Over the last decade and a half, the world’s fight for malaria eradication has yielded tangible results. According to the 2015 World Malaria Report, there has been a sharp decline in the global malaria incidence since 2000 with the malaria-related targets of the Millennium Development Goals (MDGs) achieved.
In 57 countries malaria cases reduced by 75%. In addition, the European region reported zero indigenous cases of malaria for the first time since the World Health Organization (WHO) began keeping track.
Globally, the number of malaria cases fell from an estimated 262 million in 2000 to 214 million in 2015, a decline of 18%; the number of deaths fell from an estimated 839,000 in 2000 to 438,000 in 2015, a decline of 48%.
Sadly, most cases and deaths in 2015 are estimated to have occurred in the WHO African region, 88 percent, followed by the WHO Southeast Asia region.
The overall numbers are encouraging. In the four decades before this, malaria eradication had almost slipped off the global health agenda despite a much-trumpeted Global Malaria Eradication Program in 1955.
While this campaign succeeded in eliminating malaria from Europe, North America, the Caribbean and parts of Asia and South-Central America it made no headway in sub-Saharan Africa. The program was abandoned in 1969 largely on account of the failure in tackling the technical challenges of executing any reasonable strategy in Africa.
Subsequently, the attention of the world shifted to other scourges like HIV. In small pockets research was being done on advances in drug and vaccine development, vector control and insecticide-treated nets, but little was achieved on the ground.
The latest numbers then, showing the real gains made in the battle against the disease particularly in Africa, are a welcome sign and owe much to initiatives by Civil Society Organizations (CSOs) such as non-governmental organizations (NGOs) and faith-based organizations (FBOs).
They bring much-needed technical as well as cultural expertise along with economies of scale to reach larger sections of populations in afflicted countries. Prominent among these are The Bill & Melinda Gates Foundation, Malaria Eradication Project (MEP) and the President’s Malaria Initiative (PMI).
In the fight against the killer disease, insecticide-treated mosquito nets (ITNs), indoor residual spraying (IRS), chemoprevention in pregnant women and children and treatment with artemisinin-based combination therapies (ACTs), have been the most effective methods.
Despite this tremendous progress, much more needs to be done to further reduce malaria’s burden. The Global Technical Strategy for Malaria 2016–2030 approved by the World Health Assembly in May 2015, set ambitious targets for 2030, including a reduction of at least 90% in global malaria incidence and mortality.
There are major challenges ahead. Decreases in malaria incidence and mortality have been slowest in countries that had the highest number of malaria cases and deaths in 2000.
As expected, malaria is concentrated in countries with weaker health systems and lower national incomes. In sub-Saharan Africa in 2014, some 269 million of the 834 million people at risk of malaria lived in households without nets or access to spraying.
In addition, the effectiveness of insecticide-based vector control is threatened as malaria mosquitoes develop resistance to the insecticides used in ITNs and IRS.
These are going to be the biggest hurdles in the way of eventually eliminating malaria from most parts of the world. However, with continued assistance from the global community, it seems likely that malaria will go the way of polio and smallpox over time.
– Mallika Khanna
Photo: Flickr
Ten Facts About Denmark Refugees and Their Ongoing Struggle
Denmark is a tiny welfare state known around the world for its liberal values. A quick Google search on Denmark will likely yield articles on affluence and social equality. Denmark is the 23rd richest country in the world, with an average yearly household net-adjustable disposable income of $26,491 per capita. It is the sixth most expensive country to live in, yet it was voted the happiest country in the world in 2016. However, not everyone is happy.
Denmark refugees are exposed to a slew of hardships at the hand of the Danish government. With the recent influx of refugees, like many countries across Europe, Denmark has begun tightening the strings on its immigration policies.
Here are 10 facts about Denmark refugees that illustrate the changing legislation and resulting turmoil for its refugees.
