Part II Case Study -- Cholera Funding from WHO
Your teacher will assign you one of the following groups. Please read through ALL group descriptions so you know who your competition is. All groups will try to secure full funding for their group – and must argue their case to do this. The World Health Organization has been given $200 million dollars to spend on world cholera programs. An outbreak of cholera was confirmed in Haiti in October 2010 and so special focus is given to this country. This is currently the most prominent outbreak of cholera found worldwide. Funding all programs would cost $675 million. You can see not every program can be funded in full (a very real-world problem!). After each group's name, it will tell you the amount of funding the group is arguing for and what that funding will buy. In the debate, all groups will try to secure full funding for their group, and must argue their case to do so.
The World Health Organization (WHO) -- This group represents the funding source -- They have $200 million dollars to spend on world cholera programs that may be divided among the groups listed below after hearing their arguments. Each of the following groups wants to be funded and will present their arguments in the debate to secure (fight for!) their funding.
Group 1 -- Basic science research community -- $50 million for a 5% chance that the disease is eradicated permanently within the next 30 yrs because of the discovery of a new cholera vaccine.
Group 2 -- Clinical research community -- $50 million for a 30% chance of discovering a new drug that works well and shortens the time cholera symptoms are felt by 50% (6 days down to 3 days). The drug makes the disease spread 50% less efficiently (so there would be half the number of cases). The new drug would become available worldwide in three years, and the effects would be permanent.
Group 3 -- Public health organization #1 (Worldwide focus) -- $100 million for drugs to give to people currently infected with cholera around the world (it won't treat all cases, but the money is spread evenly around the world). This would decrease cholera incidence and mortality by 30% around the world starting immediately, and the program would last for two years.
Group 4 -- Public health organization #2 (Haiti) -- $100 million for drugs to treat current infections in Haiti, where an epidemic is raging and mortality rates are much higher than in other cholera outbreaks (20% mortality rate versus 5% in other places around the world). This would eliminate cholera in Haiti immediately (however, this does not guarantee any immunity to the disease in the future, and Haiti would remain at high risk for cholera outbreaks).
Group 5 -- Aid Organization focused on shelter, food, and water in Haiti -- $100 million to bring food, water and new shelters to Haiti. Since flooding and earthquakes brought on the current cholera outbreak in Haiti, returning people to stable living environments would mean the cholera outbreak there would fade away. This would eliminate cholera in Haiti starting next year, with a low risk that cholera would break out again.
Group 6 -- Third World education projects -- $50 million for education projects in third world countries to teach people about the dangers of contaminated water and how to make sure they're drinking clean water. This would cut the incidence and mortality of cholera and other water-borne diseases worldwide by 10% starting next year.
Group 7 -- Government of Haiti - Health care system -- $50 million to support local and national government efforts to set up health care systems (hospitals, clinics, doctors, nurses, etc.) in Haiti to deal with cholera and other diseases. This would cut the incidence and mortality of cholera and other diseases in half starting next year.
Group 8 -- Government of Haiti - Water treatment plants -- $75 million to support the development of water treatment plants that would supply clean water throughout the country. This would eliminate cholera in Haiti starting five years from now.
Group 9 -- United Nations -- $100 million to support UN-Water, a multi-agency program run by the UN that aims to bring clean drinking water to all people throughout the world. This would pay about 0.1% of the costs of a program that could eliminate cholera outbreaks worldwide starting 20 yrs from now.