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Govind Rao

Cuba Responds To Ebola Crisis | Forbes - Citizens' Press - 0 views

  • by Faiz Ahmed — last modified Sep 15, 2014 11:21 AM "Cuba will be sending 63 doctors and 102 nurses, epidemiologists, specialists in infection control, intensive care specialists and social mobilization officers to set up World Health Organization-funded Ebola clinics in Sierra Leone. The workers will deploy in the beginning of October and stay for six months. ... Cuba’s commitment to domestic and international public health is well-known in the epidemiology community. Cuba was the first country to eliminate polio in 1962 and eliminated measles in 1996. ... Cuba also a burgeoning biotechnology presence
Govind Rao

Cuba is first country to eliminate mother to child HIV transmission | The BMJ - 0 views

  • 2015; 351 doi: http://dx.doi.org/10.1136/bmj.h3607 (Published 02 July 2015) Cite this as: 2015;351:h3607
  • Anne Gulland
  • Cuba has become the first country to receive validation from the World Health Organization for having eliminated mother to child transmission of HIV and syphilis.In 2010 all countries of the Americas, including the United States and Canada, committed to eliminating mother to child transmission of these two diseases by 2020. Cuba has been the first to officially achieve that goal, but another 30 countries in the region are close, said Carissa Etienne, director of the Pan American Health Organization, at a press conference to announce Cuba’s success.To achieve official recognition Cuba had to show for at least one year that new infections from mother to child transmission of HIV had fallen below 50 cases in 100 000 live births and …
Govind Rao

Return to Cuba or die: Healthcare woes ended this refugee's American Dream | Comment is... - 0 views

  • day 5 March 2015
  • “We advise you to return to Cuba if you don’t want to die”. That was the message Julian Esnart Wilson, a Cuban refugee living in the United States, says he was given by a congressional staffer who he had reached out to for help. A debilitating illness and lack of health care coverage were about to end his American Dream, less than a year after he had arrived in the country.
Govind Rao

New Embassies Open Door to Cuba's Health Care Triumphs | ABC News - Citizens' Press - 0 views

  • by Faiz Ahmed — last modified Jul 02, 2015
  • "Even with U.S. sanctions against Cuba, the nation managed to develop one of the best health care systems in the region. Minister Morales cited a focus on primary care and inter-sector cooperation as the catalysts. ... The country has one family doctor for every 1,095 inhabitants. The success Cuba achieved with HIV and congenital syphilis is a product of this strong primary care."
Govind Rao

Cuba's Impressive Role on Ebola - NYTimes.com - 0 views

  • By THE EDITORIAL BOARDOCT. 19, 2014
  • Cuba is an impoverished island that remains largely cut off from the world and lies about 4,500 miles from the West African nations where Ebola is spreading at an alarming rate. Yet, having pledged to deploy hundreds of medical professionals to the front lines of the pandemic, Cuba stands to play the most robust role among the nations seeking to contain the virus.Cuba’s contribution is doubtlessly meant at least in part to bolster its beleaguered international standing. Nonetheless, it should be lauded and emulated.
Govind Rao

Cuba: health lessons not under embargo - The Lancet - 0 views

  • Volume 385, No. 9962, p2, 3 January 2015
  • 2014 ended with a historic change in relations between Cuba and the USA. “After all, these 50 years have shown that isolation has not worked”, stated US President Barack Obama on Dec 17. Although issues around politics, freedom, and civil rights still stand and should not be overlooked, Obama pointed out, “Where we can advance shared interests, we will—on issues like health, migration, counterterrorism, drug trafficking and disaster response”. Obama cited health. With a life expectancy of 79 years, 67 doctors per 10 000 people (whereas the regional average is 21 per 10 000), and with hundreds of Cuban doctors now fighting Ebola in west Africa, health indeed does come to mind first when one thinks of Cuba.
Govind Rao

Lessons from Cuba on improving primary care in Canada - Healthy Debate - 0 views

  • by Christopher Stone & Alex Cressman (Show all posts by Christopher Stone & Alex Cressman) August 11, 2014
  • Since these reforms, the country’s health indices have thrived: 2010 data shows Cuba has an infant mortality rate and life expectancy on par with that of the United States. The country also boasts the highest rates of treatment and control of hypertension in the world and the lowest AIDS rate in the Americas.
  • The Cuban model of health care delivery centres around interdisciplinary polyclinics,
Govind Rao

