XDR-TB and the War Photographer

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This is a must watch video presented by TED featuring the winner of one of the prestigious TED prizes, Mr. James Nachtwey. Nachtwey is one of the most famous war photographers in the world, having documented several of the most important recent conflicts of our time. In this video, however, Nachtwey focuses on one issue that has become his most pivotal- the fight against tuberculosis and the development of multi-drug resistant TB.

I worked in a large HIV/TB clinic and the infectious disease ward of a public government hospital in Kampala, Uganda where I saw several patients suffering from these illnesses, but the pictures that Nachtwey has taken were shocking even to me. Literal skeletons. This is a must watch video– it is one man’s global cry for support, awareness, research, and action. His photographs and the full scope of the movement against XDR-TB can be found here. I highly recommend it, both from the perspective of a future physician and a current photographer. Nachtwey is innovating a new field, one I would deem “health photography”, that has the potential to start major movements for global health.

Is Surgery a Luxury Item in Global Health?

Dr. Sherry Wren, a Professor of General Surgery at Stanford School of Medicine, answers this question as she advocates for the addition of surgical care as a major facet in the global health dialogue.

Dr. Wren bullet points the following facts that elucidate the scope of inequity in access to surgical care worldwide:

  • 234 million surgeries are done worldwide per year- only 3.5% of those are done in low income countries
  • 90% of deaths from physical injury, avertable by surgical intervention, occur in low income countries
  • 2 billion people worldwide (for perspective, the US population is 313 million) have no basic access to surgical care
  • 30% of the world’s population receives 75% of the world’s operations, mostly in high income countries
  • The # of operations are 7x greater than the # of HIV infections (~34 million) in the world [note: while I believe it is important to compare the magnitude of diseases, it is only to emphasize the importance of surgery and not to downplay the importance of HIV)
  • Surgery is not explicitly part of the Millennium Development Goals, despite playing a large role in two of the goals, Improving Maternal Health and Reduction of Child Mortality Continue reading

An Elephant-like Affair in Guyana

The short documentary above describes efforts by citizens of Georgetown, the capital of Guyana (South America), to battle a Lymphatic Filariasis (LF) problem caused by the city’s underdeveloped sanitation and water filtration systems that are drawing in mosquitos. Continue reading

What 90 Days on ARVs Can Do

I saw this video yesterday as part of a PEPFAR presentation at UCLA, and it was the first time in a while that I felt inspired. The unbelievably visible impact that ARV treatment can have on a patient is truly motivating and a reminder of the immense progress that we have made against the epidemic over the last 2 decades. Also, I think this video is an example of the indispensable potential that social media has on motivating support for healthcare for the poor.

 

The Cove- A Documentary on Dolphin Hunting in Japan

The Cove 764970 The Cove  A Documentary on Dolphin Hunting in JapanThe Cove is a 2010 Academy Award winning documentary which I watched a few months ago. It exposes cruel dolphin hunting practices in the small Japanese town of Taiji and it follows the efforts of Ric O’ Barry, a former dolphin trainer  who in the 1970s actually captured and trained the dolphins used in the TV show Flipper. He had a change of opinion regarding dolphin captivity through his experiences which led him to declare that dolphins are unable to be happy in captivity. Much of the endeavor required secret filming which shows in graphic detail the gruesome harpooning of several thousand dolphins that are lured and trapped in a small cove every year from September to April. Continue reading

Bol: A Film About Why Giving Life Can be a Crime

I recently watched the movie Bol by Pakistani director Shoaib Mansoor and was quite impressed by it’s ability to entertain while simultaneously and powerfully presenting several social issues flagrant in South Asia. The title “Bol” is a Hindi/Urdu command meaning “Speak” or “Speak Out” and refers to the movie’s main message, which is that women’s voices need to be heard (ideally by the legal system), and that anachronistic and androcentric oppression must end. While this sounds cliche, the movie doesn’t make it feel that way. Continue reading

Follow-up on Kony 2012: Anything Left to “Like”?

