Truvada, a New HIV Prevention Pill

A new HIV treatment has recently been introduced to the public. The treatment, known as Pre-Exposure Prophylaxis (PrEP) and sold under the brand name Truvada, “involves taking a pill once a day to prevent HIV infections in populations that are at high risk.”

The World Health Organization (WHO) has recently recommended that people who have a high risk of getting HIV should be taking the pill. In an interview with Michael Martin of NPR, Dr. Anthony Fauci, who attended the 20th annual International Aids Conference (IAC) that took place in Melbourne, Australia, seeks to explain the recommendation by the WHO and the sudden interest in the Truvada treatment. He told Martin that it is taken both as a treatment and as a precautionary and prevention drug.

Fauci explained that the WHO is now extremely interested in PrEp because “the clinical trials have incontrovertibly shown that if used properly and if people take the pill—and this is a pill that has two drugs in it, that are highly effective against HIV.”

He also commented that for people who do take the pill consistently, “the efficacy is greater than 90 percent,” and that because of this level of success, “the (WHO) and our own Centers for Disease Control and Prevention here in the United States are recommending that people in a few subcategories who are at particularly high risk should seriously consider taking this pre-exposure prophylaxis.”

Dr. Robert Grant, who also attended the 20th annual IAC, commented on the success of the drug’s implementation. He said that a daily dose was necessary because it keeps people in the habit of taking the medicine. He explained to Medscape that “daily dosing creates the highest drug levels, which provides somewhat of a cushion in case people miss a few doses,” and helps to ensure and maximize the effective nature of the treatment.

While the drug is now being used more regularly and shows promise for future HIV research, it is important to remember that Truvada serves only as a treatment and as prevention method and not as an actual cure for HIV.

– Jordyn Horowitz

Sources: NPR, Truvada
Photo: SheKnows

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Bolivia Legalizes Child Labor

In a legal decision, Bolivian officials have changed the legal working age from 14 to 10, thereby becoming the first nation to legalize child labor.

Despite provisions for children who are working at such a young age, including their being supervised by a parent if they are under the age of 12 or that they must continue school, the legalization of child labor still violates the minimum working age protocol declared by the International Labor Organization. It is still “‘an abandonment of a child’s right to a childhood.”

Moreover, the Guardian reports that there are only 78 child labor inspectors and over 800,000 currently working. The promise that the child protection requirements for these new labor laws will be consistently upheld is unlikely.

Co-sponsor of the bill and deputy Javier Zavaleta told Time Magazine that he supported the bill in the hopes that it would help decrease the amount of poverty in Bolivia. He said that “extreme poverty is one of the causes, not the main one, of child labor, so our goal is to eliminate child labor by 2020. While it is ambitious, it is possible.”

Human rights activists, however, find it suspect that these officials are trying to justify child labor by claiming it will ultimately end child labor.

Children’s rights advocacy director at Human Rights Watch, Jo Becker, told Time Magazine that “child labor perpetuates the cycle of poverty” and that “the Bolivian government should invest in policies and programs to end child labor, not to support it.”

Becker also explained that when children from poor families are sent to work instead of school, they are more likely to end up with low-wage jobs later in life, thus continuing the cycle of poverty and the misconception that child labor will help end it.

– Jordyn Horowitz

Sources: The Guardian, Forbes, TIME
Photo: VNews

Global Impact: Forming Partnerships

Global Impact is a group dedicated to forming partnerships and aiding both nonprofits and private sector organizations. By providing both secretariat and advisory resources, Global Impact has helped over 100 international charities, 100 private sector entities and 300 public sector entities flourish.

Global Impact was established in 1956. Since its inception, over $1.6 billion has been raised in order to help the world’s most impoverished people. Global Impact helps charities like Save the Children, Doctors Without Borders, the U.S. Fund for UNICEF and World Vision.

The organization seeks to develop effective strategies for giving, from the donors to the charities they want to support. More recently, Global Impact decided to team up with CollaborateUP. Global impact explains the CollaborateUP as “a boutique consulting firm advising businesses and nonprofits on how to work together to solve big problems.” According to Global Impact, CollaborateUP will “co-host an executive education program for creating shared value and maximizing strategic philanthropy.”

