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Hamish Graham

@hamishgraham.bsky.social
42 followers 64 following 36 posts

Kids doctor, oxygen-lover, health researcher, implementation scientist, critical optimist.

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Reposted by Hamish Graham
rain-singer.bsky.social @rain-singer.bsky.social · 07/06/2025
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Reposted by Hamish Graham
The Saturday Paper @thesaturdaypaper.com.au · 26/04/2025
"For an already jaded demographic of young voters, climate change isn’t a hypothetical, and broken promises will only drive us further away from traditional party politics," writes Grace Tame. "Older generations are no longer the dominant voice in the debate."
thesaturdaypaper.com.au
Young people must fight for democracy
Across the pond, democracy is on its death bed following a decades-long battle with untreated corporate cancer. The escalating battle between the Trump administration and the United States Supreme…
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Hamish Graham @hamishgraham.bsky.social · 07/04/2025
On why we should be strengthening Medicare and steering away from healthcare privatisation. From a quick witted Canadian to a US senator... #auspol
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Reposted by Hamish Graham
Melissa Sweet @melissasweetdr.bsky.social · 28/03/2025
As Australia votes, don’t lose sight of the Trump Administration’s assaults on health – Croakey Health Media www.croakey.org/as-australia... #AusVotes2025 #GlobalHealth #AusPol
croakey.org
As Australia votes, don’t lose sight of the Trump Administration’s assaults on health
As Australia enters an election campaign likely to be marked by the spread of disinformation and misinformation, divisive rhetoric, and
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Hamish Graham @hamishgraham.bsky.social · 27/03/2025
Conduct of clinical trials is grossly inequitable: 👉Only 10% of trials included children. 👉Only 9% were conducted in low-income and middle-income countries (LMICs), 1% in low-income countries thelancet.com/journals/lan...
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Hamish Graham @hamishgraham.bsky.social · 27/03/2025
New guidance from @thelancet.bsky.social is charting a new direction for clinical trials. thelancet.com/series/clini...
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Hamish Graham @hamishgraham.bsky.social · 27/03/2025
"Rather than being satisfied with the current research, we should ask ourselves which children in the world still do not benefit from these advancements." 👉Failure to benefit those without financial riches 👉Mismatch between research priorities and disease burden
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Hamish Graham @hamishgraham.bsky.social · 27/03/2025
Good news - there were 540 publications from clinical trials on children and adolescents in LMICs in the past 10 years, with hugely important discoveries that will improve health. However, ... adc.bmj.com/content/110/...
adc.bmj.com
Research on child and adolescent health in low- and middle-income countries in 2023–2024
Between July 2023 and June 2024, there were 540 publications from randomised controlled trials (RCTs) in child and adolescent health in low- and middle-income countries (LMICs), identified using a sta...
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Hamish Graham @hamishgraham.bsky.social · 23/03/2025
"Physicians and medical societies have a moral imperative to advocate for the enduring protection of health care workers, patients, and health care infrastructure in conflict zones." #medical #humanitarian onlinelibrary.wiley.com/doi/full/10....
onlinelibrary.wiley.com
Physician advocacy, international humanitarian law, and the protection of health care workers in conflict zones
Click on the article title to read more.
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Reposted by Hamish Graham
Madhu Pai, MD, PhD @madhupai.bsky.social · 11/03/2025
“Bold leadership is needed now. This is an opportunity for Africa to build resilient arrangements for self-sufficient financing for healthcare.” @ckyobutungi.bsky.social @seyeabimbola.bsky.social www.bmj.com/content/388/...
bmj.com
After USAID: what now for aid and Africa?
Seize this opportunity to reframe aid and centre local health needs The Trump administration’s shocking decision to dismantle the United States Agency for International Development (USAID) overnight ...
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Reposted by Hamish Graham
Catherine Kyobutungi @ckyobutungi.bsky.social · 16/03/2025
Brilliant, powerful, inspiring piece by Ben Phillips..Phew! Bottom line: we cannot, should not and will not stay silent or comply speakingofmedicine.plos.org/2025/02/13/w...
speakingofmedicine.plos.org
We are right to feel enraged at the current moment, but hope is how we’ll win
As we reel from the attack on humanity, rage is not wrong. We all feel the icy chill of the current moment. Even as the cold dark night bites, however, all who work for justice need to remember that w...
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Reposted by Hamish Graham
gquaggiotto.bsky.social @gquaggiotto.bsky.social · 03/03/2025
"It’s hard to argue against the general premise that aid dependency is bad. Period. No society should have to go through the humiliating tragedies we are already witnessing at scale based on electoral outcomes in far off lands" www.africanistperspective.com/p/african-co... @kopalo.bsky.social
africanistperspective.com
African countries must urgently start the process of ending aid dependency
On why African countries must seize this moment to start the journey towards self-sufficiency
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Hamish Graham @hamishgraham.bsky.social · 21/03/2025
Join author @seyeabimbola.bsky.social to launch this amazing book in Melbourne, April 4, hosted by the Australian Global Health Alliance: ausglobalhealth.org/events/the-a...
