NEW: Drug That Prevents PostPartum Hemorrhage Added To WHO Essential Medicines List

As I have written many times before postpartum hemorrhage (PPH) or excessive uterine bleeding after childbirth is the leading cause of maternal mortality in low-and-middle income countries. The recommended drug to prevent PPH according to the World Health Organization (WHO) is oxytocin. When administered in its recommended dose it causes little to no side effects. Oxytocin, the WHO’s current gold standard therapy, however, must be refrigerated and administered by skilled health workers posing two obstacles to its wider use in low resource, tropical settings.

Some countries have approved misoprostol, an oral drug, to prevent PPH, but there are several concerns that its use can be misappropriated for abortions instead of used solely for PPH. The World Health Organization has listed misoprostol as an alternative to oxytocin if it is not available.

Now, another PPH preventative drug, carbetocin, has been added to the latest updated 2019 WHO Essential Medicines List. The announcement was made last week. Unlike oxytocin, even at high temperatures carbetocin remains effective. The recommendation is that carbetocin can be used when oxytocin is not available or if its quality is uncertain. Additionally, the cost must be comparable to oxytocin.

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Netflix Movie Reveals Grim Reality of Nigeria to Europe Sex Trafficking

Tens of thousands of young Nigerian girls and women leave their country every year with sincere hopes of starting a brand-new life in Europe where they believe they will be met with ample job and educational opportunities to provide for their families. That is what they are often told by “recruiters” in their home states who seek out vulnerable girls (sometimes as young as ten) and women to leave for Europe. Unfortunately, the promises made to them by human traffickers are empty promises. In reality, four out of every five Nigerian girls and women who survive the long, harrowing journey to Europe will end up in the sex trade.

We often read about these stories in the news, but cannot adequately understand the harsh lives these girls and women endure at the hands of their traffickers. Essentially held in modern slavery, the women and girls have a debt placed upon them that they must pay off by prostituting themselves or else face dire consequences, sometimes fatal. Not only are they faced with threats by their Nigerian madams, they are also exploited in the streets where they are susceptible to sexually transmitted diseases, rapes, and physical violence. Wanting to tell these stories, Austrian filmmaker Sudabeh Mortezai wrote and directed Joy, an award-winning drama that shows the harsh and complex realities of these women and girls’ lives as prostitutes.

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First Malaria Vaccine Rolls Out in Malawi

It is heartening to see progress in the fight against malaria. Over the past thirty years and with hundreds of millions of dollars invested thus far, the RTS,S malaria vaccine was officially rolled out yesterday in Malawi. In 2017, I wrote about the vaccine trials that began in 2009 and the announcement of the three countries that had been chosen for the vaccine rollout: Kenya, Malawi, and Ghana. In clinical trials, the vaccine was found to prevent approximately 4 in 10 malaria cases, including 3 in 10 cases of life-threatening severe malaria. Now two years later the vaccine is officially in use to curb the unnecessary deaths of hundreds of thousands of African children under the age of five. The Malaria Vaccine Implementation Program will continue through 2022.

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5 Wines That Give Back to the Environment #EarthMonth

Through the end of the month products with a purpose will be highlighted that give back to the environment from the oceans to the forests to the wetlands. If you are a wine drinker, here are five wine companies whose charitable giving goes to bettering the earth and help you drink for great causes.

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Book Review: Reframing Poverty: New Thinking and Feeling About Humanity’s Greatest Challenge

Reframing PovertyReframing Poverty by Eric Meade

My rating: 4 of 5 stars

Poverty in all its multitudinous forms is not an easy subject to broach. An age-old problem, poverty, its root causes, as well as poverty reduction have all been studied and theorized, it seems, ad infinitum. It is not often that someone presents poverty in a more nuanced way than generalized and ubiquitous thinking on poverty. In Reframing Poverty: New Thinking and Feeling About Humanity’s Greatest Challenge, Eric Meade takes a deep dive into how poverty is more of an emotional construct that evokes feeling as opposed to the more widely read and globally accepted set of data points. Meade’s conclusions take some time and thinking to wrap your brain around to be sure. In fact, I had to put this book down several times to keep from seething. I do, however, appreciate new ideas that can be engaged in rather than reading the same poverty reduction principles that seem to keep vulnerable communities trapped in a cycle of poverty with Sisyphean tendencies.

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