Community attitudes towards mandated vaccinations against COVID-19 vary significantly from country to country. Views on the issue are strongly held. However, in Australia opposition to vaccination is at low levels according to a leading public opinion poll, although there has been vocal opposition to "no jab, no work" directives from some. There is relative consistency in the framing of directives that designated categories of workers across a number of Australian States are required to be vaccinated to continue in their employment, especially in the health care sector. A number of challenges against such directives have been commenced in five States in Australia. However, decisions from the Fair Work Commission, the Queensland Industrial Relations Commission and the New South Wales Supreme Court have given a clear indication that in most scenarios such directives are likely to be found lawful, with precedence being given to the public health rights of the community over individual assertions of rights, in the difficult circumstances of a country still emerging from the COVID-19 pandemic, at a time when numbers of infections in New South Wales, the Australian Capital Territory and Victoria remain significant, and when Australia has not yet opened up to the world.
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BMJ Open
December 2024
Pharmaceutical Care Research Group, University of Granada Faculty of Pharmacy, Granada, Spain.
Objectives: To explore the opinions and perceptions of key stakeholders on the integration between community pharmacy and primary care, within the Valencian Autonomous Community. Specific objectives include identifying strategic interventions to facilitate this integration. Additionally, the manuscript discusses the formulation of a novel model for the integration of community pharmacy and primary care.
View Article and Find Full Text PDFBMJ Glob Health
December 2024
Global Bioethics Collaborative, Los Angeles, California, USA.
Conscientious objection is a critical topic that has been sparsely discussed from a global health perspective, despite its special relevance to our inherently diverse field. In this Analysis paper, we argue that blanket prohibitions of a specific type of non-discriminatory conscientious objection are unjustified in the global health context. We begin both by introducing a nuanced account of conscience that is grounded in moral psychology and by providing an overview of discriminatory and non-discriminatory forms of objection.
View Article and Find Full Text PDFBMJ Glob Health
December 2024
Muso, Bamako, Mali; San Francisco, USA.
Introduction: Despite recommendations from the WHO, antenatal care (ANC) coverage remains low in many low-income and middle-income countries (LMICs). Community health workers (CHWs) can play an important role in expanding ANC coverage through pregnancy identification, provision of health education, screening for complications, delivery of therapeutic care and referral to higher levels of care. However, despite the success of CHW programmes in various countries, WHO has called for additional research to develop evidence-based models that optimise CHW service delivery and that can be replicated across geographies.
View Article and Find Full Text PDFVet J
December 2024
Queensland Alliance for One Health Sciences, School of Veterinary Sciences, The University of Queensland, Gatton, Australia.
Canine distemper virus (CDV) can infect a wide range of mammalian carnivores and can cause severe illness and death. Domestic dogs may be an important source of this virus for endangered wild carnivores. The objective of this study was to establish the presence of CDV in rural areas of Cambodia bordering three established protected habitats, and to determine the seroprevalence of CDV in free-roaming dogs inhabiting these areas.
View Article and Find Full Text PDFAnn Epidemiol
December 2024
Department of Internal Medicine, University of Botswana, Gaborone, Botswana.
Identifying and monitoring adverse effects (AEs) are integral to ensuring patient safety in clinical trials. Research sponsors and regulatory bodies have put into place a variety of policies and procedures to guide researchers in protecting patient safety during clinical trials. However, it remains unclear how these policies and procedures should be adapted for trials in implementation science.
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