Declining Public Health Protections within Autocratic Regimes: Impact on Global Public Health Security, Infectious Disease Outbreaks, Epidemics, and Pandemics
Identifieur interne : 000A60 ( Pmc/Curation ); précédent : 000A59; suivant : 000A61Declining Public Health Protections within Autocratic Regimes: Impact on Global Public Health Security, Infectious Disease Outbreaks, Epidemics, and Pandemics
Auteurs : Frederick M. BurkleSource :
- Prehospital and Disaster Medicine [ 1049-023X ] ; ????.
Abstract
Public health emergencies of international concern, in the form of infectious disease outbreaks, epidemics, and pandemics, represent an increasing risk to the worldʼs population. Management requires coordinated responses, across many disciplines and nations, and the capacity to muster proper national and global public health education, infrastructure, and prevention measures. Unfortunately, increasing numbers of nations are ruled by autocratic regimes which have characteristically failed to adopt investments in public health infrastructure, education, and prevention measures to keep pace with population growth and density. Autocratic leaders have a direct impact on health security, a direct negative impact on health, and create adverse political and economic conditions that only complicate the crisis further. This is most evident in autocratic regimes where health protections have been seriously and purposely curtailed. All autocratic regimes define public health along economic and political imperatives that are similar across borders and cultures. Autocratic regimes are seriously handicapped by sociopathic narcissistic leaders who are incapable of understanding the health consequences of infectious diseases or the impact on their population. A cross section of autocratic nations currently experiencing the impact of COVID-19 (coronavirus disease 2019) are reviewed to demonstrate the manner where self-serving regimes fail to manage health crises and place the rest of the world at increasing risk. It is time to re-address the pre-SARS (severe acute respiratory syndrome) global agendas calling for stronger strategic capacity, legal authority, support, and institutional status under World Health Organization (WHO) leadership granted by an International Health Regulations Treaty. Treaties remain the most successful means the world has in preventing, preparing for, and controlling epidemics in an increasingly globalized world.
Url:
DOI: 10.1017/S1049023X20000424
PubMed: 32238221
PubMed Central: 7156578
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<front><div type="abstract" xml:lang="en"><p>Public health emergencies of international concern, in the form of infectious disease outbreaks, epidemics, and pandemics, represent an increasing risk to the worldʼs population. Management requires coordinated responses, across many disciplines and nations, and the capacity to muster proper national and global public health education, infrastructure, and prevention measures. Unfortunately, increasing numbers of nations are ruled by autocratic regimes which have characteristically failed to adopt investments in public health infrastructure, education, and prevention measures to keep pace with population growth and density. Autocratic leaders have a direct impact on health security, a direct negative impact on health, and create adverse political and economic conditions that only complicate the crisis further. This is most evident in autocratic regimes where health protections have been seriously and purposely curtailed. All autocratic regimes define public health along economic and political imperatives that are similar across borders and cultures. Autocratic regimes are seriously handicapped by sociopathic narcissistic leaders who are incapable of understanding the health consequences of infectious diseases or the impact on their population. A cross section of autocratic nations currently experiencing the impact of COVID-19 (coronavirus disease 2019) are reviewed to demonstrate the manner where self-serving regimes fail to manage health crises and place the rest of the world at increasing risk. It is time to re-address the pre-SARS (severe acute respiratory syndrome) global agendas calling for stronger strategic capacity, legal authority, support, and institutional status under World Health Organization (WHO) leadership granted by an International Health Regulations Treaty. Treaties remain the most successful means the world has in preventing, preparing for, and controlling epidemics in an increasingly globalized world.</p>
<p><italic>“Honesty is worth a lot more than hope…”</italic>
The Economist, February 17, 2020.</p>
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<front><journal-meta><journal-id journal-id-type="nlm-ta">Prehosp Disaster Med</journal-id>
<journal-id journal-id-type="iso-abbrev">Prehosp Disaster Med</journal-id>
<journal-id journal-id-type="publisher-id">PDM</journal-id>
<journal-title-group><journal-title>Prehospital and Disaster Medicine</journal-title>
</journal-title-group>
<issn pub-type="ppub">1049-023X</issn>
<issn pub-type="epub">1945-1938</issn>
<publisher><publisher-name>Cambridge University Press</publisher-name>
<publisher-loc>New York, USA</publisher-loc>
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<article-meta><article-id pub-id-type="pmid">32238221</article-id>
<article-id pub-id-type="pmc">7156578</article-id>
<article-id pub-id-type="publisher-id">S1049023X20000424</article-id>
<article-id pub-id-type="doi">10.1017/S1049023X20000424</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Editor’s Corner</subject>
</subj-group>
</article-categories>
<title-group><article-title>Declining Public Health Protections within Autocratic Regimes: Impact on Global Public Health Security, Infectious Disease Outbreaks, Epidemics, and Pandemics</article-title>
</title-group>
<contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">https://orcid.org/0000-0002-5110-7284</contrib-id>
<name><surname>Burkle</surname>
<given-names>Frederick M.</given-names>
<suffix>Jr.</suffix>
</name>
<degrees>MD, MPH, PhD (Hon.), DTM, FAAP, FACEP</degrees>
<xref ref-type="aff" rid="a1"></xref>
<xref ref-type="aff" rid="a2"></xref>
<xref ref-type="aff" rid="a3"></xref>
<xref ref-type="aff" rid="a4"></xref>
