Global Health Weekly News Round-Up

May 8 is World Red Cross Red Crescent Day.

Politics and Policies:

• US State Department has issued travel warning for Algeria.
• Marijuana bill passed by Connecticut. The state has legalized the use of marijuana for medical purposes (- like cancer, glaucoma, AIDS, Parkinson’s, multiple sclerosis, epilepsy), with tight restrictions.
• Judge rejects law on Planned Parenthood in Texas. It was ruled out by the judge that Texas could not ban Planned Parenthood from receiving state money as there was sufficient evidence that this law of banning Planned Parenthood from participating in the state’s Women’s health program was unconstitutional.
• More than 100 people are charged by the United States authorities for trying to defraud the federal Medicare health care program for the elderly and disabled of about $452 million.
• The Food and Drug Administration (FDA) has sent warning letters to the marketers of dietary supplements. These  ‘workout boosters’ contain an ingredient called dimethyamylamine or DMAA, which could increase people’s blood pressure, potentially causing shortness of breath or heart attacks.
• A new rule approved by Texas board allows doctors to perform stem cell procedures as long as they are done for research and receive approval from an institutional review board. This rule also requires patients signed informed consent forms.
• A settlement meant to guarantee alternatives to segregation for mentally-ill inmates in Massachusetts prisons has been approved by a federal judge. It will prevent placing mentally ill inmates with disciplinary problems in small isolation cells for up to 23 hours a day.

Programs

• The World Health Organization (WHO) has released their May 2012 Bulletin chronicling innovations in global health, under the theme of ‘eHealth’.
• With World Bank support, Benn expands decentralized basic services for poor people and empower communities. Basic services include education, health and water, roads and market infrastructure.
• The International Rescue Committee is launching an emergency response in Mali, where the drought spreading across the Sahel region has been compounded by political instability. The conflict meets a worsening food crisis.
• The UNICEF has received two donations from the European Commission’s Directorate General for Humanitarian Aid and Civil Protection (ECHO) to provide treatment for children suffering from severe acute malnutrition in Sahel nutrition crisis in West and Central Africa.
• A new public health project to reduce maternal and infant mortality in 4 African countries has been inaugurated in Woisso, in Ethiopia. It is funded by the Italian Cooperation and launched in January 2012 by the doctor’s organization with African Cuamm.
• Red Cross youth use power of music to increase access to health care. They have put together the ‘Humanity Band’, a project aiding the developing music talents of young volunteers of the Banju and Kanifing municipality Red Cross (of Gambia Red Cross Society), fund raising for Red Cross programs and increasing public awareness of disease control and prevention.
• A UAE- based philanthropic organization, Dubai Cares, has launched Home Grown School Feeding (HGSF) program in Ghana reaching over 400,000 beneficiaries.
• Project HOPE sends UCLA nurse to educate medical staff in Ghana hospital.
• Ouelessebougou Alliance to host 26^th annual dinner auction to raise funds for people of Mali.
• With World Bank support Mozambique extends Crucial Early Childhood Development Services to 84,000 children in 600 rural communities.
• India offers $50m credit line, $25m in grant to Seychelles.

Research

• Global Report says U.S. lags behind 130 other nations in preterm birth rate. The report ‘Born too Soon: The Global Action Report on Preterm Birth’ ranks the U.S. 131st in the world in terms of its preterm birth rate of 12.0 per 100 live births.
• A study finds that flash-heating breast milk inactivates HIV which reduces transmission of this virus that causes AIDS to their infants. The technique involves expressing breast milk into a glass jar that is placed in a small pot of water and heated until water boils.
• A six yearlong study in Rwanda found that funding dedicated to HIV/ AIDS does not undermine funding for other diseases.
• According to a study, a vast majority of HIV- infected persons in Kenya are unaware of their HIV status, posing a major barrier to HIV prevention, care and treatment efforts.
• A study shows that mobile phones are transforming the way HIV test results are being transmitted to AIDS patients in Africa.
• A study shows that prostate-specific antigen (PSA) screening to detect prostate cancer can be beneficial to younger and at-risk men.
• According to a Australian research team, elderly people with pre-diabetes and type-2 diabetes suffer from an accelerated decline in the brain size and mental capacity in as little as two years.
• A long term follow-up analysis of participants in the Step-study, an international HIV vaccine trial has confirmed that certain subgroups of male study participants were at higher risk of becoming infected with HIV virus after receiving the experimental vaccine compared to those who received a placebo.
• A promising result has been reported from a trial of an experimental vaccine that appears to offer complete protection from the most common type of meningococcal disease.
• An international study led by the University of Sydney and published by the Annals of Neurology has potential to improve the design of clinical trials for the treatment of Charcot-Marie-Tooth disease, a disorder which affects the peripheral nervous system.
• A research study shows that an ingredient in curry (curcumin) boosts bowel cancer treatment.
• Study shows school-based health centers boost vaccination rates.

