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Health in the Pacific Islands: Vanuatu Eliminates Trachoma

Health in the Pacific IslandsHealth in the Pacific Islands recently improved due to the elimination of a disease called trachoma on the island of Vanuatu. This island is located to the north east of Australia in a region called Melanesia. Vanuatu is the first of the Pacific Island countries to eliminate the disease, and the only one of 14 to complete this goal. Health in the Pacific Islands and around the world has improved significantly over time as public health measures reduced the number of people at risk of contracting trachoma by 92% over the past two decades.

Vanuatu

Vanuatu is composed of 83 islands and relies on agriculture. Due to the separation of islands, health in the Pacific Islands, including Vanuatu, is often inadequate. Access to health care remains a challenge to many residents, and there also exists a lack of resources and medical personnel. Though there are six hospitals located throughout the country, many people must rely on health centers due to the rural areas in which they live. The recent success story of the elimination of trachoma follows another success back in 2016 when the country eliminated lymphatic filariasis, a disease that affects the lymphatic system.

Trachoma

The bacterium, Chlamydia trachomatis, causes trachoma, which leads to a visual impairment that is, at times, severe enough to cause the patient to become blind. The bacterium has caused visual impairments in about 1.9 million people in the world so far, and 136 million people remain at risk of contracting the disease as of June 2021. The disease spreads through contact with discharge coming from the eyes or nose, whether through direct contact or intermediates such as flies. Trachoma is classified as a neglected tropical disease (NTDs).

People often find these diseases in countries in Africa, Asia and Latin America. Though there are many NTDs, trachoma is one of the known diseases in this category that can be eliminated from a population through the use of public health measures. Improvements to hygiene and access to clean water help control the spread of the disease, as well as control the spread of possible vectors such as flies. The push to eliminate trachoma began after data from 2014 indicated that trachoma infected 12% of children between the ages of one and nine years old. This means these children were at risk for serious visual impairment that would affect their future. Trachoma also holds a significant economic impact on countries that trachoma impacts, where these countries may lose up to $5.3 billion per year.

A Path Toward Elimination

Other countries can follow the success of Vanuatu by abiding by the recommendations of the World Health Organization (WHO) and mobilizing medical professionals and communities in places of at-risk individuals. The acronym for the policy toward eliminating trachoma is SAFE. It stands for “Surgery for trichiasis; Antibiotics to clear infection; and Facial cleanliness and Environmental improvement to limit transmission.” Communities pair this process with education on avoiding health risks, proper treatment and providing antibiotics to populations, especially rural individuals. Governments, such as the case in Vanuatu, also often partner with international organizations such as WHO, and with organizations that specifically work with treating diseases related to blindness such as the Fred Hollows Foundation.

The Fred Hollows Foundation is particularly important to the regions in and around Australia because it focuses on diseases related to sight. It helps to reduce poverty by providing medical treatments, education and training. It builds health facilities and works with local communities to end preventable blindness.

Looking Ahead

These ongoing partnerships and procedures that WHO outlines eliminate NTDs such as trachoma, allowing medical professionals to greatly improve health in the Pacific Islands. In 1998, WHO set a goal to eliminate trachoma by the year 2020. As of 2020, the new goal for the NTD elimination plan is now 2030. Trachoma remains a health problem in 43 countries. Hopefully, other countries in the Pacific Islands and around the world can use Vanuatu as a role model in eliminating more NTDs to improve health in the Pacific Islands and abroad.

– Kaylee Messick

Photo: Flickr

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HIV/AIDS in Belgium

HIV/AIDS IN BELGIUMAccording to a study by BMC Infectious Diseases, HIV/AIDS in Belgium is “largely concentrated among men who have sex with men and sub-Saharan Africans.” According to 2011 data from the Belgian government, 98.2% of patients had links to HIV care, 90.8% were in care and 83.3% were receiving antiretroviral therapy. However, these statistics were disproportionate for certain sections of the population where sub-Saharan Africans on ART had less viral suppression while there was higher retention in care of men who have sex with men.

