Report by Charon Pierson, COPE Secretary
For nearly two years, the International Academy of Nurse Editors (INANE) has been planning a “people-to-people” educational exchange with academics and editors in Havana Cuba. Since 1997, MEDICC (Medical Education Cooperation with Cuba), a non-profit organization founded “to enhance cooperation among the US, Cuban and global health communities”, has been promoting greater health cooperation with Cuba and arranging education trips to Cuba for educators, clinicians, policy makers and now editors. MEDICC is also a publisher, publishing a peer-reviewed, open access journal, MEDICC Review, since 1999. So, we, the five nurse editors on the weeklong trip in January 2017, were excited to meet editors from Cuba and explore healthcare and medical publishing in this island nation.
US and Cuban editors meet in Havana.
Cuba currently has 82 journals registered with 52 of those certified as scientific, open access journals indexed in SciELO (Scientific Electronic Library Open). We had the opportunity to talk with six editors of journals in Cuba (see photo) and share our editorial and publishing experiences. The Chief of the Department of Medical Journals, Msc José Enrique Alfonso Manzanet, related some of the difficulties editors have in Cuba, particularly related to the decades-long embargo imposed by the US. This commercial, economic and financial embargo creates major problems for Cuban journals, creating financial restrictions on transferring money to pay for registration of DOIs for published articles or to join COPE. Despite this, Cuban journals follow COPE guidelines and use the free resources available to manage publication ethics issues. A check of several journals on the InfoMED portal shows careful attention to disclosures of competing interests, version history of articles and evidence of rigorous peer review. Indexing in SciELO is also evidence of reliable and rigorous publishing practices.
In addition to the exciting opportunities we had to talk with our Cuban counterparts, we nurse editors came away from this trip with a deep appreciation of the work that Cuba has done to improve the health of its people, work that has been hampered by embargoes, financial crises and military interventions. With an emphasis on health promotion and disease prevention at the individual and community levels, Cuba has managed to achieve impressive national health statistics: life expectancy is 78 years; infant mortality is 4.3/1000 live births; 19.4% of the total population is aged 60 years or older; and the country has the lowest HIV rate in the Americas at 0.3% in those aged 15-49 years. To achieve their goals, Cuba has a doctor–patient ratio of 127 inhabitants per physician (total population of the nation is 11,238,661); the country supports 151 hospitals, 451 community polyclinics and 12,883 neighbourhood family doctor and-nurse offices (Anuario Estadística de Salud, 2015).
The announcement in October 2016 of the Obama Administration’s amendments to the Cuba embargo are a hopeful step in increasing collaboration between US and Cuban scientists in the future. We look forward to meeting our Cuban colleagues at future events related to scholarly publishing and we are gratified that COPE’s resources are available and useful to our colleagues.