Inside a Nigerian Hospital Fighting to Reduce Maternal Death Rate

Twenty-three-year-old Radiya Ahmed Rufai is about to deliver her first child. But she has developed pre-eclampsia, a pregnancy disorder that leads to a sharp rise in blood pressure.

The doctors at Yusuf Dantsoho Memorial Hospital in the central Nigerian state of Kaduna are racing to prevent Rufai from falling into eclampsia — that’s when the pre-eclampsia advances to a level that can induce seizures.

“She was referred from another hospital to this place, with nothing to show that she was having those treatments [for pre-eclampsia]. It was here that we found out she had high blood pressure,” explains Dr. Hassan Shuaibu, a general practitioner in the hospital’s obstetrician and gynecology department.

 

 Across Nigeria, maternal health workers are trying to improve maternal mortality. But the figures are alarming: in 2015, there were an estimated 814 maternal deaths per 100,000 live births in Nigeria, according to the World Health Organization. About half of those deaths were caused by two conditions: uncontrolled bleeding after childbirth, or postpartum hemorrhage, and pre-eclampsia.

Cultural norms

Rufai lies on the hospital bed, whimpering and shivering with pain. She’s careful not to shout out. In this part of Nigeria, cultural norms surrounding pregnancy expect women not to shout during labor — doing so would be a sign of weakness and a woman who is not able to suppress her expression of discomfort while in childbirth could face ridicule from her peers. So, women here put on a brave face, even during a difficult labor.

Rufai’s labor is getting worse. Her blood pressure is rising and her unborn infant is releasing meconium, a type of infant stool, in the amniotic fluid. It’s a telltale sign that the baby is distressed.

Across the ward, 32-year-old Aisha Suleiman is breastfeeding her day-old baby. It’s her seventh child. With her previous pregnancies, Suleiman experienced postpartum hemorrhaging. This delivery was no different. She lost about three pints of blood. The hospital was able to transfuse blood to her.

Lack of access to medicines

Even though, maternal mortality worldwide has decreased by nearly half in the last 15 years, Nigeria still faces a heavy burden, leading the world in the total number of maternal deaths per year. In 2015 alone, 58,000 Nigerian women lost their lives to pregnancy and childbirth-related causes.

The Nigerian Association for Reproductive & Family Health (ARFH) and the international NGO, PATH, revealed in a 2016 study how a lack of access to three basic medicines is increasing the threat of Nigeria’s two most deadly pregnancy complications: postpartum hemorrhage and pre-eclampsia/ eclampsia.

 

In 2012, the United Nations Commission on Life-Saving Commodities for Women and Children determined that the medicines to prevent and treat these two conditions — oxytocin and misoprostol for post-partum hemorrhage and magnesium sulfate for pre-eclampsia/eclampsia — should be made affordable and promoted for use by the global health community. But Nigerian hospitals do not always have these medicines available. And when they are available, the quality is not reliable due to poor storage and regulation.

 

“As of March 2016, there were 13 oxytocin products and four magnesium sulfate products registered in Nigeria that had not yet been judged to meet international quality standards. This increases the risk that maternal health products are poor or unknown,” the 2016 study reveals.

 

“It’s time to work hand in hand with advocates, the government, suppliers, and donors to improve the quality and availability of maternal health medicines, reduce counterfeits, and ensure that all women receive the care they deserve,” says Kehinde Osinowo, the director of programs at ARFH.

Many complications

Back at Yusuf Dantsoho Memorial Hospital, health workers are treating other complications. They’ve successfully administered magnesium sulfate to manage Rufai’s pre-eclampsia.

Sitting across from Suleiman is Hajia Muhammed in a white long hijab. She’s about to deliver twins but one of them is in a dangerous bottom-down position known as breech. Muhammed will need a cesarean section. There’s also a young woman who is HIV positive. She delivered a baby boy just hours earlier. The doctor examines him to check if the mother transferred the virus.

 

In the examination room, nurses scrub with antibacterial soap and hot water. They walk to the beds and kneel over women lying on their backs. Rufai waddles in and goes to a bed. The nurses want to check to see if she may be able to deliver vaginally.

 

The results come back negative. Her pelvis is too tight. The fetus is too stressed.

 

They wheel her into the operating room, with Muhammed.

