cord-001038-91uj6sph 2013 This paper presents the recommendations of the Sustainable Surveillance Workgroup convened by the International Society for Disease Surveillance (ISDS) to identify strategies for building, strengthening, and maintaining surveillance systems that are equipped to provide data continuity and to handle both established and new data sources and public health surveillance practices. Public health surveillance is defined as, "the systematic and ongoing collection, management, analysis, interpretation, and dissemination of information for the purpose of informing the actions of public health decision makers." 3 In addition to providing information about the health status of our communities, surveillance is a foundation of emergency preparedness, food safety, infectious disease outbreak prevention and control, chronic disease assessments, and other key areas that protect the health, economy, and security of the public. cord-001634-mi5gcfcw 2015 In relation to pandemic influenza, public communications feature in preparedness and response planning which requires that members of the general public adopt measures during a public health emergency, including: hygiene (e.g., covering the mouth and nose when sneezing or coughing, washing hands, keeping surfaces clean, avoiding sharing personal items) and the avoidance of close contact with others [4] . This paper, therefore, uses inductive, qualitative research methods to develop new knowledge on how members of the general population respond to pandemic influenza, set against the backdrop of the assumed resistance on the part of the general public and related critiques, including, health risk fatigue, the risk communication dilemma and individualism. The research aimed to identify how members of the general public respond to pandemic influenza so that public health communications can be designed to engage with how its audiences respond to risk messages and how they enact hygiene, social isolation and related measures. cord-004195-msqvb97f 2012 RESULTS: Two key themes emerged from all town hall focus groups: 1) create an environment for compliance through communication rather than enforcement, and 2) establish the delineation between individual rights, community values, and the greater good. CONCLUSION: While there is a need for a decision-making authority and even a mechanism for enforcement, our data suggest that a more tractable approach to restrictive measures is one that enables individuals to voluntarily comply by creating an environment to compel compliance based on communication. This approach requires restrictive measures to be a) proportional to the threat, b) implemented along with reciprocal arrangements provided to those affected, and c) accompanied by open and transparent communication throughout all stages so that citizens can both understand and participate in decision-making. This approach requires restrictive measures to be a) proportional to the threat, b) implemented along with reciprocal arrangements provided to those affected, and c) accompanied by open and transparent communication throughout all stages so that citizens can both understand and participate in decision-making. cord-004531-agvg719f 2008 Der mögliche Ausbruch einer Pandemie mit einem neuartigen Influenza-A-Virus (im Folgenden kurz: Influenzapandemie) beschäftigt Public Health, die Öffentlichkeit und auch die Politik in den letzten Jahren vermehrt. Sie sollen sicherstellen, dass im Pandemiefall die gesundheitlichen Schäden der Bevölkerung gering gehalten werden und das öffentliche Leben so weit wie möglich aufrechterhalten wird, sodass nach einer Pandemie eine schnelle Rückkehr in den geordneten Alltag möglich wird. Die ethischen Herausforderungen bei einer Influenzapandemie liegen also vor allem darin, dass mögliche Public-Health-Maßnahmen zum Schutz der Bevölkerung individuelle Freiheiten einschränken können [16] . h. bereits in der Vorbereitung auf eine Pandemie, mit den ethischen Implikationen einer solchen auseinanderzusetzen und ethisches Urteilen bei der Weiterentwicklung von Maßnahmenkatalogen zu berücksichtigen. Die ärztliche Expertise und der heilberufliche Auftrag reichen allein nicht aus, den Herausforderungen im Falle einer befürchteten oder auch tatsächlichen Pandemie zu begegnen und gesamtgesellschaftliche Public-Health-Probleme zu lösen. cord-005068-3ddb38de 2011 cord-005385-hswyus24 2012 It argues that, in political terms, the wearing of the burqa and niqab is inconsistent with Western norms of equality, the backbone of the citizenship ideal; and that, in social terms, the full veil erects a partition to interpersonal understanding and reciprocity. Invented in the ancient Greek world, the concept of "public" has assumed since its birth a host of connotations: common property and the common good; a realm in which free and equal men are able to deliberate on and decide political affairs; a place of discourse rather than labor; the primacy of law over arbitrary rule; a domain in which the ruler is considered to be a kind of custodian or guardian of the commonweal rather than a seigneur or lord; a region in which citizens may find distinction and glory; an area accessible to the many; a vehicle of composite opinion; a community pursuing a joint purpose (Habermas [1962 (Habermas [ ] 1999 Oakeshott 1975: 149, 207, 218.) Each of these meanings has, in turn, taken on its own inflections; for instance, Robert Nisbet''s (1982: 249-50 ) distinction between public opinion ("the sturdy filter of long-shared values and traditions") and popular opinion (the transient froth of mood and fashion). cord-006037-we1rp0pa 2009 In fact, recent years have seen a crescendo of calls to reinvigorate leadership education and training, because "today, the need for leaders is too great to leave their emergence to chance." 3-5 Such leaders could help further social justice and the common good by promoting the values captured in the preamble to the Constitution of the World Health Organization-"the enjoyment of the highest attainable standard of health is one of the fundamental rights of every human being." 6 To advance such training, the Association of Schools of Public Health has identified leadership as a core competency area in the Master of Public Health Competency Model for 2007. By working between and above the levels of leadership of self, others and organizations, these transcendent leaders can ultimately shift the paradigm from "no hope" to "new hope" and create a renewed sense of community. cord-006130-x8kl9bx4 2014 In the following sections, we argue for ethical pandemic communications that overcome barriers to accessing information and avoid inequalities imposed by current media arrangements. Addressing inequalities in access therefore requires making information directly accessible for the public and ensuring that information is sensitive to the varying needs and interests of different individuals and groups in society so that it is information that people have the capacity to act on. This is inadequate communication from an ethical point of view, as it places the burden of responsibility on individuals to access information.P In planning for a public health crisis such as a pandemic, there needs to be more than a formal capacity to access necessary information. 