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Posts by Hamish Graham

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10 months ago 4742 1282 68 51
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Young people must fight for democracy Across the pond, democracy is on its death bed following a decades-long battle with untreated corporate cancer. The escalating battle between the Trump administration and the United States Supreme…

"For an already jaded demographic of young voters, climate change isn’t a hypothetical, and broken promises will only drive us further away from traditional party politics," writes Grace Tame. "Older generations are no longer the dominant voice in the debate."

11 months ago 48 18 1 6

On why we should be strengthening Medicare and steering away from healthcare privatisation. From a quick witted Canadian to a US senator... #auspol

1 year ago 22 7 0 2
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As Australia votes, don’t lose sight of the Trump Administration’s assaults on health As Australia enters an election campaign likely to be marked by the spread of disinformation and misinformation, divisive rhetoric, and

As Australia votes, don’t lose sight of the Trump Administration’s assaults on health – Croakey Health Media www.croakey.org/as-australia...
#AusVotes2025
#GlobalHealth
#AusPol

1 year ago 1 1 0 0
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Conduct of clinical trials is grossly inequitable:
👉Only 10% of trials included children.
👉Only 9% were conducted in low-income and middle-income countries (LMICs), 1% in low-income countries
thelancet.com/journals/lan...

1 year ago 0 0 0 0
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New guidance from @thelancet.bsky.social
is charting a new direction for clinical trials.
thelancet.com/series/clini...

1 year ago 0 0 1 0

"Rather than being satisfied with the current research, we should ask ourselves which children in the world still do not benefit from these advancements."
👉Failure to benefit those without financial riches
👉Mismatch between research priorities and disease burden

1 year ago 0 0 1 0
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Research on child and adolescent health in low- and middle-income countries in 2023–2024 Between July 2023 and June 2024, there were 540 publications from randomised controlled trials (RCTs) in child and adolescent health in low- and middle-income countries (LMICs), identified using a sta...

Good news - there were 540 publications from clinical trials on children and adolescents in LMICs in the past 10 years, with hugely important discoveries that will improve health.
However, ...
adc.bmj.com/content/110/...

1 year ago 0 0 1 0
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Physician advocacy, international humanitarian law, and the protection of health care workers in conflict zones Click on the article title to read more.

"Physicians and medical societies have a moral imperative to advocate for the enduring protection of health care workers, patients, and health care infrastructure in conflict zones."
#medical #humanitarian
onlinelibrary.wiley.com/doi/full/10....

1 year ago 1 0 0 0
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After USAID: what now for aid and Africa? Seize this opportunity to reframe aid and centre local health needs The Trump administration’s shocking decision to dismantle the United States Agency for International Development (USAID) overnight ...

“Bold leadership is needed now. This is an opportunity for Africa to build resilient arrangements for self-sufficient financing for healthcare.”

@ckyobutungi.bsky.social @seyeabimbola.bsky.social

www.bmj.com/content/388/...

1 year ago 36 15 0 2
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We are right to feel enraged at the current moment, but hope is how we’ll win As we reel from the attack on humanity, rage is not wrong. We all feel the icy chill of the current moment. Even as the cold dark night bites, however, all who work for justice need to remember that w...

Brilliant, powerful, inspiring piece by Ben Phillips..Phew!
Bottom line: we cannot, should not and will not stay silent or comply
speakingofmedicine.plos.org/2025/02/13/w...

1 year ago 11 6 0 0
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African countries must urgently start the process of ending aid dependency On why African countries must seize this moment to start the journey towards self-sufficiency

"It’s hard to argue against the general premise that aid dependency is bad. Period. No society should have to go through the humiliating tragedies we are already witnessing at scale based on electoral outcomes in far off lands" www.africanistperspective.com/p/african-co... @kopalo.bsky.social

1 year ago 15 6 0 0

Join author @seyeabimbola.bsky.social to launch this amazing book in Melbourne, April 4, hosted by the Australian Global Health Alliance:
ausglobalhealth.org/events/the-a...

1 year ago 7 5 0 0

Reckless political decisions destroy lives and undo decades of hard won progress.

