Archive for category: Health

Information and stories on health topics.

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WHO Targets Efforts to Reduce Neonatal Deaths

Reduce Neonatal Deaths
The United Nations World Health Organization (WHO) has recently released three new publications that will help strengthen knowledge on how to prevent stillbirth and neonatal deaths. These publications are aimed to assist countries as they develop their classification, analysis and investigation processes on unreported deaths.

Over 2.7 million babies die within the first month of life, according to the U.N. health agency. Another 2.6 million are stillborn, and over 300,000 women die during childbirth. Most of these deaths are preventable if paired with the appropriate health care. “By reviewing the causes of maternal and infant deaths, countries can improve quality of health care, take corrective actions and prevent millions of families from enduring the pain of losing their infants or mothers,” stated the Director of Health and Research at WHO, Ian Askew.

When a baby is stillborn, they are not recorded in either a death or birth certificate. Therefore, many of the above numbers are an underestimate of the true amount of stillborn and newborn deaths. Countries are unable to truly investigate these deaths and find out appropriate prevention methods for future cases. This is why WHO decided to improve education efforts for countries by releasing these three new publications:

  1.  “WHO Application of the International Classification of Disease-10 to deaths during the perinatal period.” This publication aims to help countries link certain stillbirths to relevant causes. Such causes could be conditions like diabetes or hypertension in the mother. Before this recent publication, there was no classification system that would help countries record this information.
  2. “Making Every Baby Count: Audit and Review of Stillbirths and Neonatal Deaths.” This will be a guide to assist countries’ investigation of deaths, allowing them to develop solutions for future cases. It will incorporate the above classification system to publish a basic review of every stillbirth death. According to Anthony Costello — WHO’s director of maternal, children’s and adolescent’s health — every death review gives valuable information about what can be done in the future to prevent a child’s life from being lost.
  3. “Time to Respond: A Report on the Global Implementation of Maternal Death Surveillance and Response.” This will help strengthen countries’ review process of deaths in hospitals and clinics. It also details guidelines for hospitals to better improve their quality of care. WHO recommends hospital committees to meet at least twice a year. They also suggest conducting mortality audits and reviews of their past patients.

To strengthen other countries’ health information systems, WHO is partnering with more than 30 other global health organizations in hope of developing a more easily understood package of guidance and tools for countries to prevent neonatal deaths.

– Katie Grovatt

Photo: Flickr

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Access to Hepatitis C Drugs Improves for Egyptian Patients

Hepatitis C Drugs
Three years ago, a 90% effective hepatitis C medication, called Sovaldi, was released by Gilead Sciences. A three-month round of treatment costs $84,000. Janssen Pharmaceuticals released its own drug, Simeprevir, at $66,000 per round of treatment, and other pharmaceutical companies like AbbVie and Zepatier charged similar prices as they released their own hepatitis C drugs.

Hepatitis C is a blood-borne disease that can lead to liver cirrhosis and liver cancer, as well as other neurological problems. Worldwide, there are four times as many patients infected with hepatitis C as there are with HIV. About 150 million people live with chronic hepatitis C and 500,000 people die of hepatitis C complications every year.

Before Gilead, Janssen and other companies developed their newer, more effective medications, hepatitis C patients were treated with ribivarin and interferon, an antiviral drug and an immune-system modulator. The drugs caused fatigue, nausea and depression, and after one year of treatment, only 50% of patients were cured.

The WHO added hepatitis C drugs to their list of essential medicines, which they update every two years and some pharmaceutical companies offered deals with low-income countries. Gilead, for example, sold Sovaldi for $900 per round of treatment in Egypt in 2014.

The Drugs for Neglected Diseases Initiative made a deal with an Egypt-based pharmaceutical company last spring to sell a highly effective drug combination for $300 per treatment round.

Hepatitis C is especially prevalent in Egypt, affecting over 10% of the population, because of a vaccination campaign in the 1960s and 70s where syringes were reused for multiple patients. The disease is so widespread that barbers wear gloves and use disposable razors. Hepatitis C has even been spread between family members through sharing toothbrushes and nail clippers.

However, 80% of new infections happen in medical centers; in response to these figures, UNICEF and the WHO are working with the Egyptian government to educate both clinicians and the general population about hepatitis C.

