
After intense rain, flooding in Paraguay has destroyed crops, destroyed homes, and blocked roads. Tens of thousands of people have been evacuated so far, most of which are sleeping in improvised tents and makeshift settlements. Those most affected by the flooding are people living near the Paraguay and Paraná Rivers. The National Secretariat for Emergencies estimates that the level of the Paraguay River is likely to rise by another 3 inches in the next week.
President Horacio Cartes expresses his concern for his citizens and his determination to support everyone, saying, “We won’t be happy or satisfied as long as we’re going through this situation.”
The Paraguayan government has spent more than 3 million on food aid to assist the people affected by the flood.
Governor Carlos Silva stated Friday that the United Nations and Red Cross experts have evaluated the situation, and the International Federation for the Red Cross has already dedicated 275,000 Swiss francs through their Disaster Relief Emergency fund. The governor believes that aid from other countries will be sent soon as well.
The flooding in Paraguay has also affected Brazil and northern Argentina. In Brazil, 11 people have already died, and 560,000 people have been affected in some way. In North Argentina, in the province of Misiones especially, roads and bridges have been damaged, and thousands have been cut off from the rest of the world. In both locations the heavy rainfall is expected to continue.
In this particular region of South America, flooding is frequent, and similar intense flooding happened just last year, lasting for almost 2 months. In central and southern Chile, although a bit further away from the other region, is also being negatively affected by flooding
Flooding has become all too common in recent years, and scientists believe it is due to rising sea levels from global climate change. When sea levels rise globally, areas with rivers are more susceptible to flooding.
Although people in developing countries carry a smaller carbon footprint than those in developed ones, flooding and other natural disasters negatively affect the poor at a higher and more dangerous rate.
The lower quality of infrastructure, inadequate health care and the inability to recover from unexpected situations result in a similar disaster affecting the poor much more severely than the rich. In 1998, when Hurricane Mitch hit Honduras, poor households lost 15%-20% of their assets, while the richer population only lost about 3%.
Another way flooding effects poor areas unequally is through the economy afterwards. In poorer populations, citizens rely on farming and tourism as two main sources of income. With massive amounts of flooding, both are likely to be damaged.
The flooding in Paraguay is expected to continue throughout this next week, and the full damage of the floods will not be known until it completely stops.
– Courtney Prentice
Sources: BBC News, The New York Times, USA Today, Floodlist, The Nature Conservancy, The Economist
Photo: Plus America
Flooding in Paraguay
After intense rain, flooding in Paraguay has destroyed crops, destroyed homes, and blocked roads. Tens of thousands of people have been evacuated so far, most of which are sleeping in improvised tents and makeshift settlements. Those most affected by the flooding are people living near the Paraguay and Paraná Rivers. The National Secretariat for Emergencies estimates that the level of the Paraguay River is likely to rise by another 3 inches in the next week.
President Horacio Cartes expresses his concern for his citizens and his determination to support everyone, saying, “We won’t be happy or satisfied as long as we’re going through this situation.”
The Paraguayan government has spent more than 3 million on food aid to assist the people affected by the flood.
Governor Carlos Silva stated Friday that the United Nations and Red Cross experts have evaluated the situation, and the International Federation for the Red Cross has already dedicated 275,000 Swiss francs through their Disaster Relief Emergency fund. The governor believes that aid from other countries will be sent soon as well.
The flooding in Paraguay has also affected Brazil and northern Argentina. In Brazil, 11 people have already died, and 560,000 people have been affected in some way. In North Argentina, in the province of Misiones especially, roads and bridges have been damaged, and thousands have been cut off from the rest of the world. In both locations the heavy rainfall is expected to continue.
In this particular region of South America, flooding is frequent, and similar intense flooding happened just last year, lasting for almost 2 months. In central and southern Chile, although a bit further away from the other region, is also being negatively affected by flooding
Flooding has become all too common in recent years, and scientists believe it is due to rising sea levels from global climate change. When sea levels rise globally, areas with rivers are more susceptible to flooding.
Although people in developing countries carry a smaller carbon footprint than those in developed ones, flooding and other natural disasters negatively affect the poor at a higher and more dangerous rate.
The lower quality of infrastructure, inadequate health care and the inability to recover from unexpected situations result in a similar disaster affecting the poor much more severely than the rich. In 1998, when Hurricane Mitch hit Honduras, poor households lost 15%-20% of their assets, while the richer population only lost about 3%.
