Noam Levey, who received a 2013 AHCJ Reporting Fellowship on Health Care Performance, recently reported on health care spending in Mozambique for the Los Angeles Times. In the piece, Levey pointed out that Mozambique’s economy is booming – but in contrast, its health care spending is lagging.
The decision to limit health resources had an especially profound effect in remote areas of Mozambique. Levey reported from Chokwe, a rural town about 100 miles north of the coastal capital of Maputo, and described a newborn baby boy who stopped breathing shortly after his birth, just before sunset.
Nurses were able to revive him with a ventilator and a suction machine. But if he had been born only two hours later, he would have died – limited resources mean the ward is staffed only until 7 p.m.
Ebola coverage has been ubiquitous, but fairly short on eyewitness perspective. This BMJ blog, “The Ebola Diaries,” gives readers on-the-ground insights from the front lines of Ebola treatment in West Africa.
The blog will follow eight British military doctors and their Ebola Virus Disease Treatment Unit (EVDTU). They arrived in Sierra Leone from Yorkshire two weeks ago, and will focus their treatment efforts on health care providers who might have contracted the virus. Here is a sample from their first post:
We have now been in Sierra Leone for two weeks, and been exposed to the usual frustrations of an emerging humanitarian operation: reduced communication; supply line difficulties; acclimatising to 80% relative humidity; and learning the local dialect, which lies somewhere between Brixton and Peckham. However, these difficulties are ameliorated by a sea view and friendly nurses!
Follow “The Ebola diaries” for weekly observations on treating Ebola in Sierra Leone.
(Hat tip to Dr. Mona Khanna for sharing the blog with us.)
Sometimes it’s difficult to get a handle on major health determinants in your community, and it’s even harder to make them come alive in a story. Straightforward statistics can be dry or intimidating, while percentages and frequencies might fail to resonate.
So how can you give your readers, viewers or listeners a little extra background information without boring them to sleep? Interactive atlases are an effective way to do this – they can provide stories with both images and some enriched perspective. November is National Diabetes Awareness Month, and mapping tools like the CDC Diabetes Atlas provide a visual representation of diabetes in the U.S. The Diabetes Atlas helps to illustrate both diabetes and its many determinants using four indicators:
- Diagnosed diabetes
- Diagnosed diabetes incidence
- Leisure-time physical inactivity
If you’ve ever wondered about the real impact of those little black-and-white nutrition labels, or felt that perhaps food labeling could be more meaningful, consider the results of a new study, published recently in The American Journal of Public Health.
A team of researchers from Johns Hopkins Bloomberg School of Public Health wanted to know what makes people change their habits – specifically, low-income black adolescents. In 2012 – the most recent year of CDC data – obesity was more prevalent among both African-Americans and low-income groups than the general population. (But remember that the relationship between income and obesity varies by poverty level, gender and race is a complicated one.)
Image by NIAID via Flickr
Word choice matters, especially when it comes to covering a deadly disease.
You may have heard the terms “infectious” and “contagious” being used interchangeably in Ebola stories. Even health professionals sometimes use them that way, and that is adequate in many instances. However, minor differences between the two terms may play a role in which one you decide to use in a story.
According to the CDC, contagious means the bacteria or virus can be transmitted from person to person (a communicable disease), and is quantified by R-nought – a mathematical construct that predicts the number of people a contagious individual will infect. Continue reading
It’s been said that fear travels faster than the virus.
This is true. Given that Ebola is less contagious than many other communicable diseases, it’s easier to catch Ebola panic than Ebola itself. But if you’re a health care journalist writing about Ebola or the Ebola response, it’s sometimes hard to tell the real stories from the sensationalism.
In light of the Ebola diagnosis of two Dallas health care workers and the CDC initially placing blame on a “breach in protocol,” the past couple of days have seen a flurry of inflammatory Ebola coverage that focuses on the negatives. One of these is a survey from National Nurses United, the largest nurses’ union in the U.S.: 80 percent of NNU nurses surveyed don’t feel they have received adequate Ebola training. New allegations have surfaced that nurses treating him “worked for days without proper protective gear and faced constantly changing protocols.” Additionally, there have been federal funding cuts to public health preparedness and response activities: $1 billion less in FY 2013 than in FY 2002, a year in which the nation dealt with 9/11 and the anthrax attacks, and anticipated the SARS epidemic of 2003. Continue reading