Shuaibu heads the surgical team. He says that many of the Caesarean operations could be avoided with proper antenatal care.

“Most of our women don’t go for antenatal and we only see them when there are complications,” Shuaibu says. “Even if they come for antenatal, you give them medication to take, they often don’t understand why they need to take it. Poverty is another thing because they don’t have money to continue with the medication until they deliver.”

The surgeries are completed in under an hour and the women go to the recovery room. Rufai has given birth to a girl and Muhammed’s twin’s rest in the arms of elderly relatives.

The day ends at Yusuf Dantsoho Memorial Hospital’s maternity ward with no major complications.

From: MeNeedIt

Oil Prices Fall on Bloated US Crude Storage

Oil prices dipped on Wednesday as rising crude stocks in the United States underscored an ongoing global fuel supply overhang despite an OPEC-led effort to cut output.

Prices for front-month Brent crude futures, the international benchmark for oil, were at $50.79 per barrel at 0451 GMT, down 17 cents, or 0.3 percent, from their last close.

U.S. West Texas Intermediate (WTI) crude futures were down 18 cents, or 0.4 percent, at $48.08 a barrel.

“Crude oil prices fell as concerns over rising U.S. inventories resurfaced,” ANZ bank said on Wednesday.

U.S. crude oil inventories climbed by 4.5 million barrels in the week to March 17 to 533.6 million barrels, the American Petroleum Institute (API) said late on Tuesday.

“The American Petroleum Institutes’ crude inventories stuck the knife into crude overnight, coming in at a 4.5 million barrel increase against an expected increase of 2.8 million barrels,” said Jeffrey Halley, senior market analyst at futures brokerage OANDA in Singapore.

“If the API stuck the knife in, tonight’s EIA Crude Inventory figures may twist it. A blowout above the 2.1 million barrel increase expected, may well torpedo oil below the waterline,” he added.

Official U.S. Energy Information Administration (EIA) oil storage data is due on Wednesday.

The bloated storage comes as U.S. oil production has risen over 8 percent since mid-2016 to more than 9.1 million barrels per day (bpd), levels comparable to late 2014, when the oil market slump started.

Rising production in the United States and elsewhere, and bloated inventories, are undermining efforts led by the Organization of the Petroleum Exporting Countries (OPEC) to cut output and prop up prices.

“OPEC’s market intervention has not yet resulted in significant visible inventory draw-downs, and the financial markets have lost patience,” U.S. bank Jefferies said on Wednesday in a note to clients, although it added that the cutbacks would likely start to show by the second half of the year if OPEC extends its production cuts beyond June.

Despite cuts, analysts warned of renewed or ongoing oversupply in coming years, especially as U.S. shale producers ramp up and once OPEC returns to full capacity.

U.S. bank Goldman Sachs warned its clients in a note this week that a U.S. shale led production surge “could create a material oversupply in 2018-19.”

From: MeNeedIt

Chuck Barris, ‘Gong Show’ Creator, Dies at 87

Chuck Barris, whose game show empire included The Dating Game, The Newlywed Game and that infamous factory of cheese, The Gong Show, died at 87.

Barris died of natural causes Tuesday afternoon at his home in Palisades, New York, according to publicist Paul Shefrin, who announced the death on behalf of Barris’ family.

Barris made game show history right off the bat, in 1966, with The Dating Game, hosted by Jim Lange. The gimmick: a young female questions three males, hidden from her view, to determine which would be the best date. Sometimes the process was switched, with a male questioning three females. But in all cases the questions were designed by the show’s writers to elicit sexy answers.

Future celebrities

Celebrities and future celebrities who appeared as contestants included Michael Jackson, Arnold Schwarzenegger, Steve Martin and a pre-Charlie’s Angels Farrah Fawcett, introduced as “an accomplished artist and sculptress” with a dream to open her own gallery.

After the show became a hit on both daytime and nighttime TV, the Barris machine accelerated. New products included The Newlywed Game, The Parent Game, The Family Game and even The Game Game.

At one point Barris was supplying the television networks with 27 hours of entertainment a week, mostly in five-days-a-week daytime game shows.

The grinning, curly-haired Barris became a familiar face as creator and host of The Gong Show, which aired from 1976 to 1980.

