Global Health News, Week of August 28-September 3

Global Fund round 11 is now open for proposals.

GREAT LEARNING OPPORTUNITY

A seven-part webinar series, called the “Outstanding Presentations Workshop,” began this Wednesday and is available for free to all who register. Each one-hour seminar will be streamed live over the next few weeks on Wednesday and will be recorded for later viewing.  Take advantage of this wonderful opportunity to improve your presentations and spare your audiences death by PowerPoint. More information is available here, and the schedule can be accessed here.

POLITICS AND POLICY

  • In Uganda, the landmark legal case of Jennifer Anguko, a mother who died while she was in labor for 12 hours in a government hospital, will begin in early September.
  • Critics of the World Health Organization say it needs to redefine and reposition itself within the increasingly complex and convoluted field of global health. These experts suggest that the world will not suffer if the WHO cuts certain programs while narrowing its focus.
  • In the United States, the American College of Obstetricians and Gynecologists are promoting the use of IUDs as the “most effective form of reversible contraception available and safe for most women.”
  • The Global Fund may cut its contributions to China by half.
  • USAID Admin Dr. Raj Shah announced that $23 million in new aid will be directed towards the Horn of Africa crisis.
  • Anonymity is no longer a right of people seeking HIV/AIDS tests in China, and the change has lead to a significant drop in the number of tests being performed.
  • The Asian Development Bank has called for Asia-Pacific countries to collaborate on combating HIV/AIDS at the International Congress on AIDS in Asia and the Pacific.
  • Tension between the United States and Pakistan will not prevent USAID from continuing to support health, energy and education systems says the USAID Pakistan Chief.
  • The epidemics of diabetes, heart disease and cancers that have stricken the populaces of wealthy countries are spreading to the developing world, yet the United Nations lacks an agreement, let alone an overall goal, on how to limit the preventable illnesses and deaths arising from these so-called non-communicable diseases. The British Medical Journal reports many developed countries, including the U.S. and Canada, are resisting specific targets for reduction in fats, sugars and salt in processed foods.

PROGRAMS

  • Overall, more newborn children are surviving, but slower progress in cutting death rates among babies in the first weeks of life is putting the global goal of reducing child deaths by two-thirds in jeopardy.
  • One expert says as the question of aid effectiveness has moved to the centre of development debates. If donors want to make their aid more effective, then they need to engage strategically with the private sector.
  • In the Washington Post, Michael Gerson makes the “pro-life” case for increased support for contraception and family planning worldwide.
  • UNICEF and international NGOs are working to raise awareness and encourage West African communities to invest in the construction of more pit latrines. Pit latrines, say advocates, can drastically reduce the spread of diarrhea, cholera and worms.

RESEARCH

  • A study published in Lancet finds that the workers who took part in the efforts to rescue people from the World Trade Center on 9/11 are at a high risk of suffering physical and mental illness.
  • A study by the Elizabeth Glaser Paediatric AIDS Foundation in Uganda and Zambia found high rates of syphilis and HIV co-infection among pregnant women, but showed that “integrating rapid syphilis screening and HIV testing for pregnant women was feasible, cost-effective, and helped to prevent transmission of syphilis and HIV from mother-to-child.”
  • A genetically engineered virus may be the key to combating cancer, says a group of scientists.
  • Believed to only help children under four, researchers have determined that the rotavirus vaccine also reduces deaths in children between the age of five and fourteen.
  • Researchers who have tracked Haitian cell phone SIM cards relative to the cholera outbreak are optimistic that their findings will lead to future use of the same technology for other outbreaks.
  • Scientists may have found a critical weakness in Plasmodium falciparum, the parasite that causes malaria. Researchers say the discovery provides a promising target for new malaria therapies.
  • Engineers at Michigan State University are developing a low-cost mobile phone application that can detect certain types of cancer.
  • Danish scientists say mosquito populations are dropping in many parts of Africa, even in parts where there are no human efforts such as insecticide spraying or bed net distributions underway.
  • A study published in the British Medical Journal reports a 24% reduction in deaths in children who received vitamin A.
  • A new approach to malaria vaccines grows the parasite inside mosquitoes and extracts vaccine components from the salivary gland.

