The Pandemic Proved Hospitals Can Deliver Care To Seriously Ill Patients At Home

Health communication systems designed for rural, developing countries -- where hospitals are often understaffed and transportation is inadequate -- are being adapted to improve care in U.S. cities.

For individuals with developmental disabilities in Washington, D.C., inclusion’s uphill battle, while still happening, has shown results. After the practice of institutionalization ended decades ago, there was a shift to group home living, nonprofit advocacy groups, and job placements. Challenges remain though, like slow-moving bureaucracy, funding, and those still fighting inclusion, but moves toward inclusive jobs and living continue.

Pediatric cardiologist Sandra Mattos had set up a network of doctors and hospitals working with tiny heart patients via telemedicine. Her system now also helps remote Zika sufferers.

In light of a study published in BMC Medicine, authors Nancy Fullman and Alexandra Wollum take a deeper dive into Nigeria’s gains against polio and what they could mean for the country’s routine vaccine systems.

Many different people are inventing health devices for resource-poor settings, but some organizations - like M.I.T.’s Little Devices group - are empowering developing communities and increasing access to healthcare by building medical devices that nurses and doctors in very poor settings can adapt themselves — or kits for making their own, often harvesting parts from toys to cleverly rig up medical equipment. It’s part of a major idea shift, one that’s transforming the design of foreign aid.

When a heart attack happens, the time of care and treatment is of utmost importance. Many people die of heart attacks every year because too much time passes between the care of emergency staff and the hospital cardiologists. New protocols, and new technology that transmits the EKG of a patient to the hospital before arrival, enable medical professionals to quickly and efficiently treat patients, thus saving lives.

In Louisville, KY, many people suffer from allergies or asthma and need to take inhalers to assist their breathing. A new inhaler called Propeller Health connects to Bluetooth devices to help patients track their inhaler dosages as a form of self-surveillance. The data collected also has a broader impact, offering scientists insight on people’s breathing patterns in different geographic regions as well as the effectiveness of certain medicated inhalers.

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.

Even though most central line infections are preventable, they are a leading cause of death in the United States. The core of the problem resides in a hospital's approach, whether they put the effort into treating patients like they are in a car crash or a plane crash. Roseville Medical Center looked at the mistakes of other hospitals and have revolutionized how they treat central lines with a new checklist, a specialized vascular team tasked with the central lines, and annual competency tests for contract nurses.

Child mortality is a global problem that can be reduced by increasing breastfeeding rates; however, many mothers are either under too much cultural pressure, need to work, or cannot lactate enough milk. Brazil has devised an education program to help mothers breastfeed and has also created milk banks, through which mothers can donate excess milk to mothers who cannot produce. Additionally, Brazil offers paid maternity leave for mothers who have time to breastfeed and provide better health for their bodies as well as their new babies.