Archive for category: Disease

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Fighting Malaria Fights Poverty: Malaria Prevention in Ghana


Volunteer Adofo Antwi (right) explains to mother-of-four Ama Konadu in Apenimadi, Bonsaaso Millennium Village, how to hang a bednet. Trained by Millennium Village Project staff, volunteers across the cluster work with communities to hang bednets at all sleeping sites and educate local people about the dangers of malaria. Since 2006, over 30,000 long-lasting insecticide-treated bednets have been distributed, covering all households in the cluster.

Malaria prevention in Ghana is a focus of the nation’s Health Service efforts and is seen as the largest epidemic tormenting the Ghana people. Malaria is a potentially deadly disease caused by a one-celled parasite known as Plasmodium. This parasite is carried and transmitted by the Anopheles mosquito that feeds of humans.

People who become infected with malaria often show flu-like symptoms such as: fever, chills, aches and more. The devastation of this disease on not just the people, but the social and economic structure of Ghana, cannot be understated.

Who is Most Vulnerable to Malaria?

Over three million people contract malaria every year in Ghana which accounts for 44.5 percent of all outpatient attendances. Nearly half of all malaria cases in Ghana are children under the age of five and the disease is responsible for 12 percent of under-five deaths. Of those who die from malaria, 85 percent of them are children.

With such devastating numbers, especially for the nation’s children, it is no wonder malaria prevention in Ghana is the top priority of health officials. Not only are the children of Ghana at a greater risk of contracting malaria, but it also disproportionately affects pregnant women whose immune systems are lowered and more vulnerable during pregnancy.

Pregnant women who contract malaria can see severe adverse health effects such as maternal anemia which leads to: miscarriages, low birth weight, and even maternal mortality.

How does Malaria Affect Ghana?

Malaria prevention in Ghana doesn’t just save the lives of children and their mothers, but it also is necessary for the economic and technological growth of Ghana. Malaria has historically been the number one cause of illness and morbidity in Ghana, but malaria is also a major cause of poverty and poor productivity.

With nearly half of the three million malaria cases every year attributed to children, staying in school falls to the wayside as families focus on the recovery of their children. Being taken out of school, greatly affects one’s future earning capacity for themselves, their family, and their future children.

Obtaining an education is often the biggest tool to improving living conditions of not just the individual and their family, but the community as well.

Not only are children at a risk of death after contracting malaria, but children who survive and fight the disease carry long-term consequences into adulthood such as seizures and brain dysfunction. These conditions can make it difficult once the disease is gone to go back to school and receive an education.

Treating and fighting the malaria endemic costs Ghana a significant amount that causes economic growth to be slowed by 1.3 percent a year in Africa; the annual economic burden of malaria is estimated to be 1-2 percent of the Gross Domestic Product in Ghana.

Roll Back Malaria Initiative: Goals and Successes

In 1999, Ghana signed onto the Roll Back Malaria initiative developing a strategic plan of action for implementation. The goal of malaria prevention in Ghana, as dictated by the initiative, is to reduce malaria specific morbidity and mortality by 50 percent by 2010 and 75 percent by 2015.

While Ghana did not meet those deadlines at the expected times, Ghana continues to strengthen health services to make malaria prevention techniques more available to the people of Ghana. Strategies for malaria prevention in Ghana as seen on Ghana’s Health Services page includes the:

  • Promotion of insecticide treated bed nets usage; chemoprophylaxis in pregnancy and environmental management to reduce rate of infection
  • Improve malaria case management at all levels (from household to health facility);
  • Encourage evidence-based research to come up with effective interventions and
  • Improve partnership with all partners at all levels.

The Roll Back Malaria Initiative in Ghana empowers the nation to pursue goals to better equip health facilities with malaria diagnostic tools (microscopes or RDTs) and effective antimalarial drugs. Furthermore, the implementation of indoor residual spraying and the spread of insecticide treated materials such as bug nets, have shown success.

The Need for Scale-Up

Nearly 750,000 lives have been saved across Africa due to the Roll Back Malaria Initiative, but the fight for malaria prevention in Ghana still has a long journey ahead. Ensuring children in rural areas have access to clinics and malaria treatment options can be tricky.

Ghana still calls for a scaling up of this community-based treatment in more secluded districts; in districts where treatment is available, the cost of treatment can be out of reach for many families. The inability to access such resources decreases community engagement in treatment, and demonstrates how great the need in Ghana is for affordable malaria prevention methods.

