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18 Ocak 2017 Çarşamba

$460m pledged for vaccine initiative aimed at preventing global epidemics

A coalition of governments, philanthropists and business is pledging to put money and effort into making vaccines to stop the spread of diseases that could threaten mankind – and to prevent another outbreak as devastating as the Ebola epidemic.


At the World Economic Forum in Davos, the Norwegian, Japanese and German governments, the Wellcome Trust and the Gates Foundation announced they were putting in $ 460 million – half of what is needed for the first five years of the initiative. Three diseases will initially be targeted: Lassa, Mers and Nipah. All three are caused by viruses that have come from animals to infect humans and could trigger dangerous global epidemics.


http://www.theguardian.com/world/2017/jan/18/nipah-fearsome-virus-that-caught-the-medical-and-scientific-world-off-guard


Ebola virus had been known since it first infected humans in 1976, but the outbreaks were relatively small and, although deadly, did not greatly trouble most of the world until the disease hit cities, spread across west Africa and cases were seen in the USA and Europe.


Experts are determined to do everything they can to prevent such unexpected disasters. Ebola killed more than 11,000 people and devastated the healthcare systems and economies of Sierra Leone, Guinea and Liberia.


The Coalition for Epidemic Preparedness Innovations (CEPI) will direct money into research for vaccines for infectious diseases that afflict low and middle-income countries and are not research priorities for pharmaceutical companies because there is not a lucrative market for them. One of the key aims of CEPI will be to ensure the vaccines are affordable and accessible to all who need them.


Jeremy Farrar, chief executive of the Wellcome Trust, said changes in the environment, in people’s interactions with animals and urbanisation were all factors that could trigger an outbreak in humans of a new infectious disease. Of the series of epidemics in the last couple of decades he said: “That is not going to stop. It is the way the world is structured now.”


There had been a tendency, though, to forget about the dangers once an outbreak has ended, noted Farrar. “Sars is the best example. The epidemic faded away and then interest went on to other things,” he said.


Ebola was different, said Farrar. “It was on TV screens and many people witnessed it for themselves. There was a feeling that this can never happen again. It was horrific. Many thousands of lives were lost. But also there was the optimism and hope that maybe for the first time in history, a vaccine was found to be safe and effective. We can dare to dream and can change the way things happen.”


CEPI aims to develop two promising vaccines against each of the first three diseases so that they are available before any epidemic breaks out.


Sir Andrew Witty, chief executive of GlaxoSmithKline (GSK), which is involved in the initiative, said: “We are not really learning the lessons from the previous pandemic. We are never really changing our level of readiness.” GSK was asked by the World Health Organisation in the summer of 2014 to try to develop an Ebola vaccine and had it ready to trial by the following January. That time could have been much shorter if there had been something on the shelf.


The company intends to create a “biopreparedness organisation”, based permanently at its research facility in Rockville in the USA, to work on a no-profit, no-loss basis to develop vaccines for diseases that could potentially pose public health threats.


Epidemics, said Erna Solberg, prime minister of Norway, “ … can ruin societies on a scale only matched by wars and natural disasters. They respect no borders and don’t care if we are rich or poor. Protecting the vulnerable is protecting ourselves. This is why we all must work together to be better prepared – and why my government is fully committed to ensure that CEPI achieves its mission.”



$460m pledged for vaccine initiative aimed at preventing global epidemics

18 Kasım 2016 Cuma

The NHS cannot afford to get another workforce initiative wrong

Ultimately, saving money in the NHS means cutting staff costs. The NHS in England spends roughly 40% of its £121bn budget on staff, and as local health economies try to stabilise their finances, options such as slashing agency spending and creating cheaper full-time roles are inevitably part of the mix.


Although clinical staff shortages are a global problem, the NHS exacerbates the difficulties of workforce planning by constant changes in policy. Nursing posts – currently numbering around 300,000 – have borne the brunt of this.


Having been recruited in record numbers since the 2013 publication of the Francis report into the Mid Staffordshire scandal, nursing costs face being cut again as hospitals fight to contain deficits.


Once upskilling was in vogue; now the latest convulsion in the nursing profession is downskilling, with the introduction of the post of nursing associate as trusts across the country struggle to fill thousands of vacancies.


Health Education England is ramming this through with ill-considered haste. In January, around a thousand trainees will begin at pilot sites which were only announced in October, leaving far too little time to prepare adequately for a new discipline. A similar number of trainees follows in April, long before any meaningful evaluation of the first wave will be possible.


With just weeks to go, there have been alarming swerves in specifying what nurse associates will do. Crucially, a draft of the curriculum leaked to the Health Service Journal indicated they would be administering controlled drugs independently – a highly-controversial proposal that was dropped from the final version published on Thursday.


The key issue is whether this new role will support or replace nurses. As a study published this week in the journal BMJ Quality and Safety highlighted, replacing qualified nurses with assistants increases the risk of patients dying.


The Department of Health insists nursing associates will complement rather than replace nurses. That does not tally with the Buckinghamshire, Oxfordshire and Berkshire West sustainability and transformation plan to cut staff costs by £34m, which requires a “reduction of nursing grade input” coupled with greater use of various forms of support workers across health and social care services. The plan says that if they “do nothing”, by 2020-21 the area will have a financial gap of almost £500m.


