The Wall Street Journal examines how bureaucracy in India is slowing the treatment of tuberculosis (TB) in the country. The newspaper recounts the story of Rahima Sheikh, “one of 16 patients identified by Mumbai doctors to be resistant to virtually all traditional TB treatments.” The Wall Street Journal writes, “Mumbai officials have publicly pledged free treatment for Mrs. Sheikh and other, similar patients with extreme forms of drug resistance within the city’s jurisdiction,” but “Mrs. Sheikh has now become caught in the bureaucracy of India’s incomplete national network for treating the most virulent TB.”
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Zimbabwean AIDS Activists March To National AIDS Council Demanding Accountability For AIDS Levy Funds
AIDS activists in Zimbabwe this week marched to the Harare headquarters of the country’s National AIDS Council (NAC) and “demand[ed] the government account for millions of dollars it is raising through an AIDS-related tax,” VOA News reports. Zimbabwe implemented the tax, meant to pay for HIV/AIDS prevention and treatment, in 1999, but people living with HIV say they are not receiving treatment, according to the news service. Spiwe Chabikwa, who traveled from Bulawayo to protest, said, “The demonstration is not against the government, just against corruption. … Everyone is affected; the AIDS levy is paid by everyone whether HIV-positive or not,” VOA states. In an interview with VOA, NAC Director Tapiwa Magure said, “We are up to date with our audits. There are tight controls … All I am saying is, we are more than ready to explain everything.” The news service notes the “Zimbabwe Lawyers for Human Rights has petitioned the National AIDS Council demanding that the agency release information related to how the AIDS levy is being administered” (Mhofu, 10/10).
The Financial Times has published a special report (.pdf) on neglected tropical diseases (NTDs) featuring 10 articles examining issues including prevention, research, and treatment.
In a BMJ Group Blogs post, Caroline Robinson, global health advocacy manager for Results U.K., discusses the prevalence and treatment of tuberculosis (TB) and drug-resistant TB in Europe and provides the example of Romania. She writes, “[E]vidence brought to light in a new report [.pdf] released recently outlining the effect funding shortages will have on HIV and TB, including drug-resistant TB, in the European region suggests that Romania does not have the institutional capacity to ensure its citizens have the basic right to health. The country relies on grants from the Global Fund to Fight AIDS, Tuberculosis, and Malaria, which look set to end in 2013.” She continues, “[Global Fund] Board members should ensure that middle-income countries with epidemics among key populations can access critical Global Fund contributions and the E.U. and its member states must continue to provide the resources the fund requires to meet demand. Unless such support is given, countries like Romania will continue to fall further down the league tables in terms of treatment for this curable disease” (10/10).
In this post on IntraHealth’s “Global Health Blog,” Pape Gaye, president and CEO of IntraHealth, discusses the organization’s commitment to providing quality training to Kenyan health care workers made at this year’s Clinton Global Initiative meeting. “We and our partners will use information technologies designed or adapted in Kenya to create and distribute training programs to Kenyan health workers. We are especially focusing on health workers who provide much-needed services in the remote Kenyan regions of Kitui and Kisumu,” Gaye writes. Noting that “one billion people in this world who may never come in contact with a health provider in their entire lives,” he continues, “I hope that by making the information and the training available where it’s needed the most, we are giving a chance to these people, a chance to get in contact with and receive services from a health worker” (10/9).
“Wednesday (October 10th) is World Mental Health Day,” VOA News reports, noting, “The World Health Organization is using the occasion to call for an end to stigma against those who suffer from depression and other mental disorders” (DeCapua, 10/9). Depression affects 350 million people worldwide, with nearly five percent of the world’s population suffering from depression annually, according to Medical Daily (Tucker, 10/9). More than three-quarters of people living with mental health disorders reside in developing countries, BBC News notes, adding, “According to the World Health Organization (WHO), eight in every 10 of those living in developing nations receive no treatment at all” (Roberts, 10/10). The WHO “warns stigma is a huge problem that prevents many people from seeking help,” VOA writes (10/9).
UNICEF and the Syrian government have agreed to expand humanitarian efforts in the country, where tens of thousands of people have been killed and up to one million people displaced since the beginning of an uprising against President Bashar al-Assad 18 months ago, Reuters reports. UNICEF Executive Director Anthony Lake “said the agency’s agreement with Syria will allow it to go beyond its Damascus operations to reach Syrians in conflict areas” and the agency “aims to vaccinate within a couple of months one million vulnerable children against diseases such as measles, he added,” the news service notes. “The deal will expand UNICEF’s partnership with more than 40 Syrian civil groups and the Syrian Red Crescent, he said,” Reuters adds (Al-Khalidi, 10/8). U.N. Secretary-General Ban Ki-moon “on Tuesday urged President Bashar al-Assad’s government to institute a unilateral ceasefire, and further stressed the need for other nations to halt arms deliveries to both Syrian forces and the opposition,” according to VOA’s “Breaking News” blog (10/9).
“Among causes of child malnutrition in India are not just poverty or inadequate access to food but also a lack of nutritional knowledge among families,” Nisha Malhotra, an instructor of economics at the University of British Columbia, writes in a Live Mint opinion piece. “Impressive growth and rising prosperity in the past three decades have not alleviated child malnutrition in the country,” she writes, noting, “An alarming 43 percent of children under age three in India are stunted, 48 percent are underweight, and 17 percent are ‘wasted.'” She continues, “In my research, I have emphasized and verified the importance of poor feeding practices in infancy to explain chronic child malnutrition in India,” adding, “Poverty is, of course, a contributor to poor feeding practices, but it is neither the sole reason for the situation nor the most significant reason.”
“This month, President Obama’s Feed the Future initiative received a $1 billion pledge from U.S. organizations to address the root causes of hunger and poverty,” Rep. Mike Honda (D-Calif.) writes in the Huffington Post’s “Politics” blog, noting, “This pledge came on the heels of a $4 billion pledge by more than 60 companies from Africa and other continents.” He continues, “As co-chairman of the Congressional Ethiopia Caucus and the Congressional Out of Poverty Caucus, I commend these pledges and look forward to working with the administration as they are implemented.” However, he adds, “[t]hese are short-term fixes … to the long-term issues of chronic food insecurity and malnutrition facing millions.”
Doctors in Kenya on Wednesday were striking for the 17th day to protest poor conditions in some of the nation’s public hospitals, where “[e]mergency rooms … frequently don’t have gloves or medicine, and power outages sometimes force doctors to use the light from their phones to complete a procedure,” the Associated Press reports. Last week, “Kenya’s government fired 1,000 of the 2,000 striking doctors … despite a shortfall of skilled medical practitioners,” the news service writes, noting Kenya has one doctor for every 6,250 people and the WHO recommendation is one for every 100 people. “Attempts to hold talks this week with officials from the Ministry for Medical Services failed, prompting the doctors to flood social media with tell-all stories about deplorable conditions in public hospitals,” the AP states.