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Cholera Outbreak in Haiti: The UN Responds

cholera in HaitiUnited Nations Secretary, General Ban Ki-moon, arrived in Hispaniola this past week, with renewed promises to the Haitian people burdened with an ongoing cholera epidemic. During his stay, the Secretary-General called for increased commitment to the $2.2 billion plan he first proposed at the end of 2012 — to help fight the cholera outbreak in Haiti, a plan for which donors have been scarce.

He also introduced the “Total Sanitation Campaign” that will attempt to lessen the impact of future cholera outbreaks in Haiti by addressing the absence of proper sanitation in rural areas. “As secretary-general of the United Nations, I want to assure you that the United Nations and its partners are strongly committed to ending the epidemic as quickly as possible,” said the Secretary-General.

Before the current epidemic, which has killed over 8,500 and infected 700,000 since 2010, Haitians had not seen a recorded case of bacterial infection within their borders for a century. Evidence suggests that U.N. peacekeepers from Nepal first brought the disease to Haiti in response to the 2010 earthquake that affected 3 million in the area.

Despite its claim of legal immunity, the UN must now defend itself against three lawsuits brought forth on behalf of the victims. Critics denounced the Secretary-General’s visit, stating that the UN must accept legal responsibility for the outbreak and compensate the Haitian people.

Cholera quickly spread throughout Haiti due to inadequate sewage systems and polluted water sources. While extreme poverty fell by seven percent from 2000 to 2012 nationally, poverty rates remained largely the same in rural areas where half of all households lack adequate sanitation and where more than half of the total population resides.

Of the rural population, 40 percent uses unprotected water sources, which lead to increased risk of contracting cholera. The economic gap between rural and urban populations in Haiti has grown, with 70 percent of rural households classified as chronically poor compared to those of urban areas at 20 percent.

The World Health Organization defines cholera as “an acute intestinal infection caused by ingestion of food or water contaminated with the bacterium Vibrio cholerae.” Symptoms include watery diarrhea that if untreated, can dehydrate and kill a patient. Yet the 75 percent of those infected who do not develop symptoms, can still infect others. Those with low immunity to disease, such as malnourished children and people with HIV, have an increased likelihood of infection.

Almost all families displaced by the earthquake four and a half years ago have since left temporary camps — a sign of increased progress in a burdened nation. As families continue to reestablish normalcy, the UN’s campaign plans to initially aid three million citizens over the next five years. According to the Secretary-General, “Cholera rates are declining and the battle is slowly being won. We must, however, intensify these efforts. And we must focus on the wider quest to ensure access to safe drinking water and adequate sanitation.” For now, anxious Haitians await both new donors and and initiative from the U.N. to take legal responsibility.

– Erica Lignell

Sources: UN, World Bank, BBC, ABC News, WHO, CBS News
Photo: Unsplash

Report Seeks End to AIDS Epidemic

Recent statistics released in a new report by UNAIDS show that the number of new HIV/AIDS cases have been decreasing steadily. This new data shows that for every 10 percent increase in treatment coverage, there is a one percent decline in new infections among those living with HIV. However, the report also noted that far more international effort was needed because this current pace is insufficient to completely end the AIDS epidemic.

In 2013, 2.1 million new HIV/AIDS cases were recorded, down from 3.4 million new cases in 2001. 2013 also saw an additional 2.3 million people gain access to the life-saving antiretroviral therapy (ART), which is a drug that substantially suppresses many of the symptoms of AIDS and increases life spans. This means that a grand total of 13 million people have previously had or currently have access to ART. AIDS-related deaths have fallen by one-fifth in the past three years.

The most headline-grabbing piece from the report came from Michael Sidibé, Executive Director of UNAIDS, who said, “If we accelerate all HIV scale-up by 2020, we will be on track to end the epidemic by 2030.”

However it is important to know that while there has been significant improvement, considerable work still needs to be done. Sidibé went on to say that if we don’t continue to scale up efforts, then we would “[add] a decade, if not more” to the 2030 goal.

