Suchergebnisse

chapter 1. Food security and program integration : an overview / Tony Castleman and Gilles Bergeron -- chapter 2. Food insecurity and health : a conceptual framework / Sheri D. Weiser, Kartika Palar, Abigail M. Hatcher, Sera Young, Edward A. Frongillo, and Barbara Laraia -- chapter 3. Food insecurity measurement / Jennifer Coates -- chapter 4. Nutrition, food security, social protection, and health systems strengthening for ending AIDS / Divya Mehra, Saskia de Pee, and Martin W. Bloem -- chapter 5. Food insecurity and tuberculosis / Cara S. Guenther and Louise C. Ivers -- chapte 6. Food insecurity and noncommunicable diseases among the poorest / Gene Bukhman -- chapter 7. Food insecurity : special considerations for women's health / Jessica E. Teng, Kimberly A. Cullen, and Louise C. Ivers -- chapter 8. Understanding food insecurity in Navajo nation through the community lens / Dana Eldridge, Robyn Jackson, Shruthi Rajashekara, Emily Piltch, Mae-Gilene Begay, Joan VanWassenhove, Jacque Jim, Jonathan Abeita, LaJuanna Daye, Leroy Joe, Martha Williams, Maxine Castillo, Meria Miller-Castillo, Sherry Begaye, Vangie Tully, and Sonya Shin -- chapter 9. Overview of the cost of hunger in Africa--executive summary : social and economic impact of child undernutrition in Egypt, Ethiopia, Swaziland, and Uganda / UN Economic Commission for Africa, New Partnership of Africa's Development Planning and Coordinating Agency (NEPAD), Regional Integration Division (NRID) -- chapter 10. Integrating nutrition support for food-insecure patients and their dependents into an HIV care and treatment program in Western Kenya / Joseph Mamlin, Sylvester Kimaiyo, Stephen Lewis, Hannah Tadayo, Fanice Komen Jerop, Catherine Gichunge, Tomeka Petersen, Yuehwern Yih, Paula Braitstein, Robert Einterz, and Cleophas Wanyonyi Chesoli.

Affecting more than 800 million people, food insecurity is a global problem that runs deeper than hunger and undernutrition. In addition to the obvious impact on physical well-being, food insecurity can result in risky coping strategies, increased expenditures on medical costs or transportation, and mental health issues. A review of the concepts and impacts of food insecurity through the lens of public health, Food Insecurity and Public Health details the complex issue of food insecurity and explores its reach beyond economics and agronomics. The book guides you through the fundamentals, beginning with theory, and the challenges in measuring it, and moving on to the impact of food insecurity on health. The book details the implications of food insecurity on public health practice, including epidemiology and outcomes of diseases such as HIV, TB, and non-communicable diseases, and the specific impact on women's health. It closes with case studies from the Navajo Nation, Kenya, and Southern Africa, offering the opportunity to learn from real-life successes and challenges. Each chapter also considers programs or interventions that have been used to attempt to address the issue, including a discussion of the US federal food stamps program. In truth, however, there continues to be a dearth of data on the ways in which programs can effectively address the problem of food insecurity at the household, community, or district level in either the short or long term-beyond, of course, the elimination of poverty, which is no doubt a root cause of the problem. The book gives you context for considering the links between food insecurity and health, and a framework for seeking integrated solutions to both problems.

Months after a 7.0 magnitude earthquake hit Port-au-Prince, Haiti, over one million remain homeless and living in spontaneous internally displaced person (IDP) camps. Billions of dollars from aid organizations and government agencies have been pledged toward the relief effort, yet many basic human needs, including food, shelter, and sanitation, continue to be unmet. The Sphere Project, "Humanitarian Charter and Minimum Standards in Disaster Response," identifies the minimum standards to be attained in disaster response. From a human rights perspective and utilizing key indicators from the Sphere Project as benchmarks, this article reports on an assessment of the living conditions approximately 12 weeks after the earthquake in Parc Jean Marie Vincent, a spontaneous IDP camp in Port-au-Prince. A stratified random sample of households in the camp, proportionate to the number of families living in each sector, was selected. Interview questions were designed to serve as "key indicators" for the Sphere Project minimum standards. A total of 486 interviews were completed, representing approximately 5% of households in each of the five sectors of the camp. Our assessment identified the relative achievements and shortcomings in the provision of relief services in Parc Jean Marie Vincent. At the time of this survey, the Sphere Project minimum standards for access to health care and quantity of water per person per day were being met. Food, shelter, sanitation, and security were below minimum accepted standard and of major concern. The formal assessment reported here was completed by September 2010, and is necessarily limited to conditions in Haiti before the cholera outbreak in October. Adapted from the source document.

