Tracking Disease

Tuberculosis is still a rampant problem in the developing world. Doctors are looking for even more advanced ways to test for TB beyond the GeneXpert tests.

Slow test results make it difficult to stop the spread of tuberculosis. Using faster diagnostic technology and driving vans to rural areas in Tanzania, GeneXpert is making progress in treating this curable disease.

Although patients go to hospitals to receive medical care, many Americans will acquire infections that did not already have them. The United States as a whole has made modest progress at reducing the rates of hospital-acquired infections. Spearheading the efforts, the Veterans Affairs Medical Centers have devised anti-MRSA strategies to keep patients safe.

For decades, AIDS has taken the lives of millions of people and infected millions more worldwide. The key to reducing the effect of AIDS, and even potentially curing it, involves treating patients as early as possible after being diagnosed with HIV, before the disease damages organs. San Francisco General Hospital developed the RAPID program for this purpose, with the goal of “Getting to Zero” the number of new infections and deaths.

New York City black tar roofs cause a number of environmental problems, including air pollution, heat absorption that raises energy consumption, and storm water runoff in the sewer system. Efforts to turn these old roofs into green spaces cool the buildings, enable the containment of more rainfall, reduce sewer discharge, generate energy, and absorb carbon emissions. New York City has a pilot program offering financial help for green roofs.

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.

In war zones, people have a difficult time finding clean water and safe areas to inhabit. Social media, smart phones, and technology applications are aiding in people’s survival. In Aleppo, Syria, the International Committee of the Red Cross posted a map on Facebook to show alternative sources of clean drinking water that reached approximately 140,000 people.

In India, 620 million people openly defecate outdoors, causing harm to hygiene, sanitation, food, and water resources. The president of India funded an initiative to build public toilets for the people in his country, but the people did not use them because of traditions and behaviors. The Total Sanitation Campaign is starting to change villagers’ minds by having local leadership persuade those who resist the toilets by holding community activities and creating special committees to maintain the sanitation.

In the developing world, intestinal worms stunt physical and mental growth, drain energy, and can inhibit school work for children. Deworm the World is a global campaign that lobbied the Delhi government to regularly distribute deworming pills to school children. The benefits decrease student absenteeism and increase cost-saving measures.

Two columns on how Iran is treating its massive epidemic of injecting drug use by tackling it as a health problem, effectively lowering H.I.V. rates among drug users using an approach to drugs known as harm reduction.