Irresponsible and ignorant leadership is not just a US problem. It is endemic and will continue to grow if we stay silent.

#auspol #health #justice

1 year ago 1 1 1 0
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Israel Not Complying with World Court Order in Genocide Case The Israeli government has failed to comply with at least one measure in the legally binding order from the International Court of Justice, in South Africa’s genocide case.

Israeli authorities are violating the International Court of Justice’s legally binding orders in South Africa’s genocide case by denying the entry of lifesaving aid and services into Gaza.

Ceasefire or not, Israel is obligated legally as the occupier to facilitate entry of aid.

1 year ago 459 232 6 24
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The African Critical Illness Outcomes Study (ACIOS): a point prevalence study of critical illness in 22 nations in Africa One in eight patients in hospitals in Africa are critically ill, of whom one in five dies within 7 days. Most critically ill patients are cared for in general wards, and most do not receive the essent...

Important new study reporting the prevalence of critical illness in 22 nations in Africa.
👉12.5% of hospitalised patients were critically ill, and 1 in 5 died. ⚠️Less than 50% of those needing oxygen, fluids, or airway safety received it.
@thelancet.bsky.social www.thelancet.com/journals/lan...

1 year ago 1 0 0 0
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No Other Land directors criticise US as they accept documentary Oscar: ‘US foreign policy is helping block the path’ to peace Self-distributed film about Israeli displacement of a Palestinian community beat out Porcelain War and Sugarcane

Speaking truth to power at the #Oscars. Inspirational!

www.theguardian.com/film/2025/ma...

1 year ago 2 0 0 0
Africa without foreign aid for health: Free at last? | Development Today The geopolitical vandalism of Trump II could have the unintended consequence of prompting low and middle-income countries, under duress, to liberate themselves...

Could the US vandalism of global health financing prompt recipient countries to liberate themselves from aid dependence? @sojiadeyi.bsky.social

www.development-today.com/archive/2025...

1 year ago 2 0 0 0
Book cover: The Foreign Gaze, essays on Global Health by Seye Abimbola

Book cover: The Foreign Gaze, essays on Global Health by Seye Abimbola

Finished 1st reading of wonderfully challenging book by @seyeabimbola.bsky.social. Coming from a colonised country that also exported religious missionaries, these essays articulate many imp. perspectives, sentiments & paradoxes.
Thinking a lot now about connecting a system to more of itself.

1 year ago 13 6 0 2
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What is up with PubMed?

It's looking weird from Australia. Hoping this is not more idiotic destruction of core health infrastructure by USG!?! But sadly would not be surprised 😯

1 year ago 0 0 1 0
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But oxygen for all needs action - so we make 52 recommendations for governments, the oxygen industry, global health actors, advocacy groups, academics, and professional bodies to work towards by 2030...

Read more and find out what you can do 🫵
www.thelancet.com/commissions/...

1 year ago 0 0 0 0
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Solution 5 - harness data for decision making with standardised oxygen coverage indicators, ATMOS policy scorecard, fostering a learning health system to continually generate and translate new learning into practice...
#data #impact #monitoring

1 year ago 0 0 1 0
Photo of liquid oxygen tank. Photo credit: Brian Otieno/ The Global Fund

Photo of liquid oxygen tank. Photo credit: Brian Otieno/ The Global Fund

Solution 4 - foster fair markets and regulation with transparent tendering and pricing, representation from LMICs, regulation that allows multiple oxygen production sources and makes devices fit for purpose...

1 year ago 0 0 1 0
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Solution 3 - coordinate oxygen system management with a national oxygen plan, stakeholder involvement across vertical programs, funding to match need and gaps...

1 year ago 0 0 1 0
Photo of health worker with oxygen concentrator in hospital ward. Photo credit: PATH/Ragul Krishnan

Photo of health worker with oxygen concentrator in hospital ward. Photo credit: PATH/Ragul Krishnan

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Solution 2 - build resilient oxygen supply systems with context-appropriate solutions that build on what exists, biomedical support and essential infrastructure (especially power), planning for total cost of ownership...

