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Spring 2018: Global Mental Health - Speakers

9/4/2018

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In spring 2018, HUGHF hosted visiting speakers for engaging dinner discussions about global mental health.

​Sheena Wood spoke to HUGHF about her field experience at a mental health clinic in India and stressed the importance of increasing service delivery in regions of severe need. She will contribute to this service herself as she trains to become a nurse. Sheena also described her research with Dr. Vikram Patel, an HMS professor who focuses on narrowing the treatment gap for mental illnesses in developing countries. Sheena supported Dr. Patel in organizing the Inaugural Global Mental Health Open Day in April that showcased the research about and resources for global mental health at Harvard.

HUGHF also organized a fascinating dinner panel with Harvard alumni working in mental health. Dr. Mark Albanese shared his experience from his work in addiction psychiatry at the Cambridge Health Alliance (CHA) and stressed the importance of fostering culturally supportive treatment for diverse populations, including Boston’s Haitian and Latino populations. Maureen Rezendes, who is the Associate Chief of Counseling and Mental Health Services at HUHS, noted that she has witnessed exciting progress since she was an undergrad in the understanding of how the brain works at a neurological, cellular level. Sreeja Kalapurakkel described that her passion for mental health – which grew out of her involvement with SMHL and ECHO as an undergrad – has inspired her work since as a research associate at the Broad Institute. All alumni expressed their gratification that awareness about mental health on Harvard’s campus has increased rapidly in recent years.
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Spring 2018: Global Mental Health - Advocacy

9/4/2018

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While studying mental health in spring 2018, HUGHF contributed to multiple outreach and advocacy efforts.
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HUGHF’s advocacy directors Anthony Zhong ’21 and Max Ho ’21 organized a letter-writing drive through which HUGHF members wrote to the Massachusetts Committee of Health Care Financing in support of Bill H. 3595, the Act Relative to Improving Mental Health Through Innovation. The bill would create a special fund within the Massachusetts Department of Mental Health dedicated to researching and advancing best practices for mental illness and brain-based disorders. With a growing mental health burden in our country, advancing quality care is critical. The bill remains active in the Massachusetts legislature.

Our advocacy directors also spearheaded our care package fundraiser. Harvard students had the opportunity to order HUGHF’s “Mental Health Care Packages” for their friends to wish them well amidst the stress of spring term. Our 137 care packages delivered teddy bears, chocolate, and reminders of mental health resources across campus and raised $141 for Strong Minds Africa. Strong Minds Africa funds and organizes depression treatment for women in Uganda. HUGHF itself added $100 to the donation, contributing $241 total to the cause. The fundraiser allowed HUGHF to uplift spirits on campus while supporting mental health abroad – tying together local and global health.
Finally, HUGHF was a student group sponsor of the Global Mental Health conference in April, an event meant to invigorate enthusiasm on campus for addressing global mental health and to bring together those working on the issue across the University’s schools. HUGHF looks forward to continuing to support global mental health. 
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Spring 2018: Global Mental Health - Presentations

9/4/2018

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HUGHF dedicated the first half of the spring 2018 semester to studying global mental health. Our members came away from weekly meetings, dinner discussions, and letter-writing advocacy with an invigorated commitment to promoting mental health at home and abroad.

Presentations from HUGHF members guided our weekly discussions:
  • Co-Outreach Director Sara Wetzler '20 and Co-President Caroline Diggins '20 kicked off the semester with a presentation that stressed the urgency of improving mental health treatment. While mental health accounts for a high global burden of disease, 75% of people around the world who have a mental illness do not receive the treatment they need. Resource inequities exacerbate this gap, with 5 mental health treatment beds available for every 100,000 people in low and lower-middle income countries, compared to 50 beds in high income countries. Barriers to increasing access to mental health treatment include stigma and a funding shortfall. Less than 1% of global health funding goes toward mental health. Of this mental health funding, 55% goes toward mental health awareness and anti-stigma efforts. While these awareness efforts are crucial, they are also a less expensive form of intervention. Other critical interventions, like suicide prevention and family mental health promotion, may not receive needed funding because they are more costly. Visit this fact sheet for more information about the global mental health landscape and watch this TED Talk by HMS Professor Vikram Patel to learn about promising community health worker interventions for improving mental health. 
  • Social Media and Design Director Matthew Hirschfield '21  gave a presentation that highlighted another global health concern that has suffered from stigma: human papillomavirus (HPV). Much as social stigma deters patients from seeking out mental health treatment, sexual stigmas deter parents from consenting to the HPV vaccine for their children. The vaccine effectively prevents HPV infection and therefore helps protect against cervical cancer among other ailments. However, powerful taboos around sexual activity dissuade parents from giving their children a potentially life-saving immunization due to the belief that vaccinating against a sexually transmitted infection promotes promiscuity.
  • Bianca Cordazzo '20 reflected on her experiences growing up in Paraguay in a presentation about the impact of cultural stigma on preventing people from seeking the mental health care they need. This TED Talk from Sangu Delle about stigma in Africa spurred further discussion. 
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Malaria: Spring 2018

9/4/2018

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HUGHF focused on malaria for the second half of the spring 2018 semester. By concentrating on a specific disease, we were able to consider malaria from multiple lenses: we learned about the scientific basis for malaria, the cutting edge research working towards its eradication, and the opportunities available at Harvard to learn more.