There is nothing inherently wrong with introducing new posts with less training than traditional doctors and nurses. There are some outstanding examples – notably in countries such as India – where new approaches can cut costs and improve quality. On the other hand, in different circumstances replacing low-skilled staff with high-skilled staff has the same effect. The way to find the right solution is to test changes before rolling them out; rushing major changes through in the midst of a financial panic risks serious mistakes.


As well as the obvious dangers around patient safety, the NHS does not have the luxury of getting another workforce initiative wrong; it has too little money and too many nursing vacancies.


For example, this new post seems to have been created primarily to help hospital wards and budgets. It is far from clear how it will support the expansion of community-based nursing and the integration of care services, which is supposed to be at the heart of a transformed care service.


The Council of Deans of Health has raised concerns, such as how nursing associates will improve care quality, whether they are the right way to encourage service integration and whether their function could be met better through existing roles.


Since Health Education England was established four years ago it has pushed the need for “values-based recruitment” – in other words, appointing people who have the right temperament to care for people, not just the technical ability. In the rush to fill trainee positions and nursing vacancies, it must ensure that this progress is not undermined.


Constant changes in resources, technology and patient need coupled with training schemes that take years mean that maintaining the right workforce for the NHS is a near impossible task. But rushing through changes aimed primarily at cutting costs with a poor grasp of the implications for care will not help.


Join the Healthcare Professionals Network to read more pieces like this. And follow us on Twitter (@GdnHealthcare) to keep up with the latest healthcare news and views.



The NHS cannot afford to get another workforce initiative wrong

9 Mayıs 2014 Cuma

Protected colleges initiative | #GrainFishMoney | Air pollution in Delhi, catch up on the planet in a week by way of @GuardianGDP

Excellent week for …


Aliko Dangote and Nduka Obaigbena, two Nigerian business leaders who have lead the launch of a safe schools initiative in response to the expanding amount of attacks on the right to training in Africa.


Tina Joemat-Pettersson, South Africa’s minister for agriculture, forestry and fisheries, whose division has been praised by the Foods and Agriculture Organization (FAO) for maintaining the population’s malnourishment levels below five% considering that 1990.


Poor week for …


Naomi Mutah Nyadar, a protest leader calling on Nigerian authorities to do more to locate the women abducted by Islamist rebels, has been arrested by Nigerian police.


Afghanistan landslide survivors, as crowds of outsiders have rushed to the remote Afghan village to try to select up support supplies meant for people affected by the disaster.


What you are saying


The publication of the Africa Progress report 2014 highlighted Africa’s economic progress, like information that fisheries in Africa are losing billions due to unlawful practices prompting debate underneath the hashtag #GrainFishMoney.


The week in numbers


116m jobs are linked to fishery worth chains in the building globe, in accordance to the FAO.


two million men and women in Senegal, or 15% of the population, have hepatitis B as a result of untimely vaccinations, treatment fees and lack of universal screening to curb transmissions, in accordance to WHO.


two million folks could be put in jeopardy following a new necessity that 75% of US food assist be transported by American ships and staff, specialists warn.


50,000 kids are “at death’s door” as a end result of the Somalian foods crisis.


45% of avoidable pregnancy and childbirth associated deaths are now getting prevented across the globe, according to a report by the Globe Health Organisation.


153 is the air pollution score of Delhi, the world’s highest according to a study of 1,600 cities across 91 countries.


Picture of the week


African book covers
This week PhD student @SimonMStevens compiled an picture of guide covers set in Africa. Regardless of genre or topic, the acacia tree sunset was the image chosen.

Milestones


It’s six months because typhoon Haiyan, which devastated huge parts of the Philippines. An estimated one hundred,000 survivors from the tragedy nonetheless not have access to adequate shelter.


3 years after a famine claimed 260,000 lives in Somalia, two.9m people there are nonetheless impacted by a multifaceted humanitarian crisis.


It is also three years considering that Muammar Gaddafi was overthrown by an armed well-liked revolution in Libya.


These days is the UN global time of remembrance and reconciliation for individuals who lost their lives throughout the Second Globe War.


Video


Zara Rahman and Becky Kazansky from re:publica 14 spoke about information in worldwide improvement, and how even the ideal of intentions can pave the road to surveillance.


Reading listing


Coming subsequent week: have your say



  • Our reside chat on Thursday 15 May is on how technological innovation can accelerate progress to me the MDGs. Speak to us at globaldevpros@theguardian.com to advise someone for the panel.

  • Appear out for next week’s feature on how NGOs are failing malnourished children in Tanzania.

  • We’ll also be launching our Witness assignment: Climate modify: what is your 1 ask for worldwide leaders? Cameras at the ready!



Join the community of global advancement experts and experts. Grow to be a GDPN member to get a lot more stories like this direct to your inbox.



Protected colleges initiative | #GrainFishMoney | Air pollution in Delhi, catch up on the planet in a week by way of @GuardianGDP

22 Ocak 2014 Çarşamba

Michelle Obama slam dunks with Miami Heat for Let us Move! initiative – video

Miami Heat and 1st Lady Michelle Obama join forces at the White Home to encourage healthful eating and exercising among children. The 1st Lady exhibits off her basketball abilities by dunking on a modest basketball hoop behind Dwayne Wade. The Let us Move! campaign was developed by Michelle Obama to fight childhood weight problems



Michelle Obama slam dunks with Miami Heat for Let us Move! initiative – video