The breath of life

Project ECHO - driven by a single doctor with a cause - pulled together a team of specialists to develop a model that combines technology with collaborative care and careful patient tracking to help cure for diseases spread to patients around the world through community healthcare agents, as opposed to only specialty centers. This kind of "disruptive innovation" is effectively working to demonopolize health care knowledge and access, and lends to a health system capable of meeting today’s soaring demands for care.

A novel way to help young men growing up in communities in which concentrated poverty, violence and unemployment are well-documented barriers to health and longevity: male youth of color are trained to be the emergency response team to help stabilize street victims before doctors or nurses begin procedures.

The highest hospital costs come from preventable emergency room visits. A doctor in Camden developed a home visit program which gives better and cheaper care.

According to the Centers for Disease Control and Prevention, drug overdoses are the leading cause of injury-related mortality. Naxolone, a drug used to revive overdose victims, is only available by prescription. However, private organizations have distributed Naxolone kits nationally, showing that the drug can save lives when it is more readily accessible.

In Nepal, a controversial drug is proving to be effective in saving mother's lives. It's the only shelf-stable, easy-to-administer solution to curbing postpartum hemorrhage. In trials, misoprostol is shown to save the lives of women who live far from medical care facilities. Since Nepal allowed use of the drug, postpartum hemorrhage has fallen from the leading cause of maternal death to number two.

In light of a study published in BMC Medicine, authors Nancy Fullman and Alexandra Wollum take a deeper dive into Nigeria’s gains against polio and what they could mean for the country’s routine vaccine systems.

PrePex, a new nonsurgical circumcision tool, could revolutionize the prevention of H.I.V. and AIDS in sub-Saharan Africa. Cheap and easy to assemble, the device has proven successful in several randomized trials.

The Jaipur Limb organization based in India has developed prostheses at low cost, and services are free for the poor. The organization’s efforts have recently spread to other countries with impoverished people. Jaipur Limb reaches patients through branch clinics, traveling workshops, and limb camps in cities around the world.

A prosthetist from Texas visiting Jaipur Limb workshops in Honduras saw problems with their low-cost prosthetics - the issue wasn't the design of the leg, but the technicians at the Honduras workshops were people completely new to prosthetics who were given just eight weeks of training. Thanks to his research, Jaipur established a research and development unit to improve the limb.

Social programs are seen as a fiscal burden on the U.S. However, investment in effective social programs saves taxpayer dollars so evaluating the performance of federal programs could help Congress act more responsibly.