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, from Eric Williams, calls for any IH section members interested in assisting efforts to address federal global health and HIV/AIDS funding.  Please see the text of the announcement below.  Eric can be contacted by e-mail at ericwms@gmail.com.

Dear Colleagues,

I’m writing to request assistance in a “grasstops” effort to address federal global health and HIV/AIDS funding. As you are likely well aware, there have been serious threats and concerns regarding global health funding over the last several years. There is a real need to mobilize influential members of our community in an effort to ensure that Congress does not backtrack on our global health commitments.

I am doing some consulting work with amfar and they want to identify experts, donors, high-profile individuals and/or organizations in select states who can reach out to key Senate leadership. We need these individuals/organizations to show and voice their support for continued and sustained commitments for global health.

States of focus include Nevada (Sen. Harry Reid), Iowa (Sen. Tom Harkin), and Washington (Sen. Patty Murray). We believe these senators are in key positions to influence appropriations decisions and sure up support for global health.

The aim of this effort is to:

  1. identify grasstop individuals/organizations and
  2. plan, coordinate, and carry out outreach efforts to Senate leadership in a variety of ways, including state-level meetings, Hill visits, op-eds, sign-on letters, and so forth.

If you are interested or able to provide assistance in helping to identify and/or reach out to the above stakeholders, I would be very interested in speaking. If there is strong support for this I would be happy to facilitate a conference call to discuss in full.


August 19 was World Humanitarian Day.

POLITICS AND POLICY

  • The CDC has made updates to its flu vaccination recommendations aimed at children and people with egg allergies.
  • The United Nations has released a list of 248 organizations from 48 nations that are accredited to attend the UN High Level Meeting (HLM) on non-communicable diseases (NCDs) during September 19-20, 2011.  Meanwhile, as has been widely reported (including here and here), negotiations have stalled over an “outcomes document” that is to be approved at the meeting.
  • The World Health Organization is calling for a ban on a common blood test for TB, saying the test is unreliable.
  • Twenty-two children in Kancheepuram, Indiawho were not allowed to go to school because they are HIV positive have been ordered to return to school after a court ruled in favor of the students.
  • International funding for HIV fell by 10 percent in 2010 from the previous year, according to the Kaiser Family Foundation and UNAIDS; activists worry that a continued reduction will undermine progress in global HIV prevention and treatment efforts.

PROGRAMS

RESEARCH

DISEASES AND DISASTERS

  • The WHO Says Libya is facing a medical supply crisis.
  • The United Nations food agency called on Thursday for long-term aid for farmers in the Horn of Africa, saying constant crises in the region should shame the world.
  • A report by the National Institute of Malaria research in Delhi has found that climate change will enable malaria to move to new areas.
  • New research finds that radiation from the nuclear plant accident in Japanin March reached Californiawithin days, showing how quickly air pollution can travel, but scientists say the radiation will not hurt people.
  • According to an article published in Science, 19 August, cases of Chagas disease are rising outside Latin America, because large numbers of people who are already infected are migrating fromLatin America.
  • Len Rubenstein comments on the attacks on healthcare personnel inBahrain and the recent progress made to protect healthcare workers in conflict zones.

INFOGRAPHICS AND OTHER INTERESTING VISUALS

Thanks to Tom Murphy and Mark Leon Goldberg, Larry Johnson (filling in for Tom Paulson), Isobel Hoskins, and Jeff Meer.

Global Health News Last Week

POLITICS AND POLICY

  • South Africa’s government has set out its plans to introduce a universal health care scheme with a pilot program in 10 areas by 2012 and nationally over the next 14 years.
  • The U.N. must make reducing salt intake a global health priority, sayUK scientists. Writing in the British Medical Journal they say a 15% cut in consumption could save 8.5 million lives around the world over the next decade.
  • IRIN reports on the story of Daniel Ng’etich, a Kenyan man who was arrested and jailed for not continuing his TB treatment.
  • Dr. Jill Biden is leading a high level American delegation toKenya, which includes Raj Shah, to look into the American response to the famine crisis in the Horn of Africa.
  • A report on the state of maternal health in South Africa by Human Rights Watch has uncovered some alarming trends.

