Search results

The largest ever outbreak of Ebola virus disease (EVD), which began in December 2013, profoundly impacted not only the West African countries of Guinea, Sierra Leone, and Liberia, and to a lesser extent Nigeria, but also the rest of the world because some patients needed to be managed in high-resource countries. As of March 29, 2016, there were 28,616 confirmed, probable, and suspected cases of EVD reported in Guinea, Liberia, and Sierra Leone during the outbreak, with 11,310 deaths (case fatality rate of 39.5%). An unprecedented number of healthcare workers and professionals, including physicians, nurses, logistic and administrative personnel, housekeepers, epidemiologists, statisticians, psychologists, sociologists, and ethics experts in many countries, were directly or indirectly involved in the care of EVD patients.

The provision of medical care to critically ill EVD patients would have been challenging in any setting but was especially so in the remote and resource-limited areas where patients were stricken by EVD. Limited health personnel, medical supplies, and equipment, along with inadequate knowledge and skills for minimizing the risks of transmission to healthcare workers, could have led to the de-prioritization of patient care. However, ethical considerations demanded aggressive patient care (intensive care, dialysis, central vascular catheter indwelling, etc.) to produce positive outcomes without increasing the risks to healthcare workers and caregivers.

A major ethical consideration was that healthcare workers have a double obligation: while providing the best medical care to improve EVD patient survival, with symptom relief and palliation as required, they must also protect themselves and minimize further transmission to others, including their colleagues. During the 2014–2015 EVD epidemic, another ethical and clinical problem arose in relation to the management of healthcare workers deployed in Africa who acquired EVD while caring for infected patients. As of June 24, 2015, a total of 65 individuals had been evacuated or repatriated worldwide from the EVD-affected countries, of whom 38 individuals were evacuated or repatriated to Europe. The need for evacuation and repatriation, together with associated ethical issues, is discussed in this chapter.

This paper attempts to discuss the synergies between the sustainable development goals (SDGs) and Ebola preparedness and response – with a specific outlook about how the five (5) targets in SDG.3 can be prioritized and integrated into the measures taken against the battle of Ebola virus disease (EVD) in the Democratic Republic Congo (DRC) as well as any other sporadic health disasters and emergencies elsewhere.

This paper draws on the published literature, including reports, peer-reviewed articles, statistical data and relevant documents identified from authenticated sources.

Sustainable development, which is the nitty-gritty of SDGs, is underscored as a germane in almost all regional and international frameworks. However, as traditional natural hazards persist, alongside the persistence of civil conflicts and instability, socioeconomic challenges such as EVD pose serious hindrances to SDGs, and achieving them by 2030 might be a deferred dream, especially in low- and middle-income countries such as DRC.

This paper will help to inform the decisions of bureaucrats at different levels, especially those aimed at promoting and integrating health into sustainable development.

The recent 2018 EVD outbreaks in DRC, which galvanized the regional and global attention, call for an approach that elucidates an interaction between the SDGs and countermeasures of responding to this deadly disease in the DRC and elsewhere.

The purpose of this paper is to provide an analysis of the disproportionate impact of the 2014 West Africa Ebola virus disease (EVD) epidemic on women, presenting an assessment of how this impact in particular is linked with violence against women and women’s right to health, and a critique of improvements that could avoid discrimination against women in healthcare crises.

This paper covers conceptual understandings of, and utilises a human rights law and public health lens to analyse how the EVD epidemic in West Africa both directly and indirectly caused greater harm to women and girls. All these factors which represent intersectional violations of the human rights of women are examined with a focus on violence against women and the right to health.

There are multiple reasons why the EVD outbreak harmed women disproportionately, and this intersectionality of discrimination must be considered in any response to a public health crisis. Addressing the vulnerability of women and girls to all forms of violence involves the coordinated efforts of public health, legal and political actors to empower women.

Specific issues of the 2014 West Africa EVD outbreak have been examined in medical journals, but there have been no academic studies that present a cross-disciplinary analysis of the gender concerns. This paper combines a public health perspective with a human rights law viewpoint in order to consider the impact of the EVD outbreak on women and provide suggestions as to how discrimination and disadvantage of women in such health crises can be avoided.

This study explored whether the critical incident management systems (CIMS) model can predict the EMS performance in the COVID-19 context. Past research has established the significance of early detection and response (ER) in the context of Ebola virus disease (EVD), prompting a question of whether the model can also be helpful in the COVID-19 context. Consequently, the authors assessed whether ER influences the impact of communication capacity (CC), reliable information channel (RC) and environment (EN) on COVID-19 EMS performance. Assessing these relationships will advance emerging infectious disease (EID) preparedness.

The authors employed standardized measurement instruments of the CIMS model (CC, ER, RC and EN) to predict the performance of COVID-19 EMS using structural equation modeling (SEM) in a study of 313 participants from frontline responders.

