Information and stories about malaria.

The theme of this year’s World Health Day, held annually on April 7th, was to promote the awareness of vector-borne diseases. Vector-borne diseases are transmitted through the bites of infected mosquitoes, flies, ticks and water snails, among other disease-carrying pests.

This year the World Health Organization (WHO) promoted the slogan “small bite, big threat,” in the hopes that they would be able to increase awareness on how people across the globe can protect themselves and their families from these pests and the viruses that they may transmit.

Vector-borne diseases have radically increased in the past few decades, aided by an increase in urbanization, international travel and environmental changes.

More than one billion people each year are affected by these diseases, which include malaria, dengue fever, Lyme disease, schistosomiasis and yellow fever.

Efforts to control the spread of these diseases have included the distribution of bed nets and insecticides, the use of body repellents and protective clothing, and the push for clean water and adequate sanitation.

WHO Director-General, Dr. Margaret Chan, noted, “A global health agenda that gives higher priority to vector control could save many lives and avert much suffering. No one in the 21st century should die from the bite of a mosquito, a sand fly, a blackfly or a tick.”

The focus this year is on dengue fever, which is currently the most rapidly spreading vector-borne disease in the world.

Dengue fever, also known as “breakbone fever” due to its symptoms, is a severe flu-like disease marked by vomiting, bleeding, body aches and difficult breathing. There is no known vaccine or cure available.

During the past 50 years, dengue fever has spread rapidly to more than 100 countries. Prior to 1960, dengue had seen some 15,000 cases, whereas now over 380 million cases of dengue fever persist.

The U.S. Centers for Disease Control and Prevention (CDC) is currently working on a vaccine for dengue fever in partnership with a company specializing in vaccine development, Inviragen. They have gone through clinical trials in a number of countries including Singapore, Colombia, Thailand and Puerto Rico, and analysis of those findings is still underway.

The International Federation of Red Cross and Red Crescent Societies is campaigning alongside the WHO to address this growing concern.

Previous programs to curb the spread of vector-borne diseases have proven successful, for example, the United States’ effort to combat malaria.

Malaria is the most deadly of vector-borne diseases, killing 1.2 million people every year. Multiple campaigns have been launched to prevent the spread of this disease, including the President’s Malaria Initiative (PMI) and the Global Fund to Fight HIV/AIDS, Tuberculosis and Malaria. PMI has distributed more than 120 million bed nets since 2006, as well as delivered more than 135 million doses of combination drug therapy.

These success stories provide hope for current efforts to control other vector-borne diseases such as dengue fever and schistosomiasis.

– Mollie O’Brien

Sources: Mission of the United States, Voice of America

It is not uncommon for people to spend a lot of money on their appearance: make-up, monthly haircuts, manicures and pedicures, and sometimes extremes such as cosmetic surgery. Feeling well groomed in a world where appearance is frequently judged gives us a boost of confidence.

The most recent trend is teeth whitening, which comes in many forms. Celebrities constantly flaunt their pearly whites and it is no surprise that people are willing to spend extra money on products that promise them flawless, blinding white teeth. But is the cost really worth it when the same money could be better spent on causes that make a global difference?

The popular cosmetic service varies from whitening strips to whitening toothpastes to receiving professional bleaching at a dentist’s office.

Here is a cost comparison looking at how money spent on whitening products could provide mosquito nets for children fighting against the risk of malaria.

Crest Whitestrips, one of the most popular brands, range in price from $21 to $65 depending on the number of strips and the length of time one is supposed to wear the strips for. The most common version is the $30 pack, which can last people at least two months. After a year an individual can spend about $180 on whitening strips. The product claims it can whiten teeth just as effectively as a dentist’s professional whitening.

Lately most brands that carry average toothpaste and mouthwash also carry versions of those toothpastes and mouthwashes in whitening versions, ranging from Colgate and Crest to Sensodyne. These toothpastes and mouthwashes, although less costly than whitestrips or professional whitening, do usually cost more than the average product. They range from $5 to about $20 per item and do not necessarily produce the desired result. Depending on how much you pay and when you replace your toothpaste or mouthwash, the average person brushing twice daily can spend upwards of $30 to $120 dollars annually.

