Archive for category: Disease

Information and news about disease category

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Effects of the Waste Problem in Haiti

Haiti is progressively becoming overrun with mountains of waste in the streets because there is absolutely nowhere to put it.

The trash and waste problem in Haiti is an ongoing nightmare for the people living there, with garbage filling the streets. Haiti has few landfills or dumpsters, and there is no apparent place to dispose of its increasing volume of waste.

The problem peaked in 2012, and imported plastic products were banned. These products were blocking drains and paths and clogging the streets so badly that there was flooding.

This flooding problem subsequently destroyed businesses, homes and other property. Stagnant water posed a serious health issue in the most impoverished areas; it allowed mosquitos to flourish and disease to spread.

The smell of the garbage and the poor overall appearance of Haiti (most specifically the capital, Port-Au-Prince) have destroyed the economy and led to extreme decreases in tourism.

In addition to being odorous and detrimental to tourism, decaying waste produces methane gas. When inhaled, this gas can cause serious long-term lung, heart and brain defects.

Most disturbingly, a report from the U.S. Environmental Protection Agency also predicts that waste-generation rates will more than double over the next 20 years in lower-income countries like Haiti, where trash is already so abundant that people have to climb over or wade through it to get anywhere.

This means that the number of people migrating to urban cities such as Port-au-Prince will increase — a population spike that will manifest itself in the production of a proportionate amount of litter in the streets. This transition will require employment of a vital, comprehensive national management plan.

The most logical step to rid cities like Port-Au-Prince in Haiti of waste is recycling.

Volunteers and organizations in Haiti can gather the waste from the streets and exchange the plastics, papers, etc., for cash to help private businesses overseas. In turn, the waste can also be turned into functional packaging for the future use of Haitian companies.

This means Haitians in impoverished areas can exchange their waste both for profit and cleaner streets that will not flood or draw disease-ridden mosquitoes.

Citizens who take the time to make the streets a little cleaner can often make about $52 a week. This is not a bad wage, considering many of the people in Haiti can live off $1 a day. Their aid in cleaning the city will also help eliminate major disease and illness factors in the area.

A plan has been put in place to get more volunteers to join the fight to rid Haiti of waste before its urban areas become overpopulated. The country’s impoverished people can improve their streets, communities, environment and national economy by simply recycling waste products.

– Cara Morgan

Sources: Aid Volunteers, The Guardian
Photo: Idea Peepshow

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Battling the Solomon Islands Diarrhea Outbreak

The nation of Solomon Islands is facing a new and deadly threat after flooding destroyed delicate water infrastructure. The Solomon Islands diarrhea outbreak has already killed 18 people and threatens to claim more lives if measures are not taken soon.

Solomon Islands was decimated in early April by a series of destructive floods. The small nation, located north and east off the coast of Queensland, Australia, saw 60,000 of its residents made homeless by the storms—over 10 percent of its population.

The flood’s direct damage to human life was great enough, but two months later, outbreaks of diarrhea in late May and early June are extending the death toll. The rotavirus, a deadly and highly-contagious virus transmitted by vomit and fecal matter, has claimed victims in six of Solomon Islands’ ten provinces.

The virus is communicable by food, drink and, depending on the sick person’s hygiene, basic physical contact. Those who contract the virus show symptoms of vomiting and diarrhea within 1-3 days of infection.

Though upward of 20,000 children were vaccinated against the rotavirus following April’s flooding, the contamination of Solomon Islanders’ water supply was complete enough that over 1,000 cases of extreme diarrhea have been reported in the past two weeks. Most of the infected are young, and all 18 of the reported deaths have been children under the age of 5.

Rotavirus causes intense diarrhea, which in turn leads to severe dehydration. If untreated, this dehydration can kill. At a certain point, children simply stop drinking water despite their desperate need for it, and proper medical intervention is required to save a child’s life.

Fortunately, UNICEF is fighting the Solomon Islands diarrhea outbreak with two very basic tools: soap and information. The soap is distributed in the hardest-hit areas, and colorful, hand-shaped information cards are also given out. These cards not only emphasize the importance of hand-washing by their shape, but they also contain valuable tips for staying safe and healthy during the outbreak.

