A massive resurgence of cholera afflicts Yemen, a bacterial infection that can kill within hours if untreated. Between January 2018 and June 2019, reports have determined there have been about 800,000 cases of cholera in the country. Here is a breakdown of the cholera health crisis in Yemen and the response from four notable organizations.
What is Cholera?
Cholera is a potentially fatal bacterial infection that can cause diarrhea, severe dehydration, nausea and vomiting. It mainly spreads through the consumption of water and food contaminated with the bacterium Vibrio cholerae.
Industrialized countries with proper water sewage filtration systems are unlikely to experience surges of cholera outbreaks. However, countries with inadequate water treatment are at a much higher risk of experiencing a cholera epidemic. Areas afflicted by natural disasters, poverty, war and refugee settings are at an exacerbated risk of experiencing cholera outbreaks.
The oral cholera vaccine is highly effective but the vaccine was not available in Yemen prior to the epidemic outbreak in 2017. Since then, more than 300,000 Yemenis received the cholera vaccination but continuous conflict provides a barrier between health care officials and the rest of the population. Doctors Without Borders maintains that the vaccine, while highly effective, is not enough to end cholera due to its low supply and short term protection.
Cholera Health Crisis in Yemen
As Yemen faces its fourth year of war, the country also fights a looming health crisis. The cholera health crisis in Yemen affects 22 of 23 governorates and almost 299 of Yemen’s 333 districts. Recording over one million cholera cases in 2017, Yemen’s crisis is the worst cholera epidemic on record.
Driven by years of war, the country has experienced a significant collapse in access to food, safe drinking water and health care. With millions of Yemenis facing famine, malnourishment increases the risk of cholera infections becoming fatal.
Many organizations are on the ground in Yemen, treating as many cholera cases as possible. Organizations responding to the health crisis in Yemen include Médecins Sans Frontières (MSF) or Doctors Without Borders, Save the Children, Islamic Relief Foundation and World Health Organization (WHO).
If left untreated, the mortality rate of cholera can be very high. With proper treatment, cholera is very easy to cure. The problem is that it is not easy for cholera victims to get to a medical center quickly, especially amidst times of war. One MSF treatment center in the governorate of Khamer explains the hardship that increasing fuel prices pose on those seeking health care.
During the peak of the cholera health crisis in Yemen, MSF treated over 100,000 patients with cholera. The use of cholera kits, essentials to treat the infection, allows the charity to respond quickly and effectively to any cholera outbreak. MSF also has cholera treatment centers in the heart of areas with cholera outbreaks.
Since cholera can lead to severe dehydration, the main cause of death in cholera cases, MSF has rehydration points conveniently located closer to communities than medical centers. Such rehydration points are effective in treating mild cholera cases.
Save The Children Offers Health Care
Since children with malnutrition are three times more likely to die from cholera, groups that provide nourishment in Yemen are essential. Save the Children, the first-ever international aid group in Yemen, not only distributes cash and food vouchers to families but also provides food for children and pregnant women.
Supporting 167 health facilities in Yemen, Save the Children provides training to health care professionals and volunteers in malnutrition management and prevention, a step taken to further alleviate the cholera crisis in Yemen.
Islamic Relief USA Provides Access to Clean Water
Islamic Relief USA works to provide vital aid, emergency food assistance and emergency water supply in the war-torn country. Clean water is vital to the country because cholera mainly spreads through contaminated drinking water. Islamic Relief USA is actively providing a clean supply of water to the governorates of Aden and Taiz. Both Taiz and Aden will have water tanks installed close to homes and schools so they remain water-secure when the organization is no longer active in these governorates. About 4,000 internally displaced people in these governorates will be at a decreased risk of cholera infection due to an increase of clean water supply from the water tanks.
The World Health Organization Increases Defenses Against Cholera
The World Health Organization maintains that Yemen is beginning to see a decrease in cholera infections. Financial aid from Saudi Arabia and the United Arab Emirates are contributing to this decrease. Millions of Yemenis now have access to health care unlike before. WHO is working on increasing the availability of diarrheal treatment centers, cholera vaccines and training of health providers in Yemen.
With 17.8 million water insecure people, Yemen is a breeding ground for cholera. Organizations like those listed above are essential to promoting prevention, care, and hopefully soon, the suppression of the cholera health crisis in Yemen.
