The WHO’s “Ten years in public health 2007-2017” report chronicles the “evolution of global public health” over the past decade. The report emphasizes the escalation of chronic noncommunicable diseases (NCD) as the largest threat to global health.

Chronic NCDs are categorized as diseases that progress slowly. The four main NCDs are cancer, cardiovascular disease, diabetes and chronic respiratory disease, all of which share common risk factors abundant in non-health sectors. NCDs have only recently been recognized as a main component in the impending global health crisis. These chronic diseases share four risk factors: tobacco use, excessive alcohol use, unhealthy diet and minimal physical activity.

In 2015, the World Health Organization (WHO) reported 70 percent of global deaths were due to NCDs (39.5 million out of 56.4 million). Out of the 39.5 million NCD fatalities, 30.7 million occurred in low and middle-income countries.

Health systems traditionally rely on curing individual disease as they arise. However, current health systems are not sustainable due to insufficient disease management and care. Access to disease treatment is becoming unavailable for millions of individuals, including affluent people in wealthy countries.

A study released by the World Economic Forum states that diabetes cost the global economy nearly $500 billion in 2010 and this is projected to increase to $745 billion by 2030. Newly approved cancer treatments average $120,000 per person, causing medical care to be “unaffordable for even the richest countries in the world.”

These high costs have four severe implications:

  1. They undermine the traditionally ethical ideal that healthcare should be available to everyone;
  2. The need for social protection becomes obvious when a person has to spend much as 60 percent of their income to get diabetes medication;
  3. Prevention becomes the foundation of global health;
  4. High costs clarify that no economy can outlast the NCD global crisis by investing solely in treatment services.

The WHO report ‘Ten years in public health 2007-2017’ estimates that 40 million people die each year from NDCs, “accounting for 70 percent of all deaths worldwide.” According to Margaret Chan, Director-General at WHO, chronic noncommunicable diseases have surpassed infectious disease as the leading cause of death worldwide.

The WHO’s newly established ‘Health Emergencies Programme’, enables faster response to global pandemics and emergencies. The programme collaborates with various countries and partners to “prepare for, prevent, respond to and recover from all hazards that create health emergencies, including disasters, disease outbreaks and conflicts.” It is also focused on community engagement and increasing disease prevention in public health services.

Chan urges the world to focus on implementing universal health care to reduce noncommunicable diseases. It is the ultimate expression of equality, ensuring no one is left behind.

Madison O’Connell

Photo: Flickr


Since the election of Evo Morales in 2005, Bolivia has pledged to strive for social and economic reform. Despite aiming for a more inclusive society, poverty is still widespread and certain groups remain marginalized, including Bolivians with disabilities. Many continue to live in extreme poverty with little access to resources.

In the spring of 2016, a group Bolivians with disabilities marched more than 400 kilometers from Cochabamba to La Paz, protesting their lack of basic rights. The government previously stated that benefits would be awarded to those with extreme disabilities. To qualify, individuals need to receive special identification. The ID card can only be awarded following neurological exams that cost approximately 500 bolivianos ($70).

This cost is high for many in Bolivia with disabilities, as they often live in poverty and are unable to work due to their impairments. The purpose of the recent protests was to persuade the government to provide a monthly allowance of 500 bolivianos to those with severe disabilities, which would allow them to pay for physical therapy, healthcare and housing.

In February 2017, Morales submitted a proposal to Congress requesting that a monthly allowance of 250 bolivianos be provided to Bolivians with severe and serious disabilities. The Federation of Municipal Associations of Bolivia (FAM) also announced their support of the Morales’s bill. Mayors are responsible for making payments in each municipality. More than half of Bolivians with disabilities live in the large cities of La Paz, Cochabamba, and Santa Cruz, and these municipalities state that they have the financial resources necessary to provide qualifying individuals with benefits.

The current proposal only provides half of the monetary amount protesters asked for, and its success remains to be determined. Benefits will not be distributed until 2018. However, Bolivians with disabilities are also gaining rights through accesses to other resources. Handicap International and the Bolivian Ministry of Health are working together to build rehabilitation centers in various municipalities that provide necessary therapies. There currently is a network of 30 centers in Bolivia.

