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Disease, Global Poverty

Dengue Track: Mapping the Spread of Disease

Dengue Track: How Mapping the Spread of Disease May Help to Stop It
Dengue is a notoriously malicious mosquito-borne virus that has seen an uptick in recent decades with the expansion of urban environments. But a new tool called Dengue Track is trying to change that.

Dengue fever causes flu-like symptoms, minor bleeding and a characteristic full-body rash. The disease used to be confined primarily to tropical regions, but the World Health Organization estimates that about half the global population is now at risk. It is rarely fatal but nonetheless constitutes a leading cause of illness and death among children in some developing countries. Though a vaccine has been developed, its use has only been approved in three countries so far, and it is not yet widely available anywhere.

Dengue is a disease that is uncommonly hard to fight. Because it has an incubation period of four to 10 days, mosquitos can be spreading it in an area for weeks before officials start to realize that they have an epidemic on their hands. What’s more, as globalization intensifies and people and goods travel more broadly than ever, it’s nearly impossible to keep infections localized or to judge where they might develop next.

Illnesses that, like dengue, are transmitted by blood-sucking insects are called “vector-borne” diseases, and when vaccines are not available, the only way to protect human populations is through methods known collectively as “vector control.” These include strategies for reducing the insects’ breeding areas, creating tools like nets to keep them away from vulnerable people or killing them with pesticides.

Vector control, however, is most effective when the movement of the disease can be plotted on a map. The trouble is that dengue, which is most prevalent in developing countries around the equator, is dramatically underdiagnosed and underreported, and systems to share what little information there is are inefficient, unstandardized, or nonexistent.

Dengue Track, a crowdsourced tool that tries to map the epidemiology of the disease, is an initiative from an organization called Break Dengue. Drawing information from cell phone conversations, social media, and an online chat system, it plots cases of the illness across the globe to try to predict where it may surface next.

It is a low-cost method that relies on tools common in developing countries, where only one-third have access to the internet but over 95 percent own mobile phones. This means that it is particularly well-suited to places where the national health system does not have the ability to track outbreaks itself.

“Thousands of lives are lost every year in developing countries for failing to detect epidemics early because of the lack of real-time data on reported cases,” said Lakshminarayanan Subramanian, a professor at New York University who helped to develop Dengue Track. This app might prove a useful model for identifying such epidemics early in the game and taking the appropriate steps to head them off.

– Madeleine Read

Photo: Flickr

November 20, 2016
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Global Poverty

Potential Reform for the Chilean Pension System

Protest and Potential Reform for the Chilean Pension System
In the past, pension analysts, the World Bank and political figureheads around the world, including George W. Bush, have praised the privatized Chilean pension system as one of the most effective in the world. However, many issues have arisen due to the system, and Chilean retirees are unable to sustain themselves due to small pensions. Many citizens are forced to work past retirement age in order to live at the most basic level.

Following protests from dissatisfied citizens and warnings from international organizations regarding the failing pension system, Chilean President Michelle Bachelet began to explore reform options in 2008. Under the current system, which was implemented in 1981 under the military dictatorship of General Augusto Pinochet, workers must contribute 10% of their salaries into accounts operated by private businesses called pension fund administrators or AFPs.

The companies invest the money while employers and the government don’t make any contributions to the workers’ accounts. The funds are controlled by six AFPs and are equal to approximately 71% of Chile’s gross domestic product.

Recently, discontent among citizens has reached an all-time high as fewer and fewer people are capable of surviving solely off the money from the Chilean pension system. Although the invested money has helped to boost Chile’s economy in the past, the pension system is rather unreliable. If the stock market dips or the global markets stray from normal trends, workers lose savings and retirees receive smaller pension checks. Culturally, the Chilean economy is informal and people make inconsistent contributions to their pension accounts, which makes the situation even worse. Currently, the average pension check in Chile is $315, which is less than a monthly minimum wage salary.

Women also fare worse than men due to the fact that they typically earn less, are more likely to retire early and have a longer life expectancy than men. These factors, mixed with a general financial illiteracy among Chilean citizens, have led many people into desperate situations.

