The effects of COVID-19 vaccines on economic activity

This paper empirically examines the economic effects of COVID-19 vaccine rollouts using a cross-country daily database of vaccinations and high-frequency indicators of economic activity—nitrogen dioxide (NO2) emissions, carbon monoxide (CO) emissions, and Google mobility indices—for a sample of 46 countries over the period December 16, 2020 to June 20, 2021. Using surprises in vaccines administered, we find that an unexpected increase in vaccination per capita is associated with a significant increase in economic activity. We also find evidence for nonlinear effects of vaccines, with the marginal economic benefits being larger when vaccination rates are higher. Country-specific conditions play an important role, with lower economic gains if strict containment measures are in place or if the country is experiencing a severe outbreak. Finally, the results provide evidence of spillovers across borders, highlighting the importance of equitable access to vaccines across nations.

Animal health is often ignored, but indispensable to the human right to health

Although preventable by vaccines, approximately 60′000 humans die due to canine transmitted rabies annually, mostly in Africa and Asia. The aim of this paper is to advocate for including animal health aspects into considerations of human health and human rights, and for equitable access to rabies vaccination for both animals and humans. An infringement of human - in particular of children’s - right to health will be illustrated with the case of rabies and poor dog management in Uganda.

Menekan Perkawinan Anak Melalui Keberpihakan Akses Perempuan di Indonesia

Child marriage in Indonesia is the highest in the world. According to the Central Bureau of Statistics recorded 1.220.990 girls in Indonesia were married before 18. This article uses literature research to describe the impact of child marriage and policymakers' strategic steps and efforts to curb the high rate of child marriage in Indonesia. Early marriage leads to a vicious cycle of low educational attainment, domestic violence, health, maternal and child health, high maternal mortality, and poverty. As marriage ages, regulation has been changing as a strategy to reduce child marriage. Unfortunately, there is no specific regulation of the marriage dispensation, which creates a gap in the number of weddings and the regulatory aspects of strategic efforts, providing women with immediate access to education, health, and work. Ensuring fair and equitable access between men and women is carried out to the maximum extent from a gender perspective in development policies strategies in Indonesia.

Knowledge, Justice, and Equity

This chapter explores how systemic differences across schools in Australia contribute to equality or inequality in Indigenous students' learning opportunities, specifically access to the school curriculum needed to progress to university. Equitable access to the academic curriculum is particularly important for Indigenous students because they are impacted by a range of issues affecting school completion, achievement, and university participation. This research focuses on one aspect of the key transition from school to university, examining whether Indigenous students experience a greater range of challenges in gaining the prerequisite requirements for university study than other students of similar circumstances. In exploring these issues, the authors adopt a position of curricular and epistemic justice, arguing that “doing justice” with power-marginalized learners involves changing the basis for thinking about the nature of knowledge and how knowledge is valued.

Supporting Students Impacted by Poverty Through Literacy Methods, Resources, and Strategies

This chapter is based on supporting students impacted by poverty through literacy education. Specifically, it looks at literacy methods, resources, and strategies that offer students engaging opportunities to learn in safe and supported environments. Student-centered instructional examples provide both voice and choice through quality pedagogical practices. As the wealth gap continues to widen, it is more important than ever to be diligent in ensuring equitable access to educational resources available to all students regardless of income status. Within this chapter, the authors have offered ways in which educators can access some of these resources.

Drivers to Obesity—A Study of the Association between Time Spent Commuting Daily and Obesity in the Nepean Blue Mountains Area

Obesity has become a public health challenge in every country on this planet, with a substantial contribution to global mortality and morbidity. Studies of the built environment have shown some promise in understanding the drivers of this obesity pandemic. This paper contributes to this knowledge, by focusing on one aspect of the urban environment and asking whether there is an association between commuting and obesity in residents of the Nepean Blue Mountains area on the fringes of Sydney. This is a cross-sectional study with obesity being the dependent variable, and commuting the independent variable, where 45 min or less was defined as local and distant commute was more than 45 min. In the sample of 158 respondents, the risk of obesity was twice as likely in the distant commuters than in the local commuters (OR 2.04, 95% CI 1.051 to 3.962, p = 0.034). Investigation of possible mediators of this association was limited by sample size; however, mode of transport was found to be a significant mediator. The results support the design of cities to provide health supporting environments for all residents, including equitable access to employment at a reasonable distance and effective public transport.

Queues with Redundancy: Is Waiting in Multiple Lines Fair?

Problem definition: We study service systems where some (so-called “redundant”) customers join multiple queues simultaneously, enabling them to receive service in any one of the queues, while other customers join a single queue. Academic/practical relevance: The improvement in overall system performance due to redundant customers has been established in prior work. We address the question of fairness—whether the benefit experienced by redundant customers adversely affects others who can only join a single line. This question is particularly relevant to organ transplantation, as critics have contended that multiple listing provides unfair access to organs for patients based on wealth. Methodology: We analyze two queues serving two classes of customers; the redundant class joins both queues, whereas the nonredundant class joins a single queue randomly. We compare this system against a benchmark wherein the redundant class resorts to joining the shortest queue (JSQ) if multiple queue joining were not allowed, capturing the most likely case if multilisting was prohibited: Affluent patients could still afford to list in the region with the shorter wait list. Results: We prove that when the arrival rate of nonredundant customers is balanced across both queues, they actually benefit under redundancy of the other class—that is, redundancy is fair. We also establish that redundancy may be unfair under some circumstances: Nonredundant customers are worse off if their arrival rate is strongly skewed toward one of the queues. We illustrate how these findings apply in the organ-transplantation setting through a numerical study using publicly available data. Managerial implications: Our analysis helps identify when, and by how much, multiple listing may be unfair and, as such, could be a useful tool for policy makers who may be concerned with trying to ensure equitable access to resources, such as organs, across patients with differing wealth levels.

Minimum manufacturing costs, national prices and estimated global availability of new repurposed therapies for COVID-19

Background Currently, only dexamethasone, tocilizumab and sarilumab have conclusively been shown to reduce mortality of COVID-19. Safe and effective treatments will need to be both affordable and widely available globally to be used alongside vaccination programmes. This analysis will estimate and compare potential generic minimum costs of a selection of approved COVID-19 drug candidates with available international list prices. Methods We searched for repurposed drugs that have been approved by at least one of the WHO, FDA or NICE, or at least given emergency use authorisation or recommended for off-label prescription. Drug prices were searched for, for dexamethasone, budesonide, baricitinib, tocilizumab, casirivimab and imdevimab, and sarilumab using active pharmaceutical ingredients (API) data extracted from global shipping records. This was compared with national pricing data from a range of low, medium, and high-income countries. Annual API export volumes from India were used to estimate the current availability of each drug. Results Repurposed therapies can be generically manufactured for some treatments at very low per-course costs, ranging from $2.58 for IV dexamethasone (or $0.19 orally) and $4.34 for inhaled budesonide. No export price data was available for baricitinib, tocilizumab, casirivimab and imdevimab or sarilumab, but courses of these treatments are priced highly, ranging from $6.67 for baricitinib to $875.5 for sarilumab. When comparing international list prices, we found wide variations between countries. Conclusions Successful management of COVID-19 will require equitable access to treatment for all populations, not just those able to pay high prices. Dexamethasone and budesonide are widely available and affordable, whilst monoclonal antibodies and IV treatment courses are more expensive.