Additionally, these protests and attention have not only led to the provision of monetary benefits, but have also raised awareness of the struggles of Bolivians with disabilities, particularly the high proportion of them that live in extreme poverty. Moving forward, increased awareness and respect will be crucial in ensuring that those with disabilities receive necessary services that will allow them to be more engaged members of the community and avoid living in extreme poverty.

Nicole Toomey

Photo: Flickr


According to the Internal Displacement Monitoring Centre, there are almost 2,152,000 internally displaced Nigerian refugees as of Dec. 31, 2015. The displacement has been caused by Nigerian terrorist group Boko Haram.

Boko Haram is an Islamic terrorist group that has been trying to enforce Sharia law onto Nigeria and other Northern African countries. Despite its violent strategic nature, the military campaign led by the newly elected president of Nigeria, Muhammadu Buhari, has proven successful in recent efforts.

As reported by the International Crisis Group, Nigeria has been more successful in fending off Boko Haram and it has become less of a threat. Nigerian forces have been able to clear Boko Haram out of some occupied territory, thus opening up opportunities for citizens to return to their homes and humanitarian efforts to distribute much-needed aid.

The U.N. Refugee Agency (UNHCR) states that there are an estimated 8.5 million Nigerians refugees requiring humanitarian aid in 2017. Thankfully, the head Commissioner for Refugees, Filippo Grandi, has brought up a way for ensuring protection and solutions for the growing population Nigerians that are returning to their previously occupied homes. Working closely with the Nigerian government, Grandi presented a plan called “Directions on Protection, Access and Solutions for IDPs and Returnees in North-East Nigeria.”

The plan prioritizes voluntary returns and protection from gender-based violence to ensure the dignity and safety of those receiving aid. Access to both therapy and legal support, specifically to settle cases of unclaimed or claimed land, was also outlined in the plan. The main goal of UNHCR seems to be to establish social harmony among the tense community.  Goals of “empowerment,” “community reconciliation” and “gender equality” were also included.

With the U.N. raising more than $670 million in pledges that will help support aid for Nigerian refugees and their neighboring countries over the next two years, the victims of the widespread terrorism in North Africa will now have new found funding and resources to help them adjust back into their home lives.

Vicente Vera

Photo: Flickr


With years of government instability and a decade of war, Iraqi’s have had to suffer through harsh economic woes. With the lack of infrastructure and only the very beginnings of a stable government, the average Iraqi has been affected by the economy the most. Here are 10 things you need to know about unemployment in Iraq.

  1. As of 2016, the unemployment in Iraq reached 16 percent. For the last decade, Iraq’s unemployment has stayed alarmingly stagnant with the lowest year for unemployment being 2014, with a 15 percent unemployment rate.
  2. The Iraqi population, currently at 34 million, is predicted to reach 50 million by 2030.
  3. The Iraq government employs 40 percent of the population, but, 48 percent of those jobs can only be found in urban areas.
  4. Fifty percent of Iraq’s population is under the age of 19, but the youth population (ages 14-24) is highly affected by the economic woes leading to unemployment in Iraq. Eighteen percent of youth are unemployed.
  5. Ninety-nine percent of the government’s revenue is made by the oil sector, but only one percent of Iraqis work in the oil sector.
  6. Due to the high increasing tensions with the Islamic State rising in Iraq, oil companies are beginning to pull out a number of their facilities within the nation. In 2015, Chevron, the second-largest oil company in the U.S., pulled out two of its oil blocks. Last December, Exxon Mobil, the largest oil company in the U.S., pulled out three of its six blocks in Kurdistan. This type of sudden movement out of Iraq leads to loss of revenue for the government and has also led to the investment of other companies being halted. All of these factors highly affect the unemployment in Iraq.
  7. Five million Iraqis live in Kurdistan, one of the poorest areas in the nation. In 2015, Kurds were affected when 700,000 lost their jobs.
  8. Currently, 23 percent of people in Iraq live below the poverty line.
  9. The Iraqi government has tried to make a difference in the poverty levels. In 2015, the Ministry of Planning implemented a program aimed at ending poverty, which consisted of a five-year plan to decrease poverty to 10 percent. At the end of that same year, the MoP confirmed that its plan had failed, and no new attempts have been made since.
  10. The increasing influx of refugees has put a harsh strain on the already crippling economy of Iraq. As of 2015, two million refugees had been displaced all over Iraq because of conflicts with the Islamic State.