After carrying out a study, an organization called BREACH (Belgian Research on AIDS and HIV Consortium) concluded that potentially the weakest part of efforts to suppress the HIV/AIDS epidemic in Belgium was the undiagnosed HIV-infected population, which estimates have stated is around 20%. This was particularly prevalent amongst migrants in Belgium and it is a problem that requires attention.

There is also a link between poverty and those suffering from HIV/AIDS. When the Journal of the International AIDS Society conducted research into the link between AIDS and poverty, the results were that vulnerabilities relating to migration such as economic hardship and barriers to HIV testing mean that non-citizens are more likely to become infected by HIV/AIDS.

The Progress

Better sexual health awareness and an increase in levels of screening are some methods that have helped HIV/AIDS patients in Belgium live longer and enjoy better health. A research organization named Sciensano which targets health and disease has contributed to HIV/AIDS research in Belgium and has recorded encouraging statistics over the past few years. Based on a 2017 report, Sciensano found that there was a 2% decrease in HIV/AIDS transmission since 2016 and 27.5% compared with 2012.

The study also notes that “HIV transmission by intravenous drug use is exceptional in Belgium and was only reported for 1% of the HIV diagnoses in 2017.”

Belgium’s National Strategic Plan

A step that the Belgian government took to reduce the transmission of HIV/AIDS was the implementation of its National Strategic Plan on HIV in 2013. The monarchy of Belgium also endorsed this plan, which had three main goals: preventing HIV/AIDS, providing testing and treatment of HIV/AIDS and providing care and support. In setting up the plan, the government ensured it would specifically target vulnerable groups such as migrants.

In conclusion, Belgium has made significant progress in tackling HIV/AIDS. Government initiatives coupled with the work of other organizations have been effective enough to reduce levels of HIV/AIDS in the country and are a step forward for marginalized groups that the disease impacts the most.

– Claire Dickson
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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The Necessity of Vaccine Diplomacy

Vaccine DiplomacyWhile the COVID-19 vaccine has helped to reduce destruction and devastation from the pandemic, the virus is still spreading across the globe. According to Dr. Peter Hotez “organized hostility against the scientific community,” may be public health’s biggest enemy. However, on a global scale, the most serious threat is the lack of vaccine diplomacy and effective health care in geopolitics. Solving this crisis requires the United States and other western countries to prioritize the distribution of pandemic response resources so that everyone can lead healthy, safe lives regardless of their location.

Inequities of Vaccine Resources

The COVID-19 pandemic has increased the global death rate by 20%, shut down economies and dismantled health care systems across the world. Despite the fact that the COVID-19 vaccine is now readily available in many developed countries, many low-income countries remain highly unvaccinated while the United States eases pandemic funding. With monkeypox cases on the rise, the fight against global health crises has hit a major roadblock, as low-income countries are scrambling for vaccine resources amid slowing economies.

Developed countries have a humanitarian responsibility to ensure that low-income countries have access to the healthcare resources that North American and European countries have. Additionally, novel variants of COVID-19 often arise from unvaccinated populations, which means that the pandemic will only worsen unless we make a concerted effort to fully vaccinate developing and low-income countries, according to Dr. Hotez.

Making a Commitment to Vaccine Diplomacy

Today, less than 20% of people in low-income countries have received their first dose of a COVID-19 vaccine. The next step is for the United States and other world leaders to provide more resources to help get shots into people’s arms in developing countries. According to The Borgen Project’s action center, “This essential funding will go towards vaccines, tests, last-mile efforts and treatment so we can continue vaccinating the rest of the world, save lives and prevent new variants from emerging.” It’s an important investment that will not only save the lives of people in the most vulnerable places across the globe but will also help to protect the well-being of Americans.

Overall, vaccine diplomacy is also necessary to conquer vaccine skepticism, which is keeping millions of people from getting vaccinated. In order to effectively fight against the worsening global health crisis of COVID-19 and monkeypox, the United States and other economic powerhouses should prioritize geopolitical cooperation with developing countries to collaborate on equitably distributing vaccine resources.

