errors mine alone chris.macrae@yahoo.co.uk Statistician DAMTP Cambridge, residing Bethesda, MD: AT CU.com please find my attempt to celebrate my greatest personal privilege: to visit women empowered Bangladesh 15 times from 2007 during last 13 years of life of Fazle Abed. From 2012 we discussed AbedMOOC and 2015 onwards at his 80th birthday AbedAI. Back in 2001, Abed 65th birthday hosted by Steve Jobs in Silicon Valley changed both of these human genii's life work. Even today I dont spend time exploring America AI with any engineers or practitioners of health or education, food or safety or finance, who dont want to know what they (we humans all) owe to Steve J. By 2003 Jobs' pixar, Nvidia, and Hopkins radiologists started replacing coding of binary by coding of pixels - welcome to AI century 2]
2026:Christmas comes early to Ai Youth - Nvidia GTC-DC Nov 30 to Dec 2
Pretraining proposal Gemini (model UYKB: Layer 6 AI+Media)
7-Layer Intelligence Discourse GTC D.C. adds 2 layers to Jensen 5-layer AI Cake!
Because the D.C. summit sits in the heart of the nation’s capital at the Ronald Reagan Building, Jensen Huang’s team is prepping a narrative explicitly tailored to reindustrialization, national security, and state-backed compute. [1, 2]
  • Layer 1 (Nature's Energy) & Layer 2 (Machine Brainpower): The central conversation focuses on the Vertically Integrated Sovereign AI Factory. Nvidia will address the West's current power grid constraints, pushing for multi-gigawatt computing nodes tied directly to protected modular nuclear baseloads or sovereign energy fields to fuel the upcoming Vera Rubin chip architecture deployment. [1]
  • Layer 3 (Sovereign Data Infrastructure): This is the crown jewel of the D.C. agenda. Nvidia is moving rapidly away from selling chips solely to hyper-scalers (like Microsoft or Amazon) to marketing Layer 3 "Sovereign AI" packages directly to federal agencies, the Department of Defense, and international allies. The talk centers on how nations can utilize Nvidia hardware to train national models on state-owned text, military telemetry, and geographic data without leaking information to corporate data monopolies. [1]
  • Layer 5 (Civic Applications) & Layer 7 (The Deterministic Truth Layer): The D.C. floor will showcase heavy-industry integrations. A major thread is how federal systems can use AI Digital Twins and Quantum-resistant encryption to safeguard public infrastructure against adversarial cyber warfare. By pairing generative logic with hardcoded physics modeling, Nvidia wants to show the Pentagon that its models can function as an un-hallucinated layer of deterministic truth. [1, 2, 3]
The Direct Line: Berlin Crisis (October) to Washington D.C. (December)
The D.C. summit will act as the direct remedy and strategic response to the systemic frictions exposed weeks prior at the Berlin GTC. The two events are deeply intertwined across the 7 layers: [1]
[ GTC BERLIN • OCTOBER 2026 ]                     [ GTC WASHINGTON D.C. • DEC 2026 ]
       "The Crisis Echo"                                 "The Sovereign Fix"

               |                                                  |
• Severe European Layer 1 energy shortages.      • Unveiling federal multi-gigawatt grids.
• Layer 3 splintering (EU Data Act friction).    • Hardcoded Layer 3 Allied AI networks.
• Debate over relying on U.S. cloud giants.     • Bypassing public clouds via local edge nodes.
  1. The Energy Realignment (Layer 1): In Berlin, Jensen Huang will confront the grim reality of Europe’s highly fragmented, expensive, and legally constrained green grids. The "Berlin Crisis" refers to the continent's inability to spin up gigawatt-scale data factories fast enough to match the U.S. or China. When Huang lands in D.C., he will use the European shortfall to pressure Congress to fast-track defense-grade energy allocations for American compute clusters. [1, 2]
  2. The Sovereignty Conflict (Layer 3 & 4): Berlin will highlight severe regulatory friction over European data sovereignty and the EU Data Act. European public broadcasters and governments are terrified of routing their localized data through American corporate monopolies. Washington GTC will capitalize on this by formalizing a blueprint for "Allied AI" networks—demonstrating how Europe and the U.S. can exchange open-weight models securely across borders while maintaining local, sovereign hardware boundaries. [1]
  3. The Physical AI Transition (Layer 5): While Berlin will focus heavily on Germany’s specialized precision engineering and factory-floor robotics, the D.C. summit will elevate those industrial applications to a geopolitical scale. The discussions in Washington will center on deploying those exact autonomous robotics playbooks into automated naval shipyards, military logistics pipelines, and aerospace satellite defense systems. [1, 2, 3, 4]
Would you like to drill down into the specific Department of Defense T4NG contract vehicles Nvidia partners are mobilizing for the D.C. event, or examine the open-weight software microservices (NIMs) being deployed to appease European sovereignty regulations in Berlin? [1, 2, 3]