There has been an outcry from both the global and the Danish community at Denmark’s recent adoption of austere policies regarding immigration. However, the government seems to stand by its decisions, citing the safety of its people and maintaining economic stability as reasons for its increasingly strict actions. Luckily, many refugees are able to find asylum in other countries throughout Europe.
If you wish to partake in helping refugees from Syria and elsewhere, there are a plethora of credible groups to send donations, including U.N.’s International Children’s Emergency Fund (UNICEF) and Doctors Without Borders.
– Kayla Provencher
Photo: Flickr
Ten Facts About Nauru Refugees
Here are 10 facts about Nauru refugees:
Although no word has been given to close the Nauru Detainment Center, the second Australian Refugee Detention Center on Manus Island, Papua New Guinea, is closing operations.
The Australian Supreme Court ruled it unconstitutional in April 2016. Recently, counselors from Save the Children, a nonprofit previously working on Nauru, bravely reported many of the abuses they witnessed but were bound by confidentiality not to reveal this.
In light of these revelations, it is hoped that the Nauru Detainment Center will also close, allowing the Nauru refugees to receive quality aid elsewhere.
– Amy Whitman
Photo: Flickr
Reducing Food Loss One Piece of Paper at a Time
A simple invention aims to revolutionize the preservation of perishable goods, thereby reducing food loss.
The invention in question is known as FreshPaper, a small sheet of biodegradable material infused with a special mixture of botanical extracts that claims to preserve food freshness. Its inventor? Then 16-year-old Kavita Shukla, who was inspired to tackle the problem of food waste in a unique way.
It began with Shukla trying her grandmother’s home remedy for an upset stomach: a mixture of plant extracts, botanicals and spices. Upon the remedy’s success, Shukla was inspired to test it further, thus discovering its antimicrobial properties.
Several years of research later, she was able to receive a patent for the mixture, now known as Fenugreen. At 27, Shukla joined forces with a friend to launch the product in Cambridge.
Food waste is a big problem. According to the Food and Agriculture Organization (FAO) of the U.N., one-third of food produced for human consumption worldwide is wasted annually. This waste typically happens at the consumer end of the production process. “Food loss” occurs earlier on during production, post-harvest and processing.
Developing countries in particular struggle with food loss, since they often lack the industrialization necessary to preserve food long enough to reach consumers. The National Geographic states that India loses up to 40 percent of its fruits and vegetables in this manner.
There is no one solution to food waste or loss. Instead, it is important to take action at multiple steps in the food making process. In developing countries, aid organizations are providing for better storage facilities for farmers, preventing them from losing excessive amounts of crops during transit.
Since 1997, the FAO has donated metal silos to more than 15 countries by training local craftsmen in their construction, use and delivery to farmers. In one study, 96 percent of the beneficiary farmers in Bolivia responded that the silos in question improved food security by reducing the amount of food lost post-harvest and maintaining grain quality.
Shukla is currently working to make FreshPaper available to food-banks and to farmers in developing countries. She hopes that her invention can have a big impact in reducing food loss.
– Sabrina Santos
Photo: Flickr
Malaria Eradication: The Uphill Battle
Over the last decade and a half, the world’s fight for malaria eradication has yielded tangible results. According to the 2015 World Malaria Report, there has been a sharp decline in the global malaria incidence since 2000 with the malaria-related targets of the Millennium Development Goals (MDGs) achieved.
In 57 countries malaria cases reduced by 75%. In addition, the European region reported zero indigenous cases of malaria for the first time since the World Health Organization (WHO) began keeping track.
Globally, the number of malaria cases fell from an estimated 262 million in 2000 to 214 million in 2015, a decline of 18%; the number of deaths fell from an estimated 839,000 in 2000 to 438,000 in 2015, a decline of 48%.
Sadly, most cases and deaths in 2015 are estimated to have occurred in the WHO African region, 88 percent, followed by the WHO Southeast Asia region.
The overall numbers are encouraging. In the four decades before this, malaria eradication had almost slipped off the global health agenda despite a much-trumpeted Global Malaria Eradication Program in 1955.
