Archive for category: Health

Information and stories on health topics.

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Eradicating Food Insecurity in Brazil

Food Insecurities Decrease Around Brazil
Brazil is the largest country in South America. It also has the largest economy, which has been a key contributor to agriculture and business all over Latin America. Even with improvements in income distribution, poverty remains widespread, as income inequality remains an unsolved issue at the root of rural poverty. Thirty-five percent of the population lives on less than $2 per day, which is a reason for the food insecurity in Brazil. Additionally, 19 percent of Brazil’s population lives in rural areas, which means that Brazil has 18 million poor rural people. Meanwhile, the country’s northeast region has the single largest concentration of rural poverty in Latin America. In this region alone, 58 percent of the total population and 67 percent of the rural population live in poverty.

Food Insecurity

Food insecurity is an important subtopic coinciding with global poverty. When someone is food insecure, it means that they lack access to enough safe and nutritious food to give them the growth and development necessary to be active and in good health. Food insecurity might include a lack of resources or availability altogether.

The Food and Agriculture Organization has implemented the Food Insecurity Experience Scale (FIES) which explains the differences between the following categories:

  • Food Security to Mild Food Insecurity is uncertainty regarding the ability to obtain food.
  • Moderate Food Insecurity is the reduced quality and/or quantity of food, as well as uncertainty about how to obtain food due to little or no money or other resources. Moderate food insecurity can also lead to malnutrition. An example of this is stunting in children, which is where they do not have adequate nutrition for necessary growth and physical development. Micronutrient deficiencies are another hazard where children do not receive enough nourishment to give them the proper nutrients they require for growth.
  • Severe Food Insecurity is when one has simply run out of food, and at the most, has gone a number of days without eating.

How Fome Zero Has Decreased Food Insecurity

Brazil, which is the largest country in South America, has been able to combat food insecurity, along with poverty, through government spending on social welfare programs. For instance, one way that poverty and food insecurities have decreased around Brazil is through Fome Zero or Zero Hunger. It launched in 2003 under President Lul da Silva and has been successful in leading the nation out of poverty and improving its food security conditions. Fome Zero has been able to provide meals that have nutritious value and can support the poor’s overall health in order to combat food insecurity in Brazil.

Stunting and Food Insecurity

From the standpoint of public policy, the program has also implemented other ways of protection for those under the poverty line. These include providing not only meals and overall health improvement but also education reform, food production, health services, water, sanitation services and the prevention of growth stunting in children under the age of 5. Stunting has resulted in malnutrition, impaired cognitive ability and declining school performance later on in their lives. With Fome Zero as a premiere social-welfare program, stunting has also declined by almost 20 percent in the last quarter-century. From 1996 to 2007, stunting reduced by half from 14 percent to 7 percent.

These improvements happened because of optimal breastfeeding practices, ensuring a child’s healthy growth and development. Initiating breastfeeding for six months provides protection against gastrointestinal infections, which can lead to severe nutrient depletion, causing the process of stunting to begin. Setting a daily diet and schedule for children, as well as diversity in diet, has improved their health and overall growth.

Stunting results from a household, environmental, socioeconomic and cultural standpoint that requires that interventions for better nutrition integrate in conjunction with nutrition-sensitive interventions. One example is that one can prevent infections by hand-washing with soap, the success of which depends on behavior change to adopt the practice, the availability of safe water and sanitation needs and the affordability of personal hygiene products. Available high-quality foods and affordability of nutrient-rich foods will affect a family’s ability to provide healthier foods to prevent stunting.

Bolsa Familia

Another program that da Silva started in 2003 is Bolsa Familia, or Family Allowance, which has helped decrease poverty and food insecurity in Brazil. The conditional cash transfer program supplies low-income families with a minimum level of income. However, there are two stipulations that go with the deal: their children must attend school daily and they must schedule doctor’s appointments in order to receive aid from the government. More than 20 percent of Brazil’s global domestic program went towards education, health care and protection for all low-income families. From 2003 to 2013, the extreme poverty line population has decreased from 9.7 percent to 4.3, with Bolsa Familia reaching 14 million households, equaling 50 million people. As such, many consider the program to be the most successful in the world.

More than 50 million people receive payments from the program. This depends on family earnings that range from $14 to $140, whether people work part-time or full-time, as well as the number of dependents. As the largest conditional cash transfer in the world, Bolsa Familia reaches more than a quarter of the nation’s population and has lifted more than half out of poverty.

BF has also started a trend globally that has expanded conditional cash transfer programs, alongside Latin America, where over 40 countries have adopted this model to aid those on the poverty line and who are food insecure. Brazil’s next step to put a halt to poverty included the Brazil Learning Initiative for a World without Poverty (WWP), launched in partnership with the Ministry of Social Development, Ipea and UNDP’s International Policy Center in 2013. The Initiative helped support continuous innovation.