There are two versions of professional teeth whitening: Custom Bleaching Trays and Laser Teeth Whitening. Teeth Whitening Trays can cost anywhere between $150 to $1,500 per treatment, and Laser Teeth Whitening can cost a very expensive $500 to $2,500 per session. These treatments can take many different sessions in order to get the desired results.

Project Mosquito Net is a non-profit whose mission is to raise enough money to provide “insecticide treated bed nets to children and pregnant mothers in Kenya to prevent malaria infections and deaths.” One child is estimated to die every 30 seconds from malaria.

A mosquito net only costs $5 each, meaning that the average cost of a whitening toothpaste could provide one child or a pregnant woman with a net that could save their lives. If ten people donated the cost of one Laser Teeth Whitening session 1,000 children would be protected against deadly malaria.

Theoretically if 10 people donated their annual spending on $30 Crest Whitestrips, 360 nets would be able to be provided to children in Kenya. This puts into perspective how many lives could be changed if just a few people decided to help others instead of treating themselves.

Next time you purchase a whitening toothpaste, a box of Crest Whitestrips, or an expensive laser treatment, think about helping a young child or a pregnant woman in Kenya by providing them with protection against disease. You just might save a life.

– Becka Felcon

Sources: Dentistry for Madison, Smile Sensation, NBC News, Project Mosquito Net
Photo: Healthy Palm

malaria
A recent study published by the Lancet Medical Journal is exposing some interesting finds regarding malaria prevalence in Africa. The study, aimed at examining the impact of control initiatives on vulnerable populations, is a collaboration between researchers from Oxford University, the Kenya Medical Research Institute and the World Health Organization (WHO).

The researchers analyzed data from 26,746 community-based surveys of parasite prevalence since 1980. The data gathered came from 44 African countries where the disease remains endemic.

The study has yielded a mixed bag of results. On a positive note, 40 countries have seen reduction in malaria prevalence among children between 2000 and 2010; the number of people living in high transmission areas has dropped by 16%. A number of countries, including Cape Verde, Eritrea, South Africa and Ethiopia, have experienced transmission rates low enough to indicate possible elimination of the disease.

However, despite this positive feedback, researchers say that there is cause for concern.

The study also indicated that the number of people living in areas of moderate to high-risk of infection has increased by 57%, from 178.6 million to 280.1 million. Researchers have attributed part of this increase to rapid population growth, which could be dampening malaria control efforts. Included among the countries with the highest malaria prevalence figures are Uganda and the Democratic Republic of the Congo.

Out of those living in areas of moderate to high-risk of infection, 87.1% live in just 10 countries. Unfortunately, three of these countries are not included in the WHO Malaria Situation Room, an initiative that provides support to the ten African countries with the highest malaria burden.

These statistics prove that despite some success, more can be done.

In recent years, international aid organizations have ramped up efforts to control malaria. For instance, in 2000, investment in worldwide malaria control stood just short of $100 million. In 2013, this investment had almost reached the $3 billion mark. With this amount of money, the world should be seeing nothing short of progress.

Commenting on the study, Dr. Abdisalan Mohamed Noor of the Kenya Medical Research Institute-Welcome Trust Research Program notes, “In a period of global economic recession, these results emphasize the need for continued support for malaria control, not only to sustain the gains that have been made, but also to accelerate the reduction in transmission intensity where it still remains high.” Professor Brian Greenwood of the London School of Hygiene and Tropical Medicine agrees, noting that the reductions in malaria transmission “have only been modest.”

Impeding progress in malaria control efforts include the growing resistance to pesticides among mosquitoes, as well as the drug resistance occurring among the population.

Future efforts need to focus on supporting the development of new methods of control, as well as expanding access to drugs, insecticides and vaccines.

– Mollie O’Brien

Sources: Medical News Today, BBC, The Verge
Photo: NPR

Malaria 101 and Key Facts
Malaria is caused by the parasite called Plasmodium and is transmitted through four different types of mosquitoes. It occurs in tropical and sub-tropical areas, though it is most common in the African Region. Malaria causes high fever, chills and other flu-like symptoms. Plus, if left untreated, this parasitic disease can cause death. Many global health and humanitarian aid organizations are focused on fighting malaria in developing countries while significant scientific research investigations into possible cures for this parasitic disease are also being done.

The World Health Organization (WHO) reports that in 2012, there were 217 million malaria cases and  627, 000 malaria related  deaths, mostly in African children. In fact, one child dies every minute from this disease in the African continent.