In 2008, President Bachelet introduced several pension reforms in an attempt to remedy the failings and move toward a mixed public-private system. She implemented a state-funded minimum pension amount of $140 for those who were unable to save for retirement. Close to 1.3 million Chileans receive this benefit today.

Now, further reforms such as a minimum required contribution from employers, the introduction of a state-run AFP with the hopes of creating competition and efforts to keep fund managers commissions on an equal playing field. Bachelet stated, “This increase in contributions will allow us to build the foundation for collective savings with solidarity. Part of it will enable raising current pensions and the other part will be used to ensure more equity in future pensions.”

As long as the Chilean pension system follows through with these reforms and takes care of their growing aging population, outside parties may still be able to look at Chile as having one of the most effective pension systems in the world.

– Peyton Jacobsen

Photo: Flickr

November 19, 2016
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Aid, Global Poverty

USAID and Coca-Cola: Improving Watershed Management

Watershed Management
To expand the Water and Development Alliance, Coca-Cola and USAID are donating a combined investment of $22 million to provide safe water and sanitation to communities throughout Africa, Asia, Latin America and the Middle East. Coca-Cola and USAID, through WADA, act in 22 countries worldwide including 16 countries in Africa.

The Water and Development Alliance hosts volunteers in the local communities to participate in watershed management. Keeping the locals involved in the process of establishing improved attitudes and behaviors promotes the importance of maintaining positive health benefits, such as better hygiene and sanitation. This also advocates for smart water usage, thus preventing wastefulness and ultimately protecting the environment while providing economic benefits.

The Global Environment and Technology Foundation encourages the development of new projects and continued progress as the partnership manager. GETF is a non-profit from Washington, D.C. that aims to build partnerships, such as the one between Coca-Cola and USAID, to aid humanity. The three core issues at the center of GETF’s mission are safe water and sanitation, clean energy and climate change reversal, as well as overall sustainability for communities around the world.

In places like Chimoio, Mozambique, the TextAfrica water treatment plant received the funding for restoration and expansion as the facility now benefits 25,000 people in the surrounding area. Partnerships between public and private entities can do a lot of good with adequate funding and oversight to fix problems anywhere in the world. Successful sanitation and hygiene education campaigns are spreading to over one million people across West Java, Indonesia through another WADA-supported project.

The partnership is not limited to Coca-Cola, USAID and GETF. A local non-profit in Kano State, Nigeria called Women Farmer’s Advancement Network helped implement eased water and sanitation access directly in their communities. Also, in Tarija, Bolivia, stakeholder forum PROAGUA raised support for improved water resources and watershed management to the benefit of 150,000 living within the large basin area.

It is important to remember that joining for a common purpose can aid in the fight against poverty, hunger and illness. GETF works to ensure that more successful partnerships such as this may form and make a difference in the lives of real people everywhere. Coca-Cola and USAID continue to strengthen their bond and find new innovative ways to bring basic needs to those struggling to maintain their way of life.

– Aaron Walsh

Photo: Flickr

November 19, 2016
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Global Poverty

Reducing Poverty in Nepal

Poverty in Nepal
Poverty in Nepal has experienced a steady decline since the 1990s. The country’s efforts to further reduce poverty will build off existing success, population growth control and using sustainable development goals to promote development.

Between 1995 and 2015, Nepal’s poverty rate declined by an estimated 2.2-3.2 percentage points each year. The national poverty rate in 1995 was 41.8%, a figure that was reduced to 21.2% in 2015. The main drivers of Nepal’s poverty decline are remittances from migration, more diverse labor income and slowed population growth.

Migration remittances increased from less than 1% to 29% of Nepal’s GDP between the late 1990s and 2014. Remittances have caused wage increases within Nepal and driven demand for non-food items and services, generating employment in more diverse industries.

Population growth control has been a main fixture of the government as a means to combat poverty in Nepal. The country’s population doubled between 1960 and 1990 and was expected to double again between 1990 and 2015. However, beginning in the 1990s, the average number of births for a Nepali woman dropped from six in the 1970s to two in 2014, slowing population growth.

