[south asia] Digest Number 926
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There are 7 messages in this issue.
Topics in this digest:
1. Fwd: WB News Release: India: Tamil Nadu Health Project, Dec. 16, 2004
From: South Asian Public Health Forum
2. Global Health Conference at Harvard
From: Jennifer Staple
3. Pakistan Scholar Program, The Woodrow Wilson International Center for Scholars
From: Dr Rana Jawad Asghar
4. PEACOCK DIE-OFF - INDIA (UTTAR PRADESH)
From: Dr Rana Jawad Asghar
5. TRYPANOSOMIASIS - INDIA (03)
From: South Asian Public Health Forum
6. SAARC level TB, HIV/AIDS meeting on
From: South Asian Public Health Forum
7. Web-based resource centre for TB control programme launched
From: Dr Rana Jawad Asghar
________________________________________________________________________
________________________________________________________________________
Message: 1
Date: Thu, 16 Dec 2004 19:00:13 -0800 (PST)
From: South Asian Public Health Forum
Subject: Fwd: WB News Release: India: Tamil Nadu Health Project, Dec. 16, 2004
--- bcrow@worldbank.org wrote:
> From: bcrow@worldbank.org
> To: jawad@alumni.washington.edu
> Subject: WB News Release: India: Tamil Nadu Health Project, Dec. 16, 2004
> Date: Thu, 16 Dec 2004 19:02:40 -0500
Contacts:
In Delhi:
Geetanjali Chopra
Tel: (91 11) 2461-7241
Email: gchopra@worldbank.org
In Washington:
Karina Manasseh
Tel: (202) 473-1729
Email: kmanasseh@worldbank.org
WORLD BANK SUPPORTS HEALTH SYSTEMS IMPROVEMENTS IN TAMIL NADU
Project will benefit a southern Indian state
Washington, DC, December 16, 2004-The World Bank today approved a credit of
US$110.83 million to help the Indian state of Tamil Nadu improve the
effectiveness of its health system, both public and private.
The World Bank's involvement in the Tamil Nadu Health Systems Project will help
introduce new approaches in the way the health sector functions in the state,
such as promoting collaboration with the private sector, adopting quality
assurance mechanisms, and addressing the growing burden of non-communicable
diseases. While the health system in Tamil Nadu has been fairly effective in
providing basic health needs to its people, it is expected that the goals
sought in this project will demonstrate the impact of cutting-edge reforms.
Tamil Nadu has successfully delivered preventive services, like immunization,
with the result that there has been considerable improvement over time in its
infant mortality rate (IMR) and the under-five mortality rate. From 1992 to
1999, IMR declined from 71 to 48 per thousand, and the under-five mortality
rate dropped from 97 to 63 per thousand. However, these rates are still much
higher than those in Sri Lanka and the neighboring State of Kerala, where, for
example, IMRs are 12 and 16, respectively.
"Tamil Nadu has made significant progress in improving the health status and
increasing access to health care services in the last decades," says Preeti
Kudesia, a Senior Public Health Specialist at the World Bank. "Nonetheless, it
continues to face major challenges such as stagnating infant and maternal
mortality rates, a growing burden of non-communicable diseases, poor quality of
care, equity issues, and low levels of health financing in the state."
To respond to these challenges the Government of Tamil Nadu developed a Health
Policy in 2003. This strategy focuses on improving the health status of the
general population, with special emphasis on the health of low-income
communities and families, over the next two decades. The project will support
implementation of this strategy.
The project has four components:
o Increasing access to and utilization of health services, particularly for
poor, disadvantaged, and tribal groups;
o Developing and pilot testing effective interventions to address key health
challenges, specifically non-communicable diseases and traffic accidents;
o Improving health outcomes, access and quality of service delivery through
strengthened oversight of the public sector health systems, and greater
engagement of the nongovernmental sector;
o Increasing the effectiveness and efficiency of public sector hospital
services, primarily at district and sub-district levels.
The project seeks development impact by supporting public-private partnerships
in the implementation of all its components. Risk factor prevention for
non-communicable diseases will be implemented across the state, while pilot
strategies for prevention and management of hypertension and cervical cancer
will be rigorously tested for effectiveness in selected districts. The project
will also ensure comprehensive emergency obstetric and neonatal care in an
aggressive strategy to reduce infant and maternal mortality rates, and
worse-off areas that are remote or inhabited by tribal people will receive
support first.. Infrastructure improvements and improved quality of care will
be implemented simultaneously in a phased manner.
