Information and news about disease category

The Malaria Crisis in India
The malaria crisis in India has been an ongoing issue for centuries. However, along with the rest of the world, India has been making significant progress throughout the past few years with respect to decreasing its malaria cases. While millions are still at risk, India has implemented multiple health care plans that have contributed to its malaria reduction.

 What is Malaria?

Malaria is a parasite that mosquitoes spread and can produce a wide range of symptoms including fever, chills, sweating, mental confusion and gastrointestinal symptoms. Malaria is most common in warm, humid and rainy climates because that is where the parasite is able to survive and complete its growth cycle. This is why malaria has been such a prevalent disease in India and in other countries close to the equator. However, despite the stagnant weather patterns, India has been making strides towards a malaria-free nation.

In 1995, there were approximately a total of 2.93 million cases of malaria in India, with about 1,151 deaths from the disease. In comparison, 2017 saw approximately 0.84 cases of the disease in the nation and only 194 deaths.

Eliminating Malaria

Due to a combination of factors, India is on track to complete its goal of total elimination of malaria by 2027. The nation has taken the disease very seriously and has strengthened both its Integrated Disease Surveillance Project (IDSP) and the National Health Mission (NHM). A combination of these two programs has helped health professionals and citizens respond to the malaria crisis in India.

A few different strategies currently control malaria cases in India. One is vector control, which means that people control mosquitoes in high-risk areas of malaria with personal protective measures and environmental awareness. Early Case Detection and Prompt Treatment (ECDPT) is a necessary strategy for all cases of malaria, as it not only improves symptoms of the disease in those already infected, but it also helps prevent the spread of the disease by providing treatment at the time of infection.

Since malaria is a very widespread disease across Asia, India is a member of the Asia Pacific Malaria Elimination Network (APMEN). This is a network that the Asia Pacific Leaders Malaria Alliance (APLMA) runs, which has the goal of eliminating malaria and sharing action plans across the countries of that region.

Though there is not a malaria vaccine yet, multiple countries in Africa are currently testing a vaccination program that could make its way to India if successful. A vaccine would be economically friendly for those who are among the poorest in India or live in remote areas, where 90 percent of malaria cases occur. The vaccine would also solve the recent issue of drug-resistant parasites.

World Malaria Day

Every year, on April 25, people celebrate World Malaria Day to encourage everyone’s education about the disease and how to prevent its spread. Four percent of all malaria cases occur in India, a substantial amount, which is why it is important that the awareness of the disease is prevalent in the country.

With the significant progress that the country has made in eliminating malaria, India will continue to defy odds by continuing to empower communities and committing to further action plans.  This will ensure that the malaria crisis in India will no longer pose a major threat to its population.

– Alyson Kaufman
Photo: Pixabay

Kershaw’s Challenge's Impact
In 2011, LA Dodgers pitcher Clayton Kershaw and wife Ellen Kershaw started Kershaw’s Challenge, a faith-based, nonprofit organization. They founded the organization with the goal of encouraging people to use their talents to give back to people in need. Nine years later with the same goal at heart, Kershaw’s Challenge’s impact on the Dominican Republic continues to grow through Both Ends Believing and International Justice Mission.

While Kershaw’s Challenge focused solely on Zambia at its start, it expanded to focus on Dallas and Los Angeles in 2012 and in 2015, widened its reach to the Dominican Republic. In 2019, the organization announced its partnerships with Both Ends Believing and International Justice Mission, focusing on the Dominican Republic. Both Clayton and Ellen felt led to serve the Dominican Republic because they knew many fellow baseball players and teammates from the country.

Both Ends Believing (BEB)

In May 2019, Kershaw’s Challenge announced Both Ends Believing (BEB) as its new beneficiary. BEB’s mission is to “see every child grown up in a family” and has implemented Child First software to accomplish this.

According to SOS Children’s Villages, nearly 578,000 children under the age of 15 in the Dominican Republic are without parental care. Child pregnancy, chronic disease and mental or physical disabilities are among the factors that lead children to be at risk of being without care.

Through BEB’s software, it is able to identify children living in situations where they are vulnerable or at risk of neglect. BEB is then able to form a plan to get children out of these situations and into a loving home.

