Top Diseases in Macedonia

Macedonia is a tiny, landlocked country just to the north of Greece in southern Europe. With just over two million people, the country is larger than some of the surrounding areas like Kosovo. The top diseases in Macedonia mirror the entire rest of the world, yet the percentages of people afflicted have changed over the years.

The average annual mortality rate per 100,000 people is 743.3. This rate is down from years past. Life expectancy is 75 years old, higher than the average worldwide. Females live longer than males by about six years. Better yet, the average life expectancy has grown by about four or five years over the last 25 years.

The top diseases in Macedonia include common heart diseases capturing the top three spots. The entire top five has not changed in 25 years with each only varying slightly in the percentage that has changed. Spots four and five are still held by lung cancer and diabetes respectively. Alzheimer’s disease made the biggest jump on the list with a 37% change. COPD and cancers round out the top 10 list.

The major risk factors in Macedonia are high blood pressure, poor diet and tobacco use. The percentage of disease attributed to these risk factors and the others is 50.5%. That percentage needs to be dropped with more of an emphasis on care and services being provided to avoid losing these many people each year. More risk factors include cholesterol, pollution and alcohol and drug use. There are some that can be cut entirely to save people from that. Pollution is a global issue that needs to be addressed in many countries around the world.

Macedonia has come a long way with the life expectancy rising and many of the diseases dropping in frequency over the last 25 years. The top diseases in Macedonia list still hold a lot of what is already seen around the world. The country still has much it can improve upon, especially heart disease.

Brendin Axtman

Photo: Flickr

Reduce Funding for the World Bank
President Donald Trump has proposed to reduce funding for the World Bank and other multilateral development banks (MDBs) by around $650 million over three years. The White House has stated that, in doing so, “the U.S. would retain its current status as a top donor while saving taxpayer dollars.”

The World Bank is one of two global MDBs. MDBs are supranational in nature, which means they do not face transnational limits, but shareholding foreign states do organize them. These organizations exist to support economic and social development in developing nations, largely in the form of grants and loans. They also exercise more direct involvements such as policy advice and conference participation.

As a global MDB, the World Bank’s programs are wide-reaching. One example of this is a proposal for additional funding for the Sustainable and Rural Water and Sanitation Project in Ghana. Approved on June 28, 2017, with a budget of $47.5 million dollars, the program aims to bring reliable access to water and sanitation services to rural towns across the country. New programs for over 100 countries are approved almost every day and are visible on the World Bank’s website.

The rationale for the funding reduction proposal places more value on preserving the U.S.’s status as a top donor than the work done on the ground as part of the World Bank’s programs. The Sustainable and Rural Water and Sanitation Project is not a donation, but an attempt to create sustainable sanitation services that can serve the people of Ghana for years to come. A smaller World Bank budget won’t just mean less money—it will result in a lack of human support that is necessary for the development of sustainable infrastructure in developing countries. At the moment, the U.S. is not even considered a top donor, ranking 20th on a list of donating governments in 2015.

Fortunately, there are several new and influential MDBs backed by non-Western nations that will likely continue to flourish even if the U.S. reduces funding for the World Bank. One of these is the Asian Infrastructure Investment Bank (AIIB), which began in January 2016. The China-backed bank began nine large-scale development projects in 2016 throughout South and Southeast Asia and exceeded its lending goal. Contrary to what some expected, the bank’s programs have not been used to advance Chinese interests, as some Chinese investments in African countries have in the past. The early success of AIIB follows the upward trajectory of non-Western nations such as China, India and South Africa in the field of international aid.

Caroline Meyers

Photo: Flickr


As the rainy season approaches in the war-torn Lake Chad region of Africa, humanitarian organizations stand on high alert. The Lake Chad Basin is composed of Cameroon, Chad, Niger and Nigeria. With some of these countries facing violent attacks from Boko Haram and others in desperate humanitarian circumstances, this upcoming rainy season poses a threat to millions of lives. Fortunately, UNICEF, the World Health Organization (WHO), USAID and other humanitarian organizations are coming together to figure out solutions to the Lake Chad crisis.

