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Humanitarian mine action (HMA) stakeholders have an organized presence with well-resourced medical capability in many conflict and post-conflict settings. Humanitarian mine action has the potential to positively augment local trauma care capacity for civilian casualties of explosive ordnance (EO) and explosive weapons (EWs). Yet at present, few strategies exist for coordinated engagement between HMA and the health sector to support emergency care system strengthening to improve outcomes among EO/EW casualties.
Methods:
A scoping literature review was conducted to identify records that described trauma care interventions pertinent to civilian casualties of EO/EW in resource-constrained settings using structured searches of indexed databases and grey literature. A 2017 World Health Organization (WHO) review on trauma systems components in low- and middle-income countries (LMICs) was updated with additional eligible reports describing trauma care interventions in LMICs or among civilian casualties of EO/EWs after 2001.
Results:
A total of 14,195 non-duplicative records were retrieved, of which 48 reports met eligibility criteria. Seventy-four reports from the 2017 WHO review and 16 reports identified from reference lists yielded 138 reports describing interventions in 47 countries. Intervention efficacy was assessed using heterogenous measures ranging from trainee satisfaction to patient outcomes; only 39 reported mortality differences. Interventions that could feasibly be supported by HMA stakeholders were synthesized into a bundle of opportunities for HMA engagement designated links in a Civilian Casualty Care Chain (C-CCC).
Conclusions:
This review identified trauma care interventions with the potential to reduce mortality and disability among civilian EO/EW casualties that could be feasibly supported by HMA stakeholders. In partnership with local and multi-lateral health authorities, HMA can leverage their medical capabilities and expertise to strengthen emergency care capacity to improve trauma outcomes in settings affected by EO/EWs.
This chapter summarizes Neurath’s manifold achievements before 1934, when he was forced to leave Vienna. Neurath managed to fit several careers into one, relatively short lifetime, being active in education, urbanism, economic planning, museology, graphic design, and philosophy. After an account of his student years, we document his participation in the proto-Vienna Circle, his theories of war economy, and his attempt at socialization in revolutionary Bavaria. Back in Vienna, Neurath became director of the Austrian settlers’ organization, involved in architectural planning, and founded the Social and Economic Museum, where a team of collaborators developed the Vienna Method of Pictorial Statistics (later known as Isotype). Neurath was also a founding member of the Vienna Circle, alongside Moritz Schlick, Rudolf Carnap, and Hans Hahn. Neurath was a dissenting voice from the Circle’s prevalent adulation for Wittgenstein.
Since the early 1930s, a broad acceptance of the need for social planning had been growing in Britain. Neurath naturally became involved in debates on this matter, not only with British and American scholars (C. H. Waddington and James Burnham) but with fellow Central European émigrés in the UK, Karl Mannheim and Friedrich Hayek. Neurath and Mannheim concurred on the possibility of ‘planning for freedom’, whereas Hayek feared that any socialist planning would lead inevitably to totalitarianism. Neurath took issue with this, not least in his reading of Hayek’s The Road to Serfdom, which can be reconstructed from Neurath’s copious notes in his own copy. Neurath’s ideas of the 1920s for a socialized ‘economy in kind’ were moderated by his situation in Britain, with its democratic ‘muddle’ of the 1940s. By contextualizing Neurath’s views in relation to other prominent figures of the era, we point out what made him unique among them.
This chapter examines first the gradual infiltration of logical empiricism into British philosophy during the 1930s, mainly through lectures by Schlick and Carnap, and not necessarily in accordance with Neurath’s ideas. L. Susan Stebbing played an important role as mediator, although she reflected on differences between the Viennese and the British analytical approaches. A. J. Ayer’s bestselling book Language, Truth, and Logic prepared the ground to some extent, but, by the time Neurath arrived to give a series of lectures at Oxford University, philosophers were mostly absent serving in the war. Neurath’s lectures are reconstructed from his notes, and the changes and developments in his philosophy of science are examined, also with reference to his monograph Foundations of the Social Sciences. We show that Neurath’s late work adapted to British sociological and anthropological thinking, often at the cost of bitter debates with old friends, such as Rudolf Carnap.
Neurath’s first port of exile after the fascist takeover in Austria was the Netherlands. With the aid of existing connections there, he set up the International Foundation for Visual Education in The Hague, providing an official haven for the work of the Social and Economic Museum. It also acted as a base for the International Institute for the Unity of Science, through which Neurath organized its congresses during the 1930s. Neurath’s Dutch period was marked by increasing contacts with England and the USA: he wrote books in C. K. Ogden’s Basic English and for New York publisher Knopf; he also became editor-in-chief of the International Encyclopedia of Unified Science. On several visits to the USA, he secured high-profile contracts for Isotype work, while also exploring the possibility of a foothold in Britain.