Many patients await treatment, but the Egyptian government anticipates treating 1 million people for hepatitis C in 2016. As the cost of treatment decreases and sterilization and infection control practices are improved, the presence of hepatitis C in Egypt and elsewhere will diminish.

– Madeline Reding

Photo: Flickr

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Top Diseases in Cambodia

Diseases in Cambodia
Despite their impressive economic growth in recent years, the impoverished, southeast Asian nation of Cambodia still struggles to treat diseases. The small country of 15 million, which lies between Thailand and Vietnam, has received very impactful aid from the U.S. for more than 50 years. Unfortunately, diseases in Cambodia can be detrimental to preventing and alleviating severe poverty.

High rates of malnutrition and extreme income inequality — not to mention a health system that crumbled during years of war — exacerbate many persistent public health issues, including a variety of menacing diseases. Here are some of the top diseases in Cambodia and what progress the government and health organizations have made in fighting them.

Malaria

Cambodia is tropical and rainy and dense jungles cover much of the countryside. With a monsoon season that can last five months, Cambodia has a climate and geography that are perfect for mosquito-borne diseases — including malaria. The parasite is still a major killer in Cambodia and threatens the lives of young children. According to the latest WHO statistics, malaria is among the top 10 causes of death for kids under five.

While malaria remains one of the top diseases in Cambodia, the government has partnered with WHO and USAID to make significant progress in the fight against malaria, creating better disease surveillance and preparedness and reaching patients who live in rural areas. Since 1999, malaria deaths in Cambodia have been cut in half by such efforts.

Epidemiologists are concerned with the sheer burden of malaria as well as the intense drug resistance that seems to always develop in western Cambodia. According to Science AAAS, since the 50s, the Pailin province near Cambodia’s border with Thailand has been ground zero for multiple-drug resistant strains of malaria. Such outbreaks have threatened the region and the global fight against malaria.

It is not clear exactly why Pailin is so prone to drug-resistance but a multitude of reasons have been suggested. The region’s dense Cardamom Mountains make providing quality healthcare a great challenge and many migrant workers travel through the area hoping to find precious rubies, going under the radar of health organizations.

Scientists are on the frontlines of understanding the latest strains of drug resistance in Cambodia, but controlling such illusive outbreaks will likely take a huge effort and cooperation on the part of Cambodia and its neighbors.

HIV/AIDS

Cambodia experienced one of Asia’s worst HIV epidemics in the 90s and continues to grapple with the disease today. AIDS killed as many as 3,300 Cambodians last year, according to UNAIDS, and upward of 82,000 live with HIV currently. It is not uncommon for marginalized Cambodians to turn to commercial sex and other high-risk behaviors, which may contribute to the spread of the disease.

Nonetheless, the government and aid organizations have made progress in containing HIV and providing affordable treatment to many Cambodians. Infection rates have fallen by more than 50% in the past decade and almost all HIV patients have access to proper treatment. “Voluntary and confidential HIV testing and counseling are widely available free of charge,” for Cambodians, according to a press statement by UNAIDS from 2014, and “people living with HIV have access to free antiretroviral therapy across the country.”

The government continues to work with aid organizations to prevent the disease and help sick patients more efficiently and effectively. According to USAID, in Cambodia it is still “crucial to improve the quality and coverage of HIV/AIDS services while reducing their costs.”

Tuberculosis

According to the most recent data from WHO, tuberculosis (TB) is the second leading cause of mortality in Cambodia. USAID reports that TB kills about 13,000 citizens annually. Likewise, Cambodia has one of the highest rates of incidence of the TB bacterium, which roughly two-thirds of the population is estimated to carry.

While these statistics may seem bleak, Cambodia has exhibited phenomenal successes in alleviating the scourge of tuberculosis. USAID reports supporting 271 community-based health centers across the country that have successfully diagnosed and treated a vast majority of the 10,000 cases so far. WHO reported that in the nine years between 2002 and 2011, massive grassroots programs that made TB treatment free and accessible halved the prevalence of TB in the country.

