Archive for category: Health

Information and stories on health topics.

, , , ,

Rising Youth Unemployment in China

Youth Unemployment in ChinaAt the end of June 2022, statistics showed that youth unemployment in China was rising significantly to an unprecedented level of 19.3%. This is partly due to the slow growth (only 0.4%) of the Chinese economy in the second quarter of this year. Such a worrying scene could require powerful solutions.

Reasons Behind Rising Youth Unemployment in China

Nearly one in five young men is unemployed in China, a country with the second largest economy in the world. One of the greatest contributors to youth unemployment in China was the pandemic and the government’s relative lockdown policies. As the Chinese government made tight policies to control the number and spread of COVID-19 cases, major cities including Shanghai experienced large-scale lockdowns, affecting many economic activities.

For example, the retail sales in China have decreased considerably by 11.1%, which was its highest contraction value since March 2020, according to the BBC. An executive at Huawei, Richard Yu, has expressed his worry that if the lockdown persisted, the whole “technology, industrial and automobile supply chains” would come to a full shutdown. The poor performance of the economy in the pandemic made unemployment become more widespread.

Also, due to the Chinese government’s policies since 2021, most extracurricular tutoring was banned in China to lower pressure and discourage competition among Chinese students. However, as many private tutoring institutions had to shut down, teachers lost their source of income.

Chinese Government’s Effort to Solve the Problem

Fortunately, youth employment in China is not at a dead end. Circumstances can get better for those young people who are desperately seeking jobs.

The Chinese government was aware of this problem and already implemented some measures. On the one hand, the government made it compulsory for state-owned businesses and institutions to create new jobs for young graduates from higher education. On the other hand, universities are opening up temporary positions for their own graduates as emergency support, according to NZZ.

The Future

Although the unemployment figure was high in June, the Chinese labor market has already started to revive slowly since May. It may take some time for the reviving effect to lower the youth unemployment rate. As the government started to focus on tackling this problem for the younger generation, it started to provide subsidies and guaranteed loans for small businesses to help them overcome the financial difficulties that came with the pandemic lockdowns.

It was clear that the strict lockdown policies in China limited economic performance instantly. However, the economy is recovering steadily since the end of the second quarter of 2022. Consumer expenditures, including the key Chinese industry—vehicles, have experienced an impressive boost since June. In fact, economists from other countries still give high expectations for China’s future economic growth.

Hopefully, a more thriving economy could benefit the job market and ease the pressing problem of youth unemployment in China very soon.

– Ella Li
Photo: Flickr

,

E-Health Platform in Côte d’Ivoire

E-Health PlatformIn June 2022, Côte d’Ivoire became the first Sub-Saharan country to benefit from Orange Santé. It is an e-health platform that serves both patients and doctors with facilities such as online appointment booking, digital medical records, teleconsultations, etc. Orange Santé is the product of a partnership between Orange and DabaDoc. Dabadoc is a recent Morrocan start-up that aims to “democratize access to health care with its practice management solution and disruptive online booking technology.” This e-health platform in Côte d’Ivoire could help solve many issues within the health care sector.

Health Care in Côte d’Ivoire

In Côte d’Ivoire, the public health care system is lacking. First and foremost, the hospitals and medical centers are understaffed, with only one doctor per 10,000 inhabitants. This makes Côte d’Ivoire one of Africa’s weakest countries in regard to health care. In addition, the staff are reportedly poorly trained and nurses are sometimes referred to as doctors. In order to become a doctor in Côte d’Ivoire, a prospective student must take exams to be entered into the Institut National de Formation des Agents de Santé (INFAS).

Retired doctor, Dr. Koné E, said that it is common for a family to bribe the department that proctors the exam, so the child is able to pass. In his interview with Africa Blogging, he also said this strengthens the claim that in Côte d’Ivoire, “money is at the forefront of everything.” Thus, the lack of proper training results in inadequate care for the patients that are able to see a doctor.

According to Africa Blogging, health centers in Côte d’Ivoire are more focused on money than their patients. Health centers accept patients “only on the presentation of banknotes, whatever their condition is.” Socio-political situations from 1999 and the post-election crisis in 2010 had a negative impact on the health care system in the country. The social protection system in Côte d’Ivoire only covers costs for “occupational accidents and illnesses.” This attitude of valuing the pay more than the patient, however, led to incidents of fatal medical negligence in health care facilities, Africa Blogging reports.

