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How China’s Street Vendors Help the Economy

street vendors As the first country affected by COVID-19, China is now recovering from the pandemic. Businesses are reopening gradually and people are slowly returning to their normal day-to-day life. However, the pandemic triggered an increase in unemployment, rising from 5.7% to 6.2% in February. Since then, the government has been working to address this rapid rise. In addition to the expansion of civil servants and enterprises, the government is encouraging street vendors to help solve the problem of employment.

Economic Disparity

China has a large population of low-income citizens whose vulnerability is increased during times of crisis. This problem is not only an economic problem but also an issue of stability of sovereignty. During last month’s parliament session, Prime Minister Li Keqiang discussed civilian livelihood, reporting that 600 million citizens were still only making a monthly income of around 1,000 yuan ($140). This shows that there is still a large number of people in China who are unable to fill their basic needs without an increase in their income. As a result, China has begun to recognize the importance of developing the street vendor economy, which can help decrease unemployment and drive up higher consumption.

Street Vending in Public Policy

With the target of eliminating poverty by 2020, the approval of street vendors has become a necessary choice. Street stalls were previously thought to clash with the modern urban landscape of cities. However, the Chinese government had a change in attitude following the successful street stall experiment in Chengdu, China. The government found that reintroducing street stalls in Chengdu created 100,000 new jobs and largely increased people’s interest in entrepreneurship. Thus, the policy was implemented across the country.

Additionally, many large companies from a variety of sectors are stepping in and showing their support for street vending. Alibaba is one of the largest online shopping platforms in China. It pledged to sell merchandise to stall owners at a reduced price. Additionally, Dongfeng Motor Group and Jiangling Motors Corp (JMC) said its “vans can be modified to suit vegetable sellers or BBQ street food vendors.”

Effect on Unemployment

In June, unemployment was at  5.7%, which was a decrease of two points from the previous month. At that time, China had also created 5.64 million jobs. The increased use of street vendors is contributing to the stimulation of China’s economy and encouraging cash fl0w. Street vendors are aiding in the absorption of the labor force. They are helping those who have been unable to find work and who have not yet received aid due to the pandemic.

There is still some debate in areas like Bejing as to whether street vendors will help the economy. However, Chengdu created 100,00 jobs in May by opening “tens of thousands of street stalls.” Other local governments are following suit. Lanzhou announced its plans to open 11,000 more vendors with the possibility of providing an additional 300,000 jobs. By July, the unemployment rate had not lowered, but it also did not go up.

In a time when many countries are facing a spike in unemployment, China’s use of innovative solutions sets an encouraging example. By using street vendors as a way to stimulate the economy, China is supporting small businesses and improving consumer confidence. 

– Dihan Chen
Photo: Flickr

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China’s Healthcare Reform in 2020 and Beyond

China's Healthcare ReformChina is now in its 13th five-year plan to improve its overall healthcare system, and it’s maintained a steady momentum so far. Universal health coverage has now taken center stage in the country as nearly 95% of citizens have some form of basic health coverage. China’s healthcare reform in 2020 reform is coming to a close and it is a far cry from the 1970s. The next projected reform to continue the expanded coverage seen in years prior and to optimize the quality of care for greater access will be in 2030.

A Brief Snapshot of China’s Previous Healthcare Reforms

During 1978, China underwent a period of transforming its economy to a socialistic market model, and as a result, its healthcare system shifted through two reform cycles. The initial cycle focused on funding via market forces to provide care, yet this came at the cost of higher hospital fees and low-quality services. Many became impoverished as the cycle took a toll on those with severe health concerns and rural populations.

In 2003, the government took on a series of health reforms to alter the state of the healthcare landscape. China’s healthcare reforms meant that social health insurance assisted the uninsured, which accounted for 75% of the populace. This effort aided urban workers and rural citizens alike. 2012 marked a significant stride as 95% of China’s population now had some form of basic healthcare. Ten years later, the country went through another transition in 2013 to return to a market influence on healthcare.

Lessons Learned

In 2016, the World Bank Group authored a report to address the reforms in China, which called for a more cost-effective healthcare system with a higher standard of quality. In turn, a massive study “was undertaken jointly with the World Health Organization (WHO) and three Ministries of the Chinese Government.”

