Tag Archives: Gates Foundation

Global Health News Last Week

Note: There will be no news round-up next week, as the IH section will be conducting its usual array of activities during APHA’s Annual Meeting.  Please tune in for updates on section sessions and activites at the conference.  Meanwhile, you can get your global health news fix from the DAWNS digest, Humanosphere, or the Healthy Dose.

October 16 was World Food Day.
October 17 was International Day for the Eradication of Poverty.

POLITICS AND POLICY

  • Scientists are warning officials negotiating a global treaty on mercury that banning the deadly chemical completely would be dangerous for public health because of the chemical’s use in vaccines. 
  • The Washington Post runs an editorial critical of the GOP presidential candidates’ hostility toward foreign aid.
  • An influential panel of MPs warned that changes in UK aid policies may make overseas aid more prone to corruption and misuse.
  • Attendees at the Asia Pacific Conference on Sexual and Reproductive Health and Rights have called on countries in the region to introduce comprehensive sexuality education in schools.
  • The Kaiser Family Foundation has released a report which finds that global HIV/AIDS funding dropped by 10% in 2010.

PROGRAMS

  • HP Signed a Memorandum of Understanding with USAID to collaborate in the fight against global poverty through initiatives directed at issues such as public health.
  • GAVI CEO Seth Berkley pens an op-ed in Huffington Post on the economic value of childhood vaccines.
  • The Pan African Parliament has passed a resolution that urges African nations to prioritize maternal, newborn and child health programs.
  • USAID is initiating research to find out whether developing world families will adopt a new cooking technology and adapt their cooking methods to save their health.
  • At an event in Washington, the Aspen Institute’s Global Leaders Council called for increased accessed to contraception worldwide. 
  • Microfinance initiatives to fund development could benefit from reinvigorating their aims and taking on new, integrated approaches, according to experts at the 2011 International Forum on the Social and Solidarity Economy in Montreal.

RESEARCH

  • A new study, by researchers from the National Institutes of Health, Gilead Sciences Inc. and universities in Belgium and Italy, suggests that a microbicide gel, which was originally developed to fight AIDS in Africa, could lower the incidence of herpes in many women.
  • RTS,S a malaria vaccine developed by GlaxoSmithKline, is showing great of promise in the early stages of its huge clinical trial.  The American Society for Tropical Medicine and Hygiene Council Member and Science Director at the PATH Malaria Control Program, Rick Steketee, explores the impact of the new RTS,S clinical trial results and what this breakthrough means for science and neglected tropical disease research. On the other hand, Sarah Boseley wonders where the money will come from once the vaccine has passed its trials, and Karen Grepin is not as excited about the new GSK malaria trial results as many others.
  • Adults who have fallen behind on mortgage payments exhibited higher rates of depression and are skipping meals and medications because they cannot pay the bills, a study published in the American Journal of Public Health found.
  • Teenage drivers have fewer crashes after they’ve been driving for a while, but new research in the American Journal of Public Health suggests that a few months behind the wheel do not improve their driving skills much.
  • A recent study finds that the best way to fight TB in patients with HIV is to treat as early as possible.

DISEASES AND DISASTERS

  • The famine in Somalia isn’t getting much public attention, but not because things are improving. Aid workers predict things will get worse before they get better. Much-needed rain is coming, but the rainfall could deepen the crisis for the four million people there who need help.
  • Numerous UN agencies are ready to be deployed if Southeast Asian nations ravaged by flooding request for assistance.
  • A report by Roll Back Malaria Partnership released at the start of the Gates Foundation’s Global Malaria Forum says that the world is making positive steps towards eradicating malaria. Specifically, 29 countries are on track to stop malaria within a decade.
  • Environmental hazards sicken or kill millions of people — soot or smog in the air, for example, or pollutants in drinking water. But the most dangerous stuff happens where the food is made — in peoples’ kitchens.
  • World Health Organization officials say the rapid and extensive globalization of food production has increased the incidence of food contamination worldwide.
  • Speculators in the agricultural commodities markets are forcing grocery prices to rise too quickly and erratically, according to some top economists marking World Food Day Sunday.
  • Climate change poses an immediate and serious threat to global health and stability, as floods and droughts destroy people’s homes and food supplies and increase mass migration, experts warn.
  • A survey of 87 countries showed more than half the countries reported more or much more awareness of mental illnesses in the past three years. Unfortunately, there is not a whole lot of new money behind that awareness.

Global Health News Last Week

October 10 was World Mental Health Day.
October 15 was Global Handwashing Day.

POLITICS AND POLICY

  • The U.S. Army has proposed major cuts to its work on HIV, especially in the vaccine field. Leaders of the Infectious Diseases Society of America and other biomedical research organizations oppose the cuts.
  • The WHO plans to recommend tighter nutritional standards in food aid for young children, a move activists say is necessary to improve donations from countries such as the United States.
  • The US Department of Defense is funding platforms that will completely rethink how malaria drugs are developed.
  • Former Bush Administration official Andrew Natsios argues the case for foreign aid: “Singling out foreign aid for disproportionate cuts—which is exactly what has happened—is a serious mistake the United States as a world leader will pay for in the future.”
  • A survey of 507 Americans at the end of September sought to capture what, exactly, Americans know about the foreign aid budget. Particpiants were asked four questions about their impressions of foreign aid and opinions on why it is important to American interests.  Go here to read the full fact sheet that also includes more details about the study’s methods and see below to review the results in more detail.
  • The World Health Organization’s chief on Monday urged governments to unite against “big tobacco”, as she accused the industry of dirty tricks, bullying and immorality in its quest to keep people smoking.