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Hamish Graham @hamishgraham.bsky.social · 20/03/2025
Reckless political decisions destroy lives and undo decades of hard won progress. Irresponsible and ignorant leadership is not just a US problem. It is endemic and will continue to grow if we stay silent. #auspol #health #justice
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Reposted by Hamish Graham
Human Rights Watch @hrw.org · 03/03/2025
Israeli authorities are violating the International Court of Justice’s legally binding orders in South Africa’s genocide case by denying the entry of lifesaving aid and services into Gaza. Ceasefire or not, Israel is obligated legally as the occupier to facilitate entry of aid.
hrw.org
Israel Not Complying with World Court Order in Genocide Case
The Israeli government has failed to comply with at least one measure in the legally binding order from the International Court of Justice, in South Africa’s genocide case.
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Hamish Graham @hamishgraham.bsky.social · 03/03/2025
Important new study reporting the prevalence of critical illness in 22 nations in Africa. 👉12.5% of hospitalised patients were critically ill, and 1 in 5 died. ⚠️Less than 50% of those needing oxygen, fluids, or airway safety received it. @thelancet.bsky.social www.thelancet.com/journals/lan...
thelancet.com
The African Critical Illness Outcomes Study (ACIOS): a point prevalence study of critical illness in 22 nations in Africa
One in eight patients in hospitals in Africa are critically ill, of whom one in five dies within 7 days. Most critically ill patients are cared for in general wards, and most do not receive the essent...
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Hamish Graham @hamishgraham.bsky.social · 03/03/2025
Speaking truth to power at the #Oscars. Inspirational! www.theguardian.com/film/2025/ma...
theguardian.com
No Other Land directors criticise US as they accept documentary Oscar: ‘US foreign policy is helping block the path’ to peace
Self-distributed film about Israeli displacement of a Palestinian community beat out Porcelain War and Sugarcane
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Hamish Graham @hamishgraham.bsky.social · 02/03/2025
Could the US vandalism of global health financing prompt recipient countries to liberate themselves from aid dependence? @sojiadeyi.bsky.social www.development-today.com/archive/2025...
development-today.com
Africa without foreign aid for health: Free at last? | Development Today
The geopolitical vandalism of Trump II could have the unintended consequence of prompting low and middle-income countries, under duress, to liberate themselves...
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Reposted by Hamish Graham
Maebh Ní Fhallúin @maebhnif.bsky.social · 26/02/2025
Finished 1st reading of wonderfully challenging book by @seyeabimbola.bsky.social. Coming from a colonised country that also exported religious missionaries, these essays articulate many imp. perspectives, sentiments & paradoxes. Thinking a lot now about connecting a system to more of itself.
Book cover: The Foreign Gaze, essays on Global Health by Seye Abimbola
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Hamish Graham @hamishgraham.bsky.social · 02/03/2025
What is up with PubMed? It's looking weird from Australia. Hoping this is not more idiotic destruction of core health infrastructure by USG!?! But sadly would not be surprised 😯
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
But oxygen for all needs action - so we make 52 recommendations for governments, the oxygen industry, global health actors, advocacy groups, academics, and professional bodies to work towards by 2030... Read more and find out what you can do 🫵 www.thelancet.com/commissions/...
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
Solution 5 - harness data for decision making with standardised oxygen coverage indicators, ATMOS policy scorecard, fostering a learning health system to continually generate and translate new learning into practice... #data #impact #monitoring
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
Solution 4 - foster fair markets and regulation with transparent tendering and pricing, representation from LMICs, regulation that allows multiple oxygen production sources and makes devices fit for purpose...
Photo of liquid oxygen tank. Photo credit: Brian Otieno/ The Global Fund
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
Solution 3 - coordinate oxygen system management with a national oxygen plan, stakeholder involvement across vertical programs, funding to match need and gaps...
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
Solution 2 - build resilient oxygen supply systems with context-appropriate solutions that build on what exists, biomedical support and essential infrastructure (especially power), planning for total cost of ownership...
Photo of health worker with oxygen concentrator in hospital ward. Photo credit: PATH/Ragul Krishnan
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
Solution 1 - link patients to care with routine pulse oximetry, SpO2 a vital sign, capable and supported frontline health workers, and evidence-based expansion of pulse oximetry to smaller facilities... #oximetry #vitalsign #oxygen
Photo of health worker with pulse oximeter probes. Photo credit: Isabeau Walker/Lifebox
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
We identified 5 priority areas for action to ensure equitable access to oxygen... #solutions
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
Getting oxygen to patients requires a systems approach. Might not sound sexy but it is sooo important... #healthsystems #oxygen
Image showing the many components that go into getting oxygen to patients. Starting with the production to patient level - we need care seeking, early diagnosis, uninterrupted oxygen availability, health worker and technician expertise. 

