Tuesday November 10, 2009




Big Medicine is published by Team EMS Inc.


Managing Editor

Hal Newman  


Contact: ideas@tems.ca




Avi Bachar

Steve Crimando

Angela Devlen

David Newman

Hal Newman

Chris Piper

Norm Rooker

Ghassan Michel Rubeiz

Jim Rush

Blair Schwartz

Geary Sikich

Ric Skinner

W. David Stephenson

David Suzuki

Sacha Vais

Beryl Wajsman


Contributor Emeritus

Erik Ronningen




Special Feature

H5N1 Briefings

News & Terrorism






Middle East





Disaster Mgmt





Hazard Research



Stop Violence Against Women & Girls






The views expressed here reflect the views of the authors alone, and do not necessarily reflect the views of any of their organizations. In particular, the views expressed here do not necessarily reflect those of Big Medicine, nor any member of Team EMS Inc.




















Afghan Women's Mission - Health Care Program -- Malalai Hospital in Rawalpindi, Pakistan was open from January 1, 2002 until the summer of 2005, at which time it relocated to a refugee camp near Peshawar. There it continues to operate as Malalai Clinic


Humanitarian Assistance for the Women and Children of Afghanistan - HAWCA is a non-political, non-governmental and not profit making organization was established in January 1999 by a group of youth Afghan women and men. HAWCA's establishment was motivated by the despair and devastation suffered by Afghan women and children as victims of war and injustice in Afghanistan and as refugees in Pakistan. HAWCA is providing free social services in the following fields for the women and children of Afghanistan


_African Medical and Research Foundation 
AMREF aims to empower people through better health to escape poverty and improve the quality of their lives. AMREF works to integrate TB screening, treatment and referral into the different components of HIV/AIDS interventions, including counseling and testing, parental transmission prevention, laboratory quality assurance and community-based enhancement of adherence to HIV and TB treatment.



Asociacion De Economia De La Salud - AES fue fundada por un grupo de profesionales de diversas disciplinas, que desarrollan sus actividades en el sector de la salud, en el año 1991. El propósito de la Asociación es crear un ámbito científico-pluralista para la reflexión, la investigación y la formación de recursos humanos en el área de la Economía de la Salud, con especial preocupación por la eficacia y la equidad del sistema sanitario.


Asociación Medica Argentina


Ministerio de Salud - Republica Argentina


_Community Health and Tuberculosis Australia
CHATA supports the prevention, treatment and research into respiratory diseases, with a focus on improving lung health in low-resource communities.


_Canadian Lung Association's TB Department
CLA's Web site provides basic information about, history and the current state of the disease in Canada.

_Stop TB Canada Initiative
Stop TB Canada was formed in order to support the country's efforts to reduce TB worldwide through education, advocacy and communication.



European Agency for the Development and Health [Jan 26 Brussels Belgium]--AEDES is a Co-operative society of Belgian law. Aside from the experts on short-term missions, the AEDES staff, at the beginning of the year 2004, consisted of more than 25 experts in the field for long-term missions and a team of 13 persons at the Brussels office. The Brussels office is organised in technical and administrative operational cells. Their tasks are: Organisation and management of short term expertise missions, for which it disposes of a file of more then 2.000 experts; Technical, logistical and financial management and monitoring for long term projects executed by AEDES; and Organisation and monitoring of internal training and public health research. Since the creation of AEDES, more then 650 experts have carried out mission in nearly 50 different countries, representing 4.500 person/month for its long term projects while short term missions represent 400 person/month. AEDES has an annual turnover of around 6 Millions EUROS, (± 6 millions USD). www.aedes.be/flash/default.asp


EuroTB coordinates TB surveillance in the 52 countries of WHO's European Region and aims to improve and control of the disease on the continent.  The Web site includes an annual reports archive and country profiles.  




Finnish Centre for Health Promotion Helsinki | english -- The Finnish Centre for Health Promotion (FCHP) aims to increase the functionality of communities and the possibilities of individual persons to manage their everyday life by enabling health-supporting choices in ways that increase the equality between various population groups.