22 Given the potential for increased burden of disease amongst the disadvantaged, it may be particularly harmful for the effective implementation of pandemic plans if less well-off sections of the community and vulnerable groups are not given a voice through the media. cord-010513-7p07efxo 2015 cord-011700-ljc5ywy2 2020 As a global crisis, COVID-19 has underscored the challenge of disseminating evidence-based public health recommendations amidst a rapidly evolving, often uncensored information ecosystem—one fueled in part by an unprecedented degree of connected afforded through social media. Visual communication offers a creative and practical medium to bridge critical health literacy gaps, empower diverse patient communities through evidence-based information and facilitate public health advocacy during this pandemic and the ''new normal'' that lies ahead. While frontline clinicians and innovative researchers continue to work tirelessly, effective management of this pandemic requires engagement of the public if we are to curb further rises in cases and safely enter a ''new normal.'' However, despite the unprecedented connectedness that we are afforded in 2020, disseminating useful, accurate public health information has emerged as a major challenge-one exacerbated by the exponential growth of unverified COVID-19-related information on social media platforms. However, there remains a need for simple illustrated resources that consolidate key public health messages and validated clinical evidence into compact visual aids-especially those that can be seamlessly disseminated through social media outlets to reach diverse patient communities. cord-013405-68777jts 2020 This study developed a four-dimension framework including self-disclosure, genuine response, functional interactivity, and genuineness in Chinese culture to investigate the effect of genuineness in the communication of Chinese social media influencers in pediatrics on public engagement. This study is the first to develop an integrated framework to measure genuineness in online health communication and contributes to the understanding of the effect of genuineness on Chinese public engagement in social media. Table 5 summarizes the negative binomial regression results on the sub-dimensions of "self-disclosure", "genuine response", "functional interactivity", "genuineness in Chinese culture" and the number of shares, likes, comments and positive comments. Negative Binomial Regression Results on the Sub-dimensions of "Self-disclosure", "Genuine response", "Functional interactivity", "Genuineness in Chinese Culture" and the Number of Shares, Likes, Comments and Positive Comments. cord-015944-6srvtmbn 2008 Consequently, understanding policy issues involving bioterrorism -to mention nothing of terrorist events themselves -requires knowledge of biological mechanisms, an appreciation of clinical decision-making in medicine, and a sense of how to conceptualize and evaluate relative risks. In the 110 days after the first case, the Office of Communications at the Centers for Disease Control and Prevention (CDC), the government agency coordinating the public health response to the attacks, conducted 23 press briefings and 306 television interviews, wrote 44 press releases, and took 7737 calls from the news media [2] . The media and public were interested in what the response to the event seemed to say about state decision making and readiness to address emergencies in general [26] .'''' If a journalist doesn''t really understand the medical, statistical, and biological substance of a disease outbreak, he can at least appear to be knowledgeable about the interaction of individuals and agencies, and how events are believed to be changing their power and image. cord-016387-ju4130bq 2005 cord-016405-86kghmzf 2014 We use a case study to highlight the disaster impacts and insights drawn from Singapore''s risk management experience with specific references to the SARS epidemic. The implications from the SARS focus on four areas: staying vigilant at the community level, remaining flexible in a national command structure, the demand for surge capacity, and collaborative governance at regional level. To understand the principles and practices of Singapore''s approach to disaster risk management, we carry out an historical analysis of official documents obtained from the relevant Singapore government agencies as well as international organizations, literature reviews, quantitative analysis of economic impacts, qualitative interviews with key informants (e.g. public health professionals and decision-makers), and email communications with frontline managers from the public sector (e.g. the Singapore Civil Defense Force, the Communicable Disease Centre) and non-governmental organizations. Responding to the uncertainty of disease transmission, the Singapore government instituted many draconian public policies, such as social distancing, quarantine and isolation, as risk mitigating measures. cord-017349-eu1gvjlx 2008 In many parts of the United States, efforts have focused attention to regionalization of local public health, surge capacity planning, vulnerable populations, risk communication, and training through exercises and drills. The United States unveiled its National Pandemic Influenza Plan in November, 2005, addressing areas such as domestic and international surveillance, vaccine development and production, antiviral therapeutics, communications and state/local preparedness. Mounting a rapid, coordinated, integrated local response to mass casualty events such as pandemic influenza necessitates tight collaboration among a host of participants, including emergency management, public health, law enforcement, fire, emergency medical services, health care providers, public works, municipal government, and community-based organizations. In a time of social isolation where many are "bowling alone", disaster preparedness efforts may serve as a force that reverses this trend and contributes to a legacy of stronger local public health and a more revitalized society for the future. cord-017463-repm1vw9 2018 We examine networks that contribute to global surveillance systems and highlight the role of social media and information technology in providing data to monitor new events of international