Next, ensuring this complex system functions relies on effective management and planning, including costed maintenance and repair plans. Data on these steps is glaringly absent and prohibits effective planning by facility managers and district health staff, meaning stock-outs are common and unpredictable. Given the need for medical oxygen and pulse oximetry across all levels of the health system and multiple patient groups, oxygen is often without a clear “home” among government ministries and has too often been left out of policies, programmes, and data collection systems. At the national level, different parts of the oxygen system often sit with different ministries and public agencies, and oversight of procurement and quality control of oxygen fragmented and subject to inefficiencies. This is partly a result of absent coordinating structures that bring all national and sub-national actors and regional and international stakeholders together. 

And then, these failures in oxygen supply, quality control, and system inefficiencies are linked to how the global oxygen market functions, and deficiencies in regulations, standards and financing.

Therefore, solutions need to consider how technological innovations, workforce capacity, market dynamics, and political systems intersect, considering each solution as one piece of a bigger puzzle.  Many of the solutions we present are also not limited to oxygen systems – oxygen is part of the wider health system, and therefore solutions need to take a broader systems perspective.
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
There should be no question as to whether investment in oxygen-system strengthening is value for money. Rather, the focus should be on how much funding is needed and how this money would be most effectively spent... #investinoxygen
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
Oxygen access is poorer in rural areas, smaller facilities, and poorer communities, with people in Sub-Saharan Africa, South Asia, and East Asia and the Pacific facing the biggest oxygen access gaps... #equity #rural #oxygen
Figure showing lower oxygen access in Sub-Saharan Africa, South Asia, and East Asia and Pacific compared to other parts of the world.
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
The oxygen coverage gap is due to: not seeking care; lack of oxygen equipment; lack of blood oxygen screening (pulse oximetry); difficulties providing oxygen correctly (quality of care); cost barriers. This won't be solved by simply shipping in more equipment... #systems #barriers
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
However, in low-income and middle-income countries, less than 1 in 3 people who need oxygen for acute medical or surgical conditions receives it. This 70% coverage gap far exceeds treatment gaps for HIV/AIDS (23%) and tuberculosis (25%)... #coverage #access #inequity #oxygen
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
Patients young and old can need oxygen, for respiratory and other systemic illnesses, for anaesthesia and surgery, for chronic respiratory failure. And when a patient needs oxygen, they need it now, as this patient testimonial says... #oxygen #patient #testimonial
Quote: “I remember when I got to the emergency room my saturation was 80%. I had a blackout in front of my eyes. I thought I would die. I was sweating. I felt like there was no life in my hands or feet. I felt much better when I got on oxygen and my symptoms got better and I thought I would come out of it. It gave me hope,” 

Young patient in respiratory failure, Pakistan
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
Each year, 374 million people need medical oxygen: 306 million (82%) live in low-income and middle-income countries. During emergencies, the need for oxygen can rise exponentially, putting enormous pressure on health systems (as we saw in COVID)... #oxygen #GBD #covid
Map of the world showing where the greatest need for oxygen is - South Asia, East Asia and Pacific, Sub-Saharan Africa
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
The COVID-19 pandemic was a big wake-up call for oxygen. But the problems with oxygen access have been around for a long time... #covid #oxygen #pandemic #healthaccess
Dr Tedros Ghebreyesus, World Health Organization head, on video explaining that oxygen in an essential medicine that is not available to so many of the world's people in their time of need.
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
Let's start with the basics - oxygen is a life-saving essential medicine that we will almost all need sometime in our life... #oxygen #medicine #globalhealth
Quote from the report: Oxygen therapy is life-saving for people with acute illness, life-sustaining for people undergoing anaesthesia and surgical care, and life-enhancing for people with chronic respiratory failure. 

