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GUY.01 Reducing the burden of disease: communicabl

World No Tobacco Day - 31 May 2013

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Today World No Tobacco Day is being observed worldwide with emphasis on prevention and control of packaging, labeling, advertising, promotion and sponsorship of tobacco.  The theme for this year is "ban tobacco advertising, promotion and sponsorship".

Currently, Guyana is one of the countries working towards the tabling of a national legislation on tobacco which includes making the environment a fully smoke -free.  Guyana has made considerable progress in making vehicles used for public transportation smoke-free, as well as Government and academic institutions and other health and civil organizations.

PAHO/WHO will continue to collaborate with the Ministry of Health and other key stakeholders for the conduct of additional consultations on the National Tobacco Legislation for Guyana with select target groups in Regions 2 and 9 of the country.   Technical cooperation is also being provided to the Guyana National Bureau of Standards for the development of a draft standard for advertising, promotion and sponsorship of tobacco for in-country and deliberation among other countries of the CARICOM region.

Last Updated on Monday, 03 June 2013 14:13

Vaccination Week 20-27 April 2013

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Ministry of Health (MOH) in collaboration with partners: PAHO/WHO, UNICEF, civil society and the media will launch the Vaccination Week as part of a series of activities planned. The event will include brief remarks by the Minister of Health, the Chief Medical Officer and PAHO/WHO-HQ representative. Children from local school and local community will be vaccinated by the Minister of Health, while culture items by School Children will be performed. 

In addition, training on VINUVA tool (Georgetown), EPI surveillance monitoring (Region 4) and vaccination activities (entire week) will take place in all the 10 Sanitary Regions.

 
Last Updated on Monday, 22 July 2013 15:14

Guyana Observes World Health Day 2013

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Dr. Beverley Barnett, PAHO/WHO Guyana Representative,

World Health Day Message

World Health Day is the ‘birth’ anniversary of the World Health Organization (WHO), celebrated on 7 April each year since the Organization was founded in 1948. Each year, the WHO selects a theme that highlights a priority area of public health concern in the world.

The theme for World Health Day 2013 is “controlling high blood pressure”, and it provides an opportunity to focus attention on the prevention and control of high blood pressure – hypertension – as a means of reducing the number of people affected by cardiovascular disease (CVD).

Blood pressure is the force of blood against the inside of blood vessels and is created by the pumping of the heart. Blood pressure is measured in millimeters of mercury (mm Hg) and is recorded as two numbers, usually written one above the other. The upper number is the systolic blood pressure, the highest pressure in blood vessels when the heart muscle contracts and pumps blood out to the rest of the body, resulting in a heartbeat, while the lower number is the diastolic blood pressure, the lowest pressure in blood vessels in between heartbeats, when the heart muscle relaxes and blood flows into the heart from the rest of the body.

Last Updated on Friday, 26 April 2013 18:39
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WORLD TB DAY

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A message from Dr. Margaret Chan, Director General of the WHO

 

WORLD HEALTH ORGANIZATION AND GLOBAL FUND CITE TUBERCULOSIS THREAT

Urgent Annual Need for $1.6 Billion a Year in International Financing to Prevent Spread of Disease

The World Health Organization and the Global Fund to Fight AIDS, TB and Malaria said today that strains of tuberculosis with resistance to multiple drugs could spread widely and highlight an annual need of at least US$ 1.6 billion in international funding for treatment and prevention of the disease.

Dr Margaret Chan, Director General of the WHO, and Dr Mark Dybul, Executive Director of the Global Fund, said that the only way to carry out the urgent work of identifying all new cases of tuberculosis, while simultaneously making progress against the most serious existing cases, will be to mobilize significant funding from international donors.  

With the overwhelming majority of international funding for tuberculosis coming through the Global Fund, they said, it is imperative that efforts to raise money be effective this year. Growing alarm about the threat of multi-drug resistant TB, also known as MDR-TB, is making that even more pressing.

“We are treading water at a time when we desperately need to scale up our response to MDR-TB,” said Dr Chan. “We have gained a lot of ground in TB control through international collaboration, but it can easily be lost if we do not act now.”

The WHO and the Global Fund have identified an anticipated gap of US$1.6 billion in annual international support for the fight against tuberculosis in 118 low and middle income countries on top of an estimated US$3.2 billion that could be provided by the countries themselves. Filling this gap could enable full treatment for 17 million TB and multidrug-resistant TB patients and save 6 million lives between 2014-2016.

“It is critical that we raise the funding that is urgently needed to control this disease,” said Dr Dybul. “If we don’t act now, our costs could skyrocket. It is invest now or pay forever.”

Dr Chan and Dr Dybul spoke to the media in Geneva in advance of World TB Day on 24 March, which commemorates the day in 1882 when Dr Robert Koch discovered the mycobacterium that causes tuberculosis. 

While the Millennium Development Goal of turning around the TB epidemic has already been met, the 2 percent decline in the number of people falling ill with TB each year remains too slow.  Two regions – Africa and Europe -- are not on track to achieve the global target of halving the TB death rate between 1990 and 2015. In 2011, 1.4 million people died due to TB, with the greatest per capita death rate in Africa. Multidrug-resistant TB (MDR-TB) presents a major threat, with an estimated 630,000 people ill worldwide with this form of TB today.

