scholarly journals Lessons for the Age of Consequences: COVID-19 and the Macroeconomy

2021 ◽  
pp. 1-53
Author(s):  
Servaas Storm

Based on comparative empirical evidence for 22 major OECD countries, I argue that country differences in cumulative mortality impacts of SARS-CoV-2 are largely caused by: (1) weaknesses in public health competence by country; (2) pre-existing country-wise variations in structural socio-economic and public health vulnerabilities; and (3) the presence of fiscal constraints. The paper argues that these pre-existing conditions, all favorable to the coronavirus, have been created, and amplified, by four decades of neoliberal macroeconomic policies – in particular by (a) the deadly emphasis on fiscal austerity (which diminished public health capacities, damaged public health and deepened inequalities and vulnerabilities); (b) the obsessive belief of macroeconomists in a trade-off between ‘efficiency’ and ‘equity’, which is mostly used to erroneously justify rampant inequality; (c) the complicit endorsement by mainstream macro of the unchecked power over monetary and fiscal policy-making of global finance and the rentier class; and (d) the unhealthy aversion of mainstream macro (and MMT) to raising taxes, which deceives the public about the necessity to raise taxes to counter the excessive liquidity preference of the rentiers and to realign the interests of finance and of the real economy. The paper concludes by outlining a few lessons for a saner macroeconomics.

2017 ◽  
Vol 2 (1) ◽  
pp. 1
Author(s):  
Alireza Mosavi Jarrahi ◽  
M Zare ◽  
A Sadeghi

Background: The public health has been always concerned of the immediate environment of human as causal factors for different diseases and health outcomes. Epidemiology, as one of the fundamental basis of public health, is concerned of how diseases are distributed in terms of geographical, chronological, and human population characteristics and employees the descriptive nature of such spread to draw conclusion on the etiology of health or disease utcome for further policy making on prevention of disease or promotion of health.Methods: In this paper, we present the importance of GIS technology in epidemiology from both descriptive and etiologic standpoints and elaborate how this technology can stand in the forefront of disease and health outcome measures in the coming decades. The paper will address the history of geo-related health and disease issues. The mapping tool as a traditionally strong resource in the public health will be explored. The advances in Information Technology and one of its best utilized offshoot, GIS, in Health and disease will be discussed. How the huge repository of generated or ever generating geo-related data and information is utilized to address etiology of diseases or to help public health authorities in making informed policy making decisions are explored.Results: The utilization of GIS technology in diseases with intermittent host such as malaria, yellow fever, or other parasitic diseases has already been well established. The GIS technology and its utilization in chronic and degenerative diseases such as cancer, diabetes, and aging are under development and new frontiers are discovering. The limitation of GIS technology in addressing host environment interaction in micro-environment (at the molecular biology and tissue pathogenicity level) and gene–environment interaction (at the individual level) will further be discussed.Conclusion: We then distress on the efficient use of GIS both in the etiologic investigation of diseases and health events as well as the utilization of the GIS technology as a administrative tool in the help of public health authorities and policy makers in strategic management of health of a community or emergency management of man-made or technological disasters (e.g., wars) or naturally occurring disasters (e.g., earthquake and floods).


Author(s):  
Mostafa Zamanian ◽  
Zohreh Karimmian

As one of the main national systems in any country, the health system has always been considered by governments. What distinguishes health system from other systems is that its purpose is directly related to the public health. Different countries adopt different structural patterns in this field but one can consider relatively common functions for a national health system which includes all functional aspects for this system. In recent years, attempts have been made for offering a comprehensive model in describing the functions. The OECD determined principles needed to offer an appropriate typology that should be independent of the names of health programs in different countries. In this chapter, it's tried to provide an overview of the proposed models for structures and functions of the health system and to propose a comprehensive model for it with an emphasis on theoretical aspects of public policy-making and binding functions in any national development system. This comprehensive model, provides the possibility to evaluate the success of a health system.


2016 ◽  
pp. 1228-1256
Author(s):  
Mostafa Zamanian ◽  
Zohreh Karimmian

As one of the main national systems in any country, the health system has always been considered by governments. What distinguishes health system from other systems is that its purpose is directly related to the public health. Different countries adopt different structural patterns in this field but one can consider relatively common functions for a national health system which includes all functional aspects for this system. In recent years, attempts have been made for offering a comprehensive model in describing the functions. The OECD determined principles needed to offer an appropriate typology that should be independent of the names of health programs in different countries. In this chapter, it's tried to provide an overview of the proposed models for structures and functions of the health system and to propose a comprehensive model for it with an emphasis on theoretical aspects of public policy-making and binding functions in any national development system. This comprehensive model, provides the possibility to evaluate the success of a health system.