Ministry of Social Affairs and Health Helsinki | (english pages) -- The Minister of Health and Social Services, Paula Risikko, has launched an action plan to improve the client services and effectiveness of municipal health centres. The action plan presents different models to modify the practices, administration, management and structures of health centres.

National Library of Health Sciences -TERKKO Helsinki -- The National Library of Health Sciences - Terkko is the research library of the Medical Faculty of the University of Helsinki. It also functions as the scientific library for the Helsinki University Central Hospital. Terkko is the national resource library in medicine and health sciences and has been designated as the WHO Information Service Centre in Finland.

National Public Health Institute Kansanterveyslaitos - KTL is responsible as an expert body under the Ministry of Social Affairs and Health, for providing various professionals and citizens the best available information for their choices.

National Research and Development Centre for Welfare and Health (STAKES) -- STAKES is an expert agency whose key functions are research, development and statistics.


École Nationale de la Santé Publique -- The EHESP is a public establishment with a dual role of education and research into public health and social welfare. It encourages synergy between the disparate cultures of public health and management.

Institut Curie -- Il poursuit depuis 1909, selon la volonté de Marie Curie, une mission de recherche et de traitement contre le cancer. La continuité de la recherche aux traitements contre le cancer constitue l'originalité du modèle Curie pour favoriser l'excellence, l'innovation et la qualité de prise en charge des patients.

Institut Pasteur -- Institut Pasteur is a non-profit private foundation which contributes to the prevention and treatment of disease, primarily infectious diseases, through research, education, and public health activities.

IPSE - Improving Patient Safety in Europe -- IPSE aims to resolve persisting differences in the variability of preventive practices and outcomes with respect to nosocomial infection and antibiotic resistance in Europe

HELICS - Hospital In Europe Link for Infection Control through Surveillance -- HELICS is an international network aiming at the collection, analysis and dissemination of valid data on the risks of nosocomial infections in European hospitals.

ORPHANET -- The portal for rare diseases and orphan drugs

Sante tropicale - Le guide de la santé tropicale

Société française de santé publique


_Academy for Educational Development
AED works with regional and national TB control programs in creating outreach campaigns designed to teach people how to prevent the spread of the disease.

_Aeras Global TB Vaccine Foundation
Aeras focuses solely on developing new TB vaccines and ensuring their availability after it received a grant from the Bill & Melinda Gates Foundation in 1999 to fund the TB Vaccine Collaboration.  

_Bill & Melinda Gates Foundation Tuberculosis Program
Gates Foundation infectious diseases program grants are building coalitions between scientists, universities, not-for-profit agencies and private industry to ensure that all children have access to vaccines and that new drugs, vaccines, and diagnostics are developed and deployed.

_Campaign for Fighting Diseases (CFD)
CFD aims to encourage policies addressing neglected diseases -- including HIV/AIDS, tuberculosis and malaria -- that primarily affect the world's poorest populations. CFD also focuses on infrastructure development, drug prices and international trade regulations.

_Consortium to Effectively Respond to AIDS-TB Epidemic (CREATE)
Led by the Johns Hopkins Center for Tuberculosis Research, CREATE organizes, implements and evaluates epidemiologically based interventions to reduce death and disease from TB in AIDS-endemic populations.

_CORE TB Working Group
The CORE Group is a membership association of international nongovernmental organizations working to improve the health of women and children in developing countries. The TB working group focuses on community-based development.

_Foundation for Innovative New Diagnostics (FIND)
FIND accelerates the development, evaluation and appropriate use of high-quality yet affordable diagnostic tools for infectious diseases for developing countries. At this time, FIND focuses solely on tuberculosis.

_Francis J. Curry National Tuberculosis Center
The Center develops culturally-specific training materials, educational products and technical assistance that aim to eliminate and control TB. 

_Global Alliance for TB Drug Development
The Alliance aims to accelerate the development of more affordable and fast-acting TB drugs, and focuses on the accelerated developed of a widely-accessible cure.   

_Global Alliance for Vaccines and Immunization
The GAVI includes partners from the public and private sectors and advocates for the accelerated development of new vaccines as well as the widespread use of vaccines in order to reach disease-control targets.

_Global Forum for Health Research
The GFHR promotes increased health research into the diseases and conditions affecting the majority of the world's population by increasing collaboration between the public and private sectors. 

