Preparedness Response Research Articles

Societal Adaptation to Pandemic Challenges: Analysing the Role of Local Governance and Healthcare Systems in Madhya Pradesh

The COVID-19 pandemic posed unprecedented challenges, compelling communities globally to adapt rapidly to protect lives and maintain societal functions. This study examines the role of local governance and healthcare systems in Madhya Pradesh in addressing these challenges and fostering societal resilience. Drawing on quantitative data from government health agencies and qualitative insights from community feedback, this research explores how local governance structures facilitated public health response, resource allocation, and pandemic preparedness. Findings indicate that decentralized decision-making and robust healthcare infrastructure were instrumental in managing health crises, providing essential services, and supporting economic resilience at the grassroots level. Key results show that regions with stronger local governance exhibited a 30% lower infection rate compared to less governed areas, while areas with well-resourced healthcare systems saw a 20% higher recovery rate. Resource distribution, however, varied significantly, with urban areas receiving 60% more medical supplies than rural regions, creating disparities in healthcare access. Data analysis revealed that healthcare facilities that integrated digital solutions, such as telemedicine, were able to serve 45% more patients remotely, mitigating the risk of virus spread and reducing hospital overload. The study identifies the need for capacity-building initiatives, infrastructure strengthening, and data-driven decision-making to enhance future pandemic preparedness. Future prospects include continuous training programs for healthcare workers, increasing community awareness of health protocols, and leveraging technology for real-time data monitoring. These insights contribute to a comprehensive framework for building resilient healthcare systems in Madhya Pradesh, better prepared for future public health crises.

The EU Health Task Force, supporting preparedness and response in the European Union and globally

Abstract The COVID-19 pandemic revealed shortcomings in the European Union (EU) mechanisms for managing public health threats. In 2022, the European Centre for Disease Prevention and Control (ECDC) was mandated to establish the EU Health Task Force (EUHTF) to strengthen preparedness and response at country, EU and global levels. The EUHTF is coordinated by an ECDC Permanent Capacity and relies on pools of experts including ECDC experts, ECDC fellows and European public health experts that can be mobilized for specific assignments or broad public health emergencies. Members from EU/ Economic European Area (EEA) countries, EU agencies, the European Commission, WHO and non-profit organizations advise ECDC on the EUHTF establishment. From May 2023 to April 2024, the EUHTF addressed 13 requests for support from seven EU countries and three non-EU countries. The requests were related to preparedness (e.g. after-action reviews, simulation exercises, mass gathering preparation, capacity building) and emergency response activities (e.g. risk assessment, operational research during crisis, emergency and outbreak response). The EUHTF is operational and able to mobilize expertise from ECDC, the ECDC fellowship and EU/EEA countries. The EUHTF Pool of External Experts, comprised of public health professionals across various levels and institutions of the EU/EEA, is poised to offer comprehensive and robust expertise. Through these resources, the EUHTF is collaborating with and reinforcing the work of EU institutions and other international partners in strengthening preparedness and response. The EUHTF is a new and structured EU-level approach to public health crises, ensuring tailored in-country support to EU and non-EU countries in preparedness strengthening and crisis response.

11.L. Round table: Fiscal measures for building resilient European health systems

