Archive for category: Health

Information and stories on health topics.

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Health Inequality in Europe

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A new report from the European Union illuminates the staggering cost of untreated illness among Europe’s most poor. The report estimates that trillions of dollars a year are lost due to what it calls “health inequalities.”

As reported by The Guardian, the study shows that many avoidable costs are incurred as a result of sick individuals leaving the workforce due to illness or death. The loss of productivity alone may cause trillion dollar losses throughout the E.U.

Granted that these costs and conditions (along with other economic factors) vary widely from nation to nation in the E.U., the report signals a need for shared responsibility in dealing with public health.

From west to east, Europe has an obvious incline in disease and mortality. Many eastern European states report annual mortality rate that are nearly double that of the lowest western states. The fault line between the two halves of Europe appears to be primarily economic—a divide between rich and poor.

The report points to poverty as the central association to these varied health outcomes. The report claims to have “found many examples of associations between risk factors for health, including tobacco use and obesity, and socio-economic circumstances.”

A lack of education, employment, and social safety nets also help to account for a fairly substantial disparity between member states. The report, therefore, calls for broad, systemic changes for many nations. The solution has to be delivered on several fronts if the less fortunate states are to see positive change. Additionally, they are not likely to be able to accomplish these goals in the short term without significant aid from wealthier member states.

In the end, the report looks to put this issue in the public interest by appealing to economic consequences of allowing such inequality to exist. Further, it argues that these inequalities are mostly avoidable. In other words, something can be done on the part of member states to ensure the well being of the most poor.

– Chase Colton

Sources: The Guardian, EU
Photo: Shared Justice

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China Eases One-Child Policy

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In late December 2013, China’s Standing Committee of the National People’s Congress formally introduced measures to ease its notorious one-child policy.

The major tweak of the one-child policy now allows parents to conceive a second child if just one of the parents is an only child.

Previously, parents were allowed a second child only if each parent was an only child. Rural couples on the other hand, were allowed a second child only if the first born was female.

The new measures will be implemented in a phased process at the local level. Furthermore, provincial leaders now have the authority to introduce the changes in accordance with local demographic needs.

While modest, the change will hopefully reduce the number of human rights abuses perpetrated against Chinese women since the policy’s inception in 1979. In the New York Times, OP-ED contributor Ma Jian details some of the horrific experiences Chinese women endure when authorities become aware of a second conception.

She describes the staggering amount of personal invasion local officials engage in to enforce the one-child policy. Family planning officers vigorously chart data regarding menstrual cycles and pelvic exams of every female of child bearing age within every village.

Many of these women are subjected to forced abortions and sterilizations if they are found within violation of the policy.

Probably one of the most egregious injustices of the policy is its disproportionate enforcement. The policy frequently targets poor citizens while bypassing wealthy individuals.

In fact, all violators can avoid the consequences of having a second child if they pay a fine that falls within the range of three times to 10 times the annual household income. It goes without saying that poor citizens, unable to pay the steep fine, either flee their home to avoid the authorities or become victims of forced abortions.

Many see the easing of the policy as a response to the looming demographic crisis that China now faces after 30 years of steadily implementing the one-child policy.  Some say the change is too little, too late.

Nicholas Eberstadt reports in the Wall Street Journal, that even with the policy change, the Chinese government only expects one million extra births per year, resulting in only a six percent increase in the fertility rate.

He also discusses the lasting effect the one-child policy will have long after its easing. For instance, individuals born under the previous policy will be entering the workforce in 2030 and deciding to get married in 2035.

Demographers predict that at the end of the decade there will be over 24 million men incapable of finding a woman to marry. One can expect this number to increase by 2035.

The inability for many to reproduce will leave China with an aging population that will increasingly reduce the number of individuals who are able to work as well as government resources. By 2050, over one quarter of the Chinese population will be over the age of 65.

