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The purpose of this paper is to show that the categorization of elderly patients as vulnerable is affected by health-care service interactions with caregivers, which may increase, reduce or even negate entirely elderly patients’ vulnerable status.

The paper reports the results of a qualitative study based on in-depth interviews conducted with a large and varied sample of health-care personnel in charge of elderly patients in two hospital geriatric departments in France.

Findings show that the limits of the service-dominant logic approach when the service (care) relationship concerns vulnerable individuals who are, completely or partially, unable to take part in the co-creation of the service and the roles played by caregivers as resource integrators (intermediaries, facilitatorapomediaries and transformativeapomediaries) and that this affects the categorization of elderly patients as vulnerable.

The results enrich knowledge about the service relationship with vulnerable people by showing that the categorization of elderly patients as vulnerable is not immutable but stems from the dynamics among actors that may variously “reify it” (contribute to its internalization), “reduce it” (enable access to aspects of normal life), or “neutralize it” (help free this cohort from their categorization as vulnerable).

The findings provide insights for care providers by stressing the need to raise awareness among hospital staff regarding their active role in affecting the categorization of elderly patients as vulnerable through their care practices. In the context of public health policies, the findings show that the regulatory injunction to empower patients to preserve their well-being tends to produce the opposite effect on the frailest patients, who are unable to participate in their care pathway.

The research shows that categorization as vulnerable, in the health-care services context, is affected by the care interactions between caregivers and elderly patients. The support provided to hospital staff in this context helps to maintain patients’ well-being and dignity.

This paper aims to propose the practice of urban resilience to flooding in a vulnerable Asian city, Taipei. It conducts Geographic Information System (GIS)-based simulations to assess Taipei’s vulnerability under a set of varying flooding scenarios and likelihoods. This research concludes by proposing remedies to fill the gaps these flood simulations reveal and, in doing so, promotes urban resilience in Taipei. This paper provides an example of urban resilience to flooding for other cities in Asia.

The paper undertakes a case study of Taipei to survey current practices and historic analyses as a tool to evaluate a chronology of policies implemented to make Taipei resilient to flooding. It also conducts flood simulation and scenario analysis through the technology of GIS by using ArcMap 10.2.2 software to gauge the vulnerabilities in Taipei. These GIS-based data sets are collected from Taiwan’s central and local governments. This paper analyzes the vulnerability of population, land value, residential properties, GDP and critical facilities, such as major subway stations, medical centers, public schools, major public buildings, electric power substations and gas/oil stations. Additionally, it analyzes the likelihood and cost and benefit of different flooding scenarios based on typhoon and rainfall data sets in 1975-2014 period. After a thorough analysis of vulnerability, likelihood of flooding and cost–benefit analyses, this research develops Taipei resilience policies to address the vulnerabilities.

The findings indicate that Taipei case study, a chronology of policies implemented to prevent flooding, explains that costly engineering structures, rebuilding and fortification against floods eventually created a false sense of security, which has encouraged more intensive residential and commercial developments in flood-prone areas, and led to a higher level of vulnerability. Additionally, flooding simulations indicate that 40 per cent of Taipei City is located in flood risk areas in an extreme weather scenario. This percentage is higher than other global cities such as London’s 15 per cent, Tokyo’s 10 per cent and New York City’s 25 per cent. Based on the 10 per cent of total flooding areas above 0.5 m, the vulnerable population is estimated at 200,000 people, or 7 per cent of the total population. The GDP impact will be more than $28bn. More than $67bn of land value is vulnerable. A least one million subway passengers will be affected each day. Further, there is little evidence that the urban poor are particularly vulnerable to floods. On the contrary, some neighborhoods with high-income households face a higher risk of floods. Very few medical centers, oil and gas stations and electrical power substations are located in flood-prone areas, but a large number of public schools, administrative buildings and major subway stations are susceptible. Additionally, the likelihood analysis of flooding in an extreme rainfall scenario concludes that the possibility will be five times that of the existing assumption with a flood in every 200 years. Thus, Taipei City’s infrequent once-in-two-century floods are likely to occur more frequently.