Malaria, HIV/AIDS and tuberculosis are still some of the top diseases in Cambodia and pose real challenges for a country that is working hard to improve public health. But the success that Cambodia has exhibited in the fight against these diseases is a clear testament to what governments and international aid programs can achieve in the face of some of the world’s worst public health issues.

– Charlie Tomb

Photo: Flickr

New Technology Helps Diagnose Cancer in Papua New Guinea

Cancer in Papua New Guinea
The vision of developing a digital technology to diagnose cancer in Papua New Guinea and compensate for the country’s shortage of pathologists recently became a reality at the Kumul GameChangers competition. The Kumul GameChangers initiative is designed to introduce creative entrepreneurial solutions to development challenges in Papua New Guinea. The initiative was implemented by the U.N. Development Program in association with the Kumul Foundation and supported by the Australian government.

Applicants to Kumul GameChangers must submit innovative enterprise ideas that exhibit financial stability, sustainability and the potential to mutually benefit customers and the businesses themselves. Ideas are also expected to identify a social or environmental problem and address it.

ePathway for Papua New Guinea (ePathPG) is a digital image management system used to take microscopic images of tissues for cancer diagnosis. Medical professionals use digital microscopes and smartphones to capture the images. Preliminary tests have used tissues from the cervix, mouth, breast or endometrium to detect cancer.

ePathPG can be used to conduct endometrial and breast examinations as well as biopsies for cervical cancer. In addition to this, it can help detect mouth cancer and identify potential complications in high-risk pregnancies. ePathPG can also be used to diagnose blood disorders like leukemia, malaria, anaemia, lymphoma and filariasis.

Despite facing a lack of funding and sponsorship for his research, ePathPG co-developer Dr. Rodney Itaki believes the invention has the potential for tremendous success.

“It will have a great, positive, impact on cancer diagnosis in PNG,” Itaki said. “Patients will get their results faster, allowing earlier and faster interventions and leading to better outcomes for cancer sufferers in PNG.”

– Shanique Wright

Photo: Flickr

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Annie Lennox Supports The Global Fund in APPG Meeting

Annie Lennox _ The Globa
Activist and world-renowned musician, Annie Lennox, has become a powerful and influential voice for those suffering from malaria, HIV, AIDS and tuberculosis. Her dedication to the cause became even clearer at a recent All-Party Parliamentary Group (APPG) meeting in London where she spoke out in favor of the Global Fund and their efforts to reduce and treat disease in impoverished areas.

This is but one of the many ways in which Annie Lennox involves herself in issues of global poverty and disease. In the past, she has fundraised for the Treatment Action Campaign by donating the funds raised from her single, Sing. She is also a recipient of the British Red Cross’ Services to Humanity Award.

At the APPG meeting, she continued her charity work, by vocally supporting the Global Fund and their many initiatives. The Global Fund is a financing institution with the goal of providing support to countries suffering from diseases such as AIDS, tuberculosis and malaria.

The organization has set a $13 billion funding target for the 2017-2019 period. This money will go toward saving eight million people and stopping 300 million new infections across the span of three years. In order to reach this goal, donor nations will have to increase their offerings by 20%. Multiple nations such as Japan and Canada have agreed to this increase. However, the U.K.’s contribution is crucial to reaching this goal.

In her keynote speech, Annie Lennox urged British members of parliament to invest further in the Global Fund and increase their disease-fighting efforts. She said: “With the upcoming replenishment of the Global Fund, the U.K. government has the opportunity to show that their continued leadership and dedication to saving and improving quality of life has not waned.”

Award-winning actress Emma Thompson supported the call for the U.K. to step up their funding. Other notable speakers, such as The ONE Campaign’s U.K. Director, Saira O’Mallie, spoke on the same subject. O’Mallie addressed the pertinent issue through her statement, “Amid the uncertainty over the U.K.’s position in the world following Brexit, the Government’s continued commitment to the Global Fund will offer reassurance to millions of vulnerable people.”

The Global Fund does wonders to improve health across the globe, and should be supported across all countries in addition to the U.K.

– Jordan Little

Photo: Flickr

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United Nations Plans For The Eradication of AIDS by 2030

eradication of AIDS
Recently, the United Nations unveiled its plan to combat global health concerns. If earnestly implemented, the international community could see the eradication of AIDS by 2030. The plan is a part of the U.N.’s Sustainable Development Goals (SDGs), which identified 17 developmental goals and 169 sub-targets.