Cuba's infant mortality rate at its lowest level ever » peoplesworld - 0 views

  • January 9 2015
  • Cuba's infant mortality rate (IMR) for 2014 was 4.2, unchanged from the previous year and again the lowest in Cuban history. The IMR reflects the number of babies dying during their first year for each set of 1,000 births.
  • Indeed, researchers taking socioeconomic status into account found that "children of poor minority women in the U.S. were much more likely to die within their first year than children born to similar mothers in other countries." The implication is that in those other countries, Cuba among them, support mechanisms are available that save babies' lives. Yet those countries are not alike. Most of them, mainly in Europe, have applied plentiful economic resources - which Cuba lacks - to democratic socialist imperatives; that is to say, the welfare state.
  •  
    thanks to Doug Allan
CPAS RECHERCHE

The care workers left behind as private equity targets the NHS | Society | The Observer - 0 views

  • It's one of the many pieces of wisdom – trivial, and yet not – that this slight, nervous mother-of-three has picked up over her 16 years as a support worker looking after people in their homes
  • 100 new staff replacing some of those who have walked away in disgust.
  • Her £8.91 an hour used to go up to nearly £12 when she worked through the night helping John and others. It would go to around £14 an hour on a bank holiday or weekend. It wasn't a fortune, and it involved time away from the family, but an annual income of £21,000 "allowed us a life", she says. Care UK ripped up those NHS ways when it took over.
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  • £7 an hour, receives an extra £1 an hour for a night shift and £2 an hour for weekends.
  • "The NHS encourages you to have these NVQs, all this training, improve your knowledge, and then they [private care companies] come along and it all comes to nothing.
  • Care UK expects to make a profit "of under 6%" by the end of the three-year contract
  • £700,000 operating profit in the six months between September last year and March this year,
  • In 1993 the private sector provided 5% of the state-funded services given to people in their homes, known as domiciliary care. By 2012 this had risen to 89% – largely driven by the local authorities' need for cheaper ways to deliver services and the private sector's assurance that they could provide the answer. More than £2.7bn is spent by the state on this type of care every year. Private providers have targeted wages as a way to slice out profits, de-skilling the sector in the process.
  • 1.4 million care workers in England are unregulated by any professional body and less than 50% have completed a basic NVQ2 level qualification, with 30% apparently not even completing basic induction trainin
  • Today 8% of care homes are supplied by private equity-owned firms – and the number is growing. The same is true of 10% of services run for those with learning disabilities
  • William Laing
  • report on private equity in July 2012
  • "It makes pots of money.
  • Those profits – which are made before debt payments and overheads – don't appear on the bottom line of the health firms' company accounts, and because of that corporation tax isn't paid on them.
  • Some of that was in payments on loans issued in Guernsey, meaning tax could not be charged. Its sister company, Silver Sea, responsible for funding the construction of Care UK care homes, is domiciled in the tax haven of Luxembourg
  • Bridgepoint
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Heather Farrow

Laying the Foundations of Cuban Revolutionary Healthcare | Opinion | teleSUR English - 0 views

  • By: Don Fitz
  • 5 June 2016
  • The consciousness of the 3000 doctors who stayed became a material force in the production of Cuban health care.
Govind Rao

Maternal death rates rose in Canada, U.S. over 20 years - Health - CBC News - 0 views

  • In Canada, deaths rose from 6 to 11 per 100,000 births between 1990 and 2013.
  • May 06, 2014
  • American women are more likely to die in childbirth than they were two decades ago, making the United States one of the few countries where the risks from childbirth have risen in the past generation, World Health Organization data showed on Tuesday.
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  • No other country recorded such a large percentage increase, although a few other rich countries also failed to keep maternal mortality in check. In Canada, deaths rose from 6 to 11 per 100,000 births between 1990 and 2013. Many European countries and Japan have mortality rates in single figures.
  • China has cut its rate by two-thirds since 1990, with 32 women dying for every 100,000 live births in 2013.
  • Maternal mortality has worsened in a handful of poor countries — the Philippines, Suriname, Cuba, Venezuela and Tonga.
Govind Rao