– Kelilani Johnson

Photo: Flickr

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How Vaccines Prevent Disease and Poverty

Vaccines Prevent Disease and PovertyVaccines are known to save lives and protect against diseases, but now can be credited for preventing poverty as well. A study done at Harvard University alongside Gavi, the Vaccine Alliance researched the economic effects of vaccines for 10 different diseases in 41 developing countries. The study concluded that vaccines would help to prevent 24 million people throughout the world’s poorest countries from falling into poverty by the year 2030. The study also estimated that vaccines given between 2016 and 2030 would prevent the deaths of 36 million people.

Vaccines contain the same antigens that are responsible for causing diseases. The antigens in the vaccines are killed or severely weakened and are unable to cause the disease, but are strong enough to allow the body’s immune system to produce the antibodies needed to become immune to the disease. Therefore, the protection comes without the child having to be sick or suffer from a disease. This reduces the cost of healthcare for families and allows them to save and spend more money, boosting the country’s economy.

Dr. Seth Berkley, the CEO of Gavi, talked about the effects on a child who receives vaccinations and their school attendance. He stated that a child who is healthy is more likely to attend school and become a productive member of society, and their families will not be obligated to pay the expensive healthcare costs that come with diseases. Healthcare expenses cause about 100 million people to fall into poverty each year, as medical treatment is one of the main reasons families are forced below the poverty line. With the use of vaccines, countries will be better protected from both disease and poverty.

The greatest poverty reducer will be vaccinations, by reducing the number of people who are living in poverty due to hepatitis B. Gavi anticipates this will help 14 million people avoid medical impoverishment. Poverty cases that are due to measles will be reduced by vaccines, which is anticipated to prevent 5 million cases as well as preventing 22 million deaths. Disease and poverty are linked through a cause and effect in that medical costs cause poverty in many developing countries.

The study also showed that the poorest 20 percent of the global population represented more than one-fourth of deaths that can be prevented by vaccinations. Furthermore, the study concluded that introducing vaccines in the poorest countries would have the largest impact on lowering the number of deaths and the number of people falling into poverty due to their medical expenses. Therefore, vaccines prevent both disease and poverty.

– Chloe Turner

Photo: Flickr

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Nine Important Initiatives Working to End Lassa Fever in Nigeria

working to end Lassa fever in NigeriaLassa fever is a growing epidemic for many Nigerians. The World Health Organization reports that 72 Nigerians have died from the disease while 317 others are infected. Lassa fever has also spread to 18 Nigerian states since its outbreak in January. However, many entities are working to end Lassa fever in Nigeria.