Diseases & Disasters

• A tornado has hit the capital city of Japan this Sunday killing one person and injuring atleast 46 other people.
• Death toll from Kenya flash flood rises to 50. According to a relief agency the number of flash flood fatalities will still continue to rise due to heavy rains that have led to flash floods in several parts of the country.

 

 

 

CGDev Video: Unlocking $1 Trillion for Developing Countries

Lawrence Macdonald, vice president for communications and policy outreach at the Center for Global Development, explains how CGD helped make $1 trillion available to developing countries after the global financial crisis. In the spring of 2009, participants at the G-20 summit decided to include developing countries in its global stimulus package. But how much money was needed for the most vulnerable countries and where would it come from? Nancy Birdsall, president of CGD, prepared a note stating that they would need access to 1 trillion dollars to cope with the effects of the crisis. Birdsall then put together a blueprint for making the resources available. By channeling the plan to the right people and testifying in front of Congress, CGD helped to unlock the $1 trillion and make it possible for the IMF and World Bank to help vulnerable countries cope with the crisis.

Global Health News, Week of September 26-30

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.

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The University of Washington has launched the first full year of its Global Health Minor program!

POLITICS AND POLICY

• Tobacco companies knew that cigarettes contained a radioactive substance called polonium-210, but hid that knowledge from the public for over four decades, a new study of historical documents revealed.
• Latin American leaders have agreed to accelerate their efforts to address maternal health at the 51st Directing Council of the Pan American Health Organization/World Health Organization.
• Journalist Georgianne Nienaber looks at the impact of PEPFAR and how it may be impacted by budget battles in Congress.
• Earlier this week, the World Health Organization released a report analyzing air pollution levels in nearly 1100 cities in 91 countries. The analysis was based on air particulate levels between 2003 and 2010.
• When it came out a while ago that the CIA had used a fake vaccination scheme to try to find out where Osama bin Laden might be in Pakistan, many said it would undermine real health and humanitarian efforts. Here’s one group’s story.
• Foreign aid has acquired a bad reputation in recent years, as something usually wasteful and useless. Yet all this sound and fury has overshadowed the evidence that aid often can work.
• A report by the Partnership for Maternal, Newborn & Child Health finds that over 100 countries have increased financing for maternal and child health initiatives.
• The humanitarian impact of the world economic crisis became clearer this week, as the UN warned of huge job losses, a rise in the number of people afflicted by chronic undernourishment, and the “extraordinary price” being paid by children as “austerity programs” constrict the developing world.
• There is enough water in the world’s rivers to meet the demands of the expanding global population, but the rivers have to be better managed, according to a series of studies released today at the 14th World Water Congress in Porto de Galinhas, Brazil.
• UNICEF has called on the IMF and World Bank to ensure that children are not negatively impacted by austerity measures carried out by various countries.

PROGRAMS

• The New York Times shows how male circumcision is one of the most effective and simple solutions in HIV reduction, but has so far been hard to implement.  Meanwhile, a group of economists, including Bjorn Lomborg, are casting doubt on the cost-effectiveness of voluntary male circumcision campaigns as an HIV prevention measure.
• The New York Times features an article about the simple innovation of using vinegar to detect if a woman has cervical cancer by applying it with a brush to the cervix.
• The Global Fund, the world’s largest funder of global health, is set to radically shake up the way it disburses and manages donor money, in a move to boost efficiency that could reallocate a third of its financing in order to save more lives.
• On Tuesday, the Global Alliance for Vaccines and Immunization announced that it will be expanding its target vaccine areas to directly address diarrhea and pneumonia.
• UNFPA has announced that it is now collaborating with UNICEF to combat Female Genital Mutilation.

