Chronic Diseases

Chronic diseases
A volunteer nun tending to a chld at the Drouin health centerOn Tuesday and Wednesday, Dr. Serge Conille, the HIV/AIDS technical Advisor of the USAID-funded SDSH project led by Management Sciences for Health, and designated lead of the project's emergency cholera task force, and I visited project-supported health facilities in the epicenter of the epidemic in the lower Artibonite Department (Province).

We drove into the cholera zone over a dirt track through a flat plain of fields, green, but neglected. The road ran parallel to what appeared to be a wide canal, the dikes on either side uneven and crumbling. Later, I found out that this was the Artibonite river, source of the epidemic. It was constrained and channeled some 25 years ago as part of a “whole valley development plan” which included promotion of rice cultivation. The rice is largely gone and the dikes are frequently overrun by the river which floods the surrounding countryside isolating some villages, sometimes for long periods of time.

The Health Minister’s Conference for member countries of The East, Central and Southern Africa Health Community (ECSA HC) was opened by the Minister of Health, Zimbabwe in Harare on October 25. The theme, "Moving from Knowledge to Action: Harnessing Evidence to Transform Healthcare" is very relevant to the mission of Management Sciences for Health (MSH).

I’ll highlight two sessions from the first day that support the evolving global health field and the work of MSH.

At the Global Health Council Conference, I attended an interesting event, “Impact of Schistosomiasis and Polyparasitic Infections on Anemia, Growth and Physical Fitness in Children in Coastal Kenya” presented by  Dr. Amaya Bustinduy of Case Western Reserve University which focused on neglected tropical diseases (NTD).

Schistosomiasis remains one of the most serious and prevalent neglected tropical diseases worldwide.  According to Bustinduy, the WHO estimated that there are 235 million cases of schistosomiasis with 732 million to be at risk for contraction. 89% of  all cases live in the less-developed areas of rural sub-Saharan Africa and South America.

Schistosomiasis is associated with diseases such as anemia, growth impairment in children, and mental retardation.  The focus of Dr. Bustinduy’s ongoing study in Kenya is to “address those morbidities as part of a larger study examining the ecology of transmission of Schistosomiasis.”

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