Diseases impacting Sri Lanka are divided into three categories: endemic, epidemic and pandemic. Notifiable diseases include cholera, diphtheria, yellow fever, malaria and tetanus. Below are some diseases impacting Sri Lanka.
Dengue
One example of an endemic disease that impacts Sri Lanka is dengue. Mosquitos transmit dengue. The same type of mosquito also transmits the viruses that cause zika and chikungunya. It exists in tropical and subtropical climates worldwide. According to the World Health Organization (WHO), heavy monsoon rains, piles of damp garbage, standing pools of water and other breeding grounds that attract mosquitoes all cause dengue.
“Dengue tends to seek out the poor who live in densely populated places where sanitation is inadequate, rubbish piles up, water pools and mosquitoes thrive,” says Gerhard Tauscher, the operations manager of the International Federation of Red Cross and Red Crescent Societies.
Two of the largest dengue epidemics occurred in 2002 and 2004. During these epidemics, 8,931 cases and 15,463 cases were reported.
Rabies
Sri Lanka is on the list of high-risk countries for rabies. The bite, scratch, or lick on broken skin of an infected animal is what spreads rabies. Rabies thrives from contact with warm-blooded animals because it is a viral infection. It is a serious and frightening disease, and once developed in humans, it is fatal.
Fever, headache, weakness and paralysis are all symptoms of rabies. People travelling through remote regions are especially at risk. The symptoms can take 5 days to 25 years to develop.
Infected dogs are one reason why 20 to 30 deaths occur annually due to rabies. The main reasons for these deaths are not vaccinating dogs and not getting post exposure treatments.
Chikungunya
Chikungunya is another virus that mosquitoes spread. In the 1960s, Sri Lanka reports its first chikungunya epidemic. This happened again in November 2006. This virus is spread through the bite of infected female mosquitoes, which also infect their victims with dengue. Symptoms of chikungunya usually appear 4-8 days after a bite from a female mosquito.
“The main symptoms include a sudden high fever, severe joint pain, muscle aches, headache, nausea, fatigue, and skin rashes. While most patients recover within a week, joint pain can persist for months or even years in some cases, particularly among older individuals,” says Consultant Physician Dr. Achalya Balasuriya.
In 2007, more than 5,000 people were infected with chikungunya in Sri Lanka’s far north. During that time, residents were living off of aid supplies coming in from abroad.
Diabetes
Of the diseases impacting Sri Lanka, diabetes is prevalent because Sri Lanka has the highest rate of diabetes in Asia. According to a national survey conducted in 2019, nearly one in four Sri Lankan adults had diabetes, and another one in three had high blood sugar.
Dr. Ravi Ranniyan-Eliya, lead investigator for the study and Executive Director of the IHP (the Institute for Health Policy) explains that “These findings indicate that Sri Lanka has the highest rate of diabetes in Asia, and in fact one of the highest in the world, since there are only a few countries – some small Pacific Islands and places like Egypt and the Gulf States – with higher rates.”
It is hard to reverse diabetes once it develops, but being diagnosed early and getting treatment can minimize outcomes, like heart and kidney disease. The research showed that more than 1 million Sri Lankans do not know that they have diabetes.
Type 2 diabetes rose in 2011 from 7.6% to 11.3% in 2021, signaling a 68.3% rise. The rate of diabetes has risen sharply over the decades.
The Sri Lanka Government’s Efforts
The Sri Lankan government is working to reduce the transmission of diseases in Sri Lanka. In 2017, the Sri Lankan military increased the number of hospital beds for dengue patients as the Epidemiology Unit of the Ministry of Health (MOH) Sri Lanka requested. Army, police and health staff monitored the high risk areas, visiting house-to-house. They were involved in mobilizing communities for garbage disposal, cleaning mosquito breeding sites and health education.
To target rabies, Sri Lanka has increased dog vaccination, enforced responsible dog ownership, strengthened surveillance for animals and humans and conducted mass awareness programs.
Other Initiatives
In 2006, the International Medical Corps (IMC) set up mobile clinics, supported an information campaign and gave syringes to help fight Chikungunya in Sri Lanka.
The World Diabetes Foundation has organized workshops to strengthen the connection between maternal and child health services, primary health centers and government-established healthy lifestyle clinics in detecting and managing diabetes, diabetic foot and GDM. Sri Lanka has built new health care facilities and facilitated the training of health care professionals. This helps to improve the impact of diabetic care. It has also implemented awareness and prevention activities in schools and workplaces.
