Growing Divides between Establishment and Climate Justice Proponents: A View from the Extremes of South Africa

The failure of elites negotiating global public goods - e.g., ending COVID-19 "vaccine apartheid,"forging geopolitical stability, reducing inequality, regulating international financial flows, and avoiding world recession - is nowhere more dangerous than the United Nations Framework Convention on Climate Change's refusal to cut greenhouse gas emissions deeply and fairly. "Climate Justice"principles are ignored, so divisions grow between what ruling elites consider possible, and what activists demand. This is evident in a South Africa suffering among the world's highest emissions levels, extreme weather events, the worst inequality, and a neoliberal, carbon-addicted corporate power bloc determining most of the policy terrain. But activists are forcefully resisting. © Patrick Bond, 2023.

Understanding and addressing populations whose prior experience has led to mistrust in healthcare.

BACKGROUND: Policy makers need to maintain public trust in healthcare systems in order to foster citizen engagement in recommended behaviors and treatments. The importance of such commitment has been highlighted by the recent COVID-19 pandemic. Central to public trust is the extent of the accountability of health authorities held responsible for long-term effects of past treatments. This paper addresses the topic of manifestations of trust among patients damaged by radiation treatments for ringworm. METHODS: For this mixed-methods case study (quan/qual), we sampled 600 files of Israeli patients submitting claims to the National Center for Compensation of Scalp Ringworm Victims in the years 1995-2014, following damage from radiation treatments received between 1946 and 1960 in Israel and/or abroad. Qualitative data were analyzed with descriptive statistics, and correlations were analyzed with chi-square tests. Verbal data were analyzed by the use of systematic content analysis. RESULTS: Among 527 patients whose files were included in the final analysis, 42% held authorities responsible. Assigning responsibility to authorities was more prevalent among claimants born in Israel than among those born and treated abroad (χ2 = 6.613, df = 1, p = 0.01), claimants reporting trauma (χ2 = 4.864, df = 1, p = 0.027), and claimants living in central cities compared with those in suburban areas (χ2 = 18.859, df = 6, p < 0.01). Men, younger claimants, patients with a psychiatric diagnosis, and patients from minority populations expressed mistrust in health regulators. CONCLUSIONS: Examining populations' perceived trust in healthcare institutions and tailoring health messages to vulnerable populations can promote public trust in healthcare systems.

The Adventures of an Oral History Archive in the Greek Public Domain

In December 2021 a famous Greek TV and radio journalist and well-known anti-vaxxer, Yiorgos Tragkas, passed away due to Covid-19 complications. In the previous two decades, Tragkas had become a controversial figure, employing an anti-elite, pro-Russian and anti-Western narrative that fed into the country's underdog culture. His ethnocentric, populist, toxic tabloid journalism had been a popular genre in Greek political culture since the early 1980s. However, the debt and migration crises that shook Greece fuelled populist politics and a wave of misinformation.1 Tragkas jumped on the bandwagon of this new era by whitewashing the neo-Nazi Golden Dawn Party on national TV and by live appearances dressed up as a Second World War Nazi officer, with photos of Adolf Hitler and Angela Merkel on his desk.

A Statistical Representation of the Inequities Encountered by African Americans Living in Atlanta During COVID: A Time for Action.

This research analyzes the statistically significant differences that exist between Blacks and Whites living in Atlanta via their social, economic, educational, and housing characteristics during COVID. Hypothesis tests confirmed what visual scatterplots and correlations inferred. The statistics overwhelmingly substantiate that all six of the important quality of life metrics viewed in this study are more favorable towards predominately White neighborhoods, as opposed to predominately Black neighborhoods. In particular, neighborhoods with a super majority of White residents tended to have higher life expectancies at the times of their births, sustained lower violent crime rates, held higher median household incomes, had a smaller percentage of its children living below the poverty level, had higher percentages of residents with at least a high school diploma, and maintained more occupied housing units, when compared to neighborhoods with a super majority of Black residents.

Transitional Justice after the COVID-19 Pandemic.

The COVID-19 pandemic has been a real challenge for health systems and public policies. Both the pandemic and the measures taken to mitigate it have affected the freedoms and rights of the different sectors of society, especially the most vulnerable ones, and have increased the already existing structural inequalities. Consequently, the pandemic must be analyzed from the perspective of human rights. Transitional Justice (TJ) has proven to be useful after conflict situations, helping societies to confront abuses perpetrated and to find solutions for the future, as well as repairing damages that have arisen as a consequence of these conflicts in different areas. Thus, TJ processes have been successfully used after armed conflicts and during peace negotiations, to respond to abuses perpetrated in consolidated democracies, and even after environmental crises. Therefore, the creation of a "Truth and Reconciliation Commission for the COVID-19 pandemic", which launches the TJ processes of truth, justice, reparation and guarantees of non-repetition can help to find solutions to conflicts arising from the pandemic in a simple way. In addition, it would establish the foundations to prevent the violation of human rights in similar situations to come.

Colonial Legacies and African Reparations: What Ubuntu Implies in Terms of the Duties of Europeans

The current COVID-19 pandemic is likely to have a strong negative impact on African countries. This is due to the fact that poverty has reduced the ability of these countries to implement health measures that are necessary to address the pandemic. In this article, I contend that colonialism has a role to play in this reduced ability to respond to the current crisis. Hence I argue that Ubuntu ethics imposes responsibility on European governments to aid Africans during this period.

Procedural developments at the International Criminal Court (2020)

The current column covers selected procedural developments at the International Criminal Court (ICC) in 2020. During this particular year, the Court has undertaken a multi-layered response to mitigate the effects of the COVID-19 pandemic on its operations. The ICC temporarily closed its headquarters building in The Hague from March to June 2020. Nevertheless, the Court successfully implemented, in a short timeframe, new remote working arrangements to ensure business continuity. These measures have allowed it to maintain a certain productivity. As a result, during the reporting period, the ICC delivered numerous decisions, taking such opportunities to clarify specific aspects of proceedings before the Court. © Koninklijke Brill NV, Leiden, 2021.

