MERS Outbreak in South Korea Hits Record High, 3 New Cases, 2 More Die

who says south koreas mers outbreak large and complex, photo courtesy of ritika patel

who says south koreas mers outbreak large and complex, photo courtesy of ritika patel

SOUTH KOREA - An outbreak of MERS (Middle East Respiratory Syndrome) in South Korea has led to 138 confirmed cases and 14 deaths, according to the World Health Organization (WHO). Just 17 hours ago news outlets reported 3 new cases with 2 more deaths.

A single traveler brought the disease to South Korea last month and since then it has spread exponentially overwhelming the healthcare system. Contributing factors include overcrowded emergency rooms, the sick and worried returning numerous times to hospitals, additional delays as medical professionals seek second opinions, coupled with an ill-trained medical community unfamiliar with the disease.

Currently, all cases have occurred have been traced back to a hospital where patient zero contracted the disease. Many citizens have started wearing surgical masks to protect themselves from infection. However, the larger community isn't taking any chances either and have subsequently closed more than 2,900 schools and quarantined 3,680 people. (Source: BBC).

An early setback has been a lack of government transparency. President Park Geun-hye has been accused of not being pro-active in his response and of withholding information about who has been infected. The mayor of Seoul, Park Won-soon, said that a now quarantined doctor attended a gathering of more than 1,500 people the day before he was diagnosed with the disease. (Source: New York Times)

However, the WHO has issued a statement that human-to-human transmission of the virus is only possible through very close contact. As long as reasonable measures are taken there is no need for panic. Currently, the WHO is working with scientists to better understand the disease, develop treatment strategies, and determine the best way to respond to the outbreak.

Although the disease is not well understood and has no cure, the spread of it has thus far been predictable. Most contagious diseases are opportunistic and are most easily incubated and spread in hospitals and other healthcare facilities due to close proximity of the infected. Although doctors and scientists are struggling to find a way to treat the infected, predictive and statistical models have proved invaluable in anticipating what part of the population is at greatest risks and thus help communities implement proactive precautions.

The disease originated in Saudi Arabia in 2012, and according to the Center for Disease Control (CDC) there is currently no vaccine to prevent MERS-CoV infection, but the South Korea outbreak is the largest outbreak outside of the Middle East. “MERS-CoV is thought to spread from an infected person to others through respiratory secretions, such as coughing. In other countries, the virus has spread from person to person through close contact, such as caring for or living with an infected person. (Source: CDC)

Contributing Journalist: @SJJakubowski
Facebook: Sarah Joanne Jakubowski

The Dirty Little Secret of Abuse of Old People

grandma got screwed, photo by ashley hill3

grandma got screwed, photo by ashley hill3

On Monday, June 15, nations around the world commemorated World Elder Abuse Awareness Day (WEEAD). Elder Abuse continues to be a significant issue in many societies as reports of mistreatment against older people is increasing.

The thought of harming an older person suggests severe dysfunction in the perpetrator, and with the plethora of local and international cases of abuse receiving public attention, governments are starting to create policies designed to institute safeguards against this type of abuse.

However, elder abuse cases remain, and with global recognition of the gravity and ubiquity of this crime, the healthcare establishment, in particular geriatric and psychology professionals have redoubled their efforts to analyze the root cause of this type of abuse while simultaneously working with law enforcement agencies and legislators to develop strategies to protect the rights of older people.

According to HelpAge International, an organization that “helps older people demand their rights, challenge discrimination and overcome poverty,” older people’s right to be free from violence is not protected under international law. This problem is especially prevalent in East Africa where much of HelpAge's work on elder abuse is focused on, and there are a significant number of cases.

One case involves a 67-year-old woman from Kenya who was abused by a relative, an attack that resulted in the death of her 90-year-old mother. The details of the attack are very disturbing as the woman narrated the incident:

“The man slashed me on my head and I immediately fainted. I still don't know what the reason was for that kind of brutality. I am very scared. I don't sleep well. When I hear any noise I am alarmed. In my dreams I see that person following me."

The unfortunate part is that her attacker was arrested but later released on bail. While the facts about bail are unknown, this calls into question the laws of protection in the region. Relatives are known to be one of the main perpetrators of elder abuse especially as the abuse by caregivers is a worldwide and complex issue. Stresses, caregiver burden, criminal history and substance abuse among other issues are risk factors that can lead to elder mistreatment, which in turn leads to poor health. Governments can improve their law enforcement agencies as well as the quality of life of caregivers and older people.