Looking Ahead
In 2022, during Sri Lanka’s economic crisis, the shortage of medicine and essential equipment became life-threatening. This has challenged Sri Lanka’s health care system. According to Amnesty International, “From shortages of gauze, intravenous antibiotics and insulin to requests to re-use catheters or endotracheal tubes, the last few months have brought shocking challenges to Sri Lanka’s healthcare system.”
Sri Lanka’s rich ecosystems, biodiversity and close human-animal interactions create an environment in which zoonotic diseases can be dispersed widely. Many diseases in Sri Lanka have their origins in animal populations. Sri Lanka has unique environmental and agricultural practices, which make it challenging to manage diseases. The government is taking steps to ensure that human, animal, and environmental health are managed and maintained.
– Abirame Shanthakumar
Abirame is based in Ontario, Canada and focuses on Global Health for The Borgen Project.
Photo: Unsplash
Vulnerable Communities: Yellow Fever in Peru
About Yellow Fever
Yellow fever is a disease transmitted by day-biting mosquitoes. It is considered a “High-threat disease” by the World Health Organization (WHO). Yellow fever does not have a specific antiviral drug to fight it once the virus is in the body. The best way to fight it is by preventing it with vaccination.
In early April, Peruvian authorities reported an outbreak of yellow fever cases in the regions of Amazonas, San Martín and Loreto. Yellow fever could reach a high 60% mortality rate in these regions because only a few people have been vaccinated in the past years.
The reach of vaccination campaigns shrank and vulnerable populations in less accessible areas like the jungle were affected. Twelve people died by the end of the month, all of them from vulnerable areas and without any records of previous vaccinations.
Effects on Vulnerable Populations in Peru
Mortality rates are higher among vulnerable populations, with 37 people already infected. Further, the U.S. Embassy in Peru and the Centers for Disease Control and Prevention (CDC) issued health alerts about the yellow fever outbreak, advising people to avoid areas affected by the disease. These warnings could result in reduced tourism, leading to a loss of income for many businesses that rely on it for their livelihood.
One of the biggest challenges preventing the disease is the logistical difficulty of distributing vaccines to remote areas. Vast distances and difficulty maintaining the cold chain in hard-to-reach regions significantly hinder vaccination coverage.
What Is the Government Doing?
The Peruvian government is trying to reactivate its vaccination campaigns, making resources available for people to find the closest vaccination centers. Peru’s Ministry of Health has announced a free vaccination campaign throughout the summer of 2025.
The Ministry of Health also sent 30,000 vaccines to the Amazon region in the past month, while volunteers are going town by town to vaccinate communities far from the few existing vaccination centers. However, Peru is not fighting the outbreak alone.
Since yellow fever also affects neighboring countries like Colombia and Ecuador, the Peruvian Ministry of Health joined forces in late April to launch a joint vaccination campaign along the border to prevent the disease from spreading between countries.
Final Remarks
Even though yellow fever has already claimed some lives in Peru, the government is taking action to prevent further spread and protect more people. Certain regions will inevitably face the consequences of this outbreak and the full economic impact, especially on families and businesses affected by the drop in tourism, remains uncertain until the epidemic is under control.
– Luis Felipe Rios
Photo: Pxhere
Jasiri Gender Bond: Women-Led Businesses in Tanzania
However, a large majority, nearly 99%, are considered micro. Women-led businesses often face several challenges when scaling, including minimal access to funding and capital. FSD Africa’s new Jasiri Gender Bond program aims to help these businesses grow and empower more women to become entrepreneurs.
What Is a Gender Bond?
Gender bonds aim to bridge the funding gap that women-owned businesses face by supporting companies owned by women or employing a significant percentage of women. These bonds are typically issued by private corporations or banks, not governments.
In Tanzania specifically, women earn just $0.73 for every $1 earned by men. urgent need for initiatives like the Jasiri Gender Bond program, which seeks to promote economic equity and empower women entrepreneurs.
These bonds are crucial because many other standard forms of gaining funding for women-led businesses in many countries are either unavailable or rejected based on prejudices.