Patterned after the Major Bowes Amateur Hour show that was a radio hit in the 1930s, the program featured performers who had peculiar talents and, often, no talent at all. When the latter appeared on the show, Barris would strike an oversize gong, the show’s equivalent of vaudeville’s hook. The victims would then be mercilessly berated by the manic Barris, with a hat often yanked down over his eyes and ears, and a crew of second-tier celebrities.

Occasionally, someone would actually launch a successful career through the show. One example was the late country musician BoxCar Willie, who was a 1977 Gong Show winner.

Known as

He called himself “The King of Daytime Television,” but to critics he was “The King of Schlock” or “The Baron of Bad Taste.”

As The Gong Show and Barris’ other series were slipping, he sold his company for a reported $100 million in 1980 and decided to go into films.

He directed and starred in The Gong Show, a thundering failure that stayed in theaters only a week.

Afterward, a distraught Barris checked into a New York hotel and wrote his autobiography, Confessions of a Dangerous Mind, in two months. In it, he claimed to have been a CIA assassin.

The book (and the 2002 film based on it, directed by George Clooney) were widely dismissed by disbelievers who said the creator of some of television’s most lowbrow game shows had allowed his imagination to run wild when he claimed to have spent his spare time traveling the world, quietly rubbing out enemies of the United States.

“It sounds like he has been standing too close to the gong all those years,” quipped CIA spokesman Tom Crispell. “Chuck Barris has never been employed by the CIA and the allegation that he was a hired assassin is absurd,” Crispell added.

Barris, who offered no corroboration of his claims, was unmoved.

“Have you ever heard the CIA acknowledge someone was an assassin?” he once asked.

Wrote a book

Seeking escape from the Hollywood rat race, he moved to a villa in the south of France in the 1980s with his girlfriend and future second wife, Robin Altman, and made only infrequent returns to his old haunts over the next two decades.

Back in the news in 2002 to help publicize “Confessions of a Dangerous Mind,” Barris said his shows were a forerunner to today’s popular reality TV series.

Born in Philadelphia in 1929, Charles Barris was left destitute, along with his sister and their mother, when his dentist father died of a stroke.

After graduating from the Drexel Institute of Technology in 1953, he took a series of jobs, including book salesman and fight promoter.

After being dropped from a low-level job at NBC, he found work at ABC, where he persuaded his bosses to let him open a Hollywood office, from which he launched his game-show empire. He also had success in the music world. He wrote the 1962 hit record Palisades Park, which was recorded by Freddy Cannon.

Barris’ first marriage, to Lynn Levy, ended in divorce. Their daughter, Della, died of a drug overdose in 1998. He married his third wife, Mary, in 2000.

From: MeNeedIt

Report: Climate Outlook Improves as Fewer Coal Plants Built

Led by cutbacks in China and India, construction of new coal-fired power plants is falling worldwide, improving chances climate goals can be met despite earlier pessimism, three environmental groups said Wednesday.

A joint report by the groups CoalSwarm, the Sierra Club and Greenpeace follows a warning this week by two international agencies that the world needs to shift quickly away from fossil fuels to curb global warming. Environmentalists were dismayed by President Donald Trump’s U.S. government budget proposal last week that would cut spending on renewable energy.

Construction starts for coal-fired plants in China and India were down by 62 percent in January from a year earlier while new facilities starting operation declined 29 percent, according to the report. It said older plants in the United States and Europe are being retired at a record pace.

‘Global climate goals’

The latest developments “appear to have brought global climate goals within feasible reach, raising the prospect that the worst levels of climate change might be avoided,” said the report.

It acknowledged “the margin for error is tight” and said sustained progress will require China and India to scrap more than 100 coal plants on which construction has been suspended. And it warned that countries, including South Korea and Indonesia, are failing to develop renewables, which could increase their need for coal power.

In a separate report, the U.S.-based Institute for Energy Economics and Financial Analysis said falling power demand in Japan means most of the 45 new coal plants the country has planned will likely never be built.

The reports mark a shift in sentiment from six months ago, when environmentalists warned governments were doing too little to carry out the Paris climate accord. Signed by 170 countries, it calls for holding global temperature increases to no more than 2 degrees C (3.6 degrees F) in hopes of preventing sea level rise and other drastic change.

Biggest greenhouse gas emitter

China, the biggest greenhouse gas emitter, said at that time its coal use would rise until 2030. But later data showed the peak passed in 2013 and consumption is falling.

