In recent years Bhutan, a small, predominately mountainous country landlocked between China and India, has noticed an epidemiological shift in the disease pattern. The incidence of communicable diseases has significantly decreased, and the Bhutanese now suffer from high rates of noncommunicable diseases (NCD).
In 2008, Bhutan’s age-standardized rates for NCDs per 100,000 population were the highest among males and females in the South East Asia Region (SEAR). Currently, NCDs are the leading cause of morbidity in Bhutan, accounting for 62 percent of the country’s disease burden.
Below is a list of the top four most common diseases in Bhutan:
1. Diabetes
Diabetes are a set of chronic diseases resulting from elevated blood glucose. In Bhutan, there was a 63 percent increase in diabetes from 944 cases in 2004 to 2,605 cases in 2009.
A healthy diet and body weight, exercise and avoiding tobacco use are all preventative measures for type 2 diabetes, which results from the body’s ineffective use or production of insulin. In Bhutan, survey data indicated that one in three Bhutanese are overweight, 42.4 percent consume alcohol and the average daily salt consumption is nearly two times the World Health Organization’s (WHO) recommended limit.
2. Cardiovascular Diseases (CVD)
The same preventative measures are suggested for maintaining heart health. In 2008, mortality due to CVDs in SEAR was the highest in Bhutan, accounting for 53 percent of Bhutanese deaths.
3. Chronic Respiratory Diseases
Chronic respiratory diseases are diseases of the lung that narrow air passages and obstruct breathing. Common chronic respiratory diseases include chronic obstructive pulmonary disease (COPD), asthma and occupational lung disease.
Tobacco use increases risk for chronic respiratory diseases. Even with the ban on the sale of tobacco in Bhutan, tobacco use is widespread, as 34 percent of men and 14 percent of women reported using tobacco in 2011.
4. Cancers
In 2008, the age-standardized death rate due to cancers in Bhutan was 124.8 per 100,000 population. Of all cancers, lung and cervical cancers have the highest incidences among Bhutanese men and women, respectively.
So far, the government has initiated health-related behavioral interventions addressing the social determinants of NCDs; these include bans on tobacco sales and advertisements, laws prohibiting smoking in public and the establishment of outdoor gyms in every district.
“The government’s response to NCDs has been very encouraging,” says WHO’s Tshering Dhendup, “There is high-level political commitment.”
Included in the country’s upcoming five-year socioeconomic plan (2018–2023) is a multi-sectoral framework for the prevention and reduction of common diseases in Bhutan. This much-needed plan is expected to result in widely shared improvements in health status for the Bhutanese population.
– Gabrielle Doran
Four Common Diseases in Armenia
Cardiovascular Diseases
Current data reveals cardiovascular diseases affect 50.5 percent of the population in Armenia. The majority of people affected by cardiovascular problems have ischemic heart disease, which affects 80 percent of males and females between 30 and 34 years of age. Between 1990 and 2013 alone, ischemic heart disease killed about 317 people out of every 100,000, and its mortality rate increased by 53 percent since 1990. Stroke is the second most common cardiovascular disease, which claimed 129 lives out of every 100,000 between 1990 and 2013. Hypertensive heart disease is the third most deadly cardiovascular disease, as its mortality rate has increased by 75 percent since 1990. These diseases make up 94.3 percent of all years of healthy life lost in Armenia in 2013. A study by the World Health Organization (WHO) has recommended that at least 80 percent of cardiovascular risks like heart disease, stroke and diabetes could be prevented by eating healthy and exercising regularly, as more than 60 percent of both Armenia’s male and female populations were overweight as of 2015.
Cancers
The next most common illness in Armenia is cancer, specifically lung, breast, stomach, colon, liver, pancreatic, bladder and prostate cancers. A report from 2013 shows that 20.8 percent of deaths that year were from cancer in both males and females. The deadliest were lung, bronchial and tracheal cancer, which claimed the lives of 42.5 people out of every 100,000. Cancer made up almost one-third of deaths between 2000 and 2012. Fortunately, according to a WHO statistical report in 2012, the death rate for breast, colon and stomach cancers had decreased since 2000, each claiming less than two percent of lives. Because Armenia is a WHO European region – which designates at least $2,000 total expenditure on health per capita – continued funding for the health sector could rectify the problem of high rates of diagnosed cancers.
