JAMA news releases are made available to the public after 3 pm US Central time on the first 4 Tuesdays of each month. The Archives Journals news releases are made available to the public after 3 pm Central time on Mondays. We also provide a list of previous news releases.
When warranted, JAMA releases studies with an embargo time that is different than the standard Tuesdays at 3 pm US Central time because of scientific presentations at medical meetings or because of public health implications.
THIS WEEK'S CONTENT
JAMA EARLY NEWS RELEASES
(Embargoed for Early Release: 9:00 a.m. CT, Monday, October 22, 2007)
SPREADING INFORMATION ABOUT ENTITLED SERVICES ENHANCES DELIVERY OF HEALTH AND SOCIAL SERVICES IN RURAL INDIA
NUTRITIONAL AND ENVIRONMENTAL INTERVENTIONS CAN HELP DECREASE CHILD DEATHS WORLDWIDE
HIV-INFECTED CHILDREN IN AFRICA WHO RECEIVE CARE IN PRIMARY HEALTH CARE PEDIATRIC TREATMENT PROGRAMS CAN HAVE GOOD OUTCOMES
JOURNALS COLLABORATE TO INCREASE AWARENESS OF WORLDWIDE PROBLEMS OF POVERTY AND HUMAN DEVELOPMENT
ARCHIVES OF OPHTHALMOLOGY EARLY NEWS RELEASES
(Embargoed for Early Release: 9:00 a.m. CT, Monday, October 22, 2007)
PHYSICIANS SUCCESSFULLY TRAINED TO PERFORM CATARACT SURGERY IN RURAL CHINA
ARCHIVES OF FACIAL PLASTIC SURGERY EARLY NEWS RELEASES
(Embargoed for Early Release: 9:00 a.m. CT, Monday, October 22, 2007)
EDUCATING LOCAL PHYSICIANS KEY TO CARE OF CHILDREN WITH CLEFT DEFORMITIES IN ZIMBABWE
JAMA REPORT (VIDEO SCRIPT)
VIDEO: Windows Media | Quicktime
FOCUS ON POOREST CHILDREN’S ENVIRONMENT AND NUTRITION COULD SAVE TWO MILLION LIVES A YEAR IN DEVELOPING COUNTRIES
INFORMATION CONTAINED IN THESE NEWS RELEASES IS PROTECTED BY COPYRIGHT. JOURNAL ATTRIBUTION IS REQUIRED.
TV Note: This week's JAMA Report video, on improving child survival through environmental and nutritional interventions, has an early embargo and will have a special feed. The embargo is 10 a.m. ET Monday, October 22. There will be a feed on Monday, October 22, from 9:00 - 9:30 a.m. ET and 1:00 - 1:30 p.m. ET, on Galaxy 26 (formerly Intelsat America 6) C-Band, Transponder 14, downlink frequency: 3880 vertical, audio 6.2/6.8. There will also be a feed at the regular date/times, on Tuesday, October 23, from 9:00 - 9:30 a.m. ET and 2:00 - 2:30 p.m. ET, on Galaxy 26 (formerly Intelsat America 6) C-Band, Transponder 14, downlink frequency: 3880 vertical, audio 6.2/6.8. For more information, call 312/464-JAMA.
Please Note: The FOR THE MEDIA Web site now has a search feature to enable media to find previous JAMA/Archives news releases on specific medical topics. This search feature link is located on the home page at www.jamamedia.org
Please Note: Because JAMA does not publish on the 5th Wednesday of a month, there will be no JAMA or news releases for October 31.
JOURNALISTS CAN NOW ACCESS EMBARGOED JAMA/ARCHIVES STUDIES ONLINE
Go to www.jamamedia.org for more information and to apply for access.
Embargoed for Early Release: 9:00 a.m. CT, Monday, October 22, 2007
Media Advisory: To contact corresponding author Madhav Goyal, M.D., M.P.H., call Christen Brownlee at 410-955-7832.
SPREADING INFORMATION ABOUT ENTITLED SERVICES ENHANCES DELIVERY OF HEALTH AND SOCIAL SERVICES IN RURAL INDIA
CHICAGO—Providing a structured informational program about entitled health and social services to resource-poor rural villagers in India improved the delivery of these services to the people who may need them, according to a study in the October 24/31 issue of JAMA, a theme issue on poverty and human development.