This paper provides a thorough analysis of vulnerability, likelihood of flooding and cost–benefit analyses in Taipei. It also develops Taipei resilience policies to address the vulnerabilities. In the future, rather than strengthening and rebuilding costly structures, Taipei should focus on land-use and environmental planning for resilience. Urban policies should include environmentally responsible development in the face of continued population and economic growth, and being resilient regarding natural disasters. Most important is the need for a strong political commitment and leadership to initiate and implement urban policies toward resilience.

The purpose of this paper is to understand how to build and implement information and communication technology (i.e. ICT) to help vulnerable people when significant social, cultural and economic barriers exist between the stakeholders.

The authors followed an action research approach to design and implement a mobile health hypertension education application to help India's most vulnerable populations. The authors used interpretive analysis, guided by the sustainable livelihoods framework, to uncover key findings.

Successfully implementing information and communication technology for development (ICT4D) requires understanding that all stakeholders (i.e. donors, facilitators and the beneficiaries) have important assets to contribute. Facilitators play an important role in connecting donors to the beneficiaries and fostering cultural humility in donors so that the donors will understand the role beneficiaries play in success. Stakeholders may use the ICT4D in unintended ways that both improve the people's health and increase some beneficiaries' financial livelihood.

This research expands the definition of information systems success when implementing ICT4D in resource-constrained environments. Success is more than creating an mHealth app that was easy for beneficiaries to use and where they learned based on a pre- and post-test statistical analysis. Success involved development in all the stakeholders impacted by the social innovation collaboration. For the beneficiary community, success included getting screened for noncommunicable diseases as a first step toward treatment. For the facilitator, success involved more resources for their community health program. Amongst the donors, success was a change in perspective and learning cultural humility.

Although universities encourage faculty to work in interdisciplinary research teams to address serious world problems, university researchers may have to exert considerable effort to secure contracts, approvals and payments. Unfortunately, universities may not reward this effort to build ICT4D and continue to evaluate faculty based on journal publications. When universities undertake social innovation collaborations, administrators should ensure responsive and flexible university processes as well as appropriate academic reward structures are in place. This need is heightened when collaborations involve international partners with limited resources and time needed to build relationships and understanding across cultures.

This study discovered the importance of fostering cultural humility as a way of avoiding potential conflicts that may arise from cultural and power differences. Cultural humility moves the focus of donor-beneficiary relationships away from getting comfortable with “them” to taking actions that develop relationships and address vulnerabilities (Fisher-Borne et al., 2015). This research shows how the facilitator helped the donor develop cultural humility by involving the donor in various initiatives with the beneficiary community including allowing the donor to live in a dormitory at the hospital, work in an urban slum and visit health screening campus.

This study (1) extends the ICT4D literature by incorporating cultural humility into the sustainable livelihoods framework, (2) provides a contextual understanding of developing cultural humility in ICT4D projects with a complex group of stakeholders and (3) describes how facilitators become a catalyst for change and a bridge to the community. The culturally humble approach suggests revising the livelihood framework to eliminate words like “the poor” to describe beneficiaries.

Vulnerability studies are commonly used to inform planning, as cities and regions seek to build resilience to environmental hazards. In Shelby County, Tennessee, socioeconomic census tract data were mapped to identify the socially vulnerable population and places to underpin strategies in the Mid-South Regional Resilience Master Plan (RRMP). While this is an important step in identifying vulnerability in the county, this paper aims to enhance the local analysis through an integrated approach that considers both social factors and environmental hazards in assessing vulnerability.

This paper conducts a social vulnerability assessment by integrating a social vulnerability index with risk exposure analysis at the census tract level to identify the population and places vulnerable to riverine flooding in Shelby County.

