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Archive for category: Disease

Information and news about disease category

Disease, Global Poverty

Top Diseases in Cote d’Ivoire


Cote d’Ivoire was once a buzzing ivory trade hub, is currently the world’s largest exporter of cocoa and home to the largest basilica on earth. The country is filled to the brim with beach resorts, rainforests and French colonial influences. The Ivory Coast, as the country is commonly referred to in English, is neighbored by five other African countries and the Atlantic Ocean. Despite how rich this country’s chocolate may be, the consequences of their health issues are extremely grim. Here are two of the top diseases in Cote d’Ivoire:

Malaria

Malaria is a disease of the blood that can only be transferred by the bite of the female Anopheles mosquito. Malaria is a parasite, and once it is transferred, lodges in the liver and multiplies. Approximately two weeks later, the parasite moves to the bloodstream and infects red blood cells. If malaria is left untreated it can cause anemia, hypoglycemia, or cerebral malaria.

Symptoms include fever, headache, and vomiting and present themselves similar to the flu. If it is untreated, malaria may evolve into cerebral malaria. One this occurs, the capillaries carrying blood to the brain become blocked and can cause a coma, life-long learning disabilities and even death.

In 2012, the CDC determined that malaria is the third-highest cause of death in Cote d’Ivoire, claiming six percent of the total death toll. However, in 2015, malaria was the number one cause of death, according to the Institute for Health Metrics and Evaluation (IHME).

Malaria is preventable. The most affordable form of prevention is a mosquito net. Sleeping under insecticide-treated mosquito nets not only provides protection, but the mosquitoes are killed on contact, preventing them from biting anyone who may not have their own net under which to sleep.

There is no vaccine for malaria, but in the event that the disease is contracted, there are early treatment anti-malaria drugs, called Artemisinin-based combination therapies (ACTs). If taken, they can effectively cure malaria; however, these drugs can be hard to get to remote areas.

HIV/AIDS

If left untreated, HIV (human immunodeficiency virus) can lead to the disease AIDS (acquired immunodeficiency syndrome). HIV/AIDS is not only one of the top diseases in Cote d’Ivoire, but across the globe. HIV attacks the body’s immune system, and unlike other viruses, once it is contracted, it can never be completely eradicated from the body. HIV makes people more susceptible to infections and certain cancers.

AIDS is the final stage of the HIV infection, but not all people who have HIV advance to AIDS. AIDS affects the immune system so severely that a person becomes vulnerable to opportunistic infections. An opportunistic infection is caused by pathogens, like a bacteria or a virus, which take advantage of an immune system that, if it was not compromised and weakened, would otherwise be able to fight it off.

HIV and AIDS can only be contracted through contact with an infected person’s blood or other bodily fluids. There is no cure for HIV/AIDS, but with medical assistance it can be treated and controlled.

Current HIV medication for those who test positive is called antiretroviral therapy (ART). If taken properly and regularly, it has been shown to drastically prolong life. HIV/AIDS transmission can be prevented through simple methods like using a new condom before sex, telling sexual partners if you test HIV positive, or using a clean needle.

According to the CDC, HIV/AIDS was the number one cause of death in Cote d’Ivoire in 2012, claiming 13 percent of the total death toll, but according to IHME, in 2015, it was the second leading cause of death, behind malaria.

These two top diseases in Cote d’Ivoire constantly shuffle top positions among the list of diseases ravaging the country, yet they are completely preventable. If the right methods are introduced and followed in Cote d’Ivoire, everyone can reduce their risk of contracting malaria and HIV/AIDS.

– Karyn Adams

Photo: Flickr

April 17, 2017
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Borgen Project https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Borgen Project2017-04-17 01:30:592024-12-13 17:57:45Top Diseases in Cote d’Ivoire
Developing Countries, Disease, Global Poverty

15 Facts about Global Poverty

 Global Poverty
Most people are aware of global poverty, but oftentimes, the facts don’t sink in until people see the numbers. Here are 15 facts about global poverty.

1. The United Nations Food and Agriculture Organization estimated that from 2014 to 2016, one in nine people suffered from chronic undernourishment. Almost all of them live in developing nations.