As a result, the study determined that China had to change to a “primary-care centered an integrated model with provider payment reforms” to achieve desired healthcare reform results. If the country did not adhere to the study, it would increase its health spending drastically from 5.6% to 9.1% over the next twenty years.

2020 Reform: The 13th Five-Year Plan

China’s healthcare reform for 2020is yet another effort to transpose China’s previous efforts with those “below the poverty line.” A big focus will be providing basic healthcare to those living in rural areas to match the national average and to alleviate the burden of those in poverty due to healthcare expenses.

For example, this endeavor will increase hospital capacity and allow for investments in private hospitals, improved training for nurses and staff, optimize the grassroots level medical centers, better integration of medical technology and full comprehensive healthcare coverage is the goal set for the new reform.

Moreover, the primary focus was on implementing universal basic healthcare to more than 1.3 billion Chinese citizens as part of the new reform, but the entire system is going to see further changes. As of March 2018, the People’s Congress has outlined a plan “to improve efficiency and public services.”

In Action

Thus far, China has seen improvements from previous reforms as 1.35 billion participating in the “basic medical insurance program” in January 2020. The new healthcare model now insures 95% of Chinese citizens. Moreover, 72 drugs are now at a reduced cost under the insurance catalog as of November 2019, and a shortage prevention system is to ensure adequate drug supplies are in stock.

New service models will allow patients to withhold out of pocket expenses so that patients may receive treatment first. These provisions are possible through public funding of basic medical insurance, yet residents have the option of enrolling in an “Urban-Rural Resident Basic Medical Insurance” program through government subsidies. The plan covers all basic elements of hospital care as well as prescription drugs.

Dependent on the insurance plans, citizens are no subject to various copayment and deductible options. For individuals who are unable to cover the out-of-pocket costs, medical assistance programs are available through government-funded donations.

2020 and Beyond

Beyond the 2020 reform, China has its sights set on the 2030 healthcare agenda, which has 20 departments formulating what is next. This plan will further expand the healthcare sector to make it a much larger proponent in the economy by vastly improving the quality and reach of care across China.

Health equity is the driving force behind what is to come in 2020 with strides already conducted to ensure that goal. These efforts have already extended health coverage to the rural regions with “less than one-third of China’s population” having direct access to healthcare. Furthermore, the ongoing development with healthcare and traditional medicine will serve a role in maintaining chronic illness and disease prevention. Healthy China 2030 will be the initiative that takes the current healthcare climate to new heights.

– Michael Santiago

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Winter in Asia: China’s Heating Crisis

china's heating crisisWhile many in the developed world think of heat in the winter as a basic need, many people are impacted by China’s heat crisis and spend every long winter season without a central heating system in their home. A clear geographical line divides those who have basic central heating in their homes and those who do not. Heat was afforded to the northern portion of China whose occupants experienced the coldest and harshest winter seasons. However, though temperatures often dip below freezing in the southern region, many residents suffer from inadequate heating and thin walls that provide them sub-par protection from the frigid temperatures. More fortunate residents can afford to own and power a space heater designed for small rooms and short amounts of time for some comfort, but many without any heating devices report resorting to measures such as turning on their air conditioning since the air it will produce is warmer than the air in their home.

History of Heating in China

The decision to ration heat in China came in the 1950s when officials came to the realization that they did not have the resources or energy capacity to heat the vast and populous country. China’s heating crisis started when the north was perceived as in the highest need because the region experienced lower temperatures and higher levels of snowfall. However, the country failed to factor in the harsh conditions of cities on the east coast of China, such as Shanghai, where, while they don’t see much snowfall, rainfall and wind make for low wind-chills and blustery conditions.

For the homes located in the north, the government controls the heat and keeps every home at a consistent 68 degrees Fahrenheit. Lacking control over their heat consumption can lead to financial strain for the lower-class Chinese residents who struggle to afford the mandated cost of their heating bill. 

“Generally, a 70-square-meter apartment in Beijing costs around 2,100 yuan ($317.36) just to heat every winter, which is quite expensive for low-income families,” a Chinese journalist said when describing China’s heating crisis.

To make ends meet, this may leave them with no choice but to ration in other areas such as regular groceries and other essentials.