– Ella DeVries
Photo: Flickr

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The One WaSH National Programme

The One WaSH National ProgrammeGlobally, at least 2 billion people do not have access to clean water. The ability to access clean water supplies and sanitation is a vital aspect of a country’s development. Improved water supply and sanitation positively affect economic growth and poverty reduction as water is essential domestically and agriculturally. Furthermore, clean water and sanitation are imperative to human health. Contaminated water can cause diseases such as diarrhea, cholera and typhoid. The issue of clean water is present worldwide and demands preventative action. Thankfully, the One WaSH National Programme is here to help.

Ethiopia is one country where the water crisis needs to be addressed. Close to 33 million people in Ethiopia lack access to a safe water supply and nearly 89 million don’t have access to basic sanitation. This lack of access is responsible for 90% of diarrheal disease occurrences, which is a leading cause of child mortality in Ethiopia. To fight this, the Ethiopian government along with partners developed the One WaSH National Programme in 2013. The goal was to drastically improve access to safe water and sanitation services throughout the country.

The ONE WaSH National Programme

The One WaSH National Programme aims to improve the health and well-being of communities in rural and urban areas. Their strategy to achieve this is to increase equal and sustainable access to clean water supplies, sanitation services and good hygiene practices. As explained by the IRC, “It combines a comprehensive range of water, sanitation and hygiene interventions that include capital investments to extend first-time access to water and sanitation, as well as investments, focused on developing the enabling environment, building capacity, ensuring the sustainability of service delivery, and behavioral change. It has rural, urban, institutional WaSH and capacity building components.”

Impacts of The Programme

Phase one of The One WaSH National Programme in Ethiopia began in October 2013 and lasted till July 2017. It boasted great results. In four years, 18.7 million people gained access to water supplies and the practice of open defecation reduced from 44% to 29%. Additionally, 1,280 school WASH facilities were constructed.

The One WaSH National Programme approved its second phase in 2018. This time, the overall growth and transformation of the program was the main target for improvement. Another objective was to diminish vulnerable infrastructure in drought-prone areas in Ethiopia. Doing so would create a climate-resilient water supply system that provides the community with safe and sustainable access to water. Results for this second phase are still being collected as it was expected to run through July 2020.

The Importance of Clean Water in Poverty Reduction

Access to basic water and sanitation are vital parts to improving the economy. As such, it is essential for eradicating poverty. Many health issues faced by the poor arise because of the consumption of contaminated water. Increased availability of basic water and sanitation services can aid in general public health and assist in reducing health care costs.

The ONE WaSH National Programme has not completely satisfied their goals of extending safe water supply to 98% of the country’s rural population and 100% of city dwellers. Nevertheless, they have made many great strides toward improving sanitation services. Overall, the program has contributed significantly toward improving the standard of living within these Ethiopian communities.

The ONE WaSH National Programme and similar endeavors have the power to greatly improved the population’s access to a safe water supply and reduce poverty in Ethiopia and worldwide.

– Caroline Dunn
Photo: Flickr

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6 Facts About Healthcare in Tunisia

Six Facts about Healthcare in Tunisia
Tunisia, situated in the North-central region of Africa, borders two relatively unstable nations, Algeria and Libya. However, Tunisia has had consistent development in human wellbeing for the past couple of decades, ranking among the highest in the African continent. In part, this status can be attributed to the relatively strong healthcare system in place. According to a World Health Organization report, Tunisia possesses a national health strategic plan as well as a relatively high life expectancy at 75 years. Here are six facts about healthcare in Tunisia. 

