Global News Round Up

Politics & Policies

Health care can shift so that organizations across borders collaborate to help solve health care problems. Organizations can better solve problems related to access to care, research, training and development if they work together, not competitively.

It was the ambitious sanitation campaign aimed at giving almost half of India’s 1.3 billion population access to a toilet in just five years.  And last week, Indian Prime Minister Narendra Modi finally declared India free of open defecation.

Bill Gates told an audience at the University of Cambridge that global malnutrition will be solved and malaria will be virtually eliminated by 2040 if world leaders choose to fund scientific innovation.

During a meeting of heads of State, ministers, health leaders, policy-makers, and universal health coverage champions, the UN chief called UHC “the most comprehensive agreement ever reached on global health – a vision for Universal Health Coverage by 2030”

Programs, Grants & Awards

NEST360° is announcing $68 million in funding commitments from a consortium, including some of the world’s largest private foundations, for the first phase of an eight-year initiative to enable African hospitals to improve newborn survival by 50 percent and to establish a pipeline of local innovators, technicians and medical staff. 

The National Institutes of Health (NIH) has awarded 10 grants this year to UC San Francisco researchers as part of the NIH Helping to End Addiction Long-term (HEAL) Initiative. The awards to UCSF total more than $40 million and will fund projects ranging from better technologies for MRI imaging of back pain, to the use of deep-brain stimulation for treating chronic pain, to a new interdisciplinary research center for low back pain.

Research

In a new study, UC San Francisco scientists used maps of brain connections to predict how brain atrophy would spread in individual patients with frontotemporal dementia (FTD), adding to growing evidence that the loss of brain cells associated with dementia spreads via the synaptic connections between established brain networks.

In animals, infections are fought by the immune system. Studies on an unusual virus infecting wild koalas reveal a new form of ‘genome immunity.’

Diseases & Disasters

If you visited the Philadelphia International Airport earlier this month, you may have been exposed to measles. The Pennsylvania Department of Health warned the public on Friday that anyone who visited the airport on October 2 and 3 could have contracted the viral infection.

Ebola in the DRC has been corralled into a much smaller geographical area—27 zones, compared to 207 at the outbreak’s peak, the WHO’s Michael Ryan told reporters.

Kenya is seeing more and more addicts. The number of people injecting drugs jumped by more than 50% in the past eight years and the majority of users inject heroin, the health ministry says.

The World Health Organization is meeting in the Philippines after the country announced an outbreak of polio.  Environmental samples from sewage in Manila have been confirmed as containing the virus.

The United States remains committed to fighting Ebola in Africa, American health officials said, but the scope of the current outbreak in the Democratic Republic of Congo has become somewhat unclear.

Technology 

An ingestible sensor that allows doctors to remotely monitor tuberculosis patients’ intake of medication has the potential to save millions of lives and revolutionise treatment for the world’s most deadly infectious disease, researchers said.

Environmental Health

Climate change poses a huge threat to global health and is likely to trigger mass migration, food and water shortages and the spread of infectious diseases, experts have warned.

Pregnant women’s exposure to extreme heat raises their risk of being hospitalized, according to a new working paper distributed by the National Bureau of Economic Research — and black women, as in other pregnancy outcomes, appear to be more severely impacted than white women. What’s more, greater exposure to extreme heat can increase a newborn’s likelihood of a dehydration diagnosis and subsequent chances of returning to the hospital within the first year of life, the study found, for diagnoses including respiratory diseases and prenatal jaundice. 

Equity & Disparities

Narendra Modi is to declare that his flagship sanitation programme has ended open defecation in India, amid accusations that the scheme has sparked violence and abuse.

Six young women went to the U.N. to present a document that has no precedent: a Global Girls’ Bill of Rights.

Hundreds of thousands of healthcare facilities in low- and middle- income countries is deplorable. Take into account that this data includes developed countries. Worldwide, 1/4 lack basic water services and 1/5 lack adequate sanitation services, leaving 2 billion people without access to safe, affordable surgical care.

Foundations and nonprofits committed a new and substantial $120 million for global health at a convening in Washington, D.C., this past summer. The pledges of support focus on an urgent challenge across developing countries that doesn’t get much attention: ensuring safe water and sanitation at hospitals and health clinics around the world. 

Women, Maternal, Neonatal & Children’s Health

In 2015, Zika virus swept through Brazil and the Americas. In the three years since it ended, the pandemic has become an object of obsession for scientists, who have published more than 6,000 research papers about it. Researchers have been able to follow long-term health consequences in children infected with the virus before birth. 

