Archive for category: Health

Information and stories on health topics.

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Bill Gates Plans to Eradicate Malaria

Gates Plans to Eradicate Malaria

Bill Gates is currently the second richest person in the world, with a net worth of $95 billion. But he also has a reputation for humanitarianism. As one of the world’s leading philanthropists, Gates is widely considered to be the most prominent humanitarian public figure. Together, he and his wife established The Bill and Melinda Gates Foundation, a private, charitable foundation that globally combats poverty and enhances healthcare. Now, Gates plans to eradicate malaria by 2040.

What is Malaria?

Malaria is a disease caused by a parasite, commonly transmitted to humans through the bites of infected mosquitoes. While malaria occurs in roughly 100 countries, it is most common in tropical and subtropical regions. To this end, the disease is common in regions of sub-Saharan Africa and South Asia. Upon contracting malaria, a person will exhibit symptoms resembling the flu. And if left untreated, malaria can be fatal. However, this is largely preventable.

According to the World Health Organization, there were 207 million cases of malaria reported in 2012. Approximately 627,000 of these cases resulted in death. Significantly, roughly 90 percent of these estimated deaths occurred in sub-Saharan Africa and 77 percent in children under 5 years of age. Given these statistics, the mortality rate of malaria is incredibly slight, at around 0.003 percent. Therefore, malaria does not have to result in death and, moreover, may be prevented entirely. And as Gates plans to eradicate malaria, this possibility may soon become reality.

What’s the Plan?

At the Malaria Summit London 2018, the Gates Foundation pledged to invest $1 billion through 2023 to end malaria. To date, the Gates Foundation has committed $1.6 billion to the Global Fund to Fight AIDS, Tuberculosis and Malaria. Additionally, it has committed almost $2 billion in grants to eradicate the disease. At the summit, Gates states, “It’s a disease that is preventable, treatable and ultimately beatable, but progress against malaria is not inevitable. We hope today marks a turning point against the disease.”

Malaria is not a mystery anymore. Cures and vaccinations already exist to combat the disease. There is a solution, it simply needs funding. Between 2000 and 2012, malaria incidence rates declined 25 percent globally. By establishing protocol, proper resources can render malaria a manageable issue. While this is no small order, Gates plans to eradicate malaria and has the capability to fund it. Undoubtedly, this will leave an indelible, positive mark on the fight for better healthcare and war against global poverty.

– Lacy Rab
Photo: Flickr

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Sleep Deprivation and Global Poverty

Sleep Deprivation and Global Poverty
Sleep deprivation and global poverty are indisputably connected. Science has long acknowledged the relationship between adequate sleep and overall health. Lack of sleep leads to weight gain, a higher incidence of Type II diabetes and heart issues, to name just a few complications caused by poor sleep. Insufficient sleep also impairs cognitive abilities. All of these factors are hindrances to reaching one’s earning potential, contributing to the cycle of poverty.

Sleep Deprivation in Asia and Africa

Until relatively recently, there has been little available data to address the relationship between sleep deprivation and global poverty. Many studies of the public health of developing countries were focused on disease and malnutrition, widely considered more pressing health issues. However, a 2012 article detailed a study conducted in Asia and Africa that examined the sleep patterns of more than 40,000 participants.

The participants were a mix of men and women aged 50 or older from low-income settings in Kenya, Ghana, Tanzania, Vietnam, India, Bangladesh, South Africa and Indonesia. Among the conclusions were correlations between sleep problems and depression, anxiety, physical disability, lower education and “poorer self-rated quality of life.”

Sleep Deprivation in India

India is one of the most sleep-deprived nations in the world, with a nightly average of 6 hours and 55 minutes. An article in India Today cited a study done by the brand Fitbit, famous for the wearable devices used to track heart rates, sleep patterns and calorie burning. The results illustrated that young people are not immune to the effects of inadequate sleep. The study found that teens who slept poorly scored lower in cognitive abilities than their well-rested counterparts. Type II diabetes, cardiovascular issues and hypertension are all on the rise in India, and all can be traced back to poor sleep.

For people on the lower end of the socioeconomic continuum in India, it is simply harder to get a good night’s sleep. Many of India’s poorest people live in a single room with multiple occupants, with few noise barriers to drown out incessant honking and other loud street noises. It is often extremely hot, and in many cases, individuals are sleeping on a hard floor without a pillow. Mosquitoes also tend to be a problem due to the humid climate.

