Join us for the 20th Annual Community-Based Primary Health Care (CBPHC) Working Group Pre-Conference of the APHA International Health Section

Community Health Workers As Transformative Agents For Health Equity: Global Models, Tools and Lessons Learned from Across Borders

Join us for a lively discussion and workshop about health equity and the role of community health workers (CHWs)! A growing body of evidence demonstrates the impact of CHWs on improving and saving lives of mothers and children, reducing health inequities, and transforming health systems around the world. In this workshop we seek to gain a greater understanding of what types of conditions and health care systems allow CHWs to be transformative agents both locally in the US and globally. Additionally, we hope to build on this knowledge and explore how to create environments or support existing systems that allow CHW’s to optimize their ability to transform health care, both in the US and internationally. This workshop will bring together CHWs, community leaders, health professionals, students, program managers, social scientists, and national and international experts of community health work and community-based primary health care.

REGISTER: You can register for the Pre-Conference Workshop independent of APHA full conference registration. The link to register for the CBPHC Pre-Conference workshop here.

FOR MORE INFORMATION: Contact Dr. Laura Chanchien Parajon, Chair of CBPHC Working Group or Dr. Henry Perry, Co-Chair of the CBPHC Working Group at cbphcworkgroup@gmail.com

Be part of the CBPHC working group community! CBPHC is an empowering approach to improving healthcare that engages communities as full partners and extends preventive and curative health services beyond health facilities to communities and households. We are a group of dedicated and passionate health professionals, students and people all contributing to the dream of “health for all” as described in the inspirational 1978 Alma Ata Primary Health Care document. We seek to collaborate, connect, dialogue and reflect with others working in community based primary health care about best practices for achieving health equity.

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

Make sure to check out our APHA Annual Meeting Edition of the Section Connection and see how you can contribute and network during the upcoming annual meeting! You can find the latest issue here: http://bit.ly/SectionConnection9 

If you cannot access the newsletter for any reason please email Theresa Majeski, Global Health Connections Chair, at theresa.majeski@gmail.com 

Global News Round Up

Politics & Policies

Republicans and Democrats on Capitol Hill hope to combat the opioid epidemic in part by expanding access to addiction treatment, a key part of a major legislative package.

Melania Trump began her week-long sojourn to Africa in Accra, Ghana.  The First Lady was greeted on the tarmac by Ghanaian first lady Rebecca Akufo-Addo and a bouquet of flowers wrapped in kente cloth followed by a performance of dancing and drumming.

Dr. Anthony Fauci says he’s “cautiously optimistic” about the future of global health, which he says has the potential to be enhanced by the development of universal vaccines and improved preventative measures.

In the lead-up to the first U.N. high-level meeting on tuberculosis, global health experts said the momentum was different, that a turning point was near in the fight against the disease, the world’s top infectious killer.

The House and Senate have reached agreement on a big package of measures to address the opioid epidemic.  The legislation, backed by leaders of both parties, is a rare bipartisan achievement that lawmakers are eager to have in hand when they go home to campaign for the midterm elections.

Programs, Grants & Awards

Global Health Corps (GHC), a leadership development organization working to build the next generation of global health leaders, was named for the prestigious of 2018 Skoll Award for Social Entrepreneurship.

October 1 marks World Vegetarian Day 2018, which takes place to raise awareness of the benefits of a vegetarian diet.  With many lpeople now considering at least reducing their meat intake, here we round up what research from the past year says about how a vegetarian diet may be able to boost health.

National Institute of Mental Health and the National Institute of Allergy and Infectious Diseases, is investing in a young generation of HIV prevention researchers by providing African-American and Latino medical students with opportunities to conduct independent research while receiving mentoring, project and salary funding, training, and professional development opportunities.

Research

Fuel cells have long been viewed as a promising power source. But most fuel cells are too expensive, inefficient, or both.  In a new approach, inspired by biology, a team has designed a fuel cell using cheaper materials and an organic compound that shuttles electrons and protons.

Preterm birth remains a global epidemic linked to a lifetime of potential health complications. It also is difficult to study in living creatures–especially the uniquely precise biology of preterm birth in humans.

Although substantial progress has been made in reducing diarrhoeal deaths among children in low-income and middle-income countries, from approximately 1.6 million in 1990 to 450, 000 in 2016, sustaining these improvements will require additional strategies and approaches.

The University of Birmingham has been awarded £1.9 million through the National Institute for Health Research (NIHR) Global Health Research (GHR) Programme to fund world class research into a common heart condition in disadvantaged populations in China, Brazil and Sri Lanka.

Diseases & Disasters

More than 80,000 Americans died of flu in the winter of 2017-2018, the highest number in over a decade, federal health officials said last week.

Global health officials are preparing for African swine fever, which has been spreading in pigs across borders since 2014, reaching Western Europe last week.