Author(s):  
Edgar Cambaza ◽  
Shigenobu Koseki ◽  
Shuso Kawamura

Aflatoxins are a known cause of primary liver cancer in Mozambique since pre-independence epidemiological studies. However, their impact goes beyond the public health, affecting the country’s economy and raising legal concerns. As a developing country endemic for Aspergillus, the nation has been struggling to keep pace with external trade quality demands, delicate policy making, still dealing with the farmers’ limitations to control the contamination. The contamination shows variations over time, space and the different commodities. Considering the recommendations of the Codex Alimentarius, the major crops will be highly implicated unless there is major intervention from the authorities to control the toxins.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  

Abstract The global population has grown by 20% over the last 15 years. At the same time, the prison population has increased by 30%. Circa 10.4 million people currently incarcerated in prisons worldwide. Despite being an opportunistic setting to gain access to a population at high risk of morbidity, the success of health interventions in prisons varies, while overcrowding and fiscal austerity have intensified the institutional struggle in recent years. In keeping with the theme of “building bridges for solidarity and public health”, this interdisciplinary panel of five diverse presentations will deliver a 90-minute workshop on prison health. It aims to examine the following questions: What is the public health approach to imprisonment? How have legal structures contributed to the improvement in prison health across Europe? What interventions work in terms of addressing the health deficits experienced by prisoners? What are the emerging threats to prison health policies and their delivery? It has been 18 years since a prison health panel was convened at the EUPHA Conference. The time is now ripe for a new, radical investigation into these debates from research, policy and practice perspectives. From a macro-level perspective, the first presentation will problematise imprisonment from egalitarianism and social justice standpoints, and analyse how health justice is everybody’s business. Taking a legal and policy view, the second presentation will explore how the jurisprudence of the European Court of Human Rights over the last 20 years has influenced the international minimum standards on communicable diseases prevention in European prisons. Drawing upon the meso-level interventions, the third presentation will illustrate how a horticulture programme can provide some antidotes to the high prevalence of violence, self-harm and suicide in UK prisons, by instilling the notion of hope among prisoners. Subsequently, through an analysis of 1,904 prisoners’ longitudinal data from a study conducted in the Netherlands, the fourth presentation will articulate the importance of understanding individual and institutional risk factors in respect of prisoners’ mental health in order to deliver timely interventions. The final presentation will assess how macroeconomic austerity solidifies prison health efficacy and deepens health inequalities at the micro level. The majority of the panel members have a strong social media presence. With more than 20k followers on Twitter and Facebook, live updates on the key messages from this panel will be facilitated. Besides responding to conference delegates, the chairperson will field questions from social media platforms to promote an interactive experience. This panel will reiterate that prison health is at the epicentre of the public health agenda. Giving it such proper deference will acknowledge that prisons are a microcosm of our society and demonstrate our solidarity with a segment of the community that is often excluded. Key messages This workshop offers the latest research, policy and practice developments on prison health. It will stimulate impactful debates in which learning can be adopted by delegates across European countries.


2016 ◽  
Vol 15 (2/3) ◽  
pp. 115-133 ◽  
Author(s):  
Swati Gola

Purpose The present paper aims to analyse who actually benefits from the policies to promote international trade in healthcare services through medical tourism in India. It also assesses the implications of unfettered and unchecked medical tourism for public health policy-making. Design/methodology/approach The research methodology adopted in this paper is inter-disciplinary (socioeconomic and legal) and includes a mix of doctrinal and empirical qualitative research. Findings The present paper argues that in the absence of any baseline data in the public domain on inbound traffic of tourists visiting India on medical tourism, it is difficult to assess and evaluate the private sector claims and that the absence of any format for data collection, management and analysis results in questionable accountability and institutional fragmentation and non-coordination. Furthermore, it results in asymmetrical policy-making in areas like international trade, which may have unintended negative effects for public health. Research limitations/implications The research findings of the present paper will also assist other developing countries considering to promote medical tourism to learn lessons from India’s experiences. Originality/value The present paper uses the qualitative empirical research conducted by the author to analyse the state of affair of medical tourism in India.


2012 ◽  
Vol 36 (1) ◽  
pp. 1-5 ◽  
Author(s):  
Alexandra Pitman

SummaryThe Coroners and Justice Act 2009 promised an overhaul of the coroners' service, introducing much needed efficiencies to benefit people bereaved by suicide and other sudden deaths. Central to these reforms was the introduction of a Chief Coroner to coordinate the system and exercise wider public health responsibilities. The coalition government's proposal to abolish the Chief Coroner's office on grounds of cost, ignoring the potential efficiency gains, has delayed implementation of coronial reforms significantly. With this proposal now abandoned, ministers are expected to appoint an independent Chief Coroner in early 2012. This article describes the intended benefits of the reforms for bereaved relatives, coroners' staff, public sector budgets, and the public health, and explores the reasons behind the delays.


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