Ghana Using GeneXpert to End Tuberculosis


Ghana plans to end tuberculosis (TB) and other lung-related diseases by 2030 through the aid of diagnostic technology GeneXpert, according to Ghanaian doctor Frank Bonsu. He spoke at a press conference before the opening of the 20th Conference of the Union Africa Region on Lung Health. The four-day-long conference, held approximately every two years, brings together more than 800 international and African delegates to discuss and plan tactics for eliminating TB and other lung diseases from the African continent.

Bonsu is the chairman of the conference as well as the program manager of Ghana’s National TB Control Programme. He said that although Ghana has made strides in fighting TB, there are still many cases that go undetected. Ideally, 44,000 cases of TB should be detected each year, but currently, only 15,000 are diagnosed. Bonsu blames the country’s lack of modern diagnostic equipment, its low number of microbiologists, the population’s poor awareness and the stigma of the disease that keeps people from seeking medical aid.

A combination of Ghana using GeneXpert and a reduction of the negative stigma against TB, Bonsu believes, is needed for effective eradication. The National TB Control Programme also changed its emphasis from treating those who seek medical attention at facilities to its current outreach strategy in risk communities. The program hopes going out and offering aid will encourage early diagnosis, increase treatment and decrease stigma.

GeneXpert is a molecular test that can detect even the smallest amount of TB bacteria. It can also test for resistance to the common TB antibiotic Rifampicin. The main difference between GeneXpert and the other methods of TB detection, such as sputum microscopy, is its reliability and speed. GeneXpert can have results in less than two hours as opposed to weeks.

GeneXpert can only be used for diagnostic purposes and cannot be used to properly monitor treatment. It also does not eliminate the need for conventional microscopy culture and drug sensitivity testing, according to the World Health Organization, as these tactics are still needed to monitor treatment progress and detect other types of drug resistance. Yet GeneXpert is a major milestone in TB diagnostic technology.

With Ghana using GeneXpert, many more cases of TB can be caught early and treated more effectively. Ghana hopes that with the introduction of this new technology by the end of this year, along with outreach programs and a decrease in negative stigma, the country will be free of TB in 2030.

– Hannah Kaiser

Photo: Flickr

,

Care Helps Limit Top Diseases in Monaco

top diseases in Monaco
Monaco already is making records with the highest life expectancy in the world. The average expectancy is 90 years old, which crushes the average worldwide life expectancy of 72. Monaco has a very small population, coming in at 37,731 in 2015. There aren’t many of the top diseases in Monaco that aren’t seen around the world, yet communicable diseases are coming in very low at just 6%. Non-communicable deaths account for 86% of the total number of fatalities in the country.

Non-communicable deaths account for the vast majority of the deaths and diseases in Monaco. Just more than a quarter of all non-communicable deaths are people under the age of 60. Just about 17% of males die before reaching the age of 60, while females are sitting at about 8.5%.

The top two of the top diseases in Monaco are cardiovascular diseases at 33% and the various cancers at 28% of total deaths in Monaco. These are both on the higher end of both of these spectrums as compared to the rest of the world. Cancers, especially, usually have a lower proportional mortality percentage. The treatment and care for those that are stricken with these diseases are very good in Monaco thus contributing to its very high life expectancy.

Injuries and other communicable diseases make up just 14% of the diseases in Monaco. It is fairly common for communicable diseases to be very low around the world in each country.

The only two risk factors that were stated in 2008 by the World Health Organization were physical inactivity and tobacco use. This is a good trend with the majority of the other risk factors not existent among the citizens of Monaco.

Monaco is a fairly safe area to travel to with the majority of the country in the higher income group and better off than most of the world. Just routine vaccinations should be enough before leaving.

Monaco is a country with a lot of wealth and resources to be able to take care of those that are in need. The life expectancy is not all that surprising when looking at the resources at hand to help those that need it.

– Brendin Axtman

Photo: Flickr

, ,

10 Impacts on Food and Hunger in Iceland


Iceland, a small island nation located in the North Atlantic northwest of the United Kingdom, went bankrupt in 2008 when global financial markets collapsed. Since then, the economy has recovered, but many factors affect its food-related economy. Here are 10 impacts on food and hunger in Iceland.