Women represent 70% of the global health workforce but hold only 25% of the senior roles, according to World Health Organization. Amika George and Flaviana Matata talk about how their organizations are helping women have control over their bodies and their futures. 

Researchers from Ghana, Guinea, Myanmar and Nigeria, sent trained observers to three urban hospitals in each country to watch pregnant women from the time they were admitted until two hours after delivery. They found that of 2,016 women directly observed, 838 (41.6%) experienced physical or verbal abuse.

Have you read the latest issue of our newsletter, Section Connection?

The latest issue of Section Connection, the IH Section e-newsletter, is now available!

You can find the latest issue of the newsletter here: 

http://bit.ly/SectionConnection12

In this edition, you will hear more about the different Annual Meeting events our section hosts; learn more about our Student Committee; and get up close and personal with IH section member – Dr. Idong Essiet-Gibson. We will share updates from the Global Health Mentoring Committee, the Climate Change and Health Working Group, the Communications Committee and Social Media Subcommittee, the Systems Science for Health Systems Strengthening Working Group and the Community Based Primary Healthcare Working Group.

We hope you continue to stay connected and involved with our section. See you in November in Philadelphia!

Global News Round Up

Politics & Policies

A new study by WHO, published in Lancet Global Health, found that investing $6 billion per year in eliminating hepatitis in 67 low- and middle-income countries would avert 4.5 million premature deaths by 2030, and more than 26 million deaths beyond that target date.

There isn’t a single country in the world with 100 per cent universal health coverage. All global health systems have room to improve. But UHC as it has been held up as a UN goal leaves much to be desired.

A new KFF online resource tracks more than 30 bills introduced in the current Congress that would affect global health policy.

Programs, Grants & Awards

The United States government announced US$45 million in funding to respond to the critical food security situation in the upcoming lean season between October 2019 and March 2020 in Zimbabwe.

There is a great deal of institutional interest among health professions students in joining global health programs, with more than 25% having participated during their training. However, when programs rely on short-term fixes to long-standing infrastructure and resource deficits, some of the world’s most vulnerable, poor patients can be exploited.

European University Alliance for Global Health has been launched with a press conference in Paris. Part of the European Universities alliances receiving funding by the EU Commission to collaborate across borders, the network is composed of five international partners.

Research

Visceral leishmaniasis infects an estimated 300,000 people annually and causes 20,000 deaths every year, according to the World Health Organization.

The World Health Organization (WHO) considers antimicrobial resistance to be one of the 10 threats to global health in 2019. 

Malaria, one of the world’s leading killers, could be eradicated as early as 2050, according to a new report published by The Lancet Commission on malaria eradication.

Diseases & Disasters

Measles is proving fatal at an alarming rate, far faster than Ebola in the Democratic Republic of the Congo (DRC).

The Bangladeshi government has confirmed another five deaths from dengue fever, bringing the total number of fatalities in the country since January to 23, the Directorate General of Health Services (DGHS) reported Tuesday.

Malaria has killed more than 1,800 people in Burundi this year, the UN’s humanitarian agency says, a death toll rivalling a deadly Ebola outbreak in neighbouring Democratic Republic of Congo.

Obesity is a growing problem in many countries around the world. Obesity is reaching further into Mexico and costing their citizens and healthcare system millions of dollars.

Technology 

It is hard to get much of a reputation if nobody knows you’re around, and that has definitely been the case for mycoplasma genitalium, the tiny bacteria estimated to be more prevalent than the bug that causes gonorrhea but is almost completely off the public’s radar.

Technology designed to intercept online extremism is being deployed to tackle vaccine misinformation.

Environmental Health

Common ingredients in the cleaning sprays for your kitchen and bathroom make mice less fertile, suggesting the compounds could do the same to humans, according to a new study.

Ocean heat waves, which can push out fish, plankton and other aquatic life, are happening far more frequently than previously thought, according to a study published today in the Proceedings of the National Academy of Sciences.

The climate crisis represents the biggest threat to the future of global health over the next quarter of a century, according to a survey of top medical professionals.

 

Equity & Disparities

The Bill & Melinda Gates Foundation has published a report, Examining Inequality, on how the world is doing. In short, it’s not great. It’s even worse if you are a girl.

The darkening clouds are ominous for many in this urban neighborhood in Kampala, promising rushing rainwaters stinking of human waste from overflowing septic tanks.

