Global Health Summit Offers Insight, Inspiration

BRIGHAM AND WOMEN'S HOSPITAL AND HARVARD MEDICAL SCHOOL HOST THE GLOBAL HEALTH SUMMIT MONDAY AFTERNOON
From left, Paul Farmer, Atul Gawande and Nawal Nour share a laugh during the keynote panel at the Global Health Summit.

Through the stories and insights shared during the Nov. 25 Global Health Summit, attendees were transported to war-torn Somalia, the mountains of Rwanda and back home again.

Throughout the afternoon, they heard Andrew Ellner, MD, MSc, of BWH’s Division of Global Health Equity, demonstrate the need for an overhaul of the American health care system and Michael VanRooyen, MD, MPH, FACEP, of BWH’s Department of Emergency Medicine, share his personal insights into training the next generation of humanitarian workers.

Attendees listened intently as BWH associate physician Ashish Jha, MD, MPH, asked the poignant question about preventable health care costs: “How is it safe to fly a 30-year-old plane but not use a 6-year-old CT scanner?”

Hosted by BWH, Harvard Medical School (HMS) and Harvard School of Public Health (HSPH), the Global Health Summit—a BluePrint-themed event—provided a thought-provoking inside look at the important work being done in the global health arena. Special guests and BWH, HMS and HSPH leaders and staff came together in the Joseph B. Martin Conference Center at HMS to learn lessons straight from the field from expert physicians, patients and donors in three panels.

“What makes global health work successful is partnership,” said BWH President Betsy Nabel, MD, who provided an introduction and closing for the event’s last panel. “The ability to connect and work together is essential.”

Robert Riviello, MD, MPH, and Daniel Ponton discuss stories from the field in Rwanda.
Robert Riviello, MD, MPH, and Daniel Ponton discuss stories from the field in Rwanda.

In one panel, BWH surgeon Robert Riviello, MD, MPH, of the Division of Trauma, Burns and Surgical Critical Care, shared his inspiration for getting involved in global health work: his Christian faith and growing up reading stories of saints and missionaries.

“That dedication, resilience and effectiveness struck me as, ‘This is ‘good with a capital G’ work – work you would want to spend your life doing,’” he said.

Joining Riviello on the panel was philanthropist and former BWH patient Dan Ponton, who spoke about his partnership with Riviello to build much-needed housing for doctors in Rwanda. Ponton, who was successfully treated at BWH for a life-threatening brain tumor, saw how the housing shortage made it difficult to attract and retain qualified medical staff. His foundation—the Daniel E. Ponton Fund at Brigham and Women’s Hospital—subsequently funded and built the Butaro Doctors’ Housing project.

During the panel, Ponton shared the inspiring message that “it doesn’t always take a doctor to solve a health care problem.”

In the event’s final panel, WBUR “Here & Now” co-host Robin Young spoke with global health luminaries Paul Farmer, MD, PhD, Atul Gawande, MD, MPH, and Nawal Nour, MD, MPH, in what resembled a personal living room conversation among friends.

After providing introductions of each other, the three panelists answered Young’s thoughtful questions, sharing everything from their inspirations to formative moments in their lives and careers—including Farmer’s admission that working in Haiti was his “Plan B.” Plan A was working in West Africa.

Gawande, a self-described “professional dilettante,” or dabbler, said that he has always been interested in change and why it seems so hard. He sees his research and writing as ways to “work through the puzzles and try to solve problems.”

He later summed up the spirit of BWH by saying: “If you’re not leading by making a difference, then you’re not fulfilling the mission of this place.”

Nour discussed her work with the African Women’s Health Center at BWH, which she founded in 1999, and the nuances and complexities of the beliefs held by her patients, many of whom have experienced female genital cutting.

Of the media’s flashing interest and coverage of women’s and children’s health issues, Nour said: “If we could sustain that interest and funding, we could make changes systematically. If more people looked at health issues through a gender-based lens, we could make great improvements.”

View a photo gallery from the event.

