2014 Gates Foundation Annual Letter

As most of you probably know, last week the Gates Foundation released their Annual Letter addressing three myths that Bill and Melinda Gates believe are blocking progress for poor people all over the world. Previous letters focused on the Foundation’s annual activities, so it’s quite a change that this year’s letter cites examples and data from around the world to disprove the following:

Myth 1: Poor countries are doomed to stay poor
Myth 2: Foreign aid is a big waste
Myth 3: Saving lives leads to overpopulation

Overall the letter is a very optimistic one, painting a bright picture of the future for the world’s poor and sick. It includes a combination of videos, infographics, and a lot of quotables which I’m sure we’ll see in other places. If you haven’t had a chance to read through it yet, I encourage you to take some time to do so. It’s worth it.

In terms of global health and development, it’s easy for us to lose perspective on how much progress is actually being achieved and for that reason I can appreciate the optimism in the letter. However, I see the letter as more of a cautionary piece or call to action, warning people against believing all the “bad” development news in the media. I don’t think it will truly dispel any of these myths, but it’s done a good job of raising interesting questions, starting conversations, causing controversy, and spurring critical discussions around the three myths and their related topics. In fact, the letter has resulted in a lot of global health professionals and others sharing their opinions online so join the conversation by reading the letter, watching the series of short videos here, and posting your reactions and comments below.

Side note 1: For those who are interested, Bill Gates went on Late Night with Jimmy Kimmel last week to talk about the letter.

Side note 2: Bill Nye the Science Guy is featured in one of the videos that focuses specifically on global health and child mortality and two members of the cast of the MythBusters TV show are featured in another video

Systems Thinking in Global Health: Video Review

Systems Thinking for Capacity in Health (ST4C Health) recently released a video in an attempt to start a revolution in global health. Dr. Chad Swanson narrates the video and begins with a personal story about his mission to Mozambique 12 years ago to understand “how people suffer and die on a personal level.” From his experiences on the trip, he concluded:

  • Global health interventions need to take into account all the associated contextual factors and underlying causes in order to change health systems
  • The current structure of global health approaches is inadequate and requires a systems thinking approach to make a real, lasting difference

On their website, ST4C Health defines systems thinking as “a novel, transformational way of thinking about and approaching health […] based on the idea that when all stakeholders and their interactions are considered as a whole, we can better understand health problems than we can when only viewing each part in isolation. Such an approach means that we must consider economic, political, and social factors – factors that might seem unrelated to health. Also, since health challenges are complex, and solutions differ depending on time and place, we cannot impose a top-down plan of action and expect predictable, positive results all the time.”

I don’t believe systems thinking is a novel idea. Rather, I believe this idea is generally understood and accepted in the global health field, however it’s definitely challenging to turn it into action. It’s much easier to focus solely on one disease or population at time. In fact, that’s how funding is distributed.

With limitations on time, human resources, finances and more, how can we stay focused on the big picture and supplement our current siloed efforts? What do you think it will take to make this revolution a reality?

Global Health Weekly News Round-Up

Politics and Policies:

  • Swaziland has launched a new national framework to eliminate new HIV infections among children by 2015 and keep their mothers alive.
  • According to a report Pakistani politicians have pledged for health and education of their people.
  • A Texas Senate bill would revise the state’s end-of-life procedure.
  • Bloomberg’s campaign might close off the remaining means of access to cheap cigarettes and little cigars which make it easier for teenagers to experiment with smoking and progress to smoking regularly.

Programs:

  • World Bank has approved a concessionary loan of US $200 million to Sri Lanka to further enhance the quality of the health sector service.
  • §  Britain is going to launch a £179 million five-year healthcare program in the Democratic Republic of Congo which aims to reach about six million people.
  • The Food and Drug Administration (FDA) is planning to clamp down on the sale of non-iodized salt.
  • UNICEF has increased its support from four to ten districts in the Upper East region in Ghana to implement a 5 year child survival program known as the Essential Newborn Care (ENC).
  • A regional health agency has been launched in Kigali, Rwanda, East Africa aiming to facilitate and improve regional health sectors.
  • US AIDS agencies have begun their five-year effort with Malawi’s government to improve health care services for HIV/AIDS virus infected people.
  • Irish aids program helping African people suffering from HIV/ AIDS.
  • Niger’s first lady commits to stopping new HIV infections in children.

