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<strong>September</strong> <strong>2022</strong> Volume 45<br />

NUVANCE HEALTH<br />

Global Health Program<br />

LARNER COLLEGE OF MEDICINE<br />

NUVANCE HEALTH AND THE UNIVERSITY OF VERMONT LARNER COLLEGE OF MEDICINE<br />

Global Health <strong>eMagazine</strong><br />

Be a lamp, or a lifeboat,<br />

or a ladder. Walk out of<br />

your house like a shepherd.<br />

Rumi<br />

Editor; Majid Sadigh, MD<br />

Contributing Editor; Mitra Sadigh<br />

Creative Director; Amanda Wallace<br />

Cover Photo: Rose Schwartz


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Written by Swapnil Parve, MD<br />

Highlights<br />

Director of International Affairs UVMLCOM-Nuvance Health Global Health<br />

Program<br />

Global Health Electives in India<br />

Highlights<br />

Dr. Swapnil Parve, the Director of International Affairs of the Global Health Program<br />

is currently accompanying RUSM/AUC students on their global health elective at<br />

our partner institution Datta Meghe Institute of Medical Sciences (DU) in India.<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

From left: Dr. Syed Zahiruddin Quazi (Director, Research and Development, DMIMS-DU), Dr. Abhay<br />

Gaidhane (Dean, Jawaharlal Nehru Medical College, DMIMS-DU) and Dr. Swapnil Parve (Director of<br />

International Affairs, NVHGHP).<br />

RUSM and AUC students were given a warm welcome by the program coordinators<br />

and the leadership and were placed in comfortable and safe dorms within the<br />

campus. They started their rotations in the department of internal medicine with a<br />

structured curriculum and after two weeks have been shifted to the departments<br />

of their choices: surgery, OBGYN, and pediatrics.<br />

2


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Left to right: Dr. Punit Fulzele, Dr. Syed Zahiruddin Quazi, Dr. Abhay Gaidhane, Dr. Wagha, Ashley<br />

Diaz, Danielle Azani, Nistha Acharya and Dr. Swapnil Parve.<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Left to right: Ashley Diaz, Nistha Acharya,<br />

and Danielle Azani on the floors of Acharya<br />

Vinoba Bhave Rural Hospital (ABVRH), a DMIMS<br />

affiliate hospital.<br />

Dr. Sourya Acharya (Head, Department of<br />

Medicne, DMIMS-DU), and Dr. Swapnil Parve<br />

(Director of International Affairs, NVHGHP).<br />

During his visit to India, Dr. Parve had several meetings with the administration<br />

of DMIMS-DU where he reacquainted the top leadership with the philosophy of<br />

global health. A separate meeting was also held to discuss the Nuvance Health<br />

Global Health Academy and possible role of DMIMS in fostering the south-south<br />

collaboration.<br />

Dr. Gaidhane, Dean of Jawaharlal Nehru Medical College and Dr. Quazi, plans<br />

to establish a separate Global Health Office with a dedicated global health<br />

coordinator in the near future. The Dean of the Medical College has requested<br />

Nuvance Health to provide support in launching the longitudinal Global Health<br />

Pathway for medical students enrolled in the General Medicine Program at<br />

DMIMS. With appropriate guidance, they plan to launch it as early as the next<br />

academic year. The university administration is also interested in hosting faculty<br />

members who could deliver courses in evidence-based medicine, neglected<br />

tropical diseases, how to teach etc.<br />

3<br />

3<br />

Highlights continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

During a meeting with Dr. Sourya Acharya (Head of Department of Medicine,<br />

JNMC), as well as Dr. Shilpa Gaidhane (Section chief of Medicine ward, AVBRH),<br />

the Director of International Affairs, learned about their needs. The department<br />

of medicine is looking for ICU/Pulmonary Medicine specialists who could provide<br />

courses or workshops to their residents and fellows.<br />

Dr. Syed Zahiruddin Quazi has provided necessary assistance to the visiting medical<br />

students to publish case reports. During a meeting with Dr. Quazi, it was discussed<br />

how Nuvance Health Global Health Program can support research at DMIMS as<br />

well as the role of their Research House in helping other global health partners<br />

through various means, including but not limited to, delivering workshops, faculty<br />

development programs etc.<br />

The DMIMS leadership has reassured their full support for the Global Health<br />

partnership between Nuvance Health and DMIMS.<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

4


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

The UVMLCOM Global Health<br />

Leadership in Uganda<br />

Written by Susan Byekwaso<br />

Coordinator of the International Office at<br />

MckCHS<br />

SARS-CoV2 dropped a wall between nations<br />

and pushed global health education<br />

programs into hibernation. Although the<br />

University of Vermont and Makerere University<br />

College of Health Sciences continued to work<br />

together virtually, there was still something<br />

missing: physical meetings, eating together,<br />

hugging, and eye contact.<br />

After several months of planning, four rising second-year medical students arrived<br />

in Uganda, accompanied by two faculty from University of Vermont to help<br />

them settle into their new learning environment, for a global health education<br />

placement. To renew commitment with MakCHS, the faculty met with several<br />

people in administration.<br />

The first meeting was with the Head of the Department of Pediatrics together<br />

with the Students’ Training Coordinator, Associate Professor Nicolette Nabukera.<br />

Participants from MakCHS expressed desire to work with the University of Vermont<br />

Department of Pediatrics in areas of graduate students and staff training as well<br />

as capacity enhancement and research. The Department has over 70 graduate<br />

students and has sub-specialty training programmes for fellowships including<br />

hematology and Neonatology.<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Dr. Andrea Green, Dr. Mariah McNamara and Dr. Sabrina Bakeera<br />

5<br />

5<br />

Highlights continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Dr. Andrea Green expressed gratitude to the pediatricians for hosting the meeting.<br />

She informed members that she works as a pediatrician and the Director of<br />

Academics and her focus is on settling refugees in Vermont. UVMLCOM has a small<br />

residency program in pediatrics, with only seven new residents accepted annually.<br />

On areas of future collaboration, members agreed that they should embed<br />

psychology, social workers, nutrition, autism, cerebral palsy, patient advocacy, and<br />

neonatology.<br />

Dr. Andrea Green welcomed the idea of hosting pediatric residents and fellows for<br />

one month of observation and including the faculty from MakCHS to participate in<br />

training of students in person or virtually at UVMLCOM.<br />

During this meeting, multiple other potential collaborative projects including<br />

reviewing the pediatric department’s curriculum to include social determinants<br />

of health were also discussed. Following the meeting, the team joined Associate<br />

Professor Nicolette Nabukeera on a pediatric ward round and Malnutrition Unit. At<br />

the end of the visit, Dr. Sabrina presented her recently published book titled Real<br />

Pursuit of Excellence as a gift to Dr. Mariah McNamara and Dr. Andrea Green.<br />

UVMLCOM leadership also had separate meetings with the Head of the Psychiatry<br />

Department, Professor Noeline Nakasujja and made a trip to Nakaseke and<br />

Naggalama to meet with the leadership of ACCESS and St. Francis Hospital,<br />

respectively.<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Bath time (Rose Schwartz)<br />