Renovating Health Care in Côte d’Ivoire

The e-health platform in Côte d’Ivoire, Orange Santé, could be the starting point for renovating health care in the country. This platform digitized medical records to contribute to the organization and patient history. Doctors can better serve their patients with knowledge of and access to their complete medical history. Institut National de Formation des Agents de Santé aims at Ivorian health care facilities, allowing them to be listed on its platform. The platform then aids the member facilities with online booking and managing their digital medical records, so the facilities improve their organization and visibility. Patients are able to see a variety of specialists and choose with whom they would like to consult.

The Future

By 2023, Orange Santé plans to add other services to the Côte d’Ivoire platform such as remote consultations and also expand to other Sub-Saharan countries. The lack of medical infrastructure helps facilitate the shortage of healthcare. An e-health platform in Côte d’Ivoire with online consultations could solve this issue by not requiring any buildings to serve patients in need of care. Remote parts of the country that have scarce health care could no longer be at a disadvantage and more people could have access to proper healthcare.

– Jordan Oh
Photo: Flickr

, , , , ,

The Necessity of Vaccine Diplomacy

Vaccine DiplomacyWhile the COVID-19 vaccine has helped to reduce destruction and devastation from the pandemic, the virus is still spreading across the globe. According to Dr. Peter Hotez “organized hostility against the scientific community,” may be public health’s biggest enemy. However, on a global scale, the most serious threat is the lack of vaccine diplomacy and effective health care in geopolitics. Solving this crisis requires the United States and other western countries to prioritize the distribution of pandemic response resources so that everyone can lead healthy, safe lives regardless of their location.

Inequities of Vaccine Resources

The COVID-19 pandemic has increased the global death rate by 20%, shut down economies and dismantled health care systems across the world. Despite the fact that the COVID-19 vaccine is now readily available in many developed countries, many low-income countries remain highly unvaccinated while the United States eases pandemic funding. With monkeypox cases on the rise, the fight against global health crises has hit a major roadblock, as low-income countries are scrambling for vaccine resources amid slowing economies.

Developed countries have a humanitarian responsibility to ensure that low-income countries have access to the healthcare resources that North American and European countries have. Additionally, novel variants of COVID-19 often arise from unvaccinated populations, which means that the pandemic will only worsen unless we make a concerted effort to fully vaccinate developing and low-income countries, according to Dr. Hotez.

Making a Commitment to Vaccine Diplomacy

Today, less than 20% of people in low-income countries have received their first dose of a COVID-19 vaccine. The next step is for the United States and other world leaders to provide more resources to help get shots into people’s arms in developing countries. According to The Borgen Project’s action center, “This essential funding will go towards vaccines, tests, last-mile efforts and treatment so we can continue vaccinating the rest of the world, save lives and prevent new variants from emerging.” It’s an important investment that will not only save the lives of people in the most vulnerable places across the globe but will also help to protect the well-being of Americans.

Overall, vaccine diplomacy is also necessary to conquer vaccine skepticism, which is keeping millions of people from getting vaccinated. In order to effectively fight against the worsening global health crisis of COVID-19 and monkeypox, the United States and other economic powerhouses should prioritize geopolitical cooperation with developing countries to collaborate on equitably distributing vaccine resources.

– Ella DeVries
Photo: Flickr

, ,

Addressing Children’s Mental Health in Lebanon

Children’s Mental Health in Lebanon
The consequences of the COVID-19 pandemic, coupled with the ongoing civil unrest and the economic crisis in Lebanon have negatively impacted children’s mental health in Lebanon. Amid several crises, Lebanon is noting higher rates of mental health conditions, such as anxiety and depression, among the nation’s children.

Overview of Children’s Health in Lebanon

A 2022 Psychopathology in Children and Adolescents in Lebanon Study (PALS) study found that 32.7% out of 1,517 children and adolescents in Lebanon screened positive for at least one psychiatric disorder. However, only 5% of these children sought professional mental health help.

The high prevalence of psychiatric symptoms in Lebanese children and adolescents alerted the need for adequate mental health prevention programs. In 2022, approximately one in five aged between 15-24 reported that they have depression.

Political Crisis in Lebanon

On October 17, 2019, Lebanese launched mass anti-government protests in a response to new tax measures and corruption. During the protests, businesses and banks closed causing a financial crisis. These mass protests impacted the families in Lebanon financially, pulling many children out of private schools.