Abstract Currently, over 100 million European citizens are affected by obesity and non-communicable diseases. These health conditions impact individuals and society economically as well as socially. Therefore, an increasing number of Member States has introduced taxes on foods high in fat, sugar, or salt. However, divergent national fiscal health measures can lead to market distortion or fraudulent activities, revealing that, although the responsibility for implementing fiscal measures lies with national governments, health systems of different Member States are much interlinked. The increasing health risks for European citizens and its broader impact underline the importance of resilience in European health systems more than ever before, calling for early response and effective concrete actions from both EU institutions and national governments. Additionally, the topic of resilient health systems currently ranks high on the European agenda, with the Belgian Presidency promoting health system preparedness and early response and health care strengthening as one of their six priorities. The European Commission will also continue its work on this issue for the next five years. The EU has already taken steps in this matter, such as the launch of the European Health Union and the creation of HERA. However, in order to preserve a healthy society, the EU must further develop in this regard. Therefore, this round table discussion will focus on the question of how fiscal measures in Member States can contribute to resilient health systems. It aims to generate ideas on how Ministries of Health can contribute to resilient health systems via fiscal measures compatible with European Community law that promote health and prevent disease. Panellists from the WHO Regional Office for Europe, the Hungarian Ministry of Health and Ecorys, a research-based consultancy, will provide diverse perspectives on the topic. The added value of the round table is laying out possible ways of how both the EU and Member States can contribute to enhancing the resilience of European health systems. In the discussion, knowledge is derived from various research projects, such as Ecorys’ study for DG TAXUD on health taxes, their study for the Dutch Ministry of Finance on sugar taxes, and their literature study on sugar taxation and VAT reduction on fruits and vegetables. Furthermore, as an example of alternative funding mechanisms for resilient health systems, the Hungarian approach to health taxes will be reviewed, since a portion of the tax revenue from their public health tax is used to finance public health initiatives. From a policy perspective, the round table will aid in formulating recommendations for improving the resilience of EU health systems for the next five years. Key messages • Unhealthy foods and drinks consumption poses significant health risks, impacting economy and society, and requiring evidence-based fiscal measures as part of comprehensive measures. • The round table provides public health stakeholders the opportunity to generate recommendations for improving the resilience of EU health systems for the next five years. Speakers/Panelists Kremlin Wickramasinghe Division of Country Health Programs, WHO/Europe, Denmark Krisztina Biró Ministry of Interior, State Secretariat for Health, Budapest, Hungary Soila Karreinen Tampere University, Tampere, Finland Rana Orhan Pees Ecorys, Rotterdam, Netherlands Sara Cerdas Former Member of the European Parliament, Brussels, Belgium

Integrated sentinel surveillance of influenza, SARS-CoV-2, RSV and respiratory viruses in Serbia

Abstract Introduction Integrated sentinel SARI surveillance of influenza, SARS -CoV-2 and RSV has been established in Serbia since 2021-2022 influenza season. Nine sentinel hospitals in 3 cities participated in the SARI surveillance system. The aim of this study is to provide a review of integrated sentinel surveillance of SARI in Serbia in 2023-2024 influenza season, from October 2023 to April 2024. Methods On a weekly basis, both epidemiological and virological data were collected. Surveillance is be conducted year-round. Specimens were tested for influenza, SARS-CoV-2,RSV and other respiratory viruses. Respiratory disease wards, intensive care units (ICUs) and pediatric wards were all represented. Real time polymerase chain reaction (RT-PCR) was used. Results From October 2023 to April 2024, a total of 1571 SARI cases were reported with 100% recorded age. Of these, 35% were 0-4 years old, 16% were 5-14, 6% were 15-29, 14% were 30-64, 18% were 65-79 and 11% were 80+. Among these cases, 1002 (64%) respiratory specimens were collected. The number of positive samples for influenza was 294 (29%). The positivity rate was 10% for SARS-CoV-2 and 19 % for RSV. The highest proportion of laboratory-confirmed influenza cases was 67% in week 04/2023. Then above 50% in week 05/2023 and 06/2023. Type A viruses was predominated, accounting for 97% of all influenza SARI detections. Activity was dominated by A(H3) with 42% positivity rate. Also, collected swabs were tested for rhinoviruses, positivity rate was 26%, for adenoviruses, 12%, for human metapneumovirus, 7% and for parainfluenza 3 viruses, 4%. Conclusions Sustaining and intensified effective integrated surveillance for influenza, SARS-CoV-2,RSV and other respiratory viruses in Serbia is the priority especially in the frame of International Health Regulations. In this way, we improve national capacity for preparedness and emergency response to national and cross-border public health threats. Key messages • Building and maintaining integrated respiratory surveillance that can rapidly integrate the surveillance of a new viruses is crucial. • Establishing well structured surveillance of severe acute respiratory infections, strengthening and expanding respiratory viral surveillance is one the base pillars preparation for future pandemics.