– Zachary Lindberg

Sources: BBC, The Wall Street Journal, The New Yorker
Photo:  Dailystormers

 

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Why We Must Fight for Disabled Children in Africa

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93 million children around the globe have a moderate or severe disability.  Many of these children live in developing nations that do not have the financial or social tools to make necessary accommodations for special needs children.  Even more disturbing is the discrimination against children with special needs, making children who need our support the most feel abandoned.

This is where Able Child Africa (ACA) steps in.  ACA was founded in the wake of the Ugandan Civil War in 1984 with a vision of helping children with disabilities realize a future of equality and inclusion in society.

The organization seeks to break down the social barriers that demean special needs people.  These barriers are broken down into three categories: physical and environmental barriers that prevent access to buildings, transportation and the like as well as institutional barriers such as governmental policy that fails to recognize the equality of disabled people and negative popular attitudes about disability.

ACA works locally with communities in order to help create a sustainable culture of change for special needs children.  For example, ACA is partnered with the Ugandan Society for Disabled Children.  Together, the two organizations oversee support groups for parents of special needs children and run training programs to teach elementary and secondary school teachers how to be more inclusive.  ACA also runs two centers in Kenya and Tanzania, respectively.

Although 63 percent of children in African countries are now completing a primary education, only two percent of children with disabilities complete this stage.  In 2006, the United Nations held the Convention on the Rights of Persons with Disabilities, which requires all member nations to be inclusive for disabled persons in all levels of education.  With such a gap between traditional and special needs students, much work must be done.  ACA is willing to take up the fight.

– Taylor Diamond

Sources: UNICEF, Able Child Africa
Photo: The Guardian

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Guinea Worm Almost Gone

Guinea Worm
There were only 148 cases of Guinea Worm infestations reported worldwide last year, which is a leap forward compared to the 3.5 million cases less than two decades ago. This disease is known to many as “dracunculiasis” which means, “affliction with little dragons,” due to the pain the worm causes on the skin. Hope remains for the few countries left on the Guinea worm-endemic list as complete eradication of the parasite may come at a faster rate than that of the polio virus.

The number of countries on the Guinea worm endemic list dropped from 21 to four. Ethiopia, Chad, Mali and South Sudan remain on the list, but there are now less than 200 cases compared to the millions that reported in 1986. South Sudan currently has the highest number of cases due to a resurgence that occurred last month when health workers were removed from the main eradication center due to fighting in the villages.

People acquire the worm by drinking contaminated water. When individuals drink the contaminated water, the pathogen enters the body where it remains for almost a month. During this time it matures into a worm that can grow up to 3 feet long. When it is ready, the Guinea worm exits from a blister on the individual’s skin inch by inch.  In most cases, the exiting worm has contact with water, where it releases its larvae and the pathogen is able to spread to several people if they continue to drink from these shallow ponds. This microscopic parasite usually appears in isolated villages marked by these shallow water ponds.

Family economies also suffer as victims are unable to work or farm. The process is painful and as it emerges it cripples a person for several weeks. Young children who acquire the worm also miss school for several weeks.

Wiping out the Guinea worm has been quite the obstacle since there is no vaccine or medicine against the parasite.  Health advocates usually visit various villages to educate families about the dangers of drinking contaminated water. They also explain how the water becomes contaminated when villagers place their infected limbs in shallow water ponds.

So far efforts to eliminate the Guinea Worm have cost around $350 million since 1986. This amount has almost solved the problem, while fighting off polio will cost upwards of $5.5 billion. Health workers note that eradication efforts are low-tech but can be easily implemented since the only strategy is to drink clean water and keep infections monitored. Officials from the Carter Center, the main operation center against Guinea Worm cases, are confident about eliminating the parasite if they continue their same efficient methods.

