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Archive for category: Health

Information and stories on health topics.

Global Poverty, Health, Women & Children

How Malawi’s Male Champion Model Program is Fighting HIV

Male Champion Model
Worldwide, 34 million people are living with HIV, including 3.3 million children. In the African nation of Malawi, 910,000 citizens out of a population of 15.9 million have HIV. Around 170,000 are children, and children account for 16,000 new infections annually. It is the leading cause of death among adults in Malawi and contributes to the country’s low life expectancy of 54.8 years.

Each year, thousands of babies in Malawi contract HIV through mother-child transmission. This can occur during pregnancy, labor, delivery or breastfeeding. Children with HIV get sick more often and more severely than children without HIV, and they struggle to fight common pediatric infections. In developing countries, they have a higher risk for tuberculosis, diarrhea and respiratory illnesses, all of which can be a death sentence if they lack access to effective healthcare.

A baby born to a mother who is HIV positive has a 15% to 45% chance of contracting HIV if there is no medical intervention. However, this rate drops to 5% with intervention. Malawi’s Ministry of Health must encourage expecting parents to get tested before the mother gives birth in order to provide appropriate care and prevent the baby from contracting HIV.

In 2012, the Ministry of Health worked with UNICEF to launch the Male Champion Model (MCM) program. Before the MCM, it was incredibly rare for men to be involved in their wives’ healthcare, even if she was pregnant. Furthermore, many women avoided being tested for HIV out of fear of being abandoned by their husbands or discriminated against in society if the results were positive. The MCM trains “male motivators” to reach out to other men in their communities to encourage them to accompany their wives to get tested.

So far, the program has trained 3,400 “motivators” in six districts of Malawi. They visit households in their villages each day to discuss the importance of HIV testing with couples. Now it is increasingly common for couples to get tested together, and in one year, the country has seen a huge jump, from 0% to 86%, in men participating in antenatal services. When women know their status, their healthcare providers can give them anti-retroviral drugs to reduce the risk of transmitting HIV to their child.

Over the past decade, Malawi’s government has focused on decreasing the nation’s HIV rates, and the MCM is just one part of these efforts. They have expanded voluntary HIV testing and counseling, promoted condom use, increased the distribution of condoms, started a mass media campaign to raise awareness about prevention and educating young people about HIV.

These initiatives have led to some progress. In 2003, 14% of the population had HIV, and by 2011 that number had dropped to 10%. Also in 2003, 100,000 new infections were occurring annually, but that number had dropped to 46,000 new infections by 2010. Clearly, there is still a long way to go toward stamping out HIV in Malawi, but the MCM program has spared many children from the struggles of surviving with HIV.

– Jane Harkness

Sources: Avert, Elizabeth Glaser Pediatrics Foundation, Huffington Post, NAM, UNICEF, WHO
Photo: UNICEF

July 9, 2015
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Advocacy, Global Poverty, Health

Canada’s Missing Link: Health and Housing

Canada-Housing-Health
For quite some time, Canadian health officials have conducted thorough research to trace the cause of unstable housing. Now, officials have sorted out the missing link: bad health.

A 2005 published study by researcher Liz Evans presented the connection shared between HIV-sufferers and occupied hotel residency. At the time of the research, Evans illustrated the fact that 80% of Canada’s single-rooming units in hotels (estimated at 6,000) were located in Canada’s poorest Downtown Eastside, in which rooms were frequently occupied by those suffering from HIV.

One solution was to remove the hotel units; however, Evans knew that such an approach would result in “catastrophic” consequences. The analyst went on to state that the units were not “evils,” but rather an escape for HIV-sufferers who live in fear caused by social rejection.

Years would progress with minimal updates that validated Evans’ work until 2007, when TimesArgus.com broke a story on the 2010 Vancouver Games’ organizers deliberating if low-income housing should be moved elsewhere before the event. Although the organizers initially told the public that housing rights would be “respected,” over 700 low-income residents were displaced that same year in addition to inexpensive housing being converted into tourist venues. This action ignited strong backlash from a league of protestors.