The SDGs were constructed on the successes of the recently concluded Millennium Development Goals, which addressed global development issues through “time-bound and quantified targets.” The eight U.N.-brokered goals have become synonymous with the “the most successful global anti-poverty push in history” as it has reduced HIV infections by 33% since 2001.

Despite the unprecedented developmental success, the United Nations General Assembly wanted to pursue a refined and more robust approach to the eradication of AIDS. Therefore, in 2015 as the Millennium Goal expired, the United Nations High-Level Political Forum on Sustainable Development announced a program aimed at eradicating AIDS, particularly through United Nations General Assembly Resolutions.

Notably, Resolution A/69/856 identifies that the eradication of AIDS and prevention must go beyond providing sufficient doses of anti-retroviral treatments. In addition to medicine, it is necessary for governments alike, the international community and civil society to advocate for safe-sex practices.

The task of implementing treatments towards pursuing a world free of global health concerns should not disproportionately fall on the United Nations, however. Moreover, other actors have provided significantly to health movements such as the United States President’s Emergency Plan for AIDS Relief (PEPFAR). PEPFAR is a bipartisan policy that supports HIV testing and counseling for more than 14.2 million pregnant women; HIV testing and counseling for more than 56.7 million people as well as training for more than 140,000 health care workers.

Other efforts are being made by NGOs and nonprofits such as The Global Fund, which has given $22.9 billion to over 1,000 initiatives in 151 countries.

– Adam George

Photo: Flickr

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‘Neverthirst’ Projects: Enhancing Water Quality in Cambodia

Numerous 'Neverthirst' Projects Enhancing Water Quality in Cambodia
In many regions around the world, millions of people lack access to improved water sources and billions are without proper sanitation materials. In order to combat these harsh realities and situations, many organizations are focused on bringing clean water to those who need it. One of these groups is Neverthirst, an international nonprofit dedicated to providing clean and living water solutions throughout North Africa and Southern Asia. To accomplish this, the organization creates numerous projects, and currently, its focus is on the improvement of water quality in Cambodia.

Located in Southeast Asia, the country and its inhabitants are faced with a distressing problem. The issue of water quality in Cambodia is truly a serious one, but with the assistance of Neverthirst, water quality for all Cambodians can be enhanced. But what projects are being implemented, and how do they improve water quality in Cambodia?

Cambodia Biosand Filter and Latrine Project

The Cambodia Biosand Filter and Latrine Project addresses the issue that although many people have access to water, the quality of the water makes it unsafe and often unsuitable for necessary actions such as consumption.

Drinking unsafe and dirty water can potentially lead to devastating health problems, including diarrheal diseases. Diarrhea alone kills more than 800,000 children under five annually, or about 2,200 children every day. This initiative strives to slow the transmission and development of further diarrheal diseases, thus reducing the number of deaths in children under five in Cambodia.

Cambodia Well Project

Some Cambodians have access to clean water, however, transporting water can be extremely difficult. Usable water is usually located a great distance from the community, making it nearly impossible to carry a significant amount of water per trip.

Through the Cambodia Well Project, Neverthirst hopes to improve accessibility and availability of clean water substantially by installing high-quality hand pumps that can last up to 10 years. In addition to the installation of hand pumps, the organization also gives the communities and villages further funds for any required repairing of the hand pump in the future and instructs users on how to maintain it over time.

The creation and use of these pumps will greatly increase the water quality in Cambodia that is received and utilized by the various communities.

Cambodia School Project

In the immense province of Mondulkiri, many schools and children don’t have access to safe drinking sources. For a portion of schools in the region, schools’ only source of water is a shallow well. Neverthirst, through both the Cambodia School Project and the School Rain Tank Project, is attempting to instill a two-step process that will greatly improve schools’ access to clean water.

First, the construction of a concrete rain tank will collect and provide water for an average of 250 students per school. After the completion of the rain tank, education on safe drinking water is next. Teaching children the importance of clean drinkable water is important to the prevention of future disease outbreaks.

Conclusion

Overall, Neverthirst has created a massive 5,537 projects, serving more than 390,000 people in a total of five countries. Currently, the organization has projects established in Sudan, South Sudan and India.

