Although the Blitz has come to symbolize the experience of civilians under attack, Germany first launched air raids on Britain at the end of 1914 and continued them during the First World War. With ...the advent of air warfare, civilians far removed from traditional battle zones became a direct target of war rather than a group shielded from its impact. This is a study of how British civilians experienced and came to terms with aerial warfare during the First and Second World Wars. Memories of the World War I bombings shaped British responses to the various real and imagined war threats of the 1920s and 1930s, including the bombing of civilians during the Spanish Civil War and, ultimately, the Blitz itself. The processes by which different constituent bodies of the British nation responded to the arrival of air power reveal the particular role that gender played in defining civilian participation in modern war.
Dad built a bomb shelter in the backyard, Mom stocked the survival kit in the basement, and the kids practiced ducking under their desks at school. This was family life in the new era of the A-bomb. ...This was civil defense. In this provocative work of social and political history, Laura McEnaney takes us into the secretive world of defense planners and the homes of ordinary citizens to explore how postwar civil defense turned the front lawn into the front line. The reliance on atomic weaponry as a centerpiece of U.S. foreign policy cast a mushroom cloud over everyday life. American citizens now had to imagine a new kind of war, one in which they were both combatants and targets. It was the Federal Civil Defense Administration's job to encourage citizens to adapt to their nuclear present and future.As McEnaney demonstrates, the creation of a civil defense program produced new dilemmas about the degree to which civilian society should be militarized to defend itself against internal and external threats. Conflicts arose about the relative responsibilities of state and citizen to fund and implement a home-front security program. The defense establishment's resolution was to popularize and privatize military preparedness. The doctrine of "self-help" defense demanded that citizens become autonomous rather than rely on the federal government for protection. Families would reconstitute themselves as paramilitary units that could quash subversion from within and absorb attack from without.Because it solicited an unprecedented degree of popular involvement, the FCDA offers a unique opportunity to explore how average citizens, community leaders, and elected officials both participated in and resisted the creation of the national security state. Drawing on a wide variety of archival sources, McEnaney uncovers the broad range of responses to this militarization of daily life and reveals how government planners and ordinary people negotiated their way at the dawn of the atomic age. Her work sheds new light on the important postwar debate about what total military preparedness would actually mean for American society.
Since the declaration of the 10th Ebola Virus Disease (EVD) outbreak in DRC on 1st Aug 2018, several neighboring countries have been developing and implementing preparedness efforts to prevent EVD ...cross-border transmission to enable timely detection, investigation, and response in the event of a confirmed EVD outbreak in the country. We describe Uganda's experience in EVD preparedness.
On 4 August 2018, the Uganda Ministry of Health (MoH) activated the Public Health Emergency Operations Centre (PHEOC) and the National Task Force (NTF) for public health emergencies to plan, guide, and coordinate EVD preparedness in the country. The NTF selected an Incident Management Team (IMT), constituting a National Rapid Response Team (NRRT) that supported activation of the District Task Forces (DTFs) and District Rapid Response Teams (DRRTs) that jointly assessed levels of preparedness in 30 designated high-risk districts representing category 1 (20 districts) and category 2 (10 districts). The MoH, with technical guidance from the World Health Organisation (WHO), led EVD preparedness activities and worked together with other ministries and partner organisations to enhance community-based surveillance systems, develop and disseminate risk communication messages, engage communities, reinforce EVD screening and infection prevention measures at Points of Entry (PoEs) and in high-risk health facilities, construct and equip EVD isolation and treatment units, and establish coordination and procurement mechanisms.
As of 31 May 2019, there was no confirmed case of EVD as Uganda has continued to make significant and verifiable progress in EVD preparedness. There is a need to sustain these efforts, not only in EVD preparedness but also across the entire spectrum of a multi-hazard framework. These efforts strengthen country capacity and compel the country to avail resources for preparedness and management of incidents at the source while effectively cutting costs of using a "fire-fighting" approach during public health emergencies.
COVID-19 in nursing homes Fallon, A; Dukelow, T; Kennelly, S P ...
QJM : An International Journal of Medicine,
06/2020, Letnik:
113, Številka:
6
Journal Article
As lockdown measures to slow the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection begin to ease in the UK, it is important to assess the impact of any changes in ...policy, including school reopening and broader relaxation of physical distancing measures. We aimed to use an individual-based model to predict the impact of two possible strategies for reopening schools to all students in the UK from September, 2020, in combination with different assumptions about relaxation of physical distancing measures and the scale-up of testing.
In this modelling study, we used Covasim, a stochastic individual-based model for transmission of SARS-CoV-2, calibrated to the UK epidemic. The model describes individuals' contact networks stratified into household, school, workplace, and community layers, and uses demographic and epidemiological data from the UK. We simulated six different scenarios, representing the combination of two school reopening strategies (full time and a part-time rota system with 50% of students attending school on alternate weeks) and three testing scenarios (68% contact tracing with no scale-up in testing, 68% contact tracing with sufficient testing to avoid a second COVID-19 wave, and 40% contact tracing with sufficient testing to avoid a second COVID-19 wave). We estimated the number of new infections, cases, and deaths, as well as the effective reproduction number (R) under different strategies. In a sensitivity analysis to account for uncertainties within the stochastic simulation, we also simulated infectiousness of children and young adults aged younger than 20 years at 50% relative to older ages (20 years and older).
With increased levels of testing (between 59% and 87% of symptomatic people tested at some point during an active SARS-CoV-2 infection, depending on the scenario), and effective contact tracing and isolation, an epidemic rebound might be prevented. Assuming 68% of contacts could be traced, we estimate that 75% of individuals with symptomatic infection would need to be tested and positive cases isolated if schools return full-time in September, or 65% if a part-time rota system were used. If only 40% of contacts could be traced, these figures would increase to 87% and 75%, respectively. However, without these levels of testing and contact tracing, reopening of schools together with gradual relaxing of the lockdown measures are likely to induce a second wave that would peak in December, 2020, if schools open full-time in September, and in February, 2021, if a part-time rota system were adopted. In either case, the second wave would result in R rising above 1 and a resulting second wave of infections 2·0-2·3 times the size of the original COVID-19 wave. When infectiousness of children and young adults was varied from 100% to 50% of that of older ages, we still found that a comprehensive and effective test-trace-isolate strategy would be required to avoid a second COVID-19 wave.
To prevent a second COVID-19 wave, relaxation of physical distancing, including reopening of schools, in the UK must be accompanied by large-scale, population-wide testing of symptomatic individuals and effective tracing of their contacts, followed by isolation of diagnosed individuals.
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