Discover and read the best of Twitter Threads about #globalhealth

Most recents (24)

Today marks the start of #WHA75!

This week, @WHO, Ministries of Health, civil society, & more will discuss #GlobalHealth priorities.

Missing on agenda? #GlobalSurgery & 🫀 care.

Hence, I'll be sharing key points, papers, & developments in #GlobalCardiacSurgery in 75 tweets 👇 Image
(1/75) To start, what *is* #GlobalCardiacSurgery?

GCS extends far beyond OR, from community-based disease detection & efficient referral networks to timely care, long-term follow-up, robust supply chains & adequate financial risk protection. #WHA75

Read: academic.oup.com/ejcts/article/… Image
(2/75) Why does #GlobalCardiacSurgery matter?

⚠️ Every year, 18 million people die from #CVD

🫀 500 million live with CVD; 100s of millions more to come.

🏥 Up to 1/3 will require #CTSurgery or interventional care in lifetime

Data @IHME_UW: healthdata.org/results/data-v…

#WHA75 ImageImageImage
Read 34 tweets
Throughout #ClinicalTrialsDay, we shall share infographics highlighting a key point from each presentation from our Clinical Trials at the Speed of COVID-19 event (a 🧵).

1/ Dr. @PeterASinger introduced our event, emphasizing the importance of clinical trials in innovation.
2/ Dr. Cecilia Costiniuk discussed the challenges faced when conducting the ongoing nationwide COVAXHIV (@CIHR_CTN), including the need for research protocol flexibility during times of uncertainty.
3/ Dr. Natasha Press highlighted the importance of preparing physicians with supportive infrastructure to guide and support their participation in clinical trials.
Read 8 tweets
Opening recorded remarks from @ALMA_2030 chair President #UhuruKenyatta congratulating African countries on averting the predicted doubling of malaria deaths during #COVID19 and urge the #GlobalHealth community to get back on track to #EndMalaria, TB, and AIDS in Africa by 2030. photo of President Kenyatta’s recorded remarks
Kenyatta says the first step in this noble journey to #EndMalaria by 2030 is to address the significant malaria financing gap in African countries. About 63% of activities in national malaria strategic plans in Africa are today currently unfunded.
Read 12 tweets
Here we go. 1st intl work trip since Feb 2020.

I used to travel outside UK almost once a month before 2020 -spreading msg of health justice.

I know I will not do that again soon, if ever. Let’s see if we can spread the message without as many airplane trips!

#Raisina2022 🤞🏾 Image
The reason for travel.

The Raisina Dialogue 2022.

orfonline.org/raisina-dialog…
Read 74 tweets
Hello friends. What issues facing women and girls living with diabetes need more attention at the global level? No wrong answers #insulin4all #diabetes #NCDs #globalhealth
Burner account and/or DMs welcome
FYI things I have read/been told include:
- gender-based discrimination, pre-mature mortality, abandonment
- Marriage discrimination
- Body-image and diabetes
- Menstration
- Menopause
- Pregnancy
- Disordered eating and diabetes
Read 4 tweets
Using cleaner cooking fuel/technology is about #accessibility, #affordability and so much more. It’s interesting to see the related equivalence and disparity between developed/advanced and low- and middle-income countries (#LMICs). #AirPollutionEquity #EnergyEquity 1/n
Thread🧵👇
This .@nytimes article by .@MelissaClark brings back memories from the field work I had done for my household #AirPollution (#HAP) research in India🇮🇳 in the states of West Bengal, Uttar Pradesh, Uttaranchal and Himachal Pradesh. 2/n
nytimes.com/2022/03/11/din…
People from #GlobalNorth in this .@nytimes article differs largely from the ones I had interviewed in India🇮🇳#GlobalSouth – demography, socio-economic conditions, education, housing, privilege, etc. but at some point, the thought process of both align. 3/n
Read 13 tweets
Burning of biomass fuel for cooking and heating purposes results in household #AirPollution (#HAP), which have adverse health impacts. We need strong voices and concerted efforts to take measures for HAP exposure reduction #AirPollutionEquity 1/n
Thread 🧵👇
Highlights and publication links from my own research on #HouseholdAirPollution and #health impacts in India🇮🇳, Nigeria🇳🇬and USA🇺🇸
.@cleancooking .@waqsouthasia .@UofC_CGH .@CPCB .@ISEE_global .@momsforcleanair .@WBPCB #WomenInSTEM #globalhealth #epitwitter #AcademicTwitter 2/n
Increased particulate matter pollution results in ⬆️prevalence of hypertension, platelet hyperactivity, and ⬆️oxidized low-density lipoprotein and anticardiolipin antibody, showing higher risk of cardiovascular diseases among underprivileged women 3/n
onlinelibrary.wiley.com/doi/abs/10.111…
Read 13 tweets
The U.S. only ever led on “elite feminism”

