Global health & development
Global health
Improving public health, and finding new interventions to help the developing world

Quick takes

66
1mo
During the animal welfare vs global health debate week, I was very reluctant to make a post or argument in favor of global health, the cause I work in and that animates me. Here are some reflections on why, that may or may not apply to other people: 1. Moral weights are tiresome to debate. If you (like me) do not have a good grasp of philosophy, it's an uphill struggle to grasp what RP's moral weights project means exactly, and where I would or would not buy into its assumptions. 2. I don't choose my donations/actions based on impartial cause prioritization. I think impartially within GHD (e.g. I don't prioritize interventions in India just because I'm from there, I treat health vs income moral weights much more analytically than species moral weights) but not for cross-cause comparison. I am okay with this. But it doesn't make for a persuasive case to other people. 3. It doesn't feel good to post something that you know will provoke a large volume of (friendly!) disagreement. I think of myself as a pretty disagreeable person, but I am still very averse to posting things that go against what almost everyone around me is saying, at least when I don't feel 100% confident in my thesis. I have found previous arguments about global health vs animal welfare to be especially exhausting and they did not lead to any convergence, so I don't see the upside that justifies the downside. 4. I don't fundamentally disagree with the narrow thesis that marginal money can do more good in animal welfare. I just feel disillusioned with the larger implications that global health is overfunded and not really worth the money we spend on it. I'm deliberately focusing on emotional/psychological inhibitions as opposed to analytical doubts I have about animal welfare. I do have some analytical doubts, but I think of them as secondary to the personal relationship I have with GHD.
24
22d
I am organizing a fundraising competition between Philosophy Departments for AMF. You can find it here: https://www.againstmalaria.com/FundraiserGroup.aspx?FundraiserID=9191 Previous editions have netted (badum-tschak) roughly $40.000: https://www.againstmalaria.com/FundraiserGroup.aspx?FundraiserID=9189 Any contributions are very welcome, as is sharing the fundraiser. A more official-looking announcement is on Dailynous, a central blog of academic philosophy: people found this ideal for sharing via e.g. department listservs.  https://dailynous.com/2024/12/02/philosophers-against-malaria-a-fundraising-competition/ These are relatively low-effort to set up - I spend maybe 10-20h a year on them. If you are interested in setting up a similar thing for your discipline/social circles, feel very welcome to reach out for help.
36
1mo
3
Has anybody changed their behaviour after the animal welfare vs global health debate week? A month or so on, I'm curious if anybody is planning to donate differently, considering a career pivot, etc. If anybody doesn't want to share publicly but would share privately, please feel free to message me. Linking @Angelina Li's post asking how people would change their behaviour, and tagging @Toby Tremlett🔹 who might have thought about tracking this.
37
2mo
4
The value of re-directing non-EA funding to EA orgs might still be under-appreciated. While we obsess over (rightly so) where EA funding should be going, shifting money from one EA cause to another "better" ne might often only make an incremental difference, while moving money from a non-EA pool to fund cost-effective interventions might make an order of magnitude difference. There's nothing new to see here. High impact foundations are being cultivated to shift donor funding to effective causes, the “Center for effective aid policy”  was set up (then shut down) to shift governement money to more effective causes, and many great EAs work in public service jobs partly to redirect money. The Lead exposure action fund spearheaded by OpenPhil is hopefully re-directing millions to a fantastic cause as we speak. I would love to see an analysis (might have missed it) which estimates the “cost-effectiveness” of redirecting a dollar into a 10x or 100x more cost-effective intervention, How much money/time would it be worth spending to redirect money this way? Also I'd like to get my head around how much might the working "cost-effectiveness" of an org improve if its budget shifted from 10% non-EA funding to 90% non- EA funding. There are obviously costs to roping in non-EA funding. From my own experience it often takes huge time and energy. One thing I’ve appreciated about my 2 attempts applying for EA adjacent funding is just how straightforward It has been – probably an order of magnitude less work than other applications.  Here’s a few practical ideas to how we could further redirect funds 1. EA orgs could put more effort into helping each other access non-EA money. This is already happening through the AIM cluster, but I feel the scope could be widened to other orgs, and co-ordination could be improved a lot without too much effort. I’m sure pools of money are getting missed all the time. For example I sure hope we're doing whatever we can through our networks to hel
40
2mo
6
I think people working on animal welfare have more incentives to post during debate week than people working on global health. The animal space feels (when you are in it) very funding constrained, especially compared to working in the global health and development space (and I expect gets a higher % of funding from EA / EA-adjacent sources). So along comes debate week and all the animal folk are very motivated to post and make their case and hopefully shift a few $. This could somewhat bias the balance of the debate. (Of course the fact that one side of the debate feels they needs funding so much more is in itself relevant to the debate.) 
