Nicole Le Saux is Associate Professor in the Division of Infectious Diseases at the University of Ottawa *
As physicians we should be concerned about the inappropriate use of antibiotics. Have you ever had a patient with an extended spectrum beta-lactamase (ESBL), E. coli or Klebsiella urinary tract infection, a Clostridium difficile infection (CDI) or a drug-resistant N. gonorrhoeae?
Whereas resistant bacteria and CDI were rare a decade ago, these clinical situations are now commonplace in hospitals, long term care facilities and emergency departments. According to the Canadian Antimicrobial Resistance Surveillance System Report 2016 the rate of CDI in hospitalized patients is 3.4 cases per 1000 patient admissions (approximately one in every 300 patients admitted). As of 2014, 18.2% of isolates of Neisseria gonorrhoeae were resistant to penicillin with worrisome decreased susceptibility to cefixime, ceftriaxone and azithromycin. ...continue reading →
Alumni of The Graduate Institute Geneva include former Secretary-General of the United Nations Kofi Annan. It seemed to me to be the obvious choice for a course on Global Health Diplomacy. Geneva hosts many of the well known international organizations in the world, including the headquarters of many of the agencies of the United Nations and the Red Cross. I joined a group of 30 executives from all over the world who got together to learn and share on the topic of Global Health Diplomacy. There were participants from government sector as well as the private sector, Ministers of Health and of Finance, diplomats and doctors, academics, clinicians, policy developers, philanthropists and activists. In a relatively short period of time we got to know each other, learn from each other’s diverse backgrounds, and build relationships. ...continue reading →