importance. The IHR 2005 require countries to develop core capacities in public health, including surveillance systems and epidemiology services, that can analyse and act on surveillance information to detect and respond to diseases where and when they occur so that their potential to spread internationally is decreased. Surveillance and response teams detect early stage public health threats while control programmes gather disease (or condition) specific information to plan activities. These networks depend on cooperation of governments, public health workers and scientists to report cases, provide specimens and share information so that specific diseases can be controlled globally. cord-017721-5bp0qpte 2008 However, many existing public health and emergency response laws at the state and federal levels may not be sufficient to address biological terrorism. Federal public health and legal authorities may specifically respond to multiple components of a bioterrorism attack, as well as offer guidance and expertise to assist state and local governments in their responses. In the following sections, we focus predominantly on two specific areas of public health powers authorized under law: (1) restrictions on personal liberty (quarantine, isolation, travel restrictions, privacy) and (2) restrictions on property (decontamination, use of supplies and facilities, disposal of remains). The use of quarantine and isolation by state and local governments is therefore legally and constitutionally acceptable, provided that these powers are used appropriately to protect public health and safety. When should public health authorities use quarantine or isolation to restrict individuals during a bioterrorism emergency? cord-017733-xofwk88a 2018 The chapter draws on research conducted in Australia and Scotland on public engagements with the 2009 influenza (swine flu) pandemic and discusses implications for communications on more recent infectious disease outbreaks, including Ebola and Zika. Like the "swine flu affair" of the 1970s in the United States (Fineberg 2008) , the 2009 pandemic raised questions for the public health system of how to shape public action in light of the significant uncertainties which are particular to influenza, and without jeopardizing trust in government and the scientific knowledge on which is built public policy. Appeals to the collective good and altruistic vaccination on which depend public health efforts concerning pandemics, may miss the point that individuals are led to think of their personal immunity as an arena within which they can sustain themselves in the face of deeply uncertain threats which arise in communal life. Individualized ideas of immunity in connection with uncertainties may limit the effectiveness of public health communications on influenza pandemics and other contagious threats. cord-018254-v8syiwie 2012 This act authorized more than 1.5 billion US dollars in grants to state and local governments and healthcare facilities to improve planning, training, detection, and response capacity as well as funding to expand the federal Strategic National Stockpile of medications and vaccines and upgrade food inspection capacity and CDC facilities that deal with public health threats. In addition to the central role the LRN played in detecting and responding to the 2001 anthrax letter event, the commitment to infrastructure support and standardized platform testing capacity within the LRN has also proven extremely bene fi cial in assisting with more rapid and broader deployment of tests developed in response to other emerging public health threats such as the 2003 Severe Acute Respiratory Syndrome (SARS) and the 2009 H1N1 avian in fl uenza pandemic. cord-018316-drjfwcdg 2017 cord-018336-6fh69mk4 2006 cord-018384-peh5efat 2013 Their work informs public health offi cials in state government, allowing for targeted disease surveillance, quicker response to disease outbreak and provides population based data that may lead to new guidelines or policies to protect their residents. Such emergencies might include bioterrorist incidents, newly emerging diseases, and foreign animal disease agents that threaten the nation''s food supply and public health GISN [ 17 ] The WHO Global Infl uenza Surveillance Network (GISN) receives result reports and samples of isolates from participating state and municipal PHLs to monitor infl uenza disease burden, detect potential novel pandemic strains, and obtain suitable virus isolates for vaccine development by promoting workfl ow improvements and refi ning laboratory science operations within the laboratory. Having identifi ed the need to harmonize the adoption of standards across federal programs and PHL functional areas, APHL is actively involved in national standards harmonization activities for laboratoryrelated use cases (information exchange standards for laboratory orders and results, reporting in clinical and public health settings, as well as functional standards for Electronic Health Record System (EHR-S) interactions with PHLs). cord-018504-qqsmn72u 2014 cord-018794-stcre6ol 2014 In 2013, it was made clear in the Report on the Work of the Government that relevant authorities should accelerate reform of the household registration system and related institutions; that they should register eligible rural workers as permanent urban residents in an orderly manner, "progressively expand the coverage of basic public services in urban areas to include all their permanent residents and create an equitable institutional environment for freedom of movement and for people to live and work in contentment." Accordingly, in order to protect the rights of migrants and improve the quality of the process of social urbanization in China, the most significant tasks involve investigating the current status of basic public services in Chinese towns and cities, especially the public services provided for potential new permanent migrant worker residents, and exploring methods to expand the coverage of these basic public services in urban areas to all their permanent residents. cord-019057-3j2fl358 2018 This biological fact makes it difficult to stockpile influenza vaccines ahead of outbreaks and, by consequence, limits the preparedness efforts geared towards confronting the public health challenges and moral quandaries. But considering the limitations associated with antiviral drugs as well as vaccines in relation to combating pandemic influenza, some form of non-therapeutic approach is necessary, at least as some adjunct to mitigate the overall impact of pandemic influenza on the local and global human community. This implies that the care ethical lens may have some limitations in relation to sufficiently engaging the ethical dilemmas raised by pandemic influenza in particular and other