RESEARCH AND INNOVATION

• Spanish researchers are pleased by the results from the MVA-B vaccine trials, but this ABC report warns that there is still work to be done until a complete vaccine can be discovered.
• A slew of mobile initiatives are revolutionizing the way that healthcare is delivered in Africa and other developing communities. Doctors and hospitals in remote areas are getting information and assistance to improve health services in poor communities across the continent.
• New research suggests that coffee may help ward off depression over the long term, especially for women.
• A way to protect newborns against the flu, say researchers, is for mothers to be vaccinated while pregnant.
• A vaccine that triggers the body to start fighting malaria earlier is being developed by a group of researchers and students at Michigan State University.
• The drug industry is increasingly running trials in the developing world because its cheaper, regulations aren’t as onerous, patient recruitment is easier and informed consent is less clearly defined.
• Unprotected sex is up and knowledge about contraceptives is down among global youth, says a recent survey.
• AIDS Vaccine Advocacy Coalition Mitchell Warren says many folks ask whether an AIDS vaccine is still needed and if the search for an AIDS vaccine is affordable in today’s economic climate. The answer is yes, and Warren explains why.

DISEASES AND DISASTERS

• Roads may accelerate spread of antibiotic resistance: Samples from villages by major roads in Ecuador compared to more rural villages shows antibiotic resistant E. coli is spreading along roads.
• The recent heavy flooding caused by the monsoon in Pakistan, most devastating in Sindh, has affected the lives of over five million people. The Health and Nutrition Cluster is appealing for US$45.9 million. WHO requires US$14.8 for response for Health, Nutrition and Water and Sanitation intervention.
• New enterovirus causes respiratory disease: Promed reports on 6 clusters of respiratory illness associated with human enterovirus 68 in Asia, Europe, and the United States during 2008–2010.
• More than 20 percent of the population of Latin America and the Caribbean lacks basic sanitation and 15 percent has no access to drinking water because of poor management, said experts at a meeting that ended Thursday in Brazil.
• The likelihood of water-borne disease outbreaks is high in areas in Philippines recently devastated by Typhoon Nesat.
• Aid groups are criticizing the U.S.government delay on deciding whether to resume large-scale food donations to North Korea. The charities warn that many vulnerable people in the impoverished communist state could die from starvation.
• In a new report on rabies, the WHO finds that 45% of cases in the world take place in Southeast Asia.
• A decade-long study of 135,000 men found that those who did not have children had a higher risk of dying from heart disease than those who did, raising new questions over the links between fertility and overall health,U.S. researchers said on Monday.
• More money is needed to save lives in famine-ravaged East Africa, with the UN saying it’s something like $700 million through year’s end. The World Bank announced from Washington it would boost its aid to area countries to nearly $1.9 billion.  As if famine weren’t enough, Nick Kristoff tells us that as Somalis stream across the border into Kenya, at a rate of about 1,000 a day, they are frequently prey to armed bandits who rob men and rape women in the 50-mile stretch before they reach Dadaab, now the world’s largest refugee camp.
• An explosion of new technologies and treatments for cancer coupled with a rapid rise in cases of the disease worldwide mean cancer care is rapidly becoming unaffordable in many developed countries, oncology experts said on Monday.

TOTALLY UNRELATED TO ANYTHING – Twitter knows what you’re feeling!

Getting to equal through inequality?

This week, the World Bank is hosting an open forum on gender equality, dubbed “Gender – Getting to Equal,” as a part of their “Think Equal” campaign.  I had recently seen their video associated with this campaign, referenced in the comments section on Duncan Green’s From Poverty to Power.

The original point of Green’s post was to compare Nike’s “Girl Effect” video

to a similar video by the Commonwealth Countries League Education Fund (apologies – I am unable to post it here).  He then presents a parody for contrast purposes.

These videos (and the ensuing discussion) recalls an ongoing debate about both the effectiveness and the ethics of specifically targeting women in development programs, whether that be through microloans, cash transfers, or simple food aid.  Tom Murphy presents a good summary of the debate on his blog, A View from the Cave:

The microfinance pendulum is starting to swing back from the extreme of focusing on only girls. As the methodology of the Pitt study that was seen as evidence for the focus has come under fire and more studies show the effectiveness of men growing businesses at a higher rate the debate is getting lively.

Aid Watch provided their own commentary on the same Nike video earlier this year. They make the points that this approach may be doing more harm than good: it misdirects energies that could be used to educate people to level the gender playing field; funds should be used to improve governance and the larger economic conditions that drive growth; targeting women may in turn make them a target for increased gender violence; and, of course, it reinforces the stereotype that poor girls in developing countries need “saving.”

Personally, I have never really been on board with the idea of “targeting women” with microloans or aid in general, for that matter.  It villainizes men and gives the impression that they are the oppressors of their wives and families who are only interested in maintaining their dominance and the social status quo.  It is the same faulty logic that is used to promote contraceptive methods that a wife can take “discreetly” – i.e., without her husband’s knowledge.  The development community comes into the family home where the man has the power and tries to equalize the playing field by wrestling control from him and giving it to the women instead.