Countries including China, Germany, India and Japan are moving away from coal as alternatives get cheaper, said Tim Buckley, the IEEFA’s director of energy finance studies.

“I don’t think Trump can stop that,” he said.

Despite such changes, the amount of heat-trapping carbon dioxide in the atmosphere rose to a new high last year and is increasing, according to the U.S. National Oceanic and Atmospheric Administration.

Asia alone is expected to account for 70 to 80 percent of the global growth in coal-fired power capacity over the next two decades.

Industry experts cautioned that countries including India, Indonesia, Bangladesh and Vietnam need to keep adding coal power because it is the only affordable option in a region where 500 million people lack access to electricity. The cost of solar and wind have fallen by up to 80 percent in some markets, but in places such as Bangladesh or parts of China it can still be double that of coal.

“We have to meet the basic needs of people while pushing for energy transition at the same time,” said Yongping Zhai, an adviser on energy to the Asian Development Bank. “You will need a mixture of different fuels. Coal will be there. You cannot avoid it.”

Canceled half its plans

China canceled half its planned additional coal-fired generating capacity over the past year but will still add 100 gigawatts by 2020, according to Xizhou Zhou, who heads the Asian gas and power practice for IHS Markit, a research firm. He said Asian countries are due to add 180 gigawatts out of a global total of 210 gigawatts.

“It’s true that we are seeing a slowdown in coal plant additions, but that doesn’t mean that demand will stop increasing or that they won’t need to build coal plants,” Zhou said.

In China, construction of power plants totaling more than 300 gigawatts was suspended following last year’s release of the latest five-year economic development plan, according to the CoalSwarm report.

On Saturday, Beijing’s last major coal-fired power plant was shut down under plans to switch the Chinese capital to gas and other power sources.

China’s power demand is cooling due to official efforts to reduce reliance on heavy industry and encourage services and technology, said Zhou. He said that might lead to higher demand in India or Southeast Asia if manufacturing of products such as smartphones that require glass, metal and other energy-intensive components migrates there.

“You have a lot of countries that could become a new manufacturing hub but still rely on coal-fired power,” he said.

No new coal-fired capacity

India’s government said in December it needed no new coal-fired capacity until at least 2027. But industry leaders expect work to resume on power projects that have been suspended.

Analysts also warn India is just setting out on a vast and energy-hungry process of building highways and other infrastructure, while China has completed that cycle.

“What happens in India is still an open question,” said Navroz Dubash of the Centre for Policy Research, a New Delhi think tank. “It’s important not to switch from the point of view that coal is inevitable to coal is unnecessary. I don’t think we’re there yet.”

In Japan, the amount of power generated from coal should fall by 40 percent from 2015 levels by 2030 due to lower demand and more use of alternative sources, the IEEFA report said.

“The economic arguments will win out,” said Paul Fisher, an economist at Cambridge University’s Institute for Sustainable Leadership. “Once the financial sector sees that it’s not in their interest to finance fossil fuels, we’ll get there.”

From: MeNeedIt

This Week in History: Obamacare Clears Final Legal Hurdle in 2010

“This legislation will not fix everything that ails our health care system, but it moves us decisively in the right direction.”

Those were the words of then-President Barack Obama just after the U.S. House of Representatives voted 219-212 to overhaul the nation’s health care system seven years ago this week.

“This is what change looks like,” Obama added.

From President Harry Truman in 1948 to President Bill Clinton in 1993, making healthcare affordable to all Americans had been a struggle. Efforts to reform the complex, patchwork health care system, marked by skyrocketing costs and unaffordable insurance premiums, failed.

The Affordable Care Act (ACA), widely known as “Obamacare,” was designed to grant access to health care to millions of uninsured Americans.

Reform meant cobbling together the interests of politicians, for-profit hospitals, medical professionals, insurance and pharmaceutical companies — not to mention ordinary Americans.

Obama staked his first term in office on health care reform; it became his signature issue shortly after taking office in 2009.

From the start, the backlash was immediate. After winning passage of the bill — without a single Republican vote — then House minority leader John Boehner warned, “If we pass this bill, there will be no turning back….It will be the last straw for the American people.”

Opposition to Obamacare also prompted this nasty outburst during a joint address before Congress in September 2009.  

