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This chapter proposes a way to deepen our understanding of the health impacts of climate change. It explores how and why individuals and communities may experience the climate change-human health interface in different ways.

We suggest that the concepts of structural vulnerability and narrative inquiry can provide a thick (ethnographic) description of how and why individuals and communities experience and give meaning to the health impacts of climate change. We begin by defining the two concepts before bringing them together to explore the relationship between climate change and health.

The combination of these two concepts offers the potential to advance our knowledge in two key ways. Firstly, they facilitate a critical and interpretive approach to both the notion of agency and the public health paradigm of the ‘rational-actor’. Secondly, they reveal how vulnerability to climate change is embodied at the level of the mundane and everyday.

These concepts, when applied to the climate change–human health interface, can help demonstrate how vulnerability is often a social construction, and, with sufficient political will, may be ameliorated. We see the combination of the concepts discussed here as an opportunity for research to address inequality and justice.

This paper takes two innovative and established concepts in medical anthropology (structural vulnerability) and social science (narrative inquiry) and invites their application to our understanding of climate change and human health. Research analysed via these concepts will provide a clearer understanding of the impacts of climate change and experiences of vulnerability.

This chapter is set within global public sector reform processes, as policing is part of public service delivery. It explores the question of who is “vulnerable”, how vulnerability is assessed, and why? It considers the measurement of vulnerability, and how this influences policing practice and the role of the Police in contemporary policing.

The research is qualitative in nature and reliant on interview and documentary source data. It draws on concepts such as resilience, co-production, professionalisation and training as organising themes in which to make sense of how we reimagine the management of Vulnerability and the demands they place at the “core, the heart and the centre” of policing today.

Police management in the UK are attempting to stay true to the Peelian Principle of police efficiency alongside balancing the changing remit of what they have to contend with on a day-to-day basis – this is the paradox. Both Vulnerability and Risk are demonstrated to be increasingly interconnected alongside the developments of public health policing in the UK and elsewhere. Collectively, these concepts help to examine an increasingly complex landscape for the police to manoeuvre within, as they respond to a myriad of competing demands on services.

Vulnerability is the core, the heart and the centre of meaningful human experiences. With increasing pressures on resources, political scrutiny and changing roles and responsibilities, the police as an organisation (both in the UK and internationally) are increasingly responding to competing demands for their service. These demands are represented in this chapter as a paradox of change.

Climate change and the COVID-19 pandemic are complex and have multifaceted effects on countries in an unpredictable and unprecedented manner. While both COVID-19 and the climate crisis share similarities, they also have some notable differences. Being both systemic in nature with knock-on and cascading effects that propagate due to high connectedness of countries, COVID-19, however, presents imminent and directly visible dangers, while the risks from climate change are gradual, cumulative and often distributed dangers. Climate change has more significant medium and long-term impacts which are likely to worsen over time. There is no vaccine for climate change compared to COVID-19. In addition, those most affected by extreme climatic conditions have usually contributed the least to the root causes of the crisis. This is in fact the case of island economies. The chapter thus investigates into the vulnerability and resilience of 38 Small Islands Developing States (SIDs) to both shocks. Adopting a comprehensive conceptual framework and data on various indices from the literature and global databases, we assess the COVID-19 and climate change vulnerabilities of SIDs on multiple fronts. The results first reveal a higher vulnerability across all dimensions for the Pacific islands compared to the other islands in the sample. There is also evidence of a weak correlation between climate change risk and the COVID-19 pandemic confirming our premise that there are marked differences between these two shocks and their impacts on island communities.

This chapter addresses the growing need to analyze the relationship between COVID-19 vulnerability and disability status at the national scale in the US. It presents a quantitative study that seeks to determine whether US counties more vulnerable to the COVID-19 pandemic contain significantly higher percentages of people with disabilities (PwDs), in general, and socially disadvantaged PwDs (based on their ethnicity/race, biological sex, age poverty, and employment status), in particular.

Vulnerability to COVID-19 is measured using the COVID-19 Pandemic Vulnerability Index (PVI) model developed by the National Institute of Environmental Health Sciences, which integrates multiple variables into relevant indicators that are weighted and combined to formulate a county-level PVI score. These scores are linked to a wide range of disability-related variables from the 2019 American Community Survey five-year estimates. Statistical analyses are based on multivariable generalized estimating equations that extend the generalized linear model to account for spatial clustering.

US counties more vulnerable to the COVID-19 pandemic are characterized by significantly higher percentages of PwDs, when vaccination is considered in estimating the PVI. These counties also contain significantly higher percentages of ethnic/racial minority, female, below poverty, and unemployed PwDs, in multiple timeframes of the pandemic.

The findings provide important insights and new knowledge on the relationship between COVID-19 vulnerability and socially disadvantaged PwDs in the US. The county-level associations highlight the need for additional data and more detailed analysis to examine the differential impacts of this pandemic on PwDs, as well as formulate appropriate intervention strategies.

Purpose – This chapter investigates vulnerability to poverty in the Republic of Haiti.

Methodology – We use a hierarchical modeling technique to allow the assessment and decomposition of vulnerability to poverty by exploiting the short-panel structure of nested data in a cross section.

Originality – Specifically, a three-level hierarchical model with a partially Bayesian restricted maximum likelihood is used in the estimation procedure. This is novel in this literature.

