Exploration on terrorism, ecological footprint and environmental sustainability in countries with the most terrorism antecedent: Accessing evidence from panel fourier analysis

Amidst increased concerns for global security and ecological balance, the intricate interconnectedness between terrorism and environmental sustainability has attracted significant attention in the existing literature. To this end, the present study explores the interaction among environmental degradation, terrorism, and foreign direct investments in 17 countries with the most terrorism antecedents over the 2002-2018 period through the Panel Fourier cointegration test and the Panel Fourier Toda-Yamamoto causality test. The present study also leverages recent and robust panel analysis for evidence-based results and inferences for policy formulation. The panel Fourier cointegration test presents the cointegration relationship between the outline variables under review. Empirical findings highlight that terrorism does not have a significant influence on the ecological footprint. However, foreign direct investment has a positive influence on the ecological footprint. These findings have implications for environmental sustainability and foreign direct investment inflows in the bloc investigated. More insights are discussed in the concluding section with policy caveats.

From Envy to Radicalization

Models of radicalization have typically placed grievances at the heart of radicalization. In contrast, we argue that viewing the radicalizing agent as decidedly proactive, and less reactive, better accounts for the available data. At the core of our radicalization model is the functional structure of envy. The operative properties of the emotion align with essential and conspicuous features of the radicalization process: a motivation to monitor social differentials, an identification of sources of postulated welfare costs, an impulse to eliminate or depower purported competitors, an attempt to diffuse responsibility for one's aggressive actions, and the rejoicing at the envied agent's misfortune. Two of those operative properties are particularly important for our understanding of radicalization. Envy motivates the neutralization of competitors when responsibility for welfare costs is not objectively attributable to others' wrongdoing toward the party who feels injured. The "process of typification" serves as a means to diffuse responsibility. It extends the reach of individual concerns by downplaying the particulars of the personal situation motivating the envious agent while evoking universally shared interaction templates (e.g., humiliation, injustice) to appeal to a broader audience.

The short-term impact of terrorism on public mental health: an emergency primary care approach

BACKGROUND

Terrorist attacks commonly have mental health consequences for those directly affected. Existing research is, however, divided when it comes to how and whether terrorist attacks affect the general population's mental health. There is a need for studies investigating a broader range of mental health reactions to understand more about how different groups of the population are affected by terrorist attacks, while also illuminating important systemic factors.

METHODS

In this study we investigated whether there was any change in the number of consultations with out-of-hours emergency primary care for psychological reactions in association with the 2011 terrorist attacks in Norway. Data covering the entire Norwegian population's primary care contacts in 2008-2013, where the reason for encounter was coded as psychological concerns or psychiatric disorders, were studied. A time series intervention analysis, using ARIMA modelling, was used to estimate whether there was indeed a change in healthcare utilisation associated with the terrorist attacks.

RESULTS

The analysis uncovered an increase in contacts with emergency primary care by the overall population for mental health concerns associated with the terrorist attacks. When divided into groups according to geographical proximity to attacks, no significant change was found in the area closest to the attack in Oslo, whereas an increase was found for the rest of the country. There was also heterogeneity across different age groups. An increase was found among youths, young adults, and middle-aged people, but not the other age groups, and an increase was found for both men and women.

CONCLUSIONS

These findings highlight the need for primary care services to be prepared to meet mental health reactions in the general population when planning for healthcare provision in the aftermath of terrorism. Simultaneously, it should be noted that needs may vary across different groups of the population.

The anatomy of stadium disasters: causes, consequences and safeguarding the future from a medical perspective

INTRODUCTION

Stadiums are an important part of the entertainment and sporting cultures of communities around the world, but the combination of outdated infrastructure with poor safety planning, large numbers of people gathering within a confined space, and the high frequency of such events have led to a number of significant disasters in the past. This is a descriptive analysis of stadium disasters occurring between 1901 and 2021 which may provide useful insight for event safety personnel and disaster medicine specialists to better prevent and mitigate the effects of potential future stadium disasters.

DESIGN AND METHODS

Data were collected using a retrospective database search of the Emergency Events Database (EM-DATS) for all stadium-related accidental disasters occurring between January 1, 1901 - and July 30th, 2022. A disaster is defined by Centre for Research on the Epidemiology of Disasters (CRED) in its glossary as 'technological accidents of an industrial nature, or involving industrial buildings'. All categories and definitions are predetermined by the EM-DATS as per their glossary.

RESULTS

The 24th May 1964 Estadio Nacional disaster in Lima, Peru, was the worst (in terms of deaths) to date with 350 deaths. This is followed by the 1982 Luzhniki Stadium disaster in Moscow, Russia (340 deaths), the 2001 Accra Sport Stadium disaster in Ghana (123 deaths), and the 1985 Hillsborough Stadium disaster in Sheffield, England (96 deaths). Fourteen of the 40 stadium disasters occurred in Africa, 11 in Europe, 10 in the Americas, and five in Asia.

CONCLUSION

A total of 40 stadium disasters were included, leading to 2025 deaths and 6640 injuries. This equated to an average of 50.6 deaths and 166.0 injuries per disaster. Given the potential risk of mass casualty events, stadiums should incorporate disaster medicine education, training, and expertise in their emergency medical plans.

[Resilience of German clinics in amok and terrorist situations : Results of an online-based survey in German emergency departments]

BACKGROUND

As a critical infrastructure (CRITIS) and soft target with high symbolic power, hospitals have to prepare for terrorist attacks, rampages, and establish damage-prevention measures.

METHOD

The terrorist threat situation was quantified using an evaluation of the terrorist event database (TED) from 1970 to 2017. Additionally, the threat perception and precautionary measures were recorded by an online survey among the leaders of German emergency departments.

RESULTS

The TED-evaluation shows an international increase in terrorist attacks on medical facilities, especially in civil war countries and the USA. The use of explosives caused a large number of injuries and deaths during the examined time period. Most online respondents felt that preparing the clinic for terrorist scenarios in their hospital emergency preparedness planning was important. Suitable measures were, however, often not established in hospital emergency preparedness planning. Only 59% dealt with the care of the injured due to a terrorist attack and only 34% with securing the infrastructure.

CONCLUSION

German clinics should consider themselves as critical infrastructure and potential targets of terrorist attacks and prepare themselves for terrorist threats. Many measures that could be implemented cheaply have not been utilized in the clinics and should be integrated promptly into both hospital emergency preparedness planning and daily routines.

Communication failure in the prehospital response to major terrorist attacks: lessons learned and future directions

INTRODUCTION

Communication is key in efficient disaster management. However, in many major incidents, prehospital communication failure led to insufficient upscaling, safety concerns for the emergency responders, logistical problems and inefficient disaster management.

METHODS

A review of medical reports and news articles of mass-casualty terrorist attacks was performed using PubMed-archived and (non-)governmental reports. The terrorist attacks in Tokyo 1995, Oklahoma 1995, Omagh 1998, New York 2001, Myyr-manni 2002, Istanbul 2003, Madrid 2004, London 2005, Oslo/Utøya 2011, Boston 2013, Paris 2015, Berlin 2016, Brussels 2016, Wuerzburg 2016, Manchester 2017, London 2017 were included.

RESULTS

In all mass-casualty terrorist attacks, communication failure was reported. Some failures had significant impact on casualty numbers. Outdated communication equipment, overwhelmed communication services, failure due to damaged infrastructure by the terrorist attack itself, and lack of training were the major issues. Communication failures were most commonly observed in both attacks between 1995-2009 and 2011-2017.

