Em 2011, a Agência Nacional de Vigilância Sanitária inseriu como eixo estratégico de sua gestão o envolvimento com as macro políticas sociais brasileiras, especialmente as relacionadas ao desenvolvimento social, com foco na erradicação da extrema pobreza e no avanço da formalização das atividades econômicas relacionadas a produtos e serviços sujeitos à vigilância sanitária. Em 2013 a Agencia publicou uma regulação específica para o microempreendedor individual, para o empreendimento familiar rural e para o empreendimento econômico solidário (RDC n° 49) intitulada de \"Inclusão produtiva com segurança sanitária\". A construção da norma contou com a participação da sociedade, por meio da consulta pública n°37. Objetivos: Analisar criticamente a percepção e as expectativas dos atores sociais participantes da consulta sobre os impactos esperados acerca da RDC e discutir as possíveis convergências dessas expectativas com as ações propostas no I Plano Nacional de Segurança Alimentar e Nutricional (2012/2015). Metodologia: Trata-se de um estudo qualitativo que utilizou os métodos de análise documental e análise de conteúdo temática para analisar os dados secundários da consulta pública °37. Resultados: A partir da descrição das categorias identificadas, os atores sociais foram divididos entre \"grupo a favor\" e \"grupo contrário\", explicitando o caráter antagônico das expectativas dos participantes acerca dos impactos da norma. Além disso, a analise mostrou que existem vários pontos de convergência entre os impactos esperados pelos participantes e as ações propostas no I Plano de Segurança Alimentar e Nutricional (2012-2015). Conclusão: O tema \"Inclusão produtiva com Segurança Sanitária\" provocou uma discussão rica e complexa mostrando que é necessário haver um equilíbrio para que as normas sanitárias sejam coerentes com as especificidades existentes na pequena produção, garantindo, contudo, a segurança sanitária dos alimentos. / In 2011, the National Sanitary Surveillance Agency inserted as a strategic axis of its management the involvement with macro social policies in Brazil, especially those related with social development, focusing on eradication of extreme poverty and on advancing formalization for economic activities related to products and services subject to health surveillance. In 2013 the Agency published a specific regulation for individual microentrepreneur, family farmer and solidarity economic enterprise (RDC n°49) entitled \"Productive Inclusion with Health Security\". The construction of the standard was attended by civil society, through the public consultation n° 37. Objectives: To critically analyze perception and expectations of social actors participants of the consultation on expected impacts of RDC and to discuss the possible convergences of these expectations with the actions proposed in the 1st National Plan for Food and Nutrition Security (2012/2015). Methodology: This is a qualitative study that used the methods of document analysis and the analysis of thematic content to analyze the secondary data of the public consultation n° 37. Results: From the description of categories identified, the social actors were divided between \"favor group\" and \"opposing group\", clarifying the antagonistic character of participants\' expectations about impacts of the norm. In addition, the analysis showed there are several points of convergence between the expected impacts of participants and actions proposed in the I Food and Nutrition Security Plan (2012-2015). Conclusion: The theme \"Productive Inclusion with Sanitary Safety\" has provoked a rich and complex discussion, showing that a balance needs to be struck in order to ensure that health standards are consistent with the specificities of small production, while guaranteeing food safety.

This Master‘s thesis is based on knowledge of information security and its management. The thesis is divided into two parts. The first part provides the theoretical background, definitions and terminology according to the information security management and it is based on concepts from standard ISO 27000 series. The second part aims to analysis of a selected company. Following to this analysis proposal of implementation of information security management system and security guide is drawn up. This guide contains recommendations for ICT security management and advices in field of personal and physical security in company.

