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World HTN Day— High blood pressure, also known as hypertension, has become a global crisis

In the United States, about 70 million or 1 in 3 adults have high blood pressure (>140/90 mmHg) , and only about half of these adults have their condition under control. Worldwide, high blood pressure is estimated to cause 9 million preventable deaths, and is expected to increase. Commonly referred to as the “silent killer” because it often has no warning signs or symptoms, hypertension is a leading risk factor for cardiovascular diseases, such as heart attack and stroke. The Centers for Disease Control and Prevention has created the Million Hearts® initiative to address this challenge within the United States.  Launched in 2011, it set an ambitious goal to prevent 1 million heart attacks and strokes by 2017.

Cynthia GoldsmithThis colorized transmission electron micrograph (TEM) revealed some of the ultrastructural morphology displayed by an Ebola virus virion. See PHIL 1832 for a black and white version of this image.Where is Ebola virus found in nature?The exact origin, locations, and natural habitat (known as the "natural reservoir") of Ebola virus remain unknown. However, on the basis of available evidence and the nature of similar viruses, researchers believe that the virus is zoonotic (animal-borne) and is normally maintained in an animal host that is native to the African continent. A similar host is probably associated with Ebola-Reston which was isolated from infected cynomolgous monkeys that were imported to the United States and Italy from the Philippines. The virus is not known to be native to other continents, such as North America.

WHO Failed To Engage Local, International Partners In Ebola Response, Independent Panel Reports

News outlets discuss the first report of the WHO’s Ebola Interim Assessment Panel, released on Monday. Agence France-Presse: Experts denounce WHO’s slow Ebola response “A U.N.-sponsored report on Monday denounced the World Health Organization’s slow response to the Ebola outbreak and said the agency still did not have the capacity to tackle a similar crisis…”…More

800px-Community_health_worker_gives_a_vaccination_in_Odisha_state,_India_(8380317750)

New ILO Report: The World Needs More Rural Health Workers, a Lot More

On April 27, a new report released by the United Nations International Labor Organization (ILO) made a distressing finding: without adequate numbers of health workers, especially in rural areas, more than half of the world’s rural population—and more than three-quarters of the rural population in Africa—will go without access to effective health care in 2015.The report, entitled Global Evidence on Inequities in Rural Health Protection, was the ILO’s response to observable trends in economic disinvestment and neglect in rural health systems around the world.More than half the world’s rural population will go without effective health care in 2015. Now, with this report indicating that nearly 56% of the world’s rural population—and 83% of Africa’s rural population—live without critical health care access, the ILO has provided powerful evidence to demonstrate why strengthening the rural health workforce is imperative to filling this gap.According to the report, inadequate numbers of rural health workers is one of most crippling determinants of poor access to health services in rural areas across the globe. While approximately half of the world’s population resides in rural areas, only 23% of the health workforce is stationed here.This amounts to a deficit of approximately 7 million health workers in rural areas, comprising the vast majority of the ILO’s estimated 10.3 million global health worker deficit.*“Health workers are a prerequisite for access to health care. Without skilled health workers, no quality health services can be delivered to those in need,” asserts this report.So what do the recorded health workforce shortages mean for people’s access to life-saving health services?ILO research provides a grim response to this question: precisely because of these health workforce deficits, 50% of rural areas and 24% of urban areas lack access to the essential health services they need. 77% of Africa’s rural residents lack essential health coverage.

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World HTN Day— High blood pressure, also known as hypertension, has become a global crisis

hypertension blood pressure wiki

In the United States, about 70 million or 1 in 3 adults have high blood pressure (>140/90 mmHg) , and only about half of these adults have their condition under control. Worldwide, high blood pressure is estimated to cause 9 million preventable deaths, and is expected to increase. Commonly referred to as the “silent killer” because it often has no warning signs or symptoms, hypertension is a leading risk factor for cardiovascular diseases, such as heart attack and stroke. The Centers for Disease Control and Prevention has created the Million Hearts® initiative to address this challenge within the United States.  Launched in 2011, it set an ambitious goal to prevent 1 million heart attacks and strokes by 2017.


Yemen’s Tenuous Temporary Ceasefire Allows For Delivery Of Humanitarian Aid To Civilians

Agence France-Presse: Situation in Yemen ‘catastrophic,’ warns U.N. food agency “The U.N.’s food agency warned Wednesday that the situation in Yemen was ‘catastrophic,’ as aid agencies rushed to take advantage of a temporary ceasefire to help desperate civilians…” (5/13). U.N. News Centre: Yemen: U.N. welcomes ceasefire as ‘lifesaving’ humanitarian relief begins to arrive “The top…More


Take Care

It’s interesting to note the emergence of two strands of discussion in the public space around humanitarian aid and development. One is the issue of chronic and/or traumatic stress and accompanying PTSD among humanitarian workers. In an earlier post I pointed out this article in The Guardian, and then a more recent offering in the […]


Devex Examines World Bank President Jim Kim’s ‘Science Of Delivery’ System

Devex: Inside Jim Kim’s ‘science of delivery’ “…Kim’s emphasis on delivery and systematically sharing knowledge can be traced at least back to his time at the World Health Organization from 2003 to 2006. It was at the WHO where Kim noticed that policymakers and health care workers with access to similar resources achieved different health…More


Enhancing public health practice through a capacity-building educational programme: an…

Background: The Post-Graduate Diploma in Public Health Management, launched by the Govt.


