A Seminar Focused on The Finance Behind Global Health Initiatives

A Seminar Focused on The Finance Behind Global Health Initiatives

The Seminar Series: Stories From Africa, Financing Health in Sub-Saharan Africa took place at Duke University on Thursday, October 18. Led by Gavin Yamey, the seminar featured a panel of speakers: Sarah Bermeo, Associate Professor of Political Science, Duke Sanford School of Public Policy; Charles Muiruri Program Director at Duke Global Health Institute and Co-founder Association of Research Administrators in Africa; Kaci Kennedy, Associate Research, Duke Center for Policy Impact in Global Health; Godfrey Kisigo, Masters Student DGHO, Physician at Kilimanjaro Clinical Research Institute, Tanzania; and Osondu Ogbuoji, Deputy Director, Duke Center for Policy Impact in Global Health. The seminar opened with an introduction to global health from a very optimistic perspective. Global health is a cutting edge field that focuses largely on improving the future for humanity. Initiatives in global health are making large and wide impacts, for example, in fields such as child wellness. However, there are also still huge numbers of people suffering from illnesses and burdens that...
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Sharp Rise in C-Section Births Around the Globe

Sharp Rise in C-Section Births Around the Globe

A study recently published in The Lancet journal reveals that from 2000 to 2015 there has been approximately a double in the number of cesarean section (C-section) births in the world. C-section births occur when a surgery is performed to open a woman’s lower abdomen and remove the baby. These procedures can either be planned in advance or they can happen suddenly if problems occur during birthing. There are risks to C-section births for the woman, such as infection and postpartum heavy bleeding, and the baby, such as trouble breathing and injury. Additionally, C-sections create a more complicated labor recovery for the mother and pose a threat to future labor complications. The figures from the study state that in 2000 C-sections accounted for 12.1% of all births and in 2015 they accounted for 21.1% of all births. There is evidence published by the World Health Organization stating that there is "no justification for any region to have a caesarean section...
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Contemporary Birth Control Pills Reduce Risk of Ovarian Cancer

Contemporary Birth Control Pills Reduce Risk of Ovarian Cancer

Ovarian cancer causes thousands of deaths every year- more than any cancer of the female reproductive system. In 2012, 238,719 women worldwide were diagnosed with ovarian cancer and 151,917 died from the cancer. A new study led by Lisa Iversen, a research fellow with the Institute of Applied Health Sciences at the University of Aberdeen in the United Kingdom, hypothesizes that modern day birth control pills that contain both estrogen and progestogen may lessen the risk of ovarian cancer in women. A similar study was performed decades ago that applied to older contraceptives, although there was no evidence for a similar relationship and effects regarding modern day birth control. Iversen’s study included 2 million women aged 15-49 and found the women who had never used hormonal contraception had the highest risk of ovarian cancer compared to those women who had at some point used birth control. Researchers estimated that hormonal birth control prevented around 21% of women in the study...
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New Research About Relationship Between Breastfeeding and Lower Obesity Risk for Babies

New Research About Relationship Between Breastfeeding and Lower Obesity Risk for Babies

A recent Canadian study points to a new benefit of breastfeeding in opposed to breast milk in a bottle or formula. Breastfeeding is linked to a smaller risk for obesity of babies as they have lower BMIs and gain weight more slowly. Having a high BMI early on in life can be linked to being overweight down the road; therefore, it is important to maintain a healthy BMI beginning as an infant. The CDC’s latest report stated that 1 in every 5 children in the United States are obese and this new research could truly impact efforts to changing this statistic. Some other benefits to breastfeeding include reduced risks of asthma, ear and respiratory infection, and type 2 diabetes. The World Health Organization promotes women to exclusively breastfeed until the child is 6 months of age. However, in the United States women may struggle to the time commitment of breastfeeding. Dr Alison Volpe Holmes notes, "the United States is a...
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Texas Fetal Burial Law Claimed Unconstitutional by Federal Judge