Necessities of Sleep and How to Improve it

As the correlation between sleep deprivation and global poverty has begun to receive closer examination, academics are now asking more pointed questions about the impact of poor sleep on one’s decision-making abilities and how that can perpetuate a poverty cycle. University of Pennsylvania economist Heather Schofield, who conducted a sleep-related study in South India, posits that extreme fatigue can cause a complete abdication of decision-making. This can manifest itself as someone who is living at or below the poverty line being too exhausted to even think about how to improve their station in life, let alone actually take the steps to make a significant change. Sleep deprivation can also affect one’s ability or willpower to delay gratification. For example, the purchase of items like alcohol or tobacco may offer short-term relief or pleasure but are ultimately detrimental to a person’s physical and financial health.

Sleep is as essential to survival and optimal health as food and water. As such, the link between sleep deprivation and global poverty cannot be ignored. A worker who completes a 14-hour shift to sleep on a mat in a crowded room is not going to be as productive as someone who can collapse onto a comfortable bed in a cool, quiet room.

One of the governing principles of providing foreign aid is to set the stage for a developing nation to succeed on its own. Schofield found simple ways of measuring the effects of improved sleep on her test subjects, providing earplugs, blankets and sleep masks, as well as offering nap times, in some cases. These low-tech solutions made a substantial difference, demonstrating that increased awareness may be what is most needed to tackle the problem of sleep deprivation and global poverty.

– Raquel Ramos
Photo: Flickr

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Reducing Maternal Mortality in Africa

Maternal Mortality in Africa

Upon learning they are pregnant, most women do not immediately wonder if it’s a fatal diagnosis. However, that is the stark reality for many women in developing countries, particularly in sub-Saharan Africa. Maternal mortality in Africa is a pervasive and devastating issue. Far hospitals, scarce doctors and poor healthcare systems all contribute to maternal mortality. Most maternal deaths are preventable and caused by complications treatable in developed nations. It is important to recognize the causes of maternal death and solutions already in place to further reduce maternal mortality in Africa.

Causes of Maternal Mortality

The most common causes of maternal mortality are severe bleeding, infections, high blood pressure during pregnancy, delivery complications and unsafe abortions. In most cases, these are treatable with access to trained medical staff and proper medication. Access to maternal health care varies around the world. “A 5-year-old girl living in sub-Saharan Africa faces a 1 in 40 risk of dying during pregnancy and childbirth during her lifetime. A girl of the same age living in Europe has a lifetime risk of 1 in 3,300,” according to Dr. Greeta Rao Gupta, deputy executive director of UNICEF. Factors such as “poverty, distance, lack of information, inadequate services, [and] cultural practices” prevent women from having access to the proper medical services they need.

Additionally, warfare in developing countries causes the breakdown of healthcare systems. This further prevents women from accessing life-saving medical care. For example, when the 11-year civil war in Sierra Leone ended in 2002, it left less than 300 trained doctors and three obstetricians to treat the country’s 6 million people.

Solutions to Reduce Maternal Mortality

Many NGOs work throughout the region to combat maternal mortality in Africa. In fact, the United Nations initiated the Global Strategy for Women’s, Children’s and Adolescents’ Health, 2016-2030. Their goal is to “reduce the global maternal mortality ratio to less than 70 per 100,000 live births” by 2030.

According to a study by the World Health Organization, there needs to be better documentation of maternal mortality in Africa to create more effective policy solutions. Currently, less than 40 percent of countries have a registration system documenting the causes of maternal mortality. Hence, this lack of information makes it difficult for the U.N. and NGOs to create effective solutions.

An unexpected yet effective way maternal mortality in Africa has been combated is through photography. Pulitzer-prize winning war correspondent Lynsey Addario took her camera to the region to document maternal mortality. Addario documented the experiences of many women, including 18-year-old Mamma Sessay in Sierra Leone. Sessay traveled for hours by canoe and ambulance while in excruciating labor to reach her nearest hospital. Addario stayed with Sessay for the entire experience, from the birth of her child to her subsequent hemorrhage and death. Addario even traveled with Sessay’s family back to their village to document Sessay’s funeral and her family’s grief.

Ultimately, TIME published Addario’s photographs. And as a result, Merck launched Merck for Mothers, giving $500 million to reduce maternal mortality rates worldwide. Addario stated, “I just couldn’t believe how unnecessary her death seemed, and it inspired me to continue documenting maternal health and death to try to turn these statistics around.”

The Bottom Line

The international community must continue to address maternal mortality, a preventable tragedy. No woman should have to fear for her own life or the life of her unborn child upon discovering she is pregnant. Through documentation, reporting and care, the international community can fight to reduce maternal mortality in Africa.

