Archive for category: Disease

Information and news about disease category

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Preventing Tobacco Use in Impoverished Countries

Tobacco Use in Impoverished Countries

Tobacco is one of the world’s most preventable causes of disease. Preventing tobacco use in impoverished countries is important because tobacco use causes many diseases and about half of tobacco users end up dying from it. In recent years, the World Health Organization (WHO) discovered that about 80% of tobacco users live in low- and middle-income countries.

Before, the citizens in those countries would and could not spend their money on tobacco because it was not necessary. Tobacco is considered a luxury. But as they earn more money and incomes increase in their countries, they can afford to spend their money on tobacco.

As impoverished countries begin to get out of the lower classes of income, tobacco companies begin to target these countries. They sell and advertise tobacco without many restrictions, as the countries have often not yet put regulations in place. Because of that, the citizens of these countries end up buying tobacco and facing the consequences of its use. However, preventing tobacco use in impoverished countries through restrictions can have dramatic effects.

One of the best examples of this is Honduras. Between the years 2000 and 2015. The World Bank reported that smoking prevalence in adult males decreased by 30%. The World Bank also noted that Honduras is a low-middle income country, the target area for tobacco companies. So why has tobacco usage decreased in Honduras?

To put it simply, they have begun to put restrictions on tobacco. According to The Tobacco Atlas, Honduras has many rigorous regulations regarding tobacco. For example, many of Honduras’s public areas do not allow smoking. Universities, restaurants and all other indoor public spaces are smoke-free. They have also limited the number of television channels on which tobacco can be advertised. Additionally, Honduras has a 21% excise tax on cigarette prices. Because Honduras has these restrictions, their smoking rate has decreased by 30%.

The positive impacts of these restrictions on tobacco advertisement and use in Honduras are that fewer people are buying tobacco because of the added expense of taxes and fewer people are being exposed to tobacco in the first place. The laws that limit where people can smoke help to prevent people from smoking in indoor public spaces and prevent nonsmokers from being exposed to cigarette smoke.

Preventing tobacco use in impoverished countries requires many different strategies. Taxes, advertisement restrictions and other policies work together to lower tobacco usage. Low-middle income countries need to implement these policies to help protect their citizens. Implementing proper restrictions on tobacco is important to the health of these countries.

– Daniel Borjas

Photo: Flickr

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5 Reasons Why You Should Care About Global Health

Five Reasons to Care About Global Health
Caring about global health isn’t limited to providing mosquito nets and vaccines. It is an expansive endeavor that attempts to deal with illnesses resulting from natural disasters, war and poverty. With this in mind, here are five reasons to care about global health.

 

  • Food Borne Illness: The development of international agricultural trade combined with the misuse of antimicrobials has increased the risk of foodbourne illness outbreaks from microbial contamination, chemicals, toxins and undiscovered diseases.

 

  • Global Economy: Disease outbreaks strain economies monetarily, but also weaken individual workers’ ability to support their families or contribute to society. The biggest hit to many countries affected by disease outbreak is a loss of tourism and consumer confidence. The cost to treat many diseases on such a large scale is astronomical compared to the preventative costs.

 

  • Drug Resistance: With new diseases appearing at a rate of one or more per year, known viruses and diseases are becoming increasingly drug resistant, elevating the likelihood of outbreaks. Diseases that were once considered treatable, like tuberculosis, are now becoming drug resistant.

 

  • Outbreaks: Transmittable diseases are making their way across oceans via airplane passengers and mosquitoes. Examples include the SARS epidemic in 2003, the outbreak of the H1N1 influenza in 2009 and, most recently, the spread of the Ebola virus in 2014.

 

  • Bioterrorism: Both accidental and deliberate outbreaks, whether malicious or simply negligent, pose severe threats globally. Examples include toxic chemical accidents, radionuclear accidents, environmental disasters and intentional release of toxic agents like anthrax and other bioterrorist actions.

There are many more reasons to care about global health in such an interconnected society as is present today. Organizations like the Centers for Disease Control, USAID and the World Health Organization are working to achieve global health security. Investing in global initiatives that increase the probability of early detection and control of communicable diseases can ensure a healthy global economy.