PROGRAMS

  • Berk Ozler examines some recent reports about the challenges surrounding male circumcision. In the World Bank Development Impact blog, he offers two suggestions for how to improve the programs.
  • A partnership between Pampers and UNICEF to deliver neonatal tetanus vaccines is on track to eliminate the disease by 2015.
  • A $258 million initiative sponsored by the Bill & Melinda Gates Foundation aimed at preventing AIDS in India appears to have paid off overall, researchers say, resulting in more than 100,000 fewer new HIV infections over five years. Many aren’t quite ready to judge this project, Avahan, a success, however. The project failed in three of the six Indian states where it was tested.
  • Are the Millennium Villages an intervention that can reach scale? Supporters say yes and detractors are skeptical. Madeline Bunting covers the debate in the Guardian Development.
  • A report on the MGDS by United Nations Development Program, the UN Economic Commission for Africa, the African Development Bank and the African Union Commission says that social protection programs can have a wide positive impact.

RESEARCH

DISEASES AND DISASTERS

Global Health News Last Week

SECTION NEWS
The Advocacy/Policy Committee would like to invite you to participate in our first Advocacy Day, led in partnership with the Global Health Council. The day, scheduled for Thursday, November 3rd, 2011, immediately following the annual meeting in Washington, D.C., will be an opportunity for us to voice support for a continued focus on international health to our elected officials. With the intense Congressional pressure to cut the budget, our voices can make a real difference. As a participant during this exciting day, you will be provided with training materials on effective advocacy techniques to ensure your message is clearly heard. Even if you do not have advocacy experience, you need not hesitate to sign up because you will be teamed with others. Please consider joining your fellow International Health Section members on Thursday, November 3rd, 2011 on Capitol Hill to advocate for a healthy globe. Interested parties should register here. Please note that registration will close on October 14th. Any questions should be directed to Peter Freeman, Advocacy/Policy Committee Chair, at pffreeman@gmail.com or 773.318.4842.


POLITICS AND POLICY

PROGRAMS

  • Sanitation and hygiene are sensitive and unpopular subjects, but funding them is essential to fighting disease, ensuring basic rights and meeting millennium development goals.
  • The Gates Foundation’s European director Joe Cerrell comes to the defense of the beleaguered Global Fund to Fight AIDS, TB and Malaria, arguing to improve on its “impressive record and ensure that millions more lives are saved and the progress against global disease is secured for generations to come.”
  • Almost four months into the Horn of Africa crisis, aid agencies are involved in much soul-searching as to whether they could have responded more quickly to the drought and famine.

RESEARCH AND INNOVATION

  • A Japanese company, the Sumitomo Chemical Company, unveiled a new kind of insecticide treated bed net at a product launch in Kenya.
  • Pregnant women who load up on fruits, veggies and whole grains have a reduced risk of having babies with neural tube defects, such as spina bifida or cleft lip, according to one of the first studies to look at the connection between diet and birth defects.
  • A study by Stanford researchers has determined that infant health can be improved when a mother has a low-fat high fiber diet up to a year prior to getting pregnant.
  • A study published in the British Medical Journal says that if current smoking trends continue until 2050, TB related deaths will jump by 40 million.
  • Though young, there is a lot of potential in what mHealth can offer in developing countries. Amanda Glassman shares some ways that it can be improved.
  • Researchers at the University of Washington have reported some highly problematic findings regarding a common method of birth control in eastern and southern Africa. They are problematic in that they indicate a popular injectable hormone, Depo-Provera, used by perhaps 140 million women worldwide (and often in poor settings) signficantly raises a woman’s risk of HIV infection.
  • Test subjects in a Spanish HIV vaccine trial have shown a 90 percent immune response.

DISEASES AND DISASTERS

  • A cohort of American and British researchers say that by investing in AIDS treatments, money can be saved in the long term.
  • What should be the top priorities in global health? Infectious diseases? Neglected tropical diseases (NTDs)? Non-communicable diseases (NCDs)? A research scientist wonders at the confusion amid this sea of bad acronyms.
  • Former US President Carter is leading the fight against guinea worm making a request that WHO members provide $93 million in funding to wipe out the disease.  DfID has committed to support the push against guinea worm by announcing it will allocating £20 million to the effort.
  • The business news channel CNBC has published an extensive report on the lucrative and growing Dangerous World of Counterfeit Prescription Drugs.

Global Health News Last Week

SECTION NEWS
The Advocacy/Policy Committee would like to invite you to participate in our first Advocacy Day, led in partnership with the Global Health Council. The day, scheduled for Thursday, November 3rd, 2011, immediately following the annual meeting in Washington, D.C., will be an opportunity for us to voice support for a continued focus on international health to our elected officials. With the intense Congressional pressure to cut the budget, our voices can make a real difference. As a participant during this exciting day, you will be provided with training materials on effective advocacy techniques to ensure your message is clearly heard. Even if you do not have advocacy experience, you need not hesitate to sign up because you will be teamed with others. Please consider joining your fellow International Health Section members on Thursday, November 3rd, 2011 on Capitol Hill to advocate for a healthy globe.  Interested parties should register here.  Please note that registration will close on October 14th.  Any questions should be directed to Peter Freeman, Advocacy/Policy Committee Chair, at pffreeman@gmail.com or 773.318.4842.


POLITICS AND POLICY

  • GOP Presidential hopeful Michelle Bachmann has been slammed by scientists, doctors and others for claiming that the HPV (human papilloma virus) vaccine can cause mental retardation. An ethicist has now put up money behind his challenge to her claim.
  • A commitment by G20 nations to strengthen agricultural research in developing countries will help reduce food insecurity as long as it focuses on small farmers and their needs, officials and experts said at a G20-backed conference this week.

