Archive for category: Health

Information and stories on health topics.

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Revolutionize Healthcare, Revolutionize the World

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In order to improve and manage community health, health advocates help organize a plethora of services ranging from health events to educational experiences. Advocates come in many different forms and settings. For instance, health advocates are generally doctors and nurses though other health advocates may come from a different professional background, such as social work. However, health advocates can also come from a background unrelated to medicine, so long as the individual is burgeoning with a passion that centers on raising awareness of health-related issues.

Individuals who work as health advocates will typically aid clients in improving their health care experience by ensuring that clients not only learn about but also have an opportunity to access available programs and resources. According to SoCal Health Advocates, individuals in this field often endeavor to improve the lives of clients by breaking down barriers that prevent people from access to quality healthcare in order to prevent serious illness or prevent relapses.

However, health advocacy is not limited to only physical health. Due to its nature of stigmatization, great effort has been expended into improving mental health advocacy as well. According to the World Health Organization, it is crucial for advocacy efforts to continue educating the public about mental illness in order to truly revolutionize not only the manner in which mental health is perceived but also improve access to mental health treatments.

As part of its mental health advocacy efforts, the WHO has created MiNDbank, an online resource that has pooled together information regarding global policies and services regarding mental health. One of the goals of MiNDbank is to facilitate open debate and discussion about mental health topics in order to promote human rights for mental health patients as well as improving the mental healthcare system as a whole.

It is imperative for advocates to work towards eliminating the stigma and ignorance regarding mental illness, particularly since individuals with mental disabilities are subject to maltreatment and discrimination on a daily basis. Unfortunately, in many parts of the world, legal institutions have been unable to protect the basic human rights of these individuals.

Although the United States struggles with the burden of a stigmatized and under-funded mental healthcare system, many countries, lack adequate mental health facilities due to even greater stigma and a general lack of awareness. Therefore, mental health advocates strive to inform society about mental illness in order to reverse the disagreeable image of mental health patients, and ultimately, construct a more efficient, more understanding and more accessible global mental healthcare system.

– Phoebe Pradhan

Sources: SoCal Health Advocates, World Health Organization
Photo: IIR Healthcare

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5 Most Common Neglected Tropical Diseases

5 Most Common Neglected Tropical Diseases
Neglected tropical diseases (NTDs) affect 1 billion people, or one out of every six individuals, every year. Half a million people die from NTD related effects, the majority of whom are impoverished children, women and persons with disability. Although methods of prevention and treatment are available, these diseases remain extremely common in parts of Africa, Asia, Latin America and the Caribbean.

The following list of NTDs represents approximately 90% of the global NTD burden, along with methods of treatment and prevention.

1. Onchocerciasis

Also known as “river blindness,” this disease is transmitted via black flies carrying the onchocerca volvulus parasite. The parasite causes debilitating itching and upon reaching the eyes, visual impairment and eventually blindness. It is the second leading cause of infection-induced blindness, behind Trachoma, with 37 million people infected with the disease.

A single, annual dose of Mectizan controls the disease and relieves symptoms. Some countries in Latin America successfully eliminated disease transmission after administering the drug for twenty years which lends hope to its possible elimination in the African continent.

2. Trachoma

One of the oldest infectious diseases known to mankind and the leading source of global blindness, is caused by the bacterium Chlamydia trachomatis. Eye-seeking flies transmit the disease from an infected person’s eye discharge to uninfected hosts.

Repeated infections result in a scarred interior eyelid thereby forcing eyelashes to turn inward thus scratching the cornea, all of which is followed by blindness. It affects about 21.4 million people, of whom 1.2 million are blind.

It is hyperendemic in remote poor rural areas of Africa, Central and South America, Australia and the Middle East.
The World Health Organization (WHO) recommends the SAFE strategy (Surgery, Antibiotic treatment, Face washing and Environmental changes) to limit its spread.