The incident served as a rubric sheet for medical analysts to test theories that have longed signified a potential connection between housing issues and the trend of bad health yielded by the likes of street-involved youth.

Unearthed by the Public Health Agency of Canada, street-involved youths typically have a background of family abuse and a violent home environment. The aftermath follows with subjection to low income, low education, and lack of support or inability to pay first/last month’s rent; all of which are triggers to unstable housing.

Once housing becomes an issue, the vulnerability of infections caused by negative coping systems, such as drug use or unprotected sex, serves as a high risk.

In studying further developments, lead researcher C. Kim went on to run tests involving Vancouver-native drug users and non-drug users. Based on the test results, Kim discovered that active drug users were hepatitis C viral-carriers and singled out unstable housing as the prime connection.

With these results, varying researchers revisited the work done by Evans, who attempted to signify a connection involving HIV-sufferers and extreme occupancy within hotel units. It was in 2014 that analysts determined that the significant increase in emergency department-styled housing was being led by HIV-sufferers.

As conducted in Evans’ work, researchers indicated that those residing in the housing feared social backlash, further contributing to poor health caused by guilt and depression. In both the study and a separate one occurring one year later, analysts conclusively noted that like street-involved youths, unstable housing holds a poor-health effect on HIV-sufferers, where potential enablement of guilt, depression and drug use patterns pose as big risks.

So what exactly is being done to aid the problem?

For street-involved youths who have endured a brutal history, several intervention programs have been established to help those in need. Other establishments like Calgary-based Infinity Project provide youths with a permanent home in a community of their choosing, equipped with support and affordable options to secure them a better life. Similarly, support centers are urged, for those suffering from HIV, to decrease health-care costs and to minimize health problems relating to depression.

As positive networks continue to decrease the rate of unstable housing, optimism for more awareness of the issue comes with wishful thinking of the conflict fading away.

– Jeff Varner

Sources: NCBI, TimesArgus.com, NCBI, Public Health Agency of Canada, NCBI
Photo: Huffington Post

July 7, 2015
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Advocacy, Aid, Global Health, Health

Report Uncovers Decline of Global Health Funding

global_health_funding_decline

According to a new report, countries around the world contributed 1.6% less to global health projects in 2014 as compared to 2013. This is only the second time in the past 15 years a reduction in funding has been documented.

The report, published by The Institute for Health Metrics and Evaluation in Seattle, shows that while global health funding grew by 5.4% annually in the 1990s and increased to 11.3% annually from 2000-2010, it stalled around a year later.

Overall, the world has contributed $227.9 billion to global health funding in poorer countries since the turn of the century, when the United Nations revealed its Millennium Development Goals.

The eight goals, which focus on providing monetary funding to pressing global issues, led to a surge in global health funding.

The largest donor has consistently been the United States, which gave $12.4 billion last year toward the treatment and prevention of AIDS and malaria in developing countries.
However, only three nation’s governments increased overall funding between 2013 and 2014: the United Kingdom, Australia and Japan.

Specifically, funds allocated to improving maternal health around the world decreased by 2.2% and supplies used for the treatment and prevention of tuberculosis were cut by 9.2%.

In addition to revealing the decrease in funding for global health projects, the report also gives insight into disease funding. It shows that some treatments and programs are favored over others.

For example, last year, over $3 billion was allocated toward vaccines for children, over $1 billion was spent on children nutrition initiatives, and $778 million was put toward family-planning projects.

In contrast, only $164 million was spent addressing mental health issues and only $31 million was used for anti-tobacco programs.

David Molyneux, Peter Hotez and Alan Fenwick are three scientists who became frustrated that certain treatments and programs receive more funding than others. Specifically, the three wanted the world to know about 17 largely ignored diseases in the world’s poorest countries.

These diseases can result in blindness, deformed limbs and stunted growth, but are ignored because they have disappeared from the developed world.