  1. ALIMA Treats Lassa Fever Patients
    In January 2018, the Alliance for International Medication Action (ALIMA) commenced a rapid emergency response to Nigeria’s Lassa fever epidemic. ALIMA also supported the rehabilitation of a 38-bed treatment center for patients in Owo.
    “The goal is to catch cases early, and improve the chances of survival for those who become infected,” said Guillaume Le Duc, ALIMA’s Lassa fever coordinator.
  2. The Cross River’s Sensitization Against Lassa Fever
    On Jan. 30, 2018, Nigeria’s Cross River state increased its sensitization and awareness campaign against Lassa fever, hoping to prevent further outbreaks of the disease. Dr. Inyang Asibong, Cross River’s commissioner for health, said the campaign was necessary since two cases of Lassa fever were recorded from migrants who entered Cross River. Asibong also gave nose masks, disposable gowns, gloves and other protective equipment to the state’s health workers.
  3. Gombe’s Investment to Prevent Lassa Fever
    On Jan. 31, 2018, Nigeria’s Gombe state earmarked ₦20 million for preventing the outbreak of Lassa fever to its people. Dr. Kennedy Ishaya, Gombe’s state commissioner for health, said the funds were part of the amount set aside for Gombe’s Rapid Response Committee (RRC). Gombe’s RRC will use the money to protect the state’s people from Lassa fever and other diseases.
  4. Hand Washing Helps Prevent Lassa Fever
    On Feb. 5, 2018, UNICEF and the Imo state’s Rural Water Supply and Sanitation Agency (RUWASSA) sensitized Nigerians on how handwashing can prevent Lassa fever.
    “Medical reports have it that the simple act of washing hands constantly with soap can reduce infections by 50 percent,” said Nkechi Okorocha, wife of the Imo State Governor Rochas Okorocha. Chika Edom, the RUWASSA program manager, said that hand washing is part of UNICEF’s initiative to keep Nigeria’s people alive and healthy.
  5. Nigeria’s Proposal for a More Established CDC
    On Feb. 8, 2018, the Nigerian Medical Association (NMA) asked the National Assembly to pass a bill that would financially help the Nigerian Centre for Disease Control (CDC) treat Lassa fever cases. Dr. Mike Ogirima, the NMA president, was displeased from poorly-equipped ambulances transferring Lassa fever patients to the Irrua Specialist Teaching Hospital in Edo. Though the bill went through first and second readings at the house level, it has yet to be passed into law.
  6. The World Health Organization Works to Contain Lassa Fever
    On Feb. 20, 2018, the World Health Organization (WHO) announced it was working to end Lassa fever in Nigeria. The WHO deployed staff to support Nigeria’s government agencies. The WHO’s representatives are also helping rapid response teams contain Lassa fever in the Ondo, Ebonyi and Edo states.
  7. Redeemer University Could Eliminate Lassa Fever
    On Feb. 20, 2018, Redeemer University revealed its capacity to contain and eliminate Lassa fever through research activities.
    “We are behind the scene, providing solutions to Lassa fever in the country,” said Debo Adeyewa, the university’s vice-chancellor. Adeyewa also revealed that the Lassa fever outbreak was being managed at the Edo state’s Irrua Specialist Teaching Hospital.
  8. Governor Obaseki’s Work to Contain Lassa Fever
    On Feb. 22, 2018, Governor Godwin Obaseki said that no case of Lassa fever had been reported at the Irrua Specialist Teaching Hospital for the past two weeks. Governor Obaseki’s administration purchased and deployed equipment to the hospital and is working to end Lassa fever in Nigeria.
    “That no death has been recorded since our intervention goes to show that we read the signs correctly, mobilized skilled manpower and tackled the challenge head-on,” said Crusoe Osagie, Obaseki’s special adviser on media and communication strategy.
  9. The U.K.’s Work for Nigeria
    On Feb. 27, 2018, the U.K. sent two epidemiologists, a logistician and other experts to help Nigeria contain its Lassa fever outbreak. The U.K.’s public health rapid support team will also provide Nigeria with research assistance.
    “Viruses like Lassa Fever do not respect borders, and it is only right that we share our expertise with countries facing serious outbreaks around the world,” said Public Health Minister Steve Brine.

While many Nigerians continue to be infected with Lassa fever, efforts to treat and save patients’ lives will not stop. The World Health Organization, the U.K. and other entities are working to end Lassa fever in Nigeria and could inspire more parties to help. Supplying the country’s hospitals with necessary medical equipment to treat patients will also play a role in helping Nigeria control Lassa fever and other diseases.

– Rhondjé Singh Tanwar

Photo: Flickr

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The Link Between Poverty and Epidemics

 

The Link Between Poverty and EpidemicsWhen Bill Gates, the famous humanitarian, entrepreneur and founder of Microsoft, was asked in an interview with Vox about the greatest threat to humanity in the coming decades, his answer was scientific, reasonable and startling. Rather than mentioning the kinds of threats usually brought up in such discussions, dangers such as nuclear weapons, climate change and planet-killing asteroids, Gates pointed to something else with a much higher likelihood of occurrence but with the potential to be just as devastating.

A widespread pandemic is the most likely cause of a mass extinction event in the 21st century, yet despite its relatively high probability of occurring, it remains less discussed than many flashier topics like war and environmental disaster. The last time the risk of pandemic sparked widespread fear and discussion was in 2014, with the spread of the Ebola virus devastating communities in West Africa, and, in rare cases, spreading to other countries as well.

Though the topic has since faded from national conversation, the threat remains real. Even more important, unlike reducing carbon emissions or preventing nuclear proliferation, one major remedy for disease is relatively straightforward and within our capability. The human race could significantly reduce the likelihood of a pandemic disaster by eliminating extreme global poverty.