PhD Thesis Abstract: John Michael Quinn V In the 21st century, the prevention of illness, disease and risks to health ushered in public health and medical practice with mixed results. War, hybrid warfare, conflict, complex emergencies and disasters remain significant public health risks and areas of strategic concern; focused epidemiological study in health policy remains elusive. The paradigm shift from major world powers leading global affairs and affecting global health to multiple state and non-state actors vying for power and influence regionally has possibly led to an increase in small scale and low intensity conflict with high morbidity and mortality, including both noncommunicable (NCD) and communicable diseases. The basic research carried out for this PhD project includes: 1) mental health surveys and trauma associated with war; 2) the migration of, and the need for, advanced medical personnel and their services in war and hybrid warfare, including how the negative movement or adverse flow through 'brain drain' of doctors affects disaster; 3) a quantitative study of infectious diseases, health and human security associated with state stability and the mitigation of state failure; 4) a qualitative food security review, the origins of food security and its impact; and 5) the general concepts of...

The complex and multilayered interdependence of health and security gets exceedingly obvious in conflict-related sexual violence (CRSV); however, its scientific study is exceptionally invisible. Political unrest increases incidence of gender-based violence (GBV). Rapes, including gang rapes, and forced insertion into the female genitalia of foreign bodies such as bottles, sticks, and weapons can lead to injury of the vagina and the development of traumatic vaginal fistulas (TVF). This paper aims to give structure to the particular characteristics of traumatic vaginal fistula in conflict settings and its immanent linkage to human security. The authors reviewed all papers concerning prevalence and causes of CRSV-caused TVF (CRSV-TVF) that were available on PubMed and GoogleScholar in February 2021. Findings were integrated into feminist theory on CRSV to identify the connecting linkages of security, health, and gender equality. CRSV-caused TVF illustrate well the complex interdependences of health and security: (1) insecurity leads to a higher prevalence of sexual violence; (2) sexual violence can serve as a weapon of war; (3) insecurity prolongs sufficient medical care; (4) vaginal fistula impede female empowerment and societal development. The multiple threads of their connection reveal several implications for the prevention and treatment of TVF. The reciprocal connection of CRSV and security exemplifies a vicious circle of health security.

The topic of my thesis is "Information security management in healthcare organization." Medical facilities are generally the ones who should put emphasis on information security. For my thesis I chose aesthetic private clinic called Visage, I underwent safety analysis. The analysis showed that only a small part of the security process is documented in the clinic. This is particularly deficient in terms of business. There may be a leak of sensitive information on the health status of individual patients. It is necessary to better treat the handling of these data. The aim of this thesis is a security manual that will describe the personal, physical and IT security.

VOVES, Petr. Úloha Světové zdravotnické organizace v případu epidemie viru eboly na území západní Afriky v roce 2014. Praha, 2017. 95 s. Diplomová práce (Mgr.) Univerzita Karlova, Fakulta sociálních věd, Institut politologických studií. Katedra mezinárodních vztahů. Vedoucí diplomové práce PhDr. Irah Kučerová, Ph.D. Abstract The M.A. thesis deals with the World Health Organization's response to the outbreak of the ebola virus disease in Guinea, Liberia and Sierra Leone in 2014. The spread of the disease is mapped from its very beginning at the end of December 2013 until the creation of UNMEER in September 2014, which was the first international medical mission ever created by UN Security Council. The purpose of this thesis is to evaluate the particular problems, which limit WHO's role in a timely and effective response to the public health threats of international concern (PHEIC) under the reformed International Health Regulations (IHR). The response of WHO representatives to the spread of the disease is evaluated taking into account the available material and competence capacities of the organization as well as its previous practice in this field. The specific misconduct of WHO representatives is explained in the context of longstanding WHO's problems, which are mainly linked to the vertical fragmentation...

