Search Results (120)

In West Africa, there is a very close link between the phenomenon of trafficking and migrant smuggling. This article will analyze the pressure elements and the causes that drive sub-Saharan people to migrate, placing themselves in the hands of criminal networks that end up exploiting them—women and minors sexually, and men through forced labor. The main corridors departing from West Africa and the characteristics of the criminal groups exercising criminal governance will also be addressed. This research has used both primary and secondary sources, as well as empirical fieldwork consisting of interviews with security force officials, international humanitarian aid organizations, and academic experts on migration issues related to trafficking and smuggling. Our research reveals that the origin of migration is multifactorial. The violence experienced in West Africa, but also the misgovernance, the lack of opportunities for a very young population with limited prospects, and the human insecurity affecting the entire region, are the main reasons that compel people to migrate. In these migration processes, the safety of migrants is compromised as they are forced to start their journey through clandestine means, which exposes them to trafficking networks and thus to violence and exploitation. It is along the migration routes where trafficking and migrant smuggling converge. Full article

Understanding flood scenes is essential for effective disaster response. Previous research has primarily focused on computer vision-based approaches for analyzing flood scenes, capitalizing on their ability to rapidly and accurately cover affected regions. However, most existing methods emphasize static image analysis, with limited attention given to dynamic video analysis. Compared to image-based approaches, video analysis in flood scenarios offers significant advantages, including real-time monitoring, flow estimation, object tracking, change detection, and behavior recognition. To address this gap, this study proposes a computer vision-based multi-object tracking (MOT) framework for intelligent flood scene understanding. The proposed method integrates an optical-flow-based module for short-term undetected mask estimation and a deep re-identification (ReID) module to handle long-term occlusions. Experimental results demonstrate that the proposed method achieves state-of-the-art performance across key metrics, with a HOTA of 69.57%, DetA of 67.32%, AssA of 73.21%, and IDF1 of 89.82%. Field tests further confirm its improved accuracy, robustness, and generalization. This study not only addresses key practical challenges but also offers methodological insights, supporting the application of intelligent technologies in disaster response and humanitarian aid. Full article

Background/Objectives: Non-Communicable Diseases (NCDs) place an excessive strain on health systems in disaster-affected settings and may lead to a parallel public health emergency lasting months or years after a disaster. Although NCDs are increasingly recognized as a major challenge in disasters and humanitarian emergencies, a dedicated and standardized response plan is missing, as well as a shortage of evidence-based guidelines for NCD management in theses contexts. Over the years, Emergency Medical Teams (EMTs) have traditionally been deployed to manage acute conditions such as trauma and infectious diseases that quickly impact health systems. However, greater attention is needed to address acute exacerbation of NCDs and to ensure continuity of care for people with chronic health needs in disasters and emergencies. Methods: We conducted a scoping review exploring the EMTs’ management of chronic NCDs during disasters and humanitarian emergencies, in order to identify the strategies adopted, the challenges faced, and the recommendations provided to address this health problem. The online databases PubMed, Scopus, and EBSCO were searched to identify relevant papers. Results: After screening the papers against the eligibility criteria, 17 publications were retrieved. Five different areas of intervention concerning EMTs and NCDs management were identified: (i) EMTs pre-departure preparation, operational time, and length of stay; (ii) EMTs staff composition and training; (iii) EMTs logistics; (iv) EMTs integration with local health services; (v) EMTs clinical data record. Conclusions: The findings emerging from this study showed that NCDs significantly impact disaster response in different settings, underlining the need to implement a range of EMTs activities to guarantee assistance for chronic health needs. In view of strengthening the ability of health systems to cope with the NCDs’ burden, the EMTs’ initiatives should be considered as a bridge between the support provided during the acute phase of an emergency and the continuation of care ensured by the system in its early recovery phase. Full article

