Category: Ungleichheit

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Paris Vision

You got to have a vision in urban planning. Long term visions are best to then realize them step by step. The center of Paris has been restructured since the time of Haussmann at several places. The previous commercial center of Paris with « Les Halles » and the building of the commodities exchange « La Bourse de Commerce «  have been turned into a pedestrian area long ago. This axis runs nowadays from the home of the Pinault Collection to Les Halles almost to the Centre Pompidou (in the background of the image below). Whereas Les Halles is usually very popular and crowded with people the art museums are a bit less busy. Walking around in the area is offering amenities for people of all walks of life. It is an area, better called a pedestrian boulevard, where the wealthy and the poor may meet or at least pass by. Social urban planning is in high need to be considered as a vision not only for Paris, but many places and cities again. Inclusive societies also begin with a rather simple vision of togetherness putting people first.

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Language Tech

Inclusive societies can build on many tools including AI to lower language barriers. It is not only a question of translation, but many other forms of language come to mind. Sign language or easy language are necessary to facilitate broader access to public services. Reading out texts on webpages or Braille translation for the blind to interact through keyboards are additional forms that are available in digital communication as well. The audio description of videos and images is well advanced (reverse engineered through AI) and allows people with limited vision to fully participate in society. Audio messaging and transcription are used by almost everyone by now. Public services will open up to these channels of communication as well. The technology around languages is much more than just translation and AI-assisted learning of languages (talkpal for example). The new lingua franca is language technology, because it enables us to speak many languages at the same time even dialects or lost languages and in many voices. (Image: Extract of Josef Scharl, the newspaper reader, 1935, Neue Nationalgalerie Berlin)

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Ed Tech

Education Technology is much more than the use of tablets and Internet access in schools or in each classroom. Some schools revert to ban mobile phones access during classes or introduce specialized social media breaks during the school day. At the other end of the intelligent use of digital technology is the digital classroom with digital whiteboards in each classroom or the first fun hands-on experience with coding for primary school pupils through, for example, the “Scratch” platform. Once you are used to the power of the whiteboard to use web-based information in teaching systematically, most teachers and pupils will no longer want to miss these tools. Public libraries become important access points for those who have no speedy access at home to assist in learning. Digital tools and e-learning are an empowerment of learners to benefit from the millions of useful learning tools and platforms on the web. A first understanding of easy coding allows children to figure themselves as producer of games rather than only a consumer of fantasy games. Create your own story instead of following the stories of others is empowerment. Scratch it, if you like. The role of the teacher in classrooms is evolving fast as well beyond the 40-60 minutes slots in class. Play the games of your pupils, is a bit like a flipped classroom.
(Image: SCCON Berlin 2024 connected classroom simulation)

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Gov Tech

For many years we have believed that technology is something for experts and a special sector of the economy. Private sector companies have taken the lead and innovative applications of e-solutions or web-based applications have moved online to attract huge crowds. Some 20 years later, the scope to move public services online are on top of the agenda as well. Not only in security, defence, infrastructure management and health e-solutions are drivers of innovation and improve the reach out to persons in remote places, where it is hard to keep up equal provision of services otherwise. This is where “Gov Tech” comes into play. Government Technologies I would define as all technolgies that are needed to service your current citizens, past and future citizens as well as “want to be citizens”. This needs a whole of government approach, since there are many cross-cutting issues involved like cyber security and data protection.  “Gov Tech” is no longer just nice to have. It has become a “sine qua non” condition of government. The expectations of people have been shaped by private use and habituation to online access and amenities that government and public services have to follow suit in order to be perceived as similarly close and accessible for people. Besides the technological aspects of hardware and software solutions for gov tech there is the huge issue of taking people with you on that e-journey. Even social policies and social inequality are subject to the e-volution of gov tech. There is a potential to reach more people with the same number of administrators by use of new gov tech solutions. At the same time, the risks to loose people who choose to remain off-line or have no access to online services increases as well. Gov Tech poses multiple challenges as well as interesting solutions. Great to see many regions and states taking these issues very seriously.
(Image: SCCON, Berlin 2024-10).