6 Facts About Healthcare in Tunisia

  1. Health Insurance: More than 90% of the population has some form of health insurance. Private insurance systems cover many Tunisians, while others rely on programs for vulnerable demographics. One persistent concern is the gaps in payment for medical procedures, which can create a financial burden for families. 
  2. Universal Healthcare: Though the new constitution in 2014 labeled healthcare a “human right,” much work still remains to be done in order to make healthcare in Tunisia universally accepted and effective. Specifically, the government is working to improve healthcare infrastructure in southern Tunisia. In 2016, it increased the healthcare budget by 9% to help accomplish this goal. 
  3. Private Sector: The private healthcare sector in Tunisia is booming. In recent years, the number of new private clinics built in the country has surged. By 2025, 75 new facilities are expected to be completed, an increase which would double the capacity of hospital beds in the country. These improvements should help make access to quality healthcare more readily accessible to the general population. 
  4. Deadly Diseases: Tunisia has been able to eradicate and control many deadly diseases that put a strain on the healthcare system. Malaria, polio, schistosomiasis are well under control. The country has also addressed and effectively managed HIV/AIDS. 
  5. COVID-19 Pandemic: Thus far, Tunisia has managed COVID-19 relatively well. Sitting at 1,780 confirmed cases and 52 deaths (as of August 12), the country is well-positioned to recover economically from the virus. Though it is still early, it appears that the healthcare system in Tunisia was able to absorb the influx of cases in order to slow the death rate.
  6. Preventative Measures: Tunisia’s success in battling COVID-19 is largely due to preventative measures taken by the government and healthcare sector. Seeing the potential for a rise in cases, the nation shut down swiftly. Tunisia went into a rigorous lockdown that lasted for months. This was an especially difficult decision, considering that tourism accounts for 10% of the country’s GDP. In spite of this, however, the World Health Organization cited a strong sense of community and respect for the lockdown measures across the nation.

These six facts about healthcare in Tunisia highlight some of the country’s most significant successes. The nation’s strong healthcare system has led to the control of many deadly diseases. Moving forward, it is essential that the Tunisian government continues to prioritize improving and expanding its healthcare infrastructure.

– Zak Schneider
Photo: Flickr

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Healthcare in the Democratic Republic of the Congo

healthcare in the Democratic Republic of the CongoOne of the biggest challenges facing the Democratic Republic of the Congo is its healthcare system. The country faces many barriers to adequate healthcare, such as low funding, systematic and structural difficulties, poverty, proper treatment and testing, education and more. However, many organizations worldwide are working to improve healthcare in the country through direct aid and legislation.

The Problems with the Healthcare System in the Democratic Republic of the Congo

The healthcare system lacks investment and funding. As a result, it is difficult for the country to combat prevalent healthcare issues, such as infectious diseases. It also provides obstacles to combatting more pervasive issues such as infant and mother mortality rates. According to the CDC, the top causes of death in the Democratic Republic of the Congo are “malaria, lower respiratory infections, neonatal disorders and tuberculosis.”

Many of these issues are preventable. However, as of 2017, the Democratic Republic of the Congo only dedicated 3.98% of GDP to healthcare. In comparison, the U.S. dedicated 17.06% to healthcare. Healthcare in the Democratic Republic of the Congo requires consistent funding and resources to ameliorate and reduce these problems; without increased investment, these healthcare problems will only continue to persist.

Furthermore, the WHO states that another complication facing the healthcare system is a lack of resources. The healthcare facilities that are up and running are “often poorly maintained” and difficult to access. Moreover, many communities throughout the country are isolated and spread out. For example, the WHO states that 80% of cholera patients are displaced throughout the country. With these patients vastly spread out, it becomes harder and harder to treat and reduce the impact of cholera. Additionally, traveling from one area to the next present difficulties because of damaged and underdeveloped roads, which introduces another barrier to proper treatment.

Therefore, it becomes increasingly difficult for citizens to even obtain access to healthcare clinics and/or hospitals. Factoring in violence and displacement, lack of food and healthy drinking water and extreme poverty conditions, healthcare in the Democratic Republic of the Congo’s is in dire need of support and aid.

What Organizations are Doing to Help

With that said, what are other countries and organizations doing to help the Democratic Republic of the Congo? There are many organizations around the world working to reduce global poverty and improve healthcare in the Democratic Republic of the Congo and other struggling countries. The focus herein are direct, firsthand efforts from organizations such as USAID, the CDC and WHO.

