Anurag Mairal, director of technology solutions at PATH Health Technologies, says that it's time to start looking at low-cost innovations in healthcare differently. What should the road map be for an innovation? Should the product debut in a developing country first and then, evolve for the developed market or vice versa?
"We're at a point now, that companies cannot just keep adding bells and whistles to the same product to garner sales," Mairal told me.
So, given the increasing costs of healthcare in the U.S. and in Europe, companies are looking increasingly at simpler solutions that have the capacity to criss-cross border with a few tweaks.
PATH is a Seattle-based non-profit. But it's working with the commercial sector to scale, distribute, and market its innovations. That's Mairal's task. He's a new addition to the PATH team, after a noted career with Johnson & Johnson companies. He is symbolic of this merger between social impact and commercial viability.
His approach includes disruptive innovation (disrupt the global health system by changing the cost equation, moving away from a grants-based approach to a commercial-approach) and developing a market for said innovations. It's not enough to innovate. Must build a system to introduce these innovations to the market, advertise them, create distribution chains, and get them to the end-user.
PATH was started in the 1970s by three researchers: Gordon Duncan, Rich Mahoney, and Gordon Perkin. Their aim was quite the same: bring together public health and the private sector. Their focus, though, was slightly different: population control. So, their first innovations addressed population overload -- interventions to curb birth rates -- and were focused on Asia.
Since then, they've expanded their focus, looking at nutrition, water, sanitation, vaccinations, and reproductive health. Here are some of the innovations that PATH has piloted:
River blindness tests
It looks like a pregnancy test but it's designed to identify river blindness (or a tropical disease, "onchocerciasis"), which is a preventable condition that has affected 37 million people globally, many in poor, rural communities situated near a water source. With a grant from the Gates Foundation for $1.8 million, PATH created this device. Traditionally, a health worker would have have to draw a vial blood, take it to a clinic where it can be processed, and then report the results several days later. The later strip, however, requires just one drop of blood from a finger prick and results are available in 20 minutes. Ideal for rural health workers.
Rice is a popular grain, eaten by half the world's population. Fortified rice includes micronutrients such as iron, thiamin, zinc, vitamin A, and folic acid. PATH partnered with food purveyors in India, Brazil, and Colombia to produce the fortified grains to combat iron deficiencies, malnourishment, and anemia. Now, the grains are being coupled with school meal programs, such as in Burundi, to ensure that they reach school kids in low-income communities.
Mobile-phone milk pasteurization
Still in the works, FoneAstra is a system that uses mobile phones to monitor flash-heat pasteurization of donor breast milk. When a mother's milk is not safe to consume or is simply not available, human milk banks (HMB) fill the need; WHO supports the use of HMBs to address malnourished infants. However, the pasteurization process is tricky and healthcare facilities are hesitant to use this donor milk, unsure of its safety. By having a cell phone attached to the pasteurization device, FoneAstra enables these health clinics to monitor data on pasteurization, assuring them that the milk is safe to use. A pilot is under way in South Africa with the Human Milk Banking Association.
PATH created this design after consulting with women globally (in the US, South Africa, Thailand, and Dominican Republic) to ensure that they had single-size solution. It's more "discreet" than the condom, is easier to use than hormonal contraception, and enables women to protect themselves from unwanted pregnancy and some sexually-transmitted diseases. Now, PATH is commercializing this for sale with Germany-based health company, Kessel. But, it's also trying to figure out how the diaphragm could be integrated into family planning programs, given that it's a reusable product and would eliminate trips to a local health clinic. Those projects are under way in Uganda, India, and South Africa.
Vaccine vial monitors
Vaccine temperatures are critical - if too hot, they lose their potency. One of PATH's earliest innovations (1996) included the vaccine vial monitor- a square indicator on the label that lets health workers know if the vaccine is still safe to use. Modeled after a technology used in the food industry, it prevented WHO from dumping massive quantities of vaccines whose potency would be "unknown" after a day in the sun or in the hands of a health worker. UNICEF and WHO claim that this innovation saves the global health community $5 million every year.
The opposite problem of vaccines getting too hot -- they freeze in the carriers. Coupled with ice packs, the vaccines can be at the risk of freezing which diminish their potency as well. Solution? PATH discovered a new way to use nontoxic, biodegradable phase-change material with ice packs to prevent freezing.
Here's a product that debuted in the developed world but is being refined, and considered for the developing world as well. While you can find a female condom in drug stores, Mairal explains that they're not popular. Why? They're not always easy to use and can be uncomfortable. A more refined version, developed by PATH, has higher quality materials (i.e. 0.03 mm thin polyurathane film that allows for heat transfer), claims to be easier to use and feels more natural.
