, ,

The State of Lebanon’s Medical System

The State of Lebanon’s Medical System Lebanon’s medical system faces immense strain as ongoing conflict with Israel has led to widespread damage to health care facilities and personnel. Israeli airstrikes across the country—particularly in southern Lebanon and Beirut—have severely impacted the health care sector, which continues to struggle to rebuild. Reports indicate that 63% of health transports and 26% of medical facilities have been affected. Previously regarded as one of the strongest health care systems in the Arab world, Lebanon’s medical infrastructure now faces severe limitations in providing adequate care.

Impact on Medical Infrastructure and Personnel

The conflict has resulted in repeated strikes on hospitals and medical centers across Lebanon. Between October 2023 and November 2024, 226 health workers and patients lost their lives, while another 199 suffered injuries. Although international humanitarian law protects medical facilities during armed conflicts, Lebanon’s health care workers have endured significant casualties and disruptions. The Rafik Hariri University Hospital in Beirut, the city’s largest medical facility, sustained heavy damage from an airstrike. Reports indicate that 13 people were killed and more than 60 others injured, further diminishing Lebanon’s ability to provide critical medical care.

Health Care System Under Economic Strain

A weakened economy had already placed Lebanon’s health care system under significant pressure before the war escalated. As of May 2024, 44% of the population lived in poverty, with rates reaching 70% in Akkar, one of the country’s poorest regions. A prolonged liquidity crisis devalued the Lebanese pound, making it increasingly difficult for hospitals to purchase essential medicines, retain medical staff or maintain equipment. Many public hospitals struggle to function due to a lack of financial resources.

International Aid Organizations

Several international organizations continue to provide medical aid, transport and disease prevention programs, working to preserve access to health care across the country.

  • International Organization for Migration (IOM). Since 2006, the IOM has focused on medical and psychological support for Palestinian and Iraqi refugee communities in Lebanon. During the conflict, IOM facilitated medical transport for more than 4,000 people, assisted in rebuilding health facilities and launched telehealth programs to ensure continued patient access to care. A cholera prevention campaign was implemented in response to concerns about potential outbreaks due to deteriorating sanitation infrastructure.
  • International Medical Corps. Operating in Lebanon since 2006, the International Medical Corps supports a network of 50 health care clinics and dispensaries. The organization provides disease prevention programs, patient consultations and medical treatment for displaced and vulnerable populations. Health awareness initiatives have also been implemented to educate residents on preventing the spread of infectious diseases.
  • Doctors Without Borders (Médecins Sans Frontières – MSF). The psychological toll of war remains a growing concern in Lebanon. Doctors Without Borders currently operates two mental health helplines, providing psychological support to those affected by the ongoing conflict. Reports suggest that two-thirds of Lebanese citizens are experiencing mental health disorders due to war-related trauma. The demand for psychiatric care and counseling services continues to rise, placing additional strain on an already fragile health care system.
  • KSrelief. The King Salman Humanitarian Aid and Relief Center (KSrelief) has played a crucial role in providing health care services to Syrian refugees in Lebanon. At the Akkar-Bebnine Health Care Center, 2,689 patients received medical treatment in December 2024 alone. KSrelief’s contributions have been essential in addressing the medical needs of displaced communities who otherwise have limited access to health care services.

Future Prospects

At the beginning of 2023, Lebanon’s Ministry of Public Health introduced Vision 2030, a long-term strategy aimed at revitalizing Lebanon’s medical system. However, the ongoing conflict has severely hindered its implementation, making immediate health care recovery efforts more urgent. International organizations and humanitarian groups continue to provide critical support, but Lebanon’s health care sector remains under immense strain. Rebuilding medical infrastructure, securing funding and addressing the long-term psychological and physical health consequences of the war remain significant challenges. Continued international aid, government intervention and economic recovery efforts could play a crucial role in determining the future of Lebanon’s medical system.

– Charley Dennis

Charley is based in London, UK and focuses on Global Health and Politics for The Borgen Project.

Photo: Flickr

, , , ,

Disability and Poverty: Barriers to Education and Health Care

Disability and Poverty: Barriers to Education and Health CareChildren with disabilities face significant barriers to education, health care and economic opportunities, particularly in developing countries. Studies indicate that children with disabilities experience poverty at nearly three times the rate of their peers without disabilities. They are also 50% less likely to attend school and 25% less likely to receive medical care, making disability both a cause and consequence of poverty. These disparities highlight the urgent need for systemic solutions to ensure children with disabilities receive equal access to essential services.

