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‘Neverthirst’ Projects: Enhancing Water Quality in Cambodia

Numerous 'Neverthirst' Projects Enhancing Water Quality in Cambodia
In many regions around the world, millions of people lack access to improved water sources and billions are without proper sanitation materials. In order to combat these harsh realities and situations, many organizations are focused on bringing clean water to those who need it. One of these groups is Neverthirst, an international nonprofit dedicated to providing clean and living water solutions throughout North Africa and Southern Asia. To accomplish this, the organization creates numerous projects, and currently, its focus is on the improvement of water quality in Cambodia.

Located in Southeast Asia, the country and its inhabitants are faced with a distressing problem. The issue of water quality in Cambodia is truly a serious one, but with the assistance of Neverthirst, water quality for all Cambodians can be enhanced. But what projects are being implemented, and how do they improve water quality in Cambodia?

Cambodia Biosand Filter and Latrine Project

The Cambodia Biosand Filter and Latrine Project addresses the issue that although many people have access to water, the quality of the water makes it unsafe and often unsuitable for necessary actions such as consumption.

Drinking unsafe and dirty water can potentially lead to devastating health problems, including diarrheal diseases. Diarrhea alone kills more than 800,000 children under five annually, or about 2,200 children every day. This initiative strives to slow the transmission and development of further diarrheal diseases, thus reducing the number of deaths in children under five in Cambodia.

Cambodia Well Project

Some Cambodians have access to clean water, however, transporting water can be extremely difficult. Usable water is usually located a great distance from the community, making it nearly impossible to carry a significant amount of water per trip.

Through the Cambodia Well Project, Neverthirst hopes to improve accessibility and availability of clean water substantially by installing high-quality hand pumps that can last up to 10 years. In addition to the installation of hand pumps, the organization also gives the communities and villages further funds for any required repairing of the hand pump in the future and instructs users on how to maintain it over time.

The creation and use of these pumps will greatly increase the water quality in Cambodia that is received and utilized by the various communities.

Cambodia School Project

In the immense province of Mondulkiri, many schools and children don’t have access to safe drinking sources. For a portion of schools in the region, schools’ only source of water is a shallow well. Neverthirst, through both the Cambodia School Project and the School Rain Tank Project, is attempting to instill a two-step process that will greatly improve schools’ access to clean water.

First, the construction of a concrete rain tank will collect and provide water for an average of 250 students per school. After the completion of the rain tank, education on safe drinking water is next. Teaching children the importance of clean drinkable water is important to the prevention of future disease outbreaks.

Conclusion

Overall, Neverthirst has created a massive 5,537 projects, serving more than 390,000 people in a total of five countries. Currently, the organization has projects established in Sudan, South Sudan and India.

Each year, more than three million people die from water-related causes, including inadequate sanitation and poor hygiene. With the assistance of Neverthirst, countries, communities and villages like those in Colombia can be aided in its rebuilding efforts and enhance its water quality and safety.

Water quality in Cambodia is just one issue, and Neverthirst is dedicated to helping in all corners of the world.

– Jordan J. Phelan

Photo: Flickr

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10 Facts You Need to Know About Malaria

10 Facts about Malaria
Malaria is a parasitic infection transmitted through the Anopheles mosquito, a genus found on every continent except Antarctica. Humans have known about malaria for thousands of years, but it remains one of the most threatening diseases in the world. Here are 10 facts about malaria and its epidemiology.

1. Malaria threatens almost half of the world’s population.
According to the World Health Organization (WHO), 3.2 billion people in at least 95 countries are at risk for malaria today.

2. Malaria killed nearly half a million people last year.
WHO estimates that malaria killed 438,000 people in 2015 and infected more than 200 million. Children under the age of five account for two-thirds of malaria deaths.

3. Pregnant women are at especially high risk.
Women who contract malaria while pregnant are more likely to die from the illness. The disease also threatens fetal health and can cause a variety of birth-related problems. Babies born to mothers who have malaria are likely to have health problems. According to WHO, malaria is responsible for one-third of all preventable low birth weight cases.

4. Africa suffers the most from the disease.
While malaria is endemic on four continents, Africa bears the brunt of the burden. Last year, Africa accounted for 89 percent of all cases and 91 percent of all deaths from malaria, the vast majority of which occurred in just 15 countries.