– Rebekah Korn
Photo: Flickr

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Rebuilding Healthcare Systems in Liberia After Ebola

Rebuilding Liberia After EbolaOn January 14, 2016, the World Health Organization (WHO) declared Liberia Ebola-free. As a result, the region of West Africa was officially free of the virus. Ebola was widespread throughout West Africa and cases occurred in the U.S. The country of Liberia was hit particularly hard by the virus between 2014 and 2016, with over 10,000 cases and a 45 percent fatality rate. Furthermore, since the outbreak, there have been many consequences. What has been done to address those consequences and rebuild Liberia after Ebola?

Both during, and after, the Ebola crisis, Liberian doctors worked with organizations like the WHO on the front lines to combat Ebola. In order to build-up medical infrastructure in Liberia, communities have engaged with nonprofit organizations. From the beginning of the crisis, Doctors Without Borders has been working with the government of Liberia and it continues to do so.

Ebola Treatment Units have been created to act as the first point of contact for people who are believed to have Ebola. The staff is trained and ready to respond to patients who show Ebola symptoms. Vaccines have also been distributed to centers across the country and they have been reported to be effective. People working in clinics have learned how to identify the disease and how to handle it.

The government of Liberia, with the support of the World Bank and United Nations, has created a plan for reconstructing the healthcare system, known as “Building a Resilient Health System.” Specifically, it plans to build new infrastructure and medical centers, which allows medical staff to care for various medical problems, not just outbreaks of the virus.

Psychiatrists and clinics are helping survivors and family members cope after the tragedy. The nonprofit More Than Me has worked to help reintegrate survivors back into the community as well.

It important to note that the chance of another outbreak is both likely and deadly in a developing country. This is due to a lack of understanding on how the virus is transmitted and how long it persists in one’s system. The Ebola virus still exists and could be transmitted by animals. This is why it is important for these organizations to continue outreach and awareness programs in Liberia, which teach Liberians about the disease.

While there is more to be done to rebuild healthcare systems in Liberia after Ebola, there is hope. According to an article by Al Jazeera, “Ebola has also united Liberians and brought greater trust into the health system, which is finally seen as the government priority.”

Liberia after Ebola is a changed Liberia. Families must deal with the social and economic fallout, while survivors and doctors must worry about when the virus may return. However, Liberians are better prepared to take on the virus in the future, thanks to the work of Liberian communities and medical organizations and nonprofits.

– Emilia Beuger

Photo: Flickr

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How to Help People in Bulgaria

How to Help People in BulgariaUSAID classifies Bulgaria as a nation of upper-middle income, with a GNI of over $53 billion and a GNI per capita of over $7,000. Despite these statistics, learning how to help people in Bulgaria from a U.S. standpoint might begin with funding.

U.S. disbursements to the nation for fiscal year 2015 totaled over $18 million. Unlike many other nations needing assistance in health or emergency services, the top two activities were:

  • International Materials Protection and Cooperation (Department of Energy)
  • Foreign Military Financing Program, Payment Waived (Department of Defense)

Unsurprisingly, those departments are also listed as the top partners for Bulgaria, with the Department of Defense leading over Energy. Furthermore, the top sector involved conflict, peace and security, and over half of the financial assistance for Bulgaria fell under the “military” (rather than the “economic”) category.

However, these focuses may not be the best ways of how to help people in Bulgaria, as the World Bank estimated the percentage of people living under the country’s poverty line in 2014 at around 22 percent.

Furthermore, while HealthGrove statistics estimated the life expectancy in the country at about 74 years, it maintained one of the highest mortality rates in comparison to other nations in Europe. It ranked above only Belarus, Moldova, Ukraine and Russia. Healthgrove breaks down the risk of mortality between communicable, maternal, neonatal and nutritional diseases, injuries and non-communicable diseases.

Of these, non-communicable diseases (such as cardiovascular problems and cancer) ranked much higher than the other two in terms of mortality rates. Consequently, making arguments for funds to treat diseases that can be transferred—like HIV, malaria and tuberculosis—might seem pointless. However, that does not mean that funding cannot go toward health in general when determining how to help people in Bulgaria.

A report from the United Kingdom providing tips on those traveling to Bulgaria explained that, relative to the United Kingdom, “facilities in most Bulgarian hospitals are basic and old-fashioned.” It did, however, make note of hospitals and clinics that are private as “generally well equipped and not expensive in comparison with the U.K.”

