Different approaches to model economic dimension of community resilience

Earthquakes and extreme events in general cause direct and indirect economic effects on every major economic sector of a given community. These effects have grown in the last years due to the increasing interdependency of the infrastructures and make the community more vulnerable to natural and human-induced disruptive events. Therefore, there is need for metrics and models which are able to describe economic resilience, defined as the ability of a community affected by a disaster to resist at the shock and bounce back to the economy in normal operating conditions. Several attempts have been made in the past to achieve a better measurement and representation of the economic resilience and to find suitable metrics to help decision planning. The most popular methodologies are based on Computable General Equilibrium models (CGE) and Inoperability Input-Output models (IIM). In this study, we analyze these methods, showing advantages and limitations. Finally, a new method is proposed to evaluate economic resilience which is based on equilibrium growth models and compared with other approaches

New Resilience Index for Urban Water Distribution Networks

The increased frequency of natural disasters and man-made catastrophes has caused major disruptions to critical infrastructures (CI) such as water distribution networks (WDNs). Therefore, reducing the vulnerability of the systems through physical and organizational restoration plans are the main concern for system engineers and utility managers that are responsible for the design, operation, and protection of WDNs. In this paper, a resilience index (R) of a WDN has been proposed that is the product of three indices: (1)the number of users temporarily without water, (2)the water level in the tank, and (3)the water quality. The resilience index is expected to help planners and engineers evaluate the functionality of a WDN, which includes: (1)delivering a certain demand of water with an acceptable level of pressure and quality, and (2)the restoration process following an extreme event. A small town in the south of Italy has been selected as a case study to show the applicability of this index using different disruptive scenarios and restoration plans. The numerical results show the importance of the partition of the network into districts to reduce the lack of services. It is also necessary to consider the indices separately to find trends that cannot be captured by the global index. Advantages and disadvantages of the different restoration plans are discussed. The proposed indices can be implemented in a decision support tool used by governmental agencies that want to include the restoration process, and the environmental and social aspects in their design procedure

Quantification of the economic resilience from the community level to the individual business level: The bay area case study

The paper presents a methodology to evaluate economic resilience at the community level which can be applied to any type of disruptive event rather than earthquakes. The goal is to help decision makers to understand the economic resilience problem of inter-dependent networks from a community level to a business level. The case study chosen in this paper is the San Francisco Bay Area, a region which is very sensitive to natural disasters as proven by the numerous projects and institutions working on identifying performance levels to be achieved to obtain a resilient city. The two approaches - which aim to compute economic resilience and identify the effects arising from different investment allocation - are compared. Some insights on how these approaches can be implemented to evaluate the life-cycle costs of structural systems and the return of investments on preparedness measures (like building structures with higher performance with respect to the minimum required performance levels) will be investigated

The KATRIN Pre-Spectrometer at reduced Filter Energy

The KArlsruhe TRItium Neutrino experiment, KATRIN, will determine the mass of the electron neutrino with a sensitivity of 0.2 eV (90% C.L.) via a measurement of the beta-spectrum of gaseous tritium near its endpoint of E_0 =18.57 keV. An ultra-low background of about b = 10 mHz is among the requirements to reach this sensitivity. In the KATRIN main beam-line two spectrometers of MAC-E filter type are used in a tandem configuration. This setup, however, produces a Penning trap which could lead to increased background. We have performed test measurements showing that the filter energy of the pre-spectrometer can be reduced by several keV in order to diminish this trap. These measurements were analyzed with the help of a complex computer simulation, modeling multiple electron reflections both from the detector and the photoelectric electron source used in our test setup.Comment: 22 pages, 12 figure

What happened to anti-malarial markets after the Affordable Medicines Facility-malaria pilot? Trends in ACT availability, price and market share from five African countries under continuation of the private sector co-payment mechanism