The results show that the relationship of ER and EN with COVID-19 EMS performance is positive, while that of EN on CC is negative. The relationship between EN and COVID-19 EMS performance was insignificant. Contrary to the hypothesis, CC was negatively significant to COVID-19 EMS performance due to poor communication capacities.

The authors acknowledge some limitations due to challenges faced in this study. First, Data collection was a significant limitation as these questionnaires were built and distributed in June 2020, but the response time was prolonged due to the recurring nature of the pandemic. The authors had wanted to implore the inputs of all stakeholders, and efforts were made to reach out to various Ministry of Health, the local CDC and related agencies in the region via repeated emails explaining the purpose of the study to no avail. The study finally used the frontline workers as the respondents. The authors used international students from various countries as the representatives to reach out to their countries' frontline workers. Second, since the study was only partially supported using the CIMS model, future studies may combine the CIMS model with other models or theories. Subsequent research reassesses this outcome in other contexts or regions. Consequently, further research can explore how CC can be improved with COVID-19 and another future EID in the region. This may improve the COVID-19 EMS performance, thereby expanding the lesson learned from the pandemic and sustaining public health EID response. Additionally, other authors may combine the CIMS model with other emergency management models or theories to establish a fully supported theoretical model in the context of COVID-19.

The findings have practical implications for incident managers, local CDCs, governments, international organizations and scholars. The outcome of the study might inform these stakeholders on future direction and contribution to EID preparedness. This study unfolds the impact of lessons learned in the region demonstrated by moderating early detection and responses with other constructs to achieve COVID-19 EMS performance. The findings reveal that countries that experienced the 2013–2016 Ebola outbreak, were not necessarily more prepared for an epidemic or pandemic, judging by the negative moderating impact of early detection and response. However, these experiences provide a foundation for the fight against COVID-19. There is a need for localized plans tailored to each country's situation, resources, culture and lifestyle. The localized plan will be to mitigate and prevent an unsustainable EID management system, post-epidemic fund withdrawals and governance. This plan might be more adaptable and sustainable for the local health system when international interventions are withdrawn after an epidemic. Public health EID plans must be adapted to each country's unique situation to ensure sustainability and constantly improve EID management of epidemics and pandemics in emergency response. The high to moderate importation risk in African countries shows Africa's largest window of vulnerability to be West Africa (Gilbert et al., 2020). Therefore, they should be in the spotlight for heightened assistance towards the preparedness and response for a future pandemic like COVID-19. The West African region has a low capacity to manage the health emergency to match the population capacities. The COVID-19 outbreak in West Africa undoubtedly inflicted many disruptions in most countries' economic, social and environmental circumstances. The region's unique challenges observed in this study with CC and reliable information channels as being negatively significant highlight the poor maintenance culture and weak institutions due to brain drain and inadequate training and monitoring. This outcome practically informs West African stakeholders and governments on aspects to indulge when trying to improve emergency preparedness as the outcomes from other regions might not be applicable.

This study explored the relevance of the CIMS model in the context of the COVID-19 pandemic, revealing different patterns of influence on COVID-19 EMS performance. In contrast to the extant literature on EVD, the authors found the moderating effects of ER in the COVID-19 context. Thus, the authors contribute to the COVID-19 EMS performance domain by developing a context-driven EMS model. The authors discuss the theoretical and practical implications.

The paper examines financial resilience responses/capacities of governments from Liberia, Sierra Leone and Ghana in relation to COVID-19. It highlights the governments’ fiscal, budgetary and actions as either anticipatory or coping mechanisms towards the pandemic.

Multiple case studies and secondary data were used, including official government documentation/records, expert views, policy publications by supranational organisations and international financial institutions and media reports. Textual analysis was conducted to evaluate the case countries’ resilience.

The paper highlights how governmental budgetary initiatives, including repurposing the manufacturing sector, can sustain businesses, aid social interventions and reduce vulnerability during health crises. In addition, the paper highlights that external borrowing continues to be indispensable in the financial and budgetary initiatives of the case countries. The paper finds that lessons learnt from the Ebola Virus Disease (EVD) in West Africa within the last decade have shaped the anticipatory resilience capacities of the case countries against COVID-19.

The paper uses the notion of resilience, the dimensions of the resilience framework and the resource-based view (RBV) theory to unearth resilience patterns. This sort of combined approach is new to financial resilience studies.

The years following the 9/11/2001 terrorists attacks saw a marked increase in community and hospital emergency preparedness, from communications across community networks, development of policies and procedures, to attainment and training in the use of biological warfare resources. Regular drills ensured emergency and health care personnel were trained and prepared to address the next large-scale crisis, especially from terrorist and bioterrorist attacks. This chapter looks at some of the more familiar global health issues over the past two decades and the lessons learned from hospital responses to inform hospital management in preparation for future incidents.

This study is a narrative review of the literature related to lessons learned from four major events in the time period from 2002 to 2023 – SARS, MERS, Ebola, and COVID-19.

The initial search yielded 25,913 articles; 57 articles were selected for inclusion in the study.