DISEASES AND DISASTERS

  • A study published in Nature says that the last three waves of cholera can all be traced back to the Bay of Bengal.
  • Despite a massive humanitarian effort after the 2010 earthquake, females in Haiti remain neglected, rights activists say, lacking access to care as they give birth to babies in squalid conditions, often as a result of sex in trade for food or other necessities.
  • UN FAO warns that the bird flu is on the rise in Bangladesh, China, Egypt, India, Indonesia and Vietnam.
  • Reports from the Libyan capital Tripoli say a humanitarian crisis appears to be emerging following the ouster of long-time ruler Muammar Qaddafi. There is a shortage of medicine, fuel, food, water, and power supplies, and growing piles of uncollected garbage.
  • Polio has been reported in China and Kenya.

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

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.

Notes on IH Section Conference Call: Current Developments in MCNH (June 27, 2011)

The IH Section held its third topic-focused conference call on Current Developments in MCNH on Monday, June 27, 2011 from 1:00 to 2:00 EST. We had several members of the IH section offer their commentary and expertise on current issues concerning maternal and child health.

Speakers
Laura Altobelli (Future Generations)
Elvira Beracochea (Midego)
Carol Dabbs (U.S. Department of State)
Miriam Labbock (Carolina Global Breastfeeding Insititute)
Mary Anne Mercer (University of Washington)

Laura Altobelli: Brief presentation of the APHA policy resolution proposal submitted by the IH section entitled, “Call to Action to Reduce Global Maternal, Neonatal, and Child Morbidity and Mortality.”
Laura discussed the new APHA policy proposal on MCH. There was nothing previously on the APHA policy regarding global action on this issue per se – one previously existing resolution focuses on reducing maternal and child mortality in the US, and one focuses on breastfeeding and has both domestic and global aspects. This, then, is the first policy proposal on global MNCH. Justification for the policy proposal is lack of progress on the MDGs and lack of policy commitment to protect vulnerable populations. APHA will be joining important other organizations that are putting out strategies, including the Partnership for MNCH (WHO), and the UN, and attended global meetings in 2010 in observation of the Year of Maternal Health (some of these mentioned below). There is also an effort to increase attention to this in the Global Fund and GHI. Six other sections/forums are co-sponsoring the resolution.

Elvira Beracochea: Update on the Millennium Development Goals 4 and 5.
A factsheet has been sent out (available upon request – please contact jmkeralis [at] gmail [dot] com). These MDGs and their targets have served us well to measure our progress so far. There have been improvements, though progress has been uneven. MDGs 4 and 5 focus on reducing mortality but not necessarily on improving health, development and well-being, and we need to address this as well. We know where women and children die and how. We also have the knowledge to prevent these deaths. We need to coordinate work at global scale and have a concerted strategy to ensure the rights of all women and children are met. We need to take global health goals to a new level of effectiveness using efficient strategies and a human-rights-based approach. A rights-based approach does not focus on only survival, but also on development. We need new targets and indicators that measure not only deaths but also number of children whose right are fulfilled; the children that are breastfed, fully immunized, drink clean water, are protected from malaria, and that that attend school. We need targets and indicators that measure not only the number of women that died or delivered with assistance of a skilled attendant, but that also measure the number of pregnancy complications effectively treated. We need new MDGs and targets.

Miriam Labbok: An update on reproductive health continuum (birth, breastfeeding and birth spacing promotion, protection, support) as an essential MNCH intervention approach.
It is vital that we pay attention to the reproductive health continuum within the life-cycle approach: birth, breastfeeding and birth spacing. Programming must include not only promotion, but also skill- and capacity-building so that support can be provided. In addition, policy change is needed to: support treating women with dignity, provide NFP knowledge (at least for the times that family planning supplies run out), and create the capacity to support health-supportive birth, breastfeeding and spacing practices. All such programming and policy creation should be carried out with recognition of the rights of both women and children to the best possible health support and with attention to appropriate technologies, as one size does not necessarily fit all. In addition, programs that address cultural change and intimate family and social decisions demand the building of trust that comes with reliability and long-term relationships. Programming should be designed for the long term, with a strong base and phased in activities, and with excellence and sustainability as the focus.