5. Drug resistance is an increasing problem.
When malaria patients don’t finish their full courses of treatment, the parasites can develop resistance to the drugs used to treat them. The development of drug resistance has always been an aspect of dealing with malaria, but scientists are reporting alarming multi-drug resistance in the Mekong region of Southeast Asia. The spread of a strain that doesn’t respond to the strongest drugs could undo years of work fighting malaria elsewhere.

6. Malaria reinforces poverty.
Malaria not only threatens people living in poverty; it exacerbates the problem. Where malaria is rampant, economic growth and development suffer enormously.

7. Climate change will expand the scourge of malaria.
Rising temperatures and increased rainfall and humidity will increase the range and number of malaria-carrying mosquitoes. Studies suggest that a rise in global temperatures of just two to three degrees Celsius could put hundreds of millions more people at risk for contracting malaria.

8. Malaria is easily treatable and preventable.
Preventing malaria is as simple as avoiding mosquito bites. Since the mosquitoes that transmit the parasite are nocturnal, sleeping under a bed net at night is generally an adequate prevention measure.

If detected early, malaria can be treated and cured with a course of prescription drugs in a matter of days. The disease becomes dangerous when it is not detected quickly and medicine is not readily available.

9. Globally, humanity is winning the battle.
In the last 15 years, malaria incidence has decreased by 37 percent among at-risk populations. In those same populations, death rates were more than halved. Additionally, the death rate among young children has gone down 65 percent.

10. Malaria can be eradicated.
Adult mosquitoes only live for one or two weeks, and they don’t travel far from the location at which they hatched. If communities have the means to prevent transmission completely, the disease can be erased locally in a matter of weeks. According to Bill Gates, the international community can, with some determination, eradicate the disease globally in the next two or three decades.

Global efforts have proven that eradication is possible. In the past decade, Europe eliminated its indigenous cases of malaria completely, and in September, WHO declared Sri Lanka, a country of more than 20 million people, malaria-free. If Gates is right, the rest of the world may soon follow.

– Charlie Tomb

Photo: Flickr

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The Top 10 Diseases in Afghanistan and their Treatment

Diseases _AfghanistanAfghanistan is the 15th least developed country in the world, where thousands of people die each year from preventable diseases. The World Health Organization (WHO) uses age-adjusted rates to compare these diseases and see which ones cause the most deaths. Age-adjusted rates are the rates/dates that would have existed if the population under study had the same age distribution as the “standard” population. Based upon this data, the following are the top 10 diseases in Afghanistan:

  1. Coronary Heart Disease: A disease in which a plaque builds up in the coronary artery and blocks oxygen-rich blood from reaching the heart muscle.
    Based on an age-standardized death rate taken in 2014, coronary heart disease ranks number one of the top diseases in Afghanistan taking thousands of lives each year. Of all the deaths in Afghanistan according to the 2014 data, coronary heart disease accounted for a little more than 9 percent. The age adjusted death rate for this disease calculates to 193.21 per 100,000 people ranking Afghanistan twentieth in the world.
  2. Pneumonia: Lung inflammation caused by bacterial or viral infection.
    Influenza: Also known as the “common flu.”
    According to data recorded in 2014, deaths caused by influenza or pneumonia totaled 28,841 people. The age-adjusted death rate is 97.78 per 100,000 people making it the second most prominent disease in Afghanistan. Unfortunately 72 percent of children who suffer from pneumonia are unable to reach the necessary care of a doctor.
  3. Tuberculosis: a bacterial disease caused by growth of nodules in the tissues.
    The age-adjusted death rate for tuberculosis as of 2014 is 70.41 per 100,000 people. This ranks Afghanistan number 13 in the world regarding mortalities from tuberculosis. Early treatment and proper diagnosis needed to cure tuberculosis and therefore upwards of 13,000 Afghans die each year from the preventable diseases in Afghanistan.
  4. Diarrheal Diseases: Loose bowel movements that often cause dehydration.
    In 2014, 15,977 people or 7.10 percent of the population died because of diarrhoeal diseases. This often can be prevented by drinking safe, clean water and access to adequate sanitation which many Afghans cannot accomplish. Only 48 percent of those with a diarrhoeal disease receive the proper rehydration needed to survive. With many diseases causing early childhood deaths, diarrheal diseases account for 25 percent of them.
  5. Diabetes Mellitus: The most common form of diabetes.
    In 2015 there were 935,800 cases of diabetes in Afghanistan and 19,698 deaths. The age adjusted death rate for tuberculosis as of 2014 ranks diabetes mellitus in Afghanistan number 71 in the world regarding mortalities.
  6. Lung Disease: A problem with the lungs that prevents the lungs from working properly.
    Lung disease caused 2,874 deaths according to data recorded in 2014. The age adjusted death rate is recorded as 27.77 per 100,00 people ranking Afghanistan number 43 in the world regarding lung disease mortalities.
  7. Rheumatic Heart Disease: The age adjusted death rate for this heart disease is 27.57 per 100,000 people as published by data in 2014. Rheumatic heart disease is a condition in which heart valves are damaged (caused by the rheumatic fever). The rheumatic fever is a disease caused by untreated strep throat or scarlet fever.
  8. Hypertension: Abnormally high blood pressure.
    The age adjusted death rate ranks hypertension in Afghanistan at 25th in the world for deaths from hypertension. Without the proper access to professionals and doctors, diagnosing then implementing a way to fix hypertension is extremely difficult.
  9. Breast Cancer: A group of cancer cells that begin in the breast and often spread to other parts of the body.
    One in eight Afghan women are affected by breast cancer. According to the Minister of Public Health Affairs, “[Breast cancer] is not a fatal disease if we seek treatments.” However, the age adjusted death rate of breast cancer ranks Afghanistan number 20 in the world.
  10. Liver Disease: Some type of damage or disease to the liver.
    One of the most serious liver diseases in Afghanistan is hepatitis or inflammation of the liver. In 2013, almost 30,000 cases of viral hepatitis were diagnosed. The WHO is dedicated to fighting the “silent killer” by raising awareness and providing cures.

