Archive for category: Health

Information and stories on health topics.

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9 Facts about Life Expectancy in Grenada

Life expectancy in Grenada
Grenada is a country in the Caribbean composed of seven islands. This former British colony attained its independence in 1974, making Grenada one of the smallest independent nations in the western hemisphere. Nicknamed historically as the “spice isle,” Grenada’s traditional exports included sugar, chocolate and nutmeg. From 1979 to 1983, Grenada went through a period of political upheaval, which ended when a U.S.-led coalition invaded the island. Today, Grenada is a democratic nation that is working to ensure the health and well-being of its citizens. Here are nine facts about life expectancy in Grenada.

9 Facts About Life Expectancy in Grenada

  1. The World Bank’s data showed that, as of 2017, life expectancy in Grenada was 72.39 years. While there was a rapid increase in life expectancy from 1960 to 2006, life expectancy decreased from 2007 to 2017.  However, the CIA estimates that this metric will increase to 75.2 years in 2020.
  2. Non-communicable diseases constitute the leading cause of death in Grenada. According to 2016 WHO data, non-communicable diseases such as cardiovascular disease, cancer and diabetes constituted the majority of premature death in Grenada. Cardiovascular diseases, which constituted 32 percent of all premature deaths, were the leading cause of death in 2016.
  3. Grenada’s infant mortality rate stands at 8.9 deaths per 1,000 live births. This is a significant improvement from 21.2 infant deaths out of 1,000 in 1985 and 13.7 deaths out of 1,000 in 2018.
  4. Grenada has universal health care. Health care in Grenada is run by the Ministry of Health (MoH). Through the MoH, the Grenadan government helps finance medical care in public institutions. Furthermore, if an individual wishes to purchase private health insurance, there are several options to choose from.
  5. Around 98 percent of people in Grenada have access to improved drinking water. However, water scarcity still plagues many people in Grenada due to erratic rainfall, climate change and limited water storage. To remedy this, Grenada launched a $42 million project in 2019 with the goal of expanding its water infrastructure. This includes plans to retrofit existing systems.
  6. Hurricanes and cyclones pose a threat to life expectancy in Grenada. While in recent years Grenada has not been significantly affected by a hurricane, Grenadians still remember the devastation caused by Hurricane Ivan (2004) and Hurricane Emily (2005). Hurricane Ivan caused an estimated $800 million worth of damage. In the following year, Hurricane Emily caused an additional $110 million damage. On top of 30 deaths caused by these natural disasters, the damage they inflicted on Grenada’s infrastructure and agriculture can have further harmful ramifications for the people of Grenada.
  7. The Grenadian government is taking measures to improve the country’s disaster risk
    management (DRM). With the help of organizations such as the Global Facility for Disaster Reduction and Recovery (GFDRR), Grenada is recovering from the devastation of 2004 and 2005. In 2010, for example, GFDRR conducted a risk management analysis which helped the preparation of a $26.2 million public infrastructure investment project by the World Bank in Grenada.
  8. The Grenadian government’s 2016-2025 health plan aims to strengthen life expectancy in Grenada. One of the top priorities of this framework is to ensure that health services are available, accessible and affordable to all citizens. Another goal surrounds addressing challenges for the most vulnerable groups in society such as the elderly, children and women.
  9. Grenada received a vaccination award from the Pan American Health Organization (PAHO). In November of 2014, PAHO awarded Grenada the Henry C. Smith Award for Immunization, which is presented to the country that has made the most improvement in their immunization programs. PAHO attributed this success to Community Nursing Health teams and four private Pediatricians in Grenada.

The Grenadian government is committed to providing the best quality of life for its citizens. However, there is still room for improvement. The prevalence of premature death caused by cardiovascular diseases suggests that Grenada needs to promote healthier life choices for its citizens. With the continued support and observation by the Grenadian government, many hope that life expectancy in Grenada will increase in the future.

– YongJin Yi
Photo: Flickr

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KopaGas Provides Clean Cooking Technology

Clean Cooking Technology
Wood-based cooking harms the health of humans and the environment. KopaGas is one of many social enterprises tackling this problem by transitioning Tanzanian families to a clean cooking technology that is gas-based rather than wood-based through an innovative pay-as-you-go business model.

Imagine that a family is cooking dinner in the kitchen. They put charcoal into the stove and water for stew begins to boil. As the water heats, thick, grey smoke from the stove fills the room, the family’s lungs and the surrounding forest. In Tanzania, 96 percent of the population still uses dirty fuel sources like charcoal and firewood for cooking purposes. This has a harmful impact on respiratory health and the country’s ecology.

Effects of Wood-Based Cooking

Cooking with charcoal and firewood is comparable to exposing oneself to the smoke of 400 cigarettes per hour. Such air contamination contributes to roughly 4.3 million deaths per year worldwide. In Tanzania, respiratory infections are the second leading cause of death after malaria. In addition to devastating health effects, the resulting smoke causes ecological damage, particularly deforestation. A shocking 55 percent of the global wood harvest, representing 9 percent of primary energy supply, stems from traditional woodfuels.

To add to this, most wood-burning stoves are inefficient. Around 85 to 90 percent of the energy content of wood that people use for cooking becomes lost through the process of combustion. Such inefficiency means that people need to cut down more trees to satisfy the demand for woodfuel.