Only 15 countries account for more than 75 percent of the 2.1 million new HIV infections in 2013. In Sub-Saharan Africa the countries of Nigeria, South Africa and Uganda account for 48 percent of all new HIV infections in the region. Fewer than four in 10 people currently with HIV lack the ART necessary to survive. HIV prevalence is estimated to be 12 times higher in sex workers, 19 times higher among gay men, 28 times higher in drug injectors and up to 49 times higher among transgender women. Sub-Saharan adolescent girls and young women account for one in four new HIV infections.

While there are a tremendous amount of fascinating statistics on the matter, it’s important to not get lost in them. This new report from UNAIDS shows that progress is being made, but an even stronger effort is needed in order to end the AIDS epidemic in a timely fashion and save millions more lives.

– Andre Gobbo

Sources: BBC, UNAIDS 1, UNAIDS 2
Photo: New America Media

Tropical Diseases are Killing Millions


Neglected tropical diseases are diseases that are either bacterial or parasitic and infect around one in six people around the world. Over half of a billion children are infected with these diseases.

These diseases are considered “neglected” because they do not receive very much attention or funding from governments or medical communities around the world.

These diseases tend to be especially widespread in areas with high levels of poverty, bad sanitation and poor access to health care. These diseases tend to especially affect women and children.

While they are grouped together, neglected tropical diseases can be very different from one another. Some kill quickly while others will infect for years or simply harm, but not kill, their victims. Some are parasitic, caused by parasites, and spread through mosquitoes, snails or flies. Others are bacterial and are spread through water or soil.

Treatments for these diseases also vary. Some have cheap treatments available (although this could potentially lead to drug resistance), others have no treatment or a very expensive or difficult treatment.

According to the World Health Organization there are 17 neglected tropical diseases. Here is a brief description of the seven most common neglected tropical diseases. These seven diseases account for 90 percent of global cases of neglected tropical diseases.

1. Ascariasis (roundworm) is the infection of the small intestine that is caused by a roundworm. The eggs of the roundworm are often ingested and the eggs then hatch in the person’s intestine. They then reach the lungs through the bloodstream. The worms can grow to be longer than 30 centimeters. Roundworm causes about 60,000 deaths each year.

2. Trichuriasis (whipworm) is spread and moves through the body like roundworm. Around the world about 700 million people are infected with whipworm.

3. Schistosomiasis (snail fever) is caused by parasitic worms. A person can become infected by coming in direct contact with contaminated fresh water. Over 200 million are infected with snail fever around the world.

4. Lymphatic filariasis (elephantiasis) is transmitted through mosquitoes and damages the lymphatic system causing painful, visible disfigurations. More than 120 million are infected around the world.

5. Trachoma is an infection of bacteria in the eye, causing the yield to turn inwards, eventually resulting in blindness. Six million people are blind due to trachoma.

6. Onchocerciasis (river blindness) is a parasitic disease caused by flies that carry larval worms that grow to cause blindness, lesions and loss of pigmentation in the skin.

7. Hookworm is spread and moves through the body like whipworm and roundworm. Around 600 million people throughout the world are infected with hookworm.

Although neglected tropical diseases affect millions, they are relatively inexpensive to treat: for around 50 cents a year, one person could be treated and protected for all of the seven most common neglected diseases.

– Lily Tyson

Sources: Reuters, Global Network, CDC, WHO
Photo: EndTheNeglect

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Five of the Most Common Killer Diseases

The Global Post has drawn up a list of the world’s biggest killers by using information from the World Health Organization. Below are a list of some of our most common killer diseases per country.

5. Cirrhosis of the Liver

Caused by excessive drinking, the disease is unique to Mexico as the only place in the world where it is the primary cause of death. Yet the disease is nothing to roll your eyes at: caused by healthy liver tissue being replaced by scar tissue, the scar tissue blocks the flow of blood, nutrients and other important proteins through the liver. Cirrhosis of the liver is the 12th leading cause of death by disease in the world — except for in Mexico, where it’s number one.