Everyone feels isolated sometimes, but with one in five Americans chronically lonely, has loneliness reached epidemic proportions?  In 1988, the journal Science published a landmark study suggesting isolation was as strong a risk factor for morbidity and mortality as sedentary lifestyle, high blood pressure and smoking or obesity

Governments should raise the price of alcohol and restrict its availability in a bid to reduce harmful drinking, the World Health Organization has said.

Researchers have found a link between sudden cardiac death (when the heart suddenly stops beating) and a common heart condition known as mitral valve prolapse that affects around 12 in every 1000 people worldwide.

The risk of Ebola escaping from the Democratic Republic of Congo is now “very high,” and the outbreak already is nearing Uganda, the World Health Organization said on Thursday.

Technology

Mobile is a key enabler of sustainable economic growth and a major contributor to the delivery of the UN’s 17 Sustainable Development Goals (SDGs), a set of audacious targets to end poverty, halt climate change, and fight injustice and inequality – all to be achieved by 2030.

Environmental Health

Health officials say smoking not only kills about 7 million people every year, but has a devastating impact on the environment contributing to deforestation, water and soil depletion and acidification.

Following the extreme, earthquake-triggered tsunamis unleashed in the Indian Ocean in 2004 and Japan in 2011, a spate of disaster films like The Impossible have depicted doomsday tidal wave scenarios.

A landmark treaty signed in Greenland will help to protect vulnerable fisheries in the Arctic.

October 1 marks the 41st annual World Vegetarian Day and the start of Vegetarian Awareness month. The annual occasion was founded in 1977 by the North American Vegetarian Society and was endorsed by the International Vegetarian Union in 1978 to entice omnivores “to give meatless fare a try (even for a day)” and to commend those with “healthy, compassionate food choices.”

Equity & Disparities

Sweat poured down Fenol’s body as he writhed in pain on a stretcher in a southern Haiti emergency room. Two days earlier, a motorcycle crash caused massive trauma to his abdomen.  His internal injuries had precipitated multi-organ failure and shock, and he had lost precious time searching desperately for a hospital with surgical capacity. His pain, fear, and mortal predicament was borne from a violation of what we believe is a fundamental human right: he had no access to essential, life-saving surgery.

Women, Maternal, Neonatal & Children’s Health

There’s very little research on whether medications are safe and effective in pregnant and lactating women, but an expert panel has ideas for how to close that information gap — and it’s calling on the federal government to take action in a new report that could stir change.

 

Read the latest issue of the IH newsletter, Section Connection!

The latest issue of Section Connection, the IH Section quarterly e-newsletter, is now available! You can find the latest issue of the newsletter here: http://bit.ly/SectionConnection9 

If you cannot access the newsletter for any reason please email Theresa Majeski, Global Health Connections Chair, at theresa.majeski@gmail.com 

Global News Round Up

Politics & Policies

According to a recent NPR-ProPublica investigation, we’re the only developed nation in the world where the rate of women dying of pregnancy-related complications is still rising, with more women dying from these causes here at home than in any comparably developed country.

The federal law protecting women from violence was set to expire at the end of the month, yet neither the House nor the Senate made renewing it a priority.

A pathbreaker in global health and a former CDC director, Bill Foege has some startling advice for young people interested in global health: Don’t have a life plan.  “Life plans are an illusion” he writes in his new book, “The Fears of the Rich, The Needs of the Poor.” Rather, he urges them to have a life philosophy that will guide them in the career and life decisions they make.

The United States’ commitment to global development does not look good compared with that of other wealthy countries – and it’s likely to get worse.

India has experienced a dramatic transition from a huge burden of infectious diseases to noncommunicable diseases, which now cause more than 69 percent of deaths in the country— almost 6 million each year.

Officials in Berkeley, Calif., have voted to require vegan-only food be served at city events and meetings that take place on Mondays.

Programs, Grants & Awards

The third UN High-Level Meeting on Non-Communicable Diseases (NCDs) on Sept 27, 2018, will review national and global progress towards the prevention and control of NCDs, and provide an opportunity to renew, reinforce, and enhance commitments to reduce their burden. NCD countdown 2030 is an independent collaboration to inform policies that aim to reduce the worldwide burden of NCDs, and to ensure accountability towards this aim.

The second phase of the “Science Management” course, aimed at researchers and managers from Portuguese-speaking countries in Sub-Saharan Africa and organised by the Calouste Gulbenkian and the “la Caixa” Foundations in collaboration with ISGlobal and the Manhiça Health Research Center (CISM), took place at the CaixaForum in Barcelona from September 10-14.

In the early 2000’s, three of Catherine Nalungwe’s children died one after another before the age of three. The cause of the children’s death became a source of pain and confusion for the family. Catherine later tested positive for HIV in 2002, but she had no access to treatment through nearby health facilities at that time.  With improvements in access to HIV/AIDS services in Zambia, she started treatment in 2004.

The opening session of the 2nd World Sepsis Congress, ‘Sepsis – still a Global Health Threat’ is now available on demand on YouTube and as a Podcast on Apple Podcasts.

A new global health institute aimed at tackling emerging health challenges was launched on Friday (Sep 21) at the SingHealth Duke-NUS Scientific Congress 2018.