Population growth still hinders progress in Nepal’s more rural regions, where the number of births has not declined. In Nepal’s mountains, hills and Terai plains regions, there is insufficient land to accommodate the livelihoods for an increasing number of people. The Nepali government is continuing to make population growth control a central tenant of its poverty reduction plans by promoting a two-child family as the norm.

While progress is underway, natural disaster hinders Nepal’s growth. The 2015 earthquake pushed 700,000 Nepalis under the poverty line. Recovery is ongoing and can appear slow. Distribution of aid is often uneven and cash grants needed for reconstruction have been distributed slowly and in small increments.

While there are areas of recovery in need of improvement, international support programs show hope for regrowth. The U.N. Development Program has implemented cash-for-work programs and supported the restoration of micro-enterprises, both of which build individual recovery and community resilience. Sustained commitment to the SDGs will facilitate earthquake recovery and continued poverty reduction in Nepal. Two main objectives of earthquake recovery are poverty eradication and gender equality, both of which align with the SDGs.

In order to promote sustained growth, Nepal must frame its commitment to the SDGs in a national context. “What works for Bolivia might not work for Nepal,” says UNDP resident representative in Nepal, Valerie Julliand. Identifying the precise ways in which the SDGs can benefit Nepali citizens will facilitate their implementation and enable further poverty reduction.

Between the Nepali government’s plans and programs enacted by international organizations, Nepal is progressing towards sustained economic growth and poverty reduction. Poverty in Nepal has experienced a steady decline in recent decades and continued commitment to earthquake recovery and the SDGs proves promising for the country’s development.

– McKenna Lux

Photo: Flickr

November 19, 2016
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Education, Global Poverty, Refugees and Displaced Persons

Education Provided to Syrian Refugees in Hosting Countries

Education Provided to Syrian Refugees in Hosting Countries
When the Arab Spring began in 2011, the Middle East’s future became unclear. Since its advent, nearly 300,000 people have been killed and 11 million have been displaced externally. Syrian refugees have taken refuge in Lebanon, Jordan, Iraq, Turkey, Greece and Germany.

Even though the countries have granted them asylum, many young children do not attend school. Of the 11 million displaced Syrians, nearly 2.5 million are school-aged children. Attending school is a difficult task for these children. As an overarching issue, the education system cannot sustain the thousands of Syrian refugee children entering their classrooms.

Another major issue is that Syrian refugee children are behind in the curriculum and don’t speak the language. Many children, especially young boys, have to choose between working and schooling. Their families cannot afford to send their children to school. These obstacles contribute to the fact that 80% of Syrian refugee children in Lebanon are not attending school. As a result, many children end up dropping out, contributing to the 56% of refugee children who are not enrolled in Jordanian schools.

Since 2012, the Jordanian Government, Ministry of Education and Higher Education have either covered Syrian children’s fee or waived them. Even if the children can afford to go to school, parents do not think it’s safe for their children to be journeying a long way. To overcome these barriers, War Child Holland in Lebanon created a walking bus. Instead of children walking alone to school, they walk together in one large group.  In Jordan, UNICEF provides buses to take children to school.

To accommodate those who are not attending school or who have dropped out, the Lebanese NGO Iqra runs Classroom in a Bus whereby students and teachers are trained and taught in the town. In Turkey, students now do not have to show any identification, they can enroll for free and are taught in a Syrian Arabic curriculum. These adjustments coupled with the collaboration between Turkey and UNICEF to build seven new schools is a contributing factor to the 30% increase in enrollment. As a global initiative, donors and host countries have pledged, as the Human Rights Watch states, “more than $11 billion in multi-year support to meet goals including universal school enrollment in refugee-hosting countries by 2017.”

Through donations, global workings and Human Rights Watch projects, there are expansions, “to address other barriers.” Some of these include issues of documentation, NGO roles, addressing dropouts and reducing child labor. The NGO, government and global initiative contribute to UNICEF’s strategy, No Lost Generation, which ensures all Syrian refugees are provided with adequate educational opportunities.