– Rebekah Askew
Photo: Flickr
Mental Health Awareness in Honduras
May 2019 marked the 70th anniversary of the first Mental Health Month in the U.S. While 70 years of mental health awareness activism seems like a long time, the Mental Illness Policy Organization estimates that there are 3.5 million adults with untreated schizophrenia or bipolar disorder in the U.S. on any given day. That figure excludes individuals suffering from other mental illnesses such as acute anxiety and depression. Untreated mental illness is a problem at the forefront of the U.S. health care system and improvement seems imminent for suffering Americans. For countries plagued with poverty and violence like Honduras, accessible and affordable health care is scarce. Lack of health care options in Honduras causes more barriers for those living with mental health conditions, which makes raising mental health awareness in Honduras extremely important.
Mental Health Awareness in Honduras
Mental health awareness in Honduras is an uphill battle. In 2006, the government allocated 6.61 percent of the country’s general budget to health care. Less than 2 percent of that amount supported mental health. As social security often lacks resources to treat mental health illnesses, most cannot afford to pay for medication. Unfortunately for those suffering from mental health-related issues, most never receive proper care.
Being one of the poorest and most dangerous countries in the world, Honduras is home to prevalent violence and poverty that specialists point to as key factors in an increase in mental illness in the country. Experts estimate that 10 percent of Hondurans suffer from mental illness or substance abuse.
Visit to a Mental Health Facility in Honduras
In 2018, this author had the opportunity to visit a local mental health treatment facility in a small Honduran town called El Porvenir. The facility was the only public mental health resource within five hours, which meant that many families dropped their relatives off with the prospect of going years before seeing them again. One nurse who came in twice a week monitored the treatment center. Between her visits, however, patients, including some who suffered from severe illnesses like schizophrenia, lived in the three-bedroom house unsupervised. For some patients, it was the only option their families could afford.
Doctors Without Borders
Luckily, change is starting to look imminent and mental health awareness in Honduras is increasing. Since 2011, Doctors Without Borders (DWB) prioritizes treatment for victims of violence and sexual assault, as well as for their family members. “We try to work on the emotions, feelings, and thoughts that people experience as a result of what happened to them,” said DWB mental health supervisor Edgard Boquín. “We use cognitive behavioral therapy to help patients take the detrimental elements and replace them with positive coping tools, such as anxiety control, breathing, and relaxation techniques, or by making small life plans which will allow them to cope with their environment again.”
In 2016, DWB expanded activities in the country’s capital, Tegucigalpa, and its sister city, Comayagüela. The number of patients suffering from mental illness treated by DWB jumped 117 percent from 2015 to 2016. Community Health Partnership Honduras, a nongovernmental organization, also travels to southwestern Honduras twice a year, which is among the poorest regions in the world. The organization partners Honduran and American volunteer medical workers to increase access to mental health care.
With those missions in mind, mental health awareness in Honduras is spreading from the cities to the rural regions. Consequentially, treatment and support are increasing as well.
– Julia King
Photo: Pixabay
Poverty and Antibiotic Resistance in Southeast Asia
In September 2016, the United Nations General Assembly (UNGA) declared antimicrobial resistance (AMR) a major health threat for nations in every part of the world. AMR comes about when bacteria evolve to resist antibiotics used for the treatment of many infectious diseases such as pneumonia, tuberculosis and salmonellosis. According to the Center for Disease Control and Prevention (CDC), AMR can bring harm to people of all types and agriculture, health care and veterinary industries. Antibiotic resistance in Southeast Asia is of particular concern.
Antibiotics have been essential to curing infections ever since Alexander Fleming discovered the first form of antibiotics, penicillin, in 1928. In the developing countries of Southeast Asia, antibiotics often do not have regulation and are available for purchase without a prescription from a physician, which exacerbates the phenomenon of AMR and causes major concern. This is an example of how poverty in Southeast Asia contributes to the antibiotic resistance crisis.
Contributions to Antimicrobial Resistance
AMR is a natural process. With or without the use of antibiotics, bacteria will always evolve to fight for survival by strengthening their resistance or by multiplying. Despite this, humans make AMR worse. A plethora of unnatural issues exaggerates AMR, but there are two that are cause for the greatest concern: unregulated sale of antibiotics and the use of antibiotics not as medicine for humans but as growth promoters and disease treatments in livestock.
Unregulated Antibiotics and Self Medication in Southeast Asia
The World Health Organization Southeast Asia Region (WHO SEAR) includes the countries of Bangladesh, Bhutan, Democratic People’s Republic of Korea, India, Indonesia, Maldives, Myanmar, Nepal, Sri Lanka, Thailand and Timor-Leste. These countries are notorious for selling antibiotics as an unregulated product to the public, a reality of many developing countries around the world. In developing countries, the prevalence of infectious deadly diseases is higher than in more developed nations, making the likelihood of death from these issues higher.
