The Fight Against Fake Drugs

Hospitals across the United States are trying, in systematic ways, to reduce the risk of infection and other preventable dangers that can leave patients in worse shape after their stay. Some of the approaches include limiting entrances and exits during surgeries and administering antibiotics in a timely manner.

In many poor countries, counterfeit medicines are an enormous problem. A quarter-million malaria deaths each year might be prevented if the patients were treated with real drugs instead of fake ones.

Malaria vaccine distribution systems in Africa's Sahel region are facing bottleneck in their supply chains, but are working to get help from the government and to piggyback on other aid systems.

An app that uses A.I. to scans lung X-rays is helping two hospitals in rural and remote parts of India to identify cases of tuberculosis that they otherwise would have been likely to misdiagnose. Medical professionals caution that the app is not a replacement for a clinician's diagnosis but say when used in conjunction with a clinical assessment, the interpretation of a chest X-ray is likely to be more accurate.

In Uruguay, illegality and stigma surrounding abortions resulted in problems with maternal mortality rates. Utilizing a unique solution, a medical protocol was created to provide initial information and followup care to women seeking abortions.

The South African Centre for Infectious Disease Surveillance is piloting a program to use smartphone technology to report and respond to infectious disease outbreaks. The program trains community members to recognize signs of infectious diseases, such as vomiting and diarrhea, and report them through their smartphones. These reports are relayed to a team of specialists who track the location and frequency of these reports to determine if an outbreak of disease is occurring and respond accordingly.

The coronavirus pandemic swept the nation at a time when many would be going to polling stations to cast their votes in primary elections, but vote-at-home practices are providing a solution for this civic inconvenience. Oregon, Washington, Colorado, and now Utah have all implemented statewide all-mail election campaigns that not only improve voter turnout, but also cost less to taxpayers than only relying on in-person polling booths.

The Law Enforcement Assisted Diversion (LEAD) program in Alamosa, Colorado, gives police officers the option of sending people to substance abuse treatment rather than straight into the criminal justice system. Used in non-violent cases, the diversion program is based on a harm-reduction model that uses a health-care approach rather than a punitive approach to address the underlying issues when a crime is committed. Some police officers object to the program's mission, but proponents say that forcing compliance would be counterproductive.

Fifty years on, America's war on drugs has failed at its principal goals: to eradicate illicit drug use and sales, to repair communities damaged by the drug trade, and to prevent drug-related deaths. Despite massive amounts spent on law enforcement, which has created great social harms and fueled incarceration, drug use has rebounded to 40-year highs, drug overdose deaths are peaking, and supply of illegal drugs is abundant. Policy advocates say a combination of legalization and public-health approaches to the problems would accomplish more than the wasteful, ineffective "war" mentality used to date.

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.