Although this measure is dependent on comparing and contrasting with the United Kingdom, it does not change the fact that funding from the United States could be reallocated toward health initiatives, instead of focusing so heavily on the Departments of Defense/Energy.

While the Global Health Innovation Act seems to highlight the importance of addressing communicable diseases in other countries, it may still be influential on the healthcare of Bulgarian citizens. Additionally, the International Affairs Budget is another important piece of legislation addressing U.S. funding to other nations.

Implementing effective practices when figuring out how to help people in Bulgaria can often be as simple as supporting bills and acts that relate to the U.S. budget.

– Maleeha Syed

Photo: Flickr

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The Most Threatening Diseases in Moldova

Most Threatening Diseases in Moldova
The former Soviet republic of Moldova is the poorest country in Europe. The average Moldovan lives to be almost 70 years of age. This life expectancy rate is an average of three years longer than considerably wealthier countries in the Commonwealth Independent States (CIS). Despite this longevity, Moldovans have the second-highest rate of mortality in all of Europe, losing 980.094 out of 100,000 citizens annually. The most threatening diseases in Moldova that contribute to the high mortality rate include cardiovascular disease, cancer and cirrhosis.

Noncommunicable Diseases
The most threatening diseases in Moldova are noncommunicable. According to the World Health Organization (WHO), cancer, circulatory and digestive system diseases, injuries and poisoning accounted for 73 percent of all deaths in 2012.

WHO declared tobacco and alcohol consumption to be the main contributors to the most threatening diseases in Moldova. Though cirrhosis and other chronic liver diseases are not in the top three leading causes of death in the nation, these diseases still claim almost 210 men and women per 100,000 Moldovans a year and remain substantial overall causes of death.

Infectious Diseases
The incidence of tuberculosis has increased by 83 percent since 2013. Diarrhea, lower respiratory and other common infectious diseases also account for major infectious diseases.

Syphilis and gonorrhea collectively affect an average of about 90 people per 100,000 Moldovans. In 2009, the country faced a syphilis epidemic, during which 139 citizens per 100,000 were infected. Though the reported cases of Moldovans infected with syphilis have decreased, it is still more than double the average of the CIS.

The rate of HIV is double the average frequency in the CIS, affecting nearly 20 of 100,000 Moldovans. AIDS affects 6.6 of 100,000 individuals and is above the CIS average.

Government Action for Disease Prevention
In February 2007, the Law on the Prevention and Control of HIV/AIDS outlines a legal system that aims to educate Moldovan citizens on HIV/AIDS prevention. It works to ensure basic human rights and assuage discrimination for those affected. The degree is also designed to promote medical, social and psychological resources for those living with the disease.

The National Coordination Council is devoted to the enhancement of epidemiological studies and strategies to better control diseases like tuberculosis. The council aims to enhance government policies concerning the control of HIV/AIDS, sexually transmitted infections and tuberculosis through efficient dialogue between the government and nongovernmental organizations.

Through these national programs, the most threatening diseases in Moldova will become less of an issue as prevention and care become more widespread.

– Sloan Bousselaire

Photo: Flickr

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Addressing the Most Common Diseases in Paraguay

Common diseases in ParaguayAt the heart of South America, Paraguay is one of the poorest countries in the region. 40 percent of its 6.7 million residents live in chronic poverty. For this landlocked nation full of millions of poor, health care is not at the forefront of government policy, as poverty continues to send the population into crisis. As a result, the country has an unfortunately low life expectancy rate and is plagued with various diseases.

Of the many common diseases in Paraguay, a particular few have been of the most concern in the last several years. Among the top causes of death in Paraguay are coronary heart disease, stroke, diabetes mellitus, influenza and pneumonia, cancer, kidney disease and hypertension.

The diseases with the greatest impact on the population are intestinal infectious diseases. These viruses, parasites and bacteria result in 107.7 annual years of healthy life lost per 100,000 people. Since 1990, the mortality rate of intestinal infectious diseases has increased by 6.1 percent per 100,000 people. Mostly infants die from these diseases, but the mortality rate peaks again for adult women and men ages 60 to 64. The diseases can be a result of unsafe water, poor sanitation and lack of hand washing. The most deadly of these diseases are caused by typhoid fever and paratyphoid fever.

