Discover and read the best of Twitter Threads about #GlobalHealth

Most recents (19)

Key messages from the government re: what happens next, a thread.

I have pulled out (and paraphrased, and commented on) the key bits from the article but the paywall has been lifted…
1. “Government’s goal is to PROTECT LIFE from COVID, our strategy is to PROTECT THE MOST VULNERABLE, and protect the NHS.” The capitals here are mine. This is what public health professionals do. But the first two are often in tension with the third.
2. “We will do the right thing at the right time, based on the best available science”. These are evidence-based decisions but the evidence is still emerging, it’s difficult to interpret, and what works in one setting may not work in another for a host of reasons.
Read 13 tweets
1/ Been meaning to read this #COVID19 piece by @Yascha_Mounk in @TheAtlantic.

He talks about Italian doctors having to ration ventilators.

They based it on who would survive & how quickly they might come off the vent, so they could treat more people.…
2/ Rationing of limited medical equipment is not really an American concept & hardly done in the vast majority of our hospitals.

In my work internationally, rationing of resources is a daily part of patient care.

What seems insane bc of #COVID19 is regular practice for many.
3/ These are our colleagues in impoverished places, many who I know are worried for America & Americans right now.

A number of close friends have reached out to me expressing their concerns & well wishes.

Yet these are people that average Americans probably never think about.
Read 9 tweets
Amartya Sen long ago pointed out that in democracies with a free media, governments face a powerful public incentive to respond effectively to emerging famines, and to prevent them.
In contrast, in authoritarian regimes officials often covered up incipient famines...
..., in part because of the poor incentive structures of officials to report supply insufficiencies (e.g. during the Great Leap Forward famine in China in 1958-61). The case of infectious diseases is a different one but raises some related issues. Early warning and response...
...may be impeded (as in China and Iran) even if subsequent responses *might* potentially be more decisive and comprehensive than in democracies (as in China), although contrarily Italy was a case where there was a slightly slower response than there might have been initially..
Read 15 tweets
Hvorfor er der så relativt få tilfælde af #COVID19 på det Afrikanske kontinent? 1/13
#globalhealth #dkaid #dksund
Kontinentet består af 54 meget forskellige lande: lande nord for sahara ligner ikke lande syd for Sahara. Nogle har været tørkeramte, andre ramt af oversvømmelser. Nogle er mellemindkomstlande rigere end nogle lande i Europa
Samlet set kommer kun 4-5% af verdens turister til kontinentet, så kontakten til resten af verden er meget begrænset
Read 17 tweets
I think most people aren’t aware of the risk of systemic healthcare failure due to #COVID19 because they simply haven’t run the numbers yet. Let’s talk math. 1/n
Let’s conservatively assume that there are 2,000 current cases in the US today, March 6th. This is about 8x the number of confirmed (lab-diagnosed) cases. We know there is substantial under-Dx due to lack of test kits; I’ll address implications later of under-/over-estimate. 2/n
We can expect that we’ll continue to see a doubling of cases every 6 days (this is a typical doubling time across several epidemiological studies). Here I mean *actual* cases. Confirmed cases may appear to rise faster in the short term due to new test kit rollouts. 3/n
Read 39 tweets
Some thoughts about my week of lectures in the UK. I presented on Tuesday at Durham, on Wednesday at Newcastle, & on Thursday at Edinburgh. All three lectures had different themes, but all circled around the common fact that we are in a new era of medical history (#histmed). 1/n
In Durham, my topic was "Are Pandemics Comparable? The Present State of Research in Justinianic Plague and Black Death Studies." For my 2014 volume on the Black Death as a (semi-global) pandemic, I had used the definition of Morens et al. 2009. It still holds now, I think. 2/n
Which means, of course, that contrary to the BBC's headline, we are not in "uncharted territory" in an absolute sense. The work I've been doing the past 12 yrs to develop a new kind of epidemiological history has taken the insights of the field of Emerging Infectious Diseases 3/n
Read 16 tweets
MAR 5 #CoronavirusOutbreak MD THREAD 1: Latest ARGIS Map 3/5 6:53AM .. NOTE #China not supplying DEATHS update.FIRST SEE #IMF Report from yesterday.. AND Breaking #Boris suspends #British #Parliament .. IS #Iran totally sure that Vendor from #Wuhan had come to HolyDays before?
MAR 5 #CoronavirusOutbreak MD THREAD 2:
Yesterday's MD THREAD:
by MD trained during #HIV #AIDS Epidemic When we had to fight YEARS for Research, and Treatment.
Still do @VP #Pence killed many in #Indiana in 2015 #maddow @seattletimes @sfchronicle
MAR 5 #CoronavirusOutbreak MD THREAD 3: WaPo Mapping as I note above I like ARGIS JohnsHopkins Map better but this is US alone... HEADS UP..SCARY folks...
While #ImpeachedForLife #IMPOTUS45 #Trump and @VP Pence are clueless @maddow @CNN @votevets
Read 36 tweets
(2) First, some #coronavirus tips for the general public:
(3) To find information on #coronavirus if you are a member of the public, check out this #COVID19 page from @CDCgov:…
Read 22 tweets
1/ Lots of misinformation about #coronavirus. What can we do?