Research:

  • According to a study done by the scientists at Queen’s University, the risk of getting head and neck cancer can be reduced by 22% by taking a weekly or even monthly dose of over-the counter aspirin.
  • A study shows that climate change can worsen the public health threat of diarrheal disease in Botswana.
  • According to a global health study HIV/ AIDS and tuberculosis are two top killers among the people of Russia.
  • A study on a disease- konzo- indicate that its physical effects on body is accompanied by impairment of children’s memory, problem solving capability and their cognitive functions.
  • Scientists in United Kingdom have been successful in making a vaccine for foot-and-mouth disease. Since it is not made from live virus, its production will require no special containment.
  • United Nations analyst says that Tanzania might achieve millennium goal on maternal health.
  • Kenya Aids Research Coordinating Mechanism chairperson has called for teamwork in HIV/Aids research.
  • According to a study early detection of bowl cancer can help to prevent cancer. They say that those who participated in the screening program were the people who were the most easiest to treat.
  • A study says that a ‘new diagnostic test may be safe and easy screening method that could improve the prognosis of patients with pancreatic cancer through early detection’.
  • Study shows that obesity makes a person to exercise less.
  • According to a study elderly people who have many social interactions may live longer than those who are more socially isolated.
  • According to a NIH study pregnant women who experienced financial, emotional or other personal stress in the year before their delivery had an increased chance of having stillbirth.
  • A study by U.S. Centers for Disease Control and Prevention many mothers in U.S. start infants on solid foods earlier than experts recommend.
  • A study done by the scientists at Boston School of Public Health finds a link between childhood abuse and fibroids.
  • Researchers at Boston University School of Medicine say that improving levels of vitamin D in the blood via supplementation could help to fight disease by affecting gene expression and boosting the immune system.
  • Italian scientists say that people who suffer from migraines are more likely to have brain abnormalities at birth and some develop them over the course of time.

Diseases and Disasters:

  • According to the reports about two people have died due to infection of a new strain of Avian flu in China.
  • UNICEF warns that 2 million children in Central African Republic are without basic supplies.
  • United Nations has been forced to delay desperately-needed food-aid to nearly 300,000 people in Guinea Bissau as it has so far received no donations to support its operation.
  • According to the United Nations reports about 240,000 Pakistani children have missed their UN sponsored polio vaccinations due to the security concerns in the country’s tribal regions.
  • According to the reports, skin lightening is popular among the females in Senegal despite of health concerns over the product.
  • Reports show that the public health centers in Tanzania do not have enough medicine and hospital supplies.
  • Clusters of vancomycin resistant enterococci cases in Kowloon Central Cluster (KCC), in Queen Elizabeth Hospital, Hong Kong have been reported.
  •  Visitors urged to stay away from Beaumount Hospital Dublin due to flu outbreak, according to the reports.
  • The health officials of Australia have become alarmed after the report of first death from XDR-TB- drug resistant tuberculosis.
  • According to the reports, more than 7,000 people might have been exposed to HIV and or hepatitis in Oklahoma dentist’s office.

 

IH News Global Health Weekly News Round-Up

Politics and Policies:

  • The European Union has provided more than Euros 250 million for the multi-annual cooperation program in Angola. This project focuses on rural development of the country by providing / improving various facilities including health, education, water and sanitation etc.
  • The government of United States has signed an agreement to fund $31,075,000 to Benin to help the country in the areas of health and gender equality.
  • Smoking faces ban in Mental hospitals in U.S.
  • Genetic changes to food may get uniform labeling in the United States.

Programs:

  • The United Nations Children Fund (UNICEF) has committed US$12.6 million to the government of Liberia for its fight against the deadly HIV/AIDS.
  • A five-year partnership program has been signed between the Government of Liberia and Chevron-Liberia limited in collaboration with the Baylor College of Medicine Houston, Texas (US) to provide pediatric health services to the children of Liberia.
  • SOS Childrens Villages and Johnson & Johnson has announced nursing and mid-wifery scholarship program to provide family-based care for the orphaned and abandoned children in Ethiopia.
  • The University of The Gambia (UTG) has launched a Global Environmental and Occupational center (GO Health) in Collaboration College of Public Health, University of Iowa, US in Faraba Banta, Kombo East. The National Institute of Health (NIH) is funding the projects. The center will conduct research and training to improve health of the people in the West- African sub-region and beyond.
  • The United Nations Mission in Liberia Ghana Battalion 16 has donated items worth $1000 to 37 military hospitals to improve health care delivery.
  • The GAVI Alliance has announced a campaign to offer vaccination against cancer caused by human papilloma virus in girls in eight developing nations of the world.
  • Project Concern International has launched a program with MedAwareness which will focus on reducing HIV among Malawi soldiers and their partners through sustained behavior change.
  • The International Federation of Red Cross and Red Crescent Societies have launched an appeal for Mozambique flood victims.
  • Reach Out To Asia (Rota) is launching its educational and community initiatives in Tunisia with the aim of promoting healthy lifestyles among the families.
  • The Ministry of Health of Uganda has launched a four year nationwide initiative to provide affordable screening and treatment of cervical cancer for Ugandan women.
  • The US Agency for International Development (USAID) with Ministry of Health and Population (MOHP) has launched “Health for Life” to strengthen the Government of Nepal’s capacity to plan, manage and deliver high quality and equitable family planning, maternal, newborn and child health services.

Research:

  • Findings of a study titled Global Mercury Hotspots indicate that Cameroon’s fishes have extremely high concentrations of mercury.
  • A study shows that the rise of treatment-resistant strains of tuberculosis in the third world countries might be due to the increase in sale of fake or substandard drugs of tuberculosis in those parts of the world.
  • A study drug shows positive results for the treatment of recurrent low grade carcinoma of ovaries.
  • According to the fourth annual edition of IHME financing series on the theme:Financing Global Health 2012: The End of the Golden Age” the Global Health funding is coming to an end.
  • According to the results of a recent study revaccinating persons with HIV-1 infection who do not respond to the HBV vaccine schedule may help the people.
  • Researchers have found new ways of interventions for the people suffering from HIV who inject drugs. They will target these groups with needle and syringe programs, medically assisted therapy and HIV counseling and testing.
  • A study states that people who drink black tea are less likely to develop type2 diabetes. The study also showed that high tea consumption was related to lower levels of obesity.
  • According to IRIN, Uganda’s childhood immunization program is facing challenges due to inadequate funding, shortage of staff and poor adherence to vaccination schedules.
  • A study done by a group of American researchers have shown a possibility of the virus causing whooping cough develop resistance to the vaccines.
  • According to a study there is link between smoking marijuana and higher risk of stroke among the young adults.
  • Data released from the Centers for Disease Control and Prevention and Substance Abuse and Mental Health Services Administration show that one of every three adults with mental illness smokes, compared with one in five adults without mental illness.
  • Reports from a study done by Harvard School of Public health show that men who view more than 20 hours of TV have a 44% lower sperm count as compared to those who watch almost no television.
  • According to APA’s annual report, Americans aged between 18- 34 years have a higher level of stress as compared to the parents and grandparents generation.

Diseases & Disasters:

  • A strong 6.9 magnitude earthquake rocked southwestern Columbia on Saturday February 9th.
  • Britain is facing one of its biggest out breaks of measles. Reports indicate that the victims of this outbreak are either teenagers who are not vaccinated or who did not get full course.
  • Reports indicate death of more than 94 people in India due to Swine Flu since January this year. Most of the cases have been reported from the state of Rajasthan.
  • Housing crisis and human waste issues threatens health in Zimbabwe. Thousands of cases of waterborne disease, typhoid have been reported since last few months.
  • About 88 people have been reported dead because of the deadly hepatitis E outbreak in South Sudan.
  • Health experts in Bangladesh have reported fresh outbreaks of Nipah virus. About ten people have died since last week.

Global Health as a Bridge to Security (CSIS video)

The connection between global health and national security is an area that can make a strong impact in our relationship with other countries. The United States’ global presence, especially through the military and diplomatic relations can serve as an avenue to improve health in countries lacking in resources.

In this video created by the Center of Strategic and International Studies (CSIS), building relationships with other countries by utilizing our resources and expertise to improve healthcare increases that country’s productivity, health, and well-being Ultimately, this provides us with the opportunity to develop a partnership and maintain good relations around the world.