Other infectious diseases are also common in Paraguay. Lower respiratory infections have a mortality rate of about 28 per 100,000 people. Diarrheal diseases, while common, have had a steady decreasing mortality rate since 1990 — a solid 79 percent decrease. Meningitis and tetanus are also common infectious diseases with decreasing mortality rates, while encephalitis and intestinal diseases remain at a steady infection rate.

In 2015, the Centers for Disease Control warned that Zika virus was present in Paraguay. Public health officials reported the virus was being carried and spread by infected mosquitoes, and also warned of the virus’s dangerous lack of symptoms. Pregnant women were at the highest risk, as infection during pregnancy causes harsher symptoms and serious birth defects.

In 2014, the National Eradication Service for Vector-Borne Diseases reported that the vector for the dangerous parasitic Chagas disease was found with increasing frequency in Paraguay. At first it was believed the vector was only found in rural and indigenous areas, but uncleanliness and housing insecurity of other poor areas have caused the vector to find a home between the bricks of houses, which mimic its normal dry habitat. An estimated 165,000 people in the country suffer from chronic Chagas disease. A bite from the protozoan parasite, Trypanosoma cruzi, can potentially be life-threatening.

The life-saving organization, Doctors Without Borders, has worked recently in Paraguay’s rural Chaco region, educating people in isolated communities about Chagas disease and offering screenings to locals. The World Health Organization (WHO) calls Chagas the “neglected tropical disease” because the vast majority of people affected do not have access to diagnosis or treatment. Most people affected experience symptoms without knowing why. Treatment is rapid and proves to be effective.

According to the WHO, in Paraguay, the probability of dying between the ages of 15 and 60 years is 166 for males and 126 for females per 1,000 people. Additionally, the country’s total expenditure on healthcare in 2014 was 9.8 percent of GDP. If Paraguay’s healthcare system were improved to prevent, treat and educate on disease and illness, many lives could be spared. As for now, organizations like Doctors Without Borders will continue to spread hope and educate on the common diseases in Paraguay which affect a majority of the population.

– Olivia Cyr

Photo: Flickr

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Common Diseases in Kiribati

Common Diseases in KiribatiKiribati is a small island country in the central Pacific. The people of Kiribati have a positive outlook on life, despite the fact that many factors such as a lack of sanitation, overcrowding, high unemployment and environmental threats have led to 22 percent of the population living without basic needs.

The Ministry of Health in Kiribati provides free hospital services and public health and nursing services on the island and tries to focus on disease prevention and education. Yet, the persistence of urban poverty, climate change and poor water quality have led to a nearly constant influx of disease on the island.

Diarrheal Disease
Diarrheal outbreaks are common diseases in Kiribati for a few reasons. One of the most prevalent sources of diarrhea is dirty water. One in 20 infants dies before their first birthday in Kiribati from drinking unclean water. Some other causes of diarrheal disease are poor food handling and public defecation due to overcrowding.

Malnutrition
There are three different types of malnutrition: wasting (low weight for height), stunting (low height for age) and underweight (low weight for age). The most common type of malnutrition in Kiribati is stunting. Malnutrition not only reduces quality of life but also contributes greatly to infant mortality, weak immune systems and mortality in general.

Dengue Fever and Chikungunya Virus
Two other common diseases in Kiribati are dengue fever and chikungunya, both of which are viruses transmitted through the Aedes aegypti and Aedes albopictus mosquitoes. In 2015, it was reported that more than 12,000 people have been infected with mosquito-borne illnesses.

Ciguatera Poisoning
Ciguatera poisoning comes from consuming reef fish that have been contaminated by ciguatoxins, or marine biotoxins that cause food intoxication. The toxins can cause a wide range of neurological, gastrointestinal and cardiovascular symptoms. According to research, the toxins mainly develop in shallow waters that contain seaweed, sediments and dead coral. Thus, it is possible that low sea levels and surface water temperatures are contributing to the poisoning.