PROGRAMS

  • The Gates Foundation has presented the Harvard School of Public Health with a $12 million grant to support its maternal health task force.
  • USAID is teaming up with former President George Bush to reduce cervical cancer deaths by 25% in five years for target developing countries.
  • The magic number may be $6 billion to make a real dent in ending the spread of AIDS.
  • A collaboration between UK and US funding agencies has announced more than £3.5M new funding for research aimed at controlling the transmission of diseases amongst humans, animals and the environment.

RESEARCH AND INNOVATION

  • The number of African countries with national policies on traditional medicine increased almost fivefold between 2001 and 2010, according to a report on a decade of traditional medicine on the continent.
  • The recently published results from two malaria vaccine trials appear to show that scientists are getting closer to developing a vaccine against the mosquito-borne illness.
  • Effective nursing is the backbone of a high quality health care delivery system. GHDonline’s nursing community will discuss how ongoing mentoring and training programs can enhance nursing in an expert panel discussion September 19-23.
  • The number of young women with breast cancer has more than doubled worldwide since 1980, say researchers at Seattle’s Institute for Health Metrics and Evaluation.
  • After 2 years of analyzing the results of the largest AIDS vaccine clinical trial ever held, the so-called Thai prime-boost trial, and the only one so far to show some protection against HIV, researchers say they have discovered insights that could lead to an effective vaccine.
  • IUDs can prevent cervical cancer, finds a study published in the Lancet.
  • Reducing the incidence of malaria could also drastically reduce the number of deaths from bacterial infections among children in Africa, a study has found.

DISEASES AND DISASTERS

  • Authorities worry that tropical mosquitoes found in San Gabriel Valley could spread disease if they gained a foothold in Southern California.
  • A human rights investigator for the United Nations says up to a quarter of the world’s trash from hospitals, clinics, labs, blood banks and mortuaries is hazardous and much more needs to be done to regulate it.
  • A report from UNICEF and the WHO shows the decrease in the rate of deaths for children under the age of five.
  • The WHO warns that thousands may die if multi-drug resistant and forms of tuberculosis continue to spread throughoutEurope.
  • One of the scientific advisers to the new blockbuster movie “Contagion” says the “risks are very real — and are increasing drastically… Our vulnerability to such diseases has been heightened by the growth in international travel and the globalization of food production.”

FOCUS – NON-COMMUNICABLE DISEASES

  • Cancer, cardiovascular disease, respiratory illness and diabetes account for 63 percent of all global deaths, yet up to half could be prevented, according to a new report, Noncommunicable Diseases Country Profiles 2011, released Wednesday by the  World Health Organization.
  • The WHO released a 207 page “global score card” on the prevention of chronic illness, one week ahead of the NCD summit at the UN.
  • Eli Lilly and Company has committed $30 million to the Global Health Initiative. The Lilly NCD Partnership will work to identify comprehensive, sustainable approaches to patient care. Initially it will concentrate on diabetes.

Thanks to Tom Murphy and Mark Leon Goldberg, Tom Paulson, Isobel Hoskins, and Public Health Newswire.

Public Health’s “Benevolent Dictator”: Is Gates ruling us, or are we just ruled by money?

Last week, Laura Freschi and Alanna Shaikh published a piece in Alliance magazine that raised some interesting and thought-provoking question about the role of the Gates Foundation in setting the global health agenda.  They conclude that Gates is becoming a “public health dictator” because of his financial resources and the power and influence that come as a result.  They are, of course, not the first to complain about Gates’s focus on technological solutions to global health challenges.  Some of the most recent grumblings were in response to the Foundation’s “reinvent the toilet” campaign this year, but similar concerns have been voiced for years.  The Foundation places too much emphasis on technological innovation and “quick fixes”; their undue influence diverts funding from other priorities; their goals are not realistic.  These are all valid concerns which deserve to be voiced (heck, we have already written about it here), particularly in a field where nearly everyone has a different opinion on how problems should be solved.

But a dictator?

Bill Gates.
A dictator? Nah. Look at that face.
The Gates Foundation is directed by the priorities of Bill Gates, an entrepreneur who made obscenely large piles of money and who now wants to use some of it to make the world better.  Those piles are accomplishing just that by funding the initiatives that he likes, thinks are important, and/or believes will work.  After all, Gates made his money through technological innovations, so it is perfectly logical that the same types of ideas would be close to his heart – and, to be fair, it is his money.  It is also fair to criticize those initiatives, particularly if the interventions are ineffective or do more harm than good.

But now pundits are demanding accountability from the Foundation, calling on it to justify what it does:

If expensive polio and malaria eradication efforts, pursued not just by Gates but by the entire global health community at Gates’ urging, fail, to whom will
Gates be accountable for that failure?

We demand accountability from our governments because they spend our money – we have the right to demand that our tax dollars be used effectively.  But why, exactly, should Gates be accountable to anyone for wasting his own money?  More importantly, why would the “entire global health community” do something just because he told us to?

Dictators are people who arbitrarily enforce laws, throw people in jail for criticizing them, and deny their citizens free and fair elections.  Gates does not punish anyone whose global health solutions don’t appeal to him – he just doesn’t give them money.  He never lead any kind of “global health coup” or insist that we all adhere to his development philosophy.  Yes, the Foundation has lots of money, and would-be philanthropist who wants to launch his NGO would treat Gates like a god if he ever saw him on the street – but that is precisely the point: he has undue influence because we give it to him.  To paint Gates as a “global health dictator” because causes are prioritized based on what will get Gates Foundation funding villifies the wrong party.  What does it say about us as a body of professionals if we allow ourselves to be led by the nose by the guy with the most money?