The endgame of these program developments is to sustain, if not overachieve, in providing aid to families in Brazil. The levels of success and vast improvements of these programs have helped the country come close to eradicating food insecurity in Brazil, as well as poverty.

– Tom Cintula
Photo: Flickr

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UN Program Aiding Women’s and Children’s Health

Women’s and Children’s health
In 2000, all 191 members of the United Nations officially ratified the Millennium Development Goals (MDG) which are eight, interdependent goals to improve the modern world. One of these goals included “promot[ing] gender equality and empower women; to reduce child mortality; [and] to improve maternal health,” emphasizing the need for increased focus on women’s and children’s health across the globe. In 2015, the Millennium Development Goals ended and the U.N. published a comprehensive report detailing the success of the MDGs. The report concluded that, during the length of the program, women’s employment increased dramatically, childhood mortality decreased by half and maternal mortality declined by nearly 45 percent.

Such success is, in part, due to another initiative, the 2010 Global Strategy for Women’s and Children’s Health, that aimed to intensify efforts to improve women’s and children’s health. Upon conclusion, the U.N. began developing a new program, the Sustainable Development Goals (SDGs), which includes 17 interconnected goals. Expanding on the success of the MDGs, the U.N. aims to tackle each goal by 2030. Similar to supportive programming to the MDGs, the U.N. has created another push for women’s and children’s health by establishing the 2016 Global Strategy for Women’s, Children’s and Adolescent’s Health.

The Global Strategy for Women’s, Children’s and Adolescent’s Health

The 2016 Global Strategy for Women’s, Children’s and Adolescent’s Health tackles a variety of critical global issues including maternal and childhood death, women’s workforce participation, women’s and children’s health care coverage, childhood development and childhood education. Being more robust, the 2016 Global Strategy is distinguished from the previous program as it “is much broader, more ambitious and more focused on equity than [the 2010] predecessor,” according to a U.N. report. The 2016 Global Strategy specifically addresses adolescents with the objective of encouraging youth to recognize personal potential and three human rights of health, education and participation within society.

Initiatives Supporting the SDGs

Many anticipate that achieving these global objectives will be a complex challenge. Therefore, the U.N. has established two groups to address women’s, children’s and adolescent’s health advancement: The High-level Steering Group for Every Woman Every Child and The Working Group on the Health and Human Rights of Women, Children and Adolescents.

The U.N. Secretary-General created the High-level Steering Group for Every Woman and Every Child in 2015. Seven areas of focus within the 2016 Global Strategy define the overall aim of this group. These include early child development, adolescent health, quality, equity, dignity in health services, sexual and reproductive health and rights, empowerment, financing, humanitarian and fragile settings.

The World Health Organization and the U.N. Human Rights Council created the Working Group on the Health and Human Rights of Women, Children and Adolescents in 2016, and it delivered recommendations to improve methods to achieving the 2016 Global Strategy. The group provides insight to “better operationalize” the human rights goals of the Steering Group in the report. 

In conjunction, these groups have accelerated and promoted the effectiveness of the 2016 Global Strategy. These groups effectively outline the idea that it is crucial to work as a team to tackle some of the world’s most complex problems concerning global poverty and health. U.N. Secretary-General, Ban Ki-Moon, believes these programs and groups will guide individuals and societies to claim human rights, create substantial change and hold leaders accountable.

Benefiting the Global Community

While the objective of the 2016 Global Strategy is to provide women, children and adolescents with essential resources and opportunities, the benefits of this integrated approach reach far beyond these groups. Developing strategic interventions produces a high return on resource investment. The reduction of poverty and increased public health leads to stimulated economic growth, thus increasing productivity and job creation.

Further, projections determine that the 2016 Global Strategy’s investments in the health and nutrition of women, children and adolescents will procure a 10-fold return by 2030, yielding roughly $100 billion in demographic dividends.

These high returns provide a powerful impetus for program support by local communities and government officials. Projected financial return can shed light on the global benefits of localized poverty reduction efforts. While the aim of poverty reduction should be in the interest of those most affected, understanding that such programs can provide a country with increased long-term growth is a major factor in the success of such initiatives, specifically in women’s and children’s health. 

The 2016 Global Strategy for Women’s, Children’s and Adolescent’s Health is indispensable during a time when women and children are providing the world with new innovations and perspectives. Each day, women across the world promote cooperation, peace and conversations within communities. Children will come to define the wellbeing of our world in the future. The success of U.N. programs today is a new reality for the world tomorrow.

– Aly Hill
Photo: Flickr

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Vietnam’s Health Care System

Vietnam's Health Care System
As Vietnam has grown and developed over the last two to three decades, so has its health care system. There is a decrease in the number of deaths due to health issues and an increased rate of vaccination through Universal Health Coverage (UHC). With much success for the UHC implementation, Vietnam’s health system has become a model to other countries. However, there is still a difference in the level of care between the rich and poor in Vietnam’s health care system.

