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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

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India’s Universal Immunization Program

The Universal Immunization Program incorporated four new vaccines against polio, rubella, rotavirus and Japanese encephalitis into their program on July 3. By including vaccines against these four widespread diseases, the UIP hopes to reduce the high child mortality rate found in India.

With the addition of these four vaccines, a total of 13 vaccines will now be available in India for approximately 2.7 million children every year free of charge. According to the Prime Minister Shri Narendra Modi, “The government will now ensure the benefits of vaccination reach all sections of society, regardless of social and economic status.”

Not only do these four vaccines made available through the UIP represent a noteworthy achievement in public health, but it also shows the important role programs like this play in developing countries. According to a World Bank report on poverty, approximately one-third of the world’s poor currently lives in India, and the lack of proper medications contributes to this extreme poverty rate.

Polio, rubella and rotavirus are all three well-known diseases that greatly contribute to the high child mortality rate across the world, especially in countries like India where vaccines are extremely difficult to access. According to UNICEF, India is celebrating a three-year victory over polio since no cases of polio have been reported since Jan. 13, 2011. This achievement is particularly remarkable because until 2009, India was reporting more than half of the world’s polio cases. Although India has been able to achieve this landmark success, this injectable polio vaccine provided by the UIP will continuously provide protection against this virus.

Even though rubella, which is also called German measles or 3-day measles, is generally a mild viral infection, it can have serious health consequences when a pregnant woman is infected with the virus. Congenital rubella syndrome, or CRS, can cause congenital defects, such as deafness or blindness, and even fetal death, which is why the UIP focuses on delivering those vaccines to those in need to prevent further infections.

One of the most common effects of rotavirus is diarrhea, which causes approximately 334,000 out of the 2.3 million child deaths in India every year according to the World Health Organization. Especially when compared to other diseases, rotavirus typically affects more children than adults because water makes up a greater proportion of a child’s body weight.

The UIP’s fourth new vaccine against Japanese encephalitis will be introduced to adults in a total of 179 districts in nine states where this disease has been prevalent in India. Even though the severity of symptoms widely varies and there is no specific treatment for Japanese encephalitis, vaccinations are key in preventing the spread of this infection.

The U.N.’s fourth Millennium Development Goal is to reduce the under-5 child mortality rate by two-thirds. As the deadline for this and the other seven goals quickly approaches,  programs like UIP show the amazing progress that is possible among developing countries through widespread access to vaccinations.

– Meghan Orner

Sources: The New Indian Express, WHO 1, WHO 2, CDC, Silicon India News, UNICEF
Photo: The Hindu

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Childhood Poverty and Emotional Problems

Childhood Poverty
Over the years, numerous studies have demonstrated the damaging effects of childhood poverty on development. Recent testing helps to unravel how growing up poor causes psychological problems.

The human brain grows the most during the first few years of life. It has been discovered that children from poorer homes are more likely to have psychological disorders in their adult lives. To explain the correlation between poverty and psychological problems, one theory suggests that exposure to high amounts of stress during this early critical time permanently hinders an individual’s ability to cope with stress.

Testing done by Professor K. Luan Phan supports this notion. During her study, scientists examined the brain function of 24-year-old individuals, whose family situations had already been recorded 15 years prior. The participants were asked to try and control negative emotions while looking at a series of pictures.

The ability to suppress and manage feelings is key to helping individuals deal with the stress of life.

From the tests, researchers were able to conclude that the individuals who were the most impoverished at 9 years old scored the lowest on the exams as 24-year-olds. Even if the subject’s living conditions improved over the years, childhood poverty proved the dominating factor for test performance.

The findings connect childhood poverty to a lower ability to control one’s emotions. This connection supports the notion that the high-stress situation of living in poverty as a child directly affects an individual’s ability to handle strains in their adult life.

Other research done by the Washington University School of Medicine helps to explain the phenomena in a more anatomical sense. Their study showed that the psychological effects of childhood poverty are likely connected to smaller brain volumes in areas associated with emotion processing and memory. The researchers examined brain scans of children between the ages of 6 to 12, whose family history had been previously recorded.