Presentations:
We were excited to welcome Jaime Mchunu, the Program Manager of Harvard’s Defeating Malaria Initiative, to our first meeting on malaria. Jaime provided HUGHF with the building blocks necessary to study the disease further. She informed us of the progress that has been made towards its eradication: an 18% lower incidence between 2010 and 2016, 500 million mosquito nets distributed between 2014 and 2016, the eradication of malaria in of Kyrgyzstan and Sri Lanka in 2016, and more. She also filled us in on the challenges that remain: mosquitos are becoming resistant to specific insecticides and drugs and the rate of eradication has slowed. With these challenges in mind, Jaime told us how we could get involved: by participating in the Defeating Malaria Initiative’s online course, MalariaX, and by raising awareness about malaria on our campus.

Co-Activism Director Anthony Zhong ’21 gave a multiple-choice-style presentation that tested HUGHF’s knowledge of the core facts of malaria. Did we know that malaria is caused by a parasite, as opposed to a virus? Could we have guessed that a staggering 1,200 people die per day from malaria? Anthony described some of the biggest challenges facing malaria eradication efforts, including mosquito resistance to insecticides, fraudulent malaria drugs sold for profit, and climate change.

HUGHF dove further into the challenges presented by Anthony the following week. We read and discussed an article on a study in Tanzania, where a new insecticide, used on mosquito nets, was found to decrease incidence of malaria by 44% over the course of one year in the study population. The study highlighted the importance of continuing to create new insecticides due to increased mosquito resistance to old ones. A second article sparked a debate on whether malaria can be eradicated at all: some members sided with the article, arguing that it is impossible to eradicate malaria when the infrastructure for treatment delivery isn’t in place in many countries. Funding should target healthcare delivery rather than eradication, which has not yet been successful. Other members argued that efforts should continue to be directed towards eradication, as countries like Kyrgyzstan and Sri Lanka have seen success as recently as 2016.

Malaria Assassins:
HUGHF worked with the Defeating Malaria Initiative to organize Harvard’s second game of Malaria Assassins, with the goal of raising awareness about malaria on the Harvard campus while also building house spirit.

9 upperclassmen houses and all four freshman yards participated, each with their own game. In Malaria Assassins, each player was assigned a target within their house or yard whom they had to “tag” out using a poke. Once a player tagged out their target, they logged onto the game’s online platform, malaria.buzz, to answer a question or perform a social media task about malaria before receiving their next target. In addition, each time a player refreshed the screen, a new fact about malaria appeared. The player left un-tagged at the end of the two-week game was the winner!

270 Harvard undergraduates signed up to play the game, which took place from April 13 - April 25. Across our 2018 Malaria Assassins game, players answered a total of 102 questions and saw 2546 facts about malaria.

World Malaria Day:
Malaria Assassins culminated with a panel on April 25th, World Malaria Day, where four speakers shared the work that they have done to defeat malaria.
Our first panelists were Alastair Fung, MD and Arzhang Cyrus Javan, MD, both MPH candidates in Global Health at Harvard’s T.H. School of Public Health. Alastair and Cyrus spoke about their experience working with the Zambian Ministry of Health to develop Zambia’s National Malaria Elimination Center. Zambia is committed to a 2021 eradication of malaria. Alastair and Cyrus’ work in Zambia set the foundation -- through research on Zambia’s health system, conversations with government officials, and identification of challenges -- to reach this goal.
Andrea Smidler, a PhD candidate in Genetics and Molecular Entomology in Public Health at Harvard T.H. Chan School of Public Health provided a different perspective on malaria, explaining her work on gene drives. Andie explained she creates gene drives using CRISPR to modify mosquito DNA, and this modified DNA is passed on very effectively to all offspring. We are looking forward to following how Andie’s research develops!
Kritika Singh, an undergraduate student at Northeastern University and the Founder and CEO of Malaria Free World, provided a fourth unique perspective on malaria. Kritika’s passion and determination to defeat malaria at such a young age was inspiring to undergraduates in the audience. Kritika explained her work educating children about malaria in countries including the US and India. Malaria Free World works to raise awareness about malaria in support of ongoing research and future research -- Malaria Free World hopes to educate and encourage kids who may eventually research malaria themselves!
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