How Disability and Poverty Intersect

Families caring for children with disabilities often face higher costs for medical treatment, assistive devices and specialized education. In low-income countries, where disability resources are limited, these families struggle to meet their children’s basic needs. The lack of accessible schools forces many disabled children into isolation, depriving them of an education and future employment opportunities. Estimates suggest that 10% of children with disabilities do not receive basic rights such as education, health care or legal protection. In many cases, government policies fail to address these needs, leaving families without adequate support. Without systemic intervention, these children remain trapped in cycles of poverty, unable to access opportunities that could improve their quality of life.

Global Efforts to Address Disability and Poverty

International organizations play a crucial role in advocating for children with disabilities. The World Health Organization (WHO) leads initiatives to educate the public on disability rights and push for policy changes that promote inclusion. WHO also supports the United Nations Disability Inclusion Strategy (UNDIS), implemented in 2019, which provides a global framework for integrating disability rights into development efforts. In addition to global advocacy, nongovernmental organizations (NGOs) address disability and poverty at a local level.

Accomplish Children’s Trust, a United Kingdom (U.K.)-based nonprofit, focuses on medical intervention, education access and income generation for children with disabilities in Uganda and Malawi. Many of these children previously lacked access to health care and schooling, but the organization works to integrate them into support systems that improve their long-term well-being.

The Role of NGOs in Reducing Disability Inequality

  • Community-based Approaches. Unlike large global institutions, NGOs often focus on local solutions tailored to community needs. By involving local leaders and residents, they create sustainable programs that continue without relying on long-term external aid. This grassroots approach helps address immediate challenges while fostering long-term systemic change.
  • Small-Scale, High-Impact Interventions. Smaller organizations, such as Accomplish Children’s Trust, have made measurable differences despite limited resources. The trust has facilitated physiotherapy and occupational therapy for 3,500 disabled children at Kyaninga Child Development Centre, provided epilepsy medication to 700 children and helped 356 children enroll in school—90% of whom had never attended school before. Additionally, 200 families receive financial support to care for their disabled children.
  • Targeting Key Risk Factors. Children with disabilities are at higher risk of malnutrition, disease and unemployment. Many NGOs address these risks by providing health care services, advocating for inclusive education policies and supporting vocational training programs. These efforts not only improve the quality of life for disabled children but also increase their future economic independence.

The Importance of Awareness and Policy Change

Governments and international organizations have begun increasing efforts to address the challenges faced by children with disabilities. While progress has been made, raising awareness remains critical to ensuring disability rights receive sustained attention. Increased public engagement could drive policy changes, secure funding and expand successful programs to reach more children in need. Addressing disability-related poverty requires coordinated efforts from governments, NGOs and the global community. Investments in accessible education, health care and employment programs could not only improve the lives of children with disabilities but also contribute to broader economic and social development.

– Kaleb Monteith

Kaleb is based in Greeley, CO, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

, , ,

Improving Health Care Accessibility in Developing Countries

Improving Health Care Accessibility in Developing Countries Approximately 1.2 billion people live in acute, multidimensional poverty across 111 developing countries. Many suffer from preventable and curable diseases due to limited access to health care services. According to a Geneva report by the International Labour Organization (ILO), 56% of rural residents do not have access to essential health care services. Currently, 800 million people allocate at least 10% of their household budgets to health expenses for themselves, a sick child or another family member. For nearly 100 million people, these expenses are substantial enough to push them into extreme poverty, forcing them to survive on $1.90 or less per day. Globally, many countries collaborate with the World Health Organization (WHO) to provide essential health services to the most vulnerable and needy populations.

Implementation of Telemedicine in Cambodia

Implementing telemedicine in Cambodia has significantly improved health care accessibility, largely through initiatives like Operation Village Health, part of the broader Village Leap program. This program, established by Japan Relief for Cambodia and American Assistance for Cambodia, aims to rehabilitate the country after the Khmer Rouge reign and the Vietnam War by bringing technology to rural areas. Operation Village Health uses this infrastructure to support local health workers, build capacity and provide medical care to those without expertise. An email-based telemedicine program established in 2001 allows Harvard-affiliated physicians to offer clinical recommendations to Cambodian health workers, enhancing the quality of care in remote areas.

Mobile Clinics in Madagascar

Since June 2022, mobile clinics have been crucial in improving health care accessibility in Madagascar. Funded by the United Nations Central Emergency Response Fund, 20 mobile clinics have been reaching remote and hard-to-access areas, providing essential health services to around 1 million people. These clinics have been especially vital in restoring health care services, such as vaccinations, following the destruction caused by cyclones Batsirai and Emnati, which destroyed more than 150 health facilities and left 800,000 people without access to health care. Staffed by trained health professionals who travel by various means, these mobile clinics have provided care and vaccinations and strengthened epidemiological surveillance and the detection of vaccine-preventable diseases in isolated communities.

