Monday, November 2

Atlas of Torture

This is worth checking out! The Atlas of Torture website was launched in April 2009 by a group at the University of Vienna. You are invited to send your feedback to the development team if you should you find that any of the information is incorrect or incomplete.

Thank you. Amineh


http://www.atlas-of-torture.org

An Independent Project

The Atlas of Torture website is a project of the Human Dignity and Public Security team at the Ludwig Boltzmann Institute of Human Rights (BIM) in Vienna, Austria. It intends to provide an objective overview of the situation of torture and ill-treatment around the world. The website's content is provided by a team of researches, headed by Prof. Manfred Nowak, who has served in numerous functions as independent human rights expert, including his current appointments as chairperson of a police inspection commission of the Austrian Human Rights Advisory Board, United Nations Special Rapporteur on Torture and Director of the Ludwig Boltzmann Institute of Human Rights. While the Atlas of Torture website builds on the extensive experience of the project's staff, it is an independent project. Any views expressed on the website are solely attributable to the authors in the function as researchers at the Boltzmann Institute of Human Rights.

Project Purpose & Major Components


The project's purpose is to:

* raise awareness of the legal framework governing the prohibition of torture and ill-treatment;

* compile information on states' (non-)compliance with their obligations under international law to prevent, criminalise, investigate and prosecute cases of torture and ill-treatment;

* analyse the underlying structural causes contributing to the continuing practice of torture.

Addressed to human rights professionals in governmental and non-governmental institutions, academics, journalists and the interested public alike, the website hopes to offer a useful resource tool by pooling relevant documentation and jurisprudence from United Nations bodies, regional human rights mechanisms and leading NGOs on the issue of torture and ill-treatment. In addition, summaries and legal analyses provided throughout the website are intended to render existing information more easily accessible. The combination of geographic and thematic approaches is also reflected in the major components of the Atlas of Torture website:

1. The section Country Situations will gradually be filled with short country profiles, comprising a brief overview of the political and historical context, a synopsis of the most recent official documents regarding the situation of torture and ill-treatment, and a compilation of relevant documentation and jurisprudence.

2. The section Topicsis designed to offer an introduction to the legal framework governing the prohibition and prevention of torture, as well as to give an analytical overview of related issues such as the non-refoulement principle, the right of victims to remedy and reparation, and other special issues.

3. The News section keeps track of the latest legal and political developments relating to torture and ill-treatment in international and regional human rights bodies, country specific trends, conferences and other relevant events.

4. To increase the usefulness of the Atlas of Torture project for as wide an audience as possible, the section Things You Should Know includes a glossary of legal terms, expressions and human rights institutions referred to throughout the website, and refers to further online resources.

Tuesday, July 15

Digital Tools to Help Global Health

http://dghdigitaltools.pbwiki.com/Digital-Tools

Dear all, Many people emailed me to say they wanted notes from our News You Can Use session in June regarding digital technology.

To help people keep up with all the technology, we have created this very simple wiki site to track useful digital tools. So far, we have information on the following: gmail, Google Calendar, iGoogle (create your own home page), Google Map (public transit feature), Facebook (UW Global Health has a Facebook account), Twitter, Blogger, Slideshare.net (upload your presentations), Podcasting (audio and video), Digital Storytelling (the ridiculously easy way).

Thanks to Zied Mhirsi, MD, MPH, and the people at Podcamp Seattle who provided great tutorials.

Please log on and comment so our digital toolbox will improve!

