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Codeine and Kids

Codeine and Kids

Codeine! The analgesic of choice for head injury patients for junior house staff those many moons ago!  It wasn’t really a choice, we weren’t allow to use morphine because it was dangerous! But what do we know now….? Codeine is a pro-drug that gets broken down to morphine.  So all those years ago we were delivering … Continue reading

Short Notes

  • The Pain & Policy Studies Group (PPSG) / World Health Organization Collaborating Center on Pain Policy in Palliative Care is excited to announce its collaboration on a pilot program with the African Palliative Care Association (APCA) to train in-country champions to improve patient access to pain medicines.  To build on its well-established International Pain Policy Fellowship (IPPF) program, funding has been received from the National Cancer Institute (National Institutes of Health) to develop an African Pain Policy Fellowship (APPF). Since 2006, the IPPF has improved opioid availability throughout many low- and middle-income countries. The program has trained and mentored 27 fellows from 21countries. These fellows have been instrumental in effecting change in local and national laws and policies, clinician education, public awareness, advocacy and patient care.This in-country approach will draw on local knowledge about traditions, beliefs, cultures and political situations and how they might affect the availability of needed medications and palliative care.  Five individuals have been awarded a 1-year fellowship to receive the training and skills to make positive change in their country’s opioid availability.  Training will occur through an initial in-person workshop in Africa and by utilizing distance learning.  Fellows will develop action plans to improve opioid availability that they will implement during the one year period and will receive guidance and technical assistance from the PPSG, APCA, and other selected international experts.  This 2014 African class involves five Fellows from five countries.  Those selected are:ETHIOPIA -  Abraham Endeshaw Mengistu, MPH, MDGHANA - Mawuli Gyakobo, BSc, MB, ChB, MSc, PhD, FWACP-Fam. Med, Post Doc. Global Health & Palliative MedicineRWANDA - Christian Ntizimira, MDSUDAN -  Nahla Gafer, MDZAMBIA - Lewis Banda, MBChB (UNZA), MMED (UNZA)(internal medicine), FCRADONC (SA)(fellow college of radiation oncology)We look forward to this collaboration with APCA and are grateful to the National Cancer Institute Center for Global Health for this supplemental grant to the University of Wisconsin Carbone Cancer Center as part of its Pilot Collaborations with LMICs in Global Cancer Research or Health Research at NCI-Designated Cancer Centers.
  • #hpmjc will be joining #hpmglobal for the first time on  Monday May 5th! 12 noon GMT Elissa Campbell, a #hpm fellow from Perth, Australia will be leading a discussion on this paper! Interventions to encourage discussion of end-of-life preferences between members of the general population and the people closest to them - a systematic literature review Katharine Abba1*, Paula Byrne1, Siobhan Horton2 and Mari Lloyd-Williams1 BMC Palliative Care 2013, 12:40  doi:10.1186/1472-684X-12-40 Please join us
  • International Association for Hospice & Palliative Care. A report from the 57th Session of the Commission of Narcotic Drugs!
  • Global Opioid Access: WHO accelerates the pace, but we still need to do more | OUPblog.
  • Doctors criticise UN's approach to global drugs control : The Lancet.
  • Studying problems of pain management in India – by Clare Roques | End of life studies. An very interesting piece on India by a Scottish PhD Student!
  • Ian Maddocks - ABC Conversations with Richard Fidler. A great interview from Australia's ABC!
  • Kaseba urges partnerships with Palliative Care Alliance Zambia | Zambia Daily Mail. Zambia's First Lady shows her support for Palliative Care
  • Award trains palliative care champions « Global Health Institute « UW-Madison. New African Pain Policy Fellowship with @APCAssociation
  • The WHO has posted the final resolution on its website!  Please share thoughts and recommendations!
  • Evidence on the cost and cost-effectiveness of palliative care: A literature review.  Just published in Palliative Medicine. An interesting review from Dr Samantha Smith and colleagues in Dublin. Available online at
  • Cancer patients suffer from poor access to palliative care - From the Financial times: World Child cancer addressing palliative care & access to opioids
  • From bedside to bench: Bringing clinical experience to international advocacy work | EAPC Blog. Comments from Lukas Radbruch, Past president of EAPC!
  • Russian Doctor's Trial Highlights Suffering Of Terminally Ill. A chilling reminder of how regulations can impact cancer pain!!
  • ▶ Survival vs Mortality Rates: Healthcare Triage #7 - YouTube. Great review... As essential understanding for #palliative care! #hpmglobal
  • Palliative Care in India | ASCO Connection. A commentary from ASCO IDEA award Dr Rakesh Roy, of Kolkata who spent time at the UW Carbone Cancer Center after ASCO 2012

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