Archive for category: Health

Information and stories on health topics.

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Herbal Remedies for COVID-19 Across the World

Herbal Remedies
The COVID-19 pandemic has created many discussions and debates, especially when it comes to treatments. Though it may take more than a year to create a vaccine, many countries and individuals are using herbal remedies for COVID-19. These remedies have been in their cultures before the new coronavirus and now aid in the prevention and treatment of it. For centuries, especially in countries where medications, prescriptions and hospital visits are inaccessible and/or expensive, people have been creating their remedies. They then pass them on, generation to generation. This article discusses such remedies, both ancient and newly discovered.

Traditional Remedies

When the coronavirus broke out in December 2019, many people in China used various traditional remedies. For centuries, Chinese medicine has been popular across the world. Whether it is with more serious viruses and illnesses, such as COVID-19, or something more common, such as a sore throat. They are believed to alleviate symptoms, reduce the severity of the virus, improve recovery rates and reduce the mortality rate. Herbal remedies for COVID-19 (commonly used) include jinhua qinggan capsules, lianhua qingwen capsules and shufeng jiedu capsules.

In Madagascar, the president endorsed the launch of Covid-Organics, claiming that it was safe enough for children to drink. A key ingredient in these herbal remedies is sweet wormwood (Artemisia annua), which is a traditional ingredient that gave rise to the antimalarial drug, artemisinin. According to the WHO, about 87% of African populations use traditional medicine. This is especially prevalent in poor and rural areas where hospitals, pharmacies and health care professionals are difficult to find. It is common to use herbs and roots as replacements for these medications in many countries in the southern hemisphere. Additionally, modern medicine is often unaffordable, which is why many Malagasies and other African populations use traditional medicine.

Modern Remedies

In Kenya, many people are drinking fruity, gingery dawa as a remedy for the coronavirus. In Kiswahili, dawa means medicine. This drink has become especially popular in Kenyan street markets and vendors arrange the ingredients. They include lemon, ginger and garlic. However, each drink is different — some have aloe vera and some have turmeric. Despite the popularity of this remedy, people have still been taking proper precautions, such as wearing masks and washing hands. In a time of uncertainty, dawa brings comfort to many Kenyans. Markets flood the streets of Kenya, with vendors selling various versions of dawa. Understandably so, it is one of the most popular items.

In the U.S., many people are turning to elderberry, zinc and vitamin C. In fact, along with toilet paper, these vitamins were in the top items consumed on Amazon. Elderberry has long been known to be an immune-boosting vitamin. However, it is unclear whether or not it is effective in treating coronavirus. It may, however, bring a sense of comfort — especially in a time of such uncertainty. Many grocery stores now have their vitamin sections cleared out.

For centuries, herbal remedies have treated viruses and infections, including the common cold, influenza, fever, herpes and more. People around the world rely on traditional medicines, which is understandable given the  inaccessibility of modern medicines or medical care in many areas. Though there may be benefits to traditional medicine, it is still unclear whether or not there are any real remedies to the coronavirus. Yet two important factors that these herbal remedies for COVID-19 bring are comfort and hope.

– Naomi Schmeck
Photo: Wikimedia

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Hope for the Epidemic of Tobacco in Myanmar

tobacco in myanmarMillions of people worldwide use tobacco every day. Though tobacco usage has decreased in some countries, it still remains a significant public health concern for various populations. This is especially true for lower-income countries all over the globe. Myanmar is no exception. With the highest rate of tobacco usage in Southeast Asia, tobacco in Myanmar runs rampant with limited regulation.

The Feedback Loop: Tobacco and Poverty

Worldwide, 1.8 billion people smoke, with 84% of smokers from underdeveloped countries. The world’s poor are prone to spending their limited income on tobacco. However, smoking comes at a high opportunity cost. Money spent on tobacco could instead go toward food, education and health care. In countries such as Bangladesh, the poorest households spend 10 times more on tobacco than they would on education. In Mexico, the poorest 20% of households spend at least 11% of their income on tobacco. Overall, the world’s poor sacrifice significantly more of their income to satiate tobacco addiction than do richer households.

