Movement of malaria across international borders poses a major obstacle to achieving malaria elimination in the 34 countries that have committed to this goal. In border areas, malaria prevalence is often higher than in other areas due to lower access to health services, treatment-seeking behaviour of marginalized populations that typically inhabit border areas, difficulties in deploying prevention programmes to hard-to-reach communities, often in difficult terrain, and constant movement of people across porous national boundaries. Malaria elimination in border areas will be challenging and key to addressing the challenges is strengthening of surveillance activities for rapid identification of any importation or reintroduction of malaria. This could involve taking advantage of technological advances, such as spatial decision support systems, which can be deployed to assist programme managers to carry out preventive and reactive measures, and mobile phone technology, which can be used to capture the movement of people in the border areas and likely sources of malaria importation. Additionally, joint collaboration in the prevention and control of cross-border malaria by neighbouring countries, and reinforcement of early diagnosis and prompt treatment are ways forward in addressing the problem of cross-border malaria.

Cross-Border Malaria: A Major Obstacle for Malaria Elimination

Introduction and Overview. Part 1. Personal Security in Individual Contexts. Security and Uncertainty in Contemporary Delayed-Return Cultures: Coping with the Blockage of Personal Goals, K. van den Bos, I. McGregor, L. Martin. Being Threatened and Being a Threat Can Increase Reliance On Thoughts: A Self-Validation Approach, P. Brinol, K. G. DeMarree, R. E. Petty. Psychological Insecurity and Leadership Styles, C. Schoel, D. Stahlberg, C. Sedikides. The Psychology of Defensiveness: An Integrative Security System Model of Attachment, Self-esteem, and Worldviews, J. Hart. Part I Commentary, C. Holbrook, D. Fessler. Part 2. Personal Security in Interpersonal Contexts. Narcissism and Protection Against Social Threat, S.D. Freis, A.A. Brown, R.M. Arkin. Regulating Relationship Security of Chronically Insecure Partners, E. Lemay. An Attachment Perspective on Personal Security, M. Milkulincer, P.R. Shaver. Attachment Security and Prosociality: Dynamics, Underlying Mechanisms, and Implications, O. Gillath, G. Karantzas. A Goal Circumplex Model of Security Strivings in Social and Cultural Context, K. Tomczyk, B. Yu, X. Zhou. Ostracism Threatens Personal Security: A Temporal Need Threat Framework, E. D. Wesselmann, A. Hales, D. Ren, K. D. Williams. Part II Commentary, M. Clark, K. Von Culin, J. Hirsch. Part 3. Personal Security in Cultural and Health Contexts. Security Seeking in a Regulatory Focus Whodunit: The Case of the Relative Orientation in Behavioral Economics, G. Leonardelli, V. Bohns, J. Gu. Achieving Existential Security through Symbolically Fusing Secular and Religious Sources of Control and Order, A. Kay, S. Shepherd, R. Eibach. Responding to Psychological Threats with Deliberate Ignorance: Causes and Remedies, J. Shepperd, J. Howell. Uncertainty in Healthcare: A Multi-Level Approach, S. Andrews, K. Sweeny. Part III Commentary, A.J. Rothman, A. K. Farrell, L. Auster-Gussman. Part 4. Interdisciplinary Analyses of Personal Security. "Fear Appeals" and Security in American Foreign Relations, C. Fettweis. Terrorism, Personal Security, and Responsible Policy Making, J. Mueller, M.G. Stewart. Secure in Their Beliefs: Personal Security, the Quest for Personal Significance, and the Psychology of Extremism, A. Kruglanski, N. Schori-Eyal. Ecology and Evolution of Personal Security: Adaptive Interdependence of the Individual and the Collective, R. Sagarin. Part IV Commentary, T. Kolditz, J. Lovelace.

