Also known also as zoris, pluggers, jandals or thongs, it is commonly thought that flip-flops originated in Ancient Egypt around 4,000 B.C. Over time, the materials used to make these shoes evolved from palm leaves, papyrus and straw to rubber and plastic. As such, modern flip-flops are typically cheap and have an average lifespan of two years. Havaianas, a Brazilian flip-flop brand, produces more than 150 million pairs of flip-flops annually. Worldwide, three billion people purchase new flip-flops every year.
However, these non-biodegradable shoes far exceed their two-year wearable lifespan in the form of polluting oceans, threatening marine life and washing up on shores. In Kenya, where approximately 36% of people live on less than $1.90 per day, the coastal area of Watamu is littered with flip-flops, including those that have drifted to Kenya from areas like India and China. Non-profit organization Ocean Sole works to up-cycle flip-flops into art in Kenya, cleaning oceans and shores while simultaneously creating job opportunities in a country where at least 4.9% of people are unemployed.
Ocean Sole
Founded in 1999, Ocean Sole currently impacts more than 1,000 Kenyans through either direct employment or flip-flop collection. It employs and provides a steady income to approximately 90 Kenyans, and employees recycled over half a million flip-flops in 2017 alone. Per year, about 47,000 kilograms of flip-flop waste are collected.
The collected shoes are washed, blocked together, carved with knives and sanded into colorful sculptures and art pieces. The sculptures include figures of buffalo, lions and giraffes, and are sold online worldwide. For every $20 spent on flip-flop art, Ocean Sole collects and up-cycles 146 pounds of ocean trash while helping Kenyans maintain a steady income.
Ocean Sole’s Community Focus
Julie Church, Ocean Sole’s founder, was inspired to establish the organization after seeing toys that children had made from flip-flop debris. Church encouraged the children’s mothers to transform the flip-flops into art to sell at local markets. Thus, the organization began with a focus on community and works to maintain that emphasis. In recent initiatives, the organization has used flip-flop offcuts to make mattresses for those in need, expanding its community impact.
Between 10 and 15% of Ocean Sole’s revenue goes toward vocational and education programs, conservation efforts and beach cleanups. The organization’s social enterprise pays employee bonuses, as well as welfare programs to help employees educate their children. Kenya’s current literacy rate is nearly 85% for males and about 78% for females, yet over one million children were out of school in 2010, and more than 25% of young people did not have at least a secondary education. Ocean Sole is working to increase these literacy and education rates.
Through his position at Ocean Sole, Raphael Kangutu, one of Ocean Sole’s flip-flop artists, is able to support his wife and six children and pay his nephew’s school fees. Ann Nzilani, another artist, was able to move herself and her two children out of the slums in Kenya. These stories are examples of Ocean Sole’s dedication to equal opportunity employment, helping women like Nzilani, as well as men, put food on the table, pay bills, buy land and educate their children. In an interview for the organization’s blog, one mother and Ocean Sole employee explains, “Before working with Ocean Sole, … my children couldn’t go to school because there was no money to pay the fees. I would try to sell fruit on the road, but there is no tourism, or I would only get one customer.” Ocean Sole helped to change this woman’s life, and many more.
Ocean Sole and COVID-19
Navigating the impact of COVID-19 has been a complex process. After orders for flip-flop art were canceled among customers worldwide and as the pandemic progressed, Ocean Sole had to furlough some of its artists for at least a few months. However, the organization’s management and sales team are working diligently to increase income and bring back furloughed employees.
Despite the effects of the COVID-19 pandemic, Ocean Sole’s capacity for growth is striking. The creation of flip-flop art in Kenya has already had significant economic and environmental advantages, playing a small yet important role in the decrease of poverty in Kenya from almost 47% in 2005 and 2006 to around 36% by the end of 2016. Ocean Sole has made great strides toward the transformation of the lives of thousands of Kenyans and will continue to foster employment opportunities, paving the way for a better — and cleaner — future.
– Zoe Engels
Photo: Flickr
Brazilian Dentist Gives Free Dental Care to Impoverished Communities
Dental Care in Brazil: The Statistics
In 2003, 45% of Brazilian citizens did not have access to such basic dental care as a toothbrush. In 2004, Brazil attempted to combat this issue through the Brazil Sorridente Program, which provided education and resources in order to promote oral health. The government also sponsored other programs to reduce the impacts of poverty that led to this lack of access to dental care. In some public restrooms, the government has even installed dental floss dispensers. However, as of 2017, 7.4% of Brazil’s population continues to live in poverty. These Brazilians still lack access to proper dental care, despite repeated attempts by the government to enforce hygienic practices.
