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After the end: Lived experiences and aftermaths of Diseases, Disasters and Drugs in global health

In plain English

AI plain-English summary

Global health crises rarely end with a single, clean announcement — yet policymakers, media, and institutions routinely declare them over, leaving those still suffering to be forgotten. This research examines what happens after the declared end of a disease outbreak, disaster, or drug crisis, and who gets left behind when the world moves on. The problem is that official “end” dates for health emergencies are often arbitrary. They can silence the experiences of people still coping with long-term illness, environmental damage, or drug resistance — what the researchers call “slow violence.” Current global health frameworks lack tools to capture these messy, ongoing aftermaths. The team will combine ethnography, cognitive time-perception studies, and archival work across three countries. They will bring together historians, sociologists, epidemiologists, psychologists, bioethicists, legal scholars, and policymakers to understand how people actually experience endings and what moral obligations institutions have afterward. If successful, this work could reshape how global health organisations design post-crisis policies — from funding timelines to community engagement — ensuring that “the end” does not become a reason to ignore ongoing suffering. The research is primarily conceptual and empirical, not immediately applied, but it could fundamentally alter the assumptions behind how health emergencies are governed.

View original technical description
Global health is defined by narratives of a clearly discernible and singular end. Official announcements of ‘the end’, however, are often arbitrary and unstable. Furthermore, they can distract from important counter-narratives and undermine social, environmental, political and epistemic justice when those ‘left behind’ are excluded from discussions of whether the end has been achieved, or is achievable, and if so when and how. Today, uncertain trajectories, the ‘slow violence’ of environmental degradation, passive attrition of many diseases, and drug resistances question ideas of a singular extinction event and finality. Drawing on an interdisciplinary approach involving historians, sociologists, epidemiologists, psychologists, bioethicists, literary and legal scholars, philosophers and policymakers, this timely and important research has two synergistic empirical and normative aims to: 1. Explore lived experiences of time and temporality of endings of crises, to capture counter-narratives and their implications for future practices, responses and policies 2. Provide an account of the moral and ethical obligations and responsibilities of global health institutions in the aftermaths of crises to health From detailed comparative research in three countries, including ethnographic, cognitive time-perception and archival methodologies, we will foreground the people, places, processes and policies to capture everyday experiences of endings and aftermaths in context.

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Researchers

Debora Diniz (EPMC Awardee)Dora Vargha (EPMC Awardee)Emily Chan (EPMC Awardee)Haja Wurie (EPMC Awardee)Laura Salisbury (EPMC Awardee)Patricia Kingori (EPMC Awardee)Sekalala (EPMC Awardee)

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Original classification

Discovery Award

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