Background: Mesothelioma is a rare and aggressive cancer primarily caused by asbestos exposure. In Colombia, asbestos use began in 1942, but mortality surveillance remains limited. Long latency periods and poor documentation hinder public health action. Materials and Methods: A retrospective descriptive study was conducted using mortality data from 1997 to 2022 obtained from the National Administrative Department of Statistics (DANE), including all mesothelioma cases recorded under the five ICD-10 diagnostic categories (C45.0 to C45.9), covering all anatomical sites of first occurrence. Variables analyzed included sex, age, occupation, and place of residence. Mortality rates and trends were estimated using R, Excel, JoinPoint, and Minitab. Results: A total of 1539 mesothelioma deaths were recorded. Most occurred in men (65.1%) and in individuals over 60 years old (62.6%). Urban areas accounted for 92% of deaths. The most frequent diagnosis was unspecified mesothelioma (61.3%). Cities with the highest adjusted mortality rates per 100,000 inhabitants were Sibaté (38.36), Soacha (8.41), and Bogotá (1.89), aligning with historical exposure zones. Conclusions: Mesothelioma is still a preventable public health issue in Colombia, with sustained mortality affecting even working-age populations. The high rate of unspecified diagnoses and weak linkage between morbidity and mortality data underscore the need to strengthen diagnostic capacity, improve surveillance, and implement a national asbestos-related disease elimination strategy. Full article

Saudi Arabia has emerged as a key middle power, leveraging niche diplomacy to expand its global influence. This study examines how the Kingdom strategically employs mediation, religious diplomacy, humanitarian aid, energy leadership, and sports diplomacy to shape regional and international dynamics. Unlike great powers, middle powers focus on specialized areas where they hold a comparative advantage, allowing them to exert influence despite material constraints. Saudi Arabia’s diplomatic recalibration aligns with its Vision 2030 agenda, prioritizing economic diversification, regional stability, and multilateral engagement. Saudi Arabia enhances its geopolitical significance by positioning itself as a mediator in regional conflicts, reinforcing its religious leadership, investing in sports diplomacy, and maintaining energy dominance. This study contributes to understanding middle power strategies in international relations, highlighting Saudi Arabia’s role as a stabilizing force in an evolving global order. Full article

The 2022 floods in Pakistan, one of the most recent catastrophic natural disasters, highlighted critical vulnerabilities in governance, infrastructure, and climate resilience. This study investigates the framing of the floods in newspapers from the Global North and Global South. The newspapers under investigation included The Guardian, The New York Times, The Times of India, and Dawn. The study used a cross-sectional research design. Under the rubric of framing theory, utilizing quantitative content analysis, the study examines the prevalence of key frames in the press of the Global North and the Global South. The findings revealed a dominance of solution, vulnerability, and responsibility frames. Moreover, the Global North and Global South framed human causes, i.e., larger societal forces, as responsible, rather than natural causes. In addition, the victimization frame is more focused than community-led efforts. Notably, the solutions primarily emphasized international aid and climate adaptation, and other local governance and community adaptation frames. These results underscore the dual role of Global North and Global South media both as advocates for global climate justice and narrators of humanitarian crises, while also highlighting gaps in resilience narratives and local agency. This study contributes to framing theory by exploring the interplay of global and local narratives in disaster reporting. It emphasizes the need for balanced, actionable solutions in media discourse on climate-induced disasters to ensure climate justice. Full article

Forced displacement exacerbates health vulnerabilities, particularly regarding HIV prevention, diagnosis, and treatment. Refugees often experience heightened exposure to HIV due to precarious living conditions, sexual violence, and healthcare access barriers. Background: Structural inequalities, legal precarity, and stigma hinder HIV care for refugees, especially in resource-limited settings. Excluded from national health programs, refugees often depend on underfunded humanitarian aid. Cultural stigma, limited awareness, and mobility constraints further heighten their vulnerability. Methods: This study draws on a review of peer-reviewed articles, policy documents, and case studies from refugee-hosting countries. It examines healthcare access, service provision gaps, and policy responses to HIV among displaced populations. Results: The article highlights systemic barriers to HIV services, including inadequate testing, inconsistent treatment availability, and cultural barriers to care. Policy frameworks often fail to integrate refugees into national HIV programs, exacerbating health disparities. Conclusions: The exclusion of refugees from national healthcare, compounded by stigma and mobility constraints, deepens health disparities and heightens HIV transmission risks. Without targeted interventions and inclusive health systems, refugees face disproportionate HIV-related morbidity, endangering broader public health in host communities. Full article