The program will take place between August 20 and August 22 and will act as a three-day training session for leaders of major companies dedicated to supporting nonprofits, as well as the leaders of the nonprofits themselves.

Global Impact has also been responsible for providing aid to the mass number of children who are coming to the U.S. from Central America in order to escape the poverty and violence of their homelands. The organization has been consistently working with World Vision to address the problem. Global Impact has helped World Vision organize and execute their plan to provide clothing, school supplies and shelter for these incoming children.

Global Impact has also been working with the Seattle International Fund to help alleviate issues that cause children to flee in the first place. According to Global Impact, the fund plans to invest over $1 million in the next five years to “support young adult leaders in Central America and help them to implement innovative projects within their organizations that are designed to demonstrate measureable impacts on girls’ equality and/or adolescent sexual and reproductive health rights.”

Global Impact’s primary mission is to help these nonprofit organizations effectively accomplish their goals in order to provide support to people facing extreme poverty and oppression.

– Jordyn Horowitz

Sources: CollaborateUP, Charity.org 1, Charity.org 2
Photo: Charity.org

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First Ever U.S.-Africa Leaders Summit 

From August 4 to August 6, the White House is hosting the first ever United States-Africa Leaders Summit. During the summit, U.S. President Barack Obama aims to strengthen ties with Africa’s leaders and engage in conversation on investing in the future of the continent.

The summit, hosts 50 African leaders in good standing with the U.S. and is focused on trade and investment in Africa. They are also discussing food security, availability of clean water and sustainable housing.

With the continent in the midst of a serious Ebola outbreak, some gears may be shifted toward providing reliable healthcare facilities to the millions who suffer from health problems due to impoverished conditions throughout rural Africa.

Healthcare is a hopeful topic of discussion for the U.S.-Africa Leaders Summit, as the healthcare inequality gap proliferates in both countries. In South Africa, healthcare for the impoverished is increasingly difficult to attain, as no one seems to be making the initial investment to build a hospital where effective healthcare can be provided on a public scale.

Another significant highlight of the summit is climate change. Africa’s rural agriculture relies on the rain. In recent years, Africa has suffered from harsher and more frequent environmental changes, and so Obama has opened a dialogue on implementing sturdier agricultural infrastructure to positively impact food security among African nations.

This has big implications for Africa’s impoverished population, as 65 percent of the entire continent relies on agriculture as their source of livelihood. If environmental conditions can be dealt with more productively, agricultural output will increase. This will have real and beneficial effects on conditions by raising wages and lowering the price of food. Thus, Africa’s impoverished population will have greater buying power.

Obama is also hopeful that his discussions on trading partnerships will have a positive impact on job markets in Africa. In doing this, African companies will be seeking foreign investment and will prove that the continent has more to offer than just commodities and natural resources. If significant investment is secured, many tangible benefits will be brought back to American soil, as these companies will be capable of expanding the economy and beginning to employ Africa’s promising youth.

All in all, the U.S.-Africa Leaders Summit has a lot of potential for aiding Africa’s population.

– Conner Goldstein

Sources: UCSF, WhiteHouse.gov, The World Bank, The Guardian
Photo: The Guardian

Women with HIV Face Forced Sterilizations

Our knowledge of HIV/AIDS is continuously expanding 30 years into the AIDS epidemic. Researchers are discovering that–given the right treatment and precautions–people living with HIV can greatly reduce the risk of transmission to partners and can even safely conceive and give birth. Yet many health care providers in Central America are misguidedly pressuring HIV-positive women into sterilization.

Tamil Kendall, a Harvard School of Public Health research fellow with 10 years of experience in gender and HIV in Latin America, reports that “health care providers [in Central America] are expressing the view that living with HIV means that you don’t have reproductive rights, that you can’t choose the number and spacing of your children, that you can’t choose the contraceptive method that you would like to use.”

Kendall is the driving force behind a recently-published study on health care practices in El Salvador, Honduras, Mexico and Nicaragua, one which reveals antiquated attitudes toward HIV and troubling reproductive rights violations throughout the region.

The results show that, out of the 285 women studied across the four Central American countries, 23 percent have been pressured by health care professionals to go through a sterilization procedure. Rates in individual countries range from 20 percent in Nicaragua to 28 percent in Mexico. Additionally, only half of the women surveyed reported being told that an intervention in the form of antiretroviral drugs exists, which can reduce mother-to-child transmission of the virus by 98 to 99 percent.

