Common Diseases in Mauritius

Located in the Indian Ocean off the coast of Southern Africa, Mauritius is an archipelago that is only about 500 miles east of Madagascar. At almost 11 times the size of Washington D.C., Mauritius was first explored by the Portuguese in the 16th century and subsequently settled by the Dutch. With a life expectancy of 74 years for the country’s 1.2 million inhabitants, the most common diseases in Mauritius that are life-threatening are non-communicable.

According to Commonwealth Health, “non-communicable diseases (NCDs) in Mauritius accounted for an estimated 87 percent of all mortality in 2008.” The most common diseases in Mauritius are cardiovascular diseases, which accounted for 36 percent of total deaths across all age groups in 2008. Diabetes, cancers and non-communicable variants of respiratory diseases contributed 23 percent, 12 percent and five percent to total mortality, respectively.

Cardiovascular diseases, “diabetes, urogenital, blood and endocrine diseases”, and cancer are considered the deadliest overall, with ischemic heart disease, diabetes and cerebrovascular disease in the lead.

Ischemic Heart Disease, also known as coronary artery disease, involves a decreased blood flow to the heart. It was considered one of the deadliest common diseases in Mauritius in 2015. In 2014 alone, the diseases caused 1,148 deaths. Cerebrovascular disease, caused by damage to the brain from interruption of blood supply, was the third most common disease in 2015. Fortunately, the disease has decreased in prevalence by 9.5 percent since 2005.

Diabetes, a disease of permanently altered insulin levels and blood sugar, was the second highest cause of death in Mauritius as of 2015. In 2005, diabetes was only the third most common cause of death, but throughout the decade, deaths from the disease have increased in prevalence by a staggering 65.1 percent. This is due, in part, to recent changes in dietary habits with the introduction of fast food and lack of exercise as well as genetic predisposition.

Obesity, caused by diet and lack of exercise, can also play a role in diabetes. The prevalence of obesity has increased from 16 percent in 2009 to 19.1 percent in 2015, with approximately 398,417 Mauritians being overweight or obese.

Conscious of the growing health concern, the Mauritian government has established a National Service Framework for Diabetes. The goal of the organization is to lay out strategies for prevention and standards of care to be implemented.

The common diseases in Mauritius can be found in any country. While some diseases are unfortunately hereditary, there are ways of managing health to reduce the risk of non-communicable diseases. By making conscious lifestyle changes, such as exercising and maintaining a healthy diet, the risk of diseases such as heart disease and diabetes can be effectively reduced.

– Stefanie Podosek

Photo: Flickr

Common Diseases in Kiribati

Kiribati is a small island country in the central Pacific. The people of Kiribati have a positive outlook on life, despite the fact that many factors such as a lack of sanitation, overcrowding, high unemployment and environmental threats have led to 22 percent of the population living without basic needs.

The Ministry of Health in Kiribati provides free hospital services and public health and nursing services on the island and tries to focus on disease prevention and education. Yet, the persistence of urban poverty, climate change and poor water quality have led to a nearly constant influx of disease on the island.

Diarrheal Disease
Diarrheal outbreaks are common diseases in Kiribati for a few reasons. One of the most prevalent sources of diarrhea is dirty water. One in 20 infants dies before their first birthday in Kiribati from drinking unclean water. Some other causes of diarrheal disease are poor food handling and public defecation due to overcrowding.

Malnutrition
There are three different types of malnutrition: wasting (low weight for height), stunting (low height for age) and underweight (low weight for age). The most common type of malnutrition in Kiribati is stunting. Malnutrition not only reduces quality of life but also contributes greatly to infant mortality, weak immune systems and mortality in general.

Dengue Fever and Chikungunya Virus
Two other common diseases in Kiribati are dengue fever and chikungunya, both of which are viruses transmitted through the Aedes aegypti and Aedes albopictus mosquitoes. In 2015, it was reported that more than 12,000 people have been infected with mosquito-borne illnesses.

Ciguatera Poisoning
Ciguatera poisoning comes from consuming reef fish that have been contaminated by ciguatoxins, or marine biotoxins that cause food intoxication. The toxins can cause a wide range of neurological, gastrointestinal and cardiovascular symptoms. According to research, the toxins mainly develop in shallow waters that contain seaweed, sediments and dead coral. Thus, it is possible that low sea levels and surface water temperatures are contributing to the poisoning.

Lifestyle Disease
Some of the most common diseases in Kiribati are those that stem from certain lifestyle habits or behaviors. Diseases of this kind include HIV and other sexually transmitted infections, cardiovascular disease, respiratory disease and diabetes. The prevalence of HIV and STIs are due to a lack of sexual education. Cardiovascular disease and diabetes are most often associated with physical inactivity and poor eating habits. Tobacco use also contributes to respiratory disease and cancers.

Kiribati is working with the World Health Organization (WHO) on a national development plan for the 2016-2019 period that includes operational plans for the Ministry of Health and Medical Services. Immediate goals include reducing the risk of non-communicable diseases, improving maternal and child health, preventing the spread of communicable diseases and strengthening health service delivery.

Awareness and prevention of communicable disease will be key to implementing this plan. With the intervention of WHO, Kiribati has made strides in providing cost-effective, quality health services and preventing disease.

– Madeline Boeding

Photo: Flickr

Common Diseases in Sint Maarten

Saint Martin is an island in the northeast Caribbean divided between the French Republic (Saint Martin) and the Kingdom of the Netherlands (Sint Maarten). The Dutch side, Sint Maarten, is one of the four constituent countries that form the Kingdom of the Netherlands. Common diseases in Sint Maarten range from non-communicable to more high-risk communicable diseases.