While this campaign succeeded in eliminating malaria from Europe, North America, the Caribbean and parts of Asia and South-Central America it made no headway in sub-Saharan Africa. The program was abandoned in 1969 largely on account of the failure in tackling the technical challenges of executing any reasonable strategy in Africa.
Subsequently, the attention of the world shifted to other scourges like HIV. In small pockets research was being done on advances in drug and vaccine development, vector control and insecticide-treated nets, but little was achieved on the ground.
The latest numbers then, showing the real gains made in the battle against the disease particularly in Africa, are a welcome sign and owe much to initiatives by Civil Society Organizations (CSOs) such as non-governmental organizations (NGOs) and faith-based organizations (FBOs).
They bring much-needed technical as well as cultural expertise along with economies of scale to reach larger sections of populations in afflicted countries. Prominent among these are The Bill & Melinda Gates Foundation, Malaria Eradication Project (MEP) and the President’s Malaria Initiative (PMI).
In the fight against the killer disease, insecticide-treated mosquito nets (ITNs), indoor residual spraying (IRS), chemoprevention in pregnant women and children and treatment with artemisinin-based combination therapies (ACTs), have been the most effective methods.
Despite this tremendous progress, much more needs to be done to further reduce malaria’s burden. The Global Technical Strategy for Malaria 2016–2030 approved by the World Health Assembly in May 2015, set ambitious targets for 2030, including a reduction of at least 90% in global malaria incidence and mortality.
There are major challenges ahead. Decreases in malaria incidence and mortality have been slowest in countries that had the highest number of malaria cases and deaths in 2000.
As expected, malaria is concentrated in countries with weaker health systems and lower national incomes. In sub-Saharan Africa in 2014, some 269 million of the 834 million people at risk of malaria lived in households without nets or access to spraying.
In addition, the effectiveness of insecticide-based vector control is threatened as malaria mosquitoes develop resistance to the insecticides used in ITNs and IRS.
These are going to be the biggest hurdles in the way of eventually eliminating malaria from most parts of the world. However, with continued assistance from the global community, it seems likely that malaria will go the way of polio and smallpox over time.
– Mallika Khanna
Photo: Flickr
Unmasking the Top Diseases in Kiribati
Life expectancy in Kiribati is the second lowest in the Pacific, with females at 69 years and males at 64 years. Factors contributing to Kiribati’s increased burden of disease are overcrowding, poor hygiene, inadequate sanitation, insufficient immunization coverage, as well as a lack of care and supplies for maternal/neonatal health.
Water-borne illnesses are among the top diseases in Kiribati. The primary infections being diarrhea, dysentery, conjunctivitis, rotavirus, giardia and fungal. These diseases are most threatening to children, causing 60 deaths per 1,000 live births in children under five.
The prevalence of water-borne illness plagues Kiribati mostly due to sanitation issues. Unfortunately, unsafe water is only part of the problem, improper food handling and the continued sale and consumption of expired foods only adds to the cycle of parasitic diseases.
Once a contagious disease has planted itself on the island, it becomes hard to contain because of the high density living arrangements of most communities. For example, Kiribati is one of only four countries in the world that still has leprosy, the number of contractions reaching 180 last year in 2015.
Tuberculosis (TB) is another top disease in Kiribati. TB remains rampant in Kiribati because it is easily spread and can remain dormant for long periods of time. However, disease begets disease. A burdened immune system makes it harder to prevent and treat other diseases. Not surprisingly, the magnitude of diabetes in Kiribati contributes largely to the continued occurrence of TB.
Lifestyle choices, or ignorance of health, feeds the expansion of diabetes, making it one of the top diseases in Kiribati. The majority of I-Kiribati fit into a profile at high risk for diabetes: high blood pressure, obesity, lack of exercise, poor nutrition and smoking. Already, 25% of the adult population is receiving treatment for diabetes or pre-diabetes, with numbers growing each year.
