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Malaysia: Fishermen, drug use and HIV coming full circle

Sutayut Osornprasop's picture

In Malaysia, over half of all HIV infections are transmitted through sharing contaminated needles and syringes. To combat the spread of the epidemic, the government in 2006 spearheaded 'harm reduction' interventions (pdf) which included a program where people who inject drugs are provided unused needles and syringes in exchange for used injecting equipment. Those who are addicted to opioids such as heroin, the most commonly used illicit substance in Malaysia, can also enroll in rehabilitation for synthetic opioid replacement therapy. Synthetic opioids, taken orally, help stabilize the opioid cravings of patients, thus enabling them to work. The move to introduce harm reduction in Malaysia revealed something that caught people by surprise—many of the fishermen from port city on the east coast of peninsular Malaysia use drugs.

What Does Water Look Like in a 4-Degrees World?

Julia Bucknall's picture

Turn Down the Heat report

All climate negotiations have been based on staying below 2°C above pre-industrial temperatures. Yet it looks increasingly unlikely that that will be possible. A new report, Turn Down the Heat: Why a 4°C Warmer World Must be Avoided, suggests that there is a 40 percent chance that we will reach 4°C by 2100 even if we stick to the agreed emission reduction commitments.

What does water look like in a 4°C world?

Put simply: it's complex. Water is a complicated system and one of the major impacts of climate change is the effect on the hydrological (water) cycle.  These impacts will coincide with an unprecedented increase in demand for water because of population and economic growth.

What Do Toilets and Cell Phones Have in Common?

Jose Luis Irigoyen's picture

They both hold the potential to help meet the needs of the poor and end poverty. New ideas and innovative solutions are critical to address the 2.5 billion people who lack access to proper sanitation. Lack of access to clean water and sanitation kills more than 4,000 children a day and a lack of sanitation results in billions of dollars in economic losses to developing countries. Now that more people have access to a mobile phone than to a toilet or latrine, it’s time to leverage technology to help reach development goals.

Can improved health conditions contribute to long-term economic growth?

Patricio V. Marquez's picture

In the face of budgetary limitations, constrained international aid, and competitive demands from different sectors, how can those of us working in the health sector make a strong case to finance ministers that public investments in health are  as productive as public investments in, say, infrastructure or agriculture? 

Unlocking the Potential of the Private Health Sector

The poor cannot afford to pay money for health care so they use mainly free government-run health services. Isn't that what you were always told? So if donors want to help the poor they should give their money to governments that provide such services for the poor. I am sure you have read that in many books and articles.

Wait, let’s run that scene once more in real time. What actually happens out there in the real world? Often the government clinics described above have difficulty hiring staff, especially in poor rural areas. The majority of young health workers prefer to live in urban areas where they feel safer and can bring up their children with good schools, near family and friends. Long wait times and lack of medicines at government-run health facilities make the private health sector more attractive to consumers.

How a "Painless" Amount Can Change the World

Johanna Martinsson's picture

Depending on which country you live in, if you bought an airline ticket lately you may have saved a life without even knowing it. A number of countries have implemented a small airfare tax (also referred to as the “solidarity tax”) to raise funds to fight three of the world’s deadliest diseases: HIV/AIDS, Malaria, and Tuberculosis. In France, for example, air travelers pay an additional €1 in tax on domestic tickets and if in business class, €10. With aid falling, innovative finance mechanisms, such as microdonations, will be crucial in solving serious global problems. As quoted in a recent article in the Financial Times, Philippe Douste-Blazy, the man behind the airfare tax (also the former French Minister of Foreign Affairs), says that “certain sectors have benefited enormously from globalization: financial transactions, tourism and mobile phones. We need to tax an economic activity that’s only done by the rich, and tax it so lightly that nobody will notice.” He says the additional tax travelers pay is “absolutely painless!”

No More Hungry Children

John Stein's picture

An Indian mother with her newbornAs the World Bank Group, we are dedicated to a world free of poverty. Poverty has many manifestations, of course, but few are sadder than child hunger and malnutrition. It is not just the heart-rending pangs of hunger or the susceptibility of a malnourished infant or child to ailments and diseases. The persistent effects are even more troubling. Poor nutrition impairs physical and mental development so that children benefit less from education and are less productive as adults. It leads to increased morbidity and mortality, causing output losses and increased spending on health and social support. Long ago William Blake wrote "some are born to endless night," poignantly capturing the tragedy of lives blighted by childhood deprivation.

If the extent of hungry children in the world – more than 350 million – is an inconvenient truth, their numbers in the South Asia region are acutely embarrassing. 

It’s Arithmetic – even in Armenia!

Souleymane Coulibaly's picture

At a time when all decision-makers around the world can think about is the state of their country’s economy, debt, spending and fiscal stability, one phrase attempts to sum it all up: it’s arithmetic.

In Armenia, it is all about arithmetic too.

Despite the volatility of Armenia’s economy in the twenty years since the country gained independence, effective government reforms led to double-digit growth rates from 2001 to 2007. That ended with the global financial crisis in 2008.

Routine Immunization: A Systemic Approach to Polio Eradication

Kees Kostermans's picture

Since 1988, when the World Health Organization,  Rotary International, CDC and UNICEF launched the Global Polio Eradication Initiative (GPEI) more than US$ 8.2 billion has been invested in polio immunization and surveillance. It’s an investment that has paid off: The number of polio cases worldwide decreased by more than 99%, from 350,000 in 1988 to less than 650 cases in 2011, while the number of polio endemic countries (those with ongoing domestic transmission of the virus) decreased from over 125 to just three: Afghanistan, Nigeria and Pakistan. 


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