It is encouraging to know that governments will attend the Open-ended Working Group on Aging this July and support a United Nations (UN) convention to protect older people's rights. The purpose of the working group is to strengthen the protection of older people’s human rights around the world. Hopefully, this objective will achieve great strides as inadequate research into elder abuse makes the problem difficult to tackle. This is because elder abuse is largely a hidden problem.

According to Bridget Sleap, Senior Rights Policy Advisor at HelpAge International, “elder abuse is the least studied of the different types of violence in low-income countries as stated by the Global Status Report on Violence Prevention 2014”. This report, produced by the World Health Organization (WHO) and UN agencies, stated that of the 133 countries studied, two thirds do not have adult protective services to support older people.

Governments can do more to stop elder abuse and protect the rights of older people. It is vital that societies raise awareness, challenge and recognize that elder abuse and discrimination against older people are issues that deserve attention.

Contributing Journalist:  @SophieSokolo

WHO, West African Ministers of Health Develop Ebola Strategy

public-safety-ebola-campaign-photo-by-unicef-liberia.jpg

Sarah Joanne Jakubowski, Ghana CorrespondentLast Modified: 13:50 p.m. DST, 07 July 2014

Ebola outbreak in Guinea, Photo by Photo by International Federation of Red Cross and Red Crescent Societies

Ebola outbreak in Guinea, Photo by Photo by International Federation of Red Cross and Red Crescent Societies

ACCRA, Ghana -- Last week an Emergency Ministerial Meeting was held in Accra to discuss the growing Ebola epidemic.

The disease, which can have up to a 90% fatality rate, started in rural Guinea then spread to neighboring Liberia and Sierra Leone. Without intervention, it will continue its international invasion.

The World Health Organization (WHO) says the proposed strategy to treat, control and prevent Ebola will cost $10 million and would need to be put into place within the next six months.

Representatives called on the African Union and The Economic Community of West African States (ECOWAS) for the funds.

The plan would set up an Ebola treatment and research center in Guinea as well as smaller centers in other affected areas. Funds will go to training and deploying staff, providing medical equipment and supplies to affected or at-risk regions and educating the public.

An emphasis was placed on research, both to develop treatments and cures and also social research to gauge public understanding and reaction to the disease. However, Africa's research facilities were described as "weak" and a request for global collaboration among scientists was issued.

When asked if border control was a viable solution to control the spread of the disease, the idea of country-wide quarantines was shot down.

Ministry of Health & Social Welfare (MOHSW) Liberia explained that there were so many border crossing points it would be impractical to watch all of them. The Minister went on to say that while his country was able to stop several travelers who were carrying the disease, there were many false positives and possibly cases where infected travelers were not yet showing symptoms and so got through. A key problem was that Ebola can incubate unnoticed for up to 21-days in a seemingly healthy person.

Some traditional practices can help spread diseases, and doctors across the region are urging people to seek assistance from trained doctors or one of the international organizations that are on the ground providing help, education, and intervention. Organizations such as UNICEF Liberia, The International Federation of Red Cross and Red Crescent Societies (IFRC), and Medicins Sans Frontieres.

These organizations in conjunction with local doctors and government health officials urged all West African citizens to take precautions when handling the sick and deceased. Practices involving delayed burials and prolonged contact with the dead facilitate disease spread.

"People don't know what they're dealing with" explained, emphasizing the need to especially educate churches, those whose jobs involve handling the dead, as well as the need to educate family members about Ebola so that the sick can seek immediate treatment to avoid infecting others.

This is a very urgent issue, and though citizens in the West may feel that they are immune from this disease, it takes just one person to breach the borders of any Asia, Middle East, European Union, or North/South American countries for the deadly virus to become a global pandemic.

Follow Sarah on Twitter Twitter: @nahmias_report Africa Correspondent: @SJJakubowski

Related articles

Is Clean Water Technology a Solution for Africa?

drinking-pur-photo-by-greg-allgood.jpg

Sarah Joanne Jakubowski, Africa CorrespondentLast Modified: 21:25 p.m. DST, 30 June 2014

Chief Executive Officer of N&M Technologies, Head Office, South Africa

Chief Executive Officer of N&M Technologies, Head Office, South Africa

GHANA, Accra -- Earlier this month, Medwyn Jacobs, CEO of New and Master Technologies (N&M) once again presented at Annual Ghana National Health Environment and Safety (NAHES) Conference where he reintroduced N&M’s water harvesting machine that can take water out of the atmosphere and filter it into usable drinking water.

N&M Technologies is a proud South African registered and based company that was established in 1989 by the current CEO, Mr. Medwyn Jacobs. N&M's focus has always been to meet the challenges facing South Africa and Africa through new and innovative means, and addressing Africa's clean water problems is one of them.

