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21. A Long Way to Go: The Ebola response in West Africa at the sixty day mark

Author:
Debbie Hillier and Krista Riddley
Publication Date:
12-2014
Content Type:
Policy Brief
Institution:
Oxfam Publishing
Abstract:
The international response to the Ebola epidemic is on the right path, but there is a long way to go. The UN's interim objective was to treat 70 percent of cases and to ensure that 70 percent of burials were done safely within 60 days, i.e. by 1 December 2014. Case numbers are stabilizing in Liberia and Guinea, but remain out of control in Sierra Leone – such that the targets for cases treated has not been met. The UN has not provided figures for what had been achieved by 1 December, but a previous sitrep on 21 November showed that only 13 percent of Ebola cases in Sierra Leone have been isolated, compared with 72 percent in Guinea.
Topic:
Disaster Relief, Human Welfare, Infectious Diseases, and Health Care Policy
Political Geography:
Africa

22. Quarantines in Sierra Leone: Putting people first in the Ebola crisis

Author:
Wairimu Munyinyi Wahome
Publication Date:
12-2014
Content Type:
Policy Brief
Institution:
Oxfam Publishing
Abstract:
In May 2014, initial reports were received of the Ebola outbreak in Sierra Leone. One month later, the president of Sierra Leone declared a public health state of emergency in a bid to contain the spread, limiting public gatherings. Since then, quarantine measures have been imposed, including self-quarantines informed by district and chiefdom bye-laws and government-imposed quarantines. In November 2014, standard operational procedures (SOPs) on the management of quarantines were released by the National Ebola Response Coordination (NERC) function to streamline quarantine operations across the country.
Topic:
Infectious Diseases and Health Care Policy

23. Economic Analysis of Duck Production Household Farm Level in the Context of Highly Pathogenic Avian Influenza Subtype H5N1 in the Red River Delta, Vietnam

Author:
Chinh C. Tran and John F. Yanagida
Publication Date:
10-2014
Content Type:
Working Paper
Institution:
East-West Center
Abstract:
Occurrence of the Highly Pathogenic Avian Influenza subtype H5N1 usually results in the complete loss of the producer's entire flock due to high mortality rate and stamping out conducted to contain the virus. This study explores the expected economic impacts of HPAI H5N1 on smallholder duck producers in the Red River Delta of Vietnam. A conceptual model is developed to describe how a producer responds at each week of duck production to maximize profit and evaluate expected profits/losses of the producer in light of HPAI H5N1. The results suggests that in the case of no disease occurrence, the optimal time to sell ducks is at week 10 of the production cycle when ducks reach the age of 8 weeks. Maximum profit gained is US$805 for a producer with an average flock size of 794 ducks. However, the producer would suffer serious losses once the disease occurs. The expected investment loss is far higher than the maximum profit received at each production cycle and is estimated to be 3 times higher.
Topic:
Economics, Health, Infectious Diseases, and Food
Political Geography:
Vietnam

24. Perceived Risk of Avian Influenza in Poultry Varies with Urbanization in Vietnam

Author:
Jefferson Fox, Melissa L. Finucane, Sumeet Saksena, Nghiem Tuyen, James H. Spencer, Nguyen Lam, Trinh Dinh Thau, Tran Duc Vien, and Nancy D. Lewis
Publication Date:
10-2014
Content Type:
Working Paper
Institution:
East-West Center
Abstract:
Highly pathogenic avian influenza (HPAI) is an important public health concern because of its potential to cause widespread morbidity and mortality in humans and poultry and associated devastating economic losses. In this study we examined how perceptions of and response to the risk of HPAI in poultry vary across communes/wards in the north of Vietnam at different levels of urbanization (rural, transitional, urban). We conducted a quantitative household survey with 1073 respondents. Results suggested that the perceived risk of HPAI in poultry was highest in transitional and rural settings. Respondents in these settings were more likely than respondents in urban settings to agree that the process of change (in urbanization, agricultural practices, or natural habitat) increased the likelihood of an outbreak of HPAI in poultry. Compared with others, respondents in transitional areas reported that they do less planning and perceive vaccines to be more effective, while respondents in rural areas reported less perceived ability to separate infected poultry from others. We also found that the inability to respond is not necessarily because of an inability to perceive change but because, rapid and extensive change poses different challenges for poultry management as communes move from rural to transitional to urban settings. Our results suggest that public and animal health campaigns could be tailored in a way that recognizes the needs of poultry raisers in different settings.
Topic:
Health, Infectious Diseases, and Urbanization
Political Geography:
Asia and Vietnam

25. Role of Urbanization, Land-Use Diversity, and Livestock Intensification in Zoonotic Emerging Infectious Diseases

Author:
Jefferson Fox, Duong Nong, Miguel Castrence, James Spencer, Sumeet Saksena, Nguyen Lam, Tran Duc Vien, Michael Epprecht, Chinh Tran, Melissa Finucane, and Bruce Wilco
Publication Date:
10-2014
Content Type:
Working Paper
Institution:
East-West Center
Abstract:
Emerging infectious diseases (EIDs) continue to significantly threaten human and animal health. While there has been some progress in identifying underlying proximal driving forces and causal mechanisms of disease emergence, the role of distal factors is most poorly understood. This article focuses on analyzing the statistical association between highly pathogenic avian influenza (HPAI) H5N1 and urbanization, land-use diversity and poultry intensification. A special form of the urban transition—peri-urbanization—was hypothesized as being associated with 'hot-spots' of disease emergence. Novel metrics were used to characterize these distal risk factors. Our models, which combined these newly proposed risk factors with previously known natural and human risk factors, had a far higher predictive performance compared to published models for the first two epidemiological waves in Viet Nam. We found that when relevant risk factors are taken into account, urbanization is generally not a significant independent risk factor. However, urbanization spatially combines other risk factors leading to peri-urban places being the most likely 'hot-spots'. The work highlights that peri-urban areas have highest levels of chicken density, duck and geese flock size diversity, fraction of land under rice, fraction of land under aquaculture compared to rural and urban areas. Land-use diversity, which has previously never been studied in the context of HPAI H5N1, was found to be a significant risk factor. Places where intensive and extensive forms of poultry production are collocated were found to be at greater risk
Topic:
Health, Infectious Diseases, and Urbanization
Political Geography:
United States and Asia

