The 'Forgotten Killers'

Have a guess at the world’s biggest infant killer? Something scary, something unpredictable, something out of our scope to help with???

Pneumonia.

Closely followed by Diarrhoea.

In Ghana the problem is the same. Diseases that don’t really scare you at the thought, or make you think of death. But they are killing children in Ghana and the rest of the world, yet have such simple solutions.

You can  prevent pneumonia by washing your hands before eating. It’s not expensive, out of reach or ‘innovative’. To cure pneumonia you take some antibiotics. In Ghana they can cost as little as AUD$1.00 or if you can’t afford that, it’s free.

Diarrhoea can similarly be prevented and easily treated, again, hygiene and sanitation is key. But these diseases reflect more than just the diagnosis, it shows the living conditions, poverty, and healthcare accessibility of those severely affected. When you think about #1 cause of death in Ghana (or Africa in general), the cliché is to blame HIV/AIDS, maybe conflict, or some obscure disease like Nodding Disease. These are all difficult things to tackle, with big social impacts, or costs involved. But HIV rates in Ghana are 1.8%. The percent of children with suspected pneumonia receiving antibiotics is just 24%. The percent of children with suspected pneumonia taken to an appropriate health care provider is 51%. It is clear where the biggest impact can be made in health.

Ghana has just introduced 2 new vaccines to help prevent both diarrhoea and pneumonia. There has been much media coverage, and here is a great video about it.

Other things that are being done are;

1.  Promoting exclusive breastfeeding – by giving nothing but breast milk for the first 6 months in life it prevents infection, contamination and malnutrition. A simple, but effective way to ensure good health for your under 6month old. The problem lies in the following years where food is introduced, and it is often inadequate or insufficient.

2. Sanitation and hygiene. Ensuring all households have access to safe drinking water.

3. Community-based treatment of childhood illnesses. A program where volunteers in the community bring diagnosis and treatment to hard to reach places.

4. Promoting handwashing with soap. Massive campaigns and strategies are in place to improve handwashing. A study I worked on recently found that just 6% of people use soap. And then it mostly was for washing clothes rather than hands.

Wash those hands!

And for the final say, here is a news story on the current situation.