- Bobbi Nodell, UW Dept of Global Health

Monday, December 10

Ebola-A chance to put recent lectures to practice

Looks like our we didnt have to do an outbreak investigation simulation exercise in class! There was an epidemic happenning miles away in Uganda unbeknoweth to us! How the epidemic was handled is another matter for the IHP bloggers to debate! There are reports that the index cases appeared in August but were not publicised until after the large Common Wealth meeting ended. So while delegates were deliberating in the capital city, ebola a disease with case fatality 50%-100% case fatality was spreading! The government explains that, and I quote "the government delayed to declare the disease due to long and tedious laboratory test procedures"
[Monitor Newpaper]-Read "long and tedious" means sending blood sample to a level 4 laboratory at CDC in Atlanta, Georgia!
For Ebola which has no effective treatment, was the government right to wait for laboratory confirmation before deciding to warn the public or starting control measures? The the saga continues...Especially given the fact that the epidemic presented in a similar way to the past Ebola epidemics epidemics presented except that it was a slightly different strain!

So for students of epidemiology! Here is a chance to draw the epidemic curve or interpret one and suggest ways of controlling this epidemic with over 20 people dead. http://www.who.int/csr/don/2007_12_07/en/index.html

Moses

Tuesday, December 4

Where HIV figures deliberately inflated!

post from Dr. Bateganya.

The following paragraphs are excerpted from a Ugandan newspapers. The authorseems to think that HIV figures may have been deliberately inflated to getfunding and later reduced to show that the money worked. Interesting that I am even considering it!
Come to think of it there are countries where prevalence of HIV just dropped even without doing anything! of course if more people died the prevalence would drop! And who wouldn't be praised for reducing the prevalence? Which donor would not be happy to get reports of falling prevalence!The question is are countries under declaring HIV figures to show that donormoney worked? You can access the entire article by clicking here.

There was also a deadly inter-play of donor and “native” politics. To get more funding and international attention for Aids, as the recent UN report seems to acknowledge, the numbers of cases were blown up.But once the money was flowing, to keep the taps open it was important todemonstrate that the funds were making a positive impact. This required thatinfection rates be shown to be falling, and if they weren’t, well, easy, makeup the numbers.Because the bulk of money to fight Aids came from external sources, not taxrevenues, our governments never made the mental shift that prioritized healthexpenditure over, for example, defense or paying for the comfort of presidents and their entourages.Because that mental shift never happened, there was no accompanyinginstitutional change in our health sector. Therefore if you take away thedonor Aids money, and foreign experts, Uganda in 2007 is probably where it was in 1985. At the private level, many heroic who “survived” Aids to live apositive too, did so because of their individual spirit and that proverbialUgandan resilience, not because an elaborate infrastructure had been built that helped them.... Onyango Obbo

Nice reading

Moses

Thursday, November 29

Uganda: Circumcision may not help

This op-ed was originally published in The Monitor (Kampala) on
12 November 2007

Dr. Moses Bateganya

I write to share my opinion with others following an article that quoted President Museveni’s speech to the youth. I write to add my voice on the issue of “the role of male circumcision in Uganda’s fight against HIV.”

Male circumcision is a promising addition to Uganda’s HIV preventive strategies and once implemented it has potential to reduce HIV infection among circumcised males. Uganda and the rest of the world are fortunate to have an additional intervention that will support the fight against the epidemic. However wide-scale implementation is premature in Uganda.

First, although several research studies that compared circumcised and uncircumcised males in several African countries including one from Rakai district in Uganda showed that circumcised males were less likely to acquire HIV than their uncircumcised counterparts, there is a big difference between what can be achieved in a study setting and the results of a public health intervention. Conditions in a clinical trial are carefully controlled and results may not really be as glowing as those from a study situation where both the study staff and participants are well motivated.

For example while side effects from surgery were minor under study conditions, they may be enormous under field conditions given the current challenges faced by Uganda’s hospital surgery departments such as few and less motivated personnel, lack of proper equipment, shortage and frequent stock out of drugs and consumables.

Secondly, there may be behaviour disinhibition where people who are circumcised may incorrectly assume they are not at risk of HIV infection. Such an incorrect conclusion may lead individuals who are HIV-negative at the time of circumcision to maintain or increase their current level of HIV-risk behaviour putting themselves and their sexual partners at risk.