The analysis reveals that social vulnerability assessments that do not relate socioeconomic factors to specific environmental hazards such as riverine flooding underestimate the population and places that are vulnerable. For Shelby County, this has the tendency to undermine the prioritization and effectiveness of strategies to build resilience to riverine flooding and can worsen preexisting marginalization.

This paper recommends integrated vulnerability assessments for each of the environmental hazards identified in the Mid-South RRMP to augment existing resilience efforts in the county.

This paper enhances the understanding of social vulnerability assessments by consolidating the need for integrated assessment frameworks as basis for resiliency planning.

The purpose of this rapid scoping review was to map existing literature on risk communication strategies implemented by authorities and aimed at vulnerable immigrants in the context of pandemics.

Existing literature on the topic was charted in terms of its nature and volume by summarizing evidence regarding the communication strategies. Literature searches were conducted in Academic Search Premier and CINAHL, databases were searched from 2011 to present on March 31, 2021.

Five articles met the criteria and were included in this review, pointing at limited research in this area. The findings indicated that a close interaction between communication authorities and immigrants is important. Community education, building trust in communication sources, clear risk communication and inclusive decision-making among all were found to be important when communicating health risks to immigrants.

The primary limitation of this rapid scoping review is that the literature searches were conducted in only two databases, namely, Academic Search Premier and CINAHL. A wider search across several other databases could have given more profound results. Furthermore, some studies where immigrants were conceptualized as, for instance, “disadvantaged groups” might be overseen due to a choice of the search strategy used in this study. There are also certain limitations related to the studies included in this review.

Identifying efficient ways of conveying recommendations may further assist authorities and scientists in developing more effective health-related risk communication.

This study covered health-related risk communication in the context of pandemics, addressing the need to investigate different groups of immigrants and the challenges related to communicating risks to these groups.

Prison populations are considered at elevated risk of blood borne virus (BBV) transmission. Between December 2015 and February 2016, four new cases of HIV infection were diagnosed across two male vulnerable prisoner (VP) custodial units in Wales, UK. Cases were identified through routine BBV testing. The paper aims to discuss these issues.

As a result of identifying four new HIV cases, targeted BBV testing across the VP units using dried blood spot testing for HIV, Hepatitis C (HCV) and Hepatitis B was undertaken.

A total of 617 men were offered testing, 256 (41 per cent) were tested. No further cases of HIV were identified. Eight men were identified as HCV antibody positive. There was no evidence to suggest the four original cases of HIV were linked.

Embedding universal BBV screening within prison health provision will ensure timely identification of cases. Further research is needed to better understand BBV transmission risks within subsets of the prison population such as the VP and sex offending groups.

Little is known about the prevalence of BBVs in vulnerable prison populations. The findings add to the knowledge available for practitioners in the field.

The following article seeks to expand comprehension of the concept of vulnerability in order to promote further scholarship in this area and provide policy guidance for practitioners.

Various findings from the academic literature pertaining to vulnerability are discussed in order to generate a more holistic understanding of this key factor of disaster.

This exposition defines vulnerability, illustrates the causes of vulnerability, identifies those who may be vulnerable to disasters, and suggests ways to reduce vulnerability.

Because this paper offers a preliminary view that both includes and goes beyond the traditional social vulnerability school, additional research on this matter will undoubtedly be required. However, it is hoped that the breadth and complexity of challenges we are currently facing will be made manifest in this discussion.

This paper extends the author's prior work in this area and reinforces the need to give greater priority to the concept of vulnerability in disaster research and emergency management.

This paper aims to expand comprehension of the concept of vulnerability in order to promote further scholarship in this area and provide policy guidance for practitioners.

Various findings from the academic literature pertaining to vulnerability are discussed in order to generate a more holistic understanding of this key factor of disaster.

This exposition defines vulnerability, illustrates the causes of vulnerability, identifies those who may be vulnerable to disasters, and suggests ways to reduce vulnerability.