Many consider the countries in Southeast Asia listed above to be hotspots for the spread of AMR. Here, the cost of antibiotics bought over the counter is lower than the cost to visit a physician or health professional. As a result, many self-medicate, making it the leading cause of AMR. Self-medication refers to the use of medication to treat ailments, diseases or infections without the guidance of a medical professional. Without curbing this habit practiced in WHO SEAR, bacteria quickly mutate to resist treatment, leading to more intense illnesses, increased medication prices and death.
The Use of Antibiotics for Livestock in Southeast Asia
In this region, the use of antibiotics in livestock outweighs the use of antibiotics in humans. To keep livestock in countries around the world healthy, farmers commonly use antimicrobials to treat and prevent diseases and decrease mortality in livestock. Though people widely practice this, the countries of WHO SEAR use this technique excessively due to poverty. With weak regulatory laws to govern or survey the effects this has on the AMR crisis, AMR is aggressively growing.
Where previously people ignored it when considering the causes of AMR, livestock antibiotic use has recently become a growing concern across the globe. With recognition came complication: in developing countries, farmers rely on the use of antibiotics to prevent illness or death of their animals so they can continue to make a profit. In Southeast Asia especially, the hard reality is that these issues layer and mix with other issues, such as poverty and food security. Policies regarding antimicrobial consumption in livestock that work for developed nations often do not work in underdeveloped nations, due to the complex differences of cultural differences and locations. It is for these reasons that poverty contributes to antibiotic resistance in Southeast Asia.
Efforts to Slow Antibiotic Resistance in Southeast Asia
Given that this crisis is on a global scale and affecting every nation, some are making efforts to control AMR. Unfortunately, there is no way to stop it completely. There are, however, the WHO’s action plans that can bring light to this topic. WHO has laid out five strategic goals: to increase recognition and understanding of AMR, to increase global monitoring and research, to decrease the prevalence of infectious diseases requiring antibiotic treatment, to improve the use of antibiotic treatment and to create a case for sustainable investment that includes all nations, no matter location or level of development
An example of raising awareness is World Antibiotic Awareness Week. Every year brings the annual World Antibiotic Awareness Week, created by the WHO in 2015. This week in November sets goals to increase awareness and encourage health care providers, policymakers and the public to practice healthy and sustainable techniques to slow the spread of antibiotic resistance in Southeast Asia.
– Anna Giffels
Photo: Flickr
Soccer Without Borders Brings Sports to Impoverished Youth
Soccer without Borders
The nonprofit organization believes that creating meaningful change is more important than the actual sport. They build their programs around the interpersonal element of the sport to meaningfully impact their youth’s physical, social and individual progression by using soccer as an agent of positive change in the development of skills necessary to overcome obstacles.
Impacting nearly 2,000 children on a yearly basis, Soccer Without Borders stretches across 10 countries. In the United States, the organization is stationed in Baltimore, Greely, Seattle and Oakland. Refugees seeking asylum in the United States comprise more than 70 percent of Soccer Without Borders participants. Internationally, Soccer Without Borders has program offices in Uganda and Nicaragua. In the past, Soccer Without Borders has worked in several countries in Latin America and Africa.
Soccer in Nicaragua
As one of the poorest countries in Latin America, more than two million Nicaraguans live in poverty with 20 percent of the population living in extreme poverty. Children are the first to suffer from poverty. Faced with health problems, violence and abuse, children lack the same opportunity. In particular, young girls are often victims of sexual exploitation, child marriage and human trafficking, increasing gender inequalities. Many children, especially girls, do not receive an education because of these disparities.
Founded in 2008, Soccer Without Borders hosts a program in Granada, Nicaragua. The organization works with girls ages 7 to 20 through the league with year-round programs, camps and clinics. In Nicaragua, the participants of Soccer Without Borders are 100 percent girls. The organization also provided education scholarships to 99 girls between 2013 and 2016.
Soccer in Uganda
Soccer Without Borders also founded a program based in Kampala, Uganda in 2008. There, the organization serves male and female youth refugees from Uganda, Rwanda, DR Congo, South Sudan, Somalia and Burundi. Ages range from ages 5-23, and they participate in tournaments, festivals and a variety of community events. Forty-one percent of the participants are female, and most of the coaches are refugees themselves.
A 2016 poverty reduction assessment shows Uganda has reduced poverty from a monetary perspective, but the nation still lags behind in non-monetary areas such as sanitation, health and education. Children often end up living in the streets, victims of child labor, child trafficking and child abuse. Both young girls and boys are forced into harsh situations. Boys become members of the armed forces while girls are forced to prostitute themselves. Young girls are often victims of violence and child marriage.