– Alina Patrick
Photo: Flickr

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10 Important Facts About Life Expectancy in Benin

10 Facts About Life Expectancy in Benin
Benin is a small country located in the tropical regions of Western Africa. Having established its independence from its former colonial power France in 1960, Benin remains one of the most impoverished counties in the world. Poverty coupled with several other factors has greatly affected the people of Benin in many harmful ways — here are ten facts about life expectancy in Benin.

10 Facts About Life Expectancy in Benin

  1. The average woman in Benin has a life expectancy of 62.4, and the average man has a life expectancy of 59.7, giving Benin an overall average life expectancy of 61.1. With this average life expectancy, Benin ranks number 163 in the world in terms of life expectancy. The country’s life expectancy has seen a consistently steady increase over the last several decades. Since the end of colonialism in the early 1960s, the country’s average lifespan has gone from 40 years in the 1950s to 61 years in 2019.
  2. Benin’s population is disproportionately affected by several diseases commonly known as “a disease of poverty.” Some of these diseases include malaria (9 percent of all deaths), lower respiratory infections (13 percent of all deaths) and diarrheal diseases (5 percent of all deaths). While many diseases still take a toll on the Benin population, certain tropical diseases that have in the past caused a high number of deaths, such as yellow fever and meningitis, have been either completely erased or greatly reduced, largely as a result of immunization programs in urban areas.
  3. The population of Benin has a very young average age. Persons under the age of 25 accounts for 63 percent of the population. This is common in developing countries since people who possess less wealth tend to have more children on average. Younger generations are expected to live significantly longer than previous generations as the results of steady progress in healthcare and social support systems within the country.
  4. Just like many African countries, there are a limited number of physicians in Benin. Benin only has a 0.15 physicians per 1000 people. While this is relatively high compared to other African countries Niger or Liberia, this ratio still lags well behind most of the Western world.
  5. It is estimated that one percent of adults in Benin, or 67,000 people, have HIV/AIDS. About 2,161 of people with HIV in Benin die every year of the disease (2 percent of all deaths each year), making it the thirteenth most common cause of death in Benin. While HIV is certainly a problem in Benin, its prevalence has been on the decline in recent decades. One study conducted in the 2000s saw a steady decline of the disease both in and around Cotonou; this decline is largely the result of integrated HIV intervention programs designed for sex workers (a population disproportionately affected by the disease). The effectiveness of these programs has led to implementation in other cities in Benin.
  6. Benin has one of the highest infant mortality rates in the world. Currently, the infant mortality rate in Benin is 52.8 deaths per 1000 births. This places Benin at number 23 in the world ranking of infant mortality rates.
  7. About 4.6 percent of Benin’s GDP is allocated to healthcare. This percentage is significantly lower than most other countries, as Benin ranked 154th in the global ranking of total GDP spent on health expenditure.
  8. Benin has predominantly relied on agriculture as its primary food security, both currently and historically. Several factors including poor soil and lack of modern agricultural technology have hindered agricultural progress in the country and significantly lowered the country’s food security. In fact, one-third of the country’s population lacks food security. The toll of malnutrition has always most impacted Benin’s youth, with 45 percent of children under five affected by chronic malnutrition.
  9. There are large discrepancies related to healthcare access and culture between urban and rural areas within Benin. Rural areas lack the social service infrastructures (such as hospitals and pharmacies) present in urban areas. People in urban areas also benefit from immunization campaigns that provide free vaccinations, and maternity clinics that provide free immunizations for newborn infants. This lack of access to basic healthcare services in rural areas has lead to a higher rate of premature death amongst the rural population in comparison to the urban population.
  10. In recent years, the government of Benin has made several attempts to address the health problems that are leading to a shortened lifespan in its population. The government of Benin has worked with foreign aid organizations to improve the social support systems and overall health of Benin’s population. One recent effort was done with the World Bank which provided Benin with $50 million to support programs related to early childhood development and nutrition.

Continued Progress and Increased Longevity

Over the past several decades Benin has made significant progress in extending the longevity of its population. The expansion of healthcare systems and programs in Benin’s urban areas have extended the average lifespan of the average person in Benin a full 37 years since the colonial era.

These 10 facts about life expectancy display a fair amount of progress in Benin’s longevity efforts, but there is still work to be done. The nation must complement such improvement with development in the overall health and living conditions, as well as work on the disparities between the rural and urban regions of the country.

