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The Economics of the Social Determinants of Health and Health Inequalities [Link]

In response to the growing concern about equity issues and their implications for overall development, WHO established the Commission on Social Determinants of Health (CSDH) in 2005, which focused on the "social justice" or human rights arguments for health investments. CSDH investigated the factors involved in the so-called "social gradient in health", which refers to the large observable differences in health outcomes within and between countries that are determined by avoidable inequalities in the access to resources and power. CSDH aimed to further investigate the causes of health inequities, with a deliberate detachment from economic considerations, and provide advice on how to tackle them effectively. CSDH also reviewed evidence for action on a wide scope of interventions, many of which require intersectoral collaboration or advocacy.
 
 This WHO resource book on the economics of social determinants of health and health inequalities seeks to begin to build a bridge between the two approaches by explaining, illustrating and discussing the economic arguments that could (and could not) be put forth to support the case for investing in the social determinants of health on average and in the reduction in socially determined health inequalities.

The resource book has two main objectives:
 
·         to provide an overview and introduction into how economists would approach the assessment of the economic motivation to invest in the social determinants of health and socially determined health inequities, including what the major challenges are in this assessment;

·         to illustrate the extent to which an economic argument can be made in favor of investment in three major social determinants of health areas: education, social protection, and urban development and infrastructure.
 

The Global HIV Epidemics among Sex Workers [link]

This volume presents an integrated epidemiologic, social, and economic analysis of the global epidemics of HIV among sex workers in low- and middle-income countries. The book provides a comprehensive review and synthesis of the available public health and social science data to characterize the nature, scope, and complexities of these epidemics. A community empowerment-based approach to HIV prevention, treatment, and care is outlined and demonstrated to be cost-effective across multiple settings, with a significant projected impact on HIV incidence among sex workers and transmission dynamics overall. The Global HIV Epidemics among Sex Workers seeks to assist governments, public health implementing agencies, donors, and sex worker communities to better understand and respond to the epidemics among a population facing heightened social and structural vulnerabilities to HIV. The book combines a systematic review of the global epidemiology of HIV among sex workers and in-depth case studies of the epidemiology, policy and programmatic responses and surrounding social contexts for HIV prevention, care and treatment in eight countries. The authors employ mathematical modeling and cost-effectiveness analysis to assess the potential country-level impact of a community empowerment-based approach to HIV prevention, treatment, and care among sex workers when taken to scale in four countries representing diverse sociopolitical contexts and HIV epidemics: Brazil, Kenya, Thailand, and Ukraine. In each setting, greater investment in prevention, treatment, and care for sex workers is shown to significantly reduce HIV. Together these findings underline the urgency of further global investment in comprehensive, human rights-based responses to HIV among sex workers.
 

The Global HIV Epidemics among Men Who Have Sex with Men [link]
This volume presents the first global economic analysis undertaken to explore the emerging epidemics of HIV among men who have sex with men in low- and middle-income countries. Using a scenario-based approach, the book systematically reviews the available data to investigate and characterize these epidemics and propose evidence-based and rightsaffirming responses. These responses, which are demonstrated here to be cost-effective, constitute both a public health priority and a clear human rights imperative. Written to help governments, public health agencies, donors, and communities better understand and respond to the HIV epidemics among these often hidden and stigmatized populations, The Global HIV Epidemics among MenWho Have Sex with Menbrings together reviews of epidemiology and the HIV prevention literature; a novel approach to evaluating interventions in prevention, care and treatment; and modeling, costing, and human rights assessments. The book uses a mathematical model to assess the potential country-level impact of interventions, focusing primarily on Kenya, Peru, Thailand, and Ukraine as examples. In all four countries, greater investment in prevention, treatment, and care for men who have sex with men is shown to improve overall HIV epidemic control.

Press Release | Summary | Purchase | Full Report (PDF 4.48MB)

Public Health & Human Rights: Evidence-Based Approaches [link]
The Center is proud to release this new book, edited by Center director Chris Beyrer and Hank Pizer of Health Strategies Inc., and published by the Johns Hopkins University Press.

Aimed at a professional audience, the book is the first methods-oriented text to bring together population-based assessment tools and human rights investigations.

Leonard Rubenstein, director of Physicians for Human Rights and author of the book’s foreward, writes, “It deepens our understanding of the ‘doing’ of public health and human rights and demonstrates in concrete ways how that work can help us move toward a more just world.”

Public Health Aspects of HIV/AIDS in Low- and Middle-Income Countries: Epidemiology, Prevention and Care [link]
Edited by David Celentano and Chris Beyrer, the book brings a global perspective to the HIV pandemic by tracking epidemiological trends, correcting misperceptions, and examining the varied roles of local, government and international response in countries such as Brazil, Nigeria, the Russian Federation, Cambodia and India.


It offers the latest data on infection rates, details of risk reduction and care programs, analysis of evolving social attitudes regarding HIV and prospects for new forms of treatment.

Just released in September 2008 by Springer Verlag

Read the Lancet review

War in the Blood: Sex, Politics, and AIDS in Southeast Asia

Touted as "a powerful testimony of the capacity to unite care with practical action," Dr. Beyrer's book traces the course of the HIV epidemic through seven Southeast Asian countries, systematically chronicling the cultural and political influences of this devasting disease. The book covers the broad spectrum of issues surrounding the HIV epidemic and takes a close look at country-specific, high-risk groups, prevention and treatment programs, policies, and public health response.

C. Beyrer, Public Health and Human Rights

In the News...

