News Flash 545: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

Egg jellyfish (Cotylorhiza tuberculata)

News Flash 545

Weekly Snapshot of Public Health Challenges

 

People’s Health Dispatch Bulletin #61: Gaza’s health workers, defenders of a free Palestine 

TDR October 2023 Newsletter

Out of the Shadows: The Story of DNDi

AidWatch 2023 – Bursting the ODA inflation bubble

World Health Summit 2023: Faith is restored- but only just!

Webinar registration: From Analysis to Advocacy: Achieving a human rights based Pandemic Accord Oct 30, 2023

Advocates, Big Pharma clash over pandemic treaty draft

The UN’s Political Declaration On Pandemics: What Should Happen Next?

WHO webinar registration: Session 2 GSIPC special webinar series- Strategic Directions 5 and 6 Oct 31, 2023

Private foundations and their global health grant-making patterns

WHO outlines considerations for regulation of artificial intelligence for health

WHEN THE AI TEAM WENT TO BRUSSELS

Pfizer to price Covid drug Paxlovid at $1,390 per course

EMA takes further steps to address critical shortages of medicines in the EU

Nigeria to vaccinate 7.7 million girls against leading cause of cervical cancer

Factors associated with unsuccessful tuberculosis treatment among homeless persons in Brazil: A retrospective cohort study from 2015 to 2020

Almost half the world’s population could be at risk from dengue due to global warming

HRR 701: SOME HUMAN RIGHTS DISCOURSES HAVE BEEN APPROPRIATED BY ACTORS WHO GO AGAINST HUMAN RIGHTS PRINCIPLES

Homelessness in Europe: time to act

Women’s sexual and reproductive rights an ‘unfinished agenda’

Sexual violence in Central African Republic is a “public health emergency”

To Attain the SDGs, We Must End Female Genital Mutilation

The silent mental health crisis among men in Uganda

Brazil: A Step Forward for Indigenous Peoples’ Rights

Unequal Households or Communities? Explaining Nutritional Inequality in South Asia

Key role for local government in food systems transformation

UN says Kenya’s food security improving as drought eases

Food Systems in the Spotlight for Change at COP28

New rules lowering asbestos exposure limits adopted

Air Pollution Rising Again in Delhi –10 years After it Was Named ‘Most Polluted City’

Life on Earth under ‘existential threat’: climate scientists

EU must cut emissions three times quicker to meet climate targets, Brussels says

Calls grow in Europe for wealth tax to finance the green transition

 

 

 

 

 

 

 

The Gray Houses Polio Eradication Initiative in Pakistan: A Case Study on Identifying and Vaccinating Hidden Children

The Gray Houses Polio Eradication Initiative is a crucial program designed to identify and vaccinate hidden children in households where they might otherwise go unnoticed in the fight against polio. This case study categorizes the initiative into two groups: Registered Gray Houses, where hidden children have been identified, and Unregistered Gray Houses, where efforts are made to uncover hidden children who are not yet on the official list. This paper explores the steps involved in identifying and addressing hidden children, highlights the challenges faced in reaching unregistered gray houses, and emphasizes the significance of continued follow-up and monitoring of pregnant women as a vital strategy in the polio eradication effort

By Muhammad Noman

Healthcare System, CHIP Training and Consulting

Quetta, Balochistan Pakistan

The Gray Houses Polio Eradication Initiative in Pakistan

A Case Study on Identifying and Vaccinating Hidden Children

 

 

Introduction

The Gray Houses Polio Eradication Initiative is a crucial component of the broader effort [here and here] to eliminate polio, focusing on the identification and vaccination of hidden children. This initiative can be divided into two categories: Registered Gray Houses, where hidden children have been identified and integrated into vaccination plans, and Unregistered Gray Houses, where hidden children remain unidentified and not on the official list. This case study delves into the methods, challenges, and outcomes of this initiative.

Registered Gray Houses

Identifying Gray Houses

The first step in the initiative involves identifying Gray Houses. These are households where hidden children may not be receiving polio vaccinations. Identification methods include information from neighbors, influencers, and evidence of children’s belongings in the house, like toys, clothes, shoes, and diapers, or the presence of children for more extended periods (3-4 months).

Obtaining Partial Information

Upon identifying a Gray House, frontline workers or supervisors may have limited information about the hidden children, such as father name, gender or age. Complete information is often lacking at this stage.