6


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Spotlight<br />

Bemen Habashi, MD<br />

Dr. Habashi graduated from Ain Shams<br />

University Faculty of Medicine in Cairo, Egypt.<br />

He worked as a primary care physician in<br />

Egypt and Doctors of the World in NYC,<br />

then joined Yale School of Medicine as an<br />

Associate Research Scientist. He completed<br />

his internal medicine residency training at<br />

Yale-Waterbury Internal Medicine Residency<br />

Program. He subsequently joined the faculty<br />

of the Yale-Waterbury Internal Medicine<br />

Residency Program as a Clinician Educator.<br />

Dr. Habashi has a special interest in Global<br />

Medicine and Point of Care Ultrasound. He<br />

is currently pursuing MSs in Epidemiology<br />

at London School of Hygiene and Tropical<br />

Medicine, the Distance Learning program.<br />

He enjoys hiking, playing soccer, and skiing.<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Dr. Bemen Habashi with Susan Byekwaso in Kampala, Uganda<br />

7<br />

7<br />

Spotlight continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Mzungu Learns from Uganda<br />

Written by Bemen Habashi, MD<br />

Clinical Educator at the Yale-Waterbury Internal Medicine Residency Program<br />

The Luganda word Mzungu means “white.” You hear it a lot while walking in the<br />

streets. Though some may initially think it is a racist word, seeing children shout it<br />

happily gives a feeling of welcoming from the community. It is a good word from a<br />

Luganda standpoint. One should like to be a Mzungu in Uganda.<br />

While buying a water bottle from a convenience store near the hospital, a middleaged<br />

man asked one of the students, “Why are you here in this hospital?” The<br />

student introduced himself and explained that he is here to learn. The middleaged<br />

man sarcastically asked how a Mzungu could learn from Uganda.<br />

I was proud of this medical student’s response, expressing his intention to adopt<br />

some of what he learned into his practice on returning home. It was a surprising<br />

answer given the false and misguided narrative that medical students participate<br />

in global health electives to “help” host communities. There will always be an<br />

opportunity for each of us to show respect and appreciation for what we have<br />

gained and continue to gain as resource-rich communities. It is time to give back<br />

and acknowledge the contribution of resource-limited communities to our learning.<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

A perfect summer day. Lake Andrews. Bates College. Lewiston Maine (Dr. Stephen Scholand)<br />

8


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

My Global Health Roots – From the<br />

Larner School of Medicine Towards<br />

the Future<br />

Written by Omkar Betageri, MD<br />

UVMLCOM alumnus<br />

As an extension of my interest in global health,<br />

my experience with the Chagas Research<br />

Team through the University of Florida has<br />

been one of my most memorable experiences<br />

during residency training. It has been a<br />

remarkable opportunity to be a part of an<br />

initiative providing migrant farmworkers with fundamental healthcare screening<br />

for diabetes and hypertension, as well as focused screening for Chagas Disease.<br />

It has helped me gain first-hand experience conducting screening EKGs and<br />

play a leadership role in counseling patients with conduction abnormalities to<br />

seek follow-up care.<br />

As a first-generation Indian American traveling to rural areas of India at a young<br />

age, I developed a curiosity in the discrepancies in medical care in resourcelimited<br />

settings. Prior to medical school, I worked as a clinical research associate at<br />

a community hospital in a low-income area of Bridgeport, CT, helping coordinate<br />

free health screenings for breast, cervical, and colon cancer, connecting hundreds<br />

to thousands of individuals with access to USPSTF recommended screenings.<br />

Soon thereafter during medical school at the Larner College of Medicine at the<br />

University of Vermont, I was chosen to participate in a Global Health elective<br />

where I traveled to Parirenyatwa Hospital in Harare, Zimbabwe during my first<br />

year and Makerere University Hospital in Kampala, Uganda during my fourth year.<br />

These experiences during medical school became far more than isolated learning<br />

opportunities– the patients and their stories have served as the backbone of<br />

my continued interest in Global Health and the care of the underserved. One<br />

particular patient was a 16-year-old girl with end-stage rheumatic heart<br />

disease, who simply did not have access to penicillin therapy after contracting<br />

“Strep throat” as a child. She had been re-admitted with decompensated heart<br />

failure, yet another admission during the previous several months. I rounded on<br />

her bedside during her several week long battle against her illness, and ultimately<br />

due to the lack of access to necessary cardiac and surgical care, she succumbed<br />

to her disease. Stories such as hers stay with me today and are part of the<br />

foundation behind why I want to continue my efforts to serve the underserved,<br />

both in our country and abroad.<br />

My excellent internal medicine training at the University of Florida has equipped<br />

me with a dynamic skill set, as I led multidisciplinary teams in caring for<br />

uninsured individuals as well as those with low medical literacy in the inpatient<br />

and outpatient settings. Moving forward, I am excited to begin my cardiology<br />

fellowship training at Maine Medical Center, an institution which shares my<br />

passion for Global Health. The program features a Global Health elective in<br />

which fellows travel with an attending cardiologist to Rwanda to participate<br />

in Team Heart- a multinational, multidisciplinary team caring for patients with<br />

9<br />

9<br />

Spotlight continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

operative and nonoperative rheumatic heart disease. I hope to participate in this<br />

excellent opportunity to further my knowledge of cardiovascular Global Health.<br />

Overall, my cardiology subspecialty interests involve interventional cardiology and<br />

cardiac critical care, which I plan to integrate into Global Health-related medical<br />

care. I look forward to continuing to build my clinical and scholarly skills during<br />

my cardiovascular training to ultimately have a meaningful impact on the lives of<br />

patients.<br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

(Rose Schwartz)<br />

10


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

To Practice Medicine In A Place<br />

That Was So Foreign Yet So familiar<br />

Written by Melissa Alvarez, MD<br />

Cardiovascular Disease Fellow, PGY-V<br />

Danbury Hospital<br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Havana is a place I’ve been hearing about<br />

my entire life. Both my parents were born in<br />

Cuba, and my father was raised in downtown<br />

Havana. Growing up I heard so many stories<br />

about the island from my relatives, but it was<br />

a place I never thought I would get the opportunity to visit. I had also heard a lot<br />

about Cuba from the media, movies, and documentaries—everyone knows Cuba<br />

is the home of classic cars, good rum, and healthcare for all.<br />

Cuba’s healthcare system is usually described in a positive light. Every citizen<br />

has healthcare, which means people in Cuba do not face the same challenges<br />

as people in the United States in terms of healthcare costs. At the same time, this<br />

does not mean that all citizens have equal access. The hospitals face serious<br />

challenges with lack of access to medicines, equipment, and cardiac devices.<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Outside of my father’s childhood home<br />

Outside the hospital we were working at<br />

with Dr. Jarrett<br />

During my time at a dedicated cardiovascular hospital in the capital city, dozens<br />

of patients were awaiting pacemaker placement due to supply shortage, and<br />

there was lack of access to Plavix, a key medication for patients who have a<br />

heart attack. I wonder about the challenges rural hospitals face.<br />

11<br />

11<br />

Spotlight continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

What impressed me most is the strength and resilience of Cuban physicians<br />

and trainees. It is apparent that despite feeling frustrated about the limitations<br />

in providing the best possible care, they still did the best they could and were<br />

extremely knowledgeable. We held case discussions, question-and-answer<br />

sessions, made rounds together, and scrubbed into surgeries together.<br />

Exploring the streets of Havana with my Cuban colleagues was also an amazing<br />

part of the journey. I cannot say enough about the amazing hospitality of everyone<br />

we met during our stay. Walking the same streets that my father walked as a child<br />

was emotional and eye-opening. I even had the opportunity to visit his childhood<br />

home—a memory I will never forget.<br />

Practicing medicine in a place that was so foreign yet so familiar was the experience<br />

of a lifetime. I connected with my roots more deeply, met incredible physicians<br />

who taught me so much, and became more aware of the plurality of healthcare<br />

systems. Thank you to everyone who makes “Hearts Around the World” possible!<br />