KopaGas as a Solution

Scientists Sebastian Rodriguez-Sanchez and Andron Mendes sought to address these health and environmental challenges head-on by creating clean cooking technology. In 2015, Rodriguez-Sanchez and Mendes co-founded KopaGas. The enterprise uses proprietary technology to help Tanzanian families transition to gas-based cooking.

Households pay an upfront fee of $6.50 to receive a liquefied petroleum gas (LPG) cooking kit. Families pay for the gas through a pay-as-you-go (PAYG) model via mobile phone payment. A smart meter that attaches to the LPG cooking kit measures gas consumption feeding back into the mobile application. Transparent information allows families to understand consumption patterns which can help return control over personal finances.

KopaGas’ innovation is revolutionary not because it utilizes clean cooking methods, but rather because it makes gas-cooking affordable through the PAYG system. Rodriguez-Sanchez told Reuters that the PAYG model needs to prove itself at a large scale to attract greater levels of investment. However, KopaGas is already gaining early financial support from the Acumen Fund, HRSV, Saisan Co. and DEG / KFW.

In January 2020, the U.K.-based holding company, Circle Gas Limited, acquired KopaGas’ PAYG technology. The company aims to expand access to technology across Sub-Saharan Africa, where 900 million people have yet to transition to modern and clean cooking fuels. Further expansion will then move into East Africa where the focus of 2020 is in Kenya.

Innovating Clean Cooking

While KopaGas is attempting to transition households from woodfuel-based cooking to gas-cooking, others are taking completely different approaches. One example is ServedOnSalt that emerged in collaboration with the DTU Skylab_FoodLab, a Food System Change laboratory that Roberto Flore founded and leads. The ServedOnSalt project developed a battery using solar energy, salt and water to create a cheap and clean-powered cooking stove. KopaGas,  ServedOnSalt and other social enterprises within the clean cooking technology space are fundamentally transforming cooking practices in developing areas. These innovations are improving the health of humans and the planet.

– Kate McGinn
Photo: Flickr

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Health Care Progress in the DRC

Health Care Progress
The Democratic Republic of the Congo (DRC) has faced various issues surrounding health care in the past several decades and some have amounted to significant setbacks for the nation. However, the country has seen health care progress in the DRC in recent years and international organizations are looking forward to the future.

Improving Vaccines for Citizens

International partners have been able to pair with the government in the DRC to initiate this health care progress, and the country has been polio-free for four years as a result. The lack of infrastructure and geographical size of the DRC makes it particularly difficult to reach milestones in health care progress. The United States Agency for International Development has been a vital component of health care progress in the DRC serving over 12 million people spanning a multitude of different provinces. The organization has additionally remained committed to providing HIV/AIDS support in 21 concentrated zones. These focused zones are crucial for health care progress in this region.

In addition to the international organizations doing their part to help health care progress in the DRC, the country’s Ministry of Health has been working diligently in recent years to improve vaccines and their means of storage. Keeping vaccines in the appropriate cooling storage containers and fridges has proved especially difficult due to the DRC’s tropical climate. In a 2018 plan, the Ministry of Health aimed to provide immunizations to almost 220,000 children and improve vaccine storage conditions. Partnerships with outside organizations have helped to deliver 5,000 solar-powered fridges specifically intended for vaccine storage and they will distribute more later on.

Progress in Hospital Conditions

One of the first dependable and reliably functional hospitals opened in Kavumu through an initiative called First Light. This hospital garnered a brand new electronic medical records system to make keeping track of patient history astronomically easier than before. The hospital staff received tablets to mobilize the system and expedite the process of patient diagnosis and care. With this technology, the hospital is able to treat nearly three times more patients than it was able to without these resources – originally, doctors were only able to see approximately six or seven patients per week.

The hospital also implemented a motorcycle ambulance program so patients no longer have to walk or have others carry them to emergency care in order to tackle the issue of having no ambulance access in the city. This program utilizes motorcycle sidecars specifically to transport patients, which was a successful method that people originally used in South Africa.

The Future of Health Care in the DRC

The World Health Organization (WHO) has continuously been an important player in the health care progress of the DRC. It has partnered with non-governmental organizations to deliver medicines and various other resources to hospitals and clinics in areas where people have limited health care access. In the interest of continuing the progression of the country and establishing a functional health care system, WHO also remains dedicated to analyzing and quantifying statistics within the country that gives organizations clues on what they need to do next. These statistics are able to pinpoint issues in specific areas, therefore making it easier for government and international organizations to act, provide aid and implement programs for improvement. The continuation of this data collection will hopefully allow for more health care progress in the future.

There is still a lot to do in the DRC when it comes to health care. There are organizations and efforts dedicated to treating all of the diseases and epidemics that threaten the country’s current health care progress like malaria, cholera, tuberculosis, HIV/AIDS and more. Some organizations involved in the nation even specifically focus on the care of mothers and children or improving sanitation conditions.

It will be small, incremental changes over time that will lead to continued health care progress within the region. The country cannot fix everything at once, but the collective efforts and partnerships of international organizations and governmental entities have already dragged the country out of its most difficult struggles with health care and access to health resources. The continuation of these practices will ensure the building and sustainment of a functional and reliable health care system, therefore alleviating the worries of so many citizens within the DRC.

For now, health care progress in the DRC is on track and only time will tell how these small initiatives eventually reform and reshape the country’s health care system entirely.

