Archive for the ‘WASH’ category

The Worm in Your Water

May 15th, 2013

 

By Dr. Neeraj Mistry, Managing Director of the Global Network for Neglected Tropical Diseases

This post is part of a series created in partnership by WASH Advocates and Women Deliver. For more information, please contact Cecilia Snyder csnyder@WASHadvocates.org and Janna Oberdorf joberdorf@womendeliver.org

To remind ourselves why it is so vitally important to make improvements to water, sanitation and hygiene (WASH), all we need to do is take a look at what’s in the dirty water. Lurking in infested water sources are parasitic worms that cause diseases such as human hookworm and schistosomiasis. These infections spread easily in communities that don’t have access to clean water or sanitation facilities.

Hookworm, schistosomiasis and other neglected tropical diseases (NTDs) infect more than 1 billion people around the world.

For women and children, NTDs are especially concerning. They are more likely to come into contact with NTDs while doing basic chores, like laundry or collecting water, bathing, or even just playing outside.

The effects of constant infection and re-infection can be devastating. For the estimated 40 million women of reproductive age infected with hookworm, the infection can cause serious health risks during pregnancy, including anemia. During childbirth, these women have a higher likelihood of experiencing complications and even death. Approximately 19 million girls and women are infected with a strain of schistosomiasis that makes them three to four times more likely to contract HIV.

That’s not all. Several NTDs can cause malnutrition and stunt a child’s physical growth throughout their childhood. They can also reduce a child’s ability to attend and perform well in school.

Luckily, the effects of these diseases can be controlled with simple medical interventions – most of which are donated by pharmaceutical companies; but, WASH improvements are what will make these treatment programs sustainable over the long term.

If we want to markedly improve maternal and child health and allow girls to learn and grow to their fullest potential, we must address NTDs. WASH improvements can help control and protect people from many NTDs. By combining these improvements with regular treatment programs, we can see the end of these diseases as early as the end of this decade.

Why NTDs?

January 15th, 2013

 

NTDs are tied to nearly every major global health issue we face today – water and sanitation, HIV/AIDS, malnutrition, maternal and child health, to name a few – and impact many socio-economic issues, such as the success of programs to improve education, women and girls’ empowerment and economic development.

To highlight the relationship between NTDs and other major global issues and to show how important it is to help fight these diseases, the Global Network put together a few new videos.

NTDs & Water

NTDs & Nutrition

We fight these diseases because of the horrific impact that they have on poor communities, and because we know they can be beaten by the end of this decade.

What’s an NTD to do without WASH?

December 18th, 2012

 

By Anupama Tantri

The magnitude of the problem is significant…   

783 million people do not have access to safe water.

2.5 billion people do not have access to adequate sanitation.

1.5 billion people are infected with a neglected tropical disease (NTD), including more than 500 million children.

…and it doesn’t take much to recognize that inadequate water supply, limited access to sanitation facilities and poor hygiene are major contributing factors to the spread of diseases such as NTDs. We know that in addition to drugs to treat and control NTDs, improvements to water, sanitation and hygiene (WASH) can help prevent re-infection and contribute to lasting health, education and economic improvements.

The challenge is figuring out how to reach communities and enable these WASH improvements and NTD control activities. NTDs are considered diseases of neglected people because they affect the most marginalized, hard-to-reach communities.  NTDs prevent children from growing and learning and they reduce adults’ economic productivity and ability to care for their families. NTDs perpetuate poverty. These same communities don’t have access to water or sanitation, and women frequently walk many miles and spend several hours a day carrying 40 pounds of water on their heads just to supply the most basic needs for their households.   » Read more: What’s an NTD to do without WASH?

Could alcohol-based hand washing be effective in the prevention of NTDs?

July 30th, 2012

By Agustin Caceres

One of the main challenges of fighting neglected tropical diseases (NTDs) in the poorest, most isolated communities of LAC is the lack of access to clean, safe water. It has been demonstrated that this is one of the main risk factors for the transmission of several water-borne diseases and, together with some cultural aspects, is the main burden when it comes to promoting healthy hygiene habits for the prevention of NTDs like soil-transmitted helminths (STH).

Promoting hand and face washing in different communities affected by NTDs, particularly among children, is an important component of projects throughout Latin America and the Caribbean. In Chiapas, for instance, this is one of the main activities carried out as part of the social mobilization strategy of a project supported by the NTD Initiative for LAC for the elimination of trachoma, STH, and the control of other NTDs in this Mexican State.

But, what happens when water is not available? How can we reduce the incidence of diseases related to poor hygiene in challenging settings like childcare centers? In a paper titled A cluster-randomized controlled trial of hand rubs for prevention of infectious diseases among children in Colombia, a group of researchers has concluded that alcohol-based hand rubs are effective in reducing the incidence of some diseases in children aged 1-5, particularly acute diarrhea and acute respiratory infections, in childcare centers. The study took place at 42 childcare centers with sporadic and limited water availability in six towns in Colombia, and participants were randomly assigned to use alcohol-based hand washing as a complement to regular hand washing.

Can alcohol-based hand washing be effective for the prevention of STH or trachoma?

Preliminary evidence indicates this strategy might be worth including as part of projects aimed at the prevention of NTDs; however, the floor is open for discussion.

 

Agustin Caceres is Communications and Outreach Officer at the Social Protection and Health Division of the Inter-American Development Bank (IDB) in Washington DC.