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STRATEGIES TO SUPPORT THE COVID-19 RESPONSE IN LMICs - Shared screen with speaker view
Anna Kalbarczyk
Please post any questions you have for today's speakers in the chat!
Bhakti Hansoti
Welcome to the seminar series everyone - we would also be excited to hear suggestions for future topics that you are struggling with.
Monica Nirmala
I hope you are feeling better, Dr. Bhakti!
Bhakti Hansoti
Thank you Monica - yes finally on the upward turn.
Venkita Suresh
Glad to hear that, dear Bhakti, best wishes to both of you, Dr Suresh
Noopur Shah
Hello Dr. Bhaktican you go with psychological problems associated with pandemics and lockdown?
Bhakti Hansoti
Great idea Noopur - we will try and get that on books for the 14th May
Noopur Shah
Thanks a lot
Mayowa Tiam
How are Dr. Bhakti ? How is your husband doing ?
Venkita Suresh
colonial statement by Mr Hunter!
Malvikha Manoj
Thank you for putting this together! The feasibility and what can realistically be done in LMICs for social distancing compared to other contexts would be interesting to learn more about! This paper suggests some of the thought on this and it would be great to learn more: https://som.yale.edu/sites/default/files/mushifiq-howell-v2.pdf
Andrew Redd
So glad you're feeling better Bhakti! Another topic that could be interesting is use of convalescent plasma or blood transfusions in LMIC for treatment of COVID and the unique challenges that would entail.
Bhakti Hansoti
Yes - love the convalescent plasma topic, my husband was in the ICU, and that was the only treatment we used. I think there is a lot to unpack there.
bhavna seth
Could the laws/regulations/protective mechanisms around LMICs' ability to access meet competitive bids to global stock piles of resources (eg PPE, ?eventual meds/vaccines) be shared, if any.As many LMIC countries aren't able to compete as well against other HICs. While India/China/LMICs continue to export these commodities to other countries who can win the Economic bids.Glad you are feeling better Dr Hansoti!!!
Gary Howard
Yes- we are so glad you are recovering Dr. Hansoti. I agree with Andrew Redd (I believe) about the use of convalescent plasma/transfusions in the LMIC. I work a lot in Africa in these type settings...
Venkita Suresh
Perhaps you should come to India and see for yourself whether all this holds true still !
Bhakti Hansoti
@Venkita - we could do that remotely?
Venkita Suresh
Of course!
Charlotte Gaydos
Someone should show this last slide to all governments, especially the U.S.
Venkita Suresh
Quite a few of us here must be clinicians looking to share experiences and learn how to manage patients of Covid better, but NOT at the expense of others who have acute and chronic non Covid issues at the same time. We are taking care of both equally well at the same time,
bhavna seth
Examples/experiences for maintaining non-covid health systems in LMICs? Often care in LMICs are clustered in capitals/referral states & patients are unable to travel or access care (eg cancer). Examples of How to maintain access with travel lockdowns/physical distancing?
Venkita Suresh
Perhaps you may wish to address that challenge, how to take care of both well at the same time. For example Cancer cant be neglected because Covid is around!
Venkita Suresh
Well, we manage all that in India, While taking care of Covid, we take care of ACS, stroke, CKD, DM, also equally well
bhavna seth
Agreed Dr. Suresh, tragic narratives around. Groups are working on developing new systems, collective figuring out new contextual systems needed
Jim Lopez
For Q&A later: What are determinants of success in engaging with leaders and policy makers that are quite difficult to deal with? Especially true in community-level response, some leaders are hesitant to listen to health officers. Thanks.
Anna Kalbarczyk
Hi all, so far we have questions on health systems supporting covid and non-covid patients, particularly during lock down. There's also a question around LMIC's ability to meet competitive bids to global stock piles of resources and any protective mechanisms to support these countries. Are there any other questions?
Morgan Otita
Anyone with a point of entry laboratory assessment tool being used to determine the functionality of Point of Entry
Muthoni Mathai
for Q& A- how to balance between lockdown and economic collapse in LMIC
Kranti Vora
what role do you see community based organisations playing short term andlong-term in the pandemic in LMIC?