You are impacting so many lives in such an amazing way.<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Hearts Around the World participants<br />

12


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Reflections<br />

Lessons Learned from<br />

Ugandan Women<br />

Written by Joanna Pierce<br />

UVMLCOM Class of 2025<br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

My previous travels to Uganda and<br />

other countries helped ease the<br />

inevitable culture shock on arriving<br />

here. I had an idea of Ugandan culture<br />

and what to expect. I was familiar with<br />

boda-bodas and the taxi system. I<br />

had eaten my fair share of matoke and<br />

had experienced the excitement and beauty of visiting public markets. But as a<br />

female medical student, I have struggled with aspects of Ugandan gender roles.<br />

Early on I noticed subtleties such as being referred to as a nurse or nursing student<br />

while my male colleague was always given the title of “doctor”— something I have<br />

also experienced at home in the United States but still gets to me every now<br />

and then. As time went on, I was increasingly asked about my marital status and<br />

how many kids I have. I expected this topic to come up given the importance<br />

of raising a family in Ugandan<br />

culture, but I was not prepared<br />

for some of the responses.<br />

When I tell people I do not have<br />

children, I often receive followup<br />

questions or comments that<br />

are difficult to hear.<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Joanna with the medical team<br />

This past week has been<br />

particularly challenging with<br />

the attention and questions<br />

coming from some of the male<br />

doctors. It has become clear<br />

that we do not agree on the<br />

capabilities and roles of female<br />

doctors—a reality that has been<br />

frustrating and discouraging at<br />

times, however has also led to<br />

great exchanges of ideas and<br />

mutual learning. As a result, I<br />

have sought out people who<br />

want to teach me: outpatient<br />

13<br />

13<br />

Reflections continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

clinicians and the radiology technician who are passionate about their work and<br />

have helped me learn about aspects of medicine that are less familiar to me.<br />

Meeting so many impressive female doctors here in Uganda has been very<br />

meaningful. This evening, for instance, I spoke with a female pediatric oncologist<br />

who joined us for dinner at the Luboga’s home. She shared similar encounters she<br />

had as a medical student and as a young doctor. It was encouraging to hear how<br />

she responded and ultimately excelled, securing her spot as one of only a few<br />

pediatric oncologists in all of Uganda. Knowing that she and other female doctors<br />

have endured similar challenges gives me reassurance and encouragement to<br />

finish the last week in a more positive light. Encountering these biases and speaking<br />

with women who have overcome them have helped me feel better prepared to<br />

navigate similar situations at home.<br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

(Elina Mukhametshina)<br />

14


OUR PEOPLE,<br />

OUR MISSION<br />

The hospitality and kindness<br />

of the people at Datta Meghe<br />

Institute of Medical Sciences<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Written by Nistha Acharya<br />

RUSM, Class of 2023<br />

I have been very impressed with the<br />

hospitality and kindness of the people<br />

at Datta Meghe Institute of Medical<br />

Sciences. From the cafeteria staff to<br />

the hospital attendings, I am grateful<br />

to the many individuals that have gone<br />

out of their way to accommodate us. On day one we were picked up by Priyanka<br />

who has been an excellent resource to us during our first week. She was technically<br />

our first impression of India and I was taken with how friendly and helpful she was.<br />

Talking to her felt like I had known her for much longer than I actually did, which<br />

is a trait I am realizing is a commonality for the people of Sawangi. They really do<br />

make you feel like family.<br />

There is definitely a greater emphasis placed on physical exams compared to the<br />

States, likely due in part to more thorough medical knowledge as well as scarcity<br />

and medical expenses for the patient that comes with more labs and imaging.<br />

For example, we were told to palpate the doughy consistency of the abdomen of<br />

a patient with miliary tuberculosis.<br />

It was shocking to realize just how far patients travel to be seen at this hospital.<br />

One patient traveled over six hours. This is a stark contrast from the healthcare<br />

access we have in the United States. I have observed doctors here are treated<br />

with a greater amount of respect than back home and patients/other hospital<br />

staff definitely put them on a pedestal. Workdays are six weeks here in India so<br />

we are expected to be at the hospital on Saturdays, and residents work seven<br />

days a week. I am unaware if attendings also work seven days a week, as there<br />

are fewer attendings at this hospital compared to the patient count.<br />

Calendar<br />

Photo News<br />

Resources<br />

Click here to visit the<br />

Nuvance Health Global<br />

Health Program<br />

COVID-19 Resource Center<br />

15<br />

15


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Health Disparities<br />

Within Our Borders<br />

Section Editor: Ritesh Vidhun<br />

Undergraduate junior at Tufts University<br />

studying public health and economics on the<br />

pre-medical track<br />

Written by Ritesh Vidhun<br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Skip a Meal for Your Meds? The<br />

Increasingly Detrimental Situation<br />

of Pharmaceutical Drug Costs in the<br />

United States<br />

Part 2/2<br />

Imaculada Hernandez, PharmD, PhD, assistant professor at the University of<br />

Pittsburgh School of Pharmacy, found that in the case of brand-name drugs, rising<br />

prices were driven by manufacturers increasing prices of medications that are<br />

already in the market rather than [by] the entry of new products,” (Hernandez in<br />

Blumberg 2019). For example, a brand of insulin called Lantus increased in price by<br />

almost 50 percent despite being on the market for over a decade. Yet the average<br />

net price for Lantus has actually decreased in recent years. Pharmaceutical drug<br />

manufacturers are increasing the prices of essential drugs, not only because of<br />

research and development costs but also the freedom and lack of competition<br />

that exists in the American market. These developments have large ramifications<br />

on all individuals, not only those who are uninsured. Hernandez explains how<br />

“rising drug prices affect uninsured or underinsured patients, patients with highdeductible<br />

plans, those in the deductible or doughnut hole phase of their plans,<br />

the government as a payer, and all Americans in the form of higher premiums”<br />

(Blumberg 2019). There exists a series of problems that arise from increasing drug<br />

costs which impact a much larger spectrum of people than one may assume. This<br />

issue causes many Americans to avoid taking their much-needed medications<br />

due to financial reasons. In fact, a KFF study discovered that uninsured individuals<br />

are nearly three times as likely to skip their prescription due to cost (Lopes 2019).<br />

Furthermore, even “14 percent of insured Americans reported that, in the past year,<br />

they did not fill a prescription or skipped doses of medicine because of the cost,<br />

2 percent in the U.K. and 10 percent in Canada, the nation with the highest rate<br />

after the U.S.” (Sarnak et al. 2017). The financial burden of pharmaceutical drugs<br />

has reached a point where people have to skip their treatments and suffer through<br />

illnesses because of financial restrictions.<br />

It is clear that increasing drug costs is an issue that severely impacts many<br />

Americans and one that needs to be solved immediately. It has tremendous effects<br />

on U.S. healthcare and prevents many from obtaining the medications that they so<br />

desperately need. Whether you have insurance or not, the rising costs of medications<br />

negatively affect everyone. Being able to understand the developments that have<br />

led to this situation is necessary before considering possible solutions to gain a<br />

