SuSanA - Forum Kunena Site Syndication http://forum.susana.org/ Sat, 18 Apr 2015 03:22:10 +0000 Kunena 1.6 http://forum.susana.org/components/com_kunena/template/default/images/icons/rss.png SuSanA - Forum http://forum.susana.org/ en-gb Re: Sanitation in Hospitals - WASH in Health Care Facilities for better health care services (WHO report) - by: RobynChristine http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#12712 http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#12712
Great to hear about work with Terres des Hommes - there is for sure lots of potential for collaborating. We have collaborated with the SoapBox on assessment tools as well! Check this out for what has been done so far - the toolkit has since been adapted and used in Zanzibar as well

soapboxcollaborative.org/?page_id=3232]]>
Health issues and connections with sanitation Wed, 01 Apr 2015 20:24:20 +0000
Re: Sanitation in Hospitals - WASH in Health Care Facilities for better health care services (WHO report) - by: jbr http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#12696 http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#12696
Robyn, it will be very interesting to hear back about WaterAid's internal discussions. Terre des hommes has begun to develop and test a risk monitoring tool for WASH in health faclities, mainly focusing on hygiene practices and proper use and maintenance of equipment. In the early stages, we could use some collaborative support in this direction.

Moreover, as Marijn mentions, the push for and monitoring of better WASH practices in health facilities will need to come from the Ministries. Wouldn't it be great to see national level WASH practitioner alliances forming with support from WHO and development community to engage with authorities?]]>
Health issues and connections with sanitation Tue, 31 Mar 2015 21:42:13 +0000
Re: Sanitation in Hospitals - WASH in Health Care Facilities for better health care services (WHO report) - by: RobynChristine http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#12694 http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#12694
Healthcare workers want to protect their patients and work to high standards. In current conditions of poor WASH this is not possible - and, not their fault. Building in strong policy, developing environments supportive of good care practices / infection prevention and control measures (i.e. facilities having WASH on hand), and integrating WASH into healthcare facility monitoring for improved accountability is the direction we are headed... and I cant wait!

At WaterAid we are embarking on internal discussions to identify opportunities and ways forward for policy and programming in WASH in Healthcare facilities. We will be drawing out examples of entry points for engaging local governments and lessons learned - I will report back on how findings and how discussions progress. We are also putting out an infographic jointly with WHO on the report findings and action plan.

Cheers,

Robyn]]>
Health issues and connections with sanitation Tue, 31 Mar 2015 18:45:17 +0000
Re: 3rd WHO on Report on NTD's (Neglected Tropical Diseases): Opportunities and Challenges - by: RobynChristine http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12262-3rd-who-report-on-ntds-neglected-tropical-diseases-opportunities-and-challenges#12693 http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12262-3rd-who-report-on-ntds-neglected-tropical-diseases-opportunities-and-challenges#12693
Of course - I currently work for WaterAid as a policy officer (health / monitoring and accountability). One of the projects I am currently working on involves working collaboratively with the WASH and NTD sectors to develop joint indicators for monitoring. My passion for WASH and health, and specifically integration with NTDs stems from my MSc project looking at WASH and other other indicators of vulnerability to disease for Schistosomiasis.

At the WHO report I was accompanied by a colleague from WaterAid. Luckily we have established a good group of NTD specialists with keen interests in collaborating with WASH so we were well represented at the event (although perhaps not as much in the panel).

Great idea with the wikipages. It really does get students engaged and asking questions. On the point of all helminths being categorized as NTDs it is important to note that in general there is lots of debate around classification of NTDs, generally we go with WHO's list though. Also most helminths are NTDs - where they are not (i.e. pin worms) it is mainly because they are more common diseases throughout the world, NTDs are particularly associated with poverty and marginalized groups.]]>
Health issues and connections with sanitation Tue, 31 Mar 2015 17:35:20 +0000
How to improve the water and sanitation situation in Malawi? - by: WASTE http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12655-how-to-improve-the-water-and-sanitation-situation-in-malawi#12655 http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12655-how-to-improve-the-water-and-sanitation-situation-in-malawi#12655 www.waste.nl) to boost the local private sector and create an enabling environment for local water and sanitation solutions.