– Maybelline Martez

Sources: NY Times, NPR, Guinea Worms, NPR, Slaying Dragons
Photo: TrialX

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China’s Bird Flu on the Rise

Health officials have reported 73 cases of people infected with H7N9 in China this January, making the total in the country 221.The bird flu initially infected domestic chickens and ducks back in 2013 but has now caused 57 human deaths. There have been few reported cases of the virus spreading from person to person and a WHO official suggests that it mainly circulates due to the present cold winter.

So far, the virus has not mutated but the WHO remains cautious due to increased travel by the millions for the Chinese New Year. The virus has already spread a large distance, further south and east to the Guangdong province. A WHO official suggests that the virus might be seasonal or possibly linked to the increased exposure to poultry as the nation prepares for the New Year.

Approximately 3.6 billion trips are estimated to occur during this holiday and this is dangerous due to the millions who will be purchasing or receiving poultry as gifts.

Humans acquire the virus when they are in close proximity to infected poultry, so anyone could potentially contract it at the street markets or just as easily at home during food preparations. Billions of Chinese will be traveling in trains or buses alongside their chickens for the two week holiday, which could possibly lead to more outbreaks.

Several health officials are worried about H7N9 because this strain does not make infected birds sick, so both farmers and customers are unaware of the danger. Other flu strains lead to the virus being released in feces while H7N9 is breathed out by the infected birds. The first H7N9 cases first reported in Shanghai last March but since then another 200 people became infected.

Transmission has occurred by family clusters versus person to person and scientists have discovered that it is due to genetic markers that allow easier infection to mammals.

People who become infected have severe flu symptoms such as high fever and respiratory problems. Many also have shortness of breath, muscular pain, and even pneumonia. Currently, there is no evidence that suggests that this virus may mutate and spread around the globe since reports don’t suggest simple human to human transmission.

Chinese authorities are investigating more cases because several reports suggest contaminated environments can also infect humans. Fear remains until the holiday is over as increased travel could lead to the virus mutating and quickly pass between people. The WHO remains vigilant for any mutations and does not advise travel.

– Maybelline Martez

Sources: USA Today, BBC, ABC News
Photo: Once Upon a Time

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Poverty and Happiness Coexisting In Panama

poverty_happiness_panamaA Gallup poll revealed that Panama was one of the happiest countries in the world, followed by Paraguay and El Salvador. The poll interviewed people in 148 countries and asked about their experiences the day before. People were asked if they smiled a lot, if they felt respected and if they were well-rested.

Panama is one of the poorest countries in the world. Why are people there so happy?

1. Positive Attitude

Latin American countries focus on positives such as friends, family and religion despite the difficulties they may face in their daily lives. With the economic boom, including more jobs, resulting from the success of the Panama Canal comes increased traffic and crime. However, Panamanians choose to focus on the positives. People in the happiest, yet poorest, Latin American countries find joy in moral satisfaction more than in material goods, a mentality that is often not found in citizens within developed countries.

“Overall, I’m happy because this is a country with many natural resources, a country that plays an important role in the world,” Carlos Martinez said. “We’re Caribbean people, we’re people who like to celebrate, to eat well and live as well as we can. There are a lot of possibilities here, you just have to sacrifice a little more.”

2. Health Care

State-of-the-art equipment, highly skilled doctors and reasonably-priced health insurance are just a few benefits of living in Panama. As a result of a good healthcare system, life expectancy is quite high in Panama – 74 years for men and 80 years for women.

3. Favorable Climate

The temperature remains at about 80 degrees Fahrenheit year-round. Furthermore, the country does not experience dry and rainy seasons. The weather, along with a developed pension system, draws retirees to the country. In 2005, Panama won first place in the global index of the most comfortable countries in the world. According to the American Association of Retired Persons and the organization “International Living,” the United States recognized Panama as one of the world’s four best countries to live in outside the United States.

– Haley Sklut

Sources: Live Science, Daily Mail, World Mathaba,
Photo: News

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Are Developing Countries Now Overweight?

