eMagazine March 2023

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OUR PEOPLE, OUR MISSION Global Health eMagazine March 2023 Highlights Reviews GH Narrative Reflections Hispanic and Latinx Voices Global Local Voices of Ugandan Students Nursing Division Women’s Health Education Innovation and Technology Our Beautiful Planet clinical course of nodding syndrome begins with behavioral changes in previously healthy children–mainly between the ages of 5-15 years at onset–which is usually followed by recurrent episodes of head-nodding spells, cognitive decline, and generalized tonic-clonic seizures at later stages. Eating and other sensory stimuli such as cold weather, cold water, starvation, and febrile illnesses appear to trigger episodes . Most affected families commonly have multiple children with NS compared to other community members, suggesting a probable genetic connection. Nodding syndrome occurs in the same areas where river blindness is also prevalent, and this association has led some researchers to believe that the same parasitic nematode, Onchocerca volvulus, may be a culprit in both illnesses. But there is no scientific evidence that O. volvulus invades the central nervous system, so it is unlikely to cause neurodegenerative damage in patients with nodding syndrome. A virus carried by the black fly (the same vector as with river blindness) is one theory of NS’s origin. Other proposed etiologies include measles, malnutrition, toxins, and autoimmune response. Studies have linked the disease to numerous associations like Parkinson’s disease (David Lagoro Kitara et al.), nematode infestation and food stress (https://doi.org/10.1016/j.ensci.2022.100401). There has been no conclusive evidence on cause, diagnosis and management of the disease. The latest outbreak has left more than 2,100 children with lifelong disabilities, overwhelming their families. In Uganda, nodding syndrome is seen in 0.7% of the children aged 5-18, but in certain districts the prevalence is as high as 4.6%. A nonprofit that operated two clinics that fed and treated many of these children ran out of money and shut down in 2017, crippling the region’s capacity to care for them. Children with the syndrome require constant supervision, as a seizure could strike at any moment and the disease hinders decision-making abilities and impacts their behavior. Families with children disabled from the disease are strained and most have lost children due to lack of support. Art to Remind Us of Who We Can Be Article of the Month You’re Invited Photo News Calendar Global Health Family Resources Previous Issues of the eMagazine Link to a Documentary Report on Nodding Disease Nodding Disease in North Uganda 26
OUR PEOPLE, OUR MISSION Global Health eMagazine March 2023 Highlights Reviews GH Narrative Reflections Section Editor: Nursing Division Catherine G Winkler, PhD, MPH, APRN-BC Director of the Nuvance Health Global Health Program Nursing Division Update on International Nurses Executive Committee Written by Catherine G Winkler, PhD, MPH, APRN-BC Director of the Nuvance Health Global Health Program Nursing Division Hispanic and Latinx Voices Global Local Voices of Ugandan Students Nursing Division Women’s Health Education Innovation and Technology Our Beautiful Planet Art to Remind Us of Who We Can Be Article of the Month You’re Invited Photo News Calendar Global Health Family The committee met this month to begin planning for the year ahead. We have a few new members who have joined us including representatives from Nuvance Health Nursing Education Department, Lisa Cerniglia, Mark O’Dell and Robin Sells, from ACCESS, John Bosco Ntambara, and from Makerere University, Scovio Mbalinda. We have 18 members with a pending addition of 2 additional nurses from Nuvance Health. The committee is focusing its efforts on increasing awareness of Global Health among the experienced nurses within our hospitals through the following ways: a module on Healthstream, an information table during National Nurses Week and a grand round in September. Further, nurses have received the Global Health eMagazine this past month and will continue to have access to it. The committee is made up of nurses from Nuvance Health as well as our academic partners at Sacred Heart University, University of Vermont and Western Connecticut State University. We have 4 members from Uganda and 1 independent member, a recent graduate of the University of Vermont. Some of the committee members will serve as faculty members of the new Global Health Academy and others will plan a visit to Uganda later this year. We look forward to an exciting year as we work to strengthen nursing’s presence in global health as well as working with our academic and medical colleagues. Please contact Catherine Winkler or Deb Hewitt with any questions about Global Health Nursing! Resources Previous Issues of the eMagazine Nursing continued on next page >> 27
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