In addition to being a financial drain, tobacco also presents numerous health risks. Users of tobacco are at risk for cancer, respiratory diseases and heart problems. These illnesses create higher medical and insurance costs, which could cause households to spiral deeper into poverty.

Tobacco in Myanmar

Currently, around 1.6 million people in Southeast Asia die from tobacco-related illnesses each year. Myanmar currently has the region’s highest prevalence of tobacco use. Approximately 80% of men use tobacco in Myanmar. In this country alone, over 65,600 people die from tobacco-related diseases annually. Regardless of this risk, more than 5 million adults in Myanmar continue to use tobacco every day.

The lack of regulation of tobacco in Myanmar puts millions of individuals at risk of exposure to secondhand smoke. Currently, 13.3 million smokers and individuals exposed to secondhand smoke are at risk of developing tobacco-related diseases such as CVD (cerebrovascular disease). CVDs are one of the most common ways tobacco claims lives. They are also the leading cause of death in the country, contributing to 32% of all deaths.

Premature deaths have also greatly affected Myanmar’s economic growth, severely limiting income opportunities for the nation’s poor and middle-class families. In 2016, economic losses due to tobacco-related mortality were estimated at MMK 1.32 trillion. Overall, the economic loss caused by tobacco-related health complications places a huge strain on Myanmar. Most importantly, without explicit programming efforts, very few users have successfully quit tobacco in Myanmar.

So, What’s Next?

A number of efforts are looking to minimize the harmful effects of tobacco in Myanmar. For example, Myanmar’s government created various changes to its Tobacco Control Laws upon joining the World Health Organization’s FCTC (Framework Convention on Tobacco Control) in 2005. Despite these changes to the law, however, there are insufficient funds for smoke-free enforcement in public spaces. Currently, smoking remains legal in pubs and bars, indoor offices and public transportation.

A comprehensive tobacco control program is therefore necessary to limit the prevalence of tobacco in Myanmar. Luckily, many organizations are willing to assist in this fight. The World Health Organization released plans for its Tobacco Control 2030 campaign, which includes Myanmar. It will be one of the 15 countries chosen to receive aid from the U.N. to support its battle against tobacco.

In 2019, the People’s Health Foundation also implemented a four-year plan to turn Yangon, the largest city in Myanmar, completely smoke-free. This organization plans to raise public awareness of the dangers of smoking and passive smoking on various media platforms. The People’s Health Foundation also partnered with the Ministry of Health and Sports to minimize smoking and overall tobacco usage in the country. Already, the organization has converted regions including Ayeyarwady, Bago and Mon into smoking-free zones. While much work still remains, Myanmar these efforts to minimize the use of tobacco among its citizens are showing some signs of success. This provides hope that the epidemic of tobacco in Myanmar may soon end.

– Vanna Figueroa
Photo: Flickr

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How BraineHealth Is Revolutionizing Healthcare

Limited access to healthcare is a challenge that millions of people face globally. According to data collected by the World Bank and W.H.O., roughly half of the global population had no way to access necessary health services in December 2017. The high costs of getting healthcare forced nearly 100 million people into poverty that year. For hundreds of millions of people across the world, even basic healthcare is economically out of reach. Unfortunately, COVID-19 has put additional strain on healthcare systems around the globe. The pandemic has disrupted medicine supply chains in many parts of the world, preventing vital medical supplies from reaching hospitals in a timely manner. This is particularly dangerous for developing countries with healthcare systems that were already struggling to meet their countries’ needs. However, recent technological innovations like BraineHealth are seeking to revolutionize healthcare to overcome these issues.

How BraineHealth Can Help

This problem may seem insurmountable, but not to BraineHealth. The Swedish company is hoping to use artificial intelligence and robotics to make healthcare more accessible for people throughout the world. BraineHealth’s healthcare innovations can apply many areas of healthcare, such as primary healthcare, senior healthcare and mental health services. In all these areas, BraineHealth hopes to connect doctors and other medical professionals with their patients in a way that is easy, affordable and safe.

With BraineHealth’s system, patients could potentially receive diagnoses and expert medical consultations without having to leave their homes. This would reduce medical costs and travel expenses for patients, and it would provide a safer alternative to in-person appointments. Here are four BraineHealth programs that seek to revolutionize healthcare.