FSD Africa: Supporting Africa’s Economy
With U.K. aid help, this nonprofit supports all aspects of Africa’s financial markets. FSD Africa has more than 30 different programs spanning the entire continent, with specialized financial experts helping people and businesses navigate these challenging and complex economies. FSD Africa is committed to and focused on inclusion, sustainability and improving gender equality within the financial and entrepreneurial sectors.
In 2021, the organization started its “Finance for a Sustainable Future Strategy.” Since then, it has created more than 10,000 jobs, 34% for women, while reducing more than 4.5 million tonnes of carbon emissions. In 2022, the initiative launched its Jasiri Gender Bond in Tanzania, marking the start of its efforts to support women-led businesses in the country.
The Jasiri Gender Bond
FSD Africa’s Jasiri Gender Bond is the first in sub-Saharan Africa. It targets the growing number of women-led SMEs and SMMEs in Tanzania, where more than half are owned or run by women. Despite their significance, female entrepreneurs in Tanzania still face significant limitations when starting, sustaining or scaling their businesses. One of the biggest challenges is access to funding from traditional sources like banks, as many women lack collateral, such as property.
The Jasiri Gender Bond offers a more inclusive alternative to traditional lenders. It supports established women-led businesses and empowers companies with 30–50% female employees. Gender inclusivity remains central to the initiative’s mission. The bond also provides a lower interest rate (14%) than the current market average (19%), giving these women-led businesses a leg up, allowing for quicker growth and less financial burden.
The bond proceeds don’t just go into the pockets of a bank; they are invested back into NMB Bank’s Women Market Proposition to continue empowering women entrepreneurship.
Long-Term Benefits
The Jasiri Gender Bond will have a lasting effect on the Tanzanian economy. By bolstering the growing number of women-led SMEs and SMMEs, the bond will help bring more women into the workforce. Furthermore, the bond will provide more secure and equal-paying jobs. This will help reduce poverty.
FSD Africa has provided more than 3,200 loans to businesses, 97% of which are women-owned, helping to create jobs and increase female participation in the workforce. With SMEs and SMMEs projected to contribute 27% of Tanzania’s gross domestic product (GDP), women remain central to this growth.
The Gender Bond plays a crucial role in narrowing the wage and employment gap while empowering women-led enterprises.
– Collier Simpson
Photo: Pexels
India’s Food Security Act
The National Food Security Act
India’s Food Security Act introduced a new approach to how the government would support its citizens. First, the government aimed to provide large monthly rations of food grains and essential nutrients. Under the National Food Security Act (NFSA), each individual would receive five kilograms of food grains monthly at subsidized rates.
Second, the Act prioritized reaching mothers and young children, particularly pregnant and lactating women. Recognizing that these groups were among the most deprived in India, the Act ensured they would receive the necessary nutrition to support children’s early development.
Additionally, children between the ages of 6 months and 14 years were prioritized under the Act, recognizing the critical impact that early nutrition has on a child’s overall development. Ensuring proper access to food during these formative years was essential to breaking the cycle of poverty.
Lastly, the Act provided cash benefits to pregnant women and vulnerable individuals. Maternity cash benefits offered financial support to women who were out of work or displaced due to pregnancy, helping to secure a source of income for their families beyond just food assistance.
Impacts
The Food Security Act achieved significant success in reaching its intended goals. The program reached more than 1.8 million children across eight states, reducing child stunting in India. Similarly, between 63% and 75% of the rural population received some form of assistance under the Act. Overall, more than two-thirds of India’s population benefited from the Act’s provisions.
Beyond its success in outreach and the number of recipients, the Act also significantly impacted the country’s food markets and economy. In 2013, the economic burden of widespread malnutrition was estimated to cost India around 2.5% of its GDP — a substantial loss driven by the lack of nutrition affecting nearly half the population. The Food Security Act helped address this issue.
By ensuring a steady supply of subsidized food, the Act also played a crucial role in stabilizing food prices and protecting the economy from inflation shocks. Previously, agricultural markets faced significant distribution challenges that caused frequent price fluctuations. With government-provided food supplies, food inflation was better controlled, making basic nutrition more affordable and food markets more resilient nationwide.
Final Remarks
India’s Food Security Act was undoubtedly a step in the right direction in addressing the widespread issues of child poverty and food insecurity. It reached much of the population in the most indigent provinces, providing essential nutrition that supported citizens’ well-being and the economy’s strength.
