Archive for category: Global Health

Information and stories about global health.

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Steven Pinker on the Three Ways the World Is Getting Better

The World is Getting Better
Bill Gates recently namedEnlightenment Now his “new favorite book of all time.” Written by Harvard cognitive scientist Steven Pinker, Enlightenment Now makes a persuasive case for the numerous ways in which the world is getting better, safer, healthier and more prosperous. Acutely aware of our negativity bias — the tendency to respond more strongly to negative news — Pinker seeks to provide a contrasting story to what leads in the news. The result is a holistic view of human progress. Here are three ways Pinker demonstrates how the world is getting better:

Life

Life expectancy has risen dramatically since the late nineteenth century, while child and maternal mortality has fallen dramatically. What is more, these trends are not exclusive to wealthy, developed nations. While increasing life expectancy in Africa and Asia has lagged behind Europe and the Americas, people all over the world are living 35 years longer than they did in 1860.

Health

To demonstrate the dramatic breakthroughs in human health in the past few centuries, Pinker runs through the dwindling impacts of the worst infectious diseases, as well as a graveyard of afflictions conquered by science, economic development and humanity’s “expanding circle of sympathy.”

By Pinker’s measure, the chlorination of water and eradication of smallpox and measles alone contributes to 428 million saved lives.

Peace

The constant coverage of conflict zones in the news belies the diminishing currency of war. Pinker points to three downward trends as evidence — great power wars, battle deaths and genocide deaths. Pinker holds “trade, democracy, economic development, peace-keeping forces, and international law” responsible for a world that is becoming more and more peaceful.

Pinker is remarkably thorough in his treatment of human progress. Not only does he include the obvious indicators like life-expectancy and mortality, Pinker throws in improving equal rights, wealth, quality of life and the prevalence of lighting strikes, among other esoterica.

However, Pinker is well aware that while the data supports his argument, human nature does not. As a result of our negativity bias, there is a gulf between the facts of progress and our perception of it. Bridging this gulf is the reason for the book, and likely the reason Bill Gates, who dubs himself an “impatient optimist,” is so fond of it; things are getting better and nobody is noticing. Or more accurately, things are getting better and people think things are getting worse.

Maintaining a Positive Outlook

The first graph that appears in the book — one of seventy-five charts and figures — measures the tone of the news over time by tracking the prevalence of positive and negative-associated words appearing in world broadcasts and the New York Times. According to the news, the world is becoming gloomier; Pinker begs to differ. It is no justification for complacency, but in his perspective, the world is getting better.

– Whiting Tennis

Photo: Flickr

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The Causes of Uganda’s Recent Cholera Outbreak


Cholera, an acute infectious disease, is not new to the east African country of Uganda. For 47 years, epidemics of cholera have occurred frequently in the country, and cases of the disease in Ugandan communities are still reported annually. Uganda’s recent cholera outbreak was reported Feb. 22, 2018.

Refugee Overcrowding

The announcement came after 668 cholera cases had been identified in the refugee settlements in Hoima District. Hoima District is a Western Ugandan district home to thousands of Congolese refugees escaping ongoing violence in the Democratic Republic of Congo’s northeastern Ituri province.

More than 4.4 million people have been forced out of their homes in Democratic Republic of Congo amid a surge in severe violence. The aggression stemmed from President Joseph Kabila’s refusal to step down at the end of his mandate in 2016. As a result of the humanitarian disaster, it is estimated that about 43,000 Congolese refugees have settled into Ugandan areas this year. This brings the total of Congolese refugees in Uganda to more than a quarter of a million.

Increased Violence

Although Uganda welcomes all those fleeing violence and seeking refuge into the country, government-funded health facilities have been overwhelmed by the sharp rise in the refugee population. Since the initial outbreak announcement in February, at least 1,747 people have become sick and at least 36 have died from the worsening situation. Most of the deaths were recent evacuees from the Democratic Republic of Congo.