Watch webcasts of the panel discussions:
“The Global Health Experience: What We Can Learn”
Introduction and moderation: Jeffrey Flier, MD
Panelists: Andrew Ellner, MD, MSc, Ashish K. Jha, MD, MPH, Michael VanRooyen, MD, MPH, FACEP

“Making Global Health Happen”
Introduction and moderation: Julio Frenk, MD, PhD, MPH
Panelists: J. Christopher Flowers, Dyann Wirth, PhD, Daniel E. Ponton, Robert Riviello, MD, MPH

“To Alleviate Human Suffering: Our Work to Strengthen Global Healthcare”
Introduction: Elizabeth G. Nabel, MD
Moderation: Robin Young
Panelists: Paul Farmer, MD, PhD, Atul Gawande, MD, MPH, Nawal Nour, MD, MPH
Closing: Elizabeth G. Nabel, MD

 

Global Health Summit Offers Insight, Inspiration

BRIGHAM AND WOMEN'S HOSPITAL AND HARVARD MEDICAL SCHOOL HOST THE GLOBAL HEALTH SUMMIT MONDAY AFTERNOON
From left, Paul Farmer, Atul Gawande and Nawal Nour share a laugh during the keynote panel at the Global Health Summit.

Through the stories and insights shared during the Nov. 25 Global Health Summit, attendees were transported to war-torn Somalia, the mountains of Rwanda and back home again.

Throughout the afternoon, they heard Andrew Ellner, MD, MSc, of BWH’s Division of Global Health Equity, demonstrate the need for an overhaul of the American health care system and Michael VanRooyen, MD, MPH, FACEP, of BWH’s Department of Emergency Medicine, share his personal insights into training the next generation of humanitarian workers.

Attendees listened intently as BWH associate physician Ashish Jha, MD, MPH, asked the poignant question about preventable health care costs: “How is it safe to fly a 30-year-old plane but not use a 6-year-old CT scanner?”

Hosted by BWH, Harvard Medical School (HMS) and Harvard School of Public Health (HSPH), the Global Health Summit—a BluePrint-themed event—provided a thought-provoking inside look at the important work being done in the global health arena. Special guests and BWH, HMS and HSPH leaders and staff came together in the Joseph B. Martin Conference Center at HMS to learn lessons straight from the field from expert physicians, patients and donors in three panels.

“What makes global health work successful is partnership,” said BWH President Betsy Nabel, MD, who provided an introduction and closing for the event’s last panel. “The ability to connect and work together is essential.”

Robert Riviello, MD, MPH, and Daniel Ponton discuss stories from the field in Rwanda.
Robert Riviello, MD, MPH, and Daniel Ponton discuss stories from the field in Rwanda.

In one panel, BWH surgeon Robert Riviello, MD, MPH, of the Division of Trauma, Burns and Surgical Critical Care, shared his inspiration for getting involved in global health work: his Christian faith and growing up reading stories of saints and missionaries.

“That dedication, resilience and effectiveness struck me as, ‘This is ‘good with a capital G’ work – work you would want to spend your life doing,’” he said.

Joining Riviello on the panel was philanthropist and former BWH patient Dan Ponton, who spoke about his partnership with Riviello to build much-needed housing for doctors in Rwanda. Ponton, who was successfully treated at BWH for a life-threatening brain tumor, saw how the housing shortage made it difficult to attract and retain qualified medical staff. His foundation—the Daniel E. Ponton Fund at Brigham and Women’s Hospital—subsequently funded and built the Butaro Doctors’ Housing project.

During the panel, Ponton shared the inspiring message that “it doesn’t always take a doctor to solve a health care problem.”

In the event’s final panel, WBUR “Here & Now” co-host Robin Young spoke with global health luminaries Paul Farmer, MD, PhD, Atul Gawande, MD, MPH, and Nawal Nour, MD, MPH, in what resembled a personal living room conversation among friends.

After providing introductions of each other, the three panelists answered Young’s thoughtful questions, sharing everything from their inspirations to formative moments in their lives and careers—including Farmer’s admission that working in Haiti was his “Plan B.” Plan A was working in West Africa.

Gawande, a self-described “professional dilettante,” or dabbler, said that he has always been interested in change and why it seems so hard. He sees his research and writing as ways to “work through the puzzles and try to solve problems.”

He later summed up the spirit of BWH by saying: “If you’re not leading by making a difference, then you’re not fulfilling the mission of this place.”