_Global Fund to Fight AIDS, Tuberculosis and Malaria
The Global Fund was established in 2001 to increase resources to fight three of the world's most devastating diseases and direct those resources to areas of greatest need. The Fund is an independent public-private partnership.

_International Committee of the Red Cross 
The ICRC coordinates international relief efforts for people affected by natural disasters, health emergencies and armed conflict carried out by the International Federation of the Red Cross and Red Crescent Societies.  

_International Medical Corps
IMC is a not-for-profit organization that works to prevent and treat malaria, TB, and HIV/AIDS in most of the 22 countries and regions where it operates programs.  IMC offers a wide range of health care training and other tools to local residents.

_International Union Against TB and Lung Disease
The Union's mission is to prevent and control TB and other lung diseases with an emphasis on developing countries.  The IUATLD also focuses on related community health problems such as HIV/AIDS. 

_Joint Effort to Eradicate Tuberculosis
Formed in 2002, JEET's objectives including assisting physicians to treat TB, aid TB patients and create awareness about the disease.

_Medecins Sans Frontieres Campaign for Access to Essential Medicines
MSF's Access to Essential Medicines aims to lower prices of existing medicines, stimulate research and development for diseases that primarily affect the poor and overcome other barriers to access.

_MSF and Tuberculosis Care
The site describes MSF's continuing efforts to control TB in 19 countries worldwide through projects addressing HIV/TB co-infection, drug-resistant TB strains and alternative treatment models.

PATH is an international, not-for-profit, nongovernmental organization that improves the health of people around the world by advancing technologies, strengthening systems and encouraging healthy behavior. PATH currently works in more than 100 countries in the areas of reproductive health; vaccines and immunization; HIV/AIDS and tuberculosis; and children's health and nutrition.

_Population Services International
PSI implements behavior change communication programs in 70 developing countries in the areas of HIV/AIDS, safe water, malaria, nutrition, tuberculosis and family planning.

_Public Health Watch
A project of the Open Society Institute’s Public Health Program, PHW promotes public engagement in monitoring the design, implementation and evaluation of national health policies.  The project currently is partnering with civil society organizations in Bangladesh, Brazil, Nigeria, Tanzania and Thailand to produce a series of reports assessing national tuberculosis policies and support targeted domestic and international advocacy around report findings and recommendations.

RESULTS aims to create the political will to end hunger and curb the diseases affecting the world's poorest populations, including HIV/AIDS, tuberculosis and malaria. 

_Stop TB Partnership
The partnership coordinates and mobilizes organizations and individuals committed to controlling and eliminating TB worldwide, and includes several workings groups addressing drug development and access to treatment.

_TB Survival Project
The TB Survival Project is a patient-led initiative that aims to address the emotional and psychological needs of people living with TB and multi-drug resistant TB.  It also aims to raise awareness about the disease and to address stigma.

TBTV.org is an interactive Web site that offers information and entertainment programs for people living with the disease and aims to create a global network of TB patients and advocates. 

_World Bank Group Tuberculosis Web Page
The World Bank Group is a development bank that provides loans, policy advice, technical assistance and knowledge-sharing services to low- and middle-income countries to reduce poverty.

_World Health Organization's Stop TB Department
WHO's TB department aims to increase detection and treatment rates and to curb the spread of the disease in line with the U.N. Millennium Development Goals.  The department publishes a progress report in March of every year and hosts the Stop TB Partnership. 

World Health Organization: Health Action in Crises--The principal objective of the WHO Health Action in Crises department is to reduce avoidable loss of life, burden of disease and disability in crises in indicative list of crisis-prone and crisis-affected countries. http://www.who.int/hac/en/


The Netherlands:


_KNCV Tuberculosis Foundation
KNCV Tuberculosis Foundation works to guide TB control policy in the Netherlands and has worked on implementing DOTS as a means to control TB worldwide.




