BrightWorld

Dreams, Optimism, Wisdom

EVOLUTION OF THE PRINCIPLES OF NATURE April 20, 2012

EVOLUTION OF THE PRINCIPLES OF NATURE
Erle Frayne D. Argonza

Gracious day to thee!

In our reflections on divine wisdom, let us augment our understanding of the emergence of the principles of nature. To stress a bit, the principles of nature preceded the materialization of nature, going by the laws of evolution and progressive movement.

Among the Western scientists, Swedenborg came closest to intuiting on the same higher principles. A Brother of Light who embodied in Europe, Swedenborg received a lot of accolades from the scientific community during his active years. Bits and pieces of the larger jigsaw of the principles of nature were also intuited by modern thinkers, though none come closest to capturing the same principles in its totality.

The Perfected Ones said of the principles, in Sloka 4 of Stanza 5, Book of Dzyan, through the following cogitation:

FOHAT TRACES SPIRAL LINES TO UNITE THE SIX TO THE SEVENTH—THE CROWN (a); AN ARMY OF THE SONS OF LIGHT STANDS AT EACH ANGLE (and) THE LIPIKA—IN THE MIDDLE WHEEL. THEY (the Lipika) SAY, “THIS IS GOOD” (b). THE FIRST DIVINE WORLD IS READY, THE FIRST (is now), THE SECOND (world), THEN THE “DIVINE ARUPA” (the formless Universe of Thought) REFLECTS ITSELF IN CHHAYALOKA (the shadowy world of primal form, or the intellectual) THE FIRST GARMENT OF (the) ANUPADAKA (c).

HPBlavatsky, noble chela of the mahatmas & chohans, substantiated the same sloka in her commentaries, Volume I, Secret Doctrine, to note:

(a) This tracing of “Spiral lines” refers to the evolution of man’s as well as Nature’s principles; an evolution which takes place gradually (as will be seen in Book II., on “The origin of the Human Races”), as does everything else in nature. The Sixth principle in Man (Buddhi, the Divine Soul) though a mere breath, in our conceptions, is still something material when compared with divine “Spirit” (Atma) of which it is the carrier or vehicle. Fohat, in his capacity of DIVINE LOVE (Eros), the electric Power of affinity and sympathy, is shown allegorically as trying to bring the pure Spirit, the Ray inseparable from the ONE absolute, into union with the Soul, the two constituting in Man the MONAD, and in Nature the first link between the ever unconditioned and the manifested. “The first is now the second” (world)—of the Lipikas—has reference to the same.

(b) The “Army” at each angle is the Host of angelic Beings (Dhyan-Chohans) appointed to guide and watch over each respective region from the beginning to the end of Manvantara. They are the “Mystic Watchers” of the Christian Kabalists and Alchemists, and relate, symbolically as well as cosmogonically, to the numerical system of the Universe. The numbers with which these celestial Beings are connected are extremely difficult to explain, as each number refers to several groups of distinct ideas, according to the particular group of “Angels “ which it is intended to represent. Herein lies the nodus in the study of symbology, with which, unable to untie by disentangling it, so many scholars have preferred dealing as Alexander dealt with the Gordian knot; hence erroneous conceptions and teachings, as a direct result.
The “First is the Second,” because the “First” cannot really be numbered or regarded as the First, as that is the realm of noumena in its primary manifestation: the threshold to the World of Truth, or SAT, through which the direct energy that radiates from the ONE REALITY—the Nameless Deity—reaches us. Here again, the untranslateable term SAT (Be-ness) is likely to lead into an erroneous conception, since that which is manifested cannot be SAT, but is something phenomenal, not everlasting, nor, in truth, even sempiternal. It is coeval and
coexistent with the One Life, “Secondless,” but as a manifestation it is still a Maya—like the rest. This “World of Truth” can be described only in the words of the Commentary as “A bright star dropped from the heart of Eternity; the beacon of hope on whose Seven Rays hang the Seven Worlds of Being.” Truly so; since those are the Seven Lights whose reflections are the human immortal Monads—the Atma, or the irradiating Spirit of every creature of the human family. First, this septenary Light; then:—

