Posts Tagged ‘Epidemiology’

Seven Billion Today!

Today the world’s population is projected to reach 7 billion humans! This comes just 12 years after reaching a global population of 6 billion, reflecting the rapidly growing pace of the world’s population and the complex changes and challenges facing the globe. Growth is highest in poorest countries where life expectancy is increasing due to health care and hygiene advances while birth rates remain relatively high.

People are also increasingly moving to urban areas, leading to denser living with increased pressure to reduce energy use and build new infrastructure . Currently over 50% of people live in cities compared to just 28.8% in 1950 with the United Nations projecting that 69% of people will live in cities by 2050 when the world population is projected to be 9.3 billion.

Another challenge is the increasing number of mouths to feed with a finite amount of land suitable for agriculture. In a new article Worldwatch proposes “two main approaches to mitigate the impacts of a soaring global population:    1) Empower women to make their own decisions about childbearing and 2) Consume fewer resources and waste less food.”

Click to play

National Geographic magazine special year-long series on population explores many of the challenges we face with our growing world population. Additionally, they are offering a limited time  free iPad app 7 Billion: How your world will change - to coincide with the arrival of the 7 billionth human being to our world, exploring the challenges of a growing human population in a world of limited resources with informative videos, interactive maps, in-depth articles, and photography.

31

10 2011

Haiti Four Months Later…

Four months after the earthquake in Haiti, it is being argued that the poor are receiving better healthcare than before the quake due to the influx of medical volunteers and donated medicines, working under the supervision of the Ministry of Public health and Population.  In an effort to address the question of what will happen after the foreign medical aid leaves, the Post- Disaster Needs Assessment estimates that the earthquake resulted in US $169 million in damages to health infrastructure alone and in addition to that, their three-year plan to improve the country’s health profile beyond pre-January 12th levels will cost US $546 million. Currently, “Outside medical organizations are now the backbone of Haitian medical care,” says Dana Van Alphen, regional adviser for disaster management at the Pan American Health Organization who has been involved in discussions with a Haitian presidential health commission. In an effort to make these improvements in access to healthcare permanent, the PDNA identified primary health (along with  adequate  follow-up) and the establishment mobile clinics and health centers as a means to provide universal access, quality services and essential medications. This would allow care to be available nationwide instead of concentrated in Port-au- Prince.

The PDNA also recommends a massive investment in training for Haitian medical professionals because it is believed that now that the need for urgent care has subsided and the consequences of the earthquake are no ;longer front page news, the influx of foreign health professionals is fading. This transition would include pairing Haitian medical personnel with foreign staff for training and transferring functional control of hospitals and clinics to locals.

To begin the process proposed by the PDNA, a company called Containers to Clinics will transport a ready-made clinic, which will be transported in two pieces to the grounds of Graces Children’s Hospital in Port-au-Prince . The clinic is set to leave Boston around May 15 in a truck, which will haul it to Brooklyn, New York, where it will be loaded on a freight ship and be set up by June.

Please follow this link to read an executive summary of the PDNA.

12

05 2010

Biodiversity & Health in your neighborhood

Source: Wikipedia

This is the first in a series of posts for the American Public Health Association’s National Public Health Week.

Most of us associate biodiversity with images of tropical rain forests and coral reefs. While these ecological hot-spots are an important source of medications and global ecosystem services, biodiversity also plays a key role in neighborhoods across the US through regulating the spread of diseases such as Lyme disease. But how is that possible, you might ask, and what can you do about it?

Lyme disease  affects hundreds of thousands of people across the US, with a greater concentration in the northeast. Recent decades have seen an explosion of urban sprawl across the northeast leading to decreased species diversity along with people living in close proximity to fragmented habitats.  But how are these related?