Center for Humanitarian Psychology [Jan 12 06 Geneva Switzerland]--The Centre for Humanitarian Psychology is an international organisation whose aim is to provide psychological support to humanitarian workers in the field. We work through a network of professionals who are both psychologists and familiar with humanitarian work, trainers, partners and volunteers, in Europe and in the field. For the past ten years or so, traditional wars between states have been superseded by regional conflicts and varying types of belligerents which make conditions of work difficult for humanitarian workers. In the field they have become more and more frequently the target for different types of aggressions : terrorist acts, rapes, kidnapping, even deaths of colleagues at work. This puts them under psychological and physical stress over and above their difficult conditions of living (promiscuity, health and hygiene, management, etc) which sometimes become unbearable and places them in traumatic situations whose consequences are often irreversible. www.humanitarian-psy.org/pages/default_en.asp


United Kingdom:


_British Lung Foundation
The BLF focuses on over 40 lung conditions and aims to provide support to people living with lung diseases.


InterHealth [Jan 12 06 London UK]--InterHealth is a medical charity providing specialist health services primarily for the aid, development, mission and NGO sectors. We are based in Central London, just five minutes' walk from Waterloo Station. Our specialisms include travel health services, medical screenings, psychological health services, occupational health and work-life balance reviews. We operate a Travel Health Clinic and Travel Supplies Centre. www.interhealth.org.uk 


International Health Exchange [Jan 12 06 London UK]--International Health Exchange supports initiatives to bring about sustained improvements to people’s health in developing countries by providing appropriately experienced people to organisations requiring their skills. Publications: Our publication The Health Exchange magazine brings you first-hand coverage of the challenges facing health practitioners in developing countries, reporting on the practical approaches to health development and exploring the issues affecting people’s health in low-income countries. The magazine also provides you with news and information about jobs and courses in health development. We also produce a number of handbooks and guides, including a Course Calendar that lists courses from over 90 universities all over the world. www.ihe.org.uk 


_TB Alert
TB Alert works to generate a greater response to the pandemic in the United Kingdom and raise funding to provide operational support to developing countries battling the disease.



United States:


Agency for Toxic Substances and Disease Registry (ATSDR) [Mar 5 06]--The mission of the Agency for Toxic Substances and Disease Registry (ATSDR), as an agency of the U.S. Department of Health and Human Services, is to serve the public by using the best science, taking responsive public health actions, and providing trusted health information to prevent harmful exposures and disease related to toxic substances. ATSDR is directed by congressional mandate to perform specific functions concerning the effect on public health of hazardous substances in the environment. These functions include public health assessments of waste sites, health consultations concerning specific hazardous substances, health surveillance and registries, response to emergency releases of hazardous substances, applied research in support of public health assessments, information development and dissemination, and education and training concerning hazardous substances. http://www.atsdr.cdc.gov/


American Academy for Emergency Medicine [Mar 5 06]--The American Academy of Emergency Medicine is the specialty society of Emergency Medicine with 5,000 members. http://www.aaem.org/


American Association of Health Plans - Bioterrorism and Emergency Preparedness [Mar 5 06]--Welcome to America’s Health Insurance Plans (AHIP), the voice of America's health insurers. AHIP is the national trade association representing nearly 1,300 member companies providing health insurance coverage to more than 200 million Americans. This site is dedicated to keeping you aware of the ongoing bioterrorism and emergency preparedness activities within the government and across the nation. AAHP staff members are keeping current with events and recommendations to help our member plans with their preparedness planning and to keep you informed.


Armed Forces Institute of Pathology (AFIP) [Mar 5 06]--The Armed Forces Institute of Pathology (AFIP) is a tri-service agency of the Department of Defense specializing in pathology consultation, education and research. AFIP maintains 22 subspecialty departments with a combined workforce of over 820 personnel, including over 120 pathologists and other scientists. In 2001 AFIP consulted on over 92,000 cases, including 55,000 sent for an expert "second opinion." 90% are tumor pathology cases -revealing difficult, unusual or rare entities not typically seen in the military or civilian medical communities. AFIP experts also conducted 27,000 cytology cases for the U.S. Air Force in 2001, and another 10,000 cases for quality assurance and risk management. http://www.afip.org/


Armed Forces Radiobiology Institute [Mar 5 06]--AFRRI, a triservice laboratory chartered in 1961, conducts research in the field of radiobiology and related matters essential to the operational and medical support of the U.S. Department of Defense and the military services. The institute collaborates with other governmental facilities, academic institutions, and civilian laboratories in the United States and other countries. Its findings have broad military and civilian applications.


