Friday

Mobile labs deliver faster yellow fever test results



Treating a yellow fever patient is reliant on having the right diagnosis. This is dependent on having the necessary laboratory capacity to quickly identify the disease, says Dr Pierre Formenty, an expert in haemorrhagic fevers at WHO and Manager of the Emerging Dangerous Pathogens Laboratory Network.

Yellow fever is an acute viral haemorrhagic disease transmitted by infected mosquitoes. The disease is difficult to diagnose because it has similar symptoms as a range of other diseases, such as malaria and dengue. With more than 5000 suspected yellow fever cases and more than 400 deaths reported in Angola and Democratic Republic of the Congo, getting an accurate diagnosis is critical to saving lives and ending the outbreak.

Reliable and timely lab results are essential for decision-making in almost all aspects of health services, especially during disease outbreaks. Diagnosing yellow fever is challenging. Often times there are delays between when the sample is collected and transported to when it is analysed.

Diagnosing yellow fever is done by testing a blood sample to detect the virus. In later stages of the disease, this is more difficult to detect. In this case, more sophisticated blood tests (known as ELISA and PRNT) are needed and these can only be done in specialized laboratories.

Fast-tracking diagnosis
In order to strengthen and fast track diagnosis, WHO has supported the deployment of a mobile laboratory from the European Union to Democratic Republic of the Congo.

This mobile lab brings much-needed equipment and supplies for testing blood samples for yellow fever. Packaged into several boxes, the lab is portable and easy to set-up within any existing health facility or building.

The mobile lab will support the Institut National de Recherche Biom├ędicale by providing testing capacity in Kahembe in Kwango province for a period of 3 months. The team, consisting of 5 international and 2 national laboratory scientists, will save critical hours by testing the samples on-site, thus reducing the need to transport them over long distances. Between 50 to 100 patients can receive their results within a day.

The European Union mobile lab is supported by the European Civil Protection and Humanitarian Aid Operations (ECHO) Emergency Response Coordination Centre in collaboration with the Global Outbreak Alert and Response Network and the Emerging and Dangerous Laboratory Network.

Building local capacity for lasting results

In addition to the mobile lab, 2 laboratory experts from Institut Pasteur, Paris, arrived in Democratic Republic of the Congo on 17 July to provide additional technical capacity.

In Angola, WHO has been working with the Institut Pasteur and the US Centers for Disease Control and Prevention (CDC) to train laboratory technicians at the National Public Health Institute to strengthen yellow fever diagnostic capacity. This support includes establishing the more complex blood (ELISA) test, one of the key diagnostic tools used to confirm infection with yellow fever, and training 10 national staff to run the test.

From diagnosis to action

“Aside from getting patients on the right treatment, faster diagnosis helps to plan the response better, such as identifying where to conduct mass vaccination campaigns in the affected countries,” says Dr Formenty.

Mass reactive vaccination campaigns in Angola and Democratic Republic of the Congo have reached nearly 14.5 million people. The emergency vaccination campaigns have been crucial in slowing transmission of the outbreak.