Another way flooding effects poor areas unequally is through the economy afterwards. In poorer populations, citizens rely on farming and tourism as two main sources of income. With massive amounts of flooding, both are likely to be damaged.
The flooding in Paraguay is expected to continue throughout this next week, and the full damage of the floods will not be known until it completely stops.
– Courtney Prentice
Sources: BBC News, The New York Times, USA Today, Floodlist, The Nature Conservancy, The Economist
Photo: Plus America
Mali’s Security Woes Lead to UN Help
The Security Council recently extended the mandate of the United Nations Multidimensional Integrated Stabilization Mission in Mali by one year. The mission was established by the Security Council in April in an effort to bolster Mali’s state authority. That authority has been repeatedly tested by rebel factions in the country’s north which have seized a significant amount of control over communities in that region.
A ceasefire agreement mediated by the African Union has been in effect in Mali since ethnic Tuareg rebels launched assaults on government buildings, killing soldiers and government officials following a visit to the northern town of Kidal by new Prime Minister Moussa Mara. The attacks were a reminder of the violence which has gripped the nation in recent years.
In June of 2013 the Ouagadougon Agreement between Tuareg rebel groups from northern Mali and the government was signed with the African and European Unions serving as co-signees. The agreement allows the government’s army and administration to return to the region of Kidal which has been under the control of rebels since 2012 following a military coup. However, the agreement, like the ceasefire, has been tenuous at best, with the rebel group still wielding significant control over the country’s northern region.
In June 2013 French military intervention led to the defeat of Islamist groups controlling the North. It allowed for stability to return to the region, but that stability has remained fleeting.
Recently the United Nations announced that its peacekeeping forces in Mali will be using unmanned drones to gather useful information. This is similar to the drone operations already being utilized in Congo. So far, only 8,000 of the promised 12,000 UN peacekeeping troops have been deployed in Mali. The numbers are set to increase soon, but there is no doubt that an integral portion of Mali’s stabilization efforts remains unavailable.
An addendum to Mali’s security woes has been the recent announcement by the World Bank that they would be delaying $63 million in aid pending their inquisition into Mali’s government spending. The International Monetary Fund followed suit by delaying $6 million of its own aid money. This follows the government’s purchase of an expensive presidential jet despite the country’s significant budgetary restraints.
It has become clear that Mali is plagued by varying levels of instability. Over the coming months the U.N. will attempt to temper that instability and instill competence in the state’s operations. The results are yet to be seen.
– Taylor Dow
Sources: UN News Centre, ABC News, Reuters Africa, CBC News, Reuters
Photo: Almanar News
First 28 Days of Life
The first 28 days of life are the most fragile. Because newborns are especially delicate, many child deaths happen within the first 28 days of life. In 2007, out of 9.2 million infant deaths, 40 percent of the deaths were during the newborn stage.
Over half of child deaths occur during the newborn stage in developing countries, as most babies only live a few days after birth. Some of the main causes of early death are serious infections, prematurity, birth asphyxia (a condition arising when the body is deprived of oxygen, causing unconsciousness or death from suffocation) and congenital malformations.
Another major cause of early death is the health of the mother during pregnancy. Some specific examples that lead to early deaths in developing countries are a lack of attention to maternal health because they do not have care from proper skilled caretakers, the lack of knowledge about infant illnesses and the absence of proper birthing facilities.
A committee has been developed specifically for newborn health and development and aims to prevent newborn deaths. This committee is called Every Newborn: an action plan to end preventable deaths. The main partners involved in this community are WHO and UNICEF. Every Newborn (ENAP) is also working with governments who have recently made commitments to look into this issue and come up with solutions. ENAP works to develop solutions. Solutions range from a wide variety of aid to end preventable deaths in newborns and mothers. The committee claims they have the knowledge, power and skills to prevent two-thirds of newborn deaths.
ENAP’s mission is “a vision of a world in which there are no preventable deaths of newborns or stillbirths, where every pregnancy is wanted, every birth celebrated, and women, babies and children survive, thrive and reach their full potential.”