The Syrian Crisis is one of the worst humanitarian crises. Yet, there is an admirable level of determination to help Syrian refugees adapt and provide them with equal opportunities.

– Kristen Guyler

Photo: Flickr

November 18, 2016
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Foreign Aid, Global Poverty

Why Foreign Aid in Ghana is a Smart Investment

Foreign Aid in Ghana
As the United States heads into its 2017 fiscal year, it plans to spend $4 billion less on foreign aid than it planned in 2016. Cuts like these may reflect growing fears that foreign aid is at best ineffective, or at worst detrimental. But when the money is funneled into smart investments — as is happening with aid in Ghana — it can benefit everyone, giver and receiver alike.

Foreign aid comes under frequent fire for its long-term effects on recipient countries. Opponents argue that it usually ends up lining the pockets of corrupt bureaucrats, and even when it gets to the people who need it, it depresses local economic development, increases dependency and perpetuates destitution. The standard argument is simple: if a wealthy country is distributing a good for free, local producers of that good cannot possibly compete. They succumb to falling prices and stop producing it. When there are no producers, consumers are forced to rely on foreign aid to obtain it, causing that aid to continue in a self-reinforcing, never-ending cycle.

But aid doesn’t have to be just a matter of giving handouts. Used smartly, foreign dollars can boost struggling economies and help build the infrastructure necessary for continued development. In Ghana, for example, USAID recently partnered with the Ghana Grains Council to carry out the sixth annual Pre-Harvest Agribusiness Forum, which aimed to “foster long-term business relationships, discussions, and the exchange of ideas in order to drive economic growth in Ghana’s agricultural sector.”

Many believe that USAID simply gives free food to the hungry, but the Agribusiness conference is one example of how the agency uses its money much more carefully than that implied. By providing a forum for participants in the agricultural industry to interact, network and share best practices, it is contributing to a more powerful, robust food market that will help decrease dependence on foreign funds. With programs like this, aid in Ghana will not always have to be a reality.

In addition, when poorer countries begin to flourish, the benefits are felt throughout the globe. Half of U.S. exports go to developing nations; more purchasing power in Ghana, therefore means more purchases from Americans. Beyond the trade benefits, economic stability can bring more political stability, so a strong economy in a volatile region can help to keep the area from descending into chaos. When all is said and done, aid in Ghana is good not just for Ghanaians, but for Americans as well.

– Madeleine Read

Photo: Flickr

November 18, 2016
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Refugees

Resisting the Closure of Dadaab Refugee Camp

Resisting the Closure of Dadaab Refugee Camp
On May 6, 2016, Kenya announced plans for the closure of Dadaab refugee camp by Nov. 30 this year. This closure of the largest refugee camp in the world could cause a number of problems for the refugees forced to leave.

The vast majority of the refugee population in Dadaab is Somalian. Forcing Somalians to return home in an atmosphere of continued unrest and insecurity is a recipe for disaster. The most visible problem is that as of now, parts of Somalia are still under the control of al-Shabaab, an armed group committing abuse and targeting civilians even in government-controlled areas. As a result, a large share of the country is extremely dangerous and could be fatal for refugees returning.

The closure of Dadaab refugee camp could cause less visible, but equally dangerous consequences on refugee health and education. A substantial number of Somali refugees in Dadaab today are there not because of the conflict but in order to escape the situation of drought and famine in the province of Jubbaland. Returning would, therefore, mean putting pressure on the resources of an already thinly stretched economy, as well as causing a negative impact on refugee health.

The Bhekisisa Center for Health Journalism predicts that the closure of Dadaab could lead to the next health crisis. A forced and involuntary return could escalate refugees’ vulnerability to malnutrition, weaken their immune systems and make them vulnerable to infectious diseases. Lack of health care resources including basic vaccinations in Somalia would make it hard for refugees to be treated for diseases brought back from the camp, as well as for chronic illnesses.

