Information and stories about malaria.

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Dams and Malaria: How They are Linked

Dams and Malaria
Despite the fact that malaria transmission rates have decreased by more than 40 percent since 2000, the morbid disease still affects a large number of people on the African continent. According to WHO, an estimated 219 million cases of malaria occurred in 2017 and a disproportionate 92 percent of these cases happened in Africa. Of these numbers, people can attribute at least 1.1 million cases to dams.

The Relationship Between Dams and Malaria

Mosquitoes tend to lay eggs and reproduce in shallow pools of water or somewhere in the near vicinity. Thus, water is a key component in the spread of malaria. The erection of dams creates a multitude of shallow pools along the edges of the water base that provide ideal situations for mosquitoes to nest. This increases the prevalence of malaria and the susceptibility of individuals to malaria.

A study published in the Malaria Journal found that the slope of the shoreline was the most determining factor of a rise in malaria for areas that had dams. Since mosquitoes like to breed in shallow pools of water that do not connect to a larger, main body of water, the shoreline around a dam is a prime location that meets these requirements. The more inclined a slope is, the more water drains out. This means that static pools of water are unable to form, which in turn means that mosquitoes do not find areas of the steep slope to be habitable.

Due to factors like this, not all dams are likely to increase malaria. Reservoirs that have steeper slopes pose a smaller risk of increasing the spread of malaria. For example, the climate and geography at a dam site, temperature fluctuations, elevation and amount of rainfall, also influence the spread of malaria near reservoirs. Thus, the continual study of the relationship between dams and malaria can lead to further identification of factors that increase the risk of spreading disease.

Solutions

Similarly, development planners must carefully select dam sites so that economic growth and electricity generation do not compromise the well-being of a local population. Increasing awareness through activism could see a more informed class of development planners take more calculated and careful approaches to dam construction. Indeed, a greater exchange of knowledge between local populations, journalists, researchers and policymakers is necessary to see increasing benefits and minimization of negative impacts.

This is arguably more important now than ever. As of 2015, 18.7 million Africans reside within five kilometers of dam reservoirs. Policymakers must take measures to ensure that quality of life does not deteriorate for those living near artificially constructed reservoirs. The relationship between dams and malaria is a critical nexus that can inform the implementation of less detrimental policies by those who are in a position to make such a policy.

– Evan Williams
Photo: Flickr

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Ending Malaria in China

Ending Malaria in ChinaHistorically, malaria has been extensive in China. In the 1940s, 90 percent of the population was considered at risk. In the 1970s, the country suffered 24 million cases of the disease. With the introduction of anti-malarial medicine and urbanization, massive strides have been made to end malaria in China.

In 2010, China launched the National Malaria Elimination Plan (NMEP) with the aim of eradicating malaria from the country by 2020. It pushed for rapid responses to reported cases of the disease, with the 1-3-7 plan outlining a report within one day, investigation within three, and treatment within seven. The plan saw great success and in 2017, no indigenous cases of malaria were detected.

China is not yet completely free of malaria. It is difficult to contain the disease at the country’s borders and those in poverty are especially at risk.

Background

The Yunnan Province consistently experiences a high number of malaria cases due to its constant interaction with neighboring counties. The wealthiest counties in Yunnan are central and surround the capital city Kunming. Among the 26 border counties, only two have an infection rate below one in 10,000, and nine have rates above 10 in 10,000. In addition, 21 of these counties are the poorest in the province. Researchers have called for more resources to be diverted to Yunnan.

The remaining cases of malaria in China pour in from neighboring countries, with 19,154 cases from 68 countries documented between 2011 to 2016. In the majority of cases, the disease was carried by returning Chinese workers, mostly from Myanmar, Ghana or Angola, all countries that rank below 160th highest GDP per capita in the world.

Despite these challenges, the country has made significant strides to combat malaria. The first major effort began in 1955, with the launch of the National Malaria Control Programme, a push to improve irrigation and insecticide use throughout the country. China reduced malaria deaths by 95 percent, and suffered only 117,000 cases of the disease, by 1995.

In 2003, China received aid from the Global Fund to fight AIDS, tuberculosis and malaria. Global Aid distributed over $100 million throughout the world over two years. In China, this reduced the number of annual cases below 5000.