With 1.4 billion people suffering from these illnesses, which include onchocerciasis, lymphatic filariasis and leishmaniases, the scientists decided to stimulate awareness about them by coining the term “neglected tropical diseases.”

Molyneux and Hotez first used the term at a World Health Organization (WHO) meeting in Berlin in 2003 to “market” the diseases to politicians and private foundations. It was approved at another WHO meeting the following year, which was also in Berlin.

As a result, the Department of Control of Neglected Tropical Diseases was formed, and since 2006, around a billion dollars has been pledged by government and aid organizations to the fight against neglected tropical diseases.

Pharmaceutical companies are also donating 1.4 billion treatments of the diseases each year, resulting in 700 million people being treated in 2014.

In addition, last month Dr. Matshidiso Moeti, who directs WHO operations in Africa, announced a plan to create an entity with the sole purpose of directing work related to neglected tropical diseases. This is just one part of efforts by the international community to rid the continent of some of these diseases within the next five years.

While some treatments and programs are favored over others, people like Molyneux, Hotez and Fenwick are giving a voice to those in developing countries suffering from largely ignored illnesses such as the neglected tropical diseases.

– Matt Wotus

Sources: International Business Times, International Business Times, Humanosphere
Photo: Johns Hopkins University

July 7, 2015
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Disease, Global Poverty, Health, Malaria

5 Things You Didn’t Know About Malaria

Five-Things-You-Didn't-Know-About-Malaria
Malaria is a disease caused by Plasmodium parasites, which are carried by Anopheles mosquitos. The mosquitos thrive in high temperatures, making malaria more common in tropical and subtropical regions. According to the Center for Disease Control, common symptoms include fever and flu-like illness, along with other issues, depending on the strain. The disease can also cause anemia and jaundice. Without treatment, malaria can lead to more severe issues and can be fatal. The following are some lesser known facts about the disease.

1. The United States was not considered free of malaria until 1951.

While many picture malaria being concentrated in more tropical areas, malaria was once prevalent across the globe. Malaria has been eliminated from several mild-weathered developed countries. In order to be considered officially free of a disease, a country needs to have no new cases of the disease for three years. The United States did not completely eliminate malaria until 1951, according to the Gates Foundation.

2. There are five species of Plasmodium parasites that cause malaria in humans.

P. falciparum, the deadliest of the species, can be found in tropical and subtropical areas around the world and is especially predominant in sub-Saharan Africa.

Another species, P. vivax, is the most prevalent of the five species and is found mostly throughout Asia, Latin America and some parts of Africa. Meanwhile, P. ovale is found predominantly in West Africa. P. vivax and P. ovale are both dormant for several months or years before they activate within an infected human being.

While these three species have a two-day replication cycle, P. malariae has a three-day cycle. Without treatment, this species can create a chronic infection that can last throughout one’s lifetime.

Finally, P. knowlesi is a species found in Southeast Asia that was recently shown to be a cause of zoonotic malaria. This species has a one-day replication cycle.

3. Malaria can either be categorized as uncomplicated or severe.

Uncomplicated malaria attacks tend to last between 6-10 hours and generally involve a cold stage, a hot stage and a sweating stage. Meanwhile, severe malaria is much more likely to be fatal. It involves infections of organs or the blood and can lead to abnormal neurological behavior, kidney failure, severe anemia, seizures or other effects.

4. The treatment used in the 17th Century is still used widely today.

In the early 17th century, indigenous tribes in Peru taught Jesuit missionaries about the cinchona tree’s medicinal bark and its effectiveness in treating fevers. The medicine from the bark is known as quinine, which has been seen as one of the most effective drugs in treating malaria. It is still one of the major antimalarial drugs used to treat the disease today.

5. There is a positive correlation between malaria and poverty.

While it is argued that both conditions feed into one another, it is clear that poor countries, who are most severely affected, have the least access to effective treatment and services for malaria. Malaria does not only affect both the physical and economic health of individuals, but it also affects the health of nations who need to deal with malaria systematically. According to the World Health Organization, Africa spends roughly $12 million annually addressing problems related to malaria, and economic growth in malarious African nations is therefore slowed by up to 1.3 percent annually.