The Economist raised another interesting point when it examined the same debate back in 2008:

At least in part, the gripes against the Gates Foundation are the churlish growls of a jealous crowd of bureaucrats and labourers at less influential charities. Some people at the WHO…openly worry that the foundation is setting up a new power centre that may rival their organisation’s authority. Such conspiracy theorists point to the foundation’s recent grant of over $100m to the University of Washington to evaluate health treatments and monitor national health systems—jobs supposed to be done by the UN agency.

Therein lies an irony. The WHO, one of whose captains now calls the Gates Foundation monopolistic, used itself to hold a monopoly in the fight against malaria, and it did a lousy job as a result.

I do think Shaikh and Freschi (and also Tom Paulson of Humanosphere) are on to something when they question the Foundation’s giving money to media organizations to increase coverage of global health topics.

Among the grantees is a growing list of media outlets including the Guardian newspaper (UK), ABC, PBS and the BBC – all to underwrite coverage of global health issues. While these grants all came with assurances of editorial independence, it’s hard to believe that such partnerships won’t influence the nature of the coverage in some way.

Even if it is objective, it never looks good when you fund your own media coverage.  Somebody probably should have thought that one through.

At any rate, the debate about what Gates is doing (and what he should be doing) with his money will undoubtedly rage for as long as he has money.  But if we believe that the Gates Foundation is distorting global health priorities because of its purchasing power, then we need to take a long, hard look at how we define our priorities.

Global Health News Last Week

SECTION NEWS

The following announcement is from Peter Freeman, chair of the section’s Advocacy and Policy Committee, regarding their first Advocacy Day to take place in conjunction with this year’s Annual Meeting in Washington,DC.

To all International Health Section Members:

The Advocacy/Policy Committee would like to invite you to participate in our first Advocacy Day, led in partnership with the Global Health Council. The day, scheduled for Thursday, November 3rd, 2011, will be an opportunity for us to voice support for a continued focus on international health to our elected officials. With the intense Congressional pressure to cut the budget, our voices can make a real difference. As a participant during this exciting day, you will be provided with training materials on effective advocacy techniques to ensure your message is clearly heard. Even if you do not have advocacy experience, you need not hesitate to sign up because you will be teamed with others. Please consider joining your fellow International Health Section members on Thursday, November 3rd, 2011 on Capitol Hill to advocate for a healthy globe.

Interested parties should contact Peter Freeman, Advocacy/Policy Committee Chair, at pffreeman@gmail.com or 773.318.4842 with their name, phone number and e-mail address. A registration link for the Advocacy Day will be sent out to the section by mid-September; please be on the lookout for it.


August 20 was World Mosquito Day.

On August 22, the Gates Foundation celebrated its 12-year anniversary (well, sort of).

POLITICS AND POLICY

PROGRAMS

  • Donor funding for AIDS has decreased by 10 percent during the recent economic recession. The overall decrease in global AIDS funding marks a stark reversal in trends for previous years.

RESEARCH

  • Proposals for Round 8 of the Grand Challenge Exploration, a $100 million grant initiative to encourage innovation in global health and development research, are now being accepted.  Proposals can be submitted until November 17, 2011 at 11:30 am Pacific Daylight Time.
  • Researchers from Michigan State Universityare working on bringing a low-cost, hand-held device to nations with limited resources to help physicians detect and diagnose cancer. The Gene-Z device is operated using an iPod Touch or Android-based tablet and performs genetic analysis on microRNAs and other genetic markers.
  • The problem of obesity is spreading around the world and poses serious health threats.  The finding is part of a new special report on obesity, and how to combat it in the medical journal the Lancet.
  • A team of Australian researchers have discovered a breakthrough in the reduction of dengue. By injecting mosquitoes with a bacteria, they were able to block them from transmitting the virus that kills 20,000 people a year.
  • Nanotechnology, the science of manipulating tiny particles, has is rapidly finding wide application. Developing countries that embrace nanotechnology should not overlook possible risks and must regulate products that contain nanoparticles.
  • A study has found that nasal spray vaccines for influenza delivered to children between the age of six months and three years old are more effective than other vaccines.
  • In a study released by the International Journal of Biological Sciences, analyzing the effects of genetically modified foods on mammalian health, researchers found that agricultural giant Monsanto’s GM corn is linked to organ damage in rats.

DISEASES AND DISASTERS

  • The current famine in the Horn of Africa has again brought to our attention the interaction between climate change, food prices and extreme weather conditions on the African continent.
  • Most of the world’s population growth today is in urban areas creating what some are dubbing unstable, unsustainable “mega-cities.” A new report by the World Wildlife Fund says that by 2050, about 70 percent of the world’s population will live in urban areas creating “horrendous” problems.
  • In Sub-Saharan Africa, a combination of inaccurate testing and patients quick to seek treatment has lead to a worrisome trend: treating patients for malaria when they do not have the disease.
  • HIV epidemics are emerging among men who have sex with men in the Middle East and North Africa, researchers say. It’s a region where HIV/AIDS isn’t well understood, or studied.  More than 5 percent of men who have sex with men are infected by HIV in countries including Egypt, Iran, Lebanon, Morocco, Sudan and Tunisia, according to a recent study in PLoS Medicine. In one group of men in Pakistan, the rate of infection was about 28 percent.

INFOGRAPHICS AND OTHER INTERESTING VISUALS

Thanks to Tom Murphy and Mark Leon Goldberg, Tom Paulson, and Isobel Hoskins.

Global Health News Last Week

SECTION NEWS

The following announcement, from Eric Williams, calls for any IH section members interested in assisting efforts to address federal global health and HIV/AIDS funding.  Please see the text of the announcement below.  Eric can be contacted by e-mail at ericwms@gmail.com.