3. Schistosomiasis

Or, snail fever, is a parasitic disease transmitted by freshwater snails to bathing or swimming humans. Urniary schistosomiasis progressively damages the bladder, ureters and kidneys. Intestinal schistosomiasis enlarges the liver and spleen, damages the intestines and creates hypertension of the abdominal blood vessels. It affects 200 million people, and in children can impair growth and cognitive development.

A single dose of praziquantel with repeated community distribution treats and controls the disease.

4. Soil-transmitted helminthes

Affects more than 880 million children around the world. The intestinal worms may result in diarrhea, abdominal pain, anemia, general malaise and severe infection can impair growth and cognitive development.

Improved sanitation, health education and the periodic administration of anthelminthics to at-risk groups limits the rate of transmission.

5. Lymphatic filariasis (LF)

Also known as elephantiasis, is a mosquito-borne disease which results in painful swelling of the limbs and genitals. Over 120 million people are currently infected and nearly 1.4 billion people are at risk in 73 countries.

The WHO recommends yearly large-scale Mectizan and albendazole doses for four to six years to interrupt transmission.

This information was compiled from the Neglected Tropical Disease NGDO Network, World Health Organization and the Center for Disease Control.

– Emily Bajet

Sources: Neglected Tropical Diseases (NGDO) Network, WHO, WHO Programmes, Center for Disease Control and Prevention(CDC)
Photo: Bullion Street

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Sanitation and Poverty

Sanitation and Poverty
Two and a half billion people – over a third of the entire world’s population – have no access to adequate sanitation facilities, which leads to the rapid spread of disease and heightened child mortality rates. Most commonly, poor sanitation practices lead to diarrhea: little more than an annoying byproduct of bad hygiene practices for first-world residents, it is often fatal in developing countries. In fact, it is estimated that 5,000 children die daily from complications related to the ailment. Consequently, one person dies every minute due to the lack of basic sanitation.

Why is the lack of well-formulated means of sanitation such a large problem in modern times, when technology has reached such an advanced stage? One reason is the negative stigma associated with it: the discussion of toilets simply feels dirty or inappropriate and is not as popular nor does it appear at first glance as urgent as, for example, the issue of access to drinking water. However, the two are related and equally pressing; disease control is an impossible goal without proper sanitation adjustments. In many places around the third world, toilet stalls are completely nonexistent. Essentially, this means that people are forced to defecate in public, populated areas, leaving waste behind which will remain on the ground spreading disease. Just a gram of human feces may contain as much as ten million viruses and a hundred parasite eggs.

Besides the obvious health benefits, according to the World Health Organization (WHO,) improved sanitation in developing countries would provide $9 economic benefit per $1 spent. The year of 2008 was dubbed by WHO as the International Year of Sanitation. Through various conferences and seminars, five key principles of sanitation were determined: 1. Sanitation is vital for human health. 2. It generates economic benefits. 3. It contributes to dignity and social development. 4. It helps the environment, and most importantly. 5. It IS achievable. South-East Asia and Sub-Saharan Africa are two regions most affected by poor sanitation practices. Coincidentally, they are also the two areas with the highest death rates from various diseases. It is especially prevalent in rural areas, where open defecation is six times more likely and use of unimproved sanitation is four times higher than in urban areas. Being one of the 2015 Millennium Goals, improved sanitation should not be taken for granted. To heighten the quality of sanitation is to improve the quality of life as well as economic efficiency for millions of individuals worldwide. In this day and age, no one should have to defecate publicly; not only for reasons of dignity and civility, but also due to personal awareness and dedication towards reducing of the spread of deadly disease.

– Natalia Isaeva

 

Sources: The Global Poverty Project, World Health Organization: International Year of Sanitation, UNICEF: Progress on Drinking Water and Sanitation

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Big Impact of Baby Footprints

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In one of the largest countries in Africa, a new program is working to change the outcome of premature births with a simple footprint.  Tanzania is home to an estimated 46,218,000 people who earn an average of $570 per year.  With about one third of its people living below the national poverty line, Tanzania is regarded as a ‘developing country.’  The term ‘developing country’ is described by Princeton as “a nation with a low level of material well-being.”  A common reality in developing countries is the limited or complete lack of access to medical assistance, whether a hospital, pharmaceuticals or a birth attendant.