While deadly, the top 10 diseases in Afghanistan are treatable with the proper awareness and care.

– Casey Marx

Photo: Flickr

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Ending the Dengue Epidemic in India

Dengue Epidemic in India
The dengue epidemic in India is a reoccurring plight — new hoards of mosquitoes hatch during the wet monsoon season. These insects carry a number of diseases that citizens have been unable to protect themselves against. From this yearly mosquito infestation, dengue is one of the most commonly contracted. It manifests as a harsh influenza, but can quickly turn into severe dengue, and will sometimes result in death.

There are four different strains of dengue, meaning that one individual can get dengue up to four times before building an immunity to each strain. That is only if the person makes it that far; every time an individual contracts more than one strain, there is a greater risk of severe dengue.

The problem with eliminating mosquito-borne diseases is that the insect is highly adaptable. It thrives wherever water is available; eggs can lay dormant for more than a year and hatch immediately when exposed to water. Mosquitos themselves are evolving as well, and have begun to prefer the taste of human blood more than the blood of other mammals. They are also becoming intelligent enough to hide in homes during the day to bite unsuspecting sleepers at night.

The World Health Organization (WHO) claims that the best way to prevent mosquito-borne illnesses is to kill mosquitos in all stages of life. As it stands now, citizens in India can only stunt the spread of the dengue epidemic through fogging, disposing of standing water and maintaining a clean living space.

However, citizens alone cannot destroy all mosquitoes. Hence, the best tactic to approach the dengue epidemic in India is to supplement individual actions with other means of mosquito prevention. Thankfully, the elimination of mosquitos is a mission that researchers are working hard to accomplish.

The International Atomic Agency has been able to suppress insect populations extensively in other areas by sterilizing male mosquitos with low doses of radiation, making the eggs they fertilize unviable. Similarly, there has been notable success with a new form of mosquito suppression that uses the Wachovia bacteria, a bacteria that does not infect humans, but prevents eggs fertilized through infected males from hatching.

Surprisingly, the Centers for Disease Control and Prevention (CDC) does not believe that efforts to suppress mosquito population on a large scale will likely be realized through the sterilization of male mosquitos. This is because large numbers of infected mosquitos need to be affected to properly address the problem. However, when it comes to those who have made little to no headway in stemming the growing mosquito population, even some relief is welcome.

As Ila Patnik of the Indian Express points out, the burden to control the mosquito population cannot rest on citizens alone. Suppressing the mosquito population may take time, but at least it is a means to an end. Mosquito sterilization is a worthy course of action in decreasing the dengue epidemic in India, at least until a more effective solution presents itself and more people have access to the newly tested dengue vaccines.