  1. Natural disasters have a tremendous impact on Iceland’s food security. As a result of the April 2010 eruption of the Eyjafjallajokull volcano, for instance, hundreds of acres of local farmland were coated in four inches of ash.
  2. Food poverty among Icelandic children, measured by the inability to afford a meal with meat, chicken, fish or a vegetable equivalent every second day, was 6% in 2012.
  3. The depth of hunger is measured by the energy deficit in undernourished people using kilocalories. In Somalia, for example, the deficit is 490 kilocalories a day. In Iceland, the deficit is 130 kilocalories a day.
  4. High global food prices and the devaluation of Iceland’s currency following its bankruptcy weakened food security.
  5. Fears that the European Union would negatively impact food security in Iceland is among the reasons it dropped its bid to join. Among those who lobbied hardest against joining the EU were Iceland’s farmers, who used “food security” terminology to accentuate the need for more local food production.
  6. Though fishing accounts for 40% of its exports, Iceland produces just half of its people’s nutritional needs and relies on imports.
  7. After declaring sovereign bankruptcy in 2008, Iceland turned to its fishing industry to help it recover. Unfortunately, the price of fish fell 40% in some markets due to the global recession.
  8. Most of Europe has over-fished local waters, but not Iceland. It has an abundant supply. Unfortunately, fishing companies that had invested in domestic banking are now heavily in debt. What’s worse, recession in important markets weakened demand.
  9. The success of Iceland’s economy is heavily dependent upon other economies. That, coupled with its relative isolation, means that food shortages could result from disruptions in importing or exporting.
  10. Icelandic households are unprepared for food shortages. A 2011 survey indicated that most have a supply that would last for just a week. The situation is not much better for food suppliers. Their stores would be depleted in less than a month.

As these impacts on food and hunger in Iceland indicate, food poverty is not only a problem in the developing world, and it continues to have a disproportionate impact on children. In addition, even countries with plenty of food to export can be dependent on food imports and what it takes to produce food. What may be more, when talking about impacts on food and hunger in Iceland, is the effect of natural disasters such as volcanic eruptions.

– Laurie Gold

Photo: Flickr

,

Combating Non-Communicable Diseases in the Maldives

Top Diseases in Maldives
The top diseases in the Maldives mirror those in much of the rest of the globe. Non-communicable illnesses dominate the majority of the diseases in the Maldives. However, at 77 years, life expectancy in the Maldives is much better than the majority of the world. In addition, the annual mortality rate among healthy people in the Maldives is 578 per 100,000 people. This is with a very small population of around 400,000.

Worldwide, there needs to be more of a focus and research on cardiovascular diseases. It impacts hundreds of thousands of individuals every year, and it is the most common disease in the Maldives. Of all the major diseases, 37% of them are various types of cardiovascular disease.

The majority of the top diseases in the Maldives are non-communicable, including different cardiovascular diseases. Some of the other non-communicable diseases that impact the Maldives included chronic respiratory diseases, which have a mortality rate of just over 9%. Mortality rates for diabetes and other blood and endocrine diseases sit at just over 8%. Cancer is a major disease around the world that is receiving a lot of research, and the mortality rate in the Maldives is sitting at 7.5%.

Unintentional injuries also have a high spot on the list of mortality rates at just over 7%. Additionally, self-harm is just over 2%. Injuries seem to be a lot higher on lists than other countries around the world and are avoidable. The unintentional injuries are tough to prevent, but self-harm is preventable with proper help and care.

One of the most common communicable diseases is neonatal disorders (6% mortality rate). Additionally, diarrhea and lower respiratory diseases have a 5% mortality rate. These are rarely seen around the world.

Risk factors in the country include tobacco smoking, with 42% of current male smokers at risk and only 7% of females at risk of medical problems caused by tobacco smoking. Elevated blood pressure is also a problem, with 23% of the country having blood pressure problems. The other major risk factor in the Maldives is obesity.

Zika is still a major concern in the Maldives, so there are many precautions for individuals visiting the area. Travelers need to be aware of other diseases in the area and have their vaccinations up-to-date before entering the Maldives.

Non-communicable diseases dominate the list of top diseases in the Maldives. There needs to be more of a focus on preventing and treating cardiovascular diseases and other non-communicable diseases in this region.