Ce travail présente un dispositif de surveillance épidémiologique novateur en santé environnementale fondée sur des évènements de santé déclarée, au plus près de la nature des plaintes exprimées par les populations : des symptômes et une dégradation de la qualité de vie. Ce dispositif est proposé à partir d’une réflexion conceptuelle reposant sur une revue de la littérature sur les théories psychométriques et le modèle transactionnel du stress et d’une application de terrain portant sur la population (n=1 495) riveraine du site industriel chimique de Salindres (Gard). Ces travaux permettent de vérifier les principales propriétés métriques d’indicateurs de santé déclarée mesurés, par les instruments MOS SF-36 et SCL-90-R, dans le cadre d’une population exposée à une pollution environnementale. Ils vérifient également l’adéquation et la sensibilité de ces indicateurs pour étudier les facteurs de risque environnementaux qui se réfèrent aux représentations cognitives des risques, comme la perception sensoriels des stimuli émis par les sites industriels. Ils montrent, en outre, que la disponibilité de références nationales portant sur la mesure de ces indicateurs leur confère un critère de qualité essentiel d’interprétation des résultats. Ces travaux apportent enfin des éléments d’appréciation de l’acceptabilité de la mesure des indicateurs de santé déclarée dans la population, des recommandations sur la communication pour la mise en œuvre d’un tel dispositif et des pistes de réflexion pour la gestion. / This work presents an innovative epidemiological surveillance system in environmental health based on self-reported health indicators, closer to the complaints of the local population leaving around a source of environmental pollution: symptoms and loss of the quality of life. This approach is built up from a conceptual framework based on the psychometric theory and the transactional model of stress. A field application of this approach was carried out the population neighboring (n=1 495) the chemical industrial area of Salindres, Gard. This study verifies that self-reported health indicators measured with MOS SF-36 and SCL-90-R can be used to study populations exposed to multifactorial environmental risks. This study confirms that these indicators are relevant and sensitive when applied to environmental risk factors referring to the cognitive representations of risks, such as the sensorial perception of stimuli emitted by the industries. This work shows, besides, that the availability of national references for these indicators confers interpretability to these indicators, an essential quality criterion. This work discusses qualitatively the acceptability of measuring indicators of self-reported health in the population, proposes recommendations on communication for the setting of that kind of approach, and opens up avenues on management orientations.

Un niveau élevé de protection de la santé humaine est assuré dans la définition et la mise en oeuvre de toutes les politiques et actions de l’Union européenne. L’une des politiques les plus importantes, conformément aux enjeux de santé et au développement économique, est celle des médicaments. Leur sécurité est garantie par un cadre juridique donné par une législation pharmaceutique d’envergure présidant à l’octroi de l’autorisation de mise sur le marché et au suivi post-autorisation. Ce cadre juridique est supporté par un dispositif institutionnel d’exception, caractérisé par une interaction étroite entre l’Agence européenne des médicaments, la Commission européenne et les autorités nationales compétentes. Il a récemment été réformé à travers la nouvelle législation de pharmacovigilance. Le concept de sécurité sanitaire est ainsi devenu le principe directeur de la gestion du risque pharmaceutique. Toutefois, lorsque le risque inhérent à tout produit pharmaceutique se manifeste, le dommage médicamenteux se produit ainsi que la demande de réparation. Face à la nécessité d’indemniser les victimes de tels accidents, les réponses nationales des systèmes juridiques français et italien, par les biais de la responsabilité civile de droit commun et de la responsabilité du fait des produits défectueux issue de la directive 85/374/CEE, se révèlent inefficaces, car peu respectueuses de la spécificité du médicament. Ce constat conduit à plaider en faveur d’une dissociation entre responsabilité et indemnisation, en garantissant cette dernière à travers la création d’un fonds d’indemnisation général pour les dommages médicamenteux à participation mixte public-privé. Cette solution garantit une socialisation des risques justifiée par le caractère social du risque thérapeutique. Cela constitue le contrepoids aux dangers inhérents aux innovations de la science, tout en faisant profiter les malades des bénéfices thérapeutiques de demain. En prônant une approche holistique de la politique du médicament, la proposition de ce fonds constitue un instrument d’une politique de santé publique qui ne voit dans l’indemnisation des risques médicamenteux qu’un complément et un prolongement de la garantie de sécurité à la base de la législation pharmaceutique européenne. / The definition and implementation of the European Union’s policies and activities guarantee a very high level of human health protection. One of its most important policies, in accordance with the relative health and economic development issues, is that on medicinal products. Drug safety is guaranteed by a legal framework, constructed on the pharmaceutical legislation laying down rules and procedures for obtaining marketing authorisation and for post authorisation monitoring. This legal framework is supported by a special institutional system,which in particular ensures close interaction between the European Medicines Agency, the European Commission and the national competent authorities. This legal framework has recently been revised as a result of the new pharmacovigilance legislation. As such, health safety has become a key directive in managing pharmaceutical risk. Yet, whenever a risk relating directly to a particular pharmaceutical product becomes apparent, medical damages and compensation claims arise. The response of the national French and Italian legal systems to the application for compensation of the victims of such accidents, by way of the ordinary rules of civil liability and the liability for defective products as defined in Council Directive85/374/EEC, has proven ineffective: they fail to take into account the specific nature ofpharmaceutical products. Based on this observation, there is a sound case for separating liability from compensation: the latter can be guaranteed by setting up a general compensationfund for medical damages, with both public and private sector participation. This solutionwould guarantee a socialisation of risks that is justified by the social nature of therapeutic risk. It would provide a counterbalance to the dangers inherent in scientific innovation, whilst simultaneously allowing patients to benefit from future therapeutic developments. By advocating a holistic approach to drug policy, this proposed compensation fund would act as apublic health policy instrument, in the context of which compensation for medical risks would only be considered an addition to, and extension of, the security guarantee that constitutes the cornerstone of the European pharmaceutical legislation.