  • The WHO is actively trying to obtain accurate information about population and health in order to properly provide solutions for certain problems. For example, the WHO seeks to obtain information about issues, such as infant mortality rate and the necessary vaccines. Then, they modernize this information by implementing new technology and software to ensure that the data is upkept, accurate and transformative.
  • USAID is training local citizens and communities on proper healthcare treatment and issues. USAID helps these citizens utilize “locally available resources” to treat the pervasive health issues specific to the country. Additionally, USAID also seeks to increase education by providing scholarships to people to pursue comprehensive medical education. USAID also strives to increase funding and investment for healthcare in the Democratic Republic of the Congo.
  • The CDC has sent more than two million testing kits and thousands of vaccines/treatments to combat a multitude of issues such as malaria, HIV/AIDS, influenza and infections. Additionally, they have also increased the number of healthcare clinics and other testing and treatment sites across the country. These sites now include five new “sentinel sites for influenza and other infections”.

Moving Forward

Furthermore, advocacy organizations push federal legislation focused on reducing poverty and improving healthcare systems across the world. Equally important, these continual and consistent efforts prioritize allocation of U.S. foreign aid towards these economically struggling countries.

Overall, healthcare in the Democratic Republic of the Congo, underfunded for many years, still requires intense rebuilding and change. However, many organizations across the world are understanding these healthcare issues and taking action to help. While much more progress must occur in order to ensure a stable, successful healthcare system, the progress that is currently underway should not be overlooked.

– Sophia McWilliams 
Photo: Flickr

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Childhood Obesity in Poverty-Stricken Africa

childhood obesity in poverty-stricken AfricaChildhood obesity is a major issue in middle-income countries. However, this issue is growing in low-income countries as well now. In Africa, micronutrient deficiency and wasting are among the biggest challenges associated with children’s health. However, with sugary foods and snacks becoming cheaper and more accessible, childhood obesity is becoming more of an issue in Africa. A 2000 survey revealed that 10% of low-income countries had a 10% rate of teenagers who were overweight. Just between 2014 to 2016, that number jumped from 40% to 75%. It is quite clear that this issue is quickly increasing.

The Problem of Childhood Obesity

According to the World Health Organization (WHO), childhood obesity in poverty-stricken Africa is one of the most pressing issues of this century. Without intervention, this issue will only continue to spread.  Along with it, long-term health problems associated with obesity, such as diabetes, will also increase. Furthermore, not only are obese people at risk of contracting preventable health conditions but they are also at risk of early death. According to WHO, obesity takes more than two million lives every year worldwide.

Despite the growing economy in Africa, millions still suffer from poverty. This poverty, coupled with the growth of obesity, has Africa simultaneously facing two major challenges. These two challenges have led to a significant increase in diseases throughout Africa. Since the 1980s, diabetes has grown by 129% in Africa. To combat the spread of diabetes and the consumption of high sugar beverages, South Africa has passed a bill that taxes such beverages.

Combating Childhood Obesity

A few organizations are taking steps to combat childhood obesity in poverty-stricken Africa. The World Health Organization places its focus on what types of foods to consume, the number of physical activities that are being completed and overall health. The organization believes that in order to avoid the increasing amount of childhood obesity that Africa is experiencing, there must be corrections to all three factors mentioned above.

WHO created the “Global Strategy on Diet, Physical Activity and Health” to reduce obesity and improve overall health. The strategy focuses on four major goals that will ultimately help combat childhood obesity, diseases and death. The four main goals are to reduce risk, increase awareness, develop policies and action plans and monitor science. Though created 16 years ago, this strategy will only begin to make an impact after several decades. In order for the strategy to succeed, all levels of life and business must assist in the effort.

Childhood obesity in poverty-stricken Africa continues to be an issue. Although a relatively new issue in developing countries, obesity is quickly increasing. Africa is now combatting both ends of the nutritional spectrum, with malnutrition and childhood obesity now prevalent throughout the continent. Despite increases in these issues, organizations such as WHO are working diligently to reduce childhood obesity in Africa.

– Jamal Patterson 
Photo: Pixabay

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5 Ways Poverty Relief Reduces Disease

poverty relief reduces disease
The universal rise in global living standards has helped combat diseases, spurred on by international poverty relief efforts. In fact, one study found that reducing poverty was just as effective as medicine in reducing tuberculosis. Poor health drains an individual’s ability to provide for themselves and others, trapping and perpetuating a cycle of poverty. Better public health increases workforce productivity, educational attainment and societal stability. Here are 5 ways poverty relief reduces disease.