2. Between the years 1992 and 2014, the number of undernourished people in developing nations was reduced to 43 percent. However, there is still a long way to go. The percentage of the world’s population that still suffers from hunger is 13.5 percent.

3. Sub-Saharan Africa is the region with the least amount of progress made in reducing hunger, with one in four people deemed chronically undernourished.

4. Although many Asian nations have made improvements in their poverty levels, little progress to decrease the number of chronically undernourished people has been made.

5. Undernutrition during a child’s developing years causes problems such as stunted height. In 2012, Professor Daniel Schwekendiek from Sungkyunkwan University studied the heights of children in North and South Korea. He found that poor nutrition causes North Korean children to be one to three inches shorter than South Korean children.

6. Another side effect of malnutrition is iron deficiency. Half of all pregnant women in developing countries are estimated to be anemic. About 40 percent of preschool-age children are also estimated to have anemia, which causes problems such as weakness and insomnia.

7. In the United States, a case of upset stomach and diarrhea might cause a sick day. For developing countries, a diarrheal disease could be a death sentence for a child. In 2015, diarrhea accounted for nine percent of deaths among children age five and under. This made it the leading cause of death for children in that age group.

8. Between 2000 and 2015, the number of children under five dying from pneumonia decreased by 47 percent. However, the numbers are not decreasing fast enough. In 2015, the cause of one in six childhood deaths was pneumonia.

9. The Center for Disease Control and Management estimates that 780 million people have no access to clean drinking water. This is about the same number of people who suffer from hunger and malnutrition globally. People living in rural areas are more likely to not have access to an improved water source.

10. The United Nations Children’s Fund (UNICEF) estimates that one in five primary schools girls do not have access to education. Experts say that one reason for this is because menstruating girls often do not have access to toilets in schools. Girls are also more likely to be in charge of fetching water for the family. This makes it difficult for them to stay in school.

11. Contaminated drinking water can also lead to diseases such as Guinea Worm Disease (GWD). This is a painful parasitic disease that causes worms to emerge from the body through blisters and sores.

12. Unclean water isn’t only unsafe to drink, it can also be unsafe to wash in. Contaminated water sources used in washing can lead to problems such as trachoma, the world’s leading cause of preventable blindness. Nearly 41 million people suffer from this condition.

13. According to UNAIDS, there were approximately 37 million people living with HIV/AIDS in 2015. The number of children under the age of 15 living with the disease in 2015 was 1.8 million.

14. In 2015, 150,000 children became infected with HIV. The majority of them live in Sub-Saharan Africa and became infected by their mothers through pregnancy, childbirth or breastfeeding.

15. However, people are making progress in addressing the AIDS epidemic. In 2016, there were an estimated 18.2 million HIV-infected people on antiretroviral therapy. UNAIDS hopes to increase that number to 30 million by 2020.

Most people have some general knowledge of the effects of global poverty, but the numbers make the reality more palpable. These facts demonstrate the great amount of progress made and the work that still needs to be done. The Borgen Project is helping decrease global poverty number by educating, advocating and mobilizing people. However, until poverty is completely eliminated, there is still plenty of work to be done.

– Mary Grace Costa

Photo: Flickr

April 17, 2017
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Children, Disease, Global Poverty

UNICEF Polio Eradication Campaign Reaches Five Million Children


Thanks to an unprecedented U.N. Children’s Fund operation, five million Yemeni children received vaccinations against polio in early 2017. This record polio eradication campaign consisted of 40,000 people on mobile health teams going door-to-door in Yemen to reach the nation’s vulnerable children. The brave vaccinators courted danger by hiking over mountains, through valleys and across battle lines to reach the children in need. The children also received Vitamin A supplements to bolster their immune systems.

Vigilance is Critical

Despite the encouraging numbers from the vaccination efforts, continued vigilance is vital to prevent new cases. UNICEF‘s Representative in Yemen, Meritxell Relaño, echoed the importance: “In the last two years, more children have died from preventable diseases than those killed in the violence. This is why vaccination campaigns are so crucial to save the lives of Yemen’s children and to secure their future.”

The campaign couldn’t have come at a better time. Relaño indicated that the children in Yemen are especially vulnerable because the nation’s conflict is keeping them from adequate nutrition and healthcare.