The 2010 Program was a synthesis of a national effort. About 13 departments came together, including the ministries of health, education and the military to end malaria. According to He Qinghua, Deputy Director-General of the Bureau of Disease Prevention and Control at China’s National Health Commission, a large portion of the effort focused around involving the government at every level of control. If a ruling was made in the capital, it had to be translated into every local government.

Since 2014, the Chinese government has paid for the entirety of its fight against malaria, though it recognizes the importance of early support from external funds like the Global Fund. Yang Henling, a professor at the Yunnan Institute for Parasitic Diseases, further states the need to continue efforts, lest malaria return.

China Turns to Help Other Nations Eradicate Malaria

New South, a Chinese company, has begun working to eliminate malaria in Kenya, where 70 percent of the population is at risk of the disease. New South has already been working in Comoros.

New South advocates for the use of MDA, the primary drug involved with treating malaria in China. While many western organizations, including the Bill and Melinda Gates Foundation, focus on preventing mosquitoes from spreading malaria, New South emphasizes treatment in humans. Dr. Bernhards Ogutu, who has been fighting malaria in Kenya for decades, believes that Chinese support will have malaria eradicated in some areas of Kenya within only five years.

– Katie Hwang
Photo: Flickr

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10 Facts About Life Expectancy in Comoros

10 Facts About Life Expectancy in Comoros
Comoros is a small country comprised of four islands located just off Africa’s eastern coast. Poverty is widespread across the island due to limited access to transportation to the mainland and very few goods that could be exported to encourage economic growth. These 10 facts about life expectancy in Comoros will demonstrate how poverty and other factors contribute.

10 Facts About Life Expectancy in Comoros

  1. The population of Comoros is rapidly growing with poor health services unable to keep up. As of 2018, the average was 350 people per square mile. Anjouan has the largest population of the Comoros islands. Overcrowding makes resources scarce and health is rapidly declining. The life expectancy of any person on the islands rarely exceeds the age of 65; in 2018, the CIA reported that only 3.98 percent of the population was 65 years or older. Most of the population are children from infancy to the age of 14 at 38.54 percent.
  2. Overcrowding on the island has led some to attempt illegal immigration to the French island of Mayotte. In 1995, the French government declared travel to Mayotte without a visa illegal. Immigration for the people of Comoros is more challenging, but it does not stop them from fleeing to find a better life outside of the overpopulated islands. As of 2017, 40 percent of the population of Mayotte comprised of illegal immigrants from Comoros. The journey is certainly not safe; The New Humanitarian estimates 200 to 500 deaths every year are a result of attempted immigration to Mayotte in the tiny fishing boats that the Comoros people call kwassa-kwassa. The majority of those who cross are children that parents send in search of a better life, contributing to the high mortality rate of children in Comoros.
  3. The overcrowding is due in part to the high birth rate as compared to the death rate. Despite the low age of life expectancy, the death rate overall is only seven deaths per 1,000 people as reported by the CIA. In comparison, the birth rate is 25 births per 1,000.
  4. The infant mortality rate, however, is extraordinarily high. The country ranks number 17 on the CIA’s list with an estimated 58 deaths per 1,000 births. The problem is, in part, due to the limit of financing toward health care and hospitals. Financing has not exceeded 5 percent in total government spending within the last few decades according to the African Health Observatory (AHO).
  5. Illness, as a result of low attendance to health care facilities, runs rampant in Comoros. Malaria was once the deadliest disease until 2011 when it finally began to decline. The Comoros government launched the Residential Spraying campaign to provide insecticide and treatments to the water. Transmittable diseases, according to a table released by the AHO, are the prime suspect for illness and fatality on the islands. Sixty-six percent of all deaths related to diseases are a result of transmittable illnesses, while only 25 percent are non-transmittable and 9 percent are due to injury or natural causes.
  6. Cardiovascular disease (CDV) is on the rise, according to a report by the World Health Organization (WHO); as of 2016, CDV has fatally affected 17 percent of the population of Comoros. The AHO links CDV to malnutrition and the consumption of less than adequate food to survive. Since 2005, cerebrovascular heart disease and ischemic heart disease have increased by 4.2 percent and 5.4 percent respectively. As of 2015, these diseases were the third and fourth most deadly in Comoros.
  7. Tuberculosis is also rampant on the islands; WHO estimates 28,000 of Comoros became infected with the deadly disease in 2017. Twenty-one thousand of those infected with TB died. Only 10 percent of the population receive a preventative for TB, clearly demonstrating the need for better health care access to increase life expectancy in Comoros.
  8. The leading cause of death as of 2015 is lower respiratory infections. This includes bronchitis, influenza and pneumonia, among others. According to WHO, 47 percent of all deaths in the country as of 2016 are due to communicable diseases such as these infections. The Institute for Health Metrics and Evaluation (IHME) reported that between 1990 and 2010, lower respiratory infections remained the deadliest issue in Comoros with an estimated 27,000 years of life lost among the younger generations fatally affected.
  9. Though illnesses are slowly declining, other health issues are beginning to arise in their place. A lack of adequate nutrition is beginning to plague the people of Comoros. The CIA estimates that Comoros exports roughly 70 percent of all food it grows, leaving very little for its people. According to a report in 2011 by the World Bank, 44 percent of children in Comoros are malnourished and one in every four children is born with low birth weight. This contributes to the infant mortality rate mentioned earlier. Vitamin A deficiency and anemia are the leading causes of health issues among those who are malnourished in Comoros.
  10. Sanitation issues are on the rise due to the overcrowded population. Water sanitation is one of the top concerns. The islands have very little freshwater resources; Grande Comoro, the main island, has no surface water at all and the people import water from the mainland. Meanwhile, the other 50 percent of the population in rural communities rely on collecting rainwater. The United Nations Development Program (UNDP) wants to change this dangerous way of living and ensure that all the citizens of Comoros have access to safe drinking water. With the government of Comoros, its goal is to increase the freshwater supply to 100 percent for all by the year 2030. With all parties assisting, the project has $60 million at its disposal.

