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A New Hope for Health Care in Guinea

A New Hope for Health Care in Guinea Guinea is a country in West Africa bordered by the Atlantic Ocean. It is home to nature reserves that hold a forested mountain range rich with native plants and animals. However, despite this preserved nature, the people of Guinea lack basic living standards.  About three-quarters of the Guinea population experience extreme poverty. They have a lack of education, health care and hygiene. This lack of adequate health care has made Guinea home to many diseases. These diseases, specifically lower-respiratory infections are the cause of 99.9% of deaths in the country. The prices of health care and the low amounts of health professionals per population are the main causes of the lack of adequate health care. However, significant improvements have been made through initiatives by the USAID to improve the quality of health care.

Disease Prevalence in Guinea

Guinea hosts all kinds of diseases, both communicable and noncommunicable and some endemic diseases. The most prevalent diseases within Guinea are Malaria, HIV/AIDS, Tuberculosis and Neglected Tropical diseases. There are 4.5 million cases of Malaria a year which caused 9,439 deaths in 2021. Tuberculosis and HIV/AIDS affect every 175 in 10,000 people. Though they have treatments and detection systems it is hard for these to operate in Guinea due to the low coverage of Tuberculosis services, human resources shortages and lack of follow-ups among patients. Many Neglected Tropical Diseases such as Leprosy, Rabies, Buruli ulcer, foodborne trematodes and many more are also prevalent within the region. 

Immunization Challenges and Systematic Issues

Another area besides diseases that cause poor health practices for the Guinean people is the lack of immunization. Many children are zero-dose children meaning they have never had a vaccine in their life. Only 24% of the 192,000 children born each year receive a complete cycle of vaccinations. This leads to the furtherance of these preventable diseases and causes endemics.

Evolution of Guinea’s Health Care System

Between 1986 and 1989, the privatization of health care began to grow in Guinea, ultimately raising the cost of care and making it inaccessible to the majority of the population. Currently, health care remains expensive and the quality of care is unsatisfactory. As of 2008, only 5% of the population had coverage under public health insurance. Guinea’s health care system has a pyramidal structure, featuring three national hospitals, one regional hospital in each of the seven regions and a prefectural hospital in each of the 33 prefectures. Despite the seemingly comprehensive system, there is a critical shortage of health care workers. The distribution of these workers is also uneven: 60% of health care workers are located in Conakry, the capital, which is home to only 20% of the population. Consequently, Guinea’s health care system suffers from a severe lack of accessible care and health care professionals.

Launch of Notre Sante Initiative by USAID

Notre Sante or “Our Health”, is a USAID initiative launched in June 2023 to provide accessible, affordable and high-quality health care in Guinea. The project aims to operate across 15 prefectures in the regions of Labé, Boké and Kindia, as well as the six communes of Conakry. It plans to collaborate with the Ministry of Health and Public Hygiene and engage both private and public sectors. Notre Sante focuses on improving provider behavior and delivering care in a culturally sensitive manner that involves community members and builds on best practices. The launch of this initiative marks significant progress toward enhancing health care for the people of Guinea.

Future Prospects for Health Care in Guinea

Guinea’s health care system has struggled with inadequate services and a shortage of health care professionals. However, the introduction of the Notre Sante initiative offers hope for improving the quality of life for the people of Guinea. Notre Sante aims to make health care affordable, accessible and high-quality, signaling a hopeful future for the trajectory of Guinea’s health care system.

– Ellie Buss

Ellie is based in Vancouver, WA, USA and focuses on Good News and Global Health for The Borgen Project.

Photo: Flickr

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Mass Drug Administration Nears Lymphatic Filariasis Elimination

Lymphatic FilariasisPoverty and health are inextricably linked, with both negatively impacting each other. The main way they affect each other is through financial burdens, where people experiencing poverty are in a position where they can’t purchase the necessary things to support good health, such as quality food or health care. This is also impacted by people with low incomes often lacking the necessary guidance or information on the best practices that lead to a healthy life.

Poor health can also cause poverty in multiple ways. This happens mainly due to the direct costs of seeking health care and its associated costs, such as transportation to a hospital or medical professional. Furthermore, “the considerable loss of income associated with illness in developing countries” can greatly impact the sick individual and family members who may have to stop working or postpone their education to care for the ill relative. This is especially the case for those in extreme poverty (living below $1.90 a day), where people are often living hand-to-mouth with limited to no financial security if they can’t work.

Guyana and Lymphatic Filariasis

Guyana has around 800,000 people, with 90% living on 10% of the country’s total land area. Despite this, Guyana still has a relatively low population density. Due to recent discoveries of oil resources, Guyana’s gross domestic product (GDP) is growing quickly, with a growth rate of 42.3% from 2020 to 2023 but a GDP per capita of $18,199 in 2022.