News Medical has found that education impacts the mental health outcome of children. In fact, “Higher levels of education have been associated with better mental health.” Low levels of education are linked to “a lack of sense of control and resilience,” which puts an individual at a higher risk of depression.

Economic Crisis in Lebanon

According to the World Bank, Lebanon is “facing one of the world’s worst economic and financial crises,” the United States Institute of Peace reported. According to the statistics in 2021 from the World Bank, Lebanon’s economy has decreased by 58.1% since 2019 and the national GDP declined by 10.5% in 2021.

In fact, Lebanon’s contraction was the largest contraction out of 193 countries. Besides the impact of the pandemic, the blast in the Port of Beirut aggravated the economic crisis in Lebanon. On August 4, 2020, the Port of Beirut exploded resulting in many casualties, injuries and massive destruction. The explosion at Beirut’s port killed at least 218 people and wounded 7,000 people.

Economic fallout in the aftermath of the Beirut explosion along with the COVID-19 has put the families and children in danger of poverty and food insecurity. In 2021, the World Food Program (WFP) reported that 6.7 million Lebanese and the entire Syrian refugee population of 1.5 million are living in severe poverty.

Looking at the correlation between the economic situation and the child’s mental health according to the research article published in Health Economics, children’s mental health outcomes worsen as the economy weakens.

Environmental factors such as food insecurity and poverty because of the economic meltdown had a direct impact on the well-being of Lebanese families leading to the poor mental state of children in Lebanon.

COVID-19 in Lebanon

In January 2021, due to a massive resurgence of new cases of COVID-19, the government ordered a strict lockdown. This caused many citizens to feel isolated and disconnected due to a lack of socialization and confinement within homes. It adversely impacted the mental health of citizens, who, as a result, struggled with stress, anxiety, depression and more.

Improving Mental Health in Lebanon

The United Nations in Lebanon worked in conjunction with the National Mental Health Programme in the Ministry of Public Health to create “a mental health and psychological support action plan as part of the national response to the COVID-19 outbreak.”

As part of the plan, the U.N. and its partners raised awareness of ways to manage stress and mental health by sharing psychosocial support kits for children in hospitals and providing remote community-based mental health support kits to 5,975 children and parents, UNICEF reported.

In 2020, UNICEF Representative Yukie Mokuo said that “50% of mental disorders start before the age of 14 and 75% by the mid-20s.” The U.N. also launched the campaign in 2020 under the name of “How Are you Doing in Corona Times?” targeting to raise awareness and identify mental health status specifically among the youth population, according to UNICEF.

The other environmental contributing factors that impact children’s mental health are under control by international efforts. In 2022, on March 23, USAID provided nearly $64 million in humanitarian assistance in a response to Lebanon’s economic detraction and food insecurity. The United States government has contributed nearly $510 million in assistance to Lebanon since October 2020.

Lebanon’s progressive approaches to raising awareness of children’s mental health with national efforts along with the help of international aid show positive prospect for the future of child mental health conditions. Considering the future of children’s mental health in Lebanon, the nation should prioritize implementing initiatives and adequate policies to promote positive mental health among children in Lebanon.

– Youngwook Chun
Photo: Unsplash

,

Vulcan Augmetics Offers Prosthetics in Vietnam

Prosthetics in Vietnam
Though the Vietnam War ended 47 years ago, buried in Vietnamese soil, thousands of unexploded land mines, grenades and cluster bombs continue to injure or kill people. There are 100,000 amputees requiring prosthetics in Vietnam and about 80% are from landmines. Till today, 2,000 people are stepping on live landmines every year. In 2018, two expatriates founded Vulcan Augmetics, a social enterprise startup that utilized 3D printing and injection molding to create customizable and upgradable prosthetics. Its goal is to support amputees in developing countries and lower the cost of prosthetics.

Affordable Price

In developed nations, most amputees have access to social assistance and medical insurance covered by the legislation. In contrast, 95% of amputees in Vietnam have to support their own lives, with unemployment high up to 70%.

Rafael Masters and Akshay Sharma founded Vulcan Augmetics in 2018. One of their inspirations to start the company Vulcan Augmetics is to subsidize Vietnamese amputees with accessibility to high-functioning prosthetics when they lack quality insurance coverage.