Months after a 7.0 magnitude earthquake hit Port-au-Prince, Haiti, over one million remain homeless and living in spontaneous internally displaced person (IDP) camps. Billions of dollars from aid organizations and government agencies have been pledged toward the relief effort, yet many basic human needs, including food, shelter, and sanitation, continue to be unmet. The Sphere Project, "Humanitarian Charter and Minimum Standards in Disaster Response," identifies the minimum standards to be attained in disaster response. From a human rights perspective and utilizing key indicators from the Sphere Project as benchmarks, this article reports on an assessment of the living conditions approximately 12 weeks after the earthquake in Parc Jean Marie Vincent, a spontaneous IDP camp in Port-au-Prince. A stratified random sample of households in the camp, proportionate to the number of families living in each sector, was selected. Interview questions were designed to serve as "key indicators" for the Sphere Project minimum standards. A total of 486 interviews were completed, representing approximately 5% of households in each of the five sectors of the camp. Our assessment identified the relative achievements and shortcomings in the provision of relief services in Parc Jean Marie Vincent. At the time of this survey, the Sphere Project minimum standards for access to health care and quantity of water per person per day were being met. Food, shelter, sanitation, and security were below minimum accepted standard and of major concern. The formal assessment reported here was completed by September 2010, and is necessarily limited to conditions in Haiti before the cholera outbreak in October. Adapted from the source document.

Since the beginning of the cholera epidemic in Haiti 5 years ago, the prevalence of this deadly water-borne disease has fallen far below the initial rates registered during its explosive outset. However, cholera continues to cause extensive suffering and needless deaths across the country, particularly among the poor. The urgent need to eliminate transmission of cholera persists: compared to the same period in 2014, the first 4 months of 2015 saw three times the number of cholera cases. Drawing upon epidemiology, clinical work (and clinical knowledge), policy, ecology, and political economy, and informed by ethnographic data collected in a rural area of Haiti called Bocozel, this paper evaluates the progress of the nation's 10-year Plan for the Elimination of Cholera. Bocozel is a rice-producing region where most people live in extreme poverty. The irrigation network is decrepit, the land is prone to environmental shocks, fertilizer is not affordable, and the government's capacity to assist farmers is undermined by resource constraints. When peasants do have rice to sell, the price of domestically grown rice is twice that of US-imported rice. Canal water is not only used to irrigate thousands of acres of rice paddies and sustain livestock, but also to bathe, wash, and play, while water from wells, hand pumps, and the river is used for drinking, cooking, and bathing. Only one out of the three government-sponsored water treatment stations in the research area is still functional and utilized by those who can afford it. Latrines are scarce and often shared by up to 30 people; open defecation remains common. Structural vulnerabilities cut across all sectors – not just water, sanitation, health care, and education, but agriculture, environment, (global and local) commerce, transportation, and governance as well. These are among the hidden sicknesses that impede Haiti and its partners' capacity to eliminate cholera.

Abstract

Objectives
Uncovering and addressing disparities in infectious disease outbreaks require a rapid, methodical understanding of local epidemiology. We conducted a seroprevalence study of SARS-CoV-2 infection in Holyoke, Massachusetts, a majority Hispanic city with high levels of socio-economic disadvantage to estimate seroprevalence and identify disparities in SARS-CoV-2 infection.

Methods
We invited 2000 randomly sampled households between 11/5/2020 and 12/31/2020 to complete questionnaires and provide dried blood spots for SARS-CoV-2 antibody testing. We calculated seroprevalence based on the presence of IgG antibodies using a weighted Bayesian procedure that incorporated uncertainty in antibody test sensitivity and specificity and accounted for household clustering.

Results
Two hundred eighty households including 472 individuals were enrolled. Three hundred twenty-eight individuals underwent antibody testing. Citywide seroprevalence of SARS-CoV-2 IgG was 13.1% (95% CI 6.9–22.3) compared to 9.8% of the population infected based on publicly reported cases. Seroprevalence was 16.1% (95% CI 6.2–31.8) among Hispanic individuals compared to 9.4% (95% CI 4.6–16.4) among non-Hispanic white individuals. Seroprevalence was higher among Spanish-speaking households (21.9%; 95% CI 8.3–43.9) compared to English-speaking households (10.2%; 95% CI 5.2–18.0) and among individuals in high social vulnerability index (SVI) areas based on the CDC SVI (14.4%; 95% CI 7.1–25.5) compared to low SVI areas (8.2%; 95% CI 3.1–16.9).

Conclusions
The SARS-CoV-2 IgG seroprevalence in a city with high levels of social vulnerability was 13.1% during the pre-vaccination period of the COVID-19 pandemic. Hispanic individuals and individuals in communities characterized by high SVI were at the highest risk of infection. Public health interventions should be designed to ensure that individuals in high social vulnerability communities have access to the tools to combat COVID-19.