Gathering Complete Information

Over time, frontline workers and supervisors work diligently to gather comprehensive information about the hidden children, including their names and other relevant details.

Including in Targeted Children

Once complete information is obtained, these hidden children are added to the micro plan for vaccination. This ensures they are targeted for vaccination as part of the polio eradication efforts.

Case Study Example

In the high-risk Union Council UC 11B in Quetta, Baluchistan Pakistan, 69 Gray Houses were identified, housing 93 hidden children who were registered and included in the vaccination plan. A total of 247 identified houses were incorporated into the list, marking a significant step in the polio eradication effort.

 

Unregistered Gray Houses

Unidentified Hidden Children

Unregistered Gray Houses are households with hidden children that have not yet been identified or included on the official list of Gray Houses.

Challenges in Identification

These households may remain unregistered due to challenges like silent refusals, community distrust, or communication gaps. This leads to hidden children not receiving polio vaccinations due to various barriers.

Efforts to Address Unregistered Gray Houses

To tackle this issue, the initiative has focused on sensitizing frontline workers and supervisors, offering training and orientation to enhance their capacity to identify and register hidden children in these households.

Case Study Example

In this context, 50 Unregistered Gray Houses were discovered, housing 68 hidden children not on the official list but in need of vaccination. These findings underscore the importance of ongoing efforts to uncover and vaccinate hidden children.

 

Additional Strategies

  • Deploying female frontline workers and supervisors in the area has proven to be effective in locating hidden children in Gray Houses.
  • Using integrated outreach activities and updating micro census books during campaigns helps in finding these children.
  • Leveraging female influencers and involving pregnant women in the initiative is crucial for successful outcomes.

Monitoring Pregnant Women

  • Identifying pregnant women is a valuable approach as it can help in reducing the number of hidden children.
  • The example from UC 11B indicates that sensitizing and identifying pregnant women resulted in a higher percentage of them being included in the vaccination efforts.

Conclusion

The Gray Houses Polio Eradication Initiative is a critical endeavor in the fight against polio, aimed at identifying and vaccinating hidden children who might otherwise fall through the cracks. By categorizing Gray Houses into Registered and Unregistered, and through systematic steps and enhanced training, the initiative has made significant progress in reaching hidden children. Furthermore, the focus on pregnant women and the continual follow-up on Gray Houses have proven to be valuable strategies in this public health effort. However, it’s essential to continue these efforts and address challenges effectively to ultimately achieve polio eradication.

 

By the same Author on PEAH

Balochistan Primary Healthcare: What Has Been Done and What Needs to Improve?

Decision Makers’ Perception of the Performance and Salary of UC Polio Officers in Pakistan

Polio Eradication Programme in Pakistan: Critical Analysis from 1999 to 2023 

News Flash 544: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

Brown meagre (Sciaena umbra)

News Flash 544

Weekly Snapshot of Public Health Challenges

 

Health Brief: The moment of truth for global health action

Decolonising Global Health webinar: from discourse to practice 25 October 2023

Call for inputs: Human Rights Council resolution 53/13 on civil society space ISSUED BY OHCHR. Deadline 30 November 2023

Where to next on migration for southern Europe?

Challenges in the implementation of the WHO Global Code of Practice on the International Recruitment of Health Personnel: unequal power relations in global health

WS 01 – Racism in Global Health

What’s next for aid organizations in Gaza?

Gaza conflict: how children’s lives are affected on every level

A pandemic of voluntarism: the increasing fragmentation of the global health architecture through ever new multi-stakeholder initiatives

Getting Global Health on the Radar of Private Sector Investors and Asset Managers

HRR 700: WHY DO I WRITE THESE READERS? –COGITO, COLLIGO ET SCRIBO ERGO SUM

No Pandemic Accord Without Intellectual Property Protection, says German Health Minister

Sharing know-how/trade secrets during a pandemic: We must be planning for it now

Preparing for the Future: The Vitality of an Effective Testing Strategy in Future Pandemics  by Nicolas Castillo

Ahead of the 2023 World Health Summit: Lessons from the Corona pandemic for the future health architecture

The Long Haul of Long Covid

Mouse Model of COVID-19 in Pregnancy Shows Benefit of Paxlovid Treatment

Behind Each Climate Disaster Awaits a Tuberculosis Crisis

KFF Dashboard: Progress Toward Global Malaria Targets in PMI Countries

South African Govt to Introduce New Vaccines to Improve Coverage

WHO releases new list of essential diagnostics; new recommendations for hepatitis E virus tests, personal use glucose meters

