Immunization plays a crucial role in global health security, preventing public health emergencies of international concern and protecting individuals from infectious disease outbreaks, yet these critical public health benefits are dependent on immunization law. Where public health law has become central to preventing, detecting, and responding to infectious disease, public health law reform is seen as necessary to implement the Global Health Security Agenda. This article examines national immunization laws as a basis to implement the GHSA and promote the public's (...) health, analyzing the scope and content of these laws to prevent infectious disease across Sub-Saharan Africa. Undertaking policy surveillance of national immunization laws in 20 Sub-Saharan African countries, this study: developed a legal framework to map the legal attributes relevant to immunization; created an assessment tool to determine the presence of these attributes under national immunization law; and applied this assessment tool to code national legal landscapes. An analysis of these coded laws highlights legal attributes that govern vaccine requirements, supply chains, vaccine administration standards, and medicines quality and manufacturer liability. Based upon this international policy surveillance, it will be crucial to undertake legal epidemiology research across countries, examining the influence of immunization law on vaccination rates and disease outbreaks. (shrink)

Language is a powerful tool that enables communication and shapes our identity and cultural practices. The right to choose one's language is a fundamental human right that helps preserve personal and communal identities. In a multilingual nation like Ethiopia, language goes beyond communication to define administrative boundaries. Consequently, depriving Ethiopians of their linguistic rights becomes a more complex punishment than food embargoes. This research investigated the motives and means by which the Amhara Regional State-enforced a monolingual and monocultural language education (...) policy in western Tigray through the lens of linguistic genocide. The study involved interviews with ten teachers, selected using a snowball sampling method, and document analysis to reinforce the result. Political and economic factors and a desire to promote the assimilation of Tigrayans into Amhara culture and language, a process known as "Amharanization", appear to have impacted the implementation of the language education policy in western Tigray. Authorities have implemented a variety of measures, including bans, restrictions, penalties, enforcement, forced relocation, and even heinous acts, which have caused the Tigrayan community severe physical and psychological distress. Collectively, these policies, actions, and outcomes constituted an act of linguistic genocide. This study sheds light on the severe repercussions of such policies, examines their implications, acknowledges the inherent limitations, and offers valuable recommendations for future research in this crucial area. (shrink)

Much innovation has taken place in the development of medical schools and licensure exam processes across the African continent. Still, little attention has been paid to education that enables the multidisciplinary, critical thinking needed to understand and help shape the larger social systems in which health care is delivered. Although more than half of medical schools in Canada, the United Kingdom, and the United States offer at least one medical humanities course, this is less common in Africa. We report on (...) the “liberal arts approach” to medical curricula undertaken by the University of Global Health Equity beginning in 2019. The first six-month semester of the curriculum, called Foundations in Social Medicine, includes courses in critical thinking and communication, African history and global political economy, medical anthropology and social medicine, psychology and health, gender and social justice, information technology and health, and community-based training. Additionally, an inquiry-based pedagogy with relatively small classes is featured within an overall institutional culture that emphasizes health equity. We identify key competencies for physicians interested in pursuing global health equity and how such competencies relate to liberal arts integration into the African medical school curriculum and pedagogical approach. We conclude with a call for a research agenda that can better evaluate the impact of such innovations on physicians’ education and subsequent practices. (shrink)