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IVMC Spring Conference 2022: Dr Phil McElnay & Dr Emanuele Capobianco speaking on 'The health impact of the war in Ukraine and the WHO's response'

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Summary

This morning we are proud to host the EMC 2022 Spring conference, welcoming delegates from at least 20 countries around the world. Our mission is to democratize access to healthcare training, and we’re doing this through benefit technology. During the conference, we have keynote speakers who are covering the situation in Ukraine and topics such as human humor in healthcare. Our poster presenters will have the opportunity to present during lunch and share their research, audit and quality improvement work. We also have an announcement regarding Metalzone; medical conferencing technology which aims to make healthcare training accessible to organizations around the world. The W.H.O's Chief Strategy and Data Strategy Officer, Dr. Emmanuelle Capobianco, will be sharing the latest news on the situation in Ukraine, and giving details on the work of the W.H.O in Europe and other places around the world. This is a great opportunity to learn from experts, present and share your research, and support incredible causes.

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Learning objectives

  1. Explain the fundamentals of the setting in Ukraine and the medical emergencies occurring there.
  2. Describe the current state of the healthcare system in Ukraine and the risks posed to its citizens.
  3. List and explain the challenges of providing medical care and treatment in conflict zones.
  4. Identify ways to support international medical organizations, such as the World Health Organization.
  5. Recognize the importance of mental health in affected areas and ways to provide psychological support.
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Computer generated transcript

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The following transcript was generated automatically from the content and has not been checked or corrected manually.

way. Oh, good morning, everyone. You are so warmly. Welcome to the metal. I've EMC 2022 Spring conference. It is our really honor to host you this morning. Delegates from at least 20 countries around the world. This conference is a really important part off. What? We're a bite. We totally believe in democratizing access to create healthcare training to make it accessible to every health care professional on student everywhere. On with benefit technology, we've begun to make that happen. We believe in making incredible people available to you, our colleagues, to hear from their experience to learn from their expertise and to ask questions from them. We also truly believe in giving you the opportunity to present your work, your audit, your research, your quality improvement work, the work that is required to change health care. Arriens, the globe. We believe in giving you the opportunity to share that on a global stage. Open access. But beyond that, we really believe and supporting incredible causes through this work were in a really fortunate position. We have the technology to do this. So what? What we do instead of taking ticket fees, is we ask delegates to make a suggested donation to incredible causes that are making a difference in healthcare today. Today we're supporting the World Health Organization. Find a shin on the International Committee of the Red Cross and particularly as they support colleagues and civilians in Ukraine with their emergency appeals, we'd be really grateful if you would consider making a donation to their incredible work. We've got a jam packed day. We've got incredible keynote speakers covering everything from the situation, and you create a moment to human humor in healthcare. We've got people here talking about changing the fierce off surgery with quality and diversity toe work shops where you can learn how to manage your finances. Please get involved. Check our schedule under the event and fruit tab. Ask questions. Interact making you friends and you colleague. Today it's are really honor to host you. We've got incredible poster presenters who are sharing their work under the posters tab on the left hand side as well in a viewer, a poster presenter. You'll have the opportunity to picture work at lunchtime today. You'll also be able to share the links to your poster during the bricks and we ask you to keep the chat box clear for questions from the audience during me in stage speaker slots. We don't have any sponsors of this event. We do this for free. We do open access voluntarily, but on the left hand side, under the sponsors tab or metal, you'll see links directly to the W actually find a shin, the Red Cross, Other organizations who are using metal to run their events, and some tools that will help you if you're running on event as well. Today, we're making a special announcement of weight Metalazone Well, we believe in making great health care training technology, available toe organizations around the world on the conferencing technology that you see today for global conferences, for webinars, for poster holes for catch up on on the bone content. We're really prides to share a little bit of news about making that open access to your organization later on today, without any further ado, I'm gonna introduce and not necessarily our first keynote speaker. But colleagues who you are good techs been a little bit about what's happening in your Creon at the moment. It's a pre recorded message from colleagues in LV IV. You're going to be explaining a little bit about healthcare and what this situation looks like their first hand, not the movement. And then following that, we're going to hear from our first keynote speaker, Despair mint, with me a little second, we're gonna play a message from our colleagues in your Creon on. We'd be grateful if if you could consider supporting the work of the W to find a shin in supporting those incredible people at the moment. 