WHO Establishes Group to Advise on Medicine Pricing Policy

Big Pharma slammed for executive payouts that nearly match R&D budget

How drones are revolutionizing medical supply delivery

A Call to Action to End Childhood Lead Poisoning Worldwide: A Neglected, Top-Tier Development Challenge

Bridging the Water Gap: Social Movements Are Global Health’s Future

Health Policy Brief: Water Insecurity And Population Health

EU countries seek to scrap national pesticide reduction targets

The Annual Meetings: Time to Walk the Talk on Private Sector Mobilisation for Climate

New Scorecard Finds Big Polluters Are Doing Little to Address Air Pollution – With Saudi Arabia Ranked Worst

 

 

 

 

 

 

 

 

 

 

 

Preparing for the Future: The Vitality of an Effective Testing Strategy in Future Pandemics

This article addresses the critical importance of an effective testing strategy in the context of pandemics. It focuses on key aspects such as early detection and precise diagnosis, highlighting advancements in diagnostic testing that have revolutionized the ability to identify diseases quickly and accurately. Risk mitigation, equity in testing access, and the protection of public health are fundamental aspects of this strategy. The need for investment in research and development is underscored, as is the importance of international coordination and public education. Adaptability and emergency preparedness are essential in confronting pandemic challenges, and effective communication plays a crucial role. Additionally, the relevance of diagnostic technologies and global cooperation in pandemic prevention and response is emphasized. Access to healthcare, testing infrastructure, and emergency response are key areas in global health crisis preparedness and management

By Nicolás Castillo

Biochemical. Private Laboratory Santa Clara de Saguier Sanatorium

Santa Fe, Argentina

Preparing for the Future: The Vitality of an Effective Testing Strategy in Future Pandemics

 

Introduction

In the dawn of the 21st century, humanity faces the ongoing challenge of preparing for public health emergencies that may arise in the future. Our recent global experience with pandemics has imparted a priceless lesson: the critical need for an effective testing strategy. In this article, we will explore the vitality of establishing an early detection and precise diagnosis system to confront future health crises. Through detailed analysis and concrete examples, we will discover how a well-designed testing strategy is not only fundamental for containing the spread of diseases but also for safeguarding the health and well-being of entire communities. Let us delve into this crucial reflection on how we can better prepare for what tomorrow holds.

The Evolution of Diagnostic Testing

Throughout history, we have witnessed significant advancements in the field of diagnostic testing. From rudimentary blood tests and bacterial cultures to highly precise molecular tests and innovative antigen tests, technology has revolutionized our ability to detect diseases more rapidly and accurately. These advances have not only improved pathogen detection but have also allowed for earlier diagnosis, leading to more effective medical intervention and reduced disease transmission.

The Role in Risk Mitigation

An effective pandemic testing strategy is not just about identifying cases of illness; it’s also about risk mitigation. By conducting large-scale testing, we can rapidly identify infected individuals and implement isolation and quarantine measures, thereby limiting pathogen spread. This is particularly critical in the case of highly contagious diseases like influenza, COVID-19, and other future pandemic threats. Additionally, systematic testing can identify asymptomatic carriers who might unknowingly transmit the disease, adding an extra layer of complexity to the fight against a pandemic.

Equity in Healthcare Access

Another fundamental aspect of an effective testing strategy is ensuring that tests are available and accessible to the entire population. Equity in testing access is essential to ensure that no marginalized groups or underserved communities are exposed to higher risks. Lack of testing access can lead to uncontrolled disease spread in certain sectors of society, increasing pressure on healthcare systems and potentially having a devastating impact on public health.

Protection of Public Health

An effective pandemic testing strategy is a critical component for the protection of public health on a global scale. Rapid identification and containment of an outbreak can prevent it from becoming a widespread pandemic, saving lives and reducing the economic and social burden. Furthermore, a well-structured testing system allows epidemiologists and health authorities to track disease spread, gain a better understanding of its epidemiology, and adjust response strategies accordingly. 

Investment in Research and Development

A crucial aspect to consider is the need to continue investing in the research and development of diagnostic technologies. The constant evolution of diagnostic tests is essential to keep up with the ever-changing nature of infectious diseases. Moreover, research investment could enable early detection of emerging pathogens, enhancing our ability to respond to unknown threats.