However, the country still has a significant portion of its population living in poverty, with 48.4% living on less than $5.50 a day in 2019 and it’s estimated to be around 38% currently. Furthermore, in 2022, the Global Nutrition Report noted that 3.2% of the population lived on less than $1.90 daily and 4.7% on less than $3.20 daily. Guyana’s universal health care coverage is promising at 76% on the associated index in 2021, up from 65% in 2011. However, it hasn’t advanced in recent years.

One of the most impactful diseases in Guyana is Lymphatic Filariasis, which is endemic in the country, making it one of four countries in the Americas with such a status. However, the Pan American Health Organization considers lymphatic filariasis “potentially eradicable.” The efforts being made to eliminate lymphatic filariasis in Guyana support this claim. The disease can damage the lymphatic system, with symptoms often appearing later in life. These symptoms include lymphedema and hydrocele—swelling typically around the legs and groin—which can cause permanent disability or disfigurement, leading to social ostracism.

Globally, 120 million people are infected with lymphatic filariasis, with one-third suffering from disability or disfigurement as a result. Given the potential impact on daily life, such as restricted movement that can affect one’s job, particularly in agriculture (a significant industry in Guyana where 17% of workers are employed), the impact on those in poverty is substantial.

Guyana’s Mass Drug Administration Campaign

In Guyana’s efforts to eliminate lymphatic filariasis, the country has launched its third mass drug administration (MDA) campaign, targeting at-risk populations in two regions. The first round of MDA took place in 2019, treating 75.7% of the population, followed by the second round in 2021, which treated 72% of the population. The country is administering a drug regimen called IDA, which includes three separate drugs: Ivermectin, Diethylcarbamazine (DEC) and Albendazole.

In the current round of MDA, “700 trained volunteers and health workers are visiting schools and workplaces and will go door-to-door in regions three and four to administer pills” to bring closer the eradication of lymphatic filariasis in Guyana. With this aim in mind, they are stressing to people that participating in the MDA isn’t only for the health of the country but also the health of their community and families – a method supported by a study conducted on prior participation in MDA in Guyana.

Final Remark

The MDA campaign is bringing the elimination of lymphatic filariasis in Guyana closer. This, in turn, decreases the disease’s burden on those in poverty in the country, reducing the prevalence of the symptoms and, therefore, the impact it has on individuals’ abilities to work and those who would have had to care for those infected. The campaign will further benefit Guyana’s more remote communities, which may lack easy access to universal health care and social support, thereby increasing the impact of contracting lymphatic filariasis in these areas. By participating in the MDA campaigns, people in Guyana are more likely to avoid serious symptoms and maintain a normal life. This reduces the overall impact of lymphatic filariasis, particularly on those in poverty and helps break the cycle of poverty exacerbated by the disease.

– Archie Day

Archie is based in St Andrews, Scotland and focuses on Technology and Global Health for The Borgen Project.

Photo: Wikimedia Commons

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GPEI Eliminating Polio: Ongoing Efforts and Future Challenges

GPEI Eliminating Polio: Ongoing Efforts and Future ChallengesSince launching the Global Polio Eradication Initiative (GPEI) in 1988, the World Health Organization (WHO), United Nations International Children’s Emergency Fund (UNICEF) and several other international organizations have worked tirelessly to eliminate poliovirus. As of Oct. 2023, cases due to wild poliovirus have decreased by more than 99% since 1988, from an estimated 350,000 cases in more than 125 endemic countries, to just two endemic countries.

Polio Aftermath

There is no consensus on the number of polio survivors experiencing the effects of paralytic polio; however, estimates from 2014 suggest about 20 million people are affected. Most of these cases occur in countries where polio remains endemic or has only recently been eradicated, such as Pakistan, Afghanistan and Nigeria.

Research indicates that most individuals living with paralytic polio reside in rural, low-income and isolated communities. A 2019 study found that nearly 80% of polio survivors develop post-polio symptoms, which can lead to chronic medical issues if not addressed. Apart from local community support groups, these survivors have limited resources to aid their rehabilitation and recovery. Consequently, due to this lack of resources, polio survivors often must manage their chronic post-polio or paralytic polio symptoms on their own. This combination of isolation and limited access to medical care creates a poverty spiral that is incredibly difficult to break.

GPEI and Polio Eradication

UNICEF received funding to support vaccinations for 370 million children worldwide. Recently, the Global Polio Eradication Initiative (GPEI) enhanced its relationship with Pakistan, boosting funding and resources to eliminate polio in the nation’s endemic regions.

