The International Response to Climate Change: An Agenda for Global Health

As the international community negotiates a successor to the Kyoto Protocol of the United Nations Framework Convention on Climate Change (UNFCCC), there is new reason to hope that meaningful action might be taken to prevent devastating climate change. Even the more ambitious mitigation targets currently under negotiation, however, will not be sufficient to avoid a profound effect on the public\u27s health in coming decades, with the world\u27s poorest, most vulnerable populations bearing the disproportionate burden. The influence of historic and current emissions will be so substantial that it is imperative to reduce global emissions while at the same time preparing for the effects. Recently, the UNFCCC has begun to turn its attention to adaptation—changes to human systems to ameliorate the consequences of climate change. This Commentary proposes a new agenda for mitigation as well as adaptation approaches that emphasize the considerable health effects of climate change, which include increasingly intense and more frequent natural disasters, potential increases in vector-, food-, and water-borne infectious disease, and exacerbation of cardiovascular and respiratory disease. The effects of climate change will be experienced in every region but will disproportionately burden the global poor, exacerbating global health disparities and challenging the international community to address the inevitable questions of global social justice. Three key recommendations are proposed: (1) focus mitigation targets on broader health impacts, rather than framing climate change as a coastal issue; (2) incorporate land-use and agricultural approaches to mitigation alongside measures in the energy and transportation sectors to take advantage of co-benefits for health; and (3) fully fund adaptation projects as a global priority with an emphasis on strengthening health systems

Governmental Public Health Powers During the COVID-19 Pandemic: Stay-at-home Orders, Business Closures, and Travel Restrictions

The president and all 50 governors have declared health emergencies to combat the spread of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), which causes coronavirus disease 2019 (COVID-19). While researchers race for vaccines, officials are implementing physical distancing, including orders to stay at home, restrict travel, and close non-essential businesses. To limit cross-border spread, a few states have issued mandatory quarantines for interstate travelers. Models suggest physical distancing would have to persist for 3 months to mitigate peak impacts on health systems and could continue on an intermittent basis for 12-18 months. What legal powers do governments have? What is the role of the courts? How can we balance public health with personal and economic rights

Past and Future Operations Concepts of NASA's Earth Science Data and Information System

NASA committed to support the collection and distribution of Earth science data to study global change in the 1990's. A series of Earth science remote sensing satellites, the Earth Observing System (EOS), was to be the centerpiece. The concept for the science data system, the EOS Data and Information System (EOSDIS), created new challenges in the data processing of multiple satellite instrument observations for climate research and in the distribution of global-coverage remote sensor products to a large and growing science research community. EOSDIS was conceived to facilitate easy access to EOS science data for a wide heterogeneous national and international community of users. EOSDIS was to provide a spectrum of services designed for research scientists working on NASA focus areas but open to the general public and international science community. EOSDIS would give researchers tools and assistance in searching, selecting and acquiring data, allowing them to focus on Earth science climate research rather than complex product generation. Goals were to promote exchange of data and research results and expedite development of new geophysical algorithms. The system architecture had to accommodate a diversity of data types, data acquisition and product generation operations, data access requirements and different centers of science discipline expertise. Steps were taken early to make EOSDIS flexible by distributing responsibility for basic services. Many of the system operations concept decisions made in the 90s continued to this day. Once implemented, concepts such as the EOSDIS data model played a critical role developing effective data services, now a hallmark of EOSDIS. In other cases, EOSDIS architecture has evolved to enable more efficient operations, taking advantage of new technology and thereby shifting more resources on data services and less on operating and maintaining infrastructure. In looking to the future, EOSDIS may be able to take advantage of commercial compute environments for infrastructure and further enable large scale climate research. In this presentation, we will discuss key EOSDIS operations concepts from the 1990's, how they were implemented and evolved in the architecture, and look at concepts and architectural challenges for EOSDIS operations utilizing commercial cloud services

Pavlovian Processes in Consumer Choice: The Physical Presence of a Good Increases Willingness-to-Pay

This paper describes a series of laboratory experiments studying whether the form in which items are displayed at the time of decision affects the dollar value that subjects place on them. Using a Becker-DeGroot auction under three different conditions — (i) text displays, (ii) image displays, and (iii) displays of the actual items — we find that subjects' willingness-to-pay is 40-61 percent larger in the real than in the image and text displays. Furthermore, follow-up experiments suggest the presence of the real item triggers preprogrammed consummatory Pavlovian processes that promote behaviors that lead to contact with appetitive items whenever they are available