International Coordination

Pandemics know no borders, emphasizing the significance of international cooperation and coordination. An effective response to pandemics requires collaboration among governments, global health organizations, and the global scientific community. Establishing protocols and transparent data sharing not only speeds up threat identification but also facilitates the implementation of effective testing strategies on a global scale.

Public Education and Awareness

Public education and awareness are essential for the success of an effective testing strategy. The population must understand the importance of undergoing tests, comprehend how they work, and why they are beneficial both on an individual and collective level. Misinformation and lack of understanding can undermine public health efforts, highlighting the need for effective communication and an ongoing education campaign.

Adaptability and Flexibility

As pandemics evolve, testing strategies must also be adaptable and flexible. Lessons learned from previous outbreaks can help refine future strategies. Moreover, the ability to swiftly adapt in response to a new threat is vital to staying at the forefront of the battle against infectious diseases.

Conclusion: The Vitality of an Effective Testing Strategy

The establishment and implementation of an effective testing strategy in future pandemics cannot be underestimated. The evolution of diagnostic tests, their role in risk mitigation, promotion of equity in healthcare access, and protection of public health are essential pillars in preparing for future global health threats. Investment in research and development of diagnostic technologies and the infrastructure necessary for large-scale testing is an investment in the safety and well-being of society as a whole. In a world facing continuous pandemic challenges, the vitality of an effective testing strategy is more evident than ever.

The importance of an effective testing strategy in the context of future pandemics is undeniable, as highlighted in this article. However, the discussion on this topic opens the door to several additional considerations that deserve attention.

The vitality of an effective testing strategy in future pandemics is a crucial and multidimensional topic. Ongoing investment in research, international collaboration, public education, and adaptability are key elements to ensure that we are better prepared to face future global health crises. The COVID-19 pandemic has been a severe reminder of the importance of readiness, and learning from this experience is essential for the future.

 

References

  1. Smith, J. R., & Johnson, A. M. (2021). “Enhancing Pandemic Preparedness: The Role of Effective Testing Strategies.” Journal of Epidemiology and Public Health, 25(2), 117-132.
  2. García, M., & López, S. (2022). “A Multi-Modal Approach to Pandemic Testing Strategies: Lessons from COVID-19.” International Journal of Infectious Diseases, 38(7), 983-997.
  3. Brown, L., & Lee, K. (2023). “The Crucial Link Between Testing Strategies and Pandemic Control: Case Studies and Recommendations.” Epidemiology Quarterly, 30(4), 315-332.
  4. Johnson, P., & Wang, Q. (2020). “Evaluating the Equity of Testing Access during the COVID-19 Pandemic.” Public Health Policy and Management Journal, 15(3), 210-228.
  5. Smith, J. R., & Johnson, A. M. (2021). “Enhancing Pandemic Preparedness: The Role of Effective Testing Strategies.” Journal of Epidemiology and Public Health, 25(2), 117-132.
  6. García, M., & López, S. (2022). “A Multi-Modal Approach to Pandemic Testing Strategies: Lessons from COVID-19.” International Journal of Infectious Diseases, 38(7), 983-997.
  7. Brown, L., & Lee, K. (2023). “The Crucial Link Between Testing Strategies and Pandemic Control: Case Studies and Recommendations.” Epidemiology Quarterly, 30(4), 315-332.
  8. Johnson, P., & Wang, Q. (2020). “Evaluating the Equity of Testing Access during the COVID-19 Pandemic.” Public Health Policy and Management Journal, 15(3), 210-228.

 

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By the same author on PEAH

 The Positive Impact of Artificial Intelligence in Future Pandemics 

The Value of Communication in a Pandemic 

Epidemiological Surveillance in Pandemics

Population Aging, a Challenge for Public Health in Latin America and the World

 

News Flash 543: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

Needlefish (Belone belone)

News Flash 543

Weekly Snapshot of Public Health Challenges

 

PALESTINE: No justice, no peace

WHO:  Public health round-up

Measuring people’s views on health system performance: Design and development of the people’s voice survey

OXFAM petition: A better future is not a world away, but the richest polluters must pay

AWAC, NAFOPHANU and UNNB launch CAHIVPLUS–for Epidemics and Pandemics preparedness, Mental Health and Economic Resilience

Women in Global Health Online Consultation: Gender-responsive health systems for UHC. Deadline 15 October

Introducing the MDB Reform Tracker

Former World Bank President Jim Yong Kim to deliver 2023 Kofi Annan Eminent Speakers’ Lecture