South Carolina Republican Joe Wilson accusation “You lie!”  was unprecedented. Wilson later apologized, but received a formal reprimand by his colleagues in the House nonetheless. 

That vehement opposition to the ACAwould come back to haunt the White House in 2016, when business mogul and then-presidential candidate Donald Trump made the repeal of Obamacare a key part of his platform.

Individual mandate

Among the most controversial parts of the former president’s bill was a measure that penalized Americans who did not buy into a so-called online health care exchange to buy insurance. 

Here’s how the Obama administration explained it on its own ACA website:

“If you can afford health insurance but choose not to buy it, you must pay a fee called the individual shared responsibility payment. (The fee is sometimes called the “penalty,” “fine,” or “individual mandate.”)”

One of the main promises of the bill, which did not go into effect until 2014, was affordable insurance premiums. Under Obamacare, adult children are allowed to stay on their parents’ health insurance plans until the age of 26, and insurance companies are barred from refusing to cover people with “pre-existing conditions.”

But the reality of the cost of Obamacare ended up being far less simple than that — and political opposition grew as some people who signed up for Obamacare found their premiums were far more expensive than expected. 

Once in place, it also was unclear as to exactly how many Americans who previously were not covered now had insurance because of the ACA.

Estimates on the number of Americans who remained uninsured after Obamacare went into effect ranged from 20 million to more than 31 million, depending on who was calculating and how.

The website Obamacare Facts, run by Media Solutions, an independent group that claims to have no ties to any political party, states the following:

“The ACA has increasingly reduced the uninsured rate each year, 20 million plus is a good current answer to how many are covered between all coverage provisions. The specifics change based on what report we are discussing, what methodology they are using, and what demographics are being considered.”

 

Uphill task of repeal

President Trump has stood by his promise to roll back Obamacare, calling the legislation “a mess.”  

Even before his swearing-in back in January, Trump acknowledged the difficulty of doing so, and even said he is considering keeping parts of the ACA intact, in an exclusive interview with The Wall Street Journal. 

Trump made the same policy shift during an appearance on CBS’ “60 Minutes,” which aired three days after the November election.

Obamacare is still in effect.

But, earlier this month, Republicans introduced its replacement: the American Health Care Act, and after sharp criticism from some conservatives, have offered modifications.

Still, most experts agree the president and the Republican Party are going to make changes — perhaps little by little, and not in one sweeping legislative gesture, as predicted by former Republican House Speaker and Trump adviser Newt Gingrich. 

“I think this bill has to be seen as the first of three or four bills and, therefore, it will not satisfy someone who wants a full blown repeal,” Gingrich said during an interview on The New York Times’ “The Daily” podcast. 

“But to get something thru [sic] the Senate with 52 senators, I think you have to write a narrower bill, and try to come back this fall and write a bill that can get 60 votes.”

From: MeNeedIt

Environment Activists Deny Attacking Dakota Access Pipeline

Authorities in South Dakota and Iowa on Tuesday confirmed incidents of vandalism against the Dakota Access oil pipeline in which someone burned a hole through an empty section of pipe.

Texas-based pipeline developer Energy Transfer Partners said in court documents Monday that there have been “recent coordinated physical attacks along the pipeline that pose threats to life, physical safety and the environment.” The company didn’t provide further details, including the locations of the attacks, and ETP spokeswoman Vicki Granado on Tuesday declined comment.

South Dakota attorney general’s office spokeswoman Sara Rabern confirmed one incident of what she called “felony vandalism” southeast of Sioux Falls on Friday. Lincoln County Sheriff’s Deputy Chad Brown said it happened at an above-ground valve site that had no fencing or other security.

“When deputies arrived, they observed what appeared to be a hole in the pipe, and it looked like there was burn around the hole,” Brown said, adding it was possible the vandalism was done with a blowtorch.

In Iowa, Mahaska County Sheriff Russell Van Renterghem said it appears someone used a torch to cut a hole in the pipeline at an above-ground safety valve site southeast of Des Moines. He said it appears the culprit maneuvered under a fence around the facility. The incident was discovered March 13.

Local, state and FBI officials are investigating the incidents. No suspects were immediately identified in either case.