– Randall Costa
Photo: World Bank

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Insulin for Life: Supporting Diabetes in Developing Countries

Insulin for Life
Life with Type 1 diabetes can be quite difficult. As any person living with diabetes — including the author — can attest, to live with diabetes means constantly balancing food intake with insulin injections, deciding whether or not to exercise based on one’s blood sugar number, and becoming comfortable with life-or-death situations that arise when one inevitably does something wrong. However, all of these challenges are made even worse if one happens to live in a poor country where diabetes supplies are rare, expensive or both. Fortunately, Insulin for Life gives diabetes supplies to poor countries, giving diabetics around the world a chance to live their lives.

Origin of Insulin for Life

Dr. Mark Atkinson and Dr. Francine Kaufman both specialize in diabetes care, and for many years, they helped diabetics in the U.S. obtain supplies. However, as their careers progressed, they became aware that many diabetics in developing countries lacked access to insulin. The harder they worked to help local diabetics, the more aware they became of diabetics in places like Ghana who could not do insulin injections and, thus, were doomed to die.

Finally, they couldn’t stand it anymore. On August 5th, 2012, the two doctors gathered together a group of board members and founded Insulin for Life U.S.A — the non-profit organization responsible for giving new life to diabetics in low-income countries. The Borgen Project recently had the opportunity to interview Insulin for Life’s Carol Atkinson in January of 2019, and her responses are embedded throughout this article.

About Insulin for Life

Insulin for Life gives diabetes supplies to poor countries such as Mexico or Tonga by accepting donations of unneeded diabetes supplies. These supplies are shipped to the organization’s office in Gainesville, Florida, and then to their international partners and places that need disaster relief.

As of 2018, Insulin for Life gave supplies to Cambodia, Cook Island, Ecuador, Ghana, India, the Philippines, Tonga, Haiti, Nigeria, Cayman, Belize, Barbados, Guyana, Jamaica, Mexico, Nicaragua, Uganda, the Gambia, Liberia, Togo and Rwanda. More countries are sending in applications, but Insulin for Life cannot compile a list of recipients for 2019 until they are sure they can accommodate them all (Carol Atkinson).

Internet Presence & Resource Management

In addition to their website, Insulin for Life has a strong presence both on social media and in disaster relief (Carol Atkinson). This online presence has attracted a number of sponsors, one of which being Total Diabetes Supplies, an online store that sells diabetes supplies ranging from continuous glucose monitor supplies to insulin syringes for pets. Another sponsor is Medtronic, a company that uses and develops biomedical engineering to improve the lives of people in general. All of Insulin for Life’s sponsors work with the non-profit organization to solve the problem of getting insulin to diabetics in low-income countries.

Every year, Insulin for Life sets a supply goal for the amount of insulin and the number of blood sugar test strips they plan on receiving and distributing. In 2018, that goal was 125,000 ml of insulin and 475,000 test strips. By the end of the year, they received 128,808 ml of insulin and 556,384 test strips. There is no official goal posted for 2019 as of this writing, but the eventual goal will be to receive more insulin and test strips than they did last year (Carol Atkinson).

The only supplies that Insulin for Life does not currently accept are pumps and continuous glucose monitor supplies, mainly because many of their recipient countries lack the electricity and infrastructure necessary to run these devices. While they are making plans to eventually start accepting these supplies, they simply cannot distribute them to many of their recipients at this time (Carol Atkinson).

Providing Support for Diabetics

Life with Type 1 diabetes is hard enough without having to worry about whether or not you can get your hands on life-saving supplies. Luckily, Insulin for Life gives diabetes supplies to poor countries whose citizens might not otherwise receive them. This allows diabetics in low-income countries to lead relatively normal lives, a reality that would not be possible without blood sugar and insulin supplies. Thanks to Insulin for Life, a Type 1 diabetes diagnosis no longer guarantees death in developing countries.

– Cassie Parvaz
Photo: Flickr

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Ending Female Genital Mutilation in Sierra Leone

FGM Sierra Leon
Female Genital Mutilation in Sierra Leone has recently become a topic of conversation both nationally and internationally since it is one of the 28 African countries that still partake in the practice. The World Health Organization officially described female genital mutilation (FGM) as “procedures that intentionally alter or cause injury to the female genital organs for non-medical reasons.” The procedure usually involves some kind of cutting or removing of the genital flesh of a female as part of the initiation into womanhood. Several organizations are spreading awareness of the devastating results of this barbaric procedure and working to end this practice once and for all.

Why FGM Occurs?

The reasons for the procedure of FGM depend on the culture, they but usually fall into four categories: psychosexual, as a way to control female sexuality and maintain virginity; sociological and cultural, the practice is viewed as a vital tradition to the cultural heritage; hygiene and aesthetics, as some communities view the external female genitalia as unappealing and unclean; and finally, socio-economic factors since FGM is often a pre-requisite for marriage and the right to inherit.