(c) The “Divine World”—the countless Lights lit at the primeval Light—the Buddhis, or formless divine Souls, of the last Arupa (formless) world; the “Sum Total,” in the mysterious language of the old Stanza. In the Catechism, the Master is made to ask the pupil:—
“Lift thy head, oh Lanoo; dost thou see one, or countless lights above thee, burning in the dark midnight sky?”
“I sense one Flame, oh Gurudeva, I see countless undetached sparks shining in it.”
“Thou sayest well. And now look around and into thyself. That light which burns inside thee, dost thou feel it different in anywise from the light that shines in thy Brother-men?”
“It is in no way different, though the prisoner is held in bondage by Karma, and though its outer garments delude the ignorant into saying, ‘Thy Soul and My Soul.’ ”
The radical unity of the ultimate essence of each constituent part of compounds in Nature—from Star to mineral Atom, from the highest Dhyan Chohan to the smallest infusoria, in the fullest acceptation of the term, and whether applied to the spiritual, intellectual, or physical worlds—this is the one fundamental law in Occult Science. “The Deity is boundless and infinite expansion,” says an Occult axiom; and hence, as remarked, the name of Brahmâ.* There is a deep philosophy underlying the earliest worship in the world, that of the Sun and of Fire. Of all the Elements known to physical science, Fire is the one that has ever eluded definite analysis. It is confidently asserted that Air is a mixture containing the gases Oxygen and Nitrogen. We view the Universe and the Earth as matter composed of definite chemical molecules. We speak of the primitive ten Earths, endowing each with a Greek or Latin name. We say that water is, chemically, a compound of Oxygen and Hydrogen. But what is FIRE? It is the effect of combustion, we are gravely answered. It is heat and light and motion, and a correlation of physical and chemical forces in general. And this scientific definition is philosophically supplemented by the theological one in Webster’s Dictionary, which explains fire as “the instrument of punishment, or the punishment of the impenitent in another state”—the “state,” by the bye, being supposed to be spiritual; but, alas! the presence of fire would seem to be a convincing proof of its material nature. Yet, speaking of the illusion of regarding phenomena as simple, because they are familiar, Professor Bain says (Logic. Part II.): “Very familiar facts seem to stand in no need of explanation themselves and to be the means of explaining whatever can be assimilated to them. Thus, the boiling and evaporation of a liquid is supposed to be a very simple phenomenon requiring no explanation, and a satisfactory explanation of rarer phenomena. That water should dry up is, to the uninstructed mind, a thing wholly intelligible; whereas to the man acquainted with physical science the liquid state is anomalous and inexplicable. The lighting of a fire by a flame is a GREAT SCIENTIFIC DIFFICULTY, yet few people think so” (p. 125).
What says the esoteric teaching with regard to fire? “Fire,” it says, “is the most perfect and unadulterated reflection, in Heaven as on Earth, of the ONE FLAME. It is Life and Death, the origin and the end of every material thing. It is divine ‘SUBSTANCE.’” Thus, not only the FIRE-WORSHIPPER, the Parsee, but even the wandering savage tribes of America, which proclaim themselves “born of fire,” show more science in their creeds and truth in their superstitions, than all the speculations of modern physics and learning. The Christian who says: “God is a living Fire,” and speaks of the Pentecostal “Tongues of Fire” and of the “burning bush” of Moses, is as much a fire-worshipper as any other “heathen.” The Rosicrucians, among all the mystics and Kabalists, were those who defined Fire in the right and most correct way. Procure a sixpenny lamp, keep it only supplied with oil, and you will be able to light at its flame the lamps, candles,
and fires of the whole globe without diminishing that flame. If the Deity, the radical One, is eternal and an infinite substance (“the Lord thy God is a consuming fire”) and never consumed, then it does not seem reasonable that the Occult teaching should be held as unphilosophical when it says: “Thus were the Arupa and Rupa worlds formed: from ONE light seven lights; from each of the seven, seven times seven,” etc., etc.

[Philippines, 24 March 2012]

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PROF. ERLE FRAYNE ARGONZA WEBSITE: http://erleargonza.com

ARGONZA COSMIC BLOGS & LINKS:
https://erlefraynebrightworld.wordpress.com, http://cosmicbuhay.blogspot.com, http://kathapantas.blogdrive.com, http://talangguro.blogfree.com, http://tribes.tribe.com, http://lovingenergies.spruz.com, http://www.newciv.org, http://thatsthewayoflight.socialparadox.com, http://lightworkers.org, http://www.spiritualpassions.com, http://www.articlesforfree.net
http://community.beliefnet.com/erleargonza, http://paranormaluniverse.ning.com, http://healinginternational.ning.com, http://innercoredaystarcommand.ning.com, http://raefdargon.mysticblogs.com, http://efdargon.multiply.com, http://newageconnection.com, http://www.facebook.com