This issue of JAMA is being released early because of JAMA’s participation in an international collaboration of more than 200 medical and scientific journals to publish articles simultaneously to raise awareness on the topic of the relationship between poverty and human development. This initiative is coordinated by the Council of Science Editors, and presentations regarding some of the studies in this Global Theme Issue will be webcast live from the National Institutes of Health (http://videocast.nih.gov/summary.asp?live=6239).
The delivery of health and social services in developing countries such as India is often inadequate – in part, because of limited resources allocated by governments and donor agencies. However, increased spending alone may not be sufficient to improve outcomes. Lack of awareness about entitled health and social services may contribute to poor delivery of those services in developing countries, especially among people of low socioeconomic status, according to background information in the article.
Priyanka Pandey, Ph.D., of South Asia Human Development, the World Bank, Washington, D.C., and colleagues conducted a community-based, cluster randomized controlled trial to determine the effect of informing resource-poor rural populations about entitled services. The study was conducted from May 2004 to May 2005 in 105 randomly selected village clusters in Uttar Pradesh state in India. (Uttar Pradesh ranks 23 out of 32 states in India in terms of the proportion of people living below the poverty line.) There were 536 households included in the intervention and 489 control households. Four to six public meetings were held in each intervention village cluster to disseminate information on entitled health and education services. No intervention took place in control village clusters.
"After one year, intervention villagers reported better delivery of several services compared with control villagers," the authors write.
"Improvements occurred in pre-natal services, infant vaccinations, excess school fees, and occurrence of village council meetings," they continue. "Although nurse midwife visits did not increase, 20 percent to 25 percent more households in intervention villages reported that women were receiving pre-natal services and that their infants were being immunized, suggesting that the nurse midwife was performing more duties when a visit did occur." Almost all outcomes improved in intervention villages, while most outcomes either worsened or remained unchanged in control villages.
"Seventy percent of India’s population lives in the villages and would benefit from improved basic services. Interventions that educate resource-poor populations about entitled services may improve the delivery of services," the authors conclude. "Such interventions are promising and low-cost means to improve the health and welfare of individuals in developing countries."
(JAMA. 2007;298(16):1867-1875. Available pre-embargo to the media at www.jamamedia.org)
Editor's Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.
More information about the Council of Science Editors’ Global Theme Issue on Poverty and Human Development is available at
http://www.councilscienceeditors.org/globalthemeissue.cfm.
More information about the NIH Global Theme Issue event, 10 a.m. (ET) Monday, October 22, 2007, is available at http://www.fic.nih.gov/news/events/cse.htm.
For More Information: Contact the JAMA/Archives Media Relations Department at 312/464-JAMA (5262) or email: mediarelations{at}jama-archives.org.
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Embargoed for Early Release: 9:00 a.m. CT, Monday, October 22, 2007
Media Advisory: To contact corresponding author Majid Ezzati, Ph.D., call Todd Datz at 617-432-3952.
NUTRITIONAL AND ENVIRONMENTAL INTERVENTIONS CAN HELP DECREASE CHILD DEATHS WORLDWIDE
CHICAGO—Interventions that improve nutrition and environmental conditions can also provide substantial gains toward the goal of reducing child mortality, especially when the interventions prioritize the poor, according to a study in the October 24/31 issue of JAMA, a theme issue on poverty and human development.
This issue of JAMA is being released early because of JAMA’s participation in an international collaboration of more than 200 medical and scientific journals to publish articles simultaneously to raise awareness on the topic of the relationship between poverty and human development. This initiative is coordinated by the Council of Science Editors, and presentations regarding some of the studies in this Global Theme Issue will be webcast live from the National Institutes of Health (http://videocast.nih.gov/summary.asp?live=6239), including this study, presented by co-author Majid Ezzati, Ph.D., of the Harvard School of Public Health, Boston.
The United Nations Millennium Development Goals (MDGs) were established in 2000 in a declaration adopted unanimously by U.N. member countries to focus resources and efforts toward critical global poverty, health, and sustainability problems. The MDGs set numerical targets to be achieved by 2015 and use socioeconomic, environmental, nutritional, and health indicators to monitor progress toward these targets, according to background information in the article. There are concerns that the progress toward some of the health-related MDGs has been slow in many countries, making it very difficult to achieve them by the target date.