Just Released: Safeguarding Health in Conflict Coalition’s 3rd annual report: No Protection, No Respect. The report details attacks on health care facilities, infrastructure, workers, and patients during 2015 and the first quarter of 2016.
Congratulations! Director Chris Beyrer to be installed as first Desmond M Tutu Professor of Public Health and  Human Rights.
News: African academinc challenge homophibic laws. Read here.
Listen! CPHHR Director Chris Beyrer discusses the AIDS Pandemic on Minnesota Public Radio.
New Publication: Sexual violence against female sex workers in the Gambia
Just Released! New JAIDS Special Issue: HIV Risks and Vulnerabilities Among Key Populations in West and Central Africa - Evidence to Inform HIV Prevention, Treatment, and Care
Join Us: March 31 4-5:30pm in Sheldon Hall for 'Health Transitions in Myanmar: 2015'
New Report: Syrian Medical Voices from the Ground: The Ordeal of Syria’s Healthcare Professionals.
Free: Editors of The Lancet have identified important articles from their respective journals to highlight World AIDS Day. They're freely available Dec. 1-31, including the Series on HIV and Sex Work.
Hot News! CPHHR Director Chris Beyrer has been appointed to the UNAIDS Scientific Experts Panel and is a newly elected member of the Institute of Medicine.
Just Released! The Lancet Series on HIV and Sex Work was recently released at AIDS 2014 in Melbourne. Congratulations to the team on an incredible Series!
New publication: MSM in Malawi: a qualitative assessment of health seeking and provision practices
New Publication: GBV in Conflict: Displaced Women in Colombia
Article: Sex Work Criminilization and HIV - Facing Reality
AIDS 2014: The 20th International AIDS Conference is fast approaching! The newly released destination guide is a great resource for LGBT attendees.
Just released! On the frontline of eastern Burma’s chronic conflict - Listening to the voices of local health workers in Social Science and Medicine. Full article.
New Report: The full report from the conference on the protection of health workers, patients and facilities in times of violence is now available.
Post-Doc Position: The CPHHR is looking for a post-doctoral research fellow to conduct analysis of quantitative data from studies with MSM in several settings. Details and application instructions.
Call to Action: Len Rubenstein recently convened a group of experts to address the issue of protection of health workers, patients and facilities in times of conflict. The Call to Action is available here.
Tribute: Please visit the IAS website for a tribute to Nelson Mandela, as well as links to his AIDS conference speeches.
New Reports: OSF profiles 11 access to justice projects in their new report Bringing Justice to Health. Read.
Just out: The Task Force on Preserving Medical Professionalism has found that since 9/11/2001, the DoD and CIA have involved U.S. military and intelligence agency health staff in activities that inflicted severe harm on detainees in U.S. custody. Read.
New Reports! Meeting the HIV-related needs of gay men, other MSM and Transgendered persons worldwide. Read.
Just Released: 'A Human Rights Approach to Heath and Conflict' by Center faculty Katherine Footer and Len Rubenstein. Read.
New Report: Center faculty have just published a new report 'Social and Structural Risks for HIV among migrant and immigrant MSM in Moscow." Read.
Just Released: Turning surveillance into support for MSM in Africa. Read.
HOT NEWS! The US Supreme Court ruled that Groups receiving federal money to combat AIDS abroad may not be required to adopt policies opposing prostitution. Read the full article here.
New Report: A new project lead by Dr. Stef Baral highlights HIV risk among MSM in Malawi and the discusses the need for data. Read.

New! Center faculty have published a new article"Modified social ecological model: a tool to guide the assessment of the risks and risk contexts of HIV epidemics" available here.

Read! Center faculty have published a new article 'Modeling the impact of HIV prevention and treatment for MSM on HIV trajectories in LMICs. Read.
Exclusive: The AMA has written to Secretary of Defense Hagel concerning allegations that detainees on hunger strike are being force-fed with assistance from physicians. Click here to view the letter.
Just out! Center faculty member Len Rubenstein published an article in Foreign Affairs describing issues of compromised medical care in conflict zones.
Hot News! The Huffington Post released an article on a recently published study on HIV among transgendered women, led by Center Faculty member Stefan Baral. Read.
New! The NYTimes published a letter comcerning a recent piece on attacks on Syrian doctors, written by Center faculty member Len Rubenstein. Read.
Update: HIV among MSM examined at CROI 2013. Read.
New! Click here for video of the CROI 2013 Plenary 'The Global HIV MSM Epidemic: Time to Act', by Center Director Chris Beyrer.
Hot Topic: The Center recently hosted the film "Beneath the Blindfold", which reveals the reality of life after torture. This informative documentary follows the lives of four torture survivors as they build new lives, careers and relationships. Please visit the website for more information.
Just Released! The eBriefing for the NYAS/CPHHR event 'New Paradigms of Risk and Protection: Understanding the HIV Epidemics among Gay and Bisexual Men' is now available on the NYAS website. Congratulations to everyone who worked together and made this event a tremendous success!
Congratulations! Gift Trapence attended the LGBT Human Rights Defenders event at the UN in NYC with Secretary General Ban Kyi-Moon, Yvonne Chaka Chaka and Ricky Martin as a leader in the fight against homophobia. Congratulations on this incredible honor!
Just Released: 'Free and Equal', a booklet published by the UN human rights office describes sexual orientation and gender identity in international human rights law. Read.
New Report: 'Impact of Maternal Depressive Symptoms on Growth of Preschool- and School-Aged Children', just published in Pediatrics, found that Maternal depressive symptoms during infancy may affect physical growth in early childhood. Congratulations to the Center's Pam Surkan and team on this interesting article. Read. Article.
Hot News! Burma's Daw Aung San Suu Kyi spoke via video to the International HIV/AIDS Conference in Washington D.C. on Thursday about ending the stigma experienced by many HIV/AIDS patients. Read. 
 
 
New Video! Burma's Aung San Suu Kyi accepts Nobel Peace Prize in Oslo, Norway. Watch Video.

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