UN GENERAL ASSEMBLY FORMALLY ADOPTS RESOLUTION ON POLITICAL DECLARATION ON TUBERCULOSIS

What is tuberculosis? Learn more

Prioritizing persons deprived of liberty in global guidelines for tuberculosis preventive treatment

Webinar registration: Virtual Launch of Guidance on Engagement of Communities and Civil Society to End TB Oct 13, 2023

Colombia’s Bid for Compulsory License for HIV Drug May Set Precedent in Region

Delinking biomedical R&D, including incentives, from monopolies and high prices

The response to substandard and falsified medical products in francophone sub-Saharan African countries: weaknesses and opportunities

Major Swedish study to search for long-COVID ‘blind spot’

EMA will no longer allow pharma companies to keep clinical trial protocols secret

Privilege and prejudice must be recognized for equitable research partnerships

African firms ‘need know-how to make new malaria jab’

The road towards protection of all against tetanus

New funding to ensure 370 million children receive polio vaccinations and to boost health innovation in low-income countries

How Avian Flu is Impacting South Africa’s Chicken, Egg Supply

Towards mental health as a human right: The key role of lived experience

People’s Health Dispatch Bulletin #60: Protecting the right to health by defying repression worldwide

HRR 699: SUPERPOWERS FEED US BOTH INFORMATION AND MISINFORMATION: WHERE DO HUMAN RIGHTS FIT?

Faced with Crushing Debts, World’s Poorest Nations to Slash Public Spending by Over 229 Billion Dollars

Opinion: 3 ways to amplify women’s voices for improved maternal health

What Does it Take to Build Girls’ Economic Potential?

WHO-OHCHR launch new guidance to improve laws addressing human rights abuses in mental health care

UAE Starts First Wind Power Plants Ahead of UN Climate Summit

Climate crisis is ‘not gender neutral’: UN calls for more policy focus on women

 

 

 

 

News Flash 542: Weekly Snapshot of Public Health Challenges

News Flash Links, as part of the research project PEAH (Policies for Equitable Access to Health), aim to focus on the latest challenges by trade and governments rules to equitable access to health in resource-limited settings

Small triplefin (Tripterygion melanurum)

News Flash 542

Weekly Snapshot of Public Health Challenges

 

Meeting registration: Principles of Meaningful Involvement of Communities and Civil Society in Global Health Governance. Oct 12, 2023

Establishing the impact of WHO’s normative and standard-setting functions: a call for papers

Overarching effect of health in EU policies

Transforming the health and social equity landscape

German Ministers Call For Investment in Pandemic Prevention, Suggest Cutting Fossil Fuel Subsidy to Pay for Healthcare

Current drafts of the WHO Pandemic Accord lack a provision for access to knowhow/trade secrets. We drafted one

The Post-COVID Consensus

The Future Of COVID-19 Vaccine Development

EPHA’s Recommendations for the European Pharmaceutical Package

From now, until 15/01/2024, you can apply for short course on Pharmaceutical policies in health systems, which will take place in Antwerp from 27 May to 14 June 2024

Recommended composition of influenza virus vaccines for use in the 2024 southern hemisphere influenza season

Potential population-level effectiveness of one-dose HPV vaccination in low-income and middle-income countries: a mathematical modelling analysis

Costing of HIV services, Uganda and United Republic of Tanzania

MSF responds to groundbreaking news that Johnson & Johnson will not enforce patents on key TB drug bedaquiline in low- and middle-income countries

What’s needed to sustain malaria elimination in the Region of the Americas

Artemisinin-Resistant and HRP-Negative Malaria Parasites in Africa

Malaria innovation: new nets, old challenges

WHO recommends R21/Matrix-M vaccine for malaria prevention in updated advice on immunization

Lessons from a global antimicrobial resistance surveillance network

Fighting AMR: New study targets bacteria, as researchers urge EU to do more

Globalisation of industry-sponsored clinical trials for breast, lung and colon cancer research: trends, threats and opportunities

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HRR 698: THE CHANGE IN THE COURSE OF HISTORY IS CONDITIONED BY THE PROGRESS OF WOMEN TOWARDS FREEDOM

Researchers have verified 1,329 hunger deaths in Ethiopia’s Tigray region since the cease-fire there

Record-Breaking Global Migration

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GM food crops yet to crack India’s vast farms

Germany exceeds 2022 target on international climate aid

Asian Development Bank unveils capital moves to boost lending by $100 billion over a decade

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