This study analyses the long-run relationship between, and the direction and magnitude of impact of sectoral economic growth and fiscal capacity on government health expenditure. The study was carried out to validates the Wagner hypothesis from sectoral perspective and revenue-expenditure hypothesis for South Africa for the period 1984–2020. Fully modified least squares and dynamic least squares and canonical cointegration regression were used to achieve the objectives of the study. Empirical regression results showed that there is a negative impact of the secondary sector GDP on public health expenditure. Thus, invalidating the Wagner hypothesis and suggesting that secondary sector GDP cannot serves as an answer for public health expenditure. However, there was a positive relationship between tertiary sector GDP and public health expenditure. The study make case for unceasing provision of an enabling environment that continuously support growth of the tertiary sector.

Adequate sanitation is crucial for human health and well-being, yet billions worldwide lack access to basic facilities. This comprehensive review examines the emerging field of intelligent sanitation systems, which leverage Internet of Things (IoT) and advanced Artificial Intelligence (AI) technologies to address global sanitation challenges. The existing intelligent sanitation systems and applications is still in their early stages, marked by inconsistencies and gaps. The paper consolidates fragmented research from both academic and industrial perspectives based on PRISMA protocol, exploring the historical development, current state, and future potential of intelligent sanitation solutions. The assessment of existing intelligent sanitation systems focuses on system detection, health monitoring, and AI enhancement. The paper examines how IoT-enabled data collection and AI-driven analytics can optimize sanitation facility performance, predict system failures, detect health risks, and inform decision-making for sanitation improvements. By synthesizing existing research, identifying knowledge gaps, and discussing opportunities and challenges, this review provides valuable insights for practitioners, academics, engineers, policymakers, and other stakeholders. It offers a foundation for understanding how advanced IoT and AI techniques can enhance the efficiency, sustainability, and safety of the sanitation industry.

Many previous studies find no significant effect of health insurance on health outcome in rural areas of China. Many researchers believe this could be because of the characteristics of health care provision in those areas. In this paper, we aim to examine if urbanization will change the situation. Our research question focuses on if urbanization will change the participation and performance of health insurance on health outcome in a positive direction. Using a longitudinal sample drawn from the China Health and Nutrition Survey (CHNS), we employed multiple estimation strategies for multiple waves to handle the potential selection bias. We find that urbanization factors such as population density, transportations and housing are associated with probability of insurance participation. That is, urbanization related factors tend to increase people’s willingness of insurance participation. We also conclude that urbanization improves the performance of insurance on self-reported health outcome. Results show that the health insurance has a significant positive impact on health production in urbanized areas. Health insurance in general increases the probability of health care utilization for all areas. However, it does not lead to a significant improvement in the health outcomes in under urbanized areas because of the health provision quality or characteristics of health insurance coverage in those areas.

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.

The recent coronavirus-19 pandemic has highlighted the need for a global digitally enabled healthcare advancement infrastructure to ease e-coverage in the future and reduce human losses, facilitating access to high-quality and cost-effective health solutions. As the concept of a virtual healthcare system is still premature, it would have required noteworthy speculation in technologies and an overhaul of most of the current classical healthcare infrastructure, policies, and systems around the globe. Aims and objectives: This study aims to create a viable autonomous virtual universal health care system to modify the comfort of health care through emerging digital and communication innovations to fulfil consumer needs. Methodology: This study falls under the fact-finding category, which encompasses an exploratory approach with literature examination, limited field visits with informal interviews with local key authorities, and an initial assessment of current circumstances to examine the possibility of application of virtual health coverage. Findings: This study discovered that it is imperative to organize and develop the prospected healthcare system at the country level to be governed by international organizations as speculatively it is functioning in comparative improved healthcare systems across the world, which should be based on special processing of the prospected six types of data with their operationalization to serve multidisciplinary bunches by e-governance and exchanges between distinctive measurements. It requires more dependence on digital infrastructure and learning materials through electronic resources and ordinary techniques. Among other effective components for the development of virtual health coverage, are the applications of digital technology, the middle utility of voice and brief advising framework, complex functionalities, and applications of fifth generations (5Gs) arranged into universal servers attached to GPS-appropriate for sound choice and high-quality measures. Recommendations: This study recommends the construction of a virtual healthcare system by utilizing the proposed Electronic domestic medical adviser, virtual clinics, or “e-health incubators” which will allow individuals to relate through the web rather than the face-to-face institutive fragmented structure systems.

In recent years, e-sports, as an emerging form of competition, has been rapidly integrated into the daily life of college students, and with its rich interactivity, instant feedback and teamwork, e-sports provides them with an effective channel for emotional catharsis and psychological regulation. This study takes students from four universities as the survey object and adopts quantitative research method to analyze the relationship between different types of e-sports activities and psychological stress resistance through questionnaire survey method combined with spss. The samples were randomly sampled, and a total of 500 valid questionnaires were collected. The results of the study show that: 1. In terms of participation, the ability of students to withstand academic stress and life stress is significantly improved, and e-sports is an effective way to regulate emotions and relieve stress; 2. the three types of games (First-person Shooter, Multiplayer Online Battle Arena, Real-Time Strategy Game) have different impacts on stress tolerance, of which FPS has the greatest impact on stress tolerance; 3. the frequency of playing e-sports affects your stress tolerance; 4. teamwork and strategy play an important role in e-sports resilience.