Hodges' model is a conceptual framework to support reflection and critical thinking. Situated, the model can help integrate all disciplines (academic and professional). Amid news items, are posts that illustrate the scope and application of the model. A bibliography and A4 template are provided in the sidebar. Welcome to the QUAD ...
Saturday, February 28, 2026
Friday, February 27, 2026
Rare Disease Day 2026 Official Video
28 February is
Rare Disease Day
'Raising awareness and generating change for the 300 million people worldwide living with a rare disease, their families and carers.'
Manchester, UK https://www.rarediseaseday.org/event/light-up-for-rare-2/
Continued ... https://www.rarediseaseday.org/
Posted by Peter Jones at 11:45 pm | PERMALINK
Labels: activism , awareness , care , carers , challenges , change , children , families , genetics , global , imagination , infants , national , policy , rare diseases , research , treatment , understanding , youth
Saturday, August 02, 2025
Maguire et al. - 'A systematic scoping review of the noma evidence landscape: current knowledge and gaps'
Abstract
Background Noma (cancrum oris) is a severe gangrenous disease of the mouth and oro-facial structures. Noma often affects young children living in extreme poverty, malnutrition and poor sanitation. Gaps remain in understanding its aetiology, pathogenesis, prevention and treatment.
Methods and findings We systematically searched databases for all primary research studies (clinical trials, cohort studies, case–control, cross-sectional, other observational studies, case studies/series) reporting noma patients of any age up to 7 December 2022. The 366 publications (published between 1839 and 2022) included in our scoping review describe 15 082 patients. Although 53 cohort and 29 cross-sectional studies were identified, enrolling 13 489 patients, interventional research remains extremely limited, with only six studies identified (101 patients, range: 7–26) and only one in the past decade, highlighting a critical gap in treatment evaluation. A total of 380 different treatment modalities were described, which underscores lack of a standardised practice. Disease aetiology remains unclear, with 117 microorganisms reported across 113 studies, yet none more consistently linked to noma development. Since 2000, 91.2% of cases have been reported in Sub-Saharan Africa, though occurrences outside the ‘noma belt’ and into Asia and the Americas suggest a broader risk. The 212 potential risk factors identified in 269 (73.5%) publications reflect substantial heterogeneity, complicating efforts to determine definitive causative factors. Additionally, the inconsistent definition and reporting of noma staging significantly hinder comparability across studies, with wide adoption of the WHO staging classification needed.
Conclusion This comprehensive review of the literature underscores the urgent need for robust, policy-driven research to address the vast knowledge gaps in the physiopathology of noma and the limited evidence currently available to guide therapeutic and preventive policies. Collective action and increased research investment are crucial, especially now that noma is officially recognised as a neglected tropical disease by the WHO.
PSYCHOLOGICAL IMPACT mental & emotional complications WITHDRAWAL LOST EDUCATION & LIFE CHANCES DEPRESSION PSYCHO- | malnutrition and poor sanitation PHYSICAL IMPACT LIMITED EVIDENCE - DISEASE KNOWLEDGE GAPS - AETIOLOGY knowledge gaps in the physiopathology of noma |
-SOCIAL MANAGEMENT SOCIAL IMPACT - LIFE CHANCES STIGMA SOCIAL EXCLUSION | extreme poverty, infrastructure NEED FOR POLICY-DRIVEN RESEARCH THERAPEUTIC - PREVENTIVE POLICIES RECOGNITION |
Posted by Peter Jones at 6:09 pm | PERMALINK
Labels: aetiology , Africa , Americas , Asia , BMJ , children , disease , facial , gangrene , global health , global South , malnutrition , mouth , neglected tropical diseases , oral health , poverty , rare diseases , research , WHO
Friday, February 28, 2025
RARE DISEASE DAY FEB 28 2025
![]() |
| Ava and Tammie |
IMAGINATION IDENTITY EXPERIENCE EXPERTISE | ACTION RESEARCH - qualitative - quantitative ACCESSIBILITY |
SUPPORT AWARENESS COMPANIONSHIP SOCIAL NETWORKS FAMILIES | FUNDING ACTIVISM COOPERATION COLLABORATION COORDINATION |
Posted by Peter Jones at 8:44 am | PERMALINK
Labels: #Raredisease , action , activism , awareness , children , families , funding , global , happiness , individuals , life , prevention , quality of care , quality of life , rare diseases , research , support , treatment , understanding
Monday, April 01, 2024
"Reforming oral health policy to contain noma"
"In a landmark decision in December 2023, the World Health Organisation designated noma as a neglected tropical disease, shedding light on a condition that often lurks in the shadows of poverty-stricken communities across sub-Saharan Africa, Latin America, and Asia. Noma is a severe rapidly progressing disease of the mouth and face mostly affecting children between the ages of two and six years suffering from malnutrition, infectious diseases, or living in extreme poverty with poor oral health or weakened immune systems like HIV and other diseases, which can lead to death due to complications such as sepsis. In 2012, the UN Human Rights Council acknowledged that neglecting noma is affected may amount to a violation of basic child rights."