Private options - Infomart - 0 views

  • Calgary Herald Wed Aug 26 2015
  • Robert Brown's analysis is flawed. Hip replacement surgery is one of a handful of surgeries which are prioritized through a scheme that financially rewards provinces that preferentially target procedures in older patients. To praise Alberta for wait times that are better than B.C.'s, yet are still unacceptable, ignores the fact that Alberta has grossly excessive wait times for other procedures. I treat up to four Alberta patients a week, who would otherwise wait more than twice as long as the time quoted for hip surgery.
  • We fund massive, inefficient bureaucracies which oversee monopolies they are desperate to maintain. Patients in countries with hybrid systems, such as Switzerland, Belgium, France, Austria and Germany, do not wait. We have 14 ministries of health. France, with double the population, has one. It's unacceptable that Canadian governments force us to wait, suffer and sometimes die in pain. North Korea, Cuba, China, Laos and Vietnam allow private insurance, choice and competition. It's time we grant Canadians rights on a par with those in every country - even those with socialist and authoritarian regimes. Brian Day, MD, Vancouver Dr. Brian Day is medical director, Cambie Surgery Centre.
Govind Rao

Letter: Free-market system won't fix health care | Montreal Gazette - 0 views

  • April 16, 2015
  • Harry Yotis’s position seems to rely solely on the myth that all things would be better if only market forces were let loose to solve a given problem. Governments, according to holders of this point of view, only serve to hold back rational organization from ensuring that an equilibrium would accrue in a free-market situation. In the developed world, only one country (the United States) has an open and free market system in health care, such as it is. It happens, by the way, that the U.S. system is the most costly and under-performing of all systems. The French, British and Scandinavian countries all have “socialized medicine” and all perform better than the system of the U.S. by a great margin. Even Cuba (as socialized as you can get) has a lower infant mortality rate than the U.S.
Govind Rao

Federal government's response to Ebola crisis is negligent, inhumane and insufficient |... - 0 views

  • Federal government’s response to Ebola crisis is negligent, inhumane and insufficient20/October/2014 01:02 PM
  • Toronto, Ont. – If Ebola comes to Canada, the federal government will share significant responsibility, says Michael Hurley, president of the Ontario Council of Hospital Unions/CUPE (OCHU). “ The Harper government’s laissez-faire attitude towards Ebola is evidenced by its refusal to provide mobile hospitals to stricken African nations, its refusal of formal requests for personal protective equipment which were then sold off and its failure to mobilize our nation’s healthcare resources fully behind the fight against Ebola in Africa”.“ We cannot just wait for Ebola cases to appear in Canada. This virus must be fought and contained at its source, in West Africa. The federal government’s $65,000,000 contribution is woefully inadequate and shames us. Hospitals in West Africa are overwhelmed and many patients are dying in squalid conditions. It’s time for the federal government to marshal Canada’s health human resources, as Cuba has done and to fund and staff up mobile hospitals in the stricken nations.”
Govind Rao

WHO's Chan warns over spread of Zika virus beyond Latin America | The BMJ - 0 views

  • BMJ 2016; 352 doi: http://dx.doi.org/10.1136/bmj.i1739 (Published 24 March 2016) Cite this as: BMJ 2016;352:i1739
  • Anne Gulland
  • The world will face a “severe public health crisis” if the Zika virus spreads beyond Latin America, the World Health Organization’s director general has said.Margaret Chan told a press conference that no one can currently predict whether the virus and its association with fetal malformations and neurological complications, as seen in Brazil and other parts of Latin America, will spread to other parts of the world.
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  • She added that a “shift in our thinking is needed, away from the management of individual cases and towards the longer term building of capacities in countries to cope with these added burdens. Fetal malformations place a heartbreaking strain on families and communities, as well as systems for healthcare and social support.”WHO said that Zika virus transmission has been reported in 33 countries and territories of the Americas and that Cuba and Dominica were the latest to report local transmission. An increase in the number of cases of microcephaly has been reported in Brazil and French Polynesia, and an increased incidence of Guillain-Barré syndrome has been reported in 12 countries.
  • News reports have stated that Panama reported its first case of microcephaly linked to the Zika virus on 19 March, although this has not yet been confirmed by WHO.Christopher Dye, director of strategy, policy, and information at WHO, told the press conference that studies currently suggest that about 1% of cases of the infection will lead to severe neurological disorders.
Govind Rao

What Fidel Said, and Why It Matters for Earth Day - 0 views

  • And Cuba’s medical expertise is well-known, around the world, where its doctors serve in impoverished areas, often never before attended to medically.
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