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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Int J Public Health</journal-id>
<journal-title>International Journal of Public Health</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Int J Public Health</abbrev-journal-title>
<issn pub-type="epub">1661-8564</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="publisher-id">1604872</article-id>
<article-id pub-id-type="doi">10.3389/ijph.2022.1604872</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Public Health Archive</subject>
<subj-group>
<subject>Commentary</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Teleeducation: Pandemic Proofing Global Education</article-title>
<alt-title alt-title-type="left-running-head">Michel et al.</alt-title>
<alt-title alt-title-type="right-running-head">Teleeducation</alt-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name>
<surname>Michel</surname>
<given-names>Janet</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
<xref ref-type="corresp" rid="c001">&#x2a;</xref>
<uri xlink:href="https://loop.frontiersin.org/people/1531094/overview"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Murugasampillay</surname>
<given-names>Shiva</given-names>
</name>
<xref ref-type="aff" rid="aff2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sauter</surname>
<given-names>Thomas C.</given-names>
</name>
<xref ref-type="aff" rid="aff1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Tanner</surname>
<given-names>Marcel</given-names>
</name>
<xref ref-type="aff" rid="aff3">
<sup>3</sup>
</xref>
<xref ref-type="aff" rid="aff4">
<sup>4</sup>
</xref>
</contrib>
</contrib-group>
<aff id="aff1">
<sup>1</sup>
<institution>Department of Emergency Medicine</institution>, <institution>Inselspital</institution>, <institution>Bern University Hospital</institution>, <addr-line>Bern</addr-line>, <country>Switzerland</country>
</aff>
<aff id="aff2">
<sup>2</sup>
<institution>Global Public Heath Consultant</institution>, <addr-line>Geneva</addr-line>, <country>Switzerland</country>
</aff>
<aff id="aff3">
<sup>3</sup>
<institution>Swiss Tropical and Public Health Institute (Swiss TPH)</institution>, <addr-line>Basel</addr-line>, <country>Switzerland</country>
</aff>
<aff id="aff4">
<sup>4</sup>
<institution>WHO, Public Health Services</institution>, <institution>University of Basel</institution>, <addr-line>Basel</addr-line>, <country>Switzerland</country>
</aff>
<author-notes>
<fn fn-type="edited-by">
<p>
<bold>Edited by:</bold> <ext-link ext-link-type="uri" xlink:href="https://loop.frontiersin.org/people/1002523/overview">Olaf von dem Knesebeck</ext-link>, University Medical Center Hamburg-Eppendorf, Germany</p>
</fn>
<corresp id="c001">&#x2a;Correspondence: Janet Michel, <email>janetmichel71@gmail.com</email>
</corresp>
</author-notes>
<pub-date pub-type="epub">
<day>24</day>
<month>05</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="collection">
<year>2022</year>
</pub-date>
<volume>67</volume>
<elocation-id>1604872</elocation-id>
<history>
<date date-type="received">
<day>26</day>
<month>02</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>28</day>
<month>03</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#xa9; 2022 Michel, Murugasampillay, Sauter and Tanner.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>Michel, Murugasampillay, Sauter and Tanner</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/">
<p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p>
</license>
</permissions>
<kwd-group>
<kwd>pandemic</kwd>
<kwd>decolonising global health</kwd>
<kwd>teleeducation</kwd>
<kwd>international collaborations</kwd>
<kwd>equitable access to global education</kwd>
</kwd-group>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>The COVID-19 pandemic has made mankind rethink travel, trade and globalization. Airspaces closed and video (Zoom, Microsoft teams) conferences and meetings became practical and cost-effective alternatives. Home office became the norm for many and education from primary schools to universities went online. We have termed this movement, the provision of education online as Teleeducation. The provision of some health care services went on line too, increasingly known as Telehealth (<xref ref-type="bibr" rid="B1">1</xref>). The arrival of MRNa vaccines brought renewed hope. The messages were, get your jabs and get your life back. Many people who could access vaccines got their jabs and when COVID passports were introduced, they got theirs and resumed travel, with no testing, no masks and no fear of contracting COVID-19 (<xref ref-type="bibr" rid="B2">2</xref>).</p>
<p>Summer in Europe brought relief as infections in Europe and the northern hemisphere fell (<xref ref-type="bibr" rid="B3">3</xref>), while at the same time the virus surged in the southern hemisphere. International travel re-opened and countries like Denmark declared COVID-19 as being over and the UK celebrated Freedom Day (<xref ref-type="bibr" rid="B3">3</xref>). In Oct&#x2013;Nov 2021 infections started rising, in Austria, Netherlands, Belgium, Germany, United Kingdom, Switzerland and later France, Italy and Portugal (<xref ref-type="bibr" rid="B3">3</xref>). The discovery of the Omicron variant in November 2021 surprised the world once again. Many Countries closed borders and Netherlands and Austria went into new lock downs. Hospitals in Germany exceeded capacity and similar European Countries faced tough challenges of triaging care at times (<xref ref-type="bibr" rid="B4">4</xref>). The short-term sense of security brought about by the vaccines somewhat got eroded by the emergence of delta and omicron variants (<xref ref-type="bibr" rid="B5">5</xref>). Could this be a call for caution for the rest of the world to defer celebrating the end of the pandemic, to tread carefully and to keep watch on variant emergences and seasonal cycles?</p>