For more information about this exhiting program and follow the most recent developments see: www.facebook.com/pages/EU-WASH-Poverty-R...93478261?sk=timeline]]>
Health issues and connections with sanitation Mon, 30 Mar 2015 07:34:42 +0000
Re: Sanitation in Hospitals - by: Marijn Zandee http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#12593 http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#12593
How to engage a government, that often is a complicated question .

For the project at BIR, what happened (in summary) is that some very motivated Nepalis, with technical support from international organizations, convinced the hospital director that this could happen. Thankfully the director was convinced and supported the project fully, this was very important!

BIR is now an example in Nepal, and with a lot of lobby work from HECAF and some big and small international organizations the government is now pushing hospitals to follow the lead of BIR. The big question here now is how to manage the correct implementation of a quite complicated system (complicated in terms of behavior changes and management)in a large number of hospitals in a relatively small amount of time.]]>
Health issues and connections with sanitation Tue, 24 Mar 2015 10:48:07 +0000
Re: Sanitation in Hospitals - by: F H Mughal http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#12547 http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#12547
That Bir Hospital video, though very short, is extremely interesting and useful. In the video, what you see in the first few frames, is the situation here in Pakistan. It was great to see how Bir Hospital changed its waste management. If possible, please post more such videos. Make sure, it is not on youtube, as it is banned in Pakistan.

The names of the editors of the WHO Blue Book are enough to suggest that the book is full of useful information. I see some big names as editors.

Just 1 minor query: how can be the government here be sensitized to improve the hospital waste management?

Smiles,

F H Mughal]]>
Health issues and connections with sanitation Sat, 21 Mar 2015 10:06:37 +0000
Re: Sanitation in Hospitals - by: Marijn Zandee http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#12545 http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#12545

Thanks for sharing this report. Healthcare waste management is a field that is close to my heart. In Nepal, some very interesting and pioneering work is done by friends of mine. In the article linked below, you will find a video (vimeo.com/90137654) showing that healthcare waste management can be done right in the developing world.

noharm-global.org/articles/news/global/h...ty-health-care-nepal

Further, for anyone involved in waste, or waste water, management solutions in hospitals or other healthcare facilities, I would really recommend the “ WHO Blue Book”.

apps.who.int/iris/bitstream/10665/85349/1/9789241548564_eng.pdf

Regards

Marijn]]>
Health issues and connections with sanitation Sat, 21 Mar 2015 03:56:38 +0000
Sanitation in Hospitals - WASH in Health Care Facilities for better health care services (WHO report) - by: F H Mughal http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#12537 http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12537-sanitation-in-hospitals-wash-in-health-care-facilities-for-better-health-care-services-who-report#12537
Sanitation in Hospitals

Sanitation in government hospitals in poor developing countries is pathetic. Solid waste produced by the hospitals, is simply dumped outside, along the boundary wall of the hospitals. In some cases, a cement-concrete bunker, with open top, is constructed just outside of the hospitals’ premises, where all solid waste is dumped.

The sanitation aspect in hospitals is most hopeless. Inadequate and poorly ventilated toilets exist in most government hospitals. The toilets are cleaned only once in a day and, they remain dirty all day long. Coupled with safe water and hygiene, clean toilets are critical for health in hospitals.

A WHO brief (WHO/UNICEF Report: Water, Sanitation and Hygiene in Health Care Facilities: status in low-and middle-income countries and way forward - Question and Answer), gives health consequences of inadequate WASH services in hospitals. The brief says:

Healthcare associated infections affect hundreds of millions of patients every year, with 15% of patients estimated to develop one or more infections during a hospital stay (Allegranzi et al., 2011). Among newborns, sepsis and other severe infections are major killers estimated to cause 430,000 deaths annually. The risks associated with sepsis are 34 times greater in low resource settings (Oza et al., 2015). Lack of access to water and sanitation in health care facilities may discourage women from giving birth in these facilities or cause delays in care-seeking (Velleman et al., 2014). Conversely, improving WASH conditions can help establish trust in health services and encourage mothers to seek prenatal care and deliver in facilities rather than at home -important elements of the strategy to reduce maternal mortality (Russoet al., 2012).