Monday

Rasha Kelej tells us about “Creating ‘Merck more than a Mother” for Africa


ShareRasha Kelej , is  the convener of this campaign. She is the Chief Social Officer (CSO) and Vice-President of Merck Healthcare . She wishes to raise awareness about discrimination, stigma and ostracism women undergo for their inability to have a child and also to encourage men to acknowledge and discuss openly their fertility problems and strive for an approach to family building with their partners in order to progress towards shared fertility responsibility among couples.
Q: “Merck More than a Mother” campaign is a great initiative to empower an unprivileged category of women in Africa, women who suffer infertility. How did you get this idea, as we know this is the first time for a campaign to address this issue this way?
A : You are right , this is a historic campaign , I have visited African villages and rural areas for other program I have created for Africa called Merck capacity advancement program where we raise awareness about Diabetes, hypertension and cancer , I spoke to many women during these awareness campaigns.  One of those women shared with me her devastating story of suffering stigma, abuse and isolation due to her infertility. This day I decided to create a campaign to change this negative mindset “Merck more than a Mother” born this moment. I spent a month preparation , planning and creating materials , I couldn’t sleep properly till it get approved by Belen Garijo, The CEO of Merck Healthcare whom was full of passion to make it happen, and we start executing.
Q;Why do you think it is important to empower those women?
A2: The infertile women in Africa have been neglected, mistreated and discriminated because they cannot bear a child. This is not right and has to change.
The campaign will empower those infertile women in Africa through improving access to information, awareness, health and change of mindset.
This campaign is very important since one couple every four are infertile in Africa, high percentage compared to the developed countries and 85% of those infertility cases can be preventable since it is a result of untreated infectious diseases, such as STDs, Child marriage, Female genital mutation, unsafe abortion or delivery. And women are overwhelmingly blamed for infertility and discriminated, abused and mistreated by her husband, family and community because of infertility.
Although 50% of infertility due to male factor, but men do not want to admit or share this responsibility.
“Merck more than a Mother” campaign will work closely with policy makers, parliament members, governments, academia, healthcare providers and media like today, in order to define interventions to reduce the social suffering of those women and improve access to regulated fertility care via supporting ART policies across the continent, raise awareness about Infertility prevention , management and male infertility . Moreover it will also work with all relevant stakeholders to make a change in negative mindset and the culture of stigmatizing of infertile women and infertility at large.
Q :Why do you believe that “Merck more than a Mother” is a unique campaign and what makes it successful in your opinion, as we see in social media you have thousands of people from all sort of life form all over the world following you,  all sharing their experience and insights trying to make a difference.
A:  As I mentioned before:  This campaign is very close to my heart as an African  woman and as a pharmacist, and very important for Merck, the world leader in Fertility management, but most importantly it is very critical for Africa, it is for the first time someone talk and discuss openly this issue that affect those childless women and how they were and still are abused , mistreated and discriminated by their husbands , families and communities , it is sad  ,  knowing this facts , I knew we must do something about it , it is not a matter of choice anymore , it is our duty and responsibility.
This campaign was successful and already made and will make  a difference because it covers most, if not all, of the relevant angles of the infertility in the continent, such as :Create a culture shift to respect and appreciate the infertile women in Africa
Raise awareness about infertility prevention and management and male infertility by integrating it into healthcare infrastructure such as HIV, maternal health and mother and child programs. Education and training for African embryologists since lack of trained and skilled staff is a big challenge, and we have started our first training for African embryologists to improve access to effective and safe fertility care in the continent.
Defining ART policies to improve access to regulated fertility care.
Building advocacy and open dialogue with governments, policy makers, parliaments, healthcare providers and media to define interventions to reduce the social suffering and improve access to regulated, effective and safe fertility care in Africa.
Empowering infertile women through access to awareness, health and change of mindset and empower women who cannot be pregnant anymore through starting a small business for them to build their independent and happy lives through “Empowering Berna“ Initiative.
 Q: where did you start Merck more than a Mother campaign and how was it received by all relevant stakeholders?
A4: We have started the campaign, in Kenya, Uganda and we had kicked off Pan African panels in New York to mark CSW 60, Egypt and Finland at European Society of Human reproductive and embryology. As you can see from the photos , ministers of health and gender, senators, parliament members, academia, African association , healthcare providers,  all welcomed the campaign and showed their commitments and they started already with Merck implementing the campaign specially the two important projects we have created : Merck Africa embryology Training” and “ Empowering Berna”
We are invited to present the campaign at the International Federation of Fertility Societies- IFFS in Delhi, India on 23rd of September and we will kick off the Merck more than a mother campaign in Nigeria on the 27th of September in partnership with Africa fertility Society, Nigerian parliament and Federal ministry of Health of Nigeria.
Q: Can you tell us more about those two projects?
A: Through “Merck more than a Mother” we have started two important projects
First one was the Africa embryology training program which is very important for improving access to regulated fertility care in the continent, I have started this program because as you may know there is no African embryologists in many of sub- Saharan African Countries, hence it was very critical to establish this platform so we can reduce the cost of IVF and also it is quality.
The second one called “Empowering Berna” where we are going to help infertile women who cannot have children anymore to start their own independent, happier lives.
I believe It’s very important to empower infertile women through improving access to awareness, health and change of negative mindset so they can bear children as part of their human rights. In case they can no longer be treated, Empowering Berna project will contribute towards empowering and training them to establish their own small business so that they can be independent and re-build their own lives.
A woman is more than a Mother, Empowering Berna initiative will prove this every day. www.merckmorethanamother.com ,

Watc some stories of Empowering Berna:



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Q; can you tell us what are the success stories of Merck more than a Mother campaign?
A: There are many success stories in very short time, for me the most important success stories is watching those Infertile women’s transformation after meeting Merck more than a Mother, through empowering Berna project, they have been programed all their lives to be “Baby making machine, this was their only purpose in life, when they failed to achieved it, they lost hope in life and they were just waiting to die.
Through empowering Berna project, their lives have transformed in no time, from hopeless, helpless women to stronger women, productive member in society full of pride and self-confidence, they simply became more than a mother.
When I get to know those un-privileged women in Africa, who suffered the stigma, discrimination and abuse and who cannot have children anymore.
I knew that I have to be part of a solution, a project to help them to re- build their shattered lives, stand back on their own feet.
Empowering them economically is the only solution to lead their own independent happy lives and earn back the respect and acknowledgment of their communities.   We will do it.
I am determined to find them everywhere in Africa and help them and this will be my purpose in life.
There are also other success stories that I find very important, such as the changes that happened that will help infertile women in the future so they have better access to information, awareness, fertility care and change of mindset;  the approval of the first Bill of ART in Kenya by Kenyan parliament, we supported this and I am happy that it is finally happened.
In Uganda the ART guidelines is under Development by Minister of State of Health, Hon. Sarah Opendi who is Merck more than a Mother Ambassador for Uganda and will be out soon.
There is a very interesting law that will be enforced by minister of Land, Housing and urban development of Uganda, Hon. Betty Amongi, that women will be able to inherit from their blood family and not from only their husbands’ families like it used to happen in Uganda, this law enforcement will empower women to choose when to marry and have children and it will help empowering infertile women since they will not end up with nothing if they couldn’t have children , this is a great achievement.
Now during our latest panel the senator, Chairman Committee on Health Nigeria, Dr Lanre Tejuosho, who has been appointed as Merck Mote than a mother ambassador in Nigeria, has committed to approve a similar bill for Nigeria too before the kick off in September, this is a success story.
I am sure that more and more success stories will happen in the future.
Q: The kickoff of Merck More than a Mother in Nigeria will be on the 27th of September in partnership with the Federal Ministry of Health and parliament, how do you see the Senate of commission of Health together with Ministry of health will take this forward to make a change in the policies, improve access to fertility care in Nigeria  ?How do you think the campaign will empower women in Nigeria?
A: Before we kickoff the campaign in Nigeria, we will work on the preparation period of building advocacy messages to raise awareness about the infertility prevention, male infertility and sensitize the community to change the culture of discriminating and disrespecting infertile women.
We will also partner with Senate Committee on Health and Federal Ministry of Health, Africa Fertility Society to execute our empowering Berna Project, by allocating the women who needs support and reach out to them across the country.
Above all,   we will support government to define their ART bill to regulate fertility care in the country.
Moreover, we will help integrate awareness messages about infertility prevention and male infertility in our healthcare system.
And will partner with Africa Fertility Society to provide training for young Nigerian embryologists to build fertility care capacity in Nigeria,
What I like about this campaign, it is serious, structured, great strategy and relevant achievable solutions, not only talk but serious actions, I never imagine in just short time we have already full pledged campaign in the  most populated country In Africa, we are grateful for the support and the commitment of our partners in Nigeria. Without them we will never achieve these results.
Please join the conversation and let your voice be heard.

Join the campaign - Together we create a culture shift
Rasha Kelej, Chief Social Officer, Merck Healthcare adds: “I would like to ask you to take a moment and watch the campaign’s videos and TV interviews and join the “Merck More than a Mother” social media campaign to reduce stigma, create awareness and define interventions to improve access to better fertility care in Africa”.
”Let your voice be heard on” Kelej added.
 
Description: Merck More than a Mother
Description: Merck More than a Mother
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Description: Merck More than a Mother
For more information on the Merck More than a Mother initiative please visit www.merckmorethanamother.com

Q: we heard that you go all over African rural areas by yourself and you do this frequently. How can you do all this?
Yes, I do this exactly, it is part of my life, you have to remember I am African…..
But most importantly I totally believe that the only way to know Africa’s challenges and solutions and create and implement successful programs. Is to get in touch with its communities.
If you do not be in touch with the grassroots, knowing Africa from the internet in your office, is never the same and will never help to leave a significant impact like we do.
For me, African villages and rural area is the destination of inspiration, I have to meet community members speak with them, understand them and see how they live and what they need first hand and not second hand and third hand.
I take this job seriously and I am determined to make a huge difference.

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