Infographics and Vaccines: Information Contagion and Infection Control

I recently came across a new infographic that I love, and it reminded me to post on here about the importance of data visualization, especially when it comes to getting big messages across very quickly and in very few words. Our brains are visual. We only began reading and writing in the last few thousand years, and even then, it has been a rare gift and privilege for most of that time. However we have been visually absorbing information for as long as we, and our predecessors, have had eyes.

The infographic I mentioned (posted below) also reminded me that we, as health promoters are trying to s-p-r-e-a-d information and stop the spread of disease and poor health.

Source: http://blogs-images.forbes.com/matthewherper/files/2013/02/c6fb5feb7f1ee71b7e725277d3099916.jpg 

The above infographic was created by Leon Farrant, a graphic designer in Purchase, N.Y., using data from the Centers for Disease Control and Prevention website.

– Sarah Topps 2013

Note: I am also currently a contributing author and moderator of a blog about health promotion, communication and advocacy for a class that I am taking. This post was originally written for that purpose, and since I wrote it, I have re-purposed it to bring over here. (Just so no one thinks I’m stealing!)

Free Global Health Courses!

Phew! Finally finished my crazy semester… to put things in perspective, a full time graduate studies course load is 2 classes (3-4 credits each), and 3 classes is considered to be a 100% course load. Most of my fellow students took between 2 and 3 classes this term, with a few hard workers doing 4 (not counting not-for-credit seminars and lectures). Since I was working full time for the first year of my MPH degree, I was somewhat behind my cohort, leaving me with the option to either graduate later than most, or take on an insane course load this year. Of course, being a go-getter, I chose the latter and nearly killed myself with work this term doing… not 5… but SIX classes! (i.e. a 200% courseload, but hey… who’s counting?)

The grades are still coming back, but so far I’ve still got a pretty solid GPA. It looks good…

As a result of this crazy workload, I have become used to spending several hours a day just learning new things, and it seems that after 4 months of this, my brain actually can’t deal with just doing nothing. I took several weeks off to travel (I’m still travelling, in Reykjavik currently – more updates on that soon!) and after about 5 days, I needed to leeaarrnnnn (picture this in a zombie accent), and thus I discovered the incredible Global Health eLearning Center. I am now completely addicted.

The Global Health eLearning Center is a completely free online resource put together by USAID Bureau of Global Health that allows you to take free online courses and receive a certificate of completion for each one from USAID and John Hopkins Bloomberg School of Public Health! There are even certificate programs in certain areas such as Child Health and Health Systems.

The courses are free to access and straightforward to use, not to mention a great way to update your skills and knowledge in a variety of global health areas – go check it out!

– Sarah Topps 2012

Avaaz?

Sleepily browsing the world wide web this morning when a mysterious by-line caught my eye:

“You should message me if you can give me some intelligent feedback on… www.Avaaz.org“

My curiousity having been sufficiently aroused by the fact that I had never heard of this website, I cautiously typed it into Google to find out what it could be about. What I discovered was exactly the type of website I have been looking for to write a post about for the past few months, ever since the online conversations sparked ongoing protests across North Africa and the Middle East.

Avaaz – which means “voice” in several major language groups around the world, is an online forum where registered users can take actions including signing petitions, funding media campaigns and direct actions, emailing, and lobbying governments, towards a large range of issues. Their strength comes in numbers, and the fact that they focus on the things they agree on. Avaaz seems to garner strength from individualism, and rather than trying to find consensus about the specifics of any one issue, each member decides individually where to focus their efforts and whether they will participate or not in any given campaign or movement.

The result is phenomenal – for example perhaps not everyone shares the same view points on gay marriage or whether being gay is something you choose or something you are born with, but when almost half a million people sign a petition to stop the passing of a bill which would sentence gay Ugandans to death, suddenly you see that there are over-arching human rights concerns which many agree on.

Some of the descriptions of Avaaz.org listed on the site include:

“Avaaz is closing the gap between the world we have and the world we want, one campaign at a time.”

…and…

“A transnational community that is more democratic, and could be more effective, than the United Nations.”

— Suddeutsche Zeitung

…and…

“Avaaz is a global web movement to bring people-powered politics to decision-making everywhere.”

