WHO/CDS/TB/99.272
Distr.: General, Original: French
PNAS 119 (8) e2113947119 | https://doi.org/10.1073/pnas.2113947119
Environmental exposure to active pharmaceutical ingredients (APIs) can have negative effects on the health of ecosystems and humans. While numerous studies have monitored APIs in rivers, these employ different analytical methods, m...easure different APIs, and have ignored many of the countries of the world. This makes it difficult to quantify the scale of the problem from a global perspective. Furthermore, comparison of the existing data, generated for different studies/regions/continents, is challenging due to the vast differences between the analytical methodologies employed. Here, we present a global-scale study of API pollution in 258 of the world’s rivers, representing the environmental influence of 471.4 million people across 137 geographic regions. Samples were obtained from 1,052 locations in 104 countries (representing all continents and 36 countries not previously studied for API contamination) and analyzed for 61 APIs. Highest cumulative API concentrations were observed in sub-Saharan Africa, south Asia, and South America. The most contaminated sites were in low- to middle-income countries and were associated with areas with poor wastewater and waste management infrastructure and pharmaceutical manufacturing. The most frequently detected APIs were carbamazepine, metformin, and caffeine (a compound also arising from lifestyle use), which were detected at over half of the sites monitored. Concentrations of at least one API at 25.7% of the sampling sites were greater than concentrations considered safe for aquatic organisms, or which are of concern in terms of selection for antimicrobial resistance. Therefore, pharmaceutical pollution poses a global threat to environmental and human health, as well as to delivery of the United Nations Sustainable Development Goals.
more
Up-to-date Literature review current through: Jan 2015. | This topic last updated: Jan 29, 2015.
The COVID-19 pandemic has resulted in a double shock - health and economic. As of March 1, 2021, COVID-19 has cost more than 2.5 million lives and triggered an economic recession surpassing any economic downturn since World War II.
Part I of this paper explores the impact of this current macro-fisc...al outlook on the three primary sources of health spending. Drawing on experiences from previous economic crises, scenario analyses suggest a fall in government per capita spending on health in 2021 and 2022 unless governments make bold choices to increase the share of health in general government spending.
Part II of the paper discusses policy options to meet the spending needs in health. These options encompass strategies to make fiscal adjustments work and channel funds where they are most needed, as well as policies to stabilize the balance sheets of social health insurance (SHI) schemes. The paper explains how the health sector can play an active role in expanding fiscal space, contributing to tax reforms, most importantly pro-health taxes, and mobilizing and absorbing external financing, including debt relief.
more
PLOS ONE | https://doi.org/10.1371/journal.pone.0196380 May 15, 2018
Bolkan HA, Bash-Taqi DA, Samai M, Gerdin M, von Schreeb J. Ebola and Indirect Effects on Health Service Function in Sierra Leone. PLOS Currents Outbreaks. 2014 Dec 19. Edition 1. doi: 10.1371/currents.outbreaks.0307d588df619f9c9447f8ead5b72b2d.
Inpatient health services have been severely affecte...d by the Ebola outbreak. The dramatic documented decline in facility inpatient admissions and major surgery is likely to be an underestimation. Reestablishing such care is urgent and must be a priority.
more
This handbook summarizes the experience of leading practitioners in the field of war surgery and is intended to help military and civilian surgical teams treat people wounded in armed conflicts. It covers first aid, admission of urgent cases and triage, skin grafts, treatment of infections, wounds a...nd burns, plastic surgery and anaesthesiology
more
Report
A Project of the Joep Lange Institute July, 2018
Introduction
Chapitre A.5
Edition en français
Traduction : Eleanor O’Boyle
Sous la direction de : Priscille Gérardin
Avec le soutien de la SFPEADA
Guidelines for Management and Therapy of Male Infertility in Indonesia
Guidelines
HIV drug resistance
July 2017
Liebe Global Health-Interessierte,
ihr studiert an einer Universität, an der es noch kein Lehrangebot zu Global Health
gibt? Ihr spielt mit dem Gedanken, das zu ändern, wisst aber nicht genau, wie? Ihr
wollt selbst ein Wahlfach gestalten und durchführen?
An den Universitäten Leipzig und Hann...over haben Studierende 2018 und 2019
bereits erfolgreich Wahlfächer zu Global Health ins Leben gerufen. Basierend auf
ihren Erfahrungen soll euch das folgende Kompendium eine Hilfestellung für die
Etablierung eines eigenen Wahlfaches an eurer Universität bieten. In 11 steps zum
Wahlfachkönnt ihr nachvollziehen, welche bürokratischen Schritte gegangen und
welche inhaltlichen sowie organisatorischen Fragen geklärt werden müssen.
Außerdem findet ihr einen Leitfaden zur Vorbereitung einer Unterrichtsstunde,
sowie einen Stundenverlaufsplan für die Eigenverwendung und am Ende eine
Auflistung möglicher Qüllen und Ansprechpartner.
Wir hoffen, dass Global Health bald an vielen weiteren Unis in der Lehre präsent
sein wird und freuen uns, durch diesen Beitrag hierfür Unterstützung bieten zu
können. Für Fragen und Anmerkungen stehen wir euch jederzeit gerne zur
Verfügung!
more