These 10 facts about life expectancy in Comoros show that in recent years, aid to Comoros has increased, especially with sanitation. The life expectancy in Comoros is only one part of the problem that the people of the country faces. Comoros must come to an agreement with Mayotte and other countries accept the refugees who are seeking a better life.

– Nikolas Leasure
Photo: Flickr

 

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Progress in Reducing Malaria in Haiti

malaria in haiti
According to UNICEF, some of the main causes of death in Haiti are diarrhea, respiratory infections, tuberculosis, HIV/AIDS and malaria. Among the Caribbean Islands and Central American countries, Haiti has the highest number of malaria cases. Malaria is a major public health concern, but there are efforts and progress to reduce cases of malaria in Haiti.

Malaria in Haiti

Malaria is a life-threatening disease that spreads by a female mosquito carrying a fatal parasite. In 2014, The Service de Suivi et d’Evaluation of the Programme National de Controle de la Malaria (PNCM) reported 17,094 cases of malaria. Five percent of children under the age of 5 who contract the disease receive treatment. The 2010 earthquake, the most destructive earthquake in Haitian history, destroyed health care and laboratory facilities. Therefore, the earthquake raised complications to eliminate malaria. According to the Malaria Journal, infections are the cause and result of poverty in Haiti.

Malaria Zero

In the past 10 years, Hispaniola has made efforts to eradicate malaria. In the Dominican Republic, reports state that cases of malaria reached a 15 year low. Nonetheless, one-third of the cases of malaria came straight from Haiti. Therefore, controlling malaria in Haiti will prevent it from spreading to other areas.

Malaria Zero is a group of organizations working together to eliminate malaria by 2020. In this organization, partners work on running operational research and locating areas of high transmission and risk. The organization has refined malaria surveillance systems to track every malaria case, make sure all malaria cases receive a diagnosis, limit the ability of mosquitoes to transfer the disease and educate and mobilize people to get tests and treatment.

So far, the organization has managed to attain two global fund grants of $38 million for Haiti, finalize the monitoring plan on tracing National Malaria Control Program’s progress for elimination, update malaria risk maps with new data and cross border surveillance across Hispaniola. It has also completed four operational research studies and developed new laboratory methods to identify hotspots within serology and novel ultra-sensitive tests to find malaria infections.

In addition, over 130 community members walked several miles across rocky land to offer anti-malaria medication to more than 36,000 people.

Nothing but Nets

Nothing but Nets is a worldwide campaign that raises awareness and funds to fight malaria. This organization raises funds to distribute insecticidal bed nets that protect families from malaria-carrying mosquitos as they sleep. In addition, the organization also offers household spraying, malaria treatment and training of health care workers.

