Usually when a publisher reprints a book, they just send an order to the printing plant that they need another several thousand books, and the printer simply reuses the same files (or plates) to produce the additional copies. But not Hesperian.
Since thousands of people in over 200 countries rely on Where There Is No Doctor and other Hesperian publications to diagnose, treat, and prevent common illnesses, it is crucial to keep the information in our materials as up-to-date as possible. Every printing reflects evolving medical knowledge, changes in availability and effectiveness of medicines, World Health Organization recommendations, and more. Dozens of changes are made with every printing, and now, also between “printings” on the internet.
While researching and implementing those changes is a lot of work, the challenge becomes even greater when you consider the need to communicate these medical changes to the thousands of users of the books and the partner organizations that translate, publish, and distribute them in 88 languages – organizations that also need to keep their editions up-to-date.
Like many publishers, Hesperian uses Adobe InDesign to create our books, but the program has no useful way to track and record changes. For years, we have tried to work around this shortcoming, manually marking up changed pages to photocopy or PDF and share with translation partners and others – a time consuming process with less than optimal results.
At last an efficient technological solution has appeared – from a small company called CtrlPublishing based in Sweden. CtrlPublishing has developed a “plug-in” (add-on) for Adobe InDesign and InCopy that allows for tracking of changes from multiple editors and designers. The plug-in, called CtrlChanges, clearly tracks and marks additions and deletions to text, is user-friendly and intuitive, and enables the creation of annotated PDFs with complete records of changes. This will enable our colleagues in Cambodia, for instance, to easily see what was added and deleted in our new edition so they can evaluate whether they want to translate and incorporate those same changes into their new Khmer printing.
We visited CtrlPublishing’s website and tested a free trial of the plug-in, then wrote to the company to learn more. We were incredibly grateful when CtrlPublishing offered to donate the software to our always financially struggling non-profit!
We have now been experimenting with and using the CtrlChanges Pro plug-in for 4 months, while updating materials on midwifery, community dentistry, and environmental health. During this short time, we have been able to simplify and streamline our internal editorial processes and improve our ability to communicate critical medical updates to partners.
This summer, Hesperian’s flagship resource, Where There Is No Doctor, will be updated for the 26th time since its original publication in Spanish in the 1970s. HIV treatment recommendations, medicines for tuberculosis, and many other topics will be reviewed by Hesperian staff and trusted medical advisors working all over the world. But this time, we know that the process will be smoother and we will be able to share these lifesaving updates more quickly and efficiently in 88 languages with the people who need them most.