Vulcan Augmetics combines traditional metal frames with plastic parts made through 3D printing. The innovation in filled materials controls prices of prosthetics at $1,100, making them more affordable than most prosthetic arms that cost $2,600 on average, explained Masters to KrASIA.

Sustainable Design

Another advantage of Vulcan Augmetics is to give amputees a say in developing artificial limbs, augmenting them to meet their own needs.

Rather than offering traditional fixed prosthetics, the company designed and produced flexible components for modifying and upgrading. Vulcan’s prosthetics plug and click together like Lego pieces, enabling rearrangement to suit the daily demands of a given occupation or task, according to KrASIA.

For the base model, there is also an adjustable mechanical device inside the hand with multiple functions, providing users the ability to do daily chores, said Masters to KrASIA. Going through the cheap and efficient entry-level ones, customers can upgrade to advanced models for more possibilities in life and work.

Broad Market

Till 2021, Vulcan has partnered with 17 major hospitals and clinics with orthotic and prosthetics services in Vietnam, offering new prosthetics to 32 people in need. It targets to have at least 50 users per month in 2022 and aggrandize its business to other regions in Southeast Asia, according to Youth Colab.

Positioning itself as a social enterprise, Vulcan Augmetics lists prices and detailed product information upfront on its website, so potential buyers can know what options are available no matter where they are.

For startups aiming to break down barriers to artificial limbs worldwide, this decentralized approach helps place the customer at the forefront. People no longer have to approach hospitals and clinics to find a prosthetic, but getting to see product options and collaborate in building prosthetics online without geographic hurdles.

Vulcan Augmetics plans to develop product lines for people with paralysis or weak muscles, and those without disabilities want to be more durable and flexible in special physical activities. For a long-term goal, the company wishes to serve 38 million disabled people globally in addition to providing prosthetics in Vietnam, according to KrASIA.

– Shiyu Pan
Photo: Unsplash

, ,

Impact of COVID-19 on Poverty in Spain

Impact of COVID-19 on Poverty in Spain
There is no question that the COVID-19 pandemic has caused mayhem across the globe over the past few years and the virus, alongside its health, social and economic implications, has effectively left no corner of the world untouched. Even wealthier nations within Europe, like Spain, have had their fair share of setbacks thanks to the pandemic. Thankfully, however, this nation has been blessed with an equipped and responsive government as well as various charitable corporations and NGOs, who have made it their mission to see the impact of COVID-19 on poverty in Spain be negligible.

Early Action

Much like other affluent countries, Spain implemented a Royal Decree-Law 11/2020 at the beginning of the pandemic to counteract the widespread loss of both jobs and income. This was most certainly a vital measure when considering the following.

In 2020, the unemployment rate shot up to 16.5% as a consequence of government lockdowns. Contrast this rate with the 14% seen at the beginning of the year. It quickly became evident that over a million Spaniards were at risk of no longer being able to afford essentials like housing, food and other things of the sort. In other words, the potential impact of COVID-19 on poverty in Spain was a huge concern.

The nation was reporting more than 8,000 new COVID-19 cases a day at the beginning of the pandemic and thus the Spanish congress understood that they could not carry on business as usual and that they needed to restrict societal mobility via the closing of non-essential stores and businesses, halting commerce and slashing over 600,000 jobs.

Regarding the Royal Decree, officials took it one step further, going as far as to pause rent payments for the financially vulnerable so that there would be no immense backlog of fees at the conclusion of the eviction suspension.

This bold step caused evictions to decrease by 90% in the second quarter of 2020. Another noteworthy form of aid was the introduction of Universal Basic Income (UBI) for the nation’s most impoverished, an unprecedented move not attempted in any other region of the world. Nearly a million qualified for payments that equated to about €1,015.

Supplementary income had benefited roughly 22% of the Spanish population during the virus’ initial wave, helping keep families fed and stable in a time full of such great instability.

The Private Sector

The public response was not the only combatant to the impact of COVID-19 on poverty in Spain that deserves praise. Private industry also stepped up in the wake of Spain’s Coronavirus crisis, with numerous companies and organizations making it their priority to keep communities both secure and safe during a moment of impending doom.

CAF, for instance, a popular development bank in Latin America, decided to donate $600,000 to Spain and its neighbor Portugal to assist them in their fight against COVID-19 and its ramifications. Consequently, about 25,000 Spanish families gained access to medical supplies that were otherwise out of reach.