Smoking and diabetes are a deadly combination progressing towards a failing circulatory system, resulting in limb amputation and other disabilities. The rate of amputation in Kiribati is increasing at an alarming rate. In 2014, there were 136 amputations, nearly doubling that of the previous year.
Tobacco consumption is a risk factor for diabetes, but smoking also carries its own army of diseases such as respiratory infections, stroke, cancers and circulatory problems. Kiribati’s tobacco consumption is the highest in the South Pacific as 61.5% of its population smoke.
Like with combating most diseases, the key to success in ending the cycle of disease in Kiribati is awareness and prevention. The government of Kiribati, along with support from the World Health Organization have implemented plans to heighten the awareness of communicable and non-communicable diseases.
The goals for these programs are to reinforce good hygiene, improve water sanitation services, increase standard immunizations, educate citizens on the harmful effects of smoking, as well as informing them on the benefits of exercise and good nutrition. As awareness spreads and prevention occurs, there will be a decline in top diseases in Kiribati.
– Amy Whitman
Photo: Flickr
The Interdependent Relationship Between Poverty and Human Rights
Some individuals assume that issues, such as poverty and human rights violations, can be solved separately from one another. However, what many fail to realize is that poverty and the denial of human rights are problems that are interdependent issues. In other words, where there is poverty, there are human rights violations and vice-versa.
Poverty is more than just individuals lacking in quality employment and material goods; it also incorporates social and physical goods. Social and physical goods are characterized by the Universal Declaration of Human Rights as a right to cultural identity, right to equality, freedom to live with respect and dignity, freedom from violence and degrading treatment, freedom of political opinion, education, personal security and many other basic human rights.
According to Amnesty USA, “Gross economic and social inequality is an enduring reality in countries of all political ideologies, and all levels of development. In the midst of plenty, many are still unable to access even minimum levels of food, water, education, healthcare and housing. This is not only the result of a lack of resources, but also unwillingness, negligence and discrimination by governments and others. Many groups are specifically targeted because of who they are; those on the margins of society are often overlooked altogether.”
It is estimated that one-third of all human deaths occur because of poverty associated reasons. These poverty-related reasons are considered easily preventable such as access to clean water, nutrition and access to quality health care because they fall under basic human rights.
This relationship is further validated by statistics. The Human Rights Watch reports that those who live in dire poverty within low income or lower-middle income countries, also live in homes where the head of household is part of an ethnic minority group.
In recent years, the Office of the U.N.’s High Commissioner for Human Rights (OHCHR) in collaboration with other U.N. partners, has recognized this relationship between poverty and human rights violations. A few of the approaches that these organizations are utilizing are empowering the poor, providing international assistance and cooperation and strengthening human rights protection systems.
Currently, these organizations are collaborating with multiple governments in order to employ poverty reduction strategies as a way to ensure that vulnerable groups have access to their basic human rights.
– Shannon Warren
Photo: Flickr
Citizens Fleeing Eritrea because of Poverty and Forced Labor
High Rates of Fleeing
The U.N. estimates that 400 thousand Eritreans, or nine percent of the population, have fled in recent years. According to the U.N. High Commissioner for Refugees (UNHCR), nearly one-quarter of the 132 thousand migrants arriving in Italy between January and September of 2015 were Eritreans.
Poverty in Eritrea is extreme. The CIA World Factbook reports the nation’s GDP purchasing power as $8.7 billion, ranking Eritrea 162nd in the world. Unemployment in the country is estimated at just 8.6%, but the poverty rate is estimated at 50%. More specific numbers are nearly impossible to acquire due to Eritrea’s secretive nature.
Reasons for Leaving
Why are people fleeing Eritrea? In June 2015, the UNHCR released a 500-page report detailing the systematic, widespread and gross human rights violations going on in Eritrea, violations that have created a climate of fear in which dissent is stifled. The report found that a large proportion of the population was being subjected to forced labor and imprisonment.