5 Ways Poverty Relief Reduces Disease

  1. Better Sanitation: According to the WHO, approximately 827,000 people die each year due to “inadequate water, sanitation, and hygiene.” Poor sanitation is linked to the spread of crippling and lethal diseases such as cholera and polio, which hamper a nation’s development. By investing in the sanitation of developing nations, the rate of disease decreases and the food supply improves. Furthermore, an all around healthier society emerges that can contribute more to the global economy. In fact, a 2012 WHO study found that “for every U.S. $1.00 invested in sanitation, there was a return of U.S. $5.50 in lower health costs, more productivity, and fewer premature deaths.”
  2. Improved Health Care Industries: A hallmark of any developed nation is the quality of its health care industry. A key part of reducing poverty and improving health, is investing in health care initiatives in developing countries. When the health care industry is lacking (or even non-existent), the population experiences high levels of disease, poverty and death. Many American companies have already invested millions into the medical sectors of developing nations, however. In September 2015, General Electric Healthcare created the Sustainable Healthcare Solutions, a business unit that donates millions in money and medical equipment to developing nations.
  3. More Informative Education: Knowledge is power when it comes to fighting disease. Educational institutions provide a nation with one of the best tools to fight diseases of all kinds. According to a WHO report, “education emphasizing health prevention and informed self-help is among the most effective ways of empowering the poor to take charge of their own lives.” Schools must teach about proper sanitation, how to spot warning signs and form healthy behaviors. School health programs are also an invaluable resource in times of pandemics and disease outbreaks, as they coordinate with governments. This cooperation has helped tackle diseases, including HIV/AIDS in Sub-Saharan Africa. Eritrea, for example, has one of the lowest rates of infection in the region (less than 1%), partially due to an increase in HIV/AIDS education measures.
  4. Enhanced Nutrition: Malnutrition and food insecurity weaken the immune systems of the impoverished and significantly lower one’s quality of life. Millions of children each year die from famine or end up crippled due to dietary deficiencies. By investing in and supporting agricultural sectors of developing nations, aid programs help in not only decreasing poverty, but also in cutting down on illness of all kinds. Likewise, international aid during conflicts and natural disasters is crucial to ensuring the continued health and productivity of a country. One nation combating such an issue is Tanzania. With the help of aid organizations like UNICEF, Tanzania has decreased malnutrition for children under five.
  5. More Effective Government Services: Arguably encompassing all the previous categories, governments with more money and resources can effectively help stop diseases. A healthy general population leads to more productivity, which increases tax revenue. Central governments can then invest that money back into health care and sanitation, creating a positive feedback loop. Governments also provide a centralized authority that can cooperate with organizations like the WHO. In the 21st century, communication and cooperation between world governments is key to halting pandemics and working on cures.

Impact on COVID-19

The COVID-19 pandemic is a prime example of how improved government resources provide poverty relief, which helps combat the virus in the developing world. Kenya is a good example of how developing nations can help contain and combat the virus with effective government actions. The systems and governmental services built up over past decades sprang into action and coordinated with organizations like the WHO. The government has also implemented various economic measures to help mitigate the negative economic side-effects. Moving forward, it is essential that governments and humanitarian organizations continue to take into account the importance of poverty relief for disease reduction.

– Malcolm Schulz 
Photo: Flickr

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10 Facts About Life Expectancy in Tonga

Life Expectancy in Tonga
Tonga is a country located in the South Pacific Ocean, within the South Pacific archipelago. The sovereign state consists of a total of 176 islands that spread across 270,000 square miles, 36 of which contain a fast-growing population of 100,651 people. About 70% of the 100,651 people live on the main island, Tongatapu. While life expectancy is on the rise throughout the country, there are still many health concerns. Here are 10 facts about life expectancy in Tonga.