This chapter describes in detail Neurath’s adventurous escape from The Hague with other refugees on a small boat that was intercepted by a British warship. He and his partner Marie Reidemeister were then interned as enemy aliens on the Isle of Man, due to the encroaching threat of German invasion. The internment camps were a microcosm of Central European culture, and Neurath participated in the ‘popular university’ organized by internees of his camp. The correspondence between Neurath and Reidemeister (in separate camps) reveals their optimistic determination to continue working together, as well as Neurath’s predisposal to British culture. The Society for the Protection of Science and Learning campaigned for their release but, despite intervention from Albert Einstein, their case was not simple.
Neurath’s interest in international languages led to him developing an alternative to verbal language, the pictorial technique of Isotype. This chapter documents significant wartime projects using this method, including animated sections for documentary films and charts for publications produced by pioneering ‘book packager’ Adprint. The Isotype Institute contributed to the book on Lancelot Hogben’s own invented language Interglossa. Neurath also explored the establishment of a research centre for visual education in consultation with Hogben, Julian Huxley, and US ambassador J. G. Winant. His last book project titled ‘Visual Education’ was written for Karl Mannheim’s ‘International Library of Sociology and Social Reconstruction’, although it remained unpublished until long after his death. It was a wide-ranging reflection on the acquisition of knowledge and its social determinacy.
This chapter sets the stage for the volume, describing an approach to Otto Neurath’s last years that weaves together biographical, historical, and philosophical strands. Neurath can also be examined from the angle of ‘exile studies’, enthusiastically adapting to British life and making contributions to philosophy, economics, and visual education that were ahead of his time. The themes of planning and education are introduced as narrative hooks to understand Neurath’s late work.
The last major chapter of the book reflects on the question of ‘happiness’ as discussed by Popper, Hayek, and Neurath, but also presents a case study of how Neurath not only theorized on such matters but also sought to make a practical difference by collaboration in planning projects. He became a consultant for the redevelopment of Bilston, a small town blighted by the legacy of the Industrial Revolution. In discussion with town councillors and architects, he steered plans by taking into account the needs of residents, seeking to represent those whose voice was generally not heard. This finally led to Neurath being interviewed in the mainstream media, marking acceptance and respect for Neurath in British culture. He did not want to use his broad learning to set himself apart as an intellectual but instead to articulate the needs of ordinary people.
Chapter 4 is a detailed description of Neurath’s adaptation to British life and professional re-establishment, mainly in the field of visual education. The Isotype Institute was established in Oxford, and this method was rapidly taken up by documentarist Paul Rotha for use in films for the Ministry of Information. The Neuraths also collaborated in producing books of ‘soft propaganda’ about Britain and its allies, and made a pioneering visualization of the Beveridge Plan of social insurance. Neurath attempted to reconstruct a scholarly environment for himself, and was keen to embrace the English language. He was much in demand as a lecturer and consultant, speaking ‘broken English fluently’. He was supportive of fellow émigrés but wary of Austrian exile politics. Inadvertently, he came into contact with some people later revealed to have been Soviet spies.
The final published debate in which Neurath participated was with Horace Kallen, founding member of the New School in New York. This discussion with manifold cultural dimensions was a fitting swansong for Neurath, summarizing key themes of his thought and highlighting essential issues of his complex and contentious legacy. Kallen suspected Neurath’s drive for ‘Unity of Science’ as harbouring the danger of totalitarianism, but Neurath defended the pluralism of his approach while accepting Kallen’s proposed term of ‘orchestration’ instead of ‘unity’ for the sciences. Neurath felt rather neglected for his scholarly achievements at the end of his life, but these now become increasingly more relevant.
This chapter examines an intriguing debate that Neurath started along with co-author J. A. Lauwerys by denouncing Plato’s Republic as a totalitarian vision with affinities to Nazism. They did this in the context of planning German re-education after the war. Neurath had a theory about the inherent tendencies in what he called the ‘German climate’ for subservience to grand ideas of duty, and he felt that continued reverence for Plato could lead young Germans astray in this respect. His attack on Plato provoked an angry response from countless educators and scholars in 1944, raising issues that are still relevant today. Neurath and Lauwerys’ views were overshadowed by Popper’s similar treatment of Plato in The Open Society and Its Enemies and, to Popper’s annoyance, he was lumped together with them by some critics.
The ‘linguistic turn’ in twentieth-century philosophy is reflected through Neurath’s writings of his British period. He responded to serious criticism that Bertrand Russell made in his book An Inquiry into Meaning and Truth, developing the physicalism of the Vienna Circle into a cautious approach to ‘terminology’. Neurath revealed details of his index verborum prohibitorum, a list of ‘dangerous’ words to be avoided due to their misleading and metaphysical connotations. However, Neurath was resistant to the formalist tendencies evident in the work of Vienna Circle associates, in particular Carnap’s development of semantics. Their disagreement on the matter is examined through their prolific correspondence of the 1940s. While Neurath is often portrayed as losing this battle, we discuss how his own approach to the philosophy of language (including his ‘terminology’ project) prefigured the later development of ‘ordinary language philosophy’ to a certain extent.