As part of its “Blueprint” series discussing the creation of a U.S. global AIDS blueprint called for by Secretary of State Hillary Clinton in July, the Center for Global Health Policy’s “Science Speaks” blog features an opinion piece by Salmaan Keshavjee of Harvard Medical School and Partners In Health. With an estimated 1,000 people with HIV dying of tuberculosis (TB) every day, “[i]t is clear that our current approaches to addressing the global tuberculosis pandemic are inadequate,” he writes. Keshavjee says, “First, bold targets for reducing tuberculosis incidence and zero TB-HIV deaths must be prioritized in the blueprint. … Second, known strategies for stopping the spread of tuberculosis have to be actively implemented. … Lastly, any effective strategy has to ensure that HIV advocates at the community level are educated about the threat of tuberculosis,” and he describes each of his points in detail. He concludes, “The United States has shown visionary leadership in the area of HIV treatment and changed the lives of countless people for the better. It is time to take on tuberculosis with the same moral and pragmatic vigor” (Barton, 10/31).
The following opinion pieces were published ahead of a high-level U.N. panel meeting taking place in London this week, where global leaders and policymakers will gather to discuss a post-2015 development agenda to address global poverty.
Sarah Arnquist, who runs Global Health Hub, writes in Harvard University’s Global Health Delivery Project blog about a Monday session at the American Public Health Association’s annual conference that discussed “[u]sing online communities to promote health and engage communities — of either professionals or patients.” As a member of the panel, Arnquist discussed GHDonline, “a platform of expert-led communities where health care implementers collaborate to improve the delivery of health care” and provide discussion through “virtual expert panels” to members of the GHDonline community, she says. “Each discussion is summarized into a ‘discussion brief’ that provides busy people a quick overview of key points and links to useful background research,” she writes and details some recent topics (10/31).
Writing in GlobalPost’s “Global Pulse” blog, Nicola Pardy, an editorial intern at GlobalPost, reflects on the closure of the Global Health Initiative (GHI) office announced in July, noting that the government announced the establishment of a new Office of Global Health Diplomacy. She asks, “So, what has changed in this next phase of the initiative?” Pardy quotes Foreign Policy’s “The Cable” and the Center for Global Development’s “Global Health Policy” blogs, which commented on the announcement. She also cites a recent report by the Kaiser Family Foundation that examines how countries are responding to and implementing the women, girls, and gender equality principle of the GHI; highlights two case studies on GHI reproductive health-related activities in Guatemala (.pdf) and Ethiopia (.pdf) released by the Change Center for Health and Gender Equity in June; and notes an analysis of the GHI published in the Lancet this month. She concludes, “GHI’s lofty objectives have yet to come to fruition. Now it’s time to see whether the initiative has both the momentum and leadership to get there” (10/26).
While there is “much to be proud of” in the progress in the fight against polio, “there’s still more work to be done,” former Canadian Prime Minister Paul Martin writes in a GlobalPost opinion piece. Martin, a polio survivor, notes that in 1988, when the Global Polio Eradication Initiative was launched, 350,000 cases in more than 125 countries were recorded annually, but “[s]o far this year, we’ve seen just 171 cases, and only Pakistan, Afghanistan and Nigeria have never stopped transmission.” He continues, “Canada has been a leader in this fight,” but “[t]he credit for this progress, of course, goes far beyond Canada” to “the work of global partners like the World Health Organization, UNICEF, Rotary International and the Bill & Melinda Gates Foundation; the frontline workers whose tireless efforts make all of this possible; and the countries that are making the political and financial commitments necessary to see the end of this disease.”
Noting “[w]e are just three years away from the target date for achieving the U.N. Millennium Development Goals (MDGs) agreed by all … U.N. member states back in 2000 to eradicate global poverty,” Peter Piot, director of the London School of Hygiene and Tropical Medicine, in this Independent opinion piece reflects “on the critical role of health in and beyond the Millennium Development Goals” ahead of the second meeting of the U.N. Secretary General’s High-Level Panel on the future strategy to fight global poverty, set to take place in London on Wednesday. Piot writes that the MDGs have “given local and global focus to efforts to tackle the big issues,” while inspiring action, innovation, and new financing models, but he notes “there is still so much more we need to do.”
“The world is on the verge of a great success story: the eradication of polio,” John Hewko, CEO and general secretary of Rotary International, and Jeffrey Sachs, director of the Earth Institute at Columbia University and special adviser to U.N. Secretary-General Ban Ki-Moon, write in the Huffington Post’s “Global Motherhood” blog. But “[t]here is still ground to cover,” they continue. “Even though the current cases of polio transmission number less than 200 so far this year, the case for finishing the job — getting to zero — is more crucial than ever,” they write, adding, “If polio is fully eradicated, it can’t ever return. On the other hand, if even a few cases persist, and the world lets its guard down, those few cases could become the start of a new epidemic.”
Partners In Health Haitian Food Security Program Easily 'Transplanted' To Other Areas Suffering Malnutrition
“It has been said that hundreds of thousands of dollars and equally as many hours have been spent searching for a cure for malnutrition,” Gillaine Warne, director of Zanmi Agrikol, the agricultural arm of Partners In Health that operates in Haiti, writes in the Huffington Post’s “Global Motherhood” blog. “The good news is that a cure has been found — it’s called FOOD!,” she says, noting Zanmi Agrikol’s goal is “getting to the root causes of malnutrition [so] we can help create effective and sustainable change.” Warne says even before the 2010 earthquake in Haiti, “one of every three children under five years old suffer[ed] from malnutrition.” She continues, “Our programs at Zanmi Agrikol educate farmers about new and proven ways of planting, conservation, reforestation, and animal husbandry. … We want to enable each family to produce sufficient food for themselves, and enough excess to take to market.”
“I’ve always believed that bringing together the world’s brightest minds to help solve the significant and complex crises we face as a global society is the best way to effect change in the world and that is how I envision re-imagining the future of Global Health,” entrepreneur Naveen Jain, founder of World Innovation Institute, Moon Express, inome, and InfoSpace, writes in a Forbes opinion piece. He says he will address this issue in a talk in San Francisco at TEDxSF, which “will explore crucial questions addressing the cutting-edge intersection of technology, medicine, scientific research, and industry at UCSF on November 10, 2012.”
Contradictions Among Member State, Donor Priorities Must Be Resolved For Current WHO Reform To Be Successful
In a BMJ analysis examining the future of the WHO, David Legge, scholar emeritus at Australia’s La Trobe University, notes “[a] substantial shortfall in the funds available for basic administrative functions led WHO’s director general, Margaret Chan, to initiate another reform of the WHO in 2010,” and “outlines the problems and what the reforms are trying to achieve.” He writes, “Success of the current reform program depends on resolving the contradiction between member state priorities and donor control and requires the freeze on assessed contributions to be lifted,” adding, “To achieve this, member states must be persuaded to prioritize global health over parochial interests.”