Due to growing economic and social divisions in Brazil, including geographical barriers and gaps in healthcare coverage, 13% of Brazilian adolescents have never been to the dentist. Most dentists in Brazil are concentrated in select areas, despite a large demand for dental care in low-income areas. As a result, those without access to proper, free dental care are at risk of oral diseases and infections and may suffer from severe self-esteem issues.
Por1sorriso
Rossi, 38, reaches a wide audience through his non-profit, Por1sorriso. Through this organization, Rossi has provided free dental care in countries outside of Brazil such as Mozambique and Kenya, which also have limited access to medicine and proper dental care. Popular toothpaste brand Colgate sponsors many of his trips. Rossi is also funded by smaller donations from the Smile Solidarity Program, founded in 2003 by the American Dentistry Association. With 4,000 volunteers and 1,500 procedures performed, Rossi and his nonprofit don’t plan to stop providing aid anytime soon.
Felipe Rossi’s Impact
When asked about his work in an interview with the Daily Mail, Rossi said that he “[doesn’t] do dentistry to take care of teeth but to take care of people.” His goal is to give all of his clients a better and healthier smile, and he hopes that his message of spreading love will connect and empower others. While his generosity has had a huge impact on the world’s poor, it is his social media presence that has garnered worldwide recognition. Each of his Instagram posts reveal a clear difference in clients’ smiles before and after treatment, which demonstrates the impact that free dental care has on impoverished communities. What’s more, in every post, the patients are noticeably happier in the after photo, all because of Rossi’s work. Rossi isn’t motivated by fame or money — only by a desire to help bridge the socioeconomic gaps that prevent people from getting access to the dental care that they need.
– Xenia Gonikberg
Photo: Flickr
Ecotourism: Leading Economic Development in Island Nations
Island nations such as Fiji and Tonga are isolated paradises largely cut off from global markets. As tourism increases through the year however, these countries’ economies thrive. While ecotourism in developing island nations increases employment rates and the development of other important sectors, it has to be done with the land and its people in mind.
What is Ecotourism?
Ecotourism in developing island nations is an economic development tool that involves bringing local communities and travelers together in an environmentally friendly way. The main benefits include the preservation of native lands, increases in local employment rates and increased funds for continued conservation. If not kept in check however, ecotourism has the potential to exploit an island’s natural resources and populations, so it must be implemented in the most sustainable way possible. Once nations see improvements in their tourism industry, they can easily become vulnerable to large corporations wanting to create new—and potentially damaging—markets there.
Why Tourism is Important to Developing Island Nations
The World Bank has identified 11 Pacific Islands (PIC 11) that will benefit immensely from increased tourism. These islands are: Papua New Guinea (PNG), Solomon Islands, Vanuatu, Fiji, Tonga, Samoa, Kiribati, Palau, Marshall Islands (RMI), Federated States of Micronesia (FSM) and Tuvalu. These countries received over 1.3 million visitors in 2014 and are renowned for their beautiful landscapes, diverse cultures and incredible natural resources. Of this group, countries with the highest tourism rates also have the highest employment rates. The industry employs 15% of the population in Tonga, 18% in Samoa, 50% in Palau.
The Caribbean is one of the most popular tourist destinations, with many of its nations’ economies heavily or completely reliant on tourism industries. The World Bank has started initiatives within the region to establish “blue economies” that take both economic development and environmental effects into consideration. Since 2010, the region’s GDP has increased alongside the growth of island tourism. Unfortunately, these changes have come with an increase in plastic marine debris and the destruction of coral reefs. The main focus of these “blue economies” is to establish a balance between the ocean and the economy so everyone benefits.
Ecotourism Efforts to Support
There are many organizations working to make ecotourism in developing island nations a reality. Ecotourism Belize hires local workers in the Toledo District as guides for tours through the Belizean jungle. They also have a group of bird specialists and traditional healers hired. All employees are of Mayan descent so they are able to give honest representation of ancient Mayan culture and convey how it has been passed down through generations. All of Ecotourism Belize’s profits fund conservation efforts within the Maya Golden Landscape.