ERIMS assessment Tool Enhances Emergency Response in WHO Europe Region

Abstract Issue/problem The implementation of an Emergency Response Information Management System (ERIMS) assessment tool improves health emergency responses within the World Health Organization - European Region. The tool’s deployment aims to refine data management processes and bolster preparedness strategies. Managing health information systems (HIS) effectively during emergencies is a persistent challenge, as technologies keep innovating and potential challenges are constant. The ERIMS assessment tool addresses this by offering a structured approach, ensuring improved emergency responses and system resilience. Description of the problem Adopting a systems approach, the ERIMS tool was designed to be flexible, allowing adaptation to various HIS architectures and emergency coordination mechanisms. Its design and development process included consultations with digital health and emergency management experts and field testing across three WHO member states. Results Field applications of the ERIMS assessment tool demonstrated its capacity to evaluate, including, digital capability and knowledge management with focus on emergency scenarios. The tool identified systemic gaps, offered strategic guidance on enhancing data processes, and fortified decision-making protocols. These outcomes not only highlighted the tool’s utility in assessing HIS readiness but also its impact in improving emergency response mechanisms. Lessons The deployment of the ERIMS assessment tool enhanced HIS by providing an evaluation of emergency preparedness and response capabilities with a focus at the national perspective level. The tool’s application showcased its role in advancing public health emergency preparedness, illustrating how assessments can lead to substantial improvements in health information management and emergency response readiness. Key messages • ERIMS assessment implementation improves emergency data management. • Better preparedness relies on boosting digital capabilities and knowledge management.

The UK’s pandemic preparedness and early response to the COVID-19 pandemic

ABSTRACT This article focuses on the UK’s pre-COVID 19 pandemic preparedness and its early response to the COVID-19 pandemic (January ‘20 – March ‘20). The aim of this article is to explain the high excess mortality the UK experienced compared to many of its international and European peers in the first wave, which is contrary to the country’s high ranking in pre-COVID-19 preparedness rankings. The article assesses the various components of pre-COVID-19 pandemic preparedness such as pandemic strategy, exercises, and stockpiles, and it covers government decision making processes on the early response, including questions around post-travel quarantining, test and trace, and mobility restrictions. The article concludes that there were important deficiencies in the UK's pandemic preparedness and early response in the COVID-19 pandemic. These include the centrality of the ‘inevitability of spread’-assumption underpinning the UK’s pandemic planning pre-COVID, the insufficient implementation of pandemic exercise recommendations, the lack of early and ‘live learning’ from other countries’ experiences, the lack of adoption of public health advice of the World Health Organisation early on, the late implementation of internal mobility restrictions, the lack of timely consideration of alternative early pandemic response models, and fragilities in the SAGE/governmental interplay.

An affordable operational oil spill monitoring system in action: A diachronic multiplatform analysis of recent incidents in the southern Gulf of Mexico

The coexistence of marine sensitive areas with the oil industry requires robust preparedness and rapid response capabilities for monitoring and mitigating oil spill events. Scientifically proven satellite-based methods for the visual detection of oil spills are widely recognized as effective, low-cost, transferable, scalable, and operational solutions, particularly in developing economies. Following meticulous design and implementation, we adopted and executed a relatively low-cost operational monitoring and alert system for oil spill detection over the ocean surface and alert issuance. We analyzed over 1500 satellite images, issuing over 70 warning reports on oil slicks and spills in the southern Gulf of Mexico. To assess the system’s efficiency and performance, we leveraged data from three major oil spill incidents in the study region during June and July of 2023 in the study region, covering a maximum area of 669 km2 and tracked for 12 to 24 days. We documented the evolution of these oil spills by integrating satellite sensing data with on-site Lagrangian drifting buoys, a network of high-frequency radars, and citizen reports to validate the outcomes of this system. We generated timely technical information on the spill’s evolution, informing decision-makers and local community leaders to strengthen their mitigation response capabilities. Additionally, we developed a robust database with spectral and spatiotemporal features of satellite-detected oil, thereby contributing to advancing the scientific understanding of sea surface dynamics related to natural and anthropogenic oil sources. This study also highlights immediate-, medium-, and long-term research agendas and establishes a reference for a sustained, transferable, and operational oil spill monitoring system.

