Africa

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By Kenton X. Chance
KINGSTOWN, Mar 14 2019 (IPS)

From an influx of sargassum in near-shore waters, to fish venturing further out to sea to find cooler, more oxygenated water, fishers in St. Vincent and the Grenadines are battling the vagaries of climate change. The country is doing what it can to respond.

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The post Helping St. Vincent’s Fishers Maintain an Essential Industry in a Changing Climate appeared first on Inter Press Service.

A cigarette vendor in Manila sells a pack of 20 sticks for less than a dollar. Credit: Kara Santos/IPS

By Wendell Balderas and Mary Assunta
BANGKOK, Thailand, Mar 14 2019 (IPS)

International Women’s Day on 8 March recognized and celebrated the progress women are making globally. The day also acknowledged the risks, exploitation and suffering many continue to endure.

The Southeast Asia Tobacco Control Alliance (SEATCA) puts the spotlight on the tobacco industry’s marketing tactics targeting women and girls especially in Asia to market its deadly products.

While smoking prevalence among females remains relatively low in Asia, smoking rates among adolescent girls in the Philippines, Malaysia, and Thailand however are higher than the rate among adult women respectively (9.1% vs 5.8%; 2.4% vs 1.4%; 5.2% vs 1.7%). Despite governments’ efforts to protect public health, tobacco use remains at epidemic proportions.

This is no coincidence. The tobacco industry needs “replacement” customers to maintain and increase its profits, and women and girls are an important market segment which represent the largest product-marketing opportunity the tobacco industry exploits.

Internal tobacco industry documents reveal that the tobacco industry has been notoriously targeting women and girls through their ads and novel products that promote social desirability, independence, sophistication, glamor, romance, and fun.

Women and girls, especially in low and middle-income countries (LMICs), are smoking in greater numbers than ever before. The tobacco industry has been introducing new products framed as “innovation” by refreshing brand marketing devices and imagery to appeal to women and young girls.

Through these product “innovation”, transnational tobacco companies (TTCs) introduce cigarette brands with new characteristics as flavored capsules and flavored filters and packaged and labelled with glitzy promotion.

These so-called innovations are gimmicks on specific product designs including filters, capsules, flavors, shape, color and perceived product’s strength or mildness.

Credit: Bigstock

Some of the tobacco industry’s deceptive tactics which blur the truth about the hazards of tobacco and instead promote smoking in developing countries among women and girls include the following:

• • In Indonesia, Malaysia and Singapore, some cigarettes brands are in “Lipstick” packs. Female-targeted elegant slims or super slim cigarettes are also packaged in slimmer packs and influences beliefs about smoking and weight control – an important predictor of smoking behavior among women.

 

• • In Malaysia, Cambodia and Vietnam “Less smoke smell (LSS)” technology has been used to promote cigarettes designed to reduce secondhand smoke odor.

 

• • Kiddie packs (10 to 12 sticks) are also available in Indonesia and the Philippines.

 

• • Flavor capsules in cigarettes are becoming increasingly popular and increase attractiveness of smoking. Some cigarettes sold in Cambodia, Indonesia, Malaysia, Philippines, Singapore and Vietnam have capsule filters that can be crushed to release additional menthol or other flavoring.

 

• Colors play an important role to enhance cigarette packaging and labeling to represent flavors and strength within brand families. The brand image is created by attention-grabbing designs and appealing colors to indicate flavors (such as strawberry, orange and apple) and communicate the false impression of lower tar or mild cigarette. Gold and silver convey ‘low-tar’, green for menthol and blue for ‘light’ or icy/cool.

To divert public attention away from the harm and damage caused by the industry, the TTCs have been conducting public relations stunts about employment and gender equity.

Philip Morris International boasted an ‘Equal-Salary certification’ it received, conveniently timed for International Women’s Day. TTCs routinely receive an obscure ‘top employer’ awards while simultaneously fighting smoke-free policies.