A recent (2015) WHO-UNICEF publication titled: “Water, sanitation and hygiene in health care facilities Status in low- and middle-income countries and way forward – WASH in Health Care Facilities for better health care services,” is available at:

apps.who.int/iris/bitstream/10665/154588...1508476_eng.pdf?ua=1

The publication is useful and informative and, is expected to be of great interest to the forum users.


F H Mughal]]>
Health issues and connections with sanitation Thu, 19 Mar 2015 16:59:59 +0000
Re: Question re: latrine sludge temperatures and Ebola - by: JKMakowka http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/11541-question-re-latrine-sludge-temperatures-and-ebola#12458 http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/11541-question-re-latrine-sludge-temperatures-and-ebola#12458 joeturner wrote:
New research just published on Ebola survival in faeces:

pubs.acs.org/doi/abs/10.1021/acs.estlett.5b00029


Can't access the full article, but I would advise caution with the 30°C figures. The longer survival times of the substitute bacterio-phage at 22°C is likely an adaption to natural environment. The Ebola virus might on the other hand show the opposite pattern as its "natural" environment should be closer to body temperature.

Edit: it should also be noted that the infectious dose of Ebola is relatively low and thus 99.99% reduction of highly contaminated faeces might not be sufficient.

Btw for reference, I came across this article describing the occurance of Ebola virus in stool samples, but the urine seems to be not a transmission vector: m.jid.oxfordjournals.org/content/196/Supplement_2/S142.long]]>
Health issues and connections with sanitation Thu, 12 Mar 2015 12:34:11 +0000
Re: Question re: latrine sludge temperatures and Ebola - by: joeturner http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/11541-question-re-latrine-sludge-temperatures-and-ebola#12453 http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/11541-question-re-latrine-sludge-temperatures-and-ebola#12453
pubs.acs.org/doi/abs/10.1021/acs.estlett.5b00029

++++++++

Note by moderator:

Inactivation of an Enveloped Surrogate Virus in Human Sewage

Lisa M. Casanova * ,
Division of Environmental Health School of Public Health, Georgia State University, Atlanta, Georgia 30302, United States
Scott R. Weaver
Division of Epidemiology and Biostatistics School of Public Health, Georgia State University, Atlanta, Georgia 30302, United States
Environ. Sci. Technol. Lett., 2015, 2 (3), pp 76–78
DOI: 10.1021/acs.estlett.5b00029
Publication Date (Web): February 23, 2015

Data are needed to provide guidance for handling of human sewage potentially containing infectious Ebola virus. The purpose of this research was to determine inactivation of enveloped viruses in sewage using bacteriophage Φ6 as a surrogate. Sewage was spiked with Φ6 and held at 22 or 30 °C, and the viral titer was measured over time. Inactivation was much more rapid at 30 °C than at 22 °C. At 30 °C, inactivation was approximately linear and reached 1.7 log10 in 24 h, 5 log10 by 48 h, and >7 log10 within 72 h. At 22 °C, the time to 5 log10 inactivation was 6 days and nonlinear. In sewage, Φ6 should be considered as a potential model for survival and inactivation of enveloped human viruses. The results suggest that enveloped viruses can undergo 6–7 log inactivation in sewage in 3–7 days, depending on temperature. Longer holding times may be desirable out of an abundance of caution at lower temperatures.
]]>
Health issues and connections with sanitation Thu, 12 Mar 2015 06:48:05 +0000
Re: 3rd WHO on Report on NTD's (Neglected Tropical Diseases): Opportunities and Challenges - by: muench http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12262-3rd-who-report-on-ntds-neglected-tropical-diseases-opportunities-and-challenges#12312 http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12262-3rd-who-report-on-ntds-neglected-tropical-diseases-opportunities-and-challenges#12312
Thanks for your post. Could you tell us a bit more about yourself, namely in which capacity did you attend that launch in London? Were there others from the WASH sector as well or were you a "lone voice"?

I find the discourse on neglected tropical diseases (NTDs) very interesting. I learnt a lot about it by reading and improving the Wikipedia article on NTDs. I think it is quite a good article now, and I inserted some links to WASH issues and focussed in particular on the helminthiasis as I find that very important.

en.wikipedia.org/wiki/Neglected_tropical_diseases

The article should have more photos though, at the moment it only has one. If you can think of other improvements that should be made, in particular to strengthen the links to WASH issues, please let me know (or edit them directly in Wikipedia).