24 hour shifts every other day. We were still held patients who come from from Eastern bottle parts off Ukraine. But now it is more complicated. All the logistics on disrupted, destroyed. You don't have laboratories properly working. We don't have a proper medical supply. So we cannot run the treatment in a proper way because off the air alarms like 234 times a day, we have to run downstairs to the shelter. And, um, it's really disrupts the treatment process. Some of our patients started to help, um um, fewer and we we think this is because off them going down to the shelter, which is not clean, and since they they only chemo, they are very sensitive to those kinds of things cancer. It has nothing to do with war. This war. It prevents patients from getting their treatment. If they survived the the shelling and the shooting, the perhaps would not survive. The is Eastern because they cannot get treatment in time. What's on? Incredible story. But it's not just a story. It's happening on the grind right now on. We are really honored to have Doctor Emmanuelli Capobianco with us from the World Health Organization today to tell us a little bit more by the situation in Ukraine at the moment, the situation that they are facing not just a new cream, but around the world, as an organization on the work off the W to find a shin in you Korean at the moment, but also in news other situations around the world that they are tackling Doctor manually. Capobianco is the chief strategy on day strategy officer for the World Health Organization Foundation, best in Geneva on. We are really grateful to have him join us this morning. Doctor. Cup of Yanko. I'm gonna have straight over to you on t share a little bit of white about the work that you're doing at the moment on. If anyone has any questions for Doctor Capital Bianco, please put them in the chat books on the right hand side, and we will share them with him afterwards. Over to you. Thanks, Doctor. Thank you very much. Feel in Ah. Greetings to you. All in whatever. 20 countries you'll be from from Sandy, Sandy, Geneva. It's a pleasure to be with you on, but will be giving you a nap date on that. The work that is happening on on the situation on, um, in ah, in Ukraine In just a second. Let me take up the, uh this lights and we're going to get going. Um, hope you can see it. And I just wanted to start by mentioned the fact that while the focus off everyone is rightly so on on Ukraine, the world is facing many emergencies that are extremely serious, um, that are affecting the lives and the health off. Millions off people on digest wanted to 0.2 to 20 0 p. A z. One of those places that is not really mentioned in in the newspaper that we have more than 50,000 to 808,000 people that died because of the fighting. 200 people that died because of starvation. And I'm more than 100 people that have been dying because of lack of medical attention. And there's not a single line on our newspaper about these tragedies. And they did a director general, wh show talking about all the crisis Yemen, Afghanistan, Somalia, the R C that are forgotten. This's week mentioned these words which are very strong, but I think I wanted to share that with you as a as a background to the focus on on Ukraine, because there is more tragedies than than than Ukraine and our newspapers don't don't really focus on them. But we, as humans in her care shoot, do so. Let me move into Ukraine and just give you a nap date with the latest numbers. Since February 24th, more than seven million people have bean internally displaced in in Ukraine in five million refugees on the number keeps growing of left the countries to neighboring countries primarily into Europe. The number off casualties, civilian casualties and I want to stress that is about 5000, with more than than 2300 debts but we know that these figures are a large underestimation off the current reality on on the ground. If we look at the health situation and then the needs in In Ukraine, the healthcare system is on the verge of collapse, particularly in the areas that are under active conflict. And we have more than 300 health acidities in this conflict areas. And we have 1000 other health facility that are very closed in areas where where they are changed, areas off control. We know that approximately 50% of the pharmacies are closed, and we know that hospitals in facilities that I've been taking care off patients in peace times are now overwhelmed by trauma cases that are arriving in hospital, increasing the pressure on the on the hospital themselves. And of course, we know that the living condition in in cold undergrounds the proximity off people. The lack of nutrition is heightening the risk off. This is outbreaks. We are already cases off the theory A we we are on on the watch out for potential outbreaks of cholera and measles. Coffee does not disappeared either. Before the were around 40% of the cream first population was fully vaccinated against Cove it 19. So what we expect is, um, an increase in cough in 19 cases and mortality link to Kobe 19. Unfortunately, the data that we have to tell us that the well, the opposite in the sense, the number of cases detective dropped drastically. But simply because that the registration systems is not working. Uh, well, and there is a little access to testing. So again, we are a little bit in in dark when it comes to the actual situation of Corbett in in Ukraine. But it's ah, it's clear and that that, um probably the pandemic there, his eyes continuing to to reach, um on dust opt Ukraine is also one of the highest rate of HIV in Europe, with under 50 15,000 new cases per year and, uh, as the fourth TV. Easy this rate with a lot off movie drug resistance, tuberculosis. And as you can imagine, that the interruption off the provision off medicines against ah virus against, uh, HIV and anti TB drugs ah composed severe risks for the health off off the individual that are sick but also, um, potentially, um, spread further. The infections data that are also very important. And we have we heard from Doctor Severina speaking about cancer