Mary Anne Mercer: Partnership for Maternal, Neonatal and Child Health – what it does and how one can get involved.
The Partnership for Maternal, Neonatal and Child Health is a WHO-based coalition of organizations that support increased funding commitments to MDGs 4 and 5. Any organization that supports MCH can be a member simply by filling out an application from the PMNCH web site at http://www.who.int/pmnch/. Be sure your organization is a member (it’s free!) by checking the member list. Also check out the ‘Knowledge Portal’ that aims to maintain updated programmatic information on current approaches to improving MCH. I am on the Board of Directors of the Partnership as an NGO representative, and we will be electing a new member of the Board this year that will represent an Africa-based NGO or the Africa office of an international NGO — please let me know if you have any suggestions for good candidates for that position.

Carol Dabbs: Trends in US government funding levels for global MNCH.
Funding has increased and is overseen by the State Department. Global Health targets are to be achieved with funding from FY 09-14, generally for implementation in FY 10-15. The Global Health Initiative includes principles supporting country-led plans and to coordination with other partnerships and donors, as well as between USG agencies and health programs. Eight countries have been selected as “plus” countries (places to conduct learning laboratories): Ethiopia, Kenya, Mali, Malawi, Rwanda, Bangladesh, Nepal, and Guatemala. Almost all of the Global Health Initiative funding is from USAID and State (there is also some DHHS funding, but that was not included in this discussion). There are two stages in the fiscal year: requesting funds from Congress and appropriation of funds by Congress. Unfortunately, delays have been a reality this year. However, we should look at trends and context of the rest of foreign assistance and of overall health fundig. The budget now includes nutrition as a separate item, and it’s included in the MNCH numbers here. There has been a trend of increased funding; funding for MNCH has increased about by 22% over two years (FY 2008 to FY 2010), but the full year continuing resolution for FY 2011 allocation to MNCH is still pending. We do not know what the appropriations for FY 2012 and FY 2013 will be.

Discussion: Is this in addition to Dept of State HIV funds? Yes, there are additional funds in USAID for HIV/AIDS, as well as funds for MCH and the rest of the health programs.

Global Health News Last Week

POLITICS AND POLICY

  • Attacks on aid workers are on the increase and one writer believes this largely due to the current “integrated mission” focus of the UN and other donors.
  • If the Global Fund is to avoid further adverse media coverage and further consequent donor nervousness, it must urgently implement a more effective and fine-tuned approach to the issues of corruption and transparency.
  • The families of two women who died in childbirth are starting a legal action against the government of Uganda, alleging that the inadequate care and facilities provided for pregnant women caused the deaths and violates their country’s constitution and women’s rights to life and health.
  • The results of a recent bombshell study revealing the impact of taking ARVs and the spread of HIV has the Obama administration doing some serious pondering over the impact of a policy change.
  • The elimination of mother-to-child transmission has become the focus of Rwanda’s ministry of health for reducing the rate of HIV.
  • The states in India have been directed by the central government to provide free healthcare to pregnant women and sick neonatal children effective June 1.
  • The Global Fund to Fight AIDS, Tuberculosis and Malaria has frozen payments on hundreds of millions of dollars worth of disease-fighting grants to China, one of the charity’s biggest recipients, in a dispute over China’s management of the grants and its hostility toward involving grass-roots organizations in public health issues.
  • Government think-tanks in China and India have recommended a jointly funded initiative to strengthen traditional medicine innovations in both countries.

PROGRAMS

  • In Ghana, the Oxytocin Initiative Project has begun testing whether community health workers can safely and effectively prevent postpartum hemorrhage.
  • ‘Tupange’ is the name of a new outreach program in Kenya that hopes to increase and sustain contraceptive use among urban women.