Editorial

[...]ten years after the International Review of the Red Cross published its editions on “Understanding armed groups and the applicable law” and on “Engaging armed groups”,1 the purpose of the present bundle of articles and an interview is to take stock of some recent developments, including the humanitarian impact and challenges of the COVID-19 pandemic. [...]two fascinating articles analyse the topic of reparations by NSAGs for violations of international law committed by them. [...]in order to ensure that readers of the International Review of the Red Cross remain up to date about noteworthy recent institutional documents from, or initiatives by, the ICRC in the realm of international humanitarian law, policy and action, the final part of this edition (“Reports and documents”) bundles a series of such documents, either in “executive summary” format or in their entirety. 1 International Review of the Red Cross, Vol. 93, No. 882, June 2011;and International Review of the Red Cross, Vol. 93, No. 883, September 2011.

Rethinking the issue of reparations for Black Americans.

The differential impact of the COVID-19 pandemic on communities of color in the United States along with the civil unrest taking place in 2020 in response to the killing of unarmed Black men and women by the police have increased awareness of the structural racism pervading US society. These developments have reraised the issue of reparations for Black Americans, usually proposed in the context of providing financial compensation for the injustices of slavery to the descendants of those who were enslaved. This paper will discuss the systematic racial inequality and structural racism in US society that have significantly disadvantaged racial and ethnic minorities while giving advantages to white Americans, which most recently have resulted in significantly higher mortality and morbidity among Black, Hispanic, and Native Americans during the pandemic. The paper will conceptualize reparations within the context of theories of reparative justice. It will also consider whether reparations are owed, and if so, by whom, to whom, and in what form. The final section will offer a proposal for collective reparations to the Black community and other people of color.

The Case for Health Reparations.

The disproportionate impact of COVID-19 on racially marginalized communities has again raised the issue of what justice in healthcare looks like. Indeed, it is impossible to analyze the meaning of the word justice in the medical context without first discussing the central role of racism in the American scientific and healthcare systems. In summary, we argue that physicians and scientists were the architects and imagination of the racial taxonomy and oppressive machinations upon which this country was founded. This oppressive racial taxonomy reinforced and outlined the myth of biological superiority, which laid the foundation for the political, economic, and systemic power of Whiteness. Therefore, in order to achieve universal racial justice, the nation must first address science and medicine's historical role in scaffolding the structure of racism we bear witness of today. To achieve this objective, one of the first steps, we believe, is for there to be health reparations. More specifically, health reparations should be a central part of establishing racial justice in the United States and not relegated to a secondary status. While other scholars have focused on ways to alleviate healthcare inequities, few have addressed the need for health reparations and the forms they might take. This piece offers the ethical grounds for health reparations and various justice-focused solutions.

Reparations for Black American descendants of persons enslaved in the U.S. and their potential impact on SARS-CoV-2 transmission.

BACKGROUND: In the United States, Black Americans are suffering from a significantly disproportionate incidence of COVID-19. Going beyond mere epidemiological tallying, the potential for racial-justice interventions, including reparations payments, to ameliorate these disparities has not been adequately explored. METHODS: We compared the COVID-19 time-varying Rt curves of relatively disparate polities in terms of social equity (South Korea vs. Louisiana). Next, we considered a range of reproductive ratios to back-calculate the transmission rates ßi→j for 4 cells of the simplified next-generation matrix (from which R0 is calculated for structured models) for the outbreak in Louisiana. Lastly, we considered the potential structural effects monetary payments as reparations for Black American descendants of persons enslaved in the U.S. would have had on pre-intervention ßi→j and consequently R0. RESULTS: Once their respective epidemics begin to propagate, Louisiana displays Rt values with an absolute difference of 1.3-2.5 compared to South Korea. It also takes Louisiana more than twice as long to bring Rt below 1. Reasoning through the consequences of increased equity via matrix transmission models, we demonstrate how the benefits of a successful reparations program (reflected in the ratio ßb→b/ßw→w) could reduce R0 by 31-68%. DISCUSSION: While there are compelling moral and historical arguments for racial-injustice interventions such as reparations, our study considers potential health benefits in the form of reduced SARS-CoV-2 transmission risk. A restitutive program targeted towards Black individuals would not only decrease COVID-19 risk for recipients of the wealth redistribution; the mitigating effects would also be distributed across racial groups, benefiting the population at large.

On Answering the Call to Action For COVID-19: Continuing a Bold Legacy of Health Advocacy.

The disproportionately high burden of death and disability observed for racial and ethnic minorities under the Coronavirus pandemic necessitates sustained advocacy by the medical and public health communities around critical determinants of population health. Prompting our advocacy should be the understanding that our collective ability to rebound from such crises may ultimately hinge on protecting and equipping our most vulnerable racial-ethnic minority groups and any susceptible individuals within those populations. If proven effective, recent historic firsts by the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration (HRSA), the Office of Minority Health (OMH) and the Centers for Disease Control and Prevention (CDC) in response to COVID-19 should be championed for permanency within policy, practice and funding. In addition, given the complex history of Black Americans in this country and persistent and substantial Black-white disparities on health and economic measures across the board, some kind of reparations for this group may serve as a logical starting point for further advocacy. Nevertheless, we remain supportive allies of all organizations concerned with communities who suffer the weight of this pandemic and any future world health disasters. Let us as human clinicians and public health professionals capture this moment of challenge and engage in thoughtful unification of effort and commit to measurable progress for as long as the need exists and certainly for the foreseeable future.