From the scans, scientists found that the stress of poverty physically changes a child’s brain; those living in impoverished homes had smaller volumes of white and cortical gray matter. These white and gray areas are associated with the part of the brain that is associated with communication, as well as sensory and emotions. A small amount of matter in this area of the brain suggests that those functions are hampered.

So, childhood poverty has a visible effect on the brain, which reflects an impairment of emotion processing.

Though both studies are still in the testing phase, the connection drawn between childhood poverty and its lasting effects on mental development is alarming. According to UNICEF, over 22,000 children die everyday because of poverty.

Seeing the permanent damage poverty causes to childhood development highlights its severity and the critical need to address it.

– Kathleen Egan

Sources: Spring, US News, Global Issues
Photo: Portside

Medical Crisis in Gaza By Hamas

crisis in gaza
Since the kidnapping and killing of three Israeli teenagers last month by the terrorist organization Hamas, tensions between Israel and Gaza have skyrocketed. Israel retaliated this week by launching missiles into Palestinian territory, killing over 120 Palestinians, including many women and children, and injuring over 800.

Residents are warned before the bombings, but local hospitals in Gaza are still overwhelmed and unable to effectively treat the inundation of patients.

Emergency rooms across the territory are crowded and patients have resorted to sleeping on hospital floors. In Al-Shifa hospital, the central medical center in Gaza, all 12 beds in the intensive care unit are in use.

Gaza launched numerous missiles into Israel this week as well.

“Gaza is completely missing about 30 percent of essential drugs,” said Ashraf al-Qedra, Gaza’s Health Ministry spokesman.

The numbers of medicines, gloves, urine catheters and other medical supplies are dwindling.

Fuel shortages have further limited what medical treatment Palestinians have access to. Only half of the ambulances have enough fuel to run, and hospital lights may fail within the next few days as generators give out. This puts patients who rely on incubators, dialysis machines and other lifesaving equipment at especial risk.

As violence continues to devastate the Israel and Palestine region, there is a beacon of hope, a potential for peace; many injured Palestinians have been treated in Israeli hospitals, despite the airstrikes on both sides. If other Palestinians and Israelis overcome the differences of nationality and religion, the death toll may finally slow.

– Adam Kaminski

Sources: Al Jazeera America, CNN, New York Times
Photo: JFJFP

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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5 Reasons to Invest in Educating Women

Education is the single most impactive weapon to empower women and save them from the cycle of poverty. While the gender gap in primary education has decreased over the past two decades, significant inequalities still remain. With women comprising two thirds of the illiterate population, and 2.6 million more girls out of school compared to boys around the world, now is not the time to deny females the right to a decent education.

That’s why USAID recently launched Let Girls Learn, an effort to give girls around the world access to quality education, backed by $230 million in new programs.

Based on statistics from USAID and the World Bank, here are five reasons why an investment in a girl’s education is an investment in a better world:

1. Educating Women Saves Lives
According to USAID, 99 percent of maternal deaths occur in the developing world. However, based on data from the World Bank, child mortality is reduced by 18 per thousand births with each additional year of female education. Giving young women access to education will decrease birth related deaths, as well as safeguard the health of all families. Women who complete primary school education are more likely to ensure their children are immunized, meet their children’s nutritional requirements and practice better sanitation.

2. Educating Women Increases GDP
Family earnings are increased when a wife has received an education. Educated women are better able to provide for their families, and help make smarter financial decisions. USAID reports show that one extra year of primary school boosts a girl’s future wage 10 to 20 percent. On the larger scale, USAID data reveals that when 10% more girls go to school, a country’s GDP increases on average by 3 percent.

3. Educating Women Limits Overpopulation
Investing in women’s education keeps girls in school longer. In the developing world, 1 in 7 girls will marry before they are 15. If a girl stays in school for seven or more years, on average, they will get married four years later and have two fewer children. Additionally, when women are educated about birth control, they are equipped to practice safe family planning.