In 2024, Luxembourg and Japan pledged significant funds toward the global eradication of polio. In May, authorities officially ended two wild poliovirus outbreaks in Malawi and Mozambique. Amid these successes, there is a growing need to focus more on polio survivors and the needs of individuals beyond vaccination. The effort to eliminate polio is incomplete until all those affected by polio, especially survivors who will never fully recover, receive the proper medical and social care necessary to ensure their quality of life and safety.

Current Support Systems

While many polio support and survival groups exist, most primarily function as support networks and often lack the resources to provide extensive post-polio disability care, although some can finance care in certain instances. When these groups do offer medical assistance, it typically comes from volunteer medical professionals who face challenges due to insufficient funding and equipment, much like the Turkish Polio Society.

Most major relief organizations focusing on global polio eradication develop infrastructure to distribute vaccines to as many people as possible. Historically, polio disability care centers have primarily been established for high-income populations in wealthy nations like France and the United States (U.S.) However, there is minimal effort to establish similar care centers in regions with higher rates of polio-related disabilities, where medical and social support could have the greatest impact.

Looking Ahead

Efforts to eradicate polio have made significant strides, with UNICEF securing funding to vaccinate 370 million children in 2024 and additional pledges from Luxembourg and Japan. However, addressing the long-term needs of polio survivors, especially in regions with limited medical access, remains crucial. Comprehensive support systems could ensure the well-being and quality of life for those affected by the aftermath of polio.

– Jamie Sackett

Jamie is based in Hutto, TX, USA and focuses on Global Health and Politics for The Borgen Project.

Photo: Flickr

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Ending AIDS in Africa

Ending AIDS in AfricaAIDS (acquired immunodeficiency syndrome) is a highly stigmatized disease. Throughout history, the AIDS epidemic has brought on severe discrimination toward individuals on the basis of race, sexual orientation and socioeconomic status. The epidemic started in the 1980s, and upon arrival, it spread rapidly through marginalized communities – primarily prostitutes, drug addicts and homosexuals. AIDS is defined as the last stage of HIV (human immunodeficiency virus). AIDS and HIV are classified as STDs (sexually transmitted diseases); they are highly contagious and can cause severe flu-like symptoms. After acquiring HIV/AIDS, some expensive treatment options range from therapy to surgery to prescription drugs, however, there are currently no effective vaccines for the disease. Despite these complications, ending AIDS in Africa is a global goal.

Background of the AIDS Epidemic

The history of AIDS is controversial and incomplete. There are wide-ranging speculations regarding the origin of the virus in humans, but these are far from confirmed. In America, the AIDS crisis is commonly reported as beginning in the 1980s. The first cases, however, are believed to have occurred almost a decade earlier.

In Africa, AIDS is said to have spread to humans from chimpanzees in the early 1900s. The AIDS epidemic began on the continent in the 1970s, with the first cases being reported in the 1960s. Kinasha, Congo is commonly cited as the birthplace of the epidemic in Africa. A Cameroon traveler is said to have brought the virus to the city and from there, it began to spread rapidly. Within the next decade, AIDS reached the eastern and western parts of Africa. Coupled with diseases like tuberculosis, malaria, sarcoma, meningitis and pneumonia, Africa as a whole was nowhere near ready to deal with a new deadly disease.

The most recent update on the AIDS epidemic in Africa was in 2020. According to UNAIDS, there were 150,000 AIDS-related deaths in the region and 200,000 people were infected with HIV. Every week more than 1,000 adolescent girls and young women become infected with HIV in the region and 1.2 million people in western and central Africa are still waiting to initiate life-saving HIV treatment. Only 35% of children living with HIV in western and central Africa are being treated. Taking a step further, on a global scale, SOS Children’s Villages reports two-thirds of all HIV-infected people worldwide are Africans, which has resulted in significant social and economic consequences.

The Correlation Between AIDS and Poverty

The spread of AIDS and poverty in Africa are closely related; poverty is both the cause and effect of the disease. Due to the high poverty rate in Africa, sanitation and health care facilities are rare. Women are often restricted to the household and remained uneducated about STDs. There is also a high ratio of men in urban areas, widespread labor migration and sex workers – all contributing factors to the spread of AIDS. Overall, AIDS forces families to be ostracized from society and causes unemployment. Without a steady income or assistance from neighbors, entire families – even with only one case of AIDS – fall into poverty. Often, a family with an individual that contracts AIDS finds themselves both out of society and out of a job.

Since its arrival, the HIV/AIDS virus has targeted impoverished urban areas. Factors such as poor income levels and food insufficiency are coupled with transactional sex, which is correlated with the contraction of AIDS. Impoverished individuals are more likely to contract AIDS and because the disease is so highly stigmatized, these affected individuals become disadvantaged when looking for economic opportunities. The virus has perpetuated a cycle of poverty – one that desperately needs to be broken.