In addition to plaguing the refugee resettlements in Hoima District, Uganda’s recent cholera outbreak has also now spread to two additional sub-counties. It is estimated that drinking unsafe water from Lake Albert, poor sanitation and a lack of handwashing facilities in the area have contributed to the dehydration, diarrhea, vomiting and fatality rates.

Response Efforts

Uganda’s recent cholera outbreak has proven an urgent demand for additional resources and funds to prevent the spread and deaths from the bacterial disease. However, some response efforts and services are currently in place. Thanks to a fast-acting response plan by the U.N. Refugee Agency and The Ministry of Health, health actors and community leaders are working to provide medical supplies, health personnel and other essential support. This includes demonstrations on proper food and hand hygiene and water safety to reduce transmission of the illness. Many technical teams are working to conduct medical screenings, provide treatments and produce water purification tablets near Western Uganda’s Lake Albert and Kyangwali refugee settlement.

Additionally, international agencies like the World Health Organization and UNICEF have provided two different cholera kits with vital supplies for cholera case management. Uganda Red Cross Society has actively supported social mobilization to prevent and regulate the outbreak.

Because of these life-saving efforts enforced by health workers and technical teams, there has been a significant decrease in the number of new cholera cases within the western Lake Albert region. As of Feb. 28, health care workers were detecting approximately 100 new cases of cholera a day. By March 12, the daily case number had decreased to 20. The medical assistance provided helped decrease the mortality rate by two percent. However, Uganda’s recent cholera outbreak is not over and the work in cholera-suffering hotspots is far from resolved.

– Natalie Shaw

Photo: Google

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World TB Day 2018: The Global Fight Against Tuberculosis

World TB Day
Every year on March 24, World Tuberculosis (TB) Day is observed all around the world. World TB Day is an official global health campaign marked by the World Health Organization (WHO). The day is meant to bring awareness and response to Tuberculosis around the world.

The event commemorates the date that Dr. Robert Koch discovered Mycobacterium Tuberculosis in 1882. This is the bacteria that causes Tuberculosis. Thanks to modern medicine, Tuberculosis is now treatable and even curable, though it remains widespread through most of the world.

History of World TB Day

In 1982, the International Union Against Tuberculosis and Lung Disease (IUATLD) proposed that March 24 should be World TB Day. This was in honor of the hundredth anniversary of Dr. Koch’s discovery. However, World TB Day was not officially recognized by the World Health Organization and United Nations until 1995.

Meetings, conferences and programs are being conducted around the world in support of the day. The goal of World TB Day is to not only spread awareness about what the disease does but also about how to prevent, treat and cure Tuberculosis. Many global health organizations have supported and promoted World TB Day since its installment, including the World Health Organization, the National Association of Country and City Health Officials and the International Committee of the Red Cross.

The Goals of 2018

On March 24, 2018, the world observed its twenty-fourth World TB Day. The day outlined the international medical goals for this year and beyond. This year’s theme was, “Wanted: Leaders For a TB-Free World.” The World Health Organization is planning to completely eradicate Tuberculosis all over the world. However, that means putting a heavier stance on treatment and prevention methods, both of which will be a heavy influence in this year’s campaign.

The goal is to mobilize political and social movements about Tuberculosis and make further commitments toward eliminating the disease. A full set of campaign material and content about the 2018 day became available March 1 on the website for the Stop TB Partnership.

The Global Goal

As of 2018, Tuberculosis is still the world’s leading infectious killer. It is the cause of over one million deaths worldwide every year. The Stop TB Partnership has three main goals associated with World TB Day:

  1. By 2020, at least 90 percent of the people afflicted with Tuberculosis will have access to proper treatments and therapies.
  2. By 2030, end the current Tuberculosis epidemic.
  3. By 2035, completely eradicate the disease on a global level.

The partnership hopes to create a healthy future for the next and continued generations. By raising awareness about Tuberculosis, many global health organizations can increase funding for proper medical treatments in impoverished areas. Leaders and medical professionals still have a long way to go before people will be able to live in a completely Tuberculosis free world.

