16 Feb The Multiplier Question: Can Twelve Weeks Change Institutional Momentum?
Posted at 11:00h
in Health Care Systems
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Photo by cottonbro studio[/caption]
Organizations move with particular momentum. Government agencies follow established protocols refined over decades. Corporations pursue strategies shaped by market pressures and shareholder expectations. Nonprofits operate within funding constraints and mission boundaries. This momentum feels inevitable, like organizational gravity. Yet a compelling question challenges this assumption: can intensive, time-bound leadership development actually shift institutional trajectories?
The question matters because organizations increasingly face challenges their current momentum can't address. Climate adaptation, technological disruption, demographic shifts, and evolving stakeholder expectations demand different approaches. Traditional change management often fails because it fights against organizational momentum rather than redirecting it. Leadership development offers an alternative: change the leaders, change the trajectory.
Prof. Moo-Yong Rhee[/caption]
Professor Moo-Yong Rhee MD, PhD.
Cardiology,
Dr. Schaffner[/caption]
William Schaffner, MD
MedicalResearch.com: What roles do a decrease in US immunization rates and/or increased immigration from under-vaccinated area play in this increase?
Response: The substantial majority of unimmunized children in the US were born and raised in this country. They usually are members of middle- or upper-income families. The most frequent importers of measles into the US are our own unimmunized children who travel abroad, encounter measles virus and bring it back to their homes where the virus then spreads among the child’s schoolmates and playmates, creating an outbreak.
Dr. Freedman M.D.[/caption]
David O. Freedman, M.D.
Professor Emeritus of Infectious Diseases
Editor of the Textbook of Travel Medicine
World Health Organization—Member, Emergency Committee on Zika Virus
University of Alabama, Birmingham USA
MedicalResearch.com: What is the background for this outbreak?
Response: India has reported 2 confirmed (PCR and ELISA) Nipah virus (NiV) cases in West Bengal State where the Kolkata megalopolis is located; the state borders Bangladesh. Symptom onset in both cases was late December 2025 in 2 health care workers. One patient has improved while the other remains in the ICU. All samples from 200 contact persons tested negative for NiV. No further confirmed cases have been detected in West Bengal
Bangladesh has reported 1 confirmed NiV case in Rajshahi Division which neighbors India. Symptom onset was January 21, 2026, and the patient expired on January 28. The patient reported no travel history but reported repeated consumption of raw date palm sap between 5 and 20 January. All 35 contact-persons are being monitored and have tested negative for NiV and no further cases have been detected to date.