Training Health Care Workers in Liberia

Training health care workers in Liberia through the Last Mile Health’s From Response to Recovery program has significantly improved health care accessibility. This initiative focused on building resilient health systems by investing in community and frontline health workers. Over three years, the program strengthened the National Community Health Assistant Program, rolled out a digital training platform and developed online educational resources for health system leaders. Additionally, it advocated for integrated community health worker systems, which improved the capacity to deliver essential health services, especially in remote areas. This approach enabled better health care access and quality for the communities in Liberia.

Investing in Health Care Infrastructure in Morocco

With the population steadily increasing in Morocco and a large segment entering an age group that typically requires more medical attention, demand for health care facilities, medical services and pharmaceuticals has surged. The Moroccan government has shown a strong dedication to upgrading health care infrastructure and services through initiatives like the National Health Plan (Plan Santé 2025). This plan offers long-term stability and support for the health care sector, creating a secure environment for investments. Investors can explore opportunities in public-private partnerships (PPPs) and other investment options in health care. This collaborative approach has led to the development of a robust health care system, ensuring better access to essential medical services for the Moroccan people.

Health Information Technologies in Nigeria

Utilizing health information technology, particularly through the adoption of electronic medical records (EMRs), is significantly improving data management and resource distribution in Nigeria, thereby improving health care accessibility in developing countries. By implementing EMRs, Nigeria’s health care system has seen improvements in patient care and overall health care efficiency. EMRs facilitate better data management, enabling health care providers to track patient histories, streamline workflows and reduce errors. Despite challenges such as inadequate infrastructure, lack of training and limited funding, the Nigerian experience emphasizes the importance of government support and investment in technology and training. This approach not only addresses the unique needs and constraints of developing countries but also sets a precedent for other nations looking to improve their health care systems through advanced health information technology.

Looking Ahead

Improving health care accessibility in developing countries requires a multifaceted approach that addresses various barriers to quality care. The innovative strategies discussed, telemedicine in Cambodia, mobile clinics in Madagascar, community health worker training in Liberia, infrastructure investment in Morocco and health information technology in Nigeria, demonstrate the potential for significant improvements in health care delivery. By focusing on these targeted interventions, developing regions can potentially make significant advancements toward fair and effective health care systems. These ongoing efforts not only improve the quality of care but also foster healthier communities, facilitating sustained development and well-being.

– Maria Urioste

Maria is based in Maspeth, NY, USA and focuses on Good News for The Borgen Project.

Photo: Flickr

, , ,

HIV Prevention Drug Lenacapavir to Reach 120 Countries

HIV Prevention Drug to Reach 120 CountriesAt the end of 2023, approximately 39.9 million people worldwide were living with HIV. An estimated 0.6% of adults aged 15 to 49 years globally are living with the virus. However, the impact of the epidemic varies significantly among countries and regions. Gilead’s new, affordable, twice-yearly lenacapavir (LEN) injection effectively prevents HIV, especially in women. On Oct. 2, 2024, the company announced licensing agreements to offer the drug at lower costs in 120 “high-incidence, low-income” countries. The World Health Organization (WHO) described this development as a significant advancement in combating the life-threatening disease, which affects roughly half its victims as women, predominantly in sub-Saharan Africa.

HIV Prevention Drug Lenacapavir

Lenacapavir is a long-acting injectable that provides pre-exposure prophylaxis (PrEP) to reduce the risk of contracting HIV. Earlier this year, a study in South Africa and Uganda revealed the drug’s high efficacy in preventing HIV among HIV-negative girls and women. Furthermore, another trial involving men in Argentina, Brazil, Mexico, Peru, South Africa, Thailand and the United States (U.S.) demonstrated nearly complete protection. Indeed, in the lenacapavir group tested, among women, there were no new cases of HIV infection and the trials revealed no significant safety concerns.

Pressure on Gilead from World Leaders

Following the publication of these findings, Gilead faced pressure from the People’s Medicines Alliance along with a group of 300 world leaders, celebrities, scientists and activists to make the drug available in middle- and low-income countries simultaneously as people in wealthier nations. Among the signatories were actors Gillian Anderson, Stephen Fry, Sharon Stone and Alan Cumming; former heads of state; and Francoise Barré-Sinoussi, a Nobel-winning scientist. In a letter addressed to the Gilead CEO Daniel O’Day, they pushed the company to open the license up to poorer nations immediately. Furthermore, they expressed their hope that the “groundbreaking” development could make “radically positive change for people facing stigma.”