The $3.8 billion pipeline runs 1,200 miles through the Dakotas, Iowa and Illinois. State officials in North Dakota, Iowa and Illinois on Tuesday said they were not aware of any pipeline attacks in their states.

Company attorney William Scherman said in the court documents that ETP still plans to have oil flowing this week through the pipeline.

Environmental activists who tried to disrupt some oil pipeline operations in four states last year to protest the Dakota Access pipeline said Tuesday that they weren’t responsible for any recent attacks on that pipeline.

Jay O’Hara with the Climate Disobedience Center told the AP that Climate Direct Action wasn’t involved, and he wasn’t aware of anyone claiming responsibility.

In October, Climate Direct Action activists tried to shut valves on pipelines in North Dakota, Minnesota, Montana and Washington to show support for Dakota Access opponents. Other than that, “we have nothing in the works,” O’Hara said.

The Red Warrior Society, a pipeline protest group that advocated aggressive tactics such as confrontations with pipeline security and police in North Dakota last year, didn’t immediately respond to a request for comment Tuesday.

Jan Hasselman and Nicole Ducheneaux, attorneys for the Standing Rock and Cheyenne River Sioux tribes, who are leading the legal battle against the pipeline, said the tribes don’t encourage or condone acts of violence against pipeline property.

The company’s reports of attacks didn’t change the plan of authorities in North Dakota to reopen a stretch of highway that was closed for months due to pipeline protests. Part of state Highway 1806 was shut down in late October after a bridge was damaged by fires during protests.

Authorities on Friday began allowing public traffic with the assistance of pilot cars escorting vehicles over the 9-mile stretch near the site where pipeline opponents camped for months. The camps were cleared out and shut down late last month in advance of spring flooding season.

The highway was being fully reopened without pilot cars at midday Tuesday, according to Morton County sheriff’s spokesman Rob Keller.

Authorities also are slowly shuttering a law enforcement staging area that was set up last summer in the protest camp area. There is no set timeline for removing the last officers and structures, but Keller and state Emergency Services spokeswoman Cecily Fong indicated it’s likely to happen soon after oil begins flowing through the pipeline.

“That’s going to be the sort of flash point for us,” Fong said.

 

From: MeNeedIt

Twitter Cracks Down on Terrorism-related Accounts

Twitter suspended more than 376,000 accounts in the second half of 2016, most of which it said were promoting terrorism.

Most of the accounts, 74 percent, were removed by proprietary software, the company said in its latest transparency report. The software reportedly determines a terrorism related account through how it behaves, rather than what it posts, saying the accounts have “distinctive behavior.”

Two percent of the accounts were suspended by various government requests, according to Twitter.

The number of suspensions is three times more than the social media site deleted in the last half of 2015.

In total, the company says it suspended 636,280 accounts from August 1, 2015 to December 31, 2016.

The report comes as Facebook and Google are wrestling with how to prevent objectionable content from their sites.

From: MeNeedIt

New Hospital to Serve 50,000 Impoverished Haitians

Fifty thousand Haitians will have access to quality health care for the first time after a modern new hospital opened Monday in the isolated and impoverished Cotes-de-Fer region.

The Bishop Joseph M. Sullivan Center for Health will serve those who, until now, had to travel for hours on rough roads for treatment.

The new hospital is a project of the nonprofit charity Catholic Medical Mission Board. The U.S.- based group Mercy Health contributed $2 million for construction costs.

“With active involvement of the community and an emphasis on training and knowledge sharing, the health center will strengthen the local health system in a long-term and sustainable way,” said CMMB’s director in Haiti, Dr. Dianne Jean-Francois.

Along with an emergency room and pharmacy, the new hospital will give pregnant women a place to deliver their babies, along with postnatal and pediatric care.

The hospital also has plans for expansion for dental and ophthalmology clinics.

From: MeNeedIt

Newest Technologies Becoming Weapons in Fight for Land Rights

Cutting-edge technologies — from drones to data collected by taxi drivers — are becoming key weapons in the global battle to improve land rights and fight poverty, experts said Monday.

Advances in earth observation, digital connectivity and computing power provide an array of information, from detailed topographical maps to transportation use, that was previously unimaginable, geospatial experts said at a World Bank Conference on Land and Poverty.

The information collected can be instrumental to helping establish property records and land titling systems in countries where there is no formal ownership or land-use documentation.