Updating the System

For the majority of its existence, China’s central heating system has been operated on a coal-burning based system. To accommodate every home in the north, a great deal of coal has to be burnt every year. Before the 2017 upgrade, in which many systems were converted to burn natural gas, China was one of the world’s largest consumers of energy with the amount of coal used being a large contributing factor. This has come at the expense of several negative implications to the environment which has directly contributed to China’s severe air pollution problem that worsens climate change and public health.

China’s Heating Future

Southern citizens are waiting on the government to construct a central heating plan to warm the homes in the south, but it never seems to be a priority. In response to the lack of government intervention in China’s heat crisis, wealthier Chinese residents have opted to install heating systems in their homes at their own cost. While it may take a while for the government to provide lower-income families with central heat, heat becoming the cultural norm is sure to shift public opinion and put pressure on the government to devise a way to provide every home with adequate heating. In addition, the Chinese government is planning to implement a “New Green Deal” that will make it more affordable to heat homes by using cheaper energy sources and providing government help to pay the bills.

– Samantha Decker
Photo: Pikist

Eco-Cities in Developing Countries

eco-cities in developing countries

Nature has become increasingly separated from humanity over time, especially in our cities. However, urban planners around the world are working to reintegrate aspects of the natural environment with our lived spaces. This reimagination of traditional infrastructure has led to the creation of eco-cities. Urban planners are working to make eco-cities in developing countries a reality. The global population is projected to reach 8.5 billion people by 2030, with the majority of the increase coming from the developing world. If city planners continue to answer population growth with an endless sprawl of concrete and few green spaces, the future of our urban centers seems dismal especially for the world’s poor.

The Goal of Eco-Cities

In response to the inequalities and health concerns traditional planning produced, a new generation of urban planners is embedding elements of nature in urban ecosystems. In order to create healthier environments and more equitable communities, planners are:

  • Increasing access to public transportation
  • Increasing the number of community green spaces
  • Building skyscrapers fitted with solar panels to reduce emissions
  • Constructing wetlands to filter runoff before it enters the watershed

The Benefits of Eco-Cities

The planning goals of eco-cities will improve the lives of citizens in a few crucial ways. First, Eco-cities promote public transportation and walkability in order to increase mobility and access to economic opportunities for all citizens. Second, eco-cities will reduce emissions and pollution by increasing renewable energy sources, decreasing city traffic and creating parks and other green spaces. These actions will increase air quality and provide citizens with recreational opportunities, ultimately improving the health and wellbeing of citizens.

The use of green spaces in eco-cities demonstrates the range of benefits from an individual planning goal. In general, urban green spaces in traditional cities are only accessible to the wealthy. Eco-cities, however, provide easily accessible green spaces would for all residents, regardless of socioeconomic status. In addition to the environmental benefits, increased access to healthy social and recreational green spaces will improve the mental and physical health of the entire city’s population. 

Examples of Eco-Cities

Tianjin, China

There are many compelling examples of eco-cities that exist today in both the developed and developing world. Tianjin, China is an audacious example of using sustainable planning practices to create an eco-city. In 2008, China and Singapore collectively reconstructed Tianjin’s Binhai district to meet a variety of “Key Performance Indicators,” such as the conservation of ecological resources, and enhancement of access to health, education and employment.

In 2018, the Tianjin eco-city celebrated its tenth anniversary, and it is now a functioning district with full-time residents. Since its construction, the city has:

These projects and policies are aimed to achieve the key performance indicators laid out for the city and ultimately improve the overall quality of life for its citizens. 

Curitiba, Brazil

There are already many expiring examples of sustainable planning in developing countries that have improved the wellbeing of its citizens. For instance, Curitiba, Brazil implemented many principles of an eco-city without the resources of a developed country. In Curitiba, city officials have:

  • Implemented an inexpensive “Bus Rapid Transit” system and prohibited cars in the city center
  • Rehabilitated wetlands instead of constructing expensive levees
  • Created a city-wide public recycling system

These projects and programs have improved the city in several ways. First, the “BRT” system increased mobility for citizens of all socioeconomic statuses. As a partial result of this program, income loss due to lack of transportation is 11 times lower in Curitiba than in Sao Paolo. Next, The restoration of wetlands has mitigated the threat of floods at a much lower cost traditional levees. These wetlands have saved numerous homes from flood damage and now serve as public parks. Finally, the public recycling program has created numerous jobs and encouraged  70% of the city’s population to actively recycle.