DISCUSSION

Communication failure was reported in all mass-casualty terrorist incidents. In several cases, communication between the different responding actors was poor or non-existing. Malfunctioning of (outdated) telecommunication services, inadequate training in the use of communication devices, unfortunate damage of telecommunication network infrastructure were also worrisome.

CONCLUSION

Despite reports of lessons learned in previous EMS responses, communication failures were still reported in most recent terrorist attacks. Governments should provide sufficient resources to equip hospitals, emergency departments, and ambulance services with (back-up) communication systems and invest in training. A European registration system is warranted. We provide proposals for improvement.

An integrated deep-learning and multi-level framework for understanding the behavior of terrorist groups

Human security is threatened by terrorism in the 21st century. A rapidly growing field of study aims to understand terrorist attack patterns for counter-terrorism policies. Existing research aimed at predicting terrorism from a single perspective, typically employing only background contextual information or past attacks of terrorist groups, has reached its limits. Here, we propose an integrated deep-learning framework that incorporates the background context of past attacked locations, social networks, and past actions of individual terrorist groups to discover the behavior patterns of terrorist groups. The results show that our framework outperforms the conventional base model at different spatio-temporal resolutions. Further, our model can project future targets of active terrorist groups to identify high-risk areas and offer other attack-related information in sequence for a specific terrorist group. Our findings highlight that the combination of a deep-learning approach and multi-scalar data can provide groundbreaking insights into terrorism and other organized violent crimes.

[Keeping the big picture in Terror-MASCAL-A new hospital concept]

BACKGROUND

Two key positions have been defined for the in-house management of patients in the context of a terrorism-related mass casualty incident (Terror-MASCAL). The senior triage coordinator (LArS) categorizes the injured according to injury severity using algorithms. The central operational and medical coordinator (ZONK) disposes and prioritizes the injured for treatment measures, considering the injury severity and the available treatment capacities. The dynamics and complexity of a Terror-MASCAL combined with the high number of patients requires comprehensible documentation.

MATERIAL AND METHODS

The evaluation of an incident exercise of a Terror-MASCAL revealed deficits in its documentation. Based on the deficits identified, requirements have been defined. The article presents the management and documentation aids of a German national trauma center.

RESULTS

The hospital with its currently available resources is abstractly represented via the Trauma Tactics Board (TTB). Patients with their individual injuries are represented by identification cards on the TTB. The ZONK can prioritize and dispose further treatment based on the information about the available resources and the patient-specific injury pattern. The patient registry continues to document the patient's other medical findings. Important external and internal information is noted in an event register. The entire documentation process on the TTB is documented by camera.

CONCLUSION

Documentation aids are required to fulfil the core tasks of the ZONK. By using the documentation aids, a hospital can prepare for a Terror-MASCAL within a short time. Lack of daily practical application of the documentation aids should be compensated for by regular practice and interdisciplinary exchange of experience.

Should I stay or should I go? The effect of London's terrorist attack on the educational choices of Muslims

This paper evaluates how the July 2005 London terrorist attacks affected Muslim teenagers' education plans and decisions. The attacks triggered a violent backslash against the Muslim community, which could have affected their incentives to continue in full-time education. I examine panel data on educational attitudes from the "Next Steps" Survey in England and use the month the survey was administered to divide individuals into treatment and control groups. I find that the attacks negatively affected the education plans of Muslims, but not those of any other major religious group. The probability of planning to continue in non-compulsory full-time education decreased by around 4.4% points for Muslims after the attacks. This corresponds to a 69% increase in individuals who were not sure whether to continue or drop out of full-time education. However, this change in plans appears to be a temporary reaction, since it did not affect students' actual decisions two years later.

Border Governance, Migration Securitisation, and Security Challenges in Nigeria

Nigerian politicians accuse foreigners of contributing to the many security challenges in the country. As a result, the government of Nigeria securitised foreigners' immigration to justify its policy of land border closure in 2019, which it claimed was aimed at mitigating the security problems bedevilling Nigeria. This study analyses how Nigeria's national security is impacted by the securitisation of border governance and migration. Relying on the securitisation theory and qualitative methods based on focus group discussions, key informant interviews, and desk reviews of existing literature, it found that the securitisation of migration to establish strict border governance represents the interests of the political elite who have failed to address security challenges in Nigeria. The study concludes that government should de-securitise foreigners' immigration by addressing underlying domestic and external factors driving insecurity in Nigeria.

Preparing for the unexpected: a comparative study of policies addressing post-terror health reactions in Norway and France

BACKGROUND

In the wake of terrorist attacks, protecting the health and psychosocial wellbeing of those affected and the general population, are important tasks for the healthcare system. The responses to such emergencies are often complex, including different phases and many actors, and may unveil insufficiencies that incite reforms to existing systems. Recently, initiatives have been promoted to strengthen cooperation and coordination regarding the governance of health threats in Europe. Comparative research is requested on how states prepare for health emergencies such as terrorist attacks. This study investigated how governments in two European countries with universal health coverage prepared to address the civilian population's health needs after terrorist attacks, and the factors that contributed to shaping their chosen approach.

METHODS

Utilizing document analysis and Walt and Gilson's model for the analysis of health policy, national plans for post-terror health responses in Norway and France were studied with a focus on context, process, content, and actors.

RESULTS

Whereas target groups for psychosocial care and certain measures were similar in both cases, the contents of prescribed policies and the actors responsible for enacting them differed. One of the most distinct differences was to what extent specialized mental healthcare was relied upon to provide psychosocial follow-up in the emergency phase. In the French approach, specialized mental healthcare practitioners, such as psychiatrists, psychologists and psychiatric nurses, provided early psychosocial support. In contrast, the Norwegian approach relied on interdisciplinary primary care crisis teams in the local municipalities to provide early psychosocial support, with further involvement of specialized mental healthcare if this was considered necessary. Historical, political, and systemic differences contributed to the variation in the countries' responses.

CONCLUSIONS

This comparative study highlights the complexity and diversity of health policy responses to terrorist attacks across countries. Moreover, challenges and opportunities for research and health management in response to such disasters, including possibilities and potential pitfalls for the coordination of this work across Europe. An important first step could be to map out existing services and practices across countries to better understand if and how common core elements for psychosocial follow-up might be implemented internationally.

