The role of sovereignty in Indigenous community-based health interventions: A qualitative metasynthesis

Indigenous peoples around the world suffer from health disparities attributed to a plethora of risk factors and social determinants of health stemming from colonialism and systemic oppression. Community-based health interventions have been identified as a means for addressing and reducing Indigenous health disparities by allowing for Indigenous sovereignty to be respected and centered. However, sovereignty relating to Indigenous health and well-being is underresearched. The present article explores the role of sovereignty in Indigenous community-based health interventions. A qualitative metasynthesis was conducted among 14 primary research studies co-authored by Indigenous people describing and evaluating Indigenous community-based health interventions. Five conceptual themes emerged as aspects of sovereignty which benefit Indigenous health and well-being outcomes: integration of culture; relocation of knowledge; connectedness; self-actualization; and stewardship. Implications are discussed, with the goal of creating a decolonial framework rooted in Indigenous epistemologies and perspectives for how sovereignty impacts Indigenous health, as well as strengthening a clear need for further research on and praxis of sovereignty in Indigenous healthcare.

The "UFO Taboo" Is What IR Theorists Make of It: "Sovereignty and the UFO" in Citational Perspective

In 2008, Alexander Wendt and Raymond Duvall published an article titled "Sovereignty and the UFO," which demonstrated how a UFO taboo in international relations theory upheld an anthropocentric model of sovereignty. At a distance of a decade and a half, this review evaluates the validity of the claim that a UFO taboo exists in international relations, and explores the citational practices that influence the prestige economy of the field. The article employs a methodology of interpretive scientometrics informed by methodological debates in political science and international, as well as theoretical debates in actor-network theory. After testing the claim of the UFO taboo in a comparative perspective, the article investigates the strategies of association (weak and strong) present in the citations of "Sovereignty and the UFO." In addition to a revaluation of core claims in an often-read but less-often-cited article in international relations theory, this article provides important insights into how citation works in the discipline of international relations.

Effective health and wellness systems for rural and remote Indigenous communities: a rapid review

Background: The Canadian healthcare system bares a long legacy of colonisation and assimilation of Indigenous values and approaches to health and wellness. This system often perpetuates social and health inequities through systemic racism, underfunding, lack of culturally appropriate care and barriers to access care. Current funding legislation policies enacted across federal, provincialand territorial governments do not necessarily uphold Indigenous Peoples' rights to self-determination, health and wellness. We summarise literature on promising Indigenous health systems and practices that prioritise and/or improve rural Indigenous Peoples' health and wellness. Objective: The impetus for this review was to provide information on promising health systems, while Dehcho First Nations developed a health and wellness vision. Methods: Documents were gathered from indexed and non-indexed databases to obtain literature from peer-reviewed and non-peer reviewed sources. Two reviewers independently 1) screened titles, abstracts and full texts to ensure they met the inclusion criteria, 2) gathered relevant data from all included documents and 3) identified major themes and sub-themes. Reviewers then discussed and reached consensus on the themes. Results: Thematic analysis revealed six themes for effective health systems for rural and remote Indigenous communities: 1) access to primary care, 2) multi-directional knowledge exchange, 3) culturally appropriate care, 4) training and building community capacity, 5) integrated care and 6) health system funding. Conclusion: Effective health and wellness systems must support Indigenous ways of knowing and doing in healthcare models based on collaborative partnerships with community members, health providers and government agencies.

Smartphone Apps for Containing the COVID-19 Pandemic in Germany: Qualitative Interview Study With Experts Based on Grounded Theory

BACKGROUND

Smartphone apps, including those for digital contact tracing (DCT), played a crucial role in containing infections during the COVID-19 pandemic. Their primary function is to generate and disseminate information to disrupt transmissions based on various events, such as encounters, vaccinations, locations, or infections. Although the functionality of these apps has been extensively studied, there is still a lack of qualitative research addressing critical issues.