16


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

wider perspective. This problem can be very complex and being aware provides<br />

people with the opportunity to understand why their out-of-pocket spending is<br />

so high and how the government is (or is not) helping them. Although this problem<br />

is one that many lawmakers are hoping to tackle, the partisan political gridlock<br />

in Washington has made it difficult to pass much meaningful legislation. Until our<br />

elected officials decide to work across the aisle and focus on the people rather<br />

than their political parties, it is certain that there will be little change to come. That<br />

is why it is necessary for more individuals to become informed about the current<br />

state of the pharmaceutical drug situation. Greater awareness will eventually<br />

lead to more involvement and activism, consequently helping demonstrate to the<br />

government the importance of finding a solution. The shocking costs of drugs in<br />

the U.S. are so much higher than other developed nations, preventing our citizens<br />

from receiving effective care and services. Understanding and tackling this major<br />

issue will help propel the U.S into eventually improving the standard of living for<br />

all. As change remains on the backburners of American society, it is only a matter<br />

of time until problems become irreversible.<br />

References:<br />

4: Hernandez, Inmaculada, et al. “The Contribution Of New Product Entry Versus<br />

Existing Product Inflation In The Rising Costs Of Drugs.” Health Affairs, vol. 38, no.<br />

1, Jan. 2019, pp. 76–83. DOI.org (Crossref), doi:10.1377/hlthaff.2018.05147.<br />

5: Blumberg, Yoni. “Here’s Why Many Prescription Drugs in the US Cost so Much—<br />

and It’s Not Innovation or Improvement.” CNBC, 14 Jan. 2019,<br />

https://www.cnbc.com/2019/01/10/why-prescription-drugs-in-the-us-cost-somuch.html<br />

6: Sarnak, Dana O., et al. Prescription Drug Spending: Why Is the U.S. an Outlier?<br />

Oct. 2017.<br />

https://www.commonwealthfund.org/publications/issue-briefs/2017/oct/payingprescripton-drugs-around-world-why-us-outlier.<br />

Article of he Month<br />

Videos of the Month<br />

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Resources<br />

Click here to visit the Nuvance<br />

Health Global Health Program<br />

COVID-19 Resource Center<br />

17<br />

17


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Nursing Division<br />

Section Editor:<br />

Catherine G Winkler, PhD, MPH, APRN-BC<br />

Director of the Nuvance Health Global Health Program Nursing Division<br />

How do we recruit and retain Nurses?<br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Written by<br />

Catherine G Winkler, PhD, MPH, APRN-BC<br />

Director of the Nuvance Health Global Health<br />

Program Nursing Division<br />

As the world struggles to recover from a<br />

pandemic, a shortage of nurses currently coupled<br />

with an anticipated increase in patient care<br />

needs requires the profession to work efficiently<br />

to recruit and retain nurses.<br />

Nursing shortages have occurred often over the years so we have some strategies<br />

that can be employed but it will take a concerted effort to maintain approaches<br />

that will allow the profession to flourish with both novice and expert nurses<br />

employed in key areas of clinical care.<br />

To begin with comments made by International Council of Nurses Chief Executive<br />

Officer, Howard Catton holds true in that, ‘The value of nurses has never been<br />

clearer not only to our healthcare systems but also tour global peace and security.<br />

Nor could it be any clearer that not enough is being done to protect nurses and<br />

other healthcare providers……We should not shy away from calling out that this is<br />

a question of policy and politics….. Access to healthcare is central to safe, secure,<br />

economically successful, and equitable societies, but it cannot be achieved unless<br />

there are enough nurses to provide the care needed…. Governments should be<br />

urgently prioritizing investment in nursing and the healthcare workforce…..<br />

Contacting government officials and using professional organizations to advance<br />

policy change is a place to start. As an example, there is a toolkit available<br />

through the World Health Organization (WHO), Strategic Directions for Nursing<br />

and Midwifery: 2021-2025 (SDNM) which supports policy focus areas of education,<br />

jobs, leadership, and service delivery as well as the actions needed to institute<br />

a new practice. The toolkit has examples to support recruitment and retention<br />

-i.e., Enabling actions: “Bundle” retention policies that cover education, regulation,<br />

incentives, and personal and professional support. Consider a “rural pipeline” of<br />

students who undergo health professional training and return to their communities<br />

to practice. Implement legislative and administrative social protections, including<br />

practice indemnity for infection, disability, or death, paid sick leave, and<br />

occupational risk insurance. …….. and it continues (WHO, retrieved 8-22). These are<br />

tangible actions that can be taken to secure a nurse’s position.<br />

18


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Further at the legislative and organizational levels, ensuring the safety and wellbeing<br />

of the nurse as well as colleagues is important now more than ever and in<br />

preparation for the next pandemic wherein nurses are protected and supported<br />

with policy and procedures, education and equipment and staffing to keep them<br />

safe. According to WHO healthcare workers represent less than 3% of the global<br />

population but represented 14% of the COVID-19 cases and in some countries<br />

the proportion was as high as 35%. Not only should policy and procedures be put<br />

in place at healthcare organizations now, but the awareness of these practices<br />

needs to circulate to all nurses as well as their colleagues.<br />

Retention can be improved with better orientation programs with built in support<br />

or as Dr. Woods, a nurse practitioner from Penn Medicine and chief nurse at<br />

Wolters Kluwer Health (Beckers, <strong>2022</strong>) recommends extern programs set up by<br />

academic centers with healthcare institutions. Externs who then stay with the<br />

organization. This strategy supports the novice nurse and helps the organization<br />

with recruitment as well to go on to having experienced nurses who stay to<br />

continue to learn as well as educate new staff members. Through thoughtful and<br />

secured recruitment and retention, efficiencies and cost savings are gained as<br />

well as continuity of care which are best for patient care too.<br />

Ongoing considerations would target well-being through implementation of<br />

programs that integrate work-life balance with flexible staffing models, selfscheduling<br />

and professional autonomy. Additionally, availability of continuing<br />

professional development education programs that are valued, accessible and<br />

relevant are important to promote within organizations and when available<br />

partnered academic centers. Additionally, application of knowledge and skills is<br />

also vital to work satisfaction and retention of nurses.<br />

Another strategy that would likely promote education and application of<br />

knowledge would be the opportunity for nurses to cross-educate into other<br />

practice areas and environments. This would expand nurses’ knowledge and<br />

skills, help them to better understand another practice area, develop a better<br />

understanding and coordination of patient care across health care and facilitate<br />

collegial relationships. It also has the potential to improve staffing.<br />

Nursing leaders need to address the areas of education, policy, workplace safety<br />

and support of nurses working to their full potential. However, key to success<br />

in recruitment and retention is knowing your nurses and asking them – often –<br />

what is best for you and what is best for our patients. Remember, they know,<br />

and the best outcomes will be obtained by asking them and then acting on their<br />

recommendations.<br />

Photo News<br />

Resources<br />

Nursing continued on next page >><br />

19<br />

19


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Women’s Health Education<br />

Cervical Cancer<br />

Written by Sarah Cordisco, BSN, RN<br />

Staff Nurse at the University of Vermont<br />

Cervical cancer is the fourth most common<br />

cancer women experience globally. The World<br />

Health Organization estimated that in 2020,<br />

there were 604,000 new cases of cervical<br />

cancer and 342,000 deaths, with about 90%<br />

of these new cases and deaths occurring in<br />

low- and middle-income countries. About<br />

95% of cervical cancer is caused by the human<br />

papillomavirus (HPV) (Cervical Cancer, <strong>2022</strong>).<br />

HPV is one of the most common sexually<br />

transmitted infection, with most sexually<br />

active people becoming infected at one point in their lives. Generally, more than<br />

