Zoekresultaat: 2 artikelen

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Thema-artikel

Naar een politiek-bestuurlijke herdefinitie van pandemische paraatheid

Sturing van de COVID-19-respons in Azië en Europa

Tijdschrift Bestuurskunde, Aflevering 3 2021
Trefwoorden pandemic preparedness, COVID-19 governance, welfare state failure, mitigation and control, political economy
Auteurs Marleen Bekker en Ivo ten Have
SamenvattingAuteursinformatie

    Despite the highest ranks on pandemic preparedness assessments European welfare states encounter great difficulty in responding effectively to the COVID-19 outbreak. In this article we compare the governance of COVID-19 response in 48 Eurasian countries and a selection of European and SARS (2003) exposed Asian countries during the first wave of the COVID-19 outbreak until 1 June 2020, using data from the COVID-19 Health System Response Monitor and the Oxford COVID-19 Government Response Tracker, recent scientific literature and policy documents.
    Pandemic preparedness during the first wave of COVID-19 evolved from specialist infectious disease control to a broad governance of population mitigation, which in at least half of Eurasian countries lacked appropriate authority and capacity. In the directly operational response in Asian countries, preparedness encompasses a whole of government approach, an engaged and active community and private actors. Preparedness requires and reflects both vertical and horizontal coordination as well as policies that fit with the political economy of a country and region.


Marleen Bekker
M.P.M. Bekker, PhD is universitair docent in de leerstoelgroep Health and Society (HSO), in het Center for Space, Place and Society (CSPS), aan Wageningen University and Research (WUR).

Ivo ten Have
I.L.F. ten Have, MSc heeft recent zijn master Communication and Health Sciences aan Wageningen University and Research afgerond met een thesis waarvan in dit artikel verslag wordt gedaan.
Artikel

Verantwoordelijkheid en voorzorg bij ‘de overgewichtepidemie’

Onzekerheid en transparantie bij preventief leefstijlbeleid

Tijdschrift Bestuurskunde, Aflevering 1 2018
Trefwoorden prevention, precaution, lifestyle policy, obesogenic society, obesity epidemic
Auteurs Dr. Roel Pieterman
Samenvatting

    Since the start of the 21st century, most nations have followed the lead of the World Health Organization and developed specific policies to tackle the ‘global obesity epidemic’. The medical reasoning is that non-contagious diseases are the most important causes of mortality and morbidity, especially in prosperous nations. As these diseases are conceptualized as ‘caused’ by ‘unhealthy lifestyle choices’, there is dire need for preventive lifestyle policies that help people make ‘the healthy choice’. Seen from this perspective the distribution of responsibilities between governments and their citizens is made in accordance to the ‘intervention ladder’, which has been developed from a stewardship model.
    Regarding the ‘obesity epidemic’, this contribution tests the basic medical claims behind this science policy complex. We find that the knowledge base for these claims is highly uncertain and that interventions lack efficacy. Furthermore, research points to increased levels of stigmatization of ‘fat people’, leading more discrimination. All this changes the status of the policies from preventive (i.e. proportionate) to precautionary (i.e. disproportionate). Further analysis of the preventive medical and policy paradigms shows both are by default biased towards precaution. Combined with the notion that citizens of democratic societies are entitled to trustworthy and transparent information, this contribution concludes that a reorientation of both paradigms is called for.


Dr. Roel Pieterman
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