Rather than showcasing pre-made videos on maternal and neonatal health, PATH's Digital Public Health Platform -- basically, video and projector equipment- is enabling rural women in Rajasthan, India to create videos, showcase their films, and answer questions. The community-driven approach includes teams of health workers for local solutions and storytelling.
An etiquette update: Brevity is the highest virtue.
I recently cut the amount of time I spent on email by almost half, and I think a lot of people could do the same.
I’m sure my approach has made some people hate me, because I come off curt. But if everyone thought about email in the same way, what I’m suggesting wouldn’t be rude. Here are the basic guidelines that are working for me and, so, I propose for all of the world to adopt immediately:
Best? Cheers? Thanks?
None of the above. You can write your name if it feels too naked or abrupt not to have something down there. But it shouldn’t, and it wouldn’t if it were the norm.
Don’t waste time considering if “Dear,” or “Hey” or “[name]!” is appropriate. Just get right into it. Write the recipient’s name if you must. But most people already know their names. Like they already know your name.
With the death of Shimon Peres, Israel has lost its chief optimist. And the prime minister remains paralyzed by pessimism.
The Book of Proverbs teaches us that where there is no vision, the people perish. The people of Israel, now bereft of Shimon Peres, will not perish, because survival—or, at least, muddling through—is a Jewish specialty. But the death of Israel’s greatest visionary, a man who understood that it would never be morally or spiritually sufficient for the Jews to build for themselves the perfect ghetto and then wash their hands of the often-merciless world, means that Israel has lost its chief optimist.
Peres was, for so many years, a prophet without honor in his own country, but he was someone who, late in life, came to symbolize Israel’s big-hearted, free-thinking, inventive, and democratic promise. Peres came to this role in part because he had prescience, verbal acuity, a feel for poetry, and a restless curiosity, but also because, gradually but steadily, he became surrounded by small men. One of the distressing realities of Israel today is that, in so many fields—technology, medicine, agriculture, literature, music, cinema—the country is excelling. But to Israeli politics go the mediocrities.
All the nominee had to do at the first debate was appear polite and reasonable for 90 minutes. He failed.
HEMPSTEAD, N.Y.—Before this week’s first presidential debate, it was common for Donald Trump’s television surrogates to predict it would echo the sole 1980 encounter between Jimmy Carter and Ronald Reagan.
It turned out, to borrow from another famous debate moment, Donald Trump was no Ronald Reagan.
On the surface, the analogy appeared reasonable. Like Hillary Clinton today, Carter in 1980 bet most of his chips on personally disqualifying Reagan. Carter painted his opponent as unqualified, ill-informed, extreme, and dangerous—an aging entertainer who might trigger a nuclear war through ignorance and belligerence.
For months, enough voters feared Carter might be right to keep him close in the polls, despite enormous dissatisfaction with his job performance. But when Reagan in the debate presented himself as composed, reasonable, and genial (swatting away even accurate Carter recitations of his most outrageous earlier statements with a jaunty “There you go again”) the doubts softened, Carter’s support crumbled, and the Gipper rolled to a landslide.
Conservatives have put families and communities at the center of their conception of a better America—but they’re notably absent from the Republican nominee’s account.
Again and again at Monday night’s debate, Hillary Clinton attacked Donald Trump’s record in business. She accused him of caring only about himself. Again and again, he pleaded guilty.
When Clinton quoted Trump as cheering for a housing crisis, Trump responded, “That’s called business.” When Clinton accused Trump of not paying taxes, Trump answered, “That makes me smart.” When Clinton attacked Trump for declaring bankruptcy to avoid paying the people he owed, Trump replied, “I take advantage of the laws of the nation because I’m running a company.” Clinton set out to paint Trump as selfish and unethical. Trump basically conceded the charge.
Commentators are declaring Trump’s answers a tactical mistake. But they’re more than that. They show how unmoored he is from conservatism’s conception of America.
A new study looks at rates of lethal violence across a thousand species to better understand the evolutionary origins of humanity’s own inhumanity.
Which mammal is most likely to be murdered by its own kind? It’s certainly not humans—not even close. Nor is it a top predator like the grey wolf or lion, although those at least are #11 and #9 in the league table of murdery mammals. No, according to a study led by José María Gómez from the University of Granada, the top spot goes to… the meerkat. These endearing black-masked creatures might be famous for their cooperative ways, but they kill each other at a rate that makes man’s inhumanity to man look meek. Almost one in five meerkats, mostly youngsters, lose their lives at the paws and jaws of their peers.
Gómez’s study is the first thorough survey of violence in the mammal world, collating data on more than a thousand species. It clearly shows that we humans are not alone in our capacity to kill each other. Our closest relatives, the chimpanzees, have been known to wage brutal war, but even apparently peaceful creatures take each other’s lives. When ranked according to their rates of lethal violence, ground squirrels, wild horses, gazelle, and deer all feature in the top 50. So do long-tailed chinchillas, which kill each other more frequently than tigers and bears do.
