Lucas Ferrante, Eduardo Capanema, Wilhelm Alexander Cardoso Steinmetz, Bruce Walker Nelson, Alexandre Celestino Leite Almeida, Jeremias Leão, Letícia Sarturi Pereira, Ruth Camargo Vassão, Philip Martin Fearnside, Unaí Tupinambás
{"title":"High transmission of SARS-CoV-2 in Amazonia, Brazil: an epidemiological strategy to contain severe cases of COVID-19.","authors":"Lucas Ferrante, Eduardo Capanema, Wilhelm Alexander Cardoso Steinmetz, Bruce Walker Nelson, Alexandre Celestino Leite Almeida, Jeremias Leão, Letícia Sarturi Pereira, Ruth Camargo Vassão, Philip Martin Fearnside, Unaí Tupinambás","doi":"10.1057/s41271-024-00530-0","DOIUrl":"10.1057/s41271-024-00530-0","url":null,"abstract":"<p><p>We followed the COVID-19 pandemic in Manaus, one of the epicenters of COVID-19 in Brazil, using an epidemiological mathematical model and made five main conclusions. First, in early 2022, the actual cases exceed officially reported data by up to 8 times. Second, despite vaccination campaigns, the collective immunity threshold necessary was insufficient to contain severe cases of COVID-19. Next, the low observed mortality demonstrated the effectiveness of vaccination. Next, the drop in the vaccination rate combined with immune escape by the Omicron sub-variants (BA.2.12.1, BA.4, and BA.5) resulted in new wave after November 2022. Finally, to minimize severe cases of COVID-19, we need to raise vaccination thresholds above 90-95% of the entire population including children aged 6 months and older and require booster doses at least in four-month intervals. This approach would help to prevent severe cases of COVID-19 that cause hospitalizations and deaths.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"71-86"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142786613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The education and training of the public health workforce: working at the intersection of the WFPHA Global Charter and the WHO Roadmap.","authors":"Leanne Coombe, Priscilla Robinson","doi":"10.1057/s41271-024-00545-7","DOIUrl":"10.1057/s41271-024-00545-7","url":null,"abstract":"","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"222-228"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Causal AI for public health research and policy: a journey back to the future.","authors":"Elena N Naumova","doi":"10.1057/s41271-024-00541-x","DOIUrl":"10.1057/s41271-024-00541-x","url":null,"abstract":"","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"1-7"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reconstructing decision-making dynamics during public health crises by applying data science to public records.","authors":"Peter Nadel, Kevin M Smith","doi":"10.1057/s41271-024-00540-y","DOIUrl":"10.1057/s41271-024-00540-y","url":null,"abstract":"<p><p>Public health policies can dramatically shape government responses to emerging public health crises. In cases where a response is inadequate, it's natural to seek improvements to these policies to achieve better results in future crises. However, while policies and outcomes are usually visible, the complex dynamics that link them are seldom obvious. Obscure social network structures, power and information asymmetries, and political agendas all influence the translation of policy to action or inaction. Intergovernmental communications are often the only primary sources for researchers investigating these hidden but crucial factors. Public records laws in many countries make such documents available upon request, but their structure, format, and scale are rarely accessible in practice. Fortunately, recent advances in free and open-source data science tools are making this problem tractable. In this visual brief, we demonstrate using such tools to mine a large image dataset and reconstruct decision-making during the Flint Water Crisis in Michigan, USA.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"149-157"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893449/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Risk messaging style and its effect on public preparedness for earthquakes: longitudinal intervention-based study.","authors":"Liel Levy, Moran Bodas","doi":"10.1057/s41271-024-00534-w","DOIUrl":"10.1057/s41271-024-00534-w","url":null,"abstract":"<p><p>This study examines the effect of risk communication styles (fear-based versus empowerment-based) on households' earthquake preparedness. An online longitudinal study with intervention and control groups was conducted using a representative sample of the adult population in Israel. The change in the reported level of preparedness was assessed through Repeated Measures ANOVA with interaction effects for both the risk communication style and gender. The Analysis revealed a significant difference in reported levels of earthquake preparedness over time (F(1.697,303.70) = 102.58, p < 0.001; partial η2 = 0.36). However, no statistically significant interaction was found with the risk communication style (p = 0.55). Borderline significance (p = 0.04) was observed in the three-way interaction (time-intervention-gender). Gender (β = 0.19), age (β = 0.21), perceived earthquake likelihood (β = 0.14), and sense of preparedness (β = 0.28) were significant predictors in multivariate regression analysis. While consistently showing that participants exposed to empowering information reported higher earthquake preparedness, the research hypothesis was not substantiated. Recommendations for public health policy are discussed.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"87-109"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893448/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142774202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Emmanuel Kumah, Collins Kokuro, Samuel Egyakwa Ankomah, Adam Fusheini, Eunice Agyei, Cynthia Lamisi Anaba