types of public health disasters, in general. The chapter explored the strengths of the communitarian and care ethics moral lenses in relation to engaging the moral quandaries elicited during pandemic influenza outbreaks. cord-021105-6z619phm 2006 cord-021847-wea0qpq2 2015 Standard operating guidelines and procedures will likely provide the basis for much of these decisions, including a predetermined level of response to suspected or confirmed CBRN incidents, when to initiate a public health response, how to assess the extent of damage and risk, how to determine exposure pathways and the need for mutual aid, and criteria for activating an emergency operations center (EOC) and incident command post (ICP). Trust becomes a vital commodity during times of crisis, and it will become the duty of front-line medical professionals and public health officials to minimize novel cases after an event by providing reasonable yet effective methods of controlling the movements of people and their property following an exposure disaster. cord-025744-pynqwj5t 2020 cord-025905-9k7owm1v 2020 cord-027695-ptp62krc 2020 cord-028618-kn87q7nb 2020 cord-029261-6d9cjeec 2020 WHO considers urbanization as one of the key challenges for public health in the twenty-first century, since cities offer significant opportunities to improve public health if health-enhancing policies and actions are promoted. Speaking about urban environment, it is to be underlined that cities around the world face many health challenges, including air, water and soil pollution, traffic congestion and noise, and poor housing conditions, and all these situations are caused and worsened by unsustainable urban development and climate change. It follows that health and environmental issues, like climate change or the growing populations, need to be addressed using "holistic" approaches that require the development of multidisciplinary research synergies focused on urban health, accompanied by multidisciplinary sustainable interventions. Shaping cities for health: complexity and the planning of urban environments in the 21st century cord-031017-xjnbmah5 2020 cord-035351-3mv6x0w9 2020 cord-138627-jtyoojte 2020 Privacy-centric analysis treats data as private property, frames the relationship between individuals and governments as adversarial, entrenches technology platforms as gatekeepers, and supports a conception of emergency public health authority as limited by individual consent and considerable corporate influence that is in some tension with the more communitarian values that typically inform public health ethics. They require populations be persuaded to use the DCT app, and that hardware and software vendors cooperate with public health authorities to resolve barriers to adoption and usage, such as the need for software modifications to enable passive RSSI measurement. The privacy preserving model serves vendor interests, allowing them to cooperate with public health authorities, thus avoiding regulatory or coercive measures, by limiting the possibility that the use of DCT apps breaks tacit or contractual agreements with their users that could damage already wavering public trust. cord-198609-jyg9y4g2 2020 cord-253120-yzb8yo90 2018 This paper builds upon early experiments to empower individuals in this ecosystem by leveraging the value of these public health data assets and trusted communications, illustrating the possibilities for engaging consumers to support reducing the impact of emerging diseases, outbreaks and the next pandemic. If the odds of receiving accurate information during a pandemic are against you in the social media world, consider the opportunity if there were direct public health agency communication channels to individuals -by building on existing immunization networks. It was through these early experiments and the growing data assets in state immunization systems that create a framework and technical platform to accelerate the potential value of engaging individuals in response plans for pandemic preparedness planning and support of today''s outbreak. The next step is to begin to engage individuals to establish those that would be willing to provide ongoing information to public health specific to immunizations and disease occurrences. cord-254304-6o50m9si 2020 cord-257571-4ujw0mn1 2017 cord-257821-y3fhubnc 2020 To achieve a more effective medicine–public health relationship in practice, curricula across the continuum of medical education must include explanations of public health systems, the responsibilities of physicians to their local and state governmental public health agencies, and opportunities for collaboration. Recommendations to secure a foundational position in medical education for public health, described by C.-E.A. Winslow as "the science and art of preventing disease, prolonging life, and promoting health through the organized efforts and informed choices of society, organizations, public and private communities, and individuals," 2 date back for generations and are included in the 1910 Flexner Report. To achieve a more effective medicinepublic health relationship in practice, curricula across the continuum of medical education must include explanations of public health systems, the responsibilities of physicians to their local and state governmental public health agencies, and opportunities for collaboration. To achieve more effective medicinepublic health relationships in practice, medical education across the continuum must include explanations of public health systems, the responsibilities of physicians to their local and state governmental public health agencies, and opportunities for collaboration. cord-258223-8dhtwf03 2020 cord-258435-lhn34tc4 2009 CONCLUSION: To engender strong public support for quarantine and other restrictive measures, government officials and public health policy-makers would do well to implement a comprehensive system of supports and safeguards, to educate and inform frontline public health workers, and to engage the public at large in an open dialogue on the ethical use of restrictive measures during infectious disease outbreaks. In view of the evidence of potential adverse effects on individual well-being and psychosocial health, and owing to the critical necessity of high compliance in the event of a major infectious disease outbreak, it is increasingly important to understand how quarantine is perceived by the general public. The data reported in this paper are derived from a subset of 15 survey items specifically designed to measure public attitudes towards the use of quarantine during infectious disease outbreaks. cord-258842-vuxzv6eu 2009 Secondly, our understandings of the role of law in responding to pandemics are necessarily informed by relational bonds between individuals in society, and by the meanings of rights and responsibilities for public health laws when dealing with infectious disease. 