Nour discussed her work with the African Women’s Health Center at BWH, which she founded in 1999, and the nuances and complexities of the beliefs held by her patients, many of whom have experienced female genital cutting.

Of the media’s flashing interest and coverage of women’s and children’s health issues, Nour said: “If we could sustain that interest and funding, we could make changes systematically. If more people looked at health issues through a gender-based lens, we could make great improvements.”

View a photo gallery from the event.

Watch webcasts of the panel discussions:
“The Global Health Experience: What We Can Learn”
Introduction and moderation: Jeffrey Flier, MD
Panelists: Andrew Ellner, MD, MSc, Ashish K. Jha, MD, MPH, Michael VanRooyen, MD, MPH, FACEP

“Making Global Health Happen”
Introduction and moderation: Julio Frenk, MD, PhD, MPH
Panelists: J. Christopher Flowers, Dyann Wirth, PhD, Daniel E. Ponton, Robert Riviello, MD, MPH

“To Alleviate Human Suffering: Our Work to Strengthen Global Healthcare”
Introduction: Elizabeth G. Nabel, MD
Moderation: Robin Young
Panelists: Paul Farmer, MD, PhD, Atul Gawande, MD, MPH, Nawal Nour, MD, MPH
Closing: Elizabeth G. Nabel, MD

 

How Rwanda is Redefining HIV Care

Boston_0512_Global Health Equity Residency Graduation_25.jpg
Neil Gupta, MD, MPH, during his graduation from BWH’s Division of Global Health Equity Doris and Howard Hiatt Global Health Residency Program. Photo by Justin Knight.

In recognition of Dec. 1 as World AIDS Day, BWH physician Neil Gupta, MD, MPH, contributed a compelling op-ed piece to The Atlantic on HIV treatment in Rwanda. Gupta, the deputy clinical director for Partners In Health in Rwanda, has witnessed the success of Rwanda’s approach to HIV care and treatment, and the impact it has had on the lives of Rwandans.

He writes: “In Rwanda, where just 20 years ago a genocide claimed approximately 1 million lives, the government has transformed HIV care for the poor by redefining the standards for successful treatment. More than three decades into the epidemic, many national and international agencies are still counting the basics—how many people get infected, how many people receive medication, how many patients die. Success in Rwanda, meanwhile, is measured not in the number remaining alive, but rather in how many are actually able to take their medications as directed and suppress the virus in their bodies to a level where it is essentially non-existent. In Rwanda, success is achieved when people living with HIV can earn a living, support their family, raise their children, and care for their community no differently than their peers.”

Read the complete op-ed here.

Paul Farmer’s Keynote Speech at BWH Research Day

BRIGHAM AND WOMEN'S HOSPITAL BIOMEDICAL RESEARCH INSTITUTE SECOND ANNUAL RESEARCH DAY
Paul Farmer delivers the keynote address at BWH Research Day.

If you weren’t able to attend BWH Research Day on Nov. 22, you can still catch the thought-provoking keynote speech delivered by Paul Farmer, MD, PhD, chief of the BWH Division of Global Health Equity. Farmer discussed “Research Methodologies and Global Health Equity: Lessons from Haiti and Rwanda.” View the webcast on YouTube here.

Team Heart Patient Receives Award for Helping Others

Jean Paul and Jacky
Jean Paul and Jacky Iyamuremye during a visit to Brigham and Women’s Hospital last week. The pair were en route to Hawaii, where Jean Paul received the Bakken Invitation Award.

Six years ago, a young man in his 20s lay dying in a hospital bed in Rwanda. Emaciated, bed-ridden and incredibly ill with bacterial endocarditis, Jean Paul Iyamuremye’s chances of survival seemed slim. It was a drastic change from just four months earlier, when life had been so promising. He had just married a wonderful woman named Jacky, and they were ready to start their lives together.

But Jean Paul was lucky. While he was in the hospital, a newly formed group, called Team Heart, was just beginning to plan its first cardiac surgery mission to Rwanda. Led by BWH cardiac surgeon Chip Bolman, MD, and his wife, Ceeya Patton Bolman, RN, the team met Jean Paul and planned to operate on him during their mission five months later, hoping that he would survive in the interim.