Brain fingerprinting field study on major, terrorist crimes supports the brain fingerprinting scientific standards hypothesis: classification concealed information test with P300 and P300-MERMER succeeds; comparison CIT fails

We conducted (I) 18 event-related potential (ERP) field tests to detect concealed information regarding major terrorist crimes and other real-world crimes and (II) 5 ERP tests regarding participation in a classified counterterrorism operation. This study is a test of the brain fingerprinting scientific standards hypothesis: that a specific set of methods for event-related potential (ERP) concealed information tests (CIT) known as the brain fingerprinting scientific standards provide the sufficient conditions to produce less than 1% error rate and greater than 95% median statistical confidence for individual determinations of whether the tested information is stored in each subject's brain. All previous published results in all laboratories are compatible with this hypothesis. We recorded P300 and P300-MERMER ERP responses to visual text stimuli of three types: targets contain known information, irrelevants contain unknown/irrelevant information, and probes contain the situation-relevant information to be tested, known only to the perpetrator and investigators. Classification CIT produced significantly better results than comparison CIT, independent of classification criteria. Classification CIT had 0% error rate; comparison CIT had 6% error rate. As in previous studies, classification-CIT median statistical confidences were approximately 99%, whereas comparison CIT statistical confidences were no better than chance for information-absent (IA) subjects (who did not know the tested information). Over half of the comparison-CIT IA determinations were invalid due to a less-than-chance computed probability of being correct. Experiment (I) results for median statistical confidence: Classification CIT, IA subjects: 98.6%; information-present (IP) subjects (who know the tested information): 99.9%; comparison CIT, IA subjects: 48.7%; IP subjects: 99.5%. Experiment (II) results (Classification CIT): error rate 0%, median statistical confidence 96.6%. Countermeasures had no effect on the classification CIT. These results, like all previous results in our laboratory and all others, support the brain fingerprinting scientific standards hypothesis and indicate that the classification CIT is a necessary condition for a reliable, accurate, and valid brainwave-based CIT. The comparison CIT, by contrast, produces high error rates and IA statistical confidences no better than chance.

Supplementary Information

The online version contains supplementary material available at 10.1007/s11571-022-09795-1.

Terrorist attacks against emergency departments

INTRODUCTION

Emergency departments (EDs) play an integral role in a community's response to disaster. Terrorist attacks targeting EDs have the potential to disrupt the emergency response apparatus. Understanding prior attacks against EDs can yield important lessons to mitigate the impact of future violence.

METHODS

In this review, the authors used the Global Terrorism Database to conduct a search on terrorist attacks targeting EDs between 1970 and 2018. Using the search terms "doctor," "nurses," "hospital," "healthcare," "clinic," "vaccinators," and "vaccinations," a total of 2322 healthcare-specific incidents were isolated. The database was further narrowed down to terrorist attacks targeting EDs, using the search terms "emergency," "emergency department," and "emergency ward."

RESULTS

A total of six attacks involving five countries were isolated. These attacks occurred between 1991 and 2016, with the majority involving the use of explosive devices, killing a total of 57 victims and leaving 26 wounded.

CONCLUSION

Attacks against EDs, while rare, have the potential to lead to loss of life through both the direct attack and subsequent disruptions to healthcare.

Terrorist Attacks Against Firefighters, 1970-2019

Firefighters are a critical component of the emergency response system and therefore a potential target for organizations seeking to disrupt this system. Terrorist organizations may deliberately attack firefighters to both increase the devastation of an attack and impair the affected community's ability to respond to an attack. We performed a focused search of the Global Terrorism Database to identify terrorist attacks against firefighters worldwide. The database includes incidents from 1970 through 2019, with a total of 201,183 entries. These entries were searched for incidents involving firefighters or fire trucks. We analyzed trends in the number of incidents occurring per year, regions of the world impacted, methods employed, and number of casualties inflicted. A total of 42 attacks involving firefighters were identified in the Global Terrorism Database resulting in 26 deaths and 95 wounded. Of the 42 attacks, 12 (28.6%) were secondary attacks, where firefighters responding to an initial attack were themselves targeted. The most common method for both primary and secondary attacks was the use of a bomb or explosive. Although attacks against firefighters are uncommon, they highlight both the strategic value and vulnerability of firefighters to terrorist attacks. Increased efforts must be made to protect firefighters from future terrorist attacks.

[Medical civil protection in Germany-a Greek tragedy?]

In terms of civil protection, there is nothing against self-critical reflection of events, such as the coronavirus disease 2019 pandemic, and learning lessons from them. In the past, however, this has often not led to anticipating future situations, their consequences, and better preparation. To some extent, this seems like a Greek tragedy: conscious disregard-except that this must not be fate. In addition to pandemics, important scenarios for which civil protection in Germany is inadequately prepared, according to the author's assessment, include attacks and accidents involving CBRN (chemical, biological, radiological, nuclear) hazardous substances, mass casualties in the event of a terror attack with hospitals or rescue services as the target of the attacks, as well as prolonged power or drinking water failures, and disruptions in information and communication structures following cyberattacks. There is an urgent need to identify existing problems and demand functional concepts for hospitals, rescue services, and rapid response teams. Responsible authorities, in turn, must develop, finance, and implement concepts.

Education, training and technological innovation, key components of the ESTES-NIGHTINGALE project cooperation for Mass Casualty Incident preparedness in Europe

Disasters induced by extreme weather events and terrorism-related activities, causing mass casualty incidents (MCIs) in Europe, are expected to increase in the upcoming years. This challenging scenario demands a high level of readiness and coordinated multi-disciplinary response to reduce morbidity and mortality. The European Society of Trauma and Emergency Surgery (ESTES) is one of the 23 partners of the European-funded project Novel Integrated Toolkit for Enhanced Pre-Hospital Life Support and Triage in Challenging and Large Emergencies (NIGHTINGALE), whose primary objective is to promote the exchange in experiences and define the best practices among first responders. Additionally, the project promotes multi-disciplinary and multi-institutional efforts to achieve technological innovation that will enhance preparedness in MCI management. This manuscript aims to describe the challenges of MCI triage, the education and training programs for MCI response in Europe, and the technological innovation that may aid optimal response. These three elements were discussed by ESTES Disaster and Military Surgery Section members during the German Society for Trauma Surgery session at the ECTES 2022 in Oslo "TDSC^® and beyond: ideas and concepts for education and training in Terror Preparedness", additionally the manuscript describes the first steps of the cooperation between ESTES and the rest of the NIGHTINGALE consortium.

Healthcare utilization after mass trauma: a register-based study of consultations with primary care and mental health services in survivors of terrorism

BACKGROUND

Knowledge on healthcare utilization after mass trauma is needed to strengthen the public health preparedness to such incidents. Using register-based data, this study had a unique opportunity to investigate how young survivors' use of primary care physicians (PCP) and mental health services (MHS) changed after a terrorist attack.

METHODS

We examined register-based data on PCP and MHS consultations among 255 survivors (52% male) of the 2011 Utøya youth camp attack in Norway 3 years before and after the attack, and their reason for encounter with the PCP according to the International Classification for Primary Care (ICPC- 2).

RESULTS

The PCP and MHS consultation rates (CR) were higher in female than male survivors both acutely and at long-term. The mean yearly CRs increased from 2.25 to 4.41 for PCP and 1.77 to 13.59 for MHS the year before and after the attack in female survivors, and from 1.45 to 3.65 for PCP and 1.02 to 11.77 for MHS in male survivors. The third year post-attack CRs for PCP were 3.55 and 2.00; and CRs for MHS were 5.24 and 2.30 in female and male survivors, respectively. Among female survivors, 76% consulted PCP and 12% MHS the year preceding the attack; post-attack 93% consulted PCP and 73% MHS the first year; decreasing to 87 and 40% the third year. Among male survivors, 61% consulted PCP and 7% MHS the year preceding the attack; post-attack 86% consulted PCP and 61% MHS the first year, and 67 and 31% the third year. As for PCP consultations, there was a particular increase in psychological reasons for encounter following the attack.

CONCLUSIONS

This study indicates that it is important to anticipate an increased healthcare utilization several years following mass trauma, particularly of MHS. Both PCP and MHS practitioners played important roles in providing healthcare for psychological problems in young survivors of terrorism in a country with universal and largely publicly financed healthcare and a gatekeeping system. The healthcare utilization could be different in countries with other health systems or psychosocial care responses to mass trauma.