Instructions for preventing the spread of the rotavirus include washing hands for at least 10 seconds after using the toilet, before handling or eating food and after caring for or coming into contact with any infected individuals.

Health officials currently do not plan on bringing the rotavirus vaccine back to Solomon Islands. Instead, they predict that proper hygiene should be enough to put an end to the outbreak.

In the meantime, parents who notice signs of illness in their children are urged to bring them to a doctor right away. Doctors can provide a child with oral rehydration salts and zinc tablets, both of which help prevent dehydration and can reverse even severe cases.

However, this safety net may not be so reliable. Dorothy Wickham, correspondent for Radio New Zealand, reports that hospitals in Solomon Islands are becoming overburdened. Doctors may not be able to treat all of the children who are brought in, and epidemiologist Jennie Musto predicts the outbreak could last up to another month.

For now, both parents and aid groups are doing what they can to combat the outbreak and to keep their children safe.

– Patricia Mackey

Sources: World Vision, WHO, Australia Network News, 3 News, Radio New Zealand International, Pacific Scoop
Photo: Parade

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Polio Revisited

The date is August 24. The year is 1960. A vaccine for polio is licensed for use in the United States for the first time. Nineteen years later, after a widespread campaign for immunization, the disease is completely eliminated from the U.S.

The year is 1988. The United Nation’s World Health Assembly has launched a campaign to eradicate polio globally. During that year there were 350,000 cases of polio. By 2012, that number dropped to 223. It was a disease that scourged millions. For the first time since the eradication of small pox, we had the power to eradicate a disease from the entire planet that has affected human beings, sometimes leading to paralysis and death, for thousands of years.

Despite a few sporadic cases elsewhere, the disease was mostly contained to Afghanistan, Pakistan and Nigeria. However, in 2013, two years into the Syrian Civil War, polio reappeared in Syria for the first time in 15 years. And now, for the first time since before mass vaccination efforts began, the disease is now gaining ground.

Recording an exact number of cases is tricky, particularly in a war zone, but several sources on the ground in Syria place the number above 100. The World Health Organization has taken a more conservative stance at around 25, but any number of cases could have devastating global consequences.

Polio spreads rapidly, but most who contract it never show any symptoms. Instead, they remain carriers for the duration that the disease incubates in their body. Therefore, doctors suggest that for every one symptomatic case, there could be 200 people infected.

Some estimates are much higher. With that in mind, we don’t need exact numbers to know that any number of new documented polio cases is a threat.

According to the U.N., during the course of the Syrian Civil War approximately 2.5 million refugees have fled Syria to neighboring countries. These countries are mainly Syria’s immediate neighbors; Turkey, Iraq, Jordon and Lebanon. With so many people fleeing Syria, polio could spread with them, and what was once a national crisis could become a regional one in much the same way the war itself has spread to other countries.

And in a world as globalized as ours, the potential impact of this resurgence could reverberate to the U.S.

This scenario is an immediate and physical example of how what happens outside our borders and across oceans has a direct impact on American lives. In times of war, formerly robust food and medical facilities often shut down, sometimes as collateral damage, at other times as a means to intentionally damage an enemy. But under any circumstances, when disease spreads, nobody wins. The year is 2014, and we are now in danger of revisiting a disease that we came within the final steps of eradicating a few short years ago.

– Julian Mostachetti

Sources: ABC News(1), ABC News(2), BBC, The History of Vaccines, Migration Policy Centre, New York Books
Photo: Tribune

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Trash Selfies in Tunisia

The selfie took the world by storm, spreading like a virus across social media platforms. The term often carries a negative connotation in many contexts, reflecting a sense of heightened narcissism brought on by the digital age.

However, even viral trends like the selfie can be turned around and used for productive and positive reasons.

A new selfie phenomenon is catching on in Tunisia for a very unique reason. It involves citizens taking snapshots of themselves with piles of trash in the background with the fitting title, “trash selfie.”