The Fight Against AIDS

Despite numerous obstacles, the U.N. and a multitude of nonprofit organizations remain committed to constricting the spread of HIV/AIDS. Recently, a U.N. Millennium Development Goal was created to end the AIDS epidemic worldwide by 2030. So far, the U.N. has stayed true to its word – the number of AIDS deaths in sub-Saharan Africa has declined by roughly 35% in recent years due to proper diagnosis and life-saving therapeutic treatments carried out by experienced U.N. physicians.

The Future of AIDS in Africa

Ending AIDS in Africa is a daunting task, however, the steps taken by leaders around the world have helped in diminishing the presence of the fatal disease. Due to the high correlation between poverty and AIDS, it is imperative that nations and organizations across the world come together to enact poverty-related reform. Through proper funding, the governments of Africa could establish proper health care facilities and set up economic and educational programs. AIDS may not have a vaccine, but there are solutions so long as international organizations remain committed to preventing its spread.

– Sania Patel
Photo: Flickr

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Updates From AIDS Conference 2022

AIDS ConferenceThe 24th Annual AIDS conference occurred in Montreal between July 29, 2022 and August 2, 2022. This was the first year the conference employed a hybrid model with both in-person and virtual speakers. As a result, researchers, advocates and leaders from 172 countries attended, and most were from developing countries.

The AIDS conference displayed many breakthroughs in HIV prevention and the intersections between sciences such as clinical, political, social and behavioral. The greatest clinical development, according to the co-chair of the conference Dr. Jean-Pierre Routy, was the research that found that the receipt of a long-acting injection shot of antiretroviral medication every eight weeks is “safe and superior” to daily oral medication.

Necessary Steps

However, though medical science is taking strides forwards, the rollout of these treatments remains behind. Esteban Burrone, the Head of Policy at the Medicines Patent Pool, described the necessary steps to promote the equitable rollout of HIV antiretroviral medication. Each country needs FDA approval, licensing, manufacturing and recommendation in guidelines for a rollout to receive approval. Things that can help fast-track product rollout in countries are “community involvement in demanding access, pursuing early licensing, securing national approval, equitable pricing agreements.” In addition, Dr. Karin Hatzold, a public health physician, discussed how access to “diagnostic strategies such as HIV self-testing… [and] operations research to optimize delivery models” are crucial for a successful rollout and introduction to products.

Reaching Rural Areas

Tackling the difficulty of delivering medications to vulnerable populations in developing countries, however, is Dr. Rosalind Parkes-Ratanshi. Parkes-Ratanshi discussed a pilot project in Uganda where medical drones help distribute HIV medication in remote locations and for mobile populations. Her medical drone project is also used for COVID-19 and STI sample delivery. Although this does not address the policy required to roll out new products in other countries, it is a step to reaching rural populations with already approved antiretroviral medication.

New Framework

Furthermore, representatives from the World Health Organization (WHO), Global Fund and the International Aids Society (IAS) presented new people-focused guidelines that the WHO has adopted to focus on structural barriers. This includes reducing stigma and eradicating “punitive laws.” The new framework also works to target key populations who make up 70% of new HIV infections according to UNAIDS. Each presenter at the AIDS conference including the WHO strives to progress the global community toward the UNAIDS 95-95-95 target, a goal that states by 2030, 95% of people living with HIV will know their HIV status, 95% of people who know their status will be receiving treatment and that 95% of people on HIV treatment will have an undetectable viral load making the chance of infecting others very low.

PEPFAR News

PEPFAR, the U.S. President Emergency Plan for AIDS Relief, announced that 5.5 million babies across the world have been born HIV-free due to the program’s efforts. PEPFAR’s efforts to expand treatment and prevention services to many target populations across the globe have reached millions. U.S. Global AIDS Coordinator and Special Representative for Health Diplomacy Ambassador-at-Large Dr. John Nkengasong described the prevention program that made this possible. “In collaboration with countries, communities, and our partners, PEPFAR supported comprehensive HIV prevention programming for adolescent girls and young women, voluntary medical male circumcision, and we scaled up treatment for women and men with viral suppression.” Other PEPFAR announcements included reaching the 90-90-90 UNAIDS target in at least 12 “high HIV disease burden countries” and treating approximately 20 million men, women, and children with antiretroviral medication.

These were only a fraction of the many positive advancements that researchers discussed at the 2022 AIDS conference. Much progress has occurred in understanding other barriers such as the social, political and economical barriers to reach the UNAIDS 95-95-95 goal by 2030. Check out the AIDS 2022 website for more information about the 24th Annual AIDS conference.