Mr. Jacob's had hoped to convince NAHES participates in 2013 to adopt the clean water generating solution that his company offered; however, the lack of enthusiasm has Jacobs worried because a year later nothing has changed. Yet, the stakes are higher than ever since groundwater sources across Africa have been depleted and people on the Continent are running out of places to look for water.

"Your country has so much humidity," Jacobs said to conference attendees. "You will never be short of water." Even better, he promises to open factories in Ghana that produce the machine, creating jobs and keeping resources local. However, reception of the machine during this conference remained half-hearted.

The audience questioned the machines safety. Had it been tested in a variety of humidities? Perhaps it would act differently in different settings? They questioned its efficiency. Can you reuse the filter? What if somebody didn't follow directions, reused the filter and gets sick?

Those at the conference did choose to sample the water produced by the machine, raising their glasses in a toast to N&M and Ghana before ceremoniously drinking the pristine water; but at the end of the day, Jacobs was no closer to deploying his company's solution than in 2013.

Potable water is a grave problem in many countries with emerging economies. It is especially dire in Asia, Africa, and South America. According to the World Health Organization there are “780 million people don't have access to clean water, and 3.4 million die each year due to water-borne diseases.”

N&M’s machine could be one remedy to this problem, and the fact that Africans seem reticent to deploy this on a larger scale is problematic. The technology of water reclamation from the air is not new. There is an Israeli company called Water-Gen that has developed an Atmospheric Water-Generation Units using its "GENius" heat exchanger to chill air and condense water vapor.

Their solution has been deployed on a large scale and according to an April 2014 article by CNNco-CEO Arye Kohavi explained that "The clean air enters our GENius heat exchanger system where it is dehumidified; the water is removed from the air and collected in a collection tank inside the unit.

From there the water is passed through an extensive water filtration system which cleans it from possible chemical and microbiological contamination," he explains. "The clean purified water is stored in an internal water tank which is kept continuously preserved to keep it at high quality over time."

The system produces 250-800 liters (65-210 gallons) of potable water a day depending on temperature and humidity conditions and Kohavi says it uses two cents' worth of electricity to produce a liter of water.” (Source: CNN)

N&M often researches foreign ideas and technology to develop innovative solutions, and perhaps if the idea of large-scale water reclamation from the air is not readily adopted, Ghanians and other Africans may be open to another aspect of water generating systems like portable water purification systems.

These machines may be of great assistance to communities where the people are subject to the daily backbreaking tasks of carrying water for cooking, washing, and bathing over many miles in hostile conditions, often in contaminated, non-biodegradable containers, such as plastics that previously contained toxic liquids/materials.

“Water-Gen has developed a portable water purification system. It's a battery-operated water filtration unit called Spring. Spring is able to filter 180 liters (48 gallons) of water, and fits into a backpack -- enabling water filtration on the go. You can go to any lake, any place, any river, anything in the field, usually contaminated with industrial waste, or anything like that and actually filters it into the best drinking water that exists," says Kohavi.” (Source: CNN)

This is not to say that individuals in Africa can afford a single device, but perhaps in the near future, the South African company N&M could partner with a company like Water-Gen to increase market share in Africa. Through the economies of scale, such a partnership could potentially introduce life-saving alternatives to porting and drinking contaminated water. The most important aspect of this opportunity is that the solution to address this critical issue is available and now it is just a matter of scaling and adoption, and with this, perhaps N&M will receive a warmer reception at the 2015 NAHES conference.

Follow Sarah on Twitter Twitter: @nahmias_report Africa Correspondent: @SJJakubowski

Related articles

Just a Beer, a Glass of Wine, What's the Harm?

baker-street-pub-photo-by-jims_photos.jpg

Michael Ransom, Contributing EditorLast Modified: 05:57 a.m. DST, 15 May 2014

"Bourbon Please" Photo by: Thomas Hawk

GENEVA, Switzerland -- The recently published Global status report on alcohol and health, 2014 is an extensive study conducted by the World Health Organization. The 378 page document is a well-coordinated look at the international consumption of alcohol and the implications for individuals and communities.

Their findings are sobering. Researchers conclude that in 2012, 3.3 million people died from alcohol or alcohol-related incidents, amounting to 5.9% of deaths during that year.

Alcohol remains a ubiquitous global indulgence and a pervasive threat to public health everywhere. WHO meticulously dissects worldwide data according to gender, age, socioeconomic status, and nationality to provide cultural context to the statistics. Among the notable trends--men imbibe more often and more recklessly than women, wealth and alcohol use are positively correlated, and the religion observed in a given area is a strong consumption predictor.