Public-engagement strategies of the South Asian COVID-19 Task Force: The role of racialized healthcare workers in COVID-19 mitigation in Ontario.

The COVID-19 pandemic began in late 2019 and its uneven impact across different communities globally was quickly evident. In Canada, South Asian communities were disproportionately affected. In response, the South Asian COVID-19 Task Force (SACTF) emerged, seeking to address the unique challenges faced by the South Asian community. The embedded single case study design was employed to explore the role of SACTF in COVID-19 mitigation in Ontario. Informed by critical race theory and a public engagement conceptual framework published by the Canadian Health Services Research Foundation (2010), we analyzed how contexts guided the goals, processes, and outcomes of SACTF activities. We conducted one-on-one semi-structured interviews and focus group discussions with SACTF's Board of Directors and analyzed SACTF-produced knowledge dissemination materials and media coverage of SACTF spanning March 2020 to February 2022. SACTF's success in educating and advocating for South Asians offers important insights into the gaps in public health communication and the inequities in healthcare delivery. It emphasizes the importance of tailoring emergency responses to community-specific needs and the role of racialized healthcare workers in facilitating trust-building within minority communities. By incorporating insights of racialized healthcare workers in health system decision-making, both public engagement and community health outcomes can be improved. This study contributes to a nuanced understanding of community-centric pandemic responses and demonstrates the need for diverse representation in decision-making processes for long-term health system resilience. Both healthcare knowledge and lived experiences made SACTF alert to how pandemics unfold differently and have differential effects on racialized populations. SACTF's responses offer practical recommendations for future pandemic preparedness and emergency responses, emphasizing the role of advocacy groups in addressing public health gaps and serving as crucial allies for communities and governments.

Strengthening Health Security at Ground Border Crossings: Key Components for Improved Emergency Preparedness and Response-A Scoping Review.

Background: Ground crossing borders are considered a threat to health security due to their complex and challenging environments. The objective of this scoping review is to identify the main themes crucial for implementing effective health management at ground crossing borders to maintain health security. Methods: This scoping study was conducted following the methodological framework developed by Arksey and O'Malley and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). Documents published from January 2005 to December 2023 were searched for using PubMed, Scopus, Web of Science, and UN databases. Two reviewers screened and reviewed eligible studies in three stages: duplicate identification and elimination, title and abstract screening, and full-text assessment. Data were charted and grouped into themes, the frequency of each theme and its percentage was calculated, and then thematic analysis was conducted. Results: Forty-five studies met the inclusion criteria. Areas of research were grouped into eight themes: "Infection Prevention and Control measures (IPC) (17%)", "Collaboration, Coordination, and Partnership (17%)", "Research and Data Sharing (15%)", "Build Border Health Capacity (13.5%)", "Planning (13.5%)", "Communication (13%)", "Legislations and Frameworks (7%)", and "Services and Assistance for At-Risk Groups (4%)". Through this scoping review, we found that the eight themes are interconnected, and are crucial for implementing effective health management at the ground crossing borders and for better emergency preparedness responses among countries.

Decadal prediction centers prepare for a major volcanic eruption

Abstract The World Meteorological Organization’s Lead Centre for Annual-to-Decadal Climate prediction issues operational forecasts annually as guidance for regional climate centers, climate outlook forums and national meteorological and hydrological services. The occurrence of a large volcanic eruption such as that of Mount Pinatubo in 1991, however, would invalidate these forecasts and prompt producers to modify their predictions. To assist and prepare decadal prediction centers for this eventuality, the Volcanic Response activities under the World Climate Research Programme’s Stratosphere-troposphere Processes And their Role in Climate (SPARC) and the Decadal Climate Prediction Project (DCPP) organized a community exercise to respond to a hypothetical large eruption occurring in April 2022. As part of this exercise, the Easy Volcanic Aerosol forcing generator was used to provide stratospheric sulfate aerosol optical properties customized to the configurations of individual decadal prediction models. Participating centers then reran forecasts for 2022-2026 from their original initialization dates, and in most cases also from just before the eruption at the beginning of April 2022, according to two candidate response protocols. This article describes various aspects of this SPARC/DCPP Volcanic Response Readiness Exercise (VolRes-RE), including the hypothesized volcanic event, the modified forecasts under the two protocols from the eight contributing centers, the lessons learned during the coordination and execution of this exercise, and the recommendations to the decadal prediction community for the response to an actual eruption.