The procedure is often performed with penknives, razors or even cut glass, and can result in severe pain, bleeding, cysts, infections, complications in childbirth, infertility and in extreme cases, death. The initiation can also often result in psychological issues from the trauma and pain of the event as well as from the inability to experience sexual pleasure thereafter. An estimated 200 million women and girls have undergone the procedure worldwide, with a staggering 90 percent in Sierra Leone.

Challenges in Stopping the Practice

The practice is ingrained into the culture and holds high social significance. In fact, 69 percent of women and 46 percent of men aged 15-49 believe in the continuation of the practice. FGM has been viewed as an initiation into womanhood and has been an important cultural touchstone for the people of Sierra Leone. This makes it difficult to stop the practice, as many see it as socially embarrassing and being unworthy of marriage if they have not received the initiation.

Another challenge faced to end FGM is that many Soweis, who usually perform the initiation, refuse to end the practice as they see it as a threat to the traditions of the Bondo society. They also receive large amounts of money for the initiations and do not want to lose this source of income.

Organizations Working to End FGM

The Amazonian Initiative Movement (AIM) is a non-governmental organization aiming to end the procedure. It was founded in 2002 by Rugiatu Turay, a victim of FGM herself, and many other women while living in a refugee camp in Guinea during the Sierra Leon’s civil war. AIM activists visit villages and speak with the women who perform this procedure and try to convince them to give it up. They have convinced 700 practitioners from 111 villages to stop practicing FGM.

AIM believes that one of the most efficient ways to begin the ending of practice is to teach women how to read and write since most of the procedures are performed by illiterate elder women. Providing them with the knowledge to read and write will open opportunities for them to pursue alternate means of income and reduce their interest in performing FGM.

Another non-governmental organization, AMNet, is fighting against the old fashioned initiation rite. AMNet works with Soweis, the senior female community members, to change the social stigmas surrounding women in regards to FGM in local communities. The group has high profile supporters like Sia Koroma, the first lady of Sierra Leone, which helps bring attention to their cause.

Legislation is Needed

Non-governmental organizations are working hard to provide knowledge on the issues surrounding FGM, but formal legislation against the practice will further help end the societal pressures and stigmas that encourage the continuance of the initiation rite. Several countries have banned the practice, including more than 20 countries in Africa and most Western European countries. Ending the practice has also become a part of the United Nations 2030 sustainable development agenda.

Female Genital Mutilation in Sierra Leone is not yet illegal, though progress is being made to eradicate the procedure. The country recently ratified the African Unions 2003 Maputo Protocol on Women’s Rights, stating in Article Five of the protocol that female genital mutilation should be prohibited by the government in order to finally end the procedure.

Female Genital Mutilation in Sierra Leone has been a huge cultural touchstone for many communities. The procedure, though, is highly dangerous for females in many areas of their mental and physical health. Many of the activists fighting to end the procedure recognize that immediate ending of the practice will not work, but could lead to underground practices, as the social and cultural significance of the initiation is far too important to many communities. Instead, they hope to use education to spread awareness about the harms of the practice, hopefully, changing opinions over time with respect to cultural significance.

– Mary Spindler
Photo: Flickr
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10 Facts About Life Expectancy in Venezuela

10 Facts About Life Expectancy in Venezuela
Life expectancy rates in Venezuela may have looked very different a decade ago under Hugo Chavez, but now the country caught the attention of the world with the presidency of Nicolas Maduro, which has resulted in civil unrest. The country is facing extreme hyperinflation and a reduced supply of power, healthcare and food, which has ensured the exodus of more than three million citizens in recent years. Although the country has the largest proven oil reserves in the world, its economy seems to have collapsed within months. Here are 10 facts about life expectancy in Venezuela.