Although some reports highlighted distribution challenges and gaps in reliable data, the available evidence points to a significant success in the fight against hunger. More than a decade later, the Food Security Act has benefited millions since its initial success in 2013.
– Joel Raymer
Photo: Pexels
The Rise of Mpox in Sierra Leone: Assistance and Vaccination
About Mpox
Mpox is a viral disease belonging to the Orthopoxvirus genus family, first discovered in 1958 with an outbreak of infected monkeys in an animal facility in Denmark. In 1970, the first known human case of mpox was a 9-month-old baby in the Democratic Republic of Congo (DRC). Since then, countries worldwide have reported mpox, majority being in Africa.
Mpox causes painful skin lesions, swollen lymph nodes and high fever. In severe cases, the disease can be fatal. In fact, 1-10% of cases result in death, a large percentage of which are young adults and children.
Mpox can cause further health complications when not properly treated, such as infected lesions, pneumonia, corneal infection with loss of vision, and even sepsis. In cases of pregnancy, mpox can reach the fetus and lead to birth complications.
The virus spreads from person to person primarily through sexual activity. However, it can be contracted when close to a person with mpox, through infectious respiratory particles. It is considered contagious until all lesions have healed and are covered by a new layer of skin. However, not all infected individuals develop symptoms, which can make the spread of mpox in Sierra Leone difficult to trace. There is only a 0.001% chance that a person will contract mpox for a second time. Further, for the rare few who do get mpox again, the symptoms are much milder than the first time.
Mpox in Sierra Leone
Sierra Leone has seen an influx of mpox infections within the last two years. In 2024, the World Health Organization (WHO) declared its highest level of alert regarding the rise in cases. The situation has only worsened, with 2025 alone accounting for 1,140 cases of mpox and nine mpox-related deaths in Sierra Leone.
Resulting from its low-income status, Sierra Leone faces many difficulties in providing health care services to those infected because of a lack of supplies and a limited number of health care workers and medical facilities. However, as foreign assistance and health care agencies have stepped in to help Sierra Leone tackle the current mpox outbreak, there is hope that cases will become manageable.
Assistance in Mpox Prevention and Care
Gavi, the Vaccine Alliance, is working with Sierra Leone to implement mpox preventive measures such as promoting hand washing and the use of facemasks. The National Public Health Agency, along with the WHO, is also assisting the country by increasing disease surveillance protocols to detect the virus faster, allowing for early-stage treatment and quarantine to lessen the spread of mpox in Sierra Leone.
The WHO is also supporting Sierra Leone in the education of health care workers, providing 160 individuals with training in infection prevention, laboratory protocols, and community risk awareness. The organization provided the country $38,000 worth of laboratory supplies, such as testing kits and safety equipment, including medical gloves, gowns, biohazard waste bags and infrared thermometers, according to its website.
Mpox Vaccine
At the beginning of April, Sierra Leone received 61,300 doses of the mpox vaccine from Gavi, the Vaccine Alliance, the Republic of Ireland, as well as immunization assistance from the HO, the African Centres for Disease Control and Prevention and UNICEF, Gavi reports.
The country has begun the process of nationwide vaccination, beginning with exposed health care workers, those at higher risk of infection and children 12 and up, according to Barron’s. It requires two doses, the second administered four weeks after the first. As of May 8, 2025, 24,000 people have received full vaccination for mpox in Sierra Leone.
With the mpox vaccine and aid from health agencies such as the WHO and Gavi, the Vaccine Alliance, Sierra Leone has the resources it needs to curtail the rising number of mpox cases.
– Amelia Dutch Player
Photo: Flickr
How AI Upskilling Is Creating Jobs in Africa: The Case of Zindi
However, promising AI startups are rising to address these challenges through innovative solutions. Among them, Zindi stands out with its modern approach and rapid growth by upskilling the AI jobs market in Africa.
Digitalization in Sub-Saharan Africa
According to the World Bank, sub-Saharan Africa faces significant challenges for development due to the lack of affordable digital infrastructure. Additionally, low engagement with community-owned digital access and difficulty using digital platforms hinder progress. This lack of access to digital technologies impacts not only educational and business systems but also prospects for job creation, employment and career growth for local populations.
