While a focus on HIV prevention and treatment among women and children has reduced infection rates among these populations, “men have received considerably less attention in the epidemic and receive less targeted HIV prevention and treatment programs,” Edward Mills of the University of Ottawa and colleagues write in a PLoS Medicine essay, adding “Targeting men in prevention and treatment … may have a large impact on mortality, new infections, and the economic impact of HIV/AIDS in Africa.” They note that in Africa, fewer men than women access antiretroviral therapy (ART), and men “typically have higher mortality,” seek care later in the disease, and “are more likely to be lost to follow-up.”
“The key to India’s success” in going a full year without recording a case of polio “was to take ownership of the problem and the solution, allowing for locals to learn from the expertise of the international community while not becoming dependent” on non-governmental organizations (NGOs) and international donors, William Thomson, a research assistant at the U.S. Naval War College, writes in The Diplomat’s “India Decade.”
In this post on KPLU’s “Humanosphere” blog, journalist Tom Paulson describes “five reasons why you should not panic” about the recent news that two research teams have created bird flu strains that are easily transmissible among ferrets, which are used as a lab model for humans. Fears that terrorists possibly could use the information prompted the U.S. National Science Advisory Board for Biosecurity to request the scientists redact some information prior to publishing their study results and investigators worldwide to institute a 60-day moratorium on bird flu research, he notes. Paulson writes “that the scientific research community is already well on its way to improving our knowledge of H5N1,” and concludes, “Even if these two papers are censored, the traditional approach of unfettered and open exploration appears likely to continue” (2/7).
“To tackle neglected tropical diseases (NTDs), we need a far more collaborative and flexible approach,” Mark Booth, acting deputy director of Durham University’s Wolfson Research Institute and head of the N8 Parasitology Group, writes in this New Statesman opinion piece. Booth references the publication of new malaria mortality estimates in the Lancet and the signing of the so-called “London Declaration on NTDs” by a consortium of public and private partners last week and writes, “Malaria is not classified as an NTD because relatively large amounts of attention and funding have been pitted against the parasite. But if we now have to rethink malaria control strategies, then how confident can we be about controlling or eradicating any of the 17 NTDs identified by the World Health Organization?”
Meetings such as the World Economic Forum (WEF) “are highly beneficial for the health sector, since there is a genuine need for reaching out to non-state actors in the midst of the many transformations shaping global and domestic health sector public policy,” Sania Nishtar, founder of Heartfile and Heartfile Health Financing, writes in a Huffington Post opinion piece. “But that is not all the World Economic Forum is doing for health. It is also contributing substantively in the normative and advocacy space,” according to Nishtar, who uses non-communicable diseases (NCDs) as an example. “By identifying NCDs as the top 10 risks to the world in WEF’s Global Risk Reports for two consecutive years (2009 and 2010) it helped raise concern, globally, at a time when it mattered the most,” especially leading up to last year’s U.N. High Level Meeting, she writes.
President Barack Obama’s December 1 World AIDS Day speech “could be pivotal, but only if it is followed by changes in how we tackle global AIDS,” Chris Collins, vice president and director of public policy at amfAR, The Foundation for AIDS Research, writes in this Huffington Post “Global Motherhood” opinion piece. “Obama signaled a renewed U.S. commitment to funding for global AIDS programs at a time when resources at home are constrained and other countries are backing away from the fight,” he writes, adding, “Now it’s time to plot a course for implementing the president’s vision.”
In this Scientific American opinion piece, author and former staff writer at Scientific American John Horgan examines “a bitter debate” among scientists over the publication of controversial H5N1 research, writing, “Research involving the bird-flu virus H5N1 poses an especially knotty dilemma, in which scientists’ commitment to openness — and to reducing humanity’s vulnerability to potential health threats — collides with broader security concerns.” Horgan provides some statistics on H5N1 infection, recounts a brief history of the research in question and suggests four options to resolve the dilemma.
In this post in IntraHealth International’s “Global Health” blog, editorial manager Susanna Smith examines how health care workers operating in areas of conflict are “being used as pawns of warfare.” Smith highlights the decision by Medecins Sans Frontieres (MSF) last month to suspend services in prisons in the Libyan city of Misrata due to reports of torture and notes, “[MSF] General Director Christopher Stokes called the situation an obstruction and exploitation of the organization’s work.” Smith cites a Center for Strategic and International Studies report released last week “calling for ‘the mere handwringing that has largely greeted attack on the health care in the past’ to ‘be replaced by concerted international action and a system on documentation, protection, and accountability,’” and concludes, “The international community owes at least this much to these health workers, who give so much and put themselves at risk to care for others” (2/2).
Noting “there is a huge ‘cancer divide’ between rich and poor,” with more than half of new cancer cases and almost two-thirds of all cancer deaths occurring in developing countries, this year’s World Cancer Day theme, “Together It Is Possible,” “calls on all individuals, organizations and governments to do their part to reduce premature deaths from cancers by 25 percent by 2025,” Felicia Knaul, secretariat for the Global Task Force on Expanded Access to Cancer Care and Control in Developing Countries, and Jonathan Quick, president of Management Sciences for Health, write in a Huffington Post opinion piece. “But there have been four myths that have held back cancer care and control in developing countries,” they write.
In this post in TIME World’s “Global Spin” blog, TIME’s Africa bureau chief Alex Perry examines questions surrounding an Institute for Health Metrics and Evaluation (IHME) study published in the Lancet on Friday that suggests “malaria kills almost twice as many people a year as previously believed,” writing, “If correct, at a stroke that overturns medical consensus, makes a nonsense of decades of World Health Organization (WHO) statistics — the official malaria numbers — and plunges the current multibillion-dollars anti-malaria campaign, and the push to reach a 2015 deadline for achieving the eight Millennium Development Goals, into grave doubt.”