It’s been slightly over two months since Kony 2012 (I was going to hyperlink to it, but realized, if you haven’t seen it yet, you probably don’t have internet) first awed, inspired, angered, and exhausted different parts of the world. I was one of the 80 million+ people who saw the film (and blogged about it), and I’m one of probably a few thousand who are wondering what is going on now with the campaign. Continue reading

Are You Adopting a Raju?

I recently reviewed Saving Face, the Oscar winning documentary about acid attacks in Pakistan, but there was another Oscar nomination called Raju which I just watched that I want to share as well. It is a short film (not a documentary), just 24 minutes in length, and follows a German couple who adopt a young Indian boy, Raju, from Kolkata. The film itself is arresting and leaves you wanting to know more about what happened to Raju. Unfortunately, in being so short, it is unable (and not intending) to fully contextualize the complexity of the problem, which I write more about below. Still, I recommend it as a well-made piece that serves as an introduction to the topic. It can be purchased for $1.99 on iTunes and if you are going to watch it, do so before reading ahead.  Continue reading

On Kony, Child Soldiers, and the (In)visible Children Movement

Following the 84th Academy Awards, I was once again reminded of the power of films. Good films take the viewer into another world and make that world a reality for those precious 100 minutes. Many might agree that Blood Diamond was one such movie,Blood Diamond French Cd Cover 38723 On Kony, Child Soldiers, and the (In)visible Children Movement bringing us into a clashing scene of African civil war, the smuggling of precious stones across borders, the covert corporate corruption in the West, and the inhumane transformation of children into soldiers. Five years have passed since Blood Diamond was released, and for most, the tale of refugee Solomon Vandy (Djimon Honsou) and diamond smuggler Danny Archer (Leonardo DiCaprio) is a memorable drama which reminds us not to buy diamonds mined from conflict zones.

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Saving Faces in Pakistan- Looking Forward from the Oscar

 Saving Faces in Pakistan  Looking Forward from the Oscar

Shameem Akhtar, a Pakistani victim of an acid attack. Photo courtesy of Associated Press, Reporter India

I had the privilege of attending a private screening of Saving Face, the winner of Sunday night’s Oscar for Best Documentary (Short Subject), followed by a Q & A with one of the directors, Daniel Junge, and one of the documentary’s protagonists, Dr. Mohammad Jawad, a British-Pakistani plastic surgeon whose work the film revolves around. On a quick side note, Dr. Jawad was the also the surgeon who operated on British model and acid victim Katie Piper who recently had her eye sight restored through stem cell therapy. In short, Saving Face is about Dr. Jawad’s journey back to his home land of Pakistan where he works to reconstruct the faces of women who have suffered acid attacks by their husbands, other males of close relation, and sometimes even other women. The reasons cited by attackers in many of the countries where acid violence is an issue are multifold- refusal by the women to accept unwanted marriage proposals, basic petty arguments in the house over minor issues, and even attempts to simply pursue education as a woman. The film interviews several survivors of these attacks, mostly women from rural areas, and focuses on two main characters, Zakia and Rukhsana, who are both victims. One of the sub-plots includes Zakia’s court case against her husband which she eventually wins through the application of a recently passed Pakistani bill that sentences between 14 years and life in prison, as well as a $14,000 fine for men who are perpetrators of acid attacks. Throughout the documentary, several women’s faces are shown, most of which are gruesomely deformed from the attacks and consistently elicited waves of shocked gasps from the audience. I whole-heartedly applaud Daniel Junge and Sharmeen Obaid-Chinoy (the other director) for giving these women a voice to the rest of the world, and to Dr. Jawad for using his plastic surgery skills for something other than breast implants (which he says he also does quite well in the documentary). The government of Pakistan, elated at the indirect receipt of an Oscar, has also declared that Ms. Chinoy will be presented with Pakistan’s highest civil award upon her return. Continue reading