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Digital Zebra

It is a difficult task in all countries to bridge the digital divide in a society. On the one hand, there are so-called digital natives, those who have grown up with smartphones and notebooks all around them all the time. On the other hand, there are many persons who have not kept track of the digital turn and feel rather lost or are afraid of making mistakes using digital tools. As public services are also moving online, the need for a society-wide comprehensive mastering of digital information and tools have become a sheer necessity. It is much more than just nice to have.
As public services move online like registrations, payments or tax declarations, the need for training and/or assistance of millions of people in a country become a real challenge. This is where the innovative project “digital zebra” in Berlin comes into play. Through the network of public libraries you can get support in person to master your digital challenges.
The name of the project refers to the “zebra crossing” of a road, which assists persons to move from one side to the other side, just like crossing the digital divide. We shall need a lot of those guides and other multiplyers who can assist people to move safely online. Only through this form of taking people with you on the move towards online public services we shall close the gap of the digital divide. It is probably going to widen before we can narrow it again, unless we breeding digital zebras in a rapid way.
(Image: SCCON 2024-10, Berlin)

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Digital public management

Countries with large public sectors also have specialized research called administrative science. More than 25 years ago the whole discipline has been hooked on the idea of so-called “new public management”, which introduced “management by objectives” and “benchmarking” as new tools into the field of public sector management. In Germany Naschold and Bogumil (2000) have been publishing extensively on the topic.  In 2024 the new public management is well established and the now new challenge is “digital public management”. Berlin just hosted a fair on this topic (SCCON 2024). This allows to speed up administrative procedures, increase the reach of public administration into remote areas and creates new challenges to counter the digital divide of society. The modern public sector may shift from being pushed by private sector companies in terms of digitalization to being a forerunner of digital provision of services. Tax declarations in Germany are a good example, where for many years it is a widespread practice to rely on digital forms of declaration and communication between the tax office and its clients.
Other countries, like Estonia, have taken already many more far reaching forms of digital public management and digital provision of services. The scope of such reforms is huge and the administration of persons in remote areas and aging societies give additional reasons to push ahead with digital public management.
At the time when even emails become outdated among youth, some administrations are proud to feature their latest innovation in digitalization. A machine is opening physical letters and scans the documents automatically and stores them in a secured cloud for example. It is indeed an important “bridging technology” for administrations dealing with a generation of older persons who are used to this form of communicationd by (snail)mail.
Many interesting new digital solutions (hard and software) were on display at the SCCON 2024 and many more are in the pipeline or pilots have been implemented already, well worth studying in more detail.

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Forced Living Space

The „Topography of Terror“ hosted the book launch of the research project on „Zwangsräume“ (forced living space or forced homes). The cooperation of an impressive network of organizations (Aktives Museum Faschismus und Widerstand in Berlin e.V., Koordinierungsstelle Stolpersteine Berlin, Alfred Landecker Foundation, Metropol Verlag) has achieved to uncover the forced relocations of thousands of German jewish people from rented place to another one, thereby regrouping and cramping Jews into ever smaller living spaces in predetermined houses within Berlin. Through this horrible step by step expropriation and extermination terror was present and visible all over Berlin. The online documentation and data access allowed citizen science projects to accompany the research and actively contribute to enlarge the data investigated, analysis and dissemination of the findings. The continuation and extension of the project is already in preparation and seeks additional funding and volunteers. The traditional book publication helps to provide an insight into the thorough historical research which started with a more adequate definition „Zwangsräume“ than the previously used term of so-called „Judenhäuser“, since the houses had and kept a mixed population sharing the living spaces until deportations of the jewish persons forced into ever smaller living spaces before. The property of the deported persons was recovered by officials from sealed apartments and sold mostly as bargains on auctions or just redistributed among officials in need or with special merit for the Nazi-movement. This adds an intergenerational dimension to the project that is also worth looking into in the next phase of this extremely valuable project based on large online archives from original register information and other documents. (Image: The map shown below in the presentation has blue signs that have already been traced and hundreds of red signs where the histories are not yet retrieved).