The focal threat of the rainy season is disease and famine, caused by flooding and muddy roads which limit the accessibility and mobility of populations. With more than seven million people already suffering from malnutrition in this region, the threat of the rainy season puts 17 million individuals, mainly women and children, directly at risk. Of those 17 million, 5.6 million children are in danger of contracting water-borne diseases such as cholera, which can prove fatal if not treated.

Amplified by the violence occurring in the Lake Chad region (specifically conflict in Northern Nigeria), the threat of this upcoming rainy season is palpable. Boko Haram in Northern Nigeria prevents much of the aid from reaching the affected population. The group has also destroyed vital infrastructure such as medical clinics, schools, water pipelines, bridges and roads, which has left many without access to essential services.

With 2.3 million people already displaced in the Lake Chad region, it is essential that humanitarian organizations work with haste. After meeting at the Oslo Humanitarian Conference on Nigeria and the Lake Chad Region, international humanitarian agencies have devised a response plan for 2017. However, it will require a budget of $1.5 billion, which is out of reach for most aid agencies.

Despite the lack of funding, UNICEF and its partners have stayed committed to the cause, going to the communities at the highest risk for cholera outbreaks and teaching families about sanitation and how to protect themselves against water-borne infections. In Niger, Cameroon and Chad, the distribution of essential drugs and bars of soap have helped out the citizens living in internally displaced persons’ camps. Humanitarian organizations are also urging the governments of the affected populations to take their responsibilities seriously and protect their civilians.

Despite the difficulties faced by both the concerned communities and the aid organizations trying to reach them, UNICEF, the WHO and other international humanitarian agencies still dedicate their resources to helping those in the Lake Chad crisis.

Kelly Hayes

Photo: Flickr

Top Diseases in Bosnia and Herzegovina
Bosnia and Herzegovina is located in southeastern Europe, bordering the Adriatic Sea and Croatia. The country declared sovereignty in 1991 and independence from Yugoslavia in 1992. After signing a 1995 peace agreement, the country is about half the Bosniak/Croat Federation, and the other half the Bosnian-Serb Republika Srpska. As of 2016, the life expectancy of the country’s 3.8 million inhabitants is 76.7 years, and only non-communicable diseases are the most common causes of death. Here are the top diseases in Bosnia and Herzegovina:

Ischemic Heart Disease
Also known as coronary artery disease, ischemic heart disease is an illness consisting of decreased or restricted blood flow to the heart. In 2015, it was recorded as the most fatal of the top diseases in Bosnia and Herzegovina and had been for the last decade. To make matters worse, the prevalence of deaths by ischemic heart disease had increased by 6%.

Cerebrovascular Disease
A disease of cerebral circulation, deaths by cerebrovascular disease are the second most common cause of mortality in Bosnia and Herzegovina as of 2015. Although cerebrovascular disease was the second most common cause of death ten years previously as well, the prevalence of deaths by the disease had raised by 17.8% by 2015.

Cardiomyopathy
Defined as a condition in which the heart muscles become thick, enlarged or rigid, cardiomyopathy can lead to heart failure or arrhythmias. In Bosnia and Herzegovina, cardiomyopathy was reported to be the third most common cause of death in 2015, once again consistent with the previous ten years on record. However, unlike the more mild increase in deaths by ischemic heart disease and cerebrovascular disease, the prevalence of deaths by cardiomyopathy had skyrocketed within the decade at a staggering 53.7%.

With all of the top diseases in Bosnia and Herzegovina concerning cardiovascular health, the country has become aware of the growing health epidemic and taken steps to address the issue. In 2000, Bosnia and Herzegovina was one of the first European countries to celebrate the international holiday of World Heart Day. The implementation of The European Guidelines for Cardiovascular Disease Prevention and the signing of the European Heart Health Charter in 2007 hopes to address this issue. With such a willingness to address cardiovascular health domestically, the world is sure to see a decrease in the current top diseases in Bosnia and Herzegovina.

Shannon Golden

Photo: Flickr

The Most Common Diseases in Syria
Many factors influence health, and one of the most overlooked is the environment. After living through a civil war for six years, Syrians have experienced a tremendous amount of violence. With this violence comes an increase in poverty and disease. For these reasons, common diseases in Syria are on the rise.

Not only do Syrians suffer from the stress that comes with living in a war-stricken country, but they also experience the scarcity of potable water, food and health care. The combination of this lack of resources and the grief the war’s victims deal with on a daily basis further complicates their health.