Detection of dangerous events on social media: a critical review

The usability of the events information on social media has been widely studied recently. Several surveys have reviewed the specific type of events on social media using various techniques. Most of the existing methods for event detection are segregated as they approach certain situations that limit the overall details of events happening consecutively on social media while ignoring the crucial relationship between the evolution of these events. Numerous events that materialize on the social media sphere every day before our eyes jeopardize people's safety and are referred to by using a high-level concept of dangerous events. The front of dangerous events is broad, yet no known work exists that fully addresses and approaches this issue. This work introduces the term dangerous events and defines its scope in terms of practicality to establish the origins of the events caused by the previous events and their respective relationship. Furthermore, it divides dangerous events into sentiment, scenario, and action-based dangerous events grouped on their similarities. The existing research and methods related to event detection are surveyed, including some available events datasets and knowledge-base to address the problem. Finally, the survey is concluded with suggestions for future work and possible related challenges.

Physical inactivity among internally displaced persons in Nigeria

Background

Physical inactivity may complicate physical and mental health problems among internally displaced persons (IDPs). This study aimed to assess the prevalence of physical inactivity and its sociodemographic correlates among IDPs in Northeastern Nigeria.

Methods

A total of 363 participants recruited from four IDP camps were categorized into physically inactive and active using International Physical Activity Questionnaire. Multiple logistic regression was used to explore the association between physical inactivity and sociodemographic correlates.

Results

The prevalence of physical inactivity was 36.2%. Those who were males (Odd Ratio (OR) = 4.52, 95% Confidence Interval (CI) = 2.33 to 8.78) and Kanuri (OR = 2.53, 95% CI = 1.44 to 4.45) were more likely to be physically inactive. Younger participants were less likely to be physically inactive than those who were aged >49 years old.

Conclusion

There is a high prevalence of physical inactivity among IDPs in Nigeria, and we found important sociodemographic factors associated with physical inactivity.

Preparing railway stakeholders against CBRNe threats through better cooperation with security practitioners

This paper presents partial results from the Horizon2020 PROACTIVE project, following a set of literature reviews and surveys conducted with first responder organisations and rail security experts. Qualitative and quantitative data from two surveys are being presented. The results provide an overview of the CBRNe (Chemical, Biological, Radiological, Nuclear and explosive) preparedness and response capabilities of railway stakeholders and how these relate to a wider context represented by CBRNe first responders. The results highlight a set of challenges as well as five core skills that railway staff need to develop or improve: 1) understand the specific characteristics of the CBRNe threat, 2) develop basic response measures, 3) cooperate with authorities and train with specialised first responders, 4) improve public awareness about this threat, and 5) optimise crisis communication. In line with these, project PROACTIVE will further help update rail crisis management plans with practical recommendations concerning the CBRNe threat.

Decomposing the asymmetric effects of terrorism and FDI on carbon emission: evidence from fragile economies

Terrorism is a universal phenomenon that creates economic, political, social, and environmental problems. The literature infers that little consideration is delivered to the nexus of terrorism and pollution emissions. To the best of the authors' knowledge, this study is a pioneer that investigates the linear/symmetric and non-linear/asymmetric impacts of foreign direct investment and terrorism on the CO₂ emissions for ten fragile economies. For the empirical task, the study collected data for time 1973 to 2019 and employed ARDL and NARDL approaches. The findings demonstrate an asymmetric association between foreign direct investment (FDI), terrorism, and CO₂ emissions. The findings infer that positive changes in FDI and terrorism have a significant positive impact on CO₂ emissions. However, the negative changes in FDI and terrorism significantly impact CO₂ emissions in most economies. Furthermore, the NARDL approach delivers more explanatory and powerful estimates for selected countries in contrast to the ARDL approach. On the basis of these findings, the study delivers some appropriate policies to combat terrorism.

Contrasting extremism and radicalisation in a syndemic society

The purpose of this document is to make recommendations on the necessity to transform current P/CVE policies, emphasizing the importance of a more effective involvement of Politics to contrast the spread of extremism and radicalisation in Europe. In fact, in a syndemic and post-Caliphate world, problems and challenges toward political violence are more and more institutional, systemic, and political. According to the first HORIZON2020 PARTICIPATION PROJECT's results, the crisis of participation and the crisis of integration are closely linked to current extremism and radicalisation processes; at the same time, fragmentation, interrelation between different kind of extremism and hybridisation, request a new approach that involve, in a more effective way, civil society and political society to contrast extremism, radicalisation and terrorism.

Association Between Feeling Threatened, Behaviour and Symptoms of Anxiety and Depression: Two and a Half Years After the Terrorist Attacks in Belgium

Feeling threatened by terrorism can be associated with mental health problems and behavioural changes. However, few studies look at the association in the long-term. Using a survey, the population in Brussels, Belgium was studied using a representative database delivered by the national post service. The Patient Health Questionnaire-4 (PHQ-4) assessed mental health, and self-made questions avoidance behaviour. 170 people answered: 60% women and 50% higher educated, 28.2% between 56 and 65 years and 62.4% had a partner. 43.5% felt threatened by the terrorist attacks and 45.9% experienced no mental health problems. Both terrorist threat (p < 0.001) and avoidance behaviour (p < 0.001) significantly predicted PHQ-4 scores, while controlling for gender, age, social support, education level, and traumatic events. There is a relation between terrorist threat and anxiety/depressive symptoms 2.5 years after the last study on terrorist threat in Brussels, but it has weakened. Avoidance behaviour seems to be more present than threat.

QAnon: The Calm Before the Storm

QAnon, a group of conspiracy theorists dedicated to the overthrow of the deep state and the facilitation of the rapture, has been growing in strength and prominence since its inception in 2017. Originally started as an anonymous post on a message board, the collective has increased in membership, geographic footprint, and ideological reach. QAnon initiates have also expanded their repertoire of tactics, evolving from online chatter to rallies and, finally, to violent attacks, leading law enforcement to opine that the group may incite incidents of domestic terrorism. Although this outcome is possible, predictions of this kind have less merit unless supported by systematic analysis of the evidence. This essay attempts to address this need by providing an empirically grounded prediction of the future of QAnon. Specifically, it summarizes the results of comparative case analyses, which consists of examining groups and collectives that are comparable to QAnon on key factors and applying their trajectories to QAnon. Case comparisons indicate that QAnon may continue to grow in membership size and regional presence. In addition, QAnon members may persist in their use of violence, leading to an increase in the number and severity of their attacks.

Psychosocial care responses to terrorist attacks: a country case study of Norway, France and Belgium

Background

The international terrorism threat urges societies to invest in the planning and organization of psychosocial care. With the aim to contribute to cross-national learning, this study describes the content, target populations and providers of psychosocial care to civilians after terrorist attacks in Norway, France and Belgium.

Methods

We identified and reviewed pre- and post-attack policy documents, guidelines, reports and other relevant grey literature addressing the psychosocial care response to terrorist attacks in Oslo/Utøya, Norway on 22 July 2011; in Paris, France on 13 November 2015; and in Brussels, Belgium on 22 March 2016.

