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Clare Wenham Profile picture
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1 Aug, 4 tweets, 3 min read
I teach 2 course in politics of global health.

Many MD students never understood the point of the course - “but decisions are based on best clinical/public health evidence”

Have received a LOT of emails in last 18 months from former students “I get it now...”
1st course @LSEHealthPolicy @LSEnews #HP404 analyses global health institutions actors and politics: what drives global health policy and why:

how issues are framed, who makes decisions + how + why, what impact this has on different stakeholders + health

lse.ac.uk/resources/cale…
2nd course @LSEnews @LSEHealthPolicy #HP412 is the politics of global health security.

Why epidemics are driven by politics, why this matters, how this affects epidemic trajectory and outcome. Who benefits from securitising health, and who loses out

lse.ac.uk/resources/cale…
The latter also includes outbreak simulation where students assume role of political decision makers. Always eye 👁 opening!

Both courses written pre-covid : both never been more pertinent.

Roll up roll up future students!

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More from @clarewenham

Clare Wenham Profile picture
18 Jul
Throughout this pandemic I have been acutely aware of epidemic trespassing: not wanting to weigh in on things beyond my own expertise 🧵(rant incoming)
For me this is questions of epidemiology and disease transmission which I am wholly unqualified to answer.

This has also been subject to considerable gatekeeping by some epi/clinical folks.
Yet there seems to be limited concern vice versa.

Everyone weighs in on the politics of pandemics (and more broadly the social science), as if this is a new area that no one has ever thought about before.

Tl:dr : it’s not. We’ve been working on it for years.
Read 9 tweets
Clare Wenham Profile picture
5 Jul
This shift to personal responsibility for #COVID is straight out of the (poor) epidemic response playbook. The exact same thing happened during Zika.

Government told people not to get infected thru insecticide/long sleeves, improve vector control and not to get pregnant. 1/
What then happened was that govs were then able to place responsibility onto individuals to avoid having children born with #CZS - The approach was "we've given you all the guidance, if you choose to get pregnant and not protect yourself from infection, that's your decision" 2/
The problem with this was the multiple structural barriers which prevented many people from following this guidance... affordability of insecticide, poor sanitation which meant mosquito proliferation, poor access to contraception 3/
Read 9 tweets
Clare Wenham Profile picture
25 Feb
I think #vaccinepassports or #vaccinecertificates are a bad idea, and governments really need to think carefully before proceeding. They are a Pandora's Box.

Ultimately health status should not be the determinant of one's rights. A🧵
Firstly, in a pandemic intensifying all societal inequalities, we shouldnt be introducing mechanisms to further compound these. Those who are unable to get vaccinated (for health reasons, pregnant women) will be immediately discriminated against.
In the short term, this will also include younger people, leading to intergenerational tension, and indeed children who currently are not being vaccinated, and this in turn may discriminate against parents (mothers) if unable to interact in public when looking after them
Read 14 tweets
Clare Wenham Profile picture
5 Jan
Lockdown 3.0 will disproportionately affect #women, and #ukgov isnt doing enough to mitigate this unequal impact.

A thread on what we know from the last year *and before 🧵
According to @ONS women did 2/3rds additional childcare duties + spent more time on unpaid work + less time on paid work than men during lockdown1.0

ONS also show that women did more non-developmental care than men (i.e. cooking, washing, not playing)
shorturl.at/gjrCY Image
Whether due to gendered work sectors, or requests owing to additional childcare: women more likely to be furloughed than men according to @WomensBudgetGrp meaning 20% income reduction

wbg.org.uk/analysis/uk-po…
Read 15 tweets
Clare Wenham Profile picture
3 Jan
🚨New Year, New Paper 🚨

Remember research before #COVID19 - findings from our 3 year study on access to #abortion during #zika in Brazil, El Salvador and Colombia in press now W/ @socscimed
1/
 sciencedirect.com/science/articl…
We found that whilst #zika spurred abortion demand amongst individual womxn and global debate on #reproductiverights - the heath emergency didn’t change national regulation or policy change for abortion access.
2/
This was on account of the narrow policy path dependency in #globalhealthsecurity focused on epidemiology which did not consider gendered needs or the broader social effects of epidemics, combined with deeply conservative context + recent political history
3/
Read 7 tweets
Clare Wenham Profile picture
27 Aug 20
The thing that makes me the most frustrated about #COVID19 (and has for many months) is the failure to learn lessons from previous outbreaks, particularly about the downstream effects of #pandemic response policy. A thread 1/
This morning @BBCr4today @TheCrick discussed disruption to non-covid #clinicaltrials ; also have seen depressing delays to #cancer detection and treatment ; and changes to routine SRH, maternity, NCD, mental health services.

This is well documented impact during #Ebola 2/
Economic disaster at macro + micro levels follow outbreaks - look at economic impact SE Asia post #SARS and W-Africa post #Ebola ... and to look at individual narratives of household financial hardships & increases in poverty (w/associated disease, kids out of school to work) 3/
Read 9 tweets

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