The latter is an issue that can have devastating consequences.  In low-income countries, about 40% of births are unattended by a trained, medical professional.  Whether or not they are equipped with modern tools and resources, a trained professional is better able to determine the dangers and necessary steps to take before, during, and after birth, especially regarding premature babies.  Of the approximately 10% of infants worldwide born prematurely each year, about one million die, with over 80% of those deaths occurring in South Asia and Sub-Saharan Africa.

At present, Dr. Joanna Schellenberg and a team at Ifakara Health Institute (IHI) in Tanzania are researching a strategy with the potential to have a global impact.  The research began by attempting to solve how to reduce premature infant deaths without requiring entire health systems to be constructed (and funded) first. This is especially important since one of the greatest obstacles facing health care in rural areas is the absence of equipment.  However, the World Health Organization (WHO) estimates that 75% of preterm infant deaths could be prevented without the use of intensive care and modern resources.  Premature infant weights are under 5lb 5oz, yet since scales cannot be assumed to be available, the IHI team came up with another measurement: the size of a baby’s footprint.

Volunteer health workers visit villages with a laminated card picturing two footprints.  The health workers measure infants’ feet against the pictures and determine how to proceed based on their size.  If the infant’s footprint is the same size or larger than the bigger footprint, then the child is not premature.  If the footprint is between the two sizes, it may be premature but not necessarily in danger.

Health workers then proceed with suggestions on how to promote infant health such as holding the child skin-to-skin for warmth, or how to breastfeed effectively.  Finally, if the footprint is smaller than both samples, about 67mm or less, the mother is directed to the nearest health center where the infant can receive potentially life-saving care.

The strategy just described is called “Mtunze Mtoto Mchanga” which translates to “Protect the newborn baby,” a concept that local women have been quick to support.  With the persistent visits and encouragement by the project’s health workers, support has grown into a greater compliance by the public. Though the project will continue for another six months before clear results are available, the team is already poised to implement it throughout Tanzania.

The laminated-card system is not only relatively simple to duplicate, it also demonstrates potential self-sufficiency amongst rural women.  Moreover, once the procedure and subsequent actions are ingrained, the individuals could monitor their babies themselves without the need for health workers help with premature birth testing.

The versatility of the project only heightens anticipation for the results of the study.  If successful, the IHI project could mean saving up to three-quarters of a million infants each year with just a footprint.

– Katey Baker-Smith

Sources: World Health Organization, Princeton University, United Nations Data, The World Bank, BBC
Photo: Giphy.com

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Rwanda Redefines HIV Care

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In a country where just 20 years ago, genocide claimed nearly one million lives, the Rwandan government has revamped HIV treatment for the poor by reforming the standards of successful care.

In Sub-Saharan Africa, there are now over 7.5 million people receiving antiretroviral therapy, 150 times as many as a decade ago. Medications have become easier to manage and overall, more effective, forcing some patients to take no more than one pill each day. Also, HIV testing has become much more widely available and the virus is being detected at an earlier stage before the circumstances are too dire.

In Rwanda, many HIV patients are taking their medications as directed, medication which suppresses the virus in their bodies to the point where it is essentially non-detectable. Success here is achieved when the HIV positive individual can earn a living, support their family and care for their community no differently than uninfected individuals. Furthermore, patients who would have previously been hospitalized with severe complications of HIV are now receiving regular preventive care.

The steps forward being taken in this small country are undeniable. Compared with 54 percent of medical patients worldwide, 91 percent of Rwandan patients who require HIV medications have access to life-saving treatment. Even more encouraging, 98 percent of women undergo HIV testing during their prenatal visits. In a country with only one doctor for every 17,000 people, nurses and community health workers have been trained to provide HIV services that were before, only available from physicians. Aggressive media campaigns by the government and other international organizations remind and encourage the public to “Know Your Status” while targeted outreach programs concurrently focus on the high-risk groups.

