Discover and read the best of Twitter Threads about #globalhealth

Most recents (24)

Nach zehn Folgen @pandemiapodcast über Würmer und Viren, Phagen und Pandemien, Cholera, Chloroquin und Co. brauchen wir eine kurze Pause (vor allem @nsemak, der alte Hypochonder). Ende September sind wir aber schon mit der zweiten Staffel da
Wir (@SalmLaura, @nsemak und ich) haben den Podcast sehr spontan im April gestartet weil es uns wichtig war, nicht nur über #Covid19 in Deutschland, sondern auch mit Menschen in anderen Ländern über andere Krankheiten zu sprechen. #globalhealth geht uns alle an und zwar immer.
Wir haben in den letzten Monaten viel gelernt. (Die erste, holperige Folge können wir uns kaum noch anhören, ohne dass sich die Zehnägel kräuseln). Vielen Dank an alle Zuhörer für die Geduld, das tolle Feedback und vor allem fürs Zuhören!
Read 5 tweets
Pleased to announce new #beatNTDs paper published, covering our 2019 study on #scabies and skin infections in #Ghana.
Published in Transactions @RSTMH, with equity in authorship -…

#globalhealth (/1)
We trained healthcare staff on recognising scabies & other skin infections. Over 6-month period, study clinics recorded and reviewed 385 cases of skin infections. There were 45 diagnosed scabies cases (3rd most common skin infection, behind bacterial #dermatitis and #tinea) (/2)
We also assessed how far the patient travelled from home to clinic. There was a lot of ‘bypassing’ (i.e. they did not attend their nearest health centre, they travelled further than in theory they needed to) (/3)
Read 11 tweets
A hopeful 🧵re: improving #globalhealth through #Decolonizingglobalhealth #antiracism efforts—some examples of positive change:

@DGH_LSHTM & #blacklivesmatter groups gathered signatures from 100's of staff, students, & alumni calling for leadership to examine the school's past
...listen to personal accounts of discrimination.

These groups have influenced the hiring of a postdoc to research it’s #colonial history & legacy. We wrote about Her findings & the calls for change from #DGH & #BLM groups & hope the leadership will act.
Other global #publichealth universities like @dukedecolonize @KarolinskaDGH @EdinburghUni @DecolonizeGh (@HarvardChanSPH) have hosted conferences to critically examine & challenge west/white centric curricula

One of my faves is here:
Read 12 tweets
Research article thread - inspired by @bangerasai - aiming to read & comment on 25 articles in total from now until end of September - covering SLT general, ABI, concussion, youth offending, public health/ policy, global SLT & anti racism reading 📚
3. Language & culture in speech-language & hearing professions in South Africa: The dangers of a single story – ref. & key points below 👇👇Powerful read with gems 💎of truth, some specific to a post apartheid South Africa 🇿🇦 & others parallel with the UK #SeptemberDailyPapers
1/ Khoza-Shangase, Katijah, & Mophosho, Munyane. (2018). Language and culture in speech-language and hearing professions in South Africa: The dangers of a single story. South African Journal of Communication Disorders, 65(1), 1-7.… OPEN ACCESS 🔓🎉
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Despite different population dynamics, reporting systems & health system response, the seven-day rolling average of new deaths are plateauing ~1000 per day globally. Via @FT 1 of N
Too early to be confident , but #India shows early signs of stabilizing the daily case burden (per million) while its good news for #Brazil and #US. Worrying signs in #EuropeanUnion , prolonged first wave with new peak sooner ? Via @FT 2 of N
Of the nations with successful strategy, #Vietnam hasn’t got the limelight it deserves !

Call it a bias of #globalhealth ! N of N
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Powerful piece today on #HIV and #TB during #COVID19. Delays in diagnosis, treatment interruption, supply chain failures, but also emerging solutions by @apoorva_nyc @nytimes…
...Across sub-Saharan Africa, fewer women coming to clinics for #HIV diagnosis. 6 month disruption in access to drugs that prevent Parebt to child transmission could increase HIV in kids 139 percent in Uganda and 162 percent in Malawi, according to @UNAIDS
... short of diagnostic capacity, gene Xpert machines are being used to find #COVID19 INSTEAD of #TB... “very stupid from a public health perspective,” said @LucicaDitiu. “You should actually be smart and do both.
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6 months into #COVID19, our best measures of pandemic preparedness have not been correlated w/fewer deaths

In fact, nations w/higher JEE, GHSI, and #UHC scores have had *higher* death rates, even accounting for age structure & timing of 1st case

why? 1/
#COVID19 has revealed that we don't yet understand how best to measure countries' capacity to respond effectively to severe pandemic threats

this admittedly wonky thread is based on new @ThinkGlobalHlth post looking at JEE, GHSI & #UHC in this pandemic 2/…
First a bit of background on the different measures of pandemic preparedness 3/
Read 18 tweets
Clear @WHO is the target of a coordinated media strategy to shift #COVID19 attention, blame. Public health leaders should call it out
1) Why is it news @DrTedros giving graduation speech in China? Of course--he did at Columbia U, Emory, and CUNY too...…
2) "leaked" house GOP report makes a host of false claims, including that WHO ignored information & evidence. This is a willful mis-reading of the publicly available information.…
3) A series of republican members of congress have taken every opportunity to try to attack the WHO and it's leader for doing their job amidst a pandemic.
Read 4 tweets
I’m humbled & happy to see that my tweet, along with tweets from my new #BlackintheIvory allies, has reached such an engaged audience! While I had a short cold intro to academia, here are some tips from my experience getting into a PhD program. A thread:

#BlackintheIvory 1/
I’m still navigating my path but maybe sharing the following can encourage people on their own academic journey. This is based on my experience and in no way am I trying to minimize or represent anyone else’s experience. FYI: I'll try to keep it light!