Emmanuela Gakidou, Ph.D., formerly of the Initiative for Global Health, Harvard University, Cambridge, Mass., and colleagues conducted an assessment to estimate the reduction in child mortality as a result of interventions related to environmental and nutritional MDGs. They analyzed data on economic status, child underweight, water and sanitation, and household fuels from the Demographic and Health Surveys for 42 countries in Latin America and the Caribbean, South Asia, and sub-Saharan Africa. Data on disease-specific child mortality were from the World Health Organization, and data on hazardous effects of MDG-related risk factors were from systematic reviews and meta-analyses of epidemiological studies.
"Implementing interventions that improve child nutrition and provide clean water and sanitation and clean household fuels to all children younger than five years would result in an estimated annual reduction in child deaths of 49,700 (14 percent) in Latin America and the Caribbean, 0.80 million (24 percent) in South Asia, and 1.47 million (31 percent) in sub-Saharan Africa," the authors report.
"These benefits would close 30 percent to 48 percent of the current regional gaps toward the MDG target for reducing child mortality," they continue.
The analysis found that environmental and nutritional interventions would have larger benefits for reducing deaths among children if the interventions were targeted to the poor first.
"Fifty percent coverage of the same environmental and nutritional interventions, as envisioned by the MDGs, would have 30 percent to 75 percent larger benefits for reducing child mortality if the interventions were targeted to the poor first than it would if the interventions benefited wealthier households, who nonetheless are also in need of MDG-related interventions," the authors write.
"Pro-poor interventions have larger aggregate benefits, especially in sub-Saharan Africa, because they deliver environmental and nutritional interventions to children who are most susceptible to dying of such exposures, possibly because of limited access to medical services," they conclude.
(JAMA. 2007;298(16):1876-1887. Available pre-embargo to the media at www.jamamedia.org)
Editor's Note: Emmanuela Gakidou, Ph.D., is now with the Institute for Health Metrics and Evaluation, University of Washington, Seattle. Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.
More information about the Council of Science Editors’ Global Theme Issue on Poverty and Human Development is available at
http://www.councilscienceeditors.org/globalthemeissue.cfm.
More information about the NIH Global Theme Issue event, 10 a.m. (ET) Monday, October 22, 2007, is available at http://www.fic.nih.gov/news/events/cse.htm.
For More Information: Contact the JAMA/Archives Media Relations Department at 312/464-JAMA (5262) or email: mediarelations{at}jama-archives.org.
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Embargoed for Early Release: 9:00 a.m. CT, Monday, October 22, 2007
Media Advisory: To contact corresponding author Jeffrey S.A. Stringer, M.D., email: stringer{at}cidrz.org. To contact co-author Catherine M. Wilfert, M.D., call 919-968-0008.
HIV-INFECTED CHILDREN IN AFRICA WHO RECEIVE CARE IN PRIMARY HEALTH CARE PEDIATRIC TREATMENT PROGRAMS CAN HAVE GOOD OUTCOMES
CHICAGO—Care provided by nurses and other clinicians in primary health care settings in sub-Saharan Africa can result in good outcomes for children with HIV infection. But the death rate is high during the first 90 days of therapy, pointing to a need for early intervention, according to a study in the October 24/31 issue of JAMA, a theme issue on poverty and human development.
This issue of JAMA is being released early because of JAMA’s participation in an international collaboration of more than 200 medical and scientific journals to publish articles simultaneously to raise awareness on the topic of the relationship between poverty and human development. This initiative is coordinated by the Council of Science Editors, and presentations regarding some of the studies in this Global Theme Issue will be webcast live from the National Institutes of Health (http://videocast.nih.gov/summary.asp?live=6239).
By the end of 2006, an estimated 2.3 million children worldwide were living with human immunodeficiency virus type 1 (HIV-1). Without treatment, approximately half will die by their second birthday. However, lives can be extended with combination antiretroviral therapy (ART), according to background information in the article. The Zambian Ministry of Health provides pediatric ART at primary care clinics in Lusaka, where many children are already infected with HIV, despite scale-up of perinatal prevention efforts.
Carolyn Bolton-Moore, M.B.B.Ch., of the Centre for Infectious Disease Research in Zambia, Lusaka, and colleagues assessed early clinical and immunologic outcomes of children enrolled in a pediatric treatment program at 18 government primary health facilities in Lusaka. Care was provided primarily by nurses and clinical officers (i.e., akin to physician assistants in the United States). After enrollment of 4,975 children into HIV care, 2,938 (59 percent) were started on ART.
"Overall, children receiving ART showed significant improvements in CD4 cell status, weight gain, and hemoglobin concentration," the authors report.