Overall, eliminating malaria will help improve Haiti’s health system, stimulate financial growth and increase economic levels for people living on the island. Organizations and political leaders must focus on tackling the issue to completely get rid of the disease. Many Haitians still battle the illness, but the progress in reducing malaria in Haiti means hope for the future.

– Merna Ibrahim
Photo: Flickr

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A Look at Efforts to Address Health Care in Ghana

Health Care in Ghana

The West African nation of Ghana is a vibrant country filled with natural beauty and rich culture. However, like many of its neighbors in sub-Saharan Africa, Ghana suffers from a high poverty rate and lack of access to adequate health care. In fact, according to the Ghana Statistical Service, 23 percent of the total population lives in poverty and approximately 2.4 million Ghanaians are living in “extreme poverty.” That being said, many organizations and groups — both national and global — are working to improve health care in Ghana.

Malaria in Ghana

A disease transmitted through the bites of infected mosquitoes, malaria is a common concern throughout much of West Africa, including Ghana where it is the number one cause of death. In fact, according to the WHO’s most recent World Malaria Report, nearly 4.4 million confirmed malaria cases were reported in Ghana in 2018 — accounting for approximately 15 percent of the country’s total population.

All that in mind, many NGOs, as well as international government leaders, have taken up the mantle to eliminate malaria in Ghana. This includes leadership from the United States under the President’s Malaria Initiative or PMI which lays out comprehensive plans for Ghana to achieve its goal of successfully combating malaria.

With a proposed FY 2019 budget of $26 million, the PMI will ramp up its malaria control interventions including the distribution of vital commodities to the most at-risk citizens. For instance, the PMI aims to ensure that intermittent preventative treatment of pregnant women (IPTp) is more readily accessible for Ghanaian women. Progress has been made, too, as net use of IPTp by pregnant Ghanaian women has risen from 43 percent to 50 percent since 2016. This is just one example of the many ways in which PMI is positively contributing to the reduction and elimination of malaria in Ghana.

National Health Care System

National leaders are also doing their part to positively impact health care in Ghana. In 2003, the government made a huge step toward universal health coverage for its citizens by launching the National Health Insurance Scheme (NHIS). As of 2017, the percentage of the population enrolled in the scheme declined to 35 percent from 41 percent two years prior. However, 73 percent of those enrolled renewed their membership and “persons below the age of 18 years and the informal sector workers had significantly higher numbers of enrolment than any other member group,” according to the Global Health Research and Policy.

It is difficult to truly understand Ghana’s health issues without considering firsthand perspectives. In an interview with The Borgen Project, Dr. Enoch Darko, an emergency medicine physician who graduated from the University of Ghana Medical School, commented on some of the health issues that have plagued Ghana in recent decades. “A lot of problems that most third world countries, including Ghana, deal with are parasitic diseases such as malaria and gastroenteritis. Though health issues like diabetes and hypertension still remain in countries around the world, and even the United States, the difference is that some diseases that have been eradicated in Western countries still remain in countries like Ghana,” Darko said. “Many people in Ghana simply do not see a doctor for routine checkups like in the United States. Rather, most people will only go to see a doctor when they are feeling sick. As a result, lesser symptoms may go unchecked, thus contributing to the prevalence and spread of disease and infection. Combined with the fact that many Ghanaians in rural communities may not have sufficient money to afford treatment or medicine, this becomes a cycle for poor or sick Ghanaians.”

That said, it is hoped that with continued support from international players as well as government intervention, the country can continue to make strides in addressing health care for its citizens.

– Ethan Marchetti
Photo: Flickr

 

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10 Facts About Life Expectancy in Mali

10 Facts About Life Expectancy in Mali
In 2020, the country of Mali will celebrate its 60th anniversary of independence from French colonial rule. However, since 1960, Mali has had a tumultuous history filled with numerous civil wars, coups and failed revolutions. Despite these setbacks, Mali is making strides to improve the quality of life for its citizens. Here are 10 facts about life expectancy in Mali.