_American Lung Association
The ALA -- initially formed to combat TB in the early 20th century -- now focuses on all forms of lung disease with a focus on environmental health.


Center for Law and the Public's Health at Georgetown and Johns Hopkins Universities--The Center for Law and the Public's Health at Georgetown and Johns Hopkins Universities has released three checklists for voluntary use by county, city, state, and federal public health agencies in assessing their legal preparedness for public health emergencies. The checklists are "Civil Legal Liability and Public Health Emergencies," "Interjurisdictional Legal Coordination for Public Health Emergency Preparedness," and "Local Government Public Health Emergency Legal Preparedness and Response." http://www.publichealthlaw.net/Resources/BTlaw.htm


Established in 2002, the University of Minnesota Center for Public Health Preparedness seeks to improve the capacity of the Public Health System. The UMNCPHP is funded in part by the Centers for Disease Control and Prevention as a member of the national network of centers for public health preparedness.


Selected courses:


Protecting our food system from intentional attack

This training is a compilation of resources about farm to table vulnerabilities and control strategies, incident command system basics, and public information risk communication for food system emergencies is provided. Suitable for cooperative extension, environmental health, food production or processing, media or government personnel.


The Off-Site Care Facility - An Alternate Care Site: A Primer for Volunteers

This training provides an overview of the general operations of an off-site care facility (also referred to as Alternate Care Site). It is an orientation for individuals who may be asked to work in these facilities during an emergency. The program is intended to complement “just in time” training provided on site at the time of the emergency.


Mass Dispensing Sites: A Primer for Volunteers

This training is designed to provide an overview of the general operations of mass dispensing sites and serves as an orientation for individuals who may be asked to work in those sites during an emergency. It is intended to complement “just in time” training provided on site at the time of deployment. Volunteers including MRC and CERT members and others including public health staff may find this training beneficial. Your volunteer coordinator may request that you provide her/him with your completed volunteer assessment form and course certificate to be maintained as part of your training record.


Center for Public Health Preparedness, University at Albany School of Public Health--This guide, Public Health Incident Command System (PHICS): A Guide for the Management of Emergencies or Other Unusual Incidents within Public Health Agencies (2005), provides an overview of how the standardized ICS system is applied within the context of public health. Appendices in Volume II feature job action sheets, forms, an emergency plan outline, and a resource directory. Available free online. http://www.ualbanycphp.org/pinata/phics/default.cfm



Centers for Disease Control [Jan 12 06 Atlanta GA]--The Centers for Disease Control and Prevention (CDC) is one of the 13 major operating components of the Department of Health and Human Services (HHS), which is the principal agency in the United States government for protecting the health and safety of all Americans and for providing essential human services, especially for those people who are least able to help themselves. Since it was founded in 1946 to help control malaria, CDC has remained at the forefront of public health efforts to prevent and control infectious and chronic diseases, injuries, workplace hazards, disabilities, and environmental health threats. Today, CDC is globally recognized for conducting research and investigations and for its action oriented approach. CDC applies research and findings to improve people’s daily lives and responds to health emergencies—something that distinguishes CDC from its peer agencies. www.cdc.gov



Centers for Public Health Preparedness [Mar 5 06]--By reaching and teaching the public health workforce, the Centers for Public Health Preparedness (CPHP) help to ensure a strong public health system when and where it is needed. Through their commitment to providing lifelong learning opportunities to public health professionals, schools of public health prepare the public health workforce to meet health threats and emergencies. The network of 50 CPHP is a unique partnership between accredited schools of public health, dentistry schools, medical schools, and veterinary schools and state and local health departments. The power of the network lies in the partnerships. It provides a countrywide defense system through the preparation of front-line public health workers and first responders. http://www.asph.org/acphp/



Crisis & Emergency Risk Communication: By Leaders for Leaders--This resource, available free online from the Centers for Disease Control, gives leaders tools to help them speak to the public, media, partners, and stakeholders during an intense public-safety emergency. Topics include the psychology of communicating in a crisis, the leader’s role as a spokesperson, working with media during a crisis, and public health and media law. www.cdc.gov/communication/emergency/leaders.pdf