According to the US Centers for Disease Control and Prevention (CDC), “a woman’s risk of dying from smoking has more than tripled and is now equal to men’s risk”. This means that women are also at higher risk for heart attacks, strokes, lung cancer, emphysema, and other serious chronic illnesses such as diabetes.

A sudden concern for smoking is the new public rhetoric of the tobacco industry to justify a new range of so-called “less harmful” products such as heated tobacco products, while simultaneously selling regular cigarettes which form the bulk of their profits.

The current sixty-third session of the Commission on the Status of Women (CSW) at the United Nations Headquarters in New York, (11 – 22 March) is expected address women empowerment and their vital roles as agents of development in making progress across all Sustainable Development Goals (SDGs) and targets.

It is timely to discuss the tobacco epidemic among women especially in the LMICs and the concerted effort governments must make to curb this scourge.

Preventing an epidemic of tobacco-related diseases among women in the LMICs is one of the greatest public health opportunities for governments of our time. The global health treaty, WHO Framework Convention on Tobacco Control (FCTC) has been explicitly identified as a means to achieve the SDG health goal.

Steps governments should take to prevent this epidemic include banning tobacco advertising and promotions such as pack displays and applying plain packaging which requires cigarette packs to be sold in a standardized size, shape, and drab brown color, free of any logos or images.

In September 2019, Thailand’s legislation on standardized packaging of tobacco will take effect and Singapore will follow soon. Standardized packaging removes the attractiveness of tobacco products and reduces the ability of tobacco packaging to mislead consumers about its harmful effects.

Other equally important actions in the FCTC include increasing tobacco taxes and making public and work places 100% smoke-free.

*SEATCA is a multi-sectoral non-governmental alliance promoting health and saving lives by assisting ASEAN countries to accelerate and effectively implement the evidence-based tobacco control measures contained in the WHO FCTC. Acknowledged by governments, academic institutions, and civil society for its advancement of tobacco control movements in Southeast Asia, the WHO bestowed on SEATCA the World No Tobacco Day Award in 2004 and the WHO Director-General’s Special Recognition Award in 2014.

The post Tobacco Industry Targets Women in Asia appeared first on Inter Press Service.

Excerpt:

Wendell Balderas is Media & Communications Manager & Mary Assunta is Senior Policy Advisor, Southeast Asia Tobacco Control Alliance (SEATCA)*

The post Tobacco Industry Targets Women in Asia appeared first on Inter Press Service.

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In the panel on Hanseniasis versus Leprosy, the need to change the name of a disease surrounded by stigma with no scientific basis was debated, during the Latin American and Caribbean Assembly of Organisations of People Affected by Hansen's Disease, in Rio de Janeiro, Brazil. Credit: Fabiana Frayssinet/IPS

By Fabiana Frayssinet
RÍO DE JANEIRO, Mar 13 2019 (IPS)

Known scientifically as Hansen’s disease, leprosy carries a symbolic burden from the past that people affected by the disease and experts from around Latin America are fighting, including the terminology used.

The debate took place during a panel called Hanseniasis versus Leprosy, at the First Latin American and Caribbean Assembly of Organisations of People Affected by Hansen’s Disease, taking place in Rio de Janeiro, Brazil Mar. 12-14.

“People still use the term leprosy as an instrument of prejudice and discrimination, but that causes those affected to be afraid and to refrain from seeking medical attention and early treatment,” Francisco Faustino, a Brazilian who received treatment and was cured, told IPS."We're not going to change Hollywood movie concepts about lepers, nor the biblical stories. What we need to change are attitudes. It's as if we have to create a new concept, work on a new product. No bank would be called a 'bankrupt corporation' because everyone would be afraid to put money in that bank." -- Artur Custodio

The activist is a member of the Movement for the Reintegration of Persons Affected by Hanseniasis (MORHAN), which organised the conference together with the Colombian National Federation of Organisations of People Affected by Leprosy.

The meeting brings together international institutions and representatives from seven Latin American countries along with others from the industrialised North and is being held with the special support of the Brazilian Health Ministry and the independent Nippon Foundation, which is accompanying the process of regional meetings ahead of the World Congress on leprosy, to take place in the Philippines in September.