In 2014, West Africa suffered an outbreak of the Ebola virus, which devastated communities and killed more than 11,000 people by 2016. It also shed international light on the link between poverty and epidemics. Ebola became such a threat in 2014 because the region was impoverished and lacked the basic healthcare infrastructure necessary to fight the outbreak. This allowed the disease to spread at a fierce pace, risking a worldwide epidemic and sparking fears around the globe. Many patients were at first handled without proper caution, which led to an increase in cases and the rapid spread of the virus throughout the region.

If the United States invested more in these countries, especially toward improving their medical infrastructure and quality of life, such spending would not only create a new market for American exports, but it would also decrease the likelihood that a virus-like Ebola could spread without proper defensive strategies from the medical community. If healthcare infrastructure in West Africa had been better in 2014, the outbreak could have been contained much faster and the death toll reduced drastically.

The way in which a given disease spreads and becomes an epidemic is a complicated issue that depends on many factors. Poverty, however, has been shown to be a major determinant of how many people will be infected and how quickly. A World Health Organization report found that poverty in Africa correlated with an increase in the likelihood of contracting HIV, which researchers speculated was due to poor sexual education and high levels of economic disparity in impoverished regions. Similarly, the National Health Institute found in a 2012 report that communicable disease and poverty were linked to one another.

Though correlation did not imply causation, the researchers stressed that it would be foolish to disregard the link between poverty and epidemics, and that environmental conditions like economic status played a major role in the spread of disease. They argued that the link was likely caused by poor education, crippled healthcare infrastructure and the lack of clean water and food, all of which are common in areas suffering from extreme poverty. By investing in the healthcare infrastructure of other nations, the United States could help both itself and the world by reducing the likelihood of a major global pandemic, as the link between poverty and epidemics is a major risk that could become even more dangerous to the future of humanity than nuclear warfare.

– Shane Summers

Photo: Flickr

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Ghana Health Service Partnerships to Fight Disease in Ghana

Ghana
In recent years, researchers, doctors and health organizations have begun to target the high rate of pneumonia deaths. As one of the largest causes of death in children, pneumonia and researchers’ search for its solutions have not been taken lightly. The Ghana Health Service and partner GAVI, supported by UNICEF, launched vaccines to combat the infection in 2012.

What is Pneumonia?

Pneumonia is a bacterial, fungal or viral infection of the air-sacs in one’s lung or lungs, usually caused by the inhalation of specific or diseased germs. The infection causes fluid build up in the lungs, difficulty breathing, high fever, sweating, chills, chest pain and discoloration of fingertips. The best way to treat this infection is through immunizations and antibiotics.

Historically, pneumonia has been the leading cause of death in those under-five years old. Steps have occurred to decrease death rates from year-to-year, but yet unfortuantely, the number of deaths and the percentage of children lost to pneumonia is still staggering.

What Are the Impacts of Pneumonia?

In the year 2010 alone, pneumonia caused the deaths of 16,200 children, and the total number of deaths brought about because of pneumonia was a reported 13 percent. Subsequently, this percentage remained consistent between the years 2000 and 2010, and the percentage of deaths at the hands of this infection remained between twelve and thirteen percent, without substantial improvement.

Despite the decade-long absence of progress in pneumonia prevention and treatment, advancements have started taking place in more recent years. In April 2012, UNICEF supported the Ghana Health Service and partner GAVI, the Global Alliance for Vaccines and Immunizations, in launching pneumonia and diarrhea vaccines and the first ever World Immunization Week. The introduction of these vaccines to Ghana was a monumental step towards decreasing fatalities.

Ghana Health Service and its Aid

Although the establishment of vaccinations was a large logistical undertaking — including increasing hospital refrigeration storage in all ten regions of Ghana — the children of the country have benefited greatly from such measures. Pneumonia, for the first time ever in 2013, was not the leading cause of death for those under-five, though it was still the second-largest cause. Consequently, the total percentage of pneumonia causing fatalities decreased by 44 percent by 2015.

The installation of the pneumonia vaccine to Ghana has helped combat the vast amount of children who are annually impacted by the infection; however, there is still much progress to be made. As of 2017, UNICEF worked diligently to decrease pneumonia cases through fighting poor sanitation and open defecation.

How to Create Sustainable Solutions

To combat such massive undertakings, the organization implemented latrines and water pumps to as many communities as possible. Many have poured great effort into this ‘war against pneumonia’ and the Ghana Health Service, but measures must increase for significant and permanent changes to be sustained.