First, if you’re a general #globalhealth person, make it clear to your followers that this doesn’t make you a #coronavirus expert!

I’ll start. I don’t know much about this disease.
2/ So then what? Turn to credible resources. @nejm published a paper yesterday on the epidemiological characteristics of the #coronavirus. Go read it! Try to understand what is being said. Look at the data yourself.
3/ @TheLancet today published a series of 99 patients w/ #coronavirus - go look at the characteristics of the patients; of the presenting symptoms; of the outcomes. The data is right there. It’s unfolding quickly but many journals have made it public!…
Read 10 tweets
Great question

1. I’ve committed to talk about #climatechange in each & every #globalhealth lecture I give from now on so that every student has a sense of urgency plus the language and some tools to address it

@thewrittenro @nicolamlow @audreyprost2 @JSkordis @Dr2NisreenAlwan
2. I’m also committing to academic & practical work from this point on which links directly to #planetaryhealth & social/environmental justice. See for example the new @StemaHealth which is heavily influenced by these ideas

CC @mikaelapatrick @DrRitaIssa
3. I commit also to using good quality teleconference technology more often, inspired by my colleagues at @SHMFoundation! @sorrelkydd @NiksSimpson @iona_gaskell

@nicolamlow @RoopaDhatt @ClimateHuman
Read 4 tweets

1/ A very important critique to my recent @NPRGoatsandSoda piece on the need for people from wealthy countries working in #globalhealth to dismantle their own power was this:

Why was this not authored by someone from a LMIC?

It’s a great point.…
2/ This brings up a critical question of whose voices are most prominently heard in western media outlets, and why.

The unfair reality is that it is often those who are already in positions of privilege, like myself, who get to write and publish. Let’s call it out right here.
3/ Western media is not exempt from the colonialism that we see in #globalhealth- it’s an extension and perpetuation of it. While my intention was to connect w/ Western colleagues to say “most of us are thinking about/doing #globalhealth wrong”, a more important voice is missing.
Read 10 tweets
My first (review) paper from my postdoc with @ilanabrito123 is out! We discuss the need to truly internationalize human #microbiome research, which has been mostly centered around American/European populations (1/6th of the world's population). 1/n…
2 key issues we think should drive this conversation: (1) The human #microbiome has been associated with a variety of diseases; how many of these effects are truly 'global'? (2) We need more efforts centered around the health concerns of populations in the rest of the world. 2/n
On issue #1 - We need to learn much more about #microbiomes EVERYWHERE. India and China have launched their own nation-wide initiatives; the @globalmicrobiom initiative is working on it too! My personal opinion: we need even more local efforts (*cough cough @Colciencias 🇨🇴) 3/n
Read 26 tweets
The 50th Union World Conference on Lung Health @UnionConference begins tomorrow in #Hyderabad, a major event in #TB and #lunghealth . I am not going- here is a short #thread why.
This is despite being part of an accepted symposium on #coercion and #TB
@UnionConference The reason is the ridiculously expensive registration fees for the conference. For a meeting which focuses majorly on #TB, a disease of poverty, and being held in a #LMIC location, it is atrocious to charge such fees. Even at the discounted rates for #LMICs, it is very EXPENSIVE
@UnionConference I do not have a salaried position which offers such registration fees through the institution, or grant money to cover such fees. I am not going to spend such amounts of money, even if its an important event, as a matter of principle. It is deeply disturbing that this is usual.
Read 10 tweets
#GlobalHealth friends: I wanted to share how some of your HIC institutions are responsible for some brain drain and poor healthcare in LMICs. This month our hospital in Kenya has been hit again, and I wanted to share what that actually means.