About two months ago, Tunisians began taking the trash selfie and posting it to Facebook and Twitter, using the hashtag #SelfiePoubella (#trashselfie). The photos are aimed at raising awareness of the excessive garbage and pollution currently plaguing the country.

The revolution in Tunisia left much of the country destroyed and many areas have yet to see proper repair and reform. As the political system works to restore order, public services have fallen behind. People are simply throwing their trash on the streets on top of piles that remain untouched.

Many Tunisian neighborhoods are riddled with rubbish, raising several health concerns. Aside from the smell alone, mosquito infestations and unsanitary conditions raise the risk of disease. Pollution-related diseases, such as asthma, are also increasing in the area.

The government has failed to properly respond to the crisis up until now. Tunisians are taking the trash selfie to social media platforms as a way to galvanize government response. As a result, Prime Minister Mehdi Jomaa is currently working up a plan and intends to increase funding to the most problematic areas.

The waste treatment crisis is not limited to Tunisia alone, however. Trash in public areas has become a facet of life in much of the Middle East and North Africa region as the result of the Arab Spring.

The Arab Spring erupted in Tunisia in 2010 as a result of Twitter advocacy. The platform was critical to revolutionary communication throughout the conflict, as the entire world tuned in to a live-tweeted revolution. Social websites and mobile devices served as an effective way to voice the concerns of a people and push for political change.

Countries like Tunisia show the true potential of the Internet for uniting people over a cause they believe in. Middle Easterners have taken up a public voice on social platforms for real and necessary reform, and it seems they will continue to use it this way.

– Edward Heinrich

Sources: Green Prophet, Global Voices Online, PRI
Photo: Global Voices Online

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Poverty in French Guiana

Poverty in French Guiana
French Guiana is a small country with an estimated population of 270,000. It is located in South America, bordering Brazil and Suriname. It is a territory of France and therefore follows the French legal system. This means that it follows the French Constitution and is ruled by the French government. Officially, it is called a French Overseas Department.

Poverty in French Guiana is an interesting topic because so little is reported and few people are interested. It can be easy to focus on the largest populations in poverty in Africa or India, so much so that smaller countries are forgotten. This should not be the case, as all people deserve the right to escape poverty.

The lack of awareness for poverty in French Guiana is highlighted by the mere fact that statistics and data on this subject are hard to find. Since it is a French territory and technically considered part of France, global statistics from the United Nations or the World Bank are not often given for French Guiana individually. This signifies the relative unimportance of French Guiana among the international community. From the little information there is come these poverty facts from French Guiana:

  • In 2010, the unemployment rate was 30.5 percent; it was higher for women, at 36 percent.
  • 26.5 percent of households are below the poverty line.
  • The infant mortality rate in 2008 – 2010 was 11.6 per 1,000 live births.
  • Malaria is endemic, with 3,345 cases in 2009. Yellow fever and Dengue are also endemic.
  • A 2006 study showed that French Guiana has the highest rate of HIV infections in France, with 308 per million inhabitants, as opposed to 150 in the Ile de France region (the wealthiest region in metropolitan France.)
  • Food and living expenses are high because the country imports 90 percent of consumable goods from metropolitan France.
  • Only 7.8 percent of the population held university diplomas in 2010.
  • Only 27.9 percent of households had enough money to be taxed in 2010.

These facts may seem disjointed and random, but that is exactly how information relating to poverty in French Guiana is presented. There is little to no comprehensive data on this tiny French overseas territory, at least in the English language. Most of the raw data was taken from the French National Institute of Statistics and Economic Studies. The data is only available in French, which makes a global discussion of this issue difficult.

Who is going to care about this small community? With so little international discussion on poverty in French Guiana, it will be difficult to rally people around the cause. Action needs to be taken by the French government to fix the high rates of unemployment, infectious disease endemics, HIV rates and poverty levels. It is the responsibility of the French people to appease their government to do the right thing and help French Guiana out of poverty.