Rwanda is one of the first sub-Saharan countries to nearly eradicate the transmission of HIV from mothers to their newborns. Due to this, the number of new HIV cases has been cut in half during the last decade, and perhaps soon, it will fulfill the dream of accomplishing an “AIDS free generation.”

– Sonia Aviv

Sources: The Atlantic, The World Bank, BWH Global Health
Photo: AIDS Health

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WISH Summit Innovates Health Care Systems

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The inaugural World Innovation Summit for Health (WISH) – a conglomeration of entrepreneurs, business leaders, academics and technicians in the health space – convened last week in Qatar. As its title suggests, WISH serves as an arena for international delegates to create and implement innovative, nontraditional solutions to pressing issues in global health.

One participant, Londoner Lord Darzi of Denham (chairman of the Institute of Global Innovation at Imperial College), succinctly stated after the announcement of the Summit that “WISH is about action.”

Qatar’s newfound consideration as a hub for frontline innovation- principally through the Qatar Foundation- landed the nation the opportunity to host the prestigious two-day summit event. The Foundation has been on the forefront of the nation’s “visionary national health strategy” and initiated a first-of-its-kind investigation into the healthcare systems of eight major world players, the United Kingdom, the United States, Spain, Australia, South Africa, Brazil, India and Qatar. The Global Innovation Diffusion Report, unveiled on the second day of the summit, presented a well-researched report card of how each nation fosters and incorporates innovation to maximize health outcomes for their citizens.

The report noted both victories and areas in need of improvement for the eight nations of study. Each succeeded on a general level in identifying and addressing doctors and involving patients in treatment. Unfortunately, however, every nation but Qatar fell short in matching research-based suggestions with real changes in the health care space. Expert assessments of appropriate technological or practical innovations were ignored for different reasons in each nation.

In Spain and the United Kingdom, the least innovative countries, funds for research and development are scarce. New ideas simply cannot get off the ground because there is no money to put wind in their sails to begin with. Australia, Brazil and South Africa were slightly more successful than their European counterparts, but need to improve incentives for academics and policymakers who spread innovation. The United States and India showed a consistent, but small, gap between the ideal and reality.

The thorough case study concluded that innovation is most successfully spurred in the United States when incorporated into (or alongside) insurance and the accompanying payment system. Incidentally, the report identified the rollout of Patient Centered Medical Home (PCMH) programs as a major success for the U.S. in terms of innovation implementation. PCMH programs encourage primary care providers to tailor payments around patient outcomes and foster cooperation between medical and social services.

Moving forward, hot areas of progress for medical innovation will likely include: the application of mobile technology to share and store medical information; policymaking that encourages clinicians to adopt new ways of working; mobilization of resources to allow coordination between researchers and clinicians; and the development of an “innovation culture” and leadership among front line health care professionals.

Delegates representing our nation will undoubtedly confer about these recent findings and carve out a designated space for innovation in discussions touching on future policies, programs and technologies.

– Casey Ernstes

Sources: Gulf News, NCQA, PR News Wire, World Innovation Summit for Health: Home, World Innovation Summit for Health: Global Diffusion
Photo: Vintage 3D

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Most Charitable in Hollywood

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Money is not the only way to contribute to charities, although it is arguably the most effective – unless you are a celebrity. Apparently just being associated with a charity is enough to boost donations by $100,000 per year. Research from the Rutgers’s Business School found charities with celebrity endorsements received a 1.4 percent increase in donations over charities that were not associated with stars.

In that respect, the popular celebrity news website, The Daily Beast, found out who the most charitable celebrities were in regards to lending out their name and fame. Using an in depth survey with forty-eight characteristics via E-poll market research, a list was created with the top celebrities in the charitable running. The list was narrowed after secondary research on www.looktothestars.org, a site that tracks how many charities celebrities are actually supporting. Using Traackr to record the number of actual hits on Google, Facebook, Instagram, Twitter and personal blogs, the list was further weighted to reflect the celebrities’ personal effort put into promoting their respective organizations.