The project is expected to contribute to achieving broader India Country
Strategy objectives such as improving governance, expanding access and
upgrading effectiveness and quality of services, and enhancing community
participation and empowerment. The credit, from the International Development
Association (IDA), the World Bank's concessionary lending arm, carries a 0.75
percent service charge, a 10-year grace period, and a 35-year maturity.
For more information on World Bank activities in India, please visit:
http://www.worldbank.org/in
________________________________________________________________________
________________________________________________________________________
Message: 2
Date: Tue, 14 Dec 2004 22:29:52 -0500
From: Jennifer Staple
Subject: Global Health Conference at Harvard
Dear all,
I am writing to inform you about an international health conference that
will likely be of interest to many people on this e-mail list. Four
sessions at the conference focus on health in India.
Unite For Sight Second Annual International Health Conference
"Eyes on International Collaboration: Promoting Health From Campus to Lab
to Field"
April 2 and 3, 2005
Harvard University
Cambridge, Massachusetts
Early Bird Registration Rate
Click Here to Register: http://www.uniteforsight.org/2005_annual_conference.php
Conference Schedule
Community Experiences: Improving Health for the Medically Underserved
* "Global Health", Dr. Barry Bloom, PhD
* "Impossible Dreams - The First Ascent of the East Face of Mt. Everest
and Eradicating Blindness in Mountainous Asia", Dr. Geoffrey Tabin, MD
* "Eye Diseases and Community Experiences in Tanzania", Dr. Muhsin
Sheriff, MD, MPH
* "Health Care for the Homeless in Boston", Dr. James O'Connell, MD
The Role of Research to Improve Health
* "Compassion, Knowledge, and Advanced Ophthalmic Technologies", Dr.
Dimitri Azar, MD
* "Advances in Corneal Transplantation", Dr. Shachar Tauber, MD
* "Optic Neuro-Prevention - A Strategy to Eradicate Glaucoma
Blindness", Dr. Louis Pasquale, MD
* "Stem Cells to the Retinal Rescue", Dr. Michael J. Young, PhD
* "The Role of Household Drinking Water Treatment Technologies and Safe
Water Storage in Preventing Blindness in the Developing World", Ms. Susan
Murcott, M.S.
Epidemiology and The Economic Perspective on Health Improvement
* "Economic Tools: How to Use Them and What They Can Reveal About
Blindness Prevention," Dr. Kevin Frick, PhD
* "The Role of Economics in Improving Health Outcomes", Heidi Williams,
MSc
Breakout Sessions
* "An Update on Ocular Leprosy," Dr. Ebenezer Daniel, M.B.B.S., M.S.,
D.O., M.P.H., M.A.M.S.
* "Eye Health in Nigeria," Dr. Rotimi Bajulaiye, MD
* "Eye Health in India," Dr. Santanu Sanyal, MBBS, MHS
* "Our Health is Our Only Wealth: The Story of Lok Swasthya Sewa, a
Model Health Cooperative in Ahmedabad, India," Dr. Chirag Shah, MD, MPH
* "A Successful Model for Comprehensive Eye Care Coverage in the
Developing World: The Case of LV Prasad Eye Institute," Mr. Rohit Ramchandani
* "Upgrading Eye Health Care Strategies in Rural Tanzania," Mr. Sachin
Jain
* "Eye Health in Dar es Salaam, Tanzania," Ms. Sally Ong
* "Cataract Surgeries in Humjibre and Buduburam Refugee Camp, Ghana,"
Ms. Silvia Odrocic
* "Unite For Sight in Kathmandu, Nepal - A Documentary," Mr. Ganesh Subedi
* "Eyeglasses for Children in China," Ms. Shawna Novak
* "Youth Participation in Improving Health Outcomes in Africa," Ms.