OBJECTIVE

We will demonstrate that the use of DCT presents a challenge due to the tension between continuous health monitoring and uncertainties related to transparency and user sovereignty. On one hand, DCT enables the monitoring of various risk factors, including data-based calculations of infection probabilities. On the other hand, continuous risk management is intertwined with several uncertainties, including the unclear storage of personal data, who has access to it, and how it will be used in the future.

METHODS

We focus on the German "Corona-Warn-App" and support our argument with empirical data from 19 expert interviews conducted between 2020 and 2021. The interviews were conducted using a semistructured questionnaire and analyzed according to the principles of grounded theory.

RESULTS

Our data underscores 3 dimensions: transparency, data sovereignty, and the east-west divide. While transparency is considered an essential foundation for establishing trust in the use of DCT by providing a sense of security, data sovereignty is seen as a high value during the pandemic, protecting users from an undesired loss of control. The aspect of the east-west divide highlights the idea of incorporating sociocultural values and standards into technology, emphasizing that algorithms and data-driven elements, such as distance indicators, encounters, and isolations, are also influenced by sociocultural factors.

CONCLUSIONS

The effective use of DCT for pandemic containment relies on achieving a balance between individual control and technological prevention. Maximizing the technological benefits of these tools is crucial. However, users must also be mindful of the information they share and maintain control over their shared data.

Commoning genomic solidarity to improve global health equality

This article underlines two key asynchronies between prevailing governing logic and expanding practices in somatic human genome editing that are hindering an effective and orderly translation of the new technology into public good. The first is a "genomic sovereignty" framing adopted by a number of non-Western countries that may exacerbate data biases in global research and that directs policy attention away from the necessary structural changes required to achieve non-discriminatory and equitable genomic healthcare. The other is a global deficiency in attending to "science at large": the challenge of regulating new assemblages of societal interests that advocate controversial or experimental research, often outside of conventional institutions and aided by "policy shopping." Both issues point to the fact that genomic research does not represent a well-defined scientific commons but rather a domain that requires active "commoning," with the aim of fostering genomic solidarity that coordinates responsible research within and across national boundaries.

The Life and Death of Freya the Walrus: Human and Wild Animal Interactions in the Anthropocene Era

Freya the Walrus, who often climbed onto docked boats to sunbathe and frolic, was euthanized by the Norwegian Department of Fisheries in the Oslo fjord in August 2022, sparking international outrage and media attention. Since walruses are social animals, and since the Anthropocene era of climate change has displaced animals from their Arctic homes, forcing them to migrate, we can expect more human-animal interactions at such places as marinas, where Freya met her end. This paper asks and attempts to answer how we can make such interactions just going forward? In cases such as Freya's, we need to reconcile three competing interests: the animal's interest in living a flourishing life as best they can in a changing climate; the public's interest in a safe and fulfilling wildlife encounter with an animal they have come to know intimately enough to name and follow devotedly on social media; and interests in maintaining private property. Examining these interests through the philosophical lenses of co-sovereignty, capability, and individuality, however, will yield more just results for animals in similar situations of conflict and co-existence with humans in urban spaces. We argue that, going forward, state resources should be expended to safeguard the public from marina access if safety is a genuine concern, while private money should be spent by marinas to enact safe animal removal with a no-kill policy.

Food insecurities and dependencies: Indigenous food responses to COVID-19

Food sovereignty is a relatively new concept in the literature that has evolved as a way to address widespread food-related issues for many Indigenous communities around the world. One of the many crucial lessons we have learned from the COVID-19 pandemic is the importance of this concept in ensuring food sufficiency in Indigenous communities in Canada. In this article, we provide a commentary on food insecurity in Indigenous communities in Canada and how the COVID-19 pandemic has exacerbated it. We also highlight the government's response to mitigating hunger and spotlight how Indigenous peoples are navigating the pandemic's impact through food sovereignty.