Non-communicable diseases are particularly prominent in Syrians. Non-communicable diseases are long-lasting and caused by genetics, the environment and lifestyle. In a survey based on different Syrian refugee households in Jordan, at least one resident in half the households suffered from a non-communicable disease.

Common diseases in Syria that are non-communicable include anemia, diabetes and hypertension. One study found that 48.4% of children under the age of five living in the Zaatari Syrian refugee camp suffered from anemia, as did 44.8% of women aged 15 to 49.

The key to treating these common diseases in Syria is maintaining a healthy diet and taking preventative medications. However, both of these strategies are difficult to come by for Syrians. Doctors and hospitals are often targets and victims of violence. With the destruction of hospitals, Syrians have far fewer places they can go to take care of their health.

Although some medical clinics remain functional, problems remain. Many lack supplies to accommodate the millions of people that need their help. About 60% of Syrians needing insulin to treat their diabetes are in danger due to a shortfall of the hormone.

It is difficult for Syrians to overcome their health issues due to everything that is happening in their country. That being said, others are taking the initiative to help. The World Health Organization has submitted requests to the Syrian government to provide desperately needed medical supplies.

Syrians are in a critical situation now, especially with their health at risk. However, with the proper resources and aid, life will improve for Syrians.

– Raven Rentas

Photo: Flickr

AI to fight poverty
On September 25, 2015, United Nations member countries adopted a set of goals “to end poverty, protect the planet and ensure prosperity for all.” The number one goal to be achieved by 2030 is to eradicate extreme poverty.

Fighting global poverty is a huge battle, and many countries don’t keep data on the frequency and distribution of poverty, which makes it hard to track.

The lack of clear, representative data is what drove students and professors at Stanford University to create the Sustainability and Artificial Intelligence Lab. The lab focuses on many different projects that use artificial intelligence to fight poverty.

Neal Jean, Marshall Burke, Michael Xie, W. Matthew Davis, David B. Lobell and Stefano Ermon started the Predicting Poverty project 18 months ago. The project combines the forces of satellite imagery and machine-learning algorithms to detect places in the world that put off more light at night than others. The Borgen Project had the opportunity to speak with Burke about the work the team is doing.

The logic is that the brighter the lights in an area, the more developed that country is likely to be. Over time, the tracking of “night lights” can give information about where and how extreme poverty is. Using artificial intelligence to fight poverty can also recognize where there are roads, urban areas, waterways, and farmland.

“We are still in the stage of making sure the satellite-based approach works,” Burke said. “We have had great results in five African countries, but still need to know how it works in other countries and whether it can make decent predictions of changes in poverty over time.”

The group has tracked poverty in Uganda, Tanzania, Nigeria, Malawi and Rwanda. The methods used in these countries are inexpensive. By mapping where poverty is most significant, aid organizations can properly distribute help and materials.

Once they have figured out whether the technology can predict changes in poverty, the team hopes to track all of Africa and monitor many other Sustainable Development Goals using technology.

“I think AI could provide some large benefits in regions of the world where we currently have little on-the-ground data about economic well-being — which includes a lot of the developing world,” Burke said. “AI-based approaches can help us measure livelihoods on the ground in these places, and also help us understand which sorts of anti-poverty programs are particularly successful in reducing poverty. “

Madeline Boeding

Photo: Flickr

10 Facts About Montenegro Refugees
Located on the Adriatic Sea, Montenegro has long been a vacation destination for individuals from all over the world. With picturesque seaside villages and mountains all around, Montenegro is a haven for workers looking to escape a fast-paced life. But this holiday lifestyle has not always been the case for Montenegro.  The current refugee crisis affects the atmosphere of Montenegro. These 10 facts about refugees in Montenegro prove that the country is a key world player in providing aid for global conflict and refugees.