Of the 3.3 million reported dead in 2012, alcohol played a role in 7.6% of male fatalities, and contributed to only 4% of female deaths. Higher rates of temperance among women explain this twofold gap. In Africa, 40.2% of males aged 15 and over are at least occasional drinkers, compared to only 19.6% of females. Similarly, 7.4% of men and 3.3% of women consume alcohol in the WHO designated eastern Mediterranean region. The greatest disparity between the drinking habits of sisters and brothers occurs in southeast Asia region, where men imbibe at more than four times the rate of women.

When controlling all other variables, age factors heavily into international trends of alcohol use. While Canada, France, Germany and the United Kingdom are home to the highest incidence of binge drinking among young people age 15-19, these tendencies wear off as nationals enter adulthood. In fact, the overall populations of France and Germany practice among the "least risky" drinking habits in the world. Data that includes older generations in Canada and the United Kingdom reflect more acceptable alcohol usage as well. Russia is the only country where adolescents are more responsible drinkers than their seniors.

Another valuable lens in the report is the change in global alcohol consumption from 2006-2010. During that time, countries like China, Peru and India have seen significant increases in intoxication rates. At the same time, other nations have weaned off the habit. Among them are Venezuela, South Africa and Ethiopia. The eastern Mediterranean region has remained largely alcohol free as Islamic populations widely avoid the practice.

Responsible alcohol use is key for the wellbeing of individuals and aggregate communities. Serious outcomes such as fetal alcohol syndrome, cirrhosis of the liver and a host of cancers are possible in regular users. But data compiled by WHO also indicate several other concerns. Of all global suicides, 22% are connected to alcohol use. 16% of traffic fatalities involve inebriation. And over one out of every 7 drownings are alcohol-related. According to the WHO report, over half a million deaths in 2012 were due to unintentional injuries incurred while intoxicated.

The investigation is not wholly dismal. Authors praise various nations for their preventative efforts aimed at limiting harm due to alcohol. For instance, South Africa created a national committee to bring Ministers of Health, Correctional Services and Education together to address drunk-driving and rehabilitate individuals struggling with alcohol addiction. An initiative to limit crimes connected to alcohol and address the dangers of alcohol poisoning is underway in Belarus, which has already proven largely effective. And the report puts Mongolia in the limelight for their efforts to bring together the president, alcohol distributors and various organizations to create an "Alcohol Free Mongolia."

In addition to these measures, WHO advocates community mobilization to combat personal and community overindulgence. Moreover, the authors also argue for forceful solutions such as additional taxes, further governmental regulation and a crackdown on the ubiquitous production of unregulated, black market beverages. These ideas are as beneficial for the immune system of society as they are the organs of the individual. But all the while, responsible consumption begins with the well-educated and accountable individual.

Follow Michael on Twitter Twitter: @nahmias_report Contributing Editor: @MAndrewRansom

Saudi Arabia Blames Camels for MERS Outbreak in US

deadly-mers-virus-detected-in-egypt-first-cases-of-2014-surface-photo-by-gullpress-wna.jpg

Allyson Cartwright, Contributing JournalistLast Modified: 20:24 p.m. DST, 14 May 2014

Riyadh Camel Market, Photo by Charles Roffey SAUDI ARABIA, Riyadh— A second case of an American infected with the MERS virus has been confirmed in Orlando, Florida. As MERS breaches the US border, death tolls of those infected with the virus in Saudi Arabia continue to rise. MERS originated in Saudi Arabia, where they claim that camels are the source of the pathogen that causes the respiratory virus.

There are near 500 diagnosed cases of MERS—short for Middle East Respiratory Syndrome— in Saudi Arabia alone. The Saudi health ministry reports that half of these MERS victims were diagnosed in April of this year. According to Ahram Online, the death toll of MERS victims in Saudi Arabia stands at 121 deaths, four of those within the last week.

The Saudi Ministry of Agriculture has issued a state public health through the official Saudi Press Agency. They urge people who are handling animals to “exercise caution and follow preventive measures”. This kind of warning has not come from Saudi officials since the MERS virus was discovered in 2012. Health experts conclude that the most dangerous animals to handle are camels, a vital livestock for the nomadic culture of Saudi Arabia.

The Ministry of Agriculture suggests when dealing with camels, "It is advisable to wear protective gloves, especially when dealing with births or sick or dead.” The National Turk says that the ministry has also warned that any camel milk should be boiled and camel meat thoroughly cooked before consumption. Also, gloves and face masks should be worn when handling animals or coming in contact with infected people. Despite the link between the MERS pathogen and camels, ABC News says that scientists do not know how the virus is spreading from the animal to people.