90% of infected people will clear the infection.<br />

HPV has more than 200 different viral variations, all which are spread through<br />

sexual contact. While most of these HPV types are low risk (meaning they cause no<br />

severe infections), there are 14 high-risk HPV types that can cause different types<br />

of cancer. Most types of HPV contracted are low risk and will clear on their own,<br />

there is always a risk that an HPV infection will become chronic and pre-cancerous<br />

lesions will progress into cervical cancer (HPV and Cancer - NCI, 2019). For people<br />

with a normal, healthy immune system, it may take 15-20 years for cervical cancer<br />

to develop (Cervical Cancer, <strong>2022</strong>). For those with weakened immune systems, like<br />

those with an HIV infection, it can take only 5 to 10 years to develop. Women with<br />

HIV are 6 times more likely to develop cervical cancer than those without HIV, and<br />

about 5% of cervical cancer cases can be attributed to HIV. Cervical cancer caused<br />

by HIV disproportionately affects younger women.<br />

The HPV vaccine, Gardasil 9, protects against infection of 9 types of HPV: two lowrisk<br />

types that cause most genital warts, and the seven high risk types that cause<br />

most cancers. The vaccine can protect against new HPV infections and cancers,<br />

though it does not cure an infection once you have it. Typically, this vaccine is given<br />

to kids aged 9-12, and protects up to 90% of HPV-related cancers (HPV and Cancer<br />

- NCI, 2019). Children who receive this vaccine before age 15, only need two doses<br />

for protection, whereas those older will need three doses. Typically, this vaccine<br />

offers the best protection when given to younger children, but it may be given to<br />

adults. Adults benefit less from this vaccine, as they are more likely to have already<br />

been exposed to HPV. Screening for HPV is done in order to find precancerous cells<br />

at an early stage and to treat them before they become cancerous. Screening<br />

tests include the HPV test that checks for high-risk HPV, the pap smear which<br />

checks for cervical cell changes and the HPV/Pap cotest, which checks for both.<br />

Screen should start at age 30 for the general population with regular screening<br />

every 5-10 years after. For those living with HIV, screening should start at 25, and<br />

be completed every 3 to 5 years (HPV and Cancer - NCI, 2019).<br />

In high-income countries, many programs are in place where women and young<br />

20


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

girls are able to be vaccinated and regularly screened. Regular STI screening<br />

is extremely important, especially in the case of HPV, as precancerous lesions<br />

are more likely to be identified early enough where they can be treated. In<br />

low- and middle-income countries, there is often limited access to these types<br />

of preventative measures, and cervical cancer may not be identified until it<br />

has progressed and causes symptoms to develop. Women with less access to<br />

preventative measures, also have less access to treatment of cancerous lesions.<br />

This results in a high death rate in these types of countries (Cervical Cancer, <strong>2022</strong>).<br />

Treatment for cervical pre-cancer includes ablative treatment with cryotherapy<br />

or thermal ablation. Both are effective and performed in an outpatient clinic.<br />

In cases where the person is not eligible for ablative treatment, or if there is<br />

suspicion of cervical cancer, women need to be referred to other health services<br />

for proper evaluation that can be done with a colposcopy and biopsies (Cervical<br />

Cancer, <strong>2022</strong>). Excision treatment is also offered when appropriate, and in the<br />

case of cancer, an individual treatment plan is created depending on the stage<br />

of disease, patients medical condition and preferences, and the availability of<br />

healthcare resources (Cervical Cancer, <strong>2022</strong>).<br />

Most women do not experience symptoms until the infection has become<br />

cancerous. Symptoms of early-stage cervical cancer include irregular bleeding<br />

or spotting, postmenopausal bleeding, bleeding after sex and increased vaginal<br />

discharge which may have a foul odor (Cervical Cancer, <strong>2022</strong>). As the cancer<br />

advances, more severe symptoms may develop such as, persistent back, leg or<br />

pelvic pain, weight loss, fatigue, foul smelling discharge and vaginal discomfort<br />

and swelling of one or both legs. Diagnosis of cervical cancer must be made<br />

by histopathologic examination and staging is then done based on tumor size<br />

and the spread of the disease. Treatment options depend on the stage and may<br />

include surgery, radiotherapy, or chemotherapy (Cervical Cancer, <strong>2022</strong>).<br />

The World Health Organization has worked on creating a global strategy for<br />

eliminating cervical cancer as a public health problem. The elimination of cervical<br />

cancer is defined by the WHO as less than 4 cases per 100,000 women a year.<br />

WHO has set up the 90-70-90 targets to be reached by 2030. The 90-70-90<br />

targets mean that 90% of girls are fully vaccinated with the HPV vaccine by age<br />

15, 70% of women are screening with a high-performance test by 35 and again<br />

by 45, and 90% of women identified with cervical disease receive treatment (90%<br />

of women with pre-cancer treated and 90% with invasive cancer managed)<br />

(Cervical Cancer, <strong>2022</strong>).<br />

References<br />

Cervical cancer. (<strong>2022</strong>, February 22).<br />

https://www.who.int/news-room/fact-sheets/detail/cervical-cancer<br />

HPV and Cancer—NCI (nciglobal,ncienterprise). (2019, March 1). [CgvArticle].<br />

National Cancer Institute.<br />

https://www.cancer.gov/about-cancer/causes-prevention/risk/infectiousagents/hpv-and-cancer<br />

Nursing continued on next page >><br />

21<br />

21


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

An American Nursing Student<br />

Working in a Hospital in<br />

Greece: An Experience of a<br />

Lifetime<br />

Part 2/2<br />

Written by Amanda Towey<br />

Nursing Student at Western Connecticut<br />

State University<br />

Amanda Towey participated in a student<br />

exchange program between Western<br />

Connecticut State University in Danbury,<br />

CT, and International Hellenic University<br />

(Alexander Campus) in Thessaloniki,<br />

Greece. Program funding was provided<br />

by Eramus, Dr. Monica Sousa, Professor<br />

of Nursing from Western Connecticut<br />

State University was the co-faculty lead<br />

on this project.<br />

The documentation and medication system is vastly different at Papageorgiou<br />

Hospital. There is one computer on the unit for the charge nurse to use for labs,<br />

printing labels and patient information, otherwise all documentation is done<br />

on paper. Each patient has a binder with their information, medication, and<br />

notes. This is where all interventions and procedures are documented, however<br />

documentation is not as extensive as it is in the United States. At each patient<br />

bed, there are papers to write down vital signs, intake and output, and to chart<br />

blood products. Only when the patient leaves the unit do these papers get put<br />

back into the binder and sent with him or her. Most of the medication used on A’XEI<br />

is stored in the nurse’s station and in the fridge, there is no medication dispensing<br />

machine. The nurses mix the medication and administer to each patient during<br />

medication rounds which is done once in the morning at 0900 and again at 1300<br />

for the day shift. There are no IV pumps used on the unit, they use IV lines with<br />

dials that control the drip rate. The only pump used is for feeding tubes which are<br />

identical to the ones in the United States.<br />

The role of the nurse is quite different in Greece, however, to become a nurse is<br />

similar. There are two options: a four-year degree in nursing, or a two-year degree.<br />