HIV in Low-Income Countries

Gilead is prioritizing the registration of LEN in the 18 countries with the highest HIV incidence rates, in Sub-Saharan Africa and South-East Asia. These high rates stem from inadequate domestic and international funding, with natural disasters and regional conflicts complicating governments’ HIV response efforts. HIV prevalence is higher in specific population groups, including men who have sex with men, which fuels stigma around the disease. However, global efforts to increase treatment accessibility have yielded substantial progress over the past two decades. Currently, 29.8 million of the 39 million people living with HIV are receiving treatment. Indeed, this is a significant increase from 7.7 million in 2010.

Looking Ahead

In response to these promising findings, the WHO has announced it is actively developing guidelines in collaboration with experts and global partners to ensure an affordable supply and equal access to the drug. New pharmaceutical developments are emerging rapidly. HIV prevention drug lenacapavir presents a hopeful method of combating the disease in high-risk countries.

– Hannah Dunford

Hannah is based in Edinburgh, Scotland and focuses on Global Health and Politics for The Borgen Project.

Photo: Flickr

, , , , ,

Foreign Aid Fueled Zambia’s COVID-19 Vaccination Success

Zambia's COVID-19 VaccinationZambia is a landlocked country in South-Central Africa. The nation has a reputation for political stability, avoiding the war and disruption that has dominated much of Africa’s post-colonial history. Despite economic growth, the daily lives of most Zambians have not improved in the last decade, with two-thirds of the population still living in poverty. Like every country across the globe, Zambia faced instability in the face of the COVID-19 pandemic. However, the country’s vaccination program exhibits the effectiveness and importance of international cooperation and donations when it comes to prioritizing global health.

Launch of Zambia’s COVID-19 Vaccination Program

In April 2021, Dr. Jonas Chanda, the Honourable Minister of Health for Zambia, launched the COVID-19 vaccination rollout. The United States Charge d’Affaires, at the United States (U.S.) Embassy, David Young, stated that the U.S. provided $2 billion to the Vaccine Alliance to support the COVAX. The Swedish Ambassador Anna Maj Huktgård congratulated the Government of the Republic of Zambia for achieving an important milestone in the response against COVID-19. She also took this as an opportunity to announce that the Swedish government was allocating a total of $259 million to support the COVAX program. The World Health Organisation (WHO) and the United Nations International Children’s Emergency Fund (UNICEF) worked in collaboration with other partners to support Zambia’s government in implementing the COVID-19 vaccination program.

International Contributions to Zambia’s Vaccination Efforts

In August 2021, the United Kingdom (U.K.) also donated 119,000 vaccine doses to Zambia through COVAX which arrived in Lusaka, as reported by UNICEF and the U.K.’s Foreign, Commonwealth and Development Office. In March 2022, the government of Japan, under an emergency partnership with UNICEF, officially handed over equipment aimed to strengthen the long-term capacity of the health system in Zambia, including the delivery of life-saving vaccines for COVID-19. This support included 82 solar-powered fridge freezers, 25 ‘on grid’ combo vaccine freezers, 120 large vaccine cold boxes and 200 vaccine carriers. This initiative was made possible through the COVAX facility, an international mechanism led by GAVI, CEPI, the World Health Organization and UNICEF to ensure equitable access to vaccines across the developing world. 

National Vaccination Campaign and Foreign Aid

Later that year, in October, the Government of the Republic of Zambia and partners, including the Centre for Disease Control (CDC), WHO and UNICEF, launched a 10-day national COVID-19 vaccination campaign targeting children aged 12 to 17 and adults 18 and above across the country. The nation had had clear goals in its fight against COVID-19, which foreign aid undeniably made possible.

Achievements and Continued Support

In November 2022, the Zambian government celebrated the nation’s achievement of vaccinating 70% of the eligible Zambian population. The U.S. government, through the U.S. Agency for International Development, the Centers for Disease Control and Prevention, the President’s Emergency Plan for AIDS Relief (PEPFAR) and the U.S Department of Defense have since provided nearly 1.9 billion kwacha ($120 million) to respond, prevent the spread of and recover from the toll of COVID-19 in Zambia. The U.S. government also supported integrating COVID-19 vaccination into HIV treatment centers to protect those living with HIV against COVID-19. 

