How the European Union Fights HIV/AIDS

The European Union (EU) is an economic and political coalition of 28 European nations; countless individuals chosen by the state represent his or her nation within the alliance. The governmental body addresses public health, human rights, development, climate action along with numerous other subjects. The European Union is well-known economically, yet they should also be renown for their work to research, inform and prevent diseases, such as HIV/AIDS. The European Union fights HIV/AIDS through surveillance, data and prevention programs.

Surveillance

The World Health Organization (WHO) and the European Centre for Disease Prevention and Control (ECDC) work together to collect data on HIV/AIDS in 31 European states. The surveillance programs allow the EU to monitor groups who are at higher risks to contract the disease, to improve responses to those affected and to learn more about the prevalence of HIV/AIDS.

The European Union utilizes their monitoring techniques to better its “evidence-based action;” for example, if one European country reported lower diagnoses than another nation, they would then be able to statistically analyze which system worked. The country resulting in fewer cases would, therefore, have the more effective approach to decrease HIV/AIDS.

Surveillance programs help the EU understand trends so they are better able to understand the disease and the efficacy of their treatment programs.

Data

Recent data collected by surveillance programs show an overall decline in HIV/AIDS within Europe. Additionally, AIDS-related deaths have substantially decreased since 1990.

In 2016, 29,444 people were newly diagnosed with HIV/AIDS in 31 countries; this number is relatively lower than the predicted 30,000 diagnoses. The prevalence rate currently stands at 5.9 per 100,000 individuals, which is also drastically less than other places such as Sub-Saharan Africa.

The rate among men is higher than that of women; men are currently at 8.9 cases while women are at 2.6 cases per 100,000. These numbers are significantly lower than those of the past; therefore, the surveillance and prevention programs have proven effective.

Prevention Programs

Due to the high rate of late diagnoses, the EU recognized that there are issues with “access to, and uptake of, HIV testing and counseling in many countries.” The ECDC, which is a partner of the EU, developed the “European Test Finder” to help with locating the closest testing facility.

The European Union fights HIV/AIDS now by allowing quick and easy access to testing. The EU realizes that an early diagnosis can save a life, and locating a testing site is vital in helping those who have HIV.

The EU has also allowed pre-exposure prophylaxis (PrEP), which is an antiretroviral medication that tries to prevent or reduce the likelihood of contracting HIV. France is the only nation that has used this prevention program, and it has proven successful. The EU is trying to make the drug more available across the union.

The “ART regimen” is one of the most efficient ways to prevent HIV/AIDS, and it works to extend the lifespan of someone with the disease. It is also an antiretroviral medication; yet, it is given when someone is HIV positive. This medication could lead to viral suppression, which means that one cannot transmit the disease to someone else.

A United Front

Another way the European Union fights HIV/AIDS is by using Facebook and Twitter. Social media platforms have been very effective as boosting awareness is crucial to HIV/AIDS prevention programs. The ECDC offers a helpful, digital guide to prevent STI/HIV.

The European Union fights HIV/AIDS by combining surveillance, data and prevention techniques. Although each state may have a different approach to preventing HIV/AIDS, the EU acts as an overarching body that researches and implements the best means to end the disease. The EU unites each country so they can eliminate the disease together.

– Diana Hallisey
Photo: Flickr

SOS Méditerranée Works to Save the Distressed at Sea

Thousands of migration attempts across the Mediterranean take place every year. By mid-November of 2017, over 150,000 people reached Europe by sea. During this time, almost 3,000 were found dead or declared missing. NGOs accounted for 40 percent of all lives saved in the Mediterranean during the first half of 2017.

SOS Méditerranée is a European maritime and humanitarian organization responsible for the rescue of lives in the Mediterranean. The organization was created in response to the deaths in the Mediterranean and the failure of the European Union to prevent them. Its mission focuses on three key points: to save lives, to protect and assist and to testify. It was founded by private citizens in May of 2015 and works as a European association with teams in Germany, France, Italy and Switzerland. Together the countries work as a European network,  jointly financing and operating the rescue ship Aquarius.

Since February of 2016, Aquarius has operated in international waters between Italy and Libya. Since then, the rescue ship has welcomed more than 27,000 refugees aboard. Once aboard, Aquarius provides emergency medical treatment through its partnership with Doctors Without Borders. This supports the organization’s second key mission, to protect and assist. It provides both medical and psychological care to those on board and then works to connect them to supporting institutions in Europe.