– Hannah Easley
Photo: Flickr

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10 Facts About Life Expectancy in Serbia

10 Facts About Life Expectancy in Serbia
The Republic of Serbia gained independence following the breakup of Yugoslavia in 1992. Although birthed from the aftermath of a bloody civil war and a subsequent period of violence and civil unrest, Serbia is a progressive nation with a high quality of life standards. Here are 10 facts about life expectancy in Serbia.

10 Facts About Life Expectancy in Serbia

  1. Trends: Life expectancy in Serbia continues to trend upwards. The current average life expectancy is 76.05, a 0.18 percent increase from 2019. U.N. statistical projections anticipate that life expectancy rates will grow to 80.21 by 2050.
  2. Leading Causes of Death: A 2018 report from the WHO identified the leading causes of death in Serbia as coronary heart disease, which accounted for 21.39 percent of deaths. In addition, around 14.92 percent of death are from strokes.
  3. Infant Mortality: Serbia’s infant mortality rate is steadily improving. In 2000, there were approximately 13.5 deaths per 1,000 live births. Today, the metric stands at only 4.6 deaths per 1,000 live births. Additionally, U.N. data predicts that infant mortality rates will drop even further by 2050 to just over two deaths per 1,000 births.
  4. Health Care: Serbia underserves health care to around 20 percent of Serbian citizens. However, Serbia, in general, has an inclusive and effective health care system. Pregnant women, infants, college students and children 15 or younger all receive free health care. Furthermore, mental health services and treatment of infectious diseases are free for all.
  5. Access to Medical Facilities: The post-World War II Serbian government invested heavily in the territory’s medical schools. Eventually, it hopes to correct its problematic lack of trained medical professionals. As of 2016, there were 3.13 doctors per 1,000 citizens. That same year, Serbia recorded health funding equivalent to 9.1 percent of the national GDP.
  6. Birth Rate: Serbia’s population is shrinking. The estimated fertility rate in 2020 is 1.46 children born per woman. This place Serbia at 211 out of 228 nations. As a result, the population should decline by an estimated 0.47 percent.
  7. Violent Crime: Serbia’s murder rate has significantly declined over the past decade. In 2007, there were 1.9 homicides per 100,000 citizens. By 2017, the number dropped to 1.1. However, Serbia is a strategic corridor in the international drug trafficking trade. This means that multiple organized crime syndicates operate there.
  8. Women’s Health: In general, Serbian women live longer and healthier lives than their male counterparts. Women live on average around five years longer than men. Estimates determine that Serbia’s maternal mortality rate is 12 deaths per 100,000 live births. It places Serbia in the upper half of global maternal mortality figures.
  9. Sexual/Reproductive Health: Serbia is a highly religious nation. In addition, citizens typically hold conservative attitudes towards sex and relationships. Contraceptive prevalence is a comparatively low 58.4 percent. Only 18.4 percent of married or committed women use modern contraceptive methods. The United Nations Population Fund is in the midst of a campaign to ensure universal access to contraception and family planning services.
  10. Ethnic Minorities: Hungarians, Romani, Bosnians and other ethnic minorities comprise 16.7 percent of the Serbian population. Historically, Serbia’s relationship with the rest of the Balkans has been volatile both within and outside national borders. Additionally, this contributed to unequal access to health care, particularly for the Roma population. In concert with UNICEF, the Pediatric Association of Serbia is engaged in improving pediatric care for minorities and children with disabilities.
These 10 facts about life expectancy in Serbia attest to the nation’s rapid recovery from the tragedies of the 1990s and early 2000s. Serbia’s health care system and quality of life standards should improve even further in the coming years.

– Dan Zamarelli
Photo: Flickr
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Improving Living Conditions in Dharavi

Improving Living Conditions in Dharavi
Mumbai, India plays an integral role in improving living conditions in Dharavi. Being a port city, Mumbai is the commercial capital of India, having operations in the manufacturing and finance sectors. Mumbai is also home to many Bollywood films. The population of Mumbai estimates over 20 million residents. The reason for this increase is because of the squatter settlements. One major squatter settlement is Dharavi, which is home to 1 million people. Dharavi is located between two railway lines on a low-lying land once a garbage dump. A highway that divides the formal city from the informal city determines which areas are slums and which areas are not. A slum is a term that people use to identify unauthorized and illegal residents. Slums often lack basic amenities, including safety measures.

The Characteristics of Squatter Settlements

  • Noisy, overcrowded and smelly.
  • Cardboard houses.
  • Lack of proper sanitation.
  • Increase of population and disease.
  • Strong sense of community.

Despite the stigma of slums, Mumbai is home to well educated, middle-class people who simply do not have adequate housing. Mumbai has been its own micro-industry. For example, it is most prosperous in the making of pottery.

Facts About Mumbai

The world’s population is 7.3 billion since 2011 and the highest growth is in low-income developing countries. Today, 50 percent of the world’s population lives in urban areas. Urban growth, also called rapid urbanization, is often located in low-income developing countries, as well as emerging and developing countries. The cause of urban growth can be due to natural diseases and migration. Moreover, the job prospects are low and crime and pollution levels rise when the population increases.

The population of Mumbai continues to increase in thousands each year. Some have cited that this could be because of the “push and pull factor,” which is when people leave rural areas for a more urban way of life. Lack of employment or housing can also push people out of rural areas. However, there may be some benefits for urbanization such as increased cultural wealth, more knowledge and skills in the city community and increased economically active elements of the community.