Where is Malaria Found?

Malaria is found in tropical and sub-tropical regions where there are warm temperatures, high humidity and lots of rainfall. In order for malaria to occur, the climate must be one in which anopheles mosquitoes can survive and multiply. The Plasmodium parasite must also be able to complete their life cycle inside the mosquitoes.

For example, the most severe strain of malaria cannot be transmitted in temperatures under 68 degrees Fahrenheit because the parasites themselves cannot complete their life cycle inside the mosquitoes. The warmest climates close to the equator thus have the highest rates of malaria transmission. In effect, this parasitic disease occurs year-round in endemic levels within sub-Saharan Africa, New Guinea and South America.


How is Malaria Spread?

Malaria is typically spread through the female anopheles mosquitoes. This particular mosquito is a “dusk-to-dawn” mosquito, meaning it only comes out at night, which is why people in warm climates are encouraged to use sleeping nets. When the mosquito bites someone already infected with malaria and ingests their blood, the parasite is taken in as well, developing inside them and infecting their saliva. Once the parasite has completed a full life-cycle within the mosquito, the disease will be spread to the subsequent humans bitten by the mosquito.


What are the Symptoms of Malaria?

Symptoms can range from mild flu-like symptoms to severe disease and death. However, if this parasitic disease is caught and treated effectively and promptly, it is usually not severe.  Malaria is split into two categories, complicated and uncomplicated. Symptoms of uncomplicated malaria include fever, chills, sweating, headaches, body aches, nausea and vomiting as well as fatigue. In countries where malaria is not common malaria is, in fact, often misdiagnosed as influenza.

Complicated malaria occurs when the organs, blood or the metabolic system are impaired. This can cause severe anemia, acute respiratory distress, low blood pressure, acute kidney failure or cerebral malaria which then causes abnormal behavior, seizures and loss of consciousness.


How is Malaria Treated?

The WHO recommends all suspected malaria cases be tested using parasite diagnostic testing. The most common treatment for malaria is the artemisinin-based combination therapy (ACT); however, resistance to antimalarial drugs is a recurring problem. Furthermore, access to testing and drugs often does not reach the poor communities where this parasitic disease is more prominent.


Who is Vulnerable?

People with delicate immune systems are the most vulnerable to malaria; this includes young children, pregnant women and people infected with HIV. International travelers traveling to warm climates are also particularly susceptible, as are the friends, family, neighbors and co-workers of people who immigrate from countries where malaria is endemic.

Elizabeth Brown

Sources: CDC, Public Health Agency of Canada, World Health Organization
Photo: Global Biodefense

mosquito
The early December release of the World Health Organization’s (WHO) World Malaria Report showed significant progress in the battle against malaria. The report announced a 51 percent reduction in the malaria death rate of children under 5 years old, and the number of children dying from preventable and treatable disease fell below half a million for the first time.

As one component of the UN’s Millennium Development Goals, halting and reversing the incidence of malaria has been at the forefront of many global health initiatives — and, for a good reason.

This deadly disease threatens 3.4 billion people, disproportionately burdening children and African countries. The most common age of malarial death is just 4 years of age; sub-Saharan Africa seeing approximately 90 percent of clinical cases. Although, these two populations are the most vulnerable, combatting the disease has truly been a global effort. The WHO’s report also indicated that since 2000, “the progress made against malaria is responsible for a 20 percent reduction in child mortality and has saved nearly 3 million lives of children under 5.”

This treatable and preventable disease is costly. It is one of the biggest obstacles to ending death by saving lives through improving health, especially when many malaria-prone areas are already low on the ladder of development.

Lack of resources and finances deters people from getting tests and treatment, which ultimately results in death and hinderance of human potential that is very important in the developing world. Although malaria is endemic in more than 90 countries, it marks the number one cause of school and work days missed in sub-Saharan Africa, putting a strain on economies.

The fight to end death by mosquito bite has been a cumulative effort. Millions of people, billions of dollars and many large organizations have been taking flight. The Global Fund to Fight AIDS, Tuberculosis, and Malaria was started in 2002, as well as the U.S. President’s Malaria in 2005 under President Bush.