– Brendin Axtman
Photo: Flickr

, , ,

Narrowing the Gap: Investing in the Poorest Children


On June 28, the U.N. International Children’s Emergency Fund (UNICEF) released its report “Narrowing the Gaps: The Power of Investing in the Poorest Children.” The new peer-reviewed report compiled data from 2003-2016 and supports the claim that investing in the health of the world’s poorest communities saves lives and is cost-effective. The following are 10 facts learned from the compelling report.

  1. This report is a result of UNICEF’s 2010 prediction that although the cost of reaching the poorest children is high, greater results would outweigh the cost.
  2. The key finding in “Narrowing the Gaps: The Power of Investing in the Poorest Children” is that for every million dollars invested in the most deprived populations, the number of lives saved is nearly double that saved by an equal investment in other populations.
  3. The number of lives saved is even greater for children under five. More than four more lives are saved per $1 million invested in poor communities compared with other communities.
  4. In this report, people living on an average income below $3.10 per day were considered to be poor.
  5. Children living in extreme poverty are twice as likely to die before five years of age than children living in better circumstances. Most die from preventable diseases.
  6. While progress was made to address the global under-five mortality rate, UNICEF discovered that until recently little to no progress was achieved to lower preventable childhood deaths, specifically among the world’s poorest communities.
  7. The report analyzed data from 51 countries and found that gaps in health coverage between poor and non-poor populations narrowed in 37 of the 51 countries by the end of the study. Coverage did not decrease for non-poor populations, coverage increased for both.
  8. In the final year of the study, UNICEF estimated that 1.1 million lives were saved due to increases in coverage, including 940,000 lives from impoverished populations.
  9. However, UNICEF’s prediction is that by 2030, 70 million children under the age of five will still die from preventable diseases unless action is taken.
  10. To prevent this from happening, the report suggests governments and organizations identify the poorest children and communities. Governments should then invest in proven, low-cost high-impact interventions, strengthen health systems, work with the private sector to spur innovation and monitor results to ensure equity between poor and non-poor populations.

While previous thought may have suggested that investing in the extreme poor is a hopeless cause, UNICEF’s report “Narrowing the Gaps: The Power of Investing in the Poorest Children” clearly shows that doing so saves more lives and is more cost-effective. Pursuing equity in health coverage between and investment in poor and non-poor communities is right not just in principle but also in practice.

– Sean Newhouse

Photo: Flickr

,

Why is Jamaica Poor?


Jamaica is known to be an upper-middle-income country. Yet, it is one of the slowest-developing economies in the world. Its poverty rate has improved, decreasing from 19.9% in 2012 to 18.7% today. Although there is a significant improvement, there are still present causes that answer the question, “why is Jamaica poor?” Crime, unemployment rates, reliability on imported goods and other social conflicts contribute to poverty in Jamaica.

Jamaica constantly faces crime and violence. It has an above-average crime rate as well as high poverty levels. People commit crimes usually when they are in need. Because of poor conditions, there is a need to steal food out of hunger or other circumstances. These criminal acts are a direct effect of Jamaica’s impoverished state.

Unemployment is a great challenge many Jamaican families go through. The unemployment rate is around 12.9% as of the end of last year. This creates difficulty for children trying to go to school. With no education, there is no social growth within the community. This is another answer to the question “why is Jamaica poor?”

Jamaica’s education system requires most schools to have fees. This creates a barrier for many households because they cannot afford these fees. Limiting children’s education limits their opportunities to reduce poverty in the country, and the cycle continues.

With an 8.29% inflation rate and high reliance on imported goods for daily necessities, most of Jamaica is scraping its way through survival. And so, why is Jamaica poor? Jamaica’s public debt, unemployment and crime rates have weakened the economy over the years. While Jamaica has many in poverty now, it does not mean it is its fate. With organizations working to reduce poverty around the world and Jamaica’s significant improvement, the country has a developing future.

– Brandi Gomez

Photo: Flickr

,

The Importance of Water Quality in Laos

Water Quality in Laos
Although Laos is one of the poorest countries in Asia, it has rich natural resources. More than 85% of the land lies within the Mekong River Basin. About 80% of Laotians work in agriculture and live in rural areas. Water quality in Laos is an essential part of life and development in the country.

The usage of water in Laos is 82% agricultural, 10% industrial, and 8% domestic. Agriculture uses water for irrigation, fisheries, plantation, and livestock. There is approximately 270 billion cubic meters of available water, of which 5.7 billion is used and the remaining 264.3 billion remains in the rivers.