10 Facts About Life Expectancy in Mali

  1. According to the CIA World Factbook, the life expectancy of a citizen of Mali is 60.8 years on average or 58.6 years for males and 63 years for females. This puts Mali at a rank of 206 out of 223 countries for life expectancy. These 10 facts about life expectancy in Mali will explain why.
  2. Mali reported 43 births per 1,000 people in 2018, the third-largest figure in the world. Many expect the country’s population to double by 2035. This has led to overcrowding in the capital city of Bamako. In response, the World Bank has begun to invest in the infrastructure of Malian cities via performance-based grants for communities.
  3. Despite this massive population growth, Mali suffers from extreme infant and child mortality, which adversely affects life expectancy in Mali. In 2015, 114 out of 1,000 Malian children died by the age of 5. Recently, organizations like WHO and UNICEF have begun to sponsor community case management initiatives that focus on improving health conditions in impoverished areas. Areas where these initiatives occurred, such as Bamako’s Yirimadio district, have been able to reduce child mortality rates to up to 28 deaths per 1,000, about a quarter of the national rate.
  4. In Mali, the maternal mortality rate is very high. The U.N. estimates that there are 630 maternal deaths per 100,000 live births. This is partly because only one in four births in Mali have someone with proper birthing training, but deep-rooted societal attitudes that restrict women’s rights may also be a cause. According to the Center for Reproductive Rights, an organization fighting against maternal mortality in Mali, child marriage and female genital mutilation are both common in Mali, which both cause higher risks to the mother during birth. The organization has called upon the Malian government to “meet its national and international commitments and take the necessary steps to reduce maternal mortality.”
  5. The leading cause of death in Mali is malaria, which accounts for 24 percent of deaths in the country. To address this, the Malian government has partnered with global organizations such as the CDC to distribute anti-malarial medications during the country’s late autumn rainy season, in which most cases of malaria appear. This partnership was established in 1995 as part of the CDC’s global initiative to stop diseases in other countries before they can reach the U.S.
  6. Illnesses that often stem from a lack of access to clean water, such as meningitis and diarrheal diseases, cause a significant number of deaths in Mali. Twenty-three percent of the population of Mali overall and 35.9 percent of the rural population lacks access to clean drinking water, and 78.5 percent of rural Malians lack access to proper sanitation. This leads to the spread of the diseases mentioned above. An organization called Charity Water has invested over $9 million to give rural Malians access to clean water and sanitation by building wells and pipe systems, allowing Malians to tap into the country’s rich aquifers for clean drinking water.
  7. Malnutrition causes 5 percent of deaths in Mali. According to the World Food Program, 44.9 percent of the country live in poverty, which is a significant cause of food insecurity. To combat this, programs like the World Food Program have been working on distributing nutritious meals to Malian families, as well as setting up long-term programs to create infrastructures such as roads and dams.
  8. HIV and AIDS cause 3 percent of deaths in Mali. Although HIV infections in the country have risen by 11 percent since 2010, deaths from the disease have gone down by 11 percent in the same period. Efforts by the CDC and other organizations have focused on treating HIV to prevent victims of the disease from going on to develop AIDS, as well as improving blood safety measures.
  9. Mali suffers from a significant shortage of physicians, with 0.14 physicians and 0.1 hospital beds per 1,000 people, compared to 2.59 physicians and 2.9 beds in the U.S. Despite that, the country has recently taken significant steps forward on providing universal health coverage via a $120 million initiative from the government, which will focus on training more doctors, broadening access to contraceptives and improving care for the elderly.
  10. Eighty percent of Mali relies on agriculture for a living. Although Malian farmers have been fighting soil degradation and lack of access to modern equipment, initiatives like Feed the Future have been working to improve conditions for Malian farmers. As a result, Mali poured $47.34 million into its agriculture industry in 2017.

As these 10 facts about life expectancy in Mali show, life expectancy in Mali is significantly lower than in other parts of the world, but the country is making strides forward to combat illness and poverty. With help from the global community, Mali is moving forwards towards a brighter future.

– Kelton Holsen
Photo: Flickr

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Efforts to Fight Disease in the DRC

Fight Disease in the DRC
With 80 million hectares of arable land and over 1,100 precious metals and minerals, the Democratic Republic of the Congo has quickly established itself as a large exporter in the lucrative diamond industry. Despite this, the DRC ranks 176th out of 189 nations on the UN’s Human Development Index and over 60 percent of the 77 million DRC residents live on less than $2 a day. Internal and external war, coupled with political inefficacy and economic exploitation, has hindered the country’s ability to combat poverty and improve health outcomes. Listed below are some of the most deadly diseases that are currently affecting individuals in the DRC and the different strategies that governments and NGOs have taken to fight disease in the DRC.

