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Governance structure affects transboundary disease management under alternative objectives.


ABSTRACT:

Background

The development of public health policy is inextricably linked with governance structure. In our increasingly globalized world, human migration and infectious diseases often span multiple administrative jurisdictions that might have different systems of government and divergent management objectives. However, few studies have considered how the allocation of regulatory authority among jurisdictions can affect disease management outcomes.

Methods

Here we evaluate the relative merits of decentralized and centralized management by developing and numerically analyzing a two-jurisdiction SIRS model that explicitly incorporates migration. In our model, managers choose between vaccination, isolation, medication, border closure, and a travel ban on infected individuals wh

SUBMITTER: Blackwood JC 

PROVIDER: S-EPMC8487237 | biostudies-literature | 2021 Oct

REPOSITORIES: biostudies-literature