Closer to home, big corporate names like Siegwerk donated to established and dependable charities like Banco de Alimentos and Caritas, which have a long track record of helping ease the hunger of countless Spaniards. Thanks to donations like these, Caritas was able to assist many vulnerable people and families in obtaining their basic necessities like shelter and food.

What Does This Mean for the Rest of the World?

The innovative and generous government response to the impact of COVID-19 on poverty in Spain as well as the sympathetic actions of large corporations leaves the world with a lot to be hopeful for. Despite the complete shuttering of the economy, the amount of Spaniards at risk of poverty only increased from 20.7% in January 2020 to 21% in December 2020, making it appear as though the COVID-19 catastrophe never actually happened. The impact of COVID-19 on poverty in Spain was fairly minimal because officials were able to put their constituents first and profit-driven companies were able to overlook their finances for the general welfare. Given such dynamics, it seems the ideals of humanity are no longer too far out of reach.

No one in Spain would be willing to proclaim COVID-19 a blessing with its toll on the economy and human life, but as the old saying goes: “when life gives you lemons, you make lemonade” and that is precisely what this European nation has accomplished.

– Jacob Lawhern
Photo: Flickr

,

Safari Doctors Improves Health Care in Rural Kenya

Safari Doctors Improves Health Care
Umra Omar launched the Safari Doctors social enterprise in 2015 as an innovative health care solution for communities living in the 65 remote islands of Kenya’s Lamu County. The unconventional medical practice provides monthly mobile clinics to isolated villages via boat, making it an essential service to the region’s 3,000 residents. Safari Doctors improves health care in rural Kenya by leveraging the organizational mobility of its’ clinic.

Right, Not a Privilege

Safari Doctors serves marginalized indigenous communities living in remote regions of the Lamu County archipelago. A lack of health care infrastructure in the region makes it incredibly difficult for residents in remote villages to access emergency medical services. Many of these villages are an eight-hour boat ride from the mainland hospital, with travel costs reaching $300 for a one-way ticket, according to World Economic Forum.

With 34.3% of Kenyans living below the poverty line as of 2021, such travel costs constitute a significant strain on the impoverished rural residents of Lamu County. Safari Doctors improves health care in rural Kenyan communities by eradicating these travel costs and optimizing health care accessibility.

In order to address the need for health care services, Safari Doctors provides valuable primary care services such as routine checkups, immunizations, family planning, gynecology services and dental care, World Economic Forum reported. These health maintenance services are crucial preventative measures, warding off preventable diseases and minimizing health emergencies.

Safari Doctors was also integral to mitigating the COVID-19 pandemic, treating more than 4,000 people between March 2020 and June 2020. The Safari Doctors continues to provide COVID-19 testing services as well as vaccines.

In 2018, Safari Doctors launched the Safari Vets program, providing free veterinary services to Lamu’s remote villages. The Safari Vets program follows a holistic One Health philosophy, acknowledging that human health is directly related to the health of animals and the environment more broadly.

Community Outreach and Local Development

In addition to medical services, Safari Doctors has implemented multiple local programs aimed at bolstering community outreach and health care development. Safari Doctors established The Youth Health Ambassadors program in 2018 with the goal of engaging young people in Lamu’s marginalized communities. The Youth Health Ambassadors program trains Lamu’s youth to be health leaders in their communities.

Program participants receive first-aid training and education on issues related to reproductive health and hygiene practices. The program provides young Lamu-county residents with the opportunity to become licensed “Community Health Workers.” As Community Health Workers, individuals expand Safari Doctor’s outreach by conducting monthly household visits in their community and collecting valuable health data. Safari Doctors improves health care in remote Kenya while empowering Lamu’s youth to take community development into their own hands.

Additionally, Safari Doctors initiated an Indigenous Voices civic education program, which includes 58 representatives from 138 of Kenya’s indigenous women’s groups. The program aims to enable women to “engage in County health budget processes, inform policy and advocate for improved health service delivery.”

A Mobile Health Care Revolution

The Safari Doctors enterprise started on the conviction that mobile health care solutions are essential to bolstering Kenya’s health care infrastructure. According to World Economic Forum, 72% of Kenya’s population lives in rural areas with limited access to health care services. Safari Doctors improves health care in rural Kenya by implementing a mobile, community-driven model, making it an excellent example of how a mobile health service system can effectively tend to the needs of the community.