Similarly, HIV positive individuals may seek surgery and incorrectly think they will not transmit HIV. Hospitals implementing circumcision may not have the capacity to screen all their clients for HIV before offering circumcision, thus circumcised males may create another risk category in HIV prevention.

Male circumcision may also take away resources and attention from other prevention methods that have effectively reduced the HIV prevalence in Uganda, namely abstinence, faithfulness and condom use. In fact, those prevention efforts have already earned Uganda the coveted position as an international success story in reducing the number of people being infected with HIV (though this assertion is still being questioned and is an open debate; what worked in Uganda?).

The cost for each circumcision in the Rakai study was over $60. This is a cost ten or more times the annual budget for health for an individual. Is it worth diverting the prevention budget away from methods that seem to work for a fraction of the cost to try something that has only been tested in a study setting? I don’t think so.

Dr. Moses Bateganya is based at the University of Washington, Seattle

Sunday, November 25

Punishing an Entire Population

Hello everyone!

I wrote the op-ed piece below to fulfill one of the assignments for my Problems in International Health course with Dr. Steve Gloyd. As many of you know, Dr. Gloyd encouraged us to submit our work to newspapers for publishing. We'd love to post your published/unpublished work on IHP blog too. Please feel free to contact me with any questions on how to do this if you are interested.

Looking forward to reading you. Amineh


Punishing an Entire Population

Following Hamas' takeover of the Gaza Strip last June, Israel tightened its siege over the area to an unprecedented level. Israel declared Gaza a “hostile entity’ in September, threatening to impose economic sanctions against the territory and to further restrict the passage of food, supplies and people. Israel’s policy of collective punishment will only deepen an already dire humanitarian crisis, and lead to grave public health consequences in the most densely populated area in the world.

In late October, Israel commenced its policy of fuel cuts and reduction of Gaza's electricity supply in order to pressure Hamas in response to cross-border rocket attacks. Israel also closed border crossings into Gaza, leaving only one of six entrances open. Since the so-called disengagement in 2005, Israel has been restricting access and controlling borders to Gaza, while denying responsibility for the still-occupied people there.

Sanctions will reduce gasoline imports by about 50% and fuel for Gaza's power plant by 12%. These resources are critical for the livelihood of the already impoverished Strip. Gaza relies on Israel for all its fuel and most of its electricity needs. Fuel is required to produce the electricity that Gaza generates locally. Electricity is needed to pump water and to operate sewage management plants, as well as hospitals and other infrastructure. According to the Humanitarian agency Oxfam International, seven water wells in Gaza City did not operate as usual due to fuel shortage, which decreased the quantity of water supplied to 50,000 people by about 75%. The restrictions on the entry of goods into Gaza have also caused shortage of materials needed for repairs and maintenance of sewage plants. Sewage plants must operate 24 hours per day to prevent sewage floods and spread of disease.

Israel claims that its policy of fuel cuts of up to 15% is a “non-violent” way of increasing pressure on Hamas. An ongoing state of siege that cuts off food, medicines and fuel is not a “non-violent” act. According to the World Health Organization, most of the population is already living under the poverty line, and suffers from malnutrition. Starving civilians as a method of warfare is illegal under article 54 of the Fourth Geneva Convention.

At what expense do we play politics with the health of an entire population?

Our experience with sanctions in the Middle East has taught us that subjecting a population to economic embargo does not work. Such sanctions primarily harm innocent people. Why is this a lesson unlearned? Looking back at the sanctions against Iraq, we know that restricting the imports of medicine and food into the country caused terrible public health consequences. Malnutrition among children became widespread, and according to UNICEF, child mortality tripled in the first year of sanctions. Water-borne infectious diseases such as cholera and typhoid spread and accounted for 50 percent of total deaths among children. 500,000 Iraqi children under age five died due to the economic sanctions in Iraq.