Recently, President Barak Obama has accelerated Bush’s initiative, committing $1 to the Global Fund for every $2 contributed by the rest of the world. These are important investments not only for saving lives, but for improving development. Giving children the opportunity to live healthy lives is just as crucial as keeping them in school in order to promote productivity and development.

– Maris Brummel

Sources: CNN, United Nations Millennium Development Goals, John Hopkins Malaria Research Institute
Photo: Giphy.com

malaria_net
What is Malaria?

Malaria is a life-threatening blood disease caused by a parasite known as plasmodium. This parasite is transmitted to human by the anopheles mosquito. An infected person of this disease shows signs of dizziness, loss of appetite, anemic, high fevers, dehydration and loss of body weight.

The History of Malaria: The word malaria comes from the 18th century Italian “mala” meaning “bad” and “aria” meaning “air”. Most likely the term was first used by Dr. Francisco Torti in Italy, where people thought the disease was caused by foul air in marshy areas. It was not until the 1880’s that scientists discovered that malaria was a parasitic disease.

The Socioeconomic Effect of Malaria: Malaria kills a child somewhere in the world every minute; it infects approximately 219 million people each year with an estimated 660,000 deaths mostly being children in Africa. Ninety percent of malaria death occurs in Africa. It is one of the most dreadful diseases reducing the populace on the large scale. The sickness also contributed greatly to anemia among children-a major cause of poor growth and development.

Malaria also has some serious economic impact in Africa, slowing economic growth and development and perpetuating the vicious cycle of poverty. Malaria is truly a disease of poverty afflicting primarily the poor who tend to live in malaria-prone rural areas. Nevertheless, the rich cannot be left out with the infection of this sickness.

Prevention and Control: Malaria, many say, is no respecter of person. Irrespective of one’s social status, malaria can indeed infect many people.  It is in this light that people must take precautionary measures to protect themselves, family and friends from this dreadful sickness. Those living in malaria prone regions like Ghana should make sure they follow certain precautions, some of which are as follows:

  • The use of effective mosquito repellent cream.
  • Cover legs and wear long sleeves at night.
  • Ensure windows and doors are screened to avoid mosquitos from entering rooms.
  • The use of treated mosquito bed nets whiles sleeping.
  • Spraying homes and surrounding with insecticides.
  • Clear shrubs, stagnant waters and weed surroundings of areas that help the breeding of mosquito.

Get Involved in the Fight Against Malaria: It is high time all stakeholders globally, be it governments agencies, health institutions, policy makers, developmental agencies and individuals, get involved in the fight against Malaria. Government and other developmental agencies should formulate realistic policies, carry them out, monitor the progress of these implementations and evaluate their final outcomes.

These programs, in effect, when implemented, will help the fight against malaria and help improve the living conditions of the rural poor. Just as the adage goes, “brighten the corner where you are” the individual cannot be left out in the fight as well. Gutters or drains and the environment need to be free from the breeding of mosquitoes and as such, the onus also lies on us as individuals to practice personal and community hygiene. People should not wait for government agencies and other non-governmental organizations to help clean their environments; they must take responsibility of their actions and outcomes and ensure they genuinely support the fight against poverty through the prevention and control of malaria.

William Annang

Sources: UNICEF, Medical News Today
Photo: The Guardian

nothing_but_nets
Although malaria prevention has long been a focus of the United Nations Foundation, it was an article in Sports Illustrated that spurred the creation of its successful Nothing but Nets program, now the world’s largest grassroots campaign to end malaria.

In 2006, Rick Reilly wrote a column that challenged readers of the popular sports magazine to donate at least ten dollars to the United Nations Foundation to cover the purchase, distribution, and education costs of a life-saving malaria bed net. The response to this simple call to action was huge, and Nothing but Nets was born.

Nothing but Nets is a program that focuses on distributing long-lasting, insecticide-treated bed nets to save lives in sub-Saharan Africa, where 90 percent of all malaria deaths occur. The number of people affected by this preventable disease is truly staggering—every second, there are ten new cases of malaria. Every 60 seconds, a child in Africa dies from the disease. The disease disproportionately affects those who cannot afford treatment and those who have limited access to health care.

In addition to the costs to human health, malaria is responsible for about $12 billion annually in lost productivity in Africa. The disease increases school and work absenteeism, decreases tourism, inhibits foreign investment, and affects crop production. Malaria is a costly disease that accounts for up to 40% of public health expenditures, 30-50% of inpatient hospital admissions, up to 60% of outpatient health clinic visits.