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Risk Takers

We are all risk takers of one form or the another. Those of us who ride motorbikes or enjoy rock climbing have an above average taste for risk taking. Since the publication of „The risk society“ we are aware that collectively as a society we have taken on additional risks like nuclear energy, atomic weapons or the risk associated with silent climate change with the persistent reliance on fossil fuels to a large extent. Holman W. Jenkins (WSJ) has added an additional perspective on risk takers which originates from government policies to encourage building homes in places subject to high risks of flooding. Several policies come to mind that encourage individuals to take high risks and construct and repair buildings in flood prone areas. Government grants, insurance policies and relocation subsidies are at issue here. Regulations like driving licenses try to build on competences to ensure „more rational risk taking“ in people. Teaching about nutrition might alleviate the obesity pandemic as much as awareness of an active lifestyle can avoid a large number of cardiovascular diseases. Risk taking should be to a large extent an individual’s choice with the consequence to live up to the consequences of the risks taken also more an individual’s responsibility. Collective solutions are a powerful way to encourage additional risk taking. The consequences of those well-defined solutions have to be funded collectively as well. A society-wide discussion and voting process on such issues has to be organized and updated from time to time. (Image Skateboard high and long jumps Brussels 2024-10)

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Ranking Enterprises

The Spanish economic newspaper has published on its front page an updated ranking of the top 10 Spanish companies using environmental, social and governance (ESG) criteria (see below). elEconomista.es on 2024-10-12 shows through this updated ranking that ESG criteria continue to be relevant information for investors. It is not just a nice to have information but gives important information on the sustainability record of a company. Continuous monitoring is key to show and reward the efforts and investments companies have made to improve sustainability. This information needs large distribution in order to keep up the awareness that there is more to a balance sheet than just turnover, profit margins, debts and investment. Churning of employees creates costs to society as a whole as well. Any early information on ESG indicators, therefore, allows a much broader assessment of the full impact of enterprises, 360 degrees and over time. Certainly a good example to follow up on.

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Study Wages

There is a remarkable study of sectoral minimum wages in California. It deals with minimum wages that have been raised set to start from a floor of $20 per hour in the fast food sector. The first indications after 6 months show that the wage increases due to the regional and sectoral minimum wage in California were about 18% per hour. The wage rises did not have a negative effect on employment so far and are not expected to happen. The first indications suggest that price rises absorbed 2/3 of the wage increases. Consumers of the fast food chains and on special event locations do not react strongly on the price increases to reduce demand. As overall the turnover achieved in the restaurants increased even franchising chains were able to increase their profits. It is an interesting example that an increase in minimum wages can create a win-win-win situation starting with a substantial pay rise. A second round effect not mentioned in the study could consist in the narrowing of the price differential between healthy food and fast food. The option of a healthy meal might no longer appear to be so much more expensive.

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Of or about

There exists a fundamental difference between taking a picture of something or someone as opposed to taking a picture about someone or something. With the term about we denote or refer to a more abstract category of trees, animals or human beings. The use of of, however, refers to a specific realization within a specific category. Painters or photographers have applied this distinction for a long time. It is similar to social scientists who consider persons or relationships as belonging to more general categories. Gender is such a category which has preoccupied us for years before concluding that just 2 gender categories are not enough to come up with reasonable descriptions and predictions of behavior. The realizations of gender are manifold and not necessarily or only binary in nature as well appearances. Eventually social categories are enlarged to fit empirical patterns in more adequate ways. The image of someone/something therefore is something very different from an image about someone/something. (Image of: Children’s corner at Musée Rodin Paris. Image about: Pedagogic approaches to art, here sculptures « Le penseur », Rodin 19th century)