It is apparent that Iraq is in need of a new strategy to help restore its economy. Hopefully action is taken before the country falls into further disrepair.

Maria Rodriguez

Photo: Flickr

Refugees in Gambia
The Gambia is a tiny nation, bounded by Senegal, on the west coast of Africa. The primary economic drivers in the country are tourism, agriculture and remittances from overseas. Between 2013 and 2016, it is estimated that real GDP per capita fell by 20 percent, suggesting an increase in poverty levels. The poor economy and recent political tensions are two main reasons why thousands of Gambians seek refuge elsewhere, hoping for a better life for themselves and their families.

 

Here are 10 facts about Gambian refugees:

 

  1. Around 45,000 people fled to neighboring Senegal after a contentious 2016 presidential election. Incumbent President Yahya Jammeh, who had led the country for 22 years following a military coup in 1994, was defeated by his opponent Adama Barrow. After initially accepting the outcome, Jammeh refused to step down and called for a new election. After Jammeh was exiled in January, many Gambians returned home from Senegal.
  2. Gambians currently account for more than seven percent of refugees making the deadly crossing over the Mediterranean to mainland Europe. Considering The Gambia has a population of fewer than two million, Gambians make up a disproportionate percentage of migrants arriving into Europe. According to the International Organization for Migration (IOM), 11,929 Gambians arrived in Greece and Italy in 2016.
  3. The method of attempting to get into Europe via the Mediterranean is colloquially known as the “Backway.” The flood of Gambians heading for Europe has become such a problem that the Gambian government has launched ad campaigns that attempt to dissuade would-be migrants with slogans such as, “Say No to the Backway.” In 2016, at least 5,000 migrants perished or went missing attempting to make the perilous crossing.
  4. Most Gambian refugees seeking asylum in Europe are between the ages of 14 and 34. According to Richard Danziger, IOM’s regional director for West and Central Africa, “The numbers are huge; I understand there are villages [in Gambia] with no young males left.”
  5. Most Gambian refugees are economic migrants. According to 2010 figures from the World Bank, the poverty rate in The Gambia was 48.4 percent. Over-reliance on tourism, agriculture and remittances have resulted in an undiversified economy that is vulnerable to external shocks and lacking opportunities for many Gambians.
  6. Instability in Libya has created an unguarded coastline in North Africa; smugglers are taking advantage and expanding their networks. Widespread violence and instability continue to plague Libya as the conflict continues after the ousting of Muammar Gaddafi in 2011.
  7. Gambian refugees in Libya are at risk of exploitation in modern-day “slave markets.” The IOM reports hundreds of migrants — including Gambians — being kidnapped, sold and either extorted for more money or forced into labor.
  8. According to the World Bank, 20 percent of Gambia’s Gross Domestic Product (GDP) comes from remittances. Relatives of those who make it to Europe are able to build new homes with the remittances they receive. Their success is alluring for many and provides a powerful incentive for people to risk their lives for the chance of a better life for themselves and their families back home.
  9. According to Eurostat, the EU statistics organization, there were 14,735 first-time asylum applications from The Gambia in 2016 to the following countries: Italy, 8,850 (56 percent), Germany, 5,655 (36 percent), Austria, 230 (one percent).
  10. The EU set up the Emergency Trust Fund for Africa in 2015 in an attempt to address the migrant crisis. The Trust Fund is worth more than €2.6 billion and focuses on projects that endeavor to address the root causes of irregular migration. The Gambia is one of the countries eligible to receive this assistance.