The connection is explained succinctly in Sustaining Life: How Human Health Depends on Biodiversity:

“The Blacklegged Tick (Ixodes scapularis) is the vector of Lyme disease, as well as of several other pathogens in the eastern U.S., and the primary reservoir for Lyme disease in this region is a common rodent, the White-Footed Mouse (Peromyscus leucopus)…Mice live in many different habitats, from pristine old-growth forest to degraded woodlots, garden sheds, and even kitchens. Several studies have demonstrated that populations of White-Footed Mice become very concentrated in small forest fragments, probably due to the absence of other vertebrate species that prey upon, or compete with them (forest fragmentation…affects predators over prey disproportionately). As a consequence, tick populations in small forest fragments have many White-Footed Mice, but few other mammalian hosts on which to feed, resulting in a high proportion of the ticks being infected and able to infect people. In contrast, in more extensively forested areas, the combination of fewer White-Footed Mice and more abundant, alternative, reservoir-incompetent hosts (an incompetent reservoir for Lyme does not pass on the Lyme bacteria to ticks that bite them, or does so poorly) results in a lower proportion of the tick population being infected.”

This phenomenon is known as the Dilution Effect: As species richness declines there is a subsequent decrease in the “dilution” of host-species making Lyme disease easier to spread. As the authors note, the dilution effect is not unique to Lyme, the same mechanism also operates in Hantavirus and West Nile Virus and possibly many others. As sprawl-based development patterns spread to more areas of the planet, we can only expect to see an increase in the number of dilution effect diseases unleashed upon populations worldwide.

So how can you increase biodiversity in your community and thereby help protect the health of your family and neighbors?

Get involved with your local conservation commission and bring these dangers to their attention. Find ways to support local parks and nature preserves. Also, if you have a yard or garden, try to plant local species that help support wildlife.  Most importantly: Education! If you are in college or school, talk to your professors about integrating awareness of biodiversity into curriculum.  Thanks to the UN and various donors, Sustaining Life is available at a very affordable price and can serve as a great textbook without placing a great financial burden on students. In addition, local schools can serve as great sources of biodiversity through gardens and planting of local species on grounds. Often these locals are less expensive to maintain, requiring less water and fertilizer.

These are just some ideas…we’d love to hear from GP readers with their experiences and success stories.

06

04 2010

New global health resource from Kaiser Family Foundation

The Kaiser Family Foundation has a new resource for global health. While new, it features plenty of handy information for us global advocates, such as a map of cumulative cases of H1N1 influenza (the subtype of influenza A causing swine flu), convenient fact sheets on U.S. Global Health Policy, and a policy tracker in which you can follow up on the latest global health legislation.

Swine flue cumulative cases worldwide

30

04 2009

Swine Flu: NYC Special

Reporting live from Manhattan…

We aren’t quite running down the streets with masks on our faces panicking yet (which, it’s not clear how good of an investment they are anyway; see Susan’s comment on masks on the previous flu post), but we did close four schools, as the number of confirmed cases in New York City rises to 51, the first US swine flu death is confirmed in a toddler in Texas, and the World Health Organization raises the pandemic alert level to Phase 5. The net worldwide case count is uncertain due to re-testing of previously identified cases in Mexico.

City health agencies are concerned about the effects of recent downsizing due to the recession on their ability to function at top form:

At a news conference on Monday, Dr. Richard E. Besser, the acting director of the federal Centers for Disease Control and Prevention, said the public health system was in “a tough situation.”

“We hear about tens of thousands of state public health workers who are going to be losing their jobs because of state budgets,” he said. “It is very important that we look at that resource because this outbreak was identified because of a lot of work going on around preparedness.”

But according to John M. Barry, author of The Great Influenza, now may be a reasonably good time to catch the bug.

For further reading while you’re holed up in your room ordering delivery and avoiding crowds:

  • Link to the NYC Department of Health and Mental Hygiene swine flu info page. Hospitals and clinics are working with the DOH to keep up surveillance and testing of possible cases, and precaution measures are being used for cases of influenza-like-illness.
  • Link to the New York Times swine flu tracking map (this one nicely reports suspected cases as a separate category).
  • The Great Influenza by John M. Barry, Penguin, 546pp — available here on Amazon, and a good read / horror story depending on your current P.O.V. and paranoia tendencies. It has a great chapter about the beginning of both microbiology and American medical education as we know them. This is the book that first got me interested in public health history.

29

04 2009