The Vision Mumbai Project

The Vision Mumbai project is improving living conditions in Dharavi by replacing squatter settlements with higher quality flats. With this project, there would be more schools, more shops, better health care centers, better roads and more jobs. Estimates determine the cost to improve the living conditions of Dharavi as 2 billion euros, however.

The current slum redevelopment is based on the government’s initiatives in 1995. Today, private developers can purchase slum land from the government at 25 percent of the fair market value and redevelop it. This means utilizing a plan and developing tools to control population density. Further, they can use building designs to secure safety and health initiatives.

With purchasing and obtaining 70 percent of slum dwellers’ consent, the project is moving forward by removing the dwellers and re-housing them in a free of cost multi-story building. However, the project will only provide this to slum dwellers who can show proof that they occupied the residence prior to Jan. 1, 2000.

Also, on other land areas, the developers may construct other buildings and sell them on the market as a free sale component. An example of this would be the Imperial Towers, the tallest building and one of the most expensive in India. It is obvious the redevelopment initiative has brought growth to the country as real estate in this area has grown since then.

The Slum Redevelopment Authority

The government of Maharashtra implemented an oversight agency called the Slum Redevelopment Authority in 1997. This agency was responsible for evaluating and approving slum redevelopment proposals. In the past two decades, it reestablished and rehabilitated .15 million tenements, as well as approved .12 million more that are waiting to begin.

Another step in improving living conditions in Dharavi includes the implementation of a motorized concrete producer. On April 1, 2012, Dharavi received a motorized rickshaw that weaves around the slums carrying 15-liter buckets of slow-setting concrete. Due to this innovation, residents can add on to their homes. Houses are more spacious, stronger, safer and more comfortable. This adds to a better quality of life for each resident and a start to better living conditions in Dharavi.

– Michelle White
Photo: Flickr

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10 Facts About Life Expectancy in Lithuania

10 Facts About Life Expectancy in Lithuania
With strong connections to the Nordic countries of Northern Europe and the European Union, the Republic of Lithuania is located at the shores of the Baltic Seas in Europe. The nation has an intriguing history: while maintaining independence since 1990, Lithuania has also been occupied by foreign powers for many years out of the last two centuries.

Lithuania has an extremely high quality of life under a stable democratic system. This may be connected to continental trade through the E.U.’s free movement agreement and global security through N.A.T.O membership. Despite experiencing stability and growth, life expectancy in Lithuania has seen several fluctuations; even after a decade of continuous growth, it remains below average for the area. Here are 10 facts about life expectancy in Lithuania.

10 Facts About Life Expectancy in Lithuania

  1. The current life expectancy in Lithuania is 74.6 years. Compared to other European Union nations, who average at 84 years, life expectancy in Lithuania is nearly a decade shorter. The nation also remains below the average of its immediate neighbors in Central Europe and the rest of the Baltics, who have a life expectancy of 77 years. Further, Lithuania lands just above the world average of 72 years.
  2. Life expectancy in Lithuania has had a chaotic trend over the last 70 years. In the 1990s, economic fallout and loss of life caused by riots and chaos during the independence movement led to a low life expectancy rate of 68.5 years in 1994. Since then, however, life expectancy growth rates have more or less stabilized. Lithuanian life expectancy currently shows little sign that the upward trend will change for the worse.
  3. The population of Lithuania has decreased since independence. Having peaked at 3.7 million citizens in 1991, the population has steadily declined. Today, the country is inhabited by 2.79 million people, due to the country’s high death rate of 15 deaths per 1000 people, which results in a negative population growth rate of 1 percent. Furthermore, the emigration of the general populace towards Western Europe has only aided Lithuanian population loss.
  4. Life expectancy in Lithuania has increased at a slower rate than the rest of the world. Lithuanian life expectancy has increased by 8.35 percent from 1986 to 2017. Comparatively, the rest of the world’s life expectancy average has increased by 25.1 percent. Despite the human development index ranking of 34th in the world for development, it is possible high suicide rates in Lithuania substantially influence life expectancy. Unfortunately, the nation has the highest suicide rate in the world at an average of 26 suicides per 100,000 people.
  5. High Lithuanian suicide rates have gained national attention. Having such high suicide rates is clearly a major contributor to the nation’s lowered life expectancies and high death rate. Certain areas of the country are reaching rates of 71.9 deaths per 100,000 people. Subsequently, this has been the focus of intense national efforts. The government has been pursuing support through organizations such as the National Suicide Prevention Strategy; additionally, N.G.O. ‘s like the World Health Organization has supported Lithuania in suicide reduction efforts. As a result, suicide rates have reduced by nearly 15 percent between 2010 to 2016.
  6. Gender disparity is still relevant to suicide rates in Lithuania. On average, men typically live to be 69.2 years while women live to be 79.7 years. Social conditions play a role in this, as men are more heavily affected by the patriarchal norms that drive them into more dangerous work environments. As a result of the intense stress, the suicide rate in men is at heights far above the rate for women.
  7. Lithuanian suicide rates are the result of a complex series of social conditions. As one of the external driving factors behind lowered life expectancy in Lithuania, suicide rates are key as it is affecting all strata of society in the nation. There are various factors besides gender disparity that influences the inclination to commit suicide. One factor is extremely high alcohol consumption, where one in three men report high alcohol intake. Additionally, Lithuania has poor mental health facilities, creating an environment where it is difficult to seek adequate help. Finally, the legacy of historical suicide ideation plays a part in this figure as well.
  8. Biological causes are also a key part of life expectancy in Lithuania. The most considerable influence on life expectancy from biological causes is cardiovascular disease. Thirty-four percent of all deaths in 2017 were due to cardiovascular disease, which is linked to the high rates of obesity in the country. Above 60 percent of the adult population of Lithuania is overweight; obesity is directly linked to poor cardiovascular health and a higher risk of stroke, which is the second-highest cause of death in Lithuania.
  9. Unhealthy diets and low physical activity levels are the primary causes of obesity in Lithuania. The obesity problem affecting life expectancy in Lithuania is the result of a number of factors, crucial amongst them being low rates of physical exercise and unhealthy diets. Only 10.1 percent of the population reported committing to minimal exercise in 2010. Adjunctly, Lithuania’s diet surveys reveal that upwards of 13.2 percent of caloric intake comes from saturated fats; Medline Plus states that saturated fat intake should be less than 10 percent for a healthy diet. However, the government continues efforts to tackle obesity by encouraging exercise among adults and implementing food and drug protocols to reduce unhealthy food consumption.
  10. Health spending in the country is amongst the lowest in the European Union. Public health spending is currently at 6.5 percent of the GDP and remains the sixth-lowest in the European Union. At double the E.U. average, 32 percent of all health spending is privately funded, mostly coming from pharmaceutical expenditures. This means that citizens are forced to spend personal funds on acquiring medication that is often quite expensive. Although, spending has increased from 5.6 percent of GDP in 2005 to 6.5 percent in 2015. Despite this gradual increase, greater strides are necessary for the health system to match the rest of the E.U. and begin increasing overall life expectancy in Lithuania.