10 Facts About Life Expectancy in Venezuela

  1. In terms of life expectancy at birth, Venezuela was ranked 92 in the world in 2017, with a total life expectancy at birth of about 76 years. The expectancy of males is 70 while that of females is 79.
  2. Coronary heart disease has been cited as the chief cause of death, resulting in roughly 16 percent of all deaths, followed by Cardiovascular disease, which had almost the same death toll as violence. The cardiovascular problems have been attributed to the increasing trend of a sedentary lifestyle that more people are leading now due to urbanization of the area.
  3. The country reached its lowest infant mortality rate of 14.3 percent in 2010. Unfortunately, there has been an increase since that year with the rate shooting up to 25.7 percent in 2017 from 22.2 percent in the previous year. The researchers from The Lancet Global Health could not determine one cause of the trend, but it indicated a number of factors that may be responsible such as the collapse of healthcare and macroeconomic policies.
  4. Maternal mortality rates have increased 65 percent to 756 deaths in 2016 from 6.3 percent in the earlier year. I Love Venezuela is an NGO that has been trying to reduce these rates by providing more than 4,200 families with medical supplies.
  5. The data provided by Venezuela to the World Health Organization showed that cases of Zika virus increased from 71 to 59,348 in 2016. This increase was likely one of the causes of the significant rise in both infant and maternal mortality rates.
  6. Encovi, the Encuesta de Condiciones de Vida, a survey on living conditions done by a group of universities, found that the citizens lost an average of 24 pounds of body weight in 2017 due to extreme hunger. Around 61.2 percent of the population was living in extreme poverty. The study also reported that poverty rates had increased from the previous year from 82 percent to 87 percent. Furthermore, 61.9 percent of the adult population reported going to bed hungry because they couldn’t afford to buy food. A U.S. based NGO, Mercy Corps, has expanded their operations on the Colombo-Venezuelan borders to appease such disparities as many Venezuelans are crossing the border into Colombia to escape the skyrocketing food prices.
  7. There has been a staggering increase in the number of children dying from malnutrition and dehydration that have been reported in recent years. South American Initiative is trying to mitigate the situation and has been successful in providing 1,500 meals per week and clean drinking water to the orphans and malnourished adults in the hospitals to tackle the enlarging of malnourished patients.
  8. As per the 2017 survey done by the Congress of Venezuela, nine out of 10 main hospitals of the country were found to be short of diagnostic facilities, including x-ray machines and laboratories, with 64 percent of hospitals being unable to supply food to their patients. Healing Venezuela is an NGO fighting the expanding lack of medical services and doctors in the country. They have provided seven tons of urgent medical supplies to hospitals and NGOs in need.
  9. Cuatro Por Venezuela Foundation has been able to assist 130 hospitals and institutions with more than 480,000 individuals served and more than 39,500 patients treated with its various programs targeting food, health, formula and school supplies.
  10. The country’s National Assembly estimated that prices rose 4,608 percent in 12 months in the span of 2017 to the end of January. Reports from the International Monetary Fund estimate that the inflation in Venezuela will rise to 10 million percent in 2019, an alarming projected increase from 1.37 million in 2018.

The Fight Continues

The former Health Minister, Antonieta Caporale, was fired shortly after he had released the health statistics in 2017, which were the only data provided by the government. The Venezuelan National Assembly had announced a humanitarian crisis in the country, further pleading for international humanitarian aid, which was quashed by the President.

Though these 10 facts about life expectancy in Venezuela may seem bleak, there is hope for the country with NGOs playing a major role in helping improve the current state. Several organizations are working towards improving the condition of Venezuela, including the Trump administration who have shown support and held secret meetings with the opposing military forces to formulate plans to overthrow President Maduro.

– Nikhil Sharma

Photo: Flickr

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Promising Potential: Rotavirus Vaccination Program in Malawi


The success of a new rotavirus vaccination program in Malawi has received global attention, as world leaders and advocates now call for the widespread distribution of the vaccination. In the last five years, this southeast African country has seen a significant decline in infant death by about one third.

Rotavirus Vaccination Program in Malawi

In many impoverished countries, rotavirus is a leading cause of death in children and infants; in fact, 121,000 deaths from the virus were reported in Africa in 2013. The infection is shed in the infected individual’s stool, which can then spread into the environment and infect other individuals. Rotavirus is most often transmitted within poor sanitation conditions. Handwashing is important to combatting such infection, and setting up handwashing stations in impoverished countries could help improve conditions and limit infections.

Unfortunately, such measures are not enough to completely prevent spreading, and thus why vaccination is an essential prevention tool. The rotavirus most often infects infants and young children and symptoms can take up to two days to appear. The most common symptoms are severe diarrhea, vomiting and abdominal pain that leads to extreme dehydration, which is often fatal in impoverished countries. Children who are not vaccinated often suffer from more severe symptoms.

Promising Studies Bring National Hope

Thankfully, the new rotavirus vaccination program in Malawi has demonstrated immense success. Studies from Liverpool University found that of the children who received the vaccination, 34 percent had a lower risk of dying from diarrhea. Such a promising statistic manifested the first major decline in Malawi’s infant mortality rate in decades.