– Priscilla Rodarte
Sources: Every Newborn, Healthy Newborn Network, WHO 1, WHO 2 UNICEF
Photo: GW Hospital
5 Famous Refugees
June 20 marked the 65th World Refugee Day, described by the United Nations High Commissioner for Refugees as “a special day when the world takes time to recognize the resilience of forcibly displaced people throughout the world.”
The official definition of the term “refugee,” quoted from the 1951 Refugee Convention, states:
“A refugee is someone who owing to a well-founded fear of being persecuted for reasons of race, religion, nationality, membership of a particular social group or political opinion, is outside the country of his nationality and is unable to, or owing to such fear, is unwilling to avail himself of the protection of that country.”
While many associate this definition to the countless faces pictured in the midst of crisis, like the current situation in Syria, the term refugee can be applied to prominent figures that have made a significant change in our international history. Below are just five examples of famous refugees that have made a difference.
1. Albert Einstein
Profession: Scientist
Country of Origin: Germany
Country of Asylum: United States of America
Backstory: As a German Jew, Einstein was accused of treason and his books were thrown into Hitler’s bonfires. Finding it increasingly difficult to work in Nazi Germany, Einstein took a job at Princeton University in 1932 and gained United States citizenship. Despite having left Germany, Einstein and his wife continued to support the German Jews from abroad, making visa applications for refugees and later selling his 1905 research paper on special relativity, earning $6 million towards the war effort.
Quote: “I am privileged by fate to live here in Princeton,” Einstein wrote in a letter to the Belgian Queen. “In this small university town the chaotic voices of human strife barely penetrate. I am almost ashamed to be living in such peace while all the rest struggle and suffer.”
2. Frédéric Chopin
Profession: Composer
Country of Origin: Poland
Country of Asylum: France
Backstory: Chopin left his home country to advertise Poland’s fight, against the Russians, through music abroad. After leaving Warsaw for Vienna, the fighting broke out and Chopin was notified that he was longer welcome back in Poland.
Quote: “Oh, how hard it must be to die anywhere but in one’s birthplace.”
3. Madeline Albright
Profession: First Female U.S. Secretary of State
Country of Origin: Czech Republic
Country of Asylum: United States of America
Backstory: Albright is unique in the fact that her family was forced to leave her home country on two separate occasions. The family fled to England when Nazis invaded Czechoslovakia during World War II and later fled Prague during the Communist takeover of 1948.
Quote: “My father had been in the Czechoslovakian Diplomatic Service. I was a refugee during World War II in England as a little girl and lived through the Blitz. I then went back and had a fairly glorious life as a daughter of an ambassador. And then all of a sudden we were again refugees and came to the (U.S.) with nothing.”
4. Sigmund Freud
Profession: Neurologist
Country of Origin: Austria
Country of Asylum: England
Backstory: Upon the Nazi army’s attack on Austria, Freud fled to London and became a refugee at age 84, after living in Austria for 79 years.
Quote: “Civilized society is perpetually menaced with disintegration through this primary hostility of men towards one another.”
5. Henry Kissinger
Profession: 56th U.S. Secretary of State
Country of Origin: Germany
Country of Asylum: U.S.
Backstory: Kissinger did not publicly share much information about his experience as a refugee. However, it is known that Kissinger fled with this family to the U.S., escaping the Nazi regime in his homeland of Germany. Dr. Kissinger became a U.S. citizen in 1938 at age 15.
Quote: “When you see the mass exodus of people in war situations, or in genocidal situations, that magnifies my personal experience. But I think my personal experience creates an understanding and, I like to think, a sense of obligation to being sympathetic and supportive. So for all of these reasons I think helping refugees is something this country must do.”
– Blythe Riggan
Sources: United Nations High Commissioner for Refugees, History, Huffington Post, BrainyQuote, United Nations High Commissioner for Refugees, United Nations High Commissioner for Refugees, Nobel Prize, International Rescue Committee
Photo: Colombo Telegraph
What Do We Really Know About Our Food?
The average person makes approximately 200 food-related decision per day. This statistic makes it seem as though food is one of the few things over which we have control. Or do we? While the choice is entirely up to each individual, do we always have all the knowledge necessary to make an informed decision?
Socially learning which foods are poisonous and which are nutritious was a crucial evolutionary step. But in the era of the grocery store, information about food is abundant and often confusing. What is more, food information provided by labels, the media or even so-called independent reviewers usually comes with ulterior motives.