4. Tuberculosis

Tuberculosis is often thought of as a disease of the past, but it is still affecting millions of people around the world. In fact, it’s on the rise — the World Health Organization reports around 500,000 new TB cases each year, and it is second only to AIDS as an infectious killer worldwide. A bacterial infection that can spread through the lymph nodes and blood stream to any other part of the body, TB is the leading cause of death in areas such as Pakistan and North and South Africa.

3. HIV/AIDS

Despite the enormous progress made at slowing down the spread of HIV/AIDS, it is still the leading cause of death throughout most of Africa. Just two years ago, around 25 million people — roughly 70 percent of the global total — were living with HIV/AIDS in Sub-Saharan Africa, and an estimated 1.6 million new HIV infections and 1.2-million AIDS related deaths were reported that same year. In areas such as South Africa, Botswana and Swaziland, the percentage of HIV-prevalence is as high as 26.5 percent.

2. Cancer

It would be hard to find someone not somehow directly affected by cancer. As the second-leading cause of death in the world, cancer has certainly taken its toll — especially in areas such as France, the Iberian peninsula, Austria, Switzerland, the Netherlands and Denmark, where cancer (primarily lung and throat) is the leading cause of death. Classified as the rapid growth of cells, there are more than 100 types of cancer that we currently know about.

1. Heart Disease

It’s no surprise that heart disease tops the list as the world’s deadliest killer, but it is a little shocking to see the massive list of countries where heart disease outranks all other diseases. These countries include Canada, the United States, Russia, Australia, most of South America and part of Africa, to name a few. From first- to third-world countries, heart disease continues to remain the deadliest disease in the world.

– Nick Magnanti

Sources: International Business Times, WebMD 1, WebMD 2, The New York Times, Medical News Today, AVERT, CDC
Photo: Diseases-Causes-Cure blog

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All About Dengue Fever

Dengue Fever
Though similar to malaria in its mode of transmission, dengue fever is its own monster. With up to 400 million people infected every year, dengue has been a leading cause of illness and death worldwide since the 1950s. According to the World Health Organization (WHO), 2.5 billion people around the world are at risk of contracting dengue fever.

Dengue is spread through the bite of a female Aedes aegypti mosquito, a species that seeks out prey during the daytime. The mosquito has recently spread to areas in North America and Europe, though it typically resides in tropical areas. Its presence in tourist destinations like Puerto Rico have caused a global spread, and put more people at risk.

Upon contracting dengue, symptoms present in a manner similar to the flu with high fever, headache, aches and pains and vomiting. The secondary symptoms require immediate treatment to ensure that dengue runs its course without escalation.

However, in developing countries where adequate medical care is unavailable, dengue fever escalates to dengue hemorrhagic fever, which is characterized by more extreme symptoms including hemorrhaging. This can then lead to dengue shock syndrome, and in 50 percent of shock cases there is a fatality.

There is no vaccine or treatment for dengue fever, but there are many preventative measures that can be taken to minimize infection. Insecticide can prevent transmission of the virus, as can mosquito nets and clothing that covers exposed skin. Additionally, proper disposal of waste and trash can cut down on mosquitoes.

While in developed countries dengue fever is very survivable, usually lasting between two and seven days, this virus hits the developing world much harder. Not only is there a higher prevalence in many impoverished tropical areas, they are also least equipped to prevent and handle dengue fever when it occurs.

The presence of such a debilitating and sometimes fatal disease worsens the poverty conditions in a country, in which a community needs resources and money to better protect themselves from the disease. Before that can happen, they need to be able to establish a healthy community to begin the transition out of poverty. This vicious cycle is difficult to overcome, making organizations like the World Health Organization instrumental in keeping these countries afloat.