RESEARCH

  • Researchers discuss the new developments in vaccines for HIV/AIDS, malaria and TB in the scientific journal Nature.
  • Vuvuzelas – the horns used by football fans celebrating last year’s World Cup – not only cause noise pollution but may also spread diseases, say experts. In crowded venues one person blowing a vuvuzela could infect many others with airborne illness like the flu or TB. Mercifully, organisers are considering whether to ban them at the 2012 London Olympics.
  • Published by the Institute for Economics & Peace, the Global Peace Index tries to measure peace. This year has seen the world become less peaceful for the third year in a row – and highlights what it says is a continuing threat of terrorism.
  • It may be against the law, but wealthier, better-educated families in India are choosing more and more often to abort pregnancies if the child is female, researchers in Canada and India report in the Lancet.
  • Researchers at The University of Texas Health Science Center at Houston find that diabetics have a higher risk of contracting TB.
  • Lancet once called it “potentially the most important medical advance of the 20th century.” But today, oral rehydration therapy (ORT) — a simple treatment often consisting of a home solution of sugar, salt and water — is under-used, causing untold deaths of children.

DISEASES AND DISASTERS

TOTALLY UNRELATED TO ANYTHING ELSE: Apparently, to Nigerians, Bill and Melinda Gates do not look like rich people.

Global Health News Last Week

SECTION NEWS

APHA’s 2011 Section elections are coming up soon! Online voting will open on May 16 and ends on June 20. Section members should receive an e-mail on May 16 (next Monday) which will include:

  • Your online election validation number
  • Your APHA membership ID number
  • Voting instructions
  • A direct link to your voting Web site

All you have to do is click on the direct link and VOTE!

APHA’s Trade and Health Forum has released its first newsletter! The Forum has established a quarterly APHA Trade & Health Forum Newsletter that includes brief reports from forum members regarding recent work and analyses of issues related to trade and health, as well as announcements for trade and health advocacy opportunities and events. The first spring issue can be viewed here (PDF).


David Sencer, the longest-serving director of the U.S. Centers for Disease Control and Prevention (CDC) and one of the leaders of the U.S. contribution to the smallpox campaign, passed away at age 86 on May 2.

May 5 was International Day of the Midwife.

POLICY

  • The Association of Southeast Asian Nations (ASEAN) and the World Health Organization (WHO) have joined forces to assist Asia Pacific countries in identifying priority actions for dengue prevention and control.
  • On May 11, dozens of countries around the world will kick off the first global Decade of Action for Road Safety, from 2011-2020.
  • Starting last week, China’s Ministry of Health is strengthening its tobacco rules to require 28 types of businesses, including bars, coffee shops, hotels and stadiums to become 100 percent smoke-free.

PROGRAMS

  • After a sensationalistic (and rather silly) report from the AP on corruption and graft, the Global Fund has assembled a high-level panel of independent experts to assess the risk of fraud in the current portfolio. The review should be concluded by mid-September
  • Sri Lanka commemorated 100 years of its National Malaria Control Program, which has brought the death toll from malaria from 80,000 per year to 0, on May 5. In 2010, only 684 cases of malaria were reported in the country.
  • Health officials in India have taken up a pilot project at taluka places to identify areas with less number of institutional deliveries to bring down maternal deaths.
  • UNICEF has found that boreholes drilled in response to the Zimbabwe cholera outbreak in 2008 have not been adequately supported by the government in Harare.
  • USAID announced that it will be launching a $10 million mobile health program which will deliver information and tips to mothers via SMS.

RESEARCH

  • Protease inhibitors used to treat patients with HIV looks to provide an effective treatment to malaria as well and are being hailed as ‘superdrugs.’
  • Headaches are the most common health disorders across the world, yet they remain neglected and under-treated, according to a UN study.
  • Researchers warn that East African plants that could cure malaria could disappear before scientists have a chance to study them.

DISEASES AND DISASTERS

Thanks, as usual, to the Healthy Dose and Humanosphere.