Because this paper offers a preliminary view that both includes and goes beyond the traditional social vulnerability school, additional research on this matter will undoubtedly be required. However, it is hoped that the breadth and complexity of challenges being faced currently will be made manifest in this discussion.

This paper extends the author's prior work in this area and reinforces the need to give greater priority to the concept of vulnerability in disaster research and emergency management.

This paper analyses and quantifies the relative level of risk in a geographical area that is vulnerable to natural phenomena and with a high proportion of its population in a situation of residential poverty. We deduce that the hazard in the area, composed of nine Central American and Caribbean countries, is significantly higher than the world average. The first aspect is covered in the sections Population at risk and Natural phenomena, which analyse the ‘study area’. The second aspect is covered by Poverty in the ‘study area’, various analyses of the physical situation in the target area, inhabited by almost 160 million people. Contrasted information is used as a basis for the concepts underpinning the extraordinary presence and seriousness of the socio-natural phenomena in this area. The interrelationship between the degree of vulnerability and poverty leads to the conclusion that these are the primary causes of disaster-related destruction, which in a 33 year period (1972 to 2005) has left an annual average of 20,000 human lives lost, 250,000 directly affected and approximately ten billion dollars in material damage.

The decision of livelihood based on the embankment characters is essentially multivariate. Making an effort to do the bivariate modelling may eliminate the useful socio-economic information in the interdependent and simultaneous adaptation choices (Dorfman, 1996). Hence, the more appropriate method is multiple-choice decisions to livelihood adoption based on the embankment category. The purpose of this study is to find out whether the inhabitants of Sundarban really consider embankment as their “lifeline”, what they think about its sustainability and what the outer world thinks about the embankment.

To analyse this study, the multinomial logit (MNL) model has been used. This model gives a platform to study the influence of the factors on livelihood choice decisions. In this MNL model, the livelihood decisions are categorized based on their primary livelihood status at the survey. Thus, the choice of livelihood among individuals is explained in terms of the livelihood and the household characteristics.

This result can possibly explain the fact that increasing population or man power and increasing annual income and protection from embankment failure may reduce the need to choose any other form of economy apart from the indigenous one, as the society is dominated by farmers who own very small plots of land and face consequences like crop failure every year because of natural calamities. A unit increase in annual income would result in a 0.53% decrease in the probability of choosing labourer as occupation and 0.57% decrease in the probability of choosing fishing/“meen” collection as occupation.

The district is vast enough, and it is difficult to study all the blocks. Initially, nine blocks were identified as affected blocks from various literature reviews. Those blocks are Sagar, Patharpratima, Kultali, Gosaba, Kakdwip, Canning I, Canning II, Namkhana and Basanti. Pilot surveys were done to all those nine blocks identified above. After such a long and rigorous procedure, blocks were verified from available secondary data. Villages from vulnerable and less vulnerable parts of the later mentioned blocks are picked up as purposive sample, and household surveys are done on the basis of random sampling.

If the year of schooling is enhanced, then the tertiary sector gets benefited, but the indigenous society of Sundarban cannot depend on such a sector as the scope for development is very limited. Consequently, policies aiming at promoting adaptation to challenged livelihood need to emphasize the crucial role of providing basic needs for better production techniques; and more investment in this sector will surely enable villagers to adapt cultivation following age-old tradition.

The study uses the MNL model to investigate the factors guiding household choices of different occupational adaptation methods, and cultivation is found to be the automatic choice for the inhabitants of Sundarban. Cultivation is impossible without embankment. Thus, the embankment in Sundarban is considered, as “lifeline” is established. So it can be said that livelihood in this region depends on the stability of embankment. This age-old structure is susceptible to vulnerability because of its unscientific construction and improper maintenance. The main objective of this study is to find out whether the inhabitants of Sundarban really consider embankment as their “lifeline”, what they think about its sustainability and what the outer world thinks about the embankment.