Breakthroughs Blog: USAID

Faces of Innovation—a new GHTC project that features scientists on the front lines of research and development on new global health tools and technologies—profiles Dr. Rohit Ramchandani, who we met at the American Society of Tropical Medicine and Hygiene Annual Conferenc. Dr. Ramchandani does research to innovate global treatment options for childhood diarrhea at the Johns Hopkins School of Public Health in Baltimore, Maryland and the University of Waterloo. My name: Rohit Ramchandani, DrPHWhere I work: Johns Hopkins School of Public Health in Baltimore, Maryland and the University of WaterlooI’m funded by: US Agency for International DevelopmentMy research: My research focuses on diarrhea in children…the second-leading cause of death in children under five globally…These are close to 500,000 deaths that are happening every year, most of which are preventable, and treatable. They’re treatable with medicines, oral rehydration salts [ORS] and zinc. That’s the globally recommended treatment for diarrhea. But the problem is, in many low- and middle-income countries, access to these medicines is not where it should be, particularly in rural communities. So we looked at that issue of access. We did it by leveraging human-centered design approach. And we really focused on the details and the challenges that mothers face treating their children with diarrhea…Our research showed that 40% of the time, mothers are preparing ORS in the wrong concentration: either too diluted, or too concentrated. That can lead to hypernatremia, that can make the diarrhea even worse, or the efficacy gets reduced if it’s too diluted. So we actually worked with a local pharmaceutical company in Zambia to shrink down then size of the ORS sachets—the standard all over the world is a one-liter sachet—we shrunk those down to make 200-mililiter sachets, and then we made the packaging double as a measurement vessel for the right amount of water…One of our key funders during our scale-up phase was USAID—their Discover Health Program. They played a fundamental role in some of the social marketing we were doing as we were scaling up the development of our diarrhea treatment kit.Motivation: There’s just a fundamental issue of justice in the world…We often think of innovation being new product development, high technology, but things like ORS and zinc—innovation can happen really in the delivery side of things. And that’s really where our innovation focused.Why federal support is critical: I think this is low-hanging fruit. Diarrhea, as one of the leading causes of death in the world for children—we have the solutions, we know what to do, and these kinds of innovations can really make a huge difference in saving lives.…[And] there’s a health security argument [to do this work]. The world is getting smaller and smaller every day. We are inextricably linked to one another. When I’m not in the lab: I’m a dad! I’m a dad of two amazing young girls. They inspire me every day. It makes my work in child health that much more meaningful—the inspiration I get from them. I want all parents to have that.

Faces of Innovation—a new GHTC project that features scientists on the front lines of research and development on new global health tools and technologies—profiles Dr. Mohammad Nuhu Amin, who we met at the American Society of Tropical Medicine and Hygiene Annual Conference. Dr. Amin researches sanitation and diarrheal diseases with support from the United States Agency for International Development.My name: Nuhu Amin BDS, MPH, HSCWhere I work: International Centre for Diarrhoeal Disease Research in Bangladesh (icddr,b) I’m funded by: US Agency for International Development My research: My primary goal is to do interventions to reduce diarrhea and cholera in low- and middle-income countries, particularly in the urban communities of Dhaka. I’ve worked at icddr,b for the last ten years, and I’ve had the opportunity to work with lots of US universities. Currently I’m working with Stanford University with Professor of Medicine Dr. Stephen Luby on a Rohingya distribution impact assessment. I’m also working on another project with Emory University on a fecal pathogen exposure assessment. And our team is doing a different project with Emory University in collaboration with the University of Sydney to track the sanitation chain to detect pathogens, like norovirus, salmonella, shigella, and cholera, that cause diarrhea. We have previously also collaborated with Johns Hopkins University and we have lots of colleagues who work with Oregon University and other state universities in the United States.Motivation: I am a medical graduate, and I’ve had lots of patients with different problems including diarrhea and other infectious diseases. Bangladesh is a tropical country, so infectious disease rates are really high. This motivates me to not only focus on treatment, but to do the research to remove and prevent these diseases.Why US federal support is critical: USAID is one of our four core donors. They have been funding us for more than 50 years to support the research of our institute. I think the contribution of the US government is important for this research and development. When I’m not in the lab: I’m also a dental surgeon, so I have a clinic. Every day, for two or three hours, I treat patients and particularly patients who are poor. Dental health treatment is expensive, so I aim to serve my patients at a low-price. I have two kids as well, so I spend my time with them—they’re very inspiring for me. In addition, I love to travel to different countries. This year I traveled to almost four countries including Swaziland, South Africa, and India. I love to meet with other people around the world—that’s my hobby. 