Looking Ahead

Zambia’s successful vaccination program is a testament to the power of global cooperation. The generous foreign aid donations strengthened international relations and a shared commitment to prioritizing global health, especially during the COVID-19 pandemic, reveals what can potentially be achieved when the world unites for a common cause.

– Nia Willis

Nia is based in Carmarthenshire, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

, ,

HIV and Syphilis: Mother-to-Child Transmission in Belize

Belize Eliminates Mother-to-Child HIV and Syphilis TransmissionIn May 2024, Belize achieved certification from the World Health Organization (WHO) for eliminating mother-to-child transmission of HIV and syphilis. Over the past 20 years, in collaboration with the Pan American Health Association (PAHO), health care workers in Belize have dedicated themselves to enhancing medical services, ensuring a generation free from these diseases.

Improving Medical Services in Belize

Since the early 2000s, Belize’s health care services, in collaboration with the Pan American Health Organization (PAHO), have been following the organization’s Plan of Action for the Prevention and Control of HIV and Sexually Transmitted Infections. This initiative has improved and promoted access to prenatal HIV and syphilis testing. Health care providers now screen every pregnant woman for these viruses two to three times during pregnancy, at delivery and at 18 months postpartum.

The vastly improved testing services have reduced mother-to-child transmission in Belize, of HIV and syphilis by 81% from 2007 to 2023, achieving eradication by 2024. This success depended on effective treatments administered to pregnant women who tested positive for these diseases. For syphilis, health professionals administer three consecutive weeks of penicillin injections; HIV-positive mothers receive daily antiretrovirals along with prenatal vitamins. These treatments effectively prevent the transmission of HIV and syphilis to their children. To further ensure children are born virus-free, nurses follow up with mothers a week after treatment completion to verify the full course was administered and to identify any potential complications.

Encouraging Mothers to Seek Testing and Treatment

Throughout Belize’s collaboration with PAHO under its Plan of Action, the country has enhanced the research capabilities and capacity of its health care services, enabling more pregnant women to be tested earlier and more accurately for both HIV and syphilis. The percentage of women attending health clinics in their first trimester has risen to 90%, allowing for earlier and more effective administration of preventative treatments. When mothers test positive for these diseases, health care providers also encourage their partners to get tested, fostering community awareness and enabling more individuals to know their statuses and receive necessary treatment. As of 2022, 81% of people living with HIV in Belize are aware of their status.

Screenings and treatments in these clinics are free, ensuring that all women in Belize can access life-saving treatments for themselves and their unborn children. This accessibility has been crucial in eradicating the viruses and underscores the relentless efforts of Belizean health care workers. Additionally, if a mother misses an appointment, a nurse visits her home to conduct a follow-up check.

Nurses Maintaining the Transmission Rates

The critical roles of nurses in eliminating mother-to-child transmission of HIV and syphilis in Belize, particularly in remote areas like San Lazaro, are pivotal. The Belize Ministry of Health facilitates mobile health services that allow nurses to travel between villages to conduct screenings and treatments. This commitment underscores the dedication of health care workers to achieving the certification for eradicating HIV and syphilis transmission from mothers to their children.

Health care services in Belize actively educate and promote awareness of HIV and syphilis, encouraging mothers to seek regular testing. During prenatal checkups at clinics, health care workers emphasize the importance of screenings for both the women and their unborn children. This approach normalizes early testing upon pregnancy, increasing awareness and helping more women know their health status.

Testimonies from Belizean health care workers emphasize that their diligence, research and efforts are crucial for sustaining the elimination of mother-to-child transmission of HIV and syphilis. The Minister of Health and Wellness of Belize, Hon. Kevin Bernard, notes that cooperation and teamwork between health care workers and the communities they serve are essential for delivering optimal services and effectively preventing the spread of the disease.

Looking Ahead

The WHO certification confirming the elimination of mother-to-child transmission of HIV and syphilis in Belize highlights the success of the country’s health care workers and medical services. According to Dr. Natalia Largaespada Beer, this achievement not only ensures a new generation free of these diseases but also represents an opportunity to strengthen the health care system. The enhancement of services and nationwide access to life-saving treatments promise a bright future for Belize in sustaining this elimination, ensuring every child has the right to be born free from these diseases.

– Ben Kane

Ben is based in London, UK and focuses on Global Health for The Borgen Project.