Health Care and Hospital Systems

Business Monitor International (BMI) stated that health care spending in Vietnam in 2017 increased to 7.5 percent of gross domestic production, which is $16.1 billion. Meanwhile, experts forecasted it to grow 12.5 percent annually during a four-year period from 2017-2021, which would be approximately $20 billion according to KPMG. Public health care spending is expanding with social health insurance programs that projections determine will 58.1 percent of all health care spending.

Vietnam’s health care system is decentralized with the Ministry of Health at the central level. Meanwhile, the provinces, cities, districts and communities connect to the Ministry of Health. The four groups implement their own health policies and manage their own health care system and facilities. The Ministry of Health (central level) manages the health care system for the government as well as hospitals, medical education and research. Provinces and cities run hospitals, other health care facilities and health care-education programs with central oversight. Finally, health care facilities at the district and commune-level provide basic medical care with preventative services.

Universal Health Coverage (UHC)

Vietnam is a leader in implementing universal health coverage. This would cover medical and dental services as well as medicine and vaccines. The Global Monitoring Report on UHC by both the World Health Organization and the World Bank states that almost 88 percent of people in Vietnam have health coverage and 97 percent of the children received vaccinations. There is also a 75 percent decrease in the death of mothers through universal health coverage. Vietnam has reached health care goals (as recommended by the United Nations’ Sustainable Development Goals) earlier as compared to other countries due to its strategy on using all that is available, including staffing and administration.

Public View and Poverty Gap

Vietnamese’s traditional viewpoint on health care services affects health care delivery. It is a common belief that larger health care facilities in big cities would provide better health care services through more specialized staffing and more robust technology and equipment. Therefore, people tend to overlook smaller local facilities in the countryside or in rural areas. This, in turn, is impeding faster and necessary care while incurring unnecessary, unknowing or avoidable high costs. Such a barrier would ultimately contradict the proposed health care strategy above.

Vietnam’s health governance body is working to change the public viewpoint on local community health by educating the public about the programs and charging local health offices to provide excellent care in order to build trust. Wealthy patients have better access and higher quality health care. As wealthy patients tend to live in big cities, they are closer to big health care facilities that are well equipped. Meanwhile, poorer patients often have to travel hundreds of miles from rural areas to reach better care. While private insurance gives patients primary and preventative medicine that would avoid high health care expenditures due to medical emergencies, wealthy patients have more opportunity to purchase private insurance for better care. Health care inequity leaves the poor at a disadvantage with higher chances for illness and a lower quality of care.

Support and Challenges for UHC

Vietnam’s universal health care is receiving support from the Working Group for Primary Healthcare Transformation. The group works to present and emphasize primary care services in provinces around Vietnam, as well as improve and expand those services moving forward. Harvard Medical School, a member of the group, helps with primary care structuring and management. Another member, Novartis, provides rural community health education outreach as well as technology and rural medicine education for health care professionals. For instance, Novartis’ Cung Song Khoe Program has provided treatment for many conditions such as diabetes, hypertension and respiratory disease, as well as education for local rural communities and health care professionals, totaling 570,000 people served in 16 provinces. However, there are still challenges that are holding back Vietnam’s health care system including a high number of smokers and adults with alcohol usage, as well as extreme air pollution and aging populations.

Despite drawbacks from public views, health challenges and the environment, Vietnam’s universal health coverage is holding strong and progressing with ongoing program evaluations, strategic planning, improved care quality and partnerships. Therefore, Vietnam’s health care system has also been growing and is standing tall among that of other well-mentioned countries. With that said, eliminating health inequity is the focus to improve Vietnam’s health care.

– Hung Le
Photo: Flickr

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ICT and eHealth in Developing Countries

ICTS and eHealth in Developing Countries
Information Communication Technology (ICT) supports medical workers when physicians are absent. They manage patient records and keep accurate accounts in medical supplies and medication inventory. ICTs increase lab information management and create algorithms for effective treatment plans including the distribution of medications and immunizations. As a laundry list of medical conveniences, ICT in eHealth has a lot of advantages. Yet, the concept of eHealth in developing countries is more about connecting rural and resource-poor communities with specialists. So, how does ICT and eHealth in developing countries work?

Asynchronous Medical Exchanges

The obvious advantage is that health information is easily accessible, regardless of time, location or occupation. Asynchronous medical exchanges bridge physical and time-complying barriers between multiple personnel. This could be between a doctor and patient or doctor and specialists or all three. There are various forms of ICT (email, video conference and audio), all of which offer an array of services including teledermatology, telepathology and teleradiology, to name a few.

Maternal and child health care is of primary concern in many countries, and India has shown particular promise in women and children eHealth platforms.