<xref ref-type="corresp" rid="cor1"></xref>
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<aff id="a1">Harvard Humanitarian Initiative,<institution>Harvard University & T.H. Chan School of Public Health</institution>
,<city>Cambridge</city>
,<state>Massachusetts</state>
<country>USA</country>
</aff>
<aff id="a2"><institution>Woodrow Wilson International Center for Scholars</institution>
,<city>Washington</city>
,<state>DC</state>
<country>USA</country>
</aff>
<aff id="a3">Institute of Medicine,<institution>National Academy of Sciences</institution>
,<city>Washington</city>
,<state>DC</state>
<country>USA</country>
</aff>
<aff id="a4">Prehospital and Disaster Medicine,<institution>WADEM</institution>
,<city>Madison</city>
,<state>Wisconsin</state>
<country>USA</country>
</aff>
<author-notes><corresp id="cor1"><bold>Correspondence:</bold>
Frederick M. Burkle, Jr., Professor (Ret.), Senior Fellow & Scientist, Harvard Humanitarian Initiative, <institution>Harvard University & T.H. Chan School of Public Health</institution>
, 14 Story Street 2nd Floor, <city>Cambridge</city>
, <state>Massachusetts</state>
<postal-code>02138</postal-code>
<country>USA</country>
, E-mail: <email>fburkle@hsph.harvard.edu</email>
</corresp>
</author-notes>
<pub-date publication-format="electronic" date-type="pub"><day>02</day>
<month>4</month>
<year>2020</year>
</pub-date>
<fpage>1</fpage>
<lpage>10</lpage>
<history><date date-type="received"><day>02</day>
<month>3</month>
<year>2020</year>
</date>
<date date-type="rev-recd"><day>10</day>
<month>3</month>
<year>2020</year>
</date>
<date date-type="accepted"><day>12</day>
<month>3</month>
<year>2020</year>
</date>
</history>
<permissions><copyright-statement>© World Association for Disaster and Emergency Medicine 2020</copyright-statement>
<copyright-year>2020</copyright-year>
<copyright-holder>World Association for Disaster and Emergency Medicine</copyright-holder>
<license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/4.0/"><license-p>This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (<uri xlink:href="http://creativecommons.org/licenses/by/4.0/">http://creativecommons.org/licenses/by/4.0/</uri>
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<abstract abstract-type="normal"><p>Public health emergencies of international concern, in the form of infectious disease outbreaks, epidemics, and pandemics, represent an increasing risk to the worldʼs population. Management requires coordinated responses, across many disciplines and nations, and the capacity to muster proper national and global public health education, infrastructure, and prevention measures. Unfortunately, increasing numbers of nations are ruled by autocratic regimes which have characteristically failed to adopt investments in public health infrastructure, education, and prevention measures to keep pace with population growth and density. Autocratic leaders have a direct impact on health security, a direct negative impact on health, and create adverse political and economic conditions that only complicate the crisis further. This is most evident in autocratic regimes where health protections have been seriously and purposely curtailed. All autocratic regimes define public health along economic and political imperatives that are similar across borders and cultures. Autocratic regimes are seriously handicapped by sociopathic narcissistic leaders who are incapable of understanding the health consequences of infectious diseases or the impact on their population. A cross section of autocratic nations currently experiencing the impact of COVID-19 (coronavirus disease 2019) are reviewed to demonstrate the manner where self-serving regimes fail to manage health crises and place the rest of the world at increasing risk. It is time to re-address the pre-SARS (severe acute respiratory syndrome) global agendas calling for stronger strategic capacity, legal authority, support, and institutional status under World Health Organization (WHO) leadership granted by an International Health Regulations Treaty. Treaties remain the most successful means the world has in preventing, preparing for, and controlling epidemics in an increasingly globalized world.</p>
<p><italic>“Honesty is worth a lot more than hope…”</italic>
The Economist, February 17, 2020.</p>
</abstract>
<kwd-group><title>Keywords:</title>
<kwd>autocratic regimes</kwd>
<kwd>crisis management</kwd>
<kwd>epidemics/pandemics</kwd>
<kwd>global public health</kwd>
<kwd>public health emergencies</kwd>
</kwd-group>
<kwd-group kwd-group-type="abbreviations"><title>Abbreviations:</title>
<compound-kwd><compound-kwd-part content-type="abbrev">CDC</compound-kwd-part>
<compound-kwd-part content-type="expansion">Centers for Disease Control</compound-kwd-part>
</compound-kwd>
<compound-kwd><compound-kwd-part content-type="abbrev">COVID-19</compound-kwd-part>
<compound-kwd-part content-type="expansion">coronavirus disease 2019</compound-kwd-part>
</compound-kwd>
<compound-kwd><compound-kwd-part content-type="abbrev">DPRK</compound-kwd-part>
<compound-kwd-part content-type="expansion">Democratic Peopleʼs Republic of Korea</compound-kwd-part>
</compound-kwd>
<compound-kwd><compound-kwd-part content-type="abbrev">EU</compound-kwd-part>
<compound-kwd-part content-type="expansion">European Union</compound-kwd-part>
</compound-kwd>
<compound-kwd><compound-kwd-part content-type="abbrev">SARS</compound-kwd-part>
<compound-kwd-part content-type="expansion">severe acute respiratory syndrome</compound-kwd-part>
</compound-kwd>
<compound-kwd><compound-kwd-part content-type="abbrev">TB</compound-kwd-part>
<compound-kwd-part content-type="expansion">tuberculosis</compound-kwd-part>
</compound-kwd>
<compound-kwd><compound-kwd-part content-type="abbrev">UN</compound-kwd-part>
<compound-kwd-part content-type="expansion">United Nations</compound-kwd-part>
</compound-kwd>
<compound-kwd><compound-kwd-part content-type="abbrev">WHO</compound-kwd-part>
<compound-kwd-part content-type="expansion">World Health Organization</compound-kwd-part>
</compound-kwd>
</kwd-group>
<counts><ref-count count="87"></ref-count>
<page-count count="10"></page-count>
</counts>
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</front>
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