Discover and read the best of Twitter Threads about #lmics

Most recents (13)

Today marks the start of #WHA75!

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

Missing on agenda? #GlobalSurgery & šŸ«€ care.

Hence, I'll be sharing key points, papers, & developments in #GlobalCardiacSurgery in 75 tweets šŸ‘‡ 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/ā€¦ Image
(2/75) Why does #GlobalCardiacSurgery matter?

āš ļø Every year, 18 million people die from #CVD

šŸ«€ 500 million live with CVD; 100s of millions more to come.

šŸ„ Up to 1/3 will require #CTSurgery or interventional care in lifetime

Data @IHME_UW: healthdata.org/results/data-vā€¦

#WHA75 ImageImageImage
Read 77 tweets
Letā€™s focus on a small communist country of 11 million people #Cuba. Letā€™s see what Cuba is doing with their multiple vaccines & on Covid front! All the COVID vaccines developed in Cuba are what are known as protein subunit conjugate vaccines. 1/
Cuba now has five vaccines in various stages. Soberana 1, Soberana 2 and Soberna Plus, Abdala and Mambisa.
One is a nasal spray still in clinical trials. 2/
Cuba didnā€™t want to rely on the whims of foreign governments or international pharmaceutical companies to immunize its people. Cuba didnā€™t even sign up for the #COVAX program. 3/
Read 8 tweets
#MerryChristmas2021! If I had one wish from #SantaClaus, what would it be?
With the #OmicronVariant, thereā€™s a lot of chat on what countries should do with #COVID_19 vaccinations ā€“ start boosters or complete the first round of the recommended two doses for everyone? If boosters, should it be for all, or select populations? My take.
As a global community, there is no question what we should do ā€“ work towards #VaccineEquity, and make sure that every eligible human gets their two doses. Remember, none of us are safe, unless all of us are safe. Cliched, but true.
Read 17 tweets
Take a bow @mvankerkhove ##COVID19's rock star šŸŽ‰šŸ‘. Incredible wide-reaching analysis of where we are and where we need to be going forward in the pandemic @ISID_org #IMED2021. Some highlights in this thread
Drivers of testing diversity & strategies #COVID19 - I'd add the challenge of a health workforce to contact trace, as well as quarantining and isolating those exposed and those infected in #LMICs, where poverty and overcrowding in households/informal dwellings is so common.
Stressing the importance of public health & social measures (PHSM) and how they reduce as vaccination rates for #COVID19 increase in populations. But @mvankerkhove message at #IMED2021 is "Vaccines, NOT Vaccines ONLY" @ISID_org @ProMED_mail @BorisJohnson
Read 8 tweets
My friends in #AcademicMedicine. I am from Nepal. You must have heard and read regarding the state of affairs of COVID in India. Nepal is headed in the same direction. While India is a larger economy with more resources at its disposal Nepal is the exact opposite. #COVID #LMIC
Thinking of the possibilities in the coming weeks in Nepal wrenches my heart. There is already a short supply of Oxygen reserves, Steroids, Remdesivir, Anticoagulants, and basic resources. To date, only <5% of the country's population has been immunized. #COVIDNepal
I am sure the state is no different in other #LMICs. I would hereby urge for aid, urge for a global effort to pull countries like Nepal out of a disaster. A delay or a denial can be disastrous beyond imagination. We are already seeing the unfolding of events of #COVID19India.
Read 6 tweets
20 November 2020