Successful ICT Programs in India’s Mobile Health Initiative

The use of cell phones, home patient monitoring devices and other wireless devices closed the gap between India’s poorest communities and health care. The National Informatics Centre developed MCTS (Mother and Child Tracking System), which utilizes information technology (IT or ICT) to access a full spectrum of health services for pregnant women and children. MCTS operates on an alert-notification platform for medical workers. Services include antenatal, post-op and post-natal care for mom as well as guaranteed immunizations and check-ups for the first five years.

At the state level, eHealth programs like PICME (Pregnancy Infant Cohort Monitoring Evaluation) in Tamil Nadu, Arogyam in Uttar Pradesh and the 2018 Digital LifeCare initiative all provide working platforms for physicians to screen, manage and care for patients in resource-poor areas on or off-site.

The use of ICT in eHealth has impacted developing countries and progress, as illustrated in India, has occurred. However, reliable internet access is necessary for the successful implementation of ICT in eHealth. In addition, eHealth development varies by country and has unequal distribution among the poorest of countries.

Serbia has a population of 7 million with about 37 percent seeking health information online; only 33 percent have access to reliable internet. Similarly, Turkey has a population of 80.3 million with reliable internet access for more than half. Algeria, Guatemala and Zambia’s populations have less than 20 percent internet access respectively and Afghanistan only 5 percent. Many challenges threaten the successful implementation of eHealth, chief among them access to reliable internet.

A Digital Divide

If global society continues daily reliance on digital technology and services, resource-poor countries will be in the wake of information communication technology. Gaps in supportive infrastructure cripple developing countries’ chances of successful eHealth platforms.

Rapid technological advances over the last decade impede resource-poor locations’ ability to remain up-to-date with medical equipment and treatment plans, disallowing use of the technology. Likewise, unstable power supplies and insufficient or unreliable communication networks fundamentally limit the potential of eHealth integration.

A cross-sectional survey conducted in Brazil reported 81.4 percent of medical physicians believed EHR (electronic health records) response time was unsatisfactory. Eighty-six percent complained of technical difficulties and 35 percent had an insufficient supply of equipment in clinics—a direct result of insufficient funding.

Information Communication Technology is expensive and insurance packages, private party investments and individual donors or clients provide the majority of funding.

Deputy Director of the Digital Health Solutions Programme Skye Gilbert speaks caution and vigilance to collaborators when considering solutions for the digital divide, stating that “Being excluded from the digital domain will have more and more implications for someone’s health status…So the digital divide will become more and more tied to health equity over time.”

A Symbiotic Relationship

Overall, health improvement for resource-poor settings will not improve unless health technologies are accessible to all. The way in which ICT impacts eHealth in developing countries is quantifiable in that the countries with proper resources and pre-existing conducive technological platforms have measurable success in the implementation of eHealth programs. But for those countries struggling to fill in a widening digital gap, eHealth and, by consequence, people will always underrepresent and neglect public health.

Countries like Bangladesh, Paraguay, Qatar and Rwanda officially adopted eHealth strategies—four of 73 with eHealth initiative plans. Until medical information communication technology is accessible to everyone, health will only ever be a privilege for those able to afford it.

– Marissa Taylor
Photo: Flickr

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5 Facts About Malaria in Thailand

Malaria in ThailandThailand is home to nearly 70 million people. The Asian country is known for tropical beaches, opulent palaces and lush elephant rainforests. This extravagant subtropical climate is perfect for tourism but also serves as a breeding ground for mosquito-borne diseases such as malaria. Symptoms of malaria range from fever, seizures and even death. 

5 Facts About Malaria in Thailand

  1. Around 45 percent of the population is at risk of contracting malaria. According to the World Health Organization (WHO), 32 million people are at risk of being infected with malaria in Thailand. The country is filled with more than 46 million acres of thick jungle and rainforest. Many citizens live in these dense ecosystems, along with several species of mosquito. The most dangerous areas of transmission are border regions, like the borders with Myanmar and Cambodia. These regions have an abundant population of highly infectious female Anopheles mosquitoes.
  2. The wet season poses the highest risk. The highest risk of malaria in Thailand lies during the rainy season when mosquitoes are most active. The wet season typically occurs from mid-May to mid-October. During this period the presence of the mosquitoes that carry malaria parasites is much higher than other seasons. Of note, the rural areas of Thailand tend to be more affected while larger cities such as Bangkok, Chiang Mai and Pattaya do not experience a high risk of malaria even during the wet season.
  3. Malaria control mechanisms greatly reduce the risk of spreading the disease. Mass free distribution of materials such as insecticide-treated nets (ITNs), long-lasting insecticidal nets (LLIN) and the practice of indoor residual spraying (IRS) reduce the risk of contracting malaria substantially. By eliminating the transmitters, these insecticides are simultaneously eliminating the parasite. The WHO attributes Thailand’s advancement in preventing the spread of the disease to these materials and methods that have proven to provide powerful results.
  4. The Global Fund and UNICEF are helping. In 2010, Thailand’s funding for malaria control exceeded 7 million dollars. Funding has gradually increased year by year, mainly financed by the Global Fund and UNICEF. Thailand, a still-developing country, relies heavily on external aid to support health initiatives. Organizations like Global Fund and UNICEF are saving lives from preventable diseases like malaria through continuous aid.
  5. Cases and deaths of malaria in Thailand are declining. New malaria cases have declined since 2000 and continue to do so rapidly. There are less than 70 annual deaths of malaria in Thailand, which is almost a 90 percent reduction from 20 years ago. The nation’s successes in reducing malaria mortality are attributed to the increased funding for malaria control mechanisms, such as ITNs, LLINs, IRS and other forms of insecticidal materials.