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Statistics indicate that individuals who are obese or overweight in developing countries have tripled over the last 30 years. It seems that as countries begin to shift from low income towards middle income and onwards, people are able to purchase more food, most of which is unhealthy.

High-calories foods, usually quite tasty, are now easily accessible in practically every country but now those with more money are purchasing larger quantities.

In the 1980s, less than 23% of adults in the third world were overweight; currently, the amount of obese people in the developing world rival those of rich nations. Mexico is a prime example of this global problem. In 1980, under 40% of Mexican women were overweight but in 2008 it increased to 70% and there is speculation of a greater increase in recent years.

An official from the Overseas Development Institute in London, Steve Wiggins, reports that large varieties of high-calorie snacks such as chips, cookies and carbonated drinks are readily available in various Mexican stores, making it the “poster child” for the obesity problem.

Over 90% of men in some Pacific Island nations are also facing the overweight issue. Countries in the Middle East, such as Egypt, have a growing number of overweight women.

Health systems in developing nations already have significant issues with infectious diseases and now this burden of excessive consumption of high-calorie foods poses a risk for developing other diseases. Cardiovascular diseases, diabetes and various cancers can all be caused by large intake of fat, sugar and salt.

This global trend could potentially lead to increased health care expenses and decreased economic growth from a loss of productivity.

Despite these risky factors, reports suggest that a quick turn around is possible if new health campaigns for better diets are adopted. In the mean time, developing nations are not too interested in advocating for a fruit and vegetable substitute since several families are finally getting sufficient income for more food.

– Maybelline Martez

Sources: Centers for Disease Control and Prevention, NPR
Photo: Club House News

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Not Impossible Foundation

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The impetus for the trail-blazing Not Impossible Foundation took place when Mick Ebeling befriended the gifted street artist Tony “Tempt One” Quan, who was suffering from the onset of Lou Gehrig’s disease. Lou Gehrig’s would eventually paralyze his entire body, stripping Tempt of his ability to communicate through artistic expression or any other means of expression other than the careful movement of his eyes.

Moved by the tragedy of Tempt’s situation, Ebeling recruited a team of talented individuals from Graffiti Research Lab, Free Art and Technology Lab and other hackers to create a device that would enable Tempt to create artwork again. In April 2009, after seven years of laborious research, experimentation and refinement, Ebeling and his team presented Tempt with their creation, the EyeWriter. The EyeWriter is an astonishingly innovative device that allows paralyzed individuals to communicate using only his or her eyes.

Recounting his perseverance in creating the EyeWriter, Ebeling said, “When I feel a spark, I commit wholly to the idea, without necessarily having a sense of how, or if, I will be able to complete it…when presented with a challenge, I find it incredibly hard to back down.”

Not surprisingly, after the launch of the EyeWriter, Ebeling and his team were soon the recipients of multiple honors in the technological world. For instance, Time Magazine honored the device by declaring the EyeWriter as one of the 50 best inventions of 2010. The recognition that Ebeling and his team received after Time’s illustrious title enabled the launch of Ebeling’s next endeavor, the Not Impossible Foundation.

The Not Impossible Foundation provides a self-description so to-the-point and succinct that it is composed of a mere six words. The Foundation Having establishes itself as a technology-oriented lab by breezily describing itself as “technology for the sake of humanity.”

Adhering to the standard of innovation and promise of the 2009’s EyeWriter, Ebeling and his team is tackling the previously impossible by working to create smart canes for the blind along with 3D-printed prosthetic limbs for amputees. The Not Impossible Foundation strives to construct new yet affordable technology to revolutionize healthcare.

– Phoebe Pradhan

Sources: Atlantic Meets Pacific, Not Impossible Labs, Mick Ebeling, BBC
Photo: Facebook: Not Impossible Fund

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Public Health Crisis in Nepal

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Nepal finds itself in the midst of a public health crisis for a sizable number of its female citizens. The crisis has its roots in poor preventative measures, but it mostly stems from the intolerable gender discrimination that many Nepalese women endure on a daily basis.

