Medical Inhalers To Track Where You Are When You Puff

Evidence continues to build that humans are contributing to a climate change issue that is nothing but bad news for the planet. Hopeful stories from seven countries, including India, Indonesia, and China, show that efforts to combat climate change might finally be working.

A overview of 2014's Fixes columns - connecting the dots between 60 or so ways that people are trying to change the world.

The breakdown of the ozone layer is one of the most well-known effects of climate change. Citizens enact different ways to protect the atmosphere from a build up of methane gas.

New York City black tar roofs cause a number of environmental problems, including air pollution, heat absorption that raises energy consumption, and storm water runoff in the sewer system. Efforts to turn these old roofs into green spaces cool the buildings, enable the containment of more rainfall, reduce sewer discharge, generate energy, and absorb carbon emissions. New York City has a pilot program offering financial help for green roofs.

In light of a study published in BMC Medicine, authors Nancy Fullman and Alexandra Wollum take a deeper dive into Nigeria’s gains against polio and what they could mean for the country’s routine vaccine systems.

PrePex, a new nonsurgical circumcision tool, could revolutionize the prevention of H.I.V. and AIDS in sub-Saharan Africa. Cheap and easy to assemble, the device has proven successful in several randomized trials.

The Jaipur Limb organization based in India has developed prostheses at low cost, and services are free for the poor. The organization’s efforts have recently spread to other countries with impoverished people. Jaipur Limb reaches patients through branch clinics, traveling workshops, and limb camps in cities around the world.

A prosthetist from Texas visiting Jaipur Limb workshops in Honduras saw problems with their low-cost prosthetics - the issue wasn't the design of the leg, but the technicians at the Honduras workshops were people completely new to prosthetics who were given just eight weeks of training. Thanks to his research, Jaipur established a research and development unit to improve the limb.

Many different people are inventing health devices for resource-poor settings, but some organizations - like M.I.T.’s Little Devices group - are empowering developing communities and increasing access to healthcare by building medical devices that nurses and doctors in very poor settings can adapt themselves — or kits for making their own, often harvesting parts from toys to cleverly rig up medical equipment. It’s part of a major idea shift, one that’s transforming the design of foreign aid.

Two columns on how Iran is treating its massive epidemic of injecting drug use by tackling it as a health problem, effectively lowering H.I.V. rates among drug users using an approach to drugs known as harm reduction.