President Adama Barrow has promised to try and create jobs in an effort to stem the tide of Gambians leaving via the “Backway.” Barrow will serve only three years because he is not able to stand in the next election, but there are hopes that he can initiate urgently needed reforms and help lay the foundations for economic growth and prosperity.

Michael Farquharson

Photo: Flickr


For more than  a decade, the water quality in Liberia has been a steady issue. In 2016, only 25 percent of the population had access to clean water. Currently, of the 4.5 million people populating the country, more than one million are unable to access safe drinking water.

According to World Bank, the water quality in Liberia has been an issue ever since the country’s second civil war ended in 2003. For nearly 14 years, numerous Liberian citizens have been in vital need of access to clean water, but have failed to receive the assistance necessary to remedy the situation.

Unfortunately, many individuals living in Liberia have suffered from prevalent health issues due to the unsafe water conditions. In addition, many citizens are being forced to pay extra expenses daily so that they can buy clean water rather than rely on contaminated wells. In an article by FrontPageAfrica (FPA), a concerned citizen complained about the crippling effect of financial expenditures that she has been forced to make in order to buy clean water to do her laundry.

Research by WaterAid, an international charity dedicated to the access of clean water, shows that fewer than 20 percent of Liberians have access to sanitary toilets and more than 500 Liberian children die each year from diarrhea caused by unsanitary conditions. Additionally, 3.5 million people within the country have inadequate access to proper sanitation.

Chuchu Kordor Selma, WaterAid’s team leader in Liberia, voiced her concern over this growing issue by inferring that the number one most important way to satisfactorily address the quality of water in Liberia is by sufficiently investing in the government sector. Furthermore, WaterAid has been steadily working throughout the last year to produce increased access to clean water and proper sanitary conditions within the country. Due to the organization’s unfailing persistence, more than 12,000 Liberians have been provided with safe water and more than 10,000 have been provided with improved sanitary conditions.

Lael Pierce

Photo: Flickr


The refugee crisis is one of the biggest impacting the world, Europe in particular. With a prominent history of accepting refugees after the collapse of the Union of Soviet Socialist Republics (U.S.S.R.), Poland today is playing a surprisingly limited role. Here are 10 facts about Poland’s refugee efforts.

  1. Poland has been turning away refugees. Asylum seekers from Chechnya, an increasingly repressive part of Russia, have been being denied entry into Poland, even though the Terespol border became an entry point for Chechens, Tajiks and other citizens of former Soviet Republics when the U.S.S.R. dissolved.
  2. Terespol border guards rejected 85,000 attempts to cross the border from Belarus in 2016. Only 25,000 were turned away in 2015, illustrating a major change in the Polish perspective of refugees.
  3. Lack of refugee support reflects a lack of Polish influence in the EU. Poland’s anti-liberal shift has resulted in Poland losing a great deal of negotiating power with other European powers.
  4. “There is no mechanism that would ensure safety,” explained Jaroslaw Kaczynski, who leads Poland’s ruling Law and Justice (PiS) party. The PiS party takes a nationalist and right-wing stance. It is very vocal in opposing housing and feeding refugees from Syria and others in humanitarian crisis.
  5. The EU has suggested that countries should have a quota of refugees, or pay €250,000 ($280,188) for each asylum-seeker they turn away. The money would go to countries that have a disproportionately high number of refugees, such as Greece, Germany and Italy.
  6. Poland’s stagnation isn’t good for its politics. Such stubbornness could lead to less power and credibility with other European nations while also questioning the relationship it has with Europe on the one hand, and on the other hand, Russia.
  7. Human rights groups have been covering and warning the EU about Polish actions, but the EU has failed to reprimand or sanction Poland. An EU executive was even quoted as “closely following the situation” regarding Poland’s refugee efforts, but no follow-up has been taken.
  8. Chechens trying to go to Poland are in great danger. Trying to cross the border, Chechens risk getting sent to detention centers in Belarus.
  9. The most obvious solution is for Poland to respect the EU’s concept of “effective solidarity.” However, with the right-leaning government and anti-liberal views running through Poland, this seems the most unrealistic solution.
  10. Poland may be breaking the law. Chechens denied refugee status are sent back to Belarus and fear deportation to Russia. According to Polish law, however, the Office for Foreigners, not the Border Guard, is to evaluate applications for refugee status. Some refugees have applied more than 70 times and been denied each time.