The issue of equitable health care access is not unique to Kenya, as seen in a 2018 study that found that 29% of the population of sub-Sahara Africa lives more than two hours from a hospital, World Economic Forum reported. Discussions on mobile health care solutions for remote African communities are emerging as a viable mechanism for transforming Africa’s health infrastructure.

In addition to the emergence of mobile medical practices such as Safari Doctors, many nations have begun exploring how drones can improve the public health of their populations. Rwanda was the first to implement a medical drone system in 2016 after partnering with the U.S.-based drone startup, Zipline.

Rwanda uses Zipline’s drones to streamline blood deliveries and send vital medicines to rural health centers. Zipline’s success in Rwanda encouraged Ghana to do the same in 2019. When the COVID-19 pandemic hit, Zipline allowed both countries to distribute personal protective equipment, respirators, oxygen and vaccines to rural communities.

Safari Doctors is a testament to the importance of mobile health care solutions in the world’s most remote regions. Safari Doctors is proof that technological development paired with community-driven solutions provides a promising avenue for improving health care access in marginalized communities around the globe.

– Mollie Lund
Photo: Wikipedia Commons

,

Screening for Sickle Cell Disease in Zambia

Sickle Cell Disease in Zambia
Sickle cell disease is most common globally in sub-Saharan Africa. Up to 45% of sub-Saharan Africans are carriers of the disorder. Sickle cell disease appears to have evolved as an adaptation against malaria, which is why it would be so prevalent in these African countries. For example, Zambia is one of the 20 countries in the world with the highest malaria incidence and mortality. About 2% of the world’s sickle cell disease cases occur in Zambia, and about 5% of cases in eastern and southern Africa occur in the country.

Alarmingly, after significant progress in controlling the disease in the 2010s, sickle cell in Zambia started to escalate in 2020. In fact, during the first half of 2020, sickle cell cases, test positivity and mortality increased from 30% to 50% between 2018 and 2019. That is why as of 2021, the Zambian Ministry of Health recognizes sickle cell disease as a public health crisis. Specifically, 20% to 25% of the Zambian population is a carrier and 1% to 2% of children born in Zambia have the disease. That is why early screening programs are so important in fighting sickle cell disease in Zambia.

Sickle Cell Disease

Sickle cell disease is actually a group of conditions that cause misshapen red blood cells called “sickle cells.” Most red blood cells look like discs, but sickle cell patients have red blood cells that look like sickles or crescents. Sickle cells tend to stick together and obstruct the movement of blood, which makes sickle cell patients more vulnerable to infection. Also, sickle cells are more easily breakable than non-diseased red blood cells. This can lead to patients not having enough blood cells, a condition known as anemia.

Patients with sickle cell disease experience pain when the blood cells clog blood vessels. This pain may last a short time or for hours. Also, their anemia makes them often feel tired. Although it is not clearcut what triggers a sickle cell crisis, being overly cold or overly stressed seems to provoke incidents. Finally, other illnesses and dehydration trigger sickle cell crises.

Treatment for Sickle Cell Disease

Luckily, there are drugs that treat sickle cell disease. To prevent pulmonary infections, to which sickle cell disease patients are more prone, health professionals commonly prescribe penicillin. They also suggest that all sickle cell patients stay fully vaccinated. To prevent anemia, patients take folic acid to help the body manufacture new red blood cells. Additionally, medical professionals frequently prescribe the medication hydroxyurea to decrease the stickiness of red cells and adverse effects of the disease. If an infection or anemia still occurs, patients may need hospitalization. There, they receive more intensive medicine, including blood transfusions. Bone marrow transplants can cure sickle cell disease by replacing the diseased blood with healthy blood from a donor. However, not everyone is a candidate for a bone marrow transplant, and the procedure has a lot of risks.

Newborn diagnosis, careful monitoring and access to care results in survival to adulthood in 96% of cases of sickle cell disease. That is why all 50 states and the District of Columbia in the United States mandate sickle cell screening. European countries also have robust screening programs. However, in Africa, where newborn screening is sparse, up to 80% of children born with the disease die before they turn 5 years old. Zambia is working assiduously to improve its sickle cell screening and launched its newborn screening program in April 2021.