Self-Determination and Academic Success of College Students with Disabilities

Within education, there have been many legislative changes in the last several decades to promote equitable access for students with disabilities. However, many barriers still exist that prevent these students from being academically successful once they have gained appropriate access. Research in the last 10 to 15 years has consistently identified these barriers as well as pinpointed some predictors of success for students with disabilities. Much of this research acknowledges the importance of self-management, goal-setting, and self-determination, yet there is a gap in the body of literature that specifically links self-determination to academic performance within the postsecondary setting. This study was conducted to determine the relationship between self-determination and academic performance for college students with high incidence disabilities via a quantitative, survey-based approach. Students registered with the Office of Disability Resources attending a small/mid-size, public, co-ed university based in Virginia were invited to participate. One hundred forty-three participants completed the AIR Self-Determination Assessment and the researcher investigated the relationships between the scores on the assessment and overall grade point average (GPA) of the participant to determine the relationship between students’ reported level of self-determination and their academic performance. The results revealed a positive relationship between reported self-determination levels and GPA, in that students with higher ratings of self-determination had higher reported GPAs and students with lower ratings of self-determination tended to have lower GPAs. These results support the notion that, for students with disabilities in the post-secondary setting, having a strong level of self-awareness and the ability to engage in goal-directed and self-regulated behavior allows them to be more academically successful. These findings, once expanded upon and replicated with future research, can influence transition planning in the K-12 environment and allow for more productive programming for disability services professionals in higher education

Book Review: The Failure of Property Rights to Guard the Integrity of the Individual

In this Book Review, the author provides an open and honest rebuttal to the book Property Rights: Understanding Government Takings and Environmental Regulation written by Nancie G. Marzulla and Roger J. Marzulla. The author examines the book chapter by chapter, taking apart and analyzing the theoretical and philosophical assertions contained in the book. A recurrent theme in her discussion, driven home in the conclusion, is the need for balance between community needs and individuals in the context of the Property Rights Movement

Health Law as Social Justice

Health law is in the midst of a dramatic transformation. From a relatively narrow discipline focused on regulating relationships among individual patients, health care providers, and third-party payers, it is expanding into a far broader field with a burgeoning commitment to access to health care and assurance of healthy living conditions as matters of social justice. Through a series of incremental reform efforts stretching back decades before the Affordable Care Act and encompassing public health law as well as the law of health care financing and delivery, reducing health disparities has become a central focus of American health law and policy. This Article labels, describes, and furthers a nascent “health justice” movement by examining what it means to view health law as an instrument of social justice. Drawing on the experiences of the reproductive justice, environmental justice, and food justice movements, and on the writings of political philosophers and ethicists on health justice, I propose that health justice offers an alternative to the market competition and patient rights paradigms that currently dominate health law scholarship, advocacy, and reform. I then examine the role of law in reducing health disparities through the health justice lens. I argue that the nascent health justice framework suggests three commitments for the use of law to reduce health disparities. First, to a broader inquiry that views access to health care as one among many social determinants of health deserving of public attention and resources. Second, to probing inquiry into the effects of class, racial, and other forms of social and cultural bias on the design and implementation of measures to reduce health disparities. And third, to collective action grounded in community engagement and participatory parity. In exploring these commitments, I highlight tensions within the social justice framework and between the social justice framework and the nascent health justice movement. These tensions illustrate, rather than undermine, the power of viewing health law as social justice. They raise important questions that should prompt more fruitful and rigorous thinking within health law activism and scholarship and with regard to the relationships between law and social justice more broadly