The Israeli siege has severely reduced the flow of fresh food, especially fruits and dairy products into Gaza. Exports are also greatly restricted, resulting in paralysis of the territory's economy. Prices have more than tripled, causing severe hardship for the poorest sector of the population. The unemployment rate now stands at 50%, and poverty has surpassed 85 percent. Critically ill Gazans seeking to leave to receive life-saving medical treatment in Israel or Egypt are trapped within Gaza. Dr. Mustafa Barghouthi, president of the Palestinian Medical Relief Society and former Minister of Information stated that at least ten patients have died since last month because they were denied access to treatment. Such conditions also have serious mental health consequences. The majority of Gazans are suffering from feelings of anxiety, frustration, and hopelessness, according to Dr. Eyad El-Sarraj, president of the Gaza Community Mental Health Program.

The international community should speak out against the deteriorating humanitarian situation in Gaza and hold responsible key players accountable for protection of civilians. Israel should have earnest goodwill at the upcoming peace talks and must fulfill its obligations under international law by lifting the siege on Gaza and opening its borders immediately. The United States would do well to play a more sincere role in peacemaking in the Middle East, and involving other parties who are serious about seeing peace prevail in the region. After all, a genuine and viable peace is the only solution to Israel’s dilemma, not sanctions.

Monday, October 1

Global Warming and Public Health


When I was in Niger this summer, I saw the effects of global warming firsthand. This is a picture of a place where Lake Chad used to be. The people who lived in the town where this picture was taken described their memories of the days when they would sell truckloads of fish from the Lake. Global warming is threatening both the economy and the health status of people living in Eastern Niger.

When I thought about how my flight to and from Niger was contributing to this, I felt guilty.

I think that one of the moral dilemmas we face as "global health" people is the fact that we regularly contribute to global warming. I was really pleased to find out about TerraPass. Every time you fly, you can donate money to fight global warming:

http://www.terrapass.com/

Sunday, September 30

The Fall Welcome Picnic


Many thanks to Stephen Bezruchka and Mary Anne Mercer for hosting the annual Fall Wlecome Picnic for current and former students, staff and faculty of the International Health MPH program, and staff and directors of Health Alliance International and the PLP. Wlecome everyone!



Thursday, September 27















Hi Everyone,
Just wanted to say hello to all the new IHPers...welcome to the program!! I just returned from Niger, where I was doing research for my thesis and practicum. I did an internship with Helen Keller International (HKI). The purpose of our research was to evaluate HKI's rehabilitation program for acutely malnourished children.

Unlike most non-profit organizations in Niger, HKI works with the Ministry of Health. Other NGOs prefer to set up private clinics that operate independently of the government health system. After having HSERV 531 and hearing Prof. Gloyd stress the importance of building the capacity within government health centers, it was great to work with a NGO who actually does this. Although working within health systems may be more challenging, the resulting capacity building is arguably more valuable in the long run.

Also, if any of you speak French and are interested in doing research in Niger, please let me know and I can connect you with NGOs in the country.

Looking forward to meeting you all on Saturday!

Katie

Wednesday, August 29

Happy 60th Birthday Steve!

Lyrics by Sarah Frey with help from all IHP Coordinators from the last 20 years: Linda Lovick, Liz Mogford, Julie Beschta and Julie Brunett. James Pfeiffer on guitar. Sung to tune of "O-Bla-Di" by the Beatles.

O-Bla-Steve


Some-times he’s ex-e-cu-tive of HAI

Some-times he directs the IHP

Some-times he’s the go-to-guy for PLP

And soon he’ll be one of the Chairs of GHD

IHP, PLP, Fa-mi-ly, Bra!

How does Steve Gloyd do it all?

HAI, GHD, and Marim-ba!

Watchin’ all that basket-ball.

Rain or shine he always rides his bike to work

Birkenstocks and shirts from A-fri-ca

Home-made sandwich bread and pocket ca-len-dar

Evenings home with Salim, Mussa, and Ahou-a

O-bla-Steve, O-bla-da, life goes on, Bra!

