35 research outputs found

    Cuba y seguridad sanitaria mundial: Cuba’s role in global health security

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    Cuba has been largely absent in academic and policy discourse on global health security, yet Cuba's history of medical internationalism and its domestic health system have much to offer contemporary global health security debates. In this paper, we examine what we identify as key traits of Cuban health security, as they play out on both international and domestic fronts. We argue that Cuba demonstrates a strong health security capacity, both in terms of its health systems support and crisis response activities internationally, and its domestic disease control activities rooted in an integrated health system with a focus on universal healthcare. Health security in Cuba, however, also faces challenges. These concern Cuba's visibility and participation in the broader global health security architecture, the social controls exercised by the state in managing disease threats in Cuban territory, and the resource constraints facing the island - in particular, the effects of the US embargo. While Cuba does not frame its disease control activities within the discourse of health security, we argue that the Cuban case demonstrates that it is possible to make strides to improve capacity for health security in resource-constrained settings. The successes and challenges facing health security in Cuba, moreover, provide points of reflection relevant to the pursuit of health security globally and are thus worth further consideration in broader health security discussions

    Effect of perch access on perching, health and production outcomes in commercial broiler breeder flocks.

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    There is a need for more knowledge about perch use in broiler breeders and the potential effects of perches on health and production outcomes. The aim of this study was to investigate the use of perches by commercial broiler breeders, effect of perch access on keel bone fractures (KBF), footpad dermatitis (FPD) and number of floor eggs. Two commercial breeder flocks (Ross 308) reared at the same facility were observed during the production period. Half of each flock was provided with 15 cm perch/bird and the other half had no perches. The perch group had two types of perches; a steel plate mounted on the hen feeder lines "feeder perch" (15 cm high) and elevated plastic perches (5 cm high). Perching by hens and roosters was recorded during the dark period by counting birds on each of the two perch types in 10 sections and in the corresponding patches on the control side at 25, 35, and 45 wk of age (WOA). FPD was scored in 100 random hens in each group at 30 WOA and end of lay, KBF was scored by postmortem in 100 random hens in each group at end of lay, and number of floor eggs (n) in each treatment was scored daily. More hens perched on the feeder perch with the steel plate mounted, compared to the feeder line without the steel plate, but this difference decreased with age (P < 0.0001). Within the perch treatment, more hens perched on the feeder lines compared to the plastic perches at all ages (P < 0.0001). When combining number of hens on the plastic and feeder perches, on average 6.7 birds perched per meter perch, which is full capacity given an average shoulder width of 15 cm/bird. Perch use among the roosters was low overall, but more roosters perched in the perch group compared to the control group at 35 WOA (P = 0.007). Between 47 and 53% of the hens had KBF at the end of the lay. At 30 WOA, birds housed with perches were more likely to have lower FPD. Perch treatment did not affect number of floor eggs. In conclusion, broiler breeder hens perch when the perches are sufficiently high and allow all birds to perch simultaneously, and access to perches may have positive effects on FPD

    Action to protect the independence and integrity of global health research

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    Storeng KT, Abimbola S, Balabanova D, et al. Action to protect the independence and integrity of global health research. BMJ GLOBAL HEALTH. 2019;4(3): e001746
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