Poland’s refugee efforts, or lack thereof, have led many nations to questions the future of Poland’s power and influence in the EU. Additionally, Poland’s relations with Russia will remain in question until Poland becomes active in the refugee crisis.

Mary Waller

Photo: Flickr


In early May, South Africa hosted the 27th World Economic Forum on Africa, which promised, “achieving inclusive growth through responsive and responsible leadership.”

Various business and government leaders gathered in Durban, South Africa to discuss some of the economic challenges that Africa is facing, as well as Africa’s stance on the global economy and the fourth industrial revolution.

It is estimated that over 40 percent of people on the continent of Africa are living in poverty. The World Bank states that even the most optimistic calculations show about 330 million poor Africans in recent years. Additionally, the host nation, South Africa, has experienced sluggish economic growth recently. With all of the progress to be made in Africa, “inclusive growth” being the staple of this forum is vital, as sub-Saharan growth is at the lowest levels seen in 20 years.

This year, South African President Jacob Zuma urged the youth in Africa to aid in the realization of the Africa Union’s Agenda 2063, as it has been a focal point that the younger generation holds the key to the future of Africa.

Another key point made from this World Economic Forum on Africa was from South African’s Finance Minister, Malusi Gigabi. Gigabi warned that the Brexit and an increase in protectionism could reduce growth in Africa by reducing international trade.

One of the highest profile speakers was actor and UNESCO Special Envoy, Forrest Whittaker, whose message was regarding the young people who save lives in war-ridden communities in South Sudan.

Benedict Oramah, President of the African Export-Import Bank, pushed for an increase in intra-regional trade, as only 15 percent of African trade is region-to-region. He went on to say, “we are poor because we are not trading amongst ourselves.”

Overall, the acknowledgment of the current economic problems and the multiple plans on trade and increasing jobs for African youth are good for the reduction of poverty long term. It is necessary that these plans are held up, as some of the countries in Africa have seen the least rates of growth and poverty reduction over the past 30 years in comparison with the rest of the world.

Dustin Jayroe

Photo: Flickr


Peru is a South American nation known for the immense beauty of its sites like Machu Picchu, a burgeoning food scene and the rich history of the Incan empire. In recent decades, Peru has recovered from a civil war and has been heralded as an economic miracle for reducing poverty by more than half in little over a decade. However, Peru still faces many serious challenges in relation to poverty that create refugees and internally displaced people. To better understand these issues here are 10 facts about Peru refugees.