PROGRAMS

  • WHO has launched a new website to help those combating malnutrition. eLENA, a new e-library, gathers together evidence-informed guidelines for an expanding list of nutrition interventions. It is a single point of reference for the latest nutrition guidelines, recommendations and related information.

RESEARCH

  • A TB vaccine designed for those with HIV enters phase IIb trials this week in Senegal. The vaccine works by boosting response of T cells already stimulated by the traditional BCG vaccine.
  • Female smokers are more at risk for heart disease than male smokers, finds a systematic review and meta-analysis published in the Lancet.  This is a concern, as smoking rates are increasing in young women worldwide.
  • Scientists are in the second phase of research into using microwaves to kill malaria parasites in mice.
  • A USC researcher has developed a lentiviral vector that can track down HIV infected cells which can potentially act as a marker for targeted elimination of infected cells.
  • People living with HIV who receive the proper ARV treatment have no greater risk of death compared to people without HIV, finds Danish researchers.
  • Around 30 genetic risk factors for developing multiple sclerosis have been discovered by a UK-led team.
  • A new study, showing that a simple blood test can accurately determine the sex of a fetus 95 percent of the time, is great news for parents at high risk of having a baby with rare genetic diseases. But it is bad news to those concerned that the tests could be used to abort a fetus based on gender.
  • British researchers have discovered that the introduction of spermless male mosquitoes can lead to fewer malaria carrying females.
  • A device which can test blood for HIV/AIDS in a matter of minutes has been developed by University of Columbia scientists.

DISEASES AND DISASTERS

  • As if it did not have enough problems already, Somalia is now facing cholera epidemic, World Health Organization officials said.
  • In an August 4 article, Trustlaw’s Lisa Anderson exposes the “silent health emergency” faced by child brides around the globe.  Not yet physically mature, they face grave danger in childbirth, due to narrow pelvises. Girls younger than 15 years of age have a five times greater risk of dying during delivery than women over 20; most of these deaths occur in developing countries that lack adequate and accessible pre- and postnatal care.
  • Amid contradictory government statistics, a volunteer group in Japan has recorded 500,000 radiation points across the country.
  • A Mexican teenager is the first officially known person to die from vampire bat induced human rabies infection. The 19-year-old victim was a migrant farm worker in theUnited States.
  • An estimated 500,000 people in West Africaare infected with lassa fever every year, the World Health Organization (WHO) said on Wednesday, amid calls for more money to be spent on preventing its spread.
  • Over at Global Pulse, Human Rights Watch researcher Katherine Todrys guest blogs on the HIV epidemic in Uganda’s penitentiaries.Uganda, she explains, has often been presented as a success story in the global fight against HIV/AIDS, and has received over $1 billion from the US for AIDS programs. Many HIV-positive Ugandans have been excluded from these efforts, though, including gay men, drug users, sex workers, and prisoners.
  • Sleep apnea, a fairly common and treatable disorder that causes people to stop breathing momentarily while they sleep, may lead to cognitive impairment and even dementia.
  • Although cases of sexual violence have been under-counted during some wars, during others, such as the ongoing unrest in Libya, they have been vastly over-counted.
  • All patients getting cancer treatment should be told to do two and a half hours of physical exercise every week, says a report by Macmillan Cancer Support.

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.

World Health Assembly 2010: Code of Practice on international recruitment of health personnel adopted!

63rd World Health Assembly Adopts Historic Code of Practice to Curb Aggressive Recruitment of Health Personnel from Poor Countries to Rich Countries

Geneva, 20 May 2010. In only the second time in its history, the United Nations’ World Health Assembly voted tonight in Geneva at 8 pm to adopt a voluntary code directing nations to employ more ethical practices in relation to a major international health problem.  The Code of Practice on the International Recruitment of Health Personnel sets forth ten articles advising both source and destination countries on how to regulate the recruitment of health personnel in a way that mitigates damage to low-income countries struggling to meet the basic health needs of their populations in a setting of serious workforce deficits.

Read the media release from the Health Workforce Advocacy Initiative (HWAI) and of the Global Health Workforce Alliance (GHWA) on Medicus Mundi International’s website.