Vexing,Veiled, and Inequitable: Social Distancing and the “Rights” Divide in the Age of COVID-19

Abstract

Although unprecedented in scope and beyond all our life experiences, sweeping social distancing measures are not without historical precedent. Historically, racism, stigma, and discrimination resulted in grossly inequitable application of disease containment measures. But history also provides examples in which broad measures enjoyed remarkable public support. When it comes to COVID-19, blame and division continue to shape containment responses. But the COVID-19 pandemic also resonates with moments in which there was broad social support for containment precisely because lockdowns or stay at home orders are, on the surface, remarkably equitable. Yet even in a context in which a majority of Americans support social distancing, small but coordinated conservative groups are challenging social distancing as a matter of individual rights. In sharp contrast, vulnerable populations, who bear the heaviest burden of disease, have claimed a right to social distancing as a matter of protection.     

The Cross versus the Crescent: Karl Kumm’s Missiology

ABSTRACT

This article surveys the missiology promoted in the writings of the Protestant missionary Karl Kumm during the first decades of the twentieth century. Kumm was famous as a missionary explorer. He was the first European to successfully cross the region known as the Sudan, from the Niger bend to the Nile. He was also notable because he founded two different missions in two different places in Africa, both aimed at evangelizing the peoples of the Sudan. Lastly, Kumm was significant for having constructed in his various writings a highly influential case against the evangelization of Muslims and for the evangelization of traditionalist people. Kumm, his ideas and actions helped shape government policy towards Christian missions and Christian–Muslim relations in colonial Northern Nigeria.     

Towards a critique of fundamental British values: the case of the classroom

ABSTRACT

Fundamental British Values are regarded as a tool in the UK counter-terror strategy to support the Prevent Duty (2015) of steering pupils away from extremism. ‘Fundamental British Values’ is understood here as a label, developed in the wake of the ‘end of multiculturalism’ rhetoric, and is promoted as a new form of discourse for schools. I explore the implications and risks of this vocabulary both for the classroom and for society at large by examining each of the terms ‘fundamental’, ‘British’, and ‘values’ through a form of analysis, influenced by Fairclough. Potential practical outcomes, including the formation of an ‘us and them’ narrative, together with a reductive notion of Britishness, and a risked sense of alienation, are identified. In the promotion of values, language can have ‘hidden effects’ which may be perpetuated through unconsidered refrain in classrooms and in staffrooms. The Ofsted requirement upon schools to promote these values, suggests a need for a critical and sensitive understanding in order to be aware of, and to minimise, the potential risks affecting social cohesion.     

Reassessing the Ethics of Molecular HIV Surveillance in the Era of Cluster Detection and Response: Toward HIV Data Justice

Abstract

In the United States, clinical HIV data reported to surveillance systems operated by jurisdictional departments of public health are re-used for epidemiology and prevention. In 2018, all jurisdictions began using HIV genetic sequence data from clinical drug resistance tests to identify people living with HIV in “clusters” of others with genetically similar strains. This is called “molecular HIV surveillance” (MHS). In 2019, “cluster detection and response” (CDR) programs that re-use MHS data became the “fourth pillar” of the national HIV strategy. Public health re-uses of HIV data are done without consent and are a source of concern among stakeholders. This article presents three cases that illuminate bioethical challenges associated with re-uses of clinical HIV data for public health. We focus on evidence-base, risk-benefit ratio, determining directionality of HIV transmission, consent, and ethical re-use. The conclusion offers strategies for “HIV data justice.” The essay contributes to a “bioethics of the oppressed.”     

Why do new members stop attending health and fitness venues? The importance of developing frequent and stable attendance behaviour

ObjectivesAttendance at health and fitness venues often declines dramatically during the first year of membership. The present study sought to identify factors associated with continued attendance in new members.MethodsA secondary data analysis was conducted on the attendance data of 1726 new members of a health and fitness organisation over the first 12 months of their membership. Associations were assessed between members’ frequency and pattern of attendance during the first quarter of their membership, age, gender, and home location and their attendance levels in the fourth quarter after joining.ResultsThere was a significant reduction in the frequency of attendance over time from a mean of 7.48 times in the first month to a mean of 0.92 in the 12th month after joining. Older age, starting membership in the autumn or spring, frequency of attendance in the first quarter and stability of the context of attendance (i.e., same time and location) in month three were all significantly associated with increased attendance levels in the fourth quarter.ConclusionsThe findings indicate that new members’ early attendance behaviour, in terms of the frequency and the stability of attendance, may be important for supporting continued attendance at health and fitness venues. Interventions to increase longer-term attendance and, in turn, physical activity, should focus on promoting regular and consistent attendance, especially in terms of day, time and location, early on in individuals’ membership of health and fitness venues.     

Use of local public transport among people with cognitive impairments – A literature review

Being able to move around in the community including using different modes of transport is a prerequisite for being able to participate in activities outside home. This can be particular challenging for people with cognitive impairments. Still, research regarding public transport for people with cognitive impairments is scarce. In this narrative review scientific literature focusing on people with cognitive impairments and their needs in public transport, was identified and summarised. All aspects in the travel chain perspective were of interest. Literature search engines Scirus, Elin and Cinahl were used during the search.Thirty-four articles were included and analysed according to which part of the travel chain they covered in the used model. The results showed that the articles were unevenly allocated to the different parts of the model. Future studies based on real-world experiences are essential, and more user-centred approaches should be adopted. Moreover, there is a need for the development and evaluation of evidence-based rehabilitation. Finally, more research is needed to foster societal awareness of the problems and needs in the public transport of people with cognitive impairments taking the whole travel chain into consideration.