Reza Hossaini of UNICEF  also reiterated the need for vigilance: “There is no question that progress to end polio is real and tangible. But – and it’s a big ‘but’ – until all children everywhere are consistently and routinely immunized against polio, the threat is there.”

Eradication on the Horizon?

Significant progress has been made since 1988 when UNICEF joined the Global Polio Eradication Initiative. At that time, there were 350,000 documented cases of the debilitating disease worldwide. These organizations hope to completely eliminate polio by 2019.

Their efforts have been working. By 2014, there were only 359 documented cases worldwide. More than 60 years after the first polio vaccine was developed by Jonas Salk, our planet is finally nearing total eradication of this devastating disease.

– Gisele Dunn

Photo: Flickr

April 16, 2017
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Disease, Global Poverty

Top Italian Diseases


Italy attracts thousands of tourists because of its food, history and beautiful coastlines. However, the diseases that Italians are prone to are often overlooked. In 2012, certain diseases resulted in 613,520 deaths in Italy. Here is a quick overview of the top Italian diseases.

Heart Diseases

Ischemic heart disease took the lives of 75,098 Italians in 2012. Other types of heart diseases killed 48,384 Italians in 2012. In general, heart conditions accounted for 30 percent of all deaths in Italy that year. Symptoms of ischemic heart disease include recurrent chest pain and discomfort due to a lack of blood flow to the heart.  Ischemic heart disease develops when cholesterol particles accumulate on artery walls that supply blood to the heart. Eventually, the arteries become clogged, blocking the flow of blood to the heart.

Cerebrovascular Diseases

 Cerebrovascular diseases have resulted in the deaths of thousands of Italians. Cerebrovascular diseases refer to all disorders in a specific area of the brain that is impacted by ischemia or bleeding. Strokes and aneurysms are common examples of cerebrovascular diseases.

Cancer

Trachea, bronchus and lung cancer killed 33,538 Italians in 2012. Such cancers were the second causing cause of death for men in that year. Each of these cancers impacts the lungs and throat area of the body and are caused by smoking.

The top Italian diseases generally result from poor lifestyle decisions, such as lack of exercise, smoking and excessive alcohol consumption. The most common diseases in the country can be prevented if Italians commit to making simple lifestyle changes. Proper lifestyle choices can help decrease the prevalence of these diseases and can allow many Italians to enjoy their beautiful country and culture for longer periods of time.

– Mary Waller

Photo: Flickr

April 13, 2017
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Borgen Project https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Borgen Project2017-04-13 01:30:312024-05-27 23:59:45Top Italian Diseases
Disease, Global Poverty

Zika infections in Puerto Rico


According to National Public Radio (NPR), health researchers have reported that the number of new cases of Zika infections in Puerto Rico has risen to over 34,000 since 2015. The Center for Disease Control (CDC) states that the virus peaked during the summer months of 2016, with more than 2,000 new cases being reported per week.

Because Zika is a relatively new epidemic, individuals living in Puerto Rico have not yet developed any immunity to the virus. Therefore, the transmission of the disease has been rampant.

In more recent months, the number of Zika infections in Puerto Rico has decreased to around 200 new cases per week. However, it continues to remain a serious problem within the region. Researchers from the CDC have confirmed that the number of Zika infections in Puerto Rico has far surpassed that of dengue virus infections. Dengue is another disease most commonly spread by mosquitoes.

The Zika virus is transmitted via the bite of an infected Aedes species mosquito. Pregnant women who become infected are especially at risk of the disease.  Those infected are likely to pass on the infection to the fetus during pregnancy, which can lead to serious birth defects. Additionally, sexual relations and blood transfusions can spread the virus. Common symptoms of Zika virus include fever, rash, headaches, muscle pain and red eyes.

As of 2017, over 1,000 confirmed cases of reported Zika infections in Puerto Rico were among pregnant women. Doctors at the High-Risk Clinic at the University of Puerto Rico have treated some of these infected women. They witnessed at least 14 cases of babies born with severe brain damage.

Notwithstanding, some babies may not begin to show signs of defects or abnormalities until several years after birth. This calls for babies to be closely monitored by health professionals for up to four or five years after birth.

