Amid the COVID-19 pandemic, China extended significant medical aid to international communities, aiming to combat the virus's spread and foster global solidarity. However, despite the appreciation expressed by recipient governments for China's assistance, the general public's perception of China did not significantly improve. This prompts the question: why did China's COVID-19 health diplomacy fail to resonate with foreign audiences? This article delves into the cases of Thailand and the Philippines to argue that public perceptions of countries providing aid can be heavily influenced by domestic political dynamics, particularly when incumbent governments already face legitimacy challenges prior to aid delivery. By scrutinizing the implementation of China's aid and the state-to-state relations between China and incumbent governments, political opposition forces can exploit any shortcomings or missteps, placing blame squarely on the incumbents. Given the existing distrust toward incumbent governments, the public is more inclined to accept messages propagated by opposition groups, thereby hindering any positive shift in perception toward China. This perspective complements existing research that predominantly focuses on the diplomatic strategies of donor countries, suggesting instead that the domestic politics of host countries play a pivotal role in shaping the effectiveness of foreign nations' efforts to cultivate favorable images among foreign audiences.

The coronavirus disease 2019 (COVID-19) pandemic rocked the world, spurring the collapse of national commerce, international trade, education, air travel, and tourism. The global economy has been brought to its knees by the rapid spread of infection, resulting in widespread illness and many deaths. The rise in nationalism and isolationism, ethnic strife, disingenuous governmental reporting, lockdowns, travel restrictions, and vaccination misinformation have caused further problems. This has brought into stark relief the need for improved disease surveillance and health protection measures. National and international agencies that should have provided earlier warning in fact failed to do so. A robust global health network that includes enhanced cooperation with Military Intelligence, Surveillance, and Reconnaissance (ISR) assets in conjunction with the existing international, governmental, and nongovernment medical intelligence networks and allies and partners would provide exceptional forward-looking and early-warning and is a proactive step toward making our future safe. This will be achieved both by surveilling populations for new biothreats, fusing and disseminating data, and then reaching out to target assistance to reduce disease spread in unprotected populations.

Trust between actors is vital to delivering positive health outcomes, while relationships of power determine health agendas, whose voices are heard and who benefits from global health initiatives. However, the relationship between trust and power has been neglected in the literatures on both international politics and global health. We examine this relationship through a study of relations between faith based organisations (FBO) and donors in Malawi and Zambia, drawing on 66 key informant interviews with actors central to delivering health care. From these two cases we develop an understanding of ‘trust as belonging’, which we define as the exercise of discretion accompanied by the expression of shared identities. Trust as belonging interacts with power in what we term the ‘power-trust cycle’, in which various forms of power undergird trust, and trust augments these forms of power. The power-trust cycle has a critical bearing on global health outcomes, affecting the space within which both local and international actors jockey to influence the ideologies that underpin global health, and the distribution of crucial resources. We illustrate how the power-trust cycle can work in both positive and negative ways to affect possible cooperation, with significant implications for collective responses to global health challenges.

Response to the Ebola crisis (ongoing event) has been less than efficient. It has been monitored less than adequately by the international community and has been coordinated poorly in the USA. The event is used as a platform to examine deficiencies in public health infrastructure, the limits of its political and financial support, and how political outcomes can be affected. The need to tease out the political determinants implicit in policy failure and disaster management is argued in this Editorial. Failures mentioned include in the Balkans and in Greece with ongoing austerity. Comments on the real heroes of Ebola on the ground in Africa and the need for a charismatic role for political leaders in public health are also included.

Levett J. Disastrous Events and Political Failures. Prehosp Disaster Med. 2015;30(3):12.