– Arin Kerstein

Sources: CDC, Earth Institute, Gates Foundation, World Health Organization 1, World Health Organization 2
Photo: Centers for Disease Control and Prevention

July 6, 2015
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Food & Hunger, Global Poverty, Health

Fighting Malnutrition and Strengthening Communities in Ghana

ghana
In countries with historically high rates of malnutrition, new technologies and partnerships are improving access to nutritious foods, empowering community members and helping children become higher achievers. Through support from the World Food Project, World Bank and Bill and Melinda Gates Foundation, countries such as Ghana are stepping up efforts to improve in-school feeding ventures that use produce from local farmers. One program, known as Home Grown School Feeding (HGSF), feeds an estimated 386 million children each day. Through providing children with free meals during school, this venture improves their chances of staying and succeeding in school. This supports local farmers as well in that it creates a reliable, constant market to which growers can sell their produce. The effects of such an initiative reach further along the food supply chain, securing jobs and welfare for local caterers who have begun signing contracts with governments and growers alike.

One of the 20 African countries implementing the HGSF program, Ghana provides meals to 1.7 million children each day, but continues to face malnutrition issues. To address this, the Partnership for Child Development at Imperial College London and the Dubai Cares Foundation has begun collaboration with the Ghanian government to implement an approach that educates communities on good nutrition. The Partnership has released a simple tool, the School Meals Planner, that allows users to create and price meals that are made from local produce. This Planner uses simple graphics to show how nutritious a meal is based on health standards set in place by the World Health Organzation. Further, the planner uses “handy measurements”- tools such as buckets and spoons- that allow families to cook using household appliances rather than expensive equipment. The simplicity of this initiative and its availability both on- and off-line makes it accessible to school budget planners, caterers and families.

The Partnership has also started training community members in health and nutrition to extend the reach of HGSF to entire households. Through community meetings, posters and radio advertisements, more and more people are becoming educated on how to eat right and give their families the nutrients they need. Mercy Awonor, a mother of two from Accra, the capital of Ghana, says the initiative has helped her distinguish between healthy and unhealthy foods when cooking for her family. “My children also know what is good for them,” she says. “If I return from the market without fruit for them they will complain or cry until I get some for them. I tell them they are spoilt but really I’m pleased because I know they will grow strong and healthy.” Through programs like Home Grown School Feeding in collaboration with School Meals Planner, Ghana has implemented low-cost plans that optimize community benefit and engagement through educating people on healthy eating, employing crop growers and caterers and ensuring children are receiving the nutrition they need to prosper in their schools and homes.

– Jenna Wheeler

Sources: HGSF 1, Schools and Health, Impatient Optimists, HGSF 2
Photo: Schools and Health

July 6, 2015
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Development, Health

Lingering Health Issues in the BRICS

BRICS
In the coming years, the global economy is predicted to change on a scale not seen since the Industrial Revolution over 200 years ago. For the first time in history, the global middle class will soon enough outnumber the impoverished. By many estimates, humanity will reach this milestone within the next two decades, as the middle class expands from 2 billion to nearly 5 billion by 2030.

The 21st century’s economic revolution no longer springs from Europe and North America as it once did in the 19th and 20th centuries. This time around, the major players in this new game are Brazil, Russia, India, South Africa, and China, also known as the BRICS. All four have experienced rapid growth in recent years — the highest of which is China, which has experienced a 10% annual growth in GDP from 1990 to 2009. Among them, they produce approximately a quarter of the world’s GDP while also hosting a quarter of the world’s population.

Yet these countries still have progress to make, especially in regards to health issues. The BRICS contain a majority of the world’s medical-drug-resistant tuberculosis cases and a significant portion of the world’s tuberculosis instances. They also bear the burden of high rates of neglected tropical diseases such as trachoma, lymphatic filariasis and soil-transmitted helminths.