According to Public Health Perspectives blogger, Beth Skwarecki, the concept of nutrition can be manipulated for marketing purposes or to even create a fear fad. Take, for example, the controversial topic of genetically modified organisms. There is so much information both against and for it that most of the information is more confusing than informative to consumers.
As a teacher of nutrition at a community college, Skwarecki says that it is important for people to develop their “baloney detectors.” Once you understand the science behind each topic, it is much easier to make an informed decision.
This method might work in developed countries, but what about people in poor countries? Residents of the industrialized world have better access to information, so that if someone takes the time to research the issue, he or she can make better food choices. But what about people in developing nations that depend on foreign aid to cover their most basic nutritional needs?
Low income and food insecure people are the most vulnerable to lack of nutrition. According to the International Food Policy Research Institute, while substantial progress has been made over the last decade in agricultural practices, progress in nutrition and health of poor farmers and consumers in developing countries is still slow.
One of the strategies proposed is to increase access to nutritional food. However, this also means implementing educational programs that would allow people to understand where their food comes from, and where to find the most added-value nutrition.
So whether it is for people in advanced nations or in the developing world, one of the most important elements to nutrition is having access to correct information. In the end, this comes back to the most basic notion of having a say in what we eat, and how we allow the content of our food to impact our lives.
-Sahar Abi Hassan
Sources: Public Health Perspectives, International Food Policy Research Institute
Photo: The World Bank
Drowning Prevention in Vanuatu
Vanuatu, an archipelago northeast of Australia in the South Pacific, has a geography, culture and death rate shaped by water. The island nation’s residents frequently travel between the 83 islands to visit friends, attend schools and fish. But this comes with risks; residents have been prone to water-related accidents, notably death by drowning.
The fact may seem surprising (island dwellers don’t know how to swim?), but it makes some amount of sense; water is so completely integrated into Vanuatuan daily life that there are bound to be accidents. It’s the equivalent of car crashes in the United States. This does not mean, however, that the 40 percent of accidental deaths caused by drowning should be ignored, or even taken for the norm.
Instead, volunteers have answered the outcries of Vanuatuan businesses and communities who feel increased precaution is necessary. Heading the charge is Nancy Miyake, an American expatriate and swim instructor who has begun a three-month trial of a new swim course. And she’s not the only one speaking up.
Martin Wilke, a volunteer lifesaver, will spend the next 18 months as a Drowning Prevention and Education Officer in Vanuatu. His program, emphasizing government and administrative obligation to drowning prevention, is made possible by the Red Cross Australian Volunteer for International Development program. It is also supported by Surf Life Saving, a multifaceted Australian movement providing lifeguarding services.
In Vanuatu, until recently, there were no strategies to prevent drowning, few life preservers on boats and no organized swimming lessons. “There are children who have died,” Ms. Anis, a Vanuatuan mother of four, laments, “they’ve drowned because they aren’t able to swim.” Many instances of drowning, however, aren’t even reported. Anika Wright, a volunteer surf lifesaver in Vanuatu, believes that this is because “people see drowning and water-based deaths as black magic.”
To prevent deaths such as these, and to prevent superstition from interfering with safety, Miyake and other volunteer lifesavers will target children. They are the most vulnerable to water-related accidents and, Miyake hopes, will in adulthood become advocates for water safety and volunteer swim instructors themselves. The trial that is now being established may grow into a self-perpetuating system; this kind of system is what aid looks like at its finest.
Her lessons are administered in local languages and with local materials. Twice a week, children come to learn floating techniques, practice the basic strokes and instill confidence in each other. The water shouldn’t be anything to fear – if it were, Vanuatuan culture wouldn’t look like it does today. Swimming instruction is now taking place in Port Vila, the capital of Vanuatu. Meanwhile, Martin will collaborate with the Vanuatu Surfing Association.
-Adam Kaminski
Sources: Surf Life Saving Australia, Australia Network News, BBC
Photo: International Surfing Association
Social Media and Global Health
Social media has been transforming the way in which information about global health is being spread. For example, the Strategic Health Operations Centre in the World Health Organization utilizes social media to help manage global health crises. By paying attention to social media, WHO is able to receive up-to-the-minute updates about global health, as well as being able to rapidly share important health information with millions around the world. WHO has two staff members simply devoted to social media. Other world health organizations are beginning to follow suit.