Among 2,398 children who were still receiving ART at the time of analysis, 198 (8.3 percent) died during follow-up, and 112 of these deaths (56.6 percent) occurred within 90 days of the start of therapy.
"Mortality within the first 90 days of starting therapy was high, especially among the infants younger than 18 months," the authors write. Among 223 children younger than 18 months who were receiving ART, 45 died (20.2 percent).
"Mortality is highest among underweight children and those who are severely immunosuppressed," the authors write.
Survival rates were higher as the children’s ages increased. Among 672 children age 18 to 59 months who were receiving ART, 64 died during follow-up (9.5 percent). And among 1,503 children 60 months or older, 89 died during follow-up (5.9 percent).
"These findings indicate the critical need for earlier diagnosis and referral of HIV-infected children," the authors conclude. "Of course, the ultimate solution to the problem of pediatric AIDS lies in prevention of mother-to-child transmission and in preventing primary infection in women."
(JAMA. 2007;298(16):1888-1899. Available pre-embargo to the media at www.jamamedia.org)
Editor's Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.
More information about the Council of Science Editors’ Global Theme Issue on Poverty and Human Development is available at
http://www.councilscienceeditors.org/globalthemeissue.cfm.
More information about the NIH Global Theme Issue event, 10 a.m. (ET) Monday, October 22, 2007, is available at http://www.fic.nih.gov/news/events/cse.htm.
For More Information: Contact the JAMA/Archives Media Relations Department at 312/464-JAMA (5262) or email: mediarelations{at}jama-archives.org.
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Embargoed for Early Release: 9:00 a.m. CT, Monday, October 22, 2007
Media Advisory: To contact Annette Flanagin, R.N., M.A., or Margaret A. Winker, M.D., call Jim Michalski at 312-464-5785. To contact Robert B. Eiss, M.A., or Roger I. Glass, M.D., call Ann Puderbaugh at 301-402-8614.
JOURNALS COLLABORATE TO INCREASE AWARENESS OF WORLDWIDE PROBLEMS OF POVERTY AND HUMAN DEVELOPMENT
CHICAGO—More than 200 medical and scientific journals from 34 developing and developed countries are simultaneously publishing articles on poverty and human development to raise awareness and disseminate research about this critically important global topic, according to two editorials in the October 24/31 issue of JAMA. This Global Theme Issue is coordinated by the Council of Science Editors. Seven of these studies will be presented today at the National Institutes of Health. A live webcast of these presentations is available at http://videocast.nih.gov/summary.asp?live=6239.
The articles in this week’s issue of JAMA focus on a range of poverty- and development-related topics and include reports of new research addressing the need to target funding and programs for the poor. There are also commentaries on microfinance programs and health; China’s health care system; health effects of declining U.S. income; innovation, licensing and global health; and disseminating global health change.
"We hope the articles and new research published this week by the world’s scientific journals will demonstrate the burgeoning success of efforts to conduct rigorous research on the health needs of the poor, to provide evidence-based solutions, and to target future funding and research on effective development programs that aim to reduce poverty and improve global health," write Annette Flanagin, R.N., M.A., and Margaret A. Winker, M.D., of JAMA.
"This issue of JAMA, along with simultaneous publications of numerous articles in the many other journals participating in the global theme issue, provides a unique forum to address the health and development issues facing billions of individuals burdened and disabled by poverty around the world. Breaking the cycle of disease and poverty and reducing health inequities will require a concerted commitment to create and apply knowledge to improve the capacity of individuals, communities, and health systems to meet global health needs. The international climate has never been more favorable nor the timing more urgent," write Robert B. Eiss, M.A., and Roger I. Glass, M.D., of the Fogarty International Center, National Institutes of Health, Department of Health and Human Services, Bethesda, Md.
(JAMA. 2007;298(16):1940-1942. Available pre-embargo to the media at www.jamamedia.org)
Editor's Note: Please see the editorials for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.
More information about the Council of Science Editors’ Global Theme Issue on Poverty and Human Development is available at
http://www.councilscienceeditors.org/globalthemeissue.cfm.
More information about the NIH Global Theme Issue event, 10 a.m. (ET) Monday, October 22, 2007, is available at http://www.fic.nih.gov/news/events/cse.htm.
For More Information: Contact the JAMA/Archives Media Relations Department at 312/464-JAMA (5262) or email: mediarelations{at}jama-archives.org.