The CDC has listed different recommendations for preventing contraction of the disease. These recommendations are especially important because of the lack of a vaccine for the disease. Some of their recommendations include wearing long-sleeved shirts and long pants when mosquitoes are around, ridding homes of any standing water and using insect repellents registered by the Environmental Protection Agency. They especially advise against pregnant women traveling into Puerto Rico or any other areas where the virus is present.

– Lael Pierce

Photo: Flickr

April 12, 2017
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Disease, Global Poverty

Top Three Deadliest Diseases in Botswana


Located in Southern Africa, Botswana is one of Africa’s most stable countries, with a solid economy built on diamonds and Safari-based tourism. However, the country continues to struggle with high rates of HIV/AIDS, as well as other preventable diseases. Here are the top three deadliest diseases in Botswana:

1. HIV

HIV is not only one of the deadliest diseases in Botswana, but it is also the number one cause of death, accounting for 32 percent of all deaths in the country. Despite the disease’s prevalence, the Ministry of Health’s national HIV program has helped efforts progress. Approximately 96 percent of people in need of HIV treatment in Botswana have received it. Increased prevention of mother-to-child transmission has reduced the transmission rate to less than four percent.

2. Malaria

While seven percent of deaths each year are due to malaria, Botswana has significantly reduced the disease’s burden. Government interventions, such as establishing rapid response teams and adequate healthcare facilities, has helped reduce incidences from 0.99 to 0.01 percent between 2000 and 2012. Botswana’s progress has not gone unnoticed. In 2016, the country received the African Leaders Malaria Alliance (ALMA) Award for its progress in reducing malaria.

3. Tuberculosis (TB)

Tuberculosis is very common in Botswana, causing six percent of deaths each year. Part of what makes TB so dangerous is that it is a common opportunistic infection in people with HIV. In Botswana, 75 percent of patients with TB are HIV-positive. TB rates began rising in Botswana with the increase in HIV/AIDS in the 1990s, with rates from 200 cases per 100,000 people in 1990 to 620 per 100,000 in 2002. With the help of international partners, the government has launched numerous programs aimed at increasing testing, prevention and awareness of the link between HIV and TB.

Despite its steady economy and stable government, Botswana continues to suffer from high rates of preventable diseases. That said, the government has made significant progress in reducing this prevalence of these diseases and continues to dedicate important time and resources to prevention.

– Alexi Worley

Photo: Flickr

April 12, 2017
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Borgen Project https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Borgen Project2017-04-12 01:30:252024-12-13 17:57:44Top Three Deadliest Diseases in Botswana
Disease, Global Poverty

Top Diseases in Dominica

Diseases in Dominica
Dominica is an eastern Caribbean nation with clusters of coastal communities and a sparsely populated volcanic interior. The top diseases in Dominica are chronic non-communicable diseases (CNCDs), responsible for 52 percent of deaths. According to a survey taken in Dominica, from 2005 to 2009, the main causes of death were strokes, diabetes, and heart diseases. The survey also shows the number of deaths on the island due to CNCDs:

  • Strokes, coronary ischemia, heart disease and hypertension: 333 deaths
  • Diabetes mellitus: 228 deaths
  • Ischemic heart disease: 206 deaths
  • Malignant neoplasm of prostate: 176 deaths
  • Hypertensive diseases: 165 deaths
  • Acute respiratory infection: 137 deaths
  • Other forms of heart disease: 120 deaths
  • Chronic lower respiratory diseases: 96 deaths
  • Heart failure: 84 deaths
  • Malignant neoplasm of digestive organs and peritoneum: 66 deaths

According to Pan American Health Organization director Carissa Etienne, Dominican health statistics are concerning. “For every three persons, one has high blood pressure. For every five persons in Dominica, one has diabetes. For every four persons in Dominica, one has high cholesterol. For every two people in Dominica, one is overweight or obese,” Etienne said.

Most diseases in Dominica are caused by preventable risk factors including tobacco use, unhealthy diet, physical inactivity and the harmful use of alcohol. These can be prevented with a change in lifestyle.

According to healthdata.org, in 2015, the highest cause of death in Dominica was from cardiovascular complications, at 55.8 percent. Chronic kidney disease resulted in the most combined death and disability, affecting more than 30 percent of people that year. The second-highest contributor was cerebrovascular disease, with more than 20 percent of people becoming disabled.