Brazil is the only country that has replaced the word leprosy in its health campaigns. Hansen’s disease or hanseniasis is often used as official terminology in most countries along with leprosy, while the World Health Organisation (WHO) uses Hansen’s disease as a second name but still mainly uses the term leprosy.

Regardless of what name is used, this country is the only one in the Americas that, according to official data, has failed to eliminate the disease, and is the one that accounts for 95 percent of the roughly 30,000 new diagnoses annually in Latin America.

Organisations such as the Brazilian Society of Hansenology say the number of unregistered cases could be four or five times that.

WHO considers the disease eliminated when there is less than one case detected per 10,000 inhabitants.

Faustino attributes this largely to the “prejudice still surrounding the term.” “We hope that the health community will change its stance and begin to treat it as a disease that has a diagnosis, treatment and a cure,” he said.

He continues to suffer stigma and discrimination even now that he is cured. “People still think it’s a disease that is spread merely by contact, by being near you,” he said.

According to the Pan-American Health Organisation (PAHO), “Leprosy is transmitted via droplets, from the nose and mouth. Prolonged, close contact with someone with untreated leprosy over many months is needed to catch the disease. You cannot get leprosy from casual contact with a person who has Hansen’s disease.”

PAHO and WHO explain that leprosy is caused by a bacillus, Mycobacterium leprae, also known as Hansen’s bacillus. It is infectious and chronic, multiplies very slowly and the incubation period is on average about five years, although some people do not show symptoms until 20 years later.

Francisco Faustino, who had leprosy and was completely cured, is a Brazilian activist who advocates replacing that term with hanseniasis, as he explained during a special panel at the Latin American and Caribbean Assembly of Organisations of People Affected by Hansen’s Disease, held in Rio de Janeiro, Brazil. Credit: Faiana Frayssinet/IPS

The disease mainly affects the skin, the peripheral nerves, the mucosa of the upper respiratory tract, and the eyes. If left untreated, it can lead to nerve damage, loss of feeling and paralysis of muscles in the hands, feet and face.

Artur Custodio, coordinator of Morhan, recalled that in ancient times leprosy was the name given to a group of diseases such as syphilis, elephantitis, vitiligo, and today’s hanseniasis.

“Biblical leprosy refers to scaly skin, dirtiness and sin, and hanseniasis is nothing like that. We have to give a new meaning to this disease in order to combat the stigma. The word is strong,” he told IPS.

“We’re not going to change Hollywood movie concepts about lepers, nor the biblical stories. What we need to change are attitudes. It’s as if we have to create a new concept, work on a new product. No bank would be called a ‘bankrupt corporation’ because everyone would be afraid to put money in that bank,” he said, by way of comparison.

Custodio said the debate on the name and the burden of its meaning is also occurring in countries such as Colombia, Japan and the United States.

“This is an important movement. Words do carry stigma. The word used for a name is a strategy,” he maintained.

Luciano Curi of the governmental Federal Institute of the Mineiro Triangle in Brazil did research for his doctoral degree on the history of ancient, medieval and modern leprosy that convinced him that the term did not refer to today’s hanseniasis.

“Treating it as a synonym, in addition to lacking a historical and scientific basis, is very dangerous. The leper of the ancient and medieval world was seen from a religious foundation, and was associated with the impure. And hanseniasis is seen from a medical point of view. The first medical works date back to the 19th century, when the disease began to be understood scientifically,” he told IPS.

The figure of the leper, he said, existed in several ancient populations of the region of Mesopotamia or Egypt, and also among the Hebrews, and they were seen as having “some kind of spiritual pollution,” while priests were instructed to expel them.

In Brazil and other Latin American countries, this definition led them from exclusion to isolation, in leper colonies isolated from everyone, including their families, until the mid-twentieth century.