These 10 facts about life expectancy in Lithuania outline that despite its tremendous human development index and growing economy, the general health and overall lifespan of the nation’s population are quite poor. Further, the issue is not being addressed as effectively as it could be. Life expectancy in Lithuania could be improved by improved government programming and initiatives. Specifically, the implementation of effective mental health systems would greatly impact public health. Another solution would be to execute physical preventative care, such as exercise infrastructure, to increase public health.

– Neil Singh
Photo: Pixabay

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The Mental Health of Syrian Refugees

Mental Health for Syrian Refugees
Since the Syrian crisis in 2011, the displaced population has migrated to neighboring countries such as Turkey, Lebanon and Jordan. Currently, 50 percent of the population are children without parents. Mental health issues have risen in the Syrian refugee community since then and the world has stepped up in treating the debilitating aspects of suffering traumatic events. This article highlights the improvements in the mental health of Syrian refugees.

Challenge and Impacts

Refugees that have to leave their homes and migrate elsewhere face many obstacles and challenges. Post-migration challenges often include cultural integration issues, loss of family and community support. Refugees also experience discrimination, loneliness, boredom and fear, and children can also experience disruption. Circumstances uproot them from friends and family and cut their education short. Refugees experience barriers in gaining meaningful employment and they face adverse political climates.

Depression, anxiety and post-traumatic stress disorders (PTSD) are all effects of exposure to traumatic events. Traumatic events for Syrian refugees include war terrorist attacks, kidnapping, torture and rape. Meta-analysis all show a positive association between war trauma and the effects of certain mental health disorders. For example, a study examining the mental health of post-war survivors from Bosnia, Croatia and Kosovo showed PTSD as the most common psychological complication.

Post-Traumatic Stress Disorder is a debilitating disorder that intrudes on the patient’s mind. It also intrudes on relationships and the patient’s ability to live a quality life. Thoughts of suicide and/or avoidance are also symptoms of PTSD.

A study of Syrian trauma and PTSD participants found that those between the age of 18 and 65 have experienced zero to nine traumatic events. Of those, 33.5 percent experienced PTSD and 43.9 percent depression. Another study in Lebanon showed that 35.4 percent of Syrian refugees will experience a lifetime prevalence of PTSD.

According to the United Nations High Commissions, 65.6 million people worldwide are “persons of concern.” That total includes 22.5 million termed “refugees” and several other millions termed “asylum seekers” or “internally displaced persons.” Survivors of torture account for 35 percent.

Health Care and Integrated Care

The National Institute of Mental Health identifies integrated care as primary care and mental health care; cohesive and practical. Primary care practitioners recommend conducting a thorough history check of any exposure to or experience of traumatic events. Health care professionals must be able to effectively address mental health issues. Barriers have long been the cause of mental health issues left untreated. Such barriers include communication, lack of health practitioners to patients in need, the physical distance patients must travel and the stigma of having the classification of “crazy.”

Treatments and Evidence-Based Interventions for Refugees

There have been several test instruments that provided significant results in the treatment of mental health as well as scalable interventions. Currently, the only FDA-approved drug both abroad and in the U.S. are paroxetine and sertraline; both selective serotonin reuptake inhibitors (SSRI). Other instruments include the Narrative Exposure Therapy, Eye Movement Desensitization and Reprocessing. Many found EMDR to be successful in reducing episodes of PTSD and depression in a study with Kilis refugees.