Neema Mgana
* "Utilizing Service-Learning to Enhance Public Health in West Africa,"
Ms. Brighid O'Donnell
Biographies of speakers at
http://www.uniteforsight.org/2005_annual_conference.php
________________________________________________________________________
________________________________________________________________________
Message: 3
Date: Sat, 18 Dec 2004 07:14:11 -0800 (PST)
From: Dr Rana Jawad Asghar
Subject: Pakistan Scholar Program, The Woodrow Wilson International Center for Scholars
>
> 2005 Pakistan Scholar Program
>
> How to Apply
>
> The Woodrow Wilson International Center for Scholars and the
> Fellowship Fund for Pakistan are pleased to announce the 2005
> competition for the Wilson Center's Pakistan Scholar Program. One
> Pakistan Scholar, either from Pakistan or of Pakistani origin, will be
> selected each year. Successful applicants will spend 9 months in
> residence at the Woodrow Wilson Center, in the heart of Washington,
> D.C., where they will carry out advanced, policy-oriented research and
> writing.
>
> This scholar program is made possible by generous financial support
> provided by the Fellowship Fund for Pakistan, a charitable trust based
> in Karachi.
>
> The Wilson Center
>
> The Woodrow Wilson International Center for Scholars is Washington's
> only independent, wide-ranging, non-partisan institute for advanced
> research where vital current issues and their historical and cultural
> background are explored through research and dialogue. Created by the
> Congress of the United States as the nation's official memorial to its
> twentieth-eighth president, the Center seeks to commemorate through
> its residential fellowship program both the scholarly depth and the
> public policy concerns of Woodrow Wilson.
>
> Eligibility
>
> This competition is open to men and women who are from Pakistan or who
> are of Pakistani-origin (from any country). Applications will be
> accepted from individuals in academia, business, journalism,
> government, law, and related professions. Candidates must be currently
> pursuing research on key public policy issues facing Pakistan,
> research designed to bridge the gap between the academic and the
> policymaking worlds.
>
> Applicants must have the terminal degree in their field (for academics
> this generally means a Ph.D., but other professions have different
> terminal degrees), and at least eight years of professional or
> research experience. Preference will be given to applicants who have
> published scholarly books or substantial articles in academic or
> policy-related journals or newspapers.
>
> Applicants must be completely fluent in both written and spoken English.
>
> Length of Appointment and Responsibilities
>
> Pakistan Scholars will be in residence at the Woodrow Wilson Center
> for the U.S. academic year, September 2005 - May 2006. While at the
> Wilson Center, Pakistan Scholars will be expected to carry out a full
> schedule of rigorous research and writing based on the topic outlined
> in the research proposal submitted at the time of application. They
> will also be expected to participate in workshops, seminars, and
> conferences organized by the Center's Asia Program, and in other ways
> to participate in the intellectual life of the Wilson Center and the
> larger community of South Asia observers in Washington.
>
> Stipend
>
> The stipend provided to Pakistan Scholars is $5,000 per month. In
> addition, the Wilson Center will also pay a portion of health
> insurance premiums for the scholar. The scholars will be provided with
> suitable work space, a Windows-based computer, and where feasible, a
> part-time research assistant.
>
> Procedures and Deadline for Applications
>
> The application deadline for scholars arriving in September 2005 is
> February 15, 2005.
>
> Applicants should submit the following materials to the address given
> below, and electronically to fffp@go4b.net:
>
> A) completed Application Form. Download the Application Form from the
> Wilson Center website- www.wilsoncenter.org
>
> B) a brief (3-5 single-spaced pages) description of their proposed
> research project, its scholarly contribution, and its policy
> relevance. Project descriptions should include:
>
> - a detailed explanation of the research topic;
> - discussion of the project's originality;
> - discussion of the methods, approaches, sources, and materials to be
> used, and, where appropriate, the importance of Washington-area
> resources; and
> - discussion of the significance of the project as well as its
> relevance to contemporary Pakistan-related policy issues.
>
> C) a c.v. or resume
>
> In addition, applicants should also request that two letters of
> reference be sent to the address below by the application deadline.
> Reference letters should address the quality of the research proposal;
> the significance of the proposed research; the capabilities and
> achievements of the applicant; and the relevance of the project to
> contemporary Pakistan-related policy issues.
>
> Application letters and letters of reference should be mailed to the
> following address:
>
> Ayesha T Haq
> Honorary Secretary Fellowship Fund For Pakistan
> c/o Lucky Cement Ltd.