The association of increased SNAP benefits during COVID-19 with food insufficiency and anxiety among US adults: a quasi-experimental study.

The COVID-19 pandemic and subsequent policy response to mitigate disease spread had far-reaching impacts on health and social well-being. In response, the Supplemental Nutrition Assistance Program (SNAP) underwent several pandemic-era modifications, including a 15 % monthly benefit increase on January 1, 2021. Research documenting the health effects of these SNAP modifications among low-income households and minoritized groups who were most impacted by the economic fallout during the first years of the pandemic is lacking. We aimed to estimate the health effects of the 15 % SNAP benefit increase in January 2021, among SNAP-eligible US households. We estimated the effects of the SNAP increase on food insufficiency, mental health, and financial well-being using a rigorous quasi-experimental difference-in-differences (DID) analysis. August 19, 2020, to March 29, 2021. Participants were drawn from the national US Census Bureau Household Pulse Survey waves 13-27 (n 44 477). Compared with SNAP-eligible non-recipients, SNAP-eligible recipients experienced decreased food insufficiency (-1·9 percentage points (pp); 95 % CI -3·7, -0·1) and anxiety symptoms (-0·09; 95 % CI -0·17, -0·01), and less difficulty paying for other household expenses (-3·2 pp; 95 % CI -4·9, -1·5) after the SNAP benefit increase. Results were robust to alternative specifications. Expansions of federal nutrition programmes have the potential to improve health and financial well-being. This study provides timely evidence to inform comprehensive safety net nutrition policies during future economic crises and public health preparedness response plans.

The Relationship Between Health Workers' Knowledge And Flood Emergency Response Preparedness

Data from the National Disaster Management Agency (BNPB) reveals that the most common type of disaster is flooding. Based on the 2010-2030 Regional Spatial Plan (RT/RW) document of Padang City, as stipulated in Perda No. 03 of 2019, Article 58 B, there are 10 sub-districts in Padang City that are classified as flood-prone. These sub-districts include Koto Tangah, Kuranji, Pauh, West Padang, East Padang, South Padang, Lubuk Begalung, Nanggalo, Lubuk Kilangan, and Bungus Teluk Kabung. In this context, the preparedness of health workers in facing disasters is very important. This study aimed to assess the relationship between the level of knowledge of health workers and their preparedness in facing floods at Puskesmas Pauh, Padang City. The study was conducted in March 2024 involving 74 respondents as samples. Data were analyzed using the Chi-Square test with a 95% confidence level. Based on the characteristics of the respondents, the majority were between 37 to 47 years old (42 people or 56.8%), had a DIII education (47 people or 63.5%), were female (67 people or 90.5%), and worked as midwifery health workers (38 people or 51.4%). Most of the respondents had good knowledge related to flood disaster preparedness (52.7%) and had a mature emergency response plan (89.2%). The results of this study indicate a significant relationship between the level of knowledge of health workers and flood emergency response preparedness at Puskesmas Pauh, Padang City, with a p-value of 0.006.

Knowledge, attitudes, and readiness about critical antimicrobial resistant organisms among healthcare workers at colonial war memorial hospital in Fiji: a pre and post intervention study