46
5mo
Striking paper by Anant Sudarshan and Eyal Frank (via Dylan Matthews at Vox Future Perfect) on the importance of vultures as a keystone species.  To quote the paper and newsletter — the basic story is that vultures are extraordinarily efficient scavengers, eating nearly all of a carcass less than an hour after finding it, and farmers in India historically relied on them to quickly remove livestock carcasses, so they functioned as a natural sanitation system in helping to control diseases that could otherwise be spread through the carcasses they consume. In 1994, farmers began using diclofenac to treat their livestock, due to the expiry of a patent long held by Novartis leading to the entry of cheap generic brands made by Indian companies. Diclofenac is a common painkiller, harmless to humans, but vultures develop kidney failure and die within weeks of digesting carrion with even small residues of it. Unfortunately this only came to light via research published a decade later in 2004, by which time the number of Indian vultures in the wild had tragically plummeted from tens of millions to just a few thousands today, the fastest for a bird species in recorded history and the largest in magnitude since the extinction of the passenger pigeon.  When the vultures died out, far more dead animals lay around rotting, transmitting pathogens to other scavengers like dogs and rats and entering the water supply. Dogs and rats are less efficient than vultures at fully eliminating flesh from carcasses, leading to a higher incidence of human contact with infected remains, and they're also more likely to transmit diseases like anthrax and rabies to people. Sudarshan and Frank estimate that this led to ~100,000(!) additional deaths each year from 2000-05 due to a +4.2%(!) increase in all-cause mortality among the 430 million people living in districts that once had a lot of vultures, which is staggering; this is e.g. more than the death toll in 2001 from HIV/AIDS (92,000), malaria
86
1y
1
USAID has announced that they've committed $4 million to fighting global lead poisoning!  USAID Administrator Samantha Power also called other donors to action, and announced that USAID will be the first bilateral donor agency to join the Global Alliance to Eliminate Lead Paint. The Center for Global Development (CGD) discusses the implications of the announcement here.  For context, lead poisoning seems to get ~$11-15 million per year right now, and has a huge toll. I'm really excited about this news. Also, thanks to @ryancbriggs for pointing out that this seems like "a huge win for risky policy change global health effective altruism" and referencing this grant: In December 2021, GiveWell (or the EA Funds Global Health and Development Fund?) gave a grant to CGD to "to support research into the effects of lead exposure on economic and educational outcomes, and run a working group that will author policy outreach documents and engage with global policymakers." In their writeup, they recorded a 10% "best case" forecast that in two years (by the end of the grant period), "The U.S. government, other international actors (e.g., bilateral and multilateral donors), and/or national LMIC governments take measurable action to reduce lead exposure—for example, through increased funding for lead mitigation and research, increased monitoring of lead exposure, and/or enactment of regulations." We've reached this best case and it's been almost exactly two years! (Attributing credit is really hard and I have no experience and little context in this area — as far as I know this could have happened without that grant or related advocacy. But it's still notable to me that a CGD report is cited in Power's announcement.)
10
1mo
2
The IHME have published a new global indicator for depression treatment gaps—the ‘minimally adequate treatment rate’. It’s defined using country-level treatment gap data, and then extrapolated to missing countries using Bayesian meta-regression (combined with other GBD data; there’s already a critique paper on this methodology FWIW).
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