> 6-A, Mohammad Ali Housing Society
> Karachi 75350 Pakistan
>
> e-mail: fffp@go4b.net
>
> Applications for the academic year beginning September 2005 must be
> received no later than February 15, 2005.
>
> Applications submitted via electronic mail will be considered only if
> followed by a hardcopy sent by mail or courier.
>
>
=====
Rana Jawad Asghar MD. MPH.
Coordinator South Asian Public Health Forum
jawad@alumni.washington.edu http://www.DrJawad.com
Typhoid Net http://www.typhoid.net
________________________________________________________________________
________________________________________________________________________
Message: 4
Date: Sat, 18 Dec 2004 18:32:00 -0800 (PST)
From: Dr Rana Jawad Asghar
Subject: PEACOCK DIE-OFF - INDIA (UTTAR PRADESH)
PEACOCK DIE-OFF - INDIA (UTTAR PRADESH)
*************************************
A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases
Date: Fri 17 Dec 2004
From: ProMED-mail
Source: Team India News Network, 16 Dec 2004 [edited]
Sudden death of peacocks triggers concern among villagers
- -----------------------------------------------
The sudden deaths of peacocks in the district have led concerned villagers
to persuade authorities to initiate an inquiry into the matter.
Villagers have reported the deaths of 7 peacocks in Bagpat district in the
last 2 days, District Magistrate Kamini Chauhan said. Concerned villagers
of nearby Faizpur also brought one such dead bird to her, she said, adding
that they suspect polio to be the cause of death.
The animal husbandry officer and the forest department have been directed
to look into the matter, Chauhan said.
- --
ProMED-mail
[The alleged polio connection (based upon paralytic symptoms in the
peacocks?) is erroneous; polio is not a zoonotic disease. A previous
incident of peacock die-of in India was initially attributed to a pesticide
poisoning. However, infectious agents, such as avian influenza, Newcastle
disease, and others may also be taken into consideration. Laboratory
findings, if available, will be appreciated. - Mod.AS]
=====
Rana Jawad Asghar MD. MPH.
Coordinator South Asian Public Health Forum
jawad@alumni.washington.edu http://www.DrJawad.com
Typhoid Net http://www.typhoid.net
=====
Rana Jawad Asghar MD. MPH.
Coordinator South Asian Public Health Forum
jawad@alumni.washington.edu http://www.DrJawad.com
Typhoid Net http://www.typhoid.net
________________________________________________________________________
________________________________________________________________________
Message: 5
Date: Sat, 18 Dec 2004 18:34:56 -0800 (PST)
From: South Asian Public Health Forum
Subject: TRYPANOSOMIASIS - INDIA (03)
TRYPANOSOMIASIS - INDIA (03)
*************************
A ProMED-mail post
ProMED-mail is a program of the
International Society for Infectious Diseases
[1]
Date: Thu 16 Dec 2004
From: ProMED-mail
Source: ChennaiOnline [edited]
WHO will treat sleeping sickness
- -----------------------------------
The Maharashtra government, in coordination with the World Health
Organization (WHO), has initiated steps to treat the 1st person with
suspected Trypanosomiasis, or African sleeping sickness, in the country,
according to official sources here.
"WHO was informed the moment the rare infection was detected in a person at
Shivani village, in Chandrapur district, in [the] Vidarbha region of the
state," Ravindra Katti, deputy director of Health Services, told reporters.
He said that a WHO official, who is an expert in the field, visited the
patient and took his fluid samples for testing in a laboratory in France.
Katti, who is entrusted with the case, said that, although the Indian
veterinary laboratories had confirmed the detection of a protozoan parasite
causing Sleeping Sickness in the patient, physicians are awaiting the
results of a report from WHO, expected this week [3rd week of December
2004], before medicines, brought by the WHO expert because they are not
available in the country, will be given to the patient. The patient is
under observation, and his condition is improving, with a decrease in the
intensity of the symptoms, mainly fever, severe headaches, irritability,
extreme fatigue, swollen lymph nodes, and aching muscles and joints, he added.