Each year, more than three million people die from water-related causes, including inadequate sanitation and poor hygiene. With the assistance of Neverthirst, countries, communities and villages like those in Colombia can be aided in its rebuilding efforts and enhance its water quality and safety.

Water quality in Cambodia is just one issue, and Neverthirst is dedicated to helping in all corners of the world.

– Jordan J. Phelan

Photo: Flickr

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The Appeal and Usefulness of Web-Based Health Programs

Web-Based Health Programs
Recent advancements in technology have transformed and improved countless aspects of peoples’ lives. Some of the word’s greatest health concerns are obesity and the abuse of alcohol and tobacco. Can web-based health programs make a dent in these problems?

Web-based health programs encourage setting concrete goals and can interact with users throughout the day. They have the added benefit of 24/7 accessibility.

One example is an online tool designed for the Obesity Prevention Tailored for Health II project. The tool locates and displays health food stores, parks and recreational programs near users. It also suggests health-and-eco-friendly transportation options such as biking, walking and using public transit.

Discussed below are two examples of studies examining the usefulness of web-based health programs.

University of Washington

At the University of Washington in Seattle, researchers have been reviewing studies about the effectiveness of mobile and web-based health programs in helping users curb unhealthy behaviors such as overeating and smoking.

The team of researchers found that web-based programs helped users increase their physical activity and lose weight. Eighty-eight percent of the tested programs helped people exercise more. In addition to this, 77% of tested programs designed to help users quit smoking proved effective.

Health Affairs Journal

Health Affairs published a study examining nearly 2,000 overweight adult participants whom researchers divided into groups. In some groups, participants were given access to a social-networking intervention program, and in other groups, they were not. The program featured motivational emails and phone calls, an online discussion forum and a tool for recording food intake. Participants who used the web-based health program experienced slightly greater body mass index (BMI) reduction on average than did participants who didn’t use the program.

Overall, web-based health programs offer a promising alternative to traditional health interventions. They are generally low in cost and widely accessible. Web-based health programs have the potential both to change the way we look at health and improve countless peoples’ quality of life.

– Nathaniel Siegel

Photo: Flickr

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Top 10 Facts about Prevention of the Zika Virus

Zika Virus
The Zika virus has become one of the most discussed global health issue since outbreaks resurfaced on the island of Yap in 2007.

The virus has caused many health problems and prenatal risks. It’s important to be educated on its transmission and origin in order to reduce the probability of outbreaks within households and communities. Here are the 10 most interesting facts about the virus.

  1. In Uganda 1947, scientists were testing animals and insects for evidence of yellow fever. They accidentally came across a virus being transmitted from mosquitoes to monkeys and named it Zika, after the forest it was discovered in.
  2. Zika virus is mainly transmitted through the bite of an infected Aedes aegypti mosquito. These mosquitoes are notorious for being daytime biters, however, they also bite during the night. These mosquitos are primarily found in tropical regions and are the same mosquito responsible for yellow fever, dengue and chikungunya transmission.
  3. The Zika virus can also be spread by sexual intercourse (anal oral or vaginal). Pregnant women and individuals infected with the virus are advised to practice safe sex or abstinence to prevent the spread of the virus to their partners or possible contraction.
  4. The incubation period for the virus is three to 12 days. The symptoms are similar to other arbovirus infections such as fever, skin rashes, conjunctivitis, muscle and joint pain, malaise and headache. These symptoms last for three to seven days. The Zika virus symptoms are usually mild and require no specific treatment.
  5. Protection against mosquito bites is essential for prevention of the Zika virus infection. One preventative measure is to wear lightly coloured clothes that cover the body and reduces attraction.
  6. The Zika virus could cause birth defects such as microcephaly and Guillain-Barré syndrome. Several case reports and studies based on laboratory confirmation have linked infants and fetuses with congenital brain abnormality to their mothers who have been infected with the virus during her first or second trimester of pregnancy. Zika virus infections that occur during the third trimester are affiliated with poor intrauterine growth and fetal death.
  7. A diagnosis of the Zika virus infection can only be confirmed through laboratory tests on blood and other body fluids, such as semen, urine and saliva.
  8. There is no vaccine for the virus, however, data reveals that protection against Zika virus challenge can be achieved by single shot plasmid DNA vaccines with a full-length Zika virus pre-membrane and antibody neutralizing property or inactivated virus vaccines in susceptible mouse models.
  9. Researchers backed by the National Institute of Allergy and Infectious Diseases developed three vaccine approaches to protect monkeys from the Zika virus. The first experiment involved a comparison between an inactivated Zika virus vaccine and a placebo injection. After a boosted dose of both vaccines, the monkeys that received the inactivated Zika vaccine showed an increase in antibodies while those who received the placebo had high levels of virus replication. Another trial using experimental DNA vaccine shots, the monkeys were exposed to the Virus.
  10. The World Health Organization and partners have made efforts to manage and prevent medical complications caused by the Zika virus infection. The organization plans to implement the Zika Strategic Response Plan between July 2016 to December 2017.