In 2008, the World Health Organization launched the Mental Health Gap Action Programme (mhGAP). This endeavor focused on assisting low and middle-income countries in providing effective mental health treatments. Inventions such as Task-shifting, E-Mental Health and PM+ fall under the mhGAP umbrella. First, the task-shifting initiative aims at alleviating the pressure on a limited number of specialized practitioners. Task-shifting shifts duties and tasks to other medical practitioners which otherwise highly-trained specialists would perform. This initiative is cost-effective and proves to be a promising alternative. Refugees can receive treatment in primary and community care locations instead of specialized facilities. Meanwhile, E-Mental Health and PM+ aim to address multiple mental health symptoms at once, while allowing treatment to remain private and within reach to Syrian refugees. Finally, the EU STRENGTHS, also created under the mhGAP umbrella, strives to improve responsiveness in times of refugees affected by disaster and conflict.

Many Syrian refugees continue to face obstacles and barriers, however, there is hope. Initiatives such as those mentioned in this article provide a promising outlook for the continued mental health improvements of Syrian refugees.

– Michelle White
Photo: Flickr

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10 Facts About Life Expectancy in Burkina Faso

According to data accumulated by the United Nations, life expectancy in Burkina Faso has increased by 32 years since 1950. Contemporary estimates place Burkina Faso’s current life expectancy at 62 years, while in 1950 life expectancy was measured to be 30 years. Despite these gains, contemporary figures remain low compared to the developed world. These 10 facts about life expectancy in Burkina Faso showcase the massive strides made in public health and standard of living while also describing challenges yet to be overcome.

10 facts About Life Expectancy in Burkina Faso

  1. Malaria: The Center for Disease Control (CDC) lists malaria as the number one cause of death in Burkina Faso. Severe Malaria Observatory reports that malaria is responsible for 61.5 percent of all hospitalizations and 30.5 percent of deaths occurring each year due to malaria. Similarly, for children under 5, malaria is the leading cause of hospitalization with 63.2 percent of all admittances. Malaria accounts for nearly half of all deaths for children under 5.
  2. HIV: Tremendous strides in reducing the prevalence of HIV are further improving life expectancy in Burkina Faso. The population affected by HIV has been reduced from 2.3 percent down to 0.8 percent between 2001 and 2018. Representing an overall decrease of 65 percent, Burkina Faso reduced HIV prevalence more than any country in that period. Further, in 2007 HIV was still ranked as the fifth most likely cause of death in Burkina Faso. By 2017, HIV had plummeted to the 16th most likely cause of death. Working with major international partners including the University of Oslo, Bill and Melinda Gates Foundation, Terre des Hommes and the Global Fund allowed Burkina Faso to develop and implement methods to prevent mother to child transmission of HIV. 
  3. Sanitation Improvements: According to the Burkinabè government’s Ministry of Water and Sanitation between 2018 and 2019, Burkina Faso successfully constructing 26,039 family latrines and 966 public latrines. In the same year, the Burkinabè government assisted in the construction of 553 kilometers of additional water supply infrastructure and 188 new standpipes in urban areas. This construction increased national access to drinking water from 74 percent to 75.4 percent within a single year. Similarly, the national sanitation rate rose from 22.6 percent to 23.6 percent. Inadequate access to proper sanitation and clean water are the primary contributors to diarrheal disease, which is one of the leading causes of death in Burkina Faso. Improvements in sanitation have reduced deaths attributed to diarrheal diseases and increased overall life expectancy in Burkina Faso.
  4. Infant and Maternal Mortality: Infant mortality has decreased from 91 deaths per 1,000 births in the year 2000 to 49 deaths in 2017. Similarly, the maternal mortality rate dropped significantly between 2000 and 2017 from 516 deaths per 100,000 live births to 320 deaths per 100,000 live births. These advancements are due to greater access to hospitals, particularly in urban areas, as well as innovations in public health such as the Maternal Death Surveillance and Response system. The initiative trains health care professionals across the country to properly identify, notify and investigate instances of maternal death. Since its inception, the program has been nationalized leading to maternal and neonatal death audits so that health facilities regularly address the shortcomings of the health system to avoid future deaths.
  5. Child Mortality: A recent study conducted by the World Bank found that one in eight children born in Burkina Faso will die before the age of 5. The risk of under-5 mortality is 6 percent higher for children born to mothers younger than the age of 18. The average age of a woman in Burkina Faso at the time of childbirth is 19 years old and the birth rate for women aged 15-19 is 122 births per 1,000. To curb adolescent pregnancy the Burkina Faso Council of Community Development Organizations launched a campaign to reduce sexually transmitted disease, unwanted or adolescent pregnancies and unsafe abortions in Burkina Faso in 2019.
  6. High Fertility Rates: Even as life expectancy in Burkina Faso has improved, high fertility rates influence public health as women, on average, give birth to 4.5 children. Though contemporary efforts to address high fertility rates have been promising, the population demographic distribution is largely 14 years old and younger. With these demographics dominating the population Burkina Faso’s rate of growth will continue to increase as this younger generation reaches adulthood.
  7. High Growth Rates: Despite life expectancy increasing, Burkina Faso still displays a young age structure — typified by a declining mortality rate coupled with particularly high fertility rates. Burkina Faso’s population is growing at a projected rate of 2.66 percent, making the nation the 18th fastest growing population in the world. This precipitous growth places a greater strain on the nation’s arable land as well as economic well being, causing challenges in maintaining the growth of life expectancy in Burkina Faso’s future.
  8. Security Crisis: Since 2016, Burkina Faso has been targeted by several militant Islamist extremist groups primarily based in the country’s Northern region. Attacks committed by these groups claimed 1,800 lives in 2019, according to the United Nations. In 2019, there was a 10-fold increase in the number of internally displaced persons (IDPs); the total people displaced is estimated at around half a million. This large number of IDPs and people who have been fleeing violence to neighboring Mali have compounded economic and ecological problems in Burkina Faso. Although, the government is looking to continue to propel growth in life expectancy in Burkina Faso.
  9. Humanitarian Aid: Around 948,000 people need security and 1.5 million people are currently dependent upon humanitarian aid to cover basic medical needs. Basic health care is crucial in effectively reducing poverty and improving life expectancy. Humanitarian aid is focusing on impacting 1.8 million people by providing $312 million in funding.
  10. Continued Growth Projections: Regardless of concerns,  recently presented data from the 2019 Revision of World Population Prospects, the United Nations projects continued growth in the area of Burkinabè life expectancy. Life expectancy in Burkina Faso is projected to increase to 70 years by 2050 according to the U.N. study.