Before AI lifted off in late 2000s 3 underacknowlefgen Happenings: 1 steve jobs hosted Fazle Abed's 65 th birthday party silicon valley 2001; .jensen hunag and steve jobs went from coding binary to cosinf pixels; Fazle abed clarified that paulo freire culture celebrated poorest asian womens ebd poverty networking miracle -- largest NGO, providing education, health services, microcredit and livelihood creation programmes for a significant part of the population of Bangladesh. What lies behind this huge success, Caroline Hartnell asked Fazle Abed, founder of BRAC and still very much at the helm. Questioning everything they do and being prepared to tackle whatever is needed to make their programmes successful are certainly part of the secret behind the success of this extraordinarily entrepreneurial organization. The secret of success? Asked what lies behind BRAC’s phenomenal success, the first thing Fazle Abed mentions is determination: ‘We were determined to bring about changes in the lives of poor people.’ The second thing is thinking in national terms: ‘We always had a national goal; we never thought in terms of working in a small area. We thought, all right, if we work with the poorest people in this community, who’s going to work with the poorest people in that other community? So we felt that whatever we do, we should try and replicate it throughout the nation if we can.’ The third thing he mentions is inspiration. ‘We always thought nationally, worked locally, and looked for inspiration globally. We were inspired by Paolo Freire’s work on the pedagogy of the oppressed, which he came out with in 1972. It was wonderful to have a thinker who was thinking about poor people and how they can become actors in history and not just passive recipients of other people’s aid. He made us realize that poor people are human beings and can do things for themselves, and it’s our duty to empower them so they can analyse their own situation, see how exploitation works in society, and see what they need to do to escape these exploitative processes.’ Finally, he says, ‘one needs to have not only ambition but also the ability to do the work. The organization must be competent to take on national tasks. That confidence we got from the campaign for oral rehydration, to cut down diarrhoeal mortality, in the 1980s. That involved going to every household in rural Bangladesh, 13 million households, and it took ten years to do it. Then we became a little more ambitious. We thought that if we can go to every household, then we can cover the whole country with everything we do.
..
NB any errors below are mine alone chris.macrae@yahoo.co.uk but mathematically we are in a time when order of magnitude ignorance can sink any nation however big. Pretrain to question everything as earth's data is reality's judge
Its time to stop blaming 2/3 of humans who are Asian for their consciously open minds and love of education.

Saturday, July 31, 2021

tb 3.4 tuberculosis dots TB

  http://www.brac.net/program/health-nutrition-and-population/tuberculosis-and-malaria-control/

Tuberculosis Control

Tuberculosis (TB) has been a major public health concern for Bangladesh for decades. According to the World Health Organization (WHO), Bangladesh ranks seventh among the 22 highest TB-burdened countries. BRAC initiated the tuberculosis control programme in 1984 in one district as a pilot. In 1994, BRAC became the first NGO in the country to sign a memorandum of understanding with the government to expand directly observed treatment short course (DOTS) services across the country. BRAC also became a principle recipient (PR) of the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM), along with the government. The aim of the programmeis to reduce the morbidity, mortality and transmission of TB until it is no longer a public health problem.

BRAC's shasthya shebikas(frontline community health worker) play a pivotal role inconnecting individuals with TB control services during household visits and health forums. They disseminate TB-specific messages to the community, identify presumptive TB patients and refer them, for sputum examination, to the governmen tsub-district health complex or peripheral laboratories of BRAC. The frontline health workers also ensure regular intake of medicine for identified TB patients through DOTS. They refer complicated TB patients to health facilities for further treatment and for proper management of side effects and other complications during TB treatment.

BRAC's approach towards the diagnosis and treatment of TB focuses on community level education and engagement. The programme conducts orientation with different stakeholders of the community to engage them in efforts to identify TB patients, ensure treatment adherence, and reduce stigma surrounding TB. The stakeholders include cured TB patients, local religious leaders, school going children, girls' guides and scouts, other NGO workers, formal and non-formal care providers like graduate private practitioners, village doctors and pharmacists.

