Archive for category: Global Health

Information and stories about global health.

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In the Spotlight: COPE Nepal

COPE NepalCOPE Nepal is a youth-led organization that collects and analyzes information about COVID-19 in Nepal to help coordinate efforts to send resources to Nepalese communities hardest hit by the pandemic.

COVID-19 in Nepal

There is no country that has not felt the effects of the COVID-19 pandemic, Nepal included. The first case of COVID-19 in Nepal was detected on January 23, 2020, and the first case of COVID-19 that was locally transmitted was detected nearly two months later on April 4, 2020. On March 9, 2021, the country’s total COVID-19 case count reached 274,869 and total deaths reached 3,012.

Due to an inadequate healthcare system, COVID-19 is particularly concerning in a developing country such as Nepal. After the detection of the first local transmission, Nepal took significant steps to limit COVID-19 transmission. However, difficulties arose due to cases with unknown origins and overwhelmed quarantine centers. Self-isolation became the only option, which is harder for the Nepalese government to regulate.

The COVID-19 pandemic has also had a negative effect on Nepal’s economy. In the last fiscal year, Nepal’s economy contracted for the first time in 40 years. Tourists were not allowed to climb the country’s famous peaks due to COVID-19 restrictions, hurting an economy that is highly dependent on tourism. Furthermore, as a result of school closures and other factors, child marriage is on the rise in Nepal, threatening to reverse progress made toward keeping girls in school.

COPE Nepal

As Nepalese colleges and universities transitioned to remote learning and many young adults found themselves in a state of uncertainty, they embraced creativity and innovation. COPE Nepal is an organization that formed in response to the COVID-19 pandemic. A group of university students from data analytics, branding and communications backgrounds created COPE Nepal with the goal of collecting, presenting and disseminating data about COVID-19 in visual formats. According to the co-founder of COPE Nepal, Anup Satyal, the COVID-19 lockdown opened up more opportunities to make a meaningful impact in Nepal.

COPE Nepal’s Strategy

COPE Nepal’s strategy consists of four parts which are outlined in the acronym COPE:

  • Coordinate efforts and responses with local government and NGOs
  • Operationalize and allocate resources
  • Personalize the COVID-19 response to each location
  • Evaluate strategies and results on a daily basis

COPE Nepal has published a total of four reports showing the progression of COVID-19 in Nepal in a way that is easily understood by policymakers and average people. These reports are also easily accessible on the humanitarian information portal ReliefWeb.

On Instagram, COPE Nepal posted calls for individuals to share their accounts of the conditions in government quarantine facilities. Its Instagram also includes graphics and data from the four published reports and information about COVID-19 safety such as how to properly dispose of personal protective equipment (PPE).

A group of talented Nepalese university students started COPE Nepal out of a desire to help their country better respond to the COVID-19 pandemic. As Nepal transitions out of lockdown, COPE Nepal’s data collection and dissemination is important to ensure vulnerable populations are sufficiently protected from COVID-19.

– Sydney Thiroux
Photo: Flickr

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Female Empowerment in Politics & Maternal Mortality

Female Empowerment in PoliticsThe high rate of preventable maternal mortality rates in developing countries continues to be a cause of concern. The World Health Organization (WHO) defines maternal mortality “as the death of a woman from pregnancy-related causes during pregnancy or within 42 days of pregnancy.” Maternal mortality occurs almost entirely (99%) in low-income countries. The maternal mortality ratio (MMR) of impoverished countries estimates 239 maternal deaths per 100,000 live births. This rate is 12 per 100,000 in high-income countries. Research shows that female empowerment in politics links to reduced maternal mortality rates.

Reasons for High Maternal Mortality in Developing Countries

Female Representation in Government

Global female representation in government has increased to more than 20% while maternal mortality has declined by 44% since 1990. Is this a cause-and-effect scenario or merely coincidence? A recent study titled, “Maternal Mortality and Women’s Political Participation” offers data to support that it is not just happenstance and that female empowerment in politics has a direct effect on maternal mortality levels.

In 2020, female participation in parliament reached 24.9% globally. One reason for the rise in women’s representation in government is the fact that several countries are adopting gender quotas. Gender quotas secure a number of seats in government for women. At least 130 countries have adopted gender quotas and have an average of 26.9% female representation. Countries that have implemented quotas have seen maternal mortality decline at an accelerated rate. Estimates have determined that gender quota application results in an average of a 9-12% drop in maternal mortality.

