Anti-vaxxers are back. Behavioural science could beat them

A collaboration between architectural designers and medical providers created a cholera treatment clinic in Port-au-Prince where the design of the building itself supports treatment. The building is well ventilated and filled with natural light, provides an open space for providers to see many patients and be able to respond in case of crisis, and has the ability to collect and treat water.

San Francisco considers the scaling of safe injection sites, which were successfully piloted in Vancouver, to become the first city in the United States to offer this service. However, the main challenge of starting such a service in San Francisco is helping the public get over the concern that safe injection sites encourage drug use for non-abusers. Community groups actively educated the public on the benefits of safe injection sites and politicians made trips to Vancouver to observe the success in action.

The poliovirus has plagued Nigeria for years, but the country is approaching near-eradication thanks to community public health workers' efforts to increase education, immunization and reporting. Throughout the country workers known as Disease Surveillance and Notification Officers are trained to recognize the symptoms of polio so the cases can be reported and addressed immediately. Coupled with the efforts of community informants, this approach has already resulted in parts of Nigeria becoming polio-free.

Vermont has opened its first donor milk center which acts as a breast milk bank for mothers that are in need of milk for their newborn babies. The Vermont Donor Milk Center aims to be a "one-stop shop," and also offers lactation consultation, maternal education, and supports for non-lactating partners.

The United States and Italy have been playing catch up in the mitigation of the coronavirus pandemic and were resistant to implementing social distancing, while other countries took more aggressive approaches. Now both countries are looking to China and South Korea to learn how sweeping actions and industrialized scaling of measures such as fever clinics, temperature check points, portable CAT scanning, and social isolation, have helped to contain the pandemic.

Rather than send local residents to city-run testing sites in the East Bay of California, clinics in East Oakland are now running their own testing sites to better serve their community. Although one of the sites has already tested nearly 100 people and residents who are underinsured or uninsured can be tested for free, some believe the effort should have started much sooner.

The CDC's 2016 guidelines on prescribing opioids for chronic pain attempted to address the opioid-addiction crisis by restricting the supply of the drugs at their source. The guidelines discouraged their use when possible and suggested strategies to taper patients off of them. Since then, thousands of people have lost access to necessary medications and to their doctors, thanks to overreactions to the CDC guidelines that unintentionally led to deaths by street drugs or withdrawal.

The HIV/AIDS clinical trial network’s 30 sites have spent years building trust among historical marginalized communities so that more clinical trial participants come from communities of color. Educational outreach, awareness-raising efforts, and one-on-one conversations are among the strategies used to make the scientific process more transparent. The engagement model is upfront about abuses from the past and uses straightforward explanations with no medical jargon. Infectious disease experts are using the trust-building model to increase the racial diversity of participants in COVID-19 vaccine trials.

Teams of Community Direct Distributors (CDD) are leading drug distribution campaigns to prevent and eliminate neglected tropical diseases in hard-to-reach, rural areas. These CDDs are members of the community they serve and are trained to educate the locals on disease prevention and administer the drugs themselves. With the CDDs’ help, several states have already eliminated some diseases and greatly reduced the spread of others.

To enhance rural access to healthcare in Nigeria, the Parkers Mobile Clinic partners with local volunteers, healthcare professionals, educators, and community development advocates to identify and remedy unique healthcare gaps. Outreach programs are then designed to provide localized mental health support, nutritional counseling, and other reproductive health services.