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World Hand Hygiene Day 2023 | Collections | MSF Science Portal
World Hand Hygiene Day 2023

World Hand Hygiene Day 2023

"Clean hands, safe care" is the theme of this year's World Hand Hygiene Day. At MSF, we know that Hand Hygiene is the simplest and best way to prevent the transmission of infections in our facilities. This collection features some lessons learned about hand hygiene and infection, prevention, & control (IPC) in MSF projects, especially in resource-constrained environments in the Sahel, and in the era of COVID-19.

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The climate crisis and health in humanitarian settings

The climate crisis and health in humanitarian settings
The climate crisis is also a health and humanitarian crisis, disproportionately impacting people in the world’s most climate-sensitive regions—mainly low- and low-middle income countries with the least capacity to respond. MSF and other humanitarian organizations witness the consequences daily. More frequent, intense weather events and a warming planet contribute to food and water scarcity, more severe and widespread disease outbreaks, and more injuries and preventable deaths. They also drive massive population displacement, with over 32 million people fleeing their homes in 2022 alone due to floods, drought, storms and fire—nearly triple the number displaced by violence and conflict. To mark Earth Day 2024 (22 April) we present a cross-section of work by MSF and collaborators, drawing from a range of data sources and from first-hand experience at our medical projects. Emphasizing the urgency of adapting humanitarian operations to the climate crisis, the collection also explores loss and damage through a health lens, proposes policies and practices for creating climate-resilient health organizations, and advocates for embedding fair, just ethics perspectives into humanitarian action and research on climate.
World NTD Day

World NTD Day
Expanding access to lifesaving new TB tools

Expanding access to lifesaving new TB tools
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Neglected tropical diseases (NTDs) impact nearly 1.7 billion people each year, causing serious illness or lifelong disability among many—often leading to stigma and exclusion—and killing an estimated 200,000. The vast majority of sufferers live in the world’s poorest countries.


The World Health Organization’s NTD roadmap 2021-2030 aims to address 20 tropical diseases through prevention, control, elimination, and/or eradication. But despite some progress, reaching all its targets will take better, far more accessible diagnostics and treatments along with more robust strategies, political commitment and resources.


To mark World NTD Day, this collection spotlights work by MSF and collaborators on improving approaches to snakebite envenoming, kala azar and noma. One study presents an innovative artificial intelligence-based snakebite diagnostic tool, while others evaluate shorter, less toxic drug regimens or different models of care. Several commentaries advocate for national/regional strategies adapted to contexts ranging from remote villages to active conflict zones. Another crucial factor is the climate crisis, which is intensifying the transmission and geographic spread of many NTDs.

Many settings with a high burden of drug-resistant tuberculosis (DR-TB) lack access to advanced diagnostics and to groundbreaking new treatments. The Collection linked below spotlights work by MSF and collaborators to analyze barriers, identify gaps, and accelerate the roll-out of these tools to people whose lives hang in the balance. Several reports examine price, regulatory, and patent obstacles that persist despite considerable public investment into developing many of these tools. Other authors examine critical remaining weaknesses in care pathways—especially in screening and diagnosis, and particularly in children. Several studies describe new strategies that could be part of the solution, from a pilot program in Tajikisttan that trains family caregivers to treat children with DR-TB at home, to a person-centered care model adapted to a conflict zone in Afghanistan. Lastly, initial findings demonstrate that pregnant women—another vulnerable population—can be effectively treated for DR- and multidrug-resistant TB, improving maternal outcomes without harming neonates.
Journal Article
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Research

Achieving minimum standards for infection prevention and control in Sierra Leone: urgent need for a quantum leap in progress in the COVID-19 era!

Fofanah BD, Abrahamyan A, Maruta A, Kallon C, Thekkur P,  et al.
2022-05-06 • International Journal of Environmental Research and Public Health
2022-05-06 • International Journal of Environmental Research and Public Health
INTRODUCTION
Good Infection prevention and control (IPC) is vital for tackling antimicrobial resistance and limiting health care-associated infections. We compared IPC performance be...
Journal Article
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Research

An exploratory qualitative study of caregivers' knowledge, perceptions and practices related to hospital hygiene in rural Niger

Marquer C, Guindo O, Mahamadou I, Job E, Rattigan SM,  et al.
2021-09-01 • Infection Prevention in Practice
2021-09-01 • Infection Prevention in Practice
BACKGROUND
The risk of healthcare-associated infections is exacerbated by poor hygiene practices in health care facilities and can contribute to increased patient morbidity and morta...
Journal Article
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Commentary

How COVID-19 highlighted the need for infection prevention and control measures to become central to the global conversation: experience from the conflict settings of the Middle East

Mouallem RE, Moussally K, Williams A, Repetto EC, Menassa M,  et al.
2021-08-19 • International Journal of Infectious Diseases
2021-08-19 • International Journal of Infectious Diseases
The COVID-19 pandemic has managed to bring to the foreground, in just few months, the conversation around what Infection Prevention and Control (IPC) experts have been pushing for decade...
Journal Article
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Research

Hand hygiene compliance and environmental contamination with gram-negative bacilli in a rural hospital in Madarounfa, Niger

Tang K, Berthé F, Nackers F, Hanson KE, Mambula C,  et al.
2019-10-14 • Transactions of the Royal Society of Tropical Medicine and Hygiene
2019-10-14 • Transactions of the Royal Society of Tropical Medicine and Hygiene
Background
Healthcare-associated infections pose a major, yet often preventable risk to patient safety. Poor hand hygiene among healthcare personnel and unsanitary hospital environm...
Journal Article
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Research

Inclusion of real-time hand hygiene observation and feedback in a multimodal hand hygiene improvement strategy in low-resource settings

Lenglet AD, van Deursen B, Viana R, Abubakar N, Hoare S,  et al.
2019-08-02 • Journal of the American Medical Association (JAMA)
2019-08-02 • Journal of the American Medical Association (JAMA)
IMPORTANCE
Hand hygiene adherence monitoring and feedback can reduce health care-acquired infections in hospitals. Few low-cost hand hygiene adherence monitoring tools exist in low-r...