– Eleni Marino

Sources: United Nations, Phrase Base, Conseil National Du Sida, The Guardian, INSEE

Photo: PIB

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Obesity As Top Global Health Concern

In the 1950s, there were approximately 700 million people living in hunger, while the number of obese people was around 100 million, and a majority of the cases were found in countries with strong economies. Today, however, that is no longer the case.

In 2010, the number of hungry people in the world had slowly risen to 800 million while the number of obese citizens in the world sharply rose to 1.4 billion.

According to a documentary, “Globeisty: Fat’s New Frontier,” there has been not one country with a low or moderate income that has managed to reduce its number of hungry citizens without rapidly jumping to obesity.

However, obesity is not just limited to developed nations. Currently, there are more obese people in developing countries than there are people suffering from hunger in the same countries.

It is predicted that in India, around 100 million people will have diabetes some time in the foreseeable future. Currently, in the U.S. alone, eight obesity-related diseases are the cause for over 75% of healthcare costs. The diseases include, but are not limited to: Type 2 diabetes, non-alcoholic fatty liver disease (or NAFLD), Polycystic ovarian syndrome, Alzheimer’s disease and cancer.

One of the leading causes of this rise in obesity is linked to the increase in the consumption of soft drinks. There has been a direct correlation between the rise in obesity rates in developing countries and the sales of soft drinks. In Mexico, the largest consumer of carbonated soft drinks in the world, 71% of women and 65% of men are overweight.

In 1989, Mexico had a miniscule portion of its adult population overweight and had no overweight children. Over the span of 15 to 16 years, the citizens of Mexico have reached a level of diabetes equal to the level the U.S. had 10 to 20 years ago.

However, another leading cause of obesity is consumption of foods filled with carbohydrates. In the 1950s, most of the food globally consumed was locally grown and fresh. Now, the majority of food consumed in developed and developing nations is highly processed and filled with carbohydrates. When a person eats a carbohydrate-heavy meal and fails to move a sufficient enough amount to turn the carbohydrates into energy, they are turned into sugar and fat.

In “The World is Fat,” an article written in 2007, Barry Popkin stated that the “exponential change in a vast array of courses” have led to people moving less and eating more, resulting in an “unprecedented” rise in obesity.

One final cause of obesity can be linked to accessibility of certain types of food, drink and cooking material.

In the 1970s and 1980s, the citizens of China were readily able to access hydrogenated solid oils like Crisco and liquid oils. Now, a Chinese citizen consumes around 300 to 400 of their daily calories from vegetable oil. There has also been an increase in the consumption of dairy products, fish, poultry, beef and pork. In 1974, the price of 100 kilograms of beef was somewhere around $500 in developing nations. Today, the price has dropped to around one-fifth of that number.

There is a movement, though, to try to halt the rise of obesity. In Mexico, special fitness programs are available to try to encourage people to move more. These programs are offered for free to allow anyone who needs it the chance to prevent obesity. The Mexican Minister of Health also has proposed taxing items and taking more aggressive stands toward working to combat obesity.

– Monica Newell

Sources: Scientific American, Epoch Times, The Independent
Photo: SF Gate

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Global Banana Disease Threatens Production

In the past few weeks we have seen the rapid spread of what could become a devastating threat to the world’s banana population – a fungus known as Panama Disease Tropical Race 4 (TR4).

TR4 is a soil-born fungus that attacks plant roots and is now known to be deadly to the Cavendish banana, which is the world’s most popular and valuable banana crop, making up 95% of banana imports.

The fungal banana disease began its devastating journey in Southeast Asia, decimating tens of thousands of crops in Indonesia, China, Malaysia and the Philippines. TR4 has most recently been discovered in Jordan and Mozambique, indicating its spread beyond Asia to Africa and the Middle East.

The UN Food and Agriculture Organization (FAO) notes that there is already a risk that the fungus has spread to the world’s most important banana-growing areas in Latin America. These countries include Ecuador, Costa Rica and Colombia, where hundreds of thousands of people rely on the banana trade to make a living each day.