As digitalization challenges persist, the world’s largest companies are investing heavily in solutions. Over the past 10 years, the World Bank has contributed approximately $731.8 million to 11 Digital Development Projects. It has also committed $2.8 billion across 24 active Digital Development projects in sub-Saharan Africa.
However, large corporations aren’t the only ones tackling Africa’s digital growth challenges. Startups like Zindi are taking a broader approach by focusing on both digital solutions and their impact on education and the economy. They offer rural communities accessible internet and AI innovations. They also drive employment through youth training, AI career development and digital upskilling initiatives, laying the foundation for long-term prosperity.
About Zindi
Zindi, one of Africa’s most impactful AI startups, began its mission to tackle the region’s digital challenges in 2018. Driven by the belief that data can tell stories, drive innovation and improve lives, Celina Lee founded Zindi (a platform where 70,000 data scientists develop AI-driven solutions to pressing challenges) in Cape Town, South Africa. Zindi is committed to bridging gaps in tech access, skills and employment across rural and urban communities.
Zindi Impacts
Final Remarks
As Zindi AI expands across Africa, it prioritizes local talent through its employment and training initiatives. By offering free AI upskilling programs, such as hackathons, it provides underrepresented individuals with affordable, practical learning to solve local challenges and gain hands-on experience.
Despite its niche approach to digital solutions, Zindi’s focus on employment and rural digitalization centers on people and their stories. It empowers not only the technical side of digital transformation but also supports the individuals behind it.
– Liubov Linnyk
Photo: Flickr
Clowns Without Borders: Lifting People Out of Poverty
This substantial economic footprint underscores the potential of entertainment sectors to drive development and alleviate poverty. Moreover, cultural festivals have been shown to boost local economies significantly. For instance, the Adelaide Fringe Festival in Australia contributed $149 million to South Australia’s economy in 2024, supporting thousands of jobs and attracting nearly 60,000 interstate visitors.
Comedy as a Pathway to Opportunity and Healing
Many comedians and content creators have transformed their experiences with poverty into thriving careers on platforms like YouTube, TikTok and Netflix, proving that storytelling and humor can open the door to sustainable livelihoods. Organizations such as Clowns Without Borders use humor to raise awareness and funds while bringing joy to children in crisis zones. Its work highlights how creative expression can uplift communities affected by conflict and hardship. These examples illustrate how comedy and entertainment can serve as catalysts for economic growth and poverty reduction. Below are four ways in which these creative avenues are making a difference:
Stand-Up and Theater Schools
The International Theatre Project is dedicated to expanding access to theater for individuals living in poverty in developing countries. Since its inception in 2005, the organization has supported more than 2,700 students. Its programs aim to help young people present their thoughts confidently, solve problems collaboratively and see the world from new perspectives. Through this process, participants develop their identities, ensuring that poverty no longer defines them. The impact is significant, with more than 90% of students who participate in these programs pursuing higher education at universities.
Digital Platforms and the Television Industry
The French-Senegalese actor Omar Sy, the third of eight children born to immigrant parents, has risen to success through his talent and the television industry. In 2015, he played a role reflecting his roots in the movie “Samba.” Similarly, digital platforms like TikTok have become powerful tools for escaping poverty. Kenyan singer Michael Bundi, once on the verge of eviction due to financial struggles, gained significant attention and financial success after posting his songs on TikTok, as his music resonated with viewers.
NGOs Using Comedy to Bring Hope
Clowns Without Borders operates not only in the United Kingdom (U.K.) but in countries affected by conflict or disaster, such as Ukraine and Mozambique. The organization has been spreading laughter and offering moments of respite to more than 100,000 children over the past decade. Clowns Without Borders aims to reach an additional 1 million children over the next 10 years, continuing its mission to bring joy and hope to those who need it most.
Comedy Festivals Boosting Local Economies
The stand-up comedy scene in Kenya is booming, contributing to the local economy. Collectives like the Punchline Comedy Club, founded in 2017, organize open-mic nights, monthly shows and festivals that attract diverse audiences. These events provide platforms for emerging and established comedians, creating jobs in the entertainment industry. Artists such as Anthony “Ty” Ngachira and Eunice Njoki, known as Mammito, have seen their careers flourish through these opportunities, helping to grow the Kenyan comedy industry.