{"title":"Low utilization of skilled delivery services in rural sub-Saharan Africa: a case for facility delivery improvement.","authors":"Emmanuel Kumah, Collins Kokuro, Samuel Egyakwa Ankomah, Adam Fusheini, Eunice Agyei, Cynthia Lamisi Anaba","doi":"10.1057/s41271-024-00542-w","DOIUrl":"10.1057/s41271-024-00542-w","url":null,"abstract":"<p><p>Maternal mortality remains a pressing global challenge, with sub-Saharan Africa (SSA) disproportionately affected. Despite efforts to improve access to skilled delivery services, utilization remains low, especially in rural areas. This paper synthesizes the extant literature and empirical evidence from rural Ghana to highlight the critical issue of low-skilled delivery services uptake in rural SSA. The literature review findings reveal a pooled prevalence of 54.9% skilled delivery services utilization, while the empirical survey in Ghana indicates a lower rate of 48.7%. These findings underscore the urgent need for targeted interventions to improve access to skilled delivery services in rural SSA. We recommend addressing harmful gender norms, evaluating existing interventions, and integrating qualitative and quantitative approaches to better understand barriers to skilled delivery services utilization in rural Africa. Urgent action is needed to ensure safer childbirth experiences and better maternal and child health outcomes in the region.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"211-221"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824552","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Kathleen J Farkas, Jaroslaw R Romaniuk, Mariusz Baranowski
{"title":"Beyond Housing First: rethinking neoliberal policies impacting homelessness.","authors":"Kathleen J Farkas, Jaroslaw R Romaniuk, Mariusz Baranowski","doi":"10.1057/s41271-024-00537-7","DOIUrl":"10.1057/s41271-024-00537-7","url":null,"abstract":"<p><p>This article critically examines the Housing First model within the broader context of neoliberal policies impacting homelessness, particularly at the intersection of mental illness, poverty, and addiction. While Housing First is celebrated for its effectiveness in providing immediate housing to chronically homeless individuals, this model's alignment with neoliberal principles prioritizes cost effectiveness and visible outcomes over comprehensive care. As a harm reduction approach, Housing First often overlooks the underlying mental health and addiction issues that maintain homelessness, resulting in a cycle of dependency rather than long-term recovery. In this article, we argue that the reduction in funding for transitional housing and mental health services, driven by neoliberal policies, has exacerbated the challenges faced by marginalized populations. A call is made for a shift toward more holistic and integrated approaches that balance immediate housing solutions with robust mental health care and social support systems, aiming for sustained recovery, independence, and social reintegration for individuals experiencing homelessness.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"180-192"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142814766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Correction: Risk messaging style and its effect on public preparedness for earthquakes: longitudinal intervention-based study.","authors":"Liel Levy, Moran Bodas","doi":"10.1057/s41271-024-00546-6","DOIUrl":"10.1057/s41271-024-00546-6","url":null,"abstract":"","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"231"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11893445/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Holly Jarman, Michelle Falkenbach, Sarah Rozenblum, Olivia Rockwell, Scott L Greer
{"title":"From evidence to advice in France, Germany, and the UK: transparency, accountability, and participation in pandemic science advice.","authors":"Holly Jarman, Michelle Falkenbach, Sarah Rozenblum, Olivia Rockwell, Scott L Greer","doi":"10.1057/s41271-024-00544-8","DOIUrl":"10.1057/s41271-024-00544-8","url":null,"abstract":"<p><p>Politicians often claim to be \"following science\" but their claims are, reasonably, disputed. To claim to be following the science can mean that scientific evidence affects or legitimates decisions. The evidence that politicians are following science often comes from formal systems of advice that translate science into advice. We study the systems that informed policy in France, Germany, and the UK during the COVID-19 pandemic. We found that while in all three countries politicians had incentive to prefer private advice tailored to their needs, more transparent and independent advice appeared to contribute more to good policymaking and implementation, including by enhancing government's current and future accountability for their decisions.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"38-52"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Examining health determinants and outcomes of older adults across Ghana's North-South divide.","authors":"Yale Kodwo-Nyameazea, Nana-Akua Amponsah","doi":"10.1057/s41271-024-00536-8","DOIUrl":"10.1057/s41271-024-00536-8","url":null,"abstract":"<p><p>Healthcare services and outcomes are often not evenly distributed across geographic regions. This study used the harmonized data from the Research on Early Life and Trends and Effects (RELATE) to compare the health outcomes of older adults across the North-South divide of Ghana and identify the factors underlying these differences. Although the literature indicates that the South has more health resources and better health indicators, the current study revealed that, for older adults, health outcome in the North was comparatively better than that in the South. The optimal health index scores show that older adults in the North are living at 86% of their optimal health compared with 82% in the South. Work-related physical activity and age substantially influenced optimal health in both regions. Additionally, healthcare use and gender were influential, particularly in the South. The results of the current study suggest that healthcare service availability can impact health outcomes, but so can behavioral and sociodemographic factors.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":"127-138"},"PeriodicalIF":2.3,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142803136","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}