Kershaw’s Challenge’s impact on the Dominican Republic has continued through its support of Both Ends Believing. Its partnership with BEB also has a focus on Zambia, its other international beneficiary.

International Justice Mission (IJM)

In August 2019, Kershaw’s Challenge announced International Justice Mission (IJM) as its new beneficiary, focusing on efforts combatting human trafficking in the Dominican Republic. Several months earlier, Clayton and Ellen Kershaw traveled to the Dominican Republic alongside IJM. While there, they had the opportunity to meet with the Dominican Republic’s President, Danilo Medina, and they discussed the exploitation of children in the area. They were also able to visit Santo Domingo’s red-light district where they spent an afternoon playing baseball with survivors of sex trafficking. They even spent a night undercover in Boca Chica, where they saw trafficking first-hand.

According to the International Justice Mission, human trafficking in the Dominican Republic is mainly street-based, where customers can purchase young girls very easily. IJM has rescued more than 120 children and young women and has restrained more than 30 criminals since it opened its field office in the Dominican Republic back in 2013.

Through its partnership with IJM, Kershaw’s Challenge hopes to focus on the rescue and restoration of survivors, the restraint of suspects and the conviction of traffickers in the Dominican Republic. The organization also wants to help improve aftercare and investigation programs.

7th Annual PingPong4Purpose

In August 2019, Kershaw’s Challenge hosted its seventh Annual PingPong4Purpose, where it had a Giving Wall that raised funds for a rescue mission through IJM. A portion of the proceeds also went to Both Ends Believing, as well as its other national beneficiaries.

Kershaw’s Challenge’s impact on the Dominican Republic has been great through both International Justice Mission and Both Ends Believing, as both organizations remain a special cause for both Clayton and Ellen. Kershaw’s Challenge plans to announce its 2020 beneficiaries on Opening Day, March 26, 2020. People can donate to Kershaw’s Challenge directly through its website, and can also support the organization through buying merchandise or attending events.

 – Megan McKeough
Photo: Flickr

New Ebola and Malaria Vaccines
In December 2019, the Gavi Board, an organization that improves the accessibility of immunizations to vulnerable children, approved a new program that will allocate new Ebola vaccines. A new funding initiative will invest about $178 million by 2025 for a new program to develop the vaccines. The decision is monumental in leading global health emergency stockpiles, which will grow to 500,000 doses.

Ebola’s Effect on Poverty

A study in December 2014 in Liberia indicated that the infectious disease hits poorer neighborhoods most. People in poverty are 3.5 times more likely to contract the disease than those in wealthier areas. Due to the dense population and lack of sanitation and health care facilities, the people in these communities are more susceptible to the virus. Ebola first appeared on an epidemic level in West Africa in 2014. While it existed prior to that, those cases were more contained. Crowded urban areas resulted in higher transference, further developing the outbreak.

Malaria Vaccines

In addition to the Ebola vaccine, Gavi approved continued steps in curating an implementation program for new malaria vaccines. The routine distribution of these vaccines will reduce child death significantly. Malaria is the primary cause of death of children under 5-years-old, with a reported 228 million cases and 405,000 deaths in 2018 alone. Malaria is also one of the top four causes of poverty, according to the United Nations. Its lack of affordable measures has strained many African economies, costing an estimated $30 billion a year. Many people cannot afford efficient medication and 20 percent often die due to poorly distributed drugs.

Countries affected by poverty and low income will have access to these vaccination campaigns free of charge, which will help boost economies. Countries such as the Democratic Republic of the Congo (DRC) have continually experienced rash Ebola outbreaks, with the latest one being in August 2018. Since then, the DRC has grappled with over 2,200 lives lost and 3,421 more reported cases in January 2020. In July 2019, the World Health Organization declared the Ebola outbreak a public health emergency that called for international concern.

The US Fights Against Ebola

The U.S. Food and Drug Administration (FDA) will also participate in close efforts to fight the Ebola outbreak in the DRC. The FDA granted programs in order to advance the development of new drugs that will lead to the prevention of tropical diseases. People primarily contract Ebola through direct contact with bodily fluids, blood and infected wild animals or people. Limiting these factors is difficult, but with proper medication and programs, along with the investments in sanitation and health care facilities, outbreaks will significantly reduce. These types of decisions are paramount in shifting the United States’ focus to a more global standpoint in regards to large-scale poverty.