– Amy Whitman

Photo: Pixabay

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Addressing Top Diseases in Costa Rica

Diseases in Costa RicaOne of the many struggles that accompany poverty in developing countries is the risk of disease. A greater understanding of the types of threats that face individual countries enables nonprofit and governmental organizations to better cater to their aid towards the needs of a community.

Costa Rica is best known for its beautiful beaches and mountains, which make it a tourist hot spot for much of the year. However, poverty impacts 21.7% of the population and this poverty brings a heightened risk of disease.

As a tropical country, tourists and locals alike are at risk of contracting illnesses related to insect and mosquito bites. Diseases in Costa Rica like dengue fever and chikungunya are especially of note considering their prevalence. Both are transmitted through mosquito bites and have similar symptoms including fever, headaches and joint pain.

Dengue fever, which is now present in 73 of Costa Rica’s 81 cantons, is usually an unpleasant but not fatal illness so long as it does not develop into severe dengue, which has more severe effects. Chikungunya is also typically not fatal, although the symptoms can be debilitating.

The Zika virus has recently been the subject of much study and media attention. Zika is another disease in Costa Rica that threatens the population. Like chikungunya and dengue, it is spread through mosquito bites. A June 15 report confirmed 107 cases of Zika in the country.

Costa Rica’s year is divided into two seasons, the rainy and the dry, and during the rainy season, mosquito populations increase due to the increase in still water. Costa Rica is taking the risk of disease seriously and has begun several important steps in the prevention of these illnesses.

Their efforts include fumigation campaigns across the country as well as attempts to rid communities of objects that collect still water and create additional breeding grounds for disease-carrying mosquitos. Another disease-fighting strategy rests in Spinosad, a product of bacterial fermentation.

This chemical is non-toxic to humans and yet has a deadly effect on insect larvae making it a perfect solution to the problem of mosquito breeding grounds. The Spinosad pills can be used in swimming pools, ponds and fountains.

While mosquitos are a significant cause of diseases in Costa Rica, there are many ways to prevent these types of illness. Costa Rica shows impressive self-sufficiency in their fight to end Zika, dengue and chikungunya.

– Jordan Little
Photo: Flickr

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Progress for India’s Largest Public Health Campaign

India's Largest Public Health CampaignIn 2014, the Indian Ministry of Health and Family Welfare paired with the Global Network for Neglected Tropical Diseases to create a communication campaign aimed at the prevention of Lymphatic Filariasis.

The video for India’s largest public health campaign by the Mass Drug Administration to eliminate Lymphatic Filariasis (LF) begins with a trail of oversized footprints attracting a group of curious spectators. The growing crowd follows the giant tracks to find their owner and the intent investigation of the crowd captures the matched attention of viewers off-screen.

Lymphatic Filariasis, commonly known as elephantiasis, is a disfiguring and debilitating neglected tropical disease that puts three in five people in India at risk of infection. While prevention of the disease is fairly simple — a pill once every year — public participation in the government’s drug distribution programs was low.

In 2002, India set a goal to eliminate preventable diseases by 2015. Their current campaign plan began in 2004. Although the Filaria has not yet been eliminated in India, significant progress has been made since India’s largest public health campaign began.

The video leads the villagers to a man with LF, who stresses the ease of prevention and emphasizes that contracting the disease can happen to anyone. The narrative is largely positive with the patient himself acting as a champion for awareness and change. Distributed widely in ten different languages on television and online, the public service announcement reached over 300 million people.

The number of people reached by the MDA increased from 72 percent in 2004, to 89 percent in 2015. Subsequently, the microfilaria rate decreased from 1.2 percent in 2004 to 0.26 percent in 2015, according to India’s National Vector Borne Disease Control Program (NVBDCP).

As of May 2016, 72 districts (each with an approximate population of 164 million) completed the Transmission Assessment Survey for LF and were qualified to stop the MDA program, said the NVBDCP. India’s dedication and success in decreasing LF likely increased global attention on Lymphatic Filariasis and other neglected tropical diseases. On June 3, the World Health Organization reported that LF was eliminated in Sri Lanka and Maldives.

With the largest Mass Drug Administration in the world, the Indian government continues its efforts to eliminate Lymphatic Filariasis by distributing LF preventative medication to 460 million people in 17 Indian states.