Texas Fetal Burial Law Claimed Unconstitutional by Federal Judge

Article by Emily Woodrow Last week in Texas, federal Judge Ezra prohibited the legality of an abortion law that would have required hospitals, health care facilities, and clinics to bury or cremate fetal remains without consent of the patient. This law was planned to take effect this February as a part of the Senate Bill 8 which passed in July 2017 and was created by anti-abortion politicians. Whole Woman’s Health and other Texas abortion providers filed for a lawsuit against this abortion law on the basis that burial and cremation requirements were a “politically motivated attempt by the state to force abortion providers into closing because only a limited number of vendors would be willing or able to meet the onerous disposal requirements”. Additionally, president of Whole Woman’s Health Amy Hagstrom stated that the law was “designed to shame and stimatize patients and health care providers” in regards to the morality of abortion. Texas has a history of strong abortion regulation...
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US Faces Sharp Increase in STD Rates

US Faces Sharp Increase in STD Rates

Article by Emily Woodrow Syphilis, gonorrhea, and chlamydia are the most common sexually transmitted diseases in the United States. All three are caused by bacteria and can be treated and cured with the proper screening, diagnosis and medication. The U.S. Center for Disease Control and Prevention has recently released statistics noting a record high of 2.3 million cases of these STDs in 2017, which is an increase of 200,000 cases from 2016. Gail Bolan, the director of STD Prevention at the CDC, noted that after years of success in STD control, the US has seen sharp increased over the past four years. David Harvey, Executive of the National Coalition of STD Directors, said, "The U.S. continues to have the highest STD rates in the industrialized world.” This is largely due to the fact that so many people do not know they are infected with STDs; symptoms may not arise for weeks after one is infected. Therefore people may be unaware that are...
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Links Between Maternal Depression in a Mother and her Child’s Psychological and Immune Health

Links Between Maternal Depression in a Mother and her Child’s Psychological and Immune Health

Maternal depression is a global public health concern that occurs before and after pregnancy and largely affects the mental health and daily life of a woman. The CDC states that 1 in every 9 women can experience postpartum depression which occurs after having a baby. Often, this type of depression women face goes undiagnosed and they do not receive treatment. Recent studies have concluded that a mother’s depression can have long term impacts on her child. Investigators found that mothers with depression have higher amounts of cortisol, a stress hormone, and SIgA, an antibody that indicates an activation of the immune system. Additionally, in studies of these same mother’s behaviors, their actions are found to be more insensitive and intrusive in regards to the treatment of their child causing the child’s stress level to be greatly impacted. Results also pointed to higher levels of SIgA in children of mothers facing maternal depression meaning their immune systems are more frequently disrupted....
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Innovative Ways for Women in Refugee Camps to Find Maternal Health Care

Innovative Ways for Women in Refugee Camps to Find Maternal Health Care

For women living in refugee camps, there is a lack of maternal health facilities on site and finding aid and safe transportation to offsite facilities can be very difficult. Often, refugee camps can be located in rural areas and or conflict zones causing a lack of specialized doctors close to the camp and security issues with traveling outside the camp such as attacks on ambulances. It is vital for a pregnant woman to be able to receive obstetric care in any emergency situation. In order to help refugee women find timely and quality care, mobile clinics and “mama taxis” have been installed in many camps to aid prenatal and postpartum healthcare. The UNFPA (United Nations Population Fund) has led the development of mobile clinics which are “clinics on wheels” equipped with necessary medicines, tools, machines, doctors, nurses, etc. and can meet a woman in need so she does not have to travel around or leave a camp. With similar intentions,...
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US Preventive Services Task Force recommends primary cervical HPV testing as an effective cervical cancer screening method

US Preventive Services Task Force recommends primary cervical HPV testing as an effective cervical cancer screening method

Cervical cancer is the fourth most common cancer in women worldwide. In the US, deaths from cervical cancer have decreased by more than 50 percent over the past 60 years, since the introduction of regular screening tests that detect high-grade precancerous cervical lesions and cervical cancer. However, over 13,000 women are diagnosed with cervical cancer annually and about 4,200 women die from it, even with screening and treatment. Recommendations continue to evolve, reflecting the latest screening technology and evidence. The new USPSTF recommendations for screening have been recently published in the latest issue of JAMA. Women over 30 now have three options for screening, including HPV testing alone; the other two options are pap smear and a combination of pap smear and HPV testing. HPV testing has been shown to be more effective than a pap test as it is able to detect precancerous cells earlier and more accurately than cytology. These screening guidelines update the previous guidelines; now, for...
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