Objective : A resilient health system plays a crucial role in pandemic preparedness and response. Although the World Health Organization (WHO) has required all states parties to strengthen core capacities to respond to public health emergencies under the International Health Regulations (2005), the actions of most countries to combating coronavirus disease 2019 (COVID-19) has showed that they are not well-prepared. This cross-sectional study aimed to examine the health system resilience of selected countries and analyze their strategies and measures in response to the COVID-19 pandemic. Methods : This study selected five countries including the Iran, Japan, Republic of Korea (South Korea), the U.K., and the U.S., based on the severity of the national epidemic, the geographical location, and the development level. Cumulative number of death cases derived from WHO COVID-19 dashboard was used to measure the severity of the impact of the pandemic in each country; WHO State Parties Self-Assessment Annual Reporting (SPAR) Scores and Global Health Security (GHS) Index were applied to measure the national health system resilience; and research articles and press materials were summarized to identify the strategies and measures adopted by countries during response to COVID-19. This study applied the resilient health systems framework to analyze health system resilience in the selected countries from five dimensions, including awareness, diversity, self-regulation, integration and adaptation. Results : The SPAR Scores and GHS Index of the four developed countries, Japan, South Korea, the U.K. and the U.S. were above the global and regional averages; the SPAR Scores of Iran were above the global average while the GHI Index lain below the global average. In terms of response strategies, Japan, the U.K. and the U.S. invested more health resources in the treatment of severe patients, while South Korea and Iran had adopted a strategy of extensive testing and identification of suspected patients. In terms of specific measures, all the five countries adopted measures such as restrictions on entry and international travel, closure of schools and industries, lockdown and quarantine. Nevertheless, the effectiveness of implementing these measures varied across countries, based on the response strategies. Conclusion : Although SPAR Scores and GHS Index have evaluated the national core capacities for preparedness and response, the actions to cope with the COVID-19 pandemic has revealed the fact that most countries still do not build resilient health systems in response to public health emergencies. Health system strengthening and health security efforts should be pursued in tandem, as part of the same mutually reinforcing approach to developing resilient health systems.
The ShenGuang-III (SG-III) laser facility was developed by the laser fusion research center (LFRC) for inertial confinement fusion (ICF) studies in China. Over 80 diagnostics have been installed at the SG-III laser facility, including optical diagnostics, x-ray imaging diagnostics, x-ray spectrum diagnostics, fusion product diagnostics and general diagnostics assistant systems, as well as central control and data acquisition systems. Various ICF experiments have also been performed at the SG-III laser facility. The first experiment explored the laser-target coupling process, including investigations of hohlraum radiation flux and laser energy coupling efficiency. The second experiment explored ablation and implosion physics, including shell asymmetry and implosion trajectory. The third experiment explored stagnation, hotspot dynamics and the nuclear phase of the implosion.
This note describes multi-updates of the novel flat-response x-ray detector in fabrication technology, experimental application, and data uncertainty evaluation. Unlike the previous design, the compound filter is combined into one piece through an improved fabrication process that greatly enhanced its self-supporting capability. A method of pinhole-array imaging is introduced into the experimental application process to stop any debris from the hohlraum and to uniformly reduce the radiation flux. The experimental results show that this method works well. Furthermore, a method of uncertainty evaluation of the radiation flux measurement by the novel flat-response x-ray detector has been developed. The influence of the radiation spectrum to the flux measurement is analyzed. The evaluation shows that the relative uncertainty of the radiation flux is about 10% in higher radiation temperature condition (Tr > 150 eV) and 16% in lower radiation temperature condition (Tr < 100 eV).
We report experimental research on laser plasma interaction (LPI) conducted in Shenguang laser facilities during the past ten years. The research generally consists of three phases: (1) developing platforms for LPI research in mm-scale plasma with limited drive energy, where both gasbag and gas-filled hohlraum targets are tested; (2) studying the effects of beam-smoothing techniques, such as continuous phase plate and polarization smoothing, on the suppression of LPI; and (3) exploring the factors affecting LPI in integrated implosion experiments, which include the laser intensity, gas-fill pressure, size of the laser-entrance hole, and interplay between different beam cones. Results obtained in each phase will be presented and discussed in detail.
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