– Erica Rawles

Photo: Flickr

Mycetoma Research in Sudan: Addressing Neglected Diseases

Mycetoma Research
One of the top diseases in Sudan is mycetoma: a devastating illness caused by a fungal infection of the skin and bone. A causative organism, such as an infectious fungal spore, will enter the body through an open wound or abrasion and works its way through skin and tissue until it colonizes bone material. The disease can be treated with antifungal medication, but the currently available drug is only 30 percent effective and too expensive for the populations at risk.

The populations most likely to contract mycetoma are rural, isolated communities that fall within the “mycetoma belt,” including Venezuela, Chad, Ethiopia, India, Mauritania, Mexico, Senegal, Somalia, Sudan and Yemen. There is an especially long history of Mycetoma in Sudan beginning when the country produced the first report on the disease in the early 1700s, earning its reputation as the mycetoma homeland.

Generally, people in affected communities have limited access to healthcare and will contract mycetoma from walking without protective footwear. The mycetoma-causing fungus enters the body through a prick or scape on the foot. Over time, the infection will spread to the individual’s bone and they will lose the function of the affected limb.

Unable to travel long distances for medical attention, the individual is commonly forced to amputate. If they do not die from infection, many patients will suffer from additional postoperative complications, as their community healers don’t have the resources to perform safe and sanitary amputations. Mycetoma can be passed from person to person if contact is made with an infected area or surface harboring mycetoma-causing organisms.

The worst part about mycetoma is how little the world knows about its causes and symptoms. Mycetoma is so neglected that it just recently made the World Health Organization’s list of Neglected Diseases in May 2016, though cases date back more than 300 years.

While the disease is widespread, mycetoma research in Sudan is historically misrepresentative. In previous years, when the disease was not included in the WHO list of Neglected Diseases, mycetoma went unreported as doctors and healthcare workers were not actively seeking out cases.

Only two large-scale epidemiological studies for mycetoma research have ever been conducted to estimate prevalence throughout an entire country, in Mexico and Sudan. Both studies ended by 1985, rendering the results incredibly outdated.

Besides the two nation-wide studies, several single-center studies have attempted to perform a meta-analysis using specific cases from various countries. A 2014 study used cases from India, Mexico, Niger and Sudan to estimate the prevalence per country and found that prevalence ranked between 3.49 and <0.01 cases per 100,000 inhabitants.

On paper, these numbers hardly represent the holistic effects mycetoma has on rural, isolated regions, whose infected inhabitants cannot reach universities or research centers. Consequently, mycetoma receives barely any funding from international organizations and medical programs.

While the disease may not be accurately represented through numbers or statistics, it has a palpable, multiplying effect, as infected individuals cannot work, attend school or perform manual labor. Thus, not only does one case affect multiple people, but the disease creates a disastrous cycle wherein a sick individual loses the ability to walk, cannot reach medical professionals and goes unreported.

An organization called Drugs for Neglected Diseases (DNDi) recognizes the severe lack of attention paid to mycetoma within the medical community. This past May, DNDi launched a clinical trial for the new antifungal drug Fosravuconazole. Starting in July, Fosravucinazle will be investigated in a randomized controlled experiment, alongside the current medicine, itraconazole.

DNDi has chosen to conduct the study in Sudan, at the Mycetoma Research Center at the national university is in Khartoum.

In addition to investigating new treatment, the study will contribute to the research center’s previous reports. Between 1991 and 2014, the research center reports 6,792 cases of mycetoma in Sudan. But, as stated before, the prevalence of mycetoma in isolated communities is likely much higher.

To put matters into perspective, the Sudanese state of Gezira yields over 80 percent of the total number of reported cases at the Mycetoma Research Center. However, a Gezira resident would need to travel 118 miles to get to Khartoum, making the journey financially and logistically difficult, since the majority of patients are of low socioeconomic status.

Out of all the cases, 76 percent of the patients were male, while 64 percent were under 30 years old. Additionally, 28 percent were students. These numbers indicate how devastating the disease is for many people besides the infected individual, as Sudanese Men under 30 are usually primary providers for their families. Not to mention that a disease that impairs a student’s ability to go to school lessens the individual’s chance of transcending poverty.

DNDi researchers are hoping to discover a higher success rate with Fosravuconazole and gain enough regional support to partner with a regular manufacturer. Dr. Nathalie Strub-Wourgaft, medical director for the organization, said the team is “very excited about the possibility of a new treatment against this terrible and neglected condition,” as “patients have received little attention and virtually no research.”