– Jordan Oh
Photo: Flickr

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Impact of COVID-19 on Poverty in Malaysia

Impact of COVID-19 on Poverty in MalaysiaMalaysia saw its first confirmed case of COVID-19 on January 24, 2020. The Malaysian government implemented the Movement Control Order (MCO or PKP) around two months later in response. This mandate restricted travel, work, assembly and established quarantine measures jeopardizing the financial integrity of Malaysian households. Here is some information about the impact of COVID-19 on poverty in Malaysia as well as the country as a whole.

The World on Pause

For fully vaccinated individuals, the MCO ended in November 2021. However, under the mandate, conditional and variable ordinances ultimately played a part in the impact of COVID-19 on poverty in Malaysia.

Working in multiple phases, the MCO developed into the Conditional Movement Control Order (CMCO/PKPB), Recovery Movement Control Order (RMCO/PKPP) and the National Recovery Plan (NRP/PPN). These restrictions prevented movement between states, travel to and from Malaysia and mass gatherings in addition to the closure of schools, government and private premises except those considered essential. Those who violated the MCO were at risk of receiving fines or facing jail time.

Hurting Those Already Struggling the Most

Three-quarters of the Malaysian population live in urban areas, with the majority of individuals falling into the 15-64 age group. A four-part research study that UNICEF and UNFPA conducted titled “Families on the Edge” found that a typical Malaysian household has an average of 5.5 members.

The head of these households are mostly married Malay males around 46 years old with low educational attainment. These workers face a high risk of unemployment, pay cuts or other stresses to household income as they were in jeopardy before the pandemic.

Reports have indicated that a 5% increase in employment occurred between March 2020 and June 2021. Despite the rise, a third of those employed before the crisis experienced work disruptions and 27% faced income reduction.

The World Bank found that around 65% of jobs in Malaysia cannot occur remotely even after modifying them so that they were in an online format. This is because approximately 51% of jobs require close physical proximity. With the MCO restrictions, these jobs were most vulnerable with one-fourth of heads of households experiencing unemployment during this time.

The Impact of COVID-19 on Food and Education

The impact of COVID-19 on poverty in Malaysia consequently affected access to food and quality of education. With little to no income, households spent around 84% less on education and 4% less on food between December 2019 and June 2020. While expenditure on food reduced, approximately 30% reduced food intake itself to cope with financial difficulties.

While employees adjusted to remote working, children needed to transition to online learning. Two-fifths of children do not have access to the required equipment (such as a computer) or internet connection to resume their education.

Closures have also prevented children from impoverished families from accessing meals provided at school-distributed supplemental food programs. This food insecurity pushed households to adopt cheaper and less healthy diets, further threatening the country’s child malnutrition crisis.

A Citizen’s Surrender

Some low-income residents resorted to waving white flags from their flats during the government-mandated lockdown to express the financial stress they were experiencing. This Bendera Putih, or “White Flag” movement emerged to help families ask for assistance. The white cloth outside their homes would encourage others to donate food.

In response, three computer science students from Multimedia University Cyberjaya urgently developed and released the “Sambal SOS” app within the same month the White Flag Movement gained traction. More than 7,000 users registered on the site just two days after its launch.

Here, users could digitally and anonymously report that they needed help. They then could connect with other users ready and able to provide aid.

An Economic Recovery Plan

Prime minister Tan Sri Muhyiddin Yassin announced the Pelan Jana Semula Ekonomi Negara (PENJANA), also known as the Economic Recovery Plan, in June of 2020. This stimulus package totaled RM35 billion (more than $7 billion) allocated to 40 initiatives organized into “three key thrusts:”

  • Empower People
  • Propel Businesses
  • Stimulate the Economy

Some initiatives to empower people included a wage subsidy program, social protection for the gig economy workforce and the internet for education and productivity. PENJANA funded entrepreneurship financing to propel businesses while supporting small enterprises through e-commerce and tourism financing. Initiatives to stimulate the economy included a campaign to buy Malaysian products and financial relief for those working in the agriculture/food sector.

Although poverty rates are still higher than before the COVID-19 pandemic, poverty levels have decreased by 16% between May 2020 and March 2021. Government assistance increased overall average household income since 2019, including disabled-headed households.

Households rely on savings, government and Zakat assistance for financial support as the labor market recovers. While PENJANA has proven to help boost the economy temporarily, many families still do not receive registered business-related aid and do not have social protection or insurance. The impact of COVID-19 on poverty in Malaysia emphasized that social protection assistance still needs to improve its scope of coverage to help the urban poor rebuild post-crisis.