Since when did fighting sexism with sexism become a good idea?

The attention of the development community has recently turned from “vertical” strategies – i.e. using funds to target specific diseases like HIV/AIDS or to launch large-scale independent vaccination campaigns – to “horizontal” ones that focus on strengthening health systems.  In my opinion, we should be applying the same logic to gender issues.  Instead of targeting women with aid programs (to the exclusion of men), educate the men to see women as partners and fellow workers.  It is essential to involve both parties in development efforts, whether they are for reproductive health and family planning, poverty reduction, or entrepreneurship.  We can never get to equal if we only focus on one side.

World Bank’s “Food Forum” Follow-Up

 

 

 

Back in April, the World Bank hosted an online open forum to generate discussion about, and solutions to, the global food crisis.  I recently received an e-mail from them assuring me that they had listened to me and carefully pored over the dialogue generated:

Dear World Bank Open Forum subscriber,

You talked. We listened.

On April 14-15, 2011, the World Bank held an Open Forum to gather ideas on ways to overcome the food crisis and help the world’s one billion hungry people. The response was overwhelming: comments and proposed solutions rolled in from more than 500 people in 88 countries.

Bank experts read through your ideas and are now responding to the issues that generated the most discussion: land and water management, climate change and environmental pressures, agriculture and support to smallholder farmers.

You can watch expert video messages on the Open Forum response pages, where we’ve also included an interactive map that aggregates Open Forum comments by country. The site is available in English, French, Spanish and Arabic, reflecting the wide diversity of forum commenters.

Food price volatility and food insecurity remain pressing issues for policymakers, farmers and consumers worldwide. We launched the response in advance of this week’s meeting of G20 Agriculture Ministers in Paris, where the food crisis is front-and-center. Our goal? To make your thoughts and solutions part of the global debate.

These “open forums” are emerging as a new trend with aid agencies; the Bank held one on open development, unemployment, and MDGs in October, and USAID’s similarly-styled Global Pulse took place last March.  

I tend to be a bit skeptical when it comes to these kinds of “town hall” type exercises.  For one thing, I question the utility of diverting the time and energy of an otherwise-productive staff to sifting through thousands of messages from people who like to hear themselves talk to find a handful of useful suggestions.  Also, how does anyone know that this is nothing more than a PR exercise?

Global Health News Last Week

From March 28 to April 1, panelists working in Canada, Uganda, the United States, and Zambia will lead a discussion in GHDonline.org on ways to build sustainable partnerships to strengthen surgical and anesthesia capacity in resource-poor settings. More information can be found here.

March 22 was World Water Day. Blogger Tom Murphy has collected some interesting videos on PSI’s blog here.
Elizabeth Taylor, Hollywood icon and longtime advocate for the fight against HIV/AIDS, passed away on March 23 at age 78.
March 24 was World TB Day.

POLICY

• China, the world’s largest tobacco producer and home to a third of all smokers, has issued a national ban on smoking in hotels, restaurants and other indoor public spaces.
• Fears are growing among HIV/AIDS sufferers in the Ukraine amid claims from some patients that they have been denied life-saving medicines by authorities during a crackdown on drug substitution therapy.
• The WHO has announced a list of 30 essential medicines for treating common diseases of mothers and children that can be used as the basis for procurement and supply of medicines and guide local medicine production.

RESEARCH

• Scientists from the University of California, Berkeley (UCB), Dublin City University and Universidad de Valparaiso (Chile) have developed a self-powered, low-cost chip that can test blood samples and diagnose diseases like tuberculosis and HIV within minutes.
• Researchers have discovered that capsaicin, the compound that makes jalapeños, red chilies, and the famous habanero pepper spicy, inhibit the production of cholera toxins.
• Results from a recent study show that people with HIV who change antiretroviral treatment regimens due to side effects are at higher risk for developing drug resistance.
• The Pakistan Medical Association’s 2011 annual report found that 400,000 infants die in the first year of their life each year and 1 out of 10 children die by the age of five.
• A study by researchers from Johns Hopkins University found that child diarrhea deaths could be almost halved if currently available interventions such as breastfeeding, hand washing with soap, and improved household water treatment were widely implemented.
• Global health and development blogger Amanda Makulec shares seven key ideas that she took home from the Global Health Metrics and Evaluation Conference in Seattle.