Interested in more global health innovation news? Every week GHTC scours media reports worldwide to deliver essential global health R&D news and content to your inbox. Sign-up now to receive our weekly R&D News Roundup email. On World Polio Day last week, the World Health Organization officially declared that type three poliovirus has been eradicated—making it the second of the three strains of the virus to be wiped out. Naturally-occurring cases of the last remaining virus strain, type one, are now limited to Afghanistan and Pakistan with a total of just 33 new cases last year. Though much progress has been made toward eradicating this disease, the number of confirmed cases this year has risen to 88 in those two countries as violence and mistrust have hindered vaccination campaigns. Cases caused by the vaccine itself have also thwarted eradication efforts. The National Institutes of Health and the Bill and Melinda Gates Foundation will jointly invest US$200 million over the next four years to develop genetic-based cures for sickle cell disease and HIV. Both partners have vowed that the cures will be both affordable and available in low-resource countries hit hardest by the two diseases, particularly in Africa. This partnership reflects growing concerns that scientific advances such as gene therapies and genome-editing are prohibitively expensive and therefore out of reach to most patients. This collaboration aims to move gene-based therapies into clinical trials in the United States and countries in sub-Saharan Africa within the next seven to ten years and eventually make treatments for sickle cell disease and HIV available in the hardest hit areas. After a two-day meeting in Okayama, Japan, health ministers of the world’s twenty largest economies issued a declaration endorsing the rapid achievement of universal health coverage (UHC), more effective support of healthy ageing, increased attention to health emergencies and their causes, and more forceful action on antimicrobial resistance. The G20 Health Ministers Declaration goes well beyond the general commitments made by G20 leaders to advance global health goals after their two-day meeting back in June. As part of the commitment to UHC, the health ministers recognized the importance of access to medicines and vaccination and reaffirmed pledges to end HIV, tuberculosis, and malaria, among other measures.

GHTC held a Game changers in global health game night on Capitol Hill to educate Congressional staffers about the impact of US leadership in global health research and development (R&D). Our guests ate, drank, played games, and learned how US investments in global health R&D not only saves lives around the world, but also generates benefits here at home in the United States. Here are some of our favorite photos from the night: Playing "ROI: Return on Innovation" claw game to see the impressive return generated by US investments in global health R&D. These investments save lives around the world, spur US economic growth, generate cost savings, and protect Americans from disease threats.  Pulling a block from the "Agency Jenga" game to learn a fun fact about the important and unique contributions made by each US government agency involved in global health R&D. Playing "Heads Up: Puzzling Pathogens" to test whether their neglected disease knowledge is heads above the rest. In the battle to outsmart infectious diseases, pathogens may puzzle us, but R&D is the best resource we have to knock out dangerous diseases. Testing her global health research knowledge to determine whether an innovation described is a "Trick or Treatment?" We still don't have the tools needed to combat many global health challenges, but every day brings new, exciting breakthoughs. Some seem simple but others seem like science fiction. Players try to determine whether tools described are on the market or make believe. A guest spins the "Wheel of Progress" to receive a trivia question about a US agency involved in global health R&D. GHTC Director Jamie Bay Nishi talks about GHTC's mission and the critical role of global health R&D in addressing the world's most pressing health challenges. Playing "Striking out Disease" bowling to experience how changing funding levels for global health R&D impacts our ability to strike out the world's deadliest diseases. This player experienced a funding increase and was able to bowl with our jumbo ball. Playing "Race for a Cure" to learn about the global health R&D process. It takes an average of 12-15 years to develop a vaccine. This player is racing to see if she can get her vaccine through all the stages of the product development process before the clock runs out. Developing treatments, cures, and vaccines for the world’s most devastating diseases is not easy. Many challenges arise along the path from scientific discovery to lifesaving technology. A staffer from USAID shows off the agency's improved Ebola personal protective suit designed as part of the agency's Ebola Grand Challenge. Attendees visit the "Gallery of Game Changers" booth to see, touch, and taste how American investment is generating game-changing global health technologies. Guests chat with Dr. Marston, Prinicpal Deputy Director for CDC Center for Global Health's Division of Parasitic Diseases and Malaria to learn about the agency's work in global health research. A staffer talks with a scientist from the Naval Medical Research Center to learn how bateriophages could one day be used to heal wounds on the battlefield and in low-resource communities around the world. USAID staff show off innovations from the agency's grand challenges programs including the Odon device for obstructed birth, mosquito-repellent sandals to prevent Zika and other threats, and an improved Ebola personal protective suit. Staffers check out cookies made with naturally biofortified Vitamin A corn developed by GHTC member HarvestPlus as a sustainable way to combat Vitamin A deficiency worldwide.