4 BraineHealth Programs Revolutionizing Healthcare

  1. Artificial Intelligence: BraineHealth is developing an AI program that will allow for quicker and more efficient remote diagnoses. This program receives information about a patient’s symptoms provided by the patient and analyzes this report. By examining it against a database of thousands of documented diagnoses, the algorithm can provide as accurate a diagnosis as possible.
  2. Diabetio: This program combines social robotics and artificial intelligence to assist diabetic patients with managing their diabetes. The Diabetio robot will help manage the patient’s carbohydrate intake, and it will keep the patient informed about whether they are at risk of developing diabetes. To help the patient most efficiently, this program will retain and process information about the patient’s daily activities.
  3. Medipacker: BraineHealth is also looking to revolutionize healthcare by expanding access to medical information and education through its Medipacker education program. This program aims to give backpackers the opportunity to become qualified first-aid providers at little to no cost. By removing economic barriers to first-aid education, BraineHealth hopes to encourage more people around the world to learn about emergency medicine.
  4. InEmpathy: Recently, BraineHealth has partnered with the charity InEmpathy. InEmpathy’s work focuses on building better systems of healthcare in developing countries. Crucially, this organization is now helping to bring BraineHealth’s technological innovations to communities in need. BraineHealth will therefore be able to adapt its technologies to best fit the needs of their destination countries.

Looking to the Future

Millions worldwide lack adequate access to healthcare. Even in areas that have hospitals, the costs of health services are often too high for poor communities. Using technological innovation, BraineHealth is working to revolutionize healthcare so that the people in these communities can have access to healthcare that would otherwise be out of reach.

– Marshall Kirk
Photo: Flickr

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COVID-19 in the Dominican Republic: Government Response

COVID-19 in the Dominican RepublicLike many developing nations, the Dominican Republic suffered massively in several communities, due to COVID-19. While the virus’s impact does not discriminate against social class — the homeless and impoverished are inevitably the most vulnerable. Given that more than 40% of the country’s population lives below the poverty line, the severity of COVID-19 in the Dominican Republic is alarming.

The Statistics: Cases, Deaths and Hospitalizations

As of August 27, 2020, the Dominican Republic has approximately 92,964 confirmed cases and 1,630 deaths. In the nation, “the fatality rate for COVID-19 is 1.79% while positivity is around 29.64%.” Recent reports suggest about 7,000 hospitalizations and 19,600 patients requiring self-isolation. To date, roughly 64,347 patients have recovered.

The World Bank Assists

At the beginning of April 2020, the World Bank responded to a request from the government of the Dominican Republic. This agreement released $150 million to provide funds to help manage and contain the spread of COVID-19 in the Dominican Republic. Despite this financial supplementation, the nation’s cases eventually reached a peak in late July, days after declaring a second state of emergency. On August 18, 2020, the government held a conference called “Plan Para Enfrentar la Emergencia del COVID-19” or “The Plan to Deal with the COVID-19 Emergency.”

Here, the Ministry of Public Health announced that they are supplementing an additional 15,000 million pesos (totaling 66,000 from the original 51,000) toward the public health budget for the months of September–December 2020. The goal of this funding is to prevent an increase in contractions while providing sufficient healthcare attention to those already infected. They have also granted 2,000 previously uncovered Dominicans with health insurance. This statement was further elaborated; supporting that, if they test positive, any Dominican will receive the required medical assistance as needed. To track the spread and provide ample medical care, hospitals will perform 7,000 tests daily, instead of the regularly completed 3,000. They also plan to properly equip ten separate laboratories with PCR testing around the country.

More Governmental Initiatives

Additionally, the Ministry of Public Health has hired and trained 1,000 unemployed medical experts to facilitate treatment in hospitals. Also, they are planning to provide a 20% increase in available hospital beds by August 30, 2020. At the conference, president Luis Abinader urged for cooperation among the entire nation. Besides the school closures, mask requirements and level four travel advisory, the strength of the country against the virus depends on the collaboration of all individuals following mandated protocols.

However, the lack of adherence to guidelines has been noted frequently. Namely, in the less affluent communities, many are not following the strict curfews put in place. Instead, this disobedience leads to overcrowding in police stations; eliminating safe social distancing practices.