ā¦#UKRI announced award of 141 new projects under #GCRF all addressing #SDGs

Global challenges being tackled by projects include [d]:
šŸ‘‰šŸ¼environmental disasters
šŸ‘‰šŸ¼education for children living through conflict
šŸ‘‰šŸ¼malnutrition.ā€ #odacuts ukri.org/news/ukri-annoā€¦
Many of these 141 #GCRF award holders had been under strict @beisgovuk imposed embargo on #UKRI for over a year. I know, I was one of them. Delivering during the pandemic meant constant requests to ā€˜reprofileā€™ our grants meaning using resource to make projects Covid compliant
Between and in secret because of the embargo we worked out how to ensure partners had access to good enough internet for our partner meetings. This meant investing in and rapidly learning g about mobile technologies #odacuts #gcrfcuts #ukricuts
Read 21 tweets
Great work by Connor Wells & Shubham Sharma @QueensUHealth asking two important #GlobalHealth questions
1. Is there a #publicationbias against papers from #LMICs?
2. Do oncology RCTs match the global disease burden?
Confirms something we always knew
What we did was this...
We identified 3 problems and 2 facts
We looked at all phase 3 studies in oncology from 2014 to 2017; classified origin of these RCTs based on #WorldBank economic classification of countries. We compared RCT designs and results from HICs and LMICs. The findings were strikingā€¦
Of 694 RCTs, 636(92%) were led by HICs; 58(8%) by LMICs. This is the first problem ā€“ huge imbalance in where research is done. Cancer incidence is strikingly different in HICs & LMICs, with considerable burden in LMICs. How can we accept such a skewed distribution of research?
Read 10 tweets
Here is the #PedsICU #BestOf2020 collection.
Jointly chosen by
@Dr_Hari_Krishna @sgdambrauskas and myself
Pubmed collection 40 articles: bit.ly/pedsicubestof2ā€¦
Infographic (clickable PDF) in English: bit.ly/bestof2020eng
Spanish: bit.ly/bestof2020esp
#PedsCICU #NeuroPICU
This will be a bilingual tweetorial in Spanish/English!
Infographics are available in both languages in Tweet #1

El hilo serƔ en EspaƱol/InglƩs. El resumen infogrƔfico estƔ disponible en los dos idiomas en el primer Tweet
1/What are the outcomes that matter to children, to families and to #researchers/clinicians? @ericka_fink et al & @PostPICU_PALISI investigators identified COS using a delphi process. @CritCareMed bit.ly/381cfq8. Developmental and functional outcomes were important.
Read 44 tweets
The 1st Prof MK Bhan Memorial lecture has started live streaming
Please watch at
The Lecture will be delivered by Prof. Vinod K Paul @NITIAayog on topic 'Science & Art of Influencing Health at Transnational Scale: How Visionary Physician Scientists Do it'
Dr @RenuSwarup, Secretary @DBTIndia announces the renaming of the @THSTIFaridabad- @unescorcb cluster auditorium after Prof MK Bhan
Dr @RenuSwarup also announces the launch of a #Fellowship Program to encourage young #researchers to continue their postdoctoral research in India.
The MKB-YRFP scheme @DBTIndia
Read 20 tweets
Speaking at a #webinar on the Indian Health Financing Landscape, @CafeEconomics makes the following observations relating to 1) #FiscalCapacity 2) #PoliticalEconomy 3) #Federalism (1/n)

@dvararesearch @IndiaSpend
India's #PublicHealthExpenditure is well predicted by its income, however compared to neighbours and other #LMICS, its public health spending is lower. This is despite India's Tax/GDP ratio gradually rising over the years. (2/n)
The post-reform Indian fiscal agenda has been to switch away from #PhysicalCapital to #HumanCapital with increased reliance on the private sector to generate employment. Job growth however has been inadequate and the state's approach to #HumanCapital has been compensatory (3/n)
Read 6 tweets
Out today: Our new @TheLancet analysis of #ethics & #politics of #access to #testing #PPE & #Covid19 treatment. We must act now so to ensure that geopolitically powerful countries apply ethical standards & coordinate their procurement to access for #LMICs thelancet.com/journals/lanceā€¦
Many #African health systems lack capacity to respond if #COVID19 outbreaks get out of control. So #testing & #tracing are particularly vital.

Unfortunately, testing supplies are increasingly scarce, as #NorthAmerican & #European countries snap up everything on the market.
This mirrors failures in the #AIDS responseā€”when testing & treatment came to #Africa years after it arrived in #US & #Europe, and long after the #pandemic had taken hold. This resulted in tens of millions of unnecessary deaths. @chidodc @DrWilfredoM @RenzoGuinto @paimadhu
Read 4 tweets
1.Expand, deploy and train competent workforce.
2. Make sure that every suspected case is diagnosed.
3. Ramp up production and availability of testing.
4. Identify, Adapt and equip treatment facilities for isolation of all the cases.
#wisdom Steps ahead for #covid19 @DrTedros
5. Develop a clear plan for ensuring the quarantine for contacts
6. Refocus the whole of the Government for #covid related work.

I am also happy that @drtedros used physical distancing as the preferred phrase over #socialdistancing. #Covid19India #covid19
Break the problem into regional and local problems, find the appropriate evidence-based solutions to local problems. @DrMikeRyan

Although this was mentioned wrt #coviditaly ; Something very important to for every country to do #covidindia
Read 8 tweets
#globalhealth
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
#bioethics
@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

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