There is international concern as the virus is spreading globally. The hajj, the pilgrimage of Muslims to the Saudi cities of Mecca and Medina, will be occurring in this fall as well as during the Ramadan holy month of July. The large numbers of people, estimated at two to five million, will be travelling to Saudi Arabia from all over the world and putting themselves at risk of MERS infection. Some countries have even considered imposing travel restrictions to Saudi Arabia.

In Egypt, where their first case of MERS was diagnosed this April, there is deliberation on banning pilgrims from participating in the Hajj. Ahram Online reports that former Egyptian health minister and member of the special task force for the MERS virus, Mohammed Awad Tag El-Din, said if the “epidemic status of the virus and its development” gets worse then travel restrictions will be considered.

The World Health Organization (WHO) conducted a 5-day mission to the kingdom of Saudi Arabia to evaluate the outbreak of the virus. WHO determined that they “recommend the application of any travel or trade restrictions, including for upcoming pilgrimage travel to Saudi Arabia.”

NBC News reports that 17 countries, mostly on the Arabian Peninsula, currently have cases of infected individuals. Countries that have reported MERS infections include Kuwait, Oman, Qatar, Tunisia, United Arab Emirates, the United States and several countries in Europe. NBC News also say that with Dubai being the world’s busiest airport and the Middle East’s growing role in international trade, the MERS virus could eventually have economic implications that go beyond its dangers to health.

Follow Allyson on Twitter Twitter: @nahmias_report Contributing Journalist: @allysoncwright

Will Liberia Let Them Eat Dust?

collecting-potable-water-africa-photo-by-oxfam-international.jpg

Ayanna Nahmias, Editor-in-ChiefLast Modified: 14:16 PM EDT, 8 May 2012

African Man Carrying Potable Water, Photo by Oxfam InternationalMONROVIA, Liberia – Across Africa water shortages and drought are an increasingly prevalent phenomenon. Some instances are a consequence of natural disaster, but in some cases clean water is being hoarded by powerful factions and used to extort impoverished people, or as a means to subjugate a war-weary population.

According to the World Health Organization, “Africa has the lowest total water supply coverage of any region, with only 62% of the population having access to improved water supply. This figure is based on estimates from countries that represent approximately 96% of Africa's total population.

The situation is much worse in rural areas, where coverage is only 47%, compared with 85% coverage in urban areas. Sanitation coverage in Africa also is poor, with only Asia having lower coverage levels. Currently, only 60% of the total population in Africa has sanitation coverage, with coverage varying from 84% in urban areas to 45% in rural areas.” (Source: WHO)

This endemic problem continues unabated despite the United Nations passing Resolution: 64/292 on 28 July 2010, which decreed that every human being has the right to have access to water and proper sanitation, and to deny access to these is deemed a human rights abuse.

The West African nation, Liberia, is a country of firsts and lasts, the first African nation to have elected a female head of state, President Ellen Johnson-Sirleaf, and last according to the UN Human 2011 Development Index which ranks it at the bottom percentile of all countries and territories at 182 out of 187.

Monrovia, the capital of Liberia, is home to 1.1 million people in a country with a total population of nearly 4 million who live on less than US$1 per day according to 2010 World Bank data. As with most countries there is a growing divide among the rich and the poor, but in Liberia, unlike other nations with social service nets, the poor are subjected abject poverty exacerbated by abysmal living conditions.

Most of the city’s residents live in burned out buildings without access to running water, sanitation, or potable drinking water. Many have to walk miles to fill numerous small plastic jugs, large 'jerry' jugs, or empty petrol barrels which can weigh from 40 lbs. (80 Kgs) to 70 lbs. (32 Kgs) once filled. (Source: The Water Project.org)

Women, who are typically responsible for collecting the water, are often forced to walk miles to communal water pumps or rivers. In the case of water pumps, the water is often untreated, and in cases where river water is used, there is a high probability of exposure to water-borne illnesses which can be as life threatening as dehydration.

In West Africa, during what is called the Harmattan season, dry and dusty West African trade wind blows south from the Sahara, which starts in early November and last through April. During this time water tables also fall precipitously low, forcing people to walk longer distances to find water which has not been muddied by the fine particulates of sand which cover everything. Those who cannot afford to pay for water, or do not possess the constitution to walk the many miles to transport water to and from hand pumps and wells are most at risk of death.

Because of the lack of response from the government to this pressing human rights issue, many entrepreneurs, some unscrupulous, have developed profitable businesses selling bottled water at grossly inflated prices to city dwellers. The water which they sell is often untreated though marketed to the contrary.