elitist, controlling anti-woman American women will be the death of any small prior progress in gender equity

Women need to stop with the required solidarity or forced support of fellow women who harm

Actions matter, not anatomy
The maternal mortality rate, especially for Black women is appalling. Has American feminism ever concerned itself with deaths of fellow women? No. Count number of women in C-suite (who align with anti-justice incentives) and fight for privileged access of a few. Trickle down.
Even as a nation of elitist feminism, have these women, mostly wives of or daughters of, become President? No. That would require a woman having value or respected as an individual, as opposed to American culture of women valued or gaining access for their relationships to men.
Read 14 tweets
👩🏾‍🔬Response to the most common question I got today:
The new variant has a lot of mutations, what does this mean in terms of epidemiology & vaccines❓

🧬 short answer: to early to tell‼️

🔬Long, more nuanced answer: whilst having too many mutations, some of which are known to
1/
affect for instance how fast the virus replicates inside our cells or how it interacts with our immune system, it is difficult to say what synergistic effect all those mutations could have when put together, without functional assays coupled with real-world data‼️
2/
Analogy: some vegetables on their own taste quite meh, some combination of those vegetables put together could make an absolutely awful meal, but sometimes you add in a bunch of other ingredients & you get something that’s tolerable‼️
(Can you tell I don’t like vegetables 🙃)
3/
Read 5 tweets
✨🆕 IHME researchers published today in @sciencedirect – "Estimating the population at high risk for tuberculosis through household exposure in high-incidence countries: a model-based analysis" using #TB data from the 2019 #GBDstudy. #tuberculosis sciencedirect.com/science/articl…
The researchers estimate that in 20 high-incidence countries, 38 million individuals live in a household with someone with pulmonary #tuberculosis — with children under 5 making up 12% of populations with home exposure.
➡️Findings include: #Zimbabwe, #Mozambique, #Zambia, and #Pakistan have the highest proportion of the population with household exposure.
Read 5 tweets
“In South Asia the public health care system is in a terrible state, from decades of neglect and decay, particularly in the countryside.” — Dr. Zayar #EndCOVID #October24 #COVID19 #Globalhealth #WorldPolioDay2021 #India #Pakistan #Srilanka #Bangladesh #Nepal
"Even basic needs like water and sanitation are not met. The cities are covered in slums. Under these conditions the fight against the pandemic is a great challenge." -- Dr. Zayar.
“No mass testing or contact tracing has been conducted. Lockdown was imposed without any aid given to the millions of working masses.” -- Dr. Zayar
Read 4 tweets
1⃣ McCormack Charles Farrell Easmon (1890-1972) was born in Accra, Ghana. 🇬🇭

He later studied at St Mary’s Hospital Medical School, as well as at LSHTM.

Easmon faced much racial discrimination but still thrived in #PublicHealth.

Thread 👇 #BlackHistoryMonth #GlobalHealth Picture with McCormack Easmon as a student
2⃣ McCormack applied to the West Africa Medical Staff, which segregated doctors into ‘colonial service’ for Europeans & ‘local service’ for Africans.