Dear Colleagues,

I’m writing to request assistance in a “grasstops” effort to address federal global health and HIV/AIDS funding. As you are likely well aware, there have been serious threats and concerns regarding global health funding over the last several years. There is a real need to mobilize influential members of our community in an effort to ensure that Congress does not backtrack on our global health commitments.

I am doing some consulting work with amfar and they want to identify experts, donors, high-profile individuals and/or organizations in select states who can reach out to key Senate leadership. We need these individuals/organizations to show and voice their support for continued and sustained commitments for global health.

States of focus include Nevada (Sen. Harry Reid), Iowa (Sen. Tom Harkin), and Washington (Sen. Patty Murray). We believe these senators are in key positions to influence appropriations decisions and sure up support for global health.

The aim of this effort is to:

  1. identify grasstop individuals/organizations and
  2. plan, coordinate, and carry out outreach efforts to Senate leadership in a variety of ways, including state-level meetings, Hill visits, op-eds, sign-on letters, and so forth.

If you are interested or able to provide assistance in helping to identify and/or reach out to the above stakeholders, I would be very interested in speaking. If there is strong support for this I would be happy to facilitate a conference call to discuss in full.


August 19 was World Humanitarian Day.

POLITICS AND POLICY

  • The CDC has made updates to its flu vaccination recommendations aimed at children and people with egg allergies.
  • The United Nations has released a list of 248 organizations from 48 nations that are accredited to attend the UN High Level Meeting (HLM) on non-communicable diseases (NCDs) during September 19-20, 2011.  Meanwhile, as has been widely reported (including here and here), negotiations have stalled over an “outcomes document” that is to be approved at the meeting.
  • The World Health Organization is calling for a ban on a common blood test for TB, saying the test is unreliable.
  • Twenty-two children in Kancheepuram, Indiawho were not allowed to go to school because they are HIV positive have been ordered to return to school after a court ruled in favor of the students.
  • International funding for HIV fell by 10 percent in 2010 from the previous year, according to the Kaiser Family Foundation and UNAIDS; activists worry that a continued reduction will undermine progress in global HIV prevention and treatment efforts.

PROGRAMS

RESEARCH

DISEASES AND DISASTERS

  • The WHO Says Libya is facing a medical supply crisis.
  • The United Nations food agency called on Thursday for long-term aid for farmers in the Horn of Africa, saying constant crises in the region should shame the world.
  • A report by the National Institute of Malaria research in Delhi has found that climate change will enable malaria to move to new areas.
  • New research finds that radiation from the nuclear plant accident in Japanin March reached Californiawithin days, showing how quickly air pollution can travel, but scientists say the radiation will not hurt people.
  • According to an article published in Science, 19 August, cases of Chagas disease are rising outside Latin America, because large numbers of people who are already infected are migrating fromLatin America.
  • Len Rubenstein comments on the attacks on healthcare personnel inBahrain and the recent progress made to protect healthcare workers in conflict zones.

INFOGRAPHICS AND OTHER INTERESTING VISUALS

Thanks to Tom Murphy and Mark Leon Goldberg, Larry Johnson (filling in for Tom Paulson), Isobel Hoskins, and Jeff Meer.

Global Health News Last Week

SECTION NEWS
Attention IH section members! We are still in need of moderators for the scientific sessions at this year’s annual meeting. According to our program committee, the following sessions are still available:

Monday, October 31
10:30 a.m. to 12:00 p.m.: International Health Programs & Policy 1

2:30 p.m. to 4:00 p.m.: Act Global, Think Local: Domestic applications of international health lessons; Child Survival & Child Health 1

Tuesday, November 1
8:30 a.m. to 10:00 a.m.: Builidng Partnerships and Coalitions for better International Programs; Emerging, Re-emerging & Neglected Tropical Diseases

10:30 a.m. to 12:00 p.m.: International Health Communication/ Behavior Change Communication

12:30 p.m. 2:00 p.m.: HIV/AIDS 2

Wednesday, November 2
8:30 a.m. to 10:00 a.m.: HIV/AIDS 3; Innovations in International Health 2

Please contact Omar Khan (ih.apha@gmail.com) for more information, or to volunteer!


USAID celebrated its 50-year anniversary this week.

The benefits of breastfeeding are being showcased around the world
for Breast Feeding Week.

POLITICS AND POLICY

  • US organizations will find it easier to deliver aid to parts of Somalia controlled by a pro-Al Qaeda group – the threat of prosecution if it ends up in the wrong hands has been reduced  after an announcement by the State Department.
  • Dr. Ariel Pablos-Méndez was sworn in as the new Assistant Administrator for the Global Health Bureau at the U.S. Agency for International Development (USAID).
  • Although Congress resolved the debt ceiling debate, the way the budget package is being shaped — particularly by combining International Affairs with defense in a single “security” category, global poverty spending is getting severely handicapped.
  • Blood tests for tuberculosis (TB) diagnosis may be putting patients’ lives at risk through providing misleading results, and should not be used, according to a WHO policy statement.

PROGRAMS

  • The inaugural charter of the Alliance for Oral Health Across Borders was signed at Temple University yesterday.
  • Tom Paulson of Humanosphere breaks down the 2010 Gates Foundation annual report, with some interesting commentary.
  • Jaclyn Schiff of UN Dispatch says we can look for more global health leadership coming from the city of Houston (my hometown!), as Dr. Peter Hotez, whom Schiff calls “an international health force of nature,” and an arm of the Sabin Vaccine Institute move there.
  • The Measles Initiative today announced it has helped vaccinate one billion children in more than 60 developing countries since 2001, making significant gains in the global effort to stop measles.
  • India’s health minister announced Tuesday a new initiative underway to boost the country’s rate of immunizing newborns by collecting mobile phone numbers of all pregnant mothers to monitor their babies’ vaccinations.

