Pandemic influenza control in Europe and the constraints resulting from incoherent public health laws

© 2010 Martin et al; licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.Background: With the emergence of influenza H1N1v the world is facing its first 21st century global pandemic. Severe Acute Respiratory Syndrome (SARS) and avian influenza H5N1 prompted development of pandemic preparedness plans. National systems of public health law are essential for public health stewardship and for the implementation of public health policy[1]. International coherence will contribute to effective regional and global responses. However little research has been undertaken on how law works as a tool for disease control in Europe. With co-funding from the European Union, we investigated the extent to which laws across Europe support or constrain pandemic preparedness planning, and whether national differences are likely to constrain control efforts. Methods: We undertook a survey of national public health laws across 32 European states using a questionnaire designed around a disease scenario based on pandemic influenza. Questionnaire results were reviewed in workshops, analysing how differences between national laws might support or hinder regional responses to pandemic influenza. Respondents examined the impact of national laws on the movements of information, goods, services and people across borders in a time of pandemic, the capacity for surveillance, case detection, case management and community control, the deployment of strategies of prevention, containment, mitigation and recovery and the identification of commonalities and disconnects across states. Results: Results of this study show differences across Europe in the extent to which national pandemic policy and pandemic plans have been integrated with public health laws. We found significant differences in legislation and in the legitimacy of strategic plans. States differ in the range and the nature of intervention measures authorized by law, the extent to which borders could be closed to movement of persons and goods during a pandemic, and access to healthcare of non-resident persons. Some states propose use of emergency powers that might potentially override human rights protections while other states propose to limit interventions to those authorized by public health laws. Conclusion: These differences could create problems for European strategies if an evolving influenza pandemic results in more serious public health challenges or, indeed, if a novel disease other than influenza emerges with pandemic potential. There is insufficient understanding across Europe of the role and importance of law in pandemic planning. States need to build capacity in public health law to support disease prevention and control policies. Our research suggests that states would welcome further guidance from the EU on management of a pandemic, and guidance to assist in greater commonality of legal approaches across states.Peer reviewe

Proposals of a procedure to asses Pollutographs. Application to Murcia's Combined Sewer Overflows (CSOs). Póster

Directives 91/271/EEC and 93/481/EEC set norms regarding the management of Combined Sewer Overflows. European Commission monitors the implementation status and implementation programmes. In fact, during the year 2019 all the utilities should be able to quantify the pollution spilled during storm events. And afterwards, plans have to be developed in order to reduce the impact of such events. In this paper, we proposed a method to estimate the transported pollution during events as well as to serve as a tool for developing plans to lessen the corresponding pollution. The procedure is divided into three steps: A. Periodical measurements of all relevant pollutants, e.g. total suspended solids and chemical oxygen demand, in wet and dry weather. Such pollutant “concentrations” are correlated with the turbidity, updating the relation among them [1]. B. Continuous measures of the turbidity. Turbidity is continously register in the sewer areas near overflow spillways. Turbidimeters are a very convenient equipment for this purpose [2]. Actually, it is reliable, its measures are very correlated with the total suspended solid concentration and its maintenance is easy. In this way, combining A. and B. turbidity measures provide us a real-time estimation of the pollutant concentration. on real time. C. Assesment of each catchment hydrograph. Depending on the available data, this step could be based on a design, a measured or a simulated hydrograph. In order to apply this methodology to Murcia’s Combined Sewer System, we have used simulated hydrographs based on real measured rainfall. Murcia’s utility has developed a calibrated SWMM model, and therefore, using the rainfall data, it is possible to estimate hydrographs for all the relevant points of the system. D. Estimation of each catchment pollutograph. Combining the pollutant concentration, estimated in the previous steps, with the hydrographs, we can asses how the mass of pollutants are transported. This information allows us to comply with EU Directives, but it will also be useful to design Murcia’s strategy to minimize environmental impacts

Flow in a slowly-tapering channel with oscillating walls

The flow of a fluid in a channel with walls inclined at an angle to each other is investigated at arbitrary Reynolds number. The flow is driven by an oscillatory motion of the wall incorporating a time-periodic displacement perpendicular to the channel centreline. The gap between the walls varies linearly with distance along the channel and is a prescribed periodic function of time. An approximate solution is constructed assuming that the angle of inclination of the walls is small. At leading order the flow corresponds to that in a channel with parallel, vertically oscillating walls examined by Hall and Papageorgiou \cite{HP}. A careful study of the governing partial differential system for the first order approximation controlling the tapering flow due to the wall inclination is conducted. It is found that as the Reynolds number is increased from zero the tapering flow loses symmetry and undergoes exponential growth in time. The loss of symmetry occurs at a lower Reynolds number than the symmetry-breaking for the parallel-wall flow. A window of asymmetric, time-periodic solutions is found at higher Reynolds number, and these are reached via a quasiperiodic transient from a given set of initial conditions. Beyond this window stability is again lost to exponentially growing solutions as the Reynolds number is increased

Virtual synchronous-machine control of voltage-source converters in a low-voltage microgrid

In order to facilitate the further integration of distributed renewable generation into existing power systems, enhanced control schemes for grid-tied power electronic converters are necessary to ensure non-synchronous power sources can provide power and support to the grid. The virtual-synchronous-machine concept proposes the use of control schemes to enable static generators to operate with the dynamics of rotating synchronous generators. In this paper, a control scheme is presented based on the principle of active-power synchronization to regulate the active power of a grid-tied voltage-source converter based on an emulation of the synchronous-machine swing equation. Design of a cascaded inner-loop voltage and resonant current control is presented to regulate the output voltage as specified via the outer-loop virtual-machine control scheme responsible for power regulation. The performance of this control scheme is investigated within the context of microgrid operation for the provision of active and reactive power to the system, and microgrid frequency support. Experimental validation is provided via the use of a 15 kVA three-phase VSC in a 90 kVA 400V microgrid

D3-D7 Quark-Gluon Plasmas at Finite Baryon Density

We present the string dual to SU(Nc) N=4 SYM, coupled to Nf massless fundamental flavors, at finite temperature and baryon density. The solution is determined by two dimensionless parameters, both depending on the 't Hooft coupling $\lambda_h$ at the scale set by the temperature T: $\epsilon_h\sim\lambda_h Nf/Nc$, weighting the backreaction of the flavor fields and $\tilde\delta\sim\lambda_h^{-1/2}nb/(Nf T^3)$, where $nb$ is the baryon density. For small values of these two parameters the solution is given analytically up to second order. We study the thermodynamics of the system in the canonical and grand-canonical ensembles. We then analyze the energy loss of partons moving through the plasma, computing the jet quenching parameter and studying its dependence on the baryon density. Finally, we analyze certain "optical" properties of the plasma. The whole setup is generalized to non abelian strongly coupled plasmas engineered on D3-D7 systems with D3-branes placed at the tip of a generic singular Calabi-Yau cone. In all the cases, fundamental matter fields are introduced by means of homogeneously smeared D7-branes and the flavor symmetry group is thus a product of abelian factors.Comment: 27 pages; v2: 29 pages, 1 (new) figure, new section 4.4 on optical properties, references, comments added; v3: eq. (3.19), comments and a reference adde