Following these successes, Curitiba is now widely considered a classic example of excellent urban planning. For this reason, Curitiba’s planning decisions can and should provide a framework to construct eco-cities in developing countries.

Implications for Developing Countries

The countries that will undergo the most urbanization in the next century are developing countries. Currently, 77% of Latin Americans live in urban areas, nearly a quarter of whom live in slums. In sub-Saharan African, 62% of urban citizens live in slums, as do 43% of urban citizens in south-central Asian cities.

By 2030, the urban population of these regions is expected to be double what they were in 2000. Surely, this level of population growth will require the construction and expansion of new and existing cities. Rapid urbanization, and the concentration of urban citizens in slums, affirms the need for a shift in city planning towards sustainable practices.

The inevitable growth of cities to accommodate these populations provides an opportunity to break the 19th-century urban growth models. Traditional urban planning has been prevalent around the world since the Industrial Revolution and is the cause of many public health concerns such as insufficient waste management and air pollution. Instead, developing countries can utilize the eco-city approach to create more equitable and healthy communities.

Supporting the Construction of Ec0-Cities

Eco-city Builders, created in 1972, is one of the most prominent international organizations in the eco-city movement. This non-profit trains urban planners across the world on how to achieve eco-city standards. In Peru for example, the organization taught 75 planners how to use geospatial and community data to design green infrastructure. They also mobilized 800 citizens, academics and politicians to engage in active research regarding the design of their communities.

Since 1990, Eco-city Builders has held 13 different Eco-city World Summits that have taken place in various countries across the globe. These summits host conferences and presentations that reflect on the work already accomplished and look forward to new methods for implementing eco-cities in developing countries.

By providing training for urban planners and achievable standards for what defines sustainability, Eco-city Builders can help local officials in developing countries create more environmentally friendly and equitable communities.

 – Christopher Bresnahan

Photo: Flickr

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Water Competition and Efficiency in Kazakhstan

Water Competition and Efficiency in Kazakhstan
Former Soviet-controlled Kazakhstan has come a long way since the end of the Cold War. Despite becoming a more stable nation in the Middle East compared to its neighbors, it still struggles with water distribution and quality to this day. This article shall discuss these chief problems through water competition and efficiency in Kazakhstan.

Competition with China

As far as competition goes, Kazakhstan has a major problem in the form of China. Kazakhstan relies heavily on the Ili River for a good portion of its water supply and both countries connect to this valuable river. At the end of the day, China receives a larger share of the river than Kazakhstan. This is partly because the Ili River begins in China, and that China has 15.7 billion cubic meters of water flow into its borders every year. On the flip side, Kazakhstan only gets around half of that with 8.4 billion cubic meters. China states that it should have a larger share due to it being larger than Kazakhstan and the fact that Kazakhstan exploited the water profusely in the 1960s. In fact, Kazakhstan still does today at a rate of 42.7 percent which is over the 40 percent limit range.

Efficiency in Water Distribution

Kazakhstan has noted that it needs to exploit these waters due to its inability to give its population enough water or water that meets sanitary standards. This is partly due to the lack of efficient water distribution to people in certain parts of Kazakhstan. Meanwhile, Central Kazakhstan only receives 3 percent of the country’s water.

Another problem is that the government has been treating its water as an unlimited resource while it is becoming clear that it is very scarce. This lead to poor management of this water while leading the citizens into believing that the problem is not as dire as it seems.

Sanitation in Kazakhstan

Another issue that Kazakhstan has is that most of its drinking water is unsafe to ingest. Due to the aforementioned poor distribution and supply of the water within the country, the amount of clean water sits at only 30 percent. A key cause of poor distribution is that the water often stops in pipes, which allows it to collect bacteria and disease. These interruptions in water flow can occur 14 days a month and last as long as 12 hours. The fact that the pipes that flow this drinking water are also in the same trenches as sewer pipes, causing cross-contamination and a possible epidemic does not help matters. This only further highlights why water competition and efficiency in Kazakhstan is so important.