Lifestyle Disease
Some of the most common diseases in Kiribati are those that stem from certain lifestyle habits or behaviors. Diseases of this kind include HIV and other sexually transmitted infections, cardiovascular disease, respiratory disease and diabetes. The prevalence of HIV and STIs are due to a lack of sexual education. Cardiovascular disease and diabetes are most often associated with physical inactivity and poor eating habits. Tobacco use also contributes to respiratory disease and cancers.

Kiribati is working with the World Health Organization (WHO) on a national development plan for the 2016-2019 period that includes operational plans for the Ministry of Health and Medical Services. Immediate goals include reducing the risk of non-communicable diseases, improving maternal and child health, preventing the spread of communicable diseases and strengthening health service delivery.

Awareness and prevention of communicable disease will be key to implementing this plan. With the intervention of WHO, Kiribati has made strides in providing cost-effective, quality health services and preventing disease.

– Madeline Boeding

Photo: Flickr

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Causes of Poverty in Guinea

Causes of Poverty in Guinea

Guinea is a West African country known for its rich reserves of iron ore, gold, bauxite and other minerals. Despite the wealth these resources generate, Guinea is one of the poorest countries in the world.

Guinea has the highest per capita income on the continent of Africa, yet more than half of the population lives below the poverty line, with around 20 percent in extreme poverty. So where does this huge disparity come from?

The poverty statistics in Guinea are staggering, especially in rural areas. 55 percent of people live below the poverty line, and unemployment rates are very high. Hunger also poses a serious threat, with 17.5 percent of the population experiencing food insecurity, 230,000 children suffering from moderate acute malnutrition and 25.9 percent of the population experiencing chronic malnutrition.

Bearing all that in mind, what are the causes of poverty in Guinea?

Disparities Between Rural and Urban Areas
There is a significantly higher occurrence of poverty in rural areas compared to urban areas. Many Guineans rely on agriculture and do not receive help from any national safety net program; therefore, when frequent floods and natural disasters hit, rural areas are especially devastated. Approximately 63 percent of the rural population is poor, and a huge discrepancy exists between the availability of services like healthcare and education between rural and urban areas.

Influx of Refugees
Another factor contributing to the poverty in Guinea is the significant influx of refugees from Liberia and Sierra Leone into Guinea due to political instability in those countries. These refugees put a strain on the already struggling economy and contribute to political instability that deters investors from helping Guinea.

Insecurity Due to Ebola
Another one of the causes of poverty in Guinea was the 2014 outbreak of Ebola that ravaged Guinea and neighboring countries. The Ebola outbreak continues to have an economic impact, as certain trading restrictions curb economic activities. Ebola has affected almost a million people in Guinea, and many communities require rebuilding that will require a lot of time and money.

Domestic Corruption
Rampant corruption among government officials helps explain why such a rich country has such high poverty rates. Senior government officials have accumulated huge personal fortunes from the oil boom. A money laundering investigation revealed systemic corruption in the government. The government invests heavily in sketchy infrastructure projects that have inflated prices and little social value, at the cost of the well-being of their citizens. To put it into perspective, the government of Guinea spends US$80 out of every US$100 in its budget on construction projects, but only dedicates US$2-3 to health and education. Thus, the citizens continue to suffer from illiteracy and poor health and have no way to escape poverty.

Despite the concerning causes of poverty in Guinea, some aid is coming to the poor. For example, the World Food Programme has a number of programs dedicated to assisting those in Guinea. The World Food Programme is helping by providing emergency support for communities affected by Ebola, food assistance and nutrition, resilience building, school meals and support for local farmers. Although the plight of the poor in Guinea is concerning, efforts by organizations like the World Food Programme can alleviate some of the suffering.

– Lauren McBride

Photo: Flickr

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Preventing Common Diseases in Seychelles

Common Diseases in Seychelles Seychelles is an African nation consisting of many islands located off of the east coast of Kenya. Due to its geographical location, some of the common diseases in Seychelles are mosquito- and animal-borne.

Three of the more common diseases in Seychelles are dengue fever, chikungunya and leptospirosis.

According to the Centers for Disease Control and Prevention (CDC), dengue fever and chikungunya have a number of common symptoms. Fever, joint pain and headaches are some of the more prevalent symptoms of dengue and chikungunya.  Even though both have overlapping symptoms, they are still separate diseases and it is possible to be infected by both diseases at the same time.

