Biosecurity Emerges
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The term quarantine elicits a negative connotation that most of us shy away from. The fact of the matter the notion of quarantine is unpalatable so how do decision-makers make the concept socially acceptable?
The testing ground to see what works and what does not began with the Wild-land Project in the environmental movement. Social engineers applied the science know as ‘fuzzy math’ to contentious issues. Fuzzy math takes an ideology and applies an algorithm to the issue. Through this mathematical mechanism an incremental plan is formulated to get your ideology changed. For instance you goal is to make the mountains off limits to human activity. You have a comment period and record peoples objections. You then apply the algorithm which will give you the plan to incrementally change people’s perception of wilderness areas. One might first put up a small gate, then a larger gate, then add cameras, the add patrols, add warning signs, lastly incrementally make the distance between the wilderness area and humans larger and larger. Tests reveal after time people will look at the wilderness areas, but in a Pavlovian response, not even think of going near the off limit areas.
Link: Wild-lands Fuzzy Math
This type of model is now being applied to the concept of quarantine. This week a series of social distancing articles were posted online. The whole premise of biosecurity is to distance the disease including the farm, ill person or whatever needs to be quarantined from the others. The tool of fear of disease is utilized to ensure compliance. Unfortunately some interesting dynamics occur when social distancing or quarantine occurs. Studies in the mid-twentieth century showed that humans and animals alike suffered various types of trauma due to the isolation (quarantine) factor.
The Pit of Despair: http://en.wikipedia.org/wiki/Pit_of_despair
Implementation of Social Distancing (Quarantine)
Distancing Teenagers
BMC Public Health 2008, 8:61doi:10.1186/1471-2458-8-61
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14 February 2008 |
Influenza is a viral infection that primarily spreads via fluid droplets from an infected persons coughs and sneezes to others nearby. Social contact networks and the way people interact within them are thus important to its spread. We developed a method to characterize the social contact network for the potential transmission of influenza and then applied the method to school aged children and teenagers.
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Conclusions
High-school students may form the local transmission backbone of the next pandemic. Closing schools and keeping students at home during a pandemic would remove the transmission potential within these ages and could be effective at thwarting its spread within a community. Social contact networks characterized as groups and public activities with the time, level of contact and primary links within each, yields a comprehensive view, which if extended to all ages, would allow design of effective community containment for pandemic influenza.
Utilizing fear and social stigma in a pandemic response
The Journal of Infectious Diseases2008;197:SS7
2008 by the Infectious Diseases Society of America. All rights reserved.
0022-1899/2008/19704S1-0008 ( pay for view $15.00)
DOI: 10.1086/524986
SUPPLEMENT ARTICLE
Ron Barrett1 and Peter J. Brown2
1School of Nursing and 2Department of Anthropology, Emory University, Atlanta, Georgia
Reprints or correspondence: Ron Barrett, School of Nursing, Emory University, 1520 Clifton Rd., Atlanta, GA 30322 (
ron.barrett@emory.edu).
This article examines the role of stigma in social and institutional responses to infectious disease emergencies, to better understand and minimize these dynamics in the event of a pandemic of virulent influenza. In addition to their impact on human suffering, fear and stigma can seriously delay detection and treatment efforts, cooperation with contact tracing and isolation measures, and the effective distribution of resources for the prevention and control of infectious diseases. These dynamics are illustrated by the Indian plague epidemic of 1994, which occurred in a region where H5N1 influenza has been detected recently. Public fear and stigma also played a significant role in the social and institutional responses to the 1918 influenza pandemic. These historical models provide important lessons for pandemic preparedness and global health policy.
Introduction of biosocial approach to the prevention for and control of pandemic
The Journal of Infectious Diseases2008;197:S1S3
2008 by the Infectious Diseases Society of America. All rights reserved.
0022-1899/2008/19704S1-0001 (pay for view 15.00)
DOI: 10.1086/524992
SUPPLEMENT ARTICLE INTRODUCTION
Arthur M. Kleinman,1,4; Barry R. Bloom,5; Anthony Saich,2,3; Katherine A. Mason,1 and Felicity Aulino1
1Department of Anthropology, 2John F. Kennedy School of Government, and 3Harvard Asia Center, Harvard University, Cambridge, and 4Department of Social Medicine, Harvard Medical School, and 5Harvard School of Public Health, Boston, Massachusetts
Reprints or correspondence: Dr. Arthur M. Kleinman, Dept. of Anthropology, Harvard University, William James Hall, 33 Kirkland St., Cambridge, MA 02138 (
kleinman@wjh.harvard.edu).
The Harvard University Asian Flus and Avian Influenza Workshop, held in December 2006, introduced a biosocial approach to the preparation for and control of pandemics. A biosocial approach brings together the biological and social sciences to develop an integrative, collaborative response to the threat of pandemic influenza. The articles in this supplement provide a representative sampling of some of the ways in which the workshop worked toward this biosocial vision. These articles address the historical “siting†of epidemics, political and structural pandemic preparedness in China, lessons to be taken from the 1976 “swine flu affair,†possibilities for genetic engineering as an alternative to poultry vaccination, issues to be considered in the control of infectious disease in swine and avian species, the ecology of influenza in migratory birds, and issues of stigma and trust during the control of epidemics. The need to build public trust and public health infrastructure is one of the primary messages of this collection.
As we see this idea of social distancing and quarantine unfold take a serious look at the consequences of such actions though they may appear to be a good idea.
From the trenches,
Celeste