No borders on a fragile planet: Introducing four lay models of social psychological precarity to support global human identification and citizenship

Measures such as Identification with all humanity (IWAH) and global identification and citizenship (GHIC) are positivity correlated with measures of humanitarianism, cosmopolitanism and environmental concern. Research using these measures suggests that most citizens have low-global identification scores. This article sheds light on this finding by investigating how global identification relates to precarity and migration (neither of which are measured in the IWAH/GHIC). The study conducted in England, Scotland and Sweden introduces a qualitative dialogical approach to GHIC. This involves measuring migration-mobility in dialogical interviews and controlling and removing borders on world maps-using an interactive world mapping task (N = 23). Participants articulate four social representations relating to a fragile earth, enduring colonial settler/native conflict, ingroup/outgroup conflict or, in contrast, a cooperative plentiful planet where borders are unnecessary. Such social representations demonstrate the importance of planetary consciousness and relate to four lay models of social psychological precarity related to intergroup competition, global conflict, economic rationality and human-made borders. In conclusion, all participants employ lay models of social psychological precarity when discussing sovereignty, migration and belonging. We recommend psychologists investigating GHIC include measures of social psychological precarity and migration-mobility.

The Publicness of Pandemic Security and the Shortcomings of Governmentality

Employing the example of Germany within a European context, this paper argues that government responses to the pandemic relied too much on the biopolitical governance of populations, and too little on the symbolic governance of public spheres. Based on an analysis of policy documents and their medial representation, it is found that the politics of pandemic security is focused on the regulation of population aggregates and movements (social distancing, lockdowns, border closings, etc.), resembling a quasi-Foucaultian notion of biopolitical governmentality. Confident that the crisis can be handled through a classical apparatus of security through self-conduct within an imaginary of stochastic aggregation of the social, these modes of governance paid virtually no attention to non-stochastic social aggregates, such as those which can be observed in public spheres. Yet these aggregates produced massive mobilizations against the politics of pandemic governance in liberal democracies, in the streets and on the internet. In conceptual terms, these mobilizations can be understood as an insistence on sovereign power, in Foucault’s sense, yet ‘from below’: They reinvigorate the dramatic public, as opposed to the inconspicuous circulation, as the site for claiming attention, legitimacy, and potentially disruption—in other words, for claiming sovereign power. In the final analysis, a major security problematic can be seen in the failure of the politics of governmentality to be insensitive to the politics of sovereignty.

The Navajo Nation Healthy Diné Nation Act: A Description of Community Wellness Projects Funded by a 2% Tax on Minimal-to-No-Nutritious-Value Foods

CONTEXT

To promote the health of the Navajo people, the Navajo Nation passed the Healthy Diné Nation Act (HDNA) in 2014. The HDNA included a 2% tax on "minimal-to-no-nutritional-value" foods and waived 5% sales tax on healthy foods, the first such policy in the United States and any sovereign Tribal nation. Uniquely aligned with Tribal government structures, revenue was directly allocated to 110 small local government entities (Chapters) for self-determined wellness projects.

OBJECTIVE

To characterize HDNA-funded wellness projects, test for variation in project type, and funding amount over time by region and community size.

DESIGN

Longitudinal study assessing funded wellness projects from tax inception through 2019.

SETTING

The Navajo Nation.

PARTICIPANTS

One hundred ten Navajo Nation Chapters receiving funding for self-determined wellness projects.

OUTCOME MEASURES

The categories and specific types of wellness projects and funding over 4 years by region and community size.

RESULTS

Of revenue collected in 2015-2018, more than 99.1% was disbursed through 2019 ($4.6 million, $13 385 annually per community) across 1315 wellness projects (12 per community). The built recreational environment category received 38.6% of funds, equipment/supplies 16.5%, instruction 15.7%, food and water initiatives 14.0%, and social events 10.2%. Most common specific projects were walking trails ($648 470), exercise equipment ($585 675), food for events ($288 879), playgrounds ($287 471), and greenhouses ($275 554). Only the proportion allocated to instruction changed significantly over time (increased 2% annually, P = .02). Smaller communities (population <1000) allocated significantly higher proportions to traditional, agricultural, and intergenerational projects and less to the built environment.

CONCLUSIONS

Through 2019, more than 99% of HDNA revenue was successfully disbursed to 110 rural, Tribal communities. Communities chose projects related to promoting the built recreational environment, agriculture, and fitness/nutrition education, with smaller communities emphasizing cultural and intergenerational projects. These findings can inform other indigenous nations considering similar policies and funding distributions.