While social media can allow for the rapid spread of information about global health issues, there are also risks involved with using social media with issues about global health. Social media can sometimes provide an avalanche of data that can be difficult to sort through. Similarly, some of the information could be inaccurate or misleading.
Regardless of the benefits and disadvantages of social media and global health, social media does play a large role in global health. Here are three recent popular social media posts that focus on global health:
1. The Council on Foreign Relations generated a map of vaccine-preventable outbreaks around the world.
2. GAVI launched a colorful graph of vaccine introductions organized by countries, diseases and number of people reached for the last few years.
3. A Twitter campaign launched by End Polio Now celebrated India becoming polio free with a picture illustrating its successful immunization campaign.
While there are drawbacks to using social media to discuss global health, the images created by global health initiatives are still effective ways of educating people about important issues relating to global health. Similarly, by using technology to generate graphs or share pictures, social media allows for information that is more interesting and accessible to be shared, while presenting this information in a format that is easy to understand. As long as it is easy to find and accurate, social media can truly be a powerful tool for educating the world about issues relating to global health.
-Lily Tyson
Sources: Huffington Post, Impatient Optimists, SciDevNet
Photo: hcsmmonitor
Pollution & Health in India
China has become infamous due to its high levels of air pollution, but another Asian country has a staggering pollution problem as well: India. According to a study done by the World Health Organization, the Indian capital of New Delhi has the most polluted air in the world. Furthermore, the top four most polluted cities are all located in India, indicating a countrywide problem.
Pollution is monitored by measuring the size of the particulate matter (PM) in a certain concentration per a specific amount of air. In May, the New York Times reported that air pollution was found at 2.5 PM (meaning “particulate matter less than 2.5 micrometers in diameter”), concentrated at 350 micrograms in one cubic meter of air. The most alarming part is the size of the particulate matter. The New York Times discloses that 2.5 PM “is believed to pose the greatest health risk because it penetrates deeply into lungs” due to its small size.
Time Magazine reports that air pollution was the “fifth largest killer in India” in 2013. A myriad of respiratory issues, some “unidentified,” were the cause of 600,000 premature deaths. The Indian Journal of Community Medicine outlined some of the medical issues directly associated with pollution in Delhi, and compared the prevalence of those issues with rural communities. Respiratory symptoms all around were 1.7 times higher, upper respiratory symptoms were 1.59 times higher, and lower respiratory symptoms were 1.67 times higher. Rates of asthma were “significantly higher” and overall lung function was diminished.
The list of problems goes on, including headache, eye and skin irritation, increased blood levels of lead, and even a connection to ADHD in children. Schools have been closed on days with especially poor air quality, parents try to keep children indoors as much as possible and physicians discourage outdoor exercise for the elderly.
The Indian Journal of Community Medicine reports that even in 1997, the amount of air pollution was excessive. 3000 metric tons of air pollution was produced by Delhi alone, “with a major contribution from vehicular pollution, followed by coal-based thermal power plants.” The study reported that there were 3.4 million cars on the roads of Delhi in 1997. That number has risen to 7.2 million in 2014.
The problem, while once neglected, can no longer be ignored. The government in Delhi has imposed some measures to decrease the amount of pollution. Various policies calling for less harmful car fuels have been instituted. Different roads and subways have been constructed, with the intention of “smoothing traffic flow.” Drivers are required to obtain a “Pollution Under Control” certificate for their vehicles as well.
Industrial policies exist as well, but their plans are far more vague in a “comprehensive document envisioning higher industrial development in Delhi, with one of its mandates being to develop clean and non-polluting industries.” While these plans are ideal, they do not explicitly call for immediate action.
Researchers call for “existing measures to be strengthened and magnified to a larger scale.” While government policies provide the guidelines, it is up to “participation of the community” to insure that reduction in pollution actually happens. Use of public transportation, continual checking of Pollution Under Control certificates and greater education on reduction measures is suggested.
-Bridget Tobin
Sources: The New York Times, National Center for Biotechnology Information, TIME
Photo: Every Stock Photo
Aspen Ideas Festival 2014
ASPEN, Colorado – Celebrating its tenth anniversary this summer, the week-long Aspen Ideas Festival brought together some of the most influential leaders from around the world to speak and present to audiences. The thought-provoking festival is organized by the Aspen Institute, an educational policy studies organization that aims to foster leadership based on lasting values and to provide a nonpartisan venue for tackling critical issues.
