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Time to decolonise, redefine global health

Time to decolonise, redefine global health The COVID-19 pandemic is a bleak reminder of the enduring inequity in global public health. Despite early warnings, the global response does not take into account the racial inequality underpinning health outcomes (think lack of healthy food options, green spaces, safety, housing density), nor that diagnostic tools such as pulse oximeters are not accurate on non-white skin. Glaringly, Global North responses to COVID-19 have not been the most efficacious nor the most effective. For example, the United Kingdom, the United States and Sweden have failed to adequately protect their populations, while global south countries such as Rwanda and Taiwan quickly instituted systems and deployed technologies to respond effectively.

We thought we were prepared for a pandemic — and that s a lesson for next time

© Getty Images Everyone thought the U.S. was well prepared to battle a pandemic. The country ranked first worldwide on the 2019 Global Health Security Index, an effort explicitly created to track abilities to address infectious disease outbreaks that was widely touted by the Trump administration in the early days of the pandemic. It was near the top of the World Health Organization’s Joint External Evaluation Exercise, designed to do the same thing. And yet, America ended 2020 the world leader in reported COVID-19 deaths.  It would be tempting to place the entire blame on the incompetent response of the Trump administration, but that would obscure important lessons that we need absorb if we are going to reduce the death toll from the next pandemic. The capacities required to respond to an outbreak vary considerably depending on the nature of the microbe involved, and existing indicators of preparedness missed some key capacities required to respond to COVID-19. For next time

Opinions | What if we are ranking wrong?

Opinions | What if we are ranking wrong? Daniel Drezner © Sarah Silbiger/Getty Images Senate Minority Leader Mitch McConnell (R-Ky.) walks to his office on Monday. The Senate on Tuesday is scheduled to begin the second impeachment trial of former president Donald Trump. One of the more intriguing areas of international relations research over the past decade has been the potent effect that global performance indicators ranking exercises such as the OECD Better Life Index, the annual State Department human rights reports, or the Legatum Institute’s Prosperity Index have on policymakers and the public. It might seem as though many of these rankings and blacklists are simply PR exercises in attention-getting and many of them are but they still matter. Ranking announcements generate news stories. Politicians and bureaucrats do not like learning that they are falling behind in rankings or getting named and shamed on blacklists. Some countries might

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