Women with HIV are coerced by doctors and nurses unethically. Kendall reports that one Mexican woman was sterilized while under anesthetics during a Caesarian section. Another young mother from El Salvador claimed that doctors refused to perform a Caesarian until she consented to sterilization. Many women are told that another pregnancy will result in their own or their child’s death.

Kendall’s study reveals that socioeconomic status and ethnicity do not play a part in this kind of discrimination and that it is driven solely by an HIV-positive diagnosis.

Yet amid this troubling news, there is reason for optimism. As Kendall observes, “There is some promising research… indicating that health care providers are becoming increasingly aware of the possibility of preventing mother-to-child HIV transmission as well as sexual transmission with antiretroviral therapy—and that this knowledge is starting to transform attitudes.”

Moving forward, she recommends that health care providers be held accountable for their actions in courts, and that policy makers become aware of new research on HIV/AIDS and begin investing more in reproductive health and women’s rights.

– Kayla Strickland

Sources: Thomson Reuters Foundation, Harvard School of Public Health
Photo: Fabulous-City

Hunger in Eritrea

Situated between Sudan and Ethiopia in the Horn of Africa, Eritrea is a nation of both plenty and dearth. Food grows abundantly in the nation’s nutrient-rich fields, but nearly every year, Eritrea makes global headlines for a hunger crisis.

A particularly severe food shortage in 2011 left as many as two-thirds of Eritreans hungry. Last year’s shortage was among the worst in Africa–only Comoros and Burundi had more serious food insecurity–and was classified as “alarming.”

Eritrea is one of many African nations with both an economy based in agriculture and a paradoxical inability to feed its people. Though nearly 70 percent of Eritreans are involved in the agricultural sector, Eritrea currently only meets a third of its estimated food needs (the other two-thirds being met by international food aid programs). Though Eritrea’s economy is technically growing, it isn’t growing quickly enough to sustain a population of over six million people.

Being one of the least-developed countries on the planet makes it difficult for the government to implement lasting changes to prevent hunger in Eritrea, as the infrastructure and supplies for long-term economic changes and aid programs are largely lacking.

In the past three years, the Eritrean government has focused on improving agricultural infrastructure in order to decrease food insecurity, and though hunger has declined during that period, it has not declined significantly enough for Eritrea to achieve the first Millennium Development Goal (that of halving hunger and poverty levels by 2015).

Another issue causing continued hunger for Eritreans is that the government is rather secretive and has been accused of deliberately withholding information regarding the substandard living conditions of its people.

During the 2011 famine that swept through the entire Horn of Africa, Eritrea publicly stated that it was unaffected despite the overwhelming majority of its people living in hunger that year. Eritrea’s government faces no opposition and forbids freedom of the press, allowing it to mask subpar conditions more easily than other, more transparent governments.

To some extent, food insecurity can be expected in a country with a climate like that of Eritrea. Situated in the Sahel desert, Eritrea experiences periodic droughts which affect its agricultural output. That said, the number of people hungry in Eritrea remains alarmingly high even with the implementation of food aid programs and efforts to improve infrastructure.

– Elise L. Riley

Sources: BBC, All Africa, World Food Programme, World Bank, UN
Photo: Trust

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Alcohol Abuse in Uganda

Alcohol abuse is a global phenomenon. Alcoholic preferences vary across the globe — vodka is widely considered Russia’s drink of choice, while beer tends to be America’s favorite — but there is something most nations have in common, save many countries in the Middle East where alcohol is strictly forbidden. That is the existence of alcohol related disorders. One of the countries with the highest prevalence is Uganda.

On average, according to data based on official records and representative surveys accumulated in the World Health Organization’s 2014 Global Status Report on Alcohol and Health, Ugandan drinkers drink 23.7 liters of pure alcohol a year per capita. Males typically consume 25.6 liters while females drink 19.6 liters. American drinkers, in comparison, drink 13.3 liters. As a consequence of what’s often excessive drinking in Uganda, 10 percent of males and 1.5 percent of females have an alcohol related disorder. That’s about three in every 50 people.