These five facts about malaria in Thailand indicate a positive turn for the developing nation. Although, in rural areas, the disease persists with severity. With continued support from humanitarian aid organizations, Thailand can achieve minimal malaria cases with various control mechanisms.

– Hadley West
Photo: Pixabay

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The Impact of Coronavirus On the Global Economy

Impact of Coronavirus
Over the past several months, the outbreak of the fast-spreading pandemic of coronavirus or COVID-19 has taken the world by storm. In efforts to stop the pandemic from spreading and provide aid to the sick, many countries are closing borders and imparting quarantine policies on citizens. Not only is the coronavirus taking lives, but it is also heavily impacting the global economy in terms of billions of dollars. 

Efforts to Curb COVID-19

Currently, the WHO has reported 234,073 confirmed global cases and 9,840 deaths from the coronavirus. This pandemic is extremely contagious and spreads through respiratory fluids, which is why it is important to cover the mouth when coughing and washing hands frequently. The CDC recommends washing hands every hour for at least 20 seconds.

International governments are also closing borders and canceling flights to slow the impact of coronavirus. Further, people from CEOs to politicians and regular citizens are promoting social distancing. All over the world, authorities are telling people to only leave home when necessary like to buy groceries, travel to work, exercise or receive medical care. In Jordan, curfews exist that are punishable with jail time if people do not abide by them. Meanwhile, the United Kingdom is asking retired doctors and medical professionals to help fight the outbreak.

Organization Action

Organizations are also taking action to fight the outbreak. Organizations like the Gates Foundation, Wellcome and the Mastercard Impact Fund are contributing large sums to support economically impacted communities. The Gates Foundation and Wellcome have donated up to $50 million, and the Mastercard Impact Fund has committed up to $25 million. The CEO of Apple, Tim Cook, has announced the company will donate to “groups on the ground” that are in specific contact with those ill. Specific to the Gates Foundation, its initial donation is a part of the $100 million it has committed to help fight the outbreak and provide aid relief.

Additionally, the co-founder of Alibaba, Jack Ma, has donated $14.4 million to help develop a vaccine to reduce the impact of coronavirus. Ma has provided $5.8 million to support two Chinese government research organizations in tackling vaccine production. The rest of the funds are going towards prevention protocols. According to the latest CDC situation report, the first vaccine trials are in progression. Furthermore, the WHO has set up an international study in many countries to compare different treatments.

Impact on the Global Economy

From a financial standpoint, the pandemic is slowly weakening the global economy and will continue to do so until the situation is under control. So far, the impact of COVID-19 is billions of dollars of government money to go towards aid needs, prevention technology and protection measures. Estimates determine that the impact of coronavirus will have cost nearly $2 trillion by the end of 2020. However, some countries like the U.S. are already receiving billions of dollars in bailouts.

With an abundant amount of action per nation, generous donations and hard-work from medical professionals, it is the hope of many that the pandemic will soon take a more positive turn. It is important to take adequate measures to stay safe during the pandemic. Safety precautions allow a slower spread and provide medical professionals and the health care system time to reduce the impact of the virus. Additionally, these measures will aid in providing therapeutic resources and developing vaccines. 

– Sarah Mobarak
Photo: Flickr

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Systems Providing Drinkable Ocean Water

Drinkable Ocean Water
Experts expect that 50 percent of the world population will live in areas with water shortages by 2025. For cities in South Africa, India and China, this crisis is already becoming a reality. So what solutions are there for the shortage of this valuable resource? Water filtration systems and desalination are a few, although many water treatment solutions have not been environmentally friendly and desalination has proven to be costly. However, a lot has changed in water treatment over the years. Here are a few improvements and advancements that could prove promising for the future of potable water, including drinkable ocean water.

Water Softeners and Filtration Systems

Water softeners and filtration systems have gained a negative reputation due to the salt they use and the wastewater they produce that ends up in aquatic environments. However, advancements in these areas have led to softeners that use salt more efficiently and newer equipment reducing water usage and conserving that precious resource. New technology has decreased the usage of both water and salt by 50 percent.