10 Facts About Life Expectancy in Tonga

  1. Life expectancy rates in Tonga have been steadily rising for the past 70 years. In 1950, the average life expectancy was 55.78 years. Today, the life expectancy is 70.97 years. As of 2018, male life expectancy was 68.9, and female life expectancy was 72.8. This is most likely due to improvements in sanitation, housing and education. According to the U.N.’s projections, Tonga’s life expectancy will continue to increase and grow to 74.30 by 2050.
  2. The leading cause of death for all ages in Tonga is non-communicable diseases (NCDs). According to the Tongan Ministry of Health and the World Health Organization (WHO), NCDs account for the majority of deaths in Tonga. These include cardiovascular disease, cancer, respiratory diseases, diabetes and more. Factors such as lack of physical activity, smoking daily, alcohol use, obesity, high blood pressure and eating less than five servings of fruit and vegetables per day increase the risk of developing NCDs. Of the population, 60.7% is at high risk of developing or having an NCD and 39.2% at moderate risk. One study even found that one out of every ten hospital patients in Tonga was admitted due to an NCD.
  3. The NCD that kills most people in the country is coronary heart disease. The latest data from 2017 reports that of every 100,000 Tongans, 128.72 (16.64% of the population) die from coronary heart disease.
  4. Tonga’s fertility rate has been decreasing since the 1950s. However, despite the steady decrease, Tonga’s fertility rate remains high compared to other countries. In 1955, the fertility rate in Tonga was 7.3 births per woman. Today, it is currently at 3.2 births per woman. In comparison, in Australia, there were 3.0 births per woman in 1950 but only 1.86 births per woman in 2015.
  5. Obesity is extremely prevalent among Tonga’s population. An important risk factor to NCDs, obesity has been increasing in Tonga since 1975. In 1975, 47.8% of people 18 and older were obese. In 2016, the obesity rate had jumped to 75.6%. This year, Tonga ranks number two in the world for the highest body mass index (BMI) with its population having an average BMI of 31.9. Tonga falls just below the world’s most obese country, Nauru, which has a BMI of 32.5. Tonga’s obesity rate is due to a couple of factors, including low levels of physical activity and poor diets.
  6. The diet of Tongans plays an important role in the level of obesity throughout the country. Most Tongan’s diets once consisted of root vegetables, coconuts and fish. Since joining the global economy, diets have become highly processed and fatty. The average diet is now made up of rice, bread, canned fish, sugar, salt and packaged noodles.
  7. Tobacco use, another risk factor for NCDs, has been slowly decreasing in Tonga. In 2000, 36.3% of the population used tobacco. The most recently projected smoking rate puts tobacco use at 27.9%.
  8. Health-related issues make up most of Tonga’s other top causes of death. Other top causes of death in Tonga include diabetes (13.63%), stroke (9.91%), influenza and pneumonia (7.26%), breast cancer (2.83%) and lung disease (4.60%).
  9. More people have slowly moved into Tonga’s urban areas in recent years. In 1955, the urban population was at just 15%, while today the percentage has risen to 76%. This urbanization results in a more sedentary lifestyle, which, in turn, becomes a risk factor for developing obesity.
  10. Tonga is the first country in the Pacific Islands to develop a plan to fight obesity. In 2017, the Tongan government implemented a tax on imported foods in hopes of discouraging people from purchasing them. The tax included items such as mutton flaps, industrial chicken and turkey tails. There are also groups such as Tonga Health Promotion Foundation (TongaHealth) that fight obesity in hopes of improving life expectancy. TongaHealth was established in 2007 by the Health Promotion Foundation Act. Dedicated to the prevention of NCDs in Tonga, the group recognizes the urgency in the country’s rising number of NCDs. It fights the risks by focusing on educating the population on topics such as healthy eating, physical activity, tobacco control and alcohol control.

While life expectancy rates are on the rise in Tonga, there is still work to be done to improve the health of Tongans and further increase life expectancy. Tobacco use, alcohol use, a lack of physical activity and poor diet are all putting Tongans at risk for obesity and NCDs. Moving forward, the government and other humanitarian organizations must focus their efforts on improving health and life expectancy in Tonga.

– Marlee Septak
Photo: Flickr