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May Issue Of WHO Bulletin Available Online

Morning Briefing

The May issue of the WHO Bulletin features an editorial on the establishment of an evidence base for e-health; a public health round-up; an article on the future of e-health technologies; a research paper on the use of e-health in low- and middle-income countries; and a systematic review on the factors that promote or inhibit the implementation of e-health systems (May 2012).

U.S. Government Celebrates ‘Remarkable’ Country-Level Success In Improving Maternal Health

Morning Briefing

In this post in USAID’s “IMPACTblog,” Chris Thomas, a health and development officer at USAID, reports on an event held on Capitol Hill on Tuesday during which “the U.S. Government celebrated remarkable country-level success in saving the lives of women during pregnancy and childbirth.” “Health ministers from Afghanistan, Cambodia, Dominican Republic, and the head of maternal and child health from Rwanda took center stage on Capitol Hill,” where “each told a unique and personal story,” he writes, noting, “USAID Administrator Dr. Rajiv Shah keyed in on drivers of successful maternal health programs and how such efforts can be accelerated and sustained throughout the developing world” (4/27).

Guttmacher Institute Media Update Examines Impact Of U.S. Family Planning Assistance Abroad

Morning Briefing

The Guttmacher Institute on Friday released a media update examining the impact of U.S. international family planning assistance. The update highlights the benefits supported by $610 million “appropriated for U.S. assistance for family planning and reproductive health programs for FY 2012” and states, “These gains would be seriously jeopardized if this already modest funding for the program were to be cut again,” noting that “reductions of different magnitudes would have proportional effects” (4/27).

Preventing Mother-To-Child Transmission Of HIV Is ‘Smart Investment’

Morning Briefing

“Each year, nearly 400,000 children are born with HIV globally, and prevention of mother-to-child transmission (PMTCT) is a particular challenge in sub-Saharan Africa, an area characterized by weak health systems,” U.S. Global AIDS Coordinator Ambassador Eric Goosby writes in the State Department “DipNote” blog. “Last year PEPFAR and UNAIDS joined with other partners to launch the Global Plan, an initiative to eliminate new HIV infections among children and keep their mothers alive,” Goosby writes and reflects on a two-day mission to Nigeria with UNAIDS Executive Director Michel Sidibe last week. He concludes, “Preventing new HIV infections in children is a smart investment that saves lives, and the United States is proud to partner with Nigeria and other countries in this cause” (4/30).

Focusing On Small-Scale, ‘Hyper-Local’ Activities More Effective Than Traditional Aid Models

Morning Briefing

In this Atlantic opinion piece, Joshua Foust, an author and a fellow at the American Security Project, examines the use of a non-traditional aid model known as the Rural Support Programmes Network (RSPN) in Pakistan, where “heavy rains and devastating flooding … displaced upwards of 20 million people” in July 2010. Though USAID “is very good at quickly mobilizing assistance,” including medical, shelter, food, and water aid, “to disaster-afflicted communities, it carries a lot of political baggage — so much so in places like Pakistan that the U.S might be better off in the long run by downsizing USAID’s direct activities there and working through alternative programs,” he writes. Therefore, “the Pakistan Humanitarian Forum, a consortium of NGOs that work in Pakistan, … submitted an official request to the U.S. government to re-brand their aid” as a result of political tension, according to Foust, who notes the RSPN, founded by the Agha Khan Network in 1982, “reach[es] millions of the poorest homes across a vast swath of Pakistan.”

World Can Eliminate Preventable Child Death With Combination Of New Technologies, Capabilities

Morning Briefing

“Every child should have the opportunity to celebrate his or her fifth birthday,” but 7.6 million “kids die within the first five years of life,” a VOA editorial writes. “That is why [USAID] recently launched ‘Every Child Deserves A Fifth Birthday,’ an awareness-raising campaign leading up to the mid-June ‘Child Survival: Call to Action’ two-day conference,” the editorial states, adding, “This high-level forum, convened by the governments of the United States, India and Ethiopia, together with [UNICEF], will mobilize political, non-governmental and private actors to end preventable child deaths.”