– Aishah French
Photo: Flickr

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2 Diseases Impacting Afghanistan

Diseases Impacting AfghanistanSince the early 2000s, Afghanistan’s disease prevention and treatment services were far below sustainable, with only 11 physicians and 18 nurses per 100,000 civilians working in 2003. As foreign aid began to pour in, these numbers slowly improved. However, infant, child and maternal mortality rates remain the highest globally, alongside many other diseases impacting Afghanistan today. Currently, two diseases impacting Afghanistan include tuberculosis and polio, which the Western world is well equipped to diagnose with far less difficulty.

Tuberculosis

Tuberculosis is a highly infectious, airborne disease impacting many Afghan people. Tuberculosis symptoms include a dry cough (sometimes with blood), fatigue, loss of appetite, night sweats and others. Yet, early diagnosis and quality treatment are easily accessible in the United States, preventing mass outbreaks.

The World Health Organization states that tuberculosis kills around 13,000 Afghans yearly, making it a disease that impacts Afghanistan severely. In 2014, Afghanistan had approximately 58,000 new tuberculosis cases. Only 56% of these cases were diagnosed and provided with adequate treatment. Keeping the disease at bay only becomes more challenging with up to 25,000 Afghan people left undiagnosed and untreated.

However, with WHO’s help, BRAC Afghanistan and USAID started a community-based TB DOTS program to control tuberculosis outbreaks. Through the program, diagnostic facilities for tuberculosis expanded and existing facilities were further equipped with microscopy screening technology. After the initiation of these health programs, more Afghans saw doctors and received treatment for tuberculosis: Since the program’s launch in 2004, access to dots has expanded from 15 to 121 clinics two years later. By 2006, more than 6,000 community health workers had trained under the program, of which 53 percent of trainees were women. Through the continued funding and advancement of the TB DOTS program, tuberculosis may slowly begin to lose its footing and become a lower-risk illness.

Poliomyelitis (Polio)

Polio is a viral illness that can lead to severe nerve damage and injury, eventually leading to paralysis and sometimes death. Afghanistan, Nigeria and Pakistan remain the only countries worldwide that have yet to eradicate polio. Due to inconsistent vaccination rates at birth, polio remains a disease impacting Afghanistan heavily today. In the 2015 report by the polio eradication initiative, researchers found that reported polio cases in Afghanistan had decreased since years prior. However, Afghanistan is still far from eradication.

In efforts to eradicate the polio virus worldwide, UNICEF worked with WHO to find innovative ways to give every child polio vaccines. The program implemented three National Immunization Days (NIDs) to increase access to polio vaccines and potential treatment if necessary. NIDs aim to reach nearly 10 million children through house-to-house and health facility-based approaches.

Furthermore, in collaboration with UNICEF and WHO, Afghanistan’s Ministry of Health is investing in a polio program to support vaccinators, community mobilizers, influencers, volunteers and campaign coordinators to reach children in need of vaccines. According to UNICEF, 392,000 polio branded items were distributed in 2020 to Afghan students to raise awareness about the disease’s severity, prevention and symptoms. As efforts continue, polio may become a disease impacting Afghanistan far less than before.

Why it Matters

Though efforts to improve health care access and treatments in Afghanistan have increased, much work still needs to be done. Today, tuberculosis is a disease that the U.S. quickly diagnoses and treats, while, in Afghanistan, the disease is often more threatening.

Afghanistan’s Ministry of Public Health and emergency operating system know how to help their people lead healthier lives yet lack the resources to do so. In funding programs that help international organizations and ministries provide the support needed for their people, both tuberculosis and polio can become low-priority diseases for all.

– Opal Vitharana
Photo: Flickr

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COVID-19’s impact on North Korea

COVID-19's impact on North KoreaOn May 12, 2022, the president of North Korea, Kim Jong-Un, made a public appearance. For the first time, he was wearing a mask. The world took even greater surprise when he declared that North Korea was under its first lockdown. This calls into question: what is COVID-19’s impact on North Korea?

Isolated From the Rest of the Globe

Prior to this announcement, North Korean officials claimed that not a single case of Coronavirus had entered their country. The nation, isolated from the rest of the globe, has previously endured life-threatening conditions. Recently, after a severe flood, North Korea has faced its most intense food shortage in the past decade. What’s more, its already limited healthcare system has deteriorated and left millions of people without adequate care.

Many question the accuracy of disease data. As a closed-off country, journalists find it very difficult to paint the full picture of North Korea. For instance, researchers were unaware of the 1990s North Korean famine until its aftermath, when survivors told their famine stories.

Draconian Lockdowns

Professor Park Won-gon, from the Department of North Korean Studies at Ewha Woman University predicted that North Korea could “institute draconian measures to those of its biggest ally, China,” according to VOA News. This meant strict lockdowns confining people to their homes, workplaces and dorms. Unlike China, though, North Korea doesn’t have the basic food supplies that China has to enforce such extreme restrictions. Consequently, thousands of people in North Korea are starving to death under this new lockdown protocol. Citizens could not access new harvests or markets which further strangled the economy.

