Monday, April 20, 2015

3rd Annual VCU Global Health Showcase Recap

Dr. Kerkering speaking on the West Africa Ebola outbreak
Today was VCU's 3rd Annual Global Health Showcase, an opportunity for people around VCU and the greater Richmond community to share and discuss global health projects.

With Dr. Bearman and GH2DP residents and students
The day started with a keynote presentation from Dr. Thomas Kerkering on his work treating Ebola patients in West Africa. Dr. Kerkering is a VCU alumnus and his talk was both moving and compelling. He showed excerpts from a documentary on the early days of the current Ebola outbreak in West Africa (this documentary can be found here).

Subsequently there were several 'break-out'
sessions: one discussing getting involved in global health research, one focused on training opportunities for medical students and residents and one focused on providing healthcare in resource-limited settings.

Viewing posters
There was an excellent poster section exploring global-health related research from around VCU. VCU's Global Health & Health Disparities Program was well represented with our students and residents presenting seven different projects.

The day ended with an excellent session focused on some of the ethical challenges of getting involved in global health work.
With Dr. Bearman and current GH2DP Pathway Residents

Monday, April 13, 2015

3rd Annual VCU Global Health Showcase: Making it Work, Getting it Right

The 3rd annual Virginia Commonwealth University Global Health Showcase is coming up on April 20, 2015. This is an all day event featuring an exciting keynote from Dr. Tom Kerkering discussing his experience with the Ebola outbreak in West Africa, several breakout sessions and a poster session featuring global-health related work from trainees across the university. This year's meeting is called "Making it Work, Getting it Right." The theme of the meeting is giving students and faculty key tools to engage in global health work.

VCU EWB students trailing a novel water catchment device
in Yoro, Honduras, June 2014
Prior showcases have been a wonderful opportunity to network, share ideas and build new relationships. The first showcase led to our program's (the Global Health & Health Disparities Program, GH2DP) current partnership with VCU's Engineers Without Borders (EWB) student chapter. This relationship has led to the development of several novel clean water technologies for use in rural Latin America as well as helped support or ongoing clean water campaign in Yoro, Honduras.

VCU EWB students trailing a new biased filter,
Richmond, VA, 2015
It is not too late to register and come out for the showcase on April 20th! Details about the showcase (including the agenda) can be found here.

Monday, March 23, 2015

Global Health Resources Guidebook for Students, Residents and Fellows

In preparation for a 'breakout' session at the upcoming 3rd Annual Virginia Commonwealth University Global Health Showcase I put together a resource guidebook for students, residents and fellows interested in global health; this can be found here.

This 'book' contains a number of links to great online resources: from lists of post-graduate training programs in global health to international and domestic volunteer opportunities to lists of great global-health related books and journals. Additionally, it links to a number of free (!!) online training resources for global health.

Thursday, March 5, 2015

Special Guest Blog Post from Nadia Masroor: February GH2DP Outreach Trip to Yoro, Honduras

This is a special guest blog post by Nadia Masroor, who has joined us on the last few health outreach trips to Yoro, Honduras, and who recently returned from Honduras: 

Our February trip to Olanchito and La Hicaca provided some excellent feedback on several ongoing projects. On Thursday February 12th, Dr. Bearman and I had the wonderful opportunity to meet with Padre Pedro and the rest of the Catholic priests in Olanchito for lunch.

Afterwards, Dr. Bearman, Padre Pedro, and I met with the Pico Bonito Foundation to discuss their progress on current projects. Pico Bonito has successfully installed chlorination systems in La Hicaca, Chorro Viento, and Puerto Rico. Those living in these three villages are encouraged to use the chlorinated water cisterns for their water supply. In order to determine the efficacy of chlorination, the 2015 brigade team will plate and incubate chlorinated water to assess microbiological growth. As for those who do not have access to the cisterns, an estimated 90-100 filters will need to be distributed in June 2015.

Hike to Chorro Viento
The Pico Bonito Foundation has recently installed new cook stoves in many of the homes in LaHicaca. According to the foundation, each cook stove costs about $100. We plan to continue this project by funding Pico Bonito to install another 15-20 cook stoves this year. Padre Pedro and Rosa, who is the nurse providing care to the people of La Hicaca and surrounding villages, will determine which impoverished homes are most in need of cook stoves. In conjunction with the cook stoves, the Pico Bonito foundation has also agreed to install new latrines for the people in Sector La Hicaca. Approximately 15-20 latrines, which cost $100 each, are projected to be built throughout the village this year. Lastly, in order to replace the deteriorated school latrines, we have requested 4 new latrines to be constructed as well, which have been estimated to cost $800-$1000. To say the least, our meeting with the Pico Bonito Foundation has enlightened us on the plethora of projects we can initiate in order to improve living conditions in La Hicaca and surrounding villages.

Later that day we met with Dr. Alma Nunez from the Ministry of Health to discuss the June 2015 brigade. Historically, La Hicaca has been the clinic site for 3 days and Lomitas has been the clinic site for 2 days. This year, however, Padre has advised spending 2.5 days in La Hicaca and 2.5 days in Lomitas. By increasing clinic time in Lomitas, Dr. Nunez and Padre hope that the brigade will be able to extend its care to more people. The total number of brigade clinic sessions will remain the same. In addition, Padre Pedro will work with the Ministry of Health to provide dental services for 3 days, covering both La Hicaca and Lomitas.