Findings – The decomposition method adopted in this chapter reveals that vulnerability in the Republic of Haiti is largely a rural phenomenon and is correlated negatively with schooling. The results also disclose the lack of equality in various aspects of circumstances or opportunities, including education, as the salient factor determining the status and level of vulnerability of households. Most importantly, among the different shocks affecting household's income, it is found that meso-level shocks are in general far more important than covariate shocks. This finding points to some interesting policy implications in terms of decentralizing policies and delegating more powers and providing better means to local governments to enhance household resilience to shocks and to alleviate their vulnerability to poverty.

This chapters discusses the power structures affecting access to healthcare and the quality of received care including factors like gender, ethnicity, social and economic status among others from an intersectional perspective. Structural changes are necessary to decrease the health inequalities and vulnerabilities during the pandemic. An intersectional approach helps to display the interactions of different power structures and social categories which put people at differential risk of infection and/or mortality of COVID-19. The intersectional approach should be used not only to understand the pandemic impact on people but also when planning the healthcare policies, care plans and support services.

The Russian Federation is the scene of one of the fastest-growing HIV epidemics in the world. In dialogue with the scholarship on gendered connections between migration and HIV/STIs, this study employs unique survey and qualitative data to examine HIV/STI-related risks and attitudes among working migrant women from three Central Asian countries and their native counterparts in three Russian cities. The analyses focus on involvement in risky sexual relationships, negotiation of trust and safer sexual practices in permanent partnerships, worries about HIV infection, and experience of HIV testing by comparing natives and migrants as well as migrants of different legal statuses. The results suggest that while migrant women are generally less likely to engage in risky behavior, they are also less able to establish trust and to negotiate safer sex within their permanent partnerships, compared to native women. Migrants are less worried about HIV risks than are native women. Finally, migrant women are less likely to get tested for HIV than natives, but the analyses also point to a particular disadvantage of migrants with temporary or irregular legal status. The findings are interpreted within the structural and cultural constraints that shape migrant women’s lives in Russia and similar migrant-receiving contexts.

The chapter examines the relationship between social inclusion patterns and economic development in selected EU countries. This research has two objectives: (i) to reveal whether there are similarities among the EU countries in nation’s social inclusiveness of three demographic groups, namely the entire population, immigrants, and Roma communities; and (ii) to analyze the influence of social inclusion indicators on sustainable economic development and prosperity for the EU countries by accounting for the ethnicity impact. The chapter presents the results of a cluster analysis approach, which indicates best-positioned countries and emphasizes vulnerabilities in terms of social inclusiveness both in a broad demographic sense (the entire population) and a narrow sense (immigrants and respective Roma population). The chapter then employs a panel data regression approach to investigate which social inclusion indicators might have the potentially influencing role on economic development. Seven alternative proxies for sustainable economic development and prosperity measures were used. The social inclusion indicators, as explanatory variables, are represented by the education-related indicators and labor market-related indicators. The robustness and stability of the estimates are validated by including several interaction terms in the baseline regression model to account for the occurrence of the financial crisis. Overall, improving both population as well as immigrants’ inclusion is shown to have an important impact on sustainable economic development in the EU countries.

River flood exposes the population to multiple attacks from the physical, mental, health risks and its related negative effects. This study focused on the Pahang River and the three worst-hit district population (Pekan, Kuantan and Temerloh). Tools on areas of self-perceived health symptoms, QOL, depression, PTSD and community empowerment were assessed. Semi-guided questionnaires were distributed to a total of 602 victims. Questions on health symptoms were asked to respondents (R) and household members (HM). PTSD screening, i.e., the Trauma Screening Questionnaire, was used. Depression was assessed through the Beck Depression Inventory (BDI). WHOQOL-BREF assessed four domains of QOL, i.e., physical activity, psychological, social relationships and environment. Community empowerment using the Individual Community Related Empowerment tool to assess five domains, i.e., self-efficacy, participation, motivation, intention and critical awareness. Prevalent disease showed that majority suffered from hypertension (11.0%) and diabetes (7.3%). Two main symptoms experienced were cough (R = 47.2%, HM = 43.7%) and flu (R = 42.7%, HM = 40.4). Monthly health expenditure was higher post flood. Purchase of prescription medications rose from MYR24.40 to 31.02. A total of 33 people were suspected to suffer from PTSD. Through BDI assessment, it was estimated that as many as 104 (17.3%) suffered overt (high) depression. The prevalence of QOL domains are as such: low physical activity was highest at 59%, low psychological activity at 53.3%, low social relationships at 43% and low environment at 45.2%. On community empowerment, low empowerment was seen on four domains: self-efficacy at 52%, participation at 55%, motivation at 54.2% and critical awareness at 74.4%. The domain with good intention and willing to participate was at 54%. Results indicate that the community was not adaptable to flood events. This is evident from high amount of experienced symptoms, low QOL (physical and psychological aspects) and empowerment (except intention). Proportion of PTSD and overt (high) depression was however quite low.

This chapter embarks on a cross-Asian comparison to glean valuable insights from various regions and religious contexts. By examining family planning practices and challenges in different parts of Asia, valuable lessons are uncovered that can inform policies, programs, and initiatives aimed at achieving family planning-related sustainable development goals (SDGs). The complexities and nuances of family planning across diverse cultural, social, and religious landscapes are delved into, shedding light on both common threads and unique challenges faced by marginalized communities. Through this comparative analysis, the aim is to contribute to a holistic understanding of family planning in Asia and provide actionable recommendations to enhance access, equity, and outcomes in pursuit of family planning-related SDGs.