In the first part of a two-part series in the Center for Strategic & International Studies’ (CSIS) “Smart Global Health” blog, Alisha Kramer, an intern with the CSIS Global Health Policy Center, and Matt Fisher, project coordinator of the CSIS Project on Global Water Policy and a research assistant at the Global Health Policy Center, provide a brief history of Haiti’s cholera outbreak, noting, “Ultimately, by the end of 2011, the outbreak had resulted in over 500,000 infections and 7,000 deaths” (3/6). In the second part, the authors recap the international response to the outbreak, writing, “Despite its physical devastation, the Haitian Ministry of Public Health and Population — aided by PAHO, the CDC, USAID, and other non-governmental organizations — responded relatively well to the cholera outbreak; the low case-fatality ratio supports this view” (3/7).
Water and Sanitation
The achievement of meeting the Millennium Development Goal (MDG) for safe drinking water “shows that where there is a will, it is possible to truly transform the lives of hundreds of millions of people for the better,” Sanjay Wijesekera, chief of water, sanitation and hygiene for UNICEF, writes in the Guardian’s “Poverty Matters Blog.” “Even in sub-Saharan Africa, where progress towards achieving the target is off-track, 273 million additional people gained access to drinking water since 1990,” he writes, adding, “So, we should raise our hats to the governments, organizations, communities and individuals who put great effort and resources into making this happen.”
“Developing countries have already achieved their 2015 [Millennium Development Goal (MDG)] of drastically reducing the number of people without regular access to improved drinking water, though much of the credit lies with India and China,” UNICEF and the WHO said in a joint report (.pdf) on Tuesday, Reuters reports (Charbonneau, 3/6). “According to the [WHO] and UNICEF joint monitoring program for water supply and sanitation (JMP), between 1990 and 2010 more than two billion people gained access to improved drinking water sources, such as piped supplies and protected wells” and “at the end of 2010, 89 percent of the population — 6.1 billion people — now used improved drinking water sources, one percent more than the 88 percent target contained in [MDG] number seven, set in 2000,” the Guardian writes (Ford, 3/6).
“A typhoid outbreak that began in Harare last year is steadily spreading across Zimbabwe with more than 3,000 cases reported although only one death due to the disease has been reported so far, health officials have said,” ZimOnline reports (Marimudza, 2/29). “We have reported 203 new typhoid cases this week only … So we actually have an outbreak that is raging,” Ministry of Health Epidemiology and Disease Control Director Portia Manangazira told VOA News, according to the news service (Gonda/Chifera, 2/28). Speaking to the Parliamentary Portfolio Committee on Health and Child Welfare on Tuesday, Manangazira “said the ministry did not have adequate supply of drugs for patients,” NewsDay notes (Chidavaenzi, 2/29).
“Urbanization leaves hundreds of millions of children in cities and towns excluded from vital services, UNICEF warns in ‘The State of the World’s Children 2012: Children in an Urban World,'” released on Tuesday, the agency reports in a press release (2/28). “Children in slums and poor urban communities lack access to clean water, sanitation and education, as services struggle to keep up with fast urban growth, says” the agency’s flagship report, according to AlertNet (Caspani, 2/28). The report “calls attention to the lack of data on conditions in slums, particularly as it relates to children, and it calls for a deeper understanding of the issues surrounding poverty and inequality in cities and increased political will to improve the lives of the most marginalized,” UNICEF writes in an accompanying article (2/28).
“India is lagging in its effort to reach United Nations goals to reduce poverty and improve health and sanitation, but has shown significant progress boosting education, treating AIDS and addressing environmental concerns,” Noeleen Heyzer, executive secretary of the U.N. Economic and Social Commission for Asia and the Pacific, said last week, the New York Times’ “India Ink” blog reports. According to an Asia Pacific Millennium Development Goal (MDG) report (.pdf) released last week, which “graded the progress of the eight millennium goals using 22 socio-economic indicators …, India has reached goals set in seven indicators out of 22 and is on track to achieve three others, but is lagging behind in 12,” the blog notes.
“Advocates for universal access to and use of basic personal sanitation hope their efforts will get a big boost in August, when the Bill & Melinda Gates Foundation present several hygienic innovations developed through its Reinventing the Toilet Challenge,” Scientific American reports in a feature article. “The foundation’s involvement could do for sanitation what it has accomplished in the battle to eradicate malaria — raise the visibility of a fundamental health care crisis and encourage new efforts to end it,” the magazine writes.
“At least 16 people have been killed this week when a category four cyclone lashed Madagascar’s eastern shores, rescue authorities said on Wednesday,” Reuters reports, adding, “Some 65 people were injured and about 11,000 people left homeless after Cyclone Giovanna pummeled the country’s eastern seaboard causing power shutdowns in parts of the island’s port city of Tamatave, rescue officials said” (Iloniaina, 2/16). UNICEF “will start distributing medicines and mosquito nets [Thursday] to the parts of eastern Madagascar hardest hit” by the cyclone, the U.N. News Centre writes.
“A feeble international response to Pakistan’s second major flooding crisis in two years has left millions of people at serious risk of malnutrition and disease, aid groups warned Thursday,” Agence France-Presse reports. “The Pakistan Humanitarian Forum (PHF), a network of the 41 largest international charities in the country, called on the international community and Pakistan to take urgent steps with the next monsoon season months away,” the news service adds. “At least 2.5 million people are still without food, water, shelter, sanitation and health care, putting them at serious risk of malnutrition, disease and deepening poverty, said the coalition of international charities,” AFP writes, adding, “Around 43 percent of affected people are severely short of food and malnutrition levels were already well above the emergency threshold in the southern provinces of Sindh and Baluchistan before the floods struck” (Gilani, 2/15).
“In a study of 193 countries to be released Thursday, Canadian-based researchers say they’ve been able to quantify — for the first time — how safe water and public sanitation efforts affect health when factoring out other variables such as a nation’s wealth, fertility or location,” USA Today’s “Your Life” reports (Koch, 2/15). Dividing the countries into four quartiles, researchers at the United Nations University and McMaster University “found that countries ranked in the bottom 25 percent in terms of safe water had about 4.7 more deaths per 1,000 children under five years old compared to countries in the top 25 percent tier” and “when judged on access to adequate sanitation, countries ranked in the bottom 25 percent tier had about 6.6 more deaths per 1,000 children under five years old compared to countries in the top 25 percent tier,” a United Nations University press release states (2/14).