As medical advancements are escalated, diseases also escalate. Tuberculosis has mutated into many multi-drug-resistant strains, making prevention harder. In impoverished countries, where they have little to no advanced medicine, prevention and treatment are nearly impossible.

However, advancements toward the Stop TB Partnership’s goals have already started and will continue. The awareness and knowledge spread by World TB Day can slowly help move the world toward a disease-free future.

– Courtney Wallace

Photo: Flickr

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Cholera in Uganda: A Nation’s Attempt to Aid Refugees

cholera in Uganda
There has been a stream of refugees to Uganda due to the violence in the Democratic Republic of the Congo and Republic of the Congo. The majority of the individuals who escape the brutality in those countries oftentimes find their way into the neighboring state of Uganda.

Killings and burnings of people’s homes are just a few reasons the Congolese are deciding to flee. Determination to evade the violence comes also with a sense of urgency for the Ugandan government and the people, even though there may be downfalls in the process.

Cholera in Uganda

The people of Uganda have recognized both their intake of refugees, and also the refugees’ individual issues. Ever since these people entered the country, there has been an outbreak of cholera in Uganda. This is a bacterial disease that can be contracted by drinking contaminated water and, if not treated properly, can be fatal. Since this disease is highly contagious, it is spreading rapidly throughout the country.

Most of the people coming from the Congo are screened but, unfortuantely, they are oftentimes already contaminated with the bacteria that leads to cholera at the time of their screening. “We are not doing enough to respond first,” said David Alula of Medical Teams International. “More attention needs to be paid to address the situation.”

Medical professionals understand that the situation occurs more widely and at a larger scale in the Congo, but 36 refugees have died thus far from the highly infectious disease.

Governmental Measures

The Ugandan government is doing everything it can to assist its people as well as the refugees experiencing the cholera outbreak. The nation’s head is working on emphasizing water treatment, staff recruitment to allow more people to be treated appropriately and the factors of what may have caused the severe outbreak of this disease.

“We had not planned for this kind of sickness all along. Everything is being doubled on the ground, and more efforts are [being] put in place to make sure it’s contained,” stated the Ugandan official in charge of Kyangwali, Jolly Kebirungi. It is quite remarkable to see the efforts that the Ugandan government is putting forth to help out; it treats the refugees as they would their own citizens. It shows a sign of unitedness and care that can lead to an ultimately more stable community.

A More Stable Community

“In Uganda, refugees are accommodated not in tented camps but in settlements, where they are allocated plots of land that they can farm and build their homes on.” Once Uganda accumulates enough power to ensure health and safety regulations through its medical professionals, the nation will have what it takes to contain and eradicate the disease in this region.

The main priority for Uganda is to maintain the well-being and safekeeping of the refugees they let enter the country. This strategy will lead to a nation of respect and will allow the country to prosper.

– Matthew McGee

Photo: Flickr

India’s Fight Against Polio is an Unprecedented Success

India’s fight against Polio
Polio, or poliomyelitis, is an infectious disease spread through poliovirus. Since the early twentieth century, polio has been widespread in many countries, causing paralysis in thousands of children every year. With the help of various nonprofit organizations and the Global Polio Eradication initiative, the disease is now narrowed down to a handful of nations.

In 2014, India was certified as a polio-free country, leaving Pakistan, Nigeria and Afghanistan on the list for polio eradication programs. India’s fight against polio is a remarkable achievement because of the various challenges the country faced. Nicole Deutsch, the head of polio operations for UNICEF in India, called it a “monumental milestone.”

Polio: Cause and Prevention

Poliovirus is highly contagious, infecting only humans and residing in the throat and intestine of the infected person. It spreads through feces and can contaminate food and water in unsanitary conditions.

The virus affects the brain and spinal cord of the infected person, causing paralysis which cannot be cured. Immunization through inactivated poliovirus vaccine and oral poliovirus vaccine are the only possible methods to fight against the virus. In the case of India, it was the second option which was administered.

India’s Fight Against Polio: the Challenges Faced

India’s fight against polio faced unique challenges, such as its huge population density and an increased birth rate. The number of people living in impoverished conditions with poor sanitation is huge, making them vulnerable to the polio disease.