A critical analysis of te Tiriti o Waitangi application in primary health organisations in Aotearoa New Zealand: Findings from a nationwide survey

Primary health is at the forefront of efforts to address health inequities. Effective primary health care keeps people well and improves longevity and quality of life. The persistence of health inequities, particularly between Indigenous peoples and non-Indigenous peoples globally, suggests that there is a need to strengthen policy and practise. Unique to Aotearoa (New Zealand) is te Tiriti o Waitangi, a treaty negotiated in 1840 between the British Crown and hapū (Māori [Indigenous] subtribes). This treaty is foundational to public policy in Aotearoa and requires the Crown (New Zealand government) to uphold a set of responsibilities around protecting and promoting Māori health. This paper examines to what extent Primary Health Organisations are upholding te Tiriti o Waitangi. The study utilises data from a nationwide telephone survey of public health providers conducted in 2019-2020 recruited from a list on the Ministry of Health website. This paper focuses on data about te Tiriti application from 21 Primary Health Organisations from a sample size of thirty. Critical te Tiriti analysis, an emerging methodology, was used to assess to what extent the participating primary health organisations were te Tiriti compliant. The critical te Tiriti analysis found poor to fair compliance with most elements of te Tiriti but good engagement with equity. Suggestions for strengthening practise included examining relationships with Māori, utilising a planned approach, structural mechanisms, normalising Māori world views and consistency in application. The onus needs to be on non-Māori to contribute to the cultural change and power-sharing required to uphold te Tiriti. Critical te Tiriti analysis is a useful methodology to review te Tiriti compliance and could be used in other contexts to review alignment with Indigenous rights and aspirations.

Do or die? The UK, the EU, and internal/external security cooperation after Brexit

The European Union (EU) integration project is under attack from a reassertion of national sovereignty following Brexit and the Covid-19 crisis. Our analysis examines the impact that traditional forms of sovereignty and national interests will have on the conduct of EU foreign and security policy post-Brexit. We focus on the Brexit challenge to the EU mode of regulation and diplomacy in internal/external policies in Common Foreign and Security Policy, Common Security and Defence Policy, and Justice and Home Affairs. The article also considers key scenarios for future UK-EU security cooperation to inform analysis of likely policy outcomes for the UK and the EU. The article concludes that the EU will have a greater impact through its laws and regulations on the post-Brexit UK than vice versa and that Brexit is not an immediate threat to the EU's regulatory mode of security governance. The new realities of internal/external security governance in Europe post-Brexit will mean weakened EU–UK security arrangements, which will impact the scope and quality of European security cooperation beyond traditional defence. This is both undesirable and potentially dangerous for European security cooperation and for Europe's position in the wider world.

Extending Research Protections to Tribal Communities

The history of research in American Indian/Alaska Native (AI/AN) communities has been marked by unethical practices, resulting in mistrust and reluctance to participate in research. Harms are not limited to individual persons-tribal communities experience harmful misrepresentation and generalizations disrespectful of AI/AN groups' heritage, cultures, and beliefs. The Belmont Report's research ethics principles are applied primarily to protect individual research participants. The principles of sovereignty and solidarity are argued to be important concepts in extending Belmont's research protections to tribal communities. Sovereignty, an expression of respect for autonomy at a group level, is the basis for tribal self-determination. The principle of solidarity provides an ethical underpinning for tribes' obligations to protect community interests and culture. Extension of Belmont through these principles should serve to minimize harms to AI/AN groups in research.

Black to the Future: Making the Case for Indigenist Health Humanities

This paper outlines the development of Indigenist Health Humanities as a new and innovative field of research building an intellectual collective capable of bridging the knowledge gap that hinders current efforts to close the gap in Indigenous health inequality. Bringing together health and the humanities through the particularity of Indigenous scholarship, a deeper understanding of the human experience of health will be developed alongside a greater understanding of the enablers to building a transdisciplinary collective of Indigenist researchers. The potential benefits include a more sustainable, relational, and ethical approach to advancing new knowledge, and health outcomes, for Indigenous people in its fullest sense.