Background: Each disaster has its specific resource requirements, varying based on its size, location, and the affected region’s socio-economic level. Pre-disaster planning and post-disaster dynamic resource allocation including material and human resources is essential. Methods: To address the resource allocation challenges in disaster response, a multi-objective two-stage stochastic programming model is developed for search and rescue and first aid activities. The model aims to minimize the total unmet human demand, the number of resources transferred between regions, and the total unmet material demand. The proposed model was solved for a real case of an expected earthquake in Istanbul’s Kartal district. The augmented epsilon constraint 2 algorithm was employed using the CPLEX solver. A sensitivity analysis was made. Results: Most of the unmet demand occurs in the first period. After that period, the unmet demand decreases with interregional transfers and additional resources. The model is robust to scenario probability and penalty value changes in the objectives. Conclusions: This is the first study that simultaneously and dynamically allocates renewable and non-renewable material resources and human resources, including the official rescue units and volunteers, for disaster response. Volunteers’ inclusion in teams considering their training and quitting behavior are unique aspects of the study. Full article

This paper aims to identify the barriers to accessing social services for persons with disabilities among Ukrainian refugees and to examine how stakeholders can reach them through communication channels. The article analyzes the challenges faced by disabled Ukrainian refugees in Georgia. We employed a mixed methods approach to address this objective, combining quantitative and qualitative research methods. We surveyed 114 Ukrainian refugees with disabilities, aged 18 to 60+ (n = 114), residing in Georgia, and conducted semi-structured interviews with 26 experts from civil society organizations assisting Ukrainian refugees, as well as 6 caregivers with diverse roles (e.g., mother, daughter, husband). The findings reveal significant difficulties faced by Ukrainian refugees with disabilities in accessing essential services such as healthcare, employment, psychological counseling, rehabilitation, early intervention services, legal aid, and information. The primary strategies employed by stakeholders providing humanitarian aid include individualized approaches and communication. However, while many nongovernmental organizations (NGOs) assist Ukrainian refugees, there are currently no NGOs specifically focused on supporting children and adults with disabilities in this population. Full article

Efficient disaster response requires dynamic and adaptive resource allocation strategies that account for evolving public needs, real-time sentiment, and sustainability concerns. In this study, a sentiment-driven framework is proposed, integrating reinforcement learning, natural language processing, and gamification to optimize the distribution of resources such as water, food, medical aid, shelter, and electricity during disaster scenarios. The model leverages real-time social media data to capture public sentiment, combines it with geospatial and temporal information, and then trains a reinforcement learning agent to maximize both community satisfaction and equitable resource allocation. The model achieved equity scores of up to $0.5$ and improved satisfaction metrics by $30\%$, which outperforms static allocation baselines. By incorporating a gamified simulation platform, stakeholders can interactively refine policies and address the inherent uncertainties of disaster events. This approach highlights the transformative potential of using advanced artificial intelligence techniques to enhance adaptability, promote sustainability, and foster collaborative decision-making in humanitarian aid efforts. Full article

Religion in international relations should not be viewed solely as a source of conflict or cultural differences; it also has a constructive dimension, as demonstrated by the international activities of faith-based organizations (FBOs). FBOs have benefited from the post-Cold War expansion of non-governmental organizations (NGOs) in global affairs. Their growth is often linked to raising awareness among various social groups about security challenges or issues traditionally addressed by state and inter-governmental actors, as well as increasing international interconnectedness. While FBOs differ from classical NGOs in their strong religious motivation, they too often organize around specific missions or messages. The Community of Sant’Egidio (CSE) is a distinctive example of a faith-based organization that operates both as a religious community within the Roman Catholic Church and as an internationally active NGO. Unlike many NGOs, which are founded in response to a singular issue, CSE has broadened its scope over time, addressing a wide range of concerns, from poverty alleviation and peacebuilding to humanitarian aid and, more recently, environmental issues. This paper explores the process by which the CSE has discursively constructed its identity and examines how this process has contributed to its growing influence on the international stage. Full article

Background/Objectives: Orphans’ and Vulnerable Children’s (OVC) primary caregivers (PCGs) in Ethiopia live with multiple social and emotional problems stemming from extreme poverty, war, environmental disasters, and the HIV pandemic. Family and community supports are strained, leaving OVC’s PCGs dependent on inconsistent humanitarian aid. This aid is typically focused on OVCs and does not address PCG well-being. This study aimed to assess PCG well-being and explore their perceived stress and the traditional family and community coping mechanisms. Method: Participants from the Oromia region of Ethiopia were recruited, and a mixed-methods design was employed. Six cases were included using a criterion sampling technique. An explanatory data analysis technique was used, and data were triangulated from interviews, focus group discussions, archival information, and surveys. A 36-item Well-being Measuring Tool (WMT) Likert scale was employed to measure well-being domains. Result: The results indicated that none of the PCGs reported the desirable and average summative well-being domain mean scores [25 and 23]. Among the ten well-being domains, only “spirituality” and “community cohesion” were above the average score [2.3]. The “economy” domain had the lowest score, indicating a critical deficiency [1.3]. A lack of community support could exasperate perceived stress, and well-being deficiencies were linked. Conclusions: Lack of family and community support could exacerbate feeling overlooked, unwelcome, and lonely. A policy that promotes a supportive community environment and safeguards the most vulnerable OVCs and their PCGs should be in place. This study recommends further rigorous research examining the well-being determinants of OVCs’ PCGs in Ethiopia and the role of traditional support systems in rural settings. Full article

