Welcome! Thank you for reading the inaugural 2010 GHOPE news-

letter. GHOPE stands for Global Health Organization of Pediatrics at

Emory. It represents a group of residents, fellows, medical students,

and faculty dedicated to increasing awareness of global health topics,

supporting resident initiatives to address global health issues, and

identifying both local and international opportunities for global health

training. Collectively, GHOPE members have interests that span aca-

demic research, clinical education, advocacy, public health, and clini-

cal work both in underserved local communities and international

sites.

At present, GHOPE has supported the very successful integration of

a global health curriculum into core resident lectures. Taught by a

multidisciplinary group of Emory faculty, guest speakers, and public

health professionals, the curriculum includes lecture topics about

malnutrition, HIV, diarrheal diseases, disaster response, and what it

means to be healthy in a global context. GHOPE is also working to

establish a Saturday clinic at the International Community School, an

elementary school in Atlanta which serves refugee children from more

than 40 countries with limited access to health care. Over the course

of the year, we will have journal clubs, host Global Health Week in the

spring, present a global health themed Grand Rounds, and have two

documentary viewings. We hope to establish an international clinic

site before the upcoming academic year.

GHOPE’s mission is centered around the ultimate goal of improving

pediatric health outcomes in resource-poor settings by facilitating

access to sustainable community-driven medical and public health

services. Emory Pediatrics is surrounded by a wealth of opportunity

and resources in the Atlanta, including the Rollins School of Public

Health, CDC, Global Health Institute, CARE, and Carter Center, which

are all devoted to making a sustainable impact on the health of the

world’s children. We hope you enjoy the newsletter, and stay tuned

for more!

Who We Are

Volume 1, Issue 1 November 9th, 2010

November 10th, 2010

GHOPE: Global Health

Organization Of Pediatrics At

Emory ————GHOPE————

Global Health Organization of Pediatrics at Emory

Inside this Issue

Overview of the Pediatric

Global Health Lecture Series

Pg. 2

Introduction to the Global

Health Institute (GHI) at Emory

Pg. 3

Meet our Pediatric Global

Health Faculty

Pg. 4

The Future for Global Health

at Emory Pediatrics

Pg. 5

Medical Student’s Perspective

Pg. 6

Also….

Answer our Parasite Quiz!

Pg. 6

Enter in the Essay Contest!

Pg.6

Visit Us: sites.google.com/site/ghopemory/ Questions, Concerns, Want to Join? Email: emoryglobalhealth@gmail.com Vol. 1, Issue 1 Nov 11th, 2010

According to the WHO, one-sixth of the

world’s population suffers from one or more

neglected tropical diseases. UNICEF records

that over 195 million children are stunted

while 129 million are underweight. We at

GHOPE believe that these numbers should

not only be significant to those interested in

global health, but to all training pediatricians.

The purpose of the Global Child Health Lec-

ture Series

is to inte-

grate key

components

of global

health edu-

cation into

resident

core curricu-

lum. This ensures that residents will not leave

their training without under-

standing the leading causes

of childhood morbidity and

mortality worldwide as well as a

host of other issues. With At-

lanta having a diverse interna-

tional population and Dekalb

County having one of the largest

refugee populations in the US,

learning about global health is

directly related to the care pro-

vided by our residents. The lec-

ture series covers a wide array

of topics (See Figure 1) from

Immigrant/Refugee Health to

Sustainable International Medi-

cal Projects to Social and Cul-

tural Determinants of Health.

We are only a third of the

way through the Global Child Health Lecture

Series for this academic year. But already we

have seen amazing results, with the present-

ers receiving an average rating of 4.8 out of 5

on six indicators. Throughout these lectures,

we are piloting an innovative method for

evaluating the residents as well as the lecture

by using an Audience Response System

(ARS). Audience members are given a remote

controller that enables them to answer multi-

ple-choice questions posed by the lecturer.

The pre & post-test answer distribution can

be shown to everyone, and thus quantify how

much the audience learned during a specific

talk. In the lectures so far, we have seen a

significant increase in the percentage of cor-

rect answers in the post-test compared to the

pre-test. Figure 2 demonstrates that

everyone nearly doubles in the amount of

correct answers from the pre to the post-

test with the net increase of correct an-

swers at 36% (37% among medical stu-

dents and 43% among residents).