patients two out of five households, so 40% off houses haven't least one member with a chronic illness. Such cardiovascular disease is the beauties of cancer. So these these diseases, in the absence of a functioning healthcare system, became become life threatening on. In part of the work that we are trying to do is to make sure that least where possible, we provided that the medicines that are that are needed to continue the treatment or where, where necessity, we can transfer concert patients out where the appropriate care can be provided. Mental health is also a Z. You can all imagine a top priority on bit way. Have a lot of institutions in Ukraine with severe uh uh, patient with severe mental health conditions, but also to have ah ah ward that has created, um, cycle psychological trauma in millions off people with effect that are visible now with effect that are going to last for demands and then years and possibly decades to become. Also, there are reports of rape in other forms off gender based be violence, something that we see in in a while conflict where your attacks are go against civilians and rape is used as as ah as, ah, weapon off or against any any human, any human rights and all that we know in in a country that is facing our problems with food, with food availability and potential worsening, computational start is a more particular month or more populations. So what are the main challenges the rest of the moment? As I mentioned lack of medicines in the centers you to to to many pharmacy being closed the problems we transport Wealthcare services in this huge short of breath, like your personnel, a health centers off course activity. Still, it is an insecurity, particularly in the eastern regions off of Ukraine are creating main challenges for the provision on your services there looming additional risks. And I wanted to briefly mention the risk off industrial, chemical accident or nuclear accident. Ukraine as four operation on nuclear plants one decommission nuclear plants in a Chernobyl. And, as you may remember, from from the early days off off the war, one of these nuclear product from plant in the southeastern off the country's appreciate booze under shelling the risk over nuclear emergency shoot the shelling, um, hit one of these nuclear facility is is high. Hence the need to prepare um, all, um, healthcare personnel er as much as possible to respond to potential nuclear accidents or a said protest self chemical accidents in terms of the response from from the World Health Organization, the Workers Organization, as the privilege off working with the ministers of health in any countries off the world. And so is maintaining close link with the Ministry of Health. And it's officials are like around around the countries. And the World Health Organization has a role in coordinating in all humanitarian responses through a system that is called the cluster Health plaster system to coordinating the partner organizations. And they're more than 100 that are on the ground toe ensure access to our services for populations they need. So it's It's a critical rule that is being played off coordination and constant, um, in constant discussions with with Minister of Health and and Health partners, which is also mirror outside the Ukraine, where the work with authorities and partners continues to meet their health needs their off off the refugees and I will focus mostly on on what is happening inside inside Ukraine, because there are lots of agency that are outside Ukraine at the moment. There are much less agencies that are correctly have access inside inside Ukraine and the majority of the work off. The World Health Organization has bean about the levering trauma and emergency medical supplies. And it goes to 22 basic surgical kids for a laparotomy, for a craniotomy to oxygen for for the ice use to to equipment for blood, blood transfusions and with the great difficulties. But we have been able to establish supply lines to almost all cities and a blast. The region's off of Ukraine. We're working with a number off partners to support medical referrals and evacuation and and for for people that are unable to receive the proper care in, In in Ukraine, this is a system that is being set up on day and of course, uh, will serve some, uh, uh, patient meet. Some needs were certain attics knows that the needs on the country, but it is an important effort to save lives off people in great danger. Also bringing in ambulance is at the moment to to address the issue of transport that I mentioned earlier. It's very important that it actually keeps its function and these connections on on on the ground with people from from with local authorities to monitor attacks on healthcare attacks on healthcare are in violation off humanitarian law. Um, they are become frequent in wars over the past decades, and this war is not an exception. More than 162 at tax on healthcare, I've been confirmed by the World Health Organization. The's means attacks against ambulances, attacks against hospital attacks against health workers on and 73 have workers. Have I've died 51. I've bean bean injured. Um, and this is something that is, um, against humanitarian law and and something that we're double It truly is keeping an important record for history and also for used by by any tribunals in in potentially in the future. Um, the area for that eye is in this light is an important one. W two is coordinating a number of emergency medical teams that are, um, present in different countries all around the world. Probably many countries where you are that are medical teams that can set up a field hospital that can set up a mobile clinics within 24 48 hours, with all the medical and then for medical personnel provided with the The Operating theater, for instance, provided the bedding and everything. Um, these are 50 magical teams are being coordinated, the deployment by by the World Health Organization and in refugee hosting countries. They're 50 off them that are being deployed. And a lot of services in the absence off or in the reduced