Lack of education and prejudice among certain sects of the population also hindered the immunization process. Other challenges faced were the unstable healthcare system, which does not support people from all levels of society, and the geographically-dispersed inaccessible terrain, which made the immunization process difficult.

Overcoming these Challenges

Overcoming the challenges of polio eradication was possible due to the combined help provided by UNICEF, WHO, Rotary Club, the Indian government and millions of frontline workers. They took micro-planning strategies to address the challenges faced by the socially, economically, culturally and linguistically diverse country that is India.

India began its oral polio vaccine program in 1978 but it did not gain momentum until 1994, when the local government of New Delhi successfully conducted a mass immunization program for children in the region. From the year 1995, the government of India began organizing National Immunization Day, and in 1997, the first National Polio Surveillance Project was established.

Other initiatives taken include:

  • Involving almost 7,000 trained community mobilizers who went door-to-door, educating people in highly resistant regions.
  • Engaging 2.3 million vaccine administrators who immunized almost 172 million children.
  • The government running advertisements on print media, television and radio.
  • Enlisting famous Bollywood and sports celebrities to create awareness among common people.
  • Involving religious and community leaders in encouraging parents to vaccinate their children.

Inspiration for Other Countries

In 2009, almost 741 polio cases were reported in India, which dropped down to 42 in 2010, until the last case was reported in 2011 in the eastern state of West Bengal. This unprecedented success is an inspiration for countries like Pakistan, Afghanistan and Nigeria, where the disease is still looming at large.

India’s fight against polio has set an example in the world that the country can be proud of, but the fight is not over yet. Although India has been declared polio-free by the WHO, it is of the utmost importance that the nation continue to assist other nations still facing the polio epidemic.

– Mahua Mitra

Photo: Flickr

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Methods in Addressing Mental Health Disorders in Asia

Addressing Mental Health Disorders in Asia
We all face stress and mental anguish; these emotions are experienced by both the rich and the poor. The only difference is the rich tend to possess the means for coping and addressing mental health disorders. People who experience mental illness often remain adrift in social stigma and thus excluded from revenue-generating incomes. This vicious cycle — Poverty -> Social Causation -> Mental Illness -> Social Drift — also excludes these people from access to healthcare.

How Does Stress Lead to Mental Disorders?

But biologically speaking, how exactly does stress lead to mental disorders? Constantly worrying over where to find food or a place to sleep results in a heightened production of stress hormones called cortisol.

High levels of cortisol for extended periods can affect the brain down to the genetic level. It can increase the level of neural connections of the amygdala, or the “fear center.” This increase will then inhibit neural connections of the hippocampus, the part of the brain that is associated with learning and memory.

The majority of this mental disorder is experienced in developing nations. These are the same nations with the widest gap of healthcare inequity, and the ones most unequipped to properly address physiological needs, let alone mental health disorders.

The Stress of Poverty

Many of the issues underlying depression — such as violence, unemployment, crime, inadequate housing, lack of education and poor sanitation — all stem from the stress of poverty.

Too much cortisol can lead to the loss of synaptic connections between brain cells, and fewer brain cells created in the hippocampus. This deficit will cause the brain to actually shrink in size, specifically in the prefrontal cortex — the region of the brain that allows for control of behaviors such as judgment and social interaction.

The Destigmatization of Mental Disorders

In Asian cultures, if a person is suffering from a mental disorder, his or her community will pretend like it never happened, since the impact is not outwardly apparent. However, just because it’s not outwardly apparent, that doesn’t mean ignoring the disorder will make it go away. The reason Asian communities cover up a sufferer’s condition largely stems from shame or embarrassment. There is also widespread belief that mental disorders are a divine punishment in retribution for a person’s past sins or crimes.

The 10-member nations of ASEAN have outlined their 2025 Socio-Cultural Blueprint that aims to raise mental health as one of the health priorities under the ASEAN Post 2015 Health Development Agenda for 2016-2020. This prioritization would mean integrating mental health into each of the national health systems, and coordinating between facilities, local organizations and NGOs for spreading awareness and empowerment.