Oxfam’s Efforts

Oxfam International, a nonprofit organization committed to aiding developing nations in times of humanitarian crisis, has contributed greatly to alleviate the impact of COVID-19 in the Dominican Republic. Their main effort is to grant financial assistance to those that have been temporarily unemployed due to the pandemic. They are prioritizing this aspect of the crisis because 50% of the population has experienced a cut or complete loss of income. Based on donations, they have been able to provide over 4,000 families with money transfers — enabling them to cover the costs of fundamental needs.

Camila Minerva Rodriguez, the Oxfam program director in the Dominican Republic, explains the additional installment of food voucher initiatives. During one day in northern Santo Domingo, she was able to provide 58 families with food vouchers, helping them afford grocery expenses.

In all, Oxfam’s efforts are aiding one specific, yet essential part of the daily struggles faced by Dominicans, caused by the COVID-19 pandemic.

– Samantha Acevedo-Hernandez
Photo: Flickr

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Improving Water Supply in Palestine

Improving Water Supply in Palestine
Water is an extremely important resource in Palestine; yet, its inhabitants struggle to obtain adequate amounts of it to survive. When Palestine and Israel signed the Oslo Accords, Palestinians were to receive a certain degree of water access. However, the population of Palestine has doubled since the Oslo Accords came into play. Despite its growing population, Palestine retains the same amount of water access as in 1995. This is troublesome, considering the Oslo Accords’ purpose was to guarantee Palestinians’ water supply would increase to about 200 million cubic meters by 2000. The current amount of water access the Palestinian people have is simply insufficient. In the face of this dire situation, various international organizations are working on improving the water supply in Palestine.

United States Agency for International Development (USAID)

One organization that has assisted Palestinians for some time now is the international development agency, USAID. Since 1994, the group has been committed to improving Palestinian infrastructure. One of the agency’s key successes in improving water resources in Palestine was the upgrading of water distribution networks. This resulted in access to clean water for about 310,000 people as of 2014.

Since 1994, USAID has drilled or refurbished 17 wells and installed 900 kilometers of water pipelines. In addition to helping residents meet basic human needs, USAID initiatives have improved the state’s economy. In total, the organization’s accessibility efforts have provided 1,300,000 days of employment for Palestinians.

United Nations Development Programme (UNDP)

The United Nations Development Programme has also been improving the water supply in Palestine. One example of the program’s support is in the Palestinian city of Rafah. Here, only 7% of water is utilized for domestic use as defined by the World Health Organization. Fortunately, the UNDP aided these Palestinians by building a 3000-cubic-meter water tank. This water tank has raised the water supply for about 50% of the city’s population. To date, the UNDP has conducted 200 other projects aimed at improving water supply in Palestine.

The UNDP has also initiated its Emergency Water Supply and Rehabilitation Programme. Many of the ongoing improvements have helped people in Rafah. Moreover, the Tel Al Sultan area, near Rafah, has seen boosts in its water supply as well. For example, 75,000 people living in the area have access to a reliable water supply for about 12 hours per day. This stands in stark contrast to previous statistics of half that amount, provided every three days. Another city the Emergency Water Supply and Rehabilitation Programme reaches is Beit Hanoun. About 70,000 Palestinians in this area now have a reliable source of water due to the implementation of two water tanks. Both tanks fairly distribute water from wells throughout the city. Finally, the UNDP has installed 10,000 meters of a new and improved water network that will prevent pipeline contamination.

Hope Flows

While Palestinians still struggle to obtain the water resources that they need, they have received crucial assistance from international organizations like USAID and UNDP. As Palestine continues receiving this beneficial assistance and reaps the subsequent health and economic benefits, there is hope that this state will soon provide clean water to all of its inhabitants.

– Jacob Lee
Photo: Flikr
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Female Leaders in the Pandemic Find Success

Female Leaders in the PandemicIn the months since COVID-19 first emerged in late 2019, the world has experienced many challenges that have led people across countries to experience economic, social and political instability. The pandemic has also exposed another issue: COVID-19 has displayed the strengths of female leaders while highlighting the need for more opportunities for women in the future.

Female-led Countries Perform Better

Around the world, female leaders in the pandemic have been praised for their response to the global crisis.