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Embargoed for Early Release: 9:00 a.m. CT, Monday, October 22, 2007
Media Advisory: For more information, contact JAMA/Archives Media Relations at 312-464-JAMA (5262) or email mediarelations{at}jama-archives.org.
ARCHIVES JOURNALS HIGHLIGHT SURGICAL OUTREACH TO POOR COMMUNITIES
CHICAGO—Medical outreach efforts integrating surgical assistance with the care of local physicians in Zimbabwe and rural China are highlighted in articles released today from Archives of Ophthalmology and Archives of Facial Plastic Surgery, two of the JAMA/Archives journals. The articles were released along with articles from more than 200 other journals participating in a Global Theme Issue on the theme of Poverty and Human Development, coordinated by the Council of Science Editors. Presentations based on some of the articles in this Global Theme Issue will be webcast live from the National Institutes of Health (http://videocast.nih.gov/summary.asp?live=6239).
PHYSICIANS SUCCESSFULLY TRAINED TO PERFORM CATARACT SURGERY IN RURAL CHINA
Patients in rural China who received cataract surgery from specially trained non-ophthalmologists had improved vision 10 to 14 months following surgery, according to an article that will appear in the November 2007 print issue of Archives of Facial Plastic Surgery, one of the JAMA/Archives journals. Annette M. Pham, M.D., and Travis T. Tollefson, M.D., of the University of California, Davis Medical Center, Sacramento, report that primary and secondary cleft lip and palate repairs were completed without complications. "The cooperation among the Zimbabwean administration, physicians and nurses was integral to the organization and successful execution of this reconstructive surgical mission," the authors write. "Ultimately, until the socioeconomic conditions improve in Zimbabwe, training and continuing education of local physicians are imperative to advance the care of children with cleft lip and palate."
In a second paper based on the same study, Nathan G. Congdon, M.D., M.P.H., also of the Chinese University of Hong Kong, and colleagues determined that although 87 percent (151 of 174 examined patients) of the patients’ vision could be further improved with glasses, only 53 patients (35 percent) accepted prescriptions, with most citing a lack of perceived need. In addition, only 48 percent of patients opted to have surgery on their second eye; most refused because of cost. "Programs to improve service uptake should focus on reading glasses and cost-reduction strategies such as tiered pricing," the authors conclude.
(JAMA. 2007;125(11):(doi:10.1001/archophthalmol.125.11.eeb70013 and 10.1001/archophthalmol.125.11.eeb70014). Available pre-embargo to the media at www.jamamedia.org)
Editor's Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.
EDUCATING LOCAL PHYSICIANS KEY TO CARE OF CHILDREN WITH CLEFT DEFORMITIES IN ZIMBABWE
A surgical team that traveled to Zimbabwe successfully treated 39 children with cleft lip or palate, and an ongoing relationship with physicians there will help meet the needs of local patients, according to an article that will appear in the November/December 2007 print issue of Archives of Ophthalmology. After six months of intensive training, two local physicians who had not previously performed eye surgery operated on 313 patients in 2005. Dennis S. C. Lam, M.B.B.S., M.D., of the Chinese University of Hong Kong, and colleagues conducted follow-up examinations with 176 patients. "More than 85 percent of the eyes in this study were blind prior to surgery, and nearly 96 percent had best-corrected visual acuity of 6/18 or better, a visual outcome identified by the World Health Organization as indicative of ‘good’ results for cataract surgery," the authors write. "These results confirm the effectiveness of skill transfer in this setting, with superior outcomes to most studies in rural Asia and to eyes in this cohort operated on at other facilities."
Discussions of global health typically revolve around infectious diseases such as AIDS and malaria, but surgery should also be a key component of medical outreach efforts, writes Wayne F. Larrabee Jr., M.D., editor of Archives of Facial Plastic Surgery, in an accompanying editorial. "While solutions to these global epidemics are being vigorously pursued with scientific research and socioeconomic interventions, we would, however, make a gentle plea for programs directed to the victims of war and violence, children born with congenital defects and others who have diseases and disorders that require surgical treatment."
(JAMA. 2007;9(6):(doi:10.1001/archfacial.9.6.qsp70001 and 10.1001/archfacial.9.6.qed70001). Available pre-embargo to the media at www.jamamedia.org)
Editor's Note: Please see the article for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.
More information about the Council of Science Editors’ Global Theme Issue on Poverty and Human Development is available at
http://www.councilscienceeditors.org/globalthemeissue.cfm.