Pranab Chatterjee
Whole of govt approaches are very difficult, especially in federal/state structures, where health is a state priority. How to bridge the political divide and ensure policy percolation at lowest administrative levels without disrupting political structures in place?
Noopur Shah
hellowhat about the pooling of resources by LMICs during Pandemic?
Angela Mushavi
Would anyone have a power point presentation on laboratory diagnostics for COVID-19 with a focus on utility of COVID-19 antibody tests? please share mushavia@yahoo.co.uk
Dr. Gregora N. Salazar
If we leave the JEE only voluntary, how do we compare to other countries? How do we help each other? Can we provide any education to those countries the importance of the JEE?
Pranab Chatterjee
Excess mortality analyses, key component of assessing the burden of deaths, is difficult to conduct in many LMICs, where birth/death registrations have stopped in lockdowns. How to continue doing this at national levels?
Paula Quigley
surely COVID-19 has shown us that there are other factors involved in response beyond a country's score! It would be important to capture these as well for future preparedness
Pranab Chatterjee
How to decide how much resource/priority allocation should go to capacity building for research and evidence generation, when an LMIC is struggling to contain cases/deaths from COVID-19?
Muthoni Mathai
How do you explain the spread of COVID-19 in the U.S.A considering they are among the most prepared
Ankita Meghani
For Q&A: Many LMICs are implementing the approaches implemented by HICs to address covid-19 (e.g., lockdowns ). How can these approaches be tailored to be more context-specific (given variations in capacities and resources)? Have you seen any LMICs implement different models to deal with covid-19?
Rex Yung
Would love to be added to getting powerpoint presentation on testing (PCR, RNA vs serologic) . About to deploy to the Caribbean (Aruba) to help prepare for an expected surge when they reopen country (tourism that’s 90+% of income completely frozen); is this presentation preserved for follow-up viewing? And any JHU / SPH faculty / staff with speciality in the Caribbean, would love follow-up Rex C Yung MD, ryung@jhmi.edu rexcyung5@gmail.com 410-258 8442
kunda yz
What happens to healthcare systems founded on informal community health workers (volunteers) support during social distancing? (as these are not considerd essential workers)
Morgan Otita
Anyone with a point of entry laboratory assessment tool being used to determine the functionality of Point of Entry
Morgan Otita
motita@idi.co.ug Anyone with a point of entry laboratory assessment tool being used to determine the functionality of Point of Entry
Victoria Murray
What level of care can community health workers support? Presumably not ICU active ventilation management, but what is the highest end of their scope?
Abdoulaye MAIGA
Readiness of health workers and community engagement are certainly key to support the response in LMICs. However, Governance and Accountability are crucial issues often overlooked that impact negatively the response and to include into the overall response framework.
Jim Lopez
Agree on the question on how to balance efforts for COVID vs equally important non-COVID efforts (e.g. malnutrition, maternal and child health)
Venkita Suresh
Developing tests, PPEs and treatment modalities are not any more a great challenge for countries now emerging out of LMIC, leaving to Public Health containment
Yoko Shimada
Hello. I was a student of Dr. Peters. Nice to see you. I worked a lot in Liberia after the war at the World Bank. My question is - How could disaster preparedness fit into countries moving towards UHC and what they are doing towards trying to achieve UHC?
Bhakti Hansoti
All ppts/recordings/resources available at - http://hopkinsglobalhealth.org/resources/covid-19-resources/strategies-to-support-the-covid-19-response-in-lmics-a-virtual-seminar-series
Priyanka Das
In order to pool in CHWs and community for a health emergency/crisis, how do you prepare/train them to address the health crisis, specially given that LMICs generally face the issue of a weal health system
Jim Lopez
+1 for Yoko’s question.
Rex Yung
Even pre-Covid, engagement for screening / disease prevention was difficult in the disenfranchised most at risk who feel they’re blamed (my normal everyday area of Lung cancer diagnosis and prevention), so “screening for disease X” is hard to gain traction, but when couched as a “Health / wellness check” then much better response; so maybe it’s part phraseology and of course offering entre to broader menu of carer.