Rethinking the New Public Health

This Article contributes to an emerging theoretical debate over the legitimate scope of public health law by linking it to a particular doctrinal debate in public nuisance law. State and local governments have been largely stymied in their efforts to use public nuisance litigation against harmful industries to vindicate collectively-held, common law rights to non-interference with public health and safety. The ways in which this litigation has failed are instructive for a broader movement in public health that is only just beginning to take shape. In response to evolving scientific understanding about the determinants of health, public health advocates are rapidly implementing new law and policy tools to alter our environments and behaviors in ways that improve health at the population level. Critics of this “new public health” movement seek to safeguard individual liberty by disconnecting the law and politics of public health from its science. They argue that modern health threats such as heart disease and diabetes are individual concerns not sufficiently public in nature to trigger doctrines that privilege state intervention over individual rights. Public health scholars engaged in this theoretical debate have overlooked a related doctrinal debate within public nuisance law in which courts have struggled to define the scope of “public rights,” including the right to non-interference with public health. In both debates, critics have rightly insisted that the public must be more than the mere aggregation of private interests. But the narrower conceptions of the public that critics have put forth fail to account for the full scope of the state’s authority and responsibility for public health. This Article stakes out a middle position by adopting the classically liberal view of public health law critics—that state interference with individual liberty requires robust justification—while also defining the public broadly so as to justify considerable state intervention under the banner of public health. Drawing on analysis of public nuisance litigation as a public health tool, I propose that epidemiological harms—which I define as those for which causation can be established at the population level, but not necessarily at the individual level—should be understood as public bads. This conception of the public provides a more robust justification for the new public health law movement that more firmly grounds it in the science of social epidemiology

Lessons from the Kremlin : folklore and children's literature in the socialization of Soviet children, 1932-1945

Officially in 1934, socialist realism emerged in Soviet society as the new cultural aesthetic, providing an artistic framework for all forms of cultural production—art, music, architecture and literature. In the realm of children’s writing, socialist realism had particularly interesting effects on the themes and formulas that were utilized by authors. Though once thought to represent the tsarist and peasant past, the Party encouraged the use of traditional folk elements to popularize the new overtly Soviet tales, despite the apparent unorthodoxy. Similarly, authors were encouraged to reintroduce the hero, also seemingly unorthodox in what was a theoretically collective society. Nonetheless, heroic themes and characters emerged to recognize achievements in industry and the drive for modernization, encourage vigilance against internal and external spies and saboteurs, propagandize the Soviet war effort against Germany, and honour Soviet soldiers for their sacrifices. Soviet children’s books demonstrated to youth the communist qualities of selflessness and devotion to the collective, and about the dangers of idleness. Children learned that the Soviet Union was to be the new Soviet family, replacing the bond of blood kinship. The leader cult filtered down to children’s books and Stalin made a significant appearance as the father of all heroes. This thesis argues that the Party recognized the value of children’s literature for shaping the character development of young readers. Popular in their own right, children’s books were not able to avoid the manipulation and control of the Party, which employed them as tools of propaganda. However, it is difficult to separate the extent of their genuine popularity from their appeal as propaganda

The Use of Probiotics in the Prevention of Clostridium Difficile Infection

Despite advances in the diagnosis and treatment of Clostridium difficile infection (CDI), the prevention of CDI, particularly in the inpatient hospital setting, remains a challenge. Clostridium difficile now rivals methicillin-resistant staphylococcus aureus (MRSA) as the most common pathogen to cause hospital acquired infections (HAI) in the United States. Hospitalized patients are considered to be especially high risk for CDI, and among inpatient cases, antibiotic treatment, especially with Fluoroquinolones has been an almost universal factor in the development of CDIs. One preventative measure that is incontinently used in the prevention of CDI is oral probiotics. Probiotic consumption is reported to exert a myriad of beneficial effects including enhanced immune response, balancing of colonic microbiota, treatment of diarrhea associated with travel and antibiotic therapy, control of rotavirus and clostridium difficile induced colitis. The American College of Gastroenterology recognizes the role of probiotics and included probiotics as a level B recommendation for the treatment of CDI. It has been hypothesized that the use of probiotics, as an adjunctive therapy in patients receiving antibiotics, may provide a key intervention in reducing primary CDI. The purpose of this study was to conduct a retrospective chart review to explore healthcare providers prescribing trends regarding Fluoroquinolone antibiotics and adjunctive probiotics in patients with hospital acquired CDI. The Synergy model was used to guide the study. Results indicated that probiotics are not frequently prescribed for hospitalized patients on Fluoroquinolones and when they are it is with inconsistency. Additional research is recommended to further assess the use of probiotics in conjunction with other classes of commonly used antibiotics; this study solely looked at Fluoroquinolones