Global Health News Last Week

SECTION NEWS
Attention IH section members! We are still in need of moderators for the scientific sessions at this year’s annual meeting. According to our program committee, the following sessions are still available:

Monday, October 31
10:30 a.m. to 12:00 p.m.: International Health Programs & Policy 1

2:30 p.m. to 4:00 p.m.: Act Global, Think Local: Domestic applications of international health lessons; Child Survival & Child Health 1

Tuesday, November 1
8:30 a.m. to 10:00 a.m.: Builidng Partnerships and Coalitions for better International Programs; Emerging, Re-emerging & Neglected Tropical Diseases

10:30 a.m. to 12:00 p.m.: International Health Communication/ Behavior Change Communication

12:30 p.m. 2:00 p.m.: HIV/AIDS 2

Wednesday, November 2
8:30 a.m. to 10:00 a.m.: HIV/AIDS 3; Innovations in International Health 2

Please contact Omar Khan (ih.apha@gmail.com) for more information, or to volunteer!


USAID celebrated its 50-year anniversary this week.

The benefits of breastfeeding are being showcased around the world
for Breast Feeding Week.

POLITICS AND POLICY

  • US organizations will find it easier to deliver aid to parts of Somalia controlled by a pro-Al Qaeda group – the threat of prosecution if it ends up in the wrong hands has been reduced  after an announcement by the State Department.
  • Dr. Ariel Pablos-Méndez was sworn in as the new Assistant Administrator for the Global Health Bureau at the U.S. Agency for International Development (USAID).
  • Although Congress resolved the debt ceiling debate, the way the budget package is being shaped — particularly by combining International Affairs with defense in a single “security” category, global poverty spending is getting severely handicapped.
  • Blood tests for tuberculosis (TB) diagnosis may be putting patients’ lives at risk through providing misleading results, and should not be used, according to a WHO policy statement.

PROGRAMS

  • The inaugural charter of the Alliance for Oral Health Across Borders was signed at Temple University yesterday.
  • Tom Paulson of Humanosphere breaks down the 2010 Gates Foundation annual report, with some interesting commentary.
  • Jaclyn Schiff of UN Dispatch says we can look for more global health leadership coming from the city of Houston (my hometown!), as Dr. Peter Hotez, whom Schiff calls “an international health force of nature,” and an arm of the Sabin Vaccine Institute move there.
  • The Measles Initiative today announced it has helped vaccinate one billion children in more than 60 developing countries since 2001, making significant gains in the global effort to stop measles.
  • India’s health minister announced Tuesday a new initiative underway to boost the country’s rate of immunizing newborns by collecting mobile phone numbers of all pregnant mothers to monitor their babies’ vaccinations.

RESEARCH

  • A multi-resistant strain of Salmonella Kentucky could be spreading globally, suggests a study by Institut Pasteur. Case numbers have risen in Europe and the US, and infections have also been acquired in various parts of Africa and the Middle East. The strain has also been found in food animals in Africa.
  • Pharmaceutical manufacturer iBio, Inc announced the successful animal testing of a malaria vaccine candidate in trials sponsored by the Bill & Melinda Gates Foundation.
  • A new study in the American Journal of Tropical Medicine and Hygiene shows a relationship between a kind of river flow and cholera outbreaks.
  • A new study in the Lancet shows that text messaging can be an effective tool in malaria treatment and prevention.
  • PLoS Medicine published a new study on HIV/AIDS in the Middle East and North Africa. Among its key findings was the startling fact that sex between men (MSM) accounts for nearly one quarter of all new HIV infections across the region.
  • According to a new study, children of depressed mothers in developing countries are 40 percent more likely to be underweight or stunted than those with mothers in good mental health.
  • A cheap and portable blood test could provide a breakthrough for diagnosing infections in remote areas of the world, a scientific study says.
  • Using WHO data, researchers found that children who experience abuse and develop mental health disorders are at increased risk for chronic physical problems later in life.
  • A new study in the journal Nature Medicine finds that a credit card shaped device used for testing HIV, known as “Lab-on-a-Chip,” has had a successful trial run in Rwanda.

DISEASES AND DISASTERS

  • Mass treatment of river blindness and lymphatic filariasis with ivermectin has been hampered by severe reactions if the patient also has Loa loa. A new map developed by WHO’s African Programme for Onchocerciasis Control will help communities identify low risk areas for Loa loa and distribute ivermectin for lymphatic filariasis control safely.
  • The CDC reports that the annual number of HIV infections in the USA is holding steady at about 50,000, and that African American MSM are at particular risk.
  • AIDS remains a metaphor for inequality, argues Michel Sidibe in the LA Times. In the world’s wealthier nations, where access to medicine is widespread, AIDS is becoming a chronic disease rather than a death sentence. But in the eveloping world, 1.8 million people die of AIDS each year.
  • Global cholera incidence has increased since 2000, with Haiti’s large outbreak tipping the largest burden away from Africa for the first time since 1995, the World Health Organization (WHO) said Sunday.
  • Tens of thousands of Somalis have died and more than half-a-million children are on the brink of starvation. Western aid isn’t flowing to where the worst of the famine is — partly due to the “war on terror.”
  • The head of World Food Program in Ethiopia says the country’s emergency food stocks are almost gone, the latest trouble caused by the drought in the Horn of Africa.

TOTALLY UNRELATED TO ANYTHING – Apparently Hollywood has discovered its next Greg Mortenson: Sam Childers, the “Machine Gun Preacher,” is the subject of much hubbub and an upcoming movie starring Gerard Butler.  This man claims to have been a gangbanger and drug dealer who found Jesus and then took up arms to rescue child soldiers from the LRA.  Global health blogger Brett Keller offers some commentary into Childers’ outlandish (and, frankly, dubious) story, while anonymous aid blogger “J” at Tales from the Hood has a few choice words.

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

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.

Global Health News Last Week

Note: I apologize for the hiatus in the news round-up; I went to a major conference for work in April and was very busy with preparations and then wrap-up afterwards.

April 25 was World Malaria Day. According to the WHO, world malaria deaths have fallen 20% from 2000 to 2009.

The Global Health Hub has developed a really nifty global health timeline. It is interactive and open – meaning it can be edited by anyone.

POLICY

RESEARCH

  • Scientists have isolated the tuberculosis enzyme that destroys lung tissue, MMP-1. The discovery could speed up the search for treatments, as current regimens do not prevent the lung damage caused by TB infection.
  • Results from a recent study indicate that advances in antiretroviral therapy over the last 15 years have considerably improved outcomes for children with HIV who are entering adolescence and young adulthood.

DISEASES AND DISASTERS

  • Aging populations on Japan’s northeast coast are struggling to recover from last month’s devastating earthquake and tsunami, and health officials are concerned about increased incidence of pneumonia, influenza, respiratory illenss, and blood clots in the legs of older individuals.
  • The first WHO Global Status Report on Non-communicable Diseases found that these diseases are the leading cause of death worldwide.

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.