Course of Action

Kazakhstan is looking to revamp its water system by not just fixing its own, but also by importing water from outside sources, namely other neighboring countries. The government is also receiving support from the E.U.; it is helping to create policies that can help Kazakhstan better preserve its water for drinking and agricultural needs. The E.U. is also going so far as to provide new technology to better equip the country in preserving this water. This is not surprising since the E.U. also provided $1.5 billion to help with water management from 2010 to 2013. With all of this support, the government of Kazakhstan is hoping to increase its people’s access to clean, sustainable drinking water by 2030.

In this article about water competition and efficiency in Kazakhstan, it is clear that the country is in a rough patch to competition outside of its borders, as well as its poor management of the water it possesses. With the proper restructuring of its water system and outside help, the country should be able to improve this issue. With the E.U.’s continued help and allocated funds and resources to fix the contamination and distribution problems, Kazakhstan should be able to see a great increase in clean water.

– Collin Williams
Photo: Flickr

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Social Justice Helps to Fight Social Challenges

Social Justice Helps to Fight Social ChallengesAccording to the Pachamama Alliance, social justice is defined as “equal access to wealth, opportunities and privileges within a society.” Social challenges are defined as “an issue that relates to society’s perception of people’s personal lives. Different societies have different perceptions and what may be “normal” behavior in one society may be a significant social issue in another society.”

After defining terms, now the question raised must be addressed: how can social justice helps to fight social challenges? Social justice can help to fight social challenges by providing society with equal opportunities to overcome its problems.

Social justice and education

For instance, poverty is considered a social challenge because it relates to how society views people’s lives. One way to help reduce poverty is to provide greater and more equal education opportunities since many find themselves living in poverty due to a lack of education. From the years of 2002 to 2007, about 40 million more children around the world were able to attend school, due largely in part to the lowering of costs and the increase in investment. Programs like these are examples of social justice and the impact it can have on addressing social problems like global poverty.

Social justice and access to clean water

Another factor that influences poverty rates is a lack of access to clean potable water and nutritious foods. Although having access to these resources is a basic human right, many people around the world do not have access to clean water and food. To be more specific, according to The Water Project one in nine people worldwide do not have access to clean and safe drinking water, as a result, people find themselves without the ability to “grow food, build housing, stay healthy, stay in school, and keep a job.” By implementing programs such as building wells in rural communities and bringing access to potable water within a half-mile of villages across the globe, social justice in the form of providing people with equal access to privileges within a society, the social challenge of global poverty is being addressed.

Social justice and job development

Another important aspect is the economy and how job development can help to eradicate poverty. In China, 700 million people have been raised out of poverty due to several different programs being put in place by the government, one of which is its focus on the creation of jobs and the economic development of rural areas. Additionally, by providing underdeveloped areas with officers to regulate the poverty-alleviation programs, Chinese citizens were able to rise up out of the inhumane living conditions they were surviving in.  Through the government’s efforts in the job and economic development, China’s poor population has been given the same opportunities to achieve wealth and change their situation, which just goes to show that social justice can make a difference in how social challenges are addressed.

In conclusion, in terms of how social justice can help to fight social challenges, one could say that through the implementation of programs that offer the same opportunities to the underprivileged, social justice helps to fight social issues like global poverty.

– Laura Rogers
Photo: Flickr

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China’s Contribution to Global Poverty Reduction

China's Contribution to Global Poverty Reduction
China has lifted 82.39 million rural poor out of poverty over the past six years. Additionally, recent data from the National Bureau of Statistics showed that the proportion of people living below the poverty line dropped from 10.2 to 1.7 percent in the same period. The population living below the current poverty line in the rural areas was 16.6 million by the end of 2018, down 13.86 million from the previous year. The poverty rate in 2018 was also down by 1.4 percent points from 2017. A lot has happened on the way for China‘s contribution to global poverty reduction, though.

China’s History

In 1958, Mao’s Communist Party introduced the Great Leap Forward, a failed effort to achieve rapid industrialization, and which, by its end in 1962, left as many as 45 million people dead as food output plunged and a famine wreaked havoc. The decade-long Cultural Revolution, which brought disaster to the country, only ended with Mao’s death in 1976. Because of such campaigns, China basically stood still as the rest of the world moved ahead.

Today, China’s huge strides over 70 years seem impressive but those gains occurred in the 40 years after Mr. Deng launched China on the road to economic reform after taking over from Mao’s chosen successor. Deng Xiaoping paved the way for how China contributes to global poverty reduction.