Drones help map Africa

Survey-mapping drones may look like toys but are powerful machines having a huge impact on land-use planning in Africa, said Edward Anderson, a senior World Bank disaster management expert.

High-quality, high-resolution images taken by drones in Zanzibar identified nearly 2,000 new buildings in one 12-month period alone, he said.

The mapping exercise, budgeted at $2 million in 2005, was completed at a tenth of the price by local university students operating the small, light, unmanned drones, Anderson said.

“Coastal zones are developing and urbanizing so quickly, waterside areas are being developed into hotels, residential properties,” he said.

“Until now, there was no way of quantifying this change and making comparisons,” Anderson said.

Massive growth exposed

While more than 87 percent of the land mass of Europe is mapped at a local level, such maps exist for only about 3 percent of the entire African continent, he said.

A project using drones in Mauritania, a country twice the size of France but with a population of less than four million, has allowed authorities to document the massive growth of cities such as its capital, Nouakchott, said University of Arizona professor Mamadou Baro.

Originally established in 1959 with fewer than 5,000 residents, Nouakchott is the largest city in the Sahara and home to more than 1.5 million people.

“This is placing huge pressure on social infrastructure and chaos in the development of the city,” Baro said. “Drones are very helpful in attempting to manage and track this kind of enormous growth.”

Private companies that collect data as part of their businesses are being encouraged to share with state planning authorities as well, said Holly Krambeck, a World Bank transport planning expert.

Taxi drivers track roads 

GPS data collected by taxi drivers is helping to design plans for infrastructure and roads in countries such as Brazil and in North Africa, she said.

The shared data comes through agreements with technology companies such as Grab that operates ride-hailing and logistics services apps in Southeast Asia, including the Philippines, Thailand, Vietnam and Indonesia.

Using technology can also help identify new sources of tax revenue, experts said.

In Tanzania, improved mapping data revealed that up to two-thirds of properties in secondary cities were not on the tax rolls, they said.

From: MeNeedIt

Experimental Vaccine Protects Against Two Strains of Malaria

An experimental anti-malaria vaccine has been developed that protects against more than one strain of the malaria parasite that causes the mosquito-borne illness.  

The vaccine — tested by principal investigator Kirsten Lyke and colleagues — is called PfSPZ and uses whole, live weakened early versions of the most common form of malaria Plasmodium falciparum (P. Falciparum), called sporozoites.

This early form of the parasite is what’s first injected into humans by an infected mosquito.  

By using the entire sporozoite in the vaccine, the immune system responds to more of the parasite, according to Lyke.

15 healthy adults tested

A study of the vaccine conducted by Lyke and colleagues — published in Proceedings of the National Academy of Sciences — enrolled 15 healthy adults who were assigned to receive three doses of the vaccine over several months.  

Nineteen weeks after receiving the final dose, the volunteers were exposed to bites of mosquitoes carrying one strain of parasite from Africa.

A second group of six controls that was not vaccinated also got exposed to the mosquitoes. They showed signs of malaria and were promptly treated.

Nine of 14 vaccinated participants, or 64 percent, showed no signs of infection after exposure.  

Of the nine, six participants were selected and exposed to a different strain, 33 weeks after the final immunization.

This time, five of the six were protected against this second strain, according to Lyke.

‘Great’ is not good enough

“Which is great, but not good enough,” said Lyke. “I mean, you don’t want to take a vaccine that’s going to give you a two out of three chance of being protected. So we have to improve on that and get it up to as close to 100 percent as we can. But at least we’ve established that we can get very high protection in six months and we’re seeing cross-strain protection.”

The agent would offer broader protection against a disease that kills mostly young children in sub-Saharan Africa.  

According to the World Health Organization, 212 million people were infected with the mosquito-carrying parasite in 2015, and 429,000 died.  

There are four types of malaria parasite that typically infect people. The most common and deadly is Plasmodium falciparum, which goes through a number of life-cycle stages during which the parasite evolves into a different form.  

That is what makes it difficult to develop a vaccine.  

Multiple strains a problem

The problem is further complicated by the fact that P. falciparum can mutate and develop into multiple strains.

Lyke said this is particularly true in Africa, in places where the disease is common.