The power of possessing a positive or negative outlook is more powerful than one might think; people with positive emotions can live longer and more fulfilling lives. Before we can harness the powers of emotions for improved physical health, we must first invest in better understanding and addressing mental health disorders. Once this is accomplished, we will then have made remarkable strides and come a long way from stigma and dehumanization.

– Awad Bin-Jawed

Photo: Flickr

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The Effects of the Proposed Budgets for Global Health and Foreign Aid

Proposed Budgets for Global Health and Foreign Aid
After months of threatening to make serious cuts in the proposed budgets for global health and foreign aid, the Trump administration and Congress signed a budget deal on March 21, 2018 indicating increases to nearly all government-allocated scientific research agencies, many of which contribute to global health research. For instance, the National Institues of Health received a $3 billion increase in federal budget allocations, a reversal of the 22 percent reduction in the budget proposed by the White House earlier this year.

These developments fall in line with press releases published on the White House website. The White House explains that the Trump administration champions the Global Health Security Agenda (GHSA), funded by the Centers for Disease Control and Prevention (CDC), which helps to prevent the spread of diseases through increases in disease prevention provisions in countries prone to an outbreak.

President Trump himself has expressed that “the world cannot have prosperity unless it is healthy”. His administration’s reports detail the GHSA and clearly show the impact that this specific global health advancement has had on outbreaks of dengue fever in Burkina Faso, as well as the Marburg virus in Uganda.

This viewpoint on global health security and the recently approved 2018 budget contrast with the Trump administration’s 2019 proposed budgets for global health and foreign aid. The 2019 budget proposes 30 percent cuts to the Senate Foreign Affairs Budget as well as the Department of Health and Human Services.

While the recently approved 2018 budget increased the funding to agencies vital to public health, it is still important to understand the impact these proposed budgets for global health and foreign aid could have on agencies internally. Budget cuts to United States government institutions materialize in a slowdown of impactful research and operations that occur within the agency. Decreases in budgets inevitably reduce the number of grants that are approved and also limit the number of researchers institutions are allowed to hire.

The less money an agency receives, the fewer projects it is able to complete. As of right now, the deepest cut in the proposed budget for global health and foreign aid are to the State Department, with a primary focus on the United States Agency for International Development (USAID). Cuts to USAID will reduce the number of programs and limit the amount of personnel and projects carrying out USAID work.

As of right now, USAID is in a hiring freeze and only seeking out critical personal on an as-needed basis through specialized waivers. Despite this challenge, current USAID administrator Mark Green claims that the tightening of the USAID budget causes the agency to operate as efficiently as possible. Green explained that even with budget restrictions, he is working with the president to show how development is a necessary soft approach to national security and global health.

While some global health programs are proposed to receive equal or additional funding through presidential and Congressional support of the CDC’s GHSA program, USAID looks to remain under tight restrictions. Overall, advocates of global health and USAID will continue to emphasize the institution’s importance to foreign policy, but it is ultimately up to President Trump and Congress to approve the organization’s desired funding.

– Daniel Levy

Photo: Flickr

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What Are the World’s Deadliest Diseases?

What Are the World’s Deadliest Diseases?
In 2015, the top five of the world’s deadliest diseases accounted for more than 23 million deaths. The top two deadliest, heart disease and stroke, have been the two leading causes of death in the world since 2000 and account for 65 percent of the 23 million deaths.

The world’s deadliest diseases can be either communicable or non-communicable. Communicable disease are contagious and threaten the population with the spread of the disease. Common communicable diseases include respiratory infections and diarrheal diseases. Non-communicable disease are not contagious.

In 2015, as compared to 2000, there are fewer communicable disease in the top global causes of death. This means that medical treatments are working and more people have the ability to access treatments and preventive measures for those diseases.