According to the Liberian Ministry of Information, Culture and Tourism (MICAT), in the vast slums of Monrovia water is sold on the black market where “five liters of clean water is sold for LD$ 20 Liberian dollars (US$0.28); while the same quantity is sold for LD $40-50 in areas with severe shortage of water.”

The lack of access to clean water and a working sanitation system is one of many complaints against President Sirleaf’s government. During her first term stated that if elected her government had “plans to construct 25 borehole wells in five counties to increase access to clean water, construct or rehabilitate 150 sanitation facilities in 10 of the 15 counties, and repair hand pumps, among other things. (Source: MICAT)

Though this did not materialize, President Sirleaf’s government cannot bear the entire blame, since the major infrastructure which would have been in place to repair and facilitate access to clean water and sanitation were destroyed during the nearly 11 years of constant civil war which began under Charles Taylor, the recently convicted war criminal and former president of Liberia.

According to the Liberian Ministry of Health and Social Welfare statistics, about 100,000 children under five and infants die annually from water borne diseases and related illnesses. Because of the lack of access to sanitation, many people are forced to relieve themselves in outhouses, ‘hanging toilets,’ or whatever secluded place they can find.

This results in the contamination of ground water and provides a fertile breeding source for various transmission vectors via insect or human to human contact. Some of the diseases to which people without proper access to clean drinking water can be exposed to are:

1. Diarrhea 2. Dysentery 3. Enteric Fever 4. Worm Infection 5. Louse Borne Fevers

Equally debilitating are the infectious diseases the populace can be exposed to as a consequence of lack of adequate sanitation:

1. Soil Transmitted Helminthes 2. Tape Worm 3. Filariasis (Elephantiasis) 4. Schistosomiasis

(Source: http://content.alterra.wur.nl/Internet/webdocs/ilri-publicaties/publicaties/Pub52/pub52-h4.0.pdf)

As stated in the beginning of this post, the problem of access to clean water is not unique to Liberia, or West Africa; however, it seems prudent that a implementing a substantive, quantitative, and verifiable resolution to this issue is essential to the economic recovery and growth of the country.

Now that oil reserves have been identified off the coast, it is incumbent upon President Sirleaf’s government to make sure that any proceeds from the sale of natural resources is poured back into the country to make the necessary improvements that will ultimately strengthen the country both economically, socially, and politically.

In her second term, President Sirleaf campaigned on an anti-corruption platform and it remains to be seen if she and her government do the right thing for their countrymen or like other African leaders, choose instead to line their pockets while their citizens ‘eat dust.”

Waris Dirie | FGM vs Circumcision

SOMALIA - Female Genital Mutilation (FGM) is one of the most egregious women's rights abuses globally. It is a subject that is hard to discuss because of its intimate, sexual and graphic nature.

waris-dirie-photo-by-one-young-world-v2.jpg

However, it is precisely because of the lifelong psychological and physical effects this barbaric practice has on its innocent and unwilling victims that it is incumbent upon us to publicize this abuse until it is eradicated.

This issue was first brought to the public's attention by Waris Dirie, Somalian author, activist, and victim of FGM, when she published her memoir titled 'Desert Flower.' The book was subsequently made into a movie in 2009, and Liya Kebede, an Ethiopian supermodel, played Waris Dirie in the heart-wrenching but ultimately a victorious story of survival.

Initially, when we featured a post about this topic, several readers commented about male circumcision and how this is just as barbaric as FGM and should also be classified as a human rights abuse.

Though any type of unwanted genital mutilation is indeed a crime, the significant differences between male circumcision and FGM are as follows:

    1. Most boys are circumcised at birth, or in the case of Jews and some Muslims, on the 8th day of life;

    2. Men who are circumcised later in life often elect to have this procedure for personal, religious, or health reasons;

    3. The surgery is performed in a sterile environment, usually under anesthesia;

    4. Male circumcision is usually performed in a non-invasive manner that ultimately results in few if any adverse psychological effects.

By comparison, FGM has more in common and correlates best to physical castration in men.

    1. Girls who undergo FGM (aka female circumcision) are forcibly mutilated anywhere between 13 and 15 years of age;

    2. The 'procedure' occurs without anesthesia in unsanitary environments;

    3. Rusty razor blades, old knives, or shards of glass are used to cut the flesh;

    4. The clitoris and the inner and outer labia are torn away;

    5. Finally, the wound is crudely stitched together and must be cut open for sex and childbirth.

According to the World Health Organization (WHO), there are benefits to men and boys becoming circumcised, particularly in Sub-Saharan Africa.