BackgroundGram-negative bacteria resistant to carbapenems are also known as critical antimicrobial resistant organisms. Their emergence at Colonial War Memorial Hospital (CWMH), the largest hospital in Fiji, is a major clinical concern. This study was conducted to determine the knowledge, attitudes, and readiness of healthcare workers (HCW) at CWMH regarding management of patients with infections caused by critical antimicrobial resistant organisms.MethodsA questionnaire was designed using a Likert scale to assess knowledge, attitudes, and readiness. Two cross-sectional studies were conducted, before and after the implementation of targeted educational activities which were informed by the pre-intervention study findings.ResultsA total of 393 and 420 HCW participated in the pre- and post-intervention studies, respectively. The majority of respondents were female (77.3%) and 18–34 years of age (67%). HCW professional roles included nurses (56.3%), doctors (31.6%), and laboratory personnel (12.2%). In the post-intervention study, significantly more HCW reported having received infection prevention and control (IPC) and antimicrobial resistance education and training (26.8% in pre to 45.5% in post intervention, p < 0.001). The majority of nurses and doctors (> 85% to ≥ 95%) were aware of how AMR organisms spread in healthcare settings and knew the IPC measures to prevent transmission of AMR infections including hand hygiene, standard and transmission-based precautions. Attitudes towards AMR were positive, with 84.2% pre intervention and 84.8% of HCW post intervention expressing their willingness to change their work environment to assist with AMR prevention. Perceived readiness to address the problem showed mixed results. Improvements in laboratory AMR surveillance data availability were noted (29.4–52.4%, p < 0001). Modest improvement in the hospital’s capacity for outbreak response (44–51.9%, p = 0.01), and treatment of AMR infections (38.9–44.4%, p = 0.01) was reported.ConclusionsOur data revealed high levels of staff awareness and knowledge about AMR and IPC. However, readiness for outbreak response and treatment of critical AMR infections requires more attention. Improving AMR prevention and containment in CWMH will likely require sustained and multisectoral interventions with strong administrative commitment.

Are you ready: disaster response in nursing education: a cross-sectional survey among Swedish universities and university colleges

IntroductionRegistered nurses play a critical role in disaster response and patient care during crises. Recent global events underscore the importance of preparedness for disaster response. However, the readiness of registered nurses and their educational preparation vary. In Sweden, this prompted the National Board of Health and Welfare to introduce a new national curriculum for disaster response. This study aimed to assess how education for undergraduate and specialist registered nurses aligns with this curriculum.MethodsA descriptive cross-sectional study was conducted among universities and university colleges in Sweden offering undergraduate and specialist nursing programs. Surveys were sent to all 25 higher education institutions providing nursing education in November 2023, comprising 29 questions related to the new curriculum.ResultsFindings revealed that half of the respondents had discussed the new curriculum, with 15 reporting some form of learning activities. Traditional lectures were the most commonly used format, and 11 respondents had designated teachers for the subject. Reasons for lacking disaster response education included prioritizing other acute care areas or a limited perspective at the academy.DiscussionIn conclusion, this study suggests that nursing education may not sufficiently prepare registered nurses for disaster response and armed conflicts. Education tends to focus more on acute care rather than taking a broader perspective. As a result, registered nurses may lack the competence and readiness required to effectively respond to disasters.

Integrating emergency preparedness competency frameworks in workforce development training

BackgroundPublic health and emergency workforce development have been major topics of interest during and after the COVID-19 pandemic. The fragile state of many healthcare systems worldwide during emerging outbreaks revealed the need for regular competency-based training. The training helps to equip and remind health professionals how to tackle huge obstacles that need to be handled in emergencies. ObjectiveThis paper will examine an emergency preparedness training course we have developed and delivered multiple times. The course involved development, delivery, case scenario training, participant assessment, and a programme evaluation. Study DesignA descriptive study based on the ten essential public health functions, with the competencies for each function examined. ResultsThe evaluation showed that the curriculum was well-received, and 55 % of the participants could apply what they learned through a survey. Furthermore, the evaluation indicated a need to hold this training course frequently. Designing such courses could fill the gaps that emerged during life-threatening previous outbreaks. All participants passed the assessment with a minimal score of 63 % and the highest score of 93 %. ConclusionThe curriculum's design based on competencies needed for planning and preparedness for effective response to emergencies was well received and proved practical. Regular reminders of the tools needed, and their application are crucial. Learning and practising are critically important to tackling disasters, including mass gatherings.