Results

In Norway, there was a primary care based approach with multidisciplinary crisis teams in the local municipalities. In response to the terrorist attacks, there were proactive follow-up programs within primary care and occupational health services with screenings of target groups throughout a year. In France, there was a national network of specialized emergency psychosocial units primarily consisting of psychiatrists, psychologists and psychiatric nurses organized by the regional health agencies. They provided psychological support the first month including guidance for long-term healthcare, but there were no systematic screening programs after the acute phase. In Belgium, there were psychosocial intervention networks in the local municipalities, yet the acute psychosocial care was coordinated at a federal level. A reception centre was organized to provide acute psychosocial care, but there were no reported public long-term psychosocial care initiatives in response to the attacks.

Conclusions

Psychosocial care responses, especially long-term follow-up activities, differed substantially between countries. Models for registration of affected individuals, monitoring of their health and continuous evaluation of countries’ psychosocial care provision incorporated in international guidelines may strengthen public health responses to mass-casualty incidents.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12913-022-07691-2.

The impact of COVID-19 on the living and survival conditions of internally displaced persons in Burkina Faso

In recent years, as in other parts of the Sahel, the threat of terrorism has escalated in Burkina Faso. In 2019, this country hosted the fourth highest number of new conflict-related internal displaced persons (IDPs) in the world. These people have to cope simultaneously with the full spectrum of environmental, social and health-related stresses in the long, medium and short term, respectively. We seek to compare the living conditions of IDPs before and during the lockdown implemented by the authorities (between 27 March and 5 May 2020) to contain the spread of the virus. Interviews were conducted with 106 IDPs in Kongoussi (Central-Northern region). Although no respondent reported having been directly affected by the virus, 84.9% of the IDPs surveyed had no income-generating activities during the lockdown and the remaining 15.1% who continued to work reported that their activities had been greatly scaled-down. For a large majority of them, their living conditions, already described as difficult under 'normal' circumstances (insufficient food, insignificant financial assistance, or difficult access to health care), further deteriorated. In addition, IDPs were unable to leave the camps or regions where they were located to search for better living conditions or to return home. Lastly, 96.2% of respondents believed that the COVID-19 pandemic would have a negative impact on their future. These IDPs, like many in the sub-region and around the world, therefore require urgent assistance from the authorities and humanitarian NGOs, as the slightest new stress is likely to considerably worsen their already vulnerable state.

The United States Constitution and The Hypocrisy of the American Oath: January 6th Raid on The Capital

The purpose of this article is to discuss the hypocrisy of American ethics. This hypocrisy allows certain members of our society to breach their ethical duties and responsibilities without concern for the collective or regard for the oaths they pledge. This hypocrisy wields great power that continues to support the systemic discrimination that will be the downfall of this Country. By analyzing the January 6, 2021, raid on the Capital, we will examine how government officials and American citizens disregarded their oaths and committed unethical acts to overthrow the government. They used the American flag, that they pledge their lives in the name of Democracy, as a tool to incite violence and insurrection. Analysis of this incident clearly reflects that this selective application of ethical responsibility allows some government officials and members of society to commit violent acts against the government officials, institutions, and its citizenry, without the same criminal reprisal other Americans endure.

Estimation of radiation-induced health hazards from a "dirty bomb" attack with radiocesium under different assault and rescue conditions

In the case of a terrorist attack by a "dirty bomb", blast injuries, external irradiation and the incorporation of radioactivity are to be expected. Departing from information about the radiological attack scenario with cesium-137 in the U.S. National Scenario Planning Guide, we estimated the radiological doses absorbed. Similar calculations were performed for a smaller plume size and a detonation in a subway. For conditions as described in the U.S. scenario, the committed effective dose amounted to a maximum of 848 mSv, even for very unfavorable conditions. Red bone marrow equivalent doses are insufficient to induce acute radiation sickness (ARS). In the case of a smaller plume size, the ARS threshold may be exceeded in some cases. In a subway bombing, doses are much higher and the occurrence of ARS should be expected. The health hazards from a dirty bomb attack will depend on the location and the explosive device. The derived Haddon matrix indicates that preparing for such an event includes education of all the medical staff about radiation effects, the time lines of radiation damages and the treatment priorities. Further determinants of the outcome include rapid evacuation even from difficult locations, the availability of a specific triage tool to rapidly identify victims at risk for ARS, the availability of an antidote stockpile and dedicated hospital beds to treat seriously irradiated victims.

The asymmetric associations between foreign direct investment inflows, terrorism, CO2 emissions, and economic growth: a tale of two shocks

Foreign direct investments can exert ambiguous effects on the environmental quality of the host economies. At the same time, terrorism is a worldwide phenomenon that affects human life, FDI inflows, economic growth, and, most importantly, environmental well-being. Hence, it can be expected that there are relationships between terrorism, foreign direct investment inflows, and carbon dioxide emissions. However, in the previous literature, less attention has been given to explore these nexuses. In addition, the possible non-linearities in data are also mostly ignored in the preceding related studies. Against this backdrop, this paper explores the linear and non-linear influences of terrorism and foreign direct investment inflows on carbon dioxide emissions, controlling for energy consumption and economic growth within the model, on carbon dioxide emissions in the context of ten global economies that are most impacted by terrorism. To this end, we used the data from 1973 to 2016 and deployed the linear and non-linear autoregressive distributed lag methods to scrutinize the environmental impacts of the explanatory variables of concern. The results confirmed the presence of non-linearities in the relationships between terrorism, inflows of foreign direct investments, and carbon dioxide emissions. Furthermore, the findings revealed that the positive shocks to terrorism and foreign direct investment inflows significantly deteriorate the environment with a dominating effect. Unlike the previous studies, this current study validates the pollution haven hypothesis for the sample economies. Energy consumption and economic growth  were also evidenced to exacerbate the carbon dioxide emission levels in all selected countries. Based on these results, we recommend that our sample economies should focus on promoting education, employment, economic stability, and public awareness to eradicate terrorism which, in turn, can mitigate the emissions of carbon dioxide further. In addition, stringent environmental regulations on foreign direct investment inflows are required to reduce the adverse environmental effects of such sources of foreign finance. Furthermore, the international firms should be encouraged to invest in cleaner technologies by offering them tax benefits and other financial incentives.

Terrorist Attacks Against Vaccinators: A Review

Vaccinators fulfill an important role in a nation's public health by reducing the burden of disease on the population. Understanding patterns of attack employed against vaccinators is important to determine how to protect them. We conducted a search of the Global Terrorism Database for terrorist attacks against vaccinators that occurred between the years 1970 and 2018. Using the search terms "hospital," "healthcare," "clinic," "doctor," "nurses," "vaccinators," and "vaccinations," 2,322 healthcare-related entries were identified. We then manually searched the dataset for incidents related to attacks on vaccinators, which resulted in the identification of 133 attacks against vaccinators. The majority (128 out of 133) of attacks occurred during or after 2010. Every attack except one has occurred in the Middle East, South Asia, or sub-Saharan Africa. Pakistan has seen the most attacks against vaccinators, with 112 incidents recorded. Vaccinators continue to be vulnerable to terrorist attacks. Protection of healthcare personnel during mass vaccination efforts is critical so that they can continue their lifesaving mission.

Naturalistic Study of Posttraumatic Stress Disorder Among Israeli Civilians Exposed to Wartime Attacks

OBJECTIVE

Civilians who survive wartime attacks commonly experience substantial psychological distress, including acute stress reactions (ASRs) and posttraumatic stress disorder (PTSD). The authors sought to determine the level of Israeli civilian exposure to wartime attacks, prevalence of posttraumatic stress disorder (PTSD) and physical injuries, and associated medical costs over a 7-year period.