The World’s Deadliest Diseases as of 2015

  1. Heart disease
    The risk of heart disease comes from both genetic and lifestyle factors. While genetic factors cannot be controlled, changing unhealthy habits to lower the risk of heart disease can be life-saving.
  2. Stroke
    Stroke is caused by a temporary disruption of blood flow to the brain, depriving it of oxygen. That oxygen deprivation can lead to long-term brain damage or death. Education about the warning signs of stroke can lead to life-saving early identification.
  3. Lower respiratory infections
    These infections, such as pneumonia, are contagious but treatable. Greater access to medical care will lead to early diagnosis to prevent their spread among the population and antibiotic treatments that can help lower their prevalence.
  4. Chronic obstructive pulmonary disease (COPD)
    COPD is an inflammatory lung disease that killed more than three million people in 2015. It is caused by exposure to irritating gases, most often from cigarette smoke or burning fuel. Ensuring healthy environments and education on the harms of tobacco can decrease COPD.
  5. Lung cancers
    This includes trachea and bronchus cancers as well, most often caused by smoking or exposure to secondhand smoke. Avoiding smoking and being in the presence of others smoking is the most effective way to prevent lung cancer from developing.

Even though these are the world’s deadliest diseases, diseases do not affect the entire population equally. In countries of lower economic status, the diseases most likely to harm the population differ due to varying access to life-saving resources, such as healthcare and knowledge of best health practices.

In low-income economies, the prevalence of communicable diseases is higher and affects the population more severely. In these countries, the top two killers are lower respiratory diseases and diarrheal diseases. Also in the top 10 deadliest diseases in low-income economies are HIV/AIDS, tuberculosis and malaria, all of which are communicable.

Even though these communicable diseases currently threaten the populations of low-income countries, they are all treatable diseases. With appropriate access to healthcare, healthy environments and knowledge of health practices, the spread of these diseases can be slowed. Preventing these diseases would greatly increase the average lifespan for citizens of low-income countries.

Globally, access to healthcare is important in preventing and treating any of the world’s deadliest diseases. Even though they are the diseases most likely to kill, they can often be avoided with healthy lifestyles and increased access to medicine.

– Hayley Herzog

Photo: Flickr

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The Most Effective Drug for Preventing Maternal Death

most effective drug for preventing maternal death
Each year, more than 300,000 women die in childbirth. The top three causes of global maternal deaths are severe bleeding, infections and high blood pressure at the time of birth. Often, pregnant women in developing countries are faced with an impossible decision: seek affordable care from untrained/unlicensed midwives or enter hospitals without being able to pay for modern treatment. It is extremely unlikely that women in this situation will receive the most effective drug for preventing maternal death.

Deaths from infections can easily be prevented through good hygiene practices by the patient and the medical staff attending to her. As for high blood pressure, the most fundamental precautionary measure is to educate the public on adolescent pregnancies, as this is often associated with maternal mortality from high blood pressure. Severe bleeding in childbirth can kill a healthy woman within several hours if proper attention and care are not given to her by her caretakers.

Often there are complications, such as bleeding, that require costly surgical operations or blood transfusions. If the mother is unable to afford the operation, she may not survive the excessive bleeding. In Sierra Leone, many people know at least one woman who has either died in childbirth or lost a fetus due to complications. Maternal care is the comprehensive indicator of the overall development of a country; the healthcare system for maternal health reflects the level of education, infrastructure and transparency of a nation.

Well educated nations with high literacy rates can still experience a shortage of qualified medical workers. Why? They are not properly paid or paid at all. The few qualified or highly educated emigrate for better opportunities and salaries. This resulting brain drain further exacerbates the crisis of maternal mortality. Prior to childbirth, there is also a delay in pregnant women seeking proper treatment. This delay can be attributed to a lack of confidence in the competence of the local healthcare facilities.

Thanks to U.N. funding, clinics in every nation are sponsored to employ local medical staff, which not only provides them with a salary, but with training as well. In addition to improved services, many patients benefit the from donation and careful administration of drugs. Among the most notable is tranexamic acid. Also known as TXA, this drug helps to control bleeding for trauma patients. It helps to stabilize a clot at the site of bleeding by preventing it from dissolving during formation. It has proven to be the most effective drug for preventing maternal death.