Another goal of the Lecture Series is to

introduce students and residents to faculty

working in Global Health not only

in the Department of Pediatrics,

but also to experts from the CDC,

Emory Rollins School of Public

Health, and other institutions and

universities. This type of learning

environment creates a spring-

board for future collaboration

among participants. We look for-

ward to the rest of our talks in the

Global Child Health Lecture Se-

ries this year, and we hope to see

you there!

Emory Pediatric Global Child Health Lecture Series

Guest Lecturer Dr. David Townes speaking about emergency

triage and disaster response by using the 2010 earthquake in

Haiti as a case example

______________________

“...learning about global

health is directly related to

the care provided by our

residents”

——————————

Page 2 GHOPE: Global Health Organization Of Pediatrics At Emory

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____________________

“...with the presenters receiving an

average rating of 4.8 out of 5 on six

indicators.”

——————————

0

10

20

30

40

50

60

70

80

90

100

Total Residents & Fellows Students

Pe

rce

nta

ge

of

co

rre

ct

re

sp

on

se

s

Audience

Audience's Increase in Knowledge due to Global Child Health Lecture

Pre-Test

Post-Test

Fig.1 2010-2011 Emory Pediatric Global Child Health Lecture Series Schedule

Fig.2 Audience Increase in Knowledge due to Global Health Lecture

The Emory Global Health Institute is a university-wide initiative whose mission is to advance

Emory University’s efforts to improve health around the world. The Institute achieves its mis-

sion by supporting Emory faculty and students in their work to find solutions to critical global

health problems, with an emphasis on those that disproportionately affect people living in low

- and middle-income countries. The Institute supports Emory faculty by providing seed fund-

ing to launch global health programs and by leveraging global health relationships and part-

nerships to support their programs. The Institute supports Emory students from across the

campus by providing them with innovative global learning programs such as the Emory Global

Health Case Competition, the Global Health Institute Fields Scholars Program, and the Global

Health Student Photography Contest.

Global Health Institute (GHI) at Emory University

Page 3 GHOPE: Global Health Organization Of Pediatrics At Emory

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Untitled - Stephanie Edlhuber, Nell Hodgson

Woodruff School of Nursing

Floating Islands of Uros, Lago Titicaca, Peru - Becky Tsang, Rollins School of Public Health

2010 GHI Photography Contest Winners

Upcoming Events

Exploring Global Health Collaborations between

Emory University and the Human Sciences

Research Council

2011 Working Across Cultures Workshop

Emory Global Health Institute Field Scholars Awards Program

2011 Emory Global Health Case Competition

China/US Health Conference

November 20, 2010

Spring 2011

March 4, 2011

March 19, 2011

April 10-12, 2012

For More Information about the Global Health Institute at Emory University,

Please visit: www.globalhealth.emory.edu

Julie Gutman, MD—Instructor of Pediatric Infectious Diseases

Dr. Gutman’s major interest is in Global health, with a specific focus on child and maternal health.

Her research has focused on the epidemiology and treatment of neglected tropical diseases, focusing

on schistosomiasis, intestinal helminths, and malaria. She is currently working on studies of the treat-

ment of malaria in children and pregnant women

Selected Publications:

- Gutman J, Fagbemi A, Alphonsus K, Eigege A, Miri ES, Richards FO. Missed Treatment Opportunities for Schistosomiasis

mansoni in an Active Urinary Treatment Program in Plateau and Nasarawa States, Nigeria. Annals of Tropical Medicine and

Parasitology. 2008. 102:335–346. PMID: 18510814.

- Gutman J, Green M, Durand S, Rojas OV, Ganguly B, Quezada WM, Utz GC, Slutsker L, Ruebush TK, Bacon DJ. Mefloquine

pharmacokinetics and mefloquine-artesunate effectiveness in Peruvian patients with uncomplicated Plasmodium falciparum

malaria. Malaria Journal. 2009. 8:58. PMID: 19358697. PMCID: PMC2674465.

- Gutman J, Eigege A, Umaru J, Alphonsus K, Miri ES, Richards FO. Presumptive treatment of all school-aged children is the

least costly strategy for Schistosomiasis control in Plateau and Nasarawa States, Nigeria. Annals of Tropical Medicine and

Parasitology. 2009. 103:501-511. PMID: 19695155.