The development of Ebola and malaria vaccination pilots is essential to the sustainability of areas affected by extreme poverty. Preventable measures will reduce the risk of contracting infectious diseases among these low-income communities. These comprehensive overviews will scale back the rate of Ebola outbreaks in African regions, which will also cut back on excessive government spending. Vaccination programs will help prevent 24 million people from facing extreme poverty by 2030. People could prevent a quarter of deaths that the outbreaks caused through simple vaccination, which makes these programs all the more noteworthy. The Gavi Board and the FDA’s efforts in launching new malaria and Ebola vaccines will contribute to the positive impact.

Brittany Adames
Photo: Wikimedia Commons

2019 Coronavirus
The 2019 coronavirus outbreak in China has infected thousands and killed hundreds of people in Japan, Thailand, Singapore, Germany, France, the United States and other countries. As a result, there are strict preventative measures, as currently, only supportive care exists – meaning there is no definitive cure. Understanding all relevant information about the virus itself and the reaction of the global health community is highly relevant, important and necessary.

The 2019 Coronavirus (2019-nCoV or COVID-19)

Originating in Wuhan, China, the 2019 coronavirus is a viral infection that causes breathing problems. The 2019 coronavirus is within the same family of viruses – but a different strand – that causes Severe Acute Respiratory Syndrome and Middle Eastern Respiratory Syndrome. It transmits from human to human through coughing, sneezing and other moist bodily particles. Symptoms include breathing difficulty, fever and cough, similar to typical viral infections.

Treatment

People can use supportive care for symptom relief, such as fever relief with Tylenol. No one has developed an antiviral for the 2019 coronavirus yet, which would consist of suppression of further viral infection of host cells, rather than viral eradication.

Prevention

The CDC recommends avoiding crowds to reduce the chance of interacting with infected persons. People should also practice hand-washing and good hand-hygiene practices. These measures include avoiding touching eyes, nose and mouth, and covering the mouth and nose when sneezing. Moreover, people should disinfect surfaces frequently.

Monitoring

Those individual(s) who might have traveled on a plane or are concerned about becoming infected should monitor for symptoms. Symptoms are likely to occur between two to 14 days after traveling to China or interacting with individuals(s) who have traveled to China. Contact with the 2019 coronavirus can occur within six feet of a person and/or can occur directly when touching moist bodily particles. If symptoms occur, one should notify and visit a doctor’s office immediately.

Global Health Response

The WHO International Health Regulations Committee first met to advise the Director-General on disease control and prevention strategies. WHO then visited Wuhan, China in January 2020 to establish a plan with China’s President, Xi Jinping, in treating existing patients and containing the virus. Globally, WHO is currently conducting research to find a viable treatment for COVID-19; the U.S. is simultaneously conducting a vaccine trial to prevent further spread. WHO and various international health ministries are gathering up funding, projected to be about $675 million, to support the Strategies Preparedness and Response Plan. The plan outlines preparedness protocol for countries, in particular, those with limited health systems, to stop virus transmission, treat patients and collaborate between countries to carry out all necessary operations.

Global Response

Many countries and organizations, such as the United Nations International Children’s Emergency Fund, Belarus, Brunei, Cambodia, Egypt, Iran, Japan and Pakistan among many others, are sending medical supplies and equipment to help China in addressing COVID-19 treatment needs. Doctors in China are administering care to patients in temporary treatment centers while other health officials are managing supplies and equipment to ensure appropriate use. Furthermore, various Chinese companies are investing in research; other organizations are fundraising to support disease control efforts. Chinese city locals and groups are also coming together to lend a hand in stopping the outbreak.

Globally, support is even coming in from philanthropists, international businesses and foreign aids. For example, the Bill and Melinda Gates Foundation has donated $100 million. These efforts are all contributing to research, treatment and prevention funds. Foreign aid from the U.S. comes in the form of a medical advisory board going to China to work with its health officials while the European Union is providing $11 million USD for research on the virus.

Information regarding the 2019 coronavirus is emerging daily. Health organizations, governments, non-government organizations and businesses are pulling resources to contain the illness and its outbreak.