Oluwaseyi Atoyebi. Reforming oral health policy to contain noma, 15th March 2024
https://punchng.com/reforming-oral-health-policy-to-contain-noma/
|
Previously:
Ioana Cismas (York) - What's in a Frame? A Human Rights Approach to Neglected Tropical Diseases - https://www.york.ac.uk/cahr/events/2022/justice-in-global-health-workshop/
Concept Note in Support of the Inclusion of Noma (Cancrum Oris) on the World Health Organization List of Neglected Tropical Diseases (Commissioned by the Government of Namibia, 2016), 6 pp. (with Marie-Solène Adamou Moussa-Pham).
Srour, M. L., & Baratti-Mayer, D. (2020). Why is noma a neglected-neglected tropical disease?. PLoS neglected tropical diseases, 14(8), e0008435. https://doi.org/10.1371/journal.pntd.0008435
Posted by Peter Jones at 11:55 am | PERMALINK
Labels: awareness , children , disease , extreme poverty , global health , health , Hodges' model , human rights , noma , oral health , physical health , policy , poverty , rare diseases , rural health , UN , universal access to health , WHO
Monday, February 28, 2022
Rare Diseases Day 2022 - and the FIVE domains
"Learning from the rare disease community
Europe’s pharmaceutical entrepreneurs are taking the lessons learned from this community to develop health innovation which would not have been dreamt of a few decades ago."
Yes, they do!
The sciences (all of them) are a vital domain, but as ever of course we must not let this limit the scope of our collective aspirations when it comes to rare diseases and innovation.
We need to take into account the four domains of Hodges' model plus the spiritual as we address local and global health with rare diseases and disability an intrinsic part of health systems and services whether in delivery or development.
In this way we also acknowledge the role of the social determinants of health and the SDGs.
Image:
https://twitter.com/Parlimag/status/1497156923610836995?s=20&t=dvO5GlugrN185L3Z98k5PA
Previously:
'disease'
https://hodges-model.blogspot.com/search?q=disease
'rare'
'domain'
https://hodges-model.blogspot.com/search?q=domain
Posted by Peter Jones at 6:56 pm | PERMALINK
Labels: #Raredisease , accessibility , activism , communities , domains , families , genetics , Hodges' model , human rights , individuals , innovation , policy , rare diseases , research , SDGs , SDoH , social care , therapy
Tuesday, February 15, 2022
Global Rare Disease Day Event - World Expo Dubai/ONLINE
The NGO Committee for Rare Diseases, Ågrenska
Foundation, Rare Diseases International (RDI), and
EURORDIS-Rare Diseases Europe invite you to the
2022 Global Rare Disease Day Event
"Rare Diseases: A Global Priority for Equity."
| lived experience as: PLWRD carer |
300 million persons living with a rare disease (PLWRD) worldwide |
families social care social care provision (globally)? public awareness |
"PLWRD require immediate and urgent attention, under the auspices of innovative global, regional, and national policies that address their needs, respect their human rights, and lead to more inclusive, sustainable societies in line with the UN Agenda 2030 and the Sustainable Development Goals." "... explore roadmaps for rare diseases in low-and middleincome countries around the world." |
Posted by Peter Jones at 6:11 pm | PERMALINK
Labels: activism , awareness , cure , disease , equality , equity , event , families , funding , global , individual , life chances , lived experience , medicine , policy , quality of life , rare diseases , research , treatment
Saturday, February 27, 2021
Rare Diseases Day 2021 28th February
We are asking #healthcare professionals who have worked with people with rare #dementia to complete a short survey to help us understand what we can do to help you support people with rare dementias: https://t.co/8Vfw0RmI6A. The deadline for responses is 5th March 2021. ☑️🗳️
— RareDementiaSupport (@RareDementia) February 23, 2021
And from:
Posted by Peter Jones at 4:51 pm | PERMALINK
Labels: #Raredisease , activism , awareness , community care , dementia , disease , education , experience , funding , global health , mental health , rare diseases , research , suport , survey
Tuesday, February 27, 2018
Yesterday..? Now..? Rare Diseases Day (really*) is Tomorrow
Just imagine - whether thinking about a nursing career, already a student nurse studying and learning how to practice, qualified or returning to nursing ... the range of real differences you - we can make!
