You have probably heard the story of Tashonna Ward, the 25-year-old Milwaukee woman who recently spent hours in the emergency room due to shortness of breath and died after waiting too long. Ward was told that she would spend between two to six hours in wait time at the ER according to distressing posts on her Facebook page. Preliminary tests were performed on Ward and showed she had cardiomegaly, an enlarged heart, but she was never admitted despite having chest pains and tightness of breath.
After waiting 2 hours and 29 minutes in the ER, Tashonna Ward and her sister decided to go to urgent care. She never made it. She passed out en route and collapsed and died in the urgent care parking lot. The cause of death: hypertensive cardiovascular disease.
While many reports mentioned the emergency room wait times that led to Ward’s death, a few have reported that she developed cardiomegaly due to pregnancy complications from a miscarriage in March of 2019. In fact, the Milwaukee County Medical Examiner’s Report states that the “decedent did develop cardiomegaly during pregnancy.”
One of the leading causes of maternal mortality in the United States is hemorrhaging. In fact, according to the CDC hemorrhaging accounts for 11.2% of pregnancy-related deaths. Based on these increasing numbers since 1986 the Joint Commission, the country’s leading accreditation organization for hospitals, has created 13 new standards for perinatal safety for hospitals to properly care for women who hemorrhage during or after delivery. These standards were designed specifically to prevent, recognize and treat, as well as evaluate patients for transfer to critical care for not only hemorrhage but also severe hypertension/preeclampsia.
Today is World Humanitarian Day, the annual day where we celebrate humanitarians all over the world who work every day to save lives even in some of the world’s most dangerous countries. This year the world is celebrating women humanitarians as often they are on the front lines in our world’s worst crises.
We know that it can be especially harrowing to be an aid worker in countries like Syria, Yemen, Central African Republic, and South Sudan. We appreciate all of their efforts to continue to work even in dangerous circumstances. Read 24 hours of stories of women front line humanitarians on worldhumanitarianday.org.
Today, I would like to celebrate an aid worker I met in the Philippines when I traveled with World Vision USA to see their life-saving work after the devastating typhoon, Haiyan. Her name is Mai Zamora and she left an indelible impression on me. She was always upbeat despite the number of families who were in need of everything from food and jobs to housing and clothing. And, she was always available for questions and has personal stories about how she fared during the typhoon. When I met her, she was the definition of an aid worker to me along with her colleagues who are still doing amazing work in the Philippines and around the world.
In 1994, governments, advocates, health organizations, women’s and youth activists gathered in Cairo for the International Conference on Population and Development (ICPD). There, women’s reproductive health and rights took center stage in national and global development efforts. This year marks the 25th anniversary of the ICPD and a renewed emphasis on reproductive health, women’s empowerment and equality will be discussed later this year in Nairobi as it pertains to the 2030 Agenda for Sustainable Development.
At the recent High-level Political Forum on Sustainable Development Secretary General António Guterres said that there needs to be a ratcheting up of empowerment and gender equality in order to reach the 17 sustainable development goals. And, UN Deputy Secretary-General Amina Mohamed said, ” A recent report found that no country is on track to fully achieve Goal 5 of the Sustainable Development Goals on gender equality by 2030. And despite some important progress, we are far short of attaining the elusive “gender balance” goal in leadership established in the 1995 Beijing Platform for Action.
When I was in Zambia I saw ways in which nurses treat cervical cancer in low resource settings. Women who do not benefit from the HPV vaccine and still develop cervical cancer are often subject to visual inspection of the cancer typically with a digital camera followed by cryotherapy to freeze the diseased part of the cervix. Some researchers question whether this approach to cervical cancer treatment is effective in low-and-middle income countries. Globally, the cervical cancer burden falls disproportionately upon women in low and middle-income countries. In fact, approximately 90% of deaths from cervical cancer occur in these countries like Bolivia, Guinea, and Swaziland. Rates are highest in Central America, sub-Saharan Africa, and Melanesia.