MASTERS’ SITES:
http://www.theascendedmasters.com, http://www.greatdreams.com,
http://www.drunvalo.net, http://www.lightchannels.com,
http://www.blavatsky.net, http://www.joelyonskincheloe.info/,
http://www.kriyayoga.com, http://www.lightascension.com,
http://www.tsl.org, http://www.gandhiserve.org,
http://www.maharishi.org, http://www.rssb.org, http://www.fisu.org, http://www.saibaba.org, http://trishulabearer.com,
http://www.salrachele.com, http://www.yogananda.srf.org,
http://www.sriaurobindosociety.org

 

ADDRESSING HUMAN TRAFFIC VIA TRAINING: AFRICA SHOWCASE August 31, 2011

ADDRESSING HUMAN TRAFFIC VIA TRAINING: AFRICA SHOWCASE

Erle Frayne D. Argonza

Human trafficking can make or break a country that is known the seat of human traffic operations. So abhorrent is the phenomenon of human traffic and smuggling that any country named as seat of operations will need to work harder to shore up its tainted image, craft public policy to address the ailment, and strengthen institutions that can address the problem.

So gargantuan is the ailment of human traffic today as it has become globalized, with mafia groups collaborating across borders to smuggle people outside. Not only that, smuggled humans are also utilized to smuggle gold, treasures, and drugs, thus multiplying the complications to the problem.

Capacity-building initiatives aimed at training stakeholders, both grassroots and country-wide volunteer organizations, is another key result area for addressing the problem directly. Below is one such showcase training in Africa conducted by the IOM and partners.

[Philippines, 24 August 2011]

Source: http://www.iom.int/jahia/Jahia/media/press-briefing-notes/pbnAF/cache/offonce/lang/en?entryId=30060

IOM Provides Somaliland, Puntland and Djibouti Coastguards with Lifesaving Rescue at Sea Skills to Protect Vulnerable Migrants

19-07-2011

Djibouti – Coastguards from Somalia’s Puntland, Somaliland as well as Djibouti are taking part in an innovative IOM training programme to equip them with the necessary skills to assist and protect irregular migrants and asylum-seekers travelling at great risk through Somaliland, Puntland and Djibouti en route to Yemen and the Gulf States.
The six-day workshop, which opened yesterday in Djibouti City, brings together 50 coastguards as part of a Japanese-funded initiative to equip them with the necessary equipment and skills to assist and protect vulnerable migrants, trafficking victims and smuggled migrants.
“This training is critical to enhance the coastguards’ ability to save lives,” says IOM’s Mixed Migration Coordinator Husham Halim. “We are particularly encouraged to see that for the first time, coastguards from Somaliland are taking part in the training alongside colleagues from Puntland and Djibouti. This will no doubt increase their ability to respond at a sub-regional level.”
These workshops are part of a broader IOM programme to strengthen the protection of, and emergency assistance to, irregular migrants and asylum-seekers from Somalia and Ethiopia travelling through the region.
Every year, tens of thousands, mainly Ethiopian and Somali migrants and asylum-seekers, make the hazardous journey from their place of origin across the Horn of Africa and the Gulf of Aden to Yemen and beyond. These individuals, driven by political unrest and extreme poverty face not only dangers at sea but also physical risks, harassment and discrimination during their journey on land.
For more information, please contact:
Husham Halim
IOM Djibouti
Tel: +253 35 72 89
E-mail: hhalim@iom.int

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Come Visit E. Argonza’s blogs & website anytime!

Social Blogs:
IKONOKLAST: http://erleargonza.blogspot.com
UNLADTAU: http://unladtau.wordpress.com

Wisdom/Spiritual Blogs:
COSMICBUHAY: http://cosmicbuhay.blogspot.com
BRIGHTWORLD: https://erlefraynebrightworld.wordpress.com

Poetry & Art Blogs:
ARTBLOG: http://erleargonza.wordpress.com
ARGONZAPOEM: http://argonzapoem.blogspot.com

Mixed Blends Blogs:
@MULTIPLY: http://efdargon.multiply.com
@SOULCAST: http://www.soulcast.com/efdargon

Website:
PROF. ERLE FRAYNE ARGONZA: http://erleargonza.com

 

HORN OF AFRICA: MORE ON DROUGHT-RELATED MIGRATION

HORN OF AFRICA: MORE ON DROUGHT-RELATED MIGRATION

Erle Frayne D. Argonza

The famine that is now taking shape in the Horn of Africa is the subject of news features in canned Big Media outfits today. The alarm bells raised by international organizations regarding the matter have been quite successful in rapidly surfacing the malady before the public mind via sensationalized media reports.