The difference between the two routes of education is shown in the workplace, the<br />

nurses who have completed the two-year program cannot do charge nurse duties<br />

or oversee the medication rounds. After the years of education, each student<br />

nurse must complete six months of practice. These students spend a month on<br />

six different units, Monday-Friday from 0730 to 1430. Their role changes from unit<br />

to unit and depending on what the nurses need help for during that day. On the<br />

unit, there is a nurse manager, who has a role like that of the nurse manager in the<br />

United States. She has an office, fills out paperwork, does all the scheduling for<br />

the nurses, and works closely with the doctors when they round on the patients.<br />

The charge nurse works at the front desk, answers the phone, does all the lab<br />

work for the patients on the unit at the start of the shift, and delegates duties<br />

22


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

to the nurses. The medicine nurse is in charge of going through all the patient<br />

charts and preparing the medication and signing off on each patient chart<br />

when a medication is given during rounds. He or she hands the medication to the<br />

nurses helping in a container to be delivered and administered to the patient. The<br />

remaining nurses share the duties amongst each other and make sure everything<br />

is done as needed. Lastly, the student nurses on A’XEI, which I am considered<br />

as well, take vitals, bathe patients, help administer medication, send labs, and<br />

act very similarly to a patient care technician/CNA in the United States. As for<br />

scheduling, there are three eight-hour shifts that the nurses work, a day shift,<br />

evening, and night. The nurses work all three shifts and rotate each week. There is<br />

no shift differential, and they do not choose what shift they get to work.<br />

One nurse rounds with the doctor to assist with dressing changes, wound care,<br />

drain care, ostomy care, foley insertions, etc. The nurse does not perform these<br />

duties, he or she only assists the doctor. Nurses are allowed to insert foleys on<br />

women, but not male patients, unlike the United States.<br />

Although vastly different, working at Papageorgiou Hospital, specifically A’XEI has<br />

been an experience of a lifetime and I have learned so much about healthcare in<br />

Greece. The nurses have embraced me and taught me about their culture, and I<br />

could not be more grateful.<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Bubbles (Majid Sadigh)<br />

23<br />

23


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Among the Letters<br />

“I am extremely grateful for my hosts during my time there, and I can’t wait to<br />

(hopefully) return as a fourth-year medical student. I am glad I took myself out<br />

of my comfort zone, pushed myself to learn many different things, and worked<br />

through the difficulties the trip presented. This easily was one of the most formative<br />

experiences of my life, and I look forward to being able to share my story with peers<br />

and friends going forward.”<br />

Highlights<br />

John (Jackson) Burke<br />

Medical Student Larner College of Medicine Class of 2025<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

I was invited to join the palliative outreach program for a visit. The services that<br />

they provide to care for these patients are amazing. They ensure to touch their<br />

patients on all levels: economically, socially, spiritually, and medically to provide<br />

comfort. All free of charge. It is fascinating to know that in a country like Uganda,<br />

with their limited medical resources, they do care for those patients who need some<br />

comfort due to the burden of terminal illness. Ironically, in the United States, we do<br />

not have palliative care services except for a few academic facilities that strive to<br />

make it an affordable and available service for their patients.<br />

Dr. Bemen Habashi<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

(Rose Schwartz)<br />

24


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Our Beautiful Planet<br />

Editor; Dilyara F. Nurkhametova, MD, PhD<br />

Let Us Together Explore Our Beautiful Planet<br />

This new column exhibits the beauties of our planet earth and our everyday<br />

destructive actions against it.<br />

We are witnessing how our beautiful planet is undergoing profound transformation.<br />

In this recently established section we would like to appreciate all the beauty<br />

of our planet and raise awareness of warning changes. We are inviting all our<br />

readers and GH community to contribute to this section. We are looking forward<br />

to your photos, videos, inspirational resources, and stories from different parts<br />

of the world. We want to hear from you how climate change affects people and<br />

health in your part of the world. If there is anything you would like to share with us,<br />

please don’t hesitate to contact me via my email:<br />

dilyara.nurkhametova@nuvancehealth.org<br />

We are looking forward to hearing from you!<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

“<strong>2022</strong> heatwaves: a failure to proactively manage the risks”<br />

The Lancet, Editorial;Vol 400 August 6, <strong>2022</strong><br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

In this Lancet editorial authors discuss this year’s heat waves across the world.<br />

These extreme weather events require preparedness, adequate planning and<br />

accessible resources. Available research should be translated into lifesaving<br />

practice. To protect human lives we must understand current deficiencies and the<br />

need for global political action.<br />

Read the Article<br />

<strong>2022</strong> heatwaves: a failure to proactively manage the risks<br />

25<br />

25<br />

Planet continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Education in Planetary Health<br />

An open letter from WHO Civil Society Working group “A call for strengthening<br />

climate change education for all health professionals”<br />

“We, the WHO-Civil Society Working Group to Advance Action on Climate Change<br />

and Health, urge the deans, academics, managers and other teaching staff of<br />

health professional educational institutes, as well as the associated accrediting,<br />

examination, and licensing bodies to ensure graduating health professionals are<br />

prepared to identify, prevent, and respond to the health impacts of climate change<br />

and environmental degradation.”<br />

Read the full open letter from the WHO Civil Society Working group and explore<br />

example courses on climate and health here<br />

https://climateandhealthalliance.org/wp-content/uploads/<strong>2022</strong>/06/Curriculumletter.pdf<br />

TelessaúdeRS-UFRGS is offering three Planetary Health courses, recommended<br />

by WHO, for Portuguese and English speakers. The topics covered during these<br />

courses include air and water pollution, food and food systems, mental health,<br />

heat waves, and infectious diseases.<br />

You can enroll in these courses using this link<br />

https://moodle.telessauders.ufrgs.br/login/index.php<br />

More information about the course<br />

https://www.ufrgs.br/telessauders/documentos/cursos/course_manual_wonca_.pdf<br />

Upcoming events<br />

This year the Planetary Health Alliance (PHA) is hosting the <strong>2022</strong> Planetary Health<br />

Annual Meeting.<br />

The Promise of Planetary Health –<br />

video<br />

https://youtu.be/9cZ0zBSJz_g<br />

The theme of <strong>2022</strong> Planetary<br />

Health Annual Meeting is Building<br />

the Field and Growing the<br />

Movement. This year’s Annual<br />

Meeting will be a free, fully-hybrid,<br />

and interactive conference from<br />

October 31-November 2, <strong>2022</strong>.<br />

Visit the conference website to<br />

learn more about the conference’s<br />

speakers, schedule, and more.<br />

26


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Rethinking “Four Seasons”<br />

Since Vivaldi composed his “Four Seasons”, the world and climate has changed<br />

significantly. The NDR Elbphilharmonie Orchestra, musicologists and creative<br />

coders established the project “For Seasons” https://www.forseasonsbydata.<br />

com/theproject to make these changes audible.<br />

Watch the video about the project<br />

https://www.youtube.com/watch?v=VzFyrmzkmQw&t=1s<br />

Vivaldi’s “Four Seasons” became “For Seasons” composed by climate data: Alan<br />

Gilbert and musicians from the NDR Elbphilharmonie Orchestra performance.<br />

https://youtu.be/3Z18FNApDg0<br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Meeting the host of the ocean<br />

Watch the video<br />

https://drive.google.com/file/d/1-MoEKvsBYSyBUh_QnSd8cBUwQy9wldl9/<br />

view?usp=sharing<br />

Waterbear.com<br />

If you are passionate about the future of our planet and appreciate quality<br />

documentaries you may like to visit Waterbear.com website. Waterbear is the<br />

first interactive streaming platform dedicated to the developments of our planet.<br />