He did, and received the first mechanical valve to be done in Rwanda on Team Heart’s inaugural trip in April of 2008.

Today, a vibrant, healthy and optimistic Jean Paul has just returned from Hawaii, where he received an award for his advocacy work on behalf of other Team Heart patients. The team returns to Rwanda each year, and Jean Paul is committed to helping patients as they undergo surgery and begin to recover. Continue reading “Team Heart Patient Receives Award for Helping Others”

Team Heart Patient Receives Award for Helping Others

Jean Paul and Jacky
Jean Paul and Jacky Iyamuremye during a visit to Brigham and Women’s Hospital last week. The pair were en route to Hawaii, where Jean Paul received the Bakken Invitation Award.

Six years ago, a young man in his 20s lay dying in a hospital bed in Rwanda. Emaciated, bed-ridden and incredibly ill with bacterial endocarditis, Jean Paul Iyamuremye’s chances of survival seemed slim. It was a drastic change from just four months earlier, when life had been so promising. He had just married a wonderful woman named Jacky, and they were ready to start their lives together.

But Jean Paul was lucky. While he was in the hospital, a newly formed group, called Team Heart, was just beginning to plan its first cardiac surgery mission to Rwanda. Led by BWH cardiac surgeon Chip Bolman, MD, and his wife, Ceeya Patton Bolman, RN, the team met Jean Paul and planned to operate on him during their mission five months later, hoping that he would survive in the interim.

He did, and received the first mechanical valve to be done in Rwanda on Team Heart’s inaugural trip in April of 2008.

Today, a vibrant, healthy and optimistic Jean Paul has just returned from Hawaii, where he received an award for his advocacy work on behalf of other Team Heart patients. The team returns to Rwanda each year, and Jean Paul is committed to helping patients as they undergo surgery and begin to recover. Continue reading “Team Heart Patient Receives Award for Helping Others”

Establishing a Neurology Hospital in Somaliland

Essa Kayd and patients, families
Essa Kayd, center (in lab coat) with a patient and family members in Somaliland.

Essa Kayd is a native of Somaliland, which is recognized as an autonomous region of Somalia, Africa, and is comprised of about  7 million people. He returned in 2009, after having been out of Somaliland for 29 years, and began the process of establishing a neurology hospital. This week, Essa will return once again to continue his mission, his “raison d’etre.”

By Essa Kayd, Supervisor of Neurology and EMG for BWH

Four years ago, I returned to Somaliland to take my aunt for surgery and my nephew to receive care after he experienced some fainting spells.

The closest country where this could be done was Ethiopia, which borders Somaliland. We took a plane to get there, rented a hotel room, hired an interpreter and left everybody behind.

I was determined to have my aunt treated and operated on as safely as possible. After her surgery was successfully completed, it was my nephew’s turn to see a neurologist. There, I met more patients from Somaliland and surrounding countries. The neurologist is among very few specialists in the whole continent, and neurological disorders including neuro-infectious diseases are a common cause of disability and death.

I looked carefully around the waiting room and noticed the dear prices that a minimum procedure would cost patients – in terms of time, money, and having to leave their families for a time.

I decided that I wanted to bring neurology to Hargeisa, the capital of Somaliland, to make it more accessible to these people. Continue reading “Establishing a Neurology Hospital in Somaliland”

BWH, HMS and HSPH to Host Global Health Summit Nov. 25

globalhealthsummitlogo

Atul Gawande, MD, MPH, Paul Farmer, MD, PhD, and Nawal Nour, MD, MPH – some of the world’s biggest names in global health are participating in a panel discussion together for the first time at the Global Health Summit Nov. 25.

BWH, in partnership with Harvard Medical School and Harvard School of Public Health, is hosting the summit  Nov. 25, 2 – 6:30 p.m. , at the Joseph B. Martin Conference Center, 77 Avenue Louis Pasteur.

Global health experts from all three institutions will participate in panel discussions throughout the afternoon, culminating with the keynote panel and a reception. Check out the complete program and impressive panelist biographies here.

All are invited to attend, but space is limited. Please register online for each panel you would like to attend.