Moving Forward
How Atmospheric Generators Are Transforming Arid Communities
Atmospheric Water Generators
AWGs are machines that produce water by extracting humidity from the air. The system draws in air and cools it to trigger condensation. After condensation, the water passes through multiple filters that purify it for safe human consumption. These machines come in different sizes. Some are designed for households or small communities. Others, particularly industrial-scale units, generate several thousand liters of water daily—enough to support entire villages or farming operations.
The Impact on Arid Communities
Atmospheric generators have a profound impact on communities living in arid areas. First, regular access to safe drinking water significantly improves public health by reducing water-related diseases, especially among children. The water produced can also be used to irrigate small local crops, allowing families to grow their fruits and vegetables, thus enhancing food security.
Economically, these generators create new jobs related to their maintenance, supervision and water distribution. This stimulates local economies, often constrained by scarce natural resources. By providing a water source independent of rainfall, the generators are strengthening the resilience of villages to changing weather patterns and prolonged droughts.
For example, in Kenya, Majik Water uses air generators to provide drinking water to drought-affected rural communities. This project has improved the living conditions of many families, proving that this technology can be a real lifeline in even the most hostile environments.
Challenges to Overcome
Despite their potential, AWGs present several challenges. The machines require an initial capital investment that is beyond the reach of many communities. In areas without reliable electricity, powering the machines can become a problem. In addition, their efficiency drops in environments with extremely low humidity, limiting water output in the driest areas. These obstacles highlight the need for supportive infrastructure and financing mechanisms. Solar-powered AWGs could offer one possible solution to the energy constraint. Government subsidies or nonprofit funding may also be necessary to make these systems accessible in low-income regions.
Looking Ahead
Atmospheric generators represent a promising innovation to address water scarcity in arid regions. By providing an independent and reliable source of drinking water, they improve the quality of life, support local agriculture and empower communities in the face of climate change. However, widespread adoption potentially depends on efforts to lower costs, increase energy efficiency and integrate AWGs into broader development policies. With the support of public policies and private initiatives, this technology could play a key role in the future of sustainable water management.
– Eléonore Bonnaterre
Photo: Flickr
Poverty in Southern Madagascar
Drought in the Deep South
The southern region of Madagascar, known as the Deep South, is experiencing one of its worst droughts in four decades. Rainfall levels dropped by as much as 75% in 2016 and the region only received 60% of normal rainfall between 2019 and 2021.
As a result of the drought, a severe famine began and resulted in widespread hunger. The lack of rain decimated staple crops like maize, cassava and rice. Nearly a third of the region’s population requires emergency food assistance.
Alice Rahmoun, WFP’s Communications Officer in Madagascar, says, “So, what we can say is that impacts of climate [crisis] are really stronger and stronger…so harvests fail constantly, so people don’t have anything to harvest and anything to renew their food stocks.”
Food Insecurity
The WFP estimated that 1.35 million people in the Deep South were food insecure in 2021. Frequent cyclones add to the drought, which displaces thousands of water sources. These climate events destroy homes and infrastructure and devastate agricultural lands, further increasing food shortages.
Children in rural poverty communities in southern Madagascar are among the most affected by the crisis. The United Nations Children’s Fund (UNICEF) reports that about 950,000 children are in need of humanitarian assistance, facing threats from malnutrition, lack of clean water and limited access to education.
Malnutrition rates among children aged below 5 have soared, with global aid groups reporting that nearly half a million kids are at risk of severe acute malnutrition. In remote villages, families have resorted to extreme measures to survive by eating cactus or locusts.
Humanitarian Aid and Climate-Smart Solutions
In response to the poverty in southern Madagascar, UNICEF, which is heavily involved in providing humanitarian assistance, is intensifying its efforts. In 2025, the organization aims to provide treatment for severe wasting to 84,967 children 6-59 months and 114,000 women with multiple micronutrient supplementation.
Additionally, the Food and Agriculture Organization (FAO) has taken an innovative approach to using resistant crops. The organization introduced an initiative called the Climate Change Adaptation Programme and Mitigation in the Eastern and Southern Africa Region. The program aims to help smallholder farmers adapt to global heating by promoting drought-tolerant crops, conservation agriculture and sustainable land management practices.
Furthermore, Medair, an international humanitarian organization, is restoring water supplies to regions with the most water displacement due to cyclones. It is also providing essential housing hygiene items to prevent the spread of disease outbreaks and providing temporary shelters, disaster-resilient homes and supporting infrastructure to health centers.