Tuberculosis
Another prevalent disease in Armenia is tuberculosis (TB). Data show that in 2015, about 1,104 total cases of TB were diagnosed. Most people diagnosed with TB also have HIV; when paired together these are more deadly than a TB diagnosis alone, as HIV causes a lowered immune system which can spread TB faster throughout the body. In 2015, all noted TB cases were in patients with HIV status, and 41 out of every 100,000 people who died were both TB and HIV positive. Despite these concerning numbers, Armenia is taking practical and effective steps in TB treatment and funding for the disease. More than 60 percent of HIV-positive TB patients received successful treatment between 2012 and 2014, and new and relapse cases of TB saw an approximate 80 percent treatment success rate. In 2015, about 14 percent of HIV-positive people were enrolled in TB preventative treatment. Further, Armenia is currently financed in 55 percent domestic and 45 percent international TB treatment as of 2016.
Influenza
In 2011, WHO European Region in partnership with Influenza Division International Activities released an annual report detailing Armenia’s implementation of influenza surveillance systems. The U.S. CDC noted that Armenia completed all five years of the Surveillance and Response to Pandemic and Avian Influenza agreement in order to combat rampant annual flu outbreaks in the country. Armenia achieved a number of goals under this agreement, including adding laboratory and diagnostic means of detecting active avian and human influenza, running sentinel surveillance of outbreaks, doing appropriate specimen testing during the influenza season and updating a small library with relevant scientific documents and participating in regional and international conferences and workshops. Influenza surveillance sites have been established in three hospitals in the capital city of Yerevan, and in five hospitals in the cities of Vanadzor and Kapan. As of 2011, all but one surveillance lab was completely functional, proving influenza prevention and treatment may be on its way to becoming more successful.
These common diseases in Armenia are clearly being met with much action and compassion from both inside the country and outside. With continued efforts to alleviate the burden of disease and educate the population, Armenia is headed in the right direction.
– Olivia Cyr
Photo: Flickr
How Human Rights in Namibia Impact Schools and Children
While one in four children in conflict zones around the world get denied the right to an education, much of the problem is due to the use of schools by government security forces and non-state armed groups.
These armed groups have used schools and other educational institutions as military bases, shelters, weapons caches and outposts. While takeover time can vary from weeks to years, military usage of schools disrupts students’ learning. Additionally, it makes them more vulnerable to attacks from opposing forces or sexual violence caused by the very soldiers who inhabit the school.
In addition to these violations of human rights in Namibia, the use of schools for military purposes also diminishes student attendance and transition to higher levels, as well as permanent school closures.
To protect these children, 64 countries have given their allegiance to the Safe Schools Declaration. An international agreement started in 2015 to provide for the safety and continuation of education throughout times of war. Countries who have joined the declaration have committed to avoiding military usage of educational buildings during periods of conflict, as well as collecting data to investigate and potentially prosecute those in violation.
While Namibia’s neighboring countries, including Angola, South Africa, and Zambia, have all already committed to the Safe Schools Declaration, the nation’s avoidance of the treaty is a cause of major concern for the future of human rights in Namibia.
As children and teachers continue to suffer the consequences of armed forces use of schools in Namibia, a commitment to ending the practice is in immediate need on the part of the nation’s government.
– Kendra Richardson
Photo: Google
The State of the Niger Delta Oil Spill
The NNPC places the petroleum quantity spilled at 2,300 cubic meters, averaging 300 individual annual spills. Nigerian federal government figures estimate more than 7,000 oil spill incidents between 1970 and 2000. Between nine million and 13 million barrels have been spilled in the Niger Delta since 1958. Despite this data, the World Bank argues that the exact quantity of petroleum may actually be 10 times greater, as oil spill incidents may not always be reported.
Technology such as BIOCLEAN, provided by The U.S. nonprofit Sustainability International, is making cleaning the Niger Delta easier and more efficient. BIOCLEAN restores contaminated sites and decontaminates in less than 30 days with one application. Chinyere Nnadi is the founder of Sustainability International; motivated by the success of new technology, he has collaborated with the Blockchain for Social Impact Coalition (BSIC). BSIC develops and implements solutions that can address social and environmental challenges. Blockchain-based solutions track transactions such as votes casted in elections and raw material sourcing.
Alongside the efforts of nonprofits such as Sustainability International, the one billion dollar clean-up plan signed last year by Nigerian president Muhammadu Buhari, continues along. The plan was devised by the collaboration of UN engineers, oil companies and the Nigerian government. As a part of this plan, factories are built to process and clean tens of thousands of tonnes of contaminated soil. In addition to cleaning, the plan mandates a mass replanting of mangroves.
