Adonis Diaries

Archive for October 27th, 2014

Cuba sent early on more Health workers to Ebola afflicted West Africa than the USA did

What Guatemala, Pakistan, Indonesia, Haiti share?

These 4 different nations suffered calamities in the past decade: they were all struck by natural disasters which overwhelmed their under-staffed and under-funded public health systems.

Into the rubble, flooding, and chaos of these distinct cultures and contexts, Cuba dispatched a specialized disaster and epidemic control team to support local health providers.

It was a story of unprecedented medical solidarity by a developing country which few media outlets picked up – until now.

Conner Gorry in Havana posted in the Guardian Professional, Thursday 23 October 2014

Raul Castro and Venezuelan President Nicolas Maduro at the summit on Ebola in Havana
What can the governments of Guinea, Sierra Leone and Liberia learn from Raul Castro’s health policies? Photograph: Xinhua/Landov/Barcroft Media

The Henry Reeve Brigade, as it’s known, was established in 2005 by more than 1,500 Cuban health professionals trained in disaster medicine and infectious disease containment; built on 40 years of medical aid experience, the volunteer team was outfitted with essential medicines and equipment and prepared to deploy to US regions ravaged by Hurricane Katrina (the offer was rejected by the Bush administration). Today, Cuba’s Henry Reeve Brigade is the largest medical team on the ground in west Africa battling Ebola.

The small island nation has pledged 461 doctors and nurses to provide care in Sierra Leone, Guinea and Liberia, the largest single-country offer of healthcare workers to date.

While United Nations Secretary-General Ban Ki-moon decried the pallid aid commitment from around the globe calling for “a 20-fold resource mobilisation and at least a 20-fold surge in assistance” Cuba already had 165 of these specially-trained healthcare workers on the ground in Sierra Leone.

Each of these volunteers, chosen from a pool of 15,000 candidates who stepped forward to serve in west Africa, has extensive disaster response experience.

Preparation for this mission required additional, rigorous training at Havana’s Pedro Kourí Institute of Tropical Medicine with biosecurity experts from the United States and the Pan American Health Organisation.

This rapid mobilisation of sorely-needed health professionals begs the question: how can a poor developing country spare qualified, experienced doctors and nurses?

By pursuing a robust medical education strategy, coupled with a preventive, community-based approach, Cuba, a country of just 11.2 million inhabitants, has achieved a health picture on par with the world’s most developed nations.

This didn’t happen overnight. Rather, Cuba’s admirable health report card results from decades of honing a strategy designed specifically for a resource-scarce setting.

By locating primary care doctors in neighbourhoods and emphasising disease prevention, the health system – which is universal and free at the primary, secondary and tertiary levels – makes care accessible and keeps people as healthy as possible, as long as possible, saving resources for more expensive treatments and interventions in the process.

But prevention and health promotion by community-based healthcare workers are only part of the story. Cuba’s policies and practices, both at home and abroad (currently more than 50,000 Cuban health professionals are serving in 66 countries) are built on several principles proven effective in resource-scarce settings.

First, coordinating health policies at the local, regional, and national levels is essential; this is particularly important where infectious diseases are concerned since uniform protocols are integral to containment.

Next, health initiatives must be cross-sectoral and based on integrated messages and actions. A fragmented, uncoordinated response by and among different agencies can prove dangerous and even deadly.

This was tragically illustrated by the death of Thomas Eric Duncan in Dallas and the US Centers for Disease Control allowing a nurse who has Ebola to travel on a commercial flight.

Finally, infectious disease outbreaks must be addressed quickly – easier said than done in poor settings, where public health systems are already strained or collapsing already.

The Ebola outbreak snaps the need for Cuba’s approach into sharp relief: only a coordinated response, provided by well-trained and – equipped primary healthcare professionals will contain this – and future – epidemics.

Indeed, policymakers such as World Health Organisation’s Margaret Chan and US secretary of state John Kerry have lauded the Cuban response, underscoring the importance of collaboration as the only solution to this global health crisis.

Forging this solution, however, requires harnessing the political will across borders and agencies to marshal resources and know-how. Havana took up the challenge by hosting a special Summit on Ebola with its regional partners and global health authorities on 20 October.

Noticeably absent were US health representatives; if we’re to construct a comprehensive, integrated, and effective global response, all resources and experiences must be coordinated and brought to bear, regardless of political differences. Anything less and Ebola wins.

Conner Gorry is senior editor of Medicc Review. Follow @ConnerGo on Twitter.

How Bonuse systems destroy Motivation in employees?

Wolfenschiesen is a Swiss village in the center of the country. It was selected to store radioactive waste.

About 51% od the inhabitants were in favor of the proposal for various reasons, including the prospect of new jobs.

When researcher Bruno Frey mentioned a hypothetical reward of $5,000 for each town person, paid by the Swiss tax payers, those in favor dropped to 25%.

What of the problem of late parents coming to pick up their kids at closing time? As the day care center introduced a”late feetardiness increased: Parents were willing to pay the fee and delay the pick up arrival from work.

Apparently, a certain level of monetary incentives crowd out other types of incentives.

When people are willing to do a good deed, payment throw a wrench into the work.

Small and modest payment to NGO activists increased the motivation of the members, until a substantial bonus system encouraged teams to snub tasks that bring no extra rewards.

For uninspiring jobs such as bankers, insurance agents, financial auditors… financial motivation work wonders: What else could motivate people who are not that proud or enthused of what they are doing?

If you want your kids to do their homework, practice their talents every day, mow the lawn one a week… just give them a fixed amount of pocket money each week.

Any reward for each tasks will ruin the system since people believe that they are not For Sale.

Pocket money each week initiate the kid for saving his money and appreciating the value of money and the object he purchases.

This Day-Saving hour. Let’s save 2 hours, once for all and in all seasons

And delay the school schedules for kindergarten and elementary kids 2 hours.

It stands to reason that these tiny creatures be saved from this modern initiation to early slavery apprenticeship.

Kids need to wake up as the weather is warmer.

And the elderly be saved from staying awake longer than necessary during the extended day seasons.

As well as kids. They don’t have to get used to black rags covering their eyes to sleep.

And reducing significantly the Time Zones around the world.

And saving much needed electric bills on the sprawling mega-polis that are kept illuminated at night

Benjamin Franklin’s ingenious idea was mind boggling 3 centuries ago, and he managed to convince the French King Louis 16 to save one day hour during winter so that people will be more productive (and maybe save a few whales for their precious oil)

Every year, Russia is still undecided and keeps altering its decisions: No for switching hours, no for decreasing Time Zones from 11 to 9…

People need something that don’t change all year round, anything that make them feel safe and secure in their convictions.

Production my ass.

Have anyone asked people how they want Time to be altered?




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