The neglected history of mycetoma speaks to larger issues within the global health community. The disease creates a cycle; infected individuals are too isolated to be treated and too few in number to capture the attention of countries who are in a position to offer assistance.

DNDi mycetoma research in Sudan is a much needed step in the right direction. Hopefully, the clinical trial will demonstrate how important it is for the international community to investigate other neglected diseases, especially those which have had a multiplier effect in impoverished communities.

– Jessica Levitan

 

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Volunteers Address Major Diseases in the Dominican Republic

Major Diseases in the Dominican Republic

Hepatitis and typhoid fever are major diseases in the Dominican Republic, which occur as a result of contact or consumption of contaminated food and water. According to the CIA World Factbook, mortality rates for typhoid fever can reach as high as 20 percent if left untreated.

The zika virus and malaria, two major diseases in the Dominican Republic, are also a major concern for the Caribbean nation. On January 23, 2016, the National IHR Focal Point for the Dominican Republic recorded 10 cases of Zika, eight of which were acquired locally and the other two imported from El Salvador.

In response, public health authorities continue to educate citizens about the risks.

Many individuals infected with the zika virus and malaria only experience mild symptoms that last for a few days to a week, such as fever, rash, joint and muscle pain, headache and conjunctivitis.

However, Zika poses a much more severe threat to pregnant women, who can pass the virus to their fetus, leading to potential birth defects like microcephaly, as well as hearing deficits and impaired growth.

Though no other cases have been reported in the country since, it is still important that citizens take precautions to avoid infection.

Since the outbreak, participants from the International Student Volunteers (ISV) program and Seattle-based organization Education Across Borders have focused their efforts on reducing the risk of the Zika virus and malaria.

ISV launched its unique international travel program in 2002, and more than 30,000 people have participated since then.

Volunteers from the Seattle Preparatory School spent the beginning of their summer lending a hand to the third world country. While partaking in these trips, individuals learn to convert compassion into action for the common good.

Seattle Preparatory students helped prevent further spread of the virus by supplying mosquito nets that will help hundreds of Dominicans in the affected areas. Along with providing aid in the form of physical resources, volunteers brought energy and readiness to the neighborhood worksite.

The Borgen Project had the opportunity to interview rising senior Olivia Smith who visited a poor town outside the city of Santiago called Franco Bido with her travel group. While there, the group helped to build a home for one family in need.

On her experience, Smith states, “My eyes were opened after coming face to face with the problems they deal with everyday and I realized just how much giving my time and assistance helps them. Although I was only there for five days, I built unforgettable relationships with the community. Our efforts toward constructing an additional bathroom or shower will go a long way in a place where different diseases are so easily transmitted.”

Smith also mentioned that many individuals do not have access to mosquito nets, making it harder to steer clear of bites.

While major diseases in the Dominican Republic continue to affect citizens and travelers, groups like ISV and Education Across Borders continue to implement solutions and strive to leave a lasting impact on the communities in need.

– Mikaela Frigillana

Photo: Education Across Borders

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Top Diseases in Honduras

Diseases
Poor health is not only an effect of poverty but also is one of its root causes. This is particularly true for Central America’s second poorest country, Honduras, where 62.8% of the population lives in poverty. Many of the top diseases in Honduras are preventable; however, the fact that Honduras is not a first-world country with good access to health care makes illness more severe.

Without access to affordable health care, a lack of clean water and sanitation methods and a shortage of health centers, the poor are most susceptible to becoming ill from diseases in Honduras.

But what are the top diseases in Honduras?

Diabetes

Diabetes is the second-leading cause of death amongst Hondurans and occurs when a person’s pancreas fails to make enough insulin or does not use insulin correctly. As a result, people who suffer from diabetes often experience an increase in exhaustion, hunger, thirst, urination and weight loss.

For the 3.6 million people who live in rural areas, diabetes is a severe problem and one of the more menacing top diseases in Honduras. While it is an arguably treatable disease in first-world countries, diabetes can be fatal for those who do not live near clinics with adequate testing methods, or for those who do not live near clinics at all. The National Institutes of Health (NIH) reveals that Latin American clinics rarely have the tools to diagnose diabetes early.