On this platform you can find documentaries, NGO campaigns, and locally-told<br />

stories. Using storytelling as a tool for making a difference it provides access<br />

to award-winning and inspirational content that empowers members to dive<br />

deeper, learn more and take action.<br />

One of the documentaries available on waterbear - Racing Extinction, directed<br />

by Louie Psihoyos, exposes the hidden world of endangered species and the race<br />

to protect them against mass extinction.<br />

https://www.waterbear.com/watch/feature/62ba43c6133ee90cb13fd53c?utm_<br />

source=SAPHybris&utm_medium=email&utm_campaign=317&utm_term=Week%20<br />

32%20content%20drop%20-%20<strong>2022</strong>___Watch%20Now&utm_content=EN<br />

Photo News<br />

Resources<br />

27<br />

27<br />

Planet continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Art To Remind Us<br />

of Who We Can Be<br />

Editor: Majid Sadigh<br />

Contributing Editor: Mitra Sadigh<br />

During times of confusion, tribulation, grief,<br />

uncertainty, and despair, the arts enliven<br />

us by reintegrating the disjointed pieces of<br />

ourselves and replenishing them with clarity<br />

and hope. The arts remind us of our individual<br />

and collective potential to grow, evolve, and<br />

transform. They remind us of what and who we<br />

can be and what we can create. In this new<br />

section, we bring you works of art that have<br />

moved and inspired us. We encourage you to<br />

also share works that have inspired you.<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Art in the Time of<br />

Pandemic<br />

By Anne-Ryan Sirju<br />

Columbia College Today<br />

Spring/Summer <strong>2022</strong><br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Saint Charles Borromeo<br />

among the Plague-Stricken<br />

of Milan; Pierre Mignard,<br />

1646-50<br />

We can relate to depictions<br />

of suffering, but also to<br />

images of hope. This old art<br />

still can speak to today.<br />

As the world has gone into quarantine to combat the spread of COVID-19, many<br />

scholars are looking to the past to see how populations have handled pandemics and<br />

isolation. Art has long been a way for societies to cope with tragedy and uncertainty,<br />

so Columbia College Today recently sat down (remotely!) to talk about art, plagues<br />

and resilience with classmates Franco Mormando ’77, professor of Italian and chair of<br />

28


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

the Department of Romance Languages and Literatures at Boston College, and<br />

Thomas Worcester ’77, professor of church history and president of Regis College<br />

in Toronto. In 2005, Mormando and Worcester co-curated an exhibition, Hope<br />

and Healing: Painting in Italy in a Time of Plague, 1500–1800, at the Worcester<br />

Art Museum in Worcester, Mass. The show examined visual art as a response to<br />

repeated outbreaks of bubonic plague in Europe. The pair collaborated again in<br />

2007 as co-editors of the book Piety and Plague: From Byzantium to the Baroque,<br />

which examines the religious, cultural and psychological aspects of pandemic.<br />

Following are edited excerpts of the discussion.<br />

Read the Article<br />

Art in the Time of Pandemic By Anne-Ryan Sirju<br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

(Elina Mukhametshina)<br />

29<br />

29


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

Article of the Month<br />

“Every challenge is here”: fistula in Ethiopia<br />

Ethiopia was making good progress to eliminate obstetric fistula, until the war<br />

came. Sophie Cousins reports<br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

In 1958, obstetrician and gynecologist Catherine Hamlin and her husband—also a<br />

doctor—answered an advertisement in The Lancet to set up a midwifery school in<br />

Addis Ababa, Ethiopia. Within days of arriving, the Australian couple saw obstetric<br />

fistula cases for the first time. Obstetric fistula is a hole between the vagina and<br />

rectum or bladder that is caused by prolonged obstructed labor that leaves a<br />

woman incontinent of urine or feces. It can be prevented with access to timely and<br />

skilled maternal and newborn care. The condition was overwhelmingly common<br />

in Ethiopia because of a lack of access to health facilities and skilled health<br />

professionals, particularly in rural and remote areas.<br />

Read the Article<br />

“Every Challenge is Here” Fistula in Ethiopia<br />

30


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

Videos of the Month<br />

Poliomyelitis - poliovirus<br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Polio in New York<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Watch “Why Monkeypox Is a Global Health Threat | WSJ” on YouTube<br />

“Why Monkeypox Is a Global Health Threat | WSJ”<br />

31<br />

31


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health Family<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Dr. Saida Agliullina and her family in Bukhara<br />

Aida Trondina<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Dr. Bulat Ziganshin and his family, Winter Green Lake, Hamden<br />

Daniile Ziganshin and<br />

Eseniya Ziganshina<br />

Photo News<br />

Resources<br />

The innocence of childhood-<br />

Henry Scholand, aged 4 (Stephen<br />

Scholand)<br />

Dr Steve Scholand and daughter Krishna Scholand touring Bowdoin<br />

College in Maine (Stephen Scholand)<br />

32


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Calendar of Events<br />

Nuvance Health<br />

August 6: In-person meeting with Dr. Bulat Ziganshin, associate director of the<br />

Global Health Program at UVM COM/Nuvance Health, to discuss the vision and<br />

mission of the Global Health Academy and Global Health Bridge<br />

August 7: Zoom meeting with Dr. Scholand, course director of the Global Health<br />

Bridge, to review finalize the content and structure of the first Global Health Bridge<br />

at Nuvance Health<br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

August 8: In-person meeting with Wendi Cuscina, manager of the Global Health<br />

Program, to discuss the fiscal budget and new responsibilities for current global<br />

health program staff<br />

August 8: UN Training Session<br />

August 9: Zoom meeting with Dr. Steve Winter to discuss designing CME program<br />

for Vietnamese colleagues at Cho Ray Hospital<br />

August 10: Discussion with Dr. Robyn Scatena in designing CME program for<br />

Vietnamese colleagues at Cho Ray Hospital and inviting Nair Global Health<br />

Scholars from Cho Ray Hospital to Norwalk Hospital for observership<br />

August 10: Zoom meeting with Dr. Swapnil Parve in preparation of his trip to India<br />

August 12: Reviewing Global Health Bridge with a medical student<br />

August 13: Inviting Dr. Alex Kayongo to Global Health Bridge at Danbury Hospital<br />

August 13: Reviewing the Global Health Bridge with Dr. Stephen Scholand<br />

August 13: Reviewing questions for one of the global health sessions with Dr. Elina<br />

August 14: Zoom meeting with Dr. Steve Scholand to discuss his upcoming trip to<br />

Thailand and the Philippines<br />

August 14: Zoom meeting with a global health faculty member<br />

August 17: Zoom meeting with a member of the UNGA panel on decolonization of<br />

global health<br />

August 18: Weekly touch-base with Wendi Cuscina<br />

August 18: Reviewing Global Health Bridge with Joanna Coklin<br />

August 18: Meeting with Amanda Wallace regarding the format of the Global<br />

Health Bridge program<br />

33<br />

33<br />

Calendar continued on next page >>


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

August 22: Touch-base meeting with Dr. Swapnil Parve<br />

August 22: Touch-base meeting with Wendi Cuscina<br />

August 22: Interviews with cardiology residents from the Heart Institute in the<br />

