At the Arnhold Institute for Global Health, we regularly publish thought leadership related to global health and the work of our researchers in communities around the world. We are featured in media locally, nationally, and internally, and our faculty serve as sources for topics spanning global health.
- One Smart Upstream Investment
Prabhjot Singh - Politico The Agenda 2020 | January 10, 2018
When it comes to solving America’s toughest and most complex health challenges, we cannot only look to our own experience. We need to shift our mind-set and search globally, looking to other countries and societies for locally driven, practical solutions that have endured and spread. Americans are rightly proud of their record of health innovation, but resourceful people in poor, challenging settings have their own remarkable record. For example, we “discovered” community health centers in South Africa, and over the past 40 years, they have spread nationwide in a uniquely American form. What if we looked to Liberia’s powerful community-based Ebola response for clues to fighting the opioid epidemic? What if rapidly aging American communities worked alongside Japanese communities to make sure that no elderly person was lonely? What if our most distressed communities redesigned their public spaces with new friends in Copenhagen? What if America genuinely opens up to the possibility of learning from everywhere? If we do, I believe we can be the healthiest nation within a generation.
- Opinion: Africa needs investment in palliative care
Devex | January 3, 2018
Palliative care services are seriously lacking in Africa. Nineteen percent of African countries do not have identified palliative services and 71 percent of the services that do exist are concentrated in Uganda, South Africa, and Kenya. The HIV epidemic played a driving role in developing palliative care services and resources in many countries in Africa, with initial funding in HIV helping to boost hospices and palliative care services on the continent. However, a decrease in funding as well as a move away from vertical, disease-specific funding to horizontal, health systems funding is negatively affecting palliative care service delivery and development in many countries across the continent.
- The core competency of microfinance institutions isn't finance - it's distribution.
Devex | November 10, 2017
Their central infrastructure isn't bank branches, but rather networked group meetings. And the return on investment from their loans isn't the interest; it's the added value of organizing vulnerable populations in rural areas of low-income countries into a platform. MFIs aren't banks that happen to lend to groups; they are a delivery platform reaching 200 million households globally that happens to distribute loans.
- Microfinance Institutions Are Found Effective In Giving Health Products To Underserved Communities
Medical Xpress | November 6, 2017
Microfinance institutions are popularly known for providing small loans to low-income entrepreneurs lacking access to traditional banking services. However, new research from The Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, suggests that the capabilities of microfinance networks expand well beyond banking, and that tapping into these networks can bring measurable health improvements to rural and underserved communities on a national scale with reduced cost. Arnhold Institute researchers partnered with Fonkoze (the largest microfinance organization in Haiti) and tested whether training microfinance center chiefs to deliver micronutrient supplements during credit center meetings could improve the health of children under five. "Given the strength of informal institutions and markets in low-income countries like Haiti, we wanted to see if leveraging them could be effective in distributing essential health products," said Aaron Baum, PhD, assistant professor of global health and lead economist at the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, and lead author of the study.
- Listening is a Lost Art in Medicine. Here's How to Rediscover It.
Prabhjot Singh, MD, PhD and Niyum Gandhi | Harvard Business Review | November 6, 2017
Clinicians and health system leaders started tuning out the patient's voice, turning instead to electronic health records and the latest protocols to manage their most complicated and high-need patients. Prabhjot Singh, MD, PhD, director of The Arnhold Institute for Global Health and chair in the health system design and global health at the Icahn School of Medicine at Mount Sinai and Niyum Gandhi, executive vice president and chief population health officer at the Mount Sinai Health System, believe it's time for an urgent and strategic reset. The factors that lead people to become our nation's costliest are complex. But they call for, at the start, the simplest intervention: listening. According to the National Academy of Medicine, high-need individuals are disproportionately older, female, white, and less educated. They are also more likely to be publicly insured, have fair-to-poor self-reported health, and be susceptible to lack of coordination within the health care system. Over the past several years at the Mount Sinai Health System, we have focused on developing a new generation of clinical services for high-need patients by drawing heavily on strategies pioneered by others across the nation, guided by recommendations in the newly release NAM report, developed by Dr. Singh. In a fast-paced health care system, it is clear that patients will benefit from the work of researchers and technologists focused on data-driven technologies to improve care. However, the clinical insights and strategies these technologies can give rise to are most useful when they're incorporated into clinical care by providers who listen carefully to their patients, their colleagues, and the exemplary organizations around them.