In 2017, Palau became the first country to require an “Eco-Pledge” by visitors upon entering. Over the past several years it has seen tourist rates grow seven times larger than the region’s native population. Home to beautiful natural ecosystems, Palau knew it had to mitigate the rise in the destruction of its land due to increased tourism. The country’s government found this destruction was due to a lack of education. By introducing visitors to a localized way of thinking about the environment, the government has taken an important first step towards successful ecotourism.
Keeping Things Balanced
Ecotourism in developing island nations has the potential to help eradicate poverty in these regions. Done correctly, it allows locals to hold onto their culture while protecting their resources and ecosystems at the same time.
– Stephanie Russo
Photo: Flickr
8 Facts About Healthcare In Portugal
Portugal is part of the Iberian Peninsula and lies along the coast of the Atlantic Sea. It is located in Southern Europe and bordered on its northern and eastern sides by Spain. Many know Portugal for its resorts and beaches, cuisine and soccer team, especially its star athlete: Cristiano Ronaldo. However, many also know this country for its amazing, world-renowned healthcare systems and facilities. The following are eight facts about healthcare in Portugal.
8 Facts About Healthcare In Portugal
These eight facts about healthcare in Portugal demonstrate the benefits that Portuguese people face with their healthcare system as well as some of their challenges. Hopefully, the ability for Portugal’s citizens to obtain free healthcare during early life and old age can serve as an inspiration to other parts of the world.
– Kate Estevez
Photo: Pixabay
Gender Gap in Latin America Challenged by COVID-19
Looming COVID-19 Crisis
Decades worth of progress toward eliminating the gender gap in Latin American could potentially reach a halt or decline with the impending COVID-19 pandemic. Since the onset of the pandemic, stay at home orders have caused an increase in domestic violence. A few examples from Latin America expose the enormity of the issue. In Colombia, the domestic violence helpline has risen by 9%, and by 36% in Mexico. Also, Santa Cruz de la Sierra, a city in Bolivia, has reported the highest number of cases of both domestic violence and COVID-19. The issue is exacerbated as women avoid reaching out to health services in fear of getting the virus.
The other obstacle COVID-19 leads to is losses in jobs, more specifically, the availability of jobs for women. According to the World Bank’s Gender Dimensions of the COVID-19 Pandemic brief, women engaged in informal work such as self-employment and domestic works are unable to receive unemployment insurance. Since COVID-19 has restricted travel, Latin American countries that depend on retail, hospitality and tourism will see half of their working population lose jobs. Additionally, the effects of COVID-19 will force women to stay at home to care for children and the elderly, thus reducing working time and possibly excluding them from the labor market.
Lastly, the COVID-19 crisis will cause setbacks to efforts to reduce teen pregnancy. The shift in resources can interfere with health services for women and girls, including reproductive and sexual health services and family planning. In similar crises, lack of critical resources led to a surge in teen pregnancy and maternal mortality. Although COVID-19 causes a lot of complications surrounding the future of gender equality, there are actions regarding the gender gap in Latin American that governments and institutions such as the World Bank and the United Nations can take to continue progressive efforts.
Thus, The World Bank has outlined the following four methods to approach gender equality.
Bettering COVID-19 Response
The United Nations has also developed a response to the pending COVID-19 and its effect on gender equality. The U.N. seeks to recognize the “impact of COVID-19 on women and girls and ensure a response that addresses their needs and ensures that their rights are central to strengthening prevention, response and recovery efforts.” Institutions like the World Bank and the United Nations make it possible for girls and women in Latin America to aspire for more for themselves in education and career, despite the current setbacks prompted by COVID-19. Within the next couple of years, the gender gap in Latin America could be significantly reduced by promoting women’s rights and giving them access to education and career opportunities.
– Mia Mendez
Photo: Pixabay
Peru’s Water Crisis: The Nature Conservancy
While Peruvian infrastructure continues to improve, unequal access to safe drinking water remains a prominent issue. Peru’s water crisis affects up to 5 million citizens—15% of the country’s population. The government recognizes that to properly tackle this pressing issue, the country’s water scarcity crisis must be addressed. This matter is particularly important in the country’s capital, Lima. Lima is one of the world’s largest desert cities, and only receives nine millimeters of rain a year. Nearly 1.5 million citizens of the Greater Lima area lack running water.
The government has developed a goal to offer public drinking services to all such marginalized urban hotspots in need of water by 2021. Significant strides have been made since 2016 under the Kuczynski and Vizcarra administrations. However, with 9% of foreign investment now allocated to water and sanitation, the government also sees that public-private partnerships are key to increasing water supply. The Nature Conservancy, an international sustainability NGO, has played a major role in combating the water shortage in Peru through innovative projects.