WHO worked with the Global Fund and the Stop TB Partnership to support selected high TB burden countries in reviewing their priorities for the next three years and estimating available funding and gaps.  Estimates have been made for 118 countries eligible for Global Fund support.  Of the US$1.6 billion gap in donor financing, almost 60% is for WHO’s Africa region.

In the 118 countries, there are four priority areas for domestic and international investment to drive down deaths, alleviate suffering, cut transmission and contain spread of drug resistance:

·         For the core areas of expanded diagnosis and effective treatment for drug-susceptible TB (which will prevent MDR-TB), a total of US$2.6 billion is needed each year for the 2014-2016 period. For 2011, funding of about US$2 billion was available.  In low-income countries, especially in Africa, this is the largest area for increased financing.

·         Prompt and effective treatment for multidrug-resistant TB requires an estimated total of US$1.3 billion per year.  This is where the greatest increase in funding is needed in the coming years. For 2011, funding of US$0.5 billion was available.

·         Uptake of new rapid diagnostics and associated laboratory strengthening, especially for the diagnosis of MDR-TB and for TB diagnosis among people living with HIV, requires US$600 million per year.

·         Excluding antiretroviral treatment for TB patients living with HIV, which is financed by HIV programmes and their donors, about US$330 million is required for HIV-associated TB interventions, such as testing TB patients for HIV, ensuring regular screening for active TB disease among people living with HIV, and providing TB preventive treatment.

In addition to the US$1.6 billion annual gap in international financing for the critical implementation interventions above, WHO and partners estimate that there is a US$ 1.3 billion annual gap for TB research and development  during the period 2014-2016,  including clinical trials for new TB drugs, diagnostics and vaccines.

 


 

Last Updated on Monday, 25 March 2013 11:01

IMAI Training, 5-9 November 2012

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The Ministry of Health (MOH) in collaboration with the Pan American Health Organization (PAHO) conducted an IMAI workshop from 5 to9 November, 2012 at the Ocean View Hotel, Liliendaal as part of the scale up activity of the public health initiative which has had its genesis and adoption in Guyana since 2006 and which is a part of the broader effort to strengthen the integration of the HIV and chronic diseases services at primary health care level.

The opening session of the workshop was chaired by Dr. Rosalinda Hernandez Munoz, PAHO/WHO FCH/HIV Advisor whereas the welcome was done by Dr. Karen Cummings, the IMAI Coordinator, from the Ministry of Health (MOH) who not only applauded and thanked the financiers, the moral supporters and stakeholders like PAHO, MOH and Presidential Emergency Plan for AIDS Relief (PEPFAR), but appreciated the efforts made by the Regional Health Officers to put systems in place to facilitate this special IMAI training.    She welcomed the participants to a highly innovative, culturally relevant and mutually beneficial workshop.

Dr Beverley Barnett, the PAHO/WHO Representative in Guyana delivered the key message to the participants. She reiterated the need to decentralize and scale up HIV services and strengthen the Primary Health Care System (PHC). She posited that comprehensive and quality care should be given to Persons Living with HIV (PLWH) and efforts should be made to continue facilitating universal access to care, treatment and prevention of HIV by integrating clinical management of HIV/AIDS and Tuberculosis into the regular clinic schedules of the existing health services.

She encouraged the participants to embraced the integrated approach to chronic care as they strive to prepare, to inform and motivate  the health team, community partners and patients and their families about self-monitoring of key symptoms and treatments in addition to when to return for follow –up according to agreed plan. She challenged the healthcare workers to make full use of the training which entailed hard work so that they can apply knowledge learned for to recognize and provide the basic management of Opportunistic Infections and HIV related conditions.

The objectives of the workshop were:-
 1) To train  Health Workers from Region 2, 3, 4, 5 and 6 on the five Modules of IMAI strategy which were available for IMAI Training and implementation namely: - a) Acute Care, for adolescents and adults; b) Chronic HIV Care, with antiretroviral therapy (ART); c) General Principles of Good Chronic Care; d) Palliative Care, addressing symptom management and end of life care and e) TB/HIV Co- management;
 2) To prepare the care givers to provide Basic Anti retroviral treatment including Clinical Care and Acute Care at the primary care level and
 3) To guide the health professionals on communication skills in their management of patients who are HIV positive.

These objectives were carried out through lecture, breakout sessions, role playing, multimedia materials and question and answer sessions by facilitators from the Georgetown Public Hospital Corporation (GPHC), the National Tuberculosis Program (NTP) and the Davis’ Memorial Hospital.    The current Treatment guideline for Management of HIV-Infected and HIV-Exposed Adults and Children was presented by the National AIDS Program Secretariat (NAPS).

Topics varied from the Introduction to HIV/AIDS and opportunistic Infections, HIV and ARV Drugs, Adherence and Resistance, Prophylaxis to Communication and the Co- management of Tuberculosis (TB) and HIV.
 

The participants were happy for the training and promised to seek every opportunity to remain on the cutting edge of TB/HIV Co-Management. Their expectations were surpassed and they pledged as a next step to share the information with colleagues, to use the given tools, and to implement and integrate acquired best practices in day to day operations at their health locations in the various Regions.


Last Updated on Thursday, 20 December 2012 11:47
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