For instance, uterine prolapse, a condition that occurs when the uterus falls out of its normal position, is plaguing millions of women in the small nation. This condition is extremely painful and prevents many women from doing basic household duties.

In fact, its ubiquity is staggering: over 10% of 13.4 million women are affected by uterine prolapse.

The condition prevents many women from lifting heavy items which leads many to be ostracized within their own families. Since they are unable to do any intensive physical labor, they are seen as “lazy” by their families and therefore looked down upon.

Unfortunately, uterine prolapse can be traced to even greater gender discrimination pervasive within Nepalese society as a whole. Women generally have no say in when they marry, when to have children and how many children they desire to have. They are also denied basic birth control.

Bearing too many children in a short period of time is heavily associated with early onset of the condition. Generally, uterine prolapse is experienced by older women.

However, because of the lack of choice in having children at an early age, the condition in Nepal has been seen in women in their early 20’s. In a society that treats women as second class citizens, it is hard to imagine the number of avenues women are able to take in order to prevent uterine prolapse.

The government of Nepal has taken notice of the problem and was compelled to address the crisis once the Supreme Court mandated it in 2008. Unfortunately, the government response has been woefully inadequate.

There is a serious dearth of preventative measures in the government’s strategy. The main focus has been providing surgery for those who are already affected by the condition, which has done nothing to ease the discrimination responsible for its prevalence.

The quality of the government’s response to the crisis should not come as a surprise since the government has been in a state of flux since the monarchy was deposed in 2008. Since then, an interim constitution has been created to govern the country.

Political bouts within the government have left many stuck in a cycle of poverty. In fact, over one-quarter of the Nepalese population survives on just $2 per day.

The situation underscores how institutionalized discrimination leads to more than just decreased social stature in one’s society. There may be other examples around the world illustrating the health effects discrimination has on powerless individuals.

Hopefully an effective governing body can be solidified to aid the women of Nepal.

– Zachary Lindberg

Sources: Reuters, Amnesty International
Photo: Merlin

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A Picture of Polio

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Since 1979 the United States has been free of the disease that at one point crippled 35,000 people per year. Although Polio has now been stopped in the United States, several countries continue to suffer from the Polio virus. This infectious disease spreads rapidly to the spinal cord and can ultimately lead to paralysis. Unfortunately there is no cure for the disease but thanks to the Polio vaccination, its spread is better controlled. Many are unaware of what causes Polio so an overview including symptoms will be presented. 

“Polio” is short for Poliomyelitis which is caused by a virus that infects the nervous system. Though the virus is usually transmitted through person to person contact, 95% of those infected don’t have any symptoms. The virus tends to remain inside the human body, reaching the environment through either a fecal or oral route. Infection is rampant in areas that are extremely unsanitary and where children are exposed to the fecal material of other infected people. Since the Poliovirus enters humans, for the most part, through the mouth or nose, it is inclined to spread easily. Once in the throat, the virus multiplies until reaching the bloodstream, possibly even infecting the nervous system. Complications that arise from the virus include the following:

  • Pneumonia
  • Shock
  • Urinary tract infections
  • Paralysis
  • Loss of intestinal function
  • Lack of movement
  • Muscle weakness

Several treatments in developing nations have been adopted to help counteract these symptoms including antibiotics for infections, painkillers for muscle pain, physical therapy and surgery for muscle complications. Additionally, the Polio immunization prevents the spread of the virus in over 90% of the population though cases in which the spinal cord and brain are not involved have a positive outlook from the start. This vaccination has proven to be extremely effective as illustrated through the fact that global immunization campaigns have diminished thousands of cases worldwide. Polio outbreaks are, however, still seen in Asia and Africa, but several organizations are continuing to campaign for vaccine accessibility.

Polio

– Maybelline Martez

Sources: Centers for Disease Control, Mayo Clinic, NIH,
Photo: Foreign Policy