In early March of 2018, the Aquarius welcomed aboard 72 survivors from a merchant ship after two tragic operations in the Central Mediterranean. The Aquarius was the only search and rescue vessel present in the area. It was mobilized to search for a boat in distress in international waters east from Tripoli by the Maritime Rescue Coordination Centre in Rome. Its rescue operations involved a complex search of 120 nautical miles over the course of 24 hours. Those rescued were from 12 different countries, mainly in West Africa, but also from Sudan and South Sudan. Once aboard, the survivors were able to receive the medical treatment they desperately needed.

SOS Méditerranée wants to give those rescued a voice, to testify, and show the actual faces of migration in the hope of bringing awareness about refugees in the Mediterranean and remembering those who were unsuccessful in their journeys. Evidence from the Mediterranean Migration Research Programme (MMRP) has examined the dynamics of migration to Europe from 2015 and 2016, as well its difficulties. Its key findings challenge assumptions about the dynamics of migration, including that migration is primarily driven by the need to access jobs and welfare support.

Instead, the MMRP found that the vast majority of people migrate across the Mediterranean by boat because of the belief that their lives are in danger or in hopes of a better future. During its study in 2015 and 2016, nearly 1.4 million people crossed the Mediterranean to Europe. However, due to the absence of legal routes to reach the E.U., migrants resort to dangerous crossings with smugglers. There is an urgent need to greatly expand safe and legal routes for the protection of these migrants.

Thanks to organizations like SOS Méditerranée, there have been thousands of lives saved in the Mediterranean. However, joint efforts must be made in order to prevent any further lives from being lost.

– Ashley Quigley

Photo: Flickr

Common Diseases in Portugal

Portugal has a population of 10.5 million as of 2016, and a mortality rate of 548.6 deaths per 100,000 people. The top ten most common diseases in Portugal in 2016 were ischemic heart disease, cerebrovascular disease, Alzheimer’s disease, lower respiratory infections, COPD, colorectal cancer, lung cancer, diabetes, chronic kidney disease and stomach cancer.

The rates of ischemic heart disease, cerebrovascular disease, diabetes and stomach cancer have all gone down in recent years, though they still rank in the top ten. The top ten causes of disability in 2016 were low back and neck pain, sense organ diseases, depressive disorders, migraines, skin diseases, anxiety disorders, oral disorders, diabetes, falls and other musculoskeletal issues.

Broadly speaking, the deadliest diseases are cardiovascular diseases, cancer and neurological disorders.

Addiction: A Major Success Story

While Portugal has made strides in reducing the rates of the diseases described above, its biggest success has been in tackling addiction, particularly to heroin.

In the 1980s and 1990s, a major opioid epidemic made addiction one of the most common diseases in Portugal. By the mid-1990s, over one percent of Portugal’s population was addicted to heroin, and cocaine use was also prevalent.

To address this epidemic, Portugal took the opposite approach to other countries struggling with a similar epidemic, such as the United States. Whereas the U.S. cracked down on drug use and initiated a war on drugs, Portugal completely decriminalized all drugs, including heroin, in 2001. Dealing drugs was still illegal and punishable with jail time, but users caught with less than a 10-day supply of any drug were sent to mandatory medical treatment.

This system completely bypassed the legal system, treating addiction as a health issue instead of a crime. This approach led to a 75 percent reduction in drug cases and a 95 percent reduction in drug-related HIV infections. Deaths due to overdoses or drug-related infections in Portugal are currently five times lower than the average across the European Union.

A model for change?

While any radical change in policy must be considered in the context of each country’s current legal system and culture, aspects of Portugal’s approach to addiction constitute a model that could be successfully implemented across the world.

The basis of this model are outreach programs whose employees keep track of local drug users and encourage them to quit. If they accept, they provide them with free counseling and treatment and daily methadone to wean them off the opioids. If they refuse to quit at that time, then outreach workers hand out clean needles and condoms to reduce the spread of HIV/AIDS.

This model is also economically efficient. The U.S. currently spends approximately $10,000 per household to uphold its current drug policy, while Portugal currently spends $10 per citizen.

The most common diseases in Portugal are similar to those across the European Union. What makes Portugal stand out is its reaction to one particular disease: addiction. If Portugal brings this innovation to other realms of disease prevention, it could be poised to drastically lower its disease burden in the coming decades.

– Olivia Bradley

Photo: Flickr

Water Supply in Cuba

Although Cuba is known for its water-filled landscapes, like the many rivers and turquoise springs that bubble up from time to time, the country faces issues with the water quality and supply. The water supply in Cuba has been affected due to a recent drought, resulting in a struggle to provide clean, fresh water to its citizens.

Over the past three years, Cuba has been facing one of the worst droughts of the century. This drought is affecting nearly 50 percent of the land in Cuba, and it is caused by a climate pattern known as “El Niño”. The El Niño phenomenon is when trade winds off the Pacific Ocean bring warm weather that quickly heats surface water. This effect has occurred in previous years but has increased drastically over the past three years.