In fact, according to a World Health Organization report, “BRICS account for more than 30 percent of the world’s children at risk with soil-transmitted helminths,” while India “alone accounts for nearly half the world’s population at risk of lymphatic filariasis.” Debilitating diseases such as these heavily contribute to poverty as they keep children out of school and parents out of work.

Where there is big growth, there is also ample capacity for innovative solutions. While afflicted by these illnesses, the BRICS have also made effective progress in treating and eradicating them. In 2012, Brazil initiated a tropical disease program tied to its anti-poverty program after finding strong links between occurrences of tropical diseases and poverty among its population.

India, which bears the burden for 35% of the global incidents of neglected tropical diseases, has also made important strides. Recently, it launched the world’s largest initiative aimed at researching lymphatic filariasis.

China has joined the fight against tuberculosis, which plagues its rural and migrant populations. In the past, China struggled to obtain sufficient data on this disease, often due to the domestic migrations of male workers and the inadequacy of rural health resources. To confront these issues, China recently reformed their health care system in order to reduce the costs of tuberculosis treatments. They also have established a network that helps to identify tuberculosis victims early on in an attempt to provide timely treatment.

Progress on health issues in the BRICs has happened on more than just the domestic scale. As they share similar problems, the BRICs have often cooperated in joint efforts to research, treat and eradicate similar diseases. In fact, the BRICS gather annually at conferences to pool their resources and research in order to meet their 2020 objectives for fighting neglected diseases.

One such example of these recent collaborations is the Delhi Communiqué, which was designed as a joint effort to combat tuberculosis. The communiqué uses each country’s expertise — drug manufacturing in Brazil, pharmaceutical research and development in China, and medical technologies in Russia — to combine their overall efforts.

While bound for economic prosperity, the BRICS have other less desirable commonalities, such as high incidences of tropical diseases and tuberculosis. Yet these flaws have also united them and spurred innovation. With hope, their ambitions in the world of public health will be as successful as their economic achievements.

– Andrew Logan

Sources: Christian Science Monitor,Global Sherpa,NCBI,PRB,Reuters,UNESCO,WHO
Photo:
Al Jazeera

July 6, 2015
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Health, Women and Female Empowerment

Baobab Fruit Can Save Women’s Lives

baobab_fruit
In The Little Prince by Antoine de Saint-Exupéry, the baobab tree questions the prince’s discipline and represents the unpleasantness of nature. In Ghana, however, the baobab tree brings health and hope to women. Its fruit has the potential to change millions of lives.

Baobab trees grow in dry, remote areas in over 30 African countries. In many of the rural households, the crop already grows nearby yet the fruit goes to waste because of the lack of demand for and knowledge of the fruit. This is where Aduna comes in. Aduna is an African inspired health and beauty brand that uses baobab as a key ingredient.

Aduna’s goal is to create a demand for this under-utilized natural resource and empower women in business. Aduna already sources for their products from 1,000 women baobab producers in Ghana’s poverty-stricken Upper East Region, increasing their annual income from £12 ($18.88) to £120 ($188.81) as a result.

The baobab fruit is a win-win situation: it helps the people and helps the market. Baobab fruit is rich in vitamin C, calcium, potassium and iron. Many pregnant women consume baobab fruit as a source of calcium. It can be used to make jams and juices or stirred into stews and sauces. Aside from the fruit itself, the leaves and roots are known to lower fevers and help treat diseases.

They are not only versatile and healthy to consume but are also the ideal trade product for villagers: the fruit is light to transport, easily dried and readily accessible. The baobab market gives women the opportunity to harvest and sell their own product, and to actually have ownership in their own business.

Traditionally, women are in charge of the baobab trees. Because of this, Aduna focuses on womanpower to spark global interest in baobab fruit. Aduna is marketing to the superfood consumers, to the well off and to first-world health nuts in order to generate interest in baobab fruit.

Their campaign is to #makebaobabfamous. It is a combination of supporting women all over the world, supporting small businesses and promoting healthy eating. They hope to create a market that will help over 10 million households across Africa. Baobab fruits have the capability to connect the Third World with the First through the new superfood trend.