Despite these efforts, challenges persist. Limited infrastructure complicates aid delivery to remote areas. Additionally, the frequency and intensity of climate-related disasters outpace humanitarian response. Comprehensive strategies that address immediate needs and long-term resilience are crucial to understanding the nation’s complex crisis.
– Sebastian Llerena
Photo: Pexels
Addressing Homelessness in Comoros
The Issue
Homelessness in Comoros tends to stem from a lack of opportunities, which results in an unequal distribution of consumption expenditures. Within the years 2004-2014, supplies and housing conditions saw improvements, with the percentage of people going through hardships dropping from 85% to 75%, but the number of people lacking access to supplies remained high. As educational and job developments began to increase, the Comoros’ homeless faced major setbacks due to a natural disaster and health crisis.
In April 2019, Tropical Cyclone Kenneth hit the Comoros, causing flood damage, contaminated water tanks, loss of power for days and damaged roads limiting travel access. The cyclone resulted in the loss of more than half of the Comoros’ main crop food source, affecting the food supply and livelihoods. The severe damage to homes and land resulted in an estimated 20,000 people experiencing displacement.
Despite the immediate response from supporting organizations, flooded roads and a loss of power supply caused difficulty in moving supplies. The capacity of the Comoros’ Government to respond to a crisis like this is limited, putting a strain on the country as a whole.
Cyclone Kenneth’s impact already affected the homeless, and the people faced further hardship with the arrival of COVID-19, which caused a restraint in job opportunities and increased health issues as the country does not have the services to respond to a national pandemic.
Developments
Despite the increased hardships, the Comoros’ Government sought immediate support from “UN agencies, the Red Crescent, and local NGOs” to respond to Cyclone Kenneth’s damages. These organizations assisted with food security, shelter, health conditions and education. All schools and government facilities remained closed, so UNICEF provided children with alternative learning opportunities to prevent disruptions in their education. Individuals and families who experienced displacement received nutritional and health supplies along with shelters for protection.
By 2023, the economy had grown, which benefited homelessness in the Comoros, as those individuals and many more depend on agriculture. There was an increase in agricultural prices due to agreeable climate conditions, leading to a decline in inflation, which largely assisted the economy. The inflation percentage in the year 2022 sat at 12.4% and saw a significant decline to 9.2% by 2023.
Although COVID-19 and the cyclone slowed down economic recovery, projects including the El Maarouf hospital, the Galawa hotel and the repairs of roads are in the works. In 2023, an energy law was put in place that “promotes the production of electricity from renewable sources.” As the poverty rate remains at 38.2%, it will likely reduce to 36.2% by 2026 with an expanding and further recovered economy.
US Assistance
The U.S. may not have an embassy located in the Comoros, but the U.S. Ambassador in Madagascar is accredited to the Comoros. The U.S. and the Comoros have had an established diplomatic relationship since 1977, occurring only two years after the Comoros gained independence from France in 1975.
During the 2024 celebration of the long lasting, expanding relationship between the U.S. and the Comoros, the U.S. Ambassador to Madagascar announced USAID programming funds that will go towards “renewable energy, food security and workforce development.” The USAID program will receive $5 million along with $1 million to fund education and better the governments financial needs.
Looking Ahead
The country’s economy is expanding and putting every effort into recovering, which has provided them with critical improvements. Slowly but surely, the homelessness in Comoros is gaining the needed attention to live more safely and healthily.
– Sarina Francis
Photo: Flickr
Diseases Impacting Sri Lanka
Dengue
One example of an endemic disease that impacts Sri Lanka is dengue. Mosquitos transmit dengue. The same type of mosquito also transmits the viruses that cause zika and chikungunya. It exists in tropical and subtropical climates worldwide. According to the World Health Organization (WHO), heavy monsoon rains, piles of damp garbage, standing pools of water and other breeding grounds that attract mosquitoes all cause dengue.
“Dengue tends to seek out the poor who live in densely populated places where sanitation is inadequate, rubbish piles up, water pools and mosquitoes thrive,” says Gerhard Tauscher, the operations manager of the International Federation of Red Cross and Red Crescent Societies.
Two of the largest dengue epidemics occurred in 2002 and 2004. During these epidemics, 8,931 cases and 15,463 cases were reported.