17, 19 However, while the Federal Government can seek to use its other constitutional powers to achieve health-related objectives, it is important to realize that the power under Section 51(ix) of the Constitution to make laws ''with respect to quarantine'' is the only power relating to communicable diseases directly given to the Federal Government in the Constitution, and that this, in turn, shapes Australian debates about government responses to public health issues and emergencies. 46 The World Health Organization has acknowledged the importance of legal and ethical considerations to pandemic preparedness, noting that public health measures such as quarantine, compulsory vaccination and off-licence use of medicines ''need a legal framework to ensure transparent assessment and justification of the measures that are being considered, and to ensure coherence with international legislation (International Health Regulations)''. cord-259247-7loab74f 2020 cord-259727-u2zj7zf6 2016 These families were then organized by LEW and AP into a tiered public health capacity framework where capacity within each tier builds upon the capacities within the preceding tiers, and moves from the individual to the systems level. Here, we present this framework of public health capacity that identifies individual components and suggests how they relate to and support one another for the purpose of enhancing overall capacity in public health systems. This framework arranges the components of public health capacity from the individual to the systems level. As the Standing Senate Committee on Social Affairs, Science and Technology noted, "Capacity enhancement is a broad term which encompasses a number of areas: surveillance systems; Fig. 1 e Tiered framework of public health capacity and its components. The framework is based on government and governmentcommissioned SARS reports that reviewed the Canadian and Ontario public health systems with an emphasis on community public health outbreaks and emergencies. cord-260565-cdthfl5f 2020 cord-261524-nqukwoqz 2020 cord-263659-9i5qws5h 2010 CONCLUSIONS: In order to improve the delivery of basic public health services, it is necessary for Beijing Municipal Government to supply clear and detailed protocols, increase funding and increase the number of skilled practitioners in the community health services. 3 As the centre of politics, economy and culture of China, Beijing Municipal Government attaches extreme importance to and promotes advances in the development of basic public health services delivered in the community. For example, an additional duty hour allowance scheme should be brought forward, under which health workers would be allowed to work extra hours and receive pay to augment their salaries: 17 "Besides payment, of course, some changes in the process and organization of the providers'' work are also part of the solution to the problem of the under-provision of basic public health services.A useful solution to attract more community residents to see general practitioners would be to increase the proportion of medical reimbursement for CHS services." cord-263667-5g51n27e 2008 cord-271892-cadjzw9h 2019 cord-277246-24u9e4wr 2016 cord-278074-cube7lfh 2016 cord-278707-36rr56oe 2020 cord-283099-nhz3pye2 2020 cord-283553-n06og3cw 2020 cord-284125-35ghtmhu 2013 cord-285397-rc65rv6r 2020 cord-285532-rknygv7u 2017 cord-287304-h6wj7m8u 2007 While there has been much attention in recent years on the significance of global city regions in the new world economy (Brenner and Keil 2006) and while the governance and regulation of these regions has captured the imagination of academics and policymakers alike (Buck et al 2005; Harding 2005; Heinelt and Kübler 2005; Kantor and Savitch 2005; Scott 2001) , little has been said specifically about the growing pressures posed by the potential threat of infectious disease through the global network on urban governance. 2 For the area of urban planning and governance a more or less critical literature has begun to explore the spaces that cities have to maneuver in the rather open field of infectious disease preparedness planning and public health since the onset of the "new normal" after the attacks of 9/11 Malizia 2006; Matthew and Macdonald 2006) . cord-288477-dojdlfrv 2020 cord-289175-n95j94ck 2020 cord-293893-ibca88xu 2020 This method is structure-dependent rather than data-dependent and can be implemented in real-time, which makes it helpful to simulate, analyze and guide the evolution processes of dynamic public sentiment in the case of lack of historical knowledge on less-frequently occurring original events. The rationality of the cultivated SD model and the consistency between its simulation results and the real evolution trends of the public sentiment are essential to achieve scenario rehearsal and response effectively in the decision-making processes (Thompson et al., 2016) . In a decision-making process for a non-duplicated public sentiment triggered by a major public health incident or a large-scale project, because the decision makers lack prior data and knowledge, the parameters of the initial equations of the 1-general SD model can be referenced from the developed models of historical cases which are similar with the current event in type, system structure and situation. cord-294320-4s6vxmy7 2020 cord-294789-07hto8qn 2020 cord-297216-1b99hm1e 2020 In the Anthropocene, the conditions for microbial evolution have been altered by human interventions, and public health initiatives must recognize both the beneficial (indeed, necessary) interactions of microbes with their hosts as well as their pathogenic interactions. Its website proclaims this to be a big genome, big data approach to public health, whereby "taking into account individual differences in lifestyle, environment, and biology, researchers will uncover paths toward delivering precision medicine..." PPH is getting a shot in the other arm from pharmacogenomics, the study of how responses to drugs are influenced by the genetic makeup of the person receiving the drug. Holobiont public health would do well to recognize both the parasitic and the mutualistic branches of symbiosis [204] It would also recognize the two major changes in our scientific knowledge of microbial evolution that have occurred in this century: (1) organisms are holobionts composed of several species, wherein microbes help maintain healthy physiology and resilience; and (2) bacteria can pass genes through horizontal genetic transmission, thereby facilitating the rapid spread of antibiotic resistance through numerous bacterial species. cord-303165-ikepr2p2 2014 It also demands special attention through health promotion activities of all kinds at national and local societal levels to provide access for groups with special risks and needs to medical and community health care with the currently available and newly developing knowledge and technologies. 