– Hannah Resnick

Sources: Aduna, Marie Claire Mother Nature Network, Powbab Seed
Photo: jacabswellappeal

July 3, 2015
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Children, Education, Health

How the SHEVA Company is Helping Girls Stay in School

How the SHEVA Company is Helping Girls Stay in School
In developing countries, girls often miss school or drop out entirely when they begin menstruating. Many are reluctant to tackle this issue because of the taboo that still surrounds menstruation, but it is a widespread problem that affects the education of millions of girls worldwide. In India, girls’ schools often lack functioning toilets, and in Burkina Faso and Niger, there are usually no places at schools for girls to change sanitary pads or dispose of waste. In Ghana, inadequate sanitation facilities, lack of access to sanitary products and physical discomforts related to menstruation, such as cramps, cause girls to miss an average of five days of school over the course of any given month.

Girls who drop out of school continue to struggle throughout their lives. They are more likely to marry and engage in sexual activity earlier. Because they are also less likely to use contraception, they typically have more children than girls who complete their schooling. This can trap them in the cycle of poverty. When girls miss school because of menstruation, they are held back from many opportunities by a completely natural physical process that should never have to interfere with their education.

That’s why SHEVA, a company launched in October 2014 by Marisabel Ruiz, is currently working in Guatemala to provide girls with sanitary hygiene products. Ruiz, who was born in Guatemala, decided to start these efforts in her native country because she already had connections there that could help SHEVA to reach more girls. Women can go to SHEVA’s website to purchase a variety of products, such as pads from familiar brands like Kotex and Playtex, or other items related to sexual health like condoms and pregnancy tests. With every purchase, SHEVA donates a month’s supply of sanitary pads to a girl in need.

SHEVA has also partnered with the organization Abriendo Oportunidades to provide health education to girls. They have created a two-year program that primarily focuses on what menstruation is, personal hygiene and women’s rights.

So far, SHEVA has provided sanitary pads to 300 girls, and 25 girls have enrolled in the educational program. A total of 5 million people have accessed free educational information on their website. Their next goal is to teach girls to make sanitary pads on their own, using biodegradable, locally available materials such as banana fibers.

Currently, only people in the U.S. can order from SHEVA’s website, but they plan to expand both their shipping and on-the-ground services to other countries in order to help as many girls as possible. SHEVA’s support for girls has helped them continue pursuing their education and has taught many that menstruation is nothing to be ashamed of.

– Jane Harkness

Sources: Girl Effect, Mashable, Menstrual Hygiene Day, SHEVA

July 2, 2015
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Global Poverty, Health

Effects of Open Defecation in India

Effects of Open Defecation in IndiaThe extent of open defecation in India presents a major health and safety issue. Worldwide, there are one billion people who do not have a toilet, and Indians make up 60 percent of this number. Of this 60 percent, the majority comes from rural areas. Activists and the government have advocated for the building of shared community toilets as a solution to the problem, but ingrained social norms and attitudes stop people from using them.

The government launched the Swachh Bharat Mission last year, which promises 110 million toilets built in the next five years in an effort to make India an “open defecation free country.” In an added bonus, the waste collected would be converted to fertilizer and other forms of energy. Lauded as a “sacred mission” that would coincide with the 150th anniversary of Mahatma Gandhi’s birth, this mission has gained approval from almost all sections of the government and society.

But most people from rural areas have shown an unwillingness to discontinue their habits of open defecation even if they are given toilets. Many people who already have toilets in their house forgo its use in favor of defecating in the open. In 40 percent of households that had a toilet, at least one member chose not to use it at all. They believe that defecating in the open is more natural and healthy, and that building a latrine in the house brings impurity to it. The two-thousand-year-old Hindu text, called the “Laws of Manu,” encourages open defecation.

Community toilets also have the added problem of being—by nature—shared, and people from different castes, religions and economic status are not willing to use the same toilet, even if they come from the same village.