How Sports Can Help
Soccer and other sports can act as an agent of change. While they cannot eradicate poverty, sports help blur the divisive lives of inequality that poverty creates. Sports focus on building children’s developmental needs to then address the larger needs of the surrounding communities. Education through sports like soccer can provide children with skills such as decision making and taking responsibility that apply both on and off the field. The goal of sports is to help children develop the necessary skills to break the cycle of poverty.
For its efforts, Soccer Without Borders was named the winner of the 2016 Barry & Marie Lipman Family Prize by the Wharton School and the University of Pennsylvania. The organization was also awarded the 2017 Urban Soccer Symposium Impact Award by U.S. Soccer as well as the 2018 Sports Award Winner by the Robert Wood Johnson Foundation. Most notably, Soccer Without Borders earned the FIFA Diversity Award in 2017.
– Gwen Schemm
Photo: Cloudfront
How Hiring Refugees Benefits the Global Economy
The world is currently facing a record-high number of displaced people. Globally, more than 70 million people fled or are fleeing their homes as a result of domestic war, systematic persecution, hunger or any number of other life-threatening conditions. These people are refugees.
Refugees who have fled their home countries rely on other countries to take them in and provide them with the basic necessities for survival, like food, water and shelter. Many of these people, however, have extremely limited access to the job markets of their host countries. Therefore, it is difficult for them to find a source of personal income.
Recent studies show that integrating refugees into the host country’s workforce can be economically beneficial on multiple levels. Some have estimated that closing job and pay gaps for refugees around the world could generate as much as $2.5 trillion globally. Displaced refugees represent a largely under-utilized source of labor, and giving them the opportunity to be part of the workforce could profoundly impact productivity.
Employment Benefits Refugees and Host Countries
Hiring refugees has the potential to benefit all parties involved. The refugees themselves often benefit most directly from integration into the workplace. Having a source of personal income can be extremely liberating for displaced families; it increases financial independence and allows them to rely less on the aid of their host country. It also means that children can go to school and receive an education instead of staying home to help support the family. Essentially, it allows refugees to become more productive members of society.
Contrary to popular rhetoric, the host country also benefits economically from hiring refugees. By having jobs, refugee workers are contributing to the productivity of the country and increasing the gross domestic product. Additionally, most economists found that one cannot substantiate the fear native workers have over refugees and other migrants “stealing” jobs—displaced people generally look for vacant positions that do not require a mastery of the host country’s language.
Refugees and Migrants Create Jobs
Refugees and migrants also tend to have much higher rates of entrepreneurship than the rest of society, meaning that they create jobs. It may be helpful to use the U.S. as an example here. In the U.S., migrants—a larger distinction of people living in a foreign country that encompasses refugees—represent about 15 percent of the population. However, migrants constitute about 25 percent of America’s entrepreneurs, indicating that they have a higher rate of entrepreneurship than the average citizen. In 2015, over 180,000 refugees created $4.6 billion in American income due to entrepreneurial ventures.
Organizations that hire refugees have reported much higher retention rates than the average. For example, manufacturing represents the industry where the highest proportion of refugees find work—about 20 percent. The refugee rate of turnover in this industry is just 4 percent, compared to the 11 percent national average. This means that refugees often make industrious and loyal workers on whom businesses can depend. Overall, refugees generate billions of dollars each year through entrepreneurship, consumer spending and job retention.
Finally, the country of origin can also benefit economically when other countries take in its refugees. Host and origin countries share a relationship that could potentially open up networks of trade and investment that boost the origin country’s economy. Additionally, when people from the origin country integrate into the host country’s workforce, it creates business networks where refugees might learn skills and master technology that they can communicate back home. These networks of trade and business can help update the origin country’s economy and make it more competitive.
Global Companies Hiring Refugees
Below are just a few of the companies hiring refugees and working to better integrate refugee populations into the workforce in a variety of different countries.
– Morgan Johnson
Photo: Flickr
The Fall of Venezuela’s Oil-Based Economy
Currently, Venezuela is in an economic crisis. According to the International Monetary Fund (IMF), Venezuela’s inflation rate will exceed 10 million percent by the end of 2019. This high inflation has destroyed Venezuela’s economy, causing poverty and unemployment rates to rise. In turn, it has also created mass food and medical supply shortages across the nation. Venezuela was not always in a state of crisis; it was once a thriving country backed by a booming oil-based economy. If one understands the fall of Venezuela’s oil-based economy, they will know how Venezuela’s current crisis came to be.