5. Environmental, biological, occupational, social, and economic factors that endanger health and human life, addressing: (a) physical and mental illness, diseases and infirmity, trauma and injuries (b) local and global sanitation and environmental ecology (c) healthful nutrition and food security including availability, quality, safety, access, and affordability of food products (d) disasters, natural and human-made, including war, terrorism, and genocide (e) population groups at special risk and with specific health needs. It acts to improve health and social welfare, and to reduce specific determinants of diseases and risk factors that adversely affect the health, well-being, and productive capacities of an individual or society, setting targets based on the size of the problem but also the feasibility of successful intervention, in a cost-effective way. cord-303468-95btvr1v 2020 This short communication describes three public engagement activities hosted by the authors, focused on biofilm control: hand hygiene, plaque control and an externally applied antimicrobial coating. Thus, as part of a PhD project investigating the activity of photocatalytic surfaces, one of the external walls of the University was used to illustrate the effectiveness of titanium dioxide paints in terms of self-cleaning and reduction of the formation of biofilm on the wall material. Our aim was to inform the passing public about our research (an interpretation panel was affixed to the wall), and on occasion, we encouraged passers-by to participate in a longitudinal subjective assessment of the impact of titanium dioxide-containing paint on the perceived cleanliness of the panel. cord-306393-iu4dijsl 2011 From 1945 to 1973, APHA conducted accreditation of graduate professional education in public health, at first centered almost exclusively in SPH, but later including other college and university settings. NBPHE''s purpose is to "ensure that students and graduates from schools and programs of public health accredited by CEPH have mastered the knowledge and skills relevant to contemporary public health." NBPHE is an active, independent organization that develops, administers and evaluates a voluntary certification exam once every year. Graduates from public health accredited schools and programs conduct research and teach in universities, international bodies and nonprofit organizations, manage healthcare and health insurance systems, work in the private sector and for foundations, are public health leaders in state, local and federal health agencies, and work globally and locally in many different roles. The scope of public health education is expanding to new collaborations among health professions and other professional degree programs and includes college and even high school students. cord-306816-n0ggrp16 2020 cord-307303-9mzs5dl4 2005 cord-308095-mehmk49a 2020 Opioid companies built these webs as part of corporate strategies of influence that were designed to expand the opioid market from cancer patients to larger groups of patients with acute or chronic pain, to increase dosage as well as opioid use, to downplay the risks of addiction and abuse, and to characterize physicians'' concerns about the addiction and abuse risks as "opiophobia." In the face of these pervasive strategies, conflict of interest policies have proven insufficient for addressing corporate influence in medical practice, medical research, and public health policy. The focus on "naming and shaming" individuals, even when warranted, threatens to downplay or ignore a systemic problem: institutional and societal cultures and practices that embrace partnership with industry and, wittingly or unwittingly, promote companies'' products, increase brand loyalty, burnish corporate reputations, defuse support for the regulation of companies'' products and marketing practices, and reinforce the framing of public health problems and their solutions in ways that are least threatening to the commercial interests of those companies (Marks 2019a) . cord-308378-qnkqckvm 2016 cord-308821-j4vylbhy 2009 cord-309118-810fmd8e 2020 cord-310197-gwhb2e6q 2014 cord-314443-qeuvymu8 2020 cord-314808-ssiggi2z 2014 On the other hand, numerous new major threats have emerged during the last three decades; the pandemic of AIDS, the SARS outbreak, the ominous scenarios of an avian influenza pandemic, and the threat of biological weapons are just some examples explaining the concern among health authorities, the media, and the public. The psychological response of both patients and the public to the threat of infection has been evaluated with respect to numerous circumstances in recent years, not only acute outbreaks such as SARS, but also gradually evolving pandemics such as AIDS, threats with marginal risk for humans such as bovine spongiform encephalopathy (BSE; mad cow disease), and even threats that are only theoretical such as avian influenza. Mass media is another major factor that shapes the physical and psychological response of the public to an infectious disease threat, as depicted in numerous attack scenarios in the literature [32] [33] [34] . cord-315209-xpzqd0wk 2020 cord-316063-9bg2dm8e 2020 The paper also offers more specific contributions to cultural sociology by showing why social performance theory needs to consider the effects of casting non-human actors in social dramas, how metaphor forms a powerful tool of political action through simplifying and shaping complex realities, and how casting can shift responsibility and redefine the meaning of emotionally charged events such as human death. On 28th February, the first death of a British national occurred on the quarantined Diamond Princess cruise ship, and the Sunday Times reported that around the same time Dominic Cummings (Johnson''s Chief Advisor, and former director of the successful Vote Leave campaign) had ''outlined the government''s strategy'' for the UK''s national response to the virus ''at a private engagement'', quoting those present as claiming that it was ''herd immunity, protect the economy, and if that means some pensioners die, too bad'' (Shipman and Wheeler 2020) . cord-317477-h3c5kddj 2020 We aim to show how perceived vulnerability to disease, personality characteristics, opinion on news media coverage and consumption of news media, and socio-economic and socio-psychological perceptions are related to attitudes towards public health measures in the context of the COVID-19 pandemic. Subsequently, we conducted stepwise linear regressions to investigate associations of perceived vulnerability