Poverty Alleviation in China

According to statistics that the World Bank released, over the past 40 years, the number of people in China living below the international poverty line has dropped by more than 850 million. This represents 70 percent of the total world figure. With the highest number of people moving out of poverty, China was the first developing country to realize the UN Millennium Development Goal for poverty reduction.

Indeed, poverty across the globe has seriously hindered the fulfillment and enjoyment of human rights for many. As such, many see reducing and eliminating poverty as the major element of human rights protection for governments across the world. It is really encouraging that, over the years, poverty eradication has always remained a goal for the Chinese government in its pursuit of a happy life for its people.

China’s Efforts to Alleviate Poverty Around the World

In the meantime, China’s poverty alleviation results are benefiting other countries and their peoples. China, with an aim to build a community with a shared future for humanity, is actively responding to the UN Millennium Development Goal and 2030 Agenda for Sustainable Development. It is conducting broad international collaboration on poverty reduction. Some examples of China contributing to global poverty reduction are the implementation of the China-Africa cooperation plan for poverty reduction and people’s livelihood and the 200 initiatives of the Happy Life Project.

Over the past 70 years, China provided financial aid of over 400 billion yuan to nearly 170 countries and international organizations, and carried out over 5,000 assistance projects overseas and helped over 120 developing countries to realize the Millennium Development Goal, a glorious example of how China’s contribution to global poverty reduction.

China plans to eliminate absolute poverty by 2020. The plan is not only a key step for the country to realize the Chinese Dream of the great rejuvenation of the Chinese nation, but also a significant and glorious cause in the human history of poverty reduction.

– Andrea Viera
Photo: Flickr

 

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5 Countries With The Best Poverty Reduction Programs

Best Poverty Reduction Programs
In the global fight against poverty, there have been countless programs to effectively downsize this issue. Poverty reduction programs are an important part of the fight against poverty and because of this, countries should be able to cooperate and learn from one another. Thankfully, with the help of the U.N., the world has been making progress in terms of cooperating to implement good poverty reduction programs. In no particular order, these are the five countries with some of the best poverty reduction programs.

Five Countries with the Best Poverty Reduction Programs

1. China

For the Middle Kingdom, poverty reduction is a key contributing factor to its rapidly growing economy. China has helped reduce the global rate of poverty by over 70 percent, and according to the $1.90 poverty line, China has lifted a total of 850 million people out of poverty between 1981 and 2013. With this, the percentage of people living under $1.90 in China dropped from 88 percent to less than 2 percent in 32 years. China’s poverty reduction programs have also benefitted people on a global scale by setting up assistance funds for developing countries and providing thousands of opportunities and scholarships for people in developing countries to receive an education in China.

2. Brazil

Brazil has taken great steps in reducing poverty and income inequality. Brazil has implemented programs such as the Bolsa Familia Program (Family Grant Program) and Continuous Cash Benefit. Researchers have said that the Family Grant Program has greatly reduced income disparity and poverty, thanks to its efforts of ensuring that more children go to school. They have also said that beneficiaries of this program are less likely to repeat a school year. Meanwhile, the Continuous Cash Benefit involves an income transfer that targets the elderly and the disabled.

3. Canada

Canada has implemented poverty reduction programs such as the Guaranteed Income Supplement and the National Housing Strategy. The Guaranteed Income Supplement is a monthly benefit for low-income senior citizens. This program helped nearly 2 million people in 2017 alone. Meanwhile, the National Housing Strategy in an investment plan for affordable housing that intends to help the elderly, people fleeing from domestic violence and Indigenous people. With its poverty reduction programs in place, Canada reportedly hopes to cut poverty in half by 2030.

4. United States

Although the United States has a long way to go when it comes to battling poverty, it does still have its poverty reduction programs that have proven to be effective. According to the Los Angeles Times, programs such as Social Security, Temporary Assistance for Needy Families, the Earned Income Tax Credit and food stamps have all helped to reduce deep poverty. In particular, people consider the Earned Income Tax Credit to be helpful for families that earn roughly 150 percent of the poverty line, approximately $25,100 for a four-person family. Social Security could help reduce poverty among the elderly by 75 percent.