These 10 facts about life expectancy in Burkina Faso depict a nation that has made great achievements and is ready to face its contemporary problems with assistance from international partners. 

– Perry Stone Budd
Photo: Flickr

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9 Facts About Life Expectancy in Equatorial Guinea 

Life Expectancy in Equatorial GuineaEquitorial Guineans (or Equato-Guineans) are people from the Republic of Equatorial Guinea (EG). EG is a relatively small country of roughly a million people that includes the Bioko Islands as well as Annobon, a volcanic island. These nine facts about life expectancy in Equatorial Guinea reflect a country in progress.

9 Facts About Life Expectancy in Equatorial Guinea

  1. For the entire population of Equatorial Guinea, life expectancy is now 59.8 years old (61.1 years for women and 58.8 years for men). The overall life expectancy has been trending upward for the last half-century and survival to the age of 65 now stands at 55.7 percent for women and 50.5 percent for men.
  2. The leading causes of death in EG are generally preventable. Some of the leading causes include HIV/AIDS, influenza and pneumonia, chronic heart disease, stroke and diabetes mellitus. While HIV prevalence was estimated at 7.1 percent of the population in 2019, the Equatorial Guinean government is committed to ending the AIDS epidemic by 2030. For example, the country has scaled up its capacity to eliminate mother-to-child transmission of HIV and the percentage of pregnant women accessing antiretroviral medication increased to 74 percent in 2014 from 61 percent in 2011.
  3. Many Equatoguineans also face chronic hunger. According to Human Rights Watch, one in four children is physically stunted due to poor nutrition. Half of the children who begin primary school never transition to secondary schools, which also affects life expectancy. At the same time, the government of Equatorial Guinea took the lead role in 2013 in providing the Africa Solidarity Trust Fund (ASTF) with $30 million to improve agriculture and food security. ASTF’s projects have especially benefitted women, family farmers and youth across the continent.
  4. Poor sanitation and ineffective infection control create a risk of exposure to diseases like diarrhea, malaria and tuberculosis. Inadequate sanitation and unhygienic conditions contribute to increased infant mortality, as 20 percent of children die before the age of 5. Equatorial Guinea is also considered the least prepared country for an epidemic, mainly due to its inability to prevent pathogens and toxins.
  5. Less than half of Equatorial Guinea’s population has access to clean water. The Clean Water Initiative is one effort to meet global Sustainable Development Goals (SDGs) by supplying clean drinking water in 18 rural sites.
  6. Frequent and prolonged blackouts, particularly during the dry season, often result from old generators and an unreliable power supply. Electricity can be a matter of life or death in hospitals if medical equipment fails. According to reports, an infrastructure makeover has been underway since 2014 when new roads and power lines were built.
  7. From 2006-2012, a public-private partnership called the Program for Education Development of Equatorial Guinea (PRODEGE) began working with the country’s education ministry to improve the nation’s education system. A major focus on the training of teachers’ classroom skills aimed to improve the quality of teaching and learning in primary school settings. PRODEGE 2012-2017 sought to amplify the program’s initial achievements on a broader scale by focusing on students in post-primary settings. Both goals align with EG’s 2020 Plan to achieve universal primary school enrollment, which was 84.46 percent in 2012.
  8. Other barriers to longer life expectancy in Equatorial Guinea include a lack of resources such as condoms and trauma care facilities to handle emergencies. Tensions exist between traditional and modern medicine as well, which affect treatment adherence. Finally, the use of various languages across communities and lack of comprehension regarding basic medical terms also hampers communication between health care providers and patients.
  9. Interventions for malaria control and studies of incomplete adherence to TB treatment reveal both promise and peril for the country’s capacity to prevent and treat infectious disease. After eight children were paralyzed by polio in the first half of 2014, their immunity strengthened following disease surveillance and vaccination campaigns. The Global Polio Eradication Initiative recommended that further improvements such as routine immunization and community mapping were key components to preventing another outbreak.

Life expectancy in Equatorial Guinea continues a slow upward trajectory. According to UNICEF, drinking water coverage has improved over the last two decades and sanitation coverage improved as well, estimating at over 70 percent. The number of children attending school has also increased over the last five years. Deprivations remain most severe for children living in rural areas, in the poorest households, with mothers who lack education.