However, open defecation practices remain a huge health and safety risk, and issues will only increase as India’s population grows. There have been hundreds of cases of women being raped as they leave their homes after dark. In one notorious case, two women from Utter Pradesh were raped, murdered and hung on trees after they were defecating in an open field.

India’s dense population also means that even in rural areas, human feces are not easily kept away from fields, wells and food. Bacteria and worms in feces are often accidentally ingested. This results in a range of health problems from diarrhea to enteropathy, a chronic sickness that prevents the absorption of calories and nutrients. Many specialists believe that the problems open defecation causes are the reason 50 percent of Indian children are malnourished.

A government study comparing Muslim and Hindu households supports these conjectures. The study found that 25 percent fewer Muslim families defecated in the open and also had lower child mortality rates than Hindu families—even though Muslims in India are poorer and less educated than their Hindu counterparts. In the few areas where more Muslims defecated in the open than Hindus, they had higher child mortality rates.

Social norms and habits need to be changed if open defecation is to be successfully fought. Simply building more toilets will not do the job. The government has already taken some steps to educate people about the dangers of open defecation and reward those who use latrines. In Haryana for instance, it launched the “No Toilet, No Bride” campaign that urged women to only marry men whose home had a toilet.

– Radhika Singh

Sources: Scroll, Government of India, The Economist, BBC,
Photo: Flickr

 

July 2, 2015
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Global Poverty, Health

Oral Health Care in Poor Countries

Oral-Health-Care-in-Poor-CountriesOral health care is an indicator of a body’s overall health, but for many of the world’s poor, oral health care is one of the most neglected areas of medical care available. Thankfully though, in some regions, oral health care is improving.

The World Health Organization (WHO) says that “worldwide, 60-90 percent of school children and nearly 100 percent of adults have dental cavities.” Oral health care also includes, in part, gum care, mouth pain, oral infections and tooth loss.

What is even worse, is that “oral disease in children and adults is higher among poor and disadvantaged population groups” (WHO).

In parts of the world, access to dental care can be completely lacking. The American Dental Association (ADA) has given a warning for U.S. travelers: “If you are planning a trip out of the country it may be helpful to schedule a dental checkup before you leave, especially if you’ll be traveling in developing countries or remote areas without access to good dental care.”

Such a warning for U. S. citizens shows a need for better universal access to oral health professionals in developing countries. This is especially true for those living in poverty.

There are two studies in particular that highlight the connection between poverty and poor dental health. One comes from an Argentinian study that looked at parental income and education, as well as access to oral health care. The study found that there is a direct correlation between higher dental care and higher poverty indicators.

In another study, WHO reports that in Mexico, 60-70 percent of elderly people have few to no teeth. The report also finds that upwards to 90 percent of Mexicans have untreated cavities. As with the Argentinian study, the higher the poverty the worse oral care was. Their findings are similar to those in poverty all around the world.

What can be done? The situation seems dire and difficult.

One of the best ways to help fight cavities, and other noncommunicable oral diseases, is to promote proper dental care. Schools in the Philippines have made hand washing and tooth brushing part of their everyday curriculum. Dental care has been a consistent reason for children to miss school, but UNICEF has found that for the school children, “tooth-brushing can result in reductions of up to 27 per cent in absenteeism.”

The WHO Global Oral Health Programme is also working to reduce diseases caused by poor oral health care. The focus is not only on proper tooth brushing but also on proper diet, the reduction of tobacco and excessive alcohol use. All areas need to be looked at to help prevent tooth loss, gum disease and some forms of oral cancers.

Much still needs to be done to help maintain proper oral health, especially for those people living in poverty. Access to proper dental care when cavities or oral infections do occur is still lacking.

Thankfully there are programs in place that are thriving, such as the ones in the Philippine schools that are proving to be successful. Hopefully, their model will be used in other regions so that oral health care will improve the world over.

– Megan Ivy

Sources: Mouth Healthy, National Center for Biotechnology Information, UNICEF, WHO 1, WHO 2, WHO 3
Photo: Projects Abroad

July 2, 2015
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