Research

A new analysis has found that many of the products critically needed to fight some of the world’s most prevalent infectious are not likely to be developed based on current candidates in the research & development (R&D) pipeline, and reveals significant gaps in funding for health innovation.

Diseases & Disasters

A week after the storm made landfall at Wrightsville Beach, Florence continues to menace Southeastern North Carolina — both on and offshore.  After pummeling the region with wind and rain, the remnants of the storm haven’t dissipated and now have a slim chance to reform for a second go at the N.C. coast.

Water appears to have receded in some areas of the Carolinas, but more flooding from Hurricane Florence could arrive through the weekend, officials say.

North Carolina Governor Roy Cooper has urged residents to remain in shelters as the floodwaters from Storm Florence continue to rise across the state.

Active infections kill 4000 people a day worldwide, more than AIDS does. But the notion that a quarter of the global population harbors silent tuberculosis is “a fundamental misunderstanding.”

A novel study indicates promising avenues in an innovative approach for developing a vaccine against Plasmodium vivacious, the most prevalent human malaria parasite outside sub-Saharan Africa.

A WHO report estimates that more than a quarter of people worldwide – 1.4 billion – are not doing enough physical exercise, a figure that he barely improved since 2001.

The Democratic Republic of the Congo’s (DRC’s) 10th Ebola outbreak continued over the weekend, as officials reported three new deaths.

Technology

The government of Burkina Faso granted scientists permission to release genetically engineered mosquitos anytime this year or next,  researchers announced Wednesday. It’s a key step in the broader efforts to use bioengineering to eliminate malaria in the region.

Environmental Health

The impacts of climate change, from air pollution to extreme weather events, to disruptions to food and water systems will pose the greatest threats to global health in this century, and health leaders say it’s time for the sector to be a more active participant in the global climate debate.

Duke Energy said Thursday that three inactive coal ash basins in Goldsboro, North Carolina, are underwater after Hurricane Florence.  The electric utility said it’s monitoring the site and only a small amount of ash has leaked. But the heavy flooding has environmentalists worried about other sites and other hazards.

Climate change is the greatest health threat, and opportunity, of the 21st century and the health sector must lead the way to call on local, national and global policymakers to act now to significantly reduce climate pollution and build climate resilience,” said Dr. Maria Neira, the director of the Department of Public Health, Environment, and Social Determinants of Health of the World Health Organization, and the Public Health Institute is ready to meet the challenge head-on.

It’s no secret that California and the U.S. government are singing very different tunes when it comes to climate change.   The Golden State gathered a chorus of sorts at the Global Climate Action Summit, an international meeting of leaders and stakeholders in San Francisco Sept. 12-14.

Equity & Disparities

At the end of her mission to the country, Ikponwosa Ero, UN Independent Expert on the enjoyment of human rights by persons with albanism, issued a statement on Monday welcoming Kenya’s “unique achievements”, saying that the country was set to become a regional leader on the issue.

The philanthropist Bill Gates has thanked the UAE for its support in working to eliminate deadly diseases and reduce world poverty.

The HDI, compiled by the UN Development Program (UNDP), is used as a composite measure of global development, tracking national successes in health, income and education in 189 countries. Norway, Switzerland, Australia, Ireland and Germany top the rankings in the latest report, while Niger, the Central African Republic, South Sudan, Chad and Burundi have the lowest scores.

High poverty rates, low education and lack of insurance are all social determinants that are expected to lead to high mortality rates and negative health outcomes. Despite a 62 percent minority population with these characteristics in California, the state’s health profile was significantly better than the nation’s as a whole.

An estimated 5 million deaths per year in low and middle income countries (LMICs) are the result of poor quality care, with a further 3.6 million the result of insufficient access to care, according to the first study to quantify the burden of poor quality health systems worldwide.

In January, the United Nations Committee on the Rights of Persons with Disabilities will welcome Australia’s first female representative to the committee — Rosemary Kayess.

Women, Maternal, Neonatal & Children’s Health

Ending preventable maternal mortality and correcting unacceptable levels of disparity are essential to achieving Sustainable Development Goal (SDG) 3, which focuses on ensuring healthy lives for all.

Sexual and reproductive health and rights NGOs struggling to deliver services in the wake of the United States “global gag rule” have spent a year caught between donors, after the Swedish aid agency, a key funder of sexual and reproductive health and rights, said it could not support organizations that go along with the rule. This report builds on WHO’s long-standing work on young people’s health and rights, including the Strategy for Women’s, Children’s and Adolescents’ Health (2016–2030), the Global Accelerated Action for the Health of Adolescents (AA-HA!) guidance, and contribution to the new UN Youth Strategy.  It was developed as part of the roadmap towards the development of a WHO strategy for engaging young people and young professionals.

More than 60 years after the drug thalidomide caused birth defects in thousands of children whose mothers took the drug while pregnant, scientists have solved a mystery that has lingered ever since the dangers of the drug first became apparent: how did the drug produce such severe fetal harm?