The Niger Delta has endured years and years of environmental damage. The uncountable amounts of oil spilled may seem as dark and gloomy as the substance itself; however, innovation and environmental sustainability will lead to the eventual clean-up of the Niger Delta. If current efforts are able to continue making progress, it is possible the Niger Delta will be cleaned in less than 25 years, with all the swamps, creeks, fishing grounds and mangroves restored.
– Yosef Mahmoud
Photo: Flickr
Seven Facts About Human Rights in Poland
Though the Polish ruling party is encroaching on the nation’s civil liberties, there are still actions that can be taken to protect human rights in Poland. Poland still has free and fair elections, and if that remains unchanged, the Polish people have the power to democratically reject these illiberal reforms by voting in candidates that promise to restore power to the Constitutional Tribunal. The EU also has the power to sanction Poland if it goes too far – something it threatened to do last month in the face of efforts to stack the Constitutional Tribunal with even more party allies. Both of these situations should bring hope to the people of Poland, as it makes the improvement of their human rights a very possible outcome of the future.
– Carson Hughes
Common Mental Illnesses in Developing Countries
Mental illnesses in developing countries encompass diverse conditions and ages — from autism and mental retardation in early childhood to substance abuse and schizophrenia in adolescents, depression and bipolar disorder in adults and dementia in older people. Compared to developed countries, the developing world sees the same number, if not more, cases of mental illness. While the genetic disposition for developing most mental illnesses is universal, the social and environmental factors that trigger these diseases are more direct for those in poverty.
Most scientific studies show a close correlation between indicators of poverty and the risk of mental disorders, the most consistent association being with low levels of education — a common factor in low-income societies. Other factors such as the experience of insecurity and hopelessness, rapid social change and the risks of violence and physical ill-health also contribute to the greater vulnerability of the poor to common mental illnesses.
Apart from the innumerable symptoms associated with mental illness, including hopelessness, anxiety, delusions and so many more, these conditions have a big effect on other health issues and on the social and economic opportunities. The World Health Organization estimates that mental and neurological disorders are the leading cause of ill health and disability globally.
People who feel depressed, anxious, or cannot function without extra support are less likely to attend school, seek employment, and follow the laws. Too often, those stuck in this vicious cycle don’t have access to consistent treatment to prevent the negative consequences.
A common myth, even among those who accept that mental disorders are prevalent in poor countries, is that these illnesses cannot be treated affordably. With so many health issues affecting developing countries, tackling mental health tends to seem like a luxury. Foreign aid remains focused on the “big three” communicable diseases of HIV/AIDS, malaria and tuberculosis.
Many other health conditions, especially mental illness, thus receive only a fraction of the attention and funding. The gap between the number of people with disorders and the number who receive evidence-based care is as high as 70 to 80 percent in many developing countries. Almost half the countries in the world have no explicit mental health policy and nearly a third have no mental health program whatsoever.
Individuals, governments and organizations also currently lack interest to treat mental illnesses in developing countries. However, depression, anxiety, bipolar disorder, schizophrenia and all common mental disorders need to be placed alongside other diseases associated with poverty.
Mental health is just as important to a country’s stability as physical health. Regardless of ethnicity, gender, or income level, everybody deserves access and support for growingly common health conditions.
– Allie Knofczynski
Ancient Seeds Could Fight Hunger in Central America
Drought instigates hunger in Central America and other places through a persistent lack of rainfall. The shortage of precipitation does not allow crops to grow, preventing farmers from eating or selling their yields. The National Drought Mitigation Center calls drought “a creeping phenomenon.” Many areas of the world go through shorter, less intense droughts; however, Central America’s has been dire.
The UN’s Office for the Coordination of Humanitarian Affairs (OCHA) has overviewed the situation by stating “The lack of rain since the middle of 2014 has resulted in the loss of staple grain crops and death of thousands of cattle in El Salvador, Guatemala, Honduras, and to a lesser extent in areas of Nicaragua, Costa Rica and Panama.”
Reversing the drought over an area as large as Central America seems to be an immense or even impossible undertaking, given that the drought has already affected millions of people. However, the answer to the area’s low food output and the growing hunger problem in Central America could lie within a specific type of seed – preserved ancient seeds.