– Hung Le
Photo: Flickr

Our Health Reduces Mosquito-Borne Illnesses
Diseases transmitted by mosquitoes, including malaria and the Zika virus, abound in hotter, more humid countries and regions including Mexico, Central and South America, the Caribbean and tropical areas of Southeast Asia, Oceania and Africa. Whereas malaria has many symptoms like high fever, diarrhea, nausea and sweating, the Zika virus is not as easily detectable. Its symptoms are milder, and this includes rashes, itching, high fever and muscle pain. Accordingly, the organization Our Health reduces mosquito-borne illnesses in Honduras through numerous efforts.

The Ways that Our Health Reduces Mosquito-Borne Illnesses

Our Health is a project that Global Communities runs and the United States Agency for International Development (USAID) funds. It works with the Honduran Ministry of Health (SESAL). There are two parts to Our Health, which focuses on strengthening communities and improving education.

The goals of the first part are to increase the number of response activities in Honduran communities to prevent Zika transmission and to improve the communication of said activities. This focus is on the poor, urban areas of Honduras, including Tegucigalpa, San Pedro Sula, Choloma, La Lima and Villanueva. At the moment, Our Health has 36 health establishments and 360 communities to help prevent the spread of the Zika virus. However, being successful in promoting the power of communities means it must have a way to implement this community-based solution. Its implementation phase takes an estimated three years with the first phase taking one year. The first phase fosters community-led responses to Zika outbreaks and building up communities in general. The second phase takes the remaining two years. This phase continues to strengthen the relationships from the first phase, organizing the community, allocating responsibilities and promoting positive behavior.

The second part of Our Health focuses on three aspects:

  1. Education
  2. Working with the Honduran Ministry of Education and the Ministry of Health
  3. Improve understanding of these diseases including how they spread and how people can prevent them
Our Health reduces mosquito-borne illnesses by educating children to bring awareness to their families. The children can teach their families what they have learned. This does not have a predicted time period but has already started in 76 educational centers in Honduras, benefiting 29,000 kids and 1,230 teachers. The program provides teachers with virtual training and teaching materials to prevent the transmission and spread of Zika. This also supports the first part of Our Health in promoting community participation. Moreover, fifth and sixth graders receive education on how to prevent disease through a number of activities including theater, poetry, singing and drawing, as well as creating models to show their own knowledge about the Zika virus. The teachers firmly believe that addressing Zika in the classroom and spreading the knowledge to homes and communities is vital.

General Solution to Malaria

The Honduran Ministry of Health recently received a donation of more than 12 million lempiras (around $487,899 USD) in Hudson pumps, deltamethrin and bendiocarb (insecticides) and mosquito nets treated with long-lasting insecticide. People also know this as MTILD. It is using this donation to fight Anopheles and Aedes mosquitoes which spread the Zika virus. MTILD use in vector control strategies and are effective in preventing malaria.

The Ministry of Health implemented these methods in Gracias a Dios and Islas de la Bahía. In addition, the Ministry of Health installs the insecticide-filled pumps in each home. This helps spray the homes on a bi-yearly basis and keeps mosquitoes away. In 2018, two spray cycles sprayed around 50,000 homes. As a result, this helped 303,467 people. Furthermore, in 2019, it expected to spray around 60,000 double-cycle homes. This protected an additional 218,959 people. For 2020, the biyearly spray might increase by 62,050 and with an additional 116,872 mosquito nets installed. As for cases of malaria, as of 2017, 1,287 people received treatment against malaria. In 2018, there were 651 cases. Additionally, the project hopes to lower it to zero cases in 2020.

Honduras’s Health Surveillance Unit works towards controlling malaria in the country. Over the past three years, malaria cases have been lower than 56 percent in the six biggest departments of Honduras. It works together with communities to address malaria Also, Honduras’s Health Surveillance Unit monitors the areas with surveillance, increases their coverage and secures treatment for victims.

Nyssa Jordan
Photo: Flickr

The Battle Against Monkeypox
Monkeypox is a viral zoonotic disease, meaning that animals transfer it to humans. Infected animals, usually small rodents, transmit the disease through bodily fluids. Sometimes, however, the disease can transmit through human-to-human contact via bodily fluids, but this is less common. Symptoms include body aches and pains, and fever as well as a bumpy, localized rash. Monkeypox is similar to smallpox, a related infection that people have eradicated worldwide. Yet the battle against monkeypox continues. According to the World Health Organization, the Democratic Republic of the Congo (DRC) saw over 5,000 monkeypox cases in 2019, including 103 fatalities. In addition, most deaths occurred among younger age groups.

