Inaction,under-reaction action and incapacity: communication breakdown in Italy’s vaccination governance

This article explores why governments do not respond to public compliance problems in a timely manner with appropriate instruments, and the consequences of their failure to do so. Utilising a case study of Italian vaccination policy, the article considers counterfactuals and the challenges of governing health policy in an age of disinformation. It counterposes two methods of governing vaccination compliance: discipline, which uses public institutions to inculcate the population with favourable attitudes and practices, and modulation, which uses access to public institutions as a form of control. The Italian government ineffectively employed discipline for a number of years. Epistemological and organisational constraints stymied its efforts to tackle a significant childhood vaccination compliance problem. With a loss of control over the information environment, vaccinations were not served well by exogenous crises, the sensationalism of the news cycle and online misinformation. Hampered by austerity, lack of capacity and epistemic shortcomings, the Italian government did not protect the public legitimacy of the vaccination programme. Instead of employing communications to reassure a hesitant population, they focused on systemic and delivery issues, until it was too late to do anything except make vaccinations mandatory (using modulation). The apparent short-term success of this measure in generating population compliance does not foreclose the need for ongoing governance of vaccine confidence through effective discipline. This is evident for the COVID-19 vaccination campaign, with many Italians still indicating that they would not accept a vaccine despite the devastation that the disease has wrought throughout their country.

     

Passive Drip Stain Formation Dynamics of Blood onto Hard Surfaces and Comparison with Simple Fluids for Blood Substitute Development and Assessment,

The spreading dynamics of blood dripping onto hard surfaces is compared to two spreading models. Samples of human blood, porcine blood, and Millipore^® water were dripped onto cardboard, foamcore, and glass surfaces in low velocity passive drip simulations. Final stain diameter, the total number of spines and scallops, and angle of impact were measured and analyzed. Spreading is best predicted by applying the concept of effective viscosity to the Scheller and Bousfield (R² = 0.91) and Roisman (R² = 0.89) spreading models. In the tested conditions, blood spreads with Newtonian tendencies; however, has quantifiable differences in stain appearance to Newtonian fluids like water. This is encouraging for the development of water‐based fluids as synthetic blood substitutes (SBSs). The work presents an assessment platform to quantify and score the performance of simple water‐based fluids using final stain diameter (6 points) and number of spines and scallops (6 points) at six dripping heights between 20 and 120 cm. The angle of impact of a stain alone is not a sensitive measure of SBS performance, but stain formation scores the SBS's performance with another 1 point. Together these features generate a quantitative relative ranking system, of a maximum possible 13 points, that can be used to support the use of a particular fluid for the creation of a drip stain. The performance of twenty simple fluids in the simulated dripping assessment test is described.     

Reflections on a course on ‘women and literature’

The authors outline the place of their course in a Polytechnic Humanities Degree and show how, concentrating primarily upon the novel and a line of women novelists from Jane Austen to Doris Lessing, new perspectives upon literary criticism and literary history in relation to society and culture are opened up. Teaching methods and attitudes are discussed in relation to the re-evaluation of the role of women as readers and critics, as well as authors. The success of the course, in terms of the interest it has aroused among students in women authors and feminist criticism is discussed, together with the effects of open recognition of differences of emphasis and point of view between the two tutors responsible for it. The authors express their confidence in the course as undermining a harmful acceptance of the idea of a single established literary tradition, which ‘happens’ to be dominated by white, male authors and critics, thus opening the way for students to appreciate how, as Adrienne Rich puts it, ‘there is another story to be told’.     

Natural helpers: a community approach to harm reduction

This paper, by Jennifer Taylor and Theresa Jasperson, looks at a successful harm-reduction initiative developed by Streetworks, a needle exchange program in Edmonton, Alberta. The Natural Helpers initiative provides and enhances the skills, knowledge, resources, and support that people who use injection drugs need in order to take care of others in their community. The evolution of the project, from its inception to the present situation, is described.     

Channeling frustrations: institutions, economic fluctuations, and political behavior

While the literature suggests that clear lines of responsibility lead to greater incumbent dependence on economic conditions for support, little has been said about how electorates channel frustrations in systems characterized by 'fuzzy' lines of responsibility, i.e., the shape and status of parliamentary government in relation to possible choice of electors open to them. The argument presented here is that fuzzy lines of responsibility result in lower incentives to participate in political processes and greater system dissatisfaction given economic circumstances. This decline is greater in systems in which incumbent responsibility is less easily identified by the individual citizen. To test this, data are collected from eight European nations over the period 1975–1992. Split sample and slope intervention models with robust estimation are employed at the individual level. System level aggregates are analyzed using pooled time–series analysis to confirm individual level findings. Finally, election turnout data are also analyzed to obtain election level verification of survey findings. Evidence suggests that participation is more heavily influenced by economic conditions in fuzzy settings. Coupled with existing literature, this suggests that while clear settings encourage punishment of the incumbent unclear settings tend to cause individuals to become more withdrawn and alienated. However, economic conditions are also important to overall system effects. The findings herein suggest that unclear or fuzzy settings increase the role of economic conditions in determination of system affect.     

Taiwan's Foreign Policy and Africa: The limitations of dollar diplomacy

The search for status, or more correctly, the desire to maintain status, lies at the heart of the Republic of China on Taiwan's (ROC) foreign policy. This is particularly so vis-a ¤ -vis its official state-to-state relations. In this regard, the ROC has been constrained by a conscious policy by the People's Republic of China (PRC) to try and marginalize Taiwan on the international stage. Due to objective realities, Taiwan has had to become satisfied with maintaining official state relations with small states only. All, with the exception of the Vatican, are in the developing world, with a number in Africa. This paper examines Taiwanese foreign policy and its diplomatic initiatives, with particular reference to its use of 'dollar diplomacy' in its activities in Africa. The constraints and limitations of such policies are drawn out.