#BlackintheIvory 2/
1. First, get some work experience before you apply to a PhD program. Doctoral research starts with a question, then you answer that question for several years. I’d worked in #globalhealth so I’d tangoed with research, fallen in love & was ready to commit.

#BlackintheIvory 3/
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Sweden’s top epidemiologist, who persuaded country to not impose a strict lockdown, now says that approach caused too many deaths and he regrets it… via @business @LussiD #Covid19 #GlobalHealth
Epidemiologist Anders Tegnell says his comments were misinterpreted and he still believes Sweden had a good #Covid19 strategy… via @radiosweden @JacobGudiol #GlobalHealth
Sweden’s hands-off approach to tackling #coronavirus resulted in too many deaths, top epidemiologist says, by @pwaldieGLOBE… via @globeandmail #Covid19
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1/ When #covid19 struck the world at pandemic scale, somehow the spotlight immediately turned to the US and Europe as the "leaders" of the response. Is this not ironic when in fact Asian and African countries have far more experience w/ infectious disease outbreaks?
2/ @DrMishalK and I wrote a piece on why this flawed line of thinking has taken root (hint- it was not surprising to either of us). As researchers who work in #globalhealth on understanding #neocolonialism-- a modern application of colonial views/power dynamics...
3/ We are seeing #covid19 as another blatant example of neocolonialist, xenophobic, and outright racist (in a number of cases) ideologies that are obstructing not only the US response, but threaten to do the same to responses in low/middle income countries.
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Just days after Germany lifts social restrictions, #coronavirus cases accelerate again, by @Busvine… via @globeandmail #COVID19 #PhysicalDistancing #GlobalHealth
South Korea warns of #COVID19 second wave: As restrictions ease, cases rebound, by @HeeShin… via @Reuters @globeandmail #GlobalHealth
After taking tough and early action, Greece sees only 150 #COVID19 deaths. Now it is lifting the lockdown and looking forward to a summer tourist season beginning in July, by @HelenaSmithGDN… via @guardian #GlobalHealth
Read 10 tweets
Many social media posts regarding the #COVIDー19 pandemic have implored us to “not make this political.”

Well, public health is always political.

My latest piece in @ThinkGlobalHlth

@CFR_org @ddiamond…
This reminder is critical now because between outbreaks, when social conditions feel stable and a risk does not appear imminent, convincing our leaders to invest in preparedness can be difficult.

The #COVIDー19 pandemic has highlighted some hard truths about the US system. Any health system is built on values and political prioritization.

@DrSidMukherjee @NewYorker…
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We have #PPE shortages even in the wealthiest country in the world. On the bright side, the incredible, global maker community has created an explosion of different #faceshield designs for #covid19. Why choose the @dtm_tweets DtM-v3 #faceshield?
It is the first #faceshield to be recommended by the U.S National Institutes of Health @NIH #3dprint exchange.…
Spark Health Design partnered with @dtm_tweets to apply our experience designing medical devices for low-resource settings to a reusable #faceshield for #covid19. It is the work of over 80 volunteers including experts from @Boeing, @Microsoft, @Harborviewmc, @uwdfab, and more.
Read 18 tweets
Zwei tolle Kolleginnen haben sich mit mir zusammengetan, um einen Podcast zu #covid19 zu machen. Ein kurzer thread über wie/was/warum. Und zur ersten Folge - über China, Zoonosen und Überwachung - gehts hier:
Es gibt (neben dem üblichen Mist) eine Menge Journalistinnen, die tolle Arbeit leisten in Sachen #covid19, (auch den einen oder anderen Podcast hört man ;)). Zuviel Zeit hab ich gerade auch nicht. Warum jetzt also unbezahlte Arbeit aufhalsen und noch einen Podcast raushauen?
Jeremy Farrar meinte am Samstag zu mir: Die Welt hat die Dimension dieser Krise immer noch nicht verstanden. Ich denke, er hat Recht. Wir diskutieren über Masken und Medikamente und das ist wichtig. Aber wir reden immer noch sehr viel über Deutschland und zu wenig über die Welt.
Read 11 tweets
Short thread on #covid19 and inequity

1/ What's happening in this pandemic is awful

No one deserves it.

That includes people that have awful things happen to them all the time, even before #covid19.

As doctors, we hold these people close in our heart. Many are our patients.
2/ An outbreak like #covid19 quickly exposes inequity.

But- that exposure is important as well

It creates space to change things. To acknowledge what is usually systematically suppressed

To do something about our otherwise glacially changing status quo that preserves classism
That preserves racism. That preserves exploitation & marginalization. That preserves exclusion.

Any efforts at building walls, real & metaphorical, w/ your neighbors will be dead ends.

Viruses don't care who you are, how much you earn, what you look like, where you live
Read 9 tweets
Last week at the @WHO presser @drmikeryan said that what happens in populous countries like India will determine the future of the #covid19 pandemic. The challenge is enormous as this story points out:…
I understand most people are worried about their own country first. But we need to think bigger. Because Ryan is right of course: This pandemic is a global story. We really are all in this together. Let’s hope India finds innovative solutions and success as it did in polio.
So let’s all try to act locally in our communities and at the same time keep a gobal perspective. Because not having that is a big part of what got us into this mess in the first place. #gobalhealth
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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.
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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
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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
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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

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