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Demographic and epidemiological transitions are changing the age structure of the population and the most common diseases. Non-communicable respiratory diseases are an increasing problem at both ends of the age range in low-income and middle-income
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countries. In children, who represent a large proportion of the total population, the increasing problem of asthma is a strain on health services. Improved survival of the older population is increasing the proportion of morbidity and mortality attributable to chronic lung diseases. Health services in low-resource countries are poorly adapted to treating chronic diseases. Designed to respond episodically to acute disease, almost all historical investment has focused on infectious diseases. Crucial to the successful management of chronic diseases is an infrastructure designed to support pro-active management, providing not only an accurate diagnosis, but also a secure supply of cost effective drugs at an affordable price. The absence of such an infrastructure in many countries and the market failure that makes drugs generally more expensive in low-resource regions means that many people with chronic non-communicable lung diseases are not given effective treatment. This has damaging economic consequences. The common causes of poor lung health in lowincome countries are not the same as those in richer countries, and there is a need to study why they are so common and how best to manage them.
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Schistosomiasis, commonly known as bilharzia, is an acute and chronic tropical disease caused by trematodes of the genus Schistosoma. The schistosome parasite is transmitted through a snail intermediate host with the human being the definitive host. Worldwide, schistosomiasis continues to cause a pu
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blic health problem with 779 million people exposed to the infection. The disease is present in 78 countries and endemic in 52 of those countries where an estimated 90% of people need treatment. Schistosomiasis has been successfully controlled in many countries but its burden remains high in Africa, particularly in sub-Saharan countries.
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Corruption is embedded in health systems. Throughout my life—as a researcher, public health worker, and a Minister of Health—I have been able to see entrenched dishonesty and fraud. But despite being one of the most important barriers to impleme
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nting universal health coverage around the world, corruption is rarely openly discussed. In this Lecture, I outline the magnitude of the problem of corruption, how it started, and what is happening now. I also outline people's fears around the topic, what is needed to address corruption, and the responsibilities of the academic and research communities in all countries, irrespective of their level of economic development. Policy makers, researchers, and funders need to think about corruption as an important area of research in the same way we think about diseases. If we are really aiming to achieve the Sustainable Development Goals and ensure healthy lives for all, corruption in global health must no longer be an open secret.
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Health sector reforms not only require attention to specific components but also a supportive environment. In low- and middle-income countries (LMICs), there is still much to be done on ensuring that peopl
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e receive prioritized healthcare services. Despite LIMCs spending an average of 6% of their GDP on health, there have been minimal impacts compared to high-income countries. Health sector reform is a gradual process with complex systems; hence, the need for a vision and long-term strategies to realize the desired goals. In this chapter, we present our proposal to advance universal health coverage (UHC) in LMICs. Overall, our main aim is to provide strategies for achieving actual UHC and not aspirational UHC in LMICs by strengthening health systems, improving health insurance coverage and financial protection, and reducing disparities in healthcare coverage especially on prioritized health problems, and enhancing a primary care-oriented healthcare system.
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Africa is experiencing an increasing burden of cardiac arrhythmias. Unfortunately, the expanding need for appropriate care remains largely unmet because of inadequate funding, shortage of essential medical expertise, and the high cost of diagnostic
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equipment and treatment modalities. Thus, patients receive suboptimal care. A total of 5 of 34 countries (15%) in Sub-Saharan Africa (SSA) lack a single trained cardiologist to provide basic cardiac care. One-third of the SSA countries do not have a single pacemaker center, and more than one-half do not have a coronary catheterization laboratory. Only South Africa and several North African countries provide complete services for cardiac arrhythmias, leaving more than hundreds of millions of people in SSA without access to arrhythmia care considered standard in other parts of the world. Key strategies to improve arrhythmia care in Africa include greater government health care funding, increased emphasis on personnel training through fellowship programs, and greater focus on preventive care.
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IN NUMBERS
1.4 million people in need of humanitarian assistance
100 percent of cr
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ops damaged
75 percent of the population affected in the hardest-hit areas
USD 5.6 million still needed to support 300 000 people
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On 6 February 2023, south-eastern Turkey and northern Syrian were hit by the most powerful earthquake in the region for over 80 years. This was quickly followed by a further earthquake and hundreds of aftershocks.
While the situation is still devel
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oping, widespread destruction has been reported. At the time of writing, more than 36,000 people have died and this figure is likely to increase. The natural disaster has exacerbated the high level
of humanitarian need in the region, with many Syrian refugees concentrated in the 10 affected provinces of southern Turkey, and Syria suffering from over a decade of civil war.
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Some 90 per cent of Yemen’s food has to be imported and since a Saudi-led coalition imposed a blockade of the country’s key northern ports more than a month ago, only over a third of the food its people
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need is coming in.
