The COVID-19 outbreak on international cruise ships during the early stages of the pandemic has exposed deficiencies in the governance of public health emergencies within the framework of existing international law. These deficiencies encompass various aspects, including the shortcomings of the system of flag state jurisdiction, the vague definition and reasonableness of governments’ “additional health measures” as stipulated in the International Health Regulations (IHR) of 2005, the role of World Health Organization (WHO) in the protection of the fundamental rights of passengers and crew members during epidemic outbreaks on cruise ships, the application of the free pratique rule under the international health law, and other challenges that have not been adequately addressed in current international law. In the post-COVID era, it is essential to revisit these core issues of international law and reassess the allocation of responsibilities among all evolving actors to foster effective multilateral cooperation in epidemic control. This paper adopts the “Diamond Princess” incident as a case study, examining how such public health emergencies pose challenges to international laws, particularly when they occur within the context of a cruise ship. The paper argues that cooperation on global health emergencies will continue to be a challenge until responsibility is more clearly allocated among stakeholders. Additionally, the paper formulates three principles for enhancing governmental cooperation, namely the fairness principle, the nationality principle, and the principle of common but differentiated responsibilities. It is advisable to carefully consider these key principles when reevaluating the international laws on public health emergencies in the post-COVID era.
Leukemia is a major public health problem in China, but epidemiological studies on leukemia in China are still insufficient. This study aims to analyze leukemia's disease burden and risk factors in China from 2010 to 2021 and provide a basis for leukemia prevention and treatment. Using data from the Global Burden of Disease (GBD) database, trends in the burden of leukemia in China from 2010 to 2021 were analyzed. Additionally, epidemiological differences by gender and age groups were explored. In 2021, there were 531,000 leukemia patients in China, with 106,000 new cases and 59,000 deaths. Compared to 2010, the mortality rate and disability-adjusted life years (DALYs) per 100,000 population in 2021 decreased by 5% and 18%, respectively, while the incidence and prevalence rates increased by 12% and 29%, respectively. Gender and age stratification indicated that males had higher rates across all indicators than females, and elderly individuals faced higher leukemia mortality and DALYs. The most significant decrease in DALYs was observed in children and adolescents under 20. The highest burden of leukemia for males was found in the 85–90 age group, while for females, it was in the 70–74 age group. Major risk factors for leukemia included smoking, high BMI, and exposure to carcinogens, benzene, and formaldehyde. The overall burden of leukemia in China showed a decreasing trend, with significant gender and age differences. More measures are needed to reduce leukemia mortality, particularly focusing on the prevention and treatment of leukemia in males and the elderly.
Foodborne diseases are a global health problem. Every year, millions of people die worldwide from these diseases. It has been determined that the high prevalence of these diseases is related to unfavorable socioeconomic conditions of the population. In this study, the relationship between foodborne diseases and socioeconomic conditions of the population was determined using principal component analysis as a multivariate statistical analysis technique. In this study, the socioeconomic variables of each Ecuador province and the prevalence of foodborne diseases (hepatitis A, salmonella, shigellosis and typhoid fever) during the years 2018 and 2019 were considered. The results show the relationship between foodborne diseases and the socioeconomic conditions of the population, as well as identifying regions more vulnerable to present high levels of prevalence of foodborne diseases, thus facilitating the implementation of social investment programs to reduce the prevalence of these diseases.
Depression is a mental disorder caused by various causes with significant and persistent depressed mood as the main clinical feature, and is the most common mental illness worldwide and in our country. The number of patients with depression worldwide was as high as 350 million in 2017, and the number of patients with depression in our country was nearly 100 million in 2019. The greatest danger of depression is self-injurious and suicidal behaviour, and this behaviour carries a high medical burden. Medication is the most costly treatment for depression in China, and while it is an effective way to treat patients with depression, it has many side effects and poor patient compliance. Non-pharmacological treatments commonly used in clinical practice include physiotherapy and psychotherapy. Physiotherapy is commonly used in non-convulsive electroconvulsive therapy, but its clinical efficacy is uncertain and it can also cause adverse effects such as heart failure and arrhythmias, which are poorly tolerated by patients. Psychotherapy is also a common non-pharmacological therapy. Cognitive therapy is a common form of psychotherapy, but the cycle of cognitive therapy is too long, the cost to the patient is high, and the patient’s cognitive ability has certain requirements. Music therapy is a combination of art and science. It is a cross-discipline that combines body, movement, dance and psychology and is a method of psychotherapy that has biological, psychological and social functions to compensate for deficiencies. Music therapy sees a fundamental connection between mind and body and emphasises that what affects the body also affects the mind. When mind-body integration is lacking, individuals will suffer from a variety of psychological disorders. Therefore, the core principles of music therapy emphasise that holistic individual health is embodied in the integration of mind and body, that body movement is expressive and communicative, and that music therapy uses body movement as a method of assessing the individual and as a means of clinical intervention.
The worldwide COVID-19 pandemic has prompted significant transformations in several facets of human existence as it has disseminated over the globe, hence instigating extensive investigations into urban environments and public health. Recent research has investigated the correlation between cities, urban planning, and COVID-19. This signifies a shift in the urban planning paradigm. Resume focusing on and giving priority to health, particularly in relation to infectious diseases. This article seeks to elucidate the paradigm shift in cities and health as a result of due to the COVID-19 pandemic by employing a Systematic Literature Review. The research findings demonstrate a significant change in how health and cities are perceived due to the COVID-19 pandemic. This research also contributes novel insights into the significance of urban design that prioritises public health, particularly in relation to infectious diseases.
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