According to Curi the “change of terminology is urgently necessary.” He noted that Brazil was a pioneer in changing other terminologies. “We don’t say ‘madness’ any more, we say ‘mental illness’, we no longer use the word ‘plague’. That effort, at a worldwide level, is important. The name is not a minor issue,” he argued.

Jorge Domínguez, a representative of Peru’s Health Ministry, also told IPS that the name “leprosy” does not help bring patients in for consultations in health clinics.

During his 10 years working as regional coordinator of Hansen’s disease in the province of Alto Amazonas, bordering Ecuador, he witnessed numerous cases of people “hiding” from the health authorities for fear of being sent to the “leprosarium”, as some Latin American countries called these now-abolished institutions, some of which were virtually citadels.

“It was just like during the times of Christ, when lepers were banished and isolated. The same thing happened in the jungle. When I started to work, I went to visit once and there was a person who had leprosy and was shunned by his own family. They had made him a room and passed his food to him under the door,” said Domínguez, a nurse by profession.

“People’s lack of knowledge about the disease was very great,” he said.

Domínguez pointed out that in their health network they began to work on “the issue of stigma and rejection,” training doctors and nurses mainly “because there were even some who hid when they saw a patient with leprosy.”

That campaign reduced the number of reported cases of leprosy in his region from 35 or 45 a year, to between eight and 10 today.

“No matter how much awareness-raising we have done through the media, many people still get scared. Changing the terminology would help people avoid discrimination,” he said.

But above and beyond the question of terminology, Dominguez believes that research on a disease about which very little is known should be strengthened.

“Why does it affect some people more than others? Why are there so many cases in Brazil and we have so few of them, and people living along the border don’t get it?” he wondered.

“It is also important to strengthen communication, and information for the public. The treatment for Hanseniasis, which lasts six months to a year, is free, the disease is curable, and even people who already have suffered damage can mitigate it,” Custodio concluded.

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The post In Latin America, the Term Leprosy Still Carries a Burden from Biblical Times appeared first on Inter Press Service.

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Former rebel fighters from South Sudan’s civil war, manually packing improved sorghum seed in Yambio, South Sudan. over 1,900 ex-fighters have been taken through rehabilitation programmes, and have been released to join vocational training and engage in agribusiness, with others being integrated into organised forces. Credit: Isaiah Esipisu/IPS

By Isaiah Esipisu
YAMBIO, South Sudan, Mar 13 2019 (IPS)

Almost a month to go ahead of the traditional rainy season in Gbudue State, 430 kilometres west of South Sudan’s capital, Juba, smallholder farmers are already tilling their land as they prepare to plant purer, drought-tolerant seeds.

“We are preparing our land this early because we are never sure when it is likely going to rain, and yet we cannot afford to miss out on the seed production programme, which is our new source of livelihood,” said Antony Ezekiel Ndukpo, a father of 19 children and a smallholder farmer based in Yambio region.

Africa’s youngest nation does not have reliable weather and climate information services, and this forces farmers to rely on traditional methods of forecasting, which are no longer accurate due to what experts say is climate change. However, the process of multiplying drought-tolerant seed is being taught to local farmers through a new initiative meant to promote peace in the country.

The Alliance for a Green Revolution in Africa (AGRA), in collaboration with the Gbudue State and the Netherlands government, is working with a local seed company and local smallholder farmers to produce fast-maturing improved seeds of different, drought-tolerant crop varieties that can be planted in the coming seasons by thousands of young men and women fighters who are returning home from the conflict.

Since 2013, South Sudan has experienced war between the government and opposition chiefs, which has led to deaths of thousands and the displacement of hundreds of thousands. According to the United Nations, since 2013 “more than 2.2 million refugees have fled across the border, famine in some areas, and a devastated economy.”

Antony Ezekiel Ndukpo with a packet of certified maize seed that he and other smallholders like him have produced in Gbudue State. Local smallholder farmers are being taught to produce fast-maturing improved seeds of different drought-tolerant crop varieties. Credit: Isaiah Esipisu/IPS

Farmers are taught how to take the pure versions of breeder’s and foundation seed and produce certified seed.

