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Benjamin McKeown

BBC News - Halving of malaria deaths 'tremendous achievement' - 1 views

www.bbc.com/health-30375202

disease malaria

shared by Benjamin McKeown on 09 Dec 14 - No Cached
  • Global efforts have halved the number of people dying from malaria -
  • In 2004, 3% of those at risk had access to mosquito nets, but now 50% do.
  • scaling up of diagnostic testing, and more people now are able to receive medicines to treat the parasitic infection, which is spread by the bites of infected mosquitoes.
  • ...9 more annotations...
  • An increasing number of countries are moving towards malaria elimination.
  • 2013, two countries - Azerbaijan and Sri Lanka - reported zero indigenous cases for the first time, and 11 others (Argentina, Armenia, Egypt, Georgia, Iraq, Kyrgyzstan, Morocco, Oman, Paraguay, Turkmenistan and Uzbekistan) succeeded in maintaining zero cases
  • Africa, where 90% of all malaria deaths occur, infections have decreased significantly.
  • Here, the number of people infected has fallen by a quarter
  • despite a 43% increase in the African population
  • "These tremendous achievements are the result of improved tools, increased political commitment, the burgeoning of regional initiatives, and a major increase in international and domestic financing.
  • Most malaria-endemic countries are still far from achieving universal coverage with life-saving malaria interventions
  • Emerging drug- and insecticide-resistance continued to pose a major threat, and if left unaddressed, could trigger an upsurge in deaths,
  • There are also fears that the ongoing Ebola crisis in West Africa may set back the malaria fight.
Benjamin McKeown

20 million starving to death: inside the worst famine since World War II - Vox - 1 views