How does Steve Gloyd do it all?

All those jobs, two huge boys, super wife, Ah!

Green hel-met in case he falls.

And in his of-fice you’ll find a few key things

(doo-doo, do…)

Big jar of mayo, some pisco sours

A suit and tie for high meetings

(ha ha ha ha ha ha ha)

Happy ever after spreading global health

Structural adjustment is the key

Turn the system round so folks can help them-selves

And put the money back into the Mi-ni-stry.

Obla-di, obla-da, life goes on, Bra!

How does Steve Gloyd do it all?

Mozambique, Cote d’Ivoire, and Sudan, ah!

Traveling from Fall to Fall.

And now he’s six-ty with de-cades left a-head.

(doo-doo, do, doo-doo…)

Because he bikes and runs up the stairs,

And hits the gym each nite, ‘fore bed

(ha ha ha ha ha ha ha)

Often he’ll hang out to chat and socialize,

(Email, cell phone, calendar in hand….)

Fam’ly man, a good friend, and musician too,

And always working hard to stick it to the man!

IHP, PLP, Fa-mi-ly, Bra!

How does Steve Gloyd do it all?

HAI, GHD, and Marim-ba!

Watchin’ all that basket-ball.

And if you want some fun…

(ha ha ha ha)

Sing O-Bla-Steve-Bla-Da!


Tuesday, July 3

UW MPH Student Reporting from Ramallah

Just wanted to share with you Cindy's first report on the new Palestine Health Journal Blog. To view Cindy's report, please click here. Cindy is an MPH student in the CO-PHP track.

Sunday, June 24

Nairobi Photos

A friend forwarded me this link and I thought I would share with all of you. They are beautiful pictures.

http://www.nairalan d.com/nigeria/ topic-51356. 0.html

If you happen to be in kenya, feel free to email me (lmasese@yahoo.com) and we can meet.

Wednesday, June 20

Positioning to HIV/AIDS prevention, care and treatment - A strategy to gaining relative health equity

The continued increasing allocation of financial resources to HIV and AIDS globally not only demands maximizing response to HIV/AIDS prevention, care and treatment but also redirecting the unprecedented resources towards Strengthening Health Systems....

The response to public health .... Mozambique, Ethiopia.... more to come .... and many to follow, the leadership model based on values by the people and for the people!

New York Times
June 18, 2007
Editorial

Two Cheers on Global AIDS
Now that the Group of 8 industrialized nations has pledged to commit $60 billion to combat AIDS and other diseases around the world in coming years — a substantial sum by any reckoning — Congress and other national legislatures ought to look hard for additional funds to close a looming gap between the funds committed and the needs of desperate patients.
The advanced nations — both the G-8 countries and other donor nations — have greatly increased their funding for AIDS programs in recent years in belated recognition that the epidemic threatens to destroy not just its victims, but also the social and economic fabric of many countries in sub-Saharan Africa. We are pleased that President Bush has proposed spending some $30 billion to combat AIDS abroad over a five-year period, from 2009 to 2013, but in truth that represents only a modest increase from the spending trajectory we were already on. At its recent summit meeting, the Group of 8 pledged to commit $60 billion to fight AIDS, tuberculosis and malaria “over the coming years,” including the American contribution.
Yet even these pledges will not be enough to keep up with the devastating epidemics. Tens of billions of dollars more will be needed to provide treatment, care and preventive services for AIDS alone over the next five years.
Although the Group of 8 pledges are welcome, they actually represent a retreat from previous goals. In 2005, at its meeting in Gleneagles, Scotland, the group pledged to provide “as close as possible to universal access to treatment” for all people suffering from AIDS by 2010. That should mean at least 10 million people in treatment by then, judging from estimates by United Nations AIDS experts. Yet at the recent meeting, the G-8 said it was aiming to treat only some five million patients in Africa by an unspecified date. That sounds like consigning millions of untreated people to death and disability.
To its credit, the United States has been by far the largest AIDS donor in recent years, providing almost half of the funding commitments made by donor governments. But when measured against the size of the national economy, the American donations rank only fifth. There is room to do more.
As Congress wrestles with the fiscal 2008 appropriations bills this year, it ought to provide the full $1.3 billion being sought by Congressional health advocates as the American contribution to a global fund to combat the three diseases — not just $300 million as proposed by the administration or the $850 million approved by the House Appropriations Committee. Congress should also set the nation — and by its example, the world — on course toward universal access to AIDS treatment by 2010.