The WHO assists in minimizing the burden of dengue fever by supporting “countries in the confirmation of outbreaks through its collaborating network of laboratories,” providing “technical support and guidance to countries for the effective management of dengue outbreaks,” and a slew of other helpful measures.

Raising awareness about the causes of dengue fever, as well as how to prevent it in the first place, is the first and most important step toward minimizing outbreaks, especially in the developing world. With the assistance of humanitarian organizations and the training of medical professionals to better respond to the virus, dengue fever will become a more manageable virus with fewer fatalities.

— Maggie Wagner

Sources: CDC, WHO, MedicineNet.com, National Institute of Allergy and Infectious Disease
Photo: NY Times

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Biosecurity and Global Health

The spread of infectious diseases is not only a threat to global health, but also to global security.

In recent years, diseases such as mad cow disease, avian flu, antibiotic-resistance tuberculosis and  antibiotic-resistant malaria have spread around the world. In a global age, the spread of disease becomes very easy. Eradicating infectious diseases and establishing effective ways to combat their spread is becoming important to national security.

In February of this year, the President Obama began the Global Health Security Agenda. Led by the United States, this agenda is a collaboration of 30 countries that is seeking to establish a world that is not threatened by the spread of infectious diseases.

In order to reach the goal, the Agenda  seeks to implement better systems of prevention, detection and response for infectious diseases around the world.

As part of prevention, the Agenda is creating laboratories around the world that are able to identify antimicrobial-resistant organisms, enhance biosecurity and biosafety, encourage the elimination of diseases spreading from animals to humans and improve access to vaccinations.

The Agenda is improving detection through improved biosurveilance and diagnostic tests and is also funding the placement of epidemiologists around the world.

In addition, the Agenda is working to set in place a coordinated response to any threats of infectious disease outbreaks.
Most of the efforts that organizations, such as the World Health Organization, are involved with laboratory practices. By providing safe and secure laboratories, much of the spread of infectious diseases is reduced. In addition, through increased training and education, many of the threats can be reduced.

Although biosecurity is often not a focus of national security, diseases can eradicate the human population as effectively as man-made weapons. By working to improve the resources available as well as improve worldwide practices of prevention, detection and response, much of the biosecurity risk can be eliminated.

– Lily Tyson

Sources: World Health Organization 1, World Health Organization 2
Photo: Science Media Centre

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Polio Revisited

The date is August 24. The year is 1960. A vaccine for polio is licensed for use in the United States for the first time. Nineteen years later, after a widespread campaign for immunization, the disease is completely eliminated from the U.S.

The year is 1988. The United Nation’s World Health Assembly has launched a campaign to eradicate polio globally. During that year there were 350,000 cases of polio. By 2012, that number dropped to 223. It was a disease that scourged millions. For the first time since the eradication of small pox, we had the power to eradicate a disease from the entire planet that has affected human beings, sometimes leading to paralysis and death, for thousands of years.

Despite a few sporadic cases elsewhere, the disease was mostly contained to Afghanistan, Pakistan and Nigeria. However, in 2013, two years into the Syrian Civil War, polio reappeared in Syria for the first time in 15 years. And now, for the first time since before mass vaccination efforts began, the disease is now gaining ground.

Recording an exact number of cases is tricky, particularly in a war zone, but several sources on the ground in Syria place the number above 100. The World Health Organization has taken a more conservative stance at around 25, but any number of cases could have devastating global consequences.

Polio spreads rapidly, but most who contract it never show any symptoms. Instead, they remain carriers for the duration that the disease incubates in their body. Therefore, doctors suggest that for every one symptomatic case, there could be 200 people infected.

Some estimates are much higher. With that in mind, we don’t need exact numbers to know that any number of new documented polio cases is a threat.