Held in Aspen, Colorado, the annual ideas exchange hosted seminars, panels and discussions from an array of presenters composed of innovators, politicians, artists, writers, diplomats, scientists, entrepreneurs and more. Notable figures at this year’s festival included Hillary Clinton, Al Gore, Tony Blair and David Petraeus, all four of who participated in the Afternoon of Conversation, an event that constitutes the halfway mark of the festival and features high-profile leaders who discuss solutions to today’s most critical issues.
This year’s theme was imagining 2024, and thinkers from all over the U.S. and abroad gathered to surmise what innovations the next decade might bring. Topics of debate and discussion encompassed future megacities, urban America in 2024, the shifting world of work in a networked economy, the fate of our forests, national security in 2024, fracking, the revolutions of the Middle East, the economics of happiness and a new cold war with Russia.
Showcasing the wide variety of topics covered, Harvard University President Drew Faust talked about the development of higher education in a digital environment while The Atlantic editor-in-chief James Bennet debated the ethics of genetically modifying embryos. At other discussions, College Board President David Coleman questioned the SAT and college preparation testing methods and former U.S. Director of National Intelligence Mike McConnell pondered with audiences on how to counter the foreign cyber attack threat on U.S. corporations.
Years ago, the Aspen Institute envisaged a gathering of leaders from myriad backgrounds and specializations to discuss the issues of the day and come up with innovative solutions, citing the potential and power that comes from a forum where leaders, innovators and citizens alike debate and discuss global and societal issues. This vision culminated in the first Aspen Ideas Festival in 2005, which featured such prominent speakers as Jane Goodall and Toni Morrison, whose ranks have been joined by key figures like Bill Gates and Sandra Day O’Conner since that first festival.
The 2014 Aspen Ideas Festival took place from June 24 to July 3. The festival’s events were streamed live throughout the festival on The Atlantic, National Public Radio, and the festival website, the last of which also archives videos and audio from past AIF events.
— Annie Jung
Sources: Aspen Ideas Festival, The Atlantic, The Aspen Institute
Photo: TIME Magazine
mDiabetes for a Healthy Ramadan
As many Senegalese begin celebrating Ramadan, those with diabetes must be particularly careful fasting and feasting because it can trigger complications, and put their health at risk.
Every year during Ramadan in Senegal, there is a spike in those needing urgent hospitalization due to uncontrolled diabetes. To help solve this problem is mDiabetes, a free service that sends text messages to mobile phones before, during and after the month of Ramadan to give those with diabetes tips and tricks to fasting safely.
Text messages include advice such as,
“Drink one liter of water every morning before you begin fasting.”
“Take care to not overeat and watch out for foods high in sugar such as dates.”
“Ask your doctor to adapt the dose and timing of your diabetes medication before you fast.”
Simple texts like these will help the thousands of people living in Senegal with diabetes, which has increased in the past decade due to rapid urbanization. Obesity in young people has escalated drastically, putting them at risk for type 2 diabetes. It is estimated that four to six percent of the Senegalese population are living with diabetes, at least 400,000 people, yet only 60,000 have been diagnosed.
Part of the difficulty lies in the fact that many are unaware that they even have diabetes since they do not know the causes or symptoms. This is particularly common in rural areas where access to health services is limited.
mDiabetes is part of a campaign by the World Health Organization (WHO) and the International Telecommunication Union (ITU) called, “Be He@lthy Be Mobile.” Through the use of technology such as text messages and apps, they can “control, prevent, and manage non-communicable diseases such as diabetes, cancer, and heart disease.”
Similar programs have been implemented in other countries such as the mCessation program in Costa Rica for tobacco, mCervical cancer program in Zambia and others like mHypoertension and mWellness have been planned for the future.
Eighty-three percent of the Senegalese population have mobile telephones, and 40 percent of those have smart phones, capable of receiving pictures and videos. Utilizing this technology that is becoming increasingly more prevalent in the daily lives of those around the world, is effective way to educate thousands, at no cost to the public.
Thanks to mDiabetes, this Ramadan thousands of Senegalese will be able to fully practice their faith without risking their health.
— Kim Tierney
Sources: World Health Organization, Diabetes and Ramadan International Alliance
Photo: Hong Kiat