Cerebrovascular and Ischemic Diseases

Cerebrovascular disease causes 6.1% of mortalities in Honduras and refers to any condition that restricts blood flow to the brain, such as stroke, embolism or aneurysm. Ischemia includes coronary heart or artery diseases that usually result in heart attack.

Those who smoke, have high blood pressure, have diabetes, have high cholesterol or are obese are at higher risk of developing a cerebrovascular or ischemic disorder. This is especially concerning for Honduras, where the World Bank reports seeing a rise in overweight individuals eating high-fat diets with decreased levels of physical activity.

Lower Respiratory Diseases and Influenza

According to an NIH study, respiratory illnesses, such as pneumonia, are the primary cause of death among children five years old or younger living in rural regions.

Tropical regions often see a higher frequency and hospitalization rate for the flu than more northern areas of the world. The study also showed that parainfluenza and influenza were the most prevalent viral agents amid the children surveyed. While the flu is a common and treatable occurrence in the developed world, that is not the case for resource-poor Honduras.

HIV/AIDS

In 2015, there were 20,000 Hondurans living with HIV, 1,000 died due to AIDS and 18,000 children became orphans. Honduras’ most at-risk citizens include sex workers, men who have sex with men, inmates and the ethnic group known as the Garifuna.

An Afro-Caribbean community whose descendants were West African slaves, the Garifuna are not only marginalized from the rest of society but also more likely to live in poverty, experience gender discrimination and lack access to health care or education. These are all contributing factors as to why the Garifuna’s HIV prevalence rate is 4.5% — five times Honduras’ national rate.

Malaria, Dengue Fever and Zika

Some of the top diseases in Honduras are transmitted via mosquitos. Mosquito-born diseases are extremely common in most Latin American countries, including Honduras. Luckily, cases of malaria in Honduras decreased by 78% between 2000 and 2011 due to community awareness education. The government aims to eliminate malaria’s deadliest strain by next year.

In 2013, Honduras experienced a widespread outbreak of Dengue fever which resulted in death in five percent of all cases due to hemorrhage. Although Dengue is typical in urban environments, it is a real concern for Honduras’ rural regions riddled with trash sites and where water is not regularly delivered. With piles of trash and pools of stagnant water, rural Hondurans are at severe risk of being infected.

Currently, there is an outbreak of Zika in Honduras. While many people infected with the Zika virus do not show any symptoms, it can lead to neurological difficulties such as Guillan-Barré syndrome, which causes temporary paralysis, and microcephaly in babies with Zika-infected mothers. Honduras recently declared a state of emergency over Zika after noticing a spike in the infection rate.

– Kristina Evans

Photo: Flickr

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Issues with Water Quality in India

Water quality in IndiaIndia may be reaching a crisis-level situation in regards to water quality and access. While India’s population continues to grow, access to water continues to dwindle. The country’s future may be greatly affected by the limited water for households and agriculture.

Over 20 percent of the country’s diseases can be traced back to the poor water quality in India. To make matters worse, less than 35 percent of the entire population of India has access to traditional sanitation, further exacerbating the spread of diseases in the country.

Most cities in India produce almost 40,000 million liters of sewage per day, the majority of which is dumped into rivers which feeds into groundwater that becomes used for agriculture or citizens’ homes. In fact, less than 20 percent of the sewage in India is properly treated.

There are almost 76 million people in India who are forced to spend 20 percent of their income on water, and often are forced to use the contaminated water instead, according to Water Aid. Although the groundwater in India is of poor quality, many rural residents have no choice but to use it for daily needs. However, the overall water availability in India is soon running dry.

The water crisis in India can partially be attributed to government corruption and lack of planning, as well as increased corporate privatization, which drives up the cost of clean water. If India is unable to control the water crisis, scarcity is predicted to significantly worsen by the year 2050 and become the main cause of political conflict.

Though many environmentalists are opposed, building dams in India could improve the issue with water quality and scarcity in India. Dams would collect water during the rainy season and provide during the dry season, but building storage dams would potentially submerge forests, disturb habitats, and displace tribal communities.

In order to improve water quality in India, the country needs to place more sewage treatment plants in more cities and towns. Overall, there are only 160 towns with sewage treatment plants out of the 8,000 towns total. As long as factories continue to dump untreated sewage into rivers that run into groundwater, the water quality in India has little chance of improvement.

– Amanda Panella

Photo: Global Moms Challenge