Furthermore, diabetes is becoming a prevalent disease in Dominica. From 2005 to 2015, diabetes affected 19.9 percent of the population. According to the International Diabetes Federation, in 2015, there were 6,000 cases of diabetes. Pan American Health Organization representative for Barbados Godfrey Xuereb said the prevalence of diabetes in Dominica had risen from about five percent in 1980 to almost 15 percent in 2014.

The number of CNCDs is very high. However, Dominica has been holding conferences to address the situation. Doctors have brought this problem to light, and have been working on ways to help people stay aware of their health and to take care of themselves.

– Solansh Moya

Photo: Flickr

April 12, 2017
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Disease, Global Poverty

Severe Diseases in Nauru


Among the various diseases in Nauru, the most serious and commonly transmitted in the country are dengue fever and typhoid fever.

Dengue Fever: Cause and Symptoms

According to WebMD, dengue fever is a disease that is transmitted through the bite of an infected Aedes mosquito. Unlike many other diseases in Nauru, dengue fever cannot be transmitted via person-to-person contact. Symptoms common to the disease include high fever, vomiting, fatigue, skin rash, nosebleeds, and bruising. If left untreated, it is potentially life-threatening.

Recently, dengue fever has been a rising epidemic in Nauru. Medical researchers have confirmed at least 70 cases of dengue fever within the country. While there has been a rapid increase in infections, Nauru is currently working with a limited amount of treatment supplies.

Nauruan government officials have met with officials from the World Health Organization (WHO), the Australian government, and hospital staff members of International Health and Medical Services, in order to develop an effective solution to the epidemic. However, due to limited medical resources, some infected patients have been evacuated to Australia for proper treatment.

Typhoid: Causes and Symptoms

Another common disease, typically transmitted through contaminated food and water in Nauru, is typhoid. Common symptoms of typhoid include high fever, headaches, stomach pains, loss of appetite, internal bleeding and in extreme cases, death.

The risk of infection is especially high in Nauru and the surrounding regions, so the Center for Disease Control (CDC) highly recommends that potential travelers get vaccinated before traveling into the country.

Travelers who reside with friends or relatives, visit small cities and eat “risky” foods face the highest risk of becoming infected with typhoid disease. The CDC recommends that travelers into the country be especially cautious of the kinds of food and drink that they consume, such as tap or well water, salads, unwashed raw fruit and food from street vendors.

One of the best ways to avoid contracting typhoid, as well as other diseases in Nauru, is to keep hands washed and well-sanitized. It is also best to avoid all physical contact with individuals who are infected with the disease.

– Lael Pierce

Photo: Flickr

April 11, 2017
https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg 0 0 Borgen Project https://borgenproject.org/wp-content/uploads/borgen-project-logo.svg Borgen Project2017-04-11 01:30:512020-05-04 12:26:14Severe Diseases in Nauru
Disease, Global Poverty

Threatening Diseases in Croatia


With an evolving population of 4.3 million people, Croatia is known for its rich historical culture, beautiful landscapes and pleasant climate. As a result, Croatia has become a booming tourist destination. Although widely known for its attractions, many transmittable diseases in Croatia threaten the health of its population and the country’s tourism industry.

Here are just a few of the threatening diseases in Croatia:

Typhoid Fever

Typhoid fever is a systemic infection, usually contracted through contaminated food or water. The symptoms include prolonged fever, nausea, headache, loss of appetite and constipation or diarrhea. It thrives in areas with poor sanitation and lack of clean drinking water. According to a study published in 2014, approximately 21 million cases and 222,000 typhoid-related deaths occur annually worldwide, demonstrating the real threat that this communicable infection poses.

Currently, there are two typhoid vaccines that are recommended for use, including an injectable polysaccharide vaccine (Vi-PS vaccine) for persons of age two years and above. The other vaccine is a live attenuated oral Ty21a vaccine for those over five years of age.

Malaria

Malaria is a life-threatening disease caused by parasites that are transmitted through mosquito bites. The symptoms include fever, headache, chills and vomiting, which usually appear within 7 days or more (usually 10-15 days). If not treated quickly, this can progress to severe illness, often leading to death.

