Vector-borne diseases (VBDs) cause significant morbidity and mortality each year in the United States. Over the last 14 yr, over 700,000 cases of diseases carried by ticks, mosquitoes, and fleas have ...been reported from U.S. states and territories to the Centers for Disease Control and Prevention. The number of reported cases has been increasing annually with two major trends: a steady increase in tick-borne diseases and increasing intermittent outbreaks of mosquito-borne arboviruses. The factors that are driving VBD introduction and emergence vary among diseases but are not likely to disappear, indicating that current trends will continue and probably worsen in the absence of effective prevention and control tools and implementation capacity. There are a number of challenges to preventing VBDs, including the lack of vaccines and effective vector control tools, insecticide resistance, and eroding technical capacities in public health entomology at federal, state, and local levels. For these reasons, a national strategy is needed to address VBD threats and to reverse the alarming trend in morbidity and mortality associated with these diseases.
Land degradation is more evident where conditions of environmental vulnerability already exist because of arid climate and unsustainable forms of land exploitation. Consequently, semi-arid and dry ...areas have been identified as vulnerable land, requiring attention from both science and policy perspectives. In some regions, such as the Mediterranean region, land degradation is particularly intense, although there are no extreme ecological conditions. In these contexts, a wide range of formal and informal responses is necessary to face particularly complex and spatially differentiated territorial processes. However, the fit of responses has been demonstrated to be different over time and space according to the underlying socioeconomic context and the specific ecological conditions. The present commentary discusses this sort of “entropy” in the policy response to land degradation in Southern Europe, outlining the intrinsic complexity of human–nature dynamics at the base of such processes. Reflecting the need of differentiated regional strategies and more specific national measures to combat desertification, three policy frameworks (agro-environmental, economic, social) with an indirect impact on fighting land degradation have been considered, delineating the importance of policy assemblages. Finally, the importance of policy impact assessment methodologies was highlighted, focusing on the possible responses reinforcing a continental strategy against land degradation. By evidencing the role of participatory planning, developmental policies indirectly addressing land degradation reveal to be an important vector of more specific measures abating desertification risk, creating, in turn, a favorable context for direct interventions of mitigation or adaptation to climate change.
Scientists in sleep and circadian rhythms, public health experts, healthcare providers, partners, and stakeholders convened in 2020 for a 2-day meeting organized by the Canadian Sleep and Circadian ...Network to develop a national strategy for integrating sleep and circadian rhythms into public health and policies in Canada. The objective of this paper is to present the national strategy that emerged from this meeting of 60 participants from across Canada. The meeting focused on 4 key target priorities: (1) atypical working schedules, (2) sleep and circadian rhythms of children and adolescents, (3) insomnia, and (4) impact of sleep apnea on health. Following constructive discussions, it was decided that the following 4 strategic objectives should be prioritized to accelerate the integration of sleep and circadian rhythms into public health policies in Canada: (1) increase public health sleep and circadian rhythm research, (2) increase public health education and knowledge mobilization on sleep, (3) inform and support public health sleep interventions and policies, and (4) promote sleep health training. Participants recommended that research and public health efforts address needs along the continuum of sleep health. The committee noted that strategies and interventions could differ across contexts, settings, sectors, and jurisdictions. The national strategy also identified high-priority research questions in public health and recommended mechanisms to build research capacity, providing a path forward for the integration of sleep and circadian rhythms into public health research and policies.
Modernization effort in Turkey started as early as 1850s along with the felt need to control its spatial development. The history of this containment effort, spanning more than 100 years till 1968, ...demonstrates an endeavour starting from the lower scales and extending to urban scale, and then to regional level and lastly to national level. The 1st National Physical Plan Seminar, held in 1968, has resulted with proposals aiming to control this spatial development led by the development process of the nation, by making it compatible with the with the method of the existing national development plan. It has been more than 50 years since the notion of national physical plan entered our agenda which is not a short period of time. The structure and processes that have created the problem were already intervened in this last half century, and therefore the nature of the problem has changed significantly, as well as our understanding of legitimacy of planning and intervention processes. The scope of this study is not to evaluate the implementation or consistence of a solution proposed 50 years ago and to make an historical evaluation. The manuscript aims to trace out possible trajectories that can be followed in accordance with the current context of national physical planning process and our contemporary understanding of planning and its legitimacy.