– Lydia Lamm

Photo: Flickr

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Five Organizations Fighting HIV and AIDS

organizations fighting HIV and AIDSAs of 2016, more than 36 million people worldwide are living with HIV or AIDS. Though the incidence rate of HIV and AIDS has been decreasing since the late 1990s, UNAIDS’s goal of achieving an AIDS-free generation is still far off. These five organizations fighting HIV and AIDS are contributing to the success of HIV and AIDS prevention as well as helping to provide antiretroviral therapy (ART) and counseling for those affected.

 

Elton John AIDS Foundation

In the midst of the rapidly growing AIDS epidemic in the 1980s and ’90s, singer-songwriter Elton John founded the Elton John AIDS Foundation (EJAF) to provide much-needed financial support in the fight against HIV and AIDS. John believes he is lucky to have avoided the AIDS epidemic as a gay man who partook in extremely risky behavior in the 1980s, including drug abuse. “I should have contracted HIV in the 1980s and died in the 1990s, just like Freddie Mercury,” he said at the International AIDS Conference in 2012. “Every day I wonder, how did I survive?”

The EJAF aims to dismantle the stigma surrounding those with HIV and AIDS as well as provide financial support for HIV prevention and treatment around the world. The EJAF has two branches—one in the U.S. and one in the U.K.—and has been rated a four-star charity, the highest rating a nonprofit can achieve.

 

The Bill & Melinda Gates Foundation

Named the richest man in America for 24 years in a row, Bill Gates has been extremely philanthropic with his wealth. The Bill & Melinda Gates Foundation has donated more than $41 billion since it was created. A large portion of those donations—approximately $4.6 billion—have gone toward global health initiatives, including HIV prevention and treatment. The Bill & Melinda Gates Foundation has funneled money into improving the diagnosis and treatment of HIV, as well as toward the continued research involved in creating a vaccine to prevent HIV. It is one of the most well-known organizations fighting HIV and AIDS.

 

The Global Fund

The Global Fund to Fight AIDS, Tuberculosis and Malaria is a recipient of grants from the Bill & Melinda Gates Foundation. Those funds have been put toward providing ART to more than 11 million people and preventing the transmission of HIV through the womb from mother to child. Over four million HIV-positive women have received treatment to protect their babies during and after pregnancy.

The Global Fund also fights the stigma surrounding HIV and AIDS and provides diverse prevention efforts in order to include children and women. These efforts continue to encourage people to seek preventative measures and treatment rather than avoiding it due to stigma.

 

Treatment Action Campaign

Africa has the highest burden of HIV and AIDS worldwide. The Treatment Action Campaign (TAC), founded in 1998, focuses on South Africa and the prevention and treatment methods being employed there. UNAIDS director Dr. Peter Piot considers TAC to be “the smartest activist group of all, worldwide.”

TAC monitors hospitals, trains campaign members on the basic science of HIV and AIDS, and advocates for the right to access healthcare.

 

amfAR, the Foundation for AIDS Research

Created during the height of the HIV/AIDS epidemic in 1985, amfAR has been a leader in AIDS research. Because of the homophobia surrounding HIV and AIDS in the ’80s, many organizations were unwilling to speak out in support of AIDS research. amfAR was established in order to raise private funds for AIDS research, educate the public and support those suffering from HIV and AIDS.

amfAR ultimately kickstarted research that led to the creation of ART. amfAR has also supported HIV prevention methods such as safe needle exchange and safe sex provisions.

Though the HIV and AIDS epidemic is far from over, these organizations fighting HIV and AIDS, as well as many others, are contributing to the health of current and future generations.

– Anna Sheps

Photo: Flickr

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Apple Product (RED) and the Fight Against AIDS

Product (RED)Apple is the world’s most valuable company and remains the most innovative company of 2018 according to the coveted Fast Company Magazine annual tally. Apple’s financial success began with the maturing of the iPod market in 2005. A year later, U2 frontman Bono worked with the then-CEO and founder Steve Jobs to launch a limited-edition iPod Product (RED).

Apple’s Product (RED) has raised more than $160 million. The contribution helps people affected by HIV in Ghana, Lesotho, Rwanda, South Africa, Swaziland, Tanzania, Kenya and Zambia. (RED) has raised more than $475 million, and Apple generated two-thirds of the total. Funds collected by Apple through Product (RED) support The Global Fund, an organization that has granted $4 billion to local medical experts in more than 140 countries.