Elton John was at the top of the list with support towards a whopping forty-eight charities. Furthermore, his foundation to help treat AIDS victims, Elton John Aids Foundation, is one of his personally founded charities. Though it may be due to the passing of many of Elton’s close friends of because of AIDS/HIV, he hosts enormous galas open to his multitude of famous friends as fundraisers for his organization.

Second on the list is Angelina Jolie, recognized worldwide for her long list of humanitarian efforts. She has visited various nations such as Tanzania, Iraq, Afghanistan, Jordan, Egypt and Costa Rica, even during times of conflict and war. Taking a hands on approach, she has provided care and aid to refugees in the aftermath of natural disasters, apartheid, oppression and more. She is the founder of the Maddox Jolie-Pitt, named after her first adopted Cambodian son, an organization which serves to implement sustainable community improvement policies for women and children in Cambodia. Angelina and Brad Pitt sold the first images of their newborn twins to People and Hello! Magazines for $14 million, utilizing the entire sum of money for the Maddox Jolie-Pitt Foundation.

Following Angelina on the top 25 list is Bono, the incredible U2 front man, Oprah Winfrey and Ellen Degeneres. Some of the most famous stars on television and film are giving huge chunks of their success away to help others, thus becoming role models in the world of charity and fundraising. It is simultaneously inspiring and humbling to recognize that people have the ability to help those in need no matter how famous, wealthy or well off we are in their own lives. Celebrities have a name and a face but their actions are worth so much more than that, and anyone can take action against global poverty.

– Kaitlin Sutherby

Sources: Marie Claire, The Daily Beast, Look to the Stars
Photo: Giphy.com

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Obesity Growing in the Developing World

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The number of overweight and obese people has grown drastically in the past 30 years, going from 23% of the world’s population in 1980 to over a third today.  Surprisingly to some, the majority of overweight and obese people live in developing countries.  As globalization spreads and countries go from low-income to middle-income, people have more money to buy food.  At the same time the access to cheap junk food full of fat, carbohydrates, sugar and salt is becoming readily available.  As food gets tastier and cheaper, families in the developing world are consuming these products and steadily gaining weight.

Sharada Keats and Steven Wiggins from the Overseas Development Institute in London released a report on January 3rd called, “Future Diets.”  This report summarizes research that shows that diets are changing.  As incomes rise in the developing world people are moving from a diet that consists of cereals and tubers to diets that include meat, fat and sugar.

The portion sizes that people are eating are also going up.

These changes mean that the price of animal products will go up all over the world while prices for grains will go down.  The agricultural crisis of not having enough grains to feed the poor may be replaced by a public health crisis as more people move to eating unhealthy diets.

Obesity is increasing throughout the developing world.  Further, reports have noted that obesity has tripled in the developing world in the past 30 years.

Mexico is a good example of how globalization and higher incomes are impacting diets and waistlines of middle-income countries. In 1980, fewer than 40% of Mexicans were overweight or obese. Today that figure is more than 70%.  In 1980 there were 250 million overweight and obese adults in the developing world. In 2008 those numbers have grown to 904 million.

This is a global health concern as unhealthy diets and weight gain put people at a large risk for a wide range of health conditions including cancer, cardiovascular disease, and diabetes. This is going to place an increased burden on low and middle-income countries with already struggling health care systems.  It will also cause economic difficulties and increased health care costs.

At the moment there seems to be little interest among the public and leaders to take action against the growing obesity problem.  Keats and Wiggins suggest that as countries begin to face the serious health implications and economic problems associated with obesity they may consider investing in public education and policy changes as well.  Conclusively, Keats and Wiggins suggest for a resolution that is a moderate combination of education, prices and regulation measures.

– Elizabeth Brown

Sources: NPR, Overseas Development Institute (ODI), BBC

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Bangladesh Healthcare Improves Despite Poverty

Despite widespread poverty and low governmental spending on health, Bangladesh – particularly, its healthcare system – has made significant improvements in life expectancy, vaccination rates and decreased infant mortality rates. In a special report by The Lancet, it has been shown that the remarkable strides made by the country are due to programs that focus on gender equality, family planning and immunizations.