- New York Borrows A Health Care Idea From Africa
Joanne Kenen | Politico | October 25, 2017
In Africa and India, the idea of using lay health care workers was born of necessity. Manmeet Kaur, founder of City Health Works in Harlem realized that using community health care workers would also fill a real gap in American health care, where all too often patients with chronic conditions like heart failure and diabetes are released from the hospital with little follow-up and few options when problems arise except go right back to the ER. Unlike sub-Saharan Africa, Upper Manhattan is rich in hospitals, medical schools and pricey specialists. But it’s poor in effective community-based primary care, particularly the kind of care that can reach into kitchens and living rooms of patients. With encouraging early data on patient outcomes and financial stability, City Health Works has emerged as a promising approach that differs from a lot of other health coaching or community groups. It was co-designed with clinicians in its community, from places like The Mount Sinai Hospital, who are open to a team-based approach and understand that peer workers can sometimes reach where a physician cannot. “It unburdens us,” said Gary Burke, MD, assistant professor of medicine at the Icahn School of Medicine at Mount Sinai and chief of general medicine at Mount Sinai St. Luke’s, who works closely with Kaur’s team. “They come from the community; with a different perspective … They speak the language. And they can look in the refrigerator.”
- Pollution Linked to One in Six Deaths
Katie Silver | BBC News | October 20, 2017
Pollution has been linked to nine million deaths worldwide in 2015, a report in The Lancet has found. Almost all of these deaths occurred in low- and middle-income countries, where pollution could account for up to a quarter of deaths. Bangladesh and Somalia were the worst affected. Air pollution had the biggest impact, accounting for two-thirds of deaths from pollution.
- New York City: Data Science’s Best Bet for Growth and Opportunity
Drew Conway | Insight Data Science | September 29, 2017
One of the reasons New York’s data community stands out from the rest is that it is the best at recognizing the need for both natural sciences and social sciences to come together to do truly great and innovative data work. New York’s data scientists have not only helped to build many innovative and successful businesses, but the Data for Good movement started here too. There are numerous New York-based organizations that have put using data for social good at the core of what they do, such as DataKind, Crisis Text Line, Murmuration, Mount Sinai’s Arnhold Institute for Global Health, and Teachers Pay Teachers, as well as the NYC Mayor’s Office for Data & Analytics, founded in 2013 under Mayor Bloomberg.
- Multiple Conditions
Crain’s Health Pulse | September 19, 2017 (Subscription Required)
The Mount Sinai Health System and Teva Pharmaceuticals are teaming up to improve patient and health system care for people with multiple chronic conditions, the partners announced Monday at the World Economic Forum's Sustainable Development Impact Summit. A regional pilot program at Mount Sinai's Arnhold Institute for Global Health will design and evaluate a patient-centered, integrated approach and eventually adapt it for delivery to larger patient populations.
- Collaborating with Mount Sinai
Shoshanna Solomon | The Times of Israel | September 18, 2017
Teva announced a partnership with Mount Sinai Health System hospital to create solutions to improve patient and health system care for Multiple Chronic Conditions (MCC), defined as “an emerging and unaddressed global health threat.” The announcement was made to an audience of public health leaders at the World Economic Forum’s (WEF) Sustainable Development Impact Summit. MCC are defined by the presence of two or more chronic conditions in a patient. Currently, one in three adults globally, and two in three adults over the age of 65, suffer from two or more chronic conditions, Teva said. The top conditions contributing to mortality and morbidity in high-income countries include ischemic heart disease, stroke, lung cancer, depression, diabetes and back and neck pain. The collaboration will envisage a regional pilot program at Mount Sinai’s Arnhold Institute for Global Health in New York, which will design and evaluate a patient-centered, integrated approach and ultimately adapt it for delivery to larger patient populations, the statement said.
- Look Again at Look AHEAD: Weight-Loss Benefit Only in T2D Subgroups
Liam Davenport | Medscape | July 31, 2017
There may be subgroups of patients with type 2 diabetes who experience marked health improvements in response to intensive weight-loss interventions, while others may experience substantially worse outcomes, the results of a reanalysis of data from a randomized controlled trial indicate. Study coauthor Aaron Baum, PhD, from Arnhold Institute for Global Health, Icahn School of Medicine at Mount Sinai, New York, added: "As researchers and data scientists, we are always concerned that an overall study result could mask important disparities in benefit or harm among different types of patients, which is exactly what this study revealed. "Being able to identify individuals who could benefit from an intervention is fundamental to patient care."
Overall Neutral Treatment Benefit Masks Better, Worse Outcomes In Subgroups
Regina Schaffer | Healio | July 18, 2017
Among patients with well-controlled or poorly controlled type 2 diabetes and a good self-perception of their health, an intensive lifestyle intervention was associated with reduced risk for a cardiovascular event. Patients with well-controlled diabetes and a negative self-perception of health, however, saw an increase in cardiovascular risk with intensive weight loss. In a new analysis of data from the study, conducted by data science researchers at the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, researchers found that the cohort’s overall neutral treatment findings masked treatment benefits among several subgroups.