The place of the dead, the time of dictatorship: Nostalgia, sovereignty, and the corpse of Ferdinand Marcos

In 1993, the body of former Philippine dictator, Ferdinand E Marcos, was moved from Honolulu, Hawaii, where he died in exile, to a private mausoleum attached to his ancestral home in Batac, Ilocos Norte. Preserved and placed in a refrigerated coffin while his wife, Imelda, lobbied for his burial at the Heroes' Cemetery, Marcos's body remained on display until 2016, when permission for his interment was granted by the newly elected president, Rodrigo Duterte. Drawing on fieldwork conducted at the Marcos Mausoleum prior to the controversial burial and at the protests that came in its wake, this essay examines the sense of loss and longing that has animated the rise of authoritarian nostalgia. Banished yet unburied, the dictator's embalmed corpse, I suggest, speaks to what remains unmourned under democracy and which thus always threatens to return-namely, a figure of unfettered freedom and authority, whose power might be said to extend over life, death, and time itself. I argue that it is this figure-the figure of a sovereign gone missing-that authoritarian nostalgia takes as its object and which grows more seductive in light of the hollowing out of popular sovereignty that has come to define the post-revolutionary experience.

Challenges to sovereign ambitions: forces of convergence and divergence within the global pharmaceutical sector and the UK's withdrawal from the European Union

This paper maps key regulatory, governance and legal challenges associated with the UK's withdrawal from the European Union (EU) in terms of convergent and divergent pressures within the global pharmaceutical sector. These include (i) convergent regulatory pressures associated with the European framework for pre-market licensing; (ii) convergent and divergent industry pressures with regard to drug discovery and manufacturing; and (iii) divergent and convergent market pressures associated with the supply, pricing and assessment of medicines. The UK's sovereign ambitions risk a loss of influence over the licensing and surveillance of pharmaceuticals under convergent regulatory and industry pressures to engage in unilateral participation in the European regime. Further, they also risk a loss of influence over processes for pricing and assessing the effectiveness of new treatment regimens under divergent market pressures from larger pharmaceutical markets outside the EU, notably the United States.

The Future of an Illusion: The Problem of Sovereignty

The author explores the idea of sovereignty as an illusion that is and will continue to have deleterious effects on cooperative efforts to slow or stop climate change and the extinction of millions of species. To make this case, the notion of sovereignty is defined and its attributes described. This lays the foundation for arguing, from a psychoanalytic perspective, that sovereignty is a tightly held illusion (and practice). The last section of the article identifies the negative present and future impact of sovereignty with regard to the Anthropocene Age, as well as briefly identifying other possibilities for ordering societies.

Foreign ideology vs. national priority: impacts of the US Global Gag Rule on Nepal's sexual and reproductive healthcare system

In recent decades, bold steps taken by the government of Nepal to liberalise its abortion law and increase the affordability and accessibility of safe abortion and family planning have contributed to significant improvements in maternal mortality and other sexual and reproductive health (SRH) outcomes. The Trump administration’s Global Gag Rule (GGR) – which prohibits foreign non-governmental organisations (NGOs) from receiving US global health assistance unless they certify that they will not use funding from any source to engage in service delivery, counselling, referral, or advocacy related to abortion – threatens this progress. This paper examines the impact of the GGR on civil society, NGOs, and SRH service delivery in Nepal. We conducted 205 semi-structured in-depth interviews in 2 phases (August–September 2018, and June–September 2019), and across 22 districts. Interview participants included NGO programme managers, government employees, facility managers and service providers in the NGO and private sectors, and service providers in public sector facilities. This large, two-phased study complements existing anecdotal research by capturing impacts of the GGR as they evolved over the course of a year, and by surfacing pathways through which this policy affects SRH outcomes. We found that low policy awareness and a considerable chilling effect cut across levels of the Nepali health system and exacerbated impacts caused by routine implementation of the GGR, undermining the ecology of SRH service delivery in Nepal as well as national sovereignty.

