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Amputating the Body, Fragmenting the Nation: Palestinian Amputees in Gaza. 截肢的身体,支离破碎的民族:加沙的巴勒斯坦截肢者。
IF 2.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01
Ghada Majadli, Hadas Ziv

In this paper, we seek to contextualize amputations sustained by Palestinians during the Great March of Return within a framework of settler-colonial ideology and practice. Utilizing case studies identified in our advocacy work at Physicians for Human Rights Israel, we evaluate the conditions in which these amputations occurred and their relationship to the politicized Palestinian body, land, and nation. Through evaluating themes of intentionality and subjugation, the politicized Palestinian body, and reflections on the challenges of navigating human rights and humanitarian possibilities, we reflect on our work and the ability to advocate for health justice in inherently violent and eliminatory bureaucratic and legal systems. We conclude with a discussion on the utility of a human rights approach that is divorced from a structural and historical analysis of the dire situation on the ground.

在本文中,我们试图在定居者殖民主义意识形态和实践的框架内,对巴勒斯坦人在回归大游行期间遭受的截肢事件进行背景分析。利用我们在以色列医生促进人权协会的宣传工作中发现的案例研究,我们对这些截肢事件发生的条件及其与政治化的巴勒斯坦身体、土地和民族之间的关系进行了评估。通过评估蓄意性和征服、政治化的巴勒斯坦身体等主题,以及对驾驭人权和人道主义可能性的挑战的思考,我们反思了我们的工作,以及在固有的暴力和消除性官僚和法律体系中倡导健康正义的能力。最后,我们讨论了脱离对当地严峻局势的结构性和历史性分析的人权方法的效用。
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引用次数: 0
Cannabis, Coerced Care, and a Rights-Based Approach to Community Support. 大麻、强制护理和基于权利的社区支持方法。
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01
Johannes Wheeldon, Jon Heidt
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引用次数: 0
A Call for Social Justice and for a Human Rights Approach with Regard to Mental Health in the Occupied Palestinian Territories. 呼吁在巴勒斯坦被占领土上对精神健康采取社会正义和人权方针。
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01
Maria Helbich, Samah Jabr

This paper examines the process of depoliticization of mental health in the occupied Palestinian territories (oPt) and links it to a critical analysis of post-traumatic stress disorder and the role of international humanitarian aid. It is based on a human rights framework that focuses on the right to health and that is instrumental in connecting human rights violations to demands of social justice. Efforts to weaken justice and reparations are analyzed by looking at the role of mental health professionals and assumptions of psychotherapy as a neutral and nonpolitical sphere. By drawing on models of decoloniality and liberation psychology, we advocate for a shift from a decontextualized and individualistic approach to mental health to acknowledging the structural, social, and political oppression that are the underlying factors for suffering in the oPt. In order to alleviate the social suffering of Palestinians and to prevent their victimization, interventions that acknowledge the political nature of mental health ill-being and promote a human rights approach are needed.

本文考察了巴勒斯坦被占领土(被占领土)心理健康非政治化的进程,并将其与对创伤后应激障碍和国际人道主义援助作用的批判性分析联系起来。它基于一个以健康权为重点的人权框架,该框架有助于将侵犯人权行为与社会正义的要求联系起来。通过观察心理健康专业人员的作用和心理治疗作为中立和非政治领域的假设,分析削弱正义和赔偿的努力。通过借鉴非殖民化和解放心理学的模式,我们提倡从对心理健康的非情境化和个人主义的做法转变为承认作为巴勒斯坦被占领土痛苦的根本因素的结构、社会和政治压迫。需要采取干预措施,承认心理健康疾病的政治性质,并促进人权方针。
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引用次数: 0
Access to Vaccines and New Zealand's Distinctive Response to COVID-19. 疫苗获取和新西兰对COVID-19的独特应对。
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01
Paul Hunt, Sophie Bradwell-Pollak
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引用次数: 0
Protecting Public Health through Technology Transfer: The Unfulfilled Promise of the TRIPS Agreement. 通过技术转让保护公众健康:《与贸易有关的知识产权协定》未兑现的承诺。
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01
Ellen 't Hoen
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引用次数: 0
Niger's Approach to Child Marriage: A Violation of Children's Right to Health? 尼日尔对待童婚的做法:侵犯了儿童的健康权?
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01
Caroline Crawford
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引用次数: 0
An Inquiry into State Agreement and Practice on the International Law Status of the Human Right to Medicines. 关于药品人权国际法地位的国家协定与实践探讨。
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01
Lisa Forman, Basema Al-Alami, Kaitlin Fajber