Daniel Samano
@Angela Mushavi. Recently I heard a
Anima Sharma
Hi, I am Anima Sharma from INDIA
Meg Traci
How do the recommendations for capacity-building extend to segregated systems of support and care for older and disabled populations and incarcerated populations? Are related institutional settings sustainable?
Dr. Gregora N. Salazar
@Rex Yung. Very true. We need a stronger and an effective public health officers team
Daniel Samano
@Angela Mushavi. Recently I heard a webinar from APHA about testing, interpretation, labs, etc. You can find them at covid19conversations.org (or just google APHA covid19 conversations)
Bishal Belbase
What share of resources, approximately in percentage, should health systems separate for preparedness for future outbreaks? Thinking about ***Budget that needs to be separated for this cause ***Human resources/Equipment and Supplies Reserve
Dr. Gregora N. Salazar
@Angela Mushavi, I am a member of APHA. We have webinars every Tuesday and Thursdays. Check their web page
Mthunzi Thusi
Hi,Is there any research that is tailored to be cost-effective for diagnostics and treatment in LMIC as ICU and ventilation are high-end levels of care and are not sustainable even in HIC.I would also appreciate the PowerPoint presentation on testing (PCR, immunologic and serologic). email: mthunzi.thusi@gmail.comThank you
Dr. Gregora N. Salazar
@Angela, you are very welcome
Hopkins CGH
Thanks for joining, everyone! Please take a moment to respond to our 5 question seminar evaluation form https://docs.google.com/forms/d/e/1FAIpQLSd6p7eZbT-4QcNXcVfR9adaMyZJVPTwgKTbkJp9huSR0mrDtg/viewform
Hopkins CGH
We will send an email later today with a link to our website with the recording and the slides from this presentation.
Daniel Samano
Angela, MthunziRecently I heard a webinar from APHA about testing, interpretation, labs, etc. You can find them at covid19conversations.org (or just google APHA covid19 conversations)These seminars happen twice a week on Tuesday and Thursday
Bhakti Hansoti
Hi everyone - All ppts/recordings/resources available at - http://hopkinsglobalhealth.org/resources/covid-19-resources/strategies-to-support-the-covid-19-response-in-lmics-a-virtual-seminar-series
Albertha THomas
Sure Dr. Nyenswah, plans must be context specific
Meg Traci
Are there lessons learned on managing pandemics and natural disasters concurrently?
Noopur Shah
do you provide certificate on attending the webinar?
Fernand TOE
Great job with that Ebola outbreak response experience!
Thomas Quinn
David and Tolbert, Thank you so much—great presentation and so relevant for today’s pandemic
Dr. Gregora N. Salazar
Thank you to the organizers and presenters
Venkita Suresh
I think a joint Johns Hopkins and India dialogue is called for to realize what is possible to achieve on the ground in an LMIC; India is at once a high, L &MI C, depending on which segment of population you are looking at!
Dr. Gregora N. Salazar
Great information and training
Jessica Barbee
Universal health care is a perplexing “non-problem-problem”. We have the knowledge, evidence, and ability to create a health care system that addresses, at least, the basic needs of our country (basic health care includes services such as prevention), but—this is why it is a “non-problem-problem”—the difficulty is in implementation. The current system is embedded in the economic milieu; much is dependent upon the relationships between health care, insurance, and medically adjacent companies that would drastically shift if a UHC system is implemented! There are knowledgeable people, across disciplines, who have the ability to solve this “problem” together. Because, is it a problem if there is a solution?
Mayowa Tiam
Thank you for the presentation.
Priyanka Das
Thanks much!
Andrew Toksoz-Exley
Thank you!
Malvikha Manoj
This was really helpful! Thank you so much!
Noopur Shah
thank you so much
Ankita Meghani
thank you!
Nicole Simmons
Thank you for a terrific presentation. It would be wonderful if you could share the slides.
Albertha THomas
Thanks much
Dr. Gregora N. Salazar
Thank you
Rukayat Akande