History

People first discovered the virus in 1958 when two outbreaks occurred in colonies of monkeys that they used for research, hence the name. The first human cases were in the DRC in 1970. The disease mainly impacts the country’s rural areas and rainforests, where many consider it endemic. In 2017, Nigeria also experienced one of the worst monkeypox epidemics following 40 years of no confirmed cases in the country.

While the virus has largely concentrated in Africa, there have been documentations of cases of monkeypox outside of Africa in recent years. Usually, these cases involved people who visited Africa and returned home harboring the infection. In 2003, the first monkeypox outbreak outside of Africa occurred in the United States. In the past two years, there have been cases in Singapore, the United Kingdom and Israel.

Treatment

Monkeypox and smallpox share many similarities and both have classifications under the genus orthopoxvirus. Currently, a recommended treatment for monkeypox entails the use of antibiotics and there has been an 85 percent success rate using the smallpox vaccine. A new third-generation vaccine received approval in 2019 for the prevention of both smallpox and monkeypox while scientists continue to develop additional antiviral agents.

Medecins Sans Frontieres (MSF), an NGO established in 1971, has been on the frontlines battling monkeypox. MSF, which translates to Doctors Without Borders, provides medical assistance to people affected by outbreaks, epidemics and disasters. In October 2018, an emergency team dispatched to a village in the Central African Republic after a monkeypox outbreak there infected about a dozen children. The group set up a quarantine, treating the children while administering vaccinations to others.

World Response

A number of world health organizations have come together in the battle against monkeypox. After the 2017 Nigeria outbreak, the Nigerian Centre for Disease Control sought to unite West Africa’s response to the disease. The NCDC also teamed up with organizations such as the World Health Organization, the Centers for Disease Control and Prevention in the United States and the Africa Centres for Disease Control and Prevention to better observe and document the disease.

Monkeypox prevention includes raising awareness, avoiding potentially infected animals and practicing good hygiene. Several countries have also put forth restrictions on animal trade to stop the spread of the disease across Africa and to other parts of the world. These steps, as well as additional preventative measures and research, will be key to the battle against monkeypox and the prevention of future outbreaks.

Taylor Pittman
Photo: Flickr

Limit the Spread of Epidemics
In the past, there has been some difficulty in tracking and containing epidemics. In 2014, the Ebola virus killed thousands in West Africa. At the time, many national health systems had trouble properly addressing and controlling its spread. With aid agencies not knowing where to dedicate their attention, more people fell to Ebola. Determining where to distribute a vaccine is critical for the future of any region. It is often difficult to make the correct decision when there is not enough information on human mobility, the spread of an epidemic and its lethality in certain areas. People could have better contained Ebola had newer technology been available to help aid agencies track its spread. The Global Epidemic Prevention Platform (GEPP) may be able to limit the spread of epidemics.

A Solution for Limiting the Spread of Epidemics

The Global Epidemic Prevention Platform (GEPP) is a project that Korea Telecom (KT) Corporation and the Ghanaian government created to improve Ghana’s health information system and limit the spread of epidemics. The project employs information and communications technology (ICT) to gather data on epidemics. It works by gathering existing data and by incorporating newer input from its users. It analyzes Call Detail Record (CRD) data to determine the spread of people such as cross-border movement. Its main goal is to prepare its users for possible epidemics, whether its users consist of the general public or the Ghanaian government. Its existence helps detect the early spread of an epidemic, allowing governments more time to respond and giving humanitarian agencies and NGOs the opportunity to identify possible relationships and trends.

GEPP Explained

There are three parts to the GEPP: GEPP Public, GEPP Clinic and GEPP Gov. The GEPP Public’s intention is to inform Ghanaians of epidemic-prone areas. When someone is nearing one such area, they receive a notification and warning of its status. If a user is in an area that may become contaminated soon, the app provides disease information and prevention measures for pre-response during their stay. They also receive a list of nearby hospitals.