Female Policymakers Prioritize Women’s Health

Health is a vital contributing factor in empowering women. Women statistically prioritize policies aimed at improving female conditions at a higher rate than their male counterparts. These policies often target issues such as education, child marriage and maternal health. Countries with gender quotas in place show an estimated 8-11% rise in “skilled birth attendance” and a 6-11% rise in the use of prenatal care.

A paper that Cambridge University published in 2016 asserted that an increase of only 1% in women’s representation in government resulted in five fewer maternal deaths and 80 fewer infant deaths out of 100,000 live births. These studies and statistics conclude that women’s participation in legislatures improves the health of its female constituents.

Eradicating Maternal Mortality

Female empowerment in politics contributes to the Sustainable Development Goals (SDGs). The Sustainable Development Goals, which the U.N. established, include reducing maternal mortality (SDG 3.1) and increasing the number of women in government (SDG 5.5). These goals are complementary to each other. By working toward SDG 5.5, which is to “Ensure women’s full and effective participation and equal opportunities for leadership at all levels of decision-making in political, economic and public life,” it is reasonable to conclude that the world could achieve, SDG 3.1, which is to “reduce the global maternal mortality ratio to less than 70 per 100,000 live births” by 2030, in tandem.

– Rachel Proctor
Photo: Flickr

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On-the-Ground Global COVID-19 Relief

Global COVID-19 Relief
Under the visionary leadership of Dr. Paul Farmer, Partners in Health is setting an example for an effective and compassionate response to the COVID-19 pandemic. It is a global nonprofit organization that has been fighting for access to quality healthcare. The organization has catered to low- and middle-income countries (LMIC) since 1987. It does a good job of supplying strong on-the-ground global COVID-19 relief.

The Way Partners in Health Works

Partners in Health has developed on-the-ground networks of local healthcare professionals, community workers, facilities and government partners. These networks are poising Partners in Health to support strong on-the-ground global COVID-19 relief. They are also challenging the traditional “control over care” that LMICs traditionally use to combat pandemics.

Dr. Paul Farmer is chief strategist and chair of the Partners in Health board of trustees and recently won the $1 million Berggruen Prize for Philosophy & Culture for his impact at the intersection of global health and human rights and his leadership in advocacy for a global COVID-19 response that is humane as well as effective. Farmer is chair of the Department of Global Health and Social Medicine at Harvard Medical School. He is also the Brigham and Women’s Hospital’s chief of Division of Global Health Equity, a physician and anthropologist.

Replacing “Control Over Care” with “Global Equity”

Farmer feels that the global health arena needs to overhaul the dominant “control over care” approach, which focuses on containment and isolation during epidemic outbreaks. The COVID-19 response has heavily emphasized isolation and social distancing more than rapid testing and treatment. In a recent Forbes interview, Farmer noted that LMICs lacked ventilators and oxygen masks for treatment during the onset of the pandemic. Instead, Farmer advocates “global health equity” so everyone has access to trained staff, medicines, supplies, appropriate facilities and best practices.

In Rwanda, Partners in Health supports community health workers who do contact tracing and accompany sick people. Farmer feels that the Partners in Health COVID-19 response in Rwanda has been stronger than the United States’ response as the U.S. does not utilize community health workers in the same way.

Investment in Local Health Systems

The Partners in Health COVID-19 response is succeeding. This is because Partners in Health has already deeply invested in the local health systems of the 11 countries it supports. In each country, Partners in Health focuses on systems building through training strong medical staff. It also focuses on securing facilities with electricity, running water and ample space. From there, Partners in Health works very closely with local governments to implement universally shared best practices to ascertain quality care. Partners in Health employs community health workers to help community members access to care. It employs 18,000 staff with 99% from countries served by Partners in Health. It also supports at least 12,000 community workers who make more than 800,000 annual home visits to patients and families.

The Partners in Health COVID-19 response includes testing and contact tracing. It also includes free care and treatment for all COVID-19 patients at all Partners in Health-supported health facilities. The Partners in Health COVID-19 response includes assisting local governments by providing personal protective equipment (PPE). It also includes training in infection protection and control measures. Mobilizing community health workers is a third facet of the Partners in Health response to the pandemic. Partners in Health’s extensive experience with infectious disease outbreaks in several countries has informed it significantly. The organization supports the “People’s Vaccine” and COVAX global movements for free and readily accessible COVID-19 vaccines. Two examples of Partners in Health’s COVID-19 response include the building of a quarantine center in Liberia and an initiative to aid disadvantaged girls in both Rwanda and Haiti.