Malaria is preventable and curable, easing the burden in many countries around the world. Currently, there are no licensed vaccines against malaria or any other human parasite. However, with insecticide-treated mosquito nets and antimalarial drugs, malaria can be prevented.

Hepatitis B

As a viral infection that attacks the liver, hepatitis B is a virus that is transmitted through contact with blood or other bodily fluids of an infected person. Every year, more than 686 million people die due to the complications of hepatitis B, including cirrhosis and liver cancer.

A vaccine against hepatitis B is available in preventing the infection and the development of chronic disease and liver cancer complications. However, the treatment does not cure all cases of hepatitis B. By only suppressing the replication of the virus, lifelong treatments are necessary in order to fight against the complications of the virus.

Although the diseases in Croatia are constantly threatening the health of the country’s population and its tourism industry, many are continuing to develop innovative methods to help bring vaccinations and preventable solutions to Croatia, potentially saving millions of lives.

– Brandon Johnson

Photo: Flickr

April 11, 2017
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Developing Countries, Disease, Global Poverty, World Hunger

Striving to End World Hunger: 20 Key Facts

world hunger facts
While progress has been made in the effort to end world hunger, one in nine people around the world still go to bed hungry. Here are 20 world hunger facts:

Top World Hunger Facts

  1. Roughly 795 million people, or one in nine, of the 7.3 billion people in the world are suffering from chronic undernourishment.
  2. Of the 795 million suffering from hunger, 780 million live in developing countries. That is 12.9 percent of developing countries’ population.
  3. World hunger is dropping. The number of undernourished people in developing countries was reduced by 42 percent between 1990 and 2014.
  4. Hunger is most prevalent in Asia and sub-Saharan Africa. Two out of three of the world’s undernourished people live in Asia. In addition, one in four people in sub-Saharan Africa is undernourished.
  5. There are two types of malnutrition. The first is protein-energy malnutrition, which is a lack of calories and protein. The second is micronutrient deficiency, which is a shortage of vitamins and minerals. While both are important, protein-energy malnutrition is the focus of world hunger discussions.
  6. Every year, hunger kills more people than AIDS, malaria and tuberculosis combined.
  7. Sixty percent of the world’s hungry people are women.
  8. Hunger affects women’s pregnancies. Each year, around 17 million children are born undernourished because their mother was undernourished while pregnant.
  9. Every 10 seconds a child dies due to a hunger-related disease.
  10. World hunger is caused by inequality and poverty, not a shortage of food. The world already produces enough food to feed roughly 10 billion people.
  11. Food waste contributes to global hunger. One-third of the food produced each year is wasted, which costs the global economy close to $750 billion annually.
  12. In developing countries, approximately 896 million people live on $1.90 a day or less.
  13. Food aid, not including emergency relief, is often more damaging in the end. This is because free or subsidized food shipped from the U.S. and Europe and sold below market prices hurt local farmers who cannot compete.
  14. Approximately 66 million primary school-age children in the developing world attend classes hungry. This has a negative impact on their futures, as hungry children spend fewer years in school and cannot concentrate.
  15. The U.N.’s World Food Programme works to end world hunger by providing free meals and snacks in schools around the world. In 2015, the program provided 17.4 million children with meals or snacks. This not only helps to feed children around the world but is also an incentive for parents to send them to school.
  16. People involved in agriculture are especially susceptible to hunger. Fifty percent of hungry people in the world are farming families.
  17. Gender equality is a vital part of efforts to end world hunger. Around half of the world’s farmers are women, but they do not have access to the same tools, such as training and land rights, as men. If men and women had the same resources, female farmers could increase their productivity to help reduce world hunger for approximately 1.5 million people.
  18. One possibility for reducing world hunger is sustainable agriculture, which aims to preserve the Earth’s natural resources, through things like crop waste recycling and more precise fertilizer use.
  19. Microfinance also has the potential to end world hunger. These programs help to reduce poverty and improve gender equality through providing poor people, particularly women, with credit to develop small businesses.
  20. The U.N. estimated that it would take roughly $30 billion a year to end world hunger.

Undernourishment remains a pressing issue in both developing and developed countries; however, new research and technology reveal promising solutions to help end world hunger.

– Alexi Worley

Photo: Flickr

April 10, 2017
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