The New York Times, October 2015
"What if there were a remedy that could save more children...
Today, November 19, is World Toilet Day. But unless you only plan on using the toilet once a year, we think it makes sense to celebrate this unsung hero every day.
That’s why today, without further a-doo, we launch our long-awaited 2014 calendar! “Oh, the places we go: Public health’s humble hero” will help you celebrate the toilet every day of the year. Print it out, hang it proudly in your cube (or bathroom), and share with friends!
We couldn’t have done it without the photographers who helped us cause a commode-tion by submitting their photos through social media. Check out all the amazing contest entries on our “Places We Go” Pinterest Board.
Though we loved each contribution, in the end, we could only feature a handful of photos in the calendar. What inspired the winners to celebrate the toilet in the first place? Let’s hear from some of the photographers themselves.
I was inspired to take this photo purely by the fact that someone had taken the care to create such a peaceful, natural & colourful environment in a basic public toilet at a small petrol filling station in the middle of nowhere in the UK. I am pleased that my picture will rub shoulders with other images so diverse as those from far reaching places throughout the world. I am also proud & excited to be part of a wonderful organization bringing sanitation awareness of a global concern to the rest of the world.
- David Ditchfield
After hiking for several hours up a treacherous, rocky trail, with no light but moonlight to guide us, my friends and I arrived at the top of Mount Sinai. We huddled together in the darkness, shivering against the freezing wind, waiting for the sunrise. Slowly, but surely, the sun came up. It was a mediocre display at best. Still, being atop a mountain and surrounded by ancient history felt pretty damn cool. But nothing could compare to the moment when light flooded over everything and there, perched so precariously, perfectly, was a loo!
When you spend your days working to increase sanitation access, and you've spent many a day "in the field" without it, you gain a true appreciation for the glorious, glorious toilet. You learn that it provides dignity to a family, privacy to the vulnerable, all the while protecting health, and the environment as well. It's the shit, really.
What's better than a pretty picture of a toilet? One that's shaped like a toilet seat and you can hang on your wall. Your bathroom wall, of course.
- Genevieve Kelly, PSI
I am an advocate of global sanitation because I have lived through the difficulties of lacking proper sanitation services, and seeing the effects of poor sanitation to community and in the overall countries’ economic development.
The idea behind the pictures with zebra in the back ground occurred as we were on a road trip and came across some wildlife. We thought, “What happens to all the tourists who visit our countries’ wildlife, and especially when they have to answer the call of nature?” Sadly, in those cases open defecation is the solution, or some quickly dug-up hole in the ground. A real solution is needed in addressing this issue to avoid cross-contamination of the species, and that’s why we feel the Banza toilet addresses it very well.
We are very excited as an organization (Banza Ltd) to be featured in this calendar, as we are working towards addressing the global issue of over 2.5 billion people without proper access to sanitation services. Our aim is to provide a new and better option of sanitation service through the Banza toilet.
- Patrick Kiruki, Banza Ltd.
I take pictures of school toilets regularly; I like to think that I have the biggest collection of pictures of toilets in the world (or one of the biggest) since I have been taking pictures of them for over 15 years as part of my job as a school health expert currently with Save the Children and previously at the World Bank. I visit schools to ensure to that school children have access to basic health such as health education and healthy environments. It is quite depressing to see the facilities that children have to use; my picture from Mozambique shows an innovative and sustainable attempt at privacy but inside the straw walls, the lack of regular cleaning makes the use of the toilets hard to imagine. Even worse for a menstruating girl! I’m glad that the need for better sanitation is being highlighted through this calendar and that one of my pictures will be featured – I’ve been wanted to share my “toilet” collection with others for many years so this is a first step.
- Seung Lee, Save the Children
I took the photo during a camping trip with California Overland Jeep Excursions. I wanted to remember this quaint facility for its simplicity and the serenity I found, after a use or two!
I am excited to be chosen because all the photos were great. When the calendar arrives, I may throw a "potty"!
Many people are unaware of health issues that can often easily be eradicated by supporting organizations who work on justice issues. Intentions are good; actions are better!
- Lisa WhiteRead more
The theme for World Pneumonia Day this year is innovation, which has been instrumental in the progress made against childhood pneumonia to date—and is key to enabling future success against this top childhood killer. To mark World Pneumonia Day, global health activists came together to call on leaders to scale up investment and support for existing interventions to defeat pneumonia and new innovations that can accelerate progress toward the finish line. In the spirit of this call, I thought I’d reflect on some ways that stepping off the beaten path has led to accomplishments and opportunities in the fight against this complex and powerful disease.
Perhaps the biggest reason to celebrate is that child deaths from pneumonia are dropping. Indeed, the disease still kills more children less than five years of age than any other disease worldwide (mostly in the developing world), but it is giving ground. Between 2000 and 2012, childhood pneumonia deaths fell by 35 percent—that’s 1.8 million deaths down to 1.1 million, respectively. That’s progress!