Why the COVID-19 response needs International Relations

The COVID-19 pandemic affects all countries, but how governments respond is dictated by politics. Amid this, the World Health Organization (WHO) has tried to coordinate advice to states and offer ongoing management of the outbreak. Given the political drivers of COVID-19, we argue this is an important moment to advance International Relations knowledge as a necessary and distinctive method for inclusion in the WHO repertoire of knowledge inputs for epidemic control. Historical efforts to assert technical expertise over politics is redundant and outdated: the WHO has always been politicized by member states. We suggest WHO needs to embrace the politics and engage foreign policy and diplomatic expertise. We suggest practical examples of the entry points where International Relations methods can inform public health decision-making and technical policy coordination. We write this as a primer for those working in response to COVID-19 in WHO, multilateral organizations, donor financing departments, governments and international non-governmental organizations, to embrace political analysis rather than shy away from it. Coordinated political cooperation is vital to overcome COVID-19.

Doped and disclosed Anatomopolitics, biopower, and sovereignty in the Russian sports industry

In this article, we scrutinize a policy area in which the Russian government has had to react to negative publicity in the last few years, namely, the doping scandal surrounding the 2014 Sochi Winter Olympics. This scandal uncovered important aspects of Russia's vulnerability in the global sports milieu, yet so far, it has remained almost unnoticed in the literature on mega sports events in Russia. Our analysis is premised on the convergence of two types and techniques of control and regulation: anatomopolitics, which presupposes, in Michel Foucault's interpretation of the term, measures of control over individual bodies, and biopolitics, which refers to policy practices that target and concern the entire population. Their conflation in the Russian context results in a controversial effect: it strengthens relations of hegemony yet also exposes the sovereign power to the regulations of global sports organizations.

Does shared decision making respect a patient's relational autonomy?

According to many of its proponents, shared decision making ("SDM") is the right way to interpret the clinician-patient relationship because it respects patient autonomy in decision-making contexts. In particular, medical ethicists have claimed that SDM respects a patient's relational autonomy understood as a capacity that depends upon, and can only be sustained by, interpersonal relationships as well as broader health care and social conditions. This paper challenges that claim. By considering two primary approaches to relational autonomy, this paper argues that standard accounts of SDM actually undermine patient autonomy. It also provides an overview of the obligations generated by the principle of respect for relational autonomy that have not been captured in standard accounts of SDM and which are necessary to ensure consistency between clinical practice and respect for patient autonomy.

[Healthcare data and artificial intelligence: a geostrategic vision]

The rapid deployment of artificial intelligence (AI) and automation in healthcare is highlighting the importance of health data-driven management as a geostrategic lever. From this point of view, the progress made by the United States and China requires a strong European response to develop a responsible vision which adopts an approach aiming at the positive regulation of AI in healthcare.

Everyday sovereignty: International experts, brokers and local ownership in peacebuilding Liberia

The present article investigates how sovereignty is performed, enacted and constructed in an everyday setting. Based on fieldwork and interviews with international embedded experts about the elusive meaning of 'local ownership', we argue that while sovereignty may, indeed, be a model according to which the international community 'constructs' rogue or failed polities in 'faraway' places, this view overlooks that these places are still spaces in which contestations over spheres of authority take place every day, and thus also spaces in which sovereignty is constructed and reconstructed on a daily basis. Local ownership, then, becomes our starting point for tracing the processes of the everyday enactment of sovereignty. We make the case that sovereignty should not be reified, but instead be studied in its quotidian and dynamic production, involving the multiplicity of actors reflecting the active production of the state beyond its presumptive existence as a homogeneously organized, institutionalized and largely centralized bureaucracy.

Sovereign Rules and Rearrangements: Banning Methadone in Occupied Crimea

In 2014, Russian authorities in occupied Crimea shut down all medication-assisted treatment (MAT) programs for patients with opioid use disorder. These closures dramatically enacted a new political order. As the sovereign occupiers in Crimea advanced new constellations of citizenship and statehood, so the very concept of "right to health" was re-tooled. Social imaginations of drug use helped single out MAT patients as a population whose "right to health," protected by the state, would be artificially restricted. Here, I argue that such acts of medical disenfranchisement should be understood as contemporary acts of statecraft.