Partners in Health Liberia’s Quarantine Center

Partners in Health Liberia opened a 26-bed quarantine center in the coastal city of Harper in April 2020. It accomplished this by working with Liberia’s health ministry and other local health partners. The center provides medical and psychosocial services 24/7. It includes dignified care amenities such as hand-washing stations and gender-friendly washrooms. It also includes appropriate medical equipment such as blood pressure and oxygen saturation monitors. This is a great example of providing more on-the-ground global COVID-19 relief.

Partners in Health Haiti Supports Teens Coping with Emotional Stress

The Partners in Health Women and Girls Initiative (WGI) offers a spectrum of activities. This includes drawing, yoga and guided meditation in Haitian Creole for teens overwhelmed with COVID-induced stress. The organization is also raising funds to provide each of the 80 Port-Au-Prince WGI participants with internet access and solar lamps. The resources will help them continue their studies during COVID-19 lockdowns. Partners in Health established WGI in 2008 to empower disadvantaged girls in both Haiti and Rwanda.

The world is beginning to grapple with the global COVID-19 vaccine rollout. Farmer and Partners in Health will play an important role in ascertaining that LMICs receive them too. “[COVID-19] is a sharp reminder that everyone should be concerned with making vaccines available, regardless of ability to pay, the country in which you happen to be born or live, or any of the other criteria that have long been abused to deny equitable access to the fruits of modern science,” he said.

– Shelly Saltzman
Photo: Wikipedia Commons

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WHO’s Plan to Address Neglected Tropical Diseases

Address Neglected Tropical DiseasesOn November 12, 2020, members of the World Health Organization (WHO) voted overwhelmingly to adopt a bold set of plans to address the threat of neglected tropical diseases (NTDs) throughout the next decade. With this vote, the WHO endorsed a “road map” written by the Control of Neglected Tropical Diseases team to address neglected tropical diseases in the world’s most vulnerable regions. The decade-long project aims to establish global programs with international partners, stakeholders and private organizations. These partnerships will work to accomplish an ambitious set of goals that will end the spread of certain neglected tropical diseases and improve the quality of human life in regions susceptible to neglected tropical diseases.

Neglected Tropical Diseases (NTDs)

Neglected tropical diseases are commonly defined by global health organizations such as the WHO and the National Institute of Allergy and Infectious Diseases as a group of diseases that primarily affect those living in tropical and subtropical climates and disproportionately spread in remote areas or regions afflicted by poverty. Among the 20 diseases that the WHO categorizes as neglected tropical diseases are dengue, rabies, leprosy, intestinal worm and sleeping sickness.

Tropical and subtropical regions include Central America and the northern half of South America in the Western Hemisphere, most of sub-Saharan Africa as well as island nations in the Indian and Pacific Oceans. Many of the countries in this range are developing or impoverished nations. A lack of development and healthcare infrastructure in nations that lie in tropical regions, such as lack of access to clean water and health education, creates a more fertile breeding ground for the spread of dangerous diseases.

The reason that these diseases are considered “neglected” is that regions where neglected tropical diseases cause the most damage are populated by people with little political power or voice, a result of widespread poverty, location and other socioeconomic factors. As such, the spread of these diseases goes largely unnoticed and there is little incentive at the international level to take measures to combat these ailments. Though NTDs do not receive high-profile attention in the larger medical community, the WHO estimates that more than one billion people are affected by NTDs. The WHO sees the urgency to address neglected tropical diseases.

WHO’s 2021-2030 Road Map

The WHO outlined a set of “overarching global targets” that it will pursue over the course of the next decade in work with foreign governments, community organizations and NGOs. These overarching goals, to be accomplished through achieving a number of “cross-cutting targets” are the primary effects the WHO hopes to achieve by 2030:

  1. Reduce number of people requiring treatment for NTDs by 90%. To attain a 90% reduction rate of those requiring treatment for neglected tropical diseases, the WHO altered its approach to disease treatment from a vertical, single disease eradication method to a horizontal, cooperative effort across several countries. This would require 100% access to water supply, greater international investment in healthcare and action at the federal level to collect and report data on infection.
  2. Eliminate at least one NTD in 100 countries. There are a number of neglected tropical diseases that the WHO lists as “targeted for elimination”: human African trypanosomiasis, leprosy and onchocerciasis. In the WHO’s road map, elimination of a disease means complete interruption of transmission, effectively stopping a disease’s spread. For eliminating diseases such as leprosy, the WHO hopes to assist 40 countries to adopt epidermal health strategies in their healthcare systems.
  3. Completely eradicate two NTDs. The two diseases listed as “targeted for eradication” by the WHO are yaws, a chronic skin condition, and dracunculiasis, an infection caused by parasitic worms in unclean water. Both diseases are, according to the WHO, either easily treatable or on the verge of eradication. Dracunculiasis, for which there is currently no vaccine or medical treatment, only affected a reported 54 people in 2019. Yaws is still endemic in 15 nations but can be treated with a single dose of antibiotics.
  4. Reduce by 75% the disability-adjusted life years (DALYs) related to NTDs. The implementation of increased prevention, intervention and treatment can increase the quality of human life in tropical and subtropical countries. This final overarching goal aims to create nationwide efforts to alleviate or eliminate the chronic symptoms of those infected with neglected tropical diseases as well as prevent the further spread of debilitating neglected tropical diseases.

Ending Neglected Diseases

To address neglected tropical diseases, the fulfillment of the goals outlined in the WHO’s road map will require a multilateral and thorough implementation as well as cooperation and leadership from each of the partner countries affected. The WHO seeks to encourage each tropical and subtropical nation to take ownership of their healthcare programs, which will create a sustainable, international network to strengthen global health in some of the world’s most vulnerable regions. Putting the fight against neglected tropical diseases in the spotlight as well as dedicating time and resources to taking on these diseases, can remove the “neglected” from neglected tropical diseases and put the global community on a course toward eradicating these diseases.

– Kieran Graulich
Photo: Flickr

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Ending Female Genital Mutilation in Sudan

Female Genital Mutilation in SudanAlthough six African states issued legislation to prohibit female genital mutilation, the north African state of Sudan was lagging behind in these efforts. Female genital mutilation ( FGM) was illegal in some Sudanese states but the bans were widely ignored. Under the leadership of Omar al-Bashir, parliament rejected recommendations to ban the practice.

Female Genital Mutilation

FGM is defined as procedures that deliberately alter or cause injury to female genital organs. It is mostly carried out on young girls between infancy and adolescence and occasionally performed on adult women. These procedures are nonmedical and provide no health benefits, only harm to the female. It involves removing and damaging healthy and normal female genital tissue, therefore, it interferes with the natural functions of the female body.

The reasons behind FGM vary between regions due to a mix of sociocultural factors. The procedure is routinely executed by a midwife without anesthesia. There are four types of FGM. Type one is the partial or total removal of the clitoris. Type two is the removal of the clitoris and inner labia. Type three is the removal of all the external genitalia or narrowing of the vaginal opening. Type four is any other type of damage to the female genitalia, such as burning, scraping or piercing.

Females experience either short-term or long-term effects. The short-term effects include severe pain, excessive bleeding (hemorrhage), genital tissue swelling, fever, infections, wound healing issues. The more dangerous and life-altering long-term effects include urinary problems, menstrual problems, increased risk of childbirth complications, the need for later surgeries or psychological problems.

According to UNICEF, 87% of Sudanese women aged between 14 and 49 have undergone a form of FGM. FGM is also more prevalent among the poorest women.

Actions to End Female Genital Mutilation

In 2008, the National Council of Child Welfare and UNICEF joined together to launch the Saleema Initiative, which focused on abandoning FGM at a community level.  The initiative educated women about the health risks and encouraged females to say no to the procedure.

Additionally, the United Nations General Assembly took action in 2012 by calling on the international community to enhance efforts to end FGM. In 2015, the global community agreed to the Sustainable Development Goals (SDGs), which include a target under Goal 5 to eliminate all harmful practices, such as child marriage and female genital mutilation by 2030.

The World Health Organization (WHO) is addressing the issue by implementing guidelines, tools, training and policy to allow healthcare providers the opportunity to offer medical care and counseling to females suffering the effects of FGM.  The WHO also aims at generating knowledge to encourage the abandonment of the FGM procedures. One final measure by the WHO is increased advocacy through publications and tools for policymakers.

Criminalizing Female Genital Mutilation in Sudan

In May 2020, the Sudanese Government criminalized FGM and made it punishable by up to three years in prison. But, experts remain concerned that a law is not sufficient in ending the practice due to religious and cultural ties to the procedure.

The sociocultural and religious ties surrounding female genital mutilation in Sudan complicate attempts to end the practice. Criminalizing FGM in Sudan may not be enough to end the practice. The National Council of Child Welfare, UNICEF, the United Nations General Assembly and the WHO are taking major steps to eliminate FGM or assist those already affected by the practice.