METHODS

Data from the National Insurance Institute of Israel on civilian survivors of wartime attacks in the 2009-2015 period were retrospectively examined.

RESULTS

Overall, 11,476 civilians were affected by 243 wartime attacks during the study period. Of these individuals, 7,561 (65.9%) received early intervention (EI) psychological treatment for ASRs, 1,332 (11.6%) were subsequently adjudicated as having a disability (all causes), and 519 (4.5%) were adjudicated as disabled by PTSD through the end of 2016. Individuals who received immediate ASR treatment were less likely to be disabled by PTSD (p=0.001). Among those without physical injuries, the EI was associated with decreased PTSD disability (2.6% of those receiving the EI developed PTSD, whereas 7.2% of those who did not receive the EI developed PTSD); however, for those with physical injuries, the PTSD rate was higher among those who received the EI (30.4%) than among those who did not receive the EI (5.2%). Individuals having a disability other than PTSD incurred higher medical costs ($7,153 in 2016 U.S. dollars) than individuals with PTSD ($1,960).

CONCLUSIONS

An approach of providing case management, medical care, behavioral health screening, and EI for ASRs in the wake of wartime attacks on civilians minimized long-term PTSD-related disability.

Are radicalization and terrorism associated with psychiatric disorders? A systematic review

BACKGROUND

The risk factors for radicalization and terrorism represent a key research issue. While numerous data on the sociological, political, and criminological profiles of radicalized people and terrorists are available, knowledge about psychiatric disorders among these populations remains scarce and contradictory.

METHOD

We conducted a systematic review of the literature regarding psychiatric disorders among both radicalized and terrorist populations.

RESULTS

We screened 2,856 records and included a total of 25 articles to generate a complete overview. The vast majority of studies were of poor methodological quality. We assessed three population groups: people at risk of radicalization, radicalized populations, and terrorist populations. The results showed important variations in the prevalence rates of psychiatric disorders depending on the study population and methodology. People at risk of radicalization have been reported to have depressive disorders, but contradictory findings exist. Psychiatric disorders range from 6% to 41% in the radicalized population and from 3.4% to 48.5% among terrorists. Among terrorists, psychiatric disorders are more frequent for lone-actor terrorists than for those in groups.

CONCLUSION

We were not able to identify a significant association between radicalization, terrorism, and psychiatric disorders in our systematic review. However, some research suggests high rates of psychiatric disorders in subgroups of radicalized people and lone-actor terrorists. Further studies using standardized psychiatric assessment methods are urgently needed.

Terrorist Attacks Against Healthcare Facilities: A Review

Healthcare facilities play an essential role in response to terrorist attacks, but they also can be "soft targets" due to their accessibility and limited security. In this review, the authors used the Global Terrorism Database to conduct a search on terrorist attacks directed against hospitals and healthcare facilities between 1970 and 2018. Search terms included "healthcare," "doctor," "nurses," "vaccinators," "clinic," and "hospital," which resulted in 2,322 healthcare-related entries. The dataset was then manually searched for attacks on healthcare facilities, resulting in a total of 901 attacks in 74 different countries. The prevalence of healthcare facility attacks has increased, with 57% (515) occurring after 2001. The most common method of attack was bombing, followed by direct attacks on healthcare infrastructure and armed assaults. Healthcare facilities remain vulnerable to violence, and lessons learned in the aftermath of these incidents can be used to raise awareness about important safety-related concerns within the national response framework. Healthcare and security experts must be aware of the vulnerability of this crucial infrastructure and take active steps to prevent attacks.

Forensic considerations on the two major civilian terrorist events occurred in Milan: A retrospective autopsy-based study

Explosion-related deaths are a disregarded topic of forensic sciences, despite the pivotal role of the forensic pathologist in such investigations. In fact, very few scientific articles have been published up to now, even if there is a considerable increase of terrorist attacks worldwide due to the use of improvised explosive devices (IEDs). In this paper, the authors show a retrospective autopsy-based study on the two major civilian terrorist events which occurred in Milan (Italy). The first one took place in a closed system, where a gelignite bomb was set inside the National Agriculture Bank in December 1969. 17 people were killed, and all of them underwent forensic autopsies, which were performed at the Milan Institute of Legal Medicine. The second event took place in an open system, where a car bomb exploded in Palestro Street in July 1993. 5 people were killed, forensic autopsies were performed as well. A total of 22 explosion-related deaths were assessed in this study. For each victim, the analysis of clothes, external and internal examinations were reported; furthermore, a statistical analysis using Fisher's exact test was carried out in order to show differences among blast injuries that occurred in a closed system versus an open system. The analysis of the autopsy reports, which included the descriptions of clothes, and the injury patterns allowed a possible reconstruction of the bodily exposure side of the victims in relation to the origin site of the explosive devices.

Explosion-related deaths: An overview on forensic evaluation and implications

Purpose

Explosion-related deaths are uncommon events which require expertise and confidence so that an appropriate death investigation can be performed. The present study aims to provide a detailed forensic analysis of the issues and implications arising in the event of an explosion.

Methods

A retrospective review of casualty data was conducted on electronic literature databases. Cases concerning deadly explosions registered at the Milan Institute of Legal Medicine were examined and analyzed altogether.

Results

Explosions may involve closed or open systems. A security assessment of the site is always necessary. Alterations of the site due to rescue procedures can occur; thus, on-site forensic investigation should be adapted to the environment. Then, a study protocol based on autopsy procedures is presented. Application of the postmortem radiology enforces forensic procedures both for the analysis of blast injuries and skeleton fractures, and for identification purposes. Blast injuries typically cause lacerations of the lungs, intestine and major vessels; moreover, hyoid fractures can be documented. Histopathology may help to define blast injuries effectively. Forensic chemistry, toxicology and ballistics provide useful investigative evidence as well as anthropology and genetics. Different forensic topics regarding explosions are discussed through five possible scenarios that forensic pathologists may come across. Scenarios include self-inflicted explosion deaths, domestic explosions, work-related explosions, terrorist events, and explosions caused by accidents involving heavy vehicles.

Conclusion

The scenarios presented offer a useful instrument to avoid misinterpretations and evaluation errors. Procedural notes and technical aspects are provided to the readers, with an insight on collaboration with other forensic experts.

Preventing Violent Extremism and Social Work: Recent US History and Prospects

Anti-immigrant, anti-Semitic, and anti-Muslim violent extremism is on the rise in Western nations while jihadist terrorism continues throughout the Middle East and Africa. Despite significant efforts by governmental, non-governmental, and civic society organizations to address violent extremism, little progress has been made to prevent it. White supremacist organizations are now organizing globally through a variety of next generation communication networks using techniques developed by ISIS and Al-Qaeda. Throughout, relatively few social work academics have engaged in preventing violent extremism (PVE) scholarship. Though the profession is referenced frequently in the PVE literature, it is dominated by those in psychology and political science. Few articles in major social work journals have discussed social work's role or advanced PVE research. What has been published has mainly been critical of social work in this arena for legitimate fears of securitization, lack of resources/training, and the potential to discriminate against particular groups. The profession has a long history of impactful work in violence prevention in a myriad of practice areas. Given this wealth of experience and focus on social justice, social work should be a leader in this field. Areas of potential engagement in practice and research are discussed.