Photo: Flickr

, ,

Poverty and Dengue Outbreaks in Timor-Leste

Dengue Outbreaks and Poverty in Timor-LesteTimor-Leste, also known as East Timor, is a country in Asia situated on the eastern half of the island of Timor. As one of the lowest-income nations in the world, it has a GDP per capita of $3,900. The nation’s low income leads to numerous poverty-related challenges, including health issues. Dengue fever, in particular, poses a significant health problem in the country. Dengue outbreaks occur annually in Timor-Leste, peaking during the hot and rainy season from Dec. to April. In Jan. 2022, Timor-Leste experienced a severe dengue outbreak, with nearly 900 cases recorded in Dili, the nation’s capital, compared to about 100 cases the previous year. From 2018 to 2022, Timor-Leste reported an incidence rate of 330 dengue cases per 100,000 people.

Dengue

Dengue, a disease prevalent in tropical and subtropical areas, spreads mainly through Aedes mosquitoes. Common symptoms include fever, aches, rashes and nausea. While not always fatal, dengue can lead to death in severe cases. Currently, no specific treatment exists for the illness; the primary advice for those affected is to rest and drink plenty of fluids.

Dengue Impacts the Impoverished

Due to Timor-Leste’s low income and high poverty rate, dengue outbreaks hit especially hard. About 42% of the nation’s population lives below the poverty line and these individuals suffer more from the outbreaks than those who are not impoverished. Environmental factors often place people in poverty at higher risk. Many are displaced by natural disasters like flooding, which forces them to seek new housing and living spaces, increasing their risk of dengue transmission. Additionally, these disaster sites often lead to increased mosquito populations due to standing water, further elevating the risk of infection. Accessing health care is also challenging for many impoverished people, exacerbated by Timor-Leste’s weak health care system. Poor education and high poverty rates hinder the development of a robust health care industry, allowing illnesses to spread more widely.

Actions Being Taken

The World Health Organization (WHO) is actively combating dengue in Timor-Leste through multiple initiatives. WHO is supporting the government in strengthening its health care system and has trained many workers to provide necessary care. It has also developed national dengue control guidelines for managing future outbreaks and launched a nationwide campaign to educate the public on dengue prevention and home treatment methods. Additionally, WHO has organized cleaning efforts to maintain clean water and environments, reducing contamination risks. The organization also employs fumigation to eliminate mosquitoes from residential areas. The Timor-Leste Red Cross has also contributed, seeking assistance from the International Red Cross. From Feb. to Aug. 2022, these combined efforts successfully reduced the spread of dengue and minimized its impact.

Looking Ahead

Timor-Leste faces significant challenges due to its low income and recurring dengue outbreaks. The WHO and the Timor-Leste Red Cross have implemented various measures to combat the spread of dengue, including health care worker training, public education campaigns and environmental cleaning efforts. Despite these ongoing efforts, the country continues to struggle with the impacts of poverty and a fragile health care system, necessitating ongoing support and resources to effectively manage and reduce dengue cases.

– Tyra Brantly

Tyra is based in Los Angeles, CA, USA and focuses on Global Health for The Borgen Project.

Photo: Flickr

, ,

The Fight Against Mosquito-Borne Diseases

The Fight Against Mosquito-Borne Diseases Mosquitoes play dual roles in ecosystems worldwide as major pollinators and a key food source. They also spread life-threatening diseases such as Malaria, Zika Virus and Dengue Fever, making them the world’s deadliest organism. Mosquitoes cause between 750,000 to 1,000,000 deaths annually and cost the global economy more than $12 billion each year. Despite the impact of mosquito-borne diseases, particularly in low to middle-income countries, mosquitoes remain ecologically important. As a result, scientists are striving to develop creative solutions that prevent, reduce and eradicate these diseases without disrupting natural ecosystems.

Innovative Genetic Solutions

Given the current technology, implementing preventative measures to reduce the spread of mosquito-borne diseases has become a priority. Indeed, scientists are searching for more effective and widespread solutions to decrease the population of disease-spreading mosquitoes. One promising approach focuses on genetically modifying mosquitoes to reduce their population.

This strategy involves releasing mosquitoes carrying a “self-limiting gene” that causes female offspring to die before reaching adulthood. By targeting specific mosquito species known to spread diseases, this approach aims to break the transmission cycle. The Centers for Disease Control and Prevention (CDC) states that this method is reversible; ceasing the release of these genetically modified mosquitoes would allow the population to return to normal levels. Controlling the reproduction of disease-spreading mosquitoes, particularly biting females, could potentially prevent deadly disease outbreaks.