– Rachel Durling
Photo: Flickr

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Combating the Antimicrobial Resistance Crisis

Antimicrobial resistanceAntimicrobial resistance, or AMR, is a growing trend among newly discovered viruses. The World Health Organization (WHO) identifies 30 new diseases that threaten half the world’s population, which are particularly prevalent in developing nations.

Background of Antimicrobial Resistance

Drug-resistant diseases (AMR) have grown in prevalence over the past 40 years. Many of the medicines used to treat common infections like the flu and pneumonia have been around for decades. Eventually, viruses and bacteria develop their own microbial methods of fighting back against these drugs and inevitably become fully resistant to treatments.

Perhaps the most well-known example is the virus known as pneumococcus, or streptococcus pneumoniae. Penicillin has been used to treat pneumococcus since the early 1950s, giving it plenty of time to develop a strong resistance to the drug. Now, pneumococcus is practically untreatable, killing over 300,000 children below the age of 5 annually.

The CDC explains that germs that grow resistant to medications can be almost impossible to treat, often resulting in severe illness or death. This problem is only getting worse, as the U.N. finds that while 700,000 people die every year due to AMR diseases now, by 2050 that number will skyrocket to 10 million people.

The AMR crisis has severe economic implications as well. Antimicrobial diseases affect livestock as well as humans, leaving our international agricultural sector to collapse if not dealt with. All in all, the AMR crisis is projected to cause $100 trillion worth of global economic damage by 2050, only pushing people further into poverty.

Three organizations have stepped up to address the issue of antimicrobial resistance.

The AMR Action Fund

The AMR Action Fund is a financial project created by an international group of pharmaceutical companies. It aims to bring four new antibiotics that combat AMR to the consumer market by 2030. The fund expects to invest over $1 billion into late-stage antibiotic research by the end of 2025.

The AMR Alliance

The AMR Alliance is a massive coalition of more than 100 of the most powerful pharmaceutical companies, dedicated to fighting AMR. In 2016, the AMR Alliance signed the Industry Declaration, an agreement promising the development of anti-AMR medicines.

In 2018, the AMR Alliance spent a record $1.8 billion in the war against AMR. In 2020, the  AMR Alliance released its second progress report, detailing the progress made so far. The results are promising: 84% of relevant biotechnology companies are in the late stages of research and development for AMR cures and more than 80% of them have strategies in place for releasing the drugs.

UN Food and Agriculture Organization (FAO)

The FAO is taking serious steps to battle antimicrobial resistance. These dangerous antimicrobial superbugs threaten livestock in farms throughout the world. The FAO explains that two-thirds of future antimicrobial usage will be in livestock. These AMR superbugs will only increase in danger over time, as they develop stronger resistance to medicines.

The FAO has worked to improve agricultural practices across the world, specifically in developing nations. The FAO is raising awareness about this issue with rural farmers and is providing millions of dollars in funds to combat AMR.

World Antimicrobial Awareness Week (WAAW) is an annual campaign designed to increase awareness of the issue and encourage best practices among the general public, health workers, and policymakers to avoid the further emergence and spread of drug-resistant diseases. Over the week of November 18, millions of posts are made around the globe in support of antimicrobial resistance awareness. Expanding awareness is key, as the WAAW campaign website explains that less general use of antibiotics could help to mitigate the effects of this issue.

– Abhay Acharya
Photo: Flickr

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Liquid Petroleum Gas Stoves Fight Poverty in Darfur

Liquid Petroleum GasIn North Darfur, a region of Sudan, 90% of families use wood and charcoal to stay warm and cook meals. Burning wood and charcoal, however, has several negative effects. Practical Action, an international development organization, has partnered with the Women’s Developmental Association to provide these families with liquid petroleum gas stoves, which are cleaner and more efficient. The Low Smoke Stoves Project has been ongoing since 2014, significantly improving the lives of families in the Darfur region.

Negative Effects of Burning Wood and Charcoal

  • It hurts the environment by causing pollution and deforestation.
  • It produces a lot of smoke indoors, which can cause infections and illnesses.
  • The materials are expensive to buy, putting a financial burden on poor families.

