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The impacts of climate change are accelerating worldwide, but emergency agencies and political bodies are not always equipped to anticipate where, when, or how severe the next unnatural disaster will be. Amid megafire seasons, for example, scientists are revising models of fire behavior that were calibrated to natures that increasingly diverge from known baselines and trends. Emergency responders' trust in patterns has become an occupational hazard. At these edges of knowledge, struggles to maintain responsive capacity in disrupted ecologies are at play; a larger reckoning with runaway climate change as a relational problem space is in order. Rather than making me resort to despair about the world's "end," such labors redirect my attention toward horizons of expectation in which knowledges are still actionable, not obsolete, and where capacities for future interventions are viable and not denied. These activities, enmeshed in a rubric of horizon work, shift expert authority and promote critical realignments across political, activist, and Indigenous spheres. [ABSTRACT FROM AUTHOR]

What does experimentation look like in the time of emergency? Ann H. Kelly explores the design of clinical trials amidst the ebola crisis.

The recent efforts to mount an R&D response to public health emergencies of international concern have led to the formation of what we term a biochemical infrastructure of vaccine development and production. In principle, this infrastructure is expected not only to curtail existing pandemics but also anticipate and contain yet-to-emerge future threats. Critically, by nature of its geographical distribution and technical modularity, that infrastructure promises both to accelerate and expand access to essential medical tools, and in so doing, redress global health inequities. In practice, however, the biochemical infrastructure of vaccines remains highly uneven, fragmented and unjust. Moving beyond calls for 'global health solidarity', this paper examines the key actors, normative techniques and socio-technical assemblages, from viral platform technologies to intellectual property waivers and from accelerated regulatory pathways to advance market commitments, that serve to link 'just-in-case' and 'just-in-time' modalities of global health R&D. We argue that the biomedical infrastructure of vaccine development and production emerging in the wake of the COVID-19 pandemic is unfolding across an innovation ecosystem that is more-than-national and yet less-than global: a reconfiguration that may offer possibilities for a new, radically-overhauled, model of vaccine equity. [ABSTRACT FROM AUTHOR]

Leadership by health professionals is key in any health system, but health leadership training programmes are varied in their conceptualisation, learning objectives, and design. This paper describes an undergraduate leadership and management module for health students at the University of Sierra Leone and provides lessons from the design process. Our methods included an initial scoping review and qualitative study, followed by a co-design process of 10 workshops and 17 consultation meetings. The result was a curriculum with learning outcomes emphasising leadership identity, proactiveness, management of people and of change, and the formation of peer relationships. Learning methods included group teaching, team quality improvement projects, mentoring, and reflective practice. Lessons from the design process included the importance of support from university leadership and extensive consultation. Virtual workshops enabled broader participation but limited relationship building. Integrating doctoral research into the process facilitated inclusion of evidence and theory but risked reducing ownership by faculty. The importance of interprofessionalism and management skills in leadership training emerged during the process, illustrating the effectiveness of a co-design approach. Our programme is broadly aligned with other health leadership frameworks and is distinctive due to its undergraduate focus, offering insights for leadership training design in other settings. [ABSTRACT FROM AUTHOR]

COVID‐19 is a multi‐spectral crisis that has added an acute layer over a panoply of complex emergencies across the world. In the process, it has not only exposed actually‐existing emergencies, but also exacerbated them as the global gaze has turned inward. As a crisis, COVID‐19 straddles and challenges the boundaries between humanitarianism, development, and global health—the frames and categories through which emergencies are so often understood and intervened upon. Reflection on these fundamental categories is, we argue, an important geographical endeavour. Drawing on Geoffrey Bowker's analytical lens of the 'infrastructural inversion', we explore how humanitarianism has been upended by COVID‐19 along two axes that are of core concern to geographers: (1) the spatial and (2) the temporal. We first contextualise current debates on the humanitarian endeavour and its future within recent geographical research. We then set out the complex structure by which COVID‐19 has been both imagined and intervened upon as a humanitarian emergency. In so doing, we then pave the way for a deeper empirical analysis of the spatial and temporal inversions that have been brought forth by COVID‐19. The paper concludes by examining the conceptual value of the 'inversion' in developing geographical research agendas better attuned to the increasing porosity of humanitarianism, development, and global health. [ABSTRACT FROM AUTHOR]

While studying immigrant worlding in Brazil's nineteenth-century southern settler frontier, I stumbled across multiple ways of archiving, from poor farmers' viva voce prayers and reminiscences to the nurturing of herbal gardens and usage of forest medicinal products to communal vital registries and home burials (including my ancestors')—all bridging the sensual and conceptual realms through specific material constellations. I take the traces emanating from this unschooled sensorium as an "unfinished system of nonknowledge" forged against the specter of death, as in the 1874 fratricidal conflict that crushed the natural enlightenment of the so-called Mucker false saints. Here, on the edges of colonization, traces-of-what-one-does-not-know testify to the house as an ongoing index of survival and insurgency: both a cluster of materialities, relations, and affects through which complex practices of healing and living on emerge together and an archiving operation combining the historical and the unhistorical in the refiguration of humanness and futurity. As these flickering homespun traces exceed the racialization and necropolitics conjured by the ruling classes and confront brutal efforts at "silencing the past," they also carry "the poetry it is possible not to write"—that is, folks' imaginative and horizon-making capacities, which include the Spirit of Nature and relationships to our dead and which storytelling animates time and again. [ABSTRACT FROM AUTHOR]