Oxitec’s Pioneering Role in Mosquito Population Control

Oxitec, a U.K.-based biotech company, leads the efforts in genetically modified mosquito (GMM) projects. While their stated aim is to help combat the spread of malaria in Eastern Africa and Central and South America, their broader focus includes decreasing the incidence of all mosquito-borne and vector-borne diseases. Oxitec specifically targets three critical mosquito species: Anopheles stephensi, an invasive species originally from Asia now detected in seven African countries, Anopheles albimanus and Aedes aegypti, native to South America.

Brazil’s Fight Against Dengue

Between 2021 and 2022, Brazil experienced a 400% increase in deaths caused by Dengue. In response, the country has ramped up projects to combat mosquito-borne diseases. Despite these ongoing efforts, Brazil is currently grappling with a Dengue Fever outbreak, with confirmed cases surpassing 5 million. Oxitec has initiated the deployment of ‘just-add-water friendly’ genetically modified mosquitoes (GMMs) into the local mosquito populations to help curb this epidemic. Reports indicate that in areas where these interventions have occurred, populations of Aedes aegypti mosquitoes have been nearly halved. Authorities are aiming for an overall reduction of 20% to mitigate the current state of emergency affecting many regions, including the state of Rio de Janeiro.

Panama’s Use of GMMs

Panama first utilized GMMs in 2014 through a partnership between Oxitec and the Gorgas Institute in Panama City, aiming to decrease the Aedes aegypti population to reduce Dengue transmission. More recently, Panama has been confronting a new Malaria epidemic, with cases in rural communities surging by 65% in 2023. The rise in cases is primarily attributed to an increase in the population of the invasive mosquito Anopheles albimanus. This situation has renewed collaboration between Panama and Oxitec, leading to the release of genetically modified ‘friendly’ Anopheles albimanus mosquitoes intended to diminish the number of this malaria-spreading species.

GMMs in Djibouti

Anopheles stephensi, a mosquito known for transmitting Malaria in South Asia and the Middle East, was confirmed in 2012 to have crossed the Red Sea into the Horn of Africa. Since then, it has been found in seven African countries and is suspected in four others. Djibouti, which nearly eradicated Malaria in 2012 with fewer than 100 confirmed cases, saw cases skyrocket to more than 70,000 by 2020. In May 2024, Djibouti became the first East African country to deploy genetically modified mosquitoes (GMMs) to combat the rising tide of Malaria.

Looking Ahead

Innovative solutions such as deploying genetically modified mosquitoes present promising methods for controlling mosquito populations and reducing disease transmission without disrupting ecological balance. Countries like Brazil, Panama and Djibouti are already implementing these advanced techniques, underscoring the critical need to continue investing in and developing effective strategies to combat mosquito-borne illnesses globally.

– Philip Mundy

Philip Mundy is based in Bristol, UK and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

, , , , ,

KSRelief-WHO Funding Agreement for Sudan, Syria and Yemen

KSRelief-WHO Funding Agreement for Sudan, Syria and Yemen Ongoing conflicts in Sudan, Syria and Yemen have devastated public health institutions and affected millions. In Sudan, more than two-thirds of main hospitals are out of service, leaving 11 million people in need of urgent health care since April 2023. Syria faces a similar crisis, with more than 12.2 million people needing immediate medical attention due to inadequate health facility services. In Yemen, about 46% of health facilities are nonfunctional or partially operational, affecting 21.6 million people, at least two-thirds of the population. In response, the King Salman Humanitarian Aid and Relief Centre (KSRelief) is actively providing crucial support and resources to address these health care challenges.

International Aid and Collaboration

On May 25, 2024, KSRelief signed an agreement with the World Health Organization (WHO) to fund WHO’s critical health response operations in Sudan, Syria and Yemen to the amount of $19.4 million. Before signing the funding agreement, both organizations worked extensively to alleviate the pain the people in Sudan, Syria and Yemen endured.

At Jordan’s Zaatari camp for Syrian refugees, KSRelief has been operating medical clinics where doctors have provided health care assistance, including treatment for sinus and middle ear infections, to 2,349 Syrian patients. Similarly, WHO has been reinforcing disease surveillance in Sudan and Yemen to help countries such as the Kingdom of Saudi Arabia respond effectively to the health crises in these countries. KSRelief’s funding support to WHO’s critical health operations in Sudan, Syria and Yemen facilitates medical care on the ground.

Funding Dialysis Treatments in Sudan

KSRelief’s efforts includes providing $5 million to supply 100 dialysis machines and strengthen dialysis centers in Sudan. Currently, 77 renal dialysis centers in Sudan are only partially functioning and cannot provide life-saving dialysis treatment for the Sudanese people. According to the International Society of Nephrology, there are approximately 8,000 Sudanese people and more who have been relying on dialysis to stay alive since the conflict started. 