www.vox.com/...uth-sudan-hunger-crisis-famine

food famine sudan agriculture agribusiness

shared by Benjamin McKeown on 24 Aug 17 - No Cached
  • region controlled by rebels from her same tribe
  • starvation
  • starved to death along the wa
  • ...77 more annotations...
  • South Sudan, which is facing mass hunger on a scale unimaginable in almost every other part of the world. In February, the United Nations estimated that 100,000 South Sudanese were starving, and that 5 million more — 42 percent of the country’s population — have such limited access to proper food that they don’t know where their next meal is coming from. More recent figures are not available yet, but aid agencies fear the situation could be much worse now.
  • South Sudan, the world’s newest country and one that came into existence largely because of enormous assistance from the US.
  • historic famine is also threatening Nigeria, Somalia, and Yemen.
  • 20 million people in those four countries are at risk of dying due to a lack of food.
  • The UN has already officially declared a full-fledged famine in parts of South Sudan and warned that the other three countries will suffer mass death from food and water shortages if “prompt and sustained humanitarian intervention” doesn’t happen soon.
  • these famines weren’t caused by natural disasters like crop failures or droughts. They were man-made — the direct result of the bloody wars and insurgencies raging in all four countries.
  • Washington, which has been slow to act, seems to finally be taking steps to help fight the famine. The Trump administration proposed massive funding cuts to America’s humanitarian food aid, but Congress rejected those cuts and instead allocated close to $1 billion in new funding.
  • “It’s entirely a man-made construct right now, and that means we have it within our power to stop that,” he said. “Wars are hard to stop; famines are not.
  • intensive care unit of an International Medical Corps hospita
  • The building is a simple temporary structure made of cinderblocks and plywood.
  • Although children under 5 years old are the most vulnerable to malnutrition and the infections it can cause in small bodies, they are also incredibly resilient and almost always bounce back if fed high-calorie foods and given proper medicine.
  • The problem is that huge numbers of South Sudanese children aren’t getting that type of food. Many, in fact, aren’t getting food of any kind.
  • The crisis in the 1980s pales in comparison to the famine happening today. Because it isn’t just happening in one country; it’s happening in four.
  • Nigeria
  • Boko Haram
  • forced from their homes to escape the group’s campaign of suicide bombings
  • including huge numbers of farmers
  • With the agricultural systems of hard-hit areas in near collapse because of the fighting, the UN estimates that at least 4.8 million people are in need of urgent food assistance.
  • The problem is that the government of Somalia doesn’t control huge swaths of the country.
  • Islamist militant group al-Shabaab.
  • The Arab world’s poorest country, Yemen has suffered from food shortages for years, but a war between the Saudi-backed government in exile and the Iranian-backed Houthi rebels who control much of the north of the country has brought food shipments into Yemen to a grinding halt.
  • With US assistance, Saudi warplanes have destroyed bridges, roads, factories, farms, food trucks, animals, water infrastructure, and agricultural banks across the north, while imposing a blockade on the territory. For a country heavily dependent on foreign food aid, that means starving the people.
  • whatever food makes it in is so expensive that many people cannot afford to buy it. T
  • This is a gigantic failure of international diplomacy,”
  • After decades of civil war and neglect, the country finally gained its independence from the North in 2011, in large part due to the active assistance of the Obama administration and many of Washington’s key allies
  • Juba
  • There are just 200 kilometers of paved roads in a country the size of France, making it difficult for farmers to sell their crops and buy new seeds. Food shortages have haunted rural communities for some time, and cattle raiding — where armed men steal entire herds from nearby villages and towns — is a regular occurrence.
  • Even if a South Sudanese family owned cattle and had planted crops, all of that would soon disappear when war came to their doorstep. Plants would die because farmers fled and never returned. Animals would be stolen or left to starve or die from dehydration.
  • Javier Zarracina/Vox
  • Food shortages and acute hunger may have been almost inevitable for a country that had had trouble feeding itself even in the relative moments of calm before the current storm.
  • That storm erupted in 2013, when the country’s president, Salva Kiir, and his vice president, Riek Machar, went to war. Kiir accused Machar of a coup attempt, which Machar denied. In reality, the split was caused by a toxic mixture of decades of deep resentment over tribal differences heightened during the previous civil war, and a fear that the country’s oil resources would not be fairly divided.
  • Kiir, who is from the dominant Dinka tribe, controlled the country’s armed forces. Machar, from the minority Nuer group, controlled a loose network of tribal militias. Both sides have been accused of war crimes, and more than 50,000 are estimated to have died in the fighting.
  • government troops have been conducting “counterinsurgency” efforts in areas where the people are Nuer or from other tribes considered supportive of the rebels.
  • most of the world sees it as the collective punishment of civilians.
  • Without civilians, those fighters won’t have a place to stay, receive food, receive popular support,” Jonathan Pedneault of Human Rights Watch told me. “So the aim by targeting civilians is meant to cut the grass under the feet of those fighters.”
  • That includes chasing people away from the very thing their lives depend on — food.
  • Chol and Nuer escaped into the enormous marshes that flank the White Nile river, which provide places to hide from troops who are unable to access the area by truck or car.
  • But that safety can come at a huge cost: There is nothing to eat there, so people who survive attacks by gunmen end up perishing slowly from hunger.
  • is only accessible by traditional dugout canoes
  • Water lily roots are the only thing people in the marshes have to eat.
  • lacks enough food to feed all the refugees. Instead, she and her family are still trying to survive based on what they can scavenge in the marshes.
  • up lilies like weeds and ripped off their small, stumpy roots.
  • Western aid agencies are operating in the nearby village of Ganyiel.
