Micronesian Migrants in Hawaii: Health Issues and Culturally Appropriate, Community-Based Solutions

More than 20,000 Micronesians have migrated to Guam, Hawaii, or the Commonwealth of the Northern Mariana Islands. Of these migrants, more than 8,000 now live in Hawaii. Factors in their home islands driving the recent emigration include the limited economic resources and struggling health care systems. Education systems in Micronesia are inadequate, and there are few job opportunities. The rates of infectious diseases remain high while at the same time, the epidemiologic transition in health has led to an explosion of non-communicable diseases. In Hawaii, the impact of the Micronesians emigration has been significant with most health and education expenses un-reimbursed. The health care costs alone are substantial as many Micronesians travel to Guam or Hawaii for medical treatment unavailable in their home islands. At the same time, Micronesians have difficulty accessing and navigating the health care system. While governmental, private, and academic programs already provide innovative and communitybased services to the Micronesian population, more work remains to be done. Not only are additional services, tailored to the culture and needs of Micronesian migrants, needed but a keener awareness and understanding of the issues surrounding Hawaii’s migrant population must be promoted among all public health stakeholders to ensure that the priority necessary to successfully address these challenges is recognized

Maintaining population health in low‐ and middle‐income countries during the COVID‐19 pandemic: Why we should be investing in Community Health Workers

Community health workers in low- and middle-income country primary health care systems are well suited to perform essential functions on the frontlines of Covid-19 pandemic responses. However, clear and coordinated guidance, updated infection control training, and reliable access to personal protective equipment must be ensured in order to deploy them safely and effectively. With these additional responsibilities, community health workers must also be supported to ensure that hard-fought gains in population health, including progress on non-communicable diseases, are sustained throughout the pandemic

ACTwatch 2009 Supply Chain Survey Results, Benin

In Benin, as in many low‐income countries, private commercial providers play an important role in the treatment of malaria.  To design effective interventions for improved access to accurate diagnosis and effective malaria treatment, there is a need to understand retailer behaviour and identify the factors that influence their stocking and pricing decisions.  Private commercial retailers are the last link in a chain of manufacturers, importers and wholesalers and their supply sources are likely to have an important influence on the price and quality of malaria treatment that consumers can access.  However, there is limited rigorous evidence on the structure and operation of the distribution chain for antimalarial drugs that serves the retail sector. The ACTwatch Supply Chain Study, one of the ACTwatch project components, aims to address this gap by conducting quantitative and qualitative studies on distribution chains for antimalarials in the ACTwatch countries (Benin, Cambodia, the Democratic Republic of Congo (DRC), Madagascar, Nigeria, Uganda and Zambia).  Other elements of ACTwatch include Retail Outlet and Household Surveys led by Population Services International (PSI).  This report presents the results of a cross‐ sectional survey of antimalarial drug wholesalers conducted in Benin in June 2009

Diet Composition of Six Anuran Species (Amphibia: Anura) in Terminalia Forest, Mindanao Island, Philippines

The diet of six anuran species (Kaloula conjuncta, Philautus acutirostris, Polypedates leucomystax, Occidozyga laevis, Fejervarya cancrivora and Rana granducola) was determined using the gut content analysis. Nineteen food items were identified with Hymenoptera: Formicidae as the most frequently occurring food item appearing in the guts of 5 out of 6 species.  Coleoptera, Diptera, and Orthoptera followed appearing in 4 out of 6 species. The constantly frequent occurring food item for each species was: Hymenoptera for K. conjuncta and P. leucomystax; Hemiptera for O. laevis; and Orthoptera for R. grandocula. Degree of food preference (DFP) differed for each food item. Preferential food items (2<DFP<3) were Hymenoptera for K. conjuncta and P. leucomystax and Orthoptera for R. granducola. Presence of accidental occurrence and occasionally preferred food items was prominent in P. acutirostris. The occurrence of tadpole in the gut of O. laevis suggesting batracophagy is reported here. The recovery of food items that serve as bioindicators for water quality suggest that the water quality in the area was good. Thus, this study strongly supports the protection of the area for conservation of both anurans and their prey