According to the report, the people of Eritrea are not ruled by law, but by fear. The Eritrean government denied repeated requests by the commission for information and access to the country. To gain insight into the situation, the commission conducted 550 confidential interviews with Eritrean witnesses in eight countries and received an additional 160 written submissions.
Conscription for 18 months is required of each Eritrean adult but is often extended indefinitely and carried out for years in harsh and inhumane conditions. Thousands of conscripts are subjected to forced labor that effectively abuses, exploits and enslaves them.
According to the UNHCR’s report, women conscripts are at extreme risk for sexual violence during national service. All sectors of the economy rely on forced service, and all Eritreans are likely to be subject to it at some point during their lives. The commission concluded that, “forced labor in this context is a practice similar to slavery in its effects and, as such, is prohibited under international human rights law.”
Mandatory conscription has not remedied poverty in Eretria. Instead, it has exacerbated it. Commission chair Sheila B. Keethrauth urged commitment from the international community to end the climate of fear in Eritrea.
“Rule by fear — fear of indefinite conscription, of arbitrary and incommunicado detention, of torture and other human rights violations — must end,” said Keethrauth.
– Aaron Parr
Photo: Flickr
Breastfeeding to Combat Malnutrition in Ghana
In the Northern Region, malnutrition is much more prevalent with 20 percent of children under five being underweight. As a result, there is a high stunting rate of 32.4 percent. The region is also plagued by high rate of micronutrient deficiencies such as anemia and vitamin A deficiency.
The USAID Resiliency in Northern Ghana (RING), a collaborative project dedicated to sustainably reducing poverty and improving livelihoods and nutritional status of vulnerable populations, called for exclusive breastfeeding to combat malnutrition in Ghana.
“Mothers should stick to [exclusive] breastfeeding for the first six months after which they can introduce the sour foods to children,” nutrition officer of the USAID-RING Project, Kristen Kappos underscored.
Kappos also implored health workers, volunteers and farmers to continue raising people’s awareness on breastfeeding within their operational zones.
As far back as 1991, Ghana adopted the Baby-Friendly Hospital Initiative (BFHI) to promote and support the practice of exclusive breastfeeding. However, exclusive breastfeeding rate has remained unchanged for two decades at 64.7%, far lower than the World Health Organization would prefer.
According to a recent study, knowledge gaps in key nutritional areas, especially infant and young child feeding, are the main reason leading to a low rate of exclusive breastfeeding in Ghana.
About 26% of the mothers studied were unable to define exclusive breastfeeding and 22% of them said breastmilk only was not sufficient to meet the nutritional needs of the child. They believed that the child may not be satisfied and could die if fed with only breastmilk for six months. Nearly 90% of the mothers did not know that breast milk could be expressed, stored safely and given to the child when the mothers were absent.
In addition, cultural factors also create challenges for mothers to breastfeed. The majority of the mothers showed a lack of confidence in expressing and storing breastmilk, a taboo in the local context.
Interventions must be designed to increase women’s confidence and dispel their misconceptions regarding breast milk, USAID-RING Project urged. Meanwhile, Hajia Ayishetu Bukari, Central Gonja district director of Ghana Health Service, also emphasized the need for employers to create and maintain conducive workplaces for exclusive breastfeeding practices.
– Yvie Yao
Photo: Flickr
Fighting Hunger in Asia Through Female Empowerment
According to UNICEF, “In 2015, more than half of all stunted children under five lived in Asia.” Further, the organization notes that the wasting rate in Southern Asia is close to being “a critical public health emergency.” In light of these concerning statistics, research has illuminated how an interdisciplinary female-focused approach to fighting hunger in Asia is the key to success for both child nutrition and the overall health of the community.