Wood and charcoal produce a lot of smoke when burned, contributing to bad air quality and causing a variety of health issues that mainly affect the women and children in the home. According to the United States Environmental Protection Agency, wood smoke causes particle pollution and releases pollutants such as benzene, formaldehyde, acrolein and polycyclic aromatic hydrocarbons. The particle pollution caused by wood smoke can cause eye infections, chest infections and other illnesses that can be expensive to treat. Deforestation is also an issue in regions that rely heavily on firewood.

Other than the environmental and health concerns associated with burning wood and charcoal, there is also the financial burden it places on families. The materials are expensive to buy and do not cook efficiently. Women have to spend long amounts of time cooking instead of using their time for education and development.

Benefits of Liquid Petroleum Gas Stoves

Liquid petroleum gas stoves have a lot of benefits over traditional cooking methods with wood or charcoal. They produce less smoke and other pollutants, improving air quality and reducing infections and other illnesses in poor families. The stoves are more fuel-efficient, saving families 65% on their monthly bills. Liquid petroleum gas stoves also cook faster, giving women more time to engage in education and development.

Practical Action’s Low Smoke Stoves Project

Practical Action’s ongoing Low Smoke Stoves Project aims to educate regional communities about the dangers of burning wood and charcoal as well as replace those methods with more environmentally friendly and cost-efficient liquid petroleum gas stoves. The organization, partnered with the Women’s Development Association, has already placed 12,080 liquid petroleum gas stoves into homes in the North Darfur region. Since the beginning of the project, the area had improved air quality, less deforestation and lower carbon emissions.

This program works by giving eligible households a microloan to help them buy a liquid petroleum gas stove. While there is an initial cost, the stoves are more fuel and time-efficient so they quickly pay for themselves with the savings they produce. The stoves not only help improve the quality of life for families in North Darfur, but they also have long-term economic benefits, thus helping to lift people out of poverty.

–  Starr Sumner
Photo: Flickr

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Other Global Health Concerns During COVID-19

Health Concerns During COVID-19COVID-19 has understandably been the main focus around the world. In developed countries, many are new to health epidemics and the disruptions caused by them. But, in some parts of the world, widespread disease is not new at all and COVID-19 is not the only health concern. There are several other global health concerns during COVID-19. Some seem obvious, like malaria or HIV/AIDS. But, some have made less news, like a toxic goldmine in Ethiopia. These health crises also require assistance and aid from the international community.

HIV/AIDS in South Africa

In 2019, it was estimated that more than seven million people in South Africa were living with HIV. Roughly 200,000 of those people were newly diagnosed in 2019, and in that same year, 72,000 people died. Though 70% of people receive antiretroviral therapy (ART), the disease remains incurable. Its prevalence makes it one of the priority health concerns during COVID-19.

Though South Africa has the largest population of people living with HIV in the world, it has made a lot of progress. Data indicates that in 2018, 90% of infected individuals were aware of their status and 87% of people receiving treatment were virally suppressed, meaning they do not transfer the virus. Despite this success, rates continue to increase and it disproportionately affects women and young girls.

In 2016, South Africa made treatment for HIV free to all, where it used to be available only to those with advanced infections. This comes after South Africa made pre-exposure prophylaxis (PrEP) available to all sex workers to prevent HIV contraction in the first place. Though it did take years for South Africa to acknowledge this epidemic, the country is making progress. However, more focus and attention needs to go toward addressing HIV/AIDs in South Africa as it is a significant health crisis.

Malaria in sub-Saharan Africa

COVID-19 severely affected sub-Saharan Africa’s access to insecticide-treated nets (ITN) and malaria treatments. The World Health Organization (WHO) urged nations to resume the distribution of these things, in fear that mortality rates in 2020 would reach 769,000, which is double the rates of 2018.

Preventative treatments, which deliver antimalarial medication to asymptomatic people, aimed at school-aged children, has shown to significantly reduce the risk of contracting malaria. Health officials in sub-Saharan Africa have been urged to take heed of this, but the poverty affecting the region limits progress.

A whole 90% of global malaria deaths happen in sub-Saharan Africa, and of that figure, 78% of victims are children. Malaria is a treatable condition, but those most susceptible to it usually live in a state of poverty, unable to afford treatment. Malaria in sub-Saharan Africa is one of the most pressing global health concerns besides COVID-19.

Toxic Gold Mine in Ethiopia

Gold mining is an important industry in Ethiopia. The export of gold and similar minerals makes up 7-10% of Ethiopia’s export earnings. Hundreds of thousands of people are employed in the mines, both skilled and unskilled.