1 year ago 0 0 1 0
Photo of health worker with pulse oximeter probes. Photo credit: Isabeau Walker/Lifebox

Photo of health worker with pulse oximeter probes. Photo credit: Isabeau Walker/Lifebox

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Solution 1 - link patients to care with routine pulse oximetry, SpO2 a vital sign, capable and supported frontline health workers, and evidence-based expansion of pulse oximetry to smaller facilities...
#oximetry #vitalsign #oxygen

1 year ago 0 0 1 0
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We identified 5 priority areas for action to ensure equitable access to oxygen...
#solutions

1 year ago 0 0 1 0
Image showing the many components that go into getting oxygen to patients. Starting with the production to patient level - we need care seeking, early diagnosis, uninterrupted oxygen availability, health worker and technician expertise. 

Next, ensuring this complex system functions relies on effective management and planning, including costed maintenance and repair plans. Data on these steps is glaringly absent and prohibits effective planning by facility managers and district health staff, meaning stock-outs are common and unpredictable. Given the need for medical oxygen and pulse oximetry across all levels of the health system and multiple patient groups, oxygen is often without a clear “home” among government ministries and has too often been left out of policies, programmes, and data collection systems. At the national level, different parts of the oxygen system often sit with different ministries and public agencies, and oversight of procurement and quality control of oxygen fragmented and subject to inefficiencies. This is partly a result of absent coordinating structures that bring all national and sub-national actors and regional and international stakeholders together. 

And then, these failures in oxygen supply, quality control, and system inefficiencies are linked to how the global oxygen market functions, and deficiencies in regulations, standards and financing.

Therefore, solutions need to consider how technological innovations, workforce capacity, market dynamics, and political systems intersect, considering each solution as one piece of a bigger puzzle.  Many of the solutions we present are also not limited to oxygen systems – oxygen is part of the wider health system, and therefore solutions need to take a broader systems perspective.

Image showing the many components that go into getting oxygen to patients. Starting with the production to patient level - we need care seeking, early diagnosis, uninterrupted oxygen availability, health worker and technician expertise. Next, ensuring this complex system functions relies on effective management and planning, including costed maintenance and repair plans. Data on these steps is glaringly absent and prohibits effective planning by facility managers and district health staff, meaning stock-outs are common and unpredictable. Given the need for medical oxygen and pulse oximetry across all levels of the health system and multiple patient groups, oxygen is often without a clear “home” among government ministries and has too often been left out of policies, programmes, and data collection systems. At the national level, different parts of the oxygen system often sit with different ministries and public agencies, and oversight of procurement and quality control of oxygen fragmented and subject to inefficiencies. This is partly a result of absent coordinating structures that bring all national and sub-national actors and regional and international stakeholders together. And then, these failures in oxygen supply, quality control, and system inefficiencies are linked to how the global oxygen market functions, and deficiencies in regulations, standards and financing. Therefore, solutions need to consider how technological innovations, workforce capacity, market dynamics, and political systems intersect, considering each solution as one piece of a bigger puzzle. Many of the solutions we present are also not limited to oxygen systems – oxygen is part of the wider health system, and therefore solutions need to take a broader systems perspective.

Getting oxygen to patients requires a systems approach. Might not sound sexy but it is sooo important...
#healthsystems #oxygen

1 year ago 0 0 1 0
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There should be no question as to whether investment in oxygen-system strengthening is value for money. Rather, the focus should be on how much funding is needed and how this money would be most effectively spent...
#investinoxygen

1 year ago 0 0 1 0
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Figure showing lower oxygen access in Sub-Saharan Africa, South Asia, and East Asia and Pacific compared to other parts of the world.

Figure showing lower oxygen access in Sub-Saharan Africa, South Asia, and East Asia and Pacific compared to other parts of the world.

Oxygen access is poorer in rural areas, smaller facilities, and poorer communities, with people in Sub-Saharan Africa, South Asia, and East Asia and the Pacific facing the biggest oxygen access gaps...
#equity #rural #oxygen

1 year ago 0 0 1 0