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Saturday, December 1, 2007

Nearly 10 Million Children Under 5 Die Each Year -- A Case of Benign Neglect


Kamrul Hassan recognized the signs. The fever, coughing and rapid breathing that afflicted his two-year old daughter, Sweety, were the same symptoms that killed his toddler son three years before. The 35-year-old farmer and father of three in rural Bangladesh knew his daughter needed help, and she needed it fast.


With the support of the American people, Sweety got the help that wasn't available to her brother. She was taken to see Montaj, a volunteer health worker in her village who had been trained through a USAID-funded program to diagnose and treat childhood illnesses like diarrhea and pneumonia, two of the top killers of young children in Bangladesh.

Sweety was diagnosed with pneumonia and given antibiotics, provided by the government of Bangladesh at a cost of a little more than thirty cents a treatment. Just a day later, Sweety was on the mend.She was fortunate; millions more children aren't as lucky. In fact, nearly 10 million children under 5 die each year from preventable or treatable causes like pneumonia and diarrhea.

Americans are a generous people. When we see tragedy unfold before us, we want to help. When the tsunami hit Southeast Asia in 2004, we reached into our wallets and contributed hundreds of millions of dollars. But the tsunami was a major event broadcasted into our homes every night. he tragedy of these lost children does not make the evening news. Their deaths are marked with benign neglect from the rest of the world. Yet, the childhood death toll is equivalent to that of the Southeast Asia tsunami striking children in poorer countries every nine days, year in and year out.


Legislation before the Congress can help to turn the tables on deadly disease and give children a stronger chance to survive.


The bipartisan U.S. Commitment to Global Child Survival Act provides us with the chance to make a major change for the better in this world. How many times in a year, in a decade, is there an opportunity to reshape the lives of children and families in the poorest countries while also reshaping how these people see our own country? The answer: not often. But we have that opportunity right now, if only our elected officials in Congress will show the foresight and resolve to approve this legislation.


Through this bill, we can come together with a single purpose: save the lives of children in the least-developed nations of the world. Children under the age of 5 are dying at a rate of nearly 27,000 a day from preventable and treatable causes. 27,000 children a day! And, nearly half of these deaths take babies less than a month old. We don't hear about this epic tragedy very often because it is happening a world away. It's time we opened our eyes to the world around us and put muscle behind solutions that we know can work.


The Global Child Survival Act would provide basic solutions to the places where they are most needed. Cost-effective and low-tech services like vaccinations, antibiotics, and a simple mix of water, sugar, and salts to treat dehydration can help prevent deaths from unthinkable causes like diarrhea and pneumonia. That's what makes this bill so compelling. We know these initiatives work. They are proven and they save lives. But they won't save the millions of newborns and young children whose lives hang in the balance unless Congress takes action and America leads the way.


It is time for the United States to reclaim its mantle as a global humanitarian and lead the way for the world to save children's lives. Millions of Americans have already endorsed the Child Survival Act. More than 200,000 letters have been sent to lawmakers on Capitol Hill. Members of Congress from both sides of the aisle have joined as cosponsors. We urge the House and Senate to move ahead on this bill and, more importantly, work to end this tragedy.

Strategic Decision Making


The Miami-based fruit juice company, DrinkWell, recently promoted their Marketing Director Maria to CEO. Maria has been with the company for 10 years and is credited with the marketing campaign that maintained DrinkWell’s steady performance. DrinkWell has been around for the last 25 years and is doing well; they have the market cornered on school vending machines and are sold in many area restaurants. The company runs like a well-oiled machine. However, Sam, recently hired as a regional sales manager, has begun questioning both the marketing campaign and the lack of creativity within the office; he believes that DrinkWell had to innovate or else they would not be able to compete any longer. The people who have been at DrinkWell for awhile do not like Sam and think that he is creating too much conflict. Maria does not like the conflict that Sam is causing but also thinks that he has some great ideas. However, because DrinkWell shows no signs of slowing down financially, any long-term benefit associated with implementing Sam’s ideas may not be worth the conflict that may ensue among employees. Breaking away from the established mold is just not the DrinkWell way. In order to help her solve this problem, Maria approaches you, a senior member of the board of directors, for advice.