As already noted earlier, 11 millions of folks are forecast to face starvation in the short-run largely due to drought. The congestion of migrants in resource-rich areas is complicating the issue, by depletion and competition for resources, thus deteriorating such regions into hovels of famine, hunger, diseases, and deaths.

Below is a report from the International Organization for Migration (IOM) on the same subject.

[Philippines, 22 August 2011]

Source: http://www.iom.int/jahia/Jahia/media/press-briefing-notes/pbnAF/cache/offonce/lang/en?entryId=30061

Drought Related Migration on the Increase in the Horn of Africa
Posted on Tuesday, 19-07-2011

Horn of Africa – The severe drought which is affecting vast areas of Somalia, Kenya, Ethiopia and Djibouti is leading to a considerable increase in complex, multi-directional migration flows, both within and across international borders, according to IOM missions in the region.
Those population movements involve not only refugees and asylum seekers but large numbers of migrants and pastoralists who have little choice but to move along numerous complex migration routes, initially from rural to urban areas and for many tens of thousands, across international borders to neighbouring countries.
Although information on many of these routes remains sketchy, increased population movements have been observed from drought affected areas in southern and central Somalia towards the capital Mogadishu, where heavy rains over the past few days have wrecked havoc among vulnerable displaced persons.
Displaced Somalis are also moving along perilous land routes from impoverished rural areas towards Somaliland and the self declared autonomous state of Puntland. Others continue their journey towards neighbouring Djibouti and across the treacherous Bab el Mandeb (Gate of Grief in Arabic) to Yemen and the Gulf States.
Recent reports in the Sudanese press of Somalis drowning in the Red Sea south of the city of Port Sudan could indicate the establishment of a new hazardous migration route from Somalia, Eritrea and Ethiopia to Sudan’s Red Sea State and then onto Saudi Arabia.
The situation in drought-affected regions of Somalia has led to a major increase of people seeking assistance in Ethiopia and Kenya, with some 50,000 new arrivals reported in June. Over the past three weeks, some 11,000 people have arrived in Ethiopia and more than 8,600 in Kenya, with daily arrivals now averaging 2,000 in Ethiopia and 1,200 in Kenya.
In Ethiopia, where the drought directly affects an estimated 4.5 million people, pastoralist communities are particularly in need of assistance because of the weakening or the death of their livestock. Their cross border movements in search of water and pasture for their livestock are creating a higher risk for resource-based conflict and further displacement, particularly in the drought-affected Northern Kenyan districts of Turkana, Wajir and Mandera, where Global Acute Malnutrition now exceeds 30 per cent among children, pregnant and lactating women.
The situation in Ethiopia is further complicated by the return of Ethiopian migrants from Yemen, where evacuation operations started in November 2010 resulted in the return of thousands of individuals to date. Major return areas are Oromiya, Tigray, and the Southern Nations, Nationalities and People’s Region (SNNPR) and Amhara regions, which are experiencing drought, crop failure and a dramatic increase in food and fuel prices.
The impact of these returns to resource-constrained communities has not yet been fully assessed, but it can be estimated that about 30 per cent returned to drought affected areas.
“Drought related migration is exacerbating an already complex situation of displacement and movement, triggered by conflict and instability and the returns of many Ethiopians and Somalis from Yemen,” says IOM’s Director of Operations and Emergencies Mohammed Abdiker. “Drought recognises no borders. The response to the current crisis has to take into account internal and cross border mobility as a survival strategy for large populations.”
IOM and UN partners have been working with governments in the Horn and East Africa to facilitate safe movement of pastoralists across border regions as a climate change coping mechanism.
The Security in Mobility (SIM) initiative called on regional governments to develop a policy to facilitate the safe movement of pastoralists within their countries and across borders using a collaborative approach that encompasses provision of humanitarian assistance, provision of basic services, facilitated migration and comprehensive security initiatives.
“Of all the key mitigation and coping mechanisms, mobility stands out as the most essential for pastoralists,” says IOM’s Abdiker. “No country in the region can singlehandedly tackle the complex challenges of climate change and migration. A concerted regional effort is therefore urgently needed.”
For more information, please contact:
Mohammed Abdiker
IOM Geneva
Tel: +41 22 717 93 79
E-mail: mabdiker@iom.int
or
Jean-Philippe Chauzy
IOM Geneva
Tel: +41 22 717 93 61
E-mail: jpchauzy@iom.int

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Come Visit E. Argonza’s blogs & website anytime!