While Avaaz is only a few years old (2007), it has already had a major impact internationally in forums such as climate change, human rights, the international sex trade, emergency response, state corruption, protecting natural resources, and the list goes on… Some of Avaaz’s concrete achievements are listed below:

*****

• a drive for a “million-signature Citizen’s Initiative in the EU” for a moratorium and independent testing and regulation of Genetically Modified crops.
• almost $700,000 raised for an intensive, long-term campaign to fight the “rape trade”–the sexual enslavement of women and girls around the world
• strong backing for indigenous communities “petitioning Chevron’s new CEO to clean up his company’s toxic legacy” in the Amazon.
• support for a democratic resolution to the January 2008 election crisis in Kenya — tens of thousands of Avaaz members asked their foreign ministers to refuse to recognize any President until Kofi Annan’s negations could produce an acceptable compromise.
• worldwide pressure for democratic rights in Pakistan during the November 2007 crisis, and an ad campaign in Pakistan calling for President Musharraf to end the state of emergency.
• a global call for a WTO ruling to ban subsidies for dangerous corporate overfishing of the world’s oceans, in which Avaaz members sent tens of thousands of messages to their trade ministers.
• an effort to increase transparency in the UN’s selection of the next High Commissioner for Human Rights that “made international headlines through a blog” and a fake job advertisement in The Economist.
• a petition, rally, and protest video supporting efforts to oust Paul Wolfowitz from the World Bank after the May 2007 corruption scandal
• a call for regional governments to increase aid donations to help Mexico cope with flooding in November 2007
• co-hosting, with Chatham House, David Miliband’s first speech as UK Foreign Secretary — and bringing him questions from Avaaz members around the world.

*****

I plan to join Avaaz and dig a little deeper into their campaigning process over the next few weeks. I’m sure that the mass appeal of being able to have a real impact on international issues will bring Avaaz.org more and more to the centre stage of how the internet can be used to have a real impact on the real world.

– Sarah Topps

(I’d also like to say thanks to Arteri, who originally directed my interest towards this site.)

7 Things I Never Travel Without

As an event and trip coordinator, and a frequent traveler in my personal time – both clients and friends often ask me: “What should I pack?” It’s the age-old traveling question, and I have often found it makes the world of difference in the quality of my trip.

To be honest, it really depends on the trip – how long is it?, where will you go?, who will you go with?, do you need fancy clothes?, how will you get there?, where will you stay?, what activities will you be doing? etc. I could go on and on about the various factors that come into play when I am deciding what to bring. (Look out for upcoming posts as I begin my quest for one-bag international travel starting with a trip to Taiwan in April.)

However, if I have to give a short answer, I always love the quip about the necessary “Big 3” my parents used when we traveled: “Tickets, passport, money. Everything else you can buy, borrow, or make do without.”

While I truly believe this motto, and have followed it to the letter before in extreme circumstances, there are several other items which make my “necessities” list on (almost) every trip these days, rounding out to a nice 10.

1. Good walking shoes & SmartWool socks

Okay, so technically this one is two things, but it’s not like you would use one without the other, right? After years of walking in many kilometres, in many conditions, all around the world, I have come to the conclusion that I absolutely LOVE SmartWool socks. They are comfortable, they don’t smell, they take YEARS to wear out, their colours hide dirt well, they look good on everyone, and they prevent blisters! To learn more about the science behind these awesome socks, they made us a pretty website!

2. Pencil and notebook

Same deal as above… paper is pretty useless unless you’re using it for fire starter in the woods (and I think open fires are illegal in most wooded places now anyways). Great for remembering details such as addresses or opening hours, for learning words of the local language (a great opener for talking to locals) and for detailing your adventures in.

3. Sunscreen

This brings us to one of my absolute all-time favourite travel stories, and perhaps the best one to illustrate my parents unique manner of raising me to be the independent, responsible and interesting human being (I hope ) that I am today.

When I was 17 years old, and full of young restlessness I used to spend hours and hours (actually who am I kidding, I still do) on airline websites, trying to find the best travel deals to my dream destinations. One night, my parents had asked me to babysit my younger brother while they went out for dinner and a show. After my brother had gone to bed, I was on the computer, chatting with some friends from Australia and skimming my usual travel sites. Suddenly, I spied an incredibly good deal for a flight to Brisbane from Vancouver… after doing about, oh… maybe 3 minutes of intense cost research and asking my friends if the weather was nice, and whether they thought I could get a job there, I had bought a plane ticket. For the next morning. To Australia.