There is currently a hydropower boom in Laos. The country has the potential to produce 23,000 megawatts of electricity. Currently, it only utilizes 5% of that capacity. By selling electricity to neighboring countries, Laos is seeking to become the “battery” of Southeast Asia.

 

Hydropower and Water Quality in Laos

 

Hydropower, however, has had problematic effects on the water quality in Laos and neighboring countries. In 2013, villagers in Cambodia complained that dam-building on the Mekong River in Laos was ruining the water downstream. The villagers couldn’t drink the water anymore because it was muddy and full of silt.

In 2016, the Malaysian company Mega-First and the government of Laos launched the Don Sahong dam. Work began without approval from the Mekong River Commission, and in spite of protests by regional NGOs and the downstream communities in Vietnam and Cambodia. The Laotian government plans to build nine more dams on the Mekong River and hundreds more on other rivers and tributaries in the region.

Scientists contend the dams pose an environmental threat to fish migration and food security. The delta of the Mekong River already experienced significant sediment loss, and a dam will make it worse. The Mekong Delta is crucial to the Vietnamese economy, as it produces 50% of the country’s staple crops and 90% of its rice exports.

Ecology specialist Nguyen Huu Thien, a scientist based near the Mekong Delta in Vietnam, contends that “if the delta cannot support its population of 18 million, then people will have to migrate– migrate everywhere. The dams are sowing the seeds of social instability in the region.”

The condition of the Mekong River will define the socioeconomic framework of entire communities in Laos and its neighboring countries. Laos may get an economic boost from its dams for now, but in the long term, the health of Laos and its rivers are intertwined.

– Hannah Seitz

Photo: Flickr

, ,

Project C.U.R.E. Provides Aid with Donated Medical Supplies


Listed in Forbes 200 Largest and 20 Most Effective U.S. Charities, Project C.U.R.E. started from humble beginnings, when a doctor from Evergreen, Colorado visited a hospital in Rio De Janeiro and saw the tragic consequences patients were facing due to a lack of medical supplies. Just thirty days after returning to the U.S., Dr. James Jackson had collected $250,000 worth of medical supplies in his garage to send back to that hospital. Now, thirty years after its founding, Project C.U.R.E. contributes $43 million annually to charitable services, providing donated medical supplies to ensure that health centers in 130 countries have the means to provide care to patients who are often among the most vulnerable in the world.

A Venezuelan gynecologist explained to the Human Rights Watch that 90% of medical and surgical supplies were lacking at her general hospital. In countries like Venezuela, where sexual education and women’s health are already often overlooked and inaccessible, the black market often controls the distribution of medical supplies and prices are three to four times the U.S. standard.

With $51 million in private support, Project C.U.R.E. has been able to expand across the U.S. and now has distribution warehouses in Colorado, Arizona, Texas, Illinois, Pennsylvania, and Tennessee. With their contributions reaching as much as $38 million in supplies to Nigeria alone, Project C.U.R.E. has gained support not only from individual volunteers and donors across the country but from medical supply companies and other non-profit organizations.

In 2014, the Ebola outbreak led to an outpour of generosity to countries facing the health emergency. In Colorado, Project C.U.R.E. was able to send 240,000 pounds of donated medical supplies to Sierra Leone, with enough examination gloves to weigh a ton on their own. The gloves were donated by Medline, the largest privately held medical supply company in the U.S., which recognized how even the most commonplace supplies in U.S. health facilities were critical and coveted abroad. That year, 30 percent of hospitals in Sierra Leone lacked sterile gloves.

With their recent expansion into the northeast region of the U.S., AmerisourceBergen, a Pennsylvania-based non-profit pharmaceutical sourcing and distributing organization, gave Project C.U.R.E. a $50,000 grant in 2016. AmerisourceBergen (ranking 12th on the Fortune 500 list) was inspired by the 60 regional U.S. health centers and multiple seaports that Project C.U.R.E.’s new Pennsylvania distribution center offered.

Every week, two or three cargo containers full of donated medical supplies leave Project C.U.R.E.’s warehouses. Those medical supplies provide the tools for life-saving surgeries, vaccines, treatments, and childbirths. And with those material means, this organization also provides the intangible but imperative gift of empowerment and hope to countries who need it the most.

