  
Ronak B. Patel ◽  
Hannah B. Wild

AbstractHumanitarian aid in settings of conflict has always been fraught with challenges. In the absence of political engagement, however, manipulation by state authorities, however, have the potential to pervert aid intervention to inflict harm. South Sudan exemplifies how states may abuse the humanitarian response to retreat from public responsibility, divert funds to further violence and conflict and dictate the distribution of aid. Recent trends toward nationalist policies in the West that favor disengagement and limited military strikes have the very effect of allowing this abuse to transform humanitarian aid into a tool for harm. (Disaster Med Public Health Preparedness. 2018;12:567–568)

2021 ◽  
Author(s):  
Ahmad Amro ◽  
Badeeha Mansoor ◽  
Omar Hamarsheh ◽  
Diaa Hjejeh

Abstract BackgroundBrucellosis in Palestine continues to be a significant public health problem due to its impact on the human health, as a result of the high prevalence level of infection in livestock especially in sheep and goats. The purpose of this research was to investigate the epidemiology of human brucellosis in the West Bank over the past 20 years with a focus on recent trends in disease incidence from 2010 through 2020. MethodsWe conducted a long-term descriptive epidemiological study based on the Palestinian Ministry of Health records on human brucellosis from 2000-2020.ResultsThe total number of cases reported in this period was 7935 patients and the average annual incidence rate (AAIR) was 9.4 cases/105 population. Hebron was the most endemic among all studied governorates.The AAIR ranged from 17.9 in 2000 to 15.7 cases/105 population in 2020. The AAIR markedly decreased from 17.9 in 2000, to 2.9 cases/ 105 populations in 2012. A dramatic increase in human cases started from 2013 onwards to mark a peak in 2016. Higher incidence was reported in male (57.1%) and among the age group 11-20 years (29%). A higher number of cases was reported during April, May and June with the highest peak recorded in May, and subsequently exhibiting a gradual decline during autumn and winter. 2850 (62.7%) patients reported contact with animals which included 1783 (62.6%) patients who had contact with sheep, 819 (28.7%) with goats, and 248 (8.7%) with cattle.Moreover, (37.2%) of the patients reported raw milk consumption and (80.9%) reported white cheese consumption. Approximately (30%) had at least one infected household member. Diagnosis was based on the clinical picture and confirmed by laboratory tests. Patients were treated with a combination of Streptomycin and Tetracycline, or Tetracycline and Rifampicin. ConclusionsThe incidence of human brucellosis in the West Bank has markedly increased in recent years. This dramatic increase is linked to the impaired control and surveillance of the disease. Mass vaccination, regular screenings of animals for brucellosis, continuous outreach campaigns on raising public health awareness, monitoring milk and homemade dairy products pose some recommended precautionary measures of coping with the epidemic.


Author(s):  
Abu Faisal Md. Khaled

AbstractThe article broadly examines how humanitarian aid for Rohingya refugees inadvertently harmed poorer hosts and adversely affected local capacities for peace. The article also discusses possible ways of easing tension and improving social cohesion in the refugee-hosting areas, while also highlighting how policy- and mandate-related constraints hinder a humanitarian response anchored in the "Do No Harm" principle. Finally, the article concludes with the argument that the humanitarian agencies should not just limit themselves to identifying the unintended consequences and lapses in the intervention. Instead, the Do No Harm principle should lead humanitarian aid agencies to make an active effort to accept responsibility for the harm while taking all necessary steps to mitigate or avoid harming in future interventions.


Author(s):  
Daniel Bailey ◽  
Jane Shallcross ◽  
Christopher H. Logue ◽  
Simon A. Weller ◽  
Liz Evans ◽  
...  

2008 ◽  
Vol 2 (3) ◽  
pp. 150-165 ◽  
Author(s):  
Louisa E. Chapman ◽  
Ernest E. Sullivent ◽  
Lisa A. Grohskopf ◽  
Elise M. Beltrami ◽  
Joseph F. Perz ◽  
...  

ABSTRACTPeople wounded during bombings or other events resulting in mass casualties or in conjunction with the resulting emergency response may be exposed to blood, body fluids, or tissue from other injured people and thus be at risk for bloodborne infections such as hepatitis B virus, hepatitis C virus, human immunodeficiency virus, or tetanus. This report adapts existing general recommendations on the use of immunization and postexposure prophylaxis for tetanus and for occupational and nonoccupational exposures to bloodborne pathogens to the specific situation of a mass casualty event. Decisions regarding the implementation of prophylaxis are complex, and drawing parallels from existing guidelines is difficult. For any prophylactic intervention to be implemented effectively, guidance must be simple, straightforward, and logistically undemanding. Critical review during development of this guidance was provided by representatives of the National Association of County and City Health Officials, the Council of State and Territorial Epidemiologists, and representatives of the acute injury care, trauma, and emergency response medical communities participating in the Centers for Disease Control and Prevention’s Terrorism Injuries: Information, Dissemination and Exchange project. The recommendations contained in this report represent the consensus of US federal public health officials and reflect the experience and input of public health officials at all levels of government and the acute injury response community. (Disaster Med Public Health Preparedness. 2008;2:150–165)


2015 ◽  
Vol 9 (6) ◽  
pp. 728-729 ◽  
Author(s):  
Georges C. Benjamin

ABSTRACTThe last 14 years has taught us that that we are facing a new reality; a reality in which public health emergencies are a common occurrence. Today, we live in a world with dangerous people without state sponsorship who are an enormous threat to our safety; one where emerging and reemerging infectious diseases are waiting to break out; a world where the benefits of globalization in trade, transportation, and social media brings threats to our communities faster and with a greater risk than ever before. Even climate change has entered into the preparedness equation, bringing with it the forces of nature in the form of extreme weather and its complications. (Disaster Med Public Health Preparedness. 2015;9:728–729)


Author(s):  
Monica Marquez ◽  
Prachee Patel ◽  
Marisa Raphael ◽  
Beth Maldin Morgenthau

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