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New devices like motorcycle ambulances help poor

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LONDON (AP) — A bit of creativity never hurts, especially when it

comes to solving health problems in developing

countries.

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Instead of the usual donated medicines and health equipment, some

experts are inventing new products for the poor, like a

solar-powered hearing aid or a motorcycle ambulance. Both

inventions were showcased at an engineering conference in

London.

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And in a new report published online Monday in the journal Lancet,

the United Nations highlights innovations like using text messages

in South Africa to remind women with HIV to get their babies tested

and tucking medicines into Coca-Cola crates to reach remote

villages.

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Hundreds of thousands of replacement joints, surgical tools and

other medical devices have been sent to poor countries over the

years. But according to the World Health Organization, about 75

percent of the donated goods sit unused, either because they’re

broken or no one knows how to use them.

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“In the past, there’s been a lot of good will and bad judgment in

the West,” said Chris Lavy, an orthopedic surgeon at the University

of Oxford who previously worked in Africa.

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Lavy said many African hospitals get dozens of different types of

hip or knee replacements that are often unusable. “It’s like you

need a spare tire for your Volkswagen but they send you a Mercedes

radiator instead,” he said.

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He said inventions like the solar-powered hearing aid could make a

big difference in Africa. Experts estimate two-thirds of the 250

million people worldwide who have a hearing disability live in poor

countries.

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The solar-powered device was designed by Andrew Carr, a mechanical

engineer in Cambridge, who noticed most hearing aids donated to

Africa don’t help because they treat a different type of hearing

loss more prevalent in the West. The hearing aid Carr developed

must be held close to the ear to work, but doesn’t have to be worn

inside.

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Carr’s device has an internal solar-powered battery and can be

looped into a necklace or attached to a hat so it’s next to the

person’s ear. “It blends in with local tribal cultures better than

the light pink hearing aids for Caucasians that get donated,” Carr

said. Carr is in talks with some charities about testing the

hearing aid in Africa and hopes to secure more funding to mass

produce the device.

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The U.N. report calls for more unorthodox health solutions, and

details how health officials are now using Coca-Cola’s supply chain

to deliver anti-diarrhea treatments in Zambia. The medicine is sent

in a special pod that sits in the unused space inside Coca-Cola

crates.

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“To piggyback onto (Coca-Cola’s) distribution system is a great

opportunity for medicines,” said Tore Godal, a health adviser to

the prime minister of Norway, who led the U.N. report. He said

officials are also interested in using the soft drink crates to

deliver ivermectin, a pill given to many Africans once a year to

prevent river blindness.

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Other experts agreed new innovations can help and even create a

sustainable market for health products, as long as researchers do

their homework first.

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That was the idea behind the eRanger, a motorcycle ambulance with a

sidecar stretcher capable of driving through the African bush

terrain. “The donated ambulances (from the West) won’t do 100 yards

in Africa,” said Mike Norman, a British engineer who designed the

motorcycle ambulance.

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So far, Guinea, Malawi, Tanzania and South Africa have bought the

ambulances, which sell for about $6,200. Last year, George Clooney,

Brad Pitt, Matt Damon and others donated $250,000 to UNICEF in

Southern Sudan specifically to buy the vehicles.

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Norman says health officials have focused on using them to get

pregnant women to health clinics to deliver their babies. Since the

motorcycle ambulances were introduced in one district of Malawi

several years ago, death rates among mothers have dropped 60

percent.

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“What really matters is if it’s acceptable to people and if they

will pay for it and use it,” said Ted Bianco of the Wellcome Trust,

who was not linked to any of the inventions or the U.N. report.

“Because you could have a really fantastic invention, but if it’s

sitting on a shelf somewhere, it won’t do any good.”

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Online:

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“http://www.lancet.com/” target=

“-blank”>http://www.lancet.com

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“http://www.eranger.com/” target=

“-blank”>http://www.eranger.com

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“http://www.imeche.org/” target=

“-blank”>http://www.imeche.org

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