As a new year and a new decade kick off, World Health Organization WHO has released a list of urgent, global health challenges. This list, developed with input from their experts around the world, reflects a deep concern that leaders are failing to invest enough resources in core health priorities and systems.
This puts lives, livelihoods and economies in jeopardy. None of these issues are simple to address, but they are within reach. Public health is ultimately a political choice. WHO says there is a need to realize that health is an investment in the future, adding that countries invest heavily in protecting their people from terrorist attacks, but not against the attack of a virus, which could be far more deadly, and far more damaging economically and socially. A pandemic could bring economies and nations to their knees, which is why health security cannot be a matter for ministries of health alone.
All the challenges in the list demand a response from more than just the health sector, WHO warns. ‘’we face shared threats and we have a shared responsibility to act. With the deadline for the 2030 Sustainable Development Goals quickly approaching, the United Nations General Assembly has underscored that the next 10 years must be the ‘’decade of action’’. This according to WHO means advocating for national funding to address gaps in health systems and health infrastructure, as well as providing support to the most vulnerable countries. Investing now will save lives and money later.
According to the group, infectious diseases like HIV, tuberculosis, viral hepatitis, malaria, neglected tropical diseases and sexually transmitted infections will kill an estimated 4 million people in 2020, most of them poor. Meanwhile, vaccine-preventable diseases continue to kill, such as measles, which took 140 thousand lives in 2019, many of them children. Although polio has been driven to the brink of eradication, there were 156 cases of wild poliovirus last year, the most since 2014.
WHO indicated that the root causes are insufficient levels of financing and the weakness of health systems in endemic countries, coupled with a lack of commitment from wealthy countries. The climate crisis is a health crisis. According to World Health Organization, air pollution kills an estimated 7 million people every year, while climate change causes more extreme weather events, exacerbates malnutrition and fuels the spread of infectious diseases such as malaria.
The same emissions that cause global warming are responsible for more than one-quarter of deaths from heart attack, stroke, lung cancer and chronic respiratory disease. WHO says leaders in both the public and private sectors must work together to clean up air and mitigate the health impacts of climate change.
In 2019, over 80 cities in more than 50 countries committed to WHO’s an air quality guideline, agreeing to align their air pollution and climate policies. This year, the organization will work towards developing a set of policy options for governments to prevents or reduce the health risks of air pollution.
WHO further underscored that last year, most disease outbreaks requiring the highest level of WHO response occurred in countries with protracted conflict. The health organization also saw the continuation of a disturbing trend in which health worker and facilities were targeted. WHO recorded 978 attacks on health care in 11 countries last year, with 193 deaths. At the same time, conflict is forcing record numbers of people out of their own home, leaving tens of millions of people with little access to health care, sometimes for years.
Last year, WHO responded to 58 emergencies in 50 countries, deployed mobile medical teams, improved disease detection and warned systems and conducted vaccination campaigns. The group is working to save lives and prevent suffering by working with countries and partners to strengthen health systems, improving preparedness and expanding the availability of long-term contingency financing for complex health emergencies.
According to a report from the group, persistent and growing socio-economic gaps result in major discrepancies in the quality of people’s health. There’s not only an 18-year difference in life expectancy between rich and poor countries, but also a marked gap within countries and even within cities. Meanwhile, the global rise in non-communicable diseases, such as cancer, chronic respiratory disease and diabetes, has a disproportionately large burden in low and middle-income countries and can quickly drain the resources of poorer households.
It was also underlined that about one-third of the world’s people lack access to medicines, vaccines, diagnostic tools and other essential health products. Low access to quality health products threatens health and lives, which can both endanger patients and fuel drug resistance. Medicines and other health products are the second-largest expenditure for most health systems and the largest component of private health expenditure in low- and middle-income countries.
Every year, as WHO reported, the world spends far more responding to disease outbreaks, natural disasters and other health emergencies than it does preparing for and preventing them. A pandemic of a new, highly infectious, airborne virus- most likely a strain of influenza- to which most people lack immunity is inevitable. It is not a matter of if another pandemic will strike, but when, and when it strikes it will spread fast, potentially threatening millions of lives. Meanwhile, vector-borne diseases likes dengue, malaria, zika, and yellow fever are spreading as mosquito population’s move into new areas, fanned by climate change.
Lack of food, unsafe food and unhealthy diets are responsible for almost one-third of today’s global disease burden. Hunger and food insecurity continue to plague millions, with food shortages being perniciously exploited as weapons of war. At the same time, as people consume foods and drinks high in sugar, saturated fat, Trans fat and salt, overweight, obesity and diet-related diseases are on the rise globally. Meanwhile, tobacco use is declining in a few but rising in most countries, and evidence is building about the health risks of e-cigarettes.
WHO noted that chronic-investment in the education and employment of health workers, coupled with a failure to ensure decent pay, and has led to health workers shortages all over the world. This, it said, jeopardizes health and social care services and sustainable health systems. The world will need 18 million additional health workers by 2030, primarily in low- and middle-income countries, including 9 million nurses and midwives.