Breeder’s seed is produced from a pure or nucleus seed. This is further bred under supervised conditions into foundation seed for the sake of producing certified seed.

“As much as we are seeking peace, we must face the reality and use climate-smart techniques so as to make a meaningful change especially for a country that has just been at war,” said Dr Jane Ininda, a plant breeding expert at the AGRA.

“We need to give farmers drought-tolerant seeds because we are never sure of the climatic conditions ahead, and we need fast maturing varieties to escape the drought in case the duration of the rainy season turn out to be too short,” Ininda told IPS.

Over the course of the last six years a number of peace agreements have been signed, and as a result, many young people who had been recruited by rebel groups have begun returning home. In order to reintegrate them into normal life, the government wants them to start engaging in income-generating activities.

Previously “the government could apprehend and imprison all the ex-fighters returning from the bush,” Pia Philip Michael, the Gbudue State Minister for Education, Gender and Social Welfare, told IPS in an exclusive interview. “But we later found that most of them were children aged between 12 and 17 years, and the best way to help them was to draft a re-integration proposal and implement it.”

According to the minister, nearly all the returnees confessed that they joined the rebel groups because they were promised a constant salary of 200 dollars every month, and “this points to a livelihood issue,” he said.

According to the Governor of Gbudue State, Daniel Badagbu, guns cannot be used to win the war. “All we need is to create jobs, especially for the youth by introducing them to agribusiness and giving them livelihood skills through vocational trainings,” he told a United Nations Mission that visited Gbudue State late February.

In Gbudue State alone, over 1,900 ex-fighters have been taken through rehabilitation programmes, and have been released to join vocational training and engage in agribusiness, with others being integrated into organised forces.

“Creating livelihoods and economic empowerment is the only way of creating peace,” reiterated Badagbu.

“It all begins with seed,” said AGRA’s Ininda. “If we have to make a difference, then we need to avail certifiable seed to all famers, and it should be compatible with the prevailing climatic conditions,” she told IPS.

Unfortunately, the country does not have a system for seed certification in place. AGRA and its partners were forced to import breeder’s and foundation seed from the National Agricultural Research Organisation (NARO) in Uganda.

With this seed, local seed company Global Agriculture Innovation and Solutions (GAIS) has trained 7,200 smallholder farmers in Gbudue and Lakes States on seed multiplication.

To multiply, the seed has to be planted in an isolated place, so that it does not collect pollen grains from other varieties of maize to maintain purity. The farmers are also taught about agronomic practices and what works best to ensure good quality seed, how to irrigate the seed in low rainfall in order to sustain growth. 

“In the two states, we concentrate on improved seeds of fast-maturing maize varieties, groundnuts, sorghum and cowpeas, which are the most appreciated food crops in these two states,” said Rahul Saharan, the Chief  Executive Officer for GAIS.

The farmers have already produced the first season of foundation seed.

While in most countries these processes are supervised by seed certifying agencies, because there are none present in South Sudan, GAIS does this.

The main aim of the project is to have sufficient seed that can be distributed to many farmers to improve their harvests. The country heavily relies on food aid, and that is evident at the Juba Airports, where the number of United Nations cargo and mission planes outnumber commercial jets.

“We are happy that we can now produce improved seed from our own soils. I believe this will yield better than the seeds we’ve been planting, which were grown in different places with different environmental conditions,” said Ndukpo.

According to the Netherlands Director-General for International Cooperation Reina Buijs, it is only by taking action that peace will prevail in South Sudan.

“It is good to see the government, the private sector, the civil society, the clergy, and the people come together for the sake of peace,” Buijs told IPS. “There can be many nice words on paper, or spoken, but if it does not translate in concrete actions, people cannot believe any more.”

“It feels great to see the donor support being translated into future hope for the people and in implementing the peace agreement,” she said, adding that the Netherlands would be proud to continue supporting such initiatives in South Sudan.

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The post Using Climate-Smart Solutions to Promote Peace in South Sudan appeared first on Inter Press Service.

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