Comparison of key issues and lessons learned among the four major events described in this article – SARS, MERS, Ebola, and COVID-19 – highlight that several lessons are “relearned” with each event. Other key issues, such as supply shortages, staffing availability, and hospital capacity to simultaneously provide care to noninfectious patients came to the forefront during the COVID-19 pandemic. A primary, ongoing concern for hospitals is how to maintain their preparedness given competing priorities, resources, and staff time. This concern remains post-COVID-19.

Humanitarian organizations have faced the unprecedented consequences of the coronavirus disease 2019 (COVID-19) pandemic. In this article, the authors therefore discuss how epidemics and pandemics, specifically Ebola and COVID-19, have affected humanitarian operations and supply chain management (HumOSCM), and how HumOSCM has contributed to preparedness for and response to epidemics and pandemics. The authors present lessons learned from responses to Ebola and COVID-19.

For this study, the authors review the scholarly HumOSCM literature, use documentary evidence from practitioner literature and apply a theory synthesis approach to derive recommendations on how HumOSCM could strengthen future responses to epidemics and pandemics.

The conceptualizations highlight the importance of strengthening collaboration, capability and capacity for the response to epidemics and pandemics. Furthermore, the components that can enhance the degree of collaboration, and hence, response formation, are discussed.

As a non-empirical article, it suffers from the limitations of conceptual research. Hence, empirical testing of the proposed framework is recommended. The framework and propositions can serve as a basis for future studies.

The conceptual framework can help humanitarian organizations and other actors in the humanitarian sector to better understand how to prepare for future responses to epidemics and pandemics, in particular by considering the components that enhance the degree of collaboration, as well as through capability development and capacity building.

This article begins a discussion of how HumOSCM should evolve to better respond to future epidemics and pandemics.

Recently, the tourism industry in Asian countries has been adversely affected by two significant drivers: health emergencies and climatic changes. Virus outbreaks such as severe acute respiratory syndrome (SARS), Middle East respiratory syndrome coronavirus (MERS-CoV), Ebola, avian flu, Zika virus and H1N1 influenza virus have caused much greater damage to the tourism and travel industry of Asian countries as compared to the more localized natural disasters and crises such as tsunami, Kathmandu earthquake, Typhoon Mangkhut in Indonesia, etc., resulting in huge job losses, severe financial losses, shutdowns and human casualties. The purpose of this study is to briefly discuss the major viral outbreaks in the Asian countries and discuss their impact on the tourism industry. It will also discuss the resilience strategies taken by the Asian countries to re-emerge their tourism markets from these outbreaks. It will be based on the systematic review of the earlier literature on the various viral outbreaks and the corresponding resilience measures in the Asian peninsula. While the association between the pandemic and travel has been widely discussed in previous studies (Kuo, Chen, Tseng, Ju, & Huang, 2008; Lee, Son, Bendle, Kim, & Han, 2012), there is still no specific study which provides a comprehensive outlook on the various viral outbreaks and the tourism resilience strategies in Asia. It might also help the tourism industry stakeholders from the Asian countries to adequately identify and thoroughly plan for the possible future outbreaks and align resilience measures accordingly.

The compulsory lockdown issued by the Nigeria Government to curb the spread of the virus has undoubtedly negatively affected the livelihoods of households. As a result, many have lost their sources of income and have no other means for survival. It is important to note that it has the potential of triggering violent conflicts and civil unrest as a popular African adage goes as thus: “A hungry man is an angry man”. Unfortunately, little attention has been given, neither has extant literature adequately covered the impact of the coronavirus (COVID-19) outbreak as it directly affects households in a rural community in Nigeria.

This study proceeded from on both a qualitative and quantitative method and adopted a mixed-method and case study research design. Data for this study was collected through primary and secondary data. Primary data for this study was collected through a questionnaire and focus group discussions (FGD). The questionnaire used for this study was a validated instrument designed by the US Department of Agriculture (USDA) to measure food security amongst households. The USDA household’s instrument was used and then modified to access the food security status of households during the lockdown.

Findings from this study revealed that households, in general, were categorised as having “very low food security” during the lockdown as they testified to all the food insecure conditions. In general, the food intake of household members reported irregular eating patterns as the household lacked the money to purchase food. This study further indicated that a high number of respondents see violence as a means of attaining food. Extreme volatility in their inability to access food as a result of food shortages and the inability to benefit from government palliatives has been found to trigger incidents of conflict and malnutrition on households.

This method was sampling method was adopted because of the compulsory and constitutional lockdown imposed by the government to curb the spread of the novel COVID-19 which limited the movement of the researcher to other households in the community which proved to be limited during the time this research was carried limiting the scope of the sample size.

This research adopted mixed-method research and was written by the researchers who did the study. This paper was conducted during the mandatory lockdown issued by the Federal Government in Nigeria with to understand the impact of the mandatory lockdown on rural households using Ilaje local of Ondo state as a case study while establishing a link between food security and conflict.