 

Women, Maternal, Neonatal & Children’s Health

UNICEF and the World Food Programme provide food and nutrition aid to North Korean children—but a lack of funds, fueled by political tension and the US-led strategy of pressure and isolation of North Korea, have limited their reach.

New Zealand’s government announced that it plans changes to the country’s abortion laws that would treat the procedure as a health issue rather than a crime.

 

IH Section Webinar 8/20: Insights from Managing a Health Systems Development Program (HSDP) Grant

Dr. Iyabo Obsanjo, the Co-Director for African Development at the College of William and Mary will discuss her involvement with a World Bank-funded Health System Development Project in Ogun State, Nigeria. She’ll share what worked and what didn’t from her perspective as the Commissioner for Health, in addition to describing areas where Health System development funding is lacking.

Date: Tuesday, August 20, 2019
Time: 11 AM – 12 PM ET

Register to attend here

This webinar is hosted by the APHA IH Section’s Health Systems Strengthening Group. The objective of the working group is to provide a venue for interested global health professionals to learn about systems sciences, collaborate around research and practice activities, and advocate for increased consideration of system sciences in education, practice, policy and evaluation for strengthening health systems. We welcome interested members (APHA membership is not a prerequisite) with expertise and/or interests in applying systems thinking approaches and methods to strengthen health systems, in both developing and developed countries. 

Find out more about the Health Systems Strengthening Group  

Happy World Breastfeeding Week!

Happy World Breastfeeding Week (8/1-8/7)! This year’s theme, “Empower parents, enable breastfeeding” is a particularly poignant reminder of how the U.S. government is doing neither for parents and infants entering at the southern border. It is critical to consider the effects of involuntary separation of breastfeeding mothers and their children.

There are short- and long-term physical, emotional, and economic consequences of abrupt discontinuation of lactation. Lactating individuals need to express milk to relieve the pain and fullness in their breasts to avoid plugged ducts and mastitis, a breast infection requiring medical attention. If there is no provision of time, space, and privacy for regularly expressing milk, those individuals will gradually lose their milk supply. Shortened, suboptimal lactation increases risks for breast and ovarian cancers, and metabolic and other diseases and costs $302 billion globally [1].

Infants who no longer receive human milk need a substitute, which will be inherently nutritionally inferior to human milk and cannot provide them the immunologic protection they received from their mothers’ milk [2]. Those infants will need to learn how to feed from a bottle, which may cause distress, can introduce bacteria, and may teach them to ignore satiety cues [3], increasing their risk for overeating as they get older.

Emotionally, the parent–infant bond is severed with involuntary separation. Breastfeeding is not just a feeding method, but also provides an infant with temperature regulation and comfort. We have witnessed maternal distress from this inhumane practice [4]; it is likely that an infant’s distress would be extreme.

On top of the life changing health effects of abrupt discontinuation of breastfeeding, the most egregious offense may be the negation of these individuals’ rights to breastfeed. They were feeding their children optimally until a poor substitute was imposed upon them for political reasons. Now those children have higher risks of infections and chronic disease, from the moment they were taken from their parents and for the rest of their lives.

There have been many discussions about the traumatic effects of parent-child separation but we have not seen or heard a discussion of effects due to abrupt cessation of lactation and breastfeeding. Those effects provide more compelling reasons to end this inhumane practice immediately.

Guest Blog Written By: Jennifer Yourkavitch, MPH, PhD, IBCLC – International Health Section Breastfeeding Forum Liaison, APHA and Research Scientist, University of North Carolina, Greensboro; Whitney P. Witt, PhD, MPH – Chair, Maternal and Child Health Section, APHA and Inaugural Dean and Professor, College of Health, Lehigh University; Briana Jegier, PhD – Chair, Breastfeeding Forum, APHA and Associate Professor, Health Services Administration, D’Youville College

References

1.      Lancet. (2016). Series on Breastfeeding. http://thelancet.com/series/breastfeeding. Accessed July 31, 2018.

2.      Mannel R., Martens P., & Walker M. (eds.). Core Curriculum for Lactation Consultant Practice. Burlington, MA: Jones & Bartlett Learning, LLC, 2013.

3.      Li R., Fein S.B. & Grummer-Strawn LM. (2010). Do infants fed from bottles lack self-regulation of milk intake compared with directly breastfed infants? Pediatrics125(6).

4.      CNN. June 14, 2018, https://www.cnn.com/2018/06/12/us/immigration-separated-children-southern-border/index.html. Accessed July 29, 2018.