The lockdown also stymied other solutions proposed by organizations. Particularly, the lack of mobility severed communication with international agencies. COVID-19’s impact on North Korea has, thus, proved massive. Medical resources and help have been inaccessible due to such stringent lockdowns.

Herbal Medicine: Fix or Fallacy?

Without vaccines, North Korea has resorted to herbal solutions. KCNA recently reported that “Thousands of tonnes of salt were urgently transported to Pyongyang city.” North Korea will use salt to produce an antiseptic remedy — in place of vaccines. Shanghai also transported millions of traditional medicines like herbal remedies and flu capsules to address COVID-19 in North Korea.

Unfortunately, these have no scientific grounding. Citizens have been drinking teas, salt water and even taking antibiotics. However, due to mass famines, many North Koreans have weak immune systems.

It’s unclear if this has worked. The treatments are approved by the DPRK, which develops methods for “scientifically controlling the spread of the…virus.”

Before these herbal treatments, North Korea reached around 400,000 cases daily. Recently, it reported “about 17,000 to 30,000 new fever cases.” Many experts believe North Korea is manipulating health data to shield itself against geopolitical consequences. Yet if it isn’t manipulating data, these herbal remedies may help mitigate COVID-19’s impact on North Korea.

Necessary Compromises

So far, North Korea has rejected most international help. Aid agencies have opened their doors to provide the nation with the necessary medical resources. Kim Jong-Un twice denied vaccines from Covax, according to The Washington Post. South Korea and the U.S., too, have asserted that they are open to providing aid. Nonetheless, North Korean elites continue to prioritize geopolitical leverage over the health of their constituents. It remains unclear whether North Korea will accept aid and scientifically proven disease resources from other countries.

Looking Forward: The Broader Picture

North Korea’s sudden outbreak demonstrates that the COVID-19 pandemic is not nearing an end. While the U.S. and other major nations are equipped with a “vaccine arsenal,” other countries are not as fortunate.

As of May 18, 2022, one report found that fewer than 13% of people in low-income countries are vaccinated. With such low rates, COVID-19’s impact on North Korea and developing countries is disproportionately larger than developed nations.

These concerns are urgent. Officials in Geneva told reporters that “uncontrolled transmission of the virus” in developing countries could give rise to new COVID-19 variants, The New York Times reports. North Korea, for example, could be a new variant’s breeding base.

Although North Korea hasn’t accepted aid from many countries, it seems to be getting health resources from China as of May 30, 2022. However, if the outbreak becomes too severe, North Korea will always have the open arms of the U.S. and U.N. to provide assistance.

– Ashwin Telang
Photo: Flickr

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Herbal Medicines in Africa: Contributions and Concerns

Herbal Medicine
The continent of Africa — especially Sub-Saharan Africa — is abundant with rich vegetation. Among the plants that naturally grow on the continent, there are many of them that are used to treat a variety of diseases. Herbal medicines are one of the oldest methods used for healing in Africa, even before the European invasion. According to the World Health Organization, 70-80% of the population uses some form of traditional medicine, with herbal medicines standing out in particular. The knowledge regarding which plants are safe to be used for healing has been orally transmitted from the elders. Currently, most regions combine herbal and modern medicines according to the kind of disease or symptoms a patient has. The following are the contributions and concerns of herbal medicines in Africa in relation to modern medicines.

Contributions

  1. Heals Common Seasonal Diseases: Herbal medicines are widely used to cure seasonal respiratory and digestive diseases such as colds, coughs and constipation. Some herbal plants are also used to cure common parasitic skin diseases like acne and others are used to lower the intensity of some symptoms like inflammation. For example, Pygeum is used in Africa to treat Malaria and fever-like symptoms.
  2. Accessible: Most medicines grow naturally and can even be grown in a backyard. They are easily accessible to people and this accessibility reduces the amount of money paid at hospitals and for pharmacy bills. In rural regions of Africa, herbal medicines are more accessible than pharmaceutical drugs, and this availability saves people time and resources as opposed to traveling long distances for common minor diseases. On the other hand, herbal medicines can raise some important concerns. These concerns are the reason why some people prefer to use modern pharmaceutical prescribed drugs.