capacity on on the ground is provided by these medical teams that then, once they love complete their their mission, will return back to the countries and then will eventually be deployed to other humanitarian emergency around the world. And I just want to mention ah ah, word about a nary a that that is key in 22 metal and it is it the the learning. There is a lot off trainings that the water gun is a shin is, um providing around chemical exposure around mash casualties. The w true academy astroglide, as created an online resource center that exactly provides online training on on those topics. All that response from the world organization off course, comes with a price tag, and in the the W. Chew had raised the peel and beginning end of February for the first three months for $57 million. And, um, and there's been a generous response that is allowed to on Do reach 53% off these appeal. But there is a huge needs teach the 57 million took over the first three months and we will appeal will continued in May and extended it made with on increase off resources. So there is a huge need for for for funding on any kind of nations. What has been interesting for me to see is that a lot off companies came up saying, We want to support. We want to provide material on these happens very often in the monetary and, um, emergencies. But what happens also is that this is not coordinated, and this is messy and creates more problems on the receiving end and in solving. So what the w chores done is working with the Ministry of Health of Ukraine as define a list off critical needs and medical supplies that are that are that are needed and in donations off in kind are accepted around against this critical needs identified. And this, to me, is a very important role that is being played because then whatever in kind of nation is provided really meets the needs on on the ground. Of course, as I mentioned in cash is, the nations are an important element on we have a number of companies that are making a donation engaging employees. We have medical schools that are that are raising resources and providing resource is very often with a matching gift. We also have set up, and I've been running as affordable foundation. Ah, webpage. That that is, um, allowing everyone, uh, me, you and anybody else the to provide a contribution in whatever currency you might like it, whatever amount you like. And I'm extremely grateful to metal and feel to having given, um, sponsorship toe the double your foundation for the work off the double it show. And I'm thinking you all for those ones, have already provided ah donation. Every little center was saying, makes makes a difference. And for the lives off people on the ground and and for the people that are actually trying to support them like doctor the severing that we heard a few a few minutes ago and I would just like to close saying that that really as we as we learned during that during the DeKoven 19 crisis, we all dependent on on each other and the future of everyone is really in everybody's hands. And so thank you for listening to this. Thank you for joining, Advocating on potentially participate in the response either in your own countries or in other ways to help the people in in Ukraine, Thank you very much. Feel over to you for any questions. The the audience may may have. Thank you so much, Doctor Cap of the ankle were really honored to have you join us today. And thank you for sharing a little bit about the work that you and your team are doing and not just in Ukraine, but also around the world. If you do have questions, please do you put in the chat books on the right hand side on. We will prioritize questions from the audience, but perhaps toe to get us going. Could I ask a little bit of by regular health care And you created the movements so that we've heard a little bit about about how that's looking in Aleve at the moment from Doctor Severin. We've heard a little bit about the humanity humanitarian impact off. Or but what does that look like for people who require regular health care on the grind at the moment? Higher those people accessing hospital clinic, primary care medication. Thanks for the question and a the answer varies. Uh, on depending on where In Ukraine. A person, maybe in March, you pull. Right now, people have not accessing healthcare. So if if you are, ah, patient with diabetes, um, you may not likely to find any any insulin if you have. Ah, um, hypertension. Either you were able to get your medication from a pharmacy before the siege, or you maybe without. And of course, these chronic chronic conditions become a Z. I said earlier, life threatening in in that sense, in many places, um, healthcare is provided now underground. Where where there is, uh, shelling, Um and and a lot off off. The medicine is now being brought in from the ministry with support from from agencies like that, they will felt the organization in places. Thie health care provision remains happening within hospital. Under under shelling There was a BBC interview done to, um to ah, doctor in in in Ukraine and Eastern part on. And he's a pediatrician taking care of a child. And I wrote down What? What? Um, she said you can take a child of 600 g to the basement. It will be a one way trip. So we stay with the Children and ah, we live through the bombing with them. That is how lot off the healthcare is being provided right now by heroes by humans in healthcare that are staying the course really faithful to the Procrit. Oh thing. Risking their own their own lives for the provisional health services. The double issue as being called for, uh, stop, uh, to the attacks, um, in in general. But certainly about calling about stop to any attacks against health facilities to ensure that nurses, doctors, and the personnel for health facilities can operate in in the health centers and hospitals and and meet the needs off people. Some questions from I love the question from GM is which is a little bit like what you have just described Emmanuelli, which is that we often are healthcare professionals want to do