New Zealand’s prime minister, Jacinda Ardern, has become a stellar example of thoughtful and resourceful leadership in handling COVID-19. Her decision to implement strict lockdown procedures at the beginning of the pandemic saved thousands of lives and the country’s economy. On June 8, months before many other areas, Ardern declared there were no longer any cases of COVID-19 in the country.

Chancellor Angela Merkel has done a significantly better job at controlling the virus in Germany than many of her European neighbors. Even though the virus hit Germany hard, the country “had about a quarter as many deaths as France,” in April.

In Taiwan, Tsai Ing-Wen combated COVID-19 early. By beginning testing in late December, she prevented the virus from getting out of control in its early stages. Praised for her approach to containing the virus, the president now has a 61% approval rating.

Such successes of female leaders in the pandemic are not isolated events. The strength, compassion, thoughtfulness and collaboration that women have shown throughout the pandemic have benefited the health and safety of their countries. Across the world, female-led countries “have suffered six times fewer confirmed deaths from COVID-19 than countries with governments led by men.”

The Strengths of Female Leadership

Women bring specific strengths to the table when it comes to leadership. Women are naturally more inclined to act compassionately and work cooperatively. These characteristics are especially important in the midst of the pandemic. Focusing on collaboration instead of competition is the only way to effectively handle an international crisis. Contact tracing, self-isolation and simply wearing a mask are all altruistic actions that depend on a cooperative response from the public. Leaders must serve as role models by exemplifying those actions.

Humility has also been recognized as a characteristic closely associated with women and is vital to managing the pandemic. Leaders must acknowledge that they cannot eradicate the virus alone and recognize the value of insight from experts like the medical community.

Female Experience and Crisis Management

Female leaders are also, to some degree, free from the expectations grounded in toxic masculinity, including the standard to act aggressively and competitively. This appeal to hyper-masculinity has appeared in some male-led countries during the pandemic. In the United States, for example, by calling himself a wartime president, President Trump has framed the virus as an enemy requiring the same aggression and violence as war. His decision not to wear a mask is an attempt to appear strong and assertive over his enemy. However, this kind of militaristic charisma does intimidate a virus. In contrast, many female leaders have “emphasized compassion and patience, rather than war and victory,” thus taking a more humane approach that prioritizes the health and safety of human lives over a desire to appear ‘tough’.

Women’s life experiences also inform their response to a crisis. Comprising the majority of essential workers and the newly unemployed, women may have a more empathetic response to the pandemic. Women of color “may be more attuned to the disproportionate impact of the virus on marginalized communities than people who have never had to think about marginalization before.”

For female leaders in the pandemic, these experiences bring to light the severity of the situation while fostering compassionate and collaborative solutions to overcome the crisis.

The Girls LEAD Act

The success of female leaders in fighting the pandemic has made one thing clear: women should receive greater political and leadership opportunities. The Borgen Project supports the Girls LEAD Act, which seeks “to strengthen the participation of adolescents, particularly girls, in democracy, human rights, and governance.”

The Act aims to expand opportunities for girls by implementing “activities to increase adolescent girls’ civic and political knowledge and skills and address barriers to political participation.” It also offers “foreign assistance funding for democracy, human rights, and governance programs.”

Female leaders in the pandemic have highlighted the importance of opening opportunities for women through legislation such as the Girls LEAD Act. Women’s ability to participate in politics and access leadership roles is not only of pivotal importance for gender equality but also imperative to the health and safety of our world.

– Jessica Blatt
Photo: Wikimedia

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How Traditional Healers in Africa Help Fight COVID-19

traditional healers in africaTraditional medicine, while not as popular or widely accepted as Western medicines, is a vital part of African communities. Traditional healers in Africa are more accessible, affordable and culturally and spiritually relevant for many African people. This contributes heavily to their popularity, and it also enables them to play a role in helping respond to COVID-19.

What Is Traditional Medicine?

The World Health Organization describes traditional medicine as a practice or skill resulting from cultural beliefs and ideologies. Similar to Western medicine, traditional medicine prevents and treats physical and mental illnesses; however, traditional medicine usually uses herbs, plants or even spiritual therapies.

