Thankfully Sharing

Appreciation for international peers shows up with more than words. Perhaps we extend a cultural competence partnership. Perhaps we share business. For some of us, collective advocacy for a collective healthier public messages this gratitude.

Though it feels good to work alongside one another, it should also feel good to rest alongside one another.

And today, restful and productive, I share words in my space.

This is my space, and I am thankful for you here.

Because you share your countries and worlds and space with me, I thank you.

Happy Thanksgiving, friends all over the world.

Comments

Vaccination

Meet people where they are. Immunization is a cornerstone of public health and vaccination is an investment for the individual. The cornerstone is fractured when there is incongruence between medicine and public health. The investment is fractured when there is a disconnect between the individual and the public. Repair the fractured cornerstone. Be professional with the professional credentials handed. In a functioning, interdependent system, we would rely on scientific expertise for research and development of a tool, we would rely on medical expertise and diagnosticians to assess appropriateness of this tool to the individual, and we would rely on public health experts to bring the tool to people - where they are. We do not have a functioning, interdependent system in a world of discourse and inconsistent application of scientific concepts. While we cannot control the external energy, we can control how we meet people where they are. We should set expectations that those who lea

Experts and Regulation

For all the global health coordination, and all the international research collaboration, there is no movement toward scope of practice, labor regulation, prescribing regulation or biotechnological responsibility standardization. We should encourage measured progress toward accountability in medicine regulation, and we should do so with countries at the table. What are the medical professions, credentials, approved education and scope of practice in healthcare, per country? What are the community healthcare worker (CHW) roles if allowed, per country? What would countries like to see adjusted or mirrored? Which procedures are allowed for each healthcare profession? What are the rationales, inclusive of supply and demand and access issues? What are the differences in approvals and guidelines for medicine safety, and for who can prescribe what? What is the healthcare political climate in various countries and how does this affect decision making? What analytics are available for expa

Mortality Data Accuracy Aligns With Hope

Mortality data accuracy is a cornerstone of pandemic management, and it is a cornerstone of any health issue. COVID data inaccuracy offers tremendous opportunity to improve healthcare epidemiology sustainably. And we can improve only when welcomed into one another's national space and place. Mortality accuracy is challenging due to statistical logistics and geopolitics; it is also challenging due to sociocultural considerations. We don't really know how each affects accuracy of the mortality data . We don't know the weight of each consideration because we haven't properly assessed them. We have addressed some solutions for statistical logistics with COVID, such as improving real time data, use of EHR, use of cemetery and cremation data, use of excess death or other metrics, consistency to death definitions and strengthened regional epidemiology. We have addressed few solutions for geopolitics related to COVID. Most solutions rely on normalizing the experience of a

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