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Halabi S, Gostin LO, Aneja K, Nardi F, Gottschalk K, Monahan J. The Coalition for Epidemic Preparedness Innovations (CEPI) and the Partnerships of Equitable Vaccine Access. J Law Med Ethics 2023; 51:234-246. [PMID: 37655558 PMCID: PMC10881267 DOI: 10.1017/jme.2023.85] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/02/2023]
Abstract
This article highlights and evaluates the role of CEPI and its contribution to global equitable access to COVID-19 vaccines through its established partnerships for vaccine development. The article adds to the understanding of how and when such partnerships can work for public health, especially under emergency citations.
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Affiliation(s)
- Sam Halabi
- O'NEILL INSTITUTE FOR NATIONAL AND GLOBAL HEALTH LAW, WASHINGTON, DC, USA
- COLORADO STATE UNIVERSITY, FORT COLLINS, CO, USA
- COLORADO SCHOOL OF PUBLIC HEALTH, AURORA, CO, USA
| | - Lawrence O Gostin
- O'NEILL INSTITUTE FOR NATIONAL AND GLOBAL HEALTH LAW, WASHINGTON, DC, USA
- GEORGETOWN UNIVERSITY, WASHINGTON, DC, USA
| | - Kashish Aneja
- O'NEILL INSTITUTE FOR NATIONAL AND GLOBAL HEALTH LAW, WASHINGTON, DC, USA
| | - Francesca Nardi
- O'NEILL INSTITUTE FOR NATIONAL AND GLOBAL HEALTH LAW, WASHINGTON, DC, USA
| | - Katie Gottschalk
- O'NEILL INSTITUTE FOR NATIONAL AND GLOBAL HEALTH LAW, WASHINGTON, DC, USA
| | - John Monahan
- O'NEILL INSTITUTE FOR NATIONAL AND GLOBAL HEALTH LAW, WASHINGTON, DC, USA
- GEORGETOWN UNIVERSITY, WASHINGTON, DC, USA
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Mandel-Ricci J, Belfi K, Shapiro J, Wiener A, Cintron BS, Warshaw A, Gustafson C, Zaylor A, Brannon H, Evans R, Roldan-Sanchez K, D'Angelo J, Berkowitz J, Iavicoli L, Salway RJ, Prieskorn K, Francois F, Levine S, Gardner J, Kesting L. Rethinking Surge Preparedness After COVID-19: Effective Patient Load Balancing Within Health Systems and Beyond. Health Secur 2022; 20:497-503. [PMID: 36399608 DOI: 10.1089/hs.2022.0059] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Within weeks of New York State's first confirmed case of COVID-19, New York City became the epicenter of the nation's COVID-19 pandemic. With more than 80,000 COVID-19 hospitalizations during the first wave alone, hospitals in downstate New York were forced to adapt existing procedures to manage the surge and care for patients facing a novel disease. Given the unprecedented surge, effective patient load balancing-moving patients from a hospital with diminishing capacity to another hospital within the same health system with relatively greater capacity-became chief among the capabilities required of New York health systems. The Greater New York Hospital Association invited members of downstate New York's 6 largest health systems to talk about how each of their systems evolved their patient load balancing procedures throughout the pandemic. Informed by their insights, experiences, lessons learned, and collaboration, we collectively present a set of consensus recommendations and best practices for patient load balancing at the facility and health system level, which may inform regional approaches to patient load balancing.