Dominican Republic<br />

August 22: Touch-base with Dr. Dilyara Nurkhametova<br />

August 23: Weekly touch-base meeting with the global health team<br />

August 24: Interview meeting with Global Health Scholar candidates from ChoRay<br />

Hospital in Vietnam<br />

August 24: Meeting with Dr. Dilyara Nurkhametova and a surgical resident at<br />

Danbury Hospital interested in global surgery and research<br />

August 24: Touch-base meeting with Dr. Swapnil Parve to discuss his current<br />

immigration status<br />

August 25: Discussion of the availability of global health electives and resources<br />

in American residency programs in surgery with one a senior RUSM student<br />

August 27: A follow-up meeting with a medical student from Stony Brook to<br />

discuss an ongoing research project<br />

August 27: A follow-up meeting with a medical student from RUSM to discuss an<br />

ongoing research project<br />

August 29: Weekly touch-base with Wendi Cuscina<br />

August 29: Meeting with a senior RUSM student interested in global health before<br />

his travel to Nagallama<br />

August 29: Touch-base with Dr. Scholand in preparation for Global Health Bridge<br />

August 29: Touch-base with speakers of Global Health Bridge<br />

August 30: Meeting with Dr. Dilyara Nurkhametova and the leadership of University<br />

of Medicine and Pharmacy to discuss logistics of starting the partnership<br />

August 30: Weekly touch-base with the global health team<br />

AUC/RUSM<br />

August 2: Touch-base meeting with Dr. Elina Mukhametshina<br />

August 9: Orientation meeting with Ali Sadeghi (AUC) in preparation for the Global<br />

healthH elective in Uganda during Sep 26 - Nov 4, <strong>2022</strong><br />

August 15: Ashley Diaz (AUC), Danielle Azani (RUSM), Nistha Acharya (RUSM)<br />

started their GH elective at Datta Meghe Institute of Medical Sciences, India<br />

34


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

August 22: Interviews with three candidates for GH electives in 2023<br />

August 23: Interviews with seven candidates for GH electives in 2023<br />

August 23: Reflections project discussion with Svanjita Berry (RUSM) and Amanda<br />

Hererra (RUSM)<br />

August 29: Interviews with ten candidates for GH electives in 2023<br />

August 30: Reflections project progress update with Svanjita Berry (RUSM), Salwa<br />

SadiqAli (RUSM) and Amanda Hererra (RUSM)<br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

UVMLCOM<br />

August 8: Global Health Leadership Team meeting<br />

August 9: Dr Mariah McNamara and Dr Amalia Kane conducted GH elective<br />

debrief session with UVM medical students Joanna Pierce and Justin Heningsen<br />

August 22: Global Health Leadership Team meeting<br />

August 30: Dr Amalia Kane conducted GH elective debrief session with UVM<br />

medical students Jackson Burke and William Hsu<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

GLOBAL HEALTH BRIDGE<br />

<strong>September</strong> 1st , 2nd, <strong>2022</strong> and February 3, 2023<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Latinx Panel lead by Jett Choquette<br />

Click here to visit the Global Health Bridge website for details.<br />

35<br />

35


OUR PEOPLE,<br />

OUR MISSION<br />

Photo News<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Datta Meghe Institute of Medical Science (DMIMS)<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Medical Students in India<br />

Danielle Azani, RUSM, Nistha Acharya, RUSM,<br />

Priyanka Nimje, Administrative officer, DMIMS,<br />

Liana Galimova, KSMU<br />

36


OUR PEOPLE,<br />

OUR MISSION<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Nistha Acharya (RUSM), during sightseeing in India<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Dr. Andrea Green with Dr. Mupere, Head of Paediatrics<br />

Department at MakCHS, Uganda<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Dr. Bremen Habashi in a lab at ACCESS<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Dr. Mariah McNamara (second from left) and<br />

Dr. Andrea Green (first from right) with the leadership<br />

of ACCESS in Nakaseke, Uganda<br />

Drs. Bemen Habashi and<br />

Dr. Hamidah Babirye<br />

37<br />

37


OUR PEOPLE,<br />

OUR MISSION<br />

Resources<br />

Global Health<br />

<strong>eMagazine</strong><br />

<strong>September</strong> <strong>2022</strong><br />

Highlights<br />

Spotlight<br />

Reflections<br />

Health Disparities Within Our<br />

Borders<br />

Nursing Division<br />

Among the Letters<br />

Our Beautiful Planet<br />

Art to Remember<br />

Who We Can Be<br />

Article of he Month<br />

Videos of the Month<br />

Global Health Family<br />

Calendar<br />

Photo News<br />

Resources<br />

Yale Medicine 2008<br />

Photos and Reflections 2021<br />

Global Health & the Arts<br />

Nuvance Health and UVMLCOM Global<br />

Health Website<br />

COVID-19 Resource Center<br />

Nuvance Health and UVMLCOM Annual<br />

Report 2020<br />

AUC/RUSM Annual Report 2018<br />

Cases and Reflections from Mulago<br />

Climb for a Cause 2018<br />

Climb for a Cause 2019<br />

Ebola: Sequences on Light and Dark<br />

Ebola: Two Doctors Respond to the 2014<br />

Ebola Epidemic in Liberia: A Personal<br />

Account<br />

Global Health Annual Reports<br />

Global Health Conference 2019 Photos<br />

Global Health Conference 2019 Videos<br />

Global Health Conference 2019 Book<br />

Global Health Diaries and Newsletters<br />

2015-2016<br />

Global Health Diaries and Newsletters<br />

2016-2017<br />

Global Health Diaries and Newsletters<br />

2017-2018<br />

Global Health Diaries and <strong>eMagazine</strong>s<br />

2018-2019<br />

Global Health <strong>eMagazine</strong>s 2020-2021<br />

Global Health Diaries 2020-2021<br />

Global Health Reflections and Photos 2017<br />

and 2018<br />

Global Health Reflections and Photos 2019<br />

Ethical Dilemmas book<br />

Global Health Program Website<br />

Global Health at WCHN Facebook<br />

Ho Chi Minh City and Cho Ray Hospital<br />

The Homestay Model of Global Health<br />

Program video<br />

Kasensero Uganda<br />

Nuvance/MakCHS Global Health<br />

Information Center Booklet<br />

Paraiso and the PAP Hospital<br />

Photographs from Uganda, by<br />

photojournalist Tyler Sizemore<br />

Presentations By Global Health Scholars<br />

Previous issues of the Global Health<br />

<strong>eMagazine</strong><br />

Program Partners<br />

Publications<br />

Site Specific Information<br />

Tropical Medicine Booklets (101, and<br />

202)<br />

Tropical Medicine Spanish 101<br />

Tropical Medicine Courses<br />

The World of Global Health book<br />

The World of Global Health Video<br />

Words of Encouragement<br />

UVM Larner College of Medicine Blog<br />

Participant Guide in Global Health,<br />

Thailand<br />

Cho Ray International Student Handbook<br />

DRC Facing a New Normal<br />

Photos and Reflections 2019<br />

Coronavirus 2019 Important clinical<br />

considerations for Patients & Health<br />

care Providers<br />

Interviews<br />

A Connecticut Doctor in Africa, by<br />

journalist Mackenzie Riggs<br />

Majid Sadigh, MD Interview Regarding<br />

Ebola in Liberia (Video)<br />

My Heart Burns: Three Words Form a<br />

Memoir (Video)<br />

Two UVM Docs Combat Ebola in Liberia<br />

(Article)<br />

38

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