But, in Ethiopia’s most populous region, Oromia, a gold mine has released harmful contaminants that have severely affected people. Serious deficiencies in mine management have left the soil and water contaminated with dangerous levels of cyanide, arsenic and mercury. This contamination resulted in high rates of miscarriage, stillbirths and infant mortality, birth defects, the destruction of livestock and crops and locals are afflicted with debilitating illnesses. Residents say there was no warning about potential toxins,

The mine was considered so toxic that the situation was deemed a violation of human rights. After pushback from the citizens, it was temporarily shut down, but there was no accountability or treatment for those affected. There remains doubt whether the air and water are now safe and residents anticipate that the mine will be reopened. In August 2020, mineworkers were asked to attend a meeting, cementing this assumption. In collaboration, human rights organizations submitted a document to the Human Rights Committee entailing Ethiopia’s violations of rights in regard to the contaminated mine. It documents Ethiopia’s failures and necessary reparations that should be made to people.

To safeguard the well-being of the Ethiopian people and ensure that aid is provided to the affected people, it is essential for the international community to get involved.

COVID-19 and Other Global Health Concerns

The COVID-19 pandemic has upset the health of nations globally, no matter the resources a country has. But, it has also overshadowed some pressing issues. There are other major health concerns during COVID-19 that need international attention and aid as well.

– Maddey Bussmann
Photo: Flickr

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The State of Malaria in Southeast Asia

The State of Malaria in South-East AsiaAlthough Malaria remains at the forefront of global health issues, malaria in Southeast Asia represents a success story in terms of mobilizing aid in the fight against the disease. In 2018, the World Health Organization (WHO) reported 8 million malaria cases, a decline of 69% since 2010, marking the largest decline of all WHO regions.

Direct Aid Strategies

Southeast Asia has been the target of hefty aid strategies from a variety of organizations. The aid primarily comes from the WHO and the Global Fund to Fight AIDS, Tuberculosis and Malaria. As the Global Fund puts it, “The fight against malaria is one of the biggest public health successes of the 21st century.” The multi-pronged strategies used by these organizations begin with a tactic known as surveillance.

Surveillance involves testing, record-keeping and reporting malaria cases. Surveillance systems have become more efficient. As a result, health care systems maintain a much more refined picture of malaria cases in any given region. This eventually gains “near real-time individual case data in small areas.”

Vector control is limiting contact between people and the mosquitos that transmit the disease. It has also helped eliminate malaria in Southeast Asia. One of the most effective means to achieve this is the wide-scale distribution of insecticidal mosquito nets. So far, the Global Fund has donated 142 million nets, providing a simple means for those in rural and urban areas alike to protect themselves.

Strengthening Local Health Care Systems

Besides direct aid, many organizations also turn to bolster already-existing local health care systems in the fight against malaria in Southeast Asia.

Malaria Consortium is a nonprofit organization specializing in addressing the disease. It began working in Myanmar in 2016 to train locals in rural areas to administer essential health services. Malaria Consortium also taught local health workers to treat malaria, working to close the gap in rural health care.

In one village, 13 health care workers received training in the treatment of malaria and other diseases common to the area. These workers went on to teach local mothers and adolescents, expanding the web of health care knowledge even further. By the end of the program, 90% of trainees could diagnose malaria cases correctly. Trainees were also able to run malaria diagnostic tests and administer Artemisinin. Artemisinin is the most widely used drug to treat the disease.

Concerns with Treating Malaria

Aid has been successful in treating malaria in Southeast Asia. However, a new drug-resistant strain on the rise reignites concerns around the disease. Artemisinin-resistant malaria has the potential to undermine malaria prevention and was first recorded in the Mekong River region of Vietnam, Thailand and Cambodia. In 2014 and 2015, studies conducted by Vietnam’s National Malaria Control Program found treatment failure rates ranging from 26% to 46%.

From the perspectives of nonprofits and medical experts, the rise of this new Artemisinin-resistant malaria in Southeast Asia means surveillance efforts must be bolstered to prevent global spread. Likewise, instead of merely treating already-present cases, the goal must be to prevent transmission in the first place. Chris Plowe, the director of the Duke Global Health Institute, is using all the tools available to the institute to eliminate aggressive malaria in the Greater Mekong subregion.

Overall, direct aid, community mobilization and the bolstering of health care systems have transformed a region once fraught with malaria. As these efforts continue, malaria in Southeast Asia moves closer toward its extinction.