– Brooke Clayton

Photo: Flickr

, ,

Hunger in Samoa is Still A Crisis


Following destructive cyclones in 1990 and 1991, much of Samoa’s agriculture was destroyed. This has caused major setbacks for food production. To alleviate the huge deficit in food resources, the country sought out help from donor nations as well as the World Food Programme. Despite the help from donor nations and relief programs, problems still remain with hunger in Samoa today.

In an address in 1996 by the country’s Deputy Prime Minister, Tuilaepa Sailele Malielegaoi, it was stated that the 1993 food production recovery program was making headway until a fungal disease wreaked havoc on the crops. With natural disasters and failed production recovery programs not making any progress, Malielegaoi and the government of Samoa committed to the World Food Summit Plan of Action in hopes of combatting hunger in Samoa and rebuilding the food recovery program.

Years later, hunger in Samoa is still a crisis. In 2006, the depth of hunger index–which measures the number of people who fall short of minimum food needs–was reported at 210, and, by 2008, the depth of hunger had decreased to 150, a significant reduction. In addition, the depth of the food deficit was at 22 kilocalories per person per day, while the percent of malnutrition prevalence in children under 5 was at 1.7%. The number of undernourished people in Samoa was reported at 100,000 in 2008, an estimated 5% of the population.

Despite the lack of progress, in 2013, the Samoan government and the Food and Agriculture Organization of the United Nations (FAO) announced that Samoa was among 40 countries to have cut hunger in half. This success was one of the targets of the Millennium Development Goals set by the U.N. in 2000 to be achieved by 2015.

In response to Samoa’s hard work, the Minister of Agriculture and Fisheries of Samoa Hon. LeMamea Ropati Mualia stated that “Samoa has put into place decisive policies and actions to accelerate hunger reduction,” and this is “a good signal for our beloved country’s economic growth and sustainability.”

Although there is no current data on unemployment rates and the population living below the poverty line, and with the GDP increase of $.031 billion from 2015 to 2016, which ranked Samoa 203rd in the world, it can be inferred that there has been a slow but steady decrease in hunger in Samoa.

– Amira Wynn

Photo: Flickr

,

Improvements in Education in Mozambique


A southeast African nation with a population of approximately 26 million people, Mozambique prides itself on spending 7% of its GDP on education. Although just under half of the girls in the nation claim an ability to read, Mozambique maintains a 58.8% literacy rate. In fact, education in Mozambique plays a critical role in the lives of many children, as the average child is expected to spend approximately 10 years in the school system.

During the 2003-2004 academic school year, the nation abolished school fees, ensuring the provision of direct support to schools and free textbooks. Ultimately, this led to an influx of students, with primary school enrollment rates reaching 97% by 2014.

UNICEF initiatives have had tremendous success in the region. They have not only helped fund 800 schools through the Child Friendly Schools Programme, but they have also provided $150 million to mobilize funding for education in the nation.

Gender considerations have also impacted education in Mozambique. Rather than tolerate gender disparities in schooling, the country has made a significant effort in eliminating the education gap between boys and girls. Based on the gender parity index, which demonstrates how many girls finish school compared to boys, Mozambique has increased its rate from 0.62 in 2002 to 0.88 in 2014. In 2007, 37% of all girls completed primary school. By 2015, that rate had increased to 45%.

Education in Mozambique is structured similarly to systems in other nations in Africa and across the globe. The academic year, beginning in January and ending in October, welcomes students from the age of six to attend school. Primary school lasts seven years, secondary lasts three years and upper secondary lasts two years. At the moment, there are 6.1 million students enrolled in primary and secondary education in the country, with the majority of them being enrolled in primary education.

The incredible number of colleges and universities in Mozambique further benefits its education system. The most well-known university is Eduardo Mondlane University, founded in 1962. The university offers courses in disciplines such as agricultural sciences, biological sciences, humanities, natural sciences, social and applied sciences, engineering, arts and medicine. Other universities include One World University, Universidade Pedagogica and the MUST Institute for Business and Computer Science. Each of these institutions allows individuals studying in the nation to advance their careers, goals and lives through education.

Education in Mozambique is improving. As the nation continues to develop, there can be no denying that its continued emphasis on educational achievement will prove essential for success.

– Emily Chazen

Photo: Flickr