New York City
F THE government wants to curb the unchecked spread of tuberculosis (TB) in its prisons, it doesn’t have to look far. Paul Silver, a US prison architect living in Johannesburg, helped to reduce the TB epidemic in New York’s Rikers Island prison by constructing specially designed cells where the TB bacteria could not survive.
REPORTS TO: Country Director (Chief Operations Officer), ICAP in Swaziland
LOCATION: Mbabane, Swaziland
ICAP in Swaziland is a program of the Mailman School of Public Health at Columbia University in New York City. Since 2008, with support from PEPFAR, ICAP in Swaziland has provided technical assistance to the Ministry of Health (MOH) and health facilities in the development of family-focused, multidisciplinary HIV care, and treatment programs. These programs seek to decentralize HIV care and treatment to the primary care level in three of the four regions of Swaziland: Hhoho, Lubombo and Manzini.
When the US Food and Drug Administration approved Viagra in 1998, officials never considered one possible side effect of the drug: higher rates of sexually transmitted diseases among men who, thanks to Viagra, would become more sexually active. A powerful tool in the fight against HIV is raising similar questions about the possibility of unintended public-health consequences if drugs are approved for use in healthy people and cause them to alter their behaviour.