Fruitful Origins
Back in the 1920s, people found some of the world’s largest deposits of oil in Venezuela. Upon this discovery, Venezuela embarked on the path of a petrostate. As a petrostate, Venezuela’s economy relies almost entirely on oil exports. The government overlooked domestic manufacturing and agriculture, choosing to import basic goods instead of producing them within Venezuela. With strong support for an oil-based economy, Venezuela rode on its economic boom until the end of the worldwide energy crisis of the 1970s.
The 1970s energy crisis involved international oil shortages due to interrupted supplies from the Middle East. In place of the Middle East, Venezuela became one of the top oil suppliers worldwide. Oil prices thus skyrocketed due to limited suppliers and oil production in Venezuela increased to meet rising demand. Venezuela added about $10 billion to its economy during the energy crisis, providing enough wealth to cover the importation of basic goods. It was even able to begin more social welfare programs.
The Fall
Once the energy crisis ended in the early 1980s and oil prices stabilized again, Venezuela’s economy saw its first notable decline. Oil production did not decrease in spite of lowered oil prices and demand, resulting in a capital loss for Venezuela’s economy. The production of oil is an expensive endeavor which requires high capital investment in the hopes of that even higher sales can offset the investment. Therefore, while oil production remained high, Venezuela failed to build off of the investment, losing capital immediately.
This loss of capital marked Venezuela’s oil-based economy’s initial fall, as Venezuela risked its well-being on the unstable oil market. Just prior to the drop in oil prices, Venezuela went into debt from purchasing foreign oil refineries. Without investing in domestic agriculture or manufacturing, the Venezuelan government became economically strapped; it could no longer pay for its imports and programs, and especially not its new refineries.
In order to pay for its expenses, Venezuela had to rely on foreign investors and remaining national bank reserves. Inflation soared as the country drilled itself further into debt. It was not until the early 2000s that oil prices began to rise again and Venezuela could once more become a profitable petrostate — in theory. Under the regime of Hugo Chávez, social welfare programs and suspected embezzlement negated the billions of dollars in revenue from peaked oil exports.
By 2014, when oil prices took another harsh drop worldwide, Venezuela did not reserve enough funds from its brief resurgence of prosperity. Ultimately, the country fell back into a spiral of debt and inflation.
Lasting Effects
The fall of Venezuela’s oil-based economy sent shockwaves throughout its population, affecting poverty and unemployment rates and causing mass food and medical shortages. Estimates determined that in April 2019, Venezuela’s poverty rate reached nearly 90 percent nationwide. A notable factor of its widespread poverty, some suggest that Venezuela’s unemployment rate was 44.3 percent at the start of 2019.
Unemployment is rapidly increasing in Venezuela as both domestic and foreign companies lay off workers — with some companies offering buyouts or pension packages, and others just firing workers without warning. As Venezuela falls further into debt and its inflation rises, there is not enough demand within the country for foreign companies to stay there.
As previously mentioned, the earlier Venezuelan government chose to rely on imports rather than domestic production for its basic goods. Now, in 2019, the country suffers from its past mistakes. Unable to afford its imports, food and medical supply shortages are rampant across Venezuela. According to recent United Nations reports, over a 10th of the nation’s population is suffering from malnourishment. In addition, malaria — which the country virtually eliminated several decades prior — is reappearing as there are more than 400,000 cases nationwide.
A Way Out
While the fall of Venezuela’s oil-based economy may be detrimental to the nation’s overall stability, there is a way out of ruin: the International Monetary Fund, an international agency that exists to financially aid countries in crisis. In the fight against global poverty, the IMF is a vital tool that can prevent countries from reaching an irreparable state.
If Venezuela defaults on its debt and seeks funding from the IMF, Venezuela would be able to invest in domestic agriculture and other infrastructure. Therefore, if the oil industry continues to decline, there will be a fallback for supplies and potential exports. While this is not a panacea to the fall of Venezuela’s oil-based economy, it is a way for the nation to prepare for any future declines in oil prices and begin to work toward prosperity.
– Suzette Shultz
Photo: Flickr
4 Organizations Fighting Poverty Through Art
4 Organizations Fighting Poverty Through Art
These four organizations fighting poverty through art demonstrate the cultural preservation and economic and urban development art initiatives can create in impoverished communities. Not everyone can start a group like these four organizations fighting poverty through art. However, offering support to art initiatives that serve marginalized and impoverished communities can help make use of art as a tool for social change. Engaging with art in a variety of ways can promote cultural exchange and provides a voice for those who are all too often underrepresented.