Helping Babies Breathe Initiative Employs Global Development Alliance Model

Morning Briefing

In a post on USAID’s “IMPACTblog,” Amanda Makulec of John Snow Inc. describes the Helping Babies Breathe (HBB) initiative, which was developed “to equip birth attendants in developing countries with the skills they need to successfully resuscitate babies born without the ability to breathe on their own.” She continues, “[I]t was the power of the Global Development Alliance (GDA) model — public-private partnership on a global scale — that dramatically expanded access to newborn resuscitation in remote health facilities and communities in 34 countries within 18 months of the launch of the partnership … by leveraging the commitment, resources, and support of a diverse group of program implementers, NGOs, private sector organizations, government institutions, U.N. agencies, professional associations to enable the rapid roll out of the intervention globally” (4/30).

‘Mandatory Oversight’ Of Potentially Dangerous Biological Research Will Be Necessary

Morning Briefing

“In the sobering annals of disaster prevention, genetic manipulation of the H5N1 influenza virus is looming as a seminal case,” John Steinbruner, director of the Center for International Security Studies at the University of Maryland, writes in an opinion piece in The Hill’s “Congress Blog,” noting that two “laboratory experiments have rendered the highly virulent avian strain transmissible among ferrets, strongly suggesting that it would be transmissible among humans as well.” He states, “If the virus could achieve efficient transmissibility while retaining anything like its current case fatality rate [of 50 percent], it could inflict global disaster of unprecedented proportions.” The actions of the U.S. National Science Advisory Board for Biosecurity, initially recommending publication of redacted versions of the two studies then reversing that decision, “implicitly concedes that the U.S. alone cannot exercise comprehensive jurisdiction,” Steinbruner writes.

Efforts To Fight Cholera In DRC Need To Include Sanitation, Waste Facility Improvements, Behavior Change, UNICEF Official Says

Morning Briefing

A cholera epidemic that began in January 2011 in the Democratic Republic of Congo (DRC) is continuing because of “poor hygiene, lack of awareness of the population about transmission mechanisms, very limited access to protected and monitored water sources and lack of sanitation infrastructure,” according to Nona Zicherman, chief of emergency operations in DRC for UNICEF, IRIN reports. Since the beginning of the epidemic, more than 30,000 cholera cases have been identified and more than 700 people have died of the disease since June 2011, the news service states. Zicherman “noted that emergency and medium- and long-term interventions to limit the spread of cholera needed to be developed,” including disinfecting contaminated areas, monitoring water sources, changing behaviors related to hygiene, and constructing water supply and sanitation facilities, according to IRIN (4/30).

Copenhagen Consensus Report Argues For Addressing Chronic, NCDs In Developing Countries

Morning Briefing

In the second part of a series of Slate articles highlighting issues being examined by the Copenhagen Consensus Center, Bjorn Lomborg, director of the center, examines the global burden of non-communicable diseases, which “receiv[e] the smallest amount of donor assistance of all health conditions, having lost ground since 1990 relative to infectious diseases,” he writes. “In a research paper released today on chronic disease, Prabhat Jha and a team of researchers argue that chronic diseases already pose a substantial economic burden, and this burden will evolve into a staggering one over the next two decades,” according to Lomborg.

First Edition: May 1, 2012

Morning Briefing

Today’s early morning highlights from the major news organizations, including reports from the presidential campaign trail and from states on issues ranging from Massachusetts’ payment reform to Idaho’s scope-of-practices issues.

Studies Reignite Mammography Debate For Middle-Aged Women

KFF Health News Original

This story comes from our partner ‘s Shots blog. Should women in their 40s routinely get mammograms to detect breast cancer? Two studies released Monday aim to help resolve that question, which is one of the most intense debates in women’s health. The studies identify which women in their 40s are most likely to benefit from […]

Some Insurers Deny ER Coverage To People Who Have Been Drinking

KFF Health News Original

Laws in about half the states allow plans to restrict payments for medical services related to alcohol or drug use. That can hamper hospital efforts to counsel patients on the dangers of their behavior.