While traditional medicine may seem ineffective and useless to some, it is the main source of medicine for many. Due to its convenience and affordability, over 70% of Africans use herbal treatments. Given that one third of the African population does not have access to essential medicines, traditional medicine plays a central role in their health. A study in 2011 illustrated the accessibility of traditional practitioners. While most medical doctors practice in urban areas, rural areas are less fortunate. For this reason, many people rely on traditional health providers and their medications. These three countries reveal a large gap between how many traditional healers and doctors are available in a community:

  • Zimbabwe: There is one traditional practitioner for every 600 people, while there is one medical doctor for every 6,250 people.
  • Ghana: There is one traditional practitioner for every 200 people, while there is one medical doctor for every 20,000 people.
  • Mozambique: There is one traditional practitioner for every 200 people, while there is one medical doctor for every 50,000 people.

Affordable and Culturally Relevant Medicine

Not only are traditional healers in Africa more accessible, they also have affordable medicines that don’t always require payment upfront. A study conducted by the WHO in 36 middle- and low-income countries revealed that medications were too expensive for a large majority of the population. Similarly, a study on healthcare in Zimbabwe reported that traditional healers are usually the main source of care for poor communities because they have no other options.

Furthermore, traditional healers in Africa and their medicines are widely accepted by African people and culture. Even if people can afford Western medicine, then, many prefer traditional medicines. For example, some healers say that they can channel the ancestral spirit through their patients’ bodies. This is one service that professional doctors cannot provide.

How Traditional Healers in Africa Help with COVID-19

While traditional healers in Africa provide many benefits to African communities, health officials strongly advise against the use of untested traditional medicine to treat COVID-19. The WHO encourages people to wait until medicines have been tested and investigated before consuming them. In South Africa, traditional healers have been advised to refer patients experiencing COVID-19 symptoms to a higher level of care. However, the role of traditional healers during the pandemic is not limited to referrals. Here are eight jobs traditional healers in Africa perform:

  1. Referring patients to correct and suitable levels of care
  2. Educating the public to combat the spread of false information regarding COVID-19
  3. Teaching about prevention methods
  4. Helping to spread public health messages
  5. Informing people about the necessities of personal hygiene
  6. Providing counseling services
  7. Postponing large gatherings
  8. Working with the Department of Health to aid screening and messaging

Health Officials and Traditional Healers: Better Together

To effectively combat COVID-19, experts believe that health officials and the government need to work with traditional healers and not against them. Because traditional healers live in the same community as many of their patients, they have the advantage of possessing important relationships with them. Patients may therefore disregard the advice of a doctor and trust a traditional healer instead. This points to the necessity for cooperation between healers and doctors.

An example of this cooperation comes from Tanzania, where scientists are working with herbalists to help with HIV/AIDS symptoms. Some of the herbs the group is testing are known for strengthening the immune system and increasing appetites. While the team recognizes that herbal remedies won’t cure HIV, they can lessen patients’ symptoms.

With regard to COVID-19, the WHO, which accepts both traditional and alternative medicine, is doing similar tests. For example, it is currently testing plants like Artemisia annua to see if they could possibly aid in the fight against COVID-19. If more scientists, governments and health officials can work with traditional healers like this, all of their patients and communities stand to benefit.

– Sophie Dan
Photo: Flickr

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Flattening the Curve: Covid-19 Crisis in Prisons

Covid-19 crisis in prisons
There are currently an estimated 11 million people either incarcerated or in custody, around the world. In prisons and jails, overcrowding and inadequate sanitation during the Covid-19 crisis have exacerbated these preexisting problems. Professional health physicians and Human Rights Watch advocates explain that “prisoners share toilets, bathrooms, sinks and dining halls”. Also, sometimes prisoners lack access to running water. These inadequacies reflect the (at times) — dismal quality of life that incarcerated people experience, globally.

Overcrowding Effects

Overcrowding and unclean living conditions during the Covid-19 pandemic have exacerbated the immense violations of human rights in prisons and jails. Haiti, the Democratic Republic of the Congo and the Philippines’ prisons are currently at 450%, 432% and 537% capacity, respectively. Overcrowding allows Covid-19 to spread much more easily through prisons. Furthermore, it makes single rooms unavailable for both sick and healthy inmates. With the current state of affairs, physical distancing is simply not an option. The United Nations Standard Minimum Rules for the Treatment of Prisoners expects incarcerated people infected with Covid-19 to receive medical attention in line with the WHO guidelines. Overcrowding hinders the fair treatment of incarcerated people — especially considering that prisoners are not typically afforded sufficient care from doctors during pre-pandemic times (let alone amid a pandemic).