Helping to save these lives have been innovative efforts within the global health community to speed access to lifesaving prevention and treatment tools in populations traditionally left behind. One such success story is the record time with which vaccines against pneumococcus, the most common cause of severe childhood pneumonia, have rolled out in the developing world following their introduction in the industrialized world. This is due, in large part, to the creativity of the GAVI Alliance and other global health donors in finding innovative ways to finance introduction and to work around affordability and supply barriers that traditionally preclude vaccine access in low-resource countries. Today, GAVI is on course to help more than 50 low-income nations introduce lifesaving pneumococcal vaccines by 2015.
In addition to existing interventions, cutting edge science is advancing the development of new vaccines designed specifically to meet the health and cost needs of the developing world over the long term. These include novel vaccines that could provide affordable, broad coverage across all of the many varieties of the pneumococcal bacterium, in contrast to currently licensed vaccines that provide limited coverage. Other vaccines in the development pipeline are combining existing and new technologies to boost affordability and protection.
Beyond scientific advancements, a revolutionary strategy is gearing up to have enormous impacts on child survival by integrating the fights against pneumonia and another leading child killer, diarrhea. Together, these diseases account for roughly one third of all child deaths worldwide. Guiding the strategy is the Global Action Plan for the Prevention and Control of Pneumonia and Diarrhea released this year, which calls on national governments and donors to integrate and scale up prevention and treatment interventions to tackle these diseases simultaneously.
What makes this approach so promising is that many of the interventions for both diseases either overlap or complement each other—conserving resources and maximizing efficiencies in even the most resource-poor settings. The suite of interventions includes basic sanitation, safe drinking water, handwashing with soap, good nutrition, antibiotics, exclusive breastfeeding, clean cook stoves, antibiotics, zinc, and oral rehydration solution. If access to these cost-effective interventions continues to improve in the poorest communities around the world, more than two million children can be saved by 2015.
With so many children dying each year due to pneumonia and diarrhea, the immense human toll can take one’s breath away. The good news is that innovative tools and strategies are helping to reduce child mortality, giving increasingly more children a reason to breathe a sigh of relief. Still, the road to finishing the job is long and complex and requires a good deal of creativity. But, just like pneumonia cannot be solved in a vacuum, innovation needs the free flow of information and ideas.
So, if you’re interested in ways to help, one easy way is by spreading the word. Be it in person, through social media, over the phone or email, or some other mode of communication, you can share information about the impacts of these diseases on children and the prevention and treatment strategies that work. Tell people about why integrating pneumonia and diarrhea interventions is so important for child survival in the poorest regions of the world. Encourage investment in the resources needed to fight these diseases. You might just enlighten some minds—a first step in laying the groundwork for innovation to sprout.Read more
Ask your average American about the biggest health challenges for children in poor countries, and you may hear a range of things. Two words you are not likely to hear are “pneumonia” and “diarrhea.” That is because many don’t know that pneumonia and diarrhea are two of the biggest killers of children under the age of five in the developing world. And even more don’t realize that we have many of the solutions we need to end these preventable deaths.
That is why, for the very first time, we at PATH are commemorating World Pneumonia Day (November 12) and World Toilet Day (November 19th) together. While one is a disease and the other a critical tool, in tandem they draw attention to an important point: pneumonia and diarrhea are best tackled together. And, many of the solutions—like certain vaccines, basic sanitation, handwashing with soap, safe drinking water, and adequate nutrition—help defeat both diseases.
On November 18th, PATH and partners will host a “game night” on Capitol Hill to educate Members of Congress and their staff about what it takes to tackle pneumonia and diarrhea in poor countries and specifically the vital contributions of the United States.
Our policy goals are serious, but we’ve found a fun way to focus attention on improving children’s health.
This event will be a celebration of what has been accomplished to drive down child morbidity and mortality over the past 20 years, and an opportunity to learn about needed investments to promote what we know works and where research is needed in a light, fun environment. Participants will play educational games (like “ORS/zinc ball toss” and “I spy health worker”) to figure out answers to scavenger hunt questions. Those who complete the scavenger hunt will receive our exclusive toilet calendar, ”Oh, The Places We Go: Public Health’s Humble Hero.”
By playing, Members of Congress and staff can learn about important investments to deliver lifesaving tools and the need to develop those we don’t yet have. It is our hope, that when budget season comes around, policymakers think back upon what they learned and protect precious programs that have such a critical impact on children and families around the world.
We also hope you’ll raise your voice with us and encourage policymakers to commit to take action to defeat diarrheal disease and pneumonia. Join the conversation on social media at #stateofplay.
-- Erin Fry Sosne, Advocacy and Policy Officer for Child Health, PATH
For more information:
· Earlier this year, WHO and UNICEF launched the Global Action Plan for the Prevention and Control of Pneumonia and Diarrhoea, the first ever plan to simultaneously tackle the two diseases.