Katti said the case is a complicated one, because the protozoa parasite had
so far only been detected in Africa. He added that the parasite must be one
found in animals, and the patient might have contracted it from an infected
animal, since he worked as a veterinarian and treated cattle.
- --
ProMED-mail
******
[2]
Date: Thu 26 Dec 2004
From: Michael Bangs
Comment on triatomid bugs in Southeast Asia
- -------------------------------------
Concerning RFI 20041208.3259, in fact, there are several species of
_Triatominae_ present in Southeast and South Asia, most notably the
tropicopolitan species _Triatoma rubrofasciata_. At least 7 species of
_Triatoma_ have been identified in Southeast Asia, and one other genus
(_Linchcosteus_) from India. _T. rubrofasciata_ is a commonly encountered
species in Asia (urban and rural) that will occasionally feed on humans, a
bite that often leads to significant local swelling and sometimes severe
systemic reactions. This bug is also responsible for transmission of
_Trypanosoma conorhini_ in rodents (_Rattus_).
The suspicion that a patient in India may present a patent infection of
some form of trypanosomiasis is not entirely improbable. On the contrary,
suspected human cases of _Trypanosoma lewisi_, another murine parasite,
have been reported in India (2 cases, 1974) and Malaysia (one case, 1933).
There have been other incidental reports as well. However, unlike _T.
cruzi_, _T. lewisi_ is transmitted by fleas (notably, the notorious plague
flea _Xenopsylla cheopis_). The morphology of _T. lewisi_ can be easily
distinguished from _T. cruzi_. Moreover, assuming no travel-related
exposure or blood transfusions in the recent case, it appears nearly
impossible that _T. cruzi_, and most certainly the 2 African trypanosomes,
would be endemic in India.
- --
CDR Michael J. Bangs, MSPH, Ph.D.
Navy Disease Vector Ecology & Control Center
2850 Thresher Avenue
Silverdale, WA 98315-0304
E-mail:
[We are grateful to those who have written to ProMed about the report of a
trypanosome parasite infecting an India patient (20041208.3259). Perhaps
the following additional points will be of interest. There are some 120
species of triatomine bugs belonging to 17 genera, the most widely known
being _Triatoma_. 106 species only occur in the New World, 7 species (all
in the genus _Triatoma_ ) are found in Asia, and 6 species, belonging to
the genus _Linshcosteus_, occur in India, mainly in the south. As Dr.
Michael Bangs reports, _Triatoma rubrofasciata_ is common in Asia, but it
is also found in Africa, the New World, including the USA, and, among the
many Asian countries, it occurs in India. It is the most cosmopolitan
triatomine bug. In addition to _Xenopsylla cheopis_, another vector of _T.
conorhini_ is another rat flea, _Nosopyllus fasciatus_.
Trypanosome parasites are found in a great variety of mammals, but less
well known trypanosomes are found in fish (vectors being leeches),
amphibians (vectors are mainly leeches), reptiles (vectors are phlebotomine
sandflies, tsetse flies and leeches), and finally, avian trypanosomes
transmitted by mosquitoes, simuliid black-flies, hippoboscid flies and the
chicken mite (_Dermanyssus gallinae_). I agree with Dr. Bangs that we
cannot rule out trypanosome transmission to a patient in India, although I
would guess it is unlikely. However, there can only be speculation until
the source of the infection in the Indian patient is identified - Mod.MS]
[see also:
________________________________________________________________________
________________________________________________________________________
Message: 6
Date: Thu, 16 Dec 2004 19:15:22 -0800 (PST)
From: South Asian Public Health Forum
Subject: SAARC level TB, HIV/AIDS meeting on
Last Updated: 05:00 AM NST Kathmandu - December 16, 2004 - Poush 1, 2061
Nepal Sambat 1125 - Thinlathow Panchami - Thursday
--------------------------------------------------------------------------------
SAARC level TB, HIV/AIDS meeting on
RSS ,
KATHMANDU, Dec. 15: A SAARC-level conference on ÂTB, HIV/AIDS and respiratory
diseases organized by the SAARC TB Centre as per the target of observing 2004
as the SAARC Awareness Year Against TB and HIV/AIDS began here Tuesday.
The four-day conference is participated in by some 500 delegates from countries
of South Asia namely, India, Bangladesh, Pakistan, Maldives, Nepal as well as
Thailand, Kenya and the United States of America.