  1. The years 1998 and 1999 saw intense fighting for Kosovo. Although the conflict in Kosovo lasted only a year, nearly half of the population of Kosovo was either internally displaced or forced to leave the country to become refugees elsewhere. Montenegro was one of the countries they fled towards.
  2. The surge in refugees led to the closure of Montenegro’s border in September 1998. This came only seven months after the beginning of the conflict in Kosovo.
  3. In April 1999, NATO reported that 33,000 Kosovo natives fled to Montenegro. By the following month, that number soared to 64,000.
  4. NATO transported thousands of tons of food to refugees across the Western Balkans. The organization reported that by May 1999, NATO had shipped almost 5,000 tons of food to the war-torn areas filled with refugees.
  5. In one instance during the war, an entire village was packed into a truck and sent away at gunpoint. They traveled from Kosovo to Montenegro in search of safety.
  6. Although the conflict ended nearly two decades ago, the effects of the influx of refugees remain visible across the Balkan countries. In 2012, the European Union pledged 230 million euros to facilitate housing projects for refugees in the Balkans.
  7. With close proximity to entry countries such as Greece and Albania, many refugees have simply passed through the country since the start of the refugee crisis in 2015.
  8. Montenegro is currently not a member of the European Union because its borders are not secure enough to join the EU. Because of this, the country began to ramp up preparations for accession. As more border agents enter the force in preparation to join the Schengen Area, they have begun to monitor the border more tightly.
  9. At the height of the refugee crisis in 2015, only 1,611 asylum applications were received by Montenegro. Many refugees are choosing to take other routes.
  10. In April 2017, the unemployment rate reached a staggering 22.8%. This shows why many refugees choose to simply pass through Montenegro, as jobs are scarce.

The migrant crisis that began in 2015 has been nowhere near as profound in Montenegro as the refugee crisis during the war in Kosovo. These 10 facts about refugees in Montenegro show that even the smallest countries can have an overwhelming impact on world events.

Sophie Casimes

Photo: Flickr

Free Sanitary Napkins
Though menstruation is an unavoidable part of most young women’s lives, for poor girls in Kenya it is life-halting. More than a decade ago, Kenya repealed value-added taxes on female hygiene products, becoming one of the first countries to do so. So why is Kenya handing out free sanitary napkins?

In a country where nearly half the population lives on less than $2 a day, sanitary napkins still remain unaffordable for about 65% of women. Children’s rights groups say many girls in Kenya skip at least four days a month because they cannot afford sanitary pads and want to avoid embarrassment. Consequently, this often leads to them dropping out of school. According to the UN’s education agency, one in 10 girls in Sub–Saharan Africa miss school during their periods. They then miss about 20% of their education.

In June, President Uhuru Kenyatta signed an amendment to the Education Act into law. It now states that “free, sufficient and quality sanitary towels” must be provided to every girl registered at school along with safe methods of disposal. According to UNESCO, more than 2 million Kenyan girls need support to access female hygiene products. The Kenyan Government showed its continued commitment to female health when it announced plans to create a national menstrual hygiene policy in collaboration with WASH United. WASH United is an international NGO dedicated to issues like hygiene, water and sanitation.

The new act legally requires the government to provide free sanitary napkins to every menstruating girl in school. In order to meet this obligation, the government set aside a budget of $5 million for the 2017-2018 financial year.

Despite the government’s commitment, the program hasn’t been nearly as effective as hoped. This is mainly due to the lack of tracking to see if the pads reach the girls in schools. In most schools, the teachers steal the pads. One way to avoid this is keeping them in secure areas; girls would ask an intermediary, usually a man, to get the product.

While Kenya still faces challenges with implementing the program, it is a step in the right direction. Providing free sanitary napkins sets an example for developing countries like India, Nepal, and Afghanistan, where girls face similar issues.

Jagriti Misra

Photo: Flickr

Why Is Cambodia Poor
Cambodia is a country in Southeast Asia that is home to nearly 16 million people. The following statistics outline the poverty rate and socio-economic state of the country in order to help to answer the question: “Why is Cambodia poor?”