HIV Testing of Pregnant Women and Newborns


Without medical intervention, an HIV-infected woman has about a one-in-four chance of giving birth to an HIV-infected baby. However, as a direct result of HIV testing and preventative therapies, the risk of HIV transmission from mothers to their infants in the United States has been dramatically reduced to less than two percent. The Foundation strongly believes we must continue to work toward further reductions in mother-to-child transmission of HIV. As recommended by the Centers for Disease Control and Prevention (CDC) and the Institute of Medicine (IOM), the Foundation endorses the voluntary, routine, and universal HIV testing of pregnant women as a means of increasing testing rates and further reducing transmission from a mother to her newborn.

Pediatric AIDS Organization Helps Launch Boane Clinic on World AIDS Day to Prevent and Treat HIV in Children and


Boane, Mozambique—A new health clinic opened today with support from the Elizabeth Glaser Pediatric AIDS Foundation will help HIV prevention and care and treatment services reach thousands more families in Mozambique.
Foundation President and CEO Pamela W. Barnes spoke at the new outpatient clinic’s inauguration on the 20th anniversary of World AIDS Day. Guests of honor included the governor of Maputo province, Mrs. Telmina Pereira, the administrator of Boane district, Cremilde de Costa Xavier, the chief medical doctor in Boane, Stelio de Mande, and the directors for Mozambique of the U.S. Centers for Disease Control and Prevention (CDC) and the U.S. Agency for International Development (USAID).

In her remarks, Barnes highlighted the progress the Foundation has witnessed in Mozambique. She also noted the continued need to reach mothers with services to prevent the transmission of HIV to their babies, and to provide care and treatment for infected children and their families. The pandemic continues to grow in Mozambique, where currently there are more than 73,000 children living with HIV.

“Once a child is receiving treatment, it is equally important to ensure that the mother will survive to raise her child, and the family remains strong,” Barnes said in her remarks. “The best medicine you can have for any child is a healthy mother and father to take care of that child.”

The Health Center in Boane, a district referral hospital outside the capital, Maputo, previously had very little space for counseling and treatment, as well as little privacy. The Foundation has helped construct three buildings with funds from the CDC and USAID to provide the new health clinic with space for services for the prevention of mother-to-child transmission (PMTCT), care and treatment, and a children’s clinic.

“The new facilities should encourage more patients and their families to come forward for HIV testing, counseling, and treatment,” said Ellen Warming, the Foundation’s country director for Mozambique, who was also in attendance.

The Foundation began working in Boane in 2006. To date, its PMTCT program has tested 1,699 pregnant mothers in the center for HIV, and has provided medicine to prevent HIV transmission to 191 newborns. There are 1,503 patients receiving care and treatment through the center, with 415 patients receiving antiretroviral treatment (ART), 37 of whom are children, and 7 of whom are pregnant mothers. The Foundation also trains community leaders, traditional birth attendants, and religious leaders to support families and ensure they come back for livesaving medicine and support.

The clinic opening ceremony was one of many pediatric advocacy events in Mozambique around World AIDS Day to inform the population about the availability of PMTCT and care and antiretroviral treatment for children and their families. The Foundation worked with each province and a total of 12 different community-based organizations to develop a range of activities in health facilities and public venues. Activities included debates led by mothers living with HIV/AIDS, educational theater, dance, song, film, games, sports, cultural events, and donations of toys and presents for children.

The Foundation began its collaboration with the Ministry of Health in Mozambique in 2004 by providing PMTCT services, and expanded to HIV care and treatment in 2006. As of September, the Foundation has provided more than 141,000 women in Mozambique with access to critical PMTCT services. It has also enrolled more than 20,300 adults and children into care and support programs, approximately 6,500 of whom have been initiated on antiretroviral treatment, including 310 children.

In Mozambique, the Foundation’s PMTCT program is funded by USAID through the President’s Emergency Plan for AIDS Relief (PEPFAR), and its care and treatment program is funded by the The U.S. Centers for Disease Control and Prevention through PEPFAR.