Andi Shane, MD, MPH—Assistant Professor of Pediatric Infectious Diseases

Dr. Shane’s major interest is understanding the science and epidemiology of international emerging

infections, infectious disease prevention and control and surveillance with an emphasis on the treat-

ment and prevention of enteric infections. A secondary focus is the development of a clinical elective

in a resource poor setting for pediatric infectious disease fellows and pediatric residents

Selected Publications

- Patel M, Shane AL, Parashar UD, Jiang B, Gentsch JR, Glass RI. Oral Rotavirus Vaccines: How well will they work where they

are needed most? J. Infect Dis, 2009; Suppl 1:S39-48.

- Moon SS, Wang Y, Shane AL, Nguyen T, Ray P, Dennehy P, Baek LJ, Parashar U, Glass RI, Jiang B. Inhibitory Effect of Breast

Milk on Infectivity of Live Oral Rotavirus Vaccines. Pediatr Infect Dis J. 2010 May 3 (epub ahead of print)

- Norton DM, Rahman M, Shane A, Kulick R, Yunus M, Islam S, Breiman R, Henderson A, Keswick B, Luby SP. Flocculant-

disinfectant and point of use water treatment for reducing arsenic exposure in rural Bangladesh. Int J Environ Health Res,

2009:19; 17-29.

Parmi Suchdev, MD, MPH—Assistant Professor of Pediatrics, Medical Epidemiologist

Dr. Suchdev’s research interests are in micronutrient malnutrition. He has been the principal investi-

gator of an internationally acclaimed study assessing the effectiveness of micronutrient "Sprinkles" in

Western Kenya since 2006 (http://www.cdc.gov/immpact/projects/country/kenya.html). He is also inter-

ested in global health education is working to develop a sustainable global health curriculum for Pedi-

atrics residents.

Selected Publications

- Suchdev PS, Leeds I, McFarland D, Flores R. Is it time to change guidelines for iron supplementation in malarial areas?

Journal of Nutrition 2010;140:875-75. PMID 20147465.

- Suchdev PS, Ruth L, Obure A, et al. Monitoring the marketing, distribution and use of micronutrient Sprinkles in rural west-

ern Kenya. Food & Nutrition Bulletin 2010;31(2):S168-S178.

- Suchdev PS, Ahrens K, Click E, Macklin L, Evangelista D, Graham E. A Model for Sustainable Short-term International Medical

Trips. Ambulatory Pediatrics 2007;7(4):317-320.

Meet a Few of Our Pediatric Global Health Faculty

Page 4 GHOPE: Global Health Organization Of Pediatrics At Emory

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There is a high demand for

global health training among

U.S. health professionals. Given

the well-documented educa-

tional benefits and the need to

solve issues of health dispari-

ties around the world, increased

resources for global health

training are urgently needed.

Although over half of U.S. pedi-

atric residency programs al-

ready have global health oppor-

tunities for their residents, only

6% have formal global health

curriculums or tracks.

The top children’s hospitals

have global health tracks; in

fact, 5 out of the 8 top chil-

dren’s hospitals have formal

global health programs, which

are essential for attracting the

best residents.

With the breadth of resources

available at Emory and Chil-

dren’s, we have an opportunity

to be a leader among training

institutions by introducing an

innovative curriculum in global

child health that bridges the

divide between clinical medi-

cine and public health.

In 2010, Emory Department

of Pediatrics (DOP) imple-

mented the Global Child Health

Lecture Series with the goal

of ensuring that all pediatric

residents would receive an

introduction to global child

health, including principles of

public health, advocacy, and

clinical care of children in

underserved communi-

ties both at home and

around the world.

The curriculum

is an interdisci-

plinary col-

laboration

between

faculty

and

trainees in the DOP and Rollins

School of Public Health (RSPH).

This curriculum has already

shown significant promise, be-

ing awarded an intramural Fund

for Innovative Teaching (FIT)

grant to implement the curricu-

lum foundation (see Fig 3.).

The next step is to introduce

a global health track to provide

field experiences in both clinical

care and research in local and

international communities. A

site is being established in Bra-

zil, where Pediatric residents

will travel with students from

RSPH in July 2011.

In addition, a ―local‖ global

health experience is being cre-

ated at the Atlanta International

Community School to conduct a

nutritional needs assessment

and set up a monthly health

clinic. Between 3 to 5 incoming

interns will be selected for the

global health track, starting in

2011-2012.