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Happy Employee

The research on happiness, subjective well-being or overall satisfaction with your life is also an empirical question. Analyses of being happy donot only focus of overall happiness, but look much more into the details of happiness. Beyond the tricky longitudinal observations of happiness it is common scientific practice to deal with subdomains of happiness like satisfaction of employees with their job, satisfaction with one’s job beyond the honeymoon and hangover effect, best known from family studies.
Each of those subdomains has a significant effect on overall happiness. The novel “Happy Life” by David Foenkinos is an interesting example which focuses mainly on the subdomains of job satisfaction, satisfaction with private and romantic partners as the major domains of a happy life. As developed in the novel, people make job changes to re-orientate professional careers or reset their private life. A low point on the happiness scale in one domain might be compensated by higher levels in another domain. These impact from one domaine to another might have substantial time lags involved as well. More drastic resets (à la Foenkinos) can be avoided through focus on other subdomains of overall happiness as well.
How happy are you with your housing situation, neighborhood, your pet, your physical health? There a multiple +/-spill-over effects to overall happiness. Reading a novel might be one as well, just take time reserved to yourself.(Image BnF expo “women in sport”, 20024)

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Happy Maths

The link of maths and happiness is not straightforward. Individual accounts of a happy (euphoric) or unhappy (dismal) life are mostly referred to psychologists for treatment. The biografies (documentaries) or fictional biografies told in novels or cinema allow to trace the changing moods of the personalities over time. This resembles life course research. In happiness research social scientist ask questions like “Overall, how satisfied are you with your life“. Measured over time or coded from biografies this allows to reconstruct happiness trajectories. At this point the maths of happiness enter the stage. Long periods of observations yield interesting patterns of curved lines, rarely simple linear trajectories. Social scientist speak of within person variability in contrast to between persons variability. After all, the (short-term superior) happiness of your neighbor might simply be due to the fact that they are doing drugs.
Whatever, try to remember a bit of your high school maths and the bore to deal with “curve discussions or sketching” beyond the manifold shapes of your classmates. Lots of interesting information derives from growth or decline rates, tangent lines, stationary or inflection points. Different starting points or so-called intercepts vary between individuals as well as he potential  to cross the Zero-line on one of the axes. Additionally, in geometry you would compare syncronicity of curved lines as well as forms of symmetry for the curve(s). This will simplify or comlexify your perspective on the happiness trajectories of people or characters in a novel.
We are so used to narratives or videoss with a happy end, yet we appreciate the complex trajectories and (multiple) troughs main characters have to pass. Novels teach us about tricky inflection points and subsequent trajectories as well. The maths of happiness, however, is rather simple in comparison.
(Image from Toronto District Christian High School -pdf p.207).

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Own Insulin

People who suffer from type 1 diabetes do not produce enough insulin themselves. The World Health organization estimated that „in 2017 there were 9 million people with type 1 diabetes; the majority of them live in high-income countries“ (WHO 2023). The report on successful reprogramming of stem cells of a person to produce insulin again and subsequently transplanting these cells into the same person allowed to produce own insulin again for that same person (Mallapaty, 2024). The hope for millions of people with type 1 diabetes is high that eventually there will be a cure to the disease. Scientists caution that there are no data yet for how long the transplanted own stem cells will produce insulin. Hence, the hope is driving research forward on a promising way forward. The case of type 2 diabetes is very different as additionally the absorption of insulin in the body causes problems. We keep walking and building muscles to facilitate the insulin absorption in the body to guard against the onset of type 2 diabetes. Interaction of diabetes and aging is another topic that needs our attention as rapidly aging societies are at higher risks to face many more people with various forms of diabetes.

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Russian Demographics

Dictators prepare their countries long before for upcoming wars. One indicator of such strategies is the pursuit of “natalist” policies. These are demographic policies that aim to increase a country’s population so that the human losses endured during war maybe recovered faster. Russia has had such a policy doctrine in place for quite many years. Only, it didn’t work. Alain Blum and Sergei Zakharov (2023) have shown this in their paper on  “L’obsession nataliste de Poutine“. Rather than achieving a growth in the population, at best, the further rather rapid decline of fertility and the population size before the war is reflected in the data (until 2022). The recent objection of youth and women to bear more children is subject of massive opposition of Putin’s forces inside the country. So-called total fertility of 1.5 per woman before the war is as low as or lower than in many other European countries. However, on the other end of aging is mortality or life expectancy. The data show a rather bleak picture of Russia already before the invasion of Ukraine. Based on data published from INED in France Russia has about 1.000.000 more people dying in 2022 than babies born. Bad handling of the Covid-19 pandemic (inefficient vaccines) is also a reason for this dent in population size. Adding outmigration of youth that does not want to stay in a country that goes to war with peaceful neighbors, this bleak population outlook is the disastrous heritage of the Putin years of Russia in the 21st century for generations to come as well.

