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The global incidence of dengue has grown dramatically in recent decades. According to WHO, 3.9 billion people are at risk of infection with dengue viruses with 70% of the actual burden is in Asia. In Pakistan, Punjab faced the major dengue outbreak with 21,685 confirmed cases and 350 deaths, mainly due to DENV-2. Dengue is a major health care problem that affecting countries worldwide. Dengue epidemic have a devastating impact on health care systems. All four characteristics of VUCA are true of the challenges we face due to the dengue epidemic. That called for a need to have integrated disease and surveillance (IDSR) framework for the management, prevention, and control of dengue. The IDSR framework for dengue includes hospital readiness, patient reporting system, surveillance, evidence-based decision making, awareness, citizen engagement, and availability of insecticides along with third party validation on top of it to keep a close check on containment efforts. A comprehensive patient portal was developed for all public and private health care facilities to report dengue cases i.e. suspected, probable, and confirmed as per the Dengue GCP guidelines. For surveillance, smartphone-based application was developed for field users to report larvicidal activities i.e. indoor residual spray in real-time, case response, and hotspots (areas at risk). As per established Standard Operating Procedures, hotspot regime was setup to sweep out breeding spots or larvae population at regular intervals in a week. For the purpose of evaluation and monitoring, third party validation application is designed to check activities that are performed as per prescribed standards or not. Dashboards and reports are available for various stakeholders to facilitate evidence-based decision making. These reports analyze field-based activities and rank performance of district and town. System also generates alerts i.e. Breteau (the number of positive containers per 100 houses inspected) and Container (percentage of water-holding containers infested with larvae or pupae) Indices, in real-time, enabling the administration to take decisions in a timely manner. Looking at the magnitude of dengue-related morbidity and mortality, all departments were involved in dengue prevention and control activities. This approach has proven effective in curtailing this mosquito-borne disease. The impact of these interventions can be clearly seen in regard to confirmed patient and death reported in recent year.

The purpose of this chapter is to offer reflections on conventional theories concerning causes and determinants of diseases. It also intends to examine both theoretical and empirical bases for adopting an Integrated Social-Ecological Systems (ISES) lens as a tool for understanding complexities related to drivers, determinants and causes of diseases.

We assessed the theoretical underpinnings of a range of historical and contemporary lenses for viewing infectious disease drivers and the implications of their use when used to explain both personal (i.e. individual) and population health. We examined these issues within the empirical context of the City of Dhaka (Bangladesh) by adopting an ISES lens. Within this study an emphasis has been placed on illustrating how feedback loops and non-linearity functions in systems have a direct bearing upon various aspects of infectious disease occurrences.

A brief triumph over microbes during the last century stemmed in part from our improved understanding of disease causation which was built using disciplinary-specific, monocausal approaches to the study of disease emergence. Subsequently, empirical inquiries into the multi-factorial aetiology and the ‘web of causation’ of disease emergence have extended frameworks beyond simplistic, individualistic descriptions of disease causation. Nonetheless, much work is yet to be done to understand the roles of complex, intertwined, multi-level, social-ecological factors in affecting disease occurrence. We argue, a transdisciplinary-oriented, ISES lens is needed to explain the complexities of disease occurrence at various and interacting levels. More theoretical and empirical formulations, with evidence derived from various parts of the world, is also required to further the debate.

Our study advances the theoretical as well as empirical basis for considering an integrated human-nature systems approach to explaining disease occurrence at all levels so that factors at the individual, household/neighbourhood, local, regional and global levels are not treated in isolation.

Purpose – Purpose of the research is to make a comprehensive study to elucidate the existing landscape of scientific production of disease outbreaks, pandemics and tourism research. In doing so, authors analyzed scientific production of pandemics and tourism-related studies such as year-wise publications, productive authors, institutes, funding sponsors, thematic areas of research and citation analysis.

Design/methodology/approach – Authors analyzed the research papers indexed in the online Scopus database over 50 years of time starting from 1971 to 2020 by using bibliometrics, and the data are visualized by using data visualization tools like VOSviewer and the Tableau.

Findings – The understanding of disease outbreaks and pandemics in tourism has increased over the years in terms of number of papers, citation, networks and collaborative themes of research.

Research limitations/implications – Data for the study were generated from Scopus online database and limited to English-written journal articles that were produced with search strategy of specific keywords associated with tourism, virus, pandemics and disease outbreak.

Practical implications – Findings of the research provide insights into academia and practitioners on the understanding of disease outbreaks, pandemics and tourism research, coherent development of the concept and understanding the research gap and focussed area of research.

Originality/value – As per authors' understanding, this paper would be one of the first attempts to provide greater understanding of disease outbreaks, pandemics and tourism as a research topic by examining the growth and evolution in an academic context through bibliometric analysis.

Paper type – Review paper.

