New York Times: In a Poor Kenyan Community, Cheap Antibiotics Fuel Deadly Drug-Resistant Infections (6) Public education for environmental health

12 April, 2019

Immunisation against vaccine preventable diseases is essential for wiping out / controlling the effects of such diseases. No question!

But do I belong to only a small group that also feel that not enough emphasis is being placed on public education and action against unsanitary and dirty environment?. Whilst we rightly may be seeking a vaccine to wipe out Lassa Fever, would it not be better and cheaper to eradicate or at least reduce the colonies of rats that serve as the vector?. The same goes for mosquitoes and malaria eradication efforts, and faeco-oral infections like Polio and Cholera, Typhoid, etc etc.

Media programme after programme and social media are full of messages on search for vaccines, but not enough action is taken to clean up towns, cities, rural communities. Not enough action to clean up markets, schools, even hospitals and other public places in LMICs.

Human habitations in LMICs remain filthy and breeding grounds for all types of vectors that sustain the morbidity and mortality from communicable diseases. Its time to Clean Up! whilst promoting immunisation and searching for new vaccines.

Joseph Ana.


@Health Resources International (HRI) WA.

National Implementing Organisation: 12-Pillar Clinical Governance

National Implementing Organisation: PACK Nigeria Programme for PHC

Publisher: Medical and Health Journals; Books and Periodicals.

Nigeria: 8 Amaku Street, State Housing & 20 Eta Agbor Road, Calabar.

Tel: +234 (0) 8063600642

Website: email: ;

HIFA profile: Joseph Ana is the Lead Consultant and Trainer at the Africa Centre for Clinical Governance Research and Patient Safety in Calabar, Nigeria. In 2015 he won the NMA Award of Excellence for establishing 12-Pillar Clinical Governance, Quality and Safety initiative in Nigeria. He has been the pioneer Chairman of the Nigerian Medical Association (NMA) National Committee on Clinical Governance and Research since 2012. He is also Chairman of the Quality & Performance subcommittee of the Technical Working Group for the implementation of the Nigeria Health Act. He is a pioneer Trustee-Director of the NMF (Nigerian Medical Forum) which took the BMJ to West Africa in 1995. He is particularly interested in strengthening health systems for quality and safety in LMICs. He has written Five books on the 12-Pillar Clinical Governance for LMICs, including a TOOLS for Implementation. He established the Department of Clinical Governance, Servicom & e-health in the Cross River State Ministry of Health, Nigeria in 2007. Website: Joseph is a member of the HIFA Steering Group:

jneana AT