26. Improving Maternal, Neonatal, and Child Health in Ghana

Author:
Katherine E. Bliss and Cathryn Streifel
Publication Date:
11-2014
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
In June 2014, a small team from the CSIS Global Health Policy Center traveled to Ghana to examine U.S. bilateral support for maternal, neonatal, and child health (MNCH). The purpose of the trip was to plan a return visit with a delegation of U.S. congressional staff in August 2014. Ghana's mixed progress toward meeting Millennium Development Goals (MDG) 4 and 5 related to maternal and child health; its strong relationship on immunizations with Gavi, the Vaccine Alliance; and its longstanding partnership on health with the United States were all reasons we decided to examine the country's MNCH situation. By late July, the acceleration of the Ebola outbreak in West Africa led us to postpone the trip until emergency preparations are not a major focus of the Ghanaian government, the United States, and other partners. Considering the fruitful meetings we had in June, we have captured here some of our initial impressions, observations, and recommendations.
Topic:
Health, Infectious Diseases, and Foreign Aid
Political Geography:
Africa, United States, and Ghana

27. Water and Sanitation in the Time of Cholera: Sustaining Progress on Water, Sanitation, and Health in Haiti

Author:
Katherine E. Bliss and Matt Fisher
Publication Date:
09-2013
Content Type:
Working Paper
Institution:
Center for Strategic and International Studies
Abstract:
In October 2010, just nine months after an earthquake devastated the capital city of Port-au-Prince and displaced an estimated 1.5 million people, Haiti's Ministry of Public Health and Population reported a cholera outbreak in two of the country's most impoverished regions. It was the first time cholera—a diarrheal disease associated with the consumption of food and water contaminated by feces infected with the bacterium vibrio cholerae—had been identified in the country in at least 100 years. Within a month of the initial report, cholera had spread not only to all regions of Haiti but also to the neighboring Dominican Republic. This report considers opportunities for the United States to enhance its support for improving Haiti's water supply and sanitation services and contributing to the elimination of the transmission of cholera and the reduction of diarrheal disease in the country.
Topic:
Development, Humanitarian Aid, Infectious Diseases, and Health Care Policy
Political Geography:
United States, Caribbean, and Haiti

28. The Negative Impact of the War on Drugs on Public Health: The Hidden Hepatitis C Epidemic

Author:
Global Commission On Drug Policy
Publication Date:
05-2013
Content Type:
Special Report
Institution:
Global Commission On Drug Policy
Abstract:
The hepatitis C epidemic fueled by the “war on drugs” is sweeping amongst injecting drug users around the world, yet continues to be largely ignored. Access to preventive services is far too low and diagnosis and treatment are too expensive and inaccessible for most people in need. The report provides an overview of the hepatitis C virus, while exploring how the ‘war on drugs’ and repressive drug policies are failing to drive transmission down. Hepatitis C is one of the harms caused by repressive drug policies, yet it s both preventable and curable when public health is the focus.
Topic:
Health, War on Drugs, Infectious Diseases, Drugs, and Public Health
Political Geography:
Global Focus

29. Getting Better Value for Money in Malaria Control

Author:
Amanda Glassman and Paul Wilson
Publication Date:
07-2012
Content Type:
Policy Brief
Institution:
Center for Global Development
Abstract:
Malaria kills hundreds of thousands of people every year and is among the leading causes of death for children under five. While funding for malaria control increased dramatically in recent years, gains are fragile and budgets are now stagnating. In that fiscal reality, getting better value for money is more important than ever. In this brief, we present a framework for increasing the efficiency of malaria-control initiatives that addresses where to intervene, what interventions are best, and how to deliver them most effectively. Much of what is spent on malaria control is already spent well, but health policymakers and practitioners could get better value and save more lives by implementing the following recommendations: Improve procurement procedures for bednets. Reduce overlap of insecticide-spraying and bednet programs. Expand the use of rapid diagnostics. Scale up intermittent presumptive treatment for pregnant women and infants.
Topic:
Health and Infectious Diseases

30. Immunization Strategies: Eradicating Meningitis in Sub-Saharan Africa

Author:
Sarah Cruickshank and Samantha Grills
Publication Date:
08-2012
Content Type:
Policy Brief
Institution:
Centre for International Governance Innovation
Abstract:
Meningitis epidemics are a major concern in the 25-country area from Senegal to Ethiopia known as the “meningitis belt.” A communicable disease, meningitis affects large portions of the population, causes high rates of death and disability, and worsens the plight of families and communities in a region marked by extreme poverty. MenAfriVac™ is the least expensive and longest lasting meningitis vaccine created to date, and is the best medicinal tool currently available to the global health community to combat this serious disease. Developed through a partnership between the Programme for Appropriate Technology in Health (PATH), an international non-governmental organization, and the World Health Organization (WHO), MenAfriVac™ targets the strain of bacterial meningitis responsible for the vast majority of outbreaks in the region. This vaccine is currently being widely distributed through Burkina Faso, Mali and Niger — and gradually expanding into other high-risk countries — and has the potential to save hundreds of thousands of lives if funding can be secured and appropriate strategies implemented.
Topic:
Development, Infectious Diseases, and Health Care Policy
Political Geography:
Africa and Ethiopia