RESEARCH

  • A multi-resistant strain of Salmonella Kentucky could be spreading globally, suggests a study by Institut Pasteur. Case numbers have risen in Europe and the US, and infections have also been acquired in various parts of Africa and the Middle East. The strain has also been found in food animals in Africa.
  • Pharmaceutical manufacturer iBio, Inc announced the successful animal testing of a malaria vaccine candidate in trials sponsored by the Bill & Melinda Gates Foundation.
  • A new study in the American Journal of Tropical Medicine and Hygiene shows a relationship between a kind of river flow and cholera outbreaks.
  • A new study in the Lancet shows that text messaging can be an effective tool in malaria treatment and prevention.
  • PLoS Medicine published a new study on HIV/AIDS in the Middle East and North Africa. Among its key findings was the startling fact that sex between men (MSM) accounts for nearly one quarter of all new HIV infections across the region.
  • According to a new study, children of depressed mothers in developing countries are 40 percent more likely to be underweight or stunted than those with mothers in good mental health.
  • A cheap and portable blood test could provide a breakthrough for diagnosing infections in remote areas of the world, a scientific study says.
  • Using WHO data, researchers found that children who experience abuse and develop mental health disorders are at increased risk for chronic physical problems later in life.
  • A new study in the journal Nature Medicine finds that a credit card shaped device used for testing HIV, known as “Lab-on-a-Chip,” has had a successful trial run in Rwanda.

DISEASES AND DISASTERS

  • Mass treatment of river blindness and lymphatic filariasis with ivermectin has been hampered by severe reactions if the patient also has Loa loa. A new map developed by WHO’s African Programme for Onchocerciasis Control will help communities identify low risk areas for Loa loa and distribute ivermectin for lymphatic filariasis control safely.
  • The CDC reports that the annual number of HIV infections in the USA is holding steady at about 50,000, and that African American MSM are at particular risk.
  • AIDS remains a metaphor for inequality, argues Michel Sidibe in the LA Times. In the world’s wealthier nations, where access to medicine is widespread, AIDS is becoming a chronic disease rather than a death sentence. But in the eveloping world, 1.8 million people die of AIDS each year.
  • Global cholera incidence has increased since 2000, with Haiti’s large outbreak tipping the largest burden away from Africa for the first time since 1995, the World Health Organization (WHO) said Sunday.
  • Tens of thousands of Somalis have died and more than half-a-million children are on the brink of starvation. Western aid isn’t flowing to where the worst of the famine is — partly due to the “war on terror.”
  • The head of World Food Program in Ethiopia says the country’s emergency food stocks are almost gone, the latest trouble caused by the drought in the Horn of Africa.

TOTALLY UNRELATED TO ANYTHING – Apparently Hollywood has discovered its next Greg Mortenson: Sam Childers, the “Machine Gun Preacher,” is the subject of much hubbub and an upcoming movie starring Gerard Butler.  This man claims to have been a gangbanger and drug dealer who found Jesus and then took up arms to rescue child soldiers from the LRA.  Global health blogger Brett Keller offers some commentary into Childers’ outlandish (and, frankly, dubious) story, while anonymous aid blogger “J” at Tales from the Hood has a few choice words.

Global Health News Last Week

The Supercourse team at the University of Pittsburgh has taken the initiative to spread the WHO’s definition of health, “a state of complete physical, mental and social well-being and not merely the absence of disease or infirmity.”  They have translated the definition into over 60 different languages using Google translate and have asked health professionals to review them to make sure they are correct.  This global health knowledge campaign is being developed by the Supercourse team, WHO Collaborating Centre, University of Pittsburgh.  Please contact Dr. Ronald LaPorte, Director, Professor of Epidemiology, University of Pittsburgh, for more information.

July 28 was the first-ever World Hepatitis Day.

POLITICS AND POLICY

  • As the UN gears up for its Summit on Non-Communicable Diseases this September, blogger Michael Hodin argues that by focusing on this issue, the world body has a “new shot at relevance” in an era where its importance is decreasing (and countries contemplate cutting its funding).
  • Former U.S. Ambassador on HIV/AIDS Jack Chow says the CIA’s fake vaccination scheme in Pakistan, aimed at locating Osama Bin Laden, threatens to undermine a broad set of American global health initiatives.
  • The U.S. government and the Gates Foundation were responsible for 85% of the steep increase in malaria funding between 2007 and 2009. Richard Tren argues that we need to diversify funding sources and focus on control efforts.

PROGRAMS

  • The Bill & Melinda Gates Foundation has teamed up with FC Barcelona to promote the polio eradication campaign.
  • To raise awareness about violence against women in Europe, the UN has opened up a contest to design a newspaper advertisement in support of the UN Secretary-General’s UNiTE to End Violence against Women campaign. View submissions and the winning entries here.
  • Seattle-based development blogger Tom Paulson continues to raise some interesting issues regarding the Gates Foundation’s funding of media coverage for global health issues.  Their latest venture is a weekly program on the BBC.