Not only is the banana an essential component of more than 400 million people’s diets, it is also an essential component of their monetary livelihood. According to one estimate, TR4 could destroy up to 85% of the world’s banana crop by volume, decimating thousands of plantations across the globe and severely impacting the $8.9 billion banana trade.

One leading banana expert, Professor Rony Swennen claims, “If [TR4] is in Latin America, it is going to be a disaster, whatever the multinationals do. Teams of workers move across different countries. The risk is it is going to spread like a bush fire.”

The FAO has further warned that TR4 represents an “expanded threat to global banana production” and that virtually all export banana plantations will be vulnerable in the coming weeks unless TR4’s spread can be stopped or new resistant strains developed.

The Cavendish banana is not the first to fall prey to such a fungal epidemic. Prior to its cultivation, the Gros Michel banana had been wiped out by a similar strain of the Panama disease.

Current researchers are attempting to discover new banana varieties that are resistant to the fungus or develop disease-resistant GM strains. However, a concerted effort between the industry, research institutions, government and international organizations will be necessary to prevent the spread of the disease.

– Mollie O’Brien

Sources: Bloomberg, The Independent
Photo: Flickr

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Curbing the Spread of Vector-Borne Disease

The theme of this year’s World Health Day, held annually on April 7th, was to promote the awareness of vector-borne diseases. Vector-borne diseases are transmitted through the bites of infected mosquitoes, flies, ticks and water snails, among other disease-carrying pests.

This year the World Health Organization (WHO) promoted the slogan “small bite, big threat,” in the hopes that they would be able to increase awareness on how people across the globe can protect themselves and their families from these pests and the viruses that they may transmit.

Vector-borne diseases have radically increased in the past few decades, aided by an increase in urbanization, international travel and environmental changes.

More than one billion people each year are affected by these diseases, which include malaria, dengue fever, Lyme disease, schistosomiasis and yellow fever.

Efforts to control the spread of these diseases have included the distribution of bed nets and insecticides, the use of body repellents and protective clothing, and the push for clean water and adequate sanitation.

WHO Director-General, Dr. Margaret Chan, noted, “A global health agenda that gives higher priority to vector control could save many lives and avert much suffering. No one in the 21st century should die from the bite of a mosquito, a sand fly, a blackfly or a tick.”

The focus this year is on dengue fever, which is currently the most rapidly spreading vector-borne disease in the world.

Dengue fever, also known as “breakbone fever” due to its symptoms, is a severe flu-like disease marked by vomiting, bleeding, body aches and difficult breathing. There is no known vaccine or cure available.

During the past 50 years, dengue fever has spread rapidly to more than 100 countries. Prior to 1960, dengue had seen some 15,000 cases, whereas now over 380 million cases of dengue fever persist.

The U.S. Centers for Disease Control and Prevention (CDC) is currently working on a vaccine for dengue fever in partnership with a company specializing in vaccine development, Inviragen. They have gone through clinical trials in a number of countries including Singapore, Colombia, Thailand and Puerto Rico, and analysis of those findings is still underway.

The International Federation of Red Cross and Red Crescent Societies is campaigning alongside the WHO to address this growing concern.

Previous programs to curb the spread of vector-borne diseases have proven successful, for example, the United States’ effort to combat malaria.

Malaria is the most deadly of vector-borne diseases, killing 1.2 million people every year. Multiple campaigns have been launched to prevent the spread of this disease, including the President’s Malaria Initiative (PMI) and the Global Fund to Fight HIV/AIDS, Tuberculosis and Malaria. PMI has distributed more than 120 million bed nets since 2006, as well as delivered more than 135 million doses of combination drug therapy.

These success stories provide hope for current efforts to control other vector-borne diseases such as dengue fever and schistosomiasis.

– Mollie O’Brien

Sources: Mission of the United States, Voice of America

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Polio: A Conspiracy Theory that Kills

Diplomacy saves lives. Not only can good foreign relations prevent the outbreak of war and violence between and within countries, but it also allows for the trust and respect necessary for global development initiatives to work.