 

5 Answers to the Question “Why is Cambodia Poor?”

 

  1. According to data collected this year, 14% of the Cambodian population sits below the National Poverty Line. This makes it the fourth poorest country in Southeast Asia.
  2. According to an economic overview by the CIA World Factbook, Cambodia has experienced strong economic growth over the last decade. Between 2000 and 2010, the GDP of Cambodia grew at an average annual rate of more than 8%.  It has had a growth rate of at least 7% since 2011. Such improvements are due to the tourism, garment, construction, real estate and agriculture sectors, all of which have provided hundreds of thousands of individuals with new jobs.
  3. Despite recent achievements, Cambodia remains one of the poorest countries in Asia. Further economic development is hindered by the nation’s deep-rooted corruption, with most of the workforce throughout rural Cambodia unseen, toiling away in factories or subsistence farming. Limited human resources and high-income inequality are other influential factors of poverty in Cambodia. According to a study conducted in 2012, about 2.66 million only utilize $1.20 per day to survive. Worse still, 37% of Cambodian children under the age of five suffer from chronic malnutrition.
  4. The necessary infrastructure to lift millions out of poverty has not been a priority for the Cambodian government.  Only 24% of Cambodians have access to electricity, 64% to clean water and 31% to adequate sanitation. Hospitals are also low-quality, and the impoverished cannot receive proper care and treatment.
  5. Another possible answer to the question “why is Cambodia poor?” has to do with the quality of education made available to the country’s population. While private schools have become more available and affordable, public schools are so ill-equipped that 75% of high-school students failed their graduation exams in 2014. This adds to the cycle of poverty already permeating the population.

Cambodia struggles due to ongoing corruption, a lack of adequate education and limited opportunities for employment. However, the Cambodian government has been working with donors such as the Asian Development Bank and the World Bank to address the country’s pressing needs. Over time, to tackle major economic challenges, Cambodia must work to create an environment in which the private sector can produce enough jobs for its people and move forward from there.

Mikaela Frigillana

Photo: Flickr

Panama Refugees
Panama is a country located on the isthmus between Central and South America which hosts thousands seeking asylum from nearby countries such as Nicaragua and Venezuela. However, the majority of refugees in Panama come from Colombia.

Over more than 50 years of drug-related conflict, 6.6 million Colombians have been forced to leave their homes. An estimated 370,000 Colombian refugees live in countries near their own, and Panama is a major hub. Below are ten facts about refugees in Panama and organizations working to improve their circumstances.

  1. Panama is a possible destination for refugees because of its relative safety and proximity to countries currently at war. As a result, many applications go unreviewed for years due to high volume. Of 893 requests for asylum in Panama from Colombia last year, just 28 went under review, of which 23 were accepted.
  2. Also, few Colombian refugees receive Refugee Status Determination (RSD), meaning deportation is a constant possibility. Without the direct support of a governing body, there is no guarantee of essential resources and safety.
  3. Due to a lack of documentation, Colombian refugees in Panama have little job security. Sometimes, refugee families cannot afford to stay.
  4. Fortunately, organizations identify these gaps and step in to help. The Norwegian Refugee Council (NRC) offers legal services and counseling to Colombian refugees in Panama, helping them to achieve official refugee standing and to defend their property rights.
  5. The NRC aims to empower refugees in the context of the law as a whole. The staff at a convenient Panama-based office train authorities to maximize their ability to help, escort new asylum seekers to refugee commissions and ensure a basic understanding of the law so refugees can avoid falling victim to crime.
  6. In 2016, the Office of the United Nations High Commissioner for Refugees (UNHCR) issued an initiative to improve resources and security for refugees in some Latin American countries, Panama included. The appeal calls for $18.1 million to ensure housing, child protection and related resources. So far the appeal has fulfilled nearly half of these requests.
  7. Closely following these efforts, the UNHCR supported the release of the San Jose Action Statement, in which nine countries across North and Central America agreed to protect those struggling to flee danger in their home countries.
  8. Participating countries will formulate solutions to keep refugees safe as they cross borders. Implementing the use of clear, abundant documentation and creating access to legal services are foundational elements of the plan.
  9. The process also includes training national officials according to the concerns of refugees, with a specific focus on law and policy. This step is already in motion in all nine participating countries.
  10. Protecting refugees in Panama and ensuring them basic resources will mean extensive data collection.  This plan is an endeavor that has presented a challenge already, as there is little existing protocol. Countries continue brainstorming to troubleshoot such issues.

Though technicalities pervade—and sometimes inhibit—the flow of refugees from places of conflict into Panama, the work of compassionate nations and organizations like NRC and the U.N. promise smoother transitions. With their continued efforts, the experiences of refugees in Panama are bound to keep improving.

Madeline Forwerck

Photo: Flickr