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Traffic Speed

Most people use cars or other automotive vehicles (e-bikes, e-scooter) to get faster from point A to point B. However, speed of traffic causes trouble for other groups of mobile persons. Demands on attention rise, despite the abundant use mobile phones even during driving a car. Mapping systems and services from A to B have become an almost daily exercise. Statistics on road accidents that involved inadequate speed are between 20 and 30 percent of all deadly road accidents, depending on the source of information and country (Example D). Frequently, speed is not the only cause, but other behavioral mistakes occur jointly.
Traffic signs are a basis to make drivers aware of accident prone locations. Too many of them may even lead to the opposite effect of ignoring the signs. Reducing the speed of traffic in inner cities is a steep challenge and many cities invest substantial amounts of money and effort to monitor and try to control better excessive speed. Schools, sports centres and shopping areas are all hot spots of automotive and pedrian encounters. They deserve special attention. Penalizing excessive speed is one way to nudge behavioral change. Although the statistics on the huge amounts of penalties awarded does not seem to alter the behavior of traffic participants in the short run. For some it appears to be a regular part of their budget of mobility with no consequence for behavioral changes.
For years the dangers of inadequate traffic speed in cities made young families and older persons leave more risky inner cities, but adaptations of hot spots and increased control systems seem to work in the long run. The “externality” of inadequate traffic speed is higher costs for the health system and society at large. About time to make a “behavioral turn” in traffic speed.

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Buzzing free

It is always a chance to be in a city that bans cars for some time from streets and bicycles and pedestrians can walk freely in the city. On September 22nd 2024 this is the case in Brussels. In addition, the public transport system allows people to buzz around the city free of charge. Of course this is an invitation to get to know areas of the city where you normally don’t take the time to visit or mix with people. The police used the time to teach children how to cycle in a city in all security and respecting basic rules despite the enthusiasm for speed or going round in circles. Unfortunately, this happens only one Sunday out of 52 in a year. It is just amazing how the feeling of safety on the road changes again. The level of noise and pollution drops to levels of the countryside. Buses and trams pass the city easily and most people get around faster than they do on other days of the year. It is a bit like a coordinated health intervention for the stressed urban survivors. This experience is a modest reminder of how nice it was in Paris during the Olympic Games 2024 when prioritizing mobility beyond cars haa been effectively implemented for several weeks.

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Sufficient

What do we mean by sufficient? Sufficient of what? French philosophers currently debate the topic under the French notion of sobriété (sobriety). They give as English translation sufficiency, but the notions do not match exactly in the usual understanding of the words. In breaking with the economic rationale of more is always better, the idea of having sufficient food, room to live in or social contacts to not feel lonely, the notion of sufficiency hints towards a rethinking of our customary lifestyles. How many trousers are sufficient? Well, as with shoes there might be gender differences or more generally interpersonal differences or preferences to come to the conclusion of how many is sufficient. If we bring in the notion of sobriety in additional, we allow another social and/or ecological dimension. This may redefine what is sufficient based on judgments how much our planet can handle (emissions) and distributional judgments. The western lifestyle of the last 100 years is no role model for other countries to follow. It is urgent to rethink our growth based economic model to develop new socially viable ways of production and consumption. It seems to be a necessary condition to reconsider the notion of wellbeing and wealth from a sufficiency perspective. It is a sobering thought, isn‘t it?

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Waiting time

A new report by Darzi, a former cancer surgeon and past minister of health in the UK, paints a dismal picture of the British health service (NHS) over the last 15 years under conservative rule. The public service has seen no increase in its budget accounting for population growth and the aging of the population. The service is no longer able “to give patients the timely care they need” (The Guardian 2024-9-12 title page). Increased waiting times lead to an estimated 14.000 premature deaths per year. Darzi presents data that show 300.000 persons had to wait longer than one year for a treatment that should have been performed within 18 weeks.