One important reason why this article is so good is because it was once a student assignment and this student was rather good! See here on the talk page from one year ago:

Plans for Editing Article

I am an undergraduate student at Rice University in Houston, TX and am planning on editing this article as part of a Poverty, Justice, and Human Capabilities class. I would like to expand this article and add more information about the specific diseases and their sociological impact. [...]

I understand the reasoning behind removing the “tropical” aspect of neglected tropical diseases, but since this is a specific term for a category of diseases recognized by the WHO, CDC, and many researchers, that occur primarily in the tropics, I think it is better to keep the term “tropical” in the title. I will, however, research whether there are any other diseases that “neglected” by the neglected tropical disease category.

I would welcome any feedback that anyone has on this.Juliannadrew (talk) 21:58, 20 February 2014 (UTC)


I am just mentioning this as an example because I always encourage lecturers to get their students involved in editing Wikipedia articles...

One thing I didn't realise until working on these articles is that not all helminth infections fall in the category of NTDs! To make this point clearer, I wrote this section on the helminthiasis page:

en.wikipedia.org/wiki/Helminthiasis#Neglected_tropical_diseases

Neglected tropical diseases
Among all helminthiases, the following helminth infections are classified under neglected tropical diseases:[2][27]

  • All soil-transmitted helminthiases
  • Roundworm infections such as lymphatic filariasis, dracunculiasis and onchocerciasis
  • Trematode infections such as schistosomiasis and food-borne trematodiases (including fascioliasis, clonorchiasis, opisthorchiasis, and paragonimiasis)
  • Tapeworm infections such as cysticercosis, taeniasis, and echinococcosis



I would have thought that it's easier to put simply all helminthiasis into the group of NTDs - does anyone know why this wasn't done?

Regards,
Elisabeth]]>
Health issues and connections with sanitation Mon, 02 Mar 2015 13:18:58 +0000
Re: 3rd WHO on Report on NTD's (Neglected Tropical Diseases): Opportunities and Challenges - by: F H Mughal http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12262-3rd-who-report-on-ntds-neglected-tropical-diseases-opportunities-and-challenges#12297 http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12262-3rd-who-report-on-ntds-neglected-tropical-diseases-opportunities-and-challenges#12297
This is a interesting WHO, and your question on WASH integration is most pertinent. The WHO report does not carry names of authors. I suggest that, if you can hold of focal person at WHO, perhaps, you can send email to that focal person and seek the answer.

Regards,

F H Mughal]]>
Health issues and connections with sanitation Sun, 01 Mar 2015 06:52:38 +0000
3rd WHO Report on NTD's (Neglected Tropical Diseases): Opportunities and Challenges - by: RobynChristine http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12262-3rd-who-report-on-ntds-neglected-tropical-diseases-opportunities-and-challenges#12262 http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/12262-3rd-who-report-on-ntds-neglected-tropical-diseases-opportunities-and-challenges#12262
While attending the launch event in London, I posed a question to donors in the room seeking a response on their intentions of ensuring WASH integration in future investment. Not much of a response was given. There is more work to be done to integrate WASH into NTD policy to ensure the sustained elimination of disease. Stayed tuned for the results of a project WaterAid is currently working on with SightSavers and Emory - the development of proposed WASH and NTD sector joint monitoring (with prioritized indicators and feasible metrics).

Report attached and accessible from: www.who.int/neglected_diseases/en/]]>
Health issues and connections with sanitation Thu, 26 Feb 2015 14:52:41 +0000
Re: Geophagy - the cultural practices of eating soil - common in many sub-Saharan countries? - by: joeturner http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/8092-geophagy-the-cultural-practices-of-eating-soil-common-in-many-sub-saharan-countries?limit=12&start=12#12249 http://forum.susana.org/forum/categories/26-health-issues-and-connections-with-sanitation/8092-geophagy-the-cultural-practices-of-eating-soil-common-in-many-sub-saharan-countries?limit=12&start=12#12249
A study conducted in rural KwaZulu Natal among school children (median age 11) found that 53% of girls and 37% of boys practiced geophagia; the practice decreased with age for boys but not for girls and was more common among children from families of higher socio-economic status
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Health issues and connections with sanitation Wed, 25 Feb 2015 09:34:34 +0000