Water reservoirs and dams have been affected, with some dams even falling below 50 percent capacity. Out of the 168 municipalities in Cuba, 141 have been directly affected by the effects of this drought. Havana, Cuba’s capital city, relied on tanker trucks from neighboring areas to help provide water to 120,000 people that were in desperate need in mid-2016.

Not many people consider how this drought is affecting day to day life for Cubans. Many families must purchase filtered water since the water supply in Cuba has decreased due to the drought, and this filtered water is not cheap. The average cost for 5 liters of filtered water is 15 Cuban pesos, which is equivalent to $15. This can be a financial burden on a family who has to ration this water for drinking among all its members, as well as to clean vegetables and fruits to eat.

The high price of water also means that many families can’t provide enough water for their pets or livestock, so animals are dying and getting sick all throughout the country.

The soil itself has become damaged as well, with some reports saying that nearly 75 percent of the soil is drier than desired. This has greatly affected the agricultural production, with many farms producing less than 50 percent of what they usually grow. This now means that not only is there a limit on water, but on food as well.

Cuba and the European Union have been working on a solution to not only solve the current drought problem but also to stop future droughts from becoming this large of an issue. The World Food Programme, the United Nations Development Programme, and the Mivimiento por la Paz have all partnered with the European Union and Cuba to develop these solutions.

Currently, the European Union is providing €600,000 in funding for two projects being developed in Cuba. The first project’s goal is to strengthen the preparedness plans in Cuba as well as the response and early warning systems.

The second project will focus more on a technical solution, by increasing the hydrological networks to increase the water supply in Cuba, as well as increasing its meteorological capacity so they can anticipate these patterns sooner.

– Scott Kesselring

Photo: Flickr

Causes of Poverty in Lithuania

Though Lithuania has experienced marked progress since joining the European Union in the early 2000s, it still faces a number of challenges. In the aftermath of the financial crisis of 2008, many European countries experienced a spike in poverty. The rise in poverty in Lithuania was among the most significant, and, compared to other European nations, it has not necessarily recovered to its full capacity. Arguably the most significant causes of poverty in Lithuania are those factors that relate to inequality.

The vast inequality present throughout Lithuanian society is the result of a persistent lack of adequate social programs and fair incomes. In addition, many areas of Lithuania maintain a low standard of living, with poor access to social programs and services, quality education and non-agricultural employment opportunities. This is particularly true of rural areas that are largely disconnected from the state’s urban centers and therefore do not benefit from the prosperity of the Lithuanian government or local businesses. Improving infrastructure to connect rural areas to urban centers would supply additional opportunities to those residing outside the city rather than forcing them to pursue only opportunities in their immediate vicinity. To do so would eliminate one of the main causes of inequality and therefore chip away at the causes of poverty in Lithuania as well.

Within Europe, more equal societies typically have the lowest rates of poverty. These are the states that prioritize social protections and mandate an adequate income in order to support a decent living, whereas others neglect disadvantaged populations in favor of other kinds of spending. Thus, one of the main causes of poverty in Lithuania is also one of the main causes of inequality: lack of adequate government assistance and social protections. For example, Lithuanian pensioners often do not receive enough to live on and thus become dependent on their families, placing an additional burden on household incomes that are already low. A more equitable allocation of government spending and redistribution of government services would serve to provide poorer and more vulnerable populations the resources they need to rise out of poverty.

By national standards, nearly 30 percent of Lithuania’s population faces poverty and social exclusion, one of the highest rates among members of the European Union. A comparable portion of the population is considered at risk of poverty. These facts and the lack of opportunities and government assistance available to Lithuanians have driven Lithuanians out of the country in search of better employment, despite the growth of the Lithuanian economy. In 2016, 50,333 Lithuanians left the country, 5,800 more than in 2015 and 13,172 more than in 2014. Should this pattern persist, economic growth in Lithuania will eventually slow, resulting in higher rates of poverty and inequality. In addition, those leaving are likely to be skilled workers, which means that Lithuania could also soon face a brain-drain, deepening the economic downturn that could occur.

While the causes of poverty in Lithuania are relatively simple to identify, their implications for the future are complicated as the country moves forward. In order to stop the emigration that would inevitably worsen Lithuania’s poverty rate, there must be a shift toward more equitable social programs and an effort to improve the access of rural communities to urban centers, therefore exposing them to education and employment opportunities necessary to their success. Should these issues be addressed, it is likely that Lithuania’s recent prosperity will continue.

– Alena Zafonte

Photo: Flickr