The high statistics are in part due to alcoholic beverages particular to the region. Many African countries produce their alcohol locally from sorghum, millet and other agricultural products. The alcoholic beverages industrialized countries are fond of, such as beer and vodka, may be scarce in Uganda, but this is no remedy for abuse.

The consequences of alcohol abuse are relentless and strongly correlate with poverty. One must factor not only the money spent on alcohol, but also the low wages and lost employment opportunities due to missed work and decreased efficiency, and the high medical expenses following alcohol-inspired illness — that is, if one is lucky enough to receive legitimate treatment at all. Otherwise, death is the harsh but likely consequence.

Many of the worst alcohol-related illnesses are neurological. One common neurological disease, called Central pontine myelinolysis (also called Osmotic demyelination syndrome,) is characterized by severe damage to the myelin sheath, a protective insulator coating nerve cells that is essential for the nervous system to function properly. This results in difficulty moving (paralysis,) swallowing (dysphagia) and speaking (dysarthria.)

Another area of the brain that is seriously affected by Central pontine myelinolysis is the pons, a small (about 2.5 centimeters) part of the brain stem. Its job is to relay messages from the forebrain, including the cerebral cortex and the limbic system, to the cerebellum. It is also associated with autonomic functions such as with sleep, respiration, swallowing, bladder control, hearing, equilibrium, taste, eye movement, facial expressions, facial sensation and posture.

Damage to the pons affects these automatic functions, making them more difficult for your body to control and produce. This severe consequence of alcohol abuse effectively renders the drinker useless in a developing society. He or she requires medical assistance and constant attention, which drains resources that may not be readily available in places like rural Uganda. Excessive drinking, in this way, is a neurologic roadblock to poverty reduction.

Alcohol, however, not only prolongs poverty but is also promoted by it. Impoverished people without hope for an economic upturn are more likely to spend their money on whimsical, instant pleasures like alcohol and drugs than on investments for a future they don’t think exists. This is why education and hope-giving humanitarian projects are so crucial to long-term development.

– Adam Kaminski 

Sources: WHO, MedlinePlus
Photo: The Promota

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Silicon Valley Community Foundation

Launched in 2007 through a merger between the Peninsula Community Foundation and the Community Foundation Silicon Valley, the Silicon Valley Community Foundation has developed a new approach for giving. The organization’s overall aim is to maximize the impact each donation will have for any given cause.

The Silicon Valley Community Foundation,  led by CEO Emmett D. Carson, operates by working to “simplify giving so donors can focus on their charitable passions, partner with the most effective organizations to create change, and advance innovative philanthropic solutions to challenging problems.” Moreover, its five basic strategies (economic security, education, immigrant integration, regional planning and a community opportunity fund) help ensure the foundation’s success.

In order to achieve maximum outreach, the Silicon Valley Community Foundation collaborates with other foundations and initiatives. Many of these foundations target early childhood education and community leadership projects focused on “strengthening organizations serving low-income and communities of color.”

Initiatives that have recently been completed include the Fostering the Future initiative, which took place over a six year period (2005-2011). Its objective was to provide a better life for youth that are subjected to abuse from either their biological families or foster families, as well as for children who have become too old for foster care. The Envision Bay Area initiative, that took place from 2010-2012, aimed to build a community of both leaders and constituents that made daily decisions based on what would be best for the environment. The Silicon Valley Community Foundation made use of YouChoose Bay Area in order to make this initiative successful. The work from this initiative ultimately “convinced the local planning agencies to set higher greenhouse gas emissions than their staff had initially recommended.”

The Silicon Valley Community Foundation is currently responsible for $2.9 million in assets and has over 1,600 philanthropic funds.

– Jordyn Horowitz

Sources: The Chronicle of Philanthropy, Silicon Valley Community Foundation
Photo: Future Partners

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Chinese Foreign Aid: Setting a Good Example

China is considered a developing country. Interestingly, it also has the second-largest economy in the world. This paradox may seem impossible. In reality, however, this paradox has taught the country’s economic leaders valuable lessons about how to most successfully engage in the global economy. By aiding other developing countries, China’s economic strategy has become one of the most effective in the world.

In 2000, China began a mission lending aid to countries with underdeveloped economies. Chinese government officials recognized their own economic stability and began to implement assistance initiatives in developing countries with which China had connections through trade.  The initiatives, which are still in existence today, improve education, sustainability, medical facilities and other aspects of daily life in these countries.