to disease, personality characteristics, consumption of and opinion on news media, and socio-economic and sociopsychological perceptions, with attitudes towards public health measures during the COVID-19 pandemic in Flanders, Belgium. To answer our main research question, we conducted two stepwise linear regressions to investigate associations between on the one hand perceived vulnerability to disease (GA and PI), personality characteristics, opinion on and consumption of news media, socio-psychological and economic perceptions (independent variables), and on the other hand the belief that the current measures are necessary to protect the Belgian population (dependent variable; Table 3 ) and that the Belgian government is handling the COVID-19 crisis well (dependent variable; Table 4 ). cord-320924-tphlv442 2020 cord-322543-lo1ra50f 2020 The proposed ANMs and multivariate linear Granger causality analysis methods are applied to the surveillance data of lab-confirmed Covid-19 cases in the US, UMD data, and Google mobility data from March 5, 2020 to August 25, 2020 in order to evaluate the contributions of social-biological factors, economics, the Google mobility indexes, and the rate of virus testing to the number of the new cases and number of deaths from COVIDNonlinear additive noise models for bivariate causal discovery this preprint (which was not certified by peer review) in the Public Domain. The scalar variables tested for causation of the new cases and deaths from COVID-19 in the US included the number of contact tracing workers per 100,000 people, percent of population above 60 years of age, median income, population density, percentage of African Americans, reuse, remix, or adapt this material for any purpose without crediting the original authors. cord-332313-9m2iozj3 2016 In a bid to address the issues involved in achieving network-wide outcomes, our work here sheds new light on quantifying structural efficiency to control inter-organizational networks maintained by public research institutions. With the addition of temporal dynamics to inter-organizational relations, a chain of networks over time allows the description of the structural evolution of public research institutions. In this study, we divided institutional research portfolios into six time periods based on scientific output over eighteen years (1995) (1996) (1997) (1998) (1999) (2000) (2001) (2002) (2003) (2004) (2005) (2006) (2007) (2008) (2009) (2010) (2011) (2012) , and estimated structural efficiencies of research similarity networks. In order to understand the relation between efficiency and the inter-organizational research network, we extracted major features across institutions based on some structural properties, such as network size and connectivity. cord-333467-de2aimuj 2011 cord-333599-hl11ln2r 2014 Planning and management are changing in the era of the New Public Health with advances in prevention and treatment of disease, population health needs, innovative technologies such as genetic engineering, new immunizations that prevent cancers and infectious diseases, prevention of non-communicable diseases, environmental and nutritional health, and health promotion to reduce risk factors and improve healthful living for the individual and the community. Selection of the direction to be taken in organizing health services is usually based on a mix of factors, including the political view of the government, public opinion, and rational assessment of needs as indicated through epidemiological data, cost-benefit analysis, the experience of "good public health practice" from leading countries, and recommendations by expert groups. Health is a knowledge-based service industry, so that knowledge management and information technology are extremely important parts of the New Public Health, not only in patient care systems in hospitals, but also in public health delivery systems in the community, school, place of work, and home. cord-334353-nc2jhemz 2009 cord-336142-jmetfa6x 2006 This article compares the Toronto Health Department''s role in controlling the 1918 influenza epidemic with its activities during the SARS outbreak in 2003 and concludes that local health departments are the foundation for successful disease containment, provided that there is effective coordination, communication, and capacity. 3 By comparing and contrasting the way in which public health authorities in Toronto managed the 1918 influenza pandemic and SARS in 2003, we can see how a century of medical advances had conditioned the public and health care professionals to expect prompt control of communicable diseases, speedy development of a prophylactic vaccine, and effective exchange of information at the provincial, national, and international levels. For Toronto''s medical officer and its Local Board of Health (LBH), this presented a challenge, because influenza was not a reportable disease under the 1912 Ontario Public Health Act, and most doctors were hoping that the outbreak would be similar to the one in 1889-90 that had attacked primarily the elderly and apparently provided some immunity to those who survived. cord-337120-irpm5g7g 2007 Therefore, Internists must understand early warning signs of different bioterrorist and infectious agents, proper reporting channels and measures, various ways that they can assist the public health response, and roles of different local, state, and federal agencies. During the past half decade, well-publicized events, including the anthrax mail attacks, 1 Hurricane Katrina, 2 and severe acute respiratory syndrome (SARS) 3, 4 have reminded us that epidemics, disease outbreaks, bioterrorist attacks, and natural disasters can occur. Therefore, Internists must understand early warning signs of bioterrorist and infectious agents, proper reporting channels and measures, and ways that they can help contain and treat the consequences of epidemics, outbreaks, and attacks. Internists suspecting an attack or epidemic should immediately inform the local or state health department and contain any possible threat in their clinics, especially if the agent is contagious. Bioterrorist attacks and epidemics require physicians to quickly transmit patient and case information to other health care personnel and appropriate authorities. cord-339376-2dczotbh 2012 cord-341616-ts98sfxx 2020 This qualitive study uses China''s Health Code policy under COVID-19 to explore why the public performs voice behavior on social media and how this influences policy evolution and product innovation through cooperative governance. What is more, as a form of public participation in cooperative governance, public voice plays a significant role in promoting policy evolution and product innovation, and represents a useful form of cooperation with governments and enterprises