Concerns

  1. Lack of Research: There have been few studies that have examined the efficiency and credibility of some herbal medicines. This lack of research causes ambiguity in using herbal medicines. Since most advanced herbal medicines are recommended by traditional specialists, people simply rely on beliefs and stories rather than recorded credible research. Otherwise, people simply go for the medically tested pharmaceutical drugs because their efficiency is proven with credible research.
  2. Easily Mistaken: Different plants might have similar features but with different chemical components. In regions with thick vegetation, plants of similar characteristics grow together. This similarity leaves no room for error because some plants can be poisonous and cause harm to the patient.
  3. Inadequate Measurements: Unlike modern medicines prescribed after testing and done in proportion to an individual’s weight, it is hard for random individuals to know the exact number of herbs to use for a certain problem. Overdosing on strong herbs can cause inflammations, liver damage and kidney failure. Additionally, if patients combine pharmaceutical drugs with these natural herbs, there can be dangerous interactions and one medicine can reduce the efficiency of the other.

African countries are encouraging cooperation between herbalists and doctors. This collaboration will help doctors understand their patients who have been using herbal medicines. Additionally, herbalists will know when patients should go to the hospital in case herbs do not work or if they cause some problems to the patients.

– Renova Uwingabire
Photo: Flickr

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9 Facts about Life Expectancy in Grenada

Life expectancy in Grenada
Grenada is a country in the Caribbean composed of seven islands. This former British colony attained its independence in 1974, making Grenada one of the smallest independent nations in the western hemisphere. Nicknamed historically as the “spice isle,” Grenada’s traditional exports included sugar, chocolate and nutmeg. From 1979 to 1983, Grenada went through a period of political upheaval, which ended when a U.S.-led coalition invaded the island. Today, Grenada is a democratic nation that is working to ensure the health and well-being of its citizens. Here are nine facts about life expectancy in Grenada.

9 Facts About Life Expectancy in Grenada

  1. The World Bank’s data showed that, as of 2017, life expectancy in Grenada was 72.39 years. While there was a rapid increase in life expectancy from 1960 to 2006, life expectancy decreased from 2007 to 2017.  However, the CIA estimates that this metric will increase to 75.2 years in 2020.
  2. Non-communicable diseases constitute the leading cause of death in Grenada. According to 2016 WHO data, non-communicable diseases such as cardiovascular disease, cancer and diabetes constituted the majority of premature death in Grenada. Cardiovascular diseases, which constituted 32 percent of all premature deaths, were the leading cause of death in 2016.
  3. Grenada’s infant mortality rate stands at 8.9 deaths per 1,000 live births. This is a significant improvement from 21.2 infant deaths out of 1,000 in 1985 and 13.7 deaths out of 1,000 in 2018.
  4. Grenada has universal health care. Health care in Grenada is run by the Ministry of Health (MoH). Through the MoH, the Grenadan government helps finance medical care in public institutions. Furthermore, if an individual wishes to purchase private health insurance, there are several options to choose from.
  5. Around 98 percent of people in Grenada have access to improved drinking water. However, water scarcity still plagues many people in Grenada due to erratic rainfall, climate change and limited water storage. To remedy this, Grenada launched a $42 million project in 2019 with the goal of expanding its water infrastructure. This includes plans to retrofit existing systems.
  6. Hurricanes and cyclones pose a threat to life expectancy in Grenada. While in recent years Grenada has not been significantly affected by a hurricane, Grenadians still remember the devastation caused by Hurricane Ivan (2004) and Hurricane Emily (2005). Hurricane Ivan caused an estimated $800 million worth of damage. In the following year, Hurricane Emily caused an additional $110 million damage. On top of 30 deaths caused by these natural disasters, the damage they inflicted on Grenada’s infrastructure and agriculture can have further harmful ramifications for the people of Grenada.
  7. The Grenadian government is taking measures to improve the country’s disaster risk
    management (DRM). With the help of organizations such as the Global Facility for Disaster Reduction and Recovery (GFDRR), Grenada is recovering from the devastation of 2004 and 2005. In 2010, for example, GFDRR conducted a risk management analysis which helped the preparation of a $26.2 million public infrastructure investment project by the World Bank in Grenada.
  8. The Grenadian government’s 2016-2025 health plan aims to strengthen life expectancy in Grenada. One of the top priorities of this framework is to ensure that health services are available, accessible and affordable to all citizens. Another goal surrounds addressing challenges for the most vulnerable groups in society such as the elderly, children and women.
  9. Grenada received a vaccination award from the Pan American Health Organization (PAHO). In November of 2014, PAHO awarded Grenada the Henry C. Smith Award for Immunization, which is presented to the country that has made the most improvement in their immunization programs. PAHO attributed this success to Community Nursing Health teams and four private Pediatricians in Grenada.

The Grenadian government is committed to providing the best quality of life for its citizens. However, there is still room for improvement. The prevalence of premature death caused by cardiovascular diseases suggests that Grenada needs to promote healthier life choices for its citizens. With the continued support and observation by the Grenadian government, many hope that life expectancy in Grenada will increase in the future.

– YongJin Yi
Photo: Flickr