Exposure to mass disaster and probable panic disorder among children in New York City

While both direct and indirect exposure to mass trauma are increasing in the United States, relatively little is known about the potential link between mass trauma and risk of panic disorder early in life. It is also unclear whether history of prior individual trauma increases risk of panic disorder even further among those with exposure to mass trauma. The current study investigated the association between exposure to a mass trauma event (the World Trade Center (WTC) attack) and risk of panic disorder among children, how panic disorder varies by exposure severity and sociodemographic characteristics, and whether there is an interaction between individual and mass trauma exposure in the risk of panic disorder. Data were from an epidemiologic study of probable mental disorders among New York City schoolchildren exposed to the WTC terrorist attack. Severe (adjusted odds ratio [AOR] = 2.0 (1.1, 3.7)) exposure to the WTC disaster was associated with increased odds of probable panic disorder, relative to mild exposure. The prevalence of panic disorder increased with higher level of WTC exposure among all sociodemographic strata. Prior individual trauma exposure was associated with increased odds of panic disorder (AOR = 2.4 (1.6, 3.5)), but there was no evidence of interaction between prior individual trauma exposure and exposure to the WTC disaster. Preventive measures to address the widespread nature of mass disaster exposure at increasingly earlier ages and via media could mitigate the potential impact on mental health.

Ghost guns: spookier than you think they are

Off-the-books, untraceable "ghost guns" can now be manufactured at home, easily, and in large numbers; they contribute ever more frequently to firearm violence, including hate violence and domestic terrorism. The Bureau of Alcohol, Tobacco, Firearms and Explosives estimates that in 2019 alone, law enforcement agencies recovered more than 10,000 ghost guns. The manuscript describes the current situation and suggests specific actions that state and federal governments can take to avert disaster.

Suicide in Flanders, Belgium, after terrorist attacks

Little is known about the association between terrorism and suicide. This study investigates suicide numbers in Flanders, Belgium before and after the Paris-attacks (13/11/2015) and Brussels-attacks (22/03/2016). Population mortality data for suicide were gathered from the Agency for healthcare. Suicides in Flanders, Belgium, were higher after both attacks. The increase was higher after the Paris-attacks, compared to the attacks in Brussels, Belgium. The effect of a close-by, but still foreign attack (the Paris-attacks in France) on suicide numbers is larger than that of an attack inside the country (the Brussels-attacks), possibly due to a difference in threat experience and coping possibilities.

Counter-radicalization policies and policing in education: making a case for human security in Europe

Research on counter-radicalization policies and policing in education in Europe is currently patchy and often focused on the United Kingdom. Scholars have observed that counter-radicalization policing in education is a threat to human freedom, human rights and dignity, and safe learning environments. However, scholars generally have not examined this issue from the viewpoint of human security. This paper examines the policing policy matter from the perspective of the personal security form of human security. The concern is that such a policing policy-related threat is antithetical to the concept of human security promoted by the United Nations (UN) and which the European Union (EU) and some European states had adopted. The study aims to find out how the current educational counter-radicalization initiatives and their effects could be used to argue for human security in Europe. The goal is to see how we can learn from past mistakes and improve future directions. The primary data are sourced from selected national, EU and UN policy documents, and a national media report. This work employs descriptive discourse analysis to analyse its data. The findings reveal that the present educational counter-radicalization policies of selected cases are grossly and/or explicitly deficient in the principles and language of human security. This has a negative impact on our understanding of the counter-radicalization policy effects in Europe. The study shows that the counter-radicalization strategy could trigger insecurity and negative security-oriented education for citizenship than we previously acknowledged in the literature. This piece suggests that the adverse consequences and tendencies could have been prevented had the appropriate human security elements been used in formulating and promoting the policy/strategy.

Disseminating knowledge: A discourse analysis of terrorism in TED talks

This study aims to investigate the linguistic mechanism of disseminating knowledge about terrorism by professionals to laypersons in TED Talks. The study examines the interface between knowledge, meaning and social practices in terms of text and context when speakers cognitively reconceptualize terrorism discourse as a professional practice and maintain their stance over social issues. Drawing on a multidisciplinary approach of discourse analysis and corpus linguistics, the study sets out to analyse the discursive representation of terrorism in TED talks delivered between 2002 and 2019, focusing on explanation strategies of definition, description, denomination and metaphor. The results revealed that TED talks' discourse was a less popularised genre regarding terrorism, marked by specialised terms of traditional right discourse of military actions, and impersonal reference for private intentions of building up expert identity.

3D spectral fluorescence signature of cerium(III)-melamine coordination polymer: A novel sensing material for explosive detection

Hidden or buried explosives are the most common scenario by terrorist attacks; therefore explosive vapour detection is a vital demand. Explosives are electron deficient materials; the vicinity of explosives to fluorescent material can encounter electron migration. This study reports on facile synthesis of cerium (III)-melamine coordination polymer (CeM-CP) with exclusive optical properties. CeM-CP demonstrated novel spectral fluorescence properties over visible and infrared bands when stimulated with UVA LED source at 385 nm of 100 mW power. Stimulated CeM-CP demonstrated unique spectral fluorescence signal at 400, 700, and 785 nm. These fluorescent signals were correlated to cerium coordination with four nitrogen atoms; vacant orbital will be available for electron excitation migration. Spectral fluorescent signals were quenched as CeM-CP was subjected to TNT vapours. Hyperspectral imaging offered 3D plot of fluorescence signature. The main outcome is that complete fluorescence signal attenuation was achieved at 785 nm. CeM-CP could act as as a novel sensing element for explosive vapour detection.

Postmortem CT and autopsy findings in nine victims of terrorist attack

In a foreign country, a religious terrorist group raided a restaurant, using pipe bombs, sharp-edged weapons, and various types of firearms (handguns, submachine guns, and AK-47 assault rifles) loaded with normal and prohibited bullets to kill foreigner customers, some of whom were Italian tourists. Local pathologists performed forensic autopsies on the bodies, but we were asked to perform additional external examinations, postmortem computed tomography (PMCT) scans, and then a second round of complete autopsies on nine victims (5 females and 4 males). Four victims had slash wounds inflicted by sharp-edged weapons, mostly localized in the head and neck. All but two victims had gunshot wounds. Finally, three casualties had injuries caused by the explosion of improvised explosive devices. In all cases, PMCT was a reliable source of information and provided strategic guide during autopsies, helping identify and describe the injuries and thus reconstruct the events. Therefore, in these cases, we suggest integrating the autopsy findings with the postmortem radiological data.

Children and Adolescents with Disabilities and Exposure to Disasters, Terrorism, and the COVID-19 Pandemic: a Scoping Review

PURPOSE OF REVIEW

This paper reviews the empirical literature on exposures to disaster or terrorism and their impacts on the health and well-being of children with disabilities and their families since the last published update in 2017. We also review the literature on studies examining the mental health and functioning of children with disabilities during the COVID-19 pandemic.

RECENT FINDINGS

Few studies have examined the effects of disaster or terrorism on children with disabilities. Research shows that children with disabilities and their families have higher levels of disaster exposure, lower levels of disaster preparedness, and less recovery support due to longstanding discriminatory practices. Similarly, many reports of the COVID-19 pandemic have documented its negative and disproportionate impacts on children with disabilities and their families. In the setting of climate change, environmental disasters are expected to increase in frequency and severity. Future studies identifying mitigating factors to disasters, including COVID-19; increasing preparedness on an individual, community, and global level; and evaluating post-disaster trauma-informed treatment practices are imperative to support the health and well-being of children with disabilities and their families.