– Jordan Keller
Photo: Flickr
The Case for Georgia’s Integration into the EU
Georgia’s Relationship to the EU
Despite being a member of the Organization for Security and Cooperation in Europe and the Council of Europe, Georgia is not a member-state of the European Union. Since Georgia’s Rose Revolution in 2003, politicians of diverse ideologies have prioritized E.U. membership as an ultimate goal. In fact, a 2009 survey of over 2,400 Georgians found that 50 percent of the population believed that Georgia would join the E.U. within 10 years. While Georgia has yet to join the E.U. in 2019, the Georgian government continues to introduce various reforms to align the country with the tenets of E.U. institutional structures. E.U. membership would help Georgia tackle poverty and inequality.
Free Trade with Europe Increasing National Welfare
Poverty in Georgia remains at 16.3 percent and unemployment at 12.7 percent. Currently, Georgia is allowed to trade in certain industries with the E.U. as a part of the Deep and Comprehensive Free Trade Area (DCFTA). Once the E.U. admits Georgia and Georgia is able to trade freely with E.U. member-states in all industries, poverty and unemployment will likely decline.
Free trade makes a country more productive by selecting a country’s most productive industries for exporting. Import competition will replace less productive industries, but Georgians will specialize in their more productive exporting sectors and reap the benefits of specialization. Enhanced specialization from trade will raise Georgia’s gross domestic product and increase consumer welfare because Georgians will be able to purchase foreign-produced goods at cheaper prices while specializing in exporting sectors, such as copper ores and wine. Coupled with appropriate distributional policies, free trade will have a positive impact on reducing poverty and unemployment.
EU Membership Shielding Georgia from Russian Aggression
During the 2008 war, 130,000 Georgians became displaced; Action Against Hunger reports that the number of refugees has increased over time. If Russia were to invade again, there would be serious economic consequences. Furthermore, the refugee crisis would deteriorate substantially. Georgia’s integration into the E.U. provides a security agreement under the auspices of the European Defence Union; if Russia interferes with one E.U. member-country, it faces the backlash of Europe. George could reverse its progress in reducing poverty over the past decade. E.U. membership will serve as a security buffer from Russian aggression and a defender of the nation’s recent economic progress.
Because of the protection and economic boost E.U. membership would bring, many political scientists and economists agree with the 67 percent of Georgians who advocate for Georgia’s integration into the E.U.
– Grayson Cox
Photo: Flickr
An Update Mobile Phone Development in Developing Countries
Monitoring
Monitoring and regular, real-time updates on the conditions of everything from crops to the spread of disease are a huge help for organizations dedicated to mobile development. Farmers can use a wireless sensing network (WSN) to monitor crop and soil conditions as well as irrigation systems for better water management. Simple, inexpensive and low-powered sensing nodes communicate information directly to farmers’ mobile devices. Farmers can also use their mobile devices to check and monitor rising and falling market prices.
In 2013, UNICEF partnered with Ugandan farmers to track and monitor the spread of banana bacterial wilt, a disease that threatens bananas, one of Uganda’s major food staples. Through mobile phone polling, UNICEF was able to map the areas of farmland where bananas were infected and bring that vital information directly to farmers.
Health workers are also utilizing mobile monitoring particularly to track and prevent the spread of infectious diseases. Innovative Support to Emergencies Diseases and Disasters (InSTEDD) is a data collection software used to record incidents of communicable disease. Health departments in Thailand and Cambodia have piloted an early warning disease surveillance initiative. Using SMS, InSTEDD has been used to track diseases at the local and national level. Health officials hope that the use of such mobile development will help them track, prevent and prepare for potential disease outbreaks.
Communication and Information Delivery
SMS provides a cheap and fast means of communication. Although a very basic messaging service, it is compatible with even the cheapest mobile phones. Even this simple text service is being put to work to improve lives around the world. In 2014, IntraHealth International and UNICEF created mHero, a two-way mobile phone-based communication system. Using SMS, ministries of health exchange real-time information and data with health workers in the field. This timely flow of communication helps health workers perform better-informed care and provides them with reliable support.
Rapid communication is also being used to alert residents in Bangalore, India to water availability. In Bangalore, people may have to wait up to 10 days for water to be available. NextDrop is a phone-based program that uses text messaging to notify residents when their water will next be available. With 75,000 registered users, NextDrop communicates vital, timely information about the water availability, so that residents need not waste their days waiting.