Background: Failure mode and effect analysis (FMEA) is a valuable risk analysis tool aimed at predicting the potential failures of a system and preventing them from occurring. Since its initial use, it has also recently been applied to the healthcare setting, which has been made progressively more complex by technological developments and new challenges. Infection prevention and control (IPC) is an area that requires effective strategies. The aim of this study is to review the literature on the employment of FMEA in the healthcare environment, with special consideration for its application in the infectious disease setting. Methods: An extensive search was carried out in two international and public databases, PUBMED and EMBASE; we included all studies regarding the use of FMEA in hospital settings and human patient care processes. Results: A total of 163 studies published over the period from 2003 to 2023 were included for data extraction. These studies were analyzed regarding bibliometric data (publication year and country of origin), the healthcare issues to be addressed, the application fields, and the utilized FMEA methods. Among these, 13 studies were found that took an interest in infectious diseases. Conclusions: FMEA can be effectively used for healthcare risk assessment. Its implementation as a standard tool in healthcare settings, though demanding, may serve as an important tool for preventing the risk of biohazard incidents, epidemics, and environmental contamination, thereby improving safety for both patients and healthcare workers. Full article

Leptospirosis, a global zoonotic disease caused by Leptospira spp., presents high morbidity and mortality risks, especially in tropical regions like Thailand. Military personnel deployed in endemic areas, such as during the Cobra Gold Joint exercise, face heightened exposure. This study assessed Leptospira’s prevalence in rodents and environmental reservoirs at military training sites from 2017 to 2022. A surveillance program was conducted at Engineering Civil Assistance Program (ENCAP) training sites using real-time PCR, dark-field microscopy, and 16S rRNA gene sequencing to detect Leptospira in rodents and environmental samples. Results showed a 1.3% infection rate in rodents (15 of 1161), while Leptospira was detected in 10.2% of water samples (42 of 413) and 23.1% of soil samples (30 of 130). Diverse Leptospira interrogans strains circulated among rodents, and three groups of naturally circulating Leptospira strains were detected in environmental reservoirs. These findings underscore Leptospira’s survival and transmission potential within exercise sites, informing Force Health Protection (FHP) decisions. By integrating pre-exercise data on primary hosts and environmental reservoirs with historical local outbreak records and research on risk factors, this study identifies key areas for public health intervention and potential mitigation strategies. Full article

Background: On 16 January 2021 (EB148/18 Session), the World Health Organization (WHO) and Member States emphasized the importance of expanding the WHO Emergency Medical Teams (EMT) Initiative, investing in a global health workforce and multidisciplinary teams capable of being rapidly deployed, equipped, and fully trained to respond to all-hazard emergencies effectively. This resulted in the need to define a comprehensive framework. To achieve this, the EMT Initiative proposes the application of the four components of Surge Capacity, known as the 4“S” (Staff, Systems, Supplies, and Structure/Space), to build global capacities and capabilities, ensuring rapid mobilization and efficient coordination of national and international medical teams for readiness and response, complying with crisis standards of care defined in an ethical and evidence-based manner. Methods: A mixed-qualitative research approach was used, incorporating expert consensus through focus group discussions (FGDs), between 2021 and July 2022. This facilitated a detailed process analysis for the application of the surge capacity components to build global capacities and capabilities. This research highlighted the similarities between surge capacity and capacity building from an initial desk review and unified these concepts within the EMT Initiative. A standardized formal pathway was developed to enhance local, regional, and global capacities for emergency readiness and response. Results: The results showed that the framework successfully integrated the essential components of surge capacity and capacity building, making it adaptable to various settings. Conclusions: This framework provides a unified and replicable approach for readiness and response for all-hazards emergencies. Full article