The terrorist use of diseases as bioweapons has been one of the major security concerns in recent years, particularly after the anthrax letter attacks in the USA in 2001. This uncertain threat of intentional outbreaks of diseases exists side by side with the constantly changing very real threat from diseases, epidemics and pandemics as recently illustrated by the H1N1 influenza pandemic, SARS, and H5N1 bird influenza events.
This publication contains case studies on the public health planning for (un)usual disease outbreaks for 11 large and small countries with a focus on South Eastern Europe. In many countries, military entities traditionally play an important role in emergency response to disease outbreaks. In smaller countries, very little exists, however, in terms of specific biopreparedness efforts (in both the military and civilian area), which is at least partly due to a relatively low bioterrorism threat perception, and serious resource constraints.
The uncertainty associated with the bioterrorism threat makes public health preparedness planning for such events politically and financially very difficult. The similarity of responding to bioterrorism events and natural disease outbreaks from a public health point of view suggests the merit of looking at biopreparedness as a part of overall health emergency planning, not as a separate effort.
Each season has its own particular work for the farmer, and he does his work without direction from or consultation with his neighbors or any one else. Each season has its own particular games for the young folks, and they take to them without any suggestion from outsiders, just as young ducks take to water, without any instructions from the mother bird. The seasons in the south temperate zone are just the opposite to those in the north. Some years ago I spent the months of July and August in New Zealand, and great was my surprise to find the boys down at Dunedin snowballing on the Fourth of July, while the sleigh-bells made music through the streets. In the following October, which is the spring month in Victoria, Australia, I found the youngsters of Melbourne playing marbles, just as the boys in New York had been doing when I left it the previous May.
'Mr Campbell, I'm going to tell it to you straight. In your present condition you won't live through another Chicago winter'
When health and safety regulation was introduced in the 1970s, it was seen as a triumph of welfare state intervention. Since then, as heavy industry has declined and office and retail regulation has expanded, new ways of working have radically altered the context of health and safety, and many have come to see health and safety as an obstacle to innovation.
This book aims to address the changing context of health and safety, exploring arising concerns within the industry and the appropriate responses. The manifesto for reform set down within the book promises to frame the debate within the professional and policy community for a generation.
The result of a major research programme by the Institution of Occupational Safety and Health (IOSH), Health and Safety in a Changing World shows how health and safety has developed over time, how it is applied in practice and how best to make it fit for purpose in the 21st century. The book will be essential reading for professionals, practitioners and academic readers with an interest in the rapidly evolving field of health and safety.
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