Global disparities in access to COVID-19 vaccines have brought back into focus questions about whether the right to medicines has assumed any level of binding legality within international law. In this paper, we attempt to answer this question by considering if there is evidence of subsequent state agreement and practice to read the right to medicines into the rights to health and science protected in the International Covenant on Economic, Social and Cultural Rights. We adopt the interpretive framework in the Vienna Convention on the Law of Treaties and the International Law Commission's 2018 report to analyze the work of the United Nations Committee on Economic, Social, and Cultural Rights relevant to medicines, and its relationship to the content and voting in successive resolutions of the United Nations General Assembly. We find that these resolutions provide some evidence of state agreement that the rights to health and science, as enshrined in the International Covenant on Economic, Social and Cultural Rights, include access to affordable medicines. Yet the legal implications of this right remain highly contested, particularly when it comes to trade-related intellectual property rights. The negotiation of a pandemic treaty offers possibilities for codifying this right beyond these discursive instances, while political opposition remains likely to continue to undercut this emerging legal norm.

在获得COVID-19疫苗方面的全球差异使人们重新关注药物权是否在国际法中具有一定程度的约束力合法性的问题。在本文中,我们试图通过考虑是否有证据表明随后的国家协议和实践将药品权解读为《经济、社会和文化权利国际公约》所保护的健康和科学权利来回答这个问题。我们采用《维也纳条约法公约》和国际法委员会2018年报告中的解释框架,分析联合国经济、社会及文化权利委员会与药品相关的工作,以及其与联合国大会历届决议内容和表决的关系。我们认为,这些决议提供了一些证据,表明各国同意《经济、社会及文化权利国际公约》所载的健康和科学权利包括获得负担得起的药品。然而,这一权利的法律含义仍然备受争议,特别是在涉及与贸易有关的知识产权时。大流行病条约的谈判提供了将这一权利编纂成法律的可能性,而政治上的反对仍有可能继续削弱这一新兴的法律规范。
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引用次数: 0
Menstruation, Myopia, and Marginalization: Advancing Menstrual Policies to "Keep Girls in School" at the Risk of Exacerbating Inequalities. 月经、近视和边缘化:推进月经政策以 "让女孩继续上学",却面临加剧不平等的风险。
IF 2.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01
Nay Alhelou, Purvaja S Kavattur, Mary M Olson, Lillian Rountree, Inga T Winkler

As countries across the world adopt policies addressing menstruation, it is imperative to identify who benefits from such policies and to understand the dynamics of inclusion and exclusion. We examine such policies through the lens of human rights, as a framework that demands addressing marginalization, ensuring substantive equality, and guaranteeing inclusive participation to ensure that the menstrual needs of everyone, everywhere are met. Our review is focused on four countries (India, Kenya, Senegal, and the United States) and is based on data from 34 policy documents and interviews with 85 participants. We show that girls, particularly school-going girls, are the main target group of policies. Due to this myopic view of menstrual needs, policies risk leaving the needs of adult menstruators, including those experiencing (peri)menopause, unaddressed. Moreover, the intersection between menstrual status and markers of identity such as disability and gender identity produces further policy gaps. These gaps can be attributed to the exclusion of marginalized menstruators from decision-making processes by creating barriers and failing to ensure meaningful inclusive participation. To address inequalities, policy makers need to make a concerted effort to understand and accommodate the needs of menstruators in all their diversity.

随着世界各国采取应对月经问题的政策,当务之急是确定谁能从这些政策中受益,并了解包容和排斥的动态。我们从人权的角度来审视这些政策,因为人权框架要求解决边缘化问题、确保实质上的平等、保证包容性参与,以确保满足每个人、每个地方的月经需求。我们的研究主要集中在四个国家(印度、肯尼亚、塞内加尔和美国),以 34 份政策文件中的数据和对 85 位参与者的访谈为基础。我们发现,女孩,尤其是在校女孩,是政策的主要目标群体。由于这种对月经需求的近视,政策有可能忽视成年月经者的需求,包括那些经历(围)更年期的人。此外,月经状况与残疾和性别认同等身份标志之间的交叉也产生了更多的政策空白。这些差距可归因于边缘化的月经参与者被排除在决策过程之外,因为他们制造了障碍,未能确保有意义的包容性参与。为了解决不平等问题,政策制定者需要做出协调一致的努力,以了解和满足月经期女性的各种需求。
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引用次数: 0
"No Jab, No Entry": A Constitutional and Human Rights Perspective on Vaccine Mandates in Ghana. "不打针,不进入":从宪法和人权角度看加纳的疫苗任务。
IF 2.5 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01
Maame Efua Addadzi-Koom