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Affiliation(s)
- Jenna Mandel-Ricci
- Jenna Mandel-Ricci, MPA, MPH, is Senior Vice President, Health Care System Resilience, Greater New York Hospital Association, New York, NY
| | - Katie Belfi
- Katie Belfi, JD, CEM, is Founder and Principal Consultant, Belfi Consulting, LLC, Austin, TX
| | - Jared Shapiro
- Jared Shapiro, DrPH, MPH, FACEM, is Senior Director, Environmental Health and Safety, Montefiore Health System, Bronx, NY
| | - Albert Wiener
- Albert Wiener, MS, is Director, Admitting and Patient Transportation, Montefiore Health System, Bronx, NY
| | - Brittney S Cintron
- Brittney S. Cintron, MS, is Transfer Center Director, Montefiore Health System, Bronx, NY
| | - Abe Warshaw
- Abe Warshaw, MD, was Senior Vice President, Chief and Medical Director Access Services, Mount Sinai Health System, New York, NY
| | - Carleigh Gustafson
- Carleigh Gustafson, MBA, BSN, RN, is Senior Vice President of Strategic Operations and Integration, Mount Sinai Health System, New York, NY
| | - Abigail Zaylor
- Abigail Zaylor, MPA, is Associate Director, Strategic Operations and Implementation, Mount Sinai Health System, New York, NY
| | - Helen Brannon
- Helen Brannon, MBA, is Vice President, Hospital Throughput and Nursing Operations, Mount Sinai Health System, New York, NY
| | - Rick Evans
- Rick Evans, MA, is Senior Vice President and Chief Experience Officer, New York-Presbyterian, New York, NY
| | - Kim Roldan-Sanchez
- Kim Roldan-Sanchez, MPA, is Vice President, Consumer Experience and Access, New York-Presbyterian, New York, NY
| | - John D'Angelo
- John D'Angelo, MD, FACEP, is Chief, Integrated Operations, and Executive Director and Senior Vice President, Emergency Medicine Service Line, Northwell Health, New Hyde Park, NY
| | - Jonathan Berkowitz
- Jonathan Berkowitz, MD, FACEP, is Medical Director, Center for EMS and Medical Director, Centralized Transfer Center, Northwell Health, New Hyde Park, NY
| | - Laura Iavicoli
- Laura Iavicoli, MD, is Deputy Medical Director, NYC Health + Hospitals (H+H) Elmhurst Hospital, Queens, NY
| | - Richard James Salway
- Richard James Salway, MD, is an Emergency Medicine Physician and Senior Director of Emergency Management, NYC H+H/Kings County, Brooklyn, NY
| | - Katelyn Prieskorn
- Katelyn Prieskorn, MPH, is Senior Director, Transportation and Clinical Operations, NYC H+H/Central Office, New York, NY
| | - Fritz Francois
- Fritz Francois, MD, is Executive Vice President and Vice Dean, Chief of Hospital Operations, NYU Langone Health, New York, NY
| | - Samuel Levine
- Julia Gardner, RN, MBA, is Director, Clinical Operations, NYU Langone Health, New York, NY
| | - Julia Gardner
- Lisa Kesting, MPA, is Senior Director, Comprehensive Transfer Center, NYU Langone Health, New York, NY
| | - Lisa Kesting
- Samuel Levine, MPH, is Vice President, Musculoskeletal Services, NYU Langone Orthopedic Hospital, New York, NY
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Hutler B, Blasimme A, Gur-Arie R, Ali J, Barnhill A, Hood A, Kahn J, Perkins NL, Regenberg A, Vayena E. Assessing the Governance of Digital Contact Tracing in Response to COVID-19: Results of a Multi-National Study. J Law Med Ethics 2022; 50:791-804. [PMID: 36883392 DOI: 10.1017/jme.2023.20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/18/2023]
Abstract
This paper describes the results of a multi-country survey of governance approaches for the use of digital contact tracing (DCT) in response to the COVID-19 pandemic. We argue that the countries in our survey represent two distinct models of DCT governance, both of which are flawed. The "data protection model" emphasizes privacy protections at the expense of public health benefit, while the "emergency response model" sacrifices transparency and accountability, prompting concerns about excessive governance surveillance. The ethical and effective use of DCT in the future requires a new governance approach that is better suited to this novel use of mobile phone data to promote public health."
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Affiliation(s)
| | | | | | - Joseph Ali
- JOHNS HOPKINS UNIVERSITY, BALTIMORE, MD, USA
| | | | - Amelia Hood
- JOHNS HOPKINS UNIVERSITY, BALTIMORE, MD, USA
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Abstract
Political scientists bring important tools to the analysis of the coronavirus disease 2019 (COVID-19) pandemic, particularly a focus on the crucial role of power in global health politics. We delineate different kinds of power at play during the COVID-19 crisis, showing how a dearth of compulsory, institutional, and epistemic power undermined global cooperation and fueled the pandemic, with its significant loss to human life and huge economic toll. Through the pandemic response, productive and structural power became apparent, as issue frames stressing security and then preserving livelihoods overwhelmed public health and human rights considerations. Structural power rooted in economic inequalities between and within countries conditioned responses and shaped vulnerabilities, as the crisis threatened to deepen power imbalances along multiple lines. Calls for global health security will surely take on a new urgency in the aftermath of the pandemic and the forms of power delineated here will shape their outcome.
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Affiliation(s)
- Amy Patterson
- Department of Politics, University of the South, Sewanee, TN, USA
| | - Mary A Clark
- Department of Political Science, Tulane University, New Orleans, LA, USA
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