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Source:Huffington Post (AP Photo/ John Minchillo)

Source:Huffington Post (AP Photo/ John Minchillo)

Many people saw the television coverage of New York University Langone Medical Center’s evaluation of patients during Hurricane Sandy, including very sick newborns. While the evacuation appeared to be very well managed, it nonetheless presented significant challenges to administrators, staff, and rescue workers. Hospitals that took in these patients and those from Bellevue Hospital and the VA Hospital of Manhattan, as well as outlying nursing homes, were also confronted with how to accommodate more patients safely. While Sandy is behind us, the health care system in New York City continues to be stretched beyond capacity.

Tonight on Healthstyles, host Diana Mason, PhD, RN, talks with Kimberly Glassman, PhD, RN, Senior Vice President for Patient Services and Chief Nurse Officer at NYU Langone Medical Center, and Thomas Smith, DNP, RN, Senior Vice President and Chief Nurse Officer at Brooklyn’s Maimonides Medical Center, about their experiences during Sandy and the continuing impact of the storm on their institutions.

So tune in tonight on WBAI, 99.5 FM (www.wbai.org) at 11:00 PM;

Healthstyles is sponsored by the Center for Health, Media & Policy at Hunter College, City University of New York.

[caption id="attachment_5692" align="alignnone" width="570"] Source:Huffington Post (AP

Robert Bollinger, MD, MPH

Robert Bollinger, MD, MPH

This guest post is by Robert Bollinger, MD, MPHDirector and ProfessorJohns Hopkins University Center for Clinical Global Health Education (CCGHE). Dr. Bollinger is a Professor of Infectious Diseases in the Department of Medicine of the Johns Hopkins School of Medicine, with joint appointments in the Department of International Health of the Bloomberg School of Public Health and the Johns Hopkins School of Nursing.

The poorest communities of Africa, Asia and Latin America suffer from more than 80% of the global burden of disease and death. A major challenge to addressing this disparity is that these same communities have less than 10% of the worlds trained health care workers.  A recent study has estimated that, in these poor communities, between 50-80% of the times someone seeks a diagnosis, medication or other treatment for an illness, people receive these services from an untrained or poorly trained practitioner.  Billions of dollars are invested every year to provide access to treatment for diseases like HIV, malaria and TB. Yet, there are not nearly enough well-trained doctors, nurses, midwives and community health workers to ensure that these investments are well-spent and saving as many lives as possible.  
 
At the Johns Hopkins Center for Clinical Global Health Education, we are focused on leveraging innovative ways to use information communication technology (ICT), such as internet-based learning, telemedicine, smartphones and mobile tablets to address this need for training.  We have developed our own mobile health (mHealth) platform that uses regular cellphone, smartphones and tablets to train and empower health care workers in the most resource-limited communities in the world.  Our open-source platform called eMOCHA is supporting improvements in health care in 11 countries.  
 
The CCGHE, together with the Global Partnership Forum, the International Telecommunication Union, the WHO, the US CDC, the US National Institutes of Health, the mHealth Alliance, the Governments of Ethiopia, Uganda and Rwanda, as well as many other partners will be hosting a meeting called the GETHealth Summit, to discuss new innovations and opportunities to leverage ICT to improve training and support of health care workers around the world.  We look forward to a highly interactive format and welcome health care, IT and education innovators, leaders and other stakeholders from around the world to join us in New York at the United Nations on February 6 and 7 for the GETHealth Summit.  You can register and learn more about the Summit here.  

[caption id="attachment_5681" align="alignleft" width="140"] Robert Bollinger, MD,

Anger and shame: Irish women protest following the death of Savita Halappanavar  Source: The Telegraph; Photo: AFP/Getty Images

Anger and shame: Irish women protest following the death of Savita Halappanavar Source: The Telegraph; Photo: AFP/Getty Images

I’m tempted to say that Savita Halappanavar died at University Hospital Galway in Ireland from a 17-week, wanted pregnancy that went awry. But it’s more accurate to say that she died in a Catholic country from a policy that deemed the heartbeat of a dying fetus to be more important than the life of its mother. Some may argue that Halappanavar would not have died had she been in a U.S. hospital, but after the wrangling over reproductive rights in the last year’s national elections I think she very well could have.
Halappanavar was 31 years old when she was admitted to University Hospital Galway for back pain. According to the Irish Times, she presented fully dilated and leaking amniotic fluid. When she was told that a miscarriage was in process, she requested that the pregnancy be terminated. But the fetus still had a heartbeat, her doctors said, which meant in that Catholic hospital and country that terminating the pregnancy was not permissible. It didn’t matter that she was not Catholic. Three days later, the fetus died and Savita Halappanavar was admitted to the intensive care unit, where she died of septicemia.

Abortion is illegal in Ireland, except to save the life of the mother. But, as noted in a 2010 report by Human Rights Watch, that country rarely supports this exception. Marianne Møllmann of Amnesty International maintains that health professionals in Ireland want clarity on when they can intervene in cases like Halappanavar’s without fear of criminal prosecution. Indeed, in the case of Halappanavar, the hospital and its clinicians essentially invoked a “conscience clause” that provides health care providers to opt out of intervening in ways that they find morally objectionable. Dr. Jen Gunter, an OB-GYN physician, has suggested that the clinicians didn’t intervene because they did not want to be judged as violating the country’s abortion laws and criminally prosecuted. She argues that Halappanavar’s symptoms should have assured that she receive pain medication and a termination of the pregnancy immediately to prevent sepsis.

Could this happen in the United States, where abortion is legal?

Anger and shame: Irish women protest following the death of Savita Halappanavar  Source: The Telegraph; Photo: AFP/Getty Images

Anger and shame: Irish women protest following the death of Savita Halappanavar Source: The Telegraph; Photo: AFP/Getty Images

I’m tempted to say that Savita Halappanavar died at University Hospital Galway in Ireland from a 17-week, wanted pregnancy that went awry. But it’s more accurate to say that she died in a Catholic country from a policy that deemed the heartbeat of a dying fetus to be more important than the life of its mother. Some may argue that Halappanavar would not have died had she been in a U.S. hospital, but after the wrangling over reproductive rights in the last year’s national elections I think she very well could have.
Halappanavar was 31 years old when she was admitted to University Hospital Galway for back pain. According to the Irish Times, she presented fully dilated and leaking amniotic fluid. When she was told that a miscarriage was in process, she requested that the pregnancy be terminated. But the fetus still had a heartbeat, her doctors said, which meant in that Catholic hospital and country that terminating the pregnancy was not permissible. It didn’t matter that she was not Catholic. Three days later, the fetus died and Savita Halappanavar was admitted to the intensive care unit, where she died of septicemia.

Abortion is illegal in Ireland, except to save the life of the mother. But, as noted in a 2010 report by Human Rights Watch, that country rarely supports this exception. Marianne Møllmann of Amnesty International maintains that health professionals in Ireland want clarity on when they can intervene in cases like Halappanavar’s without fear of criminal prosecution. Indeed, in the case of Halappanavar, the hospital and its clinicians essentially invoked a “conscience clause” that provides health care providers to opt out of intervening in ways that they find morally objectionable. Dr. Jen Gunter, an OB-GYN physician, has suggested that the clinicians didn’t intervene because they did not want to be judged as violating the country’s abortion laws and criminally prosecuted. She argues that Halappanavar’s symptoms should have assured that she receive pain medication and a termination of the pregnancy immediately to prevent sepsis.

Could this happen in the United States, where abortion is legal?