"Strong evidence from Africa indicates that circumcision reduces the risk of HIV infection in heterosexual men by 38-66%, and studies have concluded it is cost effective in sub-Saharan Africa. The World Health Organization (WHO) currently recommends circumcision be recognized as an intervention as part of a comprehensive program for prevention of HIV transmission in areas with high endemic rates of HIV." (Source: WHO)

The effects of FGM are profoundly debilitating and deleterious to women's reproductive health and serve no useful purpose. It is a practice deeply rooted in misogyny, tyranny, and the concept of women as chattel.

Men who have been circumcised can still enjoy a robust sex life filled with numerous encounters, whereas women who have undergone FGM must suffer immense pain to remove the sutures. As one can imagine, sexual intercourse thereafter would be excruciating.

In Europe, between the 16th and 17th centuries, the 'Chastity Belt' was developed to prohibit women from having sexual intercourse. This device was also a contrivance of men desiring to control the sexuality of women in their societies.  A 'Chastity Belt' was infinitely less egregious than FGM but a women's rights violation.

Surprisingly, FGM procedures are rising in Western nations such as the United Kingdom.  It is easy for most people to acquiesce in the face of such a daunting problem occurring halfway across the world. It is also more comfortable to believe that this is an Islamic problem though FGM is not prescribed in the Quran.

It is easiest to effect change in one's backyard. Thus, in Western societies where there are no health reasons to recommend FGM, it is up to the medical establishment and authorities to intervene and halt these procedures.

Misogyny, like rape, is less about the object of abuse, in this case, women, and more about control. The net result of FGM is that it diminishes all women everywhere, even if it hasn't personally impacted your life or those of your friends and family.

Follow Nahmias Cipher Report on Twitter Twitter: @nahmias_report Editor-in-Chief: @ayannanahmias

Related articles

Jim Yong Kim, New World Bank President

president-obama-announces-dr-jim-yong-kim-as-nominee-to-lead-world-bank.jpg

Ayanna Nahmias, Editor-in-ChiefLast Modified: 00:16 AM EDT, 17 April 2012

Jim Yong Kim, President of World Bank, 2012WASHINGTON, DC – The World Bank announced today that they selected President Barack Obama’s nominee Jim Yong Kim to serve as its president. Mr. Kim has been selected to replace the out-going president Mr. Robert B. Zoellick.

Mr. Kim, a Korean-American doctor, will be the first leader of the institution who doesn’t come to the post with a financial pedigree. He successfully challenged the Nigerian nominee, Finance Minister Ngozi Okonjo-Iweala, and Colombia's former finance minister and development expert, Jose Antonio Ocampo.

“During the bank’s 68-year history, an American has always headed the institution, while the top job at its sister organization, the International Monetary Fund (IMF), traditionally goes to a European. But emerging economies have recently been contesting that informal arrangement at both the IMF and the World Bank and presenting their own candidates.” (Source: VOA)

Although, some of the Bank’s 187 members have expressed concern that Kim lacks the requisite financial acumen to head the institution, other view his tenure as the director of the World Health Organization and a co-founder of global non-profit Partners in Health as vital to his understanding of the needs of the countries to which the World Bank provides financial and technical assistance.

President Paul Kagame of Rwanda gave a ringing endorsement of Kim, as he reflected upon the dedicated support he provided in helping Rwanda to restore its health system. He went so far as to say, “Kim is a true friend of Africa and well known for his decade of work to support us in developing an efficient health system in Rwanda."

When Kim headed the World Health Organization he successfully implemented a program to increase access to affordable HIV drugs in the developing world.  He was tenacious in his efforts to extend treatment for HIV and AIDS to over 7 million people in developing nations.

Kim’s nomination has become controversial, with opponents angered by the upset of the pro forma appointment of wealthy nominees being selected to lead the institution, and in the process enrich themselves and their cronies; and proponents who believe that it is time for a new selection process and applaud the US' bold move in nominating an unlikely candidate.

It is fitting that President Obama would take the bold step of appointing an outsider to ‘change’ an entrenched culture and reform an organization which has lost sight of its mission to assist countries better support and improve the lives of their citizenry.

Kim will begin his five-year tenure in July 2012.

First War, Now Elephantiasis

elephantiasis.jpg

Ayanna Nahmias, Editor-in-ChiefLast Modified: 23:55 PM EDT, 30 January 2012

UGANDA - When I was a child I first encountered a person afflicted with Elephantiasis when we moved to Nigeria. I wrote about this encounter in my post The Road to Naijiriya which details my arrival in Lagos as we embarked on our new life in Ile Ife.