Healing Syria After the Earthquakes

On Feb. 6, 2023, a devastating earthquake in Syria destroyed many buildings, including essential hospitals and health clinics, affecting 8.8 million Syrians and resulting in the deaths of 5,954 Syrians. KSRelief supported WHO with a $4.75 million contribution to provide necessary medications and supplies to around 350,000 Syrians in need urgent health care. The funds allocated to Syria will also help WHO restore diagnostic capacity and ambulance services, assisting an estimated 4.1 million Syrians.

Countering Disease Outbreaks in Yemen

KSRelief is providing $9.5 million to support WHO’s operations in Yemen, focusing on strengthening responses to disease outbreaks like cholera and measles. Yemen currently faces over 40,000 suspected cholera cases and more than 34,000 cases of measles and rubella as of August 31, 2023. This funding also aims to help WHO enhance health care facilities in Yemen by improving their sanitation and hygiene services, thereby boosting their capacity to tackle disease outbreaks. These ongoing efforts are expected to benefit approximately 12.9 million Yemenis in urgent need of care due to the public health crisis.

Multilateral Collaboration to Address Critical Health Issues

KSRelief’s critical financial support to WHO’s health operations aims to ensure the safety of Sudanese, Syrian and Yemeni people who dream of a stable and secure future. The ongoing efforts highlight the impact multilateral collaboration between countries and organizations could have in addressing global health issues.

– Abdullah Dowaihy

Abdullah is based in Riyadh, Saudi Arabia and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

, , , , ,

Strengthening Health Care Centers in Saint Lucia

Strengthening Health Care Centers in Saint LuciaLocated in the Caribbean, Saint Lucia is a small island nation with a population of just under 200,000. Like many Small Island Developing States (SIDS), it faces challenges such as limited technology and overwhelmed health care services, making its population vulnerable to poor health. Noncommunicable diseases (NCDs) like hypertension and diabetes reportedly account for approximately 82% of the country’s deaths.

Causes of Vulnerability

SIDS are particularly vulnerable to NCDs. According to a 2023 World Health Organization report, of 15 countries experiencing a 30% higher mortality rate from NCDs, eight are SIDS. This heightened vulnerability stems from several factors, including governance issues, educational gaps and economic inequality. Their isolated locations restrict trade and access to resources, while small populations limit their ability to develop extensive health care facilities and secure sufficient funding. The high cost of medical technology further strains their GDPs.

SIDS faces frequent natural disasters like hurricanes and cyclones, which annually cost 1% to 8% of their GDP, leading to infrastructure damage that requires ongoing reinvestment and rebuilding of national services. Additionally, these nations often suffer from brain drain, as many skilled professionals emigrate in search of better opportunities, further depleting the health care workforce.

Strengthening Health Care Centers in Saint Lucia

With funding from the World Bank, the Ministry of Health, Wellness and Elderly Affairs in Saint Lucia has implemented a Performance-Based Financing mechanism for health care centers. This scheme distributes funding to wellness services across the island, aiming to improve access to primary-level health care for patients and reward centers for their treatment provision. By allocating funds based on data-driven performance metrics, the ministry makes strategic investments to maximize effectiveness.

Long-term investment in health care services enhances their efficiency and resilience in recovering from unprecedented events and shocks. Recent years have highlighted the importance of such resilience, with many countries struggling to handle crises like the COVID-19 pandemic. This resilience is especially critical for SIDS, given their increased vulnerability to natural disasters like hurricanes. These meteorological events strain the economy and necessitate frequent strengthening of infrastructure.

A recent World Bank report found that individuals suffering from non-communicable diseases spend about 36% of their income on health care annually, a figure that rises to nearly 50% among those experiencing higher levels of poverty. Improved health services allow individuals to consult local providers instead of resorting to more expensive hospital care. Strengthening health care centers in Saint Lucia boosts economic conditions on both national and individual levels.

Looking Ahead

Saint Lucia, like many SIDS, faces significant challenges in managing NCDs due to its limited health care resources and economic constraints. The government, with World Bank support, has introduced a Performance-Based Financing mechanism to improve primary health care access and efficiency. Strengthening these services can potentially reduce health care costs for individuals and enhance the island’s overall economic resilience. This approach aims to mitigate the impact of natural disasters and health crises on the nation’s vulnerable population.

– Aimee Masters

Aimee is based in London, UK and focuses on Technology and Global Health for The Borgen Project.

Photo: Flickr