As part of global efforts to reach herd immunity to stem the spread of COVID-19, the government of Ghana in 2021 declared December as the month of vaccination. Along with the declaration were statements about the government's intention to make vaccination mandatory in January 2022 for select groups of persons and to restrict access of unvaccinated persons to certain public spaces. The directives attracted varied reactions since they touched on constitutionally guaranteed fundamental human rights. Later, in March 2022, the president eased some restrictions, such as mask wearing and social distancing at public events but subject to all users being fully vaccinated. This paper analyzes the constitutional and human rights implications of a vaccine mandate in Ghana. It answers the question, Is mandatory vaccination necessary and appropriate given the COVID-19 situation in Ghana? I make a case for finding a reasonable balance between the personal liberties of Ghanaians and the state's responsibility to protect public health. Using the proportionality test, I argue that while mandatory vaccination is permissible within Ghana's legal and constitutional framework, a tiered approach is preferable.

作为实现群体免疫以阻止 COVID-19 传播的全球努力的一部分,加纳政府于 2021 年宣布 12 月为疫苗接种月。在宣布的同时,政府还发表声明,打算在 2022 年 1 月强制特定人群接种疫苗,并限制未接种者进入某些公共场所。由于这些指令涉及宪法保障的基本人权,因此引起了不同的反应。后来,在 2022 年 3 月,总统放宽了一些限制,如在公共活动中佩戴口罩和保持社交距离,但前提是所有使用者必须接种全部疫苗。本文分析了加纳强制接种疫苗对宪法和人权的影响。它回答了这样一个问题:鉴于加纳 COVID-19 的情况,强制接种疫苗是否必要和适当?我主张在加纳人的个人自由与国家保护公众健康的责任之间寻求合理的平衡。利用相称性测试,我认为虽然加纳的法律和宪法框架允许强制接种疫苗,但最好采用分级方法。
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引用次数: 0
Ghummeida: Outdoor Play in a Militarized Zone. Ghummeida:军事化区域的户外游戏。
IF 3.7 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Pub Date : 2022-12-01
Nadera Shalhoub-Kevorkian, Razzan Quran

This paper connects two seemingly distinct subjects-the right to health and children's play in contexts of a militarized settler colony. Following Ignacio Martín-Baró's articulation of a critical psychology "of the people," we outline the spatial and psychosocial economies of childhood outdoor play as forms of social and political determinants of health and human rights.1 We offer an analysis through the words and reflections of Palestinian Jerusalemite children that expose the mundane violence produced and sustained by the colonizer, whereby children's play creates spaces of livability against necropolitics. We draw on 50 observations of Palestinian children's play of Ghummeida-hide and seek-spanning 2020 through 2022 in four locations in occupied East Jerusalem. Our analysis proposes three overlapping fields through which Ghummeida operates: as a game, as resistance to spatial suffocation, and against unchilding. Across each of these fields, children's ways of embodying their right to play and live are presented as acts of refusing the chronic political violence they are exposed to. The produced processes include generativity, ownership of space, the surface and the body, and psychic repair. The paper concludes by unveiling how Ghummeida, with its metaphoric and embodied imprints, enables Palestinian children's psychosocial well-being, and pursuit of human rights, through defying their reality under a brutal system of apartheid.

这篇论文将两个看似不同的主题联系在一起——在一个军事化的移民殖民地背景下的健康权和儿童游戏。根据伊格纳西奥Martín-Baró对“人民”的批判心理学的阐述,我们概述了儿童户外游戏作为健康和人权的社会和政治决定因素的空间和社会心理经济形式我们通过巴勒斯坦耶路撒冷儿童的话语和反思进行分析,揭示了殖民者产生和维持的世俗暴力,儿童的游戏创造了反对死灵政治的宜居空间。我们从2020年到2022年在被占领的东耶路撒冷的四个地点对巴勒斯坦儿童玩“躲猫猫”进行了50次观察。我们的分析提出了Ghummeida运作的三个重叠领域:作为一种游戏,作为对空间窒息的抵抗,以及反对孩子的丧失。在这些领域中,儿童体现其游戏和生活权利的方式被呈现为拒绝长期政治暴力的行为。被生产的过程包括生成,空间、表面和身体的所有权,以及精神修复。论文最后揭示了古梅达是如何通过隐喻和具体的印记,使巴勒斯坦儿童在残酷的种族隔离制度下藐视现实,实现心理健康和追求人权的。
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Health and Human Rights
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