Prisoners and Human Rights

Prisoners deserve basic human rights, access to healthcare and safe public health. UNAIDS, the WHO and the UNHCR are all calling for a mass release of prisoners — from a public safety standpoint. The release of incarcerated people who qualify as high-risk for Covid-19 (e.g., the elderly, mothers with children or who are breastfeeding, pregnant women and non-violent offenders) reduces health risks. These risks would otherwise remain unaddressed within prisons and jails (given their resources). Winnie Byanyima, Executive Director of UNAIDS calls it [the Covid-19 crisis] an “unprecedented global emergency” and recognizes the dire need to defend the human rights of incarcerated people, worldwide.

Solitary Confinement during Covid-19

Solitary confinement is typically a severe punishment for inmates. However, the U.S. has mandated the practice for infected inmates in response to the Covid-19 crisis in prisons. Before the Covid-19, 60,000 inmates were in solitary confinement in federal prisons — whereas now there are 300,000. This practice has proven to be a disincentive for inmates to come forward as sick, even if they are knowingly infected with Covid-19.

Practical Solutions to the Problem

More practical and effective solutions to the Covid-19 crisis in prisons and jails include thorough testing and screening for the virus, to stay ahead of the spread. Another solution — comprehensive safety practices of employees who travel in and out of the facilities, daily. Still, there is too much overcrowding and simultaneously, too many at-risk populations in prisons and jails. These facilities cannot properly preserve the human rights and well-being of inmates during the current pandemic. Non-violent offenders, pregnant and/or breastfeeding women, people who are detained because they cannot afford bail, elderly people and those with misdemeanors are all examples of groups that could be safely released.

An Expert Outlook

UNAIDS, the U.N., the Prison Policy Initiative, the WHO and numerous other organizations tracking the health and safety of incarcerated people insist that the true solution to the Covid-19 crisis in prisons is to eliminate overcrowding. Therefore, the solution to overcrowding in prisons may well be to release large amounts of qualifying incarcerated people. This may hold true in particular, amid a global pandemic.

– Nye Day
Photo: Pixbay

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Will the COVID-19 Vaccine Be Distributed Equally Worldwide?

COVID-19 Vaccine
The World Health Organization (WHO) is making plans for how a life-saving COVID-19 vaccine could be distributed around the globe.

COVID-19 Vaccine Distribution

There are concerns about countries “hoarding” stores of vaccines for their own citizens. The countries that have the most money on hand will have the ability to buy a larger portion of available vaccines for citizens. While global leaders have come together to pledge $2 billion towards the creation of a vaccine, there is currently no formal worldwide plan to successfully manage the future COVID-19 vaccine and its distribution.

The public-private partnership that lead to this $2 billion pledge, Gavi, focuses on increasing childhood vaccinations in underdeveloped countries. It has support from WHO, UNICEF and the Bill and Melinda Gates Foundation. Bill Gates himself has promised $1.6 million towards Gavi, along with $100 million to help countries that will need aid to purchase COVID-19 vaccines.

U.S. Involvement and WHO

The U.S. government has decided to stay out of the recent Gavi-organized funding pledge. The country has also pulled monetary support from WHO. In the past, the U.S. has been a large supporter of the creation of the HPV and pneumococcal vaccines, which has left many experts confused by the recent moves of the U.S. to disassociate itself from the larger global race towards a COVID-19 vaccine.

Beyond hoarding concerns, there are always issues surrounding legal and sharing agreements between countries, quality control, civil uprising and unrest and natural disasters when it comes to vaccine distribution.

A recent example of how the world dealt with vaccine distribution during a pandemic is the 2009-2010 H1N1 swine flu pandemic. With the money they had, wealthier countries purchased most of the vaccine available through early orders, leaving developing countries to scramble for leftover vaccine stores. Eyjafjallajökul’s eruption in Iceland in April of 2010 also created vaccine shipping delays. Many countries, such as the U.S., Australia and Canada would not let vaccine manufacturers ship vaccines outside of their countries without fulfilling their people’s needs first.