Since joining Bennett College in 2008, Dr. Oh has directed 17 undergraduate students’ research projects in applied mathematics. The National Science Foundation (NSF) awarded Dr. Oh grants from the Historically Black Colleges and Universities – Undergraduate Program (HBCU-UP). The grants allowed her to mentor eight mathematics majors/minors in summer research for four years (2009–2012). Based on the four years of successful undergraduate research (UGR) experiences, she, together with Dr. Jan Rychtar from the University of North Carolina at Greensboro (UNCG), received funding for two summers National Research Experience for Undergraduates (NREUP), an activity of Mathematical Association of America (MAA), funded by the NSF in 2013 and 2014. During the six years of funded UGR, Bennett students made 33 presentations at regional, state, and national conferences; two teams won the outstanding student presentation award and first place for presentation. Three papers were published; two of them by Dr. Oh and one of them with a UGR coauthor. Three projects resulted in manuscripts. As a result of the UGR experiences in 2015, Dr. Oh received three more grants: the MAA NREUP, the NSF’s Center for Undergraduate Research in Mathematics (CURM), and the NSF’s Preparation for Industrial Careers in Mathematical Sciences (PIC Math) program awarded grants. A grant was also submitted to HBC-UP-Targeted Infusion Projects: Computational Mathematics at Bennett College.

Overall, the six years of UGR at Bennett College attained the three goals of: (1) enhancing the quality of undergraduate STEM education and research for a deeper appreciation in those disciplines; (2) supporting increased graduation rates in STEM undergraduate education of females; and (3) broadening participation in the nation’s STEM workforce as well as enrollments in graduate schools.

Tourism activity is a global industry and, as such, it is subject to global risks. International travel has developed exponentially over the last few decades. At the same time, diseases have increased their geographical spread influenced by ecologic, genetic and human factors. Currently, the increasing virus, epidemic and pandemic outbreaks represent some of the most negative consequences of globalization, causing deaths and significant economic losses due to the negative impacts they have on the tourism industry, one of the sectors that have been the most affected by health crises.

This work presents insights on the epidemics, pandemics and virus outbreaks that have occurred throughout the twenty-first century and how those occurrences have affected the tourism industry and the global economy. A brief literature review on health risks in tourism is presented, followed by a clinical perspective to help people understand the differences between endemics, outbreaks, epidemics and pandemics. Then, the study offers a presentation of the most significant pandemics in recent human history and a deep analysis of the COVID-19 disease. Finally, the effects that the different pandemics, epidemics and outbreaks that occurred in the present century had on tourism are explained, and the challenges tourism has to face are presented and discussed.

This chapter describes the author’s experience with a lost opportunity to learn about and from Hijra communities in India. While the author was forced to leave the field, and ethnography was ‘lost’ before it could truly begin, the author was able to learn from the experience and translate the questions and ideas generated there into a way to frame and energise new work at home in the United States. The chapter begins with a description of the proposed research context and the circumstances that led to the author’s early departure. This is followed by lessons and reflections gleaned from the experience, and recommendations that ethnographers enter and write about the ‘messy’ field and write in ways that welcome serendipity, honour intuition and value their own and others’ humanity.

The political crisis related to two main factors internal to the public revenue system, namely financial markets and the commercialisation of the state, and three related external factors, pertaining to the pandemic, popular discontent and inequality. The emphasis on financial markets since the mid-1990s expanded the commercialisation of the state while neglecting public accountability and government oversight. The efforts to shore up public finances through the tax system is increasingly undermined by the global tax architecture, enabling financial secrecy and illicit financial flows.

The pandemic revealed the significance of women’s work, paid as well as unpaid care work. The pandemic also exposed the limitations of a domestic economy, based on export-oriented development, over-reliant on tourism and remittances from migrant workers. Combining with the on-going dengue epidemic, the pandemic highlighted the urgency of climate adaptation. Meanwhile, the popular discontent conveyed an accumulation of grievances linked with cultural discrimination, political misrepresentation as well as economic maldistribution. The participation of new middle-class segments in the protests foregrounded new tendencies significant for strengthening the labour movement as well as working-class parties in their demands for redistribution, reframing democracy as well as citizenship.

The Intergovernmental Panel on Climate Change (IPCC) Fourth Assessment Report (AR4) (Intergovernmental Panel on Climate Change, 2007) of 2007 concluded that most of the warming of the climate is very likely driven by human activities that increase greenhouse gas (GHG) concentrations in the atmosphere. Activities such as burning of fossil fuels for power generation and in vehicles, as well as increasing deforestation, result in emissions of four long-lived GHGs: carbon dioxide (CO2), methane (CH4), nitrous oxide (N2O), and halocarbons (a group of gases containing fluorine, chlorine, or bromine). The report projects that by the end of the 21st century global temperatures could rise by 1.1–6.4°C over 1990 levels, while global mean sea levels could rise by 18–59cm, depending on future scenarios of varying global emission levels. This is likely to adversely impact ecosystem resilience, putting many plant and animal species at the risk of extinction. Sea level rise and coastal erosion coupled with temperature extremes, heat waves, and heavy precipitation events that are projected to become more frequent will affect the health and well-being of millions of people around the world.