3 Deadly Diseases Currently Affecting Individuals in the DRC

  1. Malaria

The DRC has the second-highest number of malaria cases in the world, reporting 15.3 million of the WHO-estimated 219 million malaria cases in 2017. Of the more than 400 Congolese children that die every day, almost half of them die due to malaria, with 19 percent of fatalities under 5 years attributed to the disease. However, some are making to reduce malaria’s negative impact.  For example, the distribution of nearly 40 million insecticide-treated mosquito nets, or ITNs, has helped lower the incidence rate by 40 percent since 2010, with a 34 percent decrease in the mortality rate for children under 5. The DRC government procured and distributed the nets with international partners such as the Department for International Development, Global Fund and World Bank. In addition, the President’s Malaria Initiative, a program implemented in 2005 by President Bush and carried out by USAID, has distributed more than 17 million nets. UNICEF has also been a major contributor in the efforts to fight malaria and recently distributed 3 million ITNs in the DRC’s Kasaï Province. However, the country requires more work, as malaria remains its most frequent cause of death.

  1. HIV/AIDS

Among its efforts to fight disease in the DRC, the country has made significant progress recently in its fight against HIV/AIDS. As a cause of death, it has decreased significantly since 2007, and since 2010, there are 39 percent fewer total HIV infections.

This particular case illuminates the potential positive impact of American foreign aid. The DRC Ministry of Health started a partnership with the CDC in 2002, combining efforts to fight HIV/AIDS. PEPFAR, signed into U.S. law in 2003 to combat AIDS worldwide, has invested over $512 million since 2004, which has helped to fund antiretroviral treatment for 159,776 people. In 2017, it funded the provision of HIV testing services for 1.2 million people.

The country is also addressing mother-to-child transmissions. In the DRC, approximately 15 to 20 percent of mothers with HIV pass the virus onto their child. The strategy to end mother-to-child transmissions involves expanding coverage for HIV-positive pregnant women, diagnosing infants with HIV earlier and preventing new infections via antiretroviral drug treatment. UNAID, The Global Fund and the DRC Ministry of Health have undertaken significant work to accomplish these objectives and their efforts have resulted in the coverage of 70 percent of HIV-positive pregnant women.  However, much work remains to cover the remaining 30 percent of pregnant HIV-positive women.

Overall, there is still a lot of necessary work to undergo in the fight against HIV/AIDS in the DRC and around the world.  In total, UNAIDS estimated that HIV/AIDS was the cause of 17,000 deaths in the DRC in 2018.  While this is a decrease from previous years, it shows that the DRC still has a long way to go in order to fully control the spread of the disease.  Additionally, there must be more global funding. The U.N. announced on July 2019 that annual global funding for fighting HIV/AIDS decreased in 2018 by almost $1 billion.

  1. Ebola

Since 2018, the DRC has undergone one of the world’s largest Ebola outbreaks. On July 17, 2019, WHO declared the outbreak an international health emergency. Since August 2018, more than 2,500 cases have occurred, with over 1,800 deaths.

However, the country is making efforts to prevent the transmission and spread of Ebola in the DRC.  Recently, more than 110,000 Congolese received an experimental Ebola vaccine from Merck & Co. The vaccine is called rVSV-ZEBOV, and studies have shown the vaccine to have a 97.5 percent efficacy rate.  This vaccine provides hope that people will be able to control Ebola breakouts in the near future.

While there have been attempts to fight disease in the DRC in recent years, such as malaria, HIV/AIDS and Ebola, each disease remains a major issue. In the coming years, the country must continue its efforts.

– Drew Mekhail
Photo: Flickr

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Drug Resistant Malaria Causes Concern

Drug Resistant Malaria
A new variation of the parasite causing malaria has captured the attention of medical professionals in South East Asia. They first noticed a strain of drug-resistant malaria in 2013 and it has spread aggressively throughout the region. Medical researchers from the Wellcome Sanger Institute, University of Oxford and Mahidol University noticed that the new strain has replaced local malaria strains in Vietnam, Laos and northeastern Thailand. They have also seen the strain developing new mutations from when they initially identified it in 2013 and this may be enhancing resistance even further.

Resistance Through Time

In 2018, studies showed that the usual first-line drug used for malaria failed to cure the disease at an overall rate of 50 percent, 13 percent in northeastern Thailand, 38 percent in western Cambodia, 73 percent in northeast Cambodia and 47 percent in southwestern Vietnam.