Malaria, though devastating and deadly, is a highly preventable disease—the UN found that in high coverage areas, the disease can be reduced by 90 percent—with simple solutions. And, as reflected in the World Health Organization’s 2012 World Malaria report, those solutions are working. A few years ago, malaria was the number one cause of death among African refugees. Nothing but Nets worked closely with the UN Refugee Agency (UNHCR) to distribute more than a million nets to this group. Now, malaria is the fifth leading cause of death among African refugees. Since 2006, Nothing but Nets has raised $45 million and distributed more than seven million bed nets to families in need. While these statistics reflect huge progress, there is still much more to be done.

The good news is, it is easy to get involved and start saving lives. Nothing but Nets is unique in that it provides the opportunity for anyone with ten dollars—from CEOs to students—a chance to join “Team Bzzzkill” and make a huge difference. This simple, straightforward approach has won the support of many individuals and organizations, ranging from NBA Cares and The People of the United Methodist Church, to Bill and Melinda Gates, to famous athletes and rock bands. Thousands have stepped up to Reilly’s challenge to donate a net and save a life. Will you?

Visit www.nothingbutnets.net to learn more and donate a net to save a life.

Sarah Morrison
Sources: Nothing But Nets, Sports Illustrated

BIll_Gates_Loves_Fertilizer
In an interview with CBS’ Charlie Rose, Microsoft co-founder Bill Gates discussed the importance of innovation in agriculture. At first, Rose and Gates discussed Gates’ annual letter, including a call to the United States and other developed countries to further agricultural research. However, the conversation took an unexpected turn to a related topic that Gates finds fascinating: fertilizer.

Developing nations continue to face food shortages due to many causes, including climate change. Demand for food is constantly rising and the price of food is increasing as a result. Gates believes that the problems surrounding food-production goals can be alleviated if more investment is made in agricultural research, which includes research in fertilizer.

Fertilizers improve the growth of plants, and are made up of substances consisting of chemical elements such as manure. Fertilizers provide crops with the essential nutrients they need to fight off pests, disease, and the elements. However, insects and disease are only one issue that affects crops. Another major concern for crop sustainability is soil condition, which is drastically affected by changing weather. Fertilizers enhance the soil by allowing the soil to hold more water and nutrients, where forces like rain and wind would usually create unstable soil not suitable for sustained growth.

It appears that Gates’ fascination with fertilizer has developed since his interview with Charlie Rose. On November 12, 2013, Gates wrote an essay that appeared on wired.com saying, “I am a little obsessed with fertilizer. I mean I’m fascinated with its role, not with using it.” Fertilizer plays an important role in the lives of people all over the world. Specifically, 40% of the world benefits from crop output that fertilizer has made possible. Gates compares the innovative development of fertilizer to the creation of synthetic ammonia and polio vaccines.

One of the ways that the Bill & Melinda Gates Foundation has advanced research in fertilizer is through supporting a joint project by the Swiss Aquatic Research Institute and the South African Water Utility. The project involves developing urine from conventional sewer-based sanitation and central wastewater treatment systems as a commercial fertilizer and is set to be complete by 2014.

– Daren Gottlieb
Sources: EAWAG, Wired, Southwest Farm Press, The Green Book
Photo: BBC

Global Health Accomplishments WHO
Global health has a huge impact with poverty. In many poverty-stricken areas, a lack of proper health equipment and the spread of diseases is a major function in the poverty trap. These countries rarely have the bare minimum to handle widespread disease and other health complications, making it hard truly to combat a global health issue. Despite these bleak conditions, there have been impressive global health accomplishments. The work and time put in by programs such as United States Agency for International Development (USAID) and Centers for Disease Control and Prevention (CDC) have made these ten necessary improvements for impoverished areas.

Global health has improved by leaps and bounds over the past decade. Many different factors have caused this great revolution of health, but ten specific reasons can be credited with carrying the weight. Without improvement in these specific areas by programs like USAID and the CDC, many of the great advancements seen today in global health would have never had the funds to be reached.

 

Factors Contributing to Global Health Accomplishments

 

In many areas with great health risks; immunizations and vaccines are not made readily available. Without these treatments, many people are often infected by disease that could otherwise be avoided or contained with the assistance of vaccination and immunization. First, USAID immunization programs have provided the funds to treat up to three million impoverished people per year.

