Falling Through the Cracks

The health problems of millions of Americans are directly related to patients' failure to follow doctors’ orders. Community health workers are increasingly successful in New York and other American cities – not to substitute for doctors, but to help patients stick to their treatment plans.

Two columns on how Iran averted a major AIDS epidemic through needle exchange programs; a conservative theocracy is successfully treating drug abuse as if it were Amsterdam.

Tuberculosis is still a rampant problem in the developing world. Doctors are looking for even more advanced ways to test for TB beyond the GeneXpert tests.

One-pill-a-day generic AIDS drugs for poor countries are hard to make because each ingredient is patented by a different pharmaceutical company. The Patent Pool provides a way for companies to donate their intellectual property safely.

Children coming from abusive households are often reluctant to discuss their past experiences. A Mexican foundation is using animated characters to help abused and ill children speak about their lives.

For parents, few things are more terrifying to contemplate than the fate of a disabled child who survives them - will he have to be institutionalized if there is no one ready to take on his care? In Vancouver, the Planned Lifetime Advocacy Network helps parents develop networks of care to help their child continue to live a good life in the community.

People with disabilities like autism often struggle to find welcoming and meaningful jobs. Companies that place workers with disabilities in jobs that fit their skills will be well-positioned to succeed in the 21st century.

Slow test results make it difficult to stop the spread of tuberculosis. Using faster diagnostic technology and driving vans to rural areas in Tanzania, GeneXpert is making progress in treating this curable disease.

Although patients go to hospitals to receive medical care, many Americans will acquire infections that did not already have them. The United States as a whole has made modest progress at reducing the rates of hospital-acquired infections. Spearheading the efforts, the Veterans Affairs Medical Centers have devised anti-MRSA strategies to keep patients safe.

Individuals who have Aspergers Syndrome and autism experience difficulty in conforming to workplace norms and find themselves unemployed. Specialisterne, a Danish company, has opened employment opportunities for them. Sixty countries around the world have sought to adopt the company model.