The advancement of the new drug-resistant malaria might stem from the heavy usage of anti-malaria drugs in the region. Medical professionals commonly distribute the drug throughout the area, forcing the parasite to evolve or die out. Patient usage is also giving the parasite a leg up, as often people are taking a weaker dosage or do not finish the treatment but terminate usage when they begin feeling better.

Cause of Malaria

Malaria is the result of the Plasmodium parasite that transmits through a mosquito bite. The drug-resistant malaria strain is called KEL1/PLA1 because of its combination of genetic mutations. A recent study has noted that KEL1/PLA1 has diversified into a subgroup of strains that contain the genetical modifications causing resistance. These parasites are also showing resistance to several classes of anti-malarial drugs. The new adaptations are limiting treatment options and making them increasingly expensive. Currently, clinical trials have begun to test the effectiveness of a triple combination treatment for the new drug-resistant malaria.

The current front-line defense is a two-drug combination of dihydroartemisinin and piperaquine or DHA-PPQ. But a 2018 study showed the resistance to dihydroartemisinin-piperaquine spread undetected for five years in Cambodia, giving the drug time to mutate further and wipe out existing non-resistant strains. One solution is to change the partner drug, piperaquine, to a drug that is currently effective such as mefloquine or pyronaridine. Cambodia and Thailand have implemented this solution but it could be logistically challenging on a large scale.

Consequences of Infection

For now, health officials believe they will be able to manage the situation as malaria rates are lower in Southeast Asia. Officials, however, believe if the drug-resistant malaria parasite spreads to Africa, the consequence could be dire. Sub-Saharan Africa sees the most substantial numbers of malaria and faces the most significant logistical problems when attempting to treat it. In the 1960s, a similar situation occurred where a strain developed in Asia and spread to sub-Saharan Africa, where due to a lack of alternative medications, malaria-related deaths double.

People are currently using rapid test kits to help prevent and treat drug-restraint malaria. The kits can identify which parasite strain is causing malaria, allowing medical professionals to treat malaria accordingly. This tool will be increasingly important if the drug restraint parasite spreads to Africa. Sub-Saharan Africa alone accounted for 66 percent of the 276 million rapid diagnostic test sales worldwide in 2017. The test allows for professionals to best allocate supplies that are scarce in sub-Saharan Africa. As the fight against drug-resistant malaria continues, the rapid test kits are a cost-efficient way to increase their odds of eradicating the parasite.

– Carly Campbell
Photo: Flickr

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Andy Murray’s Philanthropy

Andy Murray's Philanthropy

Scottish tennis player Andy Murray is a 14-time titleholder of ATP Tour Masters 1000, a three-time Grand Slam champion and two-time Olympic gold medalist. He has been able to amass a good amount of money through tournament earnings and sponsorships, and with this, he has been able to help those who need it most. Andy Murray’s philanthropy is based mainly on his partnership with UNICEF as a goodwill ambassador, with which he has taken on many projects; the main ones being related to helping Syrian refugees and improving ways to fight diseases like malaria and cancer.

Andy’s Aces

One of Murray’s first acts of charity as a UNICEF ambassador was by simply playing tennis. In 2015, he vowed to donate £50 every time he hit an ace during his matches throughout the year. He kept his promise and donated over £80,000 with the help of sponsors and fans who matched his contribution, and with this money, UNICEF has been able to send help to over 16,000 children in Syria.

Malaria No More

Since 2009, Murray has been a spokesperson and contributor to Malaria No More alongside retired soccer player, David Beckham. This disease is one of the deadliest for children, killing one child every 30 seconds, according to the UNICEF website, but it is treatable with proper medication. “It costs less than a pack of tennis balls to treat and help save a life,” Murray said. With the birth of his daughter, he has been able to put himself in the shoes of parents less fortunate than himself, and this is why part of Andy Murray’s philanthropy is focused on making sure that malaria is eradicated completely.

Rally for Bally

Following the death of Elena Baltacha, a British tennis player who lost her fight against cancer, Murray created a series of exhibition-type matches where he was joined by other famous players, both active and retired, to raise awareness and money to fight cancer. Some of the well-known faces include Martina Navratilova, James Ward, Petra Kvitová, Agnieszka Radwańska and Ross Hutchins. Hutchins also happens to be one of Murray’s closest friends as well as a cancer survivor himself and was able to join him on the court for the first time since his recovery.