Epidemic Intelligence Service [Mar 5 06]--The EIS was established in 1951 following the start of the Korean War as an early warning system against biological warfare and man-made epidemics. The program, composed of medical doctors, researchers, and scientists who serve in 2-year assignments, today has expanded into a surveillance and response unit for all types of epidemics, including chronic disease and injuries. http://www.cdc.gov/eis/



Foodborne Outbreak Response and Surveillance Unit [Mar 5 06]--The term Foodborne Diseases encompasses a diverse collection of acute illnesses cause by bacteria, viruses, parasites, and chemicals. Only a small proportion of foodborne illness occurs in the setting of a recognized outbreak. Nevertheless, outbreak data are uniquely valuable in establishing a link between foodborne illness and specific foods or settings. This site has been established to provide public health officials, researchers, and the general public with information on foodborne disease outbreaks. Our role is to investigate outbreaks and establish both short-term control measures and long-term improvements to prevent similar outbreaks in the future. We strive to work closely with state and local health departments to investigate foodborne outbreaks and make information available to the public.



Headington Institute [Jan 12 06 Pasadena CA]--The Headington Institute was established in 2001 to provide psychological and spiritual support for humanitarian aid and disaster relief personnel worldwide. The Institute provides a collaborative network of mental health professionals offering counseling services, organizational consultation, and preventive education and training to relief organizations. Service teams consisting of seasoned clinicians and competent trainees offer both short and long-term assistance to those working with victims of war, political violence, disease, and natural disasters. By providing direct services, education, information and referral, the Headington Institute is a partner to aid organizations seeking to provide support for the emotional well-being of their personnel. www.headington-institute.org



Institute of Medicine of the National Academies [Mar 5 06]--The nation turns to the Institute of Medicine (IOM) of the National Academies for science-based advice on matters of biomedical science, medicine, and health. A nonprofit organization specifically created for this purpose as well as an honorific membership organization, the IOM was chartered in 1970 as a component of the National Academy of Sciences. The Institute provides a vital service by working outside the framework of government to ensure scientifically informed analysis and independent guidance. The IOM's mission is to serve as adviser to the nation to improve health. The Institute provides unbiased, evidence-based, and authoritative information and advice concerning health and science policy to policy-makers, professionals, leaders in every sector of society, and the public at large.



National Center for Environmental Health [Mar 5 06]--The environment is everything around us - the air we breathe, the water we drink and use, and the food we consume. It's also the chemicals, radiation, microbes, and physical forces with which we come into contact. Our interactions with the environment are complex and are not always healthy. We at the National Center for Environmental Health, also known as NCEH, are working to prevent illness, disability, and death from interactions between people and the environment. We are especially committed to safeguarding the health of populations that are particularly vulnerable to certain environmental hazards - children, the elderly, and people with disabilities. http://www.cdc.gov/nceh/



National Center for Infectious Diseases (NCID) [Mar 5 06]--The mission of the National Center for Infectious Diseases (NCID) is to prevent illness, disability, and death caused by infectious diseases in the United States and around the world. To accomplish this goal, our staff members work in partnership with local and state public health officials, other federal agencies, medical and public health professional associations, infectious disease experts from academic and clinical practice, and international and public service organizations. We accomplish our mission by conducting surveillance, epidemic investigations, epidemiologic and laboratory research, training, and public education programs to develop, evaluate, and promote prevention and control strategies for infectious diseases. http://www.cdc.gov/ncidod/index.htm



National Disaster Medical System [Mar 5 06]--The National Disaster Medical System (NDMS) is a section within the U.S. Department of Homeland Security, Federal Emergency Management Agency, Response Division, Operations Branch, and is responsible for supporting Federal agencies in the management and coordination of the Federal medical response to major emergencies and Federally declared disasters including: Natural Disasters
Technological Disasters, Major Transportation Accidents, Acts of Terrorism including Weapons of Mass Destruction Events



National Governors Association--The National Governors Association Center for Best Practices produced this issue brief titled “State Strategies for Fully Integrating Public Health into Homeland Security.” http://www.nga.org/Files/pdf/FULLYPUBLICHEALTH.pdf


_National Tuberculosis Curriculum Consortium
NTCC aims to provide access to  knowledge and skills associated with  the management and control of active and latent TB in undergraduate and graduate students in the health care field. The consortium also aims to establish a foundation by which students can address complex issues related to TB throughout their careers.