The good news is that as recently as August 2016, Interior Minister Joseph Nkaissery announced that the government of Kenya would hold back its decision to close the camp until peace in Somalia is restored. However, this decision is not without its own backlash. Two-thirds of all Kenyans support sending all refugees home. This backlash comes from a combination of fear of al-Shabaab attacks and a fear of the change in the ethnic composition of Kenya.

In order to address these understandable concerns of Kenyan citizens, the Kenyan government, working with UNHCR has been attempting to encourage voluntary returns among refugees. Under the tripartite agreement signed by the Somalian and Kenyan governments with UNHCR in November 2013, each party is responsible for developing and implementing a plan for the large-scale voluntary return of Somali refugees.

Any plan created for this purpose must involve building infrastructure, hospitals, clinics and improve security in Somalia as a solution to the refugee problem. Repatriation is not enough; post-conflict infrastructure must be a priority. This can only be done through continued support from the international community.

Creating a hospitable environment for refugees to return to Somalia is not a mere solution. For the time being, Dadaab refugee camp is the only resource a huge portion of the Somali population has. Keeping it open requires both financial support as well as greater empathy for the struggles of refugees. Many organizations are responding to both these needs.

– Mallika Khanna

Photo: Flickr

November 17, 2016
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Health

Poor Health in the Pacific Has Hope

Poor Health in the Pacific Has Hope
The World Health Organization has identified nine out of the top 10 most obese nations as being located in the Pacific. Within these nine nations, rates of obesity range from 35 percent all the way up to 50 percent.

Obesity measurements are calculated by looking at an individual’s BMI, or body mass index. Pacific islanders naturally have a larger build than people of other ethnicities. This is the case because, at one time, people from this region were forced to endure long and difficult journeys at sea. People able to store enough energy in the form of fat were more likely to survive, and evolution selected for these genes. However, this genetic component still does not explain all of the obesity rates.

What does help to explain this epidemic is the increasing number of foods that are being imported to the islands. Traditional tropical diets included an abundance of fresh produce and fish, but these foods are now replaced with more processed foods, which provide a cheaper alternative. One World Health Organization worker and Fijian native even noted that “it’s cheaper to buy a bottle of coke than a bottle of water.”

Additionally, urbanization and increasing numbers of office jobs contribute to poor health in the Pacific. Historically, many jobs such as fishing and farming included a great deal of physical activity. However, as more people begin to drive to work in offices, physical activity is greatly reduced.

This obesity academic is exhibited in children as well. Roughly one in five Pacific children are obese, and diabetes is a constant concern for children as well as health services who struggle to meet increasing demands.

Despite these unfortunate circumstances, there is still much hope for improving health in the Pacific. Members of the World Health Organization are confident that higher taxes on soft drinks, controlled marketing of products aimed at children and general promotions of a healthy lifestyle can help to turn things around.

Additionally, Australian researchers recently found an issue with the way that the rates of Type 2 diabetes were being measured in the Pacific. Essentially, blood glucose levels measured in the first phase of the survey were mistakenly compared to plasma levels in the follow-up portion of the survey. This caused rates to become inflated to nearly twice their actual value.

It was originally believed that Samoa experienced a 24.3 percent increase in diabetes from 2002 to 2013 when the actual increase was less than 3 percent. Tonga was thought to have experienced a 12 percent increase when diabetes rates actually decreased by three percent. Clearly, a recalculation may be required.

Although this inflation certainly does not mitigate the entire health crisis occurring in the Pacific islands, it does mean that at least rates of diabetes may be lower than was previously thought. Further steps to improve health in the Pacific will need to include conscious efforts on behalf of national governments, health organizations and citizens to strongly promote healthy living.

– Nathaniel Siegel

Photo: Flickr

November 17, 2016
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Global Poverty

The Neighborhood Effect: Improving Urban Health?

"The Neighborhood Effect" Exerted by Clusters of Rural Homes
A recent Warwick Medical School study revealed that households within a community are affected by similar health factors. This effect has been aptly termed the neighborhood effect and has important health implications.

Urban communities in developing countries often concentrate households as a result of high population density and low space availability. Close contact increases the likelihood of outbreaks of severe diseases such as tuberculosis and influenza.