Hutchins was an inspiration for Murray; he claims that when he heard about Hutchins’ diagnosis, he wasn’t able to fully comprehend what his friend had to go through. “And just like that, for the first time, I found myself confronted with the reality of cancer. Here is that reality: Cancer doesn’t discriminate,” Murray wrote. The event now takes place every year and has managed to raise over £80,000 for The Royal Marsden Cancer Charity, an organization that promotes life-saving research to help cancer victims across the globe.

Andy Murray Live

Andy Murray Live was created as a series of fundraiser matches in Scotland, where Murray invites some of the best-known players in the world like Roger Federer to play against him. Murray is always thinking of his country, and that is why, aside from his contributions with UNICEF, he also donates half of the proceeds from his Andy Murray Live events to local charity groups like Sunny Sid3 Up, an organization in Glasgow that helps people in need, not only in Scotland where they support low-income communities, but also in Sri Lanka where they work to build shelters and promote children’s education.

The life of an athlete is by no means simple or easy, and there are a lot of sacrifices to be made as well as mastering the mind and body to perform on the court, even during stressful times. Andy Murray knows this better than most, as he himself has had to recover from injuries and surgeries which have currently placed him at the very bottom of the rankings in past years. Despite this, he will continue to lend a helping hand to those who need it most and fight for many causes, especially children’s health and education.

– Luciana Schreier
Photo: Wikimedia Commons

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Top 3 Poverty-Related Diseases

Poverty-Related DiseasesEvery day, billions of individuals around the world suffer from diseases. To make matters worse, many of these individuals are mired in poverty with limited access to health care services. Reducing the negative impact that these diseases have on individuals in poverty starts with identifying which diseases are affecting the most people. Listed below are three diseases that are closely linked with individuals in poverty.

Top 3 Poverty-Related Diseases

  1. Tuberculosis
    Tuberculosis, or TB, is a disease that stems from the presence of bacteria in someone’s lungs. It is common in many poorer, more urban areas because it can spread quickly when individuals are in close contact with each other. TB killed over 1.5 million people in 2018 and infected 10 million individuals in total. The disease takes advantage of individuals who have weakened immune systems, which can happen to individuals who are malnourished or who are suffering from other diseases simultaneously. When an individual in poverty is diagnosed with TB, their options are limited. Treating TB is costly and many people cannot afford treatment. However, not all hope is lost. Organizations like the TB Alliance aim to produce more affordable TB treatment for individuals in poverty. The TB Alliance has already helped many individuals and is working to expand its operations in the coming years.
  2. Malaria
    Malaria is a parasitic disease that is spread by the Anopheles mosquito. It accounts for roughly 435,000 deaths per year (affecting roughly 219 million people) and disproportionally affects individuals under the age of 5 (children under 5 accounted for over 60 percent of malaria deaths in 2017). One NGO that is leading the fight against Malaria is the Bill and Melinda Gates Foundation. They have partnered with the U.S. Government, the WHO and NGOs like the Global Fund to help protect individuals around the world from malaria-transmitting mosquitos. So far, their work has been beneficial, as the number of malaria cases has been reduced by half since 2000. However, there is still much work to be done, as malaria remains a deadly disease that negatively affects millions.
  3. HIV/AIDS
    HIV is a virus that is transmitted through the exchange of bodily fluids. It affects nearly 37 million people worldwide every year, 62 percent of whom live in sub-Saharan Africa. HIV/AIDS (HIV is the virus that leads to AIDS) is common in countries where the population either does not have the knowledge or resources to practice safe sex. HIV can also spread in areas with poor sanitation, as individuals who use previously used needles can become infected with the virus. Many governments and NGOs around the world are doing good work to help stop the spread of HIV/AIDs. For example, in 2003, the U.S. Government launched The United States President’s Emergency Plan for AIDS Relief (PEPFAR) Initiative. The goal of this initiative was to address the global HIV/AIDS issue by helping those who already have the condition as well as by spearheading prevention efforts. Since the program was implemented, the results have been positive- the program is widely credited with having saved millions of lives over the last 16 years.

Each of these diseases negatively affects millions of individuals around the globe on a daily basis. Yet there is reason for optimism — continued work done by NGO’s such as the Bill and Melinda Gates Foundation, TB Alliance and The Global Fund, as well as efforts from governments to improve the current situation, will lead to a better future, hopefully, one where individuals no longer suffer from there poverty-related diseases.

– Chelsea Wolfe
Photo: Flickr

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