He was rejected twice from the Medical Services
due to his race & instead took a role considered subordinate in Sierra Leone. McCormack Charles Farrell Easmon
3⃣ In 1914, he served with the British Army as a medical officer in Cameroon, again facing racial discrimination in his career progression, and campaigned tirelessly against it

He returned to England and his studies, before continuing his medical career in Sierra Leone. 🇸🇱
Read 4 tweets
Are you ready for more big malaria news? @PMIgov 2021 Strategy centers localization. Its principles include country ownership, #equity, & local leadership. 3 of its 5 focus areas incl community & local initiatives. Read on I want to share this rare gem example of impact.
Many of you saw this tweet that expressed a frustration that many researchers feel when funding is primarily provided to Global North-based institutions to “help” implement an LMIC-based program. 🧵re: a story of our collective #decolonizegh advocacy

Hundreds of you amplified the above tweet which was shared the same day that @rajpanjabi was appointed @PMIgov Global Coordinator. As the founder of @lastmilehealth we told him that we expected better and appealed to Him to improve PMI’s approach to empowering local leadership.
Read 9 tweets
Finally go to reading the great "Guide to a Pandemic Treaty" by @GHC_IHEID, @haiknikogosian and @IlonaKickbusch.
Serves as a nice one-click FAQ on the topic.
Recommended read to anyone in #globalhealth!
graduateinstitute.ch/sites/internet…

Nevertheless, a few questions remain:
1/
The world is still struggling with responding to the ongoing pandemic, most importantly (for public health + moral reasons) the extreme inequity in vaccine distribution.
What is the opportunity cost of treaty negotiations vs addressing immediately pressing issues?
2/
The political considerations and the securitization of health diplomacy are intertwined in those discussions and will affect the outcomes.
Thus (while briefly touched upon in Q5/Q34), the topic of "in WHO or elsewhere" / "in Geneva or in New York" could be further explored.
3/
Read 5 tweets
I am delighted to continue to serve the Co-Chairs of the @TheIndPanel, @HelenClarkNZ & @MaEllenSirleaf as an advisor and coordinator of the Panel's follow up work. The Panel produced a series of papers ‘#COVID19: Make it the Last #Pandemic’ for the WHA:

theindependentpanel.org
We now have the opportunity to work together with govts, civil society & international agencies on the implementation of a package of recommendations to help end the current pandemic and to ensure we centre equity, leadership and multisectoral responses to future health threats.
Key recommendations include:
- the urgent redistribution of vaccine doses, diagnostics & therapeutics to low-income countries, scaling up of technology transfer and manufacturing capabilities, and developing a ‘global public goods’ model to pandemic tools 💉
Read 6 tweets
1/ I loved writing this new @ASMicrobiology article. I talked to Dr. Derick Kimathi (@Toinoti, medical researcher in Kenya), about using fractional doses of yellow fever #vaccine. I hope you find this as interesting as I did #IDtwitter #epitwitter
asm.org/Articles/2021/…
2 / This is a follow up article to the one I wrote back in May that briefly detailed the history of #YellowFever in the United States, and how the development of #diagnostics for the disease as well as modern research stemmed from that #history.
asm.org/Articles/2021/…
3/ The #YellowFever #outbreak that started in Angola in 2015 ravaged major cities like Luanda & Kinshasa, and resulted in 11 imported cases in China - a country that harbors the mosquito that spreads the yellow fever virus and has a population immunologically naïve to YF.
Read 8 tweets
I have been asked where to donate for #earthquake response efforts in #Haiti. I donated to @PIH & @StBonifaceHaiti Both partner with local communities and govt to provide healthcare to those in greatest need. #haitiearthquake #globalhealth 💔 cc: @CPSolvers @DxRxEdu @rabihmgeha
healthequityintl.org/news/respondin…
@StBonifaceHaiti is probably the best-resourced hospital in the affected region. I visited in 2012 and what was already an extraordinary facility and group of talented dedicated staff has only grown.
pih.org/article/statem…

@PIH has collaborated with rural communities and the Ministry of Health in Haiti for over 30 years. They were an integral part of the response to the 2010 earthquake, subsequent cholera outbreak, and rebuilding efforts.
Read 5 tweets
Jeremy Farrar recounts: Even if the [SAGE] minutes were hazy, I believe that Patrick [Vallance] and Chris [Whitty] took a clear message into Number 10 after that Friday 13 March SAGE meeting: measures had to start immediately.
Meanwhile, my email to Patrick and Chris on Saturday 14 March 2020 tried to capture very explicitly what was hampering the UK’s ability to respond.