While epidemics are likely to gain momentum rapidly, the neighborhood effect suggests it is equally true that small improvements in health provision can have positive outcomes for entire communities at once. For instance, introduction of vaccines to prevent disease onset can shield most of the population from contracting the disease.

Establishment of local clinics and health facilities cater to large numbers of people at once, making health provision a lucrative and beneficial venture. It can also encourage individuals to seek healthcare more frequently, especially when they witness the benefits such as decreased rate of illness, improved vitality and greater life expectancy in the surrounding community.

Many overcrowded communities struggle to match supply with demand for resources. Provision of clean water is a notable problem, as waterborne diseases such as cholera and dysentery can be easily transmitted through consumption of or interaction with unclean water sources. Mass water purification techniques can quickly benefit large numbers of people, reducing the likelihood of contracting waterborne illnesses and other diseases associated with consumption of unclean water.

Statistics indicate that 54 percent of the global population lived in urban areas in 2015. This is predicted to increase to 66 percent by 2050. The United Nations expects low- and middle-income countries to be responsible for 90 percent of future urban population growth, and Cities Alliance reports that one third of the urban population in developing countries lives in slums.

Especially in light of these statistics, the neighborhood effect has important implications for the interventions we choose to provide to urban areas. The same phenomenon that amplifies health hazards in crowded slums has the potential to bring rapid health improvements instead.

– Tanvi Ambulkar

Photo: Flickr

November 17, 2016
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Refugees, Refugees and Displaced Persons

State of Refugees Worldwide

State of Refugees Worldwide
When it comes to the state of refugees and displaced people worldwide, the Office of the United Nations High Commissioner for Refugees (UNHCR) stands ready to protect the rights of those forced to leave their homes. Since the commission’s start in 1950, the UNHCR budget has grown from $300,000 in its first year to around $7 billion in 2015. This agency collects a lot of data regarding the whereabouts and status of refugees around the world in order to maintain a steady and productive presence.

With 65.3 million forcibly displaced people, 21.3 million refugees and 10 million stateless individuals, this type of organization and statistical bookkeeping is essential to progress. Currently, the world is peaking at its highest rate of displacement on record. About half of the global refugee population is under 18, and around 34,000 men, women and children are displaced every day, begging the questions: What countries are these refugees forced to leave? What countries have taken them in?

It is measured that 53 percent of all the world’s refugees are departing from just three countries: Somalia, Afghanistan and Syria — in that order. The civil war in Somalia is the single largest event adding to the refugee population, currently forcing refugees to flee into surrounding areas such as Kenya for the past 24 years.

While in Afghanistan, rampant insurgency from the Taliban and Daesh keep refugees from returning home. Most notable in the current media landscape is the third largest refugee contributor, Syria, which is experiencing genocide, civil war and an increasingly destabilized sociopolitical landscape.

With such a massive population exiting the places they call home, every part of the globe has had to accept displaced peoples. The regions harboring the most refugees are the Middle East and North Africa, collectively populated by 39 percent of all of the world’s displaced individuals. Surprisingly, the United States and Europe admit the least amount of people to seek refuge within their borders at 12 percent and six percent respectively.

As for the individual nations containing the highest refugee populations, Turkey, Pakistan and Lebanon top the list with Iran, Ethiopia and Jordan not far behind. Turkey currently contains 2.5 million displaced individuals from a multitude of areas, establishing the country as a refugee capitol of sorts. The next closest, Pakistan, contains 1.6 million displaced people. Most of this group comes from Afghanistan, as Pakistan is the closest geographic neighbor for much of the Afghan population.

The UNHCR is currently working in 128 different countries to alleviate the suffering that comes with the mass diaspora. Increased funding, as well as more nations willing to accept those without homes, is required if these problems are to end eventually. Many within the U.S. and abroad continue to work tirelessly to provide future for people with no say in how their lives progress. It will take global cooperation to see this crisis to a peaceful resolution and better the current state of refugees around the world.

– Aaron Walsh

Photo: Flickr

November 17, 2016
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