The partnership between corporations and nonprofits spearheaded by (RED) has boosted innovation and investments in the race to find a cure for AIDS. Fifty percent of all profit collected through Apple Product (RED) goes to the fight against AIDS. With Apple leading the way since 2006, a myriad of other notable companies has joined the fight including Starbucks, Bank of America, Coca-Cola and Beats by Dre.

Apple created a dedicated online storefront that features limited edition red colored products. The most recent additions include Apple Watch, Beats by Dre, iPad Type Cover, iPod Touch and now Apple Pay purchases made via Bank of America cards donate one dollar for every purchase.

The ultimate goal of (RED) has been to eliminate the transmission of the AIDs virus from mothers to their babies using innovative medical techniques like antiretrovirals which are supplied to mothers to prevent HIV from growing and multiplying within their bodies. Additionally, the babies are given Nevirapine daily for about six weeks or more, based on individual circumstances. Typically, mothers who adhere to this regimen can reduce the risk of transmission to their unborn children down to five percent.

Apple is a behemoth that has enamored many people around the planet. With its support of Product (RED) not only does it increase funding, but it helps bring awareness to the issues faced by underdeveloped countries. Links to Product (RED) and The Global Fund are directly embedded into Apple’s online storefront, and annually on World AIDS day the company launches merchandising material in all of its physical stores including digital marketing on Apple.com and the Apple App Store.

Apple has historically always used unique methods to achieve goals, and during recent world events like the earthquakes that took place in Haiti and Japan, it leveraged its mega-customer base on iTunes and the App Store to collect donations ranging from five dollars to 200 dollars. Apple is The Global Fund’s most substantial corporate donor, and CEO Tim Cook has continued to make philanthropy a central aspect of his legacy at Apple.

Apple aims to continue to revolutionize the world with its products, while also helping nonprofits implement technology that betters the planet. Through campaigns like Product (RED) and its ability to connect at a deep level with its customers, Apple has more than achieved this goal.

– Hector Cruz

Photo: Flickr

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Major Efforts Toward Fighting the Cholera Crisis in Africa

cholera crisisThe Eastern and Southern countries in Africa face a serious cholera epidemic. This epidemic displays the lack of public sanitation as well as neglect from the government that many African countries face.

Cholera

Cholera is a diarrheal illness caused from an infection of the intestine with bacteria called vibriocholerae. The symptoms of the illness include: diarrhea, vomiting and leg cramps, and such loss of body fluid can lead to dehydration and sometimes shock. Oftentimes, death can occur within only hours without treatment.

Since the start of the New Year, there have been over 2,009 cases and 22 deaths in the countries in Africa facing the cholera crisis. Zambia, one of the countries in southern Africa, faced the worst of the epidemic, with more than 74 deaths since October of 2017. The main area where Zambia’s impacted with cholera is in their capital, Lusaka. The government banned street food from vendors in the capital to reduce the number of cases, but in return, caused violent protests from the vendors.

Cholera Causes

The government, along with the World Health Organization, states the cause of the cholera crisis is poor waste management and lack of personal hygiene. These factors cause the contamination of food and water, which in turn, can spark the epidemic.

To help with the cholera crisis, the government has sent in the army to control measures, clean the markets and unblock drains. An oral vaccine program was also launched with the goal of immunizing one million people, and since its implementation, the number of cholera cases have dropped.

Cholera Effects

The effects of the cholera crisis have not just been deadly, but also have forced public places to close. Many schools, churches and workspaces are deferred until they can contain the outbreak. This impediment puts citizen jobs, payment and education on hold.

The World Health Organization (WHO) suggests the prevention of cholera consists of clean water, sanitation and reminding communities of basic hygiene behaviors that includes hand washing with soap after using the bathroom, before eating or touching food.

The WHO also suggests there should be media regarding health education messages for these reminders, and the implementation of routine antibiotic and immunizations if available.

– Chloe Turner

Photo: Flickr

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Curbing Type Two Diabetes in the Marshall Islands

Curbing Diabetes in the Marshall Islands

In 2017, diabetes in the Marshall Islands had the highest prevalence worldwide, with nearly one-third of Marshallese adults suffering from the disease. The Marshall Islands is a country consisting of two archipelago island chains in the western Pacific with a population of about 75,000 people, two-thirds of whom live on the atolls of Majuro and Ebeye.