Manufacturers have established ways to achieve high efficiencies by focusing on providing products that are better-performing and able to dictate the amount of water they use during maintenance functions, as well as making larger filtration cartridges that extend the replacement cycle times. Manufacturers have even designed new technology to monitor water usage in the home and adjust to match the household’s habits.

A top priority of the water treatment industry is to develop ways to address contamination while maintaining sustainability. The improvements that manufacturers are making to reverse osmosis (R.O.) systems reflect that.

R.O. systems can result in a reduction of the purchase of bottled water due to how greatly they diminish contaminants. However, the systems still have room for improvement due to the amount of wastewater they produce. The technology to reduce wastewater exists internationally and now the U.S. is looking to make the same progress.

Desalination

If people could drink from the ocean, there would be more than enough water for everyone. However, it would be necessary to remove the salt first.

There are about 2.2 billion people who do not have access to clean drinking water. For thousands of years, turning seawater into drinking water has been an option for this ongoing problem, although the process tends to be expensive and inefficient because it requires a lot of energy.

Kamalesh Sirkar, a chemical engineering professor at the New Jersey Institute of Technology, has a new process that promises to make a difference. His direct-contact membrane distillation (DCMD) system heats seawater across a plastic membrane containing tubes filled with cold distilled water. The tubes have pores so that the water vapor that collects on them can penetrate into them, but not salt. The vapor can then condense back into liquid water.

This efficient system can produce 21 gallons of drinking water per 26 gallons of seawater, which is twice as much as most existing desalination technology. The downside of DCMD is the requirement of a heat source to prevent the water temperature on either side of the membrane from equalizing, although there is the potential of recycling waste heat to run the system.

A team of international scientists has achieved a similar accomplishment by using the sun to produce high-quality potable water. This process can meet the needs of an entire family at a cost of about $100 without using electricity. This team, consisting of scientists from MIT in the U.S. and Shanghai Jiao Tong University in China, believes that its system can provide water to islands and coastal areas that do not have reliable electricity but have access to seawater. With this system, the team produced 1.5 gallons of fresh drinking water every hour for every square meter of the solar collecting area.

GivePower

Recently in Kenya, a nonprofit called GivePower has been able to successfully use solar power to create drinkable ocean water. In July 2018, a new desalination system began operations on the coast of Kiunga that can create 19,800 gallons of drinking water every day. That is enough for 25,000 people. This nonprofit’s main focus has been to provide solar-energy systems to developing countries. The organization has installed solar grids in 2,650 locations across 17 countries in places like schools, medical clinics and villages.

The success of this system is in finding a way to pull water out of the ocean in a scalable, sustainable way. The president of GivePower, Hayes Barnard, hopes to open similar facilities around the world, providing fresh water to people who struggle to get it on a daily basis.

At the rate that the population has been increasing, a freshwater crisis appears imminent. However, with the work that experts are putting into finding a solution, the possibilities for the future look bright. With environmentally friendly filtration systems and the successful production of drinkable ocean water, the population will all be able to drink deeply since there will be enough to go around.

– Janice Athill
Photo: Flickr

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10 Facts About Sanitation in Peru

Sanitation in Peru
Thanks to the government and various international organizations, Peru has made noticeable progress in regards to sanitation and clean water. However, there is still a large amount of room for improvement in the country. Here are 10 facts about sanitation in Peru.