DISEASES AND DISASTERS

• Despite setbacks, work continues at Japan’s Fukushima Dai-Ichi nuclear power plant. Meanwhile, in addition to radiation-contaminated vegetables, officials are now warning families to not give Tokyo tap water to infants due to elevated levels of radiation found in the water supply. The World Bank estimates that the earthquake and tsunami have caused as much as $235 billion in damage to Japan and that it will take five years for the nation to recover.
• The crisis in Côte d’Ivoire continues as well, as the country’s healthcare system is strained by the violence.
• Leprosy, which has been officially “eliminated” in India, still affects hundreds of thousands of people who are shunned by society. There are 130,000 new cases diagnosed in the country each year.
• Leaders at the 26th Annual Conference of Alzheimer’s Disease International challenged the World Health Organization and countries around the world to take action on the dramatic surge in the global incidence of Alzheimer’s disease and dementia.

Global Health News Last Week

POLICY

• Assistant Senate Majority Leader Richard Durbin (D-IL) and Senator Bob Corker (R-TN) introduced the Water for the World Act of 2011, a bill in the Senate which will make providing safe and clean drinking water around the world a priority for US foreign aid.
• More than 60 world nutrition experts met at WHO headquarters last week to revise guidelines and to identify solutions to tackle the growing problems of both malnutrition and obesity around the world.
• Ministers of health and other high-level health officials from throughout the Americas called for a series of actions to reduce the toll of chronic noncommunicable diseases, in a declaration issued last week in Mexico City.
• The Global Fund announced that former President of Botswana Festus Mogae and former U.S. Health and Human Services Secretary Michael O. Leavitt have agreed to lead a high-level panel of experts that will conduct an independent and thorough review of the Global Fund’s financial safeguards.
• UN agencies are concerned that reduced donor funding due to the recession, combined with free trade agreements, will reduce the availability of low-cost HIV medications in developing countries.
• The United Nations General Assembly will convene a high-level meeting in September this year to discuss the financial burden caused by non-communicable diseases (NCD) on countries.

RESEARCH

• A study done is Malawi by the World Bank attracted attention (and criticism) from Businessweek. Young women were given to stay in school and deter them from accepting money and gifts from “sugar daddies” in exchange for sex. The study found that HIV infection rates were 60% among schoolgirls who received cash compared to those who received nothing.
• A recent review of malaria treatment clinical trial results, published in the Chochrane Library, shows that artesunate was more effective that quinine at treating severe malaria.
• A personalized text messaging reminder service significantly boosted antiretroviral (ARV) adherence over a six-week period compared with a standard beeper reminder system, according to a study published in the March issue of AIDS Patient Care and STDs.
• About 600 people gathered at the Global Health Metrics and Evaluation conference in Seattle to discuss issues surrounding the evaluation of effectiveness of health programs.

PROGRAMS

• Global health blogger Alanna Shaikh discusses how micro-credit and the Green Revolution, two of international development’s biggest successes, are being re-evaluated.
• The Nepalese government is planning launch a large vaccination campaign against elephantiasis in 40 high-risk districts.
• Dubai’s Ministry of Health introduced Pneumococcal Conjugate Vaccine PCV13, a vaccine that protects young children from the worst effects of illnesses including pneumonia, blood infections and meningitis.
• The National Influenza Center of the Chinese Center for Disease Control and Prevention has been designated as a World Health Organization Collaborating Centre for Reference and Research on Influenza, making China the first developing country to house such an institution.

DISEASES AND DISASTERS

• Europe is concerned by the growing incidence of drug-resistant TB, particularly in children.
• The world continues to follow the aftermath of the earthquake and tsunami in Japan, including the unfolding situation at the Fukushima Dai-ichi nuclear power plant. The WHO has assured that there is no danger to individuals being exposed to radiation in nearby nations (e.g. China).
• As if Haiti needed any more bad news, a study published in the Lancet says that the UN estimate of 400,000 cholera cases in Haiti this year is nearly half of what the real projection should be for the recovering nation. Meanwhile, health officials in Lagos have called on residents to observe high standards of personal and environmental hygiene and have designated emergency numbers to call in case of suspected cases; the Ghana Health Service has set up cholera centers in Accra to deal with the outbreak there; and the interim federal government of Somalia on Tuesday denied reports of an outbreak of cholera in the country, responding to an Associated Press story over the weekend that Somali doctors had reported that more than 20 people had died from the disease.
• In the February 2011 issue of PLoS Neglected Tropical Disease Journal, contributing editor Serap Aksoy discussed the triumphs behind the control of human African trypanosomiasis, or African Sleeping Sickness.
• Although women get diagnosed for tuberculosis (TB) later than men, treatment outcomes among women are better than men with higher TB treatment success rate and lower default (drop-out) rate in the female patients. The finding was announced at a meeting on TB and women in New Delhi, India.
• While the total number of newly reported HIV positive people and AIDS patients are still low in Japan compared with other countries, the number of newly HIV-infected people in Japan has doubled in the past decade due to public complacency and lower awareness.

