Like many, we were relieved to hear from the Government of Madagascar and WHO in November last year that the pulmonary plague outbreak in Madagascar had been contained. Plague is a disease caused by bacteria called Yersinia pestis that are typically transmitted by rodents through their fleas but can also be transmitted from human to human. Since the onset of the outbreak in early August 2017, there had been 2,300 human cases of plague reported, leading to 207 deaths (WHO update). WHO called for continued vigilance until the end of the plague season at the end of April, as more cases of bubonic plague should be expected and could lead to a resurgence of pulmonary plague. The President of Madagascar also committed to establishing a permanent “plague unit” at the level of the Prime Minister’s office to work on the eradication of plague―rightly so, as experience tells us that addressing risks at the interface of human, animal and environmental health is challenging.
Sarah Ruteri*, aged 14 months, is a survivor. A few months ago, I saw her admitted to the pediatric ward of Lodwar hospital in northern Kenya’s drought-affected Turkana district. Suffering from severe pneumonia, Sarah was gasping for breath – and fighting for her life. Her tiny ribcage was convulsed by a losing struggle to get air into her lungs. Doctors told her mother to expect the worst. But with a combination of oxygen therapy and intravenous antibiotics, Sarah pulled through.
Rising obesity rates are in the headlines – with increasing recognition of the major role that agriculture and food systems play in the epidemic. As agriculture economists interested in human nutrition, we wanted to take a look at what it all means, to look at how agriculture and food systems are part of the problem and how they are part of the solution. While conducting research for a recent report, a few things stood out to us.
The attention given to female genital mutilation (FGM) as a harmful practice has grown in recent years. Yet, while ending the practice is a target under the Sustainable Development Goals, it remains common in many countries.
The 2014–2015 Ebola epidemic was the longest and deadliest Ebola epidemic in history, resulting in 28,616 cases and 11,310 deaths and reversing a decade of mortality and economic gains in Guinea, Liberia, and Sierra Leone. The statistics would probably have been very different, however, had an Ebola vaccine been available or even further along on the clinical development path.
It is estimated that annually about 700,000 people die as a result of community or hospital based infectious diseases caused by bugs resistant to antimicrobials. A recent report by the World Bank, entitled Drug-Resistant Infections: A Threat to Our Economic Future, reported that if effective measures are not taken, AMR could result in a loss of up to 3.8 percent of global GDP by 2050, with poorer countries bearing the brunt of the loss. Yet, despite its importance, many countries have struggled in dealing with this issue.
While reading a newspaper over the holidays, one of us came across an article with an often common story: “car collision causes mass fatalities on mountain road”. The collision resulted in 51 deaths, after a bus--one of the vehicles involved, plunged down a cliff in Peru. Many of the dead were returning to Lima after celebrating the New Year’s holiday with family outside the city.
This commentary first appeared on the UHC2030 website. Full list of authors: Craig Burgess, Anna Marriott, Khuat Thi Hai Oanh, Bruno Rivalan, James Sale
Despite the international commitment to UHC, half of the world’s 7.3 billion people do not have access to essential health services; the number of people impoverished by health spending remains unchanged; and catastrophic health expenditure is on the rise. Health coverage has been increasing at a rate of just over 1% per year.
A new report on mental health in Ukraine offers a sobering picture of the often-ignored disease burden of mental disorders, which undermine human capital development and total wealth accumulation in a country. The World Bank Group estimates show that unaccounted “intangible capital” such as human capital, constitutes the largest share of wealth in virtually all countries, more than produced capital and natural resources.