Now, this disease is once again in the media as health services in Southern Africa have alerted the region to the need for increased preventative measures and prophylactic treatment options.

The 20-year civil war in Uganda has left severe scars on the economy, infrastructure, health and human services, and most of all on a populace that no longer has access to basic necessities such as potable water, food and medical treatment.

Lymphatic filariasis, commonly known as Elephantiasis, "afflicts over 25 million men with genital disease and over 15 million people with lymphoedema. Currently, more than 1.3 billion people in 72 countries are at risk. Approximately 65% of those infected live in the WHO South-East Asia Region, 30% in the African Region, and the remainder in other tropical areas." (Source: World Health Organization)

With proper medical treatment, the condition, which is caused by a parasite that is part of the roundworms family, can be cured. The parasite is usually transmitted to its human host through a mosquito bite. It subsequently invades and proliferates throughout the lymphatic system where it blocks and disrupts the immune system. "The adult parasites live for 6-8 years and, during their life time, produce millions of microfilariae (small larvae) that circulate in the blood." (Source: WHO)

Although, quite disturbing, this condition is easily treatable for patients with access to proper health care. However, in countries like Uganda, which has a long history of civil unrest and unstable governments; this disease remains unchecked in its transmission and infection. In addition to the excruciating physical pain caused by the disease, there is the accompanying psychological and sociological impact.

People afflicted by this disease remain ostracized by society and their communities much like lepers in previous centuries. They are also unable to earn a living because of the crippling disfigurement caused by the symptoms of this disease. The adult worms can be successfully killed usually with one treatment, however, the disfigurement suffered by the individual remains unless they can arrange to have surgery to remove the tumors.

It is sad that the Ugandan people who have been victimized by a series wars instigated by despotic rulers, the most egregious being Idi Amin, must now face a new marauder in the form of this parasite.

To learn more about the disease watch the Voice of America video below.

[youtube="http://www.youtube.com/watch?v=dnWwHthkGkY"]

Malaria Vaccine | Bill & Melinda Gates Foundation

asian-tiger-mosquito.jpg

Ayanna Nahmias, Editor-in-ChiefLast Modified: 22:08 p.m. EDT, 22 October 2011

I narrowly survived an infection of cerebral malaria when I was 10 years old.  We lived just outside of Dar es Salaam, the capital of Tanzania, and because my father did not believe in Western medicine, he forbade my mother from seeking treatment for me when I fell ill.  If treated at the immediate onset of symptoms the chances of recovery are quite high.

However, by the time she took me into Dar to the hospital, I beyond the threshold of medical intervention. The doctors told my mother to take me home and prepare for my death.  My mother did take me home where I lapsed into a coma while she tried everything she knew to break the fever and bring me back.

Through her valiant caring and prayer I awoke from my coma I remained critically ill for many months afterward.  I was one of the lucky few who survive cerebral malaria in which mortality rates for patients is as high as 50%.  This particularly pernicious disease  is the number one killer in the world today with a 90% percent of malaria-related deaths occurring in sub-Saharan Africa.

The PATH Malaria Vaccine Initiative (MVI) was funded in large part by the Bill & Melinda Gates Foundation and conducted trials on 6,000 children at 11 sites across sub-Saharan Africa.  The trials  showed that three doses of the RTS,S vaccine reduced the risk of children experiencing clinical malaria and severe malaria by 56 percent and 47 percent respectively.

Research is continuing, and efficacy and safety results in 6 to 12 week-old babies are expected by the end of 2012. Information about the longer-term protective effects of the vaccine, 30 months after the third dose, should be available by the end of 2014.

"A vaccine is the simplest, most cost-effective way to save lives," says Gates.

"These results demonstrate the power of working with partners to create a malaria vaccine that has the potential to protect millions of children from this devastating disease."

"These results confirm findings from previous Phase II studies and support ongoing efforts to advance the development of this malaria vaccine candidate," says Tsiri Agbenyega, a principal investigator of the trial and Chair of the Clinical Trials Partnership Committee.

"Having worked in malaria research for more than 25 years, I can attest to how difficult making progress against this disease has been. Sadly, many have resigned themselves to malaria being a fact of life in Africa. This need not be the case."

The team is now working towards approval by regulatory authorities. If the Phase III trials go well, the World Health Organization (WHO) has indicated that it could recommend the RTS,S malaria vaccine candidate as early as 2015, allowing African nations to include the vaccine in their national immunization programs.

Follow Nahmias Cipher Report on Twitter
Twitter: @nahmias_report Editor: @ayannanahmias