Pan American Health Organization The Pan American Health Organization (PAHO) is an international public health agency with 100 years of experience in working to improve health and living standards of the countries of the Americas. It serves as the specialized organization for health of the Inter-American System. It also serves as the Regional Office for the Americas of the World Health Organization and enjoys international recognition as part of the United Nations system.




RAND Center for Domestic and International Health Security [Mar 5 06 Arlington VA USA]--The Center for Domestic and International Health Security is a multidisciplinary research collaboration housed at RAND. The Center's mission is to improve global health, and to protect the health of the American homeland by strengthening our defenses against terrorist attacks. Drawing on RAND's expertise in health and in foreign policy, the Center frames the issues in these areas, gathers the necessary information, and evaluates alternative strategies and programs. Center staff include behavioral scientists, economists, medical sociologists, organizational analysts, physicians, policy analysts, political scientists, and statisticians. They are focusing their efforts in three broad areas: Global health; Mental health; Public health and preparedness. http://www.rand.org/health/centers/healthsecurity/ 


UCLA Center for Public Health and Disasters--The UCLA Center for Public Health and Disasters (CPHD) was established in 1997 to address the critical issues faced when disaster impacts a community. The Center is based in the Department of Community Health Sciences in the UCLA School of Public Health. Center faculty and staff have diverse backgrounds that include emergency medicine, environmental health, urban planning, engineering, international health, health services, epidemiology, gerontology, sociology, and community health. http://www.cphd.ucla.edu/



University of South Dakota Disaster Mental Health Institute--The mission of the Disaster Mental Health Institute (DMHI) is the promotion, development, and application of both practice and research in disaster mental health. The Institute was founded in 1993, and was designated a South Dakota Board of Regents Center of Excellence in 1997. The institute also hosts an annual "Conference on Innovations in Disaster Mental Health." The DMHI Web site provides in-depth information about the institute and conference, a list of available publications, as well as several online booklets on coping with the aftermath of disasters.



Reports on TB:

_Amor, Yanis et al. Underreported Threat of Multi-Drug Resistant Tuberculosis in Africa. Emerging Infectious Diseases. September 2008. The study finds that retreatment failure is a predictive indicator of MDR-TB in Africa and calls for increased MDR-TB assessment on the continent.

_Keshavjee, Salmaan et al. Treatment of Extensively Drug-Resistant Tuberculosis in Tomsk, Russia: A Retrospective Cohort Study. Lancet. Aug. 25, 2008.
The study found that aggressive treatment regimens can successfully treat nearly half of patients with extensively drug-resistant tuberculosis and can help prevent multi-drug resistant TB from developing into XDR-TB.

_The 1% Scandal: Living With HIV, Dying of TB.  Action Advocacy To Control TB Internationally. August 2008. pdfThe report, released at the XVII International AIDS Conference, found that only 1% of HIV-positive people worldwide have been screened for TB and that of those screened more than 25% were found to have active TB.

_Mitnick, Carole et al. Comprehensive Treatment of Extensively Drug-Resistant Tuberculosis. New England Journal of Medicine. Aug. 7, 2008. The study found that treating XDR-TB with aggressive regimens achieved a 60% success rate among patients in Lima, Peru.

_Cain, Kevin et al. Tuberculosis Among Foreign-Born Persons in the United States. Journal of the American Medical Association. July 23, 2008. The study found that 57% of all TB cases in the U.S. in 2006 were among immigrants and that immigrants originally from sub-Saharan Africa and Southeast Asia are at highest risk of the disease. The study called for improved efforts to screen people from high-risk countries for TB before they depart their home countries or to test them and begin treatment when they arrive in the U.S.

_Havlir, Diane et al. Opportunities and Challenges for HIV Care in Overlapping HIV and TB Epidemics. Journal of the American Medical Association. July 23, 2008.
The study suggests that TB prevention and treatment activities be integrated into HIV treatment programs in resource-limited settings to reduce mortality among people living with HIV/TB coinfection.