RESEARCH

  • Researchers have cracked the DNA code of the strain of E. coli that originated in German sprouts and killed over 50 people this summer.
  • A cell phone that doubles as a blood-oxygen tester is one of the 77 mHealth innovation finalists for the Saving Lives at Birth: A Grand Challenge for Development competition.
  • A study conducted by the WHO found that France, the U.S., the Netherlands, and India have the highest rates of depression in the world, while China has the lowest.  Detailed interviews were conducted with over 89,000 individuals in 18 countries.
  • It is becoming more apparent that one of the most effective ways to deal with HIV/AIDS is to address neglected tropical diseases, argues the Public Library of Science in Eureka Alert.
  • A study of the lifespan of HIV patients receiving combination ARV therapy by researchers at University of Ottawa has found that patients can expect to live a near normal lifespan.
  • Researchers at Oklahoma University believe that a protein-based vaccine could prevent many cases of childhood pneumonia.
  • Dutch researchers have found that children who were not breastfed were more likely to develop respiratory problems such as asthma.
  • The first stage of trials for a new malaria vaccine by Swiss researchers in Tanzania have shown promising results.
  • Has announced in a study in Pediatrics that the varicella vaccine for chickenpox has reduced the annual death toll in the United States from 105 to 14. Tests are in progress that could lead to major family planning advances. The New York Times reports on some innovations in male contraceptives that could offer safe and effective contraception.

DISEASES AND DISASTERS

  • The Agbogbloshie slum outside of Accra, Ghana, is a major electronics waste dump.  This site is an example of what happens to “donated” discarded electronics: residents burn them to extract precious metals and simultaneously exposed to a host of hazardous chemicals, as the goods release lead, mercury,
    thallium, hydrogen cyanide, and PVC.
  • A recent article by a global panel uses startling images to call attention to the woeful state of neglect and inadequate treatment of mental illness in developing nations.

Gates Foundation Video: Getting Our S@#! Together

Global Health TV Video: Interview with Dr. Bill Foege, Senior Fellow at the Bill and Melinda Gates Foundation

Dr. Foege, Senior Fellow at the Bill and Melinda Gates Foundation and a leading global health expert, discusses how we can use the lessons learned in eradicating smallpox to fight today’s diseases.

There is No Silver Bullet

There is no silver bullet and frankly you probably don’t need one. It is far more important to be able to find the right kind of gun, be able to load the gun, be able to aim the gun, and perhaps most importantly, be able to figure out where the werewolf is.Matthew Oliphant

Vampire Selene uses bullets with silver nitrate to fight off werewolves in "Underworld." Unfortunately, we do not have "silver nitrate bullets" for global health problems.

I always scratch my head a bit when the global health community is dismayed at the revelation that one of its previously hailed “silver bullets” is revealed to not be the miracle cure it was thought to be. The latest disappointment making its way across the blogosphere right now is microfinance: after shady lending practices and harassment of borrowers (driving some to suicide) were uncovered on the part of commercial microlenders in India, the development community began wringing its hands at the unfolding political scandal. The forced retirement of Muhammad Yunus, founder of the Grameen Bank, Nobel laureate, and pioneer of the microfinance institution, looks like the proverbial nail in the coffin of microfinance’s status as the one-stop solution for ending poverty. Now experts are holding panel discussions to debate whether or not microfinance “works.”

This is not the first time we have found ourselves crestfallen at the failure of a silver bullet. When evaluating the results of his “Grand Challenges in Global Health,” Bill Gates admitted that the organization had been “naïve” in its expectations of breakthroughs in vaccine development. He underestimated the time it takes to move new products from the lab through clinical trials and manufacturing. “I thought some would be saving lives by now,” he said, “and it’ll be more like in 10 years from now.” Tell me about it: I worked for a biotechnology start-up in college, and the time it took to get approval for phase I clinical trials allowed bad management to completely unravel the company – it took less than five years. By the time we got the green light from the FDA, the company was being bought out, and we never got to test the product.

Many are also astounded at the current descent from grace of Greg Mortenson, of Three Cups of Tea fame. Details of his inspiring Quixote-esque story of building schools for girls in rural Pakistan and Afghanistan are now being questioned, and donors are appalled at reports of mismanaged funds and schools being used as storage sheds. But don’t we already know that graft happens, and rookies make (sometimes colossal) mistakes? How reasonable was it to expect the Central Asia Institute, Mortenson’s charity, to “fix” Afghanistan by building schools? On the other hand, why are countries and large-scale donors pulling funding and creating a fuss over the graft that the Global Fund revealed through its own investigations?

Why are we continually disillusioned when the simple solutions to the complex problems of global health and poverty turn out to not be so simple? Part of the problem is marketing. Saundra Schimmelpfennig, who has made it her mission to point out and tackle issues surrounding charity (mis)representation and shady fundraising practices, points out that

Whether it’s TOMS A Day Without Shoes or CAI’s Pennies for Peace, schools and teachers are using what are essentially commercials for a charitable product to teach children about the larger world and philanthropy. As is the case with most commercials, these “awareness raising activities” often distort or over-simplify the problems faced in ways that benefit their own organization.

This is extremely worrying as the children brought up on these myths and misconceptions are going to turn into businessmen, philanthropists, and lawmakers. How will the decisions they make be impacted by a distorted view of what the world is like and how to really help?

Another part seems to be that despite each revelation, we are constantly drawn to the prospect that we will somehow still find that magic “something,” that the next innovation or big idea will be the much-sought-after silver bullet. Despite coming to terms with his naiveté, Gates is now saying that energy innovation is the key to beating climate change. Programmers are busily developing cell phone apps in the hope that cell phones can help end poverty.

The problems that we devote our careers to tackling are nowhere near simple, and it is unreasonable to expect to find simple solutions to them. Heck, we don’t even adequately fund the silver bullets we already have. As professionals more knowledgeable than me continually point out, our best bet is to strengthen health systems, focus on measurable improvements, admit and learn from failure, and – perhaps most importantly – have a little patience.

