Abstract: The studies reviewed in this paper indicate that with adequate preparedness planning and execution it is possible to contain pandemic influenza outbreaks where they occur, for viral strains of moderate infectiousness. For viral strains of higher infectiousness, containment may be difficult, but it may be possible to mitigate the effects of the spread of pandemic influenza within a country and/or internationally with a combination of policies suited to the origins and nature of the initial outbreak. These results indicate the likelihood of containment success in 'frontline risk' countries, given specific resource availability and level of infectiousness; as well as mitigation success in 'secondary' risk countries, given the assumption of inevitable international transmission through air travel networks. However, from the analysis of the modeling results on interventions in the U.S. and U.K. after a global pandemic starts, there is a basis for arguing that the emphasis in the secondary risk countries could shift from mitigation towards containment. This follows since a mitigation-focused strategy in such developed countries presupposes that initial outbreak containment in these countries will necessarily fail. This is paradoxical if containment success at similar infectiousness of the virus is likely in developing countries with lower public health resources, based on results using similar modeling methodologies. Such a shift in emphasis could have major implications for global risk management for diseases of international concern such as pandemic influenza or a SARS-like disease.

The studies reviewed in this paper indicate that with adequate preparedness planning and execution it is possible to contain pandemic influenza outbreaks where they occur, for viral strains of moderate infectiousness. For viral strains of higher infectiousness, containment may be difficult, but it may be possible to mitigate the effects of the spread of pandemic influenza within a country and/or internationally with a combination of policies suited to the origins and nature of the initial outbreak. These results indicate the likelihood of containment success in 'frontline risk' countries, given specific resource availability and level of infectiousness; as well as mitigation success in 'secondary' risk countries, given the assumption of inevitable international transmission through air travel networks. However, from the analysis of the modeling results on interventions in the U.S. and U.K. after a global pandemic starts, there is a basis for arguing that the emphasis in the secondary risk countries could shift from mitigation towards containment. This follows since a mitigation-focused strategy in such developed countries presupposes that initial outbreak containment in these countries will necessarily fail. This is paradoxical if containment success at similar infectiousness of the virus is likely in developing countries with lower public health resources, based on results using similar modeling methodologies. Such a shift in emphasis could have major implications for global risk management for diseases of international concern such as pandemic influenza or a SARS-like disease.

Globalisation is influencing not only patterns of health and disease worldwide, but how decisions on health are made and organised. This is the arena of ‘Global Health Governance’. Despite some successes in developing better global governance for health, progress overall has been disappointingly slow. This is especially so given the number of health crises today, some of which are long standing but others relatively new. This book explores how progress has often been limited, but also on occasion assisted, by the role of ideas. It identifies how health issues, such as HIV/AIDS, pandemic influenza and tobacco control, are framed in such a way as to resonate with a set of ideas, or worldviews, associated with particular policy communities. A successful framing can generate possibilities for action, but can also lead to competition when ideas conflict or suggest different pathways of response. Global Health Governance therefore is an arena of competition as well as cooperation, where ideas matter as well as resources and political will. This book was originally published as a special issue of Global Public Health.

The Handbook of Global Health Policy provides a definitive source of the key areas in the field. It examines the ethical and practical dimensions of new and current policy models and their effect on the future development of global health and policy. Maps out key debates and policy structures involved in all areas of global health policy Isolates and examines new policy initiatives in global health policy Provides an examination of these initiatives that captures both the ethical/critical as well as practical/empirical dimensions involved with global health policy, global health policy formation and its implications Confronts the theoretical and practical questions of ‘who gets what and why’ and ‘how, when and where?’ Captures the views of a wide array of scholars and practitioners, including from low- and middle-income countries, to ensure an inclusive view of current policy debates

This book reviews the political significance of COVID-19 in the context of earlier pandemic encounters and scares to understand the ways in which it challenges the existing individual health, domestic order, international health governance actors, and, more fundamentally, the circulation-based modus operandi of the present world order. It argues that contagious diseases should be regarded as complex open-ended phenomena with various features and are not reducible merely to biology and epidemiology. They are, as such, fundamentally politosomatic, namely that they disrupt, agitate, and trigger large-scale processes because individual somatic-level anxieties stem from individuals’ sensing immediate danger through the networks of their local and global connectedness. The author further argues that pandemics have somatic effects in political expressions that transform the epidemic into national security dramas which should not, for the sake of efficient health governance, be treated as aspects extraneous to the disease itself. The book highlights that when a serious infectious disease spreads, a 'threat' is very often externalized into a culturally meaningful 'foreign' entity. Pandemics tend to be territorialized, nationalized, ethnicized, and racialized. This book will be of key interest to scholars and students of global health and governance, pandemic security, epidemics, history of medicine, geopolitics, international relations, and general readers interested in the COVID-19 pandemic.

Reactions to pandemics are unlike any other global emergency; with an emphasis on withdrawal and containment of the sight of the infected. Dealing with the historical and conceptual background of diseases in politics and international relations, this volume investigates the global political reaction to pandemic scares. By evaluating anxiety and the political response to pandemics as a legitimisation of the modern state and its ability to protect its citizens from infectious disease, Understanding the Politics of Pandemic Scares examines the connection between international health governance and the emerging Western liberal world order. The case studies, including SARS, Bird Flu and Swine Flu, provide an understanding of how the world order, global health governance and people’s bodies interact to produce scares and panics. Aaltola introduces an innovative new concept of ‘politosomatics’ based on the relationship that links individual stress, strain, and fear with global circulations of power to evaluate increasingly global bio-political environments in which pandemics exist. This book will be of interest to students and researchers of International Relations, Global Health, International Public Health and Global Health governance.

This collection presents to educators, parents, and other interested readers a variety of perspectives, challenges, and highlights of the teaching methods that could be useful. Its purposes are to not only document an important time of human history, education, and the outbreak of unknown pandemics but also outline strategies to serve as insights into and predictions of the unknown future of humanity, diseases, and human learning.

'The World Bank Research Program 2008-2009: Abstracts of Current Studies' is a compendium of research projects initiated, ongoing, or completed in fiscal years 2008 to 2009 by World Bank staff and consultants.