The benefits that

will come from this

initiative are

tremendous

and will

come at a

low cost.

This program will position

Emory to attract a new subset

of highly motivated and tal-

ented pediatric residents who

will help build the program and

propel graduates into leader-

ship positions in global child

health.

The Future of Global Health at Emory Pediatrics

“Between 3 to 5

incoming interns

will be selected for

the global health

track, starting in

2011-2012”

Page 5 GHOPE: Global Health Organization Of Pediatrics At Emory

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____________________

“The next step is to

introduce a global health

track…”

——————————

Photograph by Dr. Fatema Bukhari—-former Emory Resident

General Pediatrics Ward at a resource limited government hospital in

Gujarat, India

Fig. 3

Photograph by Dr. Julie Gutman—-Emory Pediatric Infectious Disease Instructor

Child with Malaria in Anajas, Brazil

_____________________________

Newsletter Editor:

Ankoor Shah

MD/MPH candidate c/o 2012

Email: ayshah@emory.edu

GHOPE 2010-2011 Chair:

Lauren Hall MD, MSc

3rd Year Pediatric Resident

Email: lehall@emory.edu

For More Information about Global

Health at Emory Pediatrics,

Please visit: sites.google.com/site/ ghopemory

Email: emoryglobalhealth@gmail.com

A Medical Student’s Perspective

A Personal Narrative from Elizabeth Swedo, MD/MPH Candidate c/o 2012

The day I returned from my first global health expedition, I hung a small magenta and yellow fish

from the rearview mirror of my car. Hand woven from bamboo and purchased for a dollar from a young

Cambodian child, it is a small, daily reminder of why I do medicine. Bleary-eyed 4:00 am drives to the

hospital are brightened by the little fish, swaying to the rhythm of the road—a reminder of the joy and

passion I felt during that first taste of global health work.

I purchased this fish on my first trip to Southeast Asia, one of

several I have undertaken while a student at Emory University

School of Medicine. After hearing a talk by David Batstone, the

founder of modern day abolitionist group “Not for Sale”, a group of

my classmates and I founded the organization “Emory Health

Against Human Trafficking”. We first traveled to Thailand in 2008 to

work with a population of children rescued from human and sexual

trafficking. In addition to providing medical care for the 60+ children

who lived at the rescue site in Chiang Saen, our group performed a

needs assessment to determine changes that could be implemented

to improve the health of the individual child and the health of the

community. We also had the unique opportunity to set up a clinic on

the border of Thailand and Myanmar. Working in the border clinic

was a veritable “highlights reel” of tropical medicine: a 6-year old

with a classic presentation of malaria, a 3-year old with long-lasting

sequelae from Japanese encephalitis, a 26-year old opium-addicted

mother in need of antibiotics, a 16-year old Burmese boy who swam

across the Mae Sai River to be treated for a staph infection, brothers both paralyzed by polio.

I was privileged to travel to Chiang Saen again the following summer—seeing the changes that had

been made at the site and the dramatically improved health of the children was an incredibly important

moment for me as an aspiring global health practitioner. I saw firsthand how small interventions can

effect huge change in the health of a community.

As I complete my medical degree, I am grateful for the

opportunities to engage in global medicine. Global health

organizations in medical school and residency can have a

tremendous impact on the career trajectory of their members. I’ve

been inspired to pursue a Masters’ degree in public health, with a

concentration in global health, where I am learning how to best use

restricted resources to address global health issues and improve the

health of neglected populations. Working on an international level has given me invaluable perspective

and experience, and above all, reminded me of the unlimited potential of medicine.

Page 6 GHOPE: Global Health Organization Of Pediatrics At Emory

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____________________

“Working in the border

clinic was a veritable

„highlights reel‟ of tropical

medicine”

——————————

Do you know your Parasites?

Question:

What parasite turns urine raven black,

hence the name of the very fitting dis-

ease it causes?

Answer: See next issue, Spring 2011

Enter in the GHOPE Essay Contest!

Win a $40 gift card for Starbucks!

Instructions:

Open to all Students, Residents, and Fellows. Please write a personal narrative about a

pediatric global health experience that you feel has changed the path of your career. Es-

says can include a photo and/or be about a photo. Keep essays no more than 475 words

please. Email narratives to Ankoor Shah at ayshah@emory.edu by 12:00AM, March 1st,

2011. Winning essay will be published in spring issue.