Gates Foundation Video: Vaccines Save Lives – An Illustration

Global Health News Last Week

The 13th Triennial World Congress on Public Health, to be hosted by the Ethiopian Public Health Association and held from April 21-29, 2012 in Addis Ababa, will bring together leaders in health from across the globe. The conference, “Towards Global Health Equity: Opportunities and Threats,” is currently accepting abstracts; the deadline is Friday, October 21, at 12 a.m. PT (3 a.m. ET). More information can be found here.

International Women’s Day was March 8.

On March 11, a 9.0 earthquake rocked Japan’s Chiba prefecture, followed by a colossal tsunami that washed entire villages away.

The world, of course, stands ready to help, but it is unlikely that most of the assistance will be needed, as Japan is one of the most disaster-ready countries in the world. Unfortunately, the explosions in several of the country’s nuclear plants means that the threat of radiation poisoning looms heavily.

POLICY

  • A panel of independent experts has released a report harshly criticizing the World Health Organization’s handling of the 2009 epidemic of H1N1 swine flu.
  • UN officials expressed concern that rising food and energy prices could compromise or even reverse progress toward the MDGs in developing nations.
  • UN Secretary-General Ban Ki-moon has instructed senior managers to cut 3%, or US$5.4 billion, from budgets.
  • The Kenyan government has moved to strip HIV/AIDS of its special status and begin treating it as a chronic medical condition. It has begun implementing a disease integration model that will do away with emergency response measures and dismantle parallel administrative structures set up to manage the disease.

RESEARCH

  • HealthMap, a project that aggregates health and surveillance data from sounces such as the WHO, Google News, and Eurosurveillance, was launched recently to “[bring] together disparate data sources to achieve a unified and comprehensive view of the current global state of infectious diseases and their effect on human and animal health.”
  • According to a study done by Tuberculosis Research Centre in India, alarming numbers of women with TB become homeless after they are diagnosed. Approximately 100,000 women are abandoned by their husbands due to TB every year in India.
  • A group of researchers from EPFL’s Global Health Institute and Inserm (Institut National de la Santé et de la Recherche Médicale, the French government agency for biomedical research) has discovered that a class of chemotherapy drugs also kills the parasite that causes malaria.

PROGRAMS

  • Oxfam recently released a report criticizing the World Bank for its praise of Ghana’s healthcare system. Amanda Glassman of CGDev disagrees, arguing that Oxfam ignored surveys indicating the system’s success in improving health indicators and beneficiaries’ satisfaction with the quality of service.
  • On March 9, Saving Lives At Birth, a global partnership between USAID, the Government of Norway, The Bill and Melinda Gates Foundation, Grand Challenges Canada, and the World Bank, was launched. The partnership “will seek innovative solutions to reduce maternal and newborn mortality in developing countries.”

DISEASES

  • Rwanda is on track to completely eliminate malaria, the first country in its region.

Global Health News Last Week

STUDENTS AND NEW PROFESSIONALS: The Chatham House (formally known as the Royal Institute of International Affairs), a London-based think tank, is looking to fill two internship positions to begin in mid-April. They are looking for individuals who can work four days per week. The closing date is February 25, and interviews will be held on March 3 or 4. The position is unpaid.

End the Neglect is calling on global health bloggers to contribute guest posts for consideration. Read more about this opportunity here.

A study done at UCLA has apparently revealed that winning an Oscar may be a risk factor for stroke.

The International Vaccine Institute announced the launch of the Dengue Vaccine Initiative, which will “accelerate the development and untilization of safe, affordable and broadly protective vaccines to combat dengue.” The initiative will be funded by a $6.9 million grant from (surprise!) the Gates Foundation.

The World Bank reports that, despite the region’s robust economic development, South Asia is facing a health crisis as rates of heart disease, diabetes, and obesity rise. Meanwhile, the WHO released a report on alcohol and health, which found that alcohol is responsible for 4% of deaths worldwide (more than AIDS, TB, or violence), and that alcohol control policies are weak in most countries.

Mosquito-borne diseases are experiencing a comeback in Europe: in 2010, there were incidences of West Nile virus, dengue, malaria, and chikungunya. Some researchers predict that this may be an ongoing trend, as one study found that malaria may re-enter Europe by 2080.

A growing number of hospitals and medical businesses in the U.S. are implementing smoke-free hiring policies, barring employees from smoking and making smoking a reason to turn away applicants. The move is controversial, perhaps because the fact that the WHO has been doing this for years is not common knowledge.

In a surprising development, the Geneva-based Medicines Patent Pool announced that it is in negotiations with F. Hoffman-La Roche, Gilead, Sequoia, and ViiV (a joint venture of GSK and Pfizer) to begin sharing their patents for AIDS drugs. Unfortunately, Abbott, Boehringer-Ingelheim, Bristol-Myers Squibb, Merck, and Tibotec/Johnson & Johnson will not be joining the party.

The Kaiser Family Foundation released a (rather depressing) report on the state of global health journalism, which found that global health coverage is decreasing due to lack of funding in media outlets, among other reasons. Sarah Arnquist, who manages the Global Health Hub, reflects on what that means for us global health bloggers.

Holy cow – the AIDS rate in Zimbabwe has actually gone down?!

George Clooney has teamed up with Nicholas Kristof to raise awareness about malaria. After catching it himself while he was in South Sudan for the independence referendum, he fielded questions from readers via Kristof’s NYT column.

Cholera continues to make the rounds, this time appearing in Venezuela and New York City. Global health professor Karen Grepin points out that this “epidemic” has been going on for four decades, and that our inability to control it indicates a a major failure in global health.

The WHO is investigating claims from 12 different countries that the swine flu vaccine may be linked to narcolepsy.

February 7 marked the 11th annual National Black HIV/AIDS Awareness Day in the U.S.

Brett Keller, a Master’s student in global health and international development, also does a weekly news round-up on his blog called “Monday Miscellany.”