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Johns Hopkins International Injury Research Unit

A World Health Organization Collaborating Center for Injuries, Violence and Accident Prevention

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On September 28-30, 2016, JH-IIRU director, Dr. Adnan Hyder, traveled to Kigali, Rwanda to attend the second Lancet NCDI Poverty meeting. The meeting was attended by 14 global Commissioners either in-person or by teleconference and featured representation from 11 countries including Haiti, Nepal, Rwanda, Kenya, Tanzania and more.

The purpose of the meeting was to review and discuss the goals, progress, timeline and deliverables of the global Commission.

Honorable Minister Patrick Ndimubanzi opened the meeting, followed by Commission Co-Chair, Dr. Gene Bukhman who discussed progress and the upcoming timeline for the report. Shortly after, Dr. Adnan Hyder shared updates from the injury burden and intervention work being done at the Johns Hopkins International Injury Research Unit.  

On the second day of the meeting, the Commission visited several sites including the Butaro Hospital and Cancer Center of Excellence, the University Teaching Hospital of Kigali (CHUK), the Rwanda Biomedical Center (RBC) and Kibungo Hospital. Commissioners also interviewed with leaders of innovative NCDI policies and programs at the national, district and community levels. 

Dr. Hyder at the University Teaching Hospital of Kigali

Dr. Hyder with commissioners and community health workers at the University Teaching Hospital of Kigali 

The third day of the meeting consisted of roundtable discussions, brainstorming sessions and various presentations. The day concluded with closing remarks from Dr. Jean Pierre Nyemazi, the Permanent Secretary of Health of the Republic of Rwanda. 

The next Lancet Commission meeting is planned for March 2017. 

Lancet Commission

Members of the global Commission in Rwanda

Recently, Johns Hopkins International Injury Research Unit Director, Dr. Adnan Hyder was announced as a 2016 Board member for Health Systems Global (HSG). As a part of the election process, the 22 candidates were asked to write blog posts explaining their future plans if elected. Dr. Hyder’s blog post can be found here. Close to 1,500 current HSG members were invited to read the blog posts and vote for the nominated candidates.

Dr. Hyder joins five other newly-elected Board members who will be formally introduced at the Health Systems Global annual general meeting in Vancouver during the fourth global symposium on health systems research in November. The full list of 13 Board members can be found here.

As a Board member, Dr. Hyder is expected to attend board meetings, undertake at least one committee assignment, and adhere to HSG’s code of ethics, governance and responsibility.

Please join us in congratulating Dr. Hyder on this much-deserved distinction. 


To learn more, visit the Health Systems Global website.

In July, a Johns Hopkins International Injury Research Unit (JH-IIRU) team led by the Director, Dr. Adnan Hyder was invited to Lusaka, Zambia by the Ministry of Health for a two-day National Emergency Medical Systems (EMS) Assessment Workshop. JH-IIRU Assistant Scientist, Dr. Amber Mehmood coordinated the work and post-doctoral fellow, Dr. Isaac Botchey assisted in providing technical assistance. The workshop was a collaboration between the Ministry of Health, World Health Organization and the Johns Hopkins International Injury Research Unit.

The aim of the workshop was to conduct a comprehensive assessment of the Emergency Care System in Zambia with both local and international stakeholders. Using the results of the WHO emergency care system assessment, the workshop served to develop consensus-based action priorities. In addition, the outcome of the workshop was to set recommendations for policy makers regarding the emergency care system in Zambia and explore possibilities for further partnerships.

While in Zambia, the JH-IIRU team also participated in meetings with local collaborators at the University of Zambia.

Police check speeding in Lusaka, Zambia

Police check speeding in Lusaka, Zambia         

On May 5, 2016, Dr. Adnan Hyder, director of the Johns Hopkins International Injury Research Unit (JH-IIRU), opened the Emergency Medical Services in Developing Countries seminar. Dr. Hyder introduced the International Injury Research Unit and discussed its work on emergency medical systems. Dr. Junaid Razzak of Emergency Medicine at JHU and Senior Technical Advisor of IIRU then presented on emergency health systems in low resource settings.

The presentation also promoted the launch of a special issue of BMC Emergency Medicine titled, “Pakistan National Emergency Departments Surveillance Study” (Pak-NEDS). Pak_NEDS was a collaborative effort between the Department of Emergency Medicine at Aga Khan University (AKU), Karachi, Pakistan and the Johns Hopkins International Injury Research Unit with support from the Fogarty International Center of the U.S. National Institutes of Health. Karachi, Pakistan is the third largest city in the world with a huge demand for improving their emergency health systems.

Dr. Razzak presented on the research challenges and discussed the crisis of leadership within the system including the population’s lack of hope in their system. In addition, he addressed how investment in leadership development is key to the success of an EMS system. Dr. Razzak raised awareness about the lack of emergency medical care and leadership in low- and middle-income countries and the cost effectiveness of focusing interventions in emergency care.

To view the seminar, please click here.

Road traffic injuries (RTIs) are a leading cause of death and disability in Africa. With a rate of 28.3 fatalities per 100,000 population, it’s the highest in the world. What’s more, the economic cost of RTIs on the continent is estimated to be 1-2% of the gross national product. Despite these high numbers, there is little data available on prevention and treatment strategies.  This is true for the central African country of Cameroon, where the number of road traffic deaths has been steadily increasing since the 1970s.

Recently, in an effort to examine road traffic injuries JH-IIRU team members published “Road Traffic Injuries in Yaoundé, Cameroon: A hospital-based pilot surveillance study,” in the journal Injury. The paper looked at patients injured in RTIs who sought care at the main referral hospital in Yaoundé to determine not only the characteristics of those injured but also to identify the associations between these characteristics and outcomes which could be used to improve treatment in Cameroon as well as  other low- and middle-income countries (LMICs). The study provides valuable information about RTIs which the team hopes can be used to improve emergency care in Cameroon and other LMICs and highlights the importance of RTI prevention.

The team included JH-IIRU associate director, Kent Stevens and director Adnan Hyder, and colleagues from WHO Africa, the Ministry of Public Health in Yaoundé, as well as the Department of Surgery at the University of California, San Francisco.  Catherine Juillard, currently in the Department of Surgery at Johns Hopkins Hospital, was a post-doctoral fellow in JH-IIRU when this study was conducted.

This study is part of the unit’s ongoing global work on trauma care.

Read more here

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