BACKGROUND: The private sector supplies anti-malarial treatment for large proportions of patients in sub-Saharan Africa. Following the large-scale piloting of the Affordable Medicines Facility-malaria (AMFm) from 2010 to 2011, a private sector co-payment mechanism (CPM) provided continuation of private sector subsidies for quality-assured artemisinin combination therapies (QAACT). This article analyses for the first time the extent to which improvements in private sector QAACT supply and distribution observed during the AMFm were maintained or intensified during continuation of the CPM through 2015 in Kenya, Madagascar, Nigeria, Tanzania and Uganda using repeat cross-sectional outlet survey data. RESULTS: QAACT market share in all five countries increased during the AMFm period (p < 0.001). According to the data from the last ACTwatch survey round, in all study countries except Madagascar, AMFm levels of private sector QAACT availability were maintained or improved. In 2014/15, private sector QAACT availability was greater than 70% in Nigeria (84.3%), Kenya (70.5%), Tanzania (83.0%) and Uganda (77.1%), but only 11.2% in Madagascar. QAACT market share was maintained or improved post-AMFm in Nigeria, Tanzania and Uganda, but statistically significant declines were observed in Kenya and Madagascar. In 2014/5, QAACT market share was highest in Kenya and Uganda (48.2 and 47.5%, respectively) followed by Tanzania (39.2%), Nigeria (35.0%), and Madagascar (7.0%). Four of the five countries experienced significant decreases in median QAACT price during the AMFm period. Private sector QAACT prices were maintained or further reduced in Tanzania, Nigeria and Uganda, but prices increased significantly in Kenya and Madagascar. SP prices were consistently lower than those of QAACT in the AMFm period, with the exception of Kenya and Tanzania in 2011, where they were equal. In 2014/5 QAACT remained two to three times more expensive than the most popular non-artemisinin therapy in all countries except Tanzania. CONCLUSIONS: Results suggest that a private sector co-payment mechanism for QAACT implemented at national scale for 5 years was associated with positive and sustained improvements in QAACT availability, price and market share in Nigeria, Tanzania and Uganda, with more mixed results in Kenya, and few improvements in Madagascar. The subsidy mechanism as implemented over time across countries was not sufficient on its own to achieve optimal QAACT uptake. Supporting interventions to address continued availability and distribution of non-artemisinin therapies, and to create demand for QAACT among providers and consumers need to be effectively implemented to realize the full potential of this subsidy mechanism. Furthermore, there is need for comprehensive market assessments to identify contemporary market barriers to high coverage with both confirmatory testing and appropriate treatment

How should health service organizations respond to diversity? A content analysis of six approaches

Background Health care organizations need to be responsive to the needs of increasingly diverse patient populations. We compared the contents of six publicly available approaches to organizational responsiveness to diversity. The central questions addressed in this paper are: what are the most consistently recommended issues for health care organizations to address in order to be responsive to the needs of diverse groups that differ from the majority population? How much consensus is there between various approaches? Methods We purposively sampled six approaches from the US, Australia and Europe and used qualitative textual analysis to categorize the content of each approach into domains (conceptually distinct topic areas) and, within each domain, into dimensions (operationalizations). The resulting classification framework was used for comparative analysis of the content of the six approaches. Results We identified seven domains that were represented in most or all approaches: organizational commitment, empirical evidence on inequalities and needs, a competent and diverse workforce, ensuring access for all users, ensuring responsiveness in care provision, fostering patient and community participation, and actively promoting responsiveness. Variations in the operationalization of these domains related to different scopes, contexts and types of diversity. For example, approaches that focus on ethnic diversity mostly provide recommendations to handle cultural and language differences; approaches that take an intersectional approach and broaden their target population to vulnerable groups in a more general sense also pay attention to factors such as socio-economic status and gender. Conclusions Despite differences in labeling, there is a broad consensus about what health care organizations need to do in order to be responsive to patient diversity. This opens the way to full scale implementation of organizational responsiveness in healthcare and structured evaluation of its effectiveness in improving patient outcomes