Oxygen is an essential medicine, an essential service for all levels of healthcare, requiring a systems approach.
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Hamish Graham @hamishgraham.bsky.social · 27/02/2025
Why should oxygen be a top global health issue? Here are my quick takeaways from our launch of the @thelancet.bsky.social Oxygen Commission - in images... #oxygen #globalhealth www.thelancet.com/commissions/...
thelancet.com
Reducing global inequities in medical oxygen access: the <i>Lancet Global Health</i> Commission on medical oxygen security
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Hamish Graham @hamishgraham.bsky.social · 26/02/2025
The green veneer of salmon factory farming is shattering with local groups calling it "a dirty, polluting industry that releases salmon effluent and antibiotics into the natural environment, harms seals and other wildlife". #auspol #environment #Tasmania
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Reposted by Hamish Graham
George Takei @georgetakei.bsky.social · 26/02/2025
Let’s face it. Getting rid of Diversity, Equity and Inclusion is to make way for less qualified white men to take positions they don’t deserve.
An image featuring Admiral Lisa Franchetti in her formal Navy uniform saluting, alongside text highlighting her distinguished 40-year naval career, including commanding a destroyer, two carrier strike groups, and the U.S. Sixth Fleet. The text then contrasts her extensive experience with her reported firing by Defense Secretary Pete Hegseth, identified as a Fox News weekend host. The source of the information is credited to the New York Times, with "COURIER" branding in the top right corner. The highlighted portion of the text emphasizes the contrast between her career and the circumstances of her dismissal.
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Hamish Graham @hamishgraham.bsky.social · 25/02/2025
More on why the pledge to improve bulk billing rebates is a good step, but only a small step, forward. Much more needs to be done to save Medicare. #medicare #auspol www.theguardian.com/commentisfre...
theguardian.com
Should Australia’s GPs and patients be excited about the Medicare pledge? Yes and no | Mariam Tokhi
A commitment to universal healthcare is welcome. But we need to ensure doctors can provide good medicine, not just fast medicine
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Hamish Graham @hamishgraham.bsky.social · 23/02/2025
Increased bulk billing rebates will benefit patients and communities and relieve the doctors who work so hard to serve them. An important step but still needs broader Medicare reform. Glad to hear it is now a bipartisan commitment - so let's get on and do it 👇 #health #auspol
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Hamish Graham @hamishgraham.bsky.social · 21/02/2025
“The current devastating impact of cutting funding for life saving interventions needs global solidarity. At this moment, Paul would be calling the world to do something to save millions of lives of the most vulnerable people across the globe.” www.forbes.com/sites/madhuk...
forbes.com
Paul Farmer’s Moral Clarity Offers Hope, Amidst Chaos And Darkness
On the 3rd anniversary of Dr Paul Farmer's death, several leaders reflect on his lessons for dealing with the ongoing crisis in global health and development
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Hamish Graham @hamishgraham.bsky.social · 20/02/2025
Spelling out what the US withdrawal from WHO means for all of us. (not a happy read) Thanks @lowyinstitute.bsky.social @alexandrafinch.bsky.social www.lowyinstitute.org/the-interpre...
lowyinstitute.org
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Hamish Graham @hamishgraham.bsky.social · 20/02/2025
Excellent writing from @apoorvanyt.bsky.social @nytimes.com highlighting the deadly failures in current oxygen systems globally. Check out the full @thelancet.bsky.social Oxygen Commission report here: www.thelancet.com/commissions/...
thelancet.com
Reducing global inequities in medical oxygen access: the <i>Lancet Global Health</i> Commission on medical oxygen security
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Hamish Graham @hamishgraham.bsky.social · 20/02/2025
The @thelancet.bsky.social #Oxygen Commission report is officially launched providing a roadmap towards oxygen access for all. Stay posted for more... thelancet.com/commissions/... #InvestinOxygen #GlobalOxygenAlliance #SDGs #Pandemic2025
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Mariam Tokhi @mariamtokhi.bsky.social · 18/02/2025
Good to see the importance of medical oxygen being given some air time-- its a lifesaving medication: something we often take for granted in Australia, but not available or accessible in so many health settings around the world. //www.nytimes.com/2025/02/17/health/medical-oxygen-shortage.html
nytimes.com
An Invisible Medical Shortage: Oxygen
Oxygen is vital to many medical procedures. But a safe, affordable supply is severely lacking around the world, according to a new report.
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