To trigger action and encourage investment in education, skills and jobs, the World Health Assembly has designated 2020 the year of the nurse and the midwife. Meanwhile, WHO stressed that more than 1 million adolescents aged 10-19 years die every year. The leading causes of death in this age group are road injury, HIV, suicide, lower respiratory infections and interpersonal violence.
Harmful use of alcohol, tobacco and drug use, lack of physical activity, unprotected sex and previous exposure to child maltreatment all increase the risks for these causes of death. In 2020, WHO will issue new guidance for policymakers, health practitioners and educators, called Helping Adolescents Thrive. The aim is to promote adolescents’ mental health and prevent the use of drugs, alcohol, self-harm and interpersonal violence, as well as provide young people with information on preventing HIV and other sexually transmitted infections, contraception, and care during pregnancy and childbirths.
However, the organization emphasized that new technologies are revolutionizing their ability to prevent, diagnose and treat many diseases. Genome editing, synthetic biology and digital health technologies such as artificial intelligence can solve many problems, but also raise new questions and challenges for monitoring and regulation. Without a deeper understanding of their ethical and social implications, these new technologies, which include the capacity to create new organisms, could harm the people they are intended to help, WHO warns.
The group set up new advisory committees for human genome editing and digital health last year, bringing together the world’s leading experts to review evidence and provide guidance. WHO is also working with countries to enable them to plan, adopt, and benefit from new tools that provide clinical and public health solutions, while supporting better regulation of their development and use.
After falling to close the gap on Arsenal by losing to a record breaking goal by Kane at the Tottenham stadium.Manchester City now find themselves being charged by the Premier League with more than 100 breaches of its financial rules following a four-year investigation.
According to BBC , it has referred the club to an independent commission over alleged rule breaches between 2009 and 2018 , and also that Man-city has not been co-operating since the investigation which started in 2018 .
BBC further states that The commission can impose punishment including a fine , points deduction and expelling the club from the Premier league.
The alleged breaches include ,¬† breaching rules for requiring full details of manager remuneration,from 2009-2010, to 2012-2013 seasons when Roberto Mancini was in charge . Also player remuneration between 2010-2011 and 2015-2016.
The Premier league stated that City breached rules related to UEFA regulations , including Financial Fair Play , from 2013-2014 to 2017-2018 ,as well as Premier League rules on profitability and sustainability from 2014-2016 to 2017-2018
South Korean Ambassador in South Africa has donated e-learning equipment through Botswana Red Cross Society (BRCS) to Tlamelong Rehabilitation Centre in Tlokweng recently, in a bid to fine tune the student‚Äôs textile skills. ¬†
When talking at the handing over ceremony, Chull-Joo Park, said they agreed with BRCS to give out e-learning equipment to better the training skills of students living with disabilities.
‚ÄúWith the Information and Communication Technology (ICT) equipment and job training skills, we will be able to help the students living with disabilities to do e-learning and to better their education and job training,‚ÄĚ said Chull-Joo Park.
It was revealed that the South Korean Embassy approached BRCS with the intent to donate equipment and educational material that includes an embroidery machine, photo copier machine, tablets and interactive boards to be utilized by the trainees.
The industrial printer is a machine that works with embroidery machine to print designs for clothing and it will enable the learners to have more material available to them to facilitate learning.
Through this embroidery machine, students will be exposed to better technologies which ultimately improve the quality of materials they produce. It will also allow students to learn business skills and run profitable ventures.
Smart board gadgets will provide the students with an elevated learning process to be fostered by e-learning. The gadgets provide a more visual element to the learning process, which in turn improves learner mental retention.
Tlamelong Rehabilitation serves the marginalized and underserved less privileged persons living with disability in Botswana. The center offers boarding services, vocational training, social services, physiotherapy and rehabilitation services for young people living disabilities aged 18-35 from across the country over a period of two (2) years per cohort which has a maximum intake capacity of 35. BRCS through International Federation of the Red Cross and Red Crescent Societies (IFRC) have managed to create great working synergy with the South Korean Embassy in Pretoria based in South Africa to support or augment the National Society‚Äôs Rehabilitation Centre‚Äôs learning challenges.
For his part, BRSC Secretary General Kutlwano Mokokomani said they are delighted to convey their gratitude as BRSC to the South Korean Embassy for donation and they look forward to an enduring partnership for such worthy causes.
‚ÄúSouth Korean Embassy‚Äôs great gesture will enable trainees to thrive, to fulfil their dreams to become a reality as this equipments will go a long way in creating great impact in the lives of trainees and their families. We wish to convey our sincere gratitude to the South Korean Embassy for their noble gesture of donating the E-learning equipments.‚ÄĚ
BRCS offers rehabilitation services spread across three (3) areas in Botswana being Sefhare Stimulation center in Sefhare, Tshimologo stimulation center in Francistown and Tlamelong rehabilitation center in Tlokweng.