5. Denmark

Denmark has a social welfare system that provides benefits to the unemployed, the disabled and the elderly, among others. People in Denmark are generally in good health and have low infant mortality rates. Denmark also has public access to free education, with most of its adult population being literate.

It should be stressed that none of these countries are completely devoid of poverty, but they do provide some good examples of how governments can go about reducing this issue. With the help of organizations like the USAID, it is clear that this is an issue many take seriously.

– Adam Abuelheiga
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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Top 6 Facts About Smoking in Developing Countries

Smoking in Developing Countries
Smoking rates among adults and children in developing countries have been increasing for years. In developed nations, such as the United States, people have implemented certain policies in order to increase taxes and therefore reduce tobacco consumption, successfully. Such policies have not yet enacted in areas of extreme poverty around the world. In fact, tobacco companies have responded by flooding low-income areas with reduced-priced cigarettes, tons of advertisements and an excessive number of liquor stores and smoke shops. It is time to have a conversation about smoking rates in developing countries and whether or not tobacco control policies are the best approach long-term, worldwide. Here are the top 6 facts about smoking in developing countries.

Top 6 Facts About Smoking in Developing Countries

  1. Smoking affects populations living in extreme poverty differently than it does those in wealthy areas. Stress is a harmful symptom of poverty and contributes to smoking rates in low-income areas. Oftentimes living in poverty also means living in an overcrowded, polluted area with high crime and violence rates and a serious lack of government or social support. Stress and smoking are rampant in these areas for a reason. It is also important to note that smoking wards off hunger signals to the brain which makes it useful for individuals to maintain their mental health of sorts if food is not an option.
  2. Smoking rates are much higher among men than women across the globe. While the relative statistics vary from country to country, smoking rates among women are very low in most parts of Africa and Asia but there is hardly any disparity in smoking rates between men and women in wealthy countries such as Denmark and Sweden. The pattern of high smoking rates among men remains prevalent worldwide. One can equally attribute this to two factors that go hand-in-hand: the oppression of women and the stress that men receive to provide with their families.
  3. The increase in smoking rates in developing countries also means an outstanding number of diseases and death. The good news is that countries have succeeded in reducing consumption by raising taxes on the product. Price, specifically in the form of higher taxes, seems to be one of the only successful options in terms of cessation. Legislation banning smoking in certain public spaces is one example of an effort that places a bandaid on the problem instead of addressing the root cause. There is no data that shows a direct correlation between non-smoking areas and quitting rates among tobacco users.
  4. The World Health Organization (WHO) reports an estimated 6 million deaths per year which one can attribute to smoking tobacco products. It also estimates that there will be about another 1 billion deaths by the end of this century. Eighty percent of these deaths land in low-income countries. The problem at hand is determining how this part of the cycle of poverty can change when it has been operating in favor of the upper class for so long.
  5. Within developing countries, tobacco ranks ninth as a risk factor for mortality in those with high mortality and only ranks third in those with low mortality. This means that there are still countries where other risk factors for disease and death are still more prominent than tobacco use, but that does not mean that tobacco is not a serious health concern all over the world. Of these developing countries, tobacco accounts for up to 16 percent of the burden of disease (measured in years).
  6. China has a higher smoking rate than the other four countries ranked highest for tobacco use combined. The government sells tobacco and accounts for nearly 10 percent of central government revenue. In China, over 50 percent of the men smoke, whereas this is only true for 2 percent of women. China’s latest Five-Year Plan (2011 – 2015) called for more smoke-free public spaces in an attempt to increase life expectancy. A pack of Marlboro cigarettes in Beijing goes for 22元, which is equivalent to $3. This is far cheaper than what developed countries charge with taxes. This continual enablement is a prime example of why smoking rates in developing countries are such a problem. While many people mistake China for a developed nation because it has the world’s second-largest economy and third-largest military, it is still a developing country.

In countries like China where smoking rates are booming and death tolls sailing, tobacco control policies may not be the best solution. While raising taxes to reduce consumption may seem like a simple concept, when applied to real communities, a huge percentage of people living in poverty with this addiction will either be spending more money on tobacco products or suffering from withdrawals. While it might be easy for many people to ignore the suffering of the other, in this case, a lower-class cigarette smoker, one cannot forget how the cycle of poverty and addiction and oppression has influenced their path in life.

– Helen Schwie
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