– Jane Dangel
Photo: Flickr 

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Inventions Boosting Health in the Developing World

Boosting Health in the Developing WorldThe health of those living in developing countries links to impacts caused by lack of access to food, clean drinking water, shelter and health care. Recent inventions have come about with the aim of boosting health in the developing world.

Flo Menstrual Kit

More often than not, girls in developing countries either cannot afford or do not have access to menstrual products. This makes it extremely difficult for them to go about their days, particularly if they are in school. Flo is a menstrual product that allows the user to wash, dry and carry a reusable menstrual pad with dignity. The concept was developed by Mariko Higaki Iwai. The Flo menstrual kit was designed with the following issues in mind:

  • School: Due to social stigma, girls worry that people will find out that they are menstruating at school. This fear is compounded by a lack of private restrooms in most schools in developing countries. This can cause girls to miss school or drop out entirely.
  • Hygiene: Reusable pads that go unwashed can cause reproductive infections and illnesses.
  • Privacy: It is difficult to find a private place to wash a reusable pad in rural areas and in schools.
  • Stigma: Menstruation carries a stigma and it can create a lack of confidence in girls who do not receive enough support surrounding the subject.

Flo addresses these issues, allowing girls to have productive days and stay in school while normalizing menstruation.

Hemafuse Autotransfusion

Hemafuse is a handheld device used for the autotransfusion of blood during an operation. This mechanical device was created by Sisu Global Health, a woman-led small business originating in Baltimore, Maryland. After members of Sisu Global Health witnessed the “soup ladle” method of blood transfusion in a Ghanaian hospital, they wanted to create a safe alternative accessible to all. Sisu Global Health originally invented Hemafuse to treat ruptured ectopic pregnancies, however, the device can also help replace or augment donor blood in an emergency situation. This device is imperative for developing countries as standard autotransfusion technology is very costly and these countries often do not have a ready supply of blood.

Kite Patch for Malaria

According to the Centers for Disease Control and Prevention, in 2018, approximately 405,000 people died from malaria. The majority of these deaths were young children in sub-Saharan Africa. Malaria is just one of several deadly diseases spread by mosquitoes. Others include the Zika virus, West Nile virus and dengue. The purpose of the Kite Patch is to eradicate malaria and reduce the amount of mosquito-borne diseases across the globe.

The Kite Patch is unique in that it does not use toxic DEET, poisons, pesticides, insecticides or any other harsh chemicals. The Kite Patch is long-lasting and it can be applied to clothing as opposed to the skin. It works by manipulating and interrupting the smell neurons and sensor arrays insects use to find humans. The company has started the Kite Malaria-Free-World Campaign to help rid the world of malaria forever.

Child Vision Self-Adjustable Glasses

According to the Centre for Vision in the Developing World (CVDW), in developing countries, more than 100 million youth between the ages of 12 and 18 are nearsighted. The CVDW estimates that 60 million of these youth do not have access to vision correction options. The CVDW attributes five reasons for this lack: awareness, access, affordability, attractiveness and accuracy.

First, people may not know that they have poor vision or that vision correction is a possibility. Second, rural areas tend to not have optical care stores to purchase eyeglasses. Third, eyeglasses are expensive, and usually, one must attend multiple appointments.

For many, this means missing work, which is often a luxury that they cannot afford. Fourth, adolescents are often concerned about their appearance and risk mockery for wearing glasses because glasses go against the norm. Finally, many people with glasses in developing countries are ill-fit for them due to poor testing or untrained opticians, which can harm already poor vision.

The Child Vision initiative aims to address these five reasons with self-adjustable glasses for youth aged 12 to 18. The initiative will utilize school-based distribution programs to provide children in the developing world with glasses.

Pocketpure Portable Water Purifier

According to the World Health Organization (WHO), inadequate access to safe drinking water affects one in three people globally. Pocketpure is the invention that just might change that. In response to the 2010 earthquake in Haiti, George Page founded the Portapure company with the intent to provide access to clean drinking water for all.

Portapure’s first invention was Pocketpure, a reusable, on-the-go device that can filter dirty water and make it clean enough to drink. It is essentially a collapsible collection cup with a water treatment apparatus and filtration unit that removes viruses, bacteria and other unsafe particles. With proper distribution, this device has the potential to provide clean and safe drinking water to millions of people around the world. Pocketpure is one of the inventions boosting health in the developing world.

While providing accessible health care for all is no easy task, these inventions show that work is in progress to combat the global health crisis. One invention at a time, innovators, creators and free-thinkers are boosting health in the developing world.

– Mary Qualls
Photo: Flickr