<p>Education has been affected by the pandemic and should not be postponed further. Besides economies, health and trade, education has been affected by the pandemic too. Education is the key to economic and social freedom, personal and professional development particularly in LMIC. Many students interrupted or postponed their education in 2020 and 2021. In a pandemic setting, many people get sick including students. The ability to continue learning while sick and or in quarantine, is an opportunity that became strengthened during the pandemic and could be capitalized on.</p>
<sec id="s1-1">
<title>Hurdles to Accessing Higher Education</title>
<p>Students from LMICs benefit from scholarships to study abroad. Some middle-class families from LMICs also sacrifice livelihoods to give an equitable start to the next generation in the globally competitive world, by sending them abroad to study. Travel restrictions have been put in place several times during this pandemic, interrupting education. Pre-departure tests and additional measures have been introduced including self-funded hotel quarantine on arrival and post arrival tests. All these are additional financial stumbling blocks for many students from LMICs (<xref ref-type="bibr" rid="B6">6</xref>).</p>
</sec>
</sec>
<sec id="s2">
<title>Time for a Rethink-Systems Thinking</title>
<p>The pandemic has indeed forced us to change our ways of thinking and doing things. In our view, a rethink in educational approaches is needed too. Pandemics are forecasted to become more frequent. Students the world over, need not interrupt or defer studies in pandemic contexts. The internet of things has brought the world closer than we ever imagined. Students can interact with teachers and other students all over the world from within the comfort of their own homes (<xref ref-type="bibr" rid="B7">7</xref>) or own home universities, without the need to travel-teleeducation. See <xref ref-type="fig" rid="F1">Figure 1</xref>.</p>
<fig id="F1" position="float">
<label>FIGURE 1</label>
<caption>
<p>Teleeducation-a platform for equitable education for all (Teleeducation, Switzerland 2022).</p>
</caption>
<graphic xlink:href="ijph-67-1604872-g001.tif"/>
</fig>
<p>These initiatives would be in line with initiatives like decolonising global health, which are striving to redistribute funding, knowledge, authority, leadership and decision-making power among communities. Similarly, these initiatives could aid in reducing brain drain and ultimately strengthen health and educational institutions in LMICs (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>).</p>
<sec id="s2-1">
<title>Redirecting the High Budgets of Travel, Accommodation to Broad Band and Tech Infrastructure in LMIC Universities?</title>
<p>Systems thinking is a disciplined approach to examining problems accurately and comprehensively before acting. We believe systems thinking is called for to rethink International (North&#x2013;South, East&#x2013;West) higher education collaborations? Instead of hand picking a few students from LMICs and relocating them to the West to acquire higher education, why not take higher education to the LMICs, through collaborations and redirected broadband investments in Universities in the South and East. Not only do students from LMICs benefit, but lecturers from LMICs also get the opportunity to co-create global education and teach, research and publish in collaboration with universities from the west (<xref ref-type="bibr" rid="B7">7</xref>). The result is that more students from LMICs will access high quality education rather than a lucky few that get Scholarships or those with parents that can afford the western universities. These collaborations could enable lecturers in LMICs to teach courses albeit virtually, at universities in the west and lecturers in HICs to teach virtually at Universities in the LMICs. Virtual platforms can bring lecturers and students from LMIC, MIC and High Income Countries together, ensuring global equitable access to education (<xref ref-type="bibr" rid="B7">7</xref>).</p>
</sec>
<sec id="s2-2">
<title>Conclusion</title>
<p>The COVID-19 pandemic is still here, evolving, a new variant, omicron has just been discovered, more mutations are expected, and the annual seasonal cycles are expected to continue, with variations in severity, depending on vaccine efficacy, coverage and levels of community immunity. New pandemics are expected in the decades to come. Is it not worth redirecting the high costs of travel to countries in the north (air, accommodation and relocation costs) to broadband and other infrastructural and institutional investments in LMIC universities, to build a teleeducation platform? We have seen how interconnected we are, and how a virus from one country can spread across the globe within a very short space of time. We believe systems thinking is called for. The pandemic is an opportune moment for higher education institutions to rethink and collaborate. These developments in our minds, fit into many initiatives including decolonising global health and decolonizing higher education and research, a move towards an equitable global and sustainable educational system-Teleeducation.</p>
</sec>
</sec>
</body>
<back>
<sec id="s3">
<title>Author Contributions</title>
<p>JM had the initial concept and wrote the first draft. JM, SM, TS, and MT contributed to further drafts. All authors contributed and approved the final draft.</p>
</sec>
<sec sec-type="COI-statement" id="s4">
<title>Conflict of Interest</title>
<p>The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
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