The organization, Native Seeds/SEARCH, located in Tucson, Arizona, is a nonprofit dedicated to conserving local biodiversity. Many of the seeds protected and cultivated by the organization are anciently local to the dry and arid environment. This quality marks the seeds as well-suited to areas experiencing chronic drought, such as Central America. Moreover, the kernels that Native Seeds/SEARCH have protected have already been successfully used to provide the Tohono O’odham Nation of American Indians with a sustainable food source.
Because the seeds have been used for thousands of years in the dry environment of southwestern U.S., they have a natural propensity to thrive in drought-ridden areas. The seeds were not only cultivated in this region, but are also naturally native. This means that the seeds have a genetic predisposition to grow in nearly waterless environments.
Native Seeds/SEARCH calls their organization a “seed bank” and uses new freezing technologies to store their seeds. “What began as a humble operation with seeds stored in chest freezers has grown to a state-of-the art conservation facility,” states Native Seeds/SEARCH on their methodology.
Although no effort has been made directly by the organization to alleviate hunger in Central America specifically, Gary Nabhan, co-founder of the Native Seeds/SEARCH project, has expressed his enthusiasm for sowing his seeds on a grander scale. “We promote the use of these ancient crops and their wild relatives by distributing seeds to traditional communities and to gardeners worldwide.”
This endeavor could lead to a large reduction in hunger and poverty in drought-affected areas, which could possibly alleviate hunger in Central America as well, as it is most certainly affected by drought and in dire need of aid.
– Michael Carmack
Photo: Flickr
Government Plans to Contain the Most Common Diseases in Djibouti
The prevalence of tuberculosis in Djibouti is among the highest in the world with over 200 people reported as infected weekly. Tuberculosis is an airborne bacterial infection caused by Mycobacterium tuberculosis. Due to malnutrition, diminished water resources and steadily increasing border movements there has been a rise in tuberculosis. According to the World Health Organization (WHO), the diseases is compounded by the difficulty of access for numerous localities, lack of resources, limited capacities of mobile health units and the reduced mobility of the rural population.
HIV/AIDS is one of many common diseases in Djibouti. It is a sexually transmitted disease that destroys the immune system and eventually results in death without proper treatment. Djibouti has one of the highest HIV/AIDS rates in the world among young adults and the number of those infected only rises.
In 2015, the Joint United Nations Programme on HIV/AIDS (UNAIDS) estimated that over 9,000 people in Djibouti were living with HIV/AIDS. At least 8,000 are adults over the age 15. The epidemic has left an estimated 5,000 orphans up to the age of 17.
Over the years, the epidemic has continuously grown and affected the lives of not only those infected but their loved ones as well.
The government of Djibouti has declared a plan to invest in improved control of HIV/AIDS and tuberculosis. The HIV/AIDS National Strategic Plan and National Tuberculosis Strategic Plan will be implemented through public sector agencies, private and non-governmental organizations and community-based organizations.
The goal is to contain and reduce the spread of HIV/AIDS as well as tuberculosis and its impact on those infected and affected by the epidemic. They will work to prevent the spread of HIV/AIDS and tuberculosis by reducing transmission, expanding access to treatment, providing care and support.
HIV/AIDS and tuberculosis are two of the common diseases in Djibouti. Countless are suffering due to the impact of the diseases. The government of Djibouti has decided to implement efforts to contain the diseases and to lessen the impact on those not only infected but affected by the diseases.
– Danyel Harrigan
Photo: Flickr
Egypt’s Rate of Poverty and Government Assistance
Some of the causes behind this elevated amount of poverty lie in the inflation of food prices, the significant number of Egyptian citizens who are illiterate and the fact that many Egyptian families are larger with many members to care for.
Thankfully around 4.6 percent of Egyptians were saved from falling into poverty thanks to government assistance with food costs. To make Egypt’s rate of poverty less severe, a reform program was introduced in 2014 designed to better their businesses and promote economic growth.
This reform program has expanded Egypt’s Takaful and Karama program, which is an assistance program that helps women with children and the elderly who are poor. The benefits of this program are set to reach 1.7 million households this year alone.
There are also several projects going on to improve living in Egypt. For example, in 2015, the Inclusive Housing Finance Program was approved, which works to improve housing affordability for those in Egypt who are living in poverty.
While steps are being taken to improve the economic situation in Egypt, a substantial amount of progress must be made to obtain anticipated goals. Egypt continues to struggle with contributing poverty factors such as gender inequality and environmental issues.