The increasingly pervasive role of Artificial Intelligence (AI) in our societies is radically changing the way that social interaction takes place within all fields of knowledge. The obvious ...opportunities in terms of accuracy, speed and originality of research are accompanied by questions about the possible risks and the consequent responsibilities involved in such a disruptive technology. In recent years, this twofold aspect has led to an increase in analyses of the ethical and political implications of AI. As a result, there has been a proliferation of documents that seek to define the strategic objectives of AI together with the ethical precautions required for its acceptable development and deployment. Although the number of documents is certainly significant, doubts remain as to whether they can effectively play a role in safeguarding democratic decision-making processes. Indeed, a common feature of the national strategies and ethical guidelines published in recent years is that they only timidly address how to integrate civil society into the selection of AI objectives. Although scholars are increasingly advocating the necessity to include civil society, it remains unclear which modalities should be selected. If both national strategies and ethics guidelines appear to be neglecting the necessary role of a democratic scrutiny for identifying challenges, objectives, strategies and the appropriate regulatory measures that such a disruptive technology should undergo, the question is then, what measures can we advocate that are able to overcome such limitations? Considering the necessity to operate holistically with AI as a social object, what theoretical framework can we adopt in order to implement a model of governance? What conceptual methodology shall we develop that is able to offer fruitful insights to governance of AI? Drawing on the insights of classical pragmatist scholars, we propose a framework of democratic experimentation based on the method of social inquiry. In this article, we first summarize some of the main points of discussion around the potential societal, ethical and political issues of AI systems. We then identify the main answers and solutions by analyzing current national strategies and ethics guidelines. After showing the theoretical and practical limits of these approaches, we outline an alternative proposal that can help strengthening the active role of society in the discussion about the role and extent of AI systems.
Throughout its fairly short history, the Belt and Road initiative has demonstrated its good prospects, which explains why the government of Kazakhstan heeds a lot of attention to economic cooperation ...with China within this project. It has the greatest stake in the initiatives related to further development of cargo traffic routes and pipelines in different directions (primarily, Africa, the Middle East and Europe) and their potential impact on Kazakhstan’s economic health. Comprehensive studies are especially necessary in the current time of crisis, when the active realization of the Chinese initiative has run into certain problems. The authors examine the key ideas of the Chinese initiative to reveal the basic conceptual provisions and trends and analyze the problems and prospects of its realization. It is even more important to consider the ways to coordinate it with the projects of the Eurasian Economic Union and Kazakhstan’s Nurly Zhol (Bright Path) program. The possible threats and challenges that the Chinese initiative may create for Kazakhstan, or the positive effects that will help Kazakhstan realize its national interests should not be overlooked, either. The various processes related to the initiative and its numerous trends should be carefully studied against the background of the current dynamic changes in world politics.
Artificial Intelligence (AI) has become a driving force in modern research, industry and public administration and the European Union (EU) is embracing this technology with a view to creating ...societal, as well as economic, value. This effort has been shared by EU Member States which were all encouraged to develop their own national AI strategies outlining policies and investment levels. This study focuses on how EU Member States are approaching the promise to develop and use AI for the good of society through the lens of their national AI strategies. In particular, we aim to investigate how European countries are investing in AI and to what extent the stated plans contribute to the good of people and society as a whole. Our contribution consists of three parts: (i) a conceptualization of AI for social good highlighting the role of AI policy, in particular, the one put forward by the European Commission (EC); (ii) a qualitative analysis of 15 European national strategies mapping investment plans and suggesting their relation to the social good (iii) a reflection on the current status of investments in socially good AI and possible steps to move forward. Our study suggests that while European national strategies incorporate money allocations in the sphere of AI for social good (e.g. education), there is a broader variety of underestimated actions (e.g. multidisciplinary approach in STEM curricula and dialogue among stakeholders) that can boost the European commitment to sustainable and responsible AI innovation.
The Swiss Medical Association FMH drew up the strategy "Planetary health - Strategy on the courses of action on climate change for the medical profession in Switzerland" in collaboration with the ...Swiss Institute for Medical Education SIME, the umbrella organisations and students. On 7 October 2021, the strategy was approved by the Swiss Medical Chamber with a budget of over CHF 380,000 (approx € 365,000). The first step in implementation involved setting up an advisory group which will tackle the concrete implementation of the strategy. This article provides an insight into the current state of work on the project with a focus on the measures in the areas of postgraduate medical training and continuing medical education. It is a work in progress.
Healthcare workers are at the highest risk of contracting novel coronavirus disease 2019 (COVID-19) and, therefore, require constant protection. This study assesses access to personal protective ...equipment (PPE), availability of adequate information about PPE use, self-reported ability to correctly wear and remove (donning and doffing) PPE, and risk perceptions associated with COVID-19 among frontline healthcare workers in Pakistan. Using a structured and validated questionnaire, an online survey was conducted from May 9 to June 5, 2020. Responses were received from 453 healthcare workers. Of these, 218 (48.12%) were doctors, 183 (40.40%) were nurses, and 52 (11.48%) were paramedical staff. Only 129 (28.48%) healthcare workers reported having adequate access to PPE at all times, whereas 156 (34.44%) never had access to PPE and 168 (37.09%) had access to PPE occasionally. Lack of access to PPE led the majority (71.74%) of healthcare workers to use coping strategies such as reuse of N95 and surgical masks. A total of 312 (68.87%) respondents believed that the risk of contracting COVID-19 in the work environment was high and the majority (62.69%) adopted precautionary measures at home to keep their families safe. A significantly high (n = 233, 51.43%,
= .03) number of respondents reported self-medicating. Of all the respondents, only 136 (30.02%) were tested for COVID-19 at least once, of which 32 (23.53%) ever tested positive. These findings suggest that healthcare workers in Pakistan had limited access to PPE. Adequate provision and training is vital to protect the healthcare workforce during the COVID-19 pandemic.
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