The GEPP Clinic is for the public to make real-time reports to nearby health centers in the event of an epidemic outbreak. Users can fill out a report for either themselves or another individual with their symptoms. This report goes into the GEPP Clinic’s database and gives the government a better idea of what is happening in a particular region.

The government uses GEPP Gov, which allows it to access the data gathered from GEPP Public and GEPP Clinic to monitor any possible health crises. As a result of the digitization of airport immigration information, the government can consider immigration levels when monitoring. This also takes away the need to manually compile this information. All of this aims to help developing countries and their governments prepare for and reduce the impact of epidemics.

If a disease has already spread and it is too late to prevent infection, the GEPP can also address the aftermath of disease by conducting communications in the area. Not only can it address health crises, but it can also apply to natural disasters and their control. In the event of a natural disaster, the GEPP can help aid workers provide shelter, food and health care to victims. If an area does not have a working mobile network, as a result of a natural disaster or not, the GEPP can use its collected data to contact them via satellites and Geographical Information Systems (GIS).

GEPP Support

The Ghana Health Service, KT, Mobile Network Operators (MNOs), Resolution 202, Resolution 136, Resolution 36 and WTDC Resolution 34 support the Global Epidemic Prevention Platform. While all of these play a large role in assisting the GEPP in its goal to limit the spread of epidemics, MNOs arguably do the most. MNOs provide the app with its official data. It gathers data from around the world and its software anonymizes it to protect privacy. This data then stays on a server or an International Telecommunication Union (ITU) cloud and can go towards creating a dynamic map for the ITU. Humanitarian actors and NGOs can, with permission, view this data through MNOs.

– Nyssa Jordan
Photo: Flickr

diseases in UgandaAs a developing country, Uganda struggles with multiple intractable diseases that kill millions of Ugandans every year. HIV/AIDS, malaria and tuberculosis are among the top five causes of death in Uganda. But, medical research is providing innovations that give hope to relieve suffering and prevent death in Uganda. Here are three diseases in Uganda that can be tackled with treatments that seem like science fiction.

Tuberculosis and Bedaquiline

Science fiction often explores the possibilities of DNA manipulation. Now, this sci-fi premise is becoming a reality through a new tuberculosis drug called bedaquiline. Bedaquiline is a new drug that blocks energy transfer enzymes that a tuberculosis bacteria cell needs to survive. Without this essential energy, the cell dies. A June 2019 study discovered that bedaquiline has long-term treatment potential. The drug forms small reservoirs in the body, allowing it to naturally release throughout the body and continually kill tuberculosis cells over time. This is a major breakthrough for Ugandan citizens since this is the first tuberculosis treatment to come out in 50 years. 

Malaria and Genetic Mutation

Popular science fiction games outline the use of biological weapons, such as Mass Effect’s fictional “genophage” which causes a female host to produce sterile offspring. Experimental genetic engineering technology is now taking on a highly deadly disease in Uganda. Scientists have developed an engineered genetic mutation that deforms mosquito reproductive organs and passes from female mosquitos to daughter eggs, meaning that the hatched females are unable to breed. In other words, the mutation makes the next generation of mosquitos sterile, reducing the population and thus reducing the risk of malaria.

Further, the mutation changes females mosquitos’ mouths to resemble male counterparts’. Male mosquitos cannot bite humans, thus the mutation “de-fangs” female mosquitoes, making it impossible for them to transmit malaria. Releasing genetically modified mosquitoes has been controversial and research continues. According to Uganda’s Ministry of Health, malaria is endemic in 95 percent of Uganda. If it is found that modifying mosquitoes is safe and successful, this development could be a critical contribution to treating malaria and other mosquito transmitted diseases in Uganda.

HIV/AIDS and the Immune System

Science fiction extensively narrates the use of genetic properties to repair and fix humans. Dual studies from 2007 and 2019 used similar methods to combat the insidious syndrome of HIV/AIDS that plagues Uganda. A bone marrow transplant replaces the patient’s immune system with mutated systems via lymphatic pathways. It essentially replaces the patient’s immune system with a new, mutated version that combats the disease.

Using this technique, a 2007 patient has been off anti-retroviral medicines for 12 years. The most recent patient, cured in 2019, has been HIV-free for more than 18 months. With difficulties in bringing patients back for consistent treatments, a possible long-term solution for HIV/AIDS is an extremely important advance for the 1.3 million Ugandans infected with HIV.