Reviving the Amuna Systems
There are increasing challenges to Peru’s water crisis—and therefore Lima’s water supply—that range from urbanization to climate change. In 2019, The Nature Conservancy revived a pre-Incan method of hydric regulation called “amunas” to alleviate the city’s distressing situation. Amunas are water systems that capture rainfall for use as potable drinking water.
Alongside the Caterpillar Foundation, NGO members are building canals that funnel flood rains into mountains rather than leave it to undergo natural processes of evaporation. Water will then gradually surface in springs, which is imperative for water distribution during Lima’s dry seasons.
The amunas recovery project is centered in the upper Rimac River Watershed, arguably Lima’s most important water supply. The increased amount of water in the soil has already resulted in the recuperation of 25 hectares of natural grasslands. Farmers located throughout the greater Lima area have benefited greatly from this endeavor.
Government Partnership
The Nature Conservancy is working in conjunction with the Peruvian government to develop an efficient tariff structure for funding infrastructure projects. This new water utility effort in Lima is called “Aquafondo.” The Nature Conservancy projects that by 2025, $25 million will be directed toward critical hydrological services. These changes address key issues, including as the region’s adaptation to climate change. In addition to Aquafondo, The Nature Conservancy is organizing water funds in the Peruvian cities of Piura and Cusco, both of which are also located in desert-like areas.
Conclusion
Peru’s water crisis remains a security issue that could impact the economic and personal development of millions of citizens. Environmental organizations such as The Nature Conservancy play a pivotal role in ensuring improved water access for marginalized populations. The Nature Conservancy’s international efforts, ranging from improved infrastructure throughout Latin America to restoring wetlands in India, symbolize a greater effort toward water justice among powerful non-state parties.
– Breana Stanski
Photo: Flickr
South African Poverty and COVID-19
An Ongoing Struggle
Historically, South Africa has struggled to aid its most economically vulnerable citizens. According to the most recent government analysis, almost half of the adult population is living under the poverty line—an alarming figure. It seems apparent that this South African poverty crisis would be seen on nearly every level of society. Sadly, this widespread poverty has had a notable impact on which necessary resources are available to people. While electricity infrastructure is fairly widespread, between 28% and 30% of poor households lack access to water and sanitation services. As is relatively common in cases of inequality, the most vulnerable frequently lack access to basic necessities, making their struggles far more urgent.
COVID-19 Developments
The 2020 COVID-19 pandemic is poised to exacerbate South African poverty. The World Bank has predicted that while the pandemic will increase poverty worldwide, the hardest-hit region will be Sub-Saharan Africa. Although South Africa has been relatively spared from the worst of COVID-19 on a health level, the poverty-inducing effects of the pandemic are daunting—it is projected that some 23 million South Africans will be pushed into poverty in 2020. Beyond the immediate tragedy, this decline will present new challenges. In order to protect them, governments will need to find new ways to offer meaningful support throughout the crisis.
Innovation Brings Hope
Fortunately, the government of South Africa has begun to take steps to properly aid its impoverished citizens during this time. They have rolled out a new, easily accessible digital tool called HealthCheck in order to provide self-assessment resources. Members of the public can download the program, which will ask them a few simple questions and then provide a COVID-19 risk prediction along with a pertinent guideline and suggested actions.
While HealthCheck is designed to be available to the entirety of the South African populace, it aids low-income South Africans in particular. Although only a third of the population uses smartphones, feature phones enjoy more widespread use, so a lack of hardware is not necessarily an issue. For many impoverished people in South Africa—and across the world—receiving the proper healthcare needed to determine a risk of infection may be difficult or outright impossible.
Partnerships Increase Access
To further alleviate this issue, the South African government has coordinated with network operators MTN, Vodacom and Telekom, to have facilitate free access to the USSD line. This way, South Africans who could not typically afford cellular or wi-fi services can make use of the HealthCheck tool. As a matter of fact, they have—authorities have reported that so far, over one million members of the public have used HealthCheck.
The digital tool has been utilized in conjunction with NGOs like Doctors Without Borders. The NGO has worked to fill the gap in fighting South African poverty by creating impromptu field hospitals in otherwise-ignored townships. In Khayelitsha, it has opened up 70 additional beds in a basketball arena in order to serve as many people as possible in the area. This was part of a broader government plan to have over 1,400 extra beds ready as needed. Providing aid such as this is an important part of the battle against poverty.