Zambia Launches Screening Program

Zambia’s Sickle Cell Disease (SCD) Newborn Screening (NBS) program focuses on early therapeutic intervention and builds on the country’s framework for early vaccination and HIV screening. The program hopes to annually screen 10,000 newborns and develop an electronic database of patient demographics, medical history and laboratory records. Initially, the program will screen at three sites in northwest Zambia.  The screening program involves taking a blood test sample from infants at different hospitals and sending the sample to its Tropical Diseases Research Center.

Additionally, through the Consortium of Newborn Screening in Africa (CONSA), scientists can use newborn screening data on the disease in the future so they can map out the disease in Zambia and across Africa to inform treatment and prevention. Dr. Jonas Kamina Chanda, the Zambian minister of health, claims that the new screening “marks an important milestone in the health sector, as well as those living or caring for someone with sickle cell disease.” Hopefully, Zambia will serve as a model for other African countries that do not currently screen to offer such a critical service to their citizens as well.

– Mikaela Marinis
Photo: Pixnio

, ,

Impact of COVID-19 on Poverty in Sierra Leone

Impact of COVID-19 on Poverty in Sierra Leone
Government findings in 2020 report a 60% decline in average weekly profits for businesses operating in Sierra Leone. However, customer demand witnessed an 80% decline by late May. Around 60%-70% of businesses had “difficulties accessing suppliers.” The liquidity status of several businesses declined and 52% were behind or likely to fall behind on paying their rents. Employees reported momentary layoffs, while others experienced reductions in working hours, to reach around four to six hours. The impact of COVID-19 on poverty in Sierra Leone is further exemplified through youth unemployment, which forced the closure or scaled down operations of many youth-owned businesses in Sierra Leone. Youth unemployment reached 60% in 2021 and Gross Domestic Product (GDP) contracted by 4% in 2020.

Impact on Tourism Sector

Prior to the global COVID-19 pandemic, 71,000 tourists visited Sierra Leone in 2019 and projections have stated that tourism generated $39.00 million corresponding to 0.93% of GDP. This is demonstrating the power tourism has on the country’s income and economy. With travel restrictions, the level of tourism fell by 77.3% in 2020 as per Ministry of Finance records. This pushed 97% of tourism businesses into experiencing a massive impact on operations. Besides that, 29% of them encountered either provisional or permanent closure.

Accordingly, it is evident that the impact of COVID-19 on poverty in Sierra Leone is showcased through its direct ramifications on the country’s economic strength and employment rate, especially with 8,000 people working in the tourism sector indicating its importance in the development of Sierra Leone.

Food Security and Livelihood

Around 30% of Sierra Leone’s capital, Freetown live on less than $1 per day, the international poverty line standing at around $1.90 per day. Among 116 countries, Sierra Leone ranked 106 in the 2021 Global Hunger Index illustrating the severity of the food crisis. Recent 2022 records validate that 73% of the population is experiencing food insecurity, 11% of which are acutely food insecure. This illustrates direct challenges to human welfare and basic standards of living, especially as 74% of households reported using more than 75% of their income on food.

Economic Assistance

To build and encourage economic resilience, in 2020, the World Bank permitted the International Development Association to support Sierra Leone with a grant worth $100 million. Such financing supports the development of greater productivity in varying sectors including agriculture, a primary sector of Sierra Leone’s economy. In 2021, economic growth accounted for 3.1%, with agriculture contributing for half the rise.

To further sustain the government’s ability in delivering rudimentary human rights such as education and health care services in the midst of an economic crisis, in 2020 the European Union allocated €10 million in economic support. For instance, improvements in health care are evident in the infant mortality rate, declining from 78.643 for every 1,000 births in 2019 to 72.253 for every 1,000 births in 2022.

Supporting Unemployed Youth

In 2021, the International Organization for Migration (IOM) launched a vocational training program in Sierra Leone worth $4.3 million to close the gap between labor and the necessary skills the market demands. This program has reached out to 940 participants thus far and seeks to eradicate unemployment in the country by developing skilled labor, thereby fostering a population capable of initiating independent economic growth, according to IOM.

A similar effort by the United Nations Development Programme (UNDP) promoted inclusive growth among rural areas in Sierra Leone. The UNDP trains youth with a skillset that advances their employability prospects in a globalized world.