As a small oil economy, at a time when oil prices can fall steeply without warning, the challenges to life expectancy in Equatorial Guinea will persist. The government’s willingness to accept outside assistance from international NGOs may hold the greatest promise for its citizens.

– Sarah Wright
Photo: Flickr

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10 Facts About Under Skin Vaccination Development

Under Skin Vaccination
Bioengineering researchers at M.I.T. have developed a method to store and maintain immunization records for people in developing countries, primarily children, who have little or no access to paper records. The M.I.T. researchers have applied an invisible dye technology to detect patterns of quantum dots; one can place this dye under the skin during vaccinations. Once administered, a computer similar to a smartphone interprets the near-infrared marks to access medical records. If further improved, this technology could save lives by helping to maintain an accurate medical history for vulnerable populations. Here are 10 facts about under skin vaccination.

10 Facts About Under Skin Vaccination

  1. Immunization records can be challenging to maintain in developing countries. Keeping track of a child’s vaccination history, for example, may rely on an underserved hospital or community to maintain paper files. People can lose such files in areas of poverty and political discontentment or they can suffer damage, thereby erasing the child’s medical history. Further, parents may forget their child’s medical history, and especially as the result of no centralized database for record-keeping. Under skin vaccination is a promising initiative to reduce these issues.
  2. Verifying immunization history is a cumbersome process. For example, in 2015, the Ministry of Health in Ethiopia invited Dr. Wilbur Chen of the Center for Vaccine Development and Global Health at the University of Maryland to verify immunity coverage for children in rural areas. The process involves taking blood samples and testing immunization in labs, a lengthy and expensive process. Dr. Chen and his team found a big difference in the reported versus actual vaccination rates. Researchers, such as Dr. Chen, find under skin vaccination methods an innovative way to reduce this consumptive process.
  3. Record-keeping problems contribute to 1.5 million vaccine-preventable deaths per year. According to global health experts, the majority of these deaths come from developing countries where resources for maintaining records are lacking. Holes in medical record-keeping may constitute an incorrect vaccine type, brand or lot number for vaccine recipients. A lack of accurate training for maintaining complete records may lend to the problem, depending on the country.
  4. Researchers at M.I.T. are developing trials of a new record-keeping solution by embedding records under the skin. So far the trials have successfully embedded records on pig, rat and cadaver skin. The purpose of the study was to decentralize medical records since centralized databases only exist in wealthier, developed nations that have resources to maintain records. One of the bioengineers, Ana Jaklenec, admits that she was inspired by Star Trek’s “tricorder” device that scans a body for its vital signs and medical history, eliminating the need for maintaining medical records.
  5. New research combines vaccines with an invisible dye that administers concurrently. The invisible dye is naked to the eye but one could interpret it easily with a cell-phone filter that detects near-infrared light to see the coded marks. It is likely the dye is visible for up to 5 years, a crucial period of time for vaccinating children. During this period of time, children typically receive immunizations in several doses, such as in measles, mumps and rubella (MMR). Medical professionals could pair typical vaccines with the invisible dye to incorporate decentralized records.
  6. The new dye in the vaccines includes nanocrystals. Researchers call these nanocrystals quantum dots, which can project near-infrared light for detection by specialized phone technology. The quantum dots are copper-based, measuring four nanometers in diameter and encapsulated in spherical microparticles of 20-micron diameters. The encapsulations permit the dye to remain under the patient’s skin after they receive an injection.
  7. Instead of traditional syringes, the new vaccination type that scientists developed uses microneedles. Medical professionals can administer both the vaccine and the patterned die easier by using a patch that resembles a band-aid to on the skin. In addition to improvement in record-tracking, the new delivery method would not require a skilled medical professional or expensive storage costs. The dye patterns can also be customizable in order to correspond to the vaccine type, brand or lot number.
  8. Jaklenec and her M.I.T. colleagues found no difference compared to traditional injection methods. The team tested the microneedle patch method on lab rats with a polio vaccine. The team found no difference in antibodies when it compared it to traditional syringe methods of vaccine administration. Compared to the scar that smallpox vaccines caused (now eradicated worldwide) the microneedle-patch method leaves no visible trace.
  9. The invisible dye vaccine can create a discreet record-keeping method for families. According to bioengineer Mark Prausnitz of Georgia Institute of Technology, the invisible “tattoo” would provide patient confidentiality in the absence of adequate record-keeping and medical information while also providing improved record accessibility. The microneedle-patch method also avoids more controversial recognition technology such as iris scans.
  10. The M.I.T. team is working towards a feasible international immunization method, specifically aimed at poorer countries. For future applications of under skin vaccination development, the M.I.T. researchers are surveying health care providers in African countries to assess the best way of implementing this method of immunization tracking. They are also working to increase the amount of data they can store in the embedded code with information such as administration date and lot number of the vaccine batch.

These 10 facts about under skin vaccination development illustrate advancements in record-keeping. Utilizing these technologies, developing countries would have advanced strategies for tracking immunizations, ultimately increasing vaccination efficacy. This new method could potentially reduce the number of unnecessary deaths due to lost or forgotten medical information with a noninvasive, safe technology during critical years of childhood development. It could also be the start of a new system of storing data through biosensing that could significantly improve health care like that seen in futuristic science fiction.

– Caleb Cummings
Photo: Flickr