By the time my parents got home, later that night, I was halfway through packing for my spontaneous 3 month trip down under. My Mum took one glance in my room, asked me where I was going, stared at me for a moment after my reply and then shook her head and went to bed. The next morning, around 6 a.m. she padded back through to my room in her slippers and asked if I was serious. I held up my bag in one hand and my plane ticket in the other, then cheekily asked if she could give me a ride to the airport in an hour. She thought about it for a second, nodded, and then padded to the kitchen to make herself a cup of tea.

An hour later, we were driving to the airport and we were chatting about mundane things when she suddenly seemed to realize that I was actually planning to spend the next three months in Australia. She turned to me abruptly and said:

“So you’re really going to Australia today?”

“Well, yes, although I won’t get there until tomorrow. I’ll call when the time difference isn’t too bad.”

“Did you pack sunscreen?”

“Uhhh… no?”

“There should be a bottle under the seat. You can take that one.”

I dug it out and tucked it into the top pocket of my bag. We drove the rest of the way to the airport in that comfortable silence that only comes from everyone feeling that all that is needed has been said. I think it officially marked the moment in my life where I felt like an adult in my parents’ eyes. And I still remember to pack sunscreen, every time.

4. Digital Camera

I have found over time that I never remember my trips as well if I don’t have pictures to spur the memories. Take pictures! Take LOTS of pictures. Take pictures of new friends, old friends, yourself with friends, yourself alone, local quirks, colourful signs, famous locations, not-so-famous-but-just-as-cool locations, your favourite dish, your favourite camel… you name it! If you’re motivated enough, you can even make yourself a scrapbook when you get home. (Just don’t force your poor friends to sit through an 800-picture slide show… really, after 50 pictures, no one cares.)

I currently own one digital SLR; the Canon Rebel T2i (EOS 550D outside the US, but I like the flashier name… no pun intended) which I love for it’s smaller grip – perfect for my female hands, and a smaller Canon Powershot from a few years ago when it had a slimmer design.

5. Universal Plug Adapter

Really? You want an explanation? Just get one. You can thank me later…

6. Goody’s Ouchless Hair Elastics

Weirdly useful… and not just for putting hair into a ponytail.

These amazingly durable, colourful bands are perfect for securing things together (bunches of pens, flowers, rolls of bills, you name it!) or for hanging things. As hair elastics go, they are very comfortable since they don’t have the traditional metal bar holding the elastic together which pulls your hair out when you remove it. They come in a great variety of colours, last forever and are super cheap and easy to find (any major drugstore will carry them). I find them so useful that I often have an extra one on my key chain or in my bag – in fact, I’m wearing one on my wrist right now!

7. MP3/USB player

Again, you can buy them in any electronics store or major drugstore – cheap, not flashy, easily concealed, good for storing digital pictures or e-versions of important documents. Wear it around your neck under your shirt on a cord necklace for easy but secure access to your music. The one I use is similar to this one. Get as much memory as you can find/afford… even your favourite songs get old after you’ve been on the same bus for 18 hours.

And of course – don’t forget your tickets, passport or money!

– Sarah Topps (2011)

What can kill you in less than 3 hours, and be treated with salt and clean water?

No, it’s not a jellyfish sting, or lethal poison – the surprising answer is Cholera.

According to the CBC, over 7000 people have been infected in Haiti over the last week, resulting in the deaths of 500 individuals, many of whom could have easily been saved if Haiti had the proper infrastructure in place to treat them. There has been no cholera outbreak in Haiti for around 50 years, and the initial reaction was one of confusion as many Haitians just did not know how to avoid the disease (BBC News).

Directly from the World Health Organization website: “Cholera is an easily treatable disease. Up to 80% of people can be treated successfully through prompt administration of oral rehydration salts (WHO/UNICEF ORS standard sachet). Very severely dehydrated patients require administration of intravenous fluids. Such patients also require appropriate antibiotics to diminish the duration of diarrhoea, reduce the volume of rehydration fluids needed, and shorten the duration of V. cholerae excretion. Mass administration of antibiotics is not recommended, as it has no effect on the spread of cholera and contributes to increasing antimicrobial resistance. In order to ensure timely access to treatment, cholera treatment centres (CTCs) should be set up among the affected populations. With proper treatment, the case fatality rate should remain below 1%.”