Social Blogs:
IKONOKLAST: http://erleargonza.blogspot.com
UNLADTAU: http://unladtau.wordpress.com

Wisdom/Spiritual Blogs:
COSMICBUHAY: http://cosmicbuhay.blogspot.com
BRIGHTWORLD: https://erlefraynebrightworld.wordpress.com

Poetry & Art Blogs:
ARTBLOG: http://erleargonza.wordpress.com
ARGONZAPOEM: http://argonzapoem.blogspot.com

Mixed Blends Blogs:
@MULTIPLY: http://efdargon.multiply.com
@SOULCAST: http://www.soulcast.com/efdargon

Website:
PROF. ERLE FRAYNE ARGONZA: http://erleargonza.com

 

PHILIPPINES 6TH BEST GENDER EMPOWERMENT NATION November 16, 2008

Erle Frayne Argonza

Good morning!

We just received a few days back the gladdening news that the Philippines, my beloved country of embodiment, garnered the 6th top rank among the best Gender Empowerment countries. This is no small feat, or is in fact a giant feat for a nation that is still struggling to get out of the clutches of its colonial past and born anew as a prosperous and mighty nation.

As the report says, the Nordin nations garnered the top posts, and half of the top 10 are Norse in nature. This is likewise a very gladdening news for a region (Nordics) that had for centuries been mired in low culture, authoritarianism, imperial expansionism, and predatory state practices.

Bro. Erle / Guru Ra hereby extends his Big Kudos to the Filipino women and to men as well for re-creating our society into a very gender friendly and liberated land for our women and other genders.

Mabuhay!

[17 November 2008, Quezon City, MetroManila]

 

S & T POLICY AND INSTITUTIONAL DEVELOPMENT: IRAQ UPDATE October 12, 2008

Erle Frayne Argonza

Good morning from Manila!

It seems the excitement in Iraq’s S&T is moving to higher pitches, despite the noise and flames of the ensuing war there. The policy environment is getting to be more definitive, and a new state institution is being installed to address S&T research and development needs of the country.

See the exciting news below.

[Writ 06 October 2008, Quezon City, MetroManila. Thanks to SciDev database news.]

 

New authority and law to push Iraqi research

Wagdy Sawahel

26 September 2008 | EN | 中文

Flickr/rxwarren

Iraq is to establish a scientific research authority (SRA) to promote science and technology research and improve science policy, and will consider a new law offering scientists significant financial benefits.

The SRA was announced by Abd Dhiab al-Ajili, the Iraqi minister for higher education and scientific research last week (15 September).

It will function independently from the Ministry of Higher Education and Scientific Research (MHESR) and have a separate, as yet undisclosed, budget. Its exact start date has yet to be decided.

The authority will oversee all of the science and technology centres associated with universities and have the capacity to fund research directly. It will also prepare science policy reports reviewing subjects including best practice for funding research, measuring the quality of scientific research, and methods for knowledge dissemination.

The SRA will suggest educational programmes and provide analysis for the MHESR on Iraq’s needs to build its scientific and technological capacity. It will also provide advice to the MHESR and university science centres on topics such as ethics, socioeconomic impact, health and environmental concerns and intellectual property rights.

The Iraqi government is also set to consider a new law aiming to persuade scientists, innovators and engineers abroad to return to the country.

Samir Ibrahim Abbas, deputy director-general at the Iraq Ministry of Science and Technology and a member of the ministerial committee preparing the law, says a draft will be ready within six weeks and submitted to the government.

The proposed law also offers incentives to top scientists and innovators working in Iraq.

These include increased salaries — currently on average less than US$1,000 a month — of 300–350 per cent making it equivalent to the Iraqi deputy ministerial salary level. Other benefits include exemption from the mandatory retirement age of 63 years and preferential treatment and reduced prices when buying land for housing.

Abbas says the law will reward different levels of scientists and innovators depending on their scientific achievements.

Scientists would be expected to apply for the benefits, overseen by a central body comprising representatives from scientific committees in different scientific and technological fields who would be responsible for the evaluation and assessment of candidates. 

 

DONORS TO AFRICAN AGRI RESEARCH COME ON FIRE October 5, 2008

Erle Frayne Argonza

Magandang umaga! Good morning from Manila!