Just a Start
The COVID-19 pandemic has disrupted the growth of the continental African economy, and threatens its growing middle class. Across the entire continent, nearly eight million people are predicted to fall into poverty, in many cases due to the lack of a social safety net. By providing essential resources, NGOs like Doctors Without Borders are working to limit the economic burden that falls on the South African populace.
While it’s just a start in terms of supporting the impoverished population, these initiatives have clearly provided accessible ways for low-income citizens to keep themselves and their loved ones safe and healthy. There are still many hurdles to overcome in the fight against South African poverty, but these recent initiatives have shown that we can still work to effectively aid the poor.
– Aidan O’Halloran
Photo: Flickr
Ocean Sole Flip-Flop Art in Kenya
However, these non-biodegradable shoes far exceed their two-year wearable lifespan in the form of polluting oceans, threatening marine life and washing up on shores. In Kenya, where approximately 36% of people live on less than $1.90 per day, the coastal area of Watamu is littered with flip-flops, including those that have drifted to Kenya from areas like India and China. Non-profit organization Ocean Sole works to up-cycle flip-flops into art in Kenya, cleaning oceans and shores while simultaneously creating job opportunities in a country where at least 4.9% of people are unemployed.
Ocean Sole
Founded in 1999, Ocean Sole currently impacts more than 1,000 Kenyans through either direct employment or flip-flop collection. It employs and provides a steady income to approximately 90 Kenyans, and employees recycled over half a million flip-flops in 2017 alone. Per year, about 47,000 kilograms of flip-flop waste are collected.
The collected shoes are washed, blocked together, carved with knives and sanded into colorful sculptures and art pieces. The sculptures include figures of buffalo, lions and giraffes, and are sold online worldwide. For every $20 spent on flip-flop art, Ocean Sole collects and up-cycles 146 pounds of ocean trash while helping Kenyans maintain a steady income.
Ocean Sole’s Community Focus
Julie Church, Ocean Sole’s founder, was inspired to establish the organization after seeing toys that children had made from flip-flop debris. Church encouraged the children’s mothers to transform the flip-flops into art to sell at local markets. Thus, the organization began with a focus on community and works to maintain that emphasis. In recent initiatives, the organization has used flip-flop offcuts to make mattresses for those in need, expanding its community impact.
Between 10 and 15% of Ocean Sole’s revenue goes toward vocational and education programs, conservation efforts and beach cleanups. The organization’s social enterprise pays employee bonuses, as well as welfare programs to help employees educate their children. Kenya’s current literacy rate is nearly 85% for males and about 78% for females, yet over one million children were out of school in 2010, and more than 25% of young people did not have at least a secondary education. Ocean Sole is working to increase these literacy and education rates.
Through his position at Ocean Sole, Raphael Kangutu, one of Ocean Sole’s flip-flop artists, is able to support his wife and six children and pay his nephew’s school fees. Ann Nzilani, another artist, was able to move herself and her two children out of the slums in Kenya. These stories are examples of Ocean Sole’s dedication to equal opportunity employment, helping women like Nzilani, as well as men, put food on the table, pay bills, buy land and educate their children. In an interview for the organization’s blog, one mother and Ocean Sole employee explains, “Before working with Ocean Sole, … my children couldn’t go to school because there was no money to pay the fees. I would try to sell fruit on the road, but there is no tourism, or I would only get one customer.” Ocean Sole helped to change this woman’s life, and many more.
Ocean Sole and COVID-19
Navigating the impact of COVID-19 has been a complex process. After orders for flip-flop art were canceled among customers worldwide and as the pandemic progressed, Ocean Sole had to furlough some of its artists for at least a few months. However, the organization’s management and sales team are working diligently to increase income and bring back furloughed employees.
Despite the effects of the COVID-19 pandemic, Ocean Sole’s capacity for growth is striking. The creation of flip-flop art in Kenya has already had significant economic and environmental advantages, playing a small yet important role in the decrease of poverty in Kenya from almost 47% in 2005 and 2006 to around 36% by the end of 2016. Ocean Sole has made great strides toward the transformation of the lives of thousands of Kenyans and will continue to foster employment opportunities, paving the way for a better — and cleaner — future.