Scientists from the University of Liverpool, University College London and Johns Hopkins University — alongside the help of Malawi health services — tracked the health and development of 48,672 infants following the implementation of the new vaccination program in over 1,800 villages. The data collected strongly advocated the incorporation of the rotavirus vaccination program in Malawi, as well as in other countries with high rates of diarrhea-caused deaths.

Despite the major health intervention brought by the rotavirus vaccination program in Malawi, some populous countries with high infant mortality rates have yet to adopt the program. Dr. Charles Mwasnsambo, Malawi’s chief of health services, asserts the value of vaccination programs by citing the study’s encouraging findings that show a large decrease in hospital admissions and a decline in infant mortality rates. Dr. Mwasnsambo told Global Citizen that he strongly believes the study to be a worthwhile investment.

Setting a Global Example

According to the Rota council of the 10 countries leading in rotavirus-related deaths, only six have rotavirus vaccination programs like Malawi’s. These countries include Kenya, Afghanistan and Pakistan. Rota council members, Malawi healthcare providers and medical researchers are calling for widespread distribution of the vaccination, especially in countries with high infant mortality rates.

Given the success of the rotavirus vaccination in Malawi, medical researchers and several world leaders agree that combatting this illness goes beyond handwashing. Leaders must advocate for vaccinations and implement such a measure in foreign aid packages if they plan to share Malawi’s success and continue to combat alarming rates of rotavirus-related deaths globally.

– Haley Newlin
Photo: Pixabay

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Top 10 Facts About Life Expectancy in Madagascar

PA 10 facts About Life Expectancy in Madagascar
Madagascar, the fourth largest island in the world, is also one of the poorest countries in the world. A lacking healthcare system, malnutrition and prevalent diseases all lead to one question: how long do people live in Madagascar? Here are 10 facts about life expectancy in Madagascar.

10 Facts About Life Expectancy in Madagascar

  1. The latest WHO data reports the life expectancy in Madagascar to be 65.1 years for males and 68.2 for females, making the average life expectancy 66.6 years. Madagascar is currently ranked 175th in life expectancy out of 223 nations measured, according to the CIA.
  2. The life expectancy rate has increased exponentially from 1960 to today. The World Bank reports that in 1960, the average life expectancy was 39.96 years, and by 2016, it had grown to 65.93 years.
  3. According to Health Data, diarrheal diseases, lower respiratory infections, neonatal disorders and stroke are among the top causes of death in the country. The causes have persisted since the conduction of the study in 2007; however, there has been a change in the number of deaths for each cause.
  4. The Healthcare Access and Quality Index measures healthcare access and quality. In 1990, Madagascar received a score of 20.6 on the index, and in 2016, the country received a 29.6. Compared to leading nations like Iceland, with a score of 97.1, Madagascar’s performance on this index demonstrates the room for improvement.
  5. In 2015, a total of $78 per person was spent on health in Madagascar. The breakdown of the expenses is as follows: $5 from prepaid private spending, $17 out-of-pocket spending, $33 government health spending and $22 development assistance for health. The country is expected to increase the per capita amount to $112 by 2040.
  6. Madagascar has introduced a number of initiatives to move towards the Millennium Development Goals (MDGs), specifically, the goal to reduce extreme poverty by half.  However, in 1993, 67.1 percent of the population was living below $1.25 per day, while in 2010, that number increased to 87.67 percent.
  7. One such initiative working to reach the MDGs was approved by the World Bank in June 2017. The new Country Partnership Framework aims to improve governance and strengthen finances, as well as reduce poverty, particularly in rural areas. Living in poverty is linked to a variety of issues, but studies have shown that those living in poverty are more likely to have a lower life expectancy.
  8. Due to the new Country Partnership Framework, improvements in the country can be seen in areas of health, education and private sector development. Preventative treatment for tropical diseases such as bilharzia and intestinal worms has been distributed to 1.8 million school-aged children over the past few years (with Bilharzia receiving 100 percent coverage in the country).
  9. In 2017, 6.85 million people received treatment for neglected tropical diseases (NTDs), a decrease compared to the 8.73 million people who received treatment in 2016. Madagascar ranks 37th out of the 49 countries when it comes to treatment. There are some diseases that receive 0 percent coverage, such as elephantiasis, while other diseases receive partial coverage, such as intestinal worms.
  10. UNICEF is working to improve healthcare access in Madagascar, and it has been expanding integrated health services with a focus on newborns. Due to their efforts, poliomyelitis was eradicated and 43 percent of the population (which includes 3.5 million children) experienced an improvement in their access to health services.

Madagascar’s lacking healthcare system is being tackled from a variety of angles, as illustrated by these 10 facts about life expectancy in Madagascar. The country is working to reduce poverty and better the lives of its citizens in every regard; however, there is room for progress.