First, the state of public health at the time a country enters a crisis is crucial.
Read 14 tweets
1/ "On 18 February [2020], it was minuted [at the SAGE meeting] that Public Health England could perhaps cope with five coronavirus cases a week, generating 800 contacts that would need tracing.
2/ That could be scaled up to 50 cases a week and 8,000 contacts - but, if sustained transmission took off, contact tracing would become unviable.
Read 5 tweets
Maar even.... jongens: #context!

#COVID19 #vaccins zijn nog steeds een schaars goed

dus terwijl wij mopperen op de overheid en vrezen voor onze buitenland vakantie zijn er in de hele wereld zorgmedewerkers en kwetsbaren nog niet eens gevaccineerd 🌍🦠

business-standard.com/article/curren…
terwijl erin Europa gesproken wordt over 3e vaccinatie (oa Israël) zijn erin Indonesië meer dan 1000 zorgmedewerkers overleden aan #COVID19

in veel landen is grote schaarste aan zorgpersoneel
In overtreffende trap van onze "schaarste" aan verpleegkundigen
aljazeera.com/news/2021/6/26…
ondanks de fantastische snelheid in ontwikkelen en produceren van #CoronaVaccins zien we dat de farmaceutische industrie niet voor niets #industrie heet en toch graag 💰💰 verdient in rijke landen

#VaccineEquity is nog ver te zoeken

Read 6 tweets
The #G7 this weekend renounced its role as #globalhealth leader, @kentbuse and I argue in @bmj_latest: blogs.bmj.com/bmj/2021/06/13…

A thread on what next for global health & #healthsecurity.
Speaking at #G20 Rome #GlobalHealthSummit in May, German Chancellor #Merkel had raised the question, “if not us, who?” to end the global #Covid19 #pandemic.

At #G7UK this past weekend, #G7 responded with "Not us," committing to donate 870mn #vaccine doses when the need is 11bn.
Instead of engaging with recommendations of @TheIndPanel to strengthen #pandemic preparedness & the #globalhealth system (theindependentpanel.org/mainreport/), strongly backed by @antonioguterres (), #G7 noted it would "explore" different proposals.
Read 11 tweets
1/ Joining some wonderful people from what I am seeing as a diverse group of researchers at the #EditorialBoard of @PLOSGPH; journal has given itself the tall order of “addresses inequities in public health and makes impactful research accessible to all… (1/n) #Threads
2/ In words of @paimadhu "the journal will amplify the voices of underrepresented and historically excluded communities and prioritize equity, diversity, and inclusion at all levels"; I am highly skeptical of this,
3/ yet I am thrilled that a #PublicHealth journal would give itself such a vision; #Knowledge #Science #Evidence all reproduce the same kind of social hierarchies that drive unfair accumulation of resources in our society
Read 12 tweets
1/4We’re stuck in a variant vs vaccine loop. Current UK border control=bandaid solution til IP barriers around max vax production are removed. Indian vax export ban (due to domestic crisis) causing knock-on shortages. Even @BillGates has u-turned to support #IPwaiver @chrischirp
2/4 @Dominic2306 damning revelations on No 10s total lack of #COVID19 strategy further demonstrates why a “wait & see” approach is deadly during outbreaks. @IndependentSage also concerned around #AZ efficacy against #B16172 as some Indian #HCWs testing + after 2 doses @skynewsSam
3/4 @IndependentSage continues to step up & fill the gaping hole in Gov leadership during the largest #publichealth crisis of a generation- pushing for better #globalhealth policy on borders, reforming #TTI vaccine access etc but the UK is risking making the same mistakes again!
Read 4 tweets
On the #COVID19 pandemic implications of Israel's bombing of Gaza: where are fellow scholars in #bioethics, #PublicHealthEthics, #PandemicHealth and #GlobalHealth raising the alarm about this urgent health issue? 1/10
In February, Doctors Without Borders @MSF stated: "you are over 60 times more likely to have a vaccination in Israel than in Palestine. Israel has a responsibility as an occupying power to ensure the medical supplies of the occupied people" msf.org/stark-inequali… 2/10
In March, Doctors Without Borders @MSF urged: "Palestine, where just two per cent of people have been vaccinated, urgently needs COVID-19 vaccines to protect frontline staff and vulnerable people." msf.org/vaccines-neede… 3/10
Read 10 tweets

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