– Zoe Engels
Photo: Flickr
Sustainable Bangladeshi Fish Farming: IMTA
Expansion of Shrimp Farming
In the 1970s, international market demand for shrimp grew as part of the “Blue Revolution,” wherein cheap and vacuum-sealed fish appeared in the freezer aisles of grocery stores around the world. The potential for high profits led to the rapid expansion of commercial shrimp farming in Bangladesh. Today, shrimp production contributes dominantly to Bangladeshi fisheries and aquaculture, which comprise about 3.65% of the nation’s GDP. Approximately 14.7 million people depend on Bangladeshi fisheries and aquaculture for full- or part-time employment. Fish products also provide about 60% of all animal protein in the average Bangladeshi’s diet.
Shrimp farming has the potential to combat poverty, malnutrition, hunger and job insecurity among the growing population in Bangladesh, but poor shrimp farm management comes with consequences. In its current state, shrimp farming may pose more problems in Bangladesh than it can resolve.
Consequences
The rapid expansion of shrimp farming has had adverse environmental, economic and social effects in Bangladesh. Poor placement of farming systems can lead to saltwater intrusion in groundwater, deforestation and loss of mangrove forests. All of these consequences overall result in changes to local water systems and the deterioration of soil and water quality. This in turn threatens biodiversity, crop production and both supplies of potable water and critical cooking fuel.
The environmental effects of high-intensity shrimp farming in Bangladesh thus endanger human health and survival tools, particularly among people living in rural coastal areas. These individuals have limited access to alternative livelihoods. This dynamic leads to social imbalance and contributes to criminal activity in the Bangladeshi coastal regions.
The long-term environmental and social ramifications of Bangladeshi shrimp farming pose economic costs as well, including unemployment and loss of natural resources. These may outweigh the economic benefits of Bangladeshi shrimp production.
Solution for a Sustainable Future
To combat the environmental, social and economic consequences of high-intensity shrimp farming, some Bangladeshi shrimp farmers are turning to integrated multi-trophic aquaculture (IMTA) systems. IMTA relies on natural processes to cultivate aquatic organisms at multiple trophic levels within the same farming system. Organisms within the system, including finfish, shellfish and seaweeds, interact to recycle and reuse nutrients. IMTA requires minimal external inputs and simulates natural ecosystem processes, much like shrimp farming systems prior to the 1970s Blue Revolution.
When properly executed, IMTA shrimp farms in Bangladesh can produce multiple marketable organisms, raise organism survival rates, increase biomass yield and reduce harmful nutrient concentrations in water. IMTA systems promote biodiversity by supporting production at multiple trophic levels. They relocate shrimp farms from threatened mangrove forests to open-water environments like coastal rivers and estuaries. This discourages intensive, environmentally degrading shrimp farming practices. Further, the regrowth of mangrove forests contributes to carbon capture. All of these processes increase ecosystem resiliency and bolster the long-term efficacy of sustainable Bangladeshi fish farming practices.
In 1998, Bangladesh adopted a National Fisheries Policy. The policy recognizes the detrimental effects that shrimp farming has on the nation. It seeks to optimize fishery resource use in order to encourage economic growth, feed the population, alleviate poverty and protect human and environmental health in Bangladesh. Widespread adoption of IMTA shrimp farms could facilitate sustainable Bangladeshi fish farming practices and, overall, be a step in the right direction.
– Avery Saklad
Photo: Flickr
Technology Fights Tuberculosis in Tuvalu
Tuberculosis (TB) is the world’s deadliest infectious disease, yet millions of people remain undiagnosed. TB diagnosis is a challenge for many island communities. In order to be diagnosed, patients usually have to go to the main island. This was the case for tuberculosis in Tuvalu.
Tuvalu is a remote Pacific island with a population of 11,500 and only one hospital. Travel to the hospital is difficult and increases the risk of transmission, especially when it includes a crowded boat full of people. TB rates are high in Tuvalu but are declining with only about 15 new cases each year since 2016 – a great improvement from the rate of 36 new cases each year in the 1980s. The death rate in 2017 was 19 per 100,000 people. Thanks to a couple of developments that have made diagnosis more achievable – namely GeneXpert machine, portable x-ray machines and training for health teams – Tuvalu is actively reducing rates of TB since 2018.
GeneXpert Machine
The United Nations Development Programme (UNDP) and the Global Fund have provided a GeneXpert machine to the government of Tuvalu. This machine reduces the duration of the TB test and allows for diagnosis of the drug-resistant strains, which are increasingly becoming a problem. Using the machine, the test only takes about two hours. Without this technology, the TB test takes at least two-six weeks.