Data Collection
Polling, surveys and civilian reports have long been used to supply organizations with information about the populations they are serving to provide better and more efficient aid. Mobile phones reduce the need for face-to-face interviews to collect data as well as cut costs of landline calls, allowing health workers to reach more people in less time. With larger pools of responders, health surveys inform officials of a more complete summary of the population. The Performance Monitoring and Accountability 2020 (PMA2020) is a global survey project with the goal of providing women and girls with access to modern contraceptive methods by 2020. Through household surveys, PMA2020 collects fertility data to estimate the total fertility rate of a given country.
UNICEF created their own reporting system using mobile devices called U-Report. This messaging and reporting tool empowers users to speak out about issues that matter most to them. Active in 53 countries and with more than 6 million users, U-Report has been used to engage in issues from employment discrimination to child marriage. Data is then shared with policymakers so that they can make informed decisions. U-Report can be used with multiple messaging services including SMS so that even users with basic mobile phones can participate. The service is free and anonymous to encourage as many users as possible to report. UNICEF utilized U-Report’s messaging system to send alerts to users living in the path of Hurricanes Irma, Jose and Maria and using SMS shared vital information with families during the major floods in Abidjan, Côte d’Ivoire.
With the help of mobile devices, almost every corner of the world is reachable, from the poor living in the largest cities to the most rural communities. Aid organizations are making vital use out of the communication and data collection capabilities to help those who are most in need. Mobile development is helping to ensure that everyone has the tools and information to make informed decisions, ask for assistance, and pull themselves out of poverty.
– Maya Watanabe
Photo: Flickr
Drug Resistant Malaria Causes Concern
A new variation of the parasite causing malaria has captured the attention of medical professionals in South East Asia. They first noticed a strain of drug-resistant malaria in 2013 and it has spread aggressively throughout the region. Medical researchers from the Wellcome Sanger Institute, University of Oxford and Mahidol University noticed that the new strain has replaced local malaria strains in Vietnam, Laos and northeastern Thailand. They have also seen the strain developing new mutations from when they initially identified it in 2013 and this may be enhancing resistance even further.
Resistance Through Time
In 2018, studies showed that the usual first-line drug used for malaria failed to cure the disease at an overall rate of 50 percent, 13 percent in northeastern Thailand, 38 percent in western Cambodia, 73 percent in northeast Cambodia and 47 percent in southwestern Vietnam.
The advancement of the new drug-resistant malaria might stem from the heavy usage of anti-malaria drugs in the region. Medical professionals commonly distribute the drug throughout the area, forcing the parasite to evolve or die out. Patient usage is also giving the parasite a leg up, as often people are taking a weaker dosage or do not finish the treatment but terminate usage when they begin feeling better.
Cause of Malaria
Malaria is the result of the Plasmodium parasite that transmits through a mosquito bite. The drug-resistant malaria strain is called KEL1/PLA1 because of its combination of genetic mutations. A recent study has noted that KEL1/PLA1 has diversified into a subgroup of strains that contain the genetical modifications causing resistance. These parasites are also showing resistance to several classes of anti-malarial drugs. The new adaptations are limiting treatment options and making them increasingly expensive. Currently, clinical trials have begun to test the effectiveness of a triple combination treatment for the new drug-resistant malaria.
The current front-line defense is a two-drug combination of dihydroartemisinin and piperaquine or DHA-PPQ. But a 2018 study showed the resistance to dihydroartemisinin-piperaquine spread undetected for five years in Cambodia, giving the drug time to mutate further and wipe out existing non-resistant strains. One solution is to change the partner drug, piperaquine, to a drug that is currently effective such as mefloquine or pyronaridine. Cambodia and Thailand have implemented this solution but it could be logistically challenging on a large scale.
Consequences of Infection
For now, health officials believe they will be able to manage the situation as malaria rates are lower in Southeast Asia. Officials, however, believe if the drug-resistant malaria parasite spreads to Africa, the consequence could be dire. Sub-Saharan Africa sees the most substantial numbers of malaria and faces the most significant logistical problems when attempting to treat it. In the 1960s, a similar situation occurred where a strain developed in Asia and spread to sub-Saharan Africa, where due to a lack of alternative medications, malaria-related deaths double.
People are currently using rapid test kits to help prevent and treat drug-restraint malaria. The kits can identify which parasite strain is causing malaria, allowing medical professionals to treat malaria accordingly. This tool will be increasingly important if the drug restraint parasite spreads to Africa. Sub-Saharan Africa alone accounted for 66 percent of the 276 million rapid diagnostic test sales worldwide in 2017. The test allows for professionals to best allocate supplies that are scarce in sub-Saharan Africa. As the fight against drug-resistant malaria continues, the rapid test kits are a cost-efficient way to increase their odds of eradicating the parasite.