*[see also - Yes: Rare Diseases Day was yesterday! oops!! ]
Posted by Peter Jones at 7:43 pm | PERMALINK
Labels: #Raredisease , 2018 , action , activism , advocacy , awareness , diagnosis , genetics , global , medicine , quality of life , rare diseases , research , treatments , understanding , video , vision
Monday, January 29, 2018
Yes: Rare Disease Day was yesterday...
... but Rare Diseases will still be affecting people tomorrow...
Posted by Peter Jones at 5:58 pm | PERMALINK
Labels: #Raredisease , 2018 , action , activism , advocacy , awareness , diagnosis , genetics , global , medicine , quality of life , rare diseases , research , treatments , understanding , video , vision
Wednesday, February 15, 2017
Rare Diseases Day 2017 28th February
Posted by Peter Jones at 6:50 pm | PERMALINK
Labels: #Raredisease , activism , awareness , carers , disease , disorders , families , global , group , health , individual , media , medicine , patients , population , quality of life , rare diseases , research , well-being
Friday, February 28, 2014
Rare Disease Day 28 February 2014
humanistic ------------------------------------------- mechanistic
SOCIOLOGY : POLITICAL
I am honored to stand, in her graceful place, and shine a light on a delicate group of individuals who, nevertheless, in sheer numbers are a force to be reckoned with. Thank you, Sean Hepburn Ferrer | A disease or disorder is defined as rare in Europe when it affects fewer than 1 in 2000. A disease or disorder is defined as rare in the USA when it affects fewer than 200,000 Americans at any given time. One rare disease may affect only a handful of patients in the EU (European Union), and another touch as many as 245,000. In the EU, as many as 30 million people alone may be affected by one of over 6000 rare diseases existing.
|
| In the words of Audrey Hepburn, “We cannot save everyone… but the knowledge that someone is coming to their rescue… that we care as a society is ultimately as important…”. |
Posted by Peter Jones at 12:23 am | PERMALINK
Labels: #Raredisease , activism , awareness , children , disease , funding , genetics , global , global health , individual , medicine , quality of life , rare diseases , research , society , statistics , therapy , treatments , video
Wednesday, February 29, 2012
Rare Disease Day 2012 - reflections using h2cm
Is it ironic that ‘I’, this ‘self’ becomes an expert of my condition by virtue of it being rare? Is it also rare because so few must live with the emotional consequences? Yes, personalised medicine holds great promise, but please don't forget - me: this person : I don't want to be left here. | Being that expert I may even know the ICD-10 … codes for my condition. I know the symptoms very well. I know the 'current' evidence and may also be able to tell you about the gaps in the knowledge base. My family physician learns with me. Supported by policy and united as a group what might citizen science deliver? |
Your carer may be the expert because for you this rare disease means you cannot readily self-advocate.
We all need to know we are not alone.
If there is a role for social media here it is:
"Rare but Strong Together" | For those people with rare diseases we have to help them unify in order to shout, wave and raise awareness. After all: WE seek global health don't we? Being rare is there investment in funding for research? Must there be a market first to bring forth drugs / treatments? We know about individual motivation, whither the corporate drive - social responsibility. |
My prompt and thanks!: Stu Young, Royal College of Nursing Students
Posted by Peter Jones at 11:56 pm | PERMALINK
Labels: #nhssm , #Raredisease , activism , awareness , citizen science , disease , education , events , genetics , global health , media , medicine , policy , public engagement , rare diseases , reflection , research , science






orcid.org/0000-0002-0192-8965