Conclusion

Famous Star Trek character Captain Jean-Luc Picard stated, “Things are only impossible until they’re not.” Relieving Uganda’s suffering seemed impossible – the stuff of science fiction – as if they would never be free of disease. But, the above treatments provide hope for the people of Uganda. Through rigorous research and innovation, doctors are developing treatments for diseases in Uganda and other countries.

– Melanie Rasmussen
Photo: Flickr

Global Health News
The start of 2020 is the time to look back and see global health news for 2019. From new drug recommendations and global vaccination efforts to ongoing diseases and funding to eliminate them, health agencies and national governments are working tirelessly to keep everything in place. They are making sure the general public, especially those in affected countries, get the right information and the best resources to address these health issues. They are gathering enough funding to implement different health programs for treatment and prevention. Finally, they are continually conducting research to find new treatments to make the world a healthier place.

Global Health News Updates for 2019

  1. Tafenoquine use for malaria is under new guidance: According to the World Health Organization (WHO), there were about 219 million malaria cases around the world in 2017. People can use Arakoda (tafenoquine 300 mg) and Krintafel (tafenoquine 150 mg) to treat malaria. The government of Kenya joined Ghana and Malawi to test the malaria vaccine for children. Results of clinical trials show that vaccinated children do not contract malaria as often as unvaccinated children.
  2. Poliovirus outbreaks increase sharply: Poliovirus (cVDVP) outbreaks have increased worldwide. Twenty-nine outbreaks occurred in 15 countries within a one-and-a-half-year period (2018-2019). The 29 outbreaks also tripled the number of outbreaks in the year prior (2017-2018) among six different countries. The Center for Disease Control (CDC) has send staff to the affected areas to provide treatment and prevention efforts.
  3. Measles numbers increased: Measles cases have increased tremendously in the last three years. In 2018, there were approximately 10 million measles cases with 140,000 deaths. The number of deaths has increased from 90,000 in 2016. People are not receiving immunizations due to different vaccination beliefs and the availability of vaccines. UNICEF is trying to address the issue; however, Xavier Crespin, UNICEF’s chief of health in the Democratic Republic of Congo, said it has been difficult.
  4. Global vaccination coverage has stayed the same since 2010: The global vaccination rate has stayed between 85 percent to 86 percent for the past eight years. This is due to the low availability of vaccines reaching areas of countries that are experiencing high poverty and warfare. False vaccination beliefs are also a factor in holding back coverage. The Global Vaccine Action Plan (GVAP) is working to address the issue by setting up vaccination stations in these countries as well as solving any vaccination challenges that stand in the way of vaccinating people. 
  5. New Respiratory Syndrome from Wuhan, China: Chinese health authorities have confirmed a case of new coronavirus in January 2020. The number of deaths has reached 80 with more cases expected. The virus has spread to Malaysia, Vietnam, Hong Kong, Korea and the United States, and the situation is on its way to becoming a global epidemic. WHO is closely monitoring the situation and issuing health advisories to affected countries.
  6. Preparing for Ebola in South Sudan: South Sudan is preparing for Ebola as its neighbor, the Democratic Republic of the Congo, had an outbreak. Warfare has devastated the country’s health system; health experts are suggesting ways to prevent and treat diseases. The country’s health governance deployed fully-immunized health workers to support prevention efforts with 32 outposts for screening and care along the border.
  7. Antiretroviral treatment (ART) reduces HIV mortality in Kenya: The use of antiretrovirals to treat HIV has reduced HIV-related death rates in Kenya as one researcher at the CDC Zielinski-Gutierrez confirmed. The CDC is leading the AIDS-control effort as part of the U.S. President’s Emergency Plan for AIDS Relief (PEPFAR) all over the world including Kenya (PEPFAR Kenya).
  8. Shigella developed resistance to azithromycin and ciprofloxacin: In a research study, the virus that causes Shigella in men who have sex with men (MSM) has developed resistance to azithromycin, trimethoprim-sulfamethoxazole and ciprofloxacin. WHO put preventative measures in place like the Water and Sanitation Decade Development Project to promote water sanitation and hand-washing education.
  9. Tuberculosis (TB) is low in the U.S. but not globally: Residents who were born outside of the U.S. are much more likely to contract tuberculosis and carry latent TB infection. The CDC stated that 69.5 percent of newly diagnosed TB cases are of those who were born outside of the U.S. compared to 29.5 percent of those who were born in the U.S. Furthermore, countries other than the U.S. have higher TB death rates. The United Nations and WHO are targeting to end TB in 2030 and 2050 respectively.
  10. Donors pledge to donate $2.6 billion to end polio: Donors pledged to donate $2.6 billion at the Polio Conference in Abu Dhabi to help put an end to world polio. Donations come from the Gates Foundation, the U.K., the U.S., Pakistan and Rotary International. WHO will use the funding to vaccinate 450 million children each year.