Health, sovereignty and imperialism: The Royal Navy and infectious disease in Japan's treaty ports

During the 1860s and 1870s, the British Royal Navy was a major presence in Japanese treaty ports and influenced the development of public health in those cities in significant ways. This paper compares the Navy's response to two of the major infectious disease issues in the treaty ports-cholera and venereal disease-with that of the Japanese. Its aim is to determine whether the presence of foreign powers that enjoyed significant extraterritorial rights served to stimulate or frustrate sanitary intervention. It is argued that while there was common ground between the approaches advocated and taken by the British and the Japanese in relation to venereal diseases, the British presence proved disruptive when it came to the control of cholera during the epidemic of 1877; an epidemic that appears to have originated on a British naval vessel.

Europeanisation, Sovereignty and Contested States: The EU in northern Cyprus and Palestine

Combining the literature on sovereignty and Europeanisation, this article investigates the engagement and impact of the European Union (EU) on contested states (states lacking recognition) through a comparative study of the Turkish Republic of Northern Cyprus (TRNC) and Palestine. We find that characteristics of contested statehood mediate EU engagement and impact: the lack of international recognition limits EU's engagement but encourages development promotion, international integration and assistance of local civil society. Lack of territorial control limits engagement, but ineffective government offers opportunities for development promotion and state-building. As such, and in addition to offering a rich empirical account of two prominent contested states, the article contributes to the discussion of international engagement by developing an innovative conceptual framework for understanding EU's impact on contested states-a topic neglected within a literature dominated by conventional statehood or conflict resolution themes but very important given extensive international engagement in contested states-and related conflicts.

The limits of historical sociology: Temporal borders and the reproduction of the 'modern' political present

This article develops a poststructuralist critique of the historical sociology of International Relations project. While the historical sociology of International Relations project claims to offer a more nuanced understanding of the state and the international, this article argues that it lacks critical reflection on the notion of a common ground on which 'history' and 'sociology' can successfully be combined. In order to problematize this 'ground', the article turns to Jacques Derrida's critique of attempts to solve the history-structure dichotomy by finding a perfect combination of historicist and structuralist modes of explanation. Exploring the implications of Derrida's critique, the article considers how the combination of 'history' and 'sociology' can be linked to a sovereign politics of time, which reaffirms rather than challenges the limits of the 'modern' political present and its relationship to the past, as well as the future. In response, it is suggested that a more radical critique is needed, one that seeks to disrupt the 'modern' political present and the contingent ground on which it rests.

Between a rock and a hard place: Smoking trends in a Manitoba First Nation

OBJECTIVES

The purpose of this study is to estimate and compare smoking prevalence over two time periods in a Manitoba First Nation community.

METHODS

Data fromtwo independent Diabetes Screening Studies in Sandy Bay First Nation, collected in 2002/2003 (n = 482) and 2011/2012 (n = 596),were used. Crude prevalence of current and ever smoking as well as current smoke exposure was estimated. Change over time was tested using a χ² statistic.

RESULTS

The crude prevalence of current smoking was 74.0% (95% confidence interval [CI]: 70.1, 78.0) in 2002/2003 and 80.0% (95% CI: 76.8, 83.2) in 2011/2012. The crude prevalence of ever smoking was 83.0% in 2002/2003 and 91.4% in 2011/2012. The prevalence of both current smoking status and ever smoking were significantly higher in 2011/2012 compared to 2002/2003 (p = 0.020 and p < 0.001 respectively). Among participants who were not current smokers, 58.5% (95% CI: 49.6, 67.4) and 76.5% (95% CI: 68.9, 84.1) reported at least one person who smoked in the home in 2002/2003 and 2011/2012 respectively (p = 0.003). In 2011/2012, 96.5% (95% CI: 94.8, 98.2) of those who reported having any children under the age of 18 living in the home were either a current smoker and/or reported that someone else smoked in the home.

CONCLUSION

Public health and policy initiatives are needed to address the increase in smoking prevalence in the study community.