Cholera is a disease which is believed to have originated in India, and which thrives in disaster-type situations like this one, such as floods, hurricanes or earthquakes which disrupt normal water treatment routines. The original outbreak is believed to have started approximately three weeks ago, but the number of cases have drastically increased since Hurricane Tomas struck last Friday, causing flooding across western Haiti. Unfortunately the bad news continues to grow, as one of the rivers which has been identified as a source of the epidemic is soon expected to overflow with excess water.

The best intervention strategy for reducing cholera deaths is through a combination of  controlling the disease spread through provisions of safe water, proper sanitation and immediate education about the disease to the affected population group. Infected individuals can be difficult to identify since most are asymptomatic, but insuring access to quick treatment to those persons who do show signs of the illness helps to prevent further spread and save many lives. Providing safe water and sanitation is a major challenge, particularly in emergency situations, however it has been shown to be the critical factor in reducing the number and spread of infections.

Perhaps this is another opportunity for the use of SODIS (solar disinfection of drinking water) to be taught and used as a weapon against the further spread of this deadly disease. This simple method of disinfecting drinking water can be readily achieved by filling a clear plastic bottle with collected water (which has low turbidity) and leaving it out in the sun for more than 6 hours. (Stay tuned for a more in-depth follow-up post about SODIS, how and when it works, and benefits of using it to disinfect water.)

Written by Sarah Topps – 2010

Read more: http://www.cbc.ca/world/story/2010/11/07/haiti-cholera-toll-rises.html?ref=rss#ixzz14l2qWRgI

Plumpynut: More revolutionary than sliced bread

Every year 10.6 Million kids die before their 5th birthday. Malnutrition accounts for about half of that number. Finally, we may have a solution which addresses both caloric and micronutrient deficient diets: Plumpy’nut.

The old adage about being able to live off of only beer and peanut butter is almost true in this case, although since we’re talking about kids – it’s peanut butter and powdered milk. The mix also includes powdered sugar and several vitamin supplements including zinc, Vitamin A and E, iron and protein. It can add an astounding 1kg (2.2 lbs) per week to a hungry child’s weight.

CBS News ran a special on it back in 2008 but unfortunately WordPress does not support their embedded video.

It’s been used successfully in Niger by Medecins Sans Frontiers and is now being recommended by UNICEF for use across Africa and the world.

Plumpy’nut does not need to be cooked, or refrigerated, or boiled, it does not need to be mixed with water (eliminating potential contamination as has happened with powdered milk formulas), it has no parts which could be a choking hazard, it comes pre-packaged in an ideal amount, it can be eaten directly out of the packaging; making it an ideal meal for undernourished children in the developing world who may not have access to electricity or safe drinking water.

The following YouTube clip is an excerpt piece by Anderson Cooper from the longer CBS video I’ve referenced above.

– Sarah Topps

Flu Pandemic

Since the H1N1 virus first emerged, panic about the possibility of a global flu pandemic has subsided substantially. It seems that while the virus may be moving fast enough to kill people, it is not moving fast enough to scare them. However, a press report released today said that this outbreak could infect up to 2 billion people – one third of humanity!

The World Health Organization raised their estimation of the threat of a widespread pandemic to phase 5 on April 29th, but more recently a spokesperson has mentioned the possibility that it will go to phase 6 – the highest level of threat, indicating a widespread outbreak in communities in at least two WHO regions globally.

Interestingly, while browsing the available information on what exactly we would do if a full-blown pandemic were to erupt, I found startlingly little concrete information and almost no one who said they would actually be in charge during such an event. Would it be the local governments? The state? The UN or the WHO? The Red Cross perhaps? No one really seems to know.

I also came across a talk given at TED by Laurie Garrett in 2007 in response to the outbreak of Avian Bird Flu, which is shown below. It is quite a riveting 20 minute video and she really covers, or at least asks, all of the questions and common answers that we would find ourselves giving if a flu pandemic were to occur.

– Sarah Topps