– Carly Campbell
Photo: Flickr
Cholera: Health Crisis in Yemen
A massive resurgence of cholera afflicts Yemen, a bacterial infection that can kill within hours if untreated. Between January 2018 and June 2019, reports have determined there have been about 800,000 cases of cholera in the country. Here is a breakdown of the cholera health crisis in Yemen and the response from four notable organizations.
What is Cholera?
Cholera is a potentially fatal bacterial infection that can cause diarrhea, severe dehydration, nausea and vomiting. It mainly spreads through the consumption of water and food contaminated with the bacterium Vibrio cholerae.
Industrialized countries with proper water sewage filtration systems are unlikely to experience surges of cholera outbreaks. However, countries with inadequate water treatment are at a much higher risk of experiencing a cholera epidemic. Areas afflicted by natural disasters, poverty, war and refugee settings are at an exacerbated risk of experiencing cholera outbreaks.
The oral cholera vaccine is highly effective but the vaccine was not available in Yemen prior to the epidemic outbreak in 2017. Since then, more than 300,000 Yemenis received the cholera vaccination but continuous conflict provides a barrier between health care officials and the rest of the population. Doctors Without Borders maintains that the vaccine, while highly effective, is not enough to end cholera due to its low supply and short term protection.
Cholera Health Crisis in Yemen
As Yemen faces its fourth year of war, the country also fights a looming health crisis. The cholera health crisis in Yemen affects 22 of 23 governorates and almost 299 of Yemen’s 333 districts. Recording over one million cholera cases in 2017, Yemen’s crisis is the worst cholera epidemic on record.
Driven by years of war, the country has experienced a significant collapse in access to food, safe drinking water and health care. With millions of Yemenis facing famine, malnourishment increases the risk of cholera infections becoming fatal.
Many organizations are on the ground in Yemen, treating as many cholera cases as possible. Organizations responding to the health crisis in Yemen include Médecins Sans Frontières (MSF) or Doctors Without Borders, Save the Children, Islamic Relief Foundation and World Health Organization (WHO).
If left untreated, the mortality rate of cholera can be very high. With proper treatment, cholera is very easy to cure. The problem is that it is not easy for cholera victims to get to a medical center quickly, especially amidst times of war. One MSF treatment center in the governorate of Khamer explains the hardship that increasing fuel prices pose on those seeking health care.
During the peak of the cholera health crisis in Yemen, MSF treated over 100,000 patients with cholera. The use of cholera kits, essentials to treat the infection, allows the charity to respond quickly and effectively to any cholera outbreak. MSF also has cholera treatment centers in the heart of areas with cholera outbreaks.
Since cholera can lead to severe dehydration, the main cause of death in cholera cases, MSF has rehydration points conveniently located closer to communities than medical centers. Such rehydration points are effective in treating mild cholera cases.
Save The Children Offers Health Care
Since children with malnutrition are three times more likely to die from cholera, groups that provide nourishment in Yemen are essential. Save the Children, the first-ever international aid group in Yemen, not only distributes cash and food vouchers to families but also provides food for children and pregnant women.
Supporting 167 health facilities in Yemen, Save the Children provides training to health care professionals and volunteers in malnutrition management and prevention, a step taken to further alleviate the cholera crisis in Yemen.
Islamic Relief USA Provides Access to Clean Water
Islamic Relief USA works to provide vital aid, emergency food assistance and emergency water supply in the war-torn country. Clean water is vital to the country because cholera mainly spreads through contaminated drinking water. Islamic Relief USA is actively providing a clean supply of water to the governorates of Aden and Taiz. Both Taiz and Aden will have water tanks installed close to homes and schools so they remain water-secure when the organization is no longer active in these governorates. About 4,000 internally displaced people in these governorates will be at a decreased risk of cholera infection due to an increase of clean water supply from the water tanks.
The World Health Organization Increases Defenses Against Cholera
The World Health Organization maintains that Yemen is beginning to see a decrease in cholera infections. Financial aid from Saudi Arabia and the United Arab Emirates are contributing to this decrease. Millions of Yemenis now have access to health care unlike before. WHO is working on increasing the availability of diarrheal treatment centers, cholera vaccines and training of health providers in Yemen.
With 17.8 million water insecure people, Yemen is a breeding ground for cholera. Organizations like those listed above are essential to promoting prevention, care, and hopefully soon, the suppression of the cholera health crisis in Yemen.
– Rebekah Askew
Photo: Flickr