Le système juridique français accorde une grande importance aux droits du patient, essentiellement à travers la loi du 4 mars 2002. Ce texte a été construit de manière à placer le patient au centre du dispositif et à lui attribuer des droits liés à sa qualité de sujet de droit. Cette idée est quasiment absente dans la législation tunisienne. En Tunisie, la législation relative aux droits des patients est insuffisante. Il est vrai que le législateur tunisien a défini certains droits pour le patient. Cependant, ces consécrations législatives ne nous permettent pas de confirmer l’idée selon laquelle le patient est le centre de la relation médicale, particulièrement parce que le paternalisme médical trouve encore une consécration en Tunisie. L’étude comparative a montré certaines convergences entre les deux systèmes juridiques mais aussi d’importantes divergences. Ainsi, pour un pays, comme la Tunisie, dont le système sanitaire confronte des difficultés intenses non seulement sur le plan infra-structurel mais également législatif, le code de la santé publique en général et la loi du 4 mars 2002 pour les droits des malades, en particulier, peuvent constituer une source efficace pour des changements en profondeur. Cependant, si en France la loi du 4 mars 2002 occupe une place primordiale dans le corpus des règles du droit de la santé, on ne peut nier que les droits du patient confrontent aujourd’hui des difficultés de mise en œuvre. En effet, même si le souci du législateur français était de protéger au maximum les droits des patients, certaines failles restent à signaler / The french legal system attaches great importance to patient rights, mainly through the law of 4 March 2002. This text was constructed to place the patient at the center of the device and assigning the rights to as a subject of law. This idea is almost absent in tunisian law. In Tunisia, legislation on the rights of patients is inadequate : the rights of patients are devoted so scattered in several legal texts. It is true that the tunisian legislature has defined certain rights for patients. However, these legislative consecrations do not allow us to confirm the idea that the patient is the center of the medical relationship, particularly because medical paternalism still finds consecration in Tunisia. The comparative study showed some convergence between the two legal systems but also important differences. Thus, for a country like Tunisia, whose health system confronts severe difficulties not only its infrastructure but also the legislative, the code of public health in general and the law of 4 March 2002 for the rights of patients, particular, can be an effective source for in-depth changes. However, if in France the Law of 4 March 2002 occupies a prominent place in the corpus of rules of health law, there is no denying that the patient's rights today facing implementation difficulties. Even if the concern of the french parliament was to maximally protect the rights of patients, some flaws still to report

The diploma thesis focuses on implementation and deployment of information security management system (ISMS) into healthcare organizations. Specifies what is required to include in this process and what not to forget. It includes a risk analysis of a branch of the selected company, and for it is written a safety guide. Safety guide provides advice and recommendations regarding security in terms of human resources, physical security, ICT security and other aspects that should be included in the ISMS deployment in healthcare organizations. The work also reflects the newly emerging law on cyber security. It is expected that the law will also address cyber security in healthcare.