The majority of people with diabetes in the Marshall Islands, as with most other countries, have type two, which results from the body’s inefficient use of insulin. Common causes of type two diabetes include obesity and a lack of physical activity. According to a 2016 estimate, 53 percent of adults in the Marshall Islands are obese, the fourth highest percentage of in the world. Type two diabetes has reached epidemic levels in the Marshall Islands, and its increase is primarily attributed to poor dietary habits and low levels of physical activity.

Majuro has become increasingly dependent on imported food due to overpopulation. Domestic production supplies only 10 to 20 percent of all food calories consumed since local foods tend to be more expensive than imported foods and the quantity is insufficient to sustain the whole population. Of the food imported, fruits, vegetables and other healthy perishables are the most expensive.

The Marshallese diet is comprised primarily of imported, processed foods that are high in sugar. For example, typical breakfast foods include pancakes, fried doughnuts, ramen, coffeebread, rice and spam. Lunch and dinner usually feature white rice and fresh or canned meat.

Perhaps the greatest change to dietary practices required is a change in attitude. When it comes to food purchase and consumption, the Marshallese tend to value quantity and price over quality. However, results from a recent child development study confirming the link between poor nutrition and growth stunting in the Marshall Islands led the government to consider this issue in setting priorities for development programs and interventions. The study identified poor nutrition as the cause of growth stunting in 35 percent of children surveyed.

In the National Strategic Plan 2015 – 2017, the government addressed the need for both increased access to nutritious foods and the implementation of nutrition education programs in Marshallese schools. Also, in November of 2017, President of the Marshall Islands Hilda Heine met with the World Bank to discuss a long-term early childhood health project to improve childhood health status.

“We received a very enthusiastic response from the World Bank,” President Heine said.

Still, several challenges lie ahead for effective health reform in the Marshall Islands. But the current steps being taken to achieve better health outcomes have the potential to prevent and reduce the prevalence of diabetes in the Marshall Islands.

– Gabrielle Doran

Photo: Flickr

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Top 20 Countries with the Lowest Life Expectancy

countries with the lowest life expectancyThere are a lot of factors that contribute to a country’s life expectancy. Some of these contributing factors are economic conditions, diet, public health, access to medical care, wars, crime rate etc. Because of this, a lot of the countries on this list are African countries plagued by poverty.

According to the CIA’s World Factbook, these are the top 20 countries with the lowest life expectancy as of 2017.

  1. Chad – 50.6
  2. Guinea-Bissau – 51.6
  3. Afghanistan – 51.7
  4. Gabon – 52.1
  5. Swaziland – 52.1
  6. Zambia – 52.7
  7. Central African Republic – 52.8
  8. Somalia – 52.8
  9. Lesotho – 53
  10. Mozambique – 53.7
  11. Nigeria – 53.8
  12. Burkina Faso – 55.9
  13. Niger – 55.9
  14. Uganda – 55.9
  15. Sierra Leone – 58.6
  16. Cameroon – 59
  17. Cote d’Ivoire – 59
  18. Republic of the Congo – 59.8
  19. Zimbabwe – 59.8
  20. Angola – 60.2

The overwhelming majority of these countries are in sub-Saharan Africa. According to Africa Check, the top five causes of death in 2017 in Africa were lower respiratory tract infections, HIV/AIDS, diarrheal diseases, stroke and Ischemic heart disease. The major reasons for these causes of death are unsafe water, poor sanitation, insufficient hygiene, lack of resources and economic conditions. Living conditions dramatically affect life spans and are a major reason why these countries have the lowest life expectancy.

However, there has been a significant improvement in a lot of these countries and their life expectancy numbers. For example, Zimbabwe and Zambia’s longevity has increased by 38 percent since the year 2000. And, overall, of the 37 countries that have seen increases in their life expectancy numbers by more than 10 percent since 2000, 30 are in sub-Saharan Africa. Additionally, not even one sub-Saharan country had its life expectancy fall between the years 2000-2014.

There is still a lot of progress that needs to be made in order for these countries with the lowest life expectancy to increase their numbers, but regardless, there has been a substantial improvement in these struggling countries.

– McCall Robison

Photo: Flickr