  • he rebel-held town is a market place where stalls sell tea and some dried fish from the local rivers.
  • UN helicopters. Here, international aid agencies have some of their most crucial, and remote, outposts. It seems like only a matter of time until food shipments start arriving in Thoahnom Payam, just 30 minutes away by canoe.
  • Leer
  • things are much worse
  • occupied by government troops, is destroyed and abandoned.
  • The main street of shops and stalls has been razed to the ground, with sheets of steel scattered about in the grass and rusting vehicles lining the side of the main dirt road.
  • A few miles down that road is rebel-held land
  • A few hundred people — originally residents of Leer and the surrounding villages — had crept out of hiding as news spread of a food drop by an aid plane.
  • All of these people had left family members in the marshes, waiting anxiously for them to bring back the food. These thin, tired people were the strongest and most capable of making the journey.
  • sitting silently under trees as bags of maize, recently dropped from a plane circling above, were piled up by volunteers wearing International Committee of the Red Cross (ICRC) bibs
  • She had six children starving in the marshes, waiting for her to return with food.
  • waiting to be given seeds and tools to plant them with. The ICRC handed out hoes and axes as well as maize seeds to grow some crops in rebel-held land outside the swamps. If they planted before the rains came, then they could harvest in August. Many of the people sitting near me will die long before the crops are ready to eat.
  • Before the war, he said, the region was capable of feeding itself.
  • There were a lot of cattle and livestock in this area,” he told me, standing next to a crowd of people sitting in line on the ground. “They were farmers, there was commerce, there was a market here where I am standing right now. All of this is gone now.”
  • Government soldiers had burned down the small market when they had taken the area earlier in the conflict. Now villagers who once bought and sold food here are being kept alive with charitable handouts. The town wasn’t always starving. It got that way because of war.
  • For those fleeing war, hunger can seem like an affordable price to pay for safety
  • It would take truly horrific violence for South Sudanese parents to flee into the marshes given the very real — and in some ways likely — chances of watching their children starve to death there. But that kind of horrific violence, unfortunately, is part of daily life in many parts of the country.
  • Most of them had the deep horizontal scars of the Nuer tribe markings across their foreheads.
  • “I don’t know why the government is doing this,” he added. “We are their people.”
  • the most fortunate of South Sudan’s starving people are the ones who have reached camps run by the United Nations, where Western aid agencies are providing food, shelter, and medical facilities
  • The organizations are keeping hundreds of thousands of people alive; the problem is that millions more live in remote areas of this vast country that the aid groups simply can’t get to. The aid workers themselves are also increasingly at risk.
  • South Sudan is heavily dependent on foreign aid, but it has quickly become the most dangerous place in the world for humanitarian workers. More than 80 aid workers — mostly South Sudanese — have been killed since the conflict began. Female foreign aid workers were gang-raped by rampaging government soldiers who stormed a hotel in Juba during last July’s violence in the capital.
  • three South Sudanese employees of the UN’s World Food Program were violently murdered in the western city of Wau. The WFP said they were trying to get to the warehouse during an outbreak of violence but were killed along the way. Two died of machete wounds, and another was shot.
  • Looting is a huge problem
  • Every time we have to pull out of an area, entire stocks of food and supplies are taken.”
  • Charities have been forced by the government to leave areas where their help is needed. In Leer, access has been granted again by the government, but it’s patchy. There used to be compounds and warehouses for some aid agencies there, but they were all burned down during the fighting.
  • International aid agencies in South Sudan are in a tough position. Caught between an increasingly belligerent and threatening government and the more than 5 million people on the brink of starvation, they are trying to keep people alive without openly condemning the government for their part in starving them in the first place. If they do, they risk being kicked out of the country.
  • On February 20, just days after the UN officially declared that South Sudan was in the midst of a famine, the government in Juba shocked the world by announcing a hike in visa prices for aid workers — from $100 to $10,000. That hasn’t been implemented, but it’s a stark reminder to aid agencies that their relationship with the government is increasingly shaky.
  • Journalists are also struggling to gain access to the country as the government hopes to control the image of the hunger crisis and steer the rhetoric away from it being war-driven.
  • Once inside, intimidation is rife. In nearly 10 years of reporting from conflict zones, I have never worked in an environment where government intimidation is so strong.
  • The government shut Al Jazeera English’s bureau in Juba on May 2 after objecting to a story where a reporter interviewed Machar’s rebels, and an American NPR reporter was detained for several days after being arrested at his hotel in the capital by security forces.
  • For South Sudanese journalists, it’s even worse: They’ve faced a violent campaign against them since the beginning of the war. In August 2015, President Kiir said publicly, “The freedom of press does not mean that you work against your country. And if anybody among them does not know this country has killed people, we will demonstrate it one day on them.” Three days later, a reporter working for the independent New Nation paper was shot dead in the street.
  • The government of South Sudan will not realistically be able to stop the news of its famine, nor the fact that it was entirely man-made, from being reported. But we’re rapidly approaching the point of no return: Without an immediate and sustained effort to end the violence ravaging South Sudan and the other three nations, the world will for the first time in living memory be faced with four simultaneous famines.
  • The worst humanitarian disaster since World War II will have been one that was caused by, and therefore could have been prevented by, humans.
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