Dengue fever and chikungunya are both viruses that are spread by mosquitos. Thanks to the tropical climate that Seychelles has, it is a high breeding ground for mosquitos, meaning that these diseases can be spread easily. In 2005 to 2007, it was reported that there was an epidemic of chikungunya in Seychelles that infected about 60 percent of the population.

Thankfully, a French team from the World Health Organization (WHO) went to Seychelles and assisted the islands. They destroyed domestic breeding sites of mosquitoes and began a public health education campaign.

There are no vaccines for chikungunya but there is a vaccine for dengue fever. However, only a few countries have approved the use of the dengue vaccine. Because the mosquitos in Seychelles can bite indoors or outdoors and are active both day and night, preventative measures are the best way to ward off these diseases. Wearing long sleeves and using bug sprays are common ways to prevent mosquito bites. Cleaning and covering standing water can help prevent mosquito-breeding sites.

Another one of the common diseases in Seychelles is leptospirosis, which is a bacterial infection spread through animal urine. Leptospirosis can lead to kidney damage, liver failure and death if left untreated. Like chikungunya, leptospirosis currently does not have a vaccine available to prevent it. However, since leptospirosis is bacterial, antibiotics can be prescribed as treatment.

Much like dengue fever and chikungunya, preventative measures are the best way to not become infected. Avoiding areas where infected urine may be found are unclean water sources, soil after rainfall and animal habitats is the best preventative measure against leptospirosis.

Thankfully, research is well underway to get a vaccine for chikungunya and leptospirosis. Due to the outbreak of chikungunya, knowledge was gained on how the virus behaves and that has allowed scientists to be one step closer to produce stronger tools against it.

– Daniel Borjas

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Common Diseases in Sint Maarten

Common Diseases in Sint MaartenSaint Martin is an island in the northeast Caribbean divided between the French Republic (Saint Martin) and the Kingdom of the Netherlands (Sint Maarten). The Dutch side, Sint Maarten, is one of the four constituent countries that form the Kingdom of the Netherlands. Common diseases in Sint Maarten range from non-communicable to more high-risk communicable diseases.

When traveling to any island or foreign country, the CDC recommends a series of vaccinations to prevent illness from communicable diseases. It is recommended that travelers to Sint Maarten receive these vaccinations:

  • Routine vaccines
  • Hepatitis A
  • Hepatitis B
  • Rabies
  • Typhoid
  • Yellow fever

These vaccinations help prevent common diseases in Sint Maarten from spreading to tourists. A non-vaccine-preventable disease that is common is dengue fever. This is a leading cause of febrile illness among travelers from the Caribbean, South America and southeast Asia.

Common diseases in Sint Maarten can be spread by many means. The female Aedes aegypti mosquito transmits mosquito-borne diseases such as Zika, dengue and chikungunya. Taking precautions against mosquitoes by using bed nets at night, insect repellent and wearing long sleeve shirts and long pants can prevent these diseases. Zika is especially dangerous for pregnant women, as it can lead to birth defects. Others should use protection when there and home, and while traveling.

According to the Caribbean Public Health Agency (CARPHA), cancer is a non-communicable, common disease in Sint Maarten that causes death. Among females, breast cancer is the most prevalent, followed by cervical cancer. Prostate cancer is the leading cause of death among men, with lung cancer coming in second. Lung cancer is also a contributor to a high number of deaths among women. These cancers can be caused by genetics or environmental factors.

Non-environmental factors such as overeating have led to childhood obesity, which is seen as an epidemic in the youth of Sint Maarten based on the Youth Obesity Research study done in 2010. In 12-17-year-olds, the prevalence of overweight is 39 percent, and of that group, 54 percent are obese. The study also indicated that 60 percent of youths do not participate in sports and rarely consume fruits and vegetables.

The government has declared its aim to ensure that their “education sectors promote programs aimed at providing healthy school meals and promoting healthy eating.” They want to make a difference by promoting physical activity and providing healthy food choices in the schools. In order to achieve this goal, the schools will need to cooperate with the parents and educate them on healthy eating at home as well as at school.

The common diseases in Sint Maarten vary from non-communicable to communicable, to preventable and non-preventable. The good news is that making healthy lifestyle choices and taking the necessary precautions, one can easily avoid disease.

– Stefanie Podosek

Photo: Flickr