Professor Mushtaque Chowdhury from BRAC, a Bangladeshi NGO, has said, “Over the past 40 years, Bangladesh has outperformed its Asian neighbors, convincingly defying the expert view that reducing poverty and increasing health resources are the key drivers of better population health. Since 1980 maternal mortality has dropped by 75%, infant mortality has more than halved since 1990, and life expectancy has increased to 68.3 years—surpassing neighboring India and Pakistan.”

Women have played a large role in these advancements. Door-to-door female health workers delivered family planning services over the last 40 years, resulting in a drop from 7 births per woman in 1971 to 2.3 in 2010. During that time, contraceptive use has increased from 10% to 62%. Education for girls was also noted as a key factor in these improvements.

The success achieved has been attributed to the involvement of NGOs, such as BRAC, in poor rural areas. “NGOs as a group have innovated to address issues of poverty, unemployment, health, education and the environment, and in many cases the government and NGOs have worked together to achieve a common goal,” The Lacent report continues to reveal.

While Bangladesh is succeeding in many areas, there are still many more that are not so positive such as child malnutrition. In the poorest families, 50% of children are still underweight. Even in the wealthiest quintile, 21% of children do not receive enough food.

“The Bangladesh health system has been shaped to address the first generation of poverty-linked infections, and nutritional and maternity-related diseases,” the Lancet goes on to say. “But given the epidemiological transition, the health system will have to be adjusted to grapple with chronic non-communicable diseases. For the fragile and evolving Bangladesh health system, the global attention on universal health coverage has not been translated into substantive action.”

– David Smith

Sources: TheLancet, TheGuardian, The Conversation

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Poverty, Poor Health and Access to Healthcare

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It is an obvious fact that living in poverty makes one more vulnerable, less secure and more likely to need assistance. When combating poverty issues of health and accessibility to health care providers in a crucial factor in creating the stability that helps people leave poverty and with appropriate polices to prevent future poverty crisis.

In the United States, it is clear that many have fallen into poverty. The U.S. Census Bureau’s annual report on poverty provides clear evidence that more Americans are struggling financially. Nearly 46 million people, which would be 14.6 percent of the population, are living in poverty. Of that, hundreds of thousands of these people were once counted among the middle class. Something beyond employment and GDP has effected security in the U.S. and made it difficult to not be impoverished.

When comparing the U.S. with other wealthy countries, the U.S. has one of the highest reported numbers of people living in poverty. Additionally, Americans also face a high risk of becoming poor. The disparity begs for answers.

When countries do not protect rights and basic securities it often leads to a poorly functioning economy and a poor standard of living.  States that do not have affordable health care have high rates of poverty. High rates of economic growth or their level of wealth cannot circumvent the absence of human rights protections and the statistics reflect that.

With such high costs of coverage and access, it is not surprising that the new census report also shows that 16.7 percent of Americans are without health insurance. The passage of the Affordable Care Act has brought this discussion of the value of human health to the forefront, and is the first major piece of anti-poverty legislation in decades.

The ACA mandates that quality healthcare must be provided to all Americans no matter what their income level is. In addition to accessible healthcare for those in need, the bill also reaffirms the belief that health care is a human right.

The health insecurity of the poor puts everyone at risk and the lack of care is trapping people in systemic poverty and risking lives that could otherwise be saved. When people live in extreme poverty they a more frequently and severely ill and face greater complications with more demands on an already over-burdened healthcare system.

Unless we can contain this spiral out of the cycle of poverty it will only continue. Job creation offers security through employment; however it cannot make a sick individual a healthy worker, and cannot always cover the high costs of health treatments and coverage.

The causes of poverty are varied and not always identified. Unless poverty is fought simultaneously from multiple points of vulnerability, it is not a winnable fight. With affordable accessible healthcare is provided along with increased social services, benefits and job creation, there are enough steps for individuals to finally leave poverty and find the security to participate economically and thrive.

– Nina Verfaillie
Feature Writer

Sources: Huffington Post, The Atlanta Journal-Constitution, CNN
Photo: The Economist