4. Educating Woman Decreases Disease
Women make up nearly 52 percent of the global total of people living with HIV. A girl who completes a basic education is 3 times less likely to contract HIV/AIDS.

5. Educating Women is the right thing to do
The bottom line is: every child deserves the right to a quality education, and girls are no exception. With programs that ensure safe, quality and empowering education –like those implemented by USAID and Let Girls Learn –the world is one step closer to being a more just and equitable place.

– Grace Flaherty

Sources: USAID, USAID 2, USAID 3, World Bank
Photo: Colorado Chamber of Commerce

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The Dangers of Chlorine in Tap Water

While the upcoming years will likely see more and more impoverished people in possession of clean water, a new worry that already affects those inhabiting developed countries may arise: the effects of water filtration upon massive new quantities of people. Raw water from rivers, lakes and groundwater contains microorganisms. Some microorganisms, though not all, can be harmful to human health.

One such treatment to cleanse raw water of microorganisms is to implement chlorination, a disinfecting process that allows water to be publicly consumable, through the addition of chlorine to potential drinking water. Chlorine, therefore, is a water purifier. Though used in World War I and in the Iraq War as a chemical weapon, it is a common ingredient found in bleach and disinfectants. It is also an oxidant. While chlorination can help to destroy bacteria and viruses, it cannot eliminate all microbes from raw water. It is, however, one of the most popular and cost-effective measures among various water disinfection methods.

Yet, even minimal levels of chlorine found in drinking water can have adverse effects upon consumers. Unlike the more immediate and pronounced effects of malaria, typhoid, cholera, dysentery and other water-related diseases, water filtration can produce more subtle ailments. Bacteria contributing to Legionnaires’ disease, Pontiac fever, nontuberculous mycobacteria and other organisms can survive chlorination. In fact, mycobacteria can harm the lungs of those with compromised immune systems. The oxidant can also pose health risks by interacting with natural materials in water to form potentially dangerous byproducts. Evidence suggests that an increased risk of bladder cancer may be associated with an active consumption of chlorinated tap water. Though not as immediate as many of the diseases that plague developing countries, filtration imposes concern, due to its documented long-term health effects. Unlike common water-related diseases, chlorine-related health problems are harder to detect.

According to a UN estimate, nearly 40 billion hours are wasted each year in Sub-Saharan Africa collecting water. Such is a number equivalent to a year’s work of France’s entire workforce. Today, developing countries continue to see nearly 80 percent of illnesses related to inadequate water and sanitation. The World Health Organization, one of the leaders in educating and providing aid to water-impoverished nations, states that one of its primary beliefs is that “all people, whatever their stage of development and their social and economic conditions, have the right to have access to an adequate supply of safe drinking water.” Nevertheless, as global efforts continue to eradicate the water problem in developing countries, scientists, humanitarians and the public may have to face the prospect of third-world countries encountering a first-world problem.

– Ethan Safran

Sources: AllAfrica, EPA, WHO, New York Times, Safewater, The Water Project
Photo: Red Orbit

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10 Facts About Poverty India

According to the World Bank, India is one of the poorest countries in the world. Some of the main issues responsible for widespread poverty in India are poor health services, child malnutrition and inadequate education and training. Almost half of India’s population drops out of school by the age of 13 and only one in 10 people receive some form of  job training.

 