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.”

The Danger in Overlooking Environmental and Occupational Health

Flickr, U.S. National Archives

I often get quizzical looks from public health professionals when, after explaining that I am interested in international health, I tell them that I got my MPH in Environmental Health. For example, while riding the shuttle from the airport to the Convention Center for the APHA Annual Meeting this past November, I struck up a conversation with an Environmental Health professor. She seemed puzzled when I told her that I was a member of the International Health section and then explained that my MPH focus (and my current job) was in environmental and occupational health. She then (very politely) invited me to the Environmental Health Section’s social hour.

While I certainly appreciated the invitation, I remain puzzled (and slightly frustrated) that there is relatively little discussion of environmental and occupational health issues in international health. The field is dominated by discussion of the Big Three diseases (HIV/AIDS, malaria, and TB), sanitation, tropical worms, MCNH issues, malnourishment, and poverty. While these are all very important issues deserving of attention and funding, EOH should by no means be left out: after all, every human being is affected by the environment around him or her, and nearly all of us hold some kind of occupation to put food on the table.

One story in particular caught my eye a few weeks ago. Nearly 300 children in Zamfara state in northern Nigeria have died from lead poisoning due to mining activity over the last two years; another 742 are currently being treated for high blood lead levels. Lead poisoning fall squarely under environmental health – my cubicle neighbor is a nurse for the Texas Childhood Lead Poisoning Prevention Program – but this story had all of the trappings of a “classic” IH scenario: poor people in small villages in a developing country, Doctors without Borders, and sick African babies.

Mining is a significant issue, and a heated debate, in the field of development. Proponents of mining include the World Bank, which maintains that mining provides jobs, government revenues, and local economic benefits, and that it can provide sustainable development to communities with appropriate regulation. Critics argue that the pollution and environmental damage generated by mining operations outweigh the benefits, that it exploits local communities, and that the revenues are largely kept by local elites and foreign shareholders. And we all know that resources are too often followed by bloody conflict: civil wars in Sierra Leone, Angola, and Liberia, and armed conflict in the DRC, are just a few examples that come to mind. There are a number of health ramifications as well: constant exposure to rock dust makes miners more susceptible to tuberculosis, which they can spread to their families. Artisanal gold mining in particular, which supplies at least one fourth of the world’s total gold supply, is one of the most significant sources of the release of mercury into the environment.

Despite the hazards and health risks, however, the issue gets relatively little attention compared to the traditional global health villains of sanitation and infectious disease. This is unfortunate because all of the same factors play into mining in impoverished communities: residents and farmers take up mining and mineral extraction to improve their livelihoods because it pays better and provides more security than subsistence farming. There are issues of sustainability, ownership, exploitation, and corruption. Somit Varma, director of the Oil, Gas, Mining & Chemicals Department of the World Bank/IFC, has said that “the social and economic characteristics of small-scale mining fully reflect the challenges of the Millennium Development Goals, including: health, environment, gender, education, child labour, and poverty eradication.”

Advocates are becoming more vocal in drawing attention to “non-typical” international health issues, including cancer and mental illness. We should add environmental and occupational health issues to that list as well. While these issues are inevitably more complicated to prevent, screen for, and treat than the Big Three or NTDs – after all, you can’t pass out condoms or implement DOTS for lead poisoning or silicosis – they still impact the world in a major and often devastating way and are still deserving of our attention.

World Bank Open Forum focuses on open development, global unemployment, and MDGs

On October 7-8, the World Bank is hosting an online open forum in conjuction with live video coverage from the World Bank/IMF annual meetings and panel discussions with subject matter experts.  Similar to the USAID’s Global Pulse event held earlier this year, this 24-hour interactive chat session will be focusing on three key areas: open development, the global unemployment crisis and strategies for creating jobs, and the effect that the MDGs will have on development.
Open Development Solutions
Jumpstarting Jobs
Development Changes Now

The World Bank’s own “Inside the Web” blog entry on this event can be found here.
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