Currently, BRAC covers 297 sub-districts from 42 districts, 7 city corporations with a population of 92.9 million people including 31 academic institutes, 41 prisons, 405 peripheral laboratories and 26 external quality assessment centres. BRAC is leading a group of 42 local NGOs who are the sub -recipients (SRs) of the GFATM under the same umbrella of NTP. BRAC supervises, monitors, guides and provides technical assistance to the SRs,to ensure that the quality of the service delivered is uncompromised.

 

Malaria Control

Malaria is a major public health problem in some parts of Bangladesh, particularly in 13 districts in the north-east & south-east areas which border India and Myanmar. Among them are the Chittagong hill tracts (CHT) districts which highly endemic and Cox’s Bazar which is moderately endemic. The other districts are categorised as low endemic areas as fewer numbers of cases have been reported there. Sporadic incidences occur in other parts of the country.

The National Malaria Control Programme (NMCP) established an effective partnership with a consortium of 21 NGOs led by BRAC. This partnership has leveraged the programme and increased the access to malaria treatment, prevention and awareness raising activities within communities, including the hard-to-reach areas.

In partnership with the National Malaria Control Programme (NMCP), BRAC successfully secured a grant from the GFATM to strengthen and expand national malaria control activities to all endemic districts working directly and through other NGOs. BRAC is directly implementing malaria control activities in all sub districts of CHT, two sub districts of Moulvibazar, and through 20 partner NGOs in other districts which are monitored and supervised by BRAC. To reduce the overall burden of malaria (morbidity and mortality) by 60 percent from baseline year 2008 in 10.9 million populations in 13 high endemic districts of Bangladesh by 2015.

Goal

To reduce the overall burden of malaria (morbidity and mortality) in the 13 high endemic districts of Bangladesh by 60 percent, by the year 2015.

Objectives

  • To expand the use of Long Lasting Insecticidal bed Nets (LLIN)( two nets per household), to achieve 100 percent coverage in the three malaria endemic districts and to maintain 80 percent coverage with Insecticide Treated bed Nets (ITN)/LLIN in the remaining districts.
  • To expand and improve the quality of diagnosis and treatment of malaria cases to 90 percent.
  • To further strengthen programme management and partnership coordination surrounding malaria control.

BRAC’s community based model has been applied in malaria programmes to promote health education, empowerment and home based services. BRAC’s shasthyashebikas and shasthyakormis diagnose malaria patients using a Rapid Diagnostic Test (RDT) kit, therefore providing treatment at a household level They also refer patients to the nearest government health facilities in case of pregnant women, children under five kilograms of weight and severe malaria cases. In addition, 121 laboratories and sub-centres have been established in remote areas to strengthen early diagnosis and prompt treatment (EDPT). LLINs are distributed in the community free of cost as one of the most important methods of preventing the transmission of malaria.

Various sensitisation and advocacy meetings are conducted among the different stakeholders of the community to make them aware of malaria symptoms and to engage them in the effort to identify patients, increase utilisation of LLIN and to create early care seeking behaviour. The stakeholders include local figures, religious leaders, headmen, karbaris, teachers, village doctors, pharmacists, private practitioners and hotel owners/ managers.

Since May 2007 to June 2014, a total of 3,067,663 cases of fever were examined nationally by RDT and/or microscopy, of which BRAC and its partner NGOs performed 1,822,086. Out of 318,649 confirmed malaria cases, 228,233 (72%) were treated at the community level in the same period. In addition, death due to malaria was reduced by 90 percent (15) in 2013 in comparison with the baseline year 2008 (154). Since the beginning of the programme, a total of 3,735,905 LLINs have been distributed among the beneficiaries in the malaria endemic areas.

Download: National Malaria Treatment Regimen 2016

Malaria Funding Request (2021-2023) to The Global Fund
We are pleased to upload Malaria National Strategic Plan (NSP) and The Global Fund Funding Request 2021-2023 for your kind feedback and comments. It will be highly appreciated if you kindly share your feedback by 08 March 2020.

· Dr Afsana Alamgir Khan, DPM, National Malaria Elimination Programme: afsanak.nmepdpm@gmail.com
· Dr Shayla Islam, Programme Head, Communicable Diseases (Malaria) Programme, BRAC: shayla.i@brac.net
· Manaj Kumar Biswas, BCCM Coordinator: bccmcoordinator@gmail.com

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