WHO Failed To Engage Local, International Partners In Ebola Response, Independent Panel Reports

Cynthia GoldsmithThis colorized transmission electron micrograph (TEM) revealed some of the ultrastructural morphology displayed by an Ebola virus virion. See PHIL 1832 for a black and white version of this image.Where is Ebola virus found in nature?The exact origin, locations, and natural habitat (known as the "natural reservoir") of Ebola virus remain unknown. However, on the basis of available evidence and the nature of similar viruses, researchers believe that the virus is zoonotic (animal-borne) and is normally maintained in an animal host that is native to the African continent. A similar host is probably associated with Ebola-Reston which was isolated from infected cynomolgous monkeys that were imported to the United States and Italy from the Philippines. The virus is not known to be native to other continents, such as North America.

News outlets discuss the first report of the WHO’s Ebola Interim Assessment Panel, released on Monday. Agence France-Presse: Experts denounce WHO’s slow Ebola response “A U.N.-sponsored report on Monday denounced the World Health Organization’s slow response to the Ebola outbreak and said the agency still did not have the capacity to tackle a similar crisis…”…More


Building Resilient Health Systems Vital To Preventing Future Outbreaks

New York Times: Ebola-Free, but Not Resilient Judith Rodin, president of the Rockefeller Foundation, and Bernice Dahn, minister-designate of health for Liberia “…A resilient health system combines active surveillance mechanisms, robust health care delivery system, and a vigorous response to disease. … When a resilient system is in place, cities and countries alike are prepared…More


Career plans of primary care midwives in the Netherlands and their intentions to leave the…

Background: In labour market policy and planning, it is important to understand the motivations of people to continue in their current job or to seek other employment.


Innovations in communication technologies for measles supplemental immunization activities:…

Background To achieve a measles free world, effective communication must be part of all elimination plans.


Malaria, Preventable Diseases Rise In CAR As Insecurity Hampers Delivery Of Aid, MSF Says

The Guardian: Central African Republic facing chronic health care crisis as scars of conflict abide “More than two years of sectarian violence have decimated already fragile health systems in Central African Republic (CAR), leading to a rise in preventable diseases like malaria among families still hiding from armed groups in the bush, according to the…More


New ILO Report: The World Needs More Rural Health Workers, a Lot More

800px-Community_health_worker_gives_a_vaccination_in_Odisha_state,_India_(8380317750)

On April 27, a new report released by the United Nations International Labor Organization (ILO) made a distressing finding: without adequate numbers of health workers, especially in rural areas, more than half of the world’s rural population—and more than three-quarters of the rural population in Africa—will go without access to effective health care in 2015.The report, entitled Global Evidence on Inequities in Rural Health Protection, was the ILO’s response to observable trends in economic disinvestment and neglect in rural health systems around the world.More than half the world’s rural population will go without effective health care in 2015. Now, with this report indicating that nearly 56% of the world’s rural population—and 83% of Africa’s rural population—live without critical health care access, the ILO has provided powerful evidence to demonstrate why strengthening the rural health workforce is imperative to filling this gap.According to the report, inadequate numbers of rural health workers is one of most crippling determinants of poor access to health services in rural areas across the globe. While approximately half of the world’s population resides in rural areas, only 23% of the health workforce is stationed here.This amounts to a deficit of approximately 7 million health workers in rural areas, comprising the vast majority of the ILO’s estimated 10.3 million global health worker deficit.*“Health workers are a prerequisite for access to health care. Without skilled health workers, no quality health services can be delivered to those in need,” asserts this report.So what do the recorded health workforce shortages mean for people’s access to life-saving health services?ILO research provides a grim response to this question: precisely because of these health workforce deficits, 50% of rural areas and 24% of urban areas lack access to the essential health services they need. 77% of Africa’s rural residents lack essential health coverage.


International Community Must Invest More In Vaccines, Reduce Gaps In Access

Huffington Post: The Steps It Will Take to Get Every Child Vaccinated Orin Levine, director of vaccine delivery at the Bill & Melinda Gates Foundation “…The global health community must work together in three major ways to reach our immunization targets. We must ensure that vaccine supplies are affordable and sustainable. We must continue to…More


Open Letter to The Media, re: Nepal Earthquake

Aid workers, you know how this goes. In approximately one year, the media is going too be all up in our grill. Why? Because after a gazillion dollars in aid, Kathmandu will still not look like Singapore; some people will still be living in tents (as opposed to two-storey modular homes with Direct TV and […]


Incentives for non-physician health professionals to work in the rural and remote areas of…

Background: Successfully motivating and retaining health workers is critical for the effective performance of health systems.


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