A plan called “Egypt’s Vision 2030” has been developed to assure that significant changes will be made and that the effects of these changes will be seen in the next few decades. With all of the work that is going into making sure Egypt’s rate of poverty begins to decrease, the effects of these substantial changes will hopefully be seen shortly.
– Noel Mcdavid
Photo: Flickr
The Youth Unemployment Rate in Greece
Looking at the high rate of youth unemployment, one factor can be seen as its primary cause: Greek debt.
In 2011, due to its ballooning debt levels and fears that Greece would default on its debt, European counterparts were forced to give Greece a bailout package of €109 billion. As part of the loan, however, major credit rating agencies gave Greece a rating along with a disclaimer saying there would be a substantial risk of default on Greek debt.
By giving Greece this rating, the country pushed away potential investors in the Greek economy, and, in combination with the effects of Greek austerity programs, substantially hurt the growth potential of the Greek economy. The adverse effects observed in Greece are exemplified by the fact that the country’s economy has contracted by a quarter since the crisis began.
The minimum wage in Greece is calculated differently for younger people than it is for people over 30, so young Greeks who have a job are often paid at a significantly lower rate than older workers.
As an overall effect on poverty in Greece, the high youth unemployment rate will very obviously impact the country and raise its poverty rate. As the Greek economy continues to deteriorate and young people continue to go without opportunities to work, the poverty rate in the country will inevitably grow.
Going hand-in-hand with the increase in the rate of poverty among young people in Greece is the level of youth homelessness. As the unemployment rate continues to climb, the rate of homelessness among Greek youth – in addition to the rate of substance abuse – both continue to rise.
Overall, the youth unemployment rate in Greece is elevating enough to become a significant issue requiring foreign assistance to resolve. As countries capable of proving support, the United States and Greece’s European counterparts must increase aid to help Greece combat this problem. By focusing efforts on increasing the success of the Greek economy, issues such as youth unemployment will certainly begin seeing improvement.
– Garrett Keyes
What are the Common Diseases in Bhutan?
In 2008, Bhutan’s age-standardized rates for NCDs per 100,000 population were the highest among males and females in the South East Asia Region (SEAR). Currently, NCDs are the leading cause of morbidity in Bhutan, accounting for 62 percent of the country’s disease burden.
Below is a list of the top four most common diseases in Bhutan:
1. Diabetes
Diabetes are a set of chronic diseases resulting from elevated blood glucose. In Bhutan, there was a 63 percent increase in diabetes from 944 cases in 2004 to 2,605 cases in 2009.
A healthy diet and body weight, exercise and avoiding tobacco use are all preventative measures for type 2 diabetes, which results from the body’s ineffective use or production of insulin. In Bhutan, survey data indicated that one in three Bhutanese are overweight, 42.4 percent consume alcohol and the average daily salt consumption is nearly two times the World Health Organization’s (WHO) recommended limit.
2. Cardiovascular Diseases (CVD)
The same preventative measures are suggested for maintaining heart health. In 2008, mortality due to CVDs in SEAR was the highest in Bhutan, accounting for 53 percent of Bhutanese deaths.
3. Chronic Respiratory Diseases
Chronic respiratory diseases are diseases of the lung that narrow air passages and obstruct breathing. Common chronic respiratory diseases include chronic obstructive pulmonary disease (COPD), asthma and occupational lung disease.
Tobacco use increases risk for chronic respiratory diseases. Even with the ban on the sale of tobacco in Bhutan, tobacco use is widespread, as 34 percent of men and 14 percent of women reported using tobacco in 2011.
4. Cancers
In 2008, the age-standardized death rate due to cancers in Bhutan was 124.8 per 100,000 population. Of all cancers, lung and cervical cancers have the highest incidences among Bhutanese men and women, respectively.
So far, the government has initiated health-related behavioral interventions addressing the social determinants of NCDs; these include bans on tobacco sales and advertisements, laws prohibiting smoking in public and the establishment of outdoor gyms in every district.
“The government’s response to NCDs has been very encouraging,” says WHO’s Tshering Dhendup, “There is high-level political commitment.”
Included in the country’s upcoming five-year socioeconomic plan (2018–2023) is a multi-sectoral framework for the prevention and reduction of common diseases in Bhutan. This much-needed plan is expected to result in widely shared improvements in health status for the Bhutanese population.
– Gabrielle Doran