According to the U.N., during the course of the Syrian Civil War approximately 2.5 million refugees have fled Syria to neighboring countries. These countries are mainly Syria’s immediate neighbors; Turkey, Iraq, Jordon and Lebanon. With so many people fleeing Syria, polio could spread with them, and what was once a national crisis could become a regional one in much the same way the war itself has spread to other countries.

And in a world as globalized as ours, the potential impact of this resurgence could reverberate to the U.S.

This scenario is an immediate and physical example of how what happens outside our borders and across oceans has a direct impact on American lives. In times of war, formerly robust food and medical facilities often shut down, sometimes as collateral damage, at other times as a means to intentionally damage an enemy. But under any circumstances, when disease spreads, nobody wins. The year is 2014, and we are now in danger of revisiting a disease that we came within the final steps of eradicating a few short years ago.

– Julian Mostachetti

Sources: ABC News(1), ABC News(2), BBC, The History of Vaccines, Migration Policy Centre, New York Books
Photo: Tribune

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Poverty in French Guiana

Poverty in French Guiana
French Guiana is a small country with an estimated population of 270,000. It is located in South America, bordering Brazil and Suriname. It is a territory of France and therefore follows the French legal system. This means that it follows the French Constitution and is ruled by the French government. Officially, it is called a French Overseas Department.

Poverty in French Guiana is an interesting topic because so little is reported and few people are interested. It can be easy to focus on the largest populations in poverty in Africa or India, so much so that smaller countries are forgotten. This should not be the case, as all people deserve the right to escape poverty.

The lack of awareness for poverty in French Guiana is highlighted by the mere fact that statistics and data on this subject are hard to find. Since it is a French territory and technically considered part of France, global statistics from the United Nations or the World Bank are not often given for French Guiana individually. This signifies the relative unimportance of French Guiana among the international community. From the little information there is come these poverty facts from French Guiana:

  • In 2010, the unemployment rate was 30.5 percent; it was higher for women, at 36 percent.
  • 26.5 percent of households are below the poverty line.
  • The infant mortality rate in 2008 – 2010 was 11.6 per 1,000 live births.
  • Malaria is endemic, with 3,345 cases in 2009. Yellow fever and Dengue are also endemic.
  • A 2006 study showed that French Guiana has the highest rate of HIV infections in France, with 308 per million inhabitants, as opposed to 150 in the Ile de France region (the wealthiest region in metropolitan France.)
  • Food and living expenses are high because the country imports 90 percent of consumable goods from metropolitan France.
  • Only 7.8 percent of the population held university diplomas in 2010.
  • Only 27.9 percent of households had enough money to be taxed in 2010.

These facts may seem disjointed and random, but that is exactly how information relating to poverty in French Guiana is presented. There is little to no comprehensive data on this tiny French overseas territory, at least in the English language. Most of the raw data was taken from the French National Institute of Statistics and Economic Studies. The data is only available in French, which makes a global discussion of this issue difficult.

Who is going to care about this small community? With so little international discussion on poverty in French Guiana, it will be difficult to rally people around the cause. Action needs to be taken by the French government to fix the high rates of unemployment, infectious disease endemics, HIV rates and poverty levels. It is the responsibility of the French people to appease their government to do the right thing and help French Guiana out of poverty.

– Eleni Marino

Sources: United Nations, Phrase Base, Conseil National Du Sida, The Guardian, INSEE

Photo: PIB

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Obesity As Top Global Health Concern

In the 1950s, there were approximately 700 million people living in hunger, while the number of obese people was around 100 million, and a majority of the cases were found in countries with strong economies. Today, however, that is no longer the case.

In 2010, the number of hungry people in the world had slowly risen to 800 million while the number of obese citizens in the world sharply rose to 1.4 billion.

According to a documentary, “Globeisty: Fat’s New Frontier,” there has been not one country with a low or moderate income that has managed to reduce its number of hungry citizens without rapidly jumping to obesity.

However, obesity is not just limited to developed nations. Currently, there are more obese people in developing countries than there are people suffering from hunger in the same countries.