In 1988 UNICEF and the Rotary Club International joined forces to eradicate polio across the globe. The project was shockingly successful and, as a result, the number of estimated polio cases decreased from 400,000 to 7,000 between 1980 and 1999. The Bill and Melinda Gates Foundation contributed to the cause and helped immunize 2.5 billion young people in 200 countries with the help of almost 200 million volunteers. By 2003 only 784 cases of polio remained on the planet.

Yet as promising as these numbers appear, the goal stated in 1988 was to eliminate polio by the year 2000. This did not happen. In 2003, the number of polio cases dwindling, a conspiracy theory transpired. In a primarily Muslim region of Nigeria, a few imams surmised that the polio vaccine contained sterilizing agents that would make their daughters infertile. The life-saving vaccination was conclusively dubbed to be a CIA plot. As this rumor spread to Afghanistan and Pakistan, groups such as the Taliban spoke out against the previously well-received shot. The number of polio cases in children grew to 2,020 by 2006. In 2008 only Afghanistan, India, Nigeria and Pakistan still had polio circulating through water supplies and infected children.

In 2013 polio cases of the same strain found in Pakistan were discovered in Somalia and Syria. Both countries trained their military’s in Pakistan. Iraq reported its first polio case in 14 years this March 2014, and the United Nations has branded Syria’s climb to 38 reported cases of polio “the most challenging outbreak in the history of polio eradication.” Fears are skyrocketing that the dreadful disease is spreading throughout the Middle East.

Many claim that violence and displacement are primary causes of the setback in Iraq. Polio, an incurable disease, spreads quickly in overcrowded regions prone to poverty and malnourishment. It is preventable, though, and it’s a shame that less than favorable political and ideological relations contributed to its present resurgence.

– Jaclyn Stutz

Sources: Foreign Policy, The Guardian, IRIN
Photo: CNN

Anthropologists Aid in the Ebola Epidemic

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The current Ebola epidemic in Guinea has drawn doctors, nurses, and epidemiologists from across the globe to help prevent the further transmission of the virus. Not surprisingly, it has also drawn anthropologists.

Many international healthcare workers don’t understand the importance of anthropologists in a disease-outbreak setting, but they are critical in communicating with locals about the body and disease.

An anthropologist’s job is to understand local customs and fears, in this case regarding disease. They work to get communities to cooperate with healthcare workers, which is often very difficult in a foreign setting where the local people have a different understanding of health and disease.

Barry Hewlett, a medical anthropologist at Washington State University, states that today efforts to contain outbreaks such as Ebola must be “culturally sensitive and appropriate…otherwise people are running away from actual care that is intended to help them.”

Hewlett was invited to join a World Health Organization Ebola team during the 2000 outbreak in Uganda. His experiences there prove the vital role that anthropologists play in disease outbreak efforts.

In a report on his experiences in Uganda, Hewlett noted that healthcare workers in the field were having a difficult time convincing the local people to bring their sick family members to clinics and isolation wards. They feared the healthcare workers and thought that once their family member went into the isolation ward they would never come out. Not only that, but the deceased were often disposed of quickly to prevent transmission and relatives were often uninformed about the death of their family member.

“The anger and bad feelings about not being informed were directed toward health care workers in the isolation unit. This fear could have been averted by allowing family members to see the body in the bag and allowing family members to escort the body to the burial ground,” says Hewlett.

The other job of anthropologists is to help doctors understand how the local people perceive the disease.

For example, in the case of Uganda, the locals saw Ebola as a “gemo”, or a bad spirit, which killed people who didn’t honor the gods. Doctors used this traditional belief to show that the gemo could catch you if you stood too close to a sick person.

The current outbreak in Guinea has attracted hundreds of field workers, including anthropologists, to curb the spread of the disease. It is the Zaire strain of Ebola, which is the most dangerous, killing 9 out of 10 of its victims.

Healthcare workers in Guinea have their work cut out for them and anthropologists will be key in communicating with the local people.

– Mollie O’Brien

Sources: MSF, NPR
Photo: RT