APAIT: Positively impacting LA's underserved communities

The health problems of millions of Americans are directly related to patients' failure to follow doctors’ orders. Community health workers are increasingly successful in New York and other American cities – not to substitute for doctors, but to help patients stick to their treatment plans.

Two columns on how Iran averted a major AIDS epidemic through needle exchange programs; a conservative theocracy is successfully treating drug abuse as if it were Amsterdam.

One-pill-a-day generic AIDS drugs for poor countries are hard to make because each ingredient is patented by a different pharmaceutical company. The Patent Pool provides a way for companies to donate their intellectual property safely.

For decades, AIDS has taken the lives of millions of people and infected millions more worldwide. The key to reducing the effect of AIDS, and even potentially curing it, involves treating patients as early as possible after being diagnosed with HIV, before the disease damages organs. San Francisco General Hospital developed the RAPID program for this purpose, with the goal of “Getting to Zero” the number of new infections and deaths.

Two Iranian brothers worked as doctors to reform how Iran tackles HIV, moving the country toward the harm reduction approach. By providing clean needles and methadone, the doctors were able to lower infection rates, even in prisons.

New York City black tar roofs cause a number of environmental problems, including air pollution, heat absorption that raises energy consumption, and storm water runoff in the sewer system. Efforts to turn these old roofs into green spaces cool the buildings, enable the containment of more rainfall, reduce sewer discharge, generate energy, and absorb carbon emissions. New York City has a pilot program offering financial help for green roofs.

In war zones, people have a difficult time finding clean water and safe areas to inhabit. Social media, smart phones, and technology applications are aiding in people’s survival. In Aleppo, Syria, the International Committee of the Red Cross posted a map on Facebook to show alternative sources of clean drinking water that reached approximately 140,000 people.

In India, 620 million people openly defecate outdoors, causing harm to hygiene, sanitation, food, and water resources. The president of India funded an initiative to build public toilets for the people in his country, but the people did not use them because of traditions and behaviors. The Total Sanitation Campaign is starting to change villagers’ minds by having local leadership persuade those who resist the toilets by holding community activities and creating special committees to maintain the sanitation.

Two columns on how Iran is treating its massive epidemic of injecting drug use by tackling it as a health problem, effectively lowering H.I.V. rates among drug users using an approach to drugs known as harm reduction.

In a mountainous region of Lesotho, a man named Tsepo Kotelo visits 20 villages every week on his new motorcycle to provide health care to local villagers. The Elton John AIDS Foundation gifted the motorcycles to Kotelo and his colleagues, allowing them to increase the number of patients they visit by 600 percent. An organization called Riders for Health helps maintain the bikes, ensuring that remote villages will continue to receive medical care.