Read the letter by Caroline Abu Sa'Da and Christine Jamet, a response to the briefing by Welz “Crisis in the Central African Republic and the international response” published in African Affairs (Vol. 113, No. 453, pp. 601-610).
In 2014, the World Health Organization (WHO) declared two "public health emergencies of international concern", in response to the worldwide polio situation and the Ebola epidemic in West Africa respectively. Both emergencies can be seen as testing moments, challenging the current model of epidemic governance, where two worldviews co-exist: global health security and humanitarian biomedicine.
Distrust and suspicion that public health programmes are being used to advance foreign interests have contributed to the increase in murders and violent attacks on vaccination workers. There have been setbacks to polio eradication efforts and other public health objectives. Counterterrorism policies and practices can have unintended health impacts, especially where health programmes are co-opted or undermined, in countries where health systems are strained and population health indicators are poor.
The impact of the 2010 earthquake in Haiti was devastating for a country whose history was already marked by poverty, natural disasters, environmental degradation and political instability. An outbreak of cholera several months later further hampered reconstruction efforts. At the same time, this presented an opportunity to rebuild and develop the country, including an already extremely fragile and inequitable health system.
As of the 31st of March 2015, 418 out of 815 infected health care workers had died from the Ebola virus in Guinea, Liberia and Sierra Leone, according to a recent WHO report. 217 recovered and the fate of the remaining 181 is unknown. These figures alone attest to the heavy price paid by medical staff responding to the crisis.
The authors studied the epidemiological, clinical, and outcome features of the Ebola virus disease in patients hospitalized at the Ebola treatment center (ETC) in Conakry to identify clinical factors associated with death. A prospective study was conducted from March 25 to August 20, 2014.
Working in a prison for a humanitarian organisation is not easy, particularly because of the specific characteristics of such places. Médecins Sans Frontières’ experience working in Insein prison illustrates the difficulties of achieving objectives both in terms of results (long term provision of appropriate and full medical care to patients) and working conditions (minimal manipulation, indiscriminate access to patients, etc.).
The 2010 reform of the legal regime regulating Palestinians’ access to the labour market in Lebanon ignited a heated debate among Lebanese, Palestinians, and international political actors. This article analyses the advocacy initiatives preceding the reform to answer the following question: what signifiers of Palestinian-ness have Palestinian political entrepreneurs mobilised?
After 4 years of relief activities, it is difficult to keep managing the lead poisoning epidemic in northern Nigeria as an emergency situation, while it appears clearly to be a more complex, widespread and chronic public health issue than anticipated. Making the continuing treatment of children conditional upon commitments from impacted families to adhere to safe mining practices is unlikely to bring about any long-term benefit. This is because such commitment is ultimately not in the hands of the victims or their families.