Confronting a Pandemic

One of Boston's major teaching hospitals is examining how it handles patients’ bodies and supports family members after a death.

Philadelphia's criminal justice system is overwhelmed. New York is allowing judges to release low-risk defendants accused of non-violent crimes with the goal of saving money, reducing prison overcrowding, and cutting down on prison violence.

*Medical research has done wonders to rid populations of diseases; however, the U.S. health care system has failed to appropriate the right resources to Medicare patients with one or more chronic conditions. Health Quality Partners in Doylstown, PA enrolls Medicare patients with at least one chronic illness and hospitalization and sends a trained nurse to see them on a routine basis, whether they are healthy or sick. As a result, the HQP program has reduced hospitalizations and cut Medicare costs.

Across the country, hospitals are embracing intensive intervention programs to help victims of violence — including those who have criminal histories — after they have been brought in for treatment of injuries. Such programs can help prevent retaliation, reduce the chance a patient will be violently injured again, and put people on track for success.

Two years after the fall of the Rana Plaza killed more than 1,000 garment workers, “More than 200 clothing brands have pledged to make their source factories safer under two international agreements called the Bangladesh Accord on Fire and Building Safety and the non-binding Alliance for Bangladesh Worker Safety.” The accident also led to the government employing more safety inspectors, and an increase in unions.

In Mancos, Colorado, the school board voted “no” to arming school staff in the traditionally Western town. Across the United States, the question of arming teachers is being brought up as a response to the increase in school shootings. The policy is highly contested, with some saying it provides students with a feeling of safety, but others saying the risks associated are too high. For the Mancos community, such a vote is a surprise given the town’s gun-friendly history, but is explained by the increase in new residents.

Environments designed with soundscapes and visual art help to reduce anxiety and pain. In London, Chelsea and Westminster Hospital has noted a marked improvement in patient experience, including decreased pain and even a reduction in the time women spent in labor, in the presence of artistic installations. Other hospitals in the UK report similar benefits.

To reduce maternal mortality in the Masai region of Tanzania, Catholic nuns with Sisters of Notre Dame are building hospitals and educating local women about the importance of giving birth in a medical setting. Although this goes against the community's use of a "traditional birth attendant," delivering in a hospital allows for emergency situations to be better addressed and is receiving positive feedback from women in the region.

Following the overturn of Roe v. Wade, access to safe, legal abortion in the U.S. is scarce. While several states have banned mifepristone and misoprostol — the two drugs that makeup abortion pills — misoprostol, which has been found to be the more effective of the two, can still be accessed at some pharmacies and through nonprofits in the U.S. and overseas like Plan C and Aid Access.

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.