10 Facts About Sanitation in Peru

  1. Access to Running Water: The water crisis in the suburbs of Peru is complex. Even in more urban areas, running water is still a rare commodity. In middle-class homes just outside of Lima, 3 million people still lack running water. Hand-dug wells are common sources of water in these areas and local citizens may travel miles in order to use the restroom. The country has made progress in the hopes of expanding access to running water. In 2014, the International Secretariat for Water Solidarity established a sustainable source of water in Cuchoquesera and followed this with a similar development in the town of Waripercca. Both communities now have running water.
  2. Sanitation in Schools: The Peruvian water crisis has heavily affected schools. Almost no rural schools have clean bathrooms or working sinks. A lack of proper restrooms and facilities can prevent academic progress. Luckily, sanitation officials in Peru have identified this issue and created a plan to increase infrastructure. This plan should provide suitable and sanitary bathrooms to Peruvian schools by 2030 and educate younger children on hygienic practices, however, donations and investments could speed up the process.
  3. Sanitation in Hospitals: In 2016, 18 percent of health care facilities reported having to operate without running water, leading to problems in water disposal, waste management and an overall inability to perform tasks as simple as cleansing the hands. According to a report from UNICEF and WHO, this can easily lead to life-threatening illnesses, especially for newborns that may be born in these facilities.
  4. Plumbing Systems: Even homes in the suburbs of Lima do not always have toilets. In Peru’s urban areas, about 5 million people do not have a working toilet in their homes. In places where these facilities do exist, the plumbing system is so fragile that flushing toilet paper could do serious damage to the system, or at the very least cause the toilet to clog or flood. The best solution to this less-than-perfect system is to invest more money in plumbing infrastructure or to utilize the “dry toilet” designs that are popping up around the world.
  5. Open Defecation: Despite having dropped since 2000, the percentage of the rural population practicing open defecation still measured around 19 percent in 2017. Experts cannot understate the negative health and sanitation effects of citizens experiencing exposure to human waste. The good news is that the portion of the urban population practicing open defecation is as low as 3 percent and both rates are in a steady decline.
  6. Untreated Drinking Water: Lima’s source of water and the surrounding areas is the Rio Rimac, a river heavily polluted by harmful microorganisms. One of these microorganisms is Helicobacter pylori, a dangerous bacteria that can affect the gastrointestinal tract of those unlucky enough to experience an infection. The good news is that water treatment is seeing a slow uptick in Peru, especially in urban areas. The number of people consuming untreated water has decreased by the thousands since 2000. Public health intervention has begun to focus on treating the water before distribution, partnering with organizations like the International Secretariat for Water Solidarity.
  7. Unsafe Water Affects More Than Drinking: While drinking unsafe tap water is a prominent issue, the problem becomes monumental when one considers everything else that people use water for. Fruit and vegetables that individuals wash in tap water may be dangerous for consumption, as well as drinks with ice and any foods kept on ice.
  8. Unsanitary Practices: While many of the sanitation problems in Peru come from lack of funding or infrastructure, another big problem comes in the form of unsanitary practices. This involves hand-fecal transmission and infection, which may lead to transmission to the face or other individuals in the community. During observation in 2014, 64 percent of those researchers observed potentially contaminated their face, hands or food within one hour of hand contamination. This can be detrimental to the health of Peruvians, as contamination can cause an array of enteric pathogens including salmonella and Escherichia coli. These practices are simply a result of the lack of running water in many parts of the country and lack of awareness of the diseases that fecal transmission can cause. Peru can eliminate this issue by educating Peruvians as children about sanitation and hygiene and by improving the running water system in Peru. There have been attempts to address these issues, including observation and correction of some of these behaviors.
  9. WaterCredit Program: Water.org’s WaterCredit program is quite possibly the jumpstart the nation needs in order to provide running water and sanitary conditions to all of its citizens. The WaterCredit program works with various donating partners to provide plumbing and similar infrastructure to countries that need it. Through this program, Water.org has been trying to reach people in urban areas, like Lima, and provide them with improved indoor bathrooms, sewage collection infrastructure and safe running water. It has reached an estimated 2.5 million people and hopes to reach more within the country in the future.
  10. Stray Dogs: One problem affecting sanitary conditions in Peru is the fact that stray animals, especially dogs, run rampant in cities like Cusco and Mancora. Sadly, due to lack of proper care, these animals can carry various infections that they can spread to humans through direct contact. These infections include rabies, norovirus, salmonella and brucella among others. These infections can have detrimental health effects on humans if contracted and the infected animals may show little to no symptoms.

While the conditions of sanitation in Peru are not yet acceptable, the country has made significant progress in the last decade. It is not an overestimation to say that Peru will continue this forward progress with the help of its citizens and various donating partners. With continued aid from international organizations, the sanitary conditions in Peru could see a significant increase in quality in the next few years.

– Tyler Hall
Photo: Flickr
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5 Facts About Heart Disease in India

 5 Facts About Heart Disease in India
The rates of non-communicable diseases such as diabetes, heart disease, cancer and respiratory diseases are increasing at alarming rates in developing countries around the world. However, heart disease in India has had a particularly high impact on the nation’s population. This increase requires attention and action to reduce the strain of heart disease on the Indian population.