something. We kind of stay true to that humanitarian Hippocratic oath that we can have signed up to Gyms has actually asked my doctor Capital B ankle. Apart from do needing to the foundation, what is the best way that we use? Healthcare professionals can help the population off you Korean on the neighboring countries. Um, there are different ways depending on where you are. If if you are dialing James from from Europe, you are likely to have ah number of refugees coming into into your country on. But I would say the best way would be to support and potentially collaborate with institution that are providing services. They may be health services, my baby mawr, other type of service, maybe education and simple support to Children or women. It goes to hosting potentially refugees coming into into country. So there's a lot I think that can be done at that level very, very practical. And I would just invite you to to look where are refugees being relocated in your own country. If you are in Europe and see what what you can you can do is also, um, I would say Ah, political roll that each one of us can can play to, um to help stop the atrocities. I believe in the power of seven society on D in the force off, uniting together. You know, uh, pertain was ended in a lot. Was a civil society is we don't only the one in South Africa course before so lot off that But it was also ah, movement. A global movement that they brought brought this down. They did. HIV AIDS crisis was in the early 2000 was was at least attained a bit because society came together to to to to us for for a cheap antiretroviral suit who may be available. So I would say being out there reading, listening and and advocating for cessation of the acidity is is an important thing. Pressuring your your your authorities in ah, in Parliament on on the front is something also very helpful. That can be done. Um, a really interesting question from, uh, William back attack. He says, Hello, doctor. Cabin, the ankle. Thanks for your talk. Hiders that w to get updated information from war zones on water than me and obstacles and receiving accurate numbers and information. Really interesting question. Yes, Thank you. Um, the as I mentioned earlier, the government, Your foundation works very much with the the government system that the Ministry of Health and the people that work within within the ministry and the system has not collapsed. The system is still surviving and there is still that a collection that then is moved into the system and we get them through the to the ministry. The Ministry of Health, off course is a mentioned earlier. The data collection is having is being affected by by the on one hand the lack of access to facilities where normally data are collected. They reduced number off workers that are that are there and so way are leaving, as always, in a war with in perfect information. But but I I think part of the roll off the wh show is really to to to bring the numbers that we do have out, um, To make that concrete for for everyone when we talk about 163 attacks is because these attacks have been documented is because they would be pictures taken because they're being demonstrated. And that is a state is is a value in itself. But it's also something for history and for whatever will happen after this this war that as as important value. So the the data element remains critical, and it's one that that we are trying to preserve, working very much with people on the ground. And these are primarily Ukrainian Ukrainian staff from from from the Ministry of Health. And some are wh of stuff. Thank you. Um, another incredible question from Kunar Hennessey, which says provisional off care during the conflict is obviously extremely difficult. But how long do you see the knock on effect of this lasting? Well, the damage to the medical infrastructure off the country Tech Decade's to recover Is this recover recovery something that will have to be supported internationally? Um, it's it's an important question. I I want to respond to two ways. Corner 11 is the The effects on people are going probably two last decades, the mental trauma and of any were last for for decades and really marks generations theme. It's that were seen particularly on Children. Other lessons. I have been personally touching me tremendously because it's it's a war, destroys lives, and then brings the trauma that that then can cannot be ever every yield s so that is one part, um, infrastructure can be revealed on dot We have seen on d takes. It takes time, depending on the amount off financial support is provided. I mean, you Crane has received an enormous amount off support at the moment. Let's see whether this would be continue after after the war, because ends and he will end one day. We don't know when the reconstruction would really depend on the support from from from the outside from the outside world. And I think, yes, they will have to be support internationally. And if you allow me feel in corner, I will just link back to those forgotten crisis that don't get that type off attention. Where the health systems and persistent have been destroyed will not be rebuilt because they will not have, um, the financial support. And hence why it is important to also keep keep the focus on that because we're talking about a systems that are crippled. Think Yemen think Syria, where millions of people have, um, limited access to 12 care and that healthcare is not off the highest I split. Thank you. Um, we don't have any more time, Although I think we could talk for a long time. Thank you, Doctor. Captain, thank you for giving us a little bit of your time this morning on day for giving us a little bit of insight into the work that you're doing. Not just in Ukraine, but internationally on. But we would encourage us delegate to please support the incredible work off the World Health Organization on the W to find a shin with your generous donations. Thank you, doctor. Couple of younger on dry the rest of your day. Really Pretty, pretty, Pretty. Pretty Good day to your Thank you. Thanks. Bye.