Top 10 facts about Poverty in India

1. India is estimated to have one-third of the world’s poor.
2. In 2012, 37 percent of India’s 1.21 billion people fell below the international poverty line, which is $1.25 a day, according to the Indian Planning Commission.
3. According to 2010 World Bank data, India’s labor participation rate (for those individuals over the age of 15) totaled 55.6 percent; however, the percent of wage and salaried workers of those employed only equaled about 18.1 percent.
4. According to the World Health Organization, it is estimated that 98,000 people in India die from diarrhea each year. The lack of adequate sanitation, nutrition and safe water has significant negative health impacts.
5. Families can’t grow enough crops to feed themselves each year due to the lack of new farming techniques, difficult weather conditions, poor storage conditions, misuse of insecticides and lack of water.
6. A third of the world’s malnourished children live in India according to UNICEF, where “46 percent of all children below the age of three are too small for their age, 47 percent are underweight and at least 16 percent are wasted.”
7. India has the highest rate of child marriage in the world, where one in three girls become child brides. Many girls are married off at an early age, become servants or even prostitutes just to survive.
8. The poorest parts of India are Rajasthan, Madhya Pradesh, Uttar Pradesh, Bihar, Jharkhand, Orissa, Chhattisgarh and West Bengal.
9. According to the World Bank, in 2009 an estimated 2.4 million were living with HIV/AIDS, with children (less than 15-years-old) accounting for 3.5 percent and 83 percent making up the age group 15-49 years. Around 39 percent of those infected were women.
10. Men are more than twice as likely as women to hold salaried jobs in the large and medium-sized towns that are increasingly important centers of economic life in the Indian countryside. As such, in 2013 women only earned 62 percent of a men’s salary for equal work.

However, it is possible to end poverty in India. The first step would be to help the poor create their own businesses so that they may develop their own incomes. The second step is to create jobs that would allow those in poverty to increase their incomes through wages or salaries. Lastly, selling products to those living in poverty would help them earn or save money.

 – Priscilla Rodarte

Sources: Huffington Post, The Telegraph, BBC, The Wall Street Journal, UNICEF 1, Inter Press Service News Agency, The World Bank 1, The World Bank 2, UNICEF 2, Catalyst, Rural Poverty Portal
Photo: U.N.

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Effects of the Waste Problem in Haiti

Haiti is progressively becoming overrun with mountains of waste in the streets because there is absolutely nowhere to put it.

The trash and waste problem in Haiti is an ongoing nightmare for the people living there, with garbage filling the streets. Haiti has few landfills or dumpsters, and there is no apparent place to dispose of its increasing volume of waste.

The problem peaked in 2012, and imported plastic products were banned. These products were blocking drains and paths and clogging the streets so badly that there was flooding.

This flooding problem subsequently destroyed businesses, homes and other property. Stagnant water posed a serious health issue in the most impoverished areas; it allowed mosquitos to flourish and disease to spread.

The smell of the garbage and the poor overall appearance of Haiti (most specifically the capital, Port-Au-Prince) have destroyed the economy and led to extreme decreases in tourism.

In addition to being odorous and detrimental to tourism, decaying waste produces methane gas. When inhaled, this gas can cause serious long-term lung, heart and brain defects.

Most disturbingly, a report from the U.S. Environmental Protection Agency also predicts that waste-generation rates will more than double over the next 20 years in lower-income countries like Haiti, where trash is already so abundant that people have to climb over or wade through it to get anywhere.

This means that the number of people migrating to urban cities such as Port-au-Prince will increase — a population spike that will manifest itself in the production of a proportionate amount of litter in the streets. This transition will require employment of a vital, comprehensive national management plan.

The most logical step to rid cities like Port-Au-Prince in Haiti of waste is recycling.

Volunteers and organizations in Haiti can gather the waste from the streets and exchange the plastics, papers, etc., for cash to help private businesses overseas. In turn, the waste can also be turned into functional packaging for the future use of Haitian companies.

This means Haitians in impoverished areas can exchange their waste both for profit and cleaner streets that will not flood or draw disease-ridden mosquitoes.

Citizens who take the time to make the streets a little cleaner can often make about $52 a week. This is not a bad wage, considering many of the people in Haiti can live off $1 a day. Their aid in cleaning the city will also help eliminate major disease and illness factors in the area.

A plan has been put in place to get more volunteers to join the fight to rid Haiti of waste before its urban areas become overpopulated. The country’s impoverished people can improve their streets, communities, environment and national economy by simply recycling waste products.

– Cara Morgan

Sources: Aid Volunteers, The Guardian
Photo: Idea Peepshow