to jointly maintain social stability under public health emergencies This study adopts a dynamic research perspective, and takes the dynamic evolution of health codes policy as an example, focusing on exploring how public voice promoted the improvement of products by enterprises and the implementation of policies by the government under a public health emergency. As shown in Figure 1 , the dynamic mechanism of public voice behavior to promote policy implementation and evolution in public health emergencies is as follows: First, under the guidance of the government, enterprises participate in the development of policy and design products to assist policy implementation with advanced technologies. cord-342386-t5b8wpe2 2020 Since overall trust in public authorities did not decrease after March 11 in the whole sample, this indicates a leveling in trust attribution across the country after the introduction of new measures, which in turn could be interpreted as a shift in the perception of the emergency: whereas in early March, a significant part of the Italian population still believed the outbreak to be somehow contained to specific regions, and thus a local problem unlikely to affect everybody in the same way, the nationwide interventions announced on March 11 made it crystal clear to all that COVID-19 was indeed a national concern. cord-342939-b7qn6ynk 2012 This article addresses issues that are central to the dual use of biotechnology, such as the public perception of risk and the need for physical containment to prevent the release of potentially dangerous microorganisms. It also examines the public and media perception of the scientists who handle and manipulate these pathogens and discusses the controls that are currently in place to ensure that scientists engaged in defense-related dual-use medical research act in a transparent and ethical manner. It also examines the public and media perception of the scientists who handle and manipulate these pathogens and discusses the controls that are currently in place to ensure that scientists engaged in defense-related dual-use medical research act in a transparent and ethical manner. Although extremely rare, this event is likely to have had a major impact on the public perception of scientists engaged in defense-related research and their motivation. cord-343530-3fnfs2e5 2020 Specifically, it introduces a conceptual model incorporating the impact of gender equity and human development on women''s representation in legislature and public health expenditure, and their combined impact with human environment (population density, aging population and urban population) on important public health outcomes in the Covid-19 context, including the total number of tests, diagnosed, active and critical cases, and deaths. The authors begin with an extensive review of the relevant literature to develop a conceptual model and specific hypotheses about the impact of gender equity and human development on women''s representation in legislature and public health expenditure, and the combined impact of public health expenditure along with human environment (population density, aging population and urban population) on important public health outcomes in the Covid-19 context, including the total number of tests, diagnosed, active and critical cases, and deaths. cord-345811-f0yt2a32 2007 cord-347877-px8e0hhi 2020 Consequently, this paper uses the game cross-efficiency model and Theil index model to evaluate and analyze the regional differences and the causes of the allocation efficiency of the rural public health resources in 31 provinces of China from 2008 to 2017, and uses the bootstrap truncated regression model to find out the influencing factors, so as to provide the policy basis for improving the allocation efficiency of the rural public health resources in China. The economic development level, the living conditions and the population density are the important influencing factors of the allocation efficiency differences of the rural public health resources in the three regions. The economic development level, the living conditions and the population density are the important influencing factors of the allocation efficiency differences of the rural public health resources in the three regions. cord-349348-9rnvawfa 2012 cord-349790-dezauioa 2020 Methods: We systematically searched indexed academic literature from PubMed, Google Scholar, and Web of Science from 2000 to April 2019 for peer-reviewed articles that substantively engaged in discussion of ethical issues in the use of pathogen genome sequencing technologies for diagnostic, surveillance and outbreak investigation. We systematically searched indexed academic literature from PubMed, Google Scholar, and Web of Science from 2000 to April 2019 for peer-reviewed articles that substantively engaged in discussion of ethical issues in the use of pathogen genome sequencing technologies for diagnostic, surveillance and outbreak investigation. Implementation science research may also inform best practices for discussing the meaning and limitations of sequence data and cluster membership with community members and help to identify acceptable and evidence-based approaches that impose the least risk to persons within specific contexts. Many noted that there are important reasons to ensure that the public and individuals understand the uses of data collected as part of a sequencing studies, and the potential risks. cord-351411-q9kqjvvf 2015 cord-352546-w3catjj3 2015 The effective control and prevention of EIDs therefore requires: (i) social science research to improve understanding of how EID threats and responses play out; (ii) the development of an analytic framework that catalogues case experiences with EIDs, reflects their dynamic nature and promotes inter-sectoral collaboration and knowledge synthesis; (iii) genuine public engagement processes that promote transparency, education and capture people''s preferences; (iv) a set of practical principles and values that integrate ethics into decision-making procedures, against which policies and public health responses can be assessed; (v) integration of the analytic framework and the statement of principles and values outlined above; and (vi) a focus on genuine reform rather than rhetoric. In particular we focused on materials pertaining to the social, political and ethical consequences of responses to the risks posed to human health and wellbeing by Hendra virus [HeV], Nipah virus [NiV] and Rabies virus [RbV] in Australasia, and compared them with international responses to canonical examples of pandemic and food borne zoonoses severe acute respiratory syndrome (SARS) [17] and bovine spongiform encephalitis/variant Creutzfeldt Jacob disease (BSE/vCJD), respectively. cord-354434-bi409a6o 2020