Gender inequality is more prevalent in South Asia than other parts of the continent, with a gender inequality index measuring .0536. This is on a scale from 0 being completely equal to 1 being not equal — the ratings in Singapore and The Republic of Korea are 0.088 and 0.125 respectively. Data suggests that improvements in women’s equality may hold the key to reducing South Asia’s current child undernutrition rate of 36%.
Groundbreaking research carried out in 1998 by the International Food Policy Research Institute in Washington, D.C., showed that gender inequality plays a large role in malnutrition.
While analyzing global data, the authors Smith and Haddad showed that improvement in women’s status and improvement in women’s enrollment in secondary education was responsible for over half of the reductions in child malnutrition.
Other major factors, such as food availability and improvements in a health environment, contributed to only 26% and 19% of the malnutrition reductions, respectively.
Further publications such as the World Bank Global Monitoring Report of 2007 highlight how creating diverse opportunities for women can directly combat hunger in Asia. Education benefits child nutrition by increasing access to information for expectant and current mothers and child malnutrition decreases when women have more control of the household’s resources.
Nutrition is not only important for child growth but is also an investment in preventative health. The danger of not supporting female-focused initiatives is potent, due to the foundational importance of nutrition on well-being.
Over 5 million individuals are currently living with HIV in Asia, according to UNAIDS, with 19,000 new infections in children in 2015 alone. In malnourished patients, HIV quickly progresses toward AIDS due to the immune system’s lack of essential nutrients.
Other opportunistic infections, such as tuberculosis, which is present in its “latent” non-active form in one-third of the world’s population, can then thrive in the absence of a functional immune system and can threaten entire communities.
However, focused efforts are being made to improve nutrition with an interdisciplinary approach. CARE International, a U.K. based company, sponsored the Shouhardo Project in Bangladesh to fight child malnutrition through women’s empowerment.
By implementing community initiatives to confront early marriage, prevent violence against women, give more power to women in business transactions and have more political power in the local sphere, outcomes changed.
Before the project began, less than 25% of women reported being involved in decisions to buy or sell family assets, or use savings. At the end of the study period, almost 50% of women were included in such decisions. As a result, the data collected showed a 30% drop in child stunting.
More initiatives in Asia are focusing on women’s role in child well-being, such as the Every Woman Every Child movement, which recently launched a campaign to use mobile phones to educate women on nutrition for their children in India.
India’s Self-Employed Women’s Association (SEWA) has partnered with the Food and Agriculture organization of the U.N. to boost economic opportunities for women in rural areas, with the direct goal of fighting nutrition through such avenues.
These programs are evidence of why female leadership is so important, especially in an area where gender inequality is prominent. As such initiatives develop and are supported, communities will see unprecedented gains in the fight against hunger.
– Patrick Tolosky
Photo: Flickr
Water Quality in Jamaica
The Government of Jamaica has revealed that the series of dry weather that the country is experiencing will continue to affect the country. “That is a problem that is critical in Jamaica right now,” said Albert Gordon, director general of the Office of Utilities Regulation and chairman of the Organization of Caribbean Utility Regulators (OOCUR).
The recent drought caused the National Water Commission (NWC) to take action by strategically shutting off water in certain areas during scheduled times. With disparities between urban and rural areas, water availability varies with each area, often revealing the country’s need of proper water storage facilities and distribution systems to improve accessibility and water quality in Jamaica.
Water Quality in Jamaica: Regional Assessment
Government Involvement in Water Quality in Jamaica
Access to water will be one of the main issues discussed at the 14th Annual Conference Organization of Caribbean Utility Regulators (OOCUR) in Montego Bay set to happen Oct. 26 to 28. The conference will feature presentations from the Inter-American Development Bank (IDB) on the benefits of international water investments as well as the importance of public-private water partnership to improve water quality in Jamaica.
While there are no immediate plans to build additional dams or reservoirs, mitigation measures have been employed to assist southern farmers who have been most affected by the drought. Trucking via the Rapid Response Unit and through the National Irrigation Commission allows access to water by the gallon in these areas.
– Shanique Wright
Photo: Flickr