· INFOGRAPHIC: Tackling the Deadliest Diseases for the World’s Poorest Children
Photo credit: PATHRead more
I took my son to the doctor recently. In one office, during one visit, he had a physical check-up, vision and hearing exams, and he received counseling on nutrition, and several vaccines. While to many parents around this world, this is unremarkable, for many more, this is impossible. Families relying on public health programs in low-resource countries can’t count on one-stop access to the basic services they or their children need.
This challenge is thoughtfully illuminated in a new briefing paper from Action for Global Health, Adopting a Child-Centered Approach: Integration for Maximizing Impact on Child Health. As the paper notes, families in low-resource countries encounter fragmented approaches, requiring them to go to different facilities for different needs, or to find no help at all for some diseases.
That is why the groups – PATH included – that collaborated on this report are urging integrated approaches. In particular, we recommend that donors create and support aid structures that encourage and enable integrated approaches to child health, particularly by supporting health systems and strategies focused on local needs and priorities.
Our recommendations build upon the pivotal action plan released this year by UNICEF and WHO: the Integrated Global Action Plan for the Prevention and Treatment of Pneumonia and Diarrhoea. The Global Action Plan calls on national governments and their partners (that is to say, their donors) to integrate their approach to fighting these diseases, for which the interventions to protect against, prevent and treat are complementary.
The groups involved in this briefing paper each have our own priorities – nutrition, malaria care, improving access to sanitation, defeating diarrheal disease, etc. – but we all agree that what matters most is that whatever ails them, children and their parents can access the care they need.
-- Eileen Quinn, Communications Director for the Vaccine Development Program at PATH
Photo credit: PATHRead more
October 31st was a big day for my country, Burkina Faso, because finally introduced vaccines against rotavirus and pneumococcal disease in our routine vaccination program! Thanks to these new vaccines, we will be able to save thousands of children’s lives.
As a pediatrician, not a single day goes by where I do not see children suffering from vaccine-preventable diseases, and specifically from pneumonia or diarrhea. Currently, thousands of children less than five years die each year from pneumonia and diarrhea in Burkina Faso, as well as in most countries in sub-Saharan Africa. In 2010, 21,764 child deaths were caused by pneumonia and 14,648 were caused by diarrhea in Burkina Faso. Today we know that prevention through vaccination is the most effective way to guard against these diseases.
As President of the Burkina Faso Pediatric Society (SO.B.PED), I would like to congratulate my Government on this major advancement that allows us to fight these two diseases, which are the most deadly among our children less than five years, and a true blight in our country. By introducing these vaccines together, Burkina Faso is taking a step forward in promoting the approach of the Integrated Global Action Plan for the Prevention and Control of Pneumonia and Diarrhea (GAPPD), which advocates for the introduction of both vaccines as part of a comprehensive and integrated strategy to combat these two diseases.
I rejoice that my country has finally introduced these long-awaited vaccines. Burkina Faso has just joined several other countries in the sub region that have already introduced these two vaccines, thanks to the support of the GAVI Alliance. Globally, 17 of the 48 countries that have introduced rotavirus vaccines into their national immunization programs, and 33 of the 72 countries that have introduced pneumococcal vaccines into their national immunization programs have done so with GAVI support. 18 other countries—17 in Africa—have been approved by GAVI for rotavirus vaccines support and another 18 countries—9 in Africa—have been approved for pneumococcal vaccines support. We sincerely hope that donors will continue to support the GAVI Alliance so that we can continue to benefit from their support for the introduction of new vaccines in our country as well as reduce the deaths caused by these vaccine-preventable diseases.
The Burkina Faso Pediatric Society (SO.B.PED) has been waiting for many years for this new victory for our children’s survival. Blowing out its 24th candle this year, the SO.B.PED is one of the oldest academic societies of Burkina Faso. It was founded in 1989 by ten pediatricians and now has over 70 active members scattered in 45 provinces. One of the first objectives mentioned in the statutes of our Society is to support the development of maternal and child health policies at national and regional levels. It is in this frame that we focus our advocacy efforts towards the introduction of new vaccines against the most deadly childhood diseases. When the Haemophilus influenza b vaccine was introduced in the routine immunization program in 2006, SO.B.PED leveraged this opportunity to multiply advocacy efforts towards decision-makers and partners. We did this during World Pneumonia Day in December 2010, and again at the UNAPSA Pan African Pediatric Congress in December 2011 in Ouagadougou. Today, our advocacy efforts are finally paying off!
SO.B.PED gathers for World Pneumonia Day
We must thank not only our leaders but also our numerous partners, donor countries and other donors, and especially the GAVI Alliance and its financial support, without which none of this would have been possible. I would also like to take this opportunity to thank our colleagues at PATH and IVAC/Johns Hopkins University for their assistance and support in our advocacy efforts.
As of October 31, 2013—the “D-Day” of the dual new vaccine launch under the patronage of the First Lady of Burkina Faso—our children will finally be protected against the two biggest killers of children under five: pneumonia and diarrhea. Now, it is up to us to ensure that the introduction and implementation of these vaccines are effective, successful, and sustainable.Read more