– Shanique Wright

Photo: Flickr

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10 Facts You Need to Know About Malaria

10 Facts about Malaria
Malaria is a parasitic infection transmitted through the Anopheles mosquito, a genus found on every continent except Antarctica. Humans have known about malaria for thousands of years, but it remains one of the most threatening diseases in the world. Here are 10 facts about malaria and its epidemiology.

1. Malaria threatens almost half of the world’s population.
According to the World Health Organization (WHO), 3.2 billion people in at least 95 countries are at risk for malaria today.

2. Malaria killed nearly half a million people last year.
WHO estimates that malaria killed 438,000 people in 2015 and infected more than 200 million. Children under the age of five account for two-thirds of malaria deaths.

3. Pregnant women are at especially high risk.
Women who contract malaria while pregnant are more likely to die from the illness. The disease also threatens fetal health and can cause a variety of birth-related problems. Babies born to mothers who have malaria are likely to have health problems. According to WHO, malaria is responsible for one-third of all preventable low birth weight cases.

4. Africa suffers the most from the disease.
While malaria is endemic on four continents, Africa bears the brunt of the burden. Last year, Africa accounted for 89 percent of all cases and 91 percent of all deaths from malaria, the vast majority of which occurred in just 15 countries.

5. Drug resistance is an increasing problem.
When malaria patients don’t finish their full courses of treatment, the parasites can develop resistance to the drugs used to treat them. The development of drug resistance has always been an aspect of dealing with malaria, but scientists are reporting alarming multi-drug resistance in the Mekong region of Southeast Asia. The spread of a strain that doesn’t respond to the strongest drugs could undo years of work fighting malaria elsewhere.

6. Malaria reinforces poverty.
Malaria not only threatens people living in poverty; it exacerbates the problem. Where malaria is rampant, economic growth and development suffer enormously.

7. Climate change will expand the scourge of malaria.
Rising temperatures and increased rainfall and humidity will increase the range and number of malaria-carrying mosquitoes. Studies suggest that a rise in global temperatures of just two to three degrees Celsius could put hundreds of millions more people at risk for contracting malaria.

8. Malaria is easily treatable and preventable.
Preventing malaria is as simple as avoiding mosquito bites. Since the mosquitoes that transmit the parasite are nocturnal, sleeping under a bed net at night is generally an adequate prevention measure.

If detected early, malaria can be treated and cured with a course of prescription drugs in a matter of days. The disease becomes dangerous when it is not detected quickly and medicine is not readily available.

9. Globally, humanity is winning the battle.
In the last 15 years, malaria incidence has decreased by 37 percent among at-risk populations. In those same populations, death rates were more than halved. Additionally, the death rate among young children has gone down 65 percent.

10. Malaria can be eradicated.
Adult mosquitoes only live for one or two weeks, and they don’t travel far from the location at which they hatched. If communities have the means to prevent transmission completely, the disease can be erased locally in a matter of weeks. According to Bill Gates, the international community can, with some determination, eradicate the disease globally in the next two or three decades.

Global efforts have proven that eradication is possible. In the past decade, Europe eliminated its indigenous cases of malaria completely, and in September, WHO declared Sri Lanka, a country of more than 20 million people, malaria-free. If Gates is right, the rest of the world may soon follow.

– Charlie Tomb

Photo: Flickr