Emergency department syndromic surveillance systems: a systematic review

BACKGROUND

Syndromic surveillance provides public health intelligence to aid in early warning and monitoring of public health impacts (e.g. seasonal influenza), or reassurance when an impact has not occurred. Using information collected during routine patient care, syndromic surveillance can be based on signs/symptoms/preliminary diagnoses. This approach makes syndromic surveillance much timelier than surveillance requiring laboratory confirmed diagnoses. The provision of healthcare services and patient access to them varies globally. However, emergency departments (EDs) exist worldwide, providing unscheduled urgent care to people in acute need. This provision of care makes ED syndromic surveillance (EDSyS) a potentially valuable tool for public health surveillance internationally. The objective of this study was to identify and describe the key characteristics of EDSyS systems that have been established and used globally.

METHODS

We systematically reviewed studies published in peer review journals and presented at International Society of Infectious Disease Surveillance conferences (up to and including 2017) to identify EDSyS systems which have been created and used for public health purposes. Search criteria developed to identify "emergency department" and "syndromic surveillance" were applied to NICE healthcare, Global Health and Scopus databases.

RESULTS

In total, 559 studies were identified as eligible for inclusion in the review, comprising 136 journal articles and 423 conference abstracts/papers. From these studies we identified 115 EDSyS systems in 15 different countries/territories across North America, Europe, Asia and Australasia. Systems ranged from local surveillance based on a single ED, to comprehensive national systems. National EDSyS systems were identified in 8 countries/territories: 2 reported inclusion of ≥85% of ED visits nationally (France and Taiwan).

CONCLUSIONS

EDSyS provides a valuable tool for the identification and monitoring of trends in severe illness. Technological advances, particularly in the emergency care patient record, have enabled the evolution of EDSyS over time. EDSyS reporting has become closer to 'real-time', with automated, secure electronic extraction and analysis possible on a daily, or more frequent basis. The dissemination of methods employed and evidence of successful application to public health practice should be encouraged to support learning from best practice, enabling future improvement, harmonisation and collaboration between systems in future.

PROSPERO NUMBER

CRD42017069150 .

Epidemiology of Blast Neurotrauma: A Meta-analysis of Blast Injury Patterns in the Military and Civilian Populations

BACKGROUND

Mass casualty incidents (MCIs) due to bombing-related terrorism remain an omnipresent threat to our global society. The aim of this study was to elucidate differences in blast injury patterns between military and civilian victims affected by terrorist bombings.

METHODS

An analysis of the Global Terrorism Database (GTD) and a PubMed literature search of casualty reports of bombing attacks from 2010-2020 was performed (main key words: blast injuries/therapy, terrorism, military personnel) with key epidemiological and injury pattern data extracted and statistically analyzed.

RESULTS

Demographic analysis of casualties revealed that military casualties tend to be younger and predominantly male (P < 0.05) compared with civilians. Military casualties also reported higher amounts of head/neck injury (P < 0.01) compared with civilians. The proportion of instantaneous fatalities along with injuries affecting the thoracoabdominal and extremity regions remained approximately equal across both groups.

CONCLUSIONS

Though the increased number of head/neck injuries was unexpected, we also found that the number of nonlethal head injuries also increased, predicating that more military blast neurotrauma patients survived their injuries. These data can be used to increase blast MCI preparation and education throughout the international neurosurgical community.

Fear and Violence as Organizational Strategies: The Possibility of a Derridean Lens to Analyze Extra-judicial Police Violence

Governments and majoritarian political formations often present police violence as nationalist media spectacles, which marginalize the rights of the accused and normalize the discourse of majoritarian nationalism. In this study, we explore the public discourse of how the State and political actors repeatedly labeled a college-going student Ishrat Jahan, who died in a stage-managed police killing in India in 2004, as a terrorist. We draw from Derrida's ethics of unconditional hospitality to show that while police violence is aimed at constructing safety for the cultural majority, in reality, it reveals discourses of anxiety and precariousness. The unethicality of police violence lies in the enlargement of recognition in vicariously blaming the person who has been killed for being involved in several terror attacks. We show that police violence is premised on the temporal structure of majoritarian nationalism, the prevalence of gender inequity, and the call to breach the secular framework of law.

Pediatric Mass Casualty Preparedness

Disaster medicine refers to situations in which the need to care for patients outweighs the available resources. It is imperative for anesthesiologists to be involved at a leadership level in mass casualty/disaster preparedness planning. Mass casualty disaster plans should be clear, concise, and easy to follow. Terror events and natural disasters can differ significantly in anesthesia preparedness. Resiliency is an important aspect of the recovery phase that decreases psychological damage in the aftermath of a mass casualty event.

The recovery of touch DNA from RDX-C4 evidences

RDX (Royal Demolition Explosive) is the organic compound with the formula (O2NNCH2)3. It is a white solid material without smell or taste, widely used as an explosive. It is more energetic explosive than TNT, and it was used widely in World War II. The estimated number of RDX-C4 cases in Bahrain ranged between the years 2015–2018 (May) with a total quantity of 370.72 KG in a total number of 38 cases. The effect of explosive RDX-C4 is very massive and can cause many causalities and fatalities among civilians and policemen. These cases consisted of adhesive film with tapes wrapped around RDX-C4 substance (Demolition Charge M112), black batteries, pipes, black bag contained RDX-C4, and in magnetic improvised explosive device (IED). Touch DNA recovery utilized different collection methods, such as nylon swabbing, tape lifting, and direct cutting of certain parts of the samples that were positive of RDX-C4 through DXR Raman Spectrometer. Samples were extracted and purified with magnetic beads chemistry and quantified. Low copy DNA extracts were subjected to a concentration step. DNA extracts were amplified and processed for detection to obtain reliable results using GlobalFiler Amplification PCR kit and run through ABI 3500xL Genetic Analyzer for fragment length determination. We have discovered that RDX-C4 cannot bind to the DNA nor to the solutions used in DNA typing. Thus, it does not cause DNA inhibition or degradation. From this point of view, we were successful in obtaining acceptable and fit results using advanced techniques. This study will be very useful and informative to assist the forensic community in terrorism case applications worldwide as terrorists do not respect geographical boundaries nor ethnicities of the victims, and the use of DNA profiling technology is the most suitable way to identify the terrorists and keep an end to their violence.

Social media forensics applied to assessment of post-critical incident social reaction: The case of the 2017 Manchester Arena terrorist attack

Forensic science is constantly evolving and transforming, reflecting the numerous technological innovations of recent decades. There are, however, continuing issues with the use of digital data, such as the difficulty of handling large-scale collections of text data. As one way of dealing with this problem, we used machine-learning techniques, particularly natural language processing and Latent Dirichlet Allocation (LDA) topic modeling, to create an unsupervised text reduction method that was then used to study social reactions in the aftermath of the 2017 Manchester Arena bombing. Our database was a set of millions of messages posted on Twitter in the first 24 h after the attack. The findings show that our method improves on the tools presently used by law enforcement and other agencies to monitor social media, particularly following an event that is likely to create widespread social reaction. For example, it makes it possible to track different types of social reactions over time and to identify subevents that have a significant impact on public perceptions.