Dr. Kishor Wasan - Neglected Global Diseases Initiative
Canadian Academy of Health Sciences Dr. Kishor Wasan, R.Ph., Ph.D., FAAPS, FCAHS Neglected Global Diseases Initiative December 8, 2010 Call for Evidence …..
What are the pressing global health challenges that Canada could have the most impact in addressing?Provide continued focus on the Millennium Development Goals #1 – Eradicate Extreme Poverty and Hunger • Scale up of nutritional, especially micronutrient, interventions #4 – Reduce Child Mortality • Support vaccine development #5 – Improve Maternal Health • Build human resource capacity for midwives and CSW’s from LCIM’s • Build health systems capacity through innovative mHealth initiatives #6 – Combat HIV/AIDS, Malaria and Other Diseases • Neglected tropical diseases • Support vaccine and drug development through accelerator programs • Educate next generation of LCIM researchers for global health challenges
What do you see as Canadas current strategic role in global health? What could/should it be? Canada’s current strategy is hard to pinpoint – as it addresses global health through foreign affairs with development research and direct aid. There is also the possibility that it may not be based purely on humanitarian objectives related to human security but rather more closely with Canada’s military security and trade interests.1 A focused strategy based on the expertise of Canadian researchers and innovators and directed to very specific regions with clear cut goals may increase impact. More focus on funding a discovery, development and delivery paradigm. A continued focus on knowledge translation from funded research will encourage continued innovation and accelerate movement of technologies to LMIC’s where they are needed most. More emphasis should be placed on infrastructure (water & sanitation) innovation. Exchange programs for the education of health workers and scientists is critical and well within our present capacity, however, foreign education must no longer contribute to the drain on health care workers in LMIC’s. Therefore close alignment and understanding of health systems in partnering countries is imperative. 1. J. Spiegel, R. Huish. 2010 Canadian Foreign Aid for Global Health: Human Security Opportunity Lost. Canadian Foreign Policy. Pp 60-84.
How do various sectors enable Canada’s role in global health?Academia – Major innovation, basic science growth, large scale projects, studentsas change agents, interdisciplinary strength and strong partnerships withinternational universitiesGovernment – Direct funding, strategic leadership and world presenceBusiness and Technology – Public private partnerships, venture capital and publicimage attainmentNon Governmental Organizations – Field level networks, specific disciplinestrength, grass roots involvement and good public perception
What steps could be taken to leverage Canada’s impact in global health?Capacity building• Fund Network of Excellence in Global Health ($10-20M around major university global health programs)• Track and create open source inventory of past research initiatives and partnerships and accelerate existing initiatives with potentialResearch• Vaccine development• Support programs in delivery research (operational, implementation and health systems), which aid adoption of interventions• Support collaborations that focus on discovery, development and delivery.Education• Increase accountability of exchange programs to make sure that training is relevant to the scientific milieu within the country of origin.• Fund new programming in comprehensive global health training incorporating cross-disciplinary education
What are some recent success stories of Canada’s role in global health?• Humanitarian relief in Haiti and Pakistan• Nutrition supplementation programs – Zinc in Bangladesh (C. Larson), Sprinkles program (S. Zlotkin)• Universities Allied for Essential Medicines role in changing the intellectual property landscape (strong UBC chapter)• Healthy Child Uganda (J. Brenner & Cdn Pedatrics Society)• Safe Motherhood in Uganda (J. Chamberlain)• Grand Challenges Canada• Millennium Goal Commitments• Canadian Coalition of Global Health Research