It is predicted that in India, around 100 million people will have diabetes some time in the foreseeable future. Currently, in the U.S. alone, eight obesity-related diseases are the cause for over 75% of healthcare costs. The diseases include, but are not limited to: Type 2 diabetes, non-alcoholic fatty liver disease (or NAFLD), Polycystic ovarian syndrome, Alzheimer’s disease and cancer.

One of the leading causes of this rise in obesity is linked to the increase in the consumption of soft drinks. There has been a direct correlation between the rise in obesity rates in developing countries and the sales of soft drinks. In Mexico, the largest consumer of carbonated soft drinks in the world, 71% of women and 65% of men are overweight.

In 1989, Mexico had a miniscule portion of its adult population overweight and had no overweight children. Over the span of 15 to 16 years, the citizens of Mexico have reached a level of diabetes equal to the level the U.S. had 10 to 20 years ago.

However, another leading cause of obesity is consumption of foods filled with carbohydrates. In the 1950s, most of the food globally consumed was locally grown and fresh. Now, the majority of food consumed in developed and developing nations is highly processed and filled with carbohydrates. When a person eats a carbohydrate-heavy meal and fails to move a sufficient enough amount to turn the carbohydrates into energy, they are turned into sugar and fat.

In “The World is Fat,” an article written in 2007, Barry Popkin stated that the “exponential change in a vast array of courses” have led to people moving less and eating more, resulting in an “unprecedented” rise in obesity.

One final cause of obesity can be linked to accessibility of certain types of food, drink and cooking material.

In the 1970s and 1980s, the citizens of China were readily able to access hydrogenated solid oils like Crisco and liquid oils. Now, a Chinese citizen consumes around 300 to 400 of their daily calories from vegetable oil. There has also been an increase in the consumption of dairy products, fish, poultry, beef and pork. In 1974, the price of 100 kilograms of beef was somewhere around $500 in developing nations. Today, the price has dropped to around one-fifth of that number.

There is a movement, though, to try to halt the rise of obesity. In Mexico, special fitness programs are available to try to encourage people to move more. These programs are offered for free to allow anyone who needs it the chance to prevent obesity. The Mexican Minister of Health also has proposed taxing items and taking more aggressive stands toward working to combat obesity.

– Monica Newell

Sources: Scientific American, Epoch Times, The Independent
Photo: SF Gate

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Health Inequality in Europe

Health_inequalities_poverty
A new report from the European Union illuminates the staggering cost of untreated illness among Europe’s most poor. The report estimates that trillions of dollars a year are lost due to what it calls “health inequalities.”

As reported by The Guardian, the study shows that many avoidable costs are incurred as a result of sick individuals leaving the workforce due to illness or death. The loss of productivity alone may cause trillion dollar losses throughout the E.U.

Granted that these costs and conditions (along with other economic factors) vary widely from nation to nation in the E.U., the report signals a need for shared responsibility in dealing with public health.

From west to east, Europe has an obvious incline in disease and mortality. Many eastern European states report annual mortality rate that are nearly double that of the lowest western states. The fault line between the two halves of Europe appears to be primarily economic—a divide between rich and poor.

The report points to poverty as the central association to these varied health outcomes. The report claims to have “found many examples of associations between risk factors for health, including tobacco use and obesity, and socio-economic circumstances.”

A lack of education, employment, and social safety nets also help to account for a fairly substantial disparity between member states. The report, therefore, calls for broad, systemic changes for many nations. The solution has to be delivered on several fronts if the less fortunate states are to see positive change. Additionally, they are not likely to be able to accomplish these goals in the short term without significant aid from wealthier member states.

In the end, the report looks to put this issue in the public interest by appealing to economic consequences of allowing such inequality to exist. Further, it argues that these inequalities are mostly avoidable. In other words, something can be done on the part of member states to ensure the well being of the most poor.

– Chase Colton

Sources: The Guardian, EU
Photo: Shared Justice