Global health challenges are ongoing; however, many are working to address these challenges. Global health efforts will not go unnoticed as the world will become a healthier, happier and safer place for all. Finally, global health news updates are an excellent way to communicate all global health trends, challenges and ongoing projects. 

– Hung Minh Le
Photo: Flickr

6 Facts About Water Quality in Sub-Saharan AfricaThe top concerns with water quality in Africa include lack of access to water for drinking, sanitation and agriculture, the cleanliness of the water and the burden of water retrieval. The United Nations’ Millennium Development Goals have tracked the improvement of access to water in Africa. Sub-Saharan Africa is the most challenged and inequitable region. Sub-Saharan Africa’s water system is the most chronically overburdened and stressed area in Africa. This is due to a lack of economic investment, social challenges and environmental factors. Here are six facts about water quality in sub-Saharan Africa.

6 Facts About Water Quality in Sub-Saharan Africa

  1. Many areas in Africa have partially achieved the U.N.’s Millennium Development Goals on Water. Before 2015, North Africa had achieved a 92 percent improved source of drinking water for its people. Sub-Saharan Africa, on the other hand, had only achieved 61 percent and was not on track to meet its 75 percent goal. Investment in infrastructure systems such as dams would improve public health and increase economic stability while achieving water access targets.
  2. In sub-Saharan Africa water access is inequitable. In urban areas, 90 percent of the wealthy households have access to improved water sources with piped water in more than 60 percent of the homes. In rural settings, fewer than 50 percent of people access improved water sources with the poorest 40 percent of homes having no in-home water access. Only 16 percent of Sub-Saharan residents have access to a water tap in their home or yard.
  3. The burden of water retrieval falls on girls and women. The time and labor-intensive chore of carrying water home from a distance prevents girls and women from pursuing income-generating work and education. It also puts them at risk of violence on long journeys for water. Approximately 13.5 million women in sub-Saharan Africa travel more than 30 minutes each day to collect water. They carry repurposed cans that hold five gallons of water and weigh 40 pounds when full. The women may have to take several trips in a day depending on the size of their family.
  4. Water scarcity and lack of sanitation threaten public health. Poor sanitation and limited water lead to outbreaks of cholera, typhoid fever and dysentery, which can contaminate the limited stores of fresh water. When people store water in their homes, this creates a breeding ground for mosquitos, which leads to an increase in malaria and dengue fever. Other diseases connected to water scarcity include trachoma, plague and typhus. Prioritizing water quantity over quality can lead to bacterial diseases causing diarrhea, dehydration and death, especially in children.
  5. In sub-Saharan Africa, 95 percent of crops are dependent on rainfall. Increased water storage capacity will increase resiliency to water shortages resulting from droughts. Dependency on rainfall for crops is limiting. Small-scale but efficient usage of ponds, tanks, and wells can improve agricultural output. The implementation of various methods of watering crops can reduce water stress and improve food security. Farmers could use drip irrigation, pumps and shallow wells to reduce reliance on rainwater.
  6. Sustainable agricultural development will lead to sustainable water sources and reduced stress. An example of a sustainable agricultural method may be aquaponics, which requires no soil and little water.

Continued innovation, education and infrastructure development are necessary for Africa to improve access to safe and clean drinking water. While much progress is underway, these 6 facts about water quality in sub-Saharan Africa show that the continent will continue to face climate, political and economic barriers in meeting these goals.

Susan Niz
Photo: Wikimedia