The staff seems desperate for changes as well as they have to spend more time on management of waiting times, time which is lost for real treatment. The quality of care is another issue which awaits urgent attention. Health cannot wait for most patients, but the neglect of investment in hospitals and people is expensive in the longer run. Even the reform efforts should not wait any longer. Time is a precious good and each life matters. (Image back cover of exhibition catalogue Käthe Kollwitz at MOMA 2024).

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Health GDP

A report by the WHO and the World Bank (2023) on universal health coverage and financial hardship has emphasized the difficulties to reach the goals defined by the strategic development goals (SDGs) by 2030 in this policy field. Moreover, the paper by Mazzucato and Ghebreyesus (2024) invites us to reconsider the importance of health in the overall assessment of development and progress. The authors ask us to “rethink the narrow focus on growth in gross domestic product (GDP) that typically dominates economic decision making”. There is of course a long debate on the status of health, GDP or wellbeing as major policy issues or even foundations of the a state’s major objective. For economists the question has been answered for decades to favor GDP growth and more or less the other objectives can be achieved with a time delay. Recently social scientists have highlighted the overall importance of wellbeing or happiness rather than GDP as stated in some constitutions. Health as an overall objective is another challenge to the existing economic framing of societies. In a traditional economic perspective the health sector is part of the GDP increasing public and private sector of the economy with insurers, equipment and persons contributing to it. On the other hand, health enters into the distribution or consumption part of the economy. Each country strikes its own balance between production and consumption. Put simply, in form of an equation where production equals consumption, health enters on both sides of the equation in each country. On the global, scale the distribution between costs and benefits of health have not narrowed over the past. The challenge for the world population remains steep. Considering unequal population growth across continents, the situation might get worse before it hopefully gets better. We still have to continue huge efforts to increase overall health on earth for example through large scale vaccination programs. (Image The tombstone of Molière in Paris 2024)

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Desertification

Since 2018 we have evidence of the progression of desertification into some Member States of the European Union. The mediterranean countries are concerned as well as regions of Bulgaria and Romania near the Black Sea. There are multiple sources of desertification. The 3 main reasons of desertification are soil erosion, loss of soil fertility and loss of natural and desirable vegetation besides wind or water erosion and salinization. We also know that man-made climate change is at the root of the past and recent problems. The statistical indicators of land degradation are collected by the European Joint Research Centre and these data show a dismal picture of land degradation in general and desertification as part of this process. A study by Ilea et al. published in Nature 2024 projects an intensification of extreme weather in the coming years. Higher temperatures will most likely enhance desertification and more frequent flooding will contribute to more soil erosion as well. It is a rather strange process that we know we are creating severe problems for some regions which endanger the roots of their existence and yet we do not act upon those undeniable facts (United Nations SDGs list). The amount and dynamics of land deterioration put the global South under severe pressure, but also the wealthy parts of the Mediterranean basin will be affected. It about time to acknowledge that we are all part of the global changes and challenges. (Image palm tree in Paris, Jardin du Luxembourg, 2024)

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Painter Sociologist

In going to a gallery and exhibition of paintings from the 17th century (Gemäldegalerie Berlin) you do not really expect to attend a class of sociology. However, this is exactly what the Flemish painter Frans Hals does with his paintings of various genres of society of his time. His sociological categories are for example unmarried young persons, married couples or pensioners living in a shared home. Other social categories of interest to him are a caregiver or, more common for the time, persons from noble or wealthy families. His painting „The Regents of the old men’s Almshouse” (ca 1660), the male pensioners home is one of his last paintings when he himself was already about 80 years old. Similar to a College of students the elderly home was run by a house father and house mother who took care of the daily living. The paintings of Frans Hals covered the entire life course with a cross-section perspective of society at his time. From few of his supporters he painted even several images moving towards a kind of longitudinal perspective on a person’s life course. Certainly, with “Oude-mannenhuis” (image below) he was interested not only in individual life courses, but of the conditions, forms or images of aging at his time. He probably was one of the first to challenge the negative stereotypes of aging.