Rabies
Sri Lanka is on the list of high-risk countries for rabies. The bite, scratch, or lick on broken skin of an infected animal is what spreads rabies. Rabies thrives from contact with warm-blooded animals because it is a viral infection. It is a serious and frightening disease, and once developed in humans, it is fatal.
Fever, headache, weakness and paralysis are all symptoms of rabies. People travelling through remote regions are especially at risk. The symptoms can take 5 days to 25 years to develop.
Infected dogs are one reason why 20 to 30 deaths occur annually due to rabies. The main reasons for these deaths are not vaccinating dogs and not getting post exposure treatments.
Chikungunya
Chikungunya is another virus that mosquitoes spread. In the 1960s, Sri Lanka reports its first chikungunya epidemic. This happened again in November 2006. This virus is spread through the bite of infected female mosquitoes, which also infect their victims with dengue. Symptoms of chikungunya usually appear 4-8 days after a bite from a female mosquito.
“The main symptoms include a sudden high fever, severe joint pain, muscle aches, headache, nausea, fatigue, and skin rashes. While most patients recover within a week, joint pain can persist for months or even years in some cases, particularly among older individuals,” says Consultant Physician Dr. Achalya Balasuriya.
In 2007, more than 5,000 people were infected with chikungunya in Sri Lanka’s far north. During that time, residents were living off of aid supplies coming in from abroad.
Diabetes
Of the diseases impacting Sri Lanka, diabetes is prevalent because Sri Lanka has the highest rate of diabetes in Asia. According to a national survey conducted in 2019, nearly one in four Sri Lankan adults had diabetes, and another one in three had high blood sugar.
Dr. Ravi Ranniyan-Eliya, lead investigator for the study and Executive Director of the IHP (the Institute for Health Policy) explains that “These findings indicate that Sri Lanka has the highest rate of diabetes in Asia, and in fact one of the highest in the world, since there are only a few countries – some small Pacific Islands and places like Egypt and the Gulf States – with higher rates.”
It is hard to reverse diabetes once it develops, but being diagnosed early and getting treatment can minimize outcomes, like heart and kidney disease. The research showed that more than 1 million Sri Lankans do not know that they have diabetes.
Type 2 diabetes rose in 2011 from 7.6% to 11.3% in 2021, signaling a 68.3% rise. The rate of diabetes has risen sharply over the decades.
The Sri Lanka Government’s Efforts
The Sri Lankan government is working to reduce the transmission of diseases in Sri Lanka. In 2017, the Sri Lankan military increased the number of hospital beds for dengue patients as the Epidemiology Unit of the Ministry of Health (MOH) Sri Lanka requested. Army, police and health staff monitored the high risk areas, visiting house-to-house. They were involved in mobilizing communities for garbage disposal, cleaning mosquito breeding sites and health education.
To target rabies, Sri Lanka has increased dog vaccination, enforced responsible dog ownership, strengthened surveillance for animals and humans and conducted mass awareness programs.
Other Initiatives
In 2006, the International Medical Corps (IMC) set up mobile clinics, supported an information campaign and gave syringes to help fight Chikungunya in Sri Lanka.
The World Diabetes Foundation has organized workshops to strengthen the connection between maternal and child health services, primary health centers and government-established healthy lifestyle clinics in detecting and managing diabetes, diabetic foot and GDM. Sri Lanka has built new health care facilities and facilitated the training of health care professionals. This helps to improve the impact of diabetic care. It has also implemented awareness and prevention activities in schools and workplaces.
Looking Ahead
In 2022, during Sri Lanka’s economic crisis, the shortage of medicine and essential equipment became life-threatening. This has challenged Sri Lanka’s health care system. According to Amnesty International, “From shortages of gauze, intravenous antibiotics and insulin to requests to re-use catheters or endotracheal tubes, the last few months have brought shocking challenges to Sri Lanka’s healthcare system.”
Sri Lanka’s rich ecosystems, biodiversity and close human-animal interactions create an environment in which zoonotic diseases can be dispersed widely. Many diseases in Sri Lanka have their origins in animal populations. Sri Lanka has unique environmental and agricultural practices, which make it challenging to manage diseases. The government is taking steps to ensure that human, animal, and environmental health are managed and maintained.
– Abirame Shanthakumar
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