Many nations struggle with health issues because of water deprivation. Second, USAID introduced oral hydration therapy to these areas, in hopes it would counteract dehydration problems. As of today, the oral hydration therapy has been successful in areas all around the globe, with tens of millions of people being properly nourished through the low-cost program yearly.

Thirdly,  not only is the oral hydration therapy combatting worldwide dehydration, USAID has partnered with The United Nations Drinking Water Supply to help some 1.3 billion people receive proper water nourishment sources.

Sanitary water is a vital piece to figuring out the poverty puzzle, but the eradication of poverty begins with the young people. Fourth, the average number of children per family in impoverished nations has dropped from 6.1 in the mid-1960s to 4.2 today. In addition, infant and child deaths have decreased by 50 percent in these impoverished areas.

Fifth, USAID child survival programs have made a 10 percent child mortality rate reduction in just the past eight years. Not only has the number of children’s lives saved risen, but life expectancy has improved by 33 percent in these nations.

The decrease of major diseases worldwide is a major improvement made possible by USAID, CDC, and similar programs worldwide. Sixth, Smallpox has been eradicated, and now only exists in laboratories. Seventh, USAID has accounted for thirty-two HIV/AIDS prevention programs throughout the world.

Eighth, over 850,000 people have been reached by the HIV program, and (ninth) another 40,000 people have been trained to treat the virus. Lastly, programs like the CDC have been responsible for the diminishing malaria cases, from 2004 (2.1 million cases) to 2009 (1.8 million cases).

By combatting major poverty causing issues such as disease epidemics, unsanitary water, and child mortality rates, programs such as USAID and the CDC have been instrumental in causing the turnaround of world poverty. With the continued support from these programs, the world’s impoverished people can be assured of better conditions outside of these ten beneficial starts.

 

10 Key Global Health Accomplishments

 

1. USAID immunizations and vaccines have provided funds to treat up to three million impoverished people per year.

2. Introduction of oral hydration therapy in impoverished areas.

3. Supplied roughly 1.3 billion people proper nourishment sources.

4. Average number of children per impoverished family has dropped from 6.1 to 4.2.

5. 10 percent child mortality rate reduction.

6. Smallpox only exists in laboratories.

7. USAID has 32 HIV/AIDS programs throughout the world.

8. 850,000+ people have been reached by the HIV program.

9. 40,000 have been trained to treat HIV.

10. Diminishing malaria cases, from 2.1 million to 1.8 million over a five year period.

– Zachary Wright

Sources:  USAIDCDC

Photo: USAID

tuberculosis_vaccine
Today, scientists have new hope of controlling and ending tuberculosis. McAster University Researchers have recently come across a vaccine against tuberculosis. According to Dr. Fiona Smalil, professor and chair of the Department of Pathology and Molecular Medicine at McAster University, the research team is “the first to develop such a vaccine for tuberculosis.”

The McAster University researchers have also explained that the new tuberculosis vaccine would “stop the spread of this highly contagious illness.”

Moreover, the vaccine would provide a more positive response in developing nations. The vaccine could save millions of lives. According to pubmed.gov, tuberculosis is out of control in developing countries. It is killing millions of people every year.

Researchers have emphasized that “In these areas, the present vaccine–Mycobacterium bovis bacillus Calmette-Guérin (BCG)–is failing.” As a result, the McAster University team hopes to create a better quality vaccine in order to reduce the number of deaths caused by tuberculosis each year.

The new vaccine was developed to act as a booster to BCG. BCG is the only TB vaccine available. Developed in the 1920s BCG has been used worldwide. Currently, the BCG vaccine is part of the World Health Organization’s immunization program in Asia, Africa, Eastern Europe, South America, and Nunavut. In order to create a better vaccine, McAster researchers decided to hold a 10 year test program.

According to Dr. Smalil, McMaster researchers began the first human clinical trial in 2009, which included 24 healthy human volunteers and 12 who were previously BCG-immunized. Researchers have found that the trials have been widely successful.

By 2012 they established that the vaccine was safe, and observed a strong immune response in most trial participants. As a result, Tuberculosis could be controlled and eliminated by 2020.

– Stephanie Olaya

Sources: Science Daily, Inquisitr
Photo: The Guardian