"It's All About the Body": The Bodily Capital of Armed Response Officers in South Africa

In this article, I analyze the role of bodily capital in the daily policing practices of armed response officers, a specific type of private security officers, in Durban, South Africa. Based on 20 months of ethnographic fieldwork, I argue that the masculinized bodily capital of armed response officers is a key source of their sovereign power; it plays a central role in how they acquire and exert authority. Furthermore, I argue that an analysis of bodily capital should not solely analyze the actual flesh of the body, but must include particular equipment (such as bulletproof vests and firearms) that is experienced as a part of the body.

Introduction to the issue of state sovereignty and humanitarian action

There has been greater discussion among humanitarians in recent years about the rise in the number of 'strong states', and the suggestion has been made that states are increasingly reasserting their sovereignty. This introduction to this special issue of Disasters on 'State Sovereignty and Humanitarian Action' contends that it is not states that have changed, but rather the international framework that surrounds humanitarian action. The latter has altered so substantially that a fundamental gap has developed between states and international humanitarian actors in terms of describing what sovereignty entails and how it is expressed. At the heart of this dilemma are the urgent needs of people caught up in crises, whose well-being becomes the contested ground on which states and humanitarian actors clash. This paper explores the current and historical dimensions of these shifts, and provides a conceptual overview for this special issue.

Invitation withdrawn: humanitarian action, United Nations peacekeeping, and state sovereignty in Chad

This paper looks at the three-way relationship between the Government of Chad, humanitarians, and the United Nations Mission in the Central African Republic and Chad (MINURCAT) from 2004 until June 2011. Chad was never comfortable with the international presence of either humanitarians or peacekeepers and asserted its sovereignty increasingly during this period. MINURCAT was deployed in 2008 to protect humanitarian workers and to facilitate the provision of humanitarian assistance in eastern Chad. This association between the UN mission and humanitarian agencies contributed to making the latter the target of repressive practices by the government, such as the imposition of armed escorts. Facing a steep learning curve, Chad and its state officials gradually appropriated the discourse of the humanitarian and international community and ultimately, in 2010, requested the departure of MINURCAT, claiming that they could meet the protection needs of vulnerable populations in eastern Chad on their own.

Conducting research with tribal communities: sovereignty, ethics, and data-sharing issues

BACKGROUND

When conducting research with American Indian tribes, informed consent beyond conventional institutional review board (IRB) review is needed because of the potential for adverse consequences at a community or governmental level that are unrecognized by academic researchers.

OBJECTIVES

In this article, we review sovereignty, research ethics, and data-sharing considerations when doing community-based participatory health-related or natural-resource-related research with American Indian nations and present a model material and data-sharing agreement that meets tribal and university requirements.

DISCUSSION

Only tribal nations themselves can identify potential adverse outcomes, and they can do this only if they understand the assumptions and methods of the proposed research. Tribes must be truly equal partners in study design, data collection, interpretation, and publication. Advances in protection of intellectual property rights (IPR) are also applicable to IRB reviews, as are principles of sovereignty and indigenous rights, all of which affect data ownership and control.

CONCLUSIONS

Academic researchers engaged in tribal projects should become familiar with all three areas: sovereignty, ethics and informed consent, and IPR. We recommend developing an agreement with tribal partners that reflects both health-related IRB and natural-resource-related IPR considerations.

Changing state structures: outside in

In explaining the development of institutional structures within states, social science analysis has focused on autochthonous factors and paid less attention to the way in which external factors, especially purposive agent-directed as opposed to more general environmental factors, can influence domestic authority structures. For international relations scholarship, this lacunae is particularly troubling or perhaps, just weird. If the international system is anarchical, then political leaders can pursue any policy option. In some cases, the most attractive option would be conventional state to state interactions, diplomacy, or war. In other instances, however, changing the domestic authority structures of other states might be more appealing. In some cases, domestic authority structures have been influenced through bargaining, and in others through power. Power may reflect either explicit agent-oriented decisions or social processes that reflect the practices, values, and norms of more powerful entities.