Despite prohibitions on American companies doing business in Cuba, the Trump Organization appears to have made a couple forays onto the island.
The candidate of “law and order” sure seems to play fast and loose with the rules when it concerns himself.
Despite longstanding prohibitions on Americans doing business with Cuba, installed as part of the decades-long embargo on that country, the Trump Organization seems to have been quietly, and according to two reports illegally, conducting business on the island for some time.
In July, BusinessWeek’s Jesse Drucker and Stephen Wicary reported on the Trump Organization’s forays into golf-course planning in Cuba. While travel to Cuba has opened up recently, travel is still restricted to a few categories, of which golf is not one. Drucker and Wicary report:
Trump Organization executives and advisers traveled to Havana in late 2012 or early 2013, according to two people familiar with the discussions that took place in Cuba and who spoke on condition of anonymity. Among the company’s more important visitors to Cuba have been Larry Glick, Trump’s executive vice president for strategic development, who oversees golf, and Edward Russo, Trump’s environmental consultant for golf.
My colleague Ta-Nehisi spoke last night with French journalist Iris Deroeux about his time living in Paris and more broadly about race in France compared to the U.S.:
One of audience members of that Facebook Live session was Kaylee Robinson, who wrote in to firstname.lastname@example.org to share her experience living in South Korea as a black woman and the cultural ignorance surrounding her race in the rural school she taught at. (If you’ve ever been a black expat yourself and would like to share your experience living abroad, please drop us a note.) Here’s Kaylee:
I lived and worked in South Korea for three years, and it was the most fascinating and frustrating experience of my life. I taught myself basic Korean and familiarized myself with Korean culture and traditions. While I was prepared in theory to immerse myself in the culture, I was unprepared for the daily racial and cultural microaggressions that came with being the first Black person that my students and colleagues had come in contact with. For example, after the initial Skype interview, my extremely friendly co-teacher casually mentioned how I was much nicer than she had expected. In fact, I was nothing like the angry Black drug dealers and criminals that she had seen on TV.
I taught in rural South Korea, about 1.5 hours from Seoul at a very small elementary school of about 70 students. My first day teaching the second graders highlighted how important my role was as a Black American English teacher. My class consisted of ten adorable, wonderfully excited students who were very curious about me and English class in general. One student came up to me and rubbed my hand and then looked at his hand: “Kaylee-teacher, brown no come off?” He thought my brown skin color was the result of a marker and was surprised that it didn’t come off. A million emotions and thoughts ran through my mind at the moment, some of which I was ashamed of when I remembered that this comment was from a 7-year-old child.
That same first month of teaching, a colleague asked if I had a gun back home because he thought all Black people did. My 5th and 6th graders didn’t understand my natural hair and touched it without asking. And virtually all of my students refused to believe I was American and must be from somewhere in Africa because to them Americans were only blonde and blue-eyed. Parents were frightened to speak to me simply because of what they had seen on TV shows and in movies. And in a small town, every time I walked out of my apartment building I was stared at incessantly. With such an onslaught of questions about my race and culture, I felt my Blackness being chipped away bit by bit, everyday.
After Donald Trump became the Republican nominee, he was asked on Fox News about his views on NATO and other American alliances. He gave his familiar “they’re freeloaders” answer:
The fact is we are protecting so many countries that are not paying for the protection. When a country isn’t paying us and these are countries in some cases in most cases that have the ability to pay, and they are not paying because nobody is asking….
We’re protecting all of these countries. They have an agreement to reimburse us and pay us and they are not doing it and if they are not going to do that. We have to seriously rethink at least those countries. It’s very unfair.
They were given the same 120 minutes. But each network presented them its own way.
A presidential debate never really ends. For weeks—until the next matchup—cable news keeps the top clips on rotation, replaying the zingers and goof-ups. (I expect to see Hillary Clinton’s Shaq-like shoulder shimmy about a zillion times before this election concludes.) And what’s wrong with that? A debate is America’s rare chance to compare the candidates head-to-head. Each appearance is worth chewing over.
But if cable-news recaps constitute part of our collective short-term political memory, it’s interesting to see which clips they choose to spotlight—and how their choices vary by network.
For months, the Political TV Ad Archive, a project of the Internet Archive, has faithfully logged when campaign commercials air in key media markets. How they manage to track them is pretty neat: Their software builds an audio fingerprint of each campaign advertisement, then listens for that distinctive waveform on live broadcasts. Using the same technology, the group launched a side project this week, monitoring how clips from Monday’s debate have reappeared on the major news networks.