When traveling to any island or foreign country, the CDC recommends a series of vaccinations to prevent illness from communicable diseases. It is recommended that travelers to Sint Maarten receive these vaccinations:

• Routine vaccines
• Hepatitis A
• Hepatitis B
• Rabies
• Typhoid
• Yellow fever

These vaccinations help prevent common diseases in Sint Maarten from spreading to tourists. A non-vaccine-preventable disease that is common is dengue fever. This is a leading cause of febrile illness among travelers from the Caribbean, South America and southeast Asia.

Common diseases in Sint Maarten can be spread by many means. The female Aedes aegypti mosquito transmits mosquito-borne diseases such as Zika, dengue and chikungunya. Taking precautions against mosquitoes by using bed nets at night, insect repellent and wearing long sleeve shirts and long pants can prevent these diseases. Zika is especially dangerous for pregnant women, as it can lead to birth defects. Others should use protection when there and home, and while traveling.

According to the Caribbean Public Health Agency (CARPHA), cancer is a non-communicable, common disease in Sint Maarten that causes death. Among females, breast cancer is the most prevalent, followed by cervical cancer. Prostate cancer is the leading cause of death among men, with lung cancer coming in second. Lung cancer is also a contributor to a high number of deaths among women. These cancers can be caused by genetics or environmental factors.

Non-environmental factors such as overeating have led to childhood obesity, which is seen as an epidemic in the youth of Sint Maarten based on the Youth Obesity Research study done in 2010. In 12-17-year-olds, the prevalence of overweight is 39 percent, and of that group, 54 percent are obese. The study also indicated that 60 percent of youths do not participate in sports and rarely consume fruits and vegetables.

The government has declared its aim to ensure that their “education sectors promote programs aimed at providing healthy school meals and promoting healthy eating.” They want to make a difference by promoting physical activity and providing healthy food choices in the schools. In order to achieve this goal, the schools will need to cooperate with the parents and educate them on healthy eating at home as well as at school.

The common diseases in Sint Maarten vary from non-communicable to communicable, to preventable and non-preventable. The good news is that making healthy lifestyle choices and taking the necessary precautions, one can easily avoid disease.

– Stefanie Podosek

Photo: Flickr

AIDS in Africa No Longer Leading Cause of Death

Africa has had a long history with AIDS and has struggled to find solutions to keep AIDS-related deaths low. However, in the past few years AIDS rates in Africa have decreased, and it is no longer the leading cause of death.

This achievement is mostly due to better diagnosis and treatment, along with more information and better education on the condition. Additionally, other preventive strategies, such as self-testing, have become more prevalent. In fact, 40 countries have already added HIV/AIDS self-testing to their national policies, with 48 more developing similar policies, almost double the amount in 2015.

With these strategies being implemented, the number of HIV/AIDS-related deaths in Africa have decreased by 24 percent over the last five years. In 2015, there were a reported 5.2 million deaths caused by group 1 conditions, which includes AIDS, with AIDS reportedly causing approximately 760,000 deaths in 2015, a decrease from 1 million in 2010 and 1.5 million in 2005.

With AIDS no longer the leading cause of death, lower respiratory tract infections have taken the lead. Yet AIDS is not the only disease that has decreased; malaria has also seen a decrease in deaths, reporting a drop of 60 percent in the last 15 years, accounting for about 6 million people saved from the disease.

With expanded education regarding AIDS prevention, treatment, and self-testing, Africa is on its way to fulfilling the U.N.’s goal of eradicating AIDS on the continent by 2030. Additionally, with funding from donor countries and supplying clinics with the proper drugs, AIDS in Africa will continue to see a drop in deaths over the next few years, meaning the continent can focus on other leading causes of death.

– Amira Wynn

Photo: Flickr

Common Diseases in Bahrain

People living with HIV/AIDS comprise only .01 percent of Bahrain’s total population. While Bahrain has a very low HIV/AIDS rate compared to other countries in the region, there are still other common diseases in Bahrain.

The Joint Mission found that cardiovascular diseases, diabetes, cancers and chronic respiratory diseases are all common diseases in Bahrain. Non-communicable diseases cause 78 percent of deaths in Bahrain. Many dietary behaviors are correlated with obesity, diabetes and cardiovascular diseases. Diets high in sodium and fatty acids, for example, can contribute to future cardiovascular diseases.

Cancer in Bahrain also contributes to a small percentage of deaths. Bronchial and lung cancers are the most common among the population of Bahrain. Tobacco use is very common among adults and children daily: one-third of men in Bahrain use tobacco.

Furthermore, much of the population is not physically active and does not eat enough fruits and vegetables. One-third of the population is hypertensive and 15 percent are diabetic. Diabetes has many effects on the population. Diabetic retinopathy, diabetic neuropathies and heart diseases related to diabetes are prevalent in the population.

The government is in the process of coming up with preventative measures to decrease the cardiovascular disease rate and those of other common diseases in Bahrain. The National Health Strategy 2015-2018 will provide health insurance, and an executive committee has been established for a national health insurance program. The committee is currently looking for ways to improve efficiency in using scarce health resources.

Only a small amount of the nation’s budget is allocated for public health each year. In 2014, only 4.98 percent of the budget was spent on healthcare. The density of physicians and nurses has been fairly low over the past few years.

However, there has been some progress made in recent years. For example, the national medicine policy has been updated by the Directorate of Materials Management, and some government sectors have collaborated through the national purchasing committee.

Bahrain has a good economy and relatively low rates of disease compared to other countries in its area. With the proper treatment and education, Bahrain’s cardiovascular disease rate can decrease a small amount at a time. With the help of the government and its people, the country can work to continue to educate everyone on preventative measures.

– Treasure Shepard

Photo: Flickr