Based on Brock University’s findings from the June 2014 brigade, the majority of the population suffers from Trichura, which cannot be effectively treated with albendazole alone. Thus during this year’s brigade we will be distributing oxantal pamoate in addition to the albendazole to provide enhanced Trichura coverage. Padre Pedro has taken on the task to inquire and purchase both the albendazole and the oxantal pamoate.

Cistern in Chorro Viento
Dr. Nunez has proposed aggressively promoting the brigade via Radio Catolica broadcast in order to increase awareness and participation. Therefore, Padre Pedro will collaborate with Radio Catolica in order to provide the brigade dates and details about the services offered. We hope to see an increase in the number of people who attend the brigade in June.

On Friday February 13th, we traveled to La Hicaca so that could meet with Rosa in el Centro de Salud. Rosa graciously agreed to continue sanitation education and to take on the latrine and cook stove projects with Pico Bonito. She has also requested an additional 300 speculums for cytology exams.

In the afternoon, we had the opportunity to examine the water cisterns with the new chlorination systems in La Hicaca and Chorro Viento. We drove to La Culatta and climbed up to Chorro Viento. The 45-minute hike was definitely not an easy one and made me appreciate the 5-6 hour journeys many people endure to come to the brigade. Below are some pictures of the cisterns and the chlorination system installed.

New chlorination system in Chorro Viento

We attended Mass on Friday evening, traveled back to San Pedro Sula Saturday morning, and flew back to the US on Sunday. Although a short trip, we have gained a substantial amount of knowledge on current programs implemented in La Hicaca and surrounding villages.

I cannot wait to return in June- to see the progress and of course, to see my friends.

Monday, February 16, 2015

2015 GH2DP-Engineers Without Borders Collaboration

VCU EWB students working with a 
biosand filter prototype 
We are very excited to be collaborating again with VCU's Engineers Without Borders (EWB) chapter for our upcoming outreach trip in June.

This year there are plans on trialing a new biosand filter that may ultimately provide clean drinking water to people in very remote regions of Honduras. The EWB group has created a prototype device and has plans to systematically study this over the next few months and on the ground in Honduras this upcoming June. The group also will re-trial a novel water catchment device first deployed in Honduras in June 2014.
EWB students Lucas Potter and Kristina Kelly deploying a
novel water catchment device in La Hicaca, Honduras, June 2014

Friday, November 7, 2014

Ebola Outbreak Update: Updated WHO Information through November 4th

The WHO has released updated information regarding the current outbreak of Ebola.

As of November 4th there have been 13,268 cases with 4,960 deaths.

Although there have been declines in new cases in some districts in the three countries hardest hit by the outbreak (Guinea, Sierra Leone and Liberia) other districts have seen sharp increases.

In the United States there have been no new Ebola cases and of the 177 people who may have come in contact with an infected individual only 16 are actively being monitored (161 have completed 21 days of monitoring without developing Ebola).

Thursday, November 6, 2014

Congratulations to our GH2DP Student and Resident Researchers!

GH2DP Student Scholar Nehal Naik
in New Orleans
Congratulations to our GH2DP student and resident researchers who presented their research projects this week at the American Society of
Tropical Medicine & Hygiene's annual meeting in New Orleans
GH2DP Pathway Resident
Dr. El-Yafawi in New Orleans

Nehal Naik, now a second year medical student at VCU, presented his data on risk factors and knowledge about soil transmitted helminths in Yoro, Honduras. He also presented data on a novel water catchment device that was developed at VCU by students in the local chapter of Engineers Without Borders

GH2DP Student Scholar Rachel Pryor
Dr. Rama El-Yafawi, a senior global health pathway resident in VCU's Internal Medicine residency program, presented her data on barriers to use of water filters in Yoro, Honduras. 

Rachel Pryor, a GH2DP Student Scholar and MPH candidate at VCU presented her data on knowledge about and access to cervical cancer screening in Yoro, Honduras. 

Congratulations again to all of these terrific student and resident researchers!

Friday, October 31, 2014

WHO Ebola Update: 10/29/14

The latest WHO Ebola update document has been posted and can be found here. As of 10/27 there have been 13,703 cases with 4,922 deaths. Mali had its first case on 10/23, a 2 year old girl who traveled there with her grandmother from Guinea. In the US there have been 4 cases and 1 death. The outbreak remains uncontrolled in Guinea, Sierra Leone and Liberia.

Friday, October 24, 2014

WHO: Updated Ebola Outbreak Information

The latest WHO Ebola situation report can be found here. Key points:

1) As of 10/19 there have been 9,936 cases and 4,877 deaths
2) The outbreak in Senegal was declared over on 10/17
3) The outbreak in Nigeria was declared over on 10/19

Up until 10/19 there had been only 3 cases in the US (now 4 given the physician who has developed Ebola after returning from Guinea-not on the latest WHO document). For the 3 reported on in the WHO document there were 172 possible contacts of these patients 60 of who were past the 21 day incubation period and therefore deemed non-infected.

Saturday, August 16, 2014

West Africa Ebola Outbreak: August 15th Update

The WHO has released updated information on the total number of people affected by the Ebola outbreak in West Africa: as of August 15th there have been 2,127 suspected and confirmed cases with 1,145 deaths.

Cases are being reported in Guinea, Sierra Leone, Liberia and Nigeria.

The CDC has a lot of very nice, targeted health information about Ebola: see here.