_Jeon, Christie et al. Diabetes Mellitus Increases the Risk of Active Tuberculosis: A Systematic Review of 13 Observational Studies. PLoS Medicine. July 15, 2008.
This study analyzed previous studies that found people with diabetes have an increased risk of developing active TB. The study suggested that efforts to detect and treat TB among people with diabetes should be increased and that TB control measures could benefit from efforts to diagnose and treat diabetes among people receiving TB treatment.

_Call For Action, HIV/TB Global Leaders’ Forum. HIV/TB Global Leaders Forum, June 2008. The call to action urges stakeholders to scale-up collaborative activities on TB and HIV and increase efforts to meet Millennium Development Goal targets.

_Independent External Evaluation of the Stop TB Partnership. Stop TB Partenrship, May 2008. The report says that the Stop TB Partnership has significantly impacted efforts to stop tuberculosis since 2001 and contains recommendations on the way forward for the organization.

_Global Monitoring Report 2008. World Bank-International Monetary Fund, April 2008. The report finds that most countries will not achieve the targets set out in the United Nations Millennium Development Goals by 2015.

_Tackling Tuberculosis: The Business Response. World Economic Forum, March 2008. pdfThe World Economic Forum's Global Health Initiative report examines TB in workplaces worldwide.

_Anti-Tuberculosis Drug Resistance in the World. WHO, February 2008.
The report found that MDR-TB has been detected at record-high levels and that cases of XDR-TB have been recorded in 45 countries.

_Economic Benefit of Tuberculosis Control. World Bank/Stop TB Partnership, December 2007. pdf  
The report analyzes the economic benefit of investing in sustained TB control programs in the 22 countries with the highest TB burdens worldwide.

_A Critical Analysis of Funding Trends, 2005-2006.Treatment Action Group, November 2007. pdfThe report examines global TB funding.

_Brennan, Michael et al. Development of New Tuberculosis Vaccines: A Global Perspective on Regulatory Issues. PLoS Medicine, August 2007. The article includes recommendations on how to address the various stages of clinical trials and final registration of new TB vaccines.

_The Global MDR-TB and XDR-TB Response Plan, 2007-2008. WHO/Stop TB Partnership, June 2007. pdfThe document outlines a plan that recommends actions at the regional, national and global levels to stop the spread of drug-resistant TB.

_Pathway to Patients: Charting the Dynamics of the Global TB Drug Market. Global Alliance for TB Drug Development, May 2007 pdf The study examines how TB medicines reach people worldwide and provides an estimate of the global market for first-line TB treatments.

_TB and HIV: The Failure To Act. Medecins Sans Frontieres, March 2007. The report says that TB treatment strategies should be adapted to address the effects of HIV and that international organizations should boost their support for the development of TB and HIV vaccines.

_Wong, Yun-Ling et al. Drying a Tuberculosis Vaccine Without Freezing. Proceedings of the National Academy of Sciences, February 2007. The study examines a new form of the BCG TB vaccine that eventually could be administered as a spray instead of an injection.

_HIV Testing For Life... HIV Testing For All Tuberculosis Patients. Stop TB Partnership, February 2007. pdfThe book aims to highlight the importance of providing HIV testing and counseling for people with TB. It was printed by Thailand's TB/HIV Research Foundation and Japan's Research Institute of TB.

_Confronting a Hidden Disease: TB in Roma Communities. Open Society Institute, January 2007. This report -- produced by the Open Society Institute's Public Health Program in collaboration with the World Lung Foundation -- outlines the available literature and data on Roma and TB in Central and Eastern Europe. It also examines current efforts by governments and nongovernmental organizations to address the disease among Roma communities.















The contents of this site, unless otherwise specified, are copyrighted by © Big Medicine 2001-2008. The news provided is for personal use only. Reproduction or redistribution of the this site, in whole, part or in any form, requires the express permission of Big Medicine or the original source. For questions or comments pertaining to this site, contact the web administrator. Big Medicine is not responsible for the content of external sites linked and does not endorse their content. Advertisers are not responsible for Big Medicine contents, the content of external sites linked and do not endorse their content.