– Simone Edwards

Photo: Flickr

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Malaria and Poverty in Underdeveloped Countries

Malaria, the number one killer of children in underdeveloped countries
Malaria is a devastating disease that occurs mostly in tropical and subtropical environments in areas around the world. Malaria is the number one killer of children in underdeveloped countries and is often responsible for the child mortality rates of children under the age of five. Failure to eradicate this disease in these countries is a result of poverty, scarce resources and socio-economic instability. In regions like Africa, mainly south of the Sahara region, those are of the major causes of the continued spread of this devastating disease, creating a noticeable link between malaria and poverty in underdeveloped countries

Malaria in Underdeveloped Countries

Malaria is the number one killer of children in underdeveloped countries. Children who contract severe malaria frequently develop one or more of the following symptoms: severe anemia, respiratory malfunction and cerebral malaria. In areas where transmission is higher, children under the age of five are more susceptible to infection and death, with more than 70% of all malaria deaths falling into this group. Even though the number of malaria deaths within this age group had decreased by 155,00 in 2016, malaria remains the major cause of death for children under five years of age, ending a life every two minutes.

Malaria occurs when climate and other conditions suddenly favor transmission to areas where people have no immunity to malaria. They can also occur when people with low or no immunity move into areas of intense malaria transmission, for example, refugees and those looking for work. Human immunity plays a very important factor, especially in areas of moderate and intense transmission conditions. Partial immunity can be developed through the years, and while it never provides complete protection, can reduce the risk of infection. However, children under the age of five have not had the chance to build any kind of immunity because they have not been exposed to the disease.

The High Cost of Malaria

Malaria is directly related to poverty and economic inequality in underdeveloped countries due to the exponential costs that these countries must face by both individuals and governments. Costs include the purchase of necessary medication, treatment, maintenance, supply and staffing of trained personnel in health facilities, lost days of work with resulting loss of income, burial expenses and the overall loss of economic opportunities ventures through tourism during an outbreak.

Direct costs for illness, treatment and premature death are estimated to be at least $12 billion per year. Total funding for malaria control and elimination was only $2.7 billion in 2016, but this amount is not enough to eradicate the program to its completion. In order to hit the 2030 target from the WHO, an investment of $6,5 billion will be required annually by 2020. Which may be a problem because, on average since 2014, investments in malaria treatment and control have actually been declining in many highly affected countries.

Investing in the Eradication of Malaria

The level of progress in a specific country depends on the strength of that country’s national health system, the level of investment of the disease control and a number of factors including biological determinants, like the environment and the social, demographic, political and economic factors in a particular country.

Some of the challenges in trying to eradicate malaria include the lack of sustainable and predictable international and domestic funding, risks posed by countries in endemic areas, anomalous climate patterns, the emergence of parasite resistance to anti-malaria medicines and mosquito resistance to insecticides and other substances used for eradication and control purposes. In the 41 high-burden countries, malaria funding often remains below $2 per person.

All of these factors contribute to the reversal in recent progress of the eradication and continued treatment of the disease. Many high burden but low-income countries have reported reducing the funding per capita for the population at risk of malaria. For example, the complex situation of Nigeria, South Sudan, Venezuela and Yemen have all resulted in the interruption of services and increasing instances of malaria.

The Sucess of the Global Fund

The Global Fund response to malaria has been very successful, but it presents many future challenges in the battle of eradicating this disease. Between 2002 and 2017, the Global Fund has provided more than half of all international financing for malaria, investing $10.5 billion in programs aimed at controlling the disease in more than 100 countries. The approach targets several areas, such as education about symptoms, prevention and treatment; prevention methods like mosquito nets,  insecticides and preventive treatment for children and pregnant women and diagnosis.

The Global Fund works with at-risk communities by providing training and treatment to stop the disease. They provide information about what malaria is, how it is transmitted, what treatments are available and, most importantly, what action to take if malaria is detected. In Ghana, for example, village elders educate their community “not to let the sun set twice” on a child with a fever.

Malaria is a devastating disease that affects everyone but presents a higher risk in children under the age of five especially in areas like the sub-Saharan region in Africa. There is a noticeable link between Malaria and poverty in underdeveloped countries. The efforts to eradicate this disease have been enormous, but the lack of funding, the disease’s immunity to drugs and insecticides, the socio and economic instability of the governments of some of these countries and the lack of training and information about the disease present major challenges to the successful eradication of the disease. Investing must continue. Hopefully, the work of organizations such as the Global Fund will ensure a future without Malaria.

– Mayra Vega
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