Many of these countries export more goods to China than to any other place in the world. Therefore, Chinese consumers are crucial to the growth of the economies of these African and Asian countries. In response, the Chinese government recently has lifted tariffs on some imports from these developing countries.

China’s decisions to help other developing countries are more than acts of goodwill; they are intelligent business initiatives. In providing assistance and allowing developing countries’ markets to flourish, China is building trusting relationships with valuable trade partners.

Establishing trade relationships is vital in the global economy. China and its partners know that they can count on each other for fair trade and support.

China and many other developing countries engage in relationships through the South-South Cooperation. The South-South Cooperation allows developing countries to collaborate to form strong trade relationships and share strategies that may help other countries escape the barriers of poverty. China has been an active member of the cooperation for many years.

By helping to lift developing countries out of poverty, China can expect a great return of help from them in the future. As previously stated, China is a developing country itself. While it provides assistance to many places outside of its borders, poverty still exists within the country.

China’s economic strategy sets a positive example for other global economic leaders. It has used foreign assistance as a successful way to ensure strong trade relationships, return investments and hope for future repayment. China’s economy is proof that foreign assistance offers more help than harm to a country’s own financial status.

– Emily Walthouse

Sources: Global Post, RAND Corporation, United Nations Office for South-South Cooperation
Photo: China Daily Mail

Nicaragua’s Ongoing Food Crisis

Some of the Pacific Ocean is warmer than usual – a seemingly innocuous fact, but it actually explains the devastating drought afflicting one of the world’s poorest countries. Because of El Niño, the name for the sporadic increase in temperature in this band of ocean water near the Pacific coast of South America, some regions in Nicaragua have seen little rain during the past several months and the May harvest has failed, resulting in a food crisis. The citizenry is now calling on President Daniel Ortega to implement policies to compensate for rising food prices.

As El Niño develops from June to August and the waters of the equatorial Pacific warm, the Nicaraguan climate becomes warm and dry. This year, the country’s western and central areas have been extremely dry. According to the Nicaraguan Institute for Territorial Studies, rainfall in some of these areas has been as much as 88 percent lower than average. One farmer described the amount of rain he has seen over the past few months as “not enough to really even wet the earth.”

As a result, both the bean and maize crops failed in May. Approximately eight out of every ten rural inhabitants depend on these crops for their livelihoods, according to New Agriculturist. Many are asking how Nicaragua, where roughly 1.2 million people were undernourished in 2012, will find a way to feed the second poorest population in Latin America, especially with food prices on the rise.

Dairy and beef producers have warned the government that their production could fall by 50 percent if the drought continues into September. Livestock owners have adjusted by purchasing expensive feed and medicine that they hope will save as many cattle as possible. They pass their increased costs of production on to consumers. And despite these measures, cattle are still dying in droves. More than one thousand cattle have starved to death, according to one agricultural union.

Nicaraguans facing this food crisis are demanding President Ortega act to mitigate it. Thus far, his administration has met with farmers to discuss their options, has expanded a government program that provides meals to thousands of families and has ordered the importation of millions of kilograms of beans and white maize, which will hopefully keep food prices from skyrocketing until the September harvest. In addition, millions of schoolchildren receive free meals consisting of “rice, beans, fortified cereals, wheat flour and vegetable oil” from the U.N. World Food Programme.

However, if the September harvest also fails, the country could face a famine. Farmers used their profits from last year to buy seed for May’s harvest, but now they must borrow money to buy the seed for September’s. If Nicaragua’s drought continues past September, many farmers fear they will have nothing left.

In June, the European Centre for Medium-range Weather Forecasts (ECMWF) reported that there would be a 90 percent chance of El Niño occurring this summer. However, the Nicaraguan government could do little with that information because the ECMWF lacks the means to predict the phenomenon’s intensity.

It is also worth noting that El Niño’s effects have varied from country to country. Some farmers in other countries, such as mango farmers in Brazil, expect to benefit from the rains that El Niño brings to those regions. This one weather phenomenon brings prosperity to some and destitution to others.

– Ryan Yanke

Sources: New Agriculturist, IPS, World Food Programme, NOAA 1, NOAA 2, World Bank, Time, Fresh Fruit Portal
Photo: OrganicConsumers