Going Forward

To create a successful global vaccination program requires the cooperation from all countries involved, not just a few. Many may die without the equitable sharing of vaccines as this pandemic will flourish in underdeveloped nations. It may be seen by the rest of the global community as selfish to not try and help other countries in their fight against the virus.

Even after a vaccine is created, different strains of COVID-19 could easily return to Australian, Canadian or American shores, wreaking havoc all over again. While there are efforts being made to prevent distribution issues with the future vaccine, without the help of the United States,—one of the wealthiest countries on Earth—it may be long before a COVID-19 vaccine is fairly distributed.

– Tara Suter
Photo: Flickr

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Mental Illness Issues in Ethiopia

Mental Illness in EthiopiaEthiopia is the second most populated country in Africa, with a population of over 100 million. With such a large population comes a prevalence of poverty as well as disease. In an estimate from 2014, around 30% of Ethiopia’s population was below the poverty line. According to statistics from this year, Ethiopia also makes it onto the list of the world’s poorest countries, ranking 7th poorest in the world in both GDP growth and GDP per capita. Along with this poverty comes a myriad of diseases. The top four causes of death in Ethiopia are, in order, neonatal diseases, diarrheal diseases, lower respiratory infections and tuberculosis. While these diseases are quite well-known, Ethiopia is also plagued by another type of disease: mental illness. Mental illness in Ethiopia may not be as recognized as the other diseases that plague Ethiopian citizens but mental illness can impact overall general health and the ability to provide for one’s family.

A Troubled Past

Despite the fact that an estimated 15% of Ethiopians suffer from mental illness and substance abuse disorders, for decades almost nothing was done to address or treat these issues. In the 1980s, there was only one psychiatric hospital in the entire country and such an insignificant number of psychiatrists, that it was almost impossible to find treatment. Moreover, the psychiatrists who did practice at the time were often not interested in developing new research and treatment techniques. Because of this, most cases of mental illness went untreated, leaving mental health sufferers to face both isolation and discrimination.

A Passionate Doctor

When Dr. Atalay Alem started his medical work, there was only one psychiatric hospital in the country. After his decades of work, spanning from the 1980s until modern day, his efforts to improve the psychiatric treatment of Ethiopians have had a massive payoff. He started as a medical doctor before receiving his degree in psychiatry. After that, he became a psychiatric professor at Addis Ababa University, where his research and his passion for better mental health services were instrumental in the expansion of Ethiopia’s mental health care. Alem was also a key founder of the graduate psychiatry program at Addis Ababa University, giving more Ethiopians a chance to make a difference in the field. Today, there are almost 90 psychiatrists practicing in Ethiopia. Apart from these psychiatrists, there are hundreds of psychiatric nurses as well. These nurses are part of what has made such widespread psychiatric care possible and their presence has aided in the addition of mental health services at most Ethiopian hospitals. For his efforts, Alem was awarded the Harvard Award in Psychiatric Epidemiology and Biostatistics in 2019.

A Positive Future

Though Ethiopia has a total of under 100 psychiatrists, the current number is a great improvement from just a few decades ago. Moreover, with the help of Alem and other passionate psychiatrists, research efforts continue to grow. Alem is currently working on a study that looks at the way severe mental illness impacts rural Ethiopian communities in order to evaluate how to improve treatment and maximize impact. The Ethiopian government is also invested in improving the diagnosis and treatment of mental illness. The government, starting seven years ago, created a mental health strategy to aid the country’s mentally ill and allocated government funds to the overall improvement of mental healthcare. These funds have gone toward improving health services, such as more adequate healthcare training and increased access to psychiatric medications. Part of the reason Ethiopia’s mental health treatment has improved so much is due to the partnership between the Ethiopian government and the World Health Organization. WHO was absolutely key in providing guidelines for how to implement these new mental health care strategies.

Though progress always takes time, with the help of doctors like Alem and partnerships with organizations like WHO, Ethiopian mental health care has better days ahead.

– Lucia Kenig-Ziesler
Photo: Flickr