5 Facts About Heart Disease in India

  1. Rising rates of cardiovascular disease have rapidly increased in India. The number of cases within the country has more than doubled from 1990 to 2016. In comparison, heart disease in the United States decreased by 41% in the same time period. Death as a result of cardiovascular disease has increased by 34 percent in the country in the past 26 years alone. In 2016, 28.1 percent of all deaths were caused by heart disease and a total of 62.5 million years of life were lost to premature death. Heart disease in India accounts for nearly 60% of the global impact of cardiac health even though India accounts for less than 20 percent of the global population.
  2. The burden of heart disease, while high throughout India, varies greatly from state to state. Punjab has the highest burden of disease, with 17.5 percent of the population afflicted, while Mizoram has the lowest burden, a full 9 times lower than Punjab. These immense disparities between Indian states are dependent upon the level of development and regional lifestyle differences. Understanding prevalent risk factors in different regions allows for more effective interventions. Specifically tailored programs are needed, rather than viewing India as a monolith.
  3. Rates of heart disease are far higher in the urban Indian populations when compared to rural communities. Urban areas record between 400 or 500 cases in every 100,000 people, while rural populations record 100 cases per 100,000 people. Risk factors for heart disease include a sedentary lifestyle, obesity, central obesity, hypercholesterolemia, diabetes and metabolic syndrome. All of these factors are abundant in urban populations and limited in rural populations, thus accounting for the discrepancy.
  4. On average, heart disease in India affects people 8 to 10 years earlier than other parts of the world, specifically heart attacks. This huge discrepancy can be explained by increased rates of tobacco consumption, the prevalence of diabetes and genetic predisposition for premature heart disease. A common genetic determinant of heart disease in Indians is familial hypercholesterolemia, a lipid disorder. Although this disorder is treatable with lifestyle changes and pharmaceuticals, it is often undiagnosed. This causes an increased likelihood of heart disease. Furthermore, stress levels in young Indians have been on the rise due to hectic lifestyles and increased career demands. Mental stress compounded with genetic predisposition and environmental factors like diet, sleep, and exercise has resulted in higher rates of heart disease in India’s younger population.
  5. The India Heart Association is committed to increasing awareness of the severity of heart disease in India. This organization is nongovernmental and launched by individuals who have been personally affected by heart disease. The organization’s major goals include increasing awareness of heart disease in India through online campaigns and grassroots activities. The organization has been appointed to the Thoracic and Cardiovascular Instrumentation Subcommittee of the Bureau of Indian Standards by the Indian government. Efforts are multi-faceted, operating through partnerships with local governments, hospitals, and programming with donors. Organizations like this one are making effective strides in addressing the burden of heart disease in India.

As heart disease in India is on the rise, it is important to understand the impact on global health. Non-communicable diseases have an undeniable effect on development. The World Health Organization stated, “Poverty is closely linked with NCDs, and the rapid rise in NCDs is predicted to impede poverty reduction initiatives in low-income countries.” In an effort to reduce global poverty, attention should move to heart disease in India, and further, to non-communicable diseases in developing countries globally.

– Treya Parikh
Photo: Flickr
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7 Facts About Women’s Health in Ethiopia

Facts About Women’s Health in EthiopiaWhile gender equality has been a significant issue in the sub-Saharan African country, recent steps have been taken to ensure the health and safety of Ethiopian women and girls. Below are seven facts about women’s health in Ethiopia.

7 Facts About Women’s Health in Ethiopia

  1. The maternal mortality rate has been cut in half between 1990 and 2010. One reason for this is the implementation of the Health Extension Program (HEP) in 2005, which aims to provide all families with clean and safe spaces to deliver their babies both at home and in medical facilities.
  2. In 2015, the Center for International Reproductive Health Training (CIRHT) was founded in order to increase the number of medical professionals that could provide reproductive care to rural areas of Ethiopia. Students are completing the program in three years, compared to 12 years of similar advanced programs in other African countries. The program also works to destigmatize reproductive health and merge it into mainstream health care. Partly as a result of this program, the number of Ethiopian women making four or more doctors’ visits during their pregnancies has tripled between 2000 and 2014.
  3. Ethiopia has a long history of gender-based discrimination which impacts the wellbeing of women and girls in the country. In February of 2019, the Ethiopian government held a meeting with civil society organizations (CSOs) as a part of African Health Week to prioritize gender-sensitive policymaking objectives in the health care sector.
  4. The use of contraceptives has increased by almost six times from 2000 to 2016. The introduction to modern contraceptive methods had helped prevent unwanted pregnancies and disease among married women in Ethiopia.
  5. Twice as many women in Ethiopia have HIV than men, but in 2016, 49 percent of women had knowledge of HIV prevention methods, compared to 32 percent in 2000. This has contributed to a 45 percent decrease in AIDS-related deaths in the country between 2010 and 2018, as well as a decrease of 6,000 new cases in the same timeframe.
  6. In both rural and urban communities, the percentage of female genital mutilation has decreased by at least 10 percent. Though progress still needs to be made, both settings have seen a significant decrease in the act between 2000 and 2016.
  7. In 2018, the first two urogynecology fellows in Ethiopia graduated from Mekelle University. Oregon Health and Science University partnered with Mekelle to launch the first urogynecology fellowship program in the country. Urogynecologists treat pelvic floor disorders in women, many who suffer in silence in Ethiopia, as this group of disorders is not well known.

While Ethiopia has severely struggled with gender inequality throughout its history, it is encouraging to see that the Ethiopian government is making concrete changes. Between the creations of programs and institutions, as well as improved education, women’s health in Ethiopia will continue to make great strides.

– Alyson Kaufman
Photo: Pixabay