The conference brings together specialists on tuberculosis, HIV/AIDS and
respiratory diseases as well as various national and international
organizations working in this sector.
The objective of the seminar is to share information and experience regarding
tuberculosis, Hiv/Aids and respiratory diseases, discuss the problems seen in
the treatment of these diseases, deliberate on ways of bringing about
uniformity in the treatment of these diseases in the South Asian Association
for Regional Cooperation (SAARC) region and making efforts towards building
common initiatives among the government and non-governmental organizations
working in the sector.
Inaugurating the conference, Minister for Health Ashok Kumar Rai said that
SAARC has carried out different constructive works for raising the living
standard of the people of the region and it has also provided the opportunity
for cooperation among the member countries.
He pointed out the need of collective efforts for prevention and control of
tuberculosis, which has emerged as a big problem in the SAARC region.
The combined infection of HIV/AIDS and tuberculosis widely seen at present has
posed even greater challenge in the treatment of tuberculosis, he said and
expressed the hope that the conference could make solid contribution for
tuberculosis control.
Director of the SAARC Secretariat Mohammad Nasir, from the chair, said the
conference will discuss prevention of TB, HIV/AIDS and respiratory diseases in
the SAARC region and come up with a viable conclusion to that regard.
Acting health secretary Dr. Nirakar Man Shrestha, acting Director-General at
the Department of Health Services Dr. Mahendra bahadur bista, president of
nepal Tuberculosis Association Devendra Bahadur Pradhan, representative of the
Ministry of Foreign Affairs Jhapendra Pyara Aryal, WHO representative Dr. Claus
Wagner, representative of USAID Dr. Mecheille Han and representative of the
UNFPA Dr. Faraha Usmani also underlined the need for collective efforts in the
prevention and control of TB, HIV/AIDS and respiratory diseases which are the
common problems of the region.
Every year 600,000 people die due to TB in South Asia alone while 40 per cent
of the patients coming to hospital comprise those suffering from respiratory
diseases
________________________________________________________________________
________________________________________________________________________
Message: 7
Date: Sat, 18 Dec 2004 18:33:29 -0800 (PST)
From: Dr Rana Jawad Asghar
Subject: Web-based resource centre for TB control programme launched
Web-based resource centre for TB control programme launched :
India News > New Delhi, Dec 16 : Launching a web-based resource centre to
benefit those involved in Revised National Tuberculosis Control Programme,
Union Health Minister Anbumani Ramadoss today said 100 per cent population
would be covered under DOTS by April next year.
The official website for TB-- www.Tbcindia.Org-- the first ever move of its
kind for any disease in the world, would strengthen Directly Observed Treatment
Programme (DOTS) to prevent and treat patrients with tuberculosis through
communication materials like video spots, radio jingles and posters, he said.
"The web-based resource would help cover 100 per cent population under DOTS
whose success rate in treating TB is as high as 87 per cent," Ramadoss said.
"So far, we have been concentrating on the curative part, while prevention is
equally important as over 1.8 million new cases with about 4 lakh deaths
recorded every year," he said.
To facilitate information spread even in the remote areas, the website has
information in nine regional languages besides English, Hindi and Urdu,
Director General Health Services Dr S P Agarwal said.
"The information on the web is easy to understand and is prepared for a wide
range of different target groups. Through a serach option embedded in the
web-site anybody could access authentic information about the disease," he
said.
About 85 per cent of the population is currently covered under DOTS. It is the
only programme where monitoring is done at personal level, he said.
The Information Education Communication (IEC) resource centre has been jointly
set up by the Central TB Division, Ministry of Health and Family Welfare with
support from Danish embassy, Agarwal added. PTI
Read Latest Headlines from India News
=====
Rana Jawad Asghar MD. MPH.
Coordinator South Asian Public Health Forum
jawad@alumni.washington.edu http://www.DrJawad.com
Typhoid Net http://www.typhoid.net
=====
Rana Jawad Asghar MD. MPH.
Coordinator South Asian Public Health Forum
jawad@alumni.washington.edu http://www.DrJawad.com
Typhoid Net http://www.typhoid.net
________________________________________________________________________
________________________________________________________________________
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