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Paralympic Counting

The classification system of the Paralympic disciplines is well worked out. This ensures that competitions are on a more equal footing. The counting of medals, points and penalties is an easy task. It is more difficult to keep track of equipment and infrastructure and the adaptation status of it to Paralympic needs in a country or region. Statistics and monitoring of installations is one important step in preparing for participation and success in Paralympic disciplines. On an European open data platform we find the regional data set of “Parasportive equipment in clubs and committees of the Pays de la Loire”, for example. Transparency of structures is a first step in improving access to it. For Paralympic athletes it is the same process to gain access to sport equipment as for all other athletes. The monitoring of infrastructure and equipment is a laborious task, but the documentation of helps people on their way to obtain access. Paralympic counting, therefore, is much more than counting medals and trophies even if they are really nice looking.

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Olympic Medals

The distribution of Olympic medals across continents reveals the persistent inequality of rewards across the globe. The first African country in the overall ranking of countries by Olympic medals is Kenya on 17th place. All 11 medals including 4 gold medals were obtained in athletics and in running disciplines 800m and more. The financial resources needed to practice running as high level sport are probably the lowest one of all disciplines. Ethiopia is another African country with this tradition of high level long distance runners on the African continent. Equipment and coaching in other disciplines than athletics involves more infrastructure and becomes more costly and the possibility to reserve infrastructure for elite athletes of a country is more difficult if the infrastructure for the population at large is rather limited compared to the population size. Therefore, the Olympic tradition has to confront the challenge of unequal access to many disciplines of the Olympic Games also in Paris 2024. Being a very good athlete is just not enough if you lack the coaches, training and facilities to be able to compete with the well-equipped countries. The knowledge about the best details of a specific technique or optimization potentials are part of the Olympic challenges as well. The Americas, Europe and Asia might be confronted with new forms or another criticism of imperialist strategies, this time in the domain of sport. The winner or medalists take all. Country rankings appear a bit like the football device “money buys goals”. (Image, Fondation Louis Vuitton, Paris, Extrait of Omar Victor Diop “Diaspora” 2014-2015).

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Olympics for All

The Paris 2024 Olympic Games and the Paralympic Games have demonstrated the extraordinary competence, professionalism and competitiveness of all athletes. The television spectators and live participants in the events have been involved to a great deal.
After all this hype around sports let us consider the probability of getting involved in physical activities and sports. Additionally, it is of interest, whether people are encouraged to continue sports, maybe at higher ages as well through these sports events like Olympia.
High level athletes are most likely to continue their sports activities. In many countries the extraordinary athletes of the Paralympics faced tough challenges to pursue their sport interests and passion.
However, the public health challenge is the big unresolved issue of how to best raise an awareness for the pleasures and benefits of sport for the masses. (bibliography by BNF “Santé et activité physique). It is not only a matter of suitable infrastructure, but also the question of sports in your neighbourhood. This issue has implications for urban and rural communities and how they organize the practice of sports in an inclusive way. Each step may be a stepping stone into sports for all ages and pathologies.
The pleasure and benefit to walk or something simple as walking to or walking after work, are part of the solution to many public health issues.
The visitors of the Paris Olympics walked a lot.
This fun experience in an enthusiastic city will encourage many to continue the simple exercise without thinking about exercise. This will do the trick. Just do it, without thinking to much about it.

BNF Paris 2024-8
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Paris libéré

It is with great pleasure to follow how Paris commemorates the liberation of Paris from Nazi-Germany 80 years ago. (Quote from De Gaulle “Paris libéré”.) On the 25th of August 1944 the city of Paris was finally liberated by French armies and the support of the local resistance movement. Similar to the journey of the Olympic flame on the way to Paris, we can follow each city celebrating the liberation from the occupants. Beginning with the landing in the Normandy of the Allied troops, the chasing of the enemy has been a matter of time, but still incurred huge human losses. More than 4 years of Nazi symbols in Paris were finally brought to an end and celebrations on the streets became a symbol for the enormous relief this liberation has meant to the population of Paris, France and hope to many neighbouring, but still occupied territories.
Several documentaries on television and radio allow to empathize with the joy of this time. Enduring the hardships imposed and, for many, risking their lives in clandestine networks of the resistance were honoured by the success of the liberation of the city without the massive destruction, which was to be expected.
A book edited by Ulla Plener (2007) highlights the supporting role played by some women originally from Germany to support the French Resistance movement. It still is not common to understand the retreat of Nazi-Germany also in Germany as the progressive liberation of the country from the terrors of a dictatorship.