TXA works by preventing the conversion of plasminogen to plasmin; this promotes the accumulation of fibrin to form a complex known as the fibrin degradation products. It should be noted that TXA is not an alternative for blood transfusion; it is merely an important addition to this treatment. In addition to trauma patients, TXA has also proven effective in treating combat casualties. It has also been proven to be safe for patients.

In April 2017, the WHO launched a clinical trial dubbed the World Maternal Antifibrinolytic Trial. It consisted of 20,000 women from 21 countries who were diagnosed with postpartum hemorrhage (PPH). It was a randomized, double-blind trial with placebos for some of the participants. The organization wanted to see if bleeding persisted 30 minutes after the first dosage, and if it restarted within 24 hours. If bleeding did persist, it determined if a second dose was necessary.

What they found was that TXA reduced deaths in the trial, and it was evident that early treatment maximized the benefit. It was the most effective drug for preventing maternal death. In their words, “safe, effective and affordable PPH treatments are critical to saving the lives of pregnant women globally, and the findings of this trial have important implications for the delivery of high-quality maternity care.”

– Awad Bin-Jawed

Photo: Flickr

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Mental Illness in the Developing World

mental illness in the developing worldWith the slow decline of disease worldwide, initiatives on global health in recent years have begun to focus on mental illness in the developing world, a leading cause of disability worldwide that affects millions. It was only in 2014 that the World Health Organization (WHO) published its first and only report on the global imperative of reducing suicide and mental illness in general.

With this recent attention, it is important to examine the mental wellbeing of individuals not just in prosperous first world nations, but in developing countries as well. Doing so reveals a clear link between nations with high levels of poverty and poor economic conditions and those who suffer from mental health issues. Examining this link not only makes clear the underlying causes of depression, but it also suggests that the alleviation of global poverty could serve as a part of the solution to the ongoing mental health epidemic around the world.

In its 2014 report, the WHO found that the two most significant determinants of mental illness in the developing world, especially depression, are an individual’s physical health and whether or not one is living in poverty. The same study also noted that this relationship is most pronounced in developing countries, which threatens to stagnate the slow improvement of global progress improving poverty worldwide.

Though it is unlikely that poverty is a direct cause of mental health issues, many of the resulting side effects of poverty likely contribute to depressive symptoms. For example, those living in poverty, especially in developing countries, are far more likely to be malnourished than people who are better off economically.

Those in poverty also suffer from higher levels of stress and from more human rights violations than wealthier individuals, which can contribute to long-term mental health issues and disorders such as post-traumatic stress disorder (PTSD), major depressive disorder and dysthymic depression.

There are other problems that those with mental health issues in poverty face, problems that are accentuated in developing nations by poor infrastructure and slow economic growth. “[Those in poverty] are subjected to stigma and discrimination on a daily basis, and they experience extremely high rates of physical and sexual victimization,” explained the WHO’s Department of Mental Health and Substance Abuse.

Such individuals are also less likely to be able to access treatment, as many developing countries with poor economies also have poor medical infrastructure and are unequipped to handle physical diseases, let alone the complex treatments and resources required to address mental health.

Thankfully, there are some solutions available to address the issue of global poverty and specifically to alleviate mental illness in the developing world. An increase in foreign aid spending (which currently makes up less than 1 percent of the United States’ federal budget) could strengthen medical infrastructure and lower poverty rates in the developing world.

When investing in medical access, it is also important for developing countries to emphasize improving mental health as well as physical health, and to remove many of the negative stigmas that surround the issue. This kind of assistance could create a positive environment where those who suffer from PTSD and major depressive disorders are encouraged to seek help and support from the medical community and their peers.

Though it is often disregarded as insignificant, mental health is extremely important to the continued development and improvement of humanity. Alleviating global poverty and increasing education on mental illness in developing countries should be part of any solution to what has become a global epidemic.

– Shane Summers

Photo: Flickr