Wednesday, June 13

Link modification

If the earlier link does not work, please try this for sure! Apologies for inconvenience.

I yet have to learn my tubing and afraid you guys have to register facebook to access this link, however it is a simple process. Enjoy

http://washington.facebook.com/video/video.php?v=2403598419&saved

We were born to make a difference! Graduation Ceremony

Dear friends, colleagues and faculty members,

Here is the link to Professor Steve Gloyd address on the eve of graduation ceremony at South Campus. Among many other things, Steve admired the passion and the public health activism we all carry very close to our hearts for health and social equity!

http://www.facebook.com/video/editvideo.php?v=2403598419

Congratulations to all graduates in advancing their careers towards making a difference in the Global Health!!

Thanks to all of our loving faculty members. Peace

Tuesday, June 12

PLP Celebration Pics & Video

I remember PLP's first year clearly. My housemate, Nandini Johri, was one of PLP's 2001 fellows. Through her I became acquainted with Aaron Katz and the PLP program. It is quite impressive remembering the achievements of the program and its fellows.

Here is a link to pics Zied and I shot at the event and a video/slideshow as well. Hope you enjoy the live performance of the graduates. It was quite touching and a must-see.





I also learned a lot at the ceremony about the IHP/HAI story/team. Wow, what a fun team. There is a thread that connects most of them: MUSIC. Yes, they all play an instrument of some sort, dance or sing. I hope to make a short video about the IHP/HAI story and post it on our blog. Hope Steve Gloyd, yes, Liz and the rest of the team would hold a live performance for us sometime in the coming year.

Here is a pic of the IHP program coordinators from 1992-2007. Liz Mogford was the first coordinator and Sarah Frey is the current coordinator (she sings too and performed at Folklife with her band).

Julie, Liz, Sarah, Julie

Tariq will be posting footage he shot soon. Stay tuned.

Sunday, June 10

More IHP/PLP/HAI Annual Celebration Pix

Here is a link to a few more pix from IHP graduation party.


Thanks to Ahoua and Steve for the festivities and hosting a wonderful gathering.

Congratulations to all the graduates.

Public health nurses - greater role in working with others to make child and family poverty history

Article title: Development of the role of public health nurses in addressing child and family poverty: a framework for action
Authors: Benita E. Cohen & Linda Reutter
OnlineEarly Articles
Journal Name: Journal of Advanced Nursing
Click here to go to the abstract of this article in Blackwell Synergy:
http://www.blackwell-synergy.com/doi/abs/10.1111/j.1365-2648.2006.04154.x

Saturday, June 9

The Global Health - Social and Health Equity Around the Globe



To all IHP, PLP graduates:



Let’s keep the IHP/PLP promise for keeping the public health activism alive where ever we intend to make a difference; Transnational or Transatlantic, Africa, Asia, Australia or America; whether it is environment driven or WE have to drive the environment!





Good luck to everyone around the globe for making the difference in the Global Health!


Zeid and Amineh, I am trying to put the graduation movie on the blog, however unable to do so, please tell me the secret.

Thursday, June 7

Wendy is in the PI !

IHP is everywhere from the NYT to the PI. Here you can read wendy's article !