More information about the NIH Global Theme Issue event, 10 a.m. (ET) Monday, October 22, 2007, is available at http://www.fic.nih.gov/news/events/cse.htm.
For More Information: Contact the JAMA/Archives Media Relations Department at 312/464-JAMA (5262) or email: mediarelations{at}jama-archives.org.
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JAMA REPORTS
VIDEO: Windows Media | Quicktime
FOCUS ON POOREST CHILDREN’S ENVIRONMENT AND NUTRITION COULD SAVE TWO MILLION LIVES A YEAR IN DEVELOPING COUNTRIES
INTRO:
A new study is the first to measure the impact of environment plus nutrition on saving poor children’s lives in developing countries. The researchers say focusing on those things, and targeting the poorest of the poor, could save two million lives a year. Mavis Prall explains in this week’s JAMA Report.
VIDEO:
B-ROLL
Children living in poverty in developing countries
Kenya video provided by Center for Rural Strategies
Asian Kids washing hands
Asian Video provided by UNICEF
AUDIO:
IN POOR, DEVELOPING COUNTRIES, CHILDREN FACE MANY CHALLENGES TO GROWING UP HEALTHY. A NEW STUDY SAYS FOCUSING ON A FEW SPECIFIC ISSUES CAN DRAMATICALLY REDUCE THE NUMBER OF CHILD DEATHS.
VIDEO:
SOT/FULL
@: 12
Super: Majid Ezzati, Ph.D.
Harvard School of Public Health
Runs :08
AUDIO:
"One of the best ways to save children’s deaths is actually dealing with things that happen in their household, their environment and their nutrition, above and beyond healthcare."
VIDEO:
B-ROLL
Dr. Ezzati working at computer
Pan from Dr. Ezzati to world map
GFX/JAMA COVER
AUDIO:
DR. MAJID (ma-JEED) EZZATI (eh-ZAH-tee) OF HARVARD SCHOOL OF PUBLIC HEALTH WAS ONE OF THE RESEARCHERS WHO STUDIED DATA ON HOW CHILDREN LIVE AND DIE IN PLACES LIKE SUB-SAHARAN AFRICA, SOUTH ASIA AND LATIN AMERICA. THEIR FINDINGS APPEAR IN A POVERTY AND HUMAN DEVELOPMENT THEME ISSUE OF JAMA, JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION.
VIDEO:
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Majid Ezzati, Ph.D.
Harvard School of Public Health
Runs :08
AUDIO:
"I don’t think it’s a surprise to people that you can save children’s lives by giving them cleaner environment or better nutrition."
VIDEO:
B-ROLL
Children in Latin America
Latin America Video provided by UNICEF
Water treatment in Asia
Woman washing clothes
Child crawling in street in Africa
Family cooking in Africa
Slums of Nairobi
AUDIO:
BUT WHAT IS A SURPRISE IS HOW MANY LIVES CAN BE SAVED BY PROVIDING CLEAN WATER, PROPER WASTE DISPOSAL AND CLEAN-BURNING COOKING FUEL, PACKAGED ALONG WITH PROPER NUTRITION, SUCH AS ENCOURAGING BREASTFEEDING AND A MORE BALANCED DIET. DR. EZZATI SAYS FOCUSING ON THESE THINGS COULD PREVENT ABOUT A QUARTER OF THE WORLD’S CHILD DEATHS, IF THESE INTERVENTIONS ARE AIMED AT THE POOREST OF THE POOR.
VIDEO:
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Majid Ezzati, Ph.D.
Harvard School of Public Health
Runs :10
AUDIO:
"The issue is not whether a child needs the intervention or not, the issue is how badly they need it to save their, to stop their death."
VIDEO:
B-ROLL
Alley in Nairobi
People in Latin America
AUDIO:
DR. EZZATI SAYS THERE IS A LOT OF NEEDED AID GOING TO POOR COUNTRIES, BUT HE RECOMMENDS CHANGING THE FOCUS OF THAT AID.
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Majid Ezzati, Ph.D.
Harvard School of Public Health
Runs :12
AUDIO:
"What we are asking in this is not necessarily more resources for this but better packaging of those resources and better delivery of it, and better monitoring and evaluation of who is receiving them."
VIDEO:
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Children in Latin America
AUDIO:
THIS IS MAVIS PRALL WITH THE JAMA REPORT.
TAG:
To conduct this study, the researchers analyzed survey data from forty-two developing countries, as well as data from the World Health Organization and existing studies. For more information, visit www.jama.com.