More than 7 million people are now at acute risk of famine
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Chagas disease affects 8-10 million people worldwide, mainly in Latin America. The current therapy for Chagas disease is limited to nifurtimox and benznidazole, which are effective
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in treating only the acute phase of the disease but with severe side effects. Therefore, there is an unmet need for new drugs and for the exploration of innovative approaches which may lead to the discovery of new effective and safe drugs for its treatment.
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With about 24 million of Yemen’s 30 million people in need of some form of assistance, the United Nations calls Yemen the world’s worst humanit
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arian crisis. Cholera and other disease outbreaks are common, malnutrition is widespread, water is scarce, and the healthcare system is crumbling, with only half of the country’s 5,000 or so health facilities fully operational and with massive medical supply and staff shortages. In August 2020, the UN warned the country was again on the brink of full-scale famine.
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Countries experiencing concentrated epidemics of HIV need the size of key populations (KPs) to guide the national response on HIV and AIDS. Conducting a robust method to estimate the size of KPs is quite challenging as most of them are hidden and do
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not want to disclose theiridentity due to stigma and discrimination associated with their behaviour. KPs in Bangladesh include female sex workers (FSW), people who inject drugs (PWID), men who have sex with men (MSM) including transgender (TG)/Hijra and sex workers, and clients of sex workers in the country or abroad.
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Coronary heart disease (CHD) is the single most common cause of death globally. However, with falling CHD mortality rates, an increasingnumber of people live with CHD and may need support to manage
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their symptoms and improve prognosis. Cardiac rehabilitation is acomplex multifaceted intervention which aims to improve the health outcomes of people with CHD. Cardiac rehabilitation consists of threecore modalities: education, exercise training and psychological support. This is an update of a Cochrane systematic review previouslypublished in 2011, which aims to investigate the specific impact of the educational component of cardiac rehabilitation.
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Ethiopia faces unprecedented public health risks with over 17.4 million people in need of health assistance due to a compounded security, epidemiol
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ogical, environmental and socio-economic hardships throughout the country. Specifically, the prolonged drought and localized conflicts have negatively impacted public health systems, whose access has become severely hindered because of physical constraints, infrastructure, equipment damages, lack of available healthcare workforce and negative coping mechanisms resulting from livelihoods deterioration. Whereas the World Health Organization (WHO) assistance has been critical to coordinate humanitarian efforts in affected areas, additional efforts are required in the coming months to address ongoing epidemic outbreaks and support the recovery process in conflict-affected areas (Afar, Amhara, Tigray and Gambelia) that are now accessible.
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This infographic provides important information on what to do and what not to do in regard to alcohol during the COVID-19 pandemic, including: avoiding alcohol altogether, reaching out for help, avoiding alcohol as a social cue for smoking, discussi
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ng with children and young people the problems associated with drinking and COVID-19, not using alcohol as a way of dealing with your emotions and stress, never mixing alcohol with medications, and making sure that children and young people do not have access to alcohol.
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In this course, you will learn about this virus and the sickness scientists call COVID-19. What is it, where did it come from, what might it mean for you?
This course was written to help people w
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ith low health and science literacy be more prepared for the COVID-19 epidemic. If you feel so inclined, please share. The course is Creative Commons license with attribution, so feel free to re-use as you see fit.
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Be sure to get your facts from reliable sources, like UNICEF and the World Health Organization. UNICEF is working with global health experts around the clock to provide accurate information. Information you can trust is grounded in the latest scient
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ific evidence. We’ll continue to provide the latest updates, explainers for parents and teachers, and resources for media as new information becomes available, so check back to stay informed of the best ways to protect yourself and your family.
Please help us fight misinformation about COVID-19. Share this information with your family, friends and colleagues to help ensure people have the facts about COVID-19 and can protect their health.
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The chain-free initiative evolved in response to an urgent need to: provide technical and financial support for hospital reform, improve domestic conditions for
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people with mental illness, develop community care programmes, raise mental health literacy in the community and among health workers, and ensure that basic rights are monitored and guaranteed
Accessed April 9,2019
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People with asthma should be encouraged to take part in any sport they choose. If someone with asthma is having difficulty with sport, it means their asthma may not be under control. You will
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need to see your doctor to review your controller treatment and the way you use your medications in oder to allow you to live your life to the full with no limitations on activities or sport.
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Communities in snakebite endemic countries need to be properly educated on what to do in the event of a snakebite and what steps to take to lessen
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one from happening. These comprehensive prevention videos in multiple languages are resources YOU can share with school children, agricultural workers, homemakers. Help spread these important videos right on down to the people and regions affected.
Minutes to Die released snakebite prevention videos in 12 languages made for sharing and aimed at community health workers in Africa and India, produced by the Lillian Lincoln Foundation, along with the WHO, MSF, and a host of other NGOs.
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In 2022, humanitarian action will need to adapt to new and challenging realities. The COVID-19 pandemic is taking a heavy toll in developing countr
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ies, civilians continue to be the most affected by conflict and extreme poverty is rising. Climate change effects are devastating, forced displacement is at record levels and 161 million people face acute food insecurity.
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