“The falciparum malaria that is so endemic, there’s a lot of genetic change that occurs because it’s so prevalent in the population. And that contributes to different strains of the falciparum malaria so that you know any vaccine that we’d want to introduce we would want to make sure that it broadly covers multiple different strains of falciparum malaria,” said Lyke.

Clinical trials of the early vaccine, produced by the company Sanaria, also are going on in Africa, including in Burkina Faso, Kenya and Bioko Island off of Africa’s west coast.

From: MeNeedIt

African Region to Receive $45 Billion in Development Aid

The World Bank reports Africa will receive the bulk of the $75 billion the International Development Association, or IDA, will spend to finance life-saving and life-changing operations over the next three years mainly in 30 of the world’s poorest, most fragile countries.

The IDA is a part of the World Bank which supports anti-poverty programs in the most poor developing countries through long-term, no interest loans.

The World Bank reports the African region will receive $45 billion of the $75 billion allocated for development purposes. It says other recipients will include small Pacific island states threatened by climate change and fragile countries in the Western Hemisphere, such as Haiti.

The fund, which runs from July 1 through June 30, 2020, also will support specific development projects in 82 additional fragile states, including Guinea, Nepal, Niger, and Tajikistan.

Axel van Trotsenburg, vice president for Development Programs at the World Bank, says the aid package will make a huge difference in the lives of hundreds of millions of people. For example, he says it could deliver essential health and nutrition services for up to 400 million people.

“We will or expect to train up to 10 million teachers to benefit 300-plus million children. We intend to immunize between 130 and 180 million children… and would undertake investments that could improve the access to improved water resources for up to 45 million people,” he said.

Long-term and emergency assistance 

While IDA is largely focused on supporting long-term development projects, it does have provisions for helping people in crisis situations. Van Trotsenburg tells VOA that IDA has just announced a $1.6 billion support package for emergencies, with critical support going for famine relief in Yemen, South Sudan, Somalia, and northern Nigeria, where an estimated 20 million people are at risk of famine.

“The financial support will be a combination of recently approved operations that we have been in the last six, eight months that were already started to target, for example, the north of Nigeria to the remaining resources that are still available in our crisis response window,” he said.

Van Trotsenburg says IDA still has about $360 million left over from development projects executed over the past three years. He says that money will be used for famine relief.

From: MeNeedIt

Ben Stiller Leads Online Somalia Aid Campaign

A group of celebrities led by Hollywood actor Ben Stiller has joined a social media campaign to send food and water to Somalia through Turkish Airlines.

Last weekend, the group raised more than $1 million online in less than 24 hours. Stiller said in a Twitter message posted Monday that the money has been used to purchase 60 tons of food that the airline will fly to Somalia next week. 

Somali diaspora youth groups have been spearheading a similar movement online, following warnings from the U.N. that more than six million Somalis are at risk of severe malnourishment and starvation because of drought. 

Celebrities got involved at the urging of French Snapchat star Jerome Jarre, who launched a movement called Love Army for Somalia last Wednesday.

After the group began raising donations online, they convinced Turkish Airlines to help deliver one immediate aid shipment to Somalia’s most vulnerable people, prompting the airline to create a Twitter hashtag, #TurkishAirlinesHelpSomalia.

Celebrities who have made donations include American football quarterback Colin Kaepernick, NBA player Wilson Chandler, YouTube star Casey Niestat and Scottish record producer Calvin Harris.

“And Jerome wants to keep this thing going, because he believes we can raise a lot more money and do a lot more good and really make a dent in what’s going on over there,” Stiller said Monday.

Total donations had risen to more than $1.8 million as of Monday, according to the “Love Army for Somalia” site on GoFundMe, a social fundraising platform.

“For the first flight, we will buy the food in Istanbul, as a thank you to our Turkish friends that support the movement!” said a message on the page. “Later on, we are hoping to learn how to buy food directly from local businesses in Somalia. We want to support the Somalian economy.”

Turkish Airlines was the first carrier outside East Africa to establish regular service to the Somali capital, Mogadishu.

Turkey has become one of the most prominent donors in Somalia, eclipsing many traditional donors both in quantity and quality of its assistance.

Likewise, Ankara has become a major trading partner with Somalia, particularly in the construction, transportation and service sectors, according to a report by Heritage Institute for Policy Studies, a Mogadishu-based research group.

From: MeNeedIt