Africa seems to be the favorite destination today for aid funds from everywhere, most specially from European countries. We wonder whether this is Europe’s way of expiating its guilt over the European powers’ enslavement, plunder and colonization of Africa.

A recent issue concerning aid funds dovetails on agricultural research. While there are clear positive benefits to donated funds, there are gaps that must be addressed. This identification of a new problem is already a brightening news for the continent, as the problem can be addressed more squarely.

The news is contained below.

[Writ 05 October 2008, Quezon City, MetroManila. Thanks to SciDev database news.]

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African agricultural research ‘neglected ‘ by donor policies

Christina Scott

24 September 2008 | EN

Flickr/MikeBlyth

[CAPE TOWN] A lack of emphasis on agricultural research in development policy over the last quarter of a century is one of the main reasons for the deterioration of African farming, according to a UN report released this month (15 September).

The UN Conference on Trade and Development (UNCTAD) report on Africa’s economic development also cites the small size of each country’s research stations, isolated researchers and high staff turnover as other factors that helped “prevent the attainment of a critical mass of scientific and technical staff”.

“In Sub-Saharan Africa there are problems with agricultural research, which determines the rate of technological change,” Sam Gayi, lead researcher of the report told SciDev.Net.

As a result, except for maize and more recently cassava, “most of Sub-Saharan Africa has no immediately applicable crop technology that might, with adequate price incentives, substantially increase the profitability of investments in agriculture,” the report concludes.

“Only a quarter of the total crop area of Sub-Saharan Africa is planted with modern crop varieties,” says Gayi.

Credit provision for farmers, as well as investment in infrastructure and research, were abandoned by donor-dictated development policies in many parts of Africa, with long-lasting detrimental effects, the report says.

The authors also criticise many state agricultural budgets for being skewed towards administrative costs rather than research.

They say gaps in communicating research and policy developments, combined with shortages of credit — particularly the dissolution of marketing boards that often gave cash advances to small-scale farmers — have made it more difficult for improved government policies to be translated into improved yields in the fields.

The report singles out Côte d’Ivoire, Ghana and South Africa as countries that have managed to improve their agricultural exports. Côte d’Ivoire continues to benefit from “huge investments”, including government funds for research, made in the 1960s in a diverse range of crops.

The authors also say that restrictive standards on exports are placing a burden on African nations, who struggle to meet them.

“Several African countries do not have the technical capacity or resources to comply with the required standards,” says Hezron Nyangito, former director of the Kenya Institute of Public Policy Research and Analysis (KIPPRA) and newly-appointed deputy governor of the Central Bank of Kenya.

KIPPRA research suggests that Kenyan farmers would have to increase agricultural spending tenfold and Uganda would need to spend about US$300 million to upgrade its honey-processing plants to comply with European Union standards.

 

LIMA’S COMMUNITY-BASED XDR-TB TREATMENT TEACHES US September 26, 2008

Erle Frayne Argonza

From Lima beans to Lima community-based XDR-TB treatment, Lima got it! The exciting news about lessons that we can cull from Lima’s health teachings is that the components of the community-based approach are comprehensive and not just “let me inoculate you Patient so you won’t be vector to your household members and neighbors” sort of dinosaur treatment.

Below is the news about the special TB treatment that Lima shares to us all.

[28 August 2008, Quezon City, MetroManila. Thanks to SciDev database news.]

 

 

We can learn from XDR-TB treatment in Lima

Source: New England Journal of Medicine

11 August 2008 | EN | ES

A nurse prepares TB drugs in Peru

World Lung Foundation

A new report from Lima, Peru, offers hope for tackling extensively drug-resistant tuberculosis (XDR-TB) in the developing world, says Mario C. Raviglione in the New England Journal of Medicine.

The report shows that with “aggressive and appropriate” management, XDR-TB can be cured in most cases.

Raviglione highlights some of the factors that may have contributed to Peru’s success in treating the disease. All patients were given systematic drug-susceptibility tests and were treated with powerful second-line drugs, including a fluoroquinolone and an injectable drug. Where necessary, treatment regimens were reinforced with known effective drugs.

Strict community-based supervision was enforced, comprising psychological support, nutritional support and financial incentives. Additionally, intense bacteriological and clinical monitoring allowed for readjustments where necessary.

Raviglione believes that applying such an approach on a more global scale would help minimise, and effectively manage, drug resistance.

“In 2008, scaling up is indeed the major challenge faced by most complex health interventions worldwide … Effectiveness of a complex intervention depends on coordinated work among all forces.”

Link to full article in The New England Journal of Medicine