Handbook of Personal Security

The World Health Organization (WHO) commissioned a systematic review of literature to facilitate evidence syntheses for the development of emergency risk communication (ERC) guidelines for its member states. The goal of this review was to integrate ERC best practices into governmental and non-governmental health systems for all emergencies of public health concern, by addressing three questions: (1) to identify best practices for the integration of ERC into national and international public health preparedness; (2) to identify mechanisms to establish effective intra-agency, inter-agency, and/or cross-jurisdictional information sharing; and (3) to identify methods to coordinate risk communication activities between responding agencies across organizations and levels of response. The review covered scientific and grey literature publications between January 2003 and February 2016, and searches were conducted in 17 English language electronic libraries besides Chinese, Portuguese and Spanish language databases. A mixed deductive-inductive process was used to synthesize findings across studies through identifying thematic areas. While 8,215 articles were initially retrieved, after a sequential screening process, the final evidence syntheses comprised of 21 articles for question (1) and 24 for questions (2) and (3) combined (due to overlap of themes). The confidence in findings was assessed by the Qualitative Evidence Syntheses (GRADE-CERQual) tool. PRISMA guidelines were followed to the extent possible given the limitations inherent to a review largely based on qualitative studies. The identified literature was very context-specific and referred to mechanisms, practices from the field, and recommendations that were derived from planning or response efforts implemented at the national or local levels in specific countries. Integration of ERC functions into public health emergency preparedness, planning and response activities was influenced by reforming components of the leadership structure when needed, modifying organizational factors, and nullifying restrictions (including amending laws/ regulations) that might have been an obstacle to the timely release of information. Exercises and trainings were recognized as effective strategies to identify the barriers and successes in this process of integration. Key elements to enhance information sharing and coordination across organizations included the creation of networks, task-forces and committees across disciplines, organizations and geographic areas. Engagement of local stakeholders was also important to guarantee the flow of information up and down the incident command system. On the whole, few empirical studies, especially from low- and middle-income countries, related to the WHO research questions, demonstrating the need for research in these areas. To facilitate an accurate identification of the gaps, the authors suggest integrating current findings with case studies across the WHO regions to better understand the specific evidence that is needed in practice across the multitude of ERC functions.

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Integrating emergency risk communication (ERC) into the public health system response: Systematic review of literature to aid formulation of the 2017 WHO Guideline for ERC policy and practice.

The Mediterranean region is vulnerable to climatic changes. A warming trend exists in the basin with changes in rainfall patterns. It is expected that vector-borne diseases (VBD) in the region will be influenced by climate change since weather conditions influence their emergence. For some diseases (i.e., West Nile virus) the linkage between emergence andclimate change was recently proved; for others (such as dengue) the risk for local transmission is real. Consequently, adaptation and preparation for changing patterns of VBD distribution is crucial in the Mediterranean basin. We analyzed six representative Mediterranean countries and found that they have started to prepare for this threat, but the preparation levels among them differ, and policy mechanisms are limited and basic. Furthermore, cross-border cooperation is not stable and depends on international frameworks. The Mediterranean countries should improve their adaptation plans, and develop more cross-sectoral, multidisciplinary and participatory approaches. In addition, based on experience from existing local networks in advancing national legislation and trans-border cooperation, we outline recommendations for a regional cooperation framework. We suggest that a stable and neutral framework is required, and that it should address the characteristics and needs of African, Asian and European countries around the Mediterranean in order to ensure participation. Such a regional framework is essential to reduce the risk of VBD transmission, since the vectors of infectious diseases know no political borders.

https://www.mdpi.com/1660-4601/12/6/6745/pdf

Impacts of Climate Change on Vector Borne Diseases in the Mediterranean Basin — Implications for Preparedness and Adaptation Policy

The Global Public Health Intelligence Network

Disease surveillance networks in the Middle East, Southeast Asia, and Africa are models for the kind of transnational cooperation that can mount the needed flexible and coordinated response to the spread of 2009 H1N1 influenza and future pandemic threats. For example, members of the Middle East Consortium on Infectious Disease Surveillance (MECIDS), a regional disease surveillance network of public health experts and ministry of health officials from Israel, the Palestinian Authority, and Jordan, have coordinated the screening, laboratory testing, and risk communication strategies to detect and control 2009 H1N1 influenza. This coordination is made possible by trust and by well-exercised national and regional pandemic preparedness policies. The consortium illustrates the value of regional disease surveillance networks in shaping and managing cohesive policies on current and future threats. The MECIDS alliance partnership also exemplifies to other parts of the world that are experiencing conflict—like Sout...

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Terence Taylor

Papers

Trust Across Borders: Responding to 2009 H1N1 Influenza in the Middle East