2/ This month we are losing another nurse to a HIC (the US). Trained in our nursing school, then the wards, then critical care, then management, this nurse has been mentored from student to leader over 10+ years - is skilled; has IQ/EQ & is a huge asset.
3/ The US has decided to sponsor a visa for him as an area of need. I guess because there is a nurse shortage. The US has 10 nurses per 1000 people. Kenya has 1.6. So by sponsoring his nurse visa, it is saying, the US need is greater than someone else’s.
Read 10 tweets
There's very unsettling news at @MountSinaiNYC, and I'm going to write a long thread about it.

With it, I plan to share a relevant experience I've never publicly discussed and I will offer ideas of action steps.

I hope you'll to read this thread, share what's happened, and act.
You should read this if you care about honesty and treating people decently.

You should read this if you worked or trained at @MountSinaiNYC.

You should read this if you care about #GlobalHealth, #PublicHealth, #AcademicTwitter, #MedTwitter, research ethics, or labor/HR issues.
Read 52 tweets
On the eve of #IWD2019 it is a joy to digest the groundbreaking @GlobalHlth5050 #EqualityWorks Report findings, released in #AddisAbaba earlier today

See thread below ⬇️ for summary of key findings

#GH5050 #TimesUp #BalanceforBetter
1. Gender equality. Do the Right Thing

- #Genderequality = #humanright AND prerequisite for achieving universal, sustainable social, economic & environmental progress #UHC

- Gender equality benefits everyone: men, women and gender diverse people

#GH5050 #EqualityWorks #IWD2019
2. Organisational commitment to #genderequality on the rise

- 70% (143/198) #globalhealth orgs in review publicly state commitment to gender equality in mission
- This represents improvement from 2018
- Orgs also ⬆️recognition that gender equality benefits everyone (men, trans+)
Read 10 tweets
I was recently asked 'how is the non-communicable disease #NCDs agenda going to ever get the same sort of money #HIVs did to achieve change?' I thought it was a very interesting question. Here are my thoughts, feel free to add/chime in/disagree #globalhealth #insulin4all 1/12
Everyone is trying to duplicate the #HIV movement without *actually* duplicating it. The sanitized history is that Bill Gates +Clinton + Bono got together and made HIV meds cheap. The real history is completely different cc @jamie_love @gregggonsalves… 2/12
It was *patient* activism that turned the tide. It was groups like @actupny in the US or Treatment Action Campaign in South Africa, groups that could shut down the FDA or raise 10,000 people to march in Cape Town. It was not celebrity or academics 3/12
Read 12 tweets
My latest in @sciam: How does #ClimateChange harm our #health today and threaten it tomorrow? Let me count the ways... THREAD (1/n)

1. The frequency, intensity, and duration of #ExtremeWeather events (heatwaves, droughts, wildfires, floods, storms) are increasing, with some of the first and worst impacts occurring in least-developed countries, whose people have contributed least to climate change. (2/n)
2. As average temperatures continue to rise, so will heat-related disorders. One shocking thing I've learnt is that an unforeseen example of human #ClimateCanaries has emerged in Central America , where 20,000+ sugarcane workers have died from chronic kidney disease. (3/n)
Read 10 tweets
These tweets summarise the findings from a recent conference on child #stunting held at @LSEEcHist last September sponsored by @ESRC @cepr_org @LSEnews #globalhealth.

See this video for a summary:

Here is also a full copy of the #stunting conference report for those who are interested in the details and in references to the most recent research currently being conducted:

Context: 155 million children around the world are stunted. Stunted children are too short for their age because they experience slower growth because of poor nutrition and high rates of infections. #Stunting is concentrated in Africa and South and Southeast Asia today.

Read 10 tweets

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