  1. Illegal logging in the Peruvian Amazon is a serious problem connected to displacement. An estimated 80 percent of all Peruvian timber is illegally exported to black markets. The former Chief of Peru’s Forest Inspection Agency became a refugee after his increasingly successful policing of the illegal logging industry caused him to receive numerous death threats and eventually flee Peru.
  2. In the ’80s, Maoist terrorist group, Sendero Luminoso, waged a brutal war against the government. Gross human rights violations committed by both parties destabilized the country and left half a million people internally displaced. Many of Peru’s poorest people are refugees from the civil war who lost everything they owned after leaving the countryside and never recovered.
  3. Environmental changes, such as drought and shortened growing seasons, have caused a wave of “climate refugees” in Peru. In Huancayo, the shrinking of a large glacier that irrigates the region’s fields has led to large amounts of migration. As altitude increases in the region so does the probability that changing weather patterns will cause displacement.
  4. Although Peru has its own challenges of adequately settling internally displaced people, it has opened its doors to neighbors both near and far with initiatives to streamline processes to receive Syrian refugees and the creation of nearly 6,000 visas for Venezuelans to escape the current crisis.
  5. Since a great majority of Peru’s most vulnerable refugees from the countryside move to nearby cities and urban centers, displaced beyond Peru’s borders rarely occurs, and as a result, the problem is often ignored by the media and international organizations.
  6. Peruvian migrants have led a food revolution spanning from the U.S. to the United Arab Emirates. Dishes like ceviche and aji de gallina are new favorites of food critics. Michelin Star rated chef Virgilio Martinez is widely considered one of the greatest chefs in the world. He recalls that the instability of Lima in the ’90s led to him starting his cooking career outside of Peru.
  7. In April 2017, flooding in northern Peru caused one of the country’s largest displacements of people. Up to 173,000 people were left homeless and 1.1 million in need of assistance. The International Organization for Migration is advocating for the U.N.’s emergency response program, Flash Appeal, to be allocated $38.3 million in additional funding to help in the building of shelters and refugee camps in Piura.
  8. Formal property rights and land titles are urgently needed for Peru’s indigenous population to avoid displacement. Indigenous groups are allocated land by the state, but the government allows multinational corporations to drill on those lands without the consent of the community. Environmental degradation has led to the loss of employment, resources and health in these communities.
  9. Land grabbing is a common practice in Peru. Often a large foreign corporation will illegally buy areas of land and dispossess its inhabitants of access to resources that the community’s livelihood depends on. Sustainable NGO GRAIN compiled almost 500 current cases from the public record of illegal land appropriation.
  10. Issues relating to displaced people in Peru are handled by the Ministry of Women and Vulnerable Populations, which began a process of both individual and group reparations for displaced people in 2013.

These 10 facts about Peru refugees not only demonstrate the important steps to resettle or compensate many of its refugees from its civil war, but also the challenges that lay ahead. The government has not addressed many current factors that continue to displace people, ranging from environmental problems to a lack of property rights.

Peru must empower its citizens, in particular its displaced people, by giving them a right to participate more fully in the democratic process or its refugee problem will not be resolved.

Jared Gilbert

Photo: Flickr


Using soap is the simplest way of preventing the spread, contracting and infection of diseases. This luxury is only available and affordable in developed nations. Lack of access to clean water, poor sanitation and hygiene contribute to two leading causes of high child mortality in the poorest countries: pneumonia and diarrhea. The simple practice of washing hands with soap reduces this risk by 50 percent.

Because so many people who live in these countries do so on a dollar a day, soap is a luxury rather than a necessity. This leads to a higher risk of illnesses that might have been prevented by simple hygiene like washing hands. Because of its relatively high cost within many economies, Clean the World reports that 35 percent of health care facilities in impoverished countries lack soap.

Shawn Seipler, founder of Clean the World, learned that most of the barely used hotel soap bars ended up in landfills after guests check out. According to the Global Soap Project, the hotel industry in the U.S., which uses a third of the global soap supply, throws away an astonishing 2.6 million bars of soap on a daily basis.

Seipler chose to change this by recycling soap hotels were throwing away. He has dedicated his time and effort to recycling soap and sending it to developing countries for continued use. “The recycling, which ends up costing hotels just 75 cents per room a month, allows leftover soap, body wash, shampoo and conditioner to be melted down, sterilized and formed into new soap that is sent all over the world.” Since Clean the World began in 2009, the organization has delivered 40 million bars of soap to more than 115 countries.

In 2015, Clean the World partnered with the Global Soap Project to increase production, delivery and outreach. Since the partnership formation, in addition to joining forces with contributions from 4,000-plus hotels, they have delivered 24 million bars of soap to 99 countries.

Seipler focuses his recycling efforts on bringing soap to schools within developing countries. The result of his recycling efforts might be an additional 1.9 billion school days. Clean the World is also working to provide soap to health care facilities and communities.

It is hopeful that the impact from the above projects will help improve not only health, but the overall quality of life in undeveloped nations.

Taylor Elgarten

Photo: Flickr