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Burden of Disease

For the planning of health and care systems it is important to measure the so-called burden of disease within societies or related to specific diseases or social groups. A large-scale analysis of several longitudinal data bases of the populations 50 years of age and older shows that we have underestimated the burden of disease to societies of psychiatric disorders, like depression, in most societies.
A meta-study and overview of previous studies showed already that depression (age 60+) is more common in lower-income countries (between 25 and 33% of 60+population age group). High income countries, studied by Wang et al. 2024 in The Lancet Healthy Longevity, have rates of depression well below these levels, but a link to socioeconomic status, inactivity and loneliness is still evidenced. A five-year follow-up of persons aged 50+ years shows that the probability to develop a depression (hazard rate) is twice as high for persons with low socioeconomic status, who were socially
inactive and lonely than for socially active, high socioeconomic status and did not feel lonely at the beginning of measurement. The conclusion of the research highlights the need to develop and implement integrated and simultaneous initiatives to addressed the growing burden of disease related to depression in older persons. (Image, Jules Desbois, “Misery” 1887-89, Musée Rodin, Paris)

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Alzheimer Research

Alzheimer disease has reached unprecedented levels in line with population aging. The study by Martino-Adami et al. 2024 has raised the hope that more people can receive an early diagnosis of Alzheimer and potentially start treatments. The study used plasma biomarkers rather than much more expensive and rare MRI scans for diagnosis. The rather exceptional results allow even to test for severity of Alzheimer according to established evaluation measures. Additionally, the probability of an Alzheimer trajectory on a time scale is feasible. The authors suggest that the data and statistical methods applied allow to identify Alzheimer before the outbreak of impairments. The data sample stems from “patients of advanced age visiting primary care”. This remains a limitation for generalizations, but the hope that other studies test the same approach with samples from younger populations will spur additional investments into such research. The list of institutions and foundations that contributed to make this study possible is really long. Thanks go to all involved, researchers, donors as well as the reviewers and editors of the journal. (Image Paris Metro Help Column 2024)

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Olympic Prevention

In the streets near the Stade de France at Seine Saint Denis the team of street workers addressed spectators with little presents. Each of these little items served the purpose to remind people of the prevention of disease or later consequences of the Olympic atmospheres in PARIS 2024. Sex, booze and drugs, but also noise were the topics of the prevention patrol around popular venues. Great way to bring home a message for visitors and the local population as well. Health and Olympic Games is a huge topic with many facets to it. Not only athletes are concerned, but also spectators. The team agreed to pose for media coverage as this is their reason of existence. Reaching big crowds is essential especially if big sugar is among the big sponsors of the games. It is another kind of competition with rather unequal starting conditions. You might loose some fights against yourself, but trying to overcome alcohol addiction or sugar overdose is worth a repeated game. Prevention is key.

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People’s Olympic

The Olympic games have an elite touch attached to them. The selection beforehand is though and during the games another selection has to take place. After all there are only 3 medals to be awarded per competition and the runners up receive much less attention. That’s what the Olympic fame is built upon. To get more people involved in the games Paris 2024. had started the running and arrival of the flame weeks before the game so that public attention and awareness that people are part of the game as well. As spectators participation is feasible but rather expensive and out of reach for many supporters or locals. Hence, criticism of this kind is as old as the Olympic idea. Paris 2024 has tried several ways to mitigate the selectivity. Even distribution of tickets for free to visit performances has been widely spread. Most people will watch on their couch even if you live nearby. Places in Roman “panem et circenses” games in amphitheaters were scarce as well and reserved for citizens. Paris has built a brand new train station and lines to the stadium and the Olympic village. ( Image below RER Terminal, Saint Denis) on the outskirts of Paris. This will serve after the Games for many years to come. Inclusion of people has many facets.