Partnering with Restless Development and the Institute of Development and Humanitarian Assistance-IDHA, the UNDP further issued grants to over 1,000 youth business owners to preserve businesses from closing, as reported on its website. Business owners reported they have been able to grow their businesses, as well as offer employment opportunities.

Nutrition and Food Assistance

With collective effort from the European Union, the U.S. and China among other multilateral donors, the World Food Programme (WFP) delivered food and nutritional support for around 540,000 people across Sierra Leone in 2021. To further support the U.N. Peacebuilding Fund Project, the WFP partnered with the Ministry of Agriculture to enable the development of inland valley swamps and create a continuous and lifelong food supply.

In January 2022, the OPEC Fund for International Development also provided contributions by extending two loans worth $35 million to curb hunger and encourage food security for 1.4 million Sierra Leoneans.

The impact of COVID-19 on poverty in Sierra Leone has presented pronounced challenges on varying economic and social levels. However, with the right collective efforts such as UNDP grants, the economy can recover to allow its population to lead a prosperous future.

– Noor Al-Zubi
Photo: Unsplash

,

Visual Impairments in China

Visual Impairments in China
Visual impairments in China affect everyone. It affects the persons suffering from visual impairment and it affects the people around them. Of the people suffering from visual impairment worldwide, China accounts for 20% of the visually impaired population. The Fred Hollows Foundation’s web page explains why it addresses visual impairments in China: “Sight affects a person’s ability to learn, to access economic opportunities and to live a life of independence.”

Causes of Visual Impairment

Visual impairments are prevalent in the whole country, but it is more so in rural China. Different regions struggle with different eye-related diseases. However, the most common conditions that cause visual impairments in China are cataracts, uncorrected refractive error and diabetic retinopathy.

Cataracts are the most common form of eye disease that leads to blindness. About 400,000 people go blind from cataracts and 7.58 million patients wait for surgery, according to The Fred Hollows Foundation. Along with cataracts, diabetic retinopathy and uncorrected refractive error – which includes myopia or nearsightedness – are increasing eye problems. One in nine adults suffers from diabetic retinopathy. Meanwhile, by 2050, about 66.8% of China will suffer from myopia.

Effects on Education

Children especially depend on vision in the school system. If their vision is impaired in some way, learning could become difficult. Without a good education, finding a job could be difficult too. Education is the key for many people to find a well-paying job.

According to an article published in Scientific Research, the authors argue, “Vision problems that remain unresolved will eventually force people to fall deeper into poverty as they will be unable to work and make provisions for their families or conduct daily tasks and thus a heavy reliance will be placed on others for care.”

Effects on Loved Ones

Visual impairments in China not only affect the person suffering, but also affects their family. The Fred Hollows Foundation tells the story of Wang. Wang lives in Northern China with his wife and daughter. He made a living as a truck driver. One day, Wang lost his vision. He tried fixing it with a pair of glasses, but it only worked for a short time. Wang went to the hospital for a check-up and discovered he had diabetic retinopathy. He underwent laser surgery to restore his eyesight, but it also worked temporarily. His diabetes also caused cataracts.

Because of his poor eyesight, Wang had to quit his job as a truck driver and found a new, lower-paying job as a security guard. The financial burden took a toll on the family. Wang’s wife began working at a restaurant to help ends meet. However, Wang also felt the burden of his poor eyesight with the time he spent with his daughter. He could no longer help her with her homework. Instead, his daughter had to help take care of her father.

After some time, Wang underwent cataract surgery through The Fred Hollows Foundation. Fifteen minutes after surgery, Wang walked out by himself. With his eyesight back, Wang’s family grew close once again. He returned to his old job as a truck driver and can help his daughter with her homework.

The Fred Hollows Foundation

Fred Hollows founded The Fred Hollows Foundation in 1992 to address those with visual impairments. The Fred Hollows Foundation began working in the Jiangxi Province in China in 1998 to help those who suffer from cataracts. In 2012, the Fred Hollows Foundations implemented a plan to expand to other provinces in western and central China.

In China, as of 2019, The Fred Hollows Foundation screened more than 640,000 people and performed more than 290,000 eye operations. Operations include 9,000 cataract surgeries and just under 3,000 diabetic retinopathy treatments.

Although visual impairments in China are prevalent, with millions of people suffering from some kind of visual impairment, organizations like The Fred Hollows Foundation provide eye care for people who need it.

– Chris Karenbauer
Photo: Flickr