It is a relatively new test that works on a molecular level to identify mycobacterium tuberculosis as well as rifampin resistance in a sputum sample. Another positive is that limited technical training is required to run the GeneXpert tests. These tests are being used around the world and prove to be an incredible feat of science.
Portable X-ray Machines
Because x-ray machines are now portable, more people can be reached and examined, including those on the outer islands. Mobile health teams travel to smaller islands and carry out chest x-rays for those presenting TB symptoms.
Thanks to portable x-ray technology, the number of TB diagnoses is increasing. Dr. Lifuka at the Tuvalu hospital said, “We can now actively find cases in the outer islands where there are no facilities, and we can assess everyone, even those who previously faced difficulties coming to the hospital.”
Training for Health Teams
Of course, none of this would be possible with the technology alone. Trained professionals are needed to help diagnose and treat people with tuberculosis in Tuvalu. They travel to patients’ houses and provide medication. Because of the stigma surrounding TB, patients won’t always get their treatments. This is why Tuvalu Red Cross community-based health promoters and other trained professionals treat patients at home.
Though TB rates remain rather high in Tuvalu, as well as throughout the Pacific, the new technology implemented in 2018 is promising. Technology will not be enough, however; system-wide approaches aimed at reducing poverty and development of infrastructure on the outer islands will also be needed in order to eradicate TB. Furthermore, Tuvalu needs to continue to improve TB surveillance in order to inform public health agencies of the strategies proven to be most effective. Hopefully, the new technology will help spread awareness of TB to all the members of the community. The change is already evident, as cases of tuberculosis in Tuvalu have declined consistently over the past 10 years, and detection has increased. In 2008, they were only able to diagnose eight cases a year. In 2017, there were 23. The new technology and training programs will continue to save lives on this small, isolated island.
– Fiona Price
Photo: Flickr
Iceland Supports Geothermal Energy in Africa
The Need for Electricity Access in Africa
Electricity access plays a significant role in lowering poverty in Africa. A study conducted by The World Bank found that affordable electrification can raise average household income by increasing farming and manufacturing production during off-seasons, as well as helping businesses create efficient services for production and expansion. Expanding electrification encourages economic investment, increases GDP per capita and creates jobs. For instance, when South Africa enacted an electric grid roll-out to poorer communities, the country experienced a 40%-53% boost in business activities due to heightened electricity access. Overall, generating electricity in impoverished areas will enhance economic capabilities and increase sustainability.
Potential for Geothermal Energy in Africa
The EARS is located in northern Syria and runs south to Mozambique. Countries along this rift include Ethiopia, Tanzania, Kenya, Rwanda, Eritrea and Uganda. These countries would benefit immensely from the rift’s geothermal energy since, depending on the country, only 35%-75% of the population had reliable electricity in 2018. In fact, initiatives like the African Rift Geothermal Development Facility project were designed to address this exact disparity using geothermal energy. The project’s goal is to gain access to untapped geothermal energy for these countries along the rift. The United Nations Environment Programme pledged $4.75 million for this official start-up in 2015. The project has had success so far in networking with other countries and attracting investors for financial support.
Geothermal energy in Africa is necessary to supplement the general lack of electricity. It is also essential to shift away from the other, less sustainable power sources currently in use. Coal is one of the most environmentally detrimental types of fuel, for example. Despite this fact, South Africa relies on coal-burning as its primary energy source; only 8.8% of the country’s electric needs are fulfilled by renewable energy. Coal-burning and other non-renewable techniques endanger Africa’s people and climate by polluting the air with various heavy metals.
Iceland Empowering Africa
Iceland, however, is a pioneer in geothermal energy: the country’s electricity obtains its power almost entirely by renewable resources. The country is currently advocating the creation of geothermal energy in Africa through several projects.
Iceland is also a member of the United Nations Environment Programme (UNEP). The country is commended for its work in Africa. The UNEP Energy Programme Manager Meseret Teklemariam Zemedkun stated, “Iceland has been a steadfast and important partner to UNEP in bringing geothermal expertise to East Africa.” Beyond fostering geothermal energy in Africa, Iceland’s financial contributions help support the UNEP’s other projects and overall mission. Iceland continues to be a world leader in demonstrating the significance of renewable energy. The country accomplishes this goal by addressing Africa’s present and building for its future.
– Radley Tan
Photo: Flickr