S7: 8:15 - 8:30 Videos
Presenter: Swapnil Parve, MD
Method: One short video will be shown, which supplement the themes of the other sessions. Time for group discussion is deferred.
Video to watch: https://youtu.be/0bnm__UPTRM
Objectives:
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Think about race and racism in the context of healthcare delivery and global health
1. Race Conscious Medicine: A Reality Check
From race-based to race-conscious medicine: how anti-racist uprisings call us to act. A Perspective in The Lancet, from Jessica P Cerdeña, Marie V Plaisime, and Jennifer Tsai.
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2. They don't want Africa to have its vaccines
African countries import 99% of their vaccines and although Africa has around ten vaccine manufacturers, most do not make a vaccine’s active ingredients, but instead ‘fill and finish’ imported products. A lack of manufacturing is one reason that only 11% of the continent’s people have been fully vaccinated against COVID-19. Mutual respect is a simple principle; Isn’t it about time?
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3. South Africa struggles to get vaccine while others have more than they need
In mid-May 2021, South Africa began vaccinating citizens over age 60 against COVID-19, the second group to be prioritized, after healthcare workers. Unfortunately, it has only vaccinated one percent of its population, and the demands are great. There are only 87 vaccination centers across the entire nation.
Supplementary materials:
Africa in Focus Vaccine Inequity: Ensuring Africa is not left out
S8: 8:30-10:30 Decolonization of Global Health
Lead: Mitra Sadigh
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Method: Interactive/Panel
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Introduction:
The colonizer mindset is alive and pervades academia, educational institutions, healthcare centers, and communities. We aim to shine a truthful light on a tragic past and present while evaluating components that both contribute to and help combat the savior complex model.
Learning objectives are to gain a rudimentary understanding of and exposure to:
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The history of European colonization and today’s neocolonialism
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The history of colonialism and racism in global health and its impact on the development and current global health practice
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Colonial/neo-colonial attitudes and practices in oneself, global health colleagues, and global health organizations
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The discussion around steps that could be taken toward decolonization, including creation of a Global South-led taskforce and a Global South-Global South empowerment model
Method:
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The moderator (Mitra Sadigh) will give an introductory presentation
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Brief presentations will then be given by panelists (Shalote R Chipamaunga, Fiona Makoni, Caryn Mhangara, Cladious Verenga, Samuel Luboga).
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Students will divide into groups to go over discussion questions which will then be discussed jointly with the panel.
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A Q&A will be held with the panelists.
Discussion Questions
1. How has today’s discussion encouraged reflection on elements of coloniality in previous travel, mission, and/or global health experiences you have had in the past?
2. In what ways do we perpetuate “a single story” in our communities and in the greater global health community? Who does this benefit? Who does this harm?
3. What can we do as individuals, communities, and institutions to combat the legacy of coloniality?
4. What can we do as individuals, communities, and institutions to combat the legacy of coloniality?
Link to PowerPoint presentation: TO BE HOSTED LATER
Supplementary Materials
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1. Chimamanda Ngozi Adichie: The danger of a single story | TED
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“Our lives, our cultures, are composed of many overlapping stories. Novelist Chimamanda Adichie tells the story of how she found her authentic cultural voice -- and warns that if we hear only a single story about another person or country, we risk a critical misunderstanding.”
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2. Eliminating the White Supremacy Mindset from Global Health
Annals of Global Health, May 17, 2022
“The term “decolonization” has been increasingly used to refer to the elimination of the colonial experience and its legacy. However, the use of this overarching term masks the real root of the problem. European countries, whose populations are majority white, used their assumed supremacy as justification for the colonization of current low- and middle-income countries (LMICs) where the majority of non-white people live. This clear overlap between geographic and skin color differences explains how the white supremacy ideology triggered European colonization.”
3. Eliminating the White Supremacy Mindset from Global Health
Lancet, November 21, 2020
“There are growing calls to decolonise global health. This process is only just beginning. But what would success look like? Will global health survive its decolonisation? This is a question that fills us with imagination. It is a question that makes us reflect on what Martin Luther King Jr saw when he said in 1968, in the last speech he gave before he was assassinated, that “I’ve been to the mountaintop…and I’ve seen the Promised Land.”’
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S9: 10:45-12:00 Beyond Rising Temperatures: Demystifying the Burden of Dengue Fever in our Changing World
Lead: Sonali Chaudhary
Method: Lecture
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Objectives:
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Describe the epidemiological determinants and clinical manifestations of Dengue.
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Explain the problem burden of Dengue
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State the public health significance of Dengue disease.
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Elaborate on climate change and its impact on Dengue epidemiology.
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Enlist the preventive and control measures for Dengue.
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Discussion Questions: ​​
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What is the global burden burden of
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How is climate change affecting the dengue fever patterns?
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Supplementary Materials:
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S10: 1:00-2:30 Latinx Panel
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Lead: Javier D. Rincon
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Method: Interactive/Panel
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Representatives from the Ecuadorian, Dominican, Mexican, Brazilian, Colombian, Latinx youth communities of Danbury.
Thanks to Javier D. Rincon and Elvis Novas from the DCC to recruit the panelists.