- Behavioral Changes Effective for Most Type 2 Diabetes Patients
Kristen Monaco | Medpage Today | July 17, 2017
Among a majority of patients with Type 2 diabetes, intensive weight loss intervention reduced the risk of adverse cardiovascular outcomes, a post hoc analysis of the look AHEAD (Action for Health in Diabetes) trial found. In the study, led by Aaron Baum, PhD, assistant professor of global health at the Icahn School of Medicine at Mount Sinai, 86 percent of the overall population reduced the risk of composite cardiovascular outcomes with intensive lifestyle modification.
- Weight Loss
Dan Goldberg | Politico New York Health Care | July 13, 2017
Most patients with type 2 diabetes should lose weight, but for some that could be a really bad idea, according to researchers at The Arnhold Institute for Global Health of the Icahn School of Medicine at Mount Sinai, writing in The Lancet Diabetes & Endocrinology.
- Gates Foundation Awards Grants to Pace and Mount Sinai (Subscription required)
Robin Schatz | Crain's Health Pulse | June 16, 2017
Arnhold Institute for Global Health, Icahn School of Medicine at Mount Sinai and a researcher at Dimagi, Cambridge, Mass. won a Bill & Melinda Gates Foundation Grand Challenges Explorations grant to create a platform to detect high-malaria-risk regions to allocate malaria-control resources.
- 'Where do you Live?'
Prabhjot Singh | Politico The Agenda | May 23, 2017
I'm a doctor in East Harlem, where residents die, on average, 10 years earlier than their neighbors just a few blocks south on Manhattan's Upper East Side. Many of my patients worry more about paying the rent than buying the medication they need to manage their diabetes or high blood pressure. That's why I've learned that one of the most important questions I can ask my patients during an exam is, "Where do you live?"
- Global Health a Requisite for Academic Pediatric Programs
The study and practice of global health should be a core part of pediatric education and research at all academic health centers, according to a report from the American Board of Pediatrics Global Health Task Force. Dr. Prabhjot Singh, director of the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai in New York City, told Reuters Health by email, "The American Board of Pediatrics has released a timely, practical and important affirmation of the central role of global health in training the people who will take care of our nation's children."
- Presidential Scholar (Subscription required)
Crain’s New York Health Pulse | February 3, 2017
Prabhjot Singh, MD, PhD, director of the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, is one of 60 scholars chosen to participate in the 2017 Presidential Leadership Scholars program. The leadership-development initiative uses the resources of the presidential centers of George W. Bush, William J. Clinton, George H.W. Bush and Lyndon B. Johnson.
- Marking Rounds (Subscription required)
Dan Goldberg | Politico Pro | February 2, 2017
Prabhjot Singh, MD, PhD, director of the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, was one of 60 selected to participate in the Presidential Leadership Scholars program.
- Trump's travel ban rattles medical residency programs (Subscription required)
Dan Diamond | Politico Pro | January 31, 2017
Teaching hospitals may have to drop residency offers to medical students from countries affected by President Donald Trump’s immigration ban — a move that could exacerbate a shortage of doctors and limit patient care in underserved areas.
- Mount Sinai and GLG Announce 2017 Global Health Scholars
Yahoo Finance | January 24, 2017
The Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai and GLG (Gerson Lehrman Group, Inc.) today announced the 2017 class of Mount Sinai-GLG Global Health Scholars. Three additional scholars will join the program, now in its second year. The program leverages GLG's learning platform and the Icahn School of Medicine at Mount Sinai's progressive environment for medical education. It creates a groundbreaking educational program for the next generation of global health leaders that connects curious and dedicated Mount Sinai students with the power of one-to-one learning through GLG.
Palliative Care Makes Only Limited Gains in Africa—September 1, 2017
Mount Sinai and GLG Announce 2017 Global Health Scholars—January 24, 2017
- Mount Sinai’s The Arnhold Institute for Global Health and United Nations Office Release Joint Report on the Essential Role of Community Health Workers in the United States—December 6, 2016
- Mount Sinai’s Arnhold Institute for Global Health Partners With DigitalGlobe to Better Map World’s Most Underserved Populations—October 25, 2016
- USAID Funds Partnership between Mount Sinai’s Arnhold Institute for Global Health and Dimagi to Identify and Forecast Zika Cold Spots Before They Become Hot Spots—October 17, 2016
- Jeffrey D. Sachs, PhD, Joins Mount Sinai for Two-Year Visiting Fellowship—September 20, 2016
- Faculty at Mount Sinai’s Arnhold Institute for Global Health Receive Prestigious Appointments—July 15, 2016