Aberrant connectivity of the lateralized readiness system in non-syndromic congenital mirror movements

ObjectivesNon-syndromic CMM has a complex phenotype. Abnormal corpus callosum and corticospinal tract processes are suggested mechanisms of the mirror movements. To further explore behavioural and neural phenotype(s) the present study tests the hypothesis that the response readiness network comprising supplementary motor area (SMA) and connections with motor cortex (M1) functions abnormally in CMM. MethodsTwelve participants with (non-syndromic) CMM and a control group (n = 28) were tested on a probabilistic Go-NoGo task while electroencephalography (EEG) was recorded to assess possible group differences in lateralized readiness of voluntary hand movements together with measures of SMA-M1 functional connectivity. ResultsThe CMM group demonstrated delayed lateralized readiness and stronger functional connectivity between left-brain SMA-M1 regions. Connectivity strength was correlated with measures of behavioural performance but not with extent of mirroring. ConclusionsAbnormalities in brain processes upstream of movement output likely reflect neurocompensation as a result of lifelong experience with mirroring in CMM. SignificanceThese findings extend the known neural abnormalities in CMM to include brain networks upstream from those involved in motor output and raise the question of whether neurocompensatory plasticity might be involved.

Defining and identifying the critical elements of operational readiness for public health emergency events: a rapid scoping review

IntroductionCOVID-19 showed that countries must strengthen their operational readiness (OPR) capabilities to respond to an imminent pandemic threat rapidly and proactively. We conducted a rapid scoping evidence review to understand...

Maritime Pollution in Pakistan and Its Impact on Marine Life: Challenges and Way Forward

Marine pollution is a major threat to marine biodiversity, ecosystems and socio-economic conditions of coastal communities in Pakistan. Driven by industrial, agricultural and plastic pollution, mounting levels of marine pollution are largely resulting in habitat destruction, biodiversity loss and difficulties in conduct of subsistence activities. Lack of waste management system and public awareness further compound the problem. The present study gives a comprehensive analysis of marine pollution, its sources, types and mechanism as well as the damage is does to marine environment. The study also examines existing domestic and international legislation on marine pollution eradication and puts forth recommendations in the form of both short and long terms measures for pollution mitigation in Pakistan. The study also emphasizes the need to sensitize public attention on this pressing issue and advocates awareness campaigns regarding oil spill response preparedness, investment in resilient infrastructure and plastic pollution eradication initiatives. Long term measures stem from analysis of several case studies of island countries. These measures include protection of critical infrastructure, ecosystem conservation as well as increased research and development. Effective implementation of these measures can help Pakistan transition into a sustainable and secure future.

Measuring the frequency and determinants of COVID-19 prevention behaviours: a cross-sectional assessment of large-scale programmes in seven countries, late 2020

ObjectivesThis multicountry analysis aimed to assess the prevalence of key hygiene prevention behaviours and their determinants, associated with international non-governmental organisation (WaterAid) hygiene behaviour change programmes for COVID-19 prevention. The...

Corporate tax performance and the COVID-19 pandemic: empirical evidence from Indonesia

PurposeThis study aims to enhance the understanding of the impact of the COVID-19 pandemic on corporate tax performance in the context of a large emerging country like Indonesia.Design/methodology/approachThis study uses a quantitative approach with multiple regression methods on a data set of 2,366 firm-year observations registered on the Indonesia Stock Exchange (IDX) from 2017 to 2022.FindingsThe primary empirical findings from the multivariate regressions suggest a positive and significant association between the COVID-19 pandemic and corporate tax performance in Indonesia. In other words, these listed firms have increased their tax avoidance activities during the pandemic. As firms face financial hardships due to the pandemic's effects, they tend to engage in tax avoidance practices to reduce current income tax payments, thereby enhancing their liquidity. In addition, over time, firms have adapted to use various tax policies introduced by the government in response to the pandemic to mitigate the adverse impacts of the crisis.Research limitations/implicationsThis study draws on a sample solely from one emerging country.Practical implicationsThe results of this study can aid governments, policymakers, tax authorities and companies in evaluating their strategies concerning preparedness and emergency responses during crises, particularly those caused by pandemics.Originality/valueTo the best of the author’s knowledge, this study is considered one of the initial efforts to examine the impact of the COVID-19 pandemic on corporate tax avoidance in an emerging country like Indonesia.