Panelists
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Elvis Novas (Dominican Republic)
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Christopher Rodriguez (Police Officer – Dominican Republic)
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Wilson Hernandez (Ecuador)
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Denisse Rodas (Young Adult – Ecuador)
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Brailyn Rodriguez (Dominican Republic)
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This will be a panel of members of the Danbury Latinx communities. The session will begin with panelist introductions, followed by= viewpoints on their experiences/needs/reflections on the Latinx community as it relates to health and navigating health care. Then discussion will open to a dialogue between panelists and students. Students should be prepared to ask and answer questions as the panelists have requested a two-way dialogue.
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Objectives
At the end of this session, students should:
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Be able to recognize/appreciate the diversity of thought, experience, and background of people who fall under the label “Latinx” and how this label might downplay the diversity of the people it encompasses.
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Be able to describe some of the challenges members of Latinx communities experience when navigating US systems like the healthcare system.
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Be able to summarize key values many people in Latinx communities share and how those values might influence how they engage with healthcare.
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Be able to recognize and appreciate common challenges faced by members of Latinx communities during their day-to-day lives.
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Be able to recognize and appreciate successes and points of pride held by members of Latinx communities.
Supplementary materials:
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1. TEDTalk: What's missing from the American immigrant narrative
Recounting her story of finding opportunity and stability in the US, Elizabeth Camarillo Gutierrez examines the flaws in narratives that simplify and idealize the immigrant experience -- and shares hard-earned wisdom on the best way to help those around us. "Our world is one that flourishes when different voices come together," she says.
2. Pew Research Center Race & Ethnicity report:
Latinos See U.S. as Better than Place of Family's Ancestry for Opportunity, Raising kids, Health Care Access.
For many Latinos, the United States offers a chance at a better life than the place their Latino ancestors came from in several ways. A strong majority say the U.S. provides more opportunities to get ahead than their ancestors’ place of origin. Majorities also say the U.S. has better conditions for raising kids, access to health care and treatment of the poor, according to a Pew Research Center national survey of 3,375 Latino adults conducted in March 2021. However, Latinos do not see the U.S. as better on all measures. About half of Latino adults (48%) see family ties as better in the origin place of their ancestors (Puerto Rico or another country) than in the United States. About another quarter (27%) say the strength of family ties is about the same in both places, while 22% say family ties are better in the U.S.
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S11: 2:30 - 3:30 Review of Articles
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Lead: Bulat Ziganshin, MD
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Method:
Students will be divided into eight groups. Each group will be assigned an article in advance to review.
Then faculty will be presenting the articles, each for 10 minutes. A 20-minute Q&A will be held at the end of the session.
Objectives:
Students will become familiar with diverse concepts in global health, including climate change, human impact on ecosystems, challenges in the decolonization of global health, moral values of health, harm of the reductive seduction, physicians as activists, the bats as reservoirs of certain viruses, and how to prevent pandemics.
Articles
1. Can an Artists' Collective in Africa Repair a Colonial Legacy?
By Alice Gregory New Yorker, July 18, 2022
“Its founders believe that they can use the tools of the Western art world to help heal the effects of more than a century of plunder.”
Faculty: Elina Mukhametshina, MD
2. Covid-19’s Devastating Effect on Tuberculosis Care — A Path to Recovery
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Madhukar Pai, M.D., Ph.D.,Tereza Kasaeva, M.D., Ph.D., and Soumya Swaminathan, M.D.
NEJM; April 21, 2022
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We believe world leaders should commit to vaccinating people globally to help end the Covid-19 pandemic. They should also reaffirm their commitment to ending the tuberculosis epidemic, work harder to mitigate the effects of the pandemic, and address the social, environmental, and economic determinants of tuberculosis infection and mortality.
Faculty: Swapnil Parve, MD
3. The Reductive Seduction of the Other People's Problems
Courtney Martin
January 11, 2016
“If you’re young, privileged, and interested in creating a life of meaning, of course you’d be attracted to solving problems that seem urgent and readily solvable. Of course you’d want to apply for prestigious fellowships that mark you as an ambitious altruist among your peers. Of course you’d want to fly on planes to exotic locations with, importantly, exotic problems.”
Faculty: Wendi Cuscina
4. Linking Health Justice, Social Justice, a Climate Justice
Khadj Rouf, Tony Wainwright
The Lancet, The Planetary Health, Volume 4, Issue 4
April 01, 2020 ​
“Linking health, social, and climate justice can lead to the transformative activism that is needed for a better, healthier, and fairer world for everyone. The question now is, are you willing to help?”
Faculty: Dr. Dilyara Nurkhametova
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S12: 3:30 - 4:30 Advocacy in Global Health
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Lead: Samuel Luboga
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Method: Lecture
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Objectives:
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By the end of the sessions, students will learn
1. Definitions of Global Health and Global Health Advocacy
2. Factors, in Uganda, that create inequalities in health and therefore the need for advocacy
3. Examples of opportunities, in Uganda, for partnerships for advocacy in global Health
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Supplementary material:
Bailey A, Mujune V. Multi-level change strategies for health: learning from people-centered advocacy in Uganda. Int J Equity Health. 2022 Sep 29;21(Suppl 1):143. doi: https://doi.org/10.1186/s12939-022-01717-1.
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