Neglected tropical diseases killing thousands globally put 6 million at risk in war-torn Yemen

A Yemeni child receives a diphtheria vaccine at a health centre in the capital Sanaa on March 18, 2018. (AFP)
Updated 19 April 2018
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Neglected tropical diseases killing thousands globally put 6 million at risk in war-torn Yemen

  • Aside from cholera, Yemen is affected by numerous neglected tropical diseases – an epidemic that is affecting 1.5 billion people worldwide and killing around 170,000 per year
  • The World Health Organisation (WHO) estimated that in 2016, over 6 million people in Yemen were in need of treatment for NTDs

DUBAI: Amid a conflict that has divided the nation and – according to the UN - the worst humanitarian crisis since World War II, Yemen’s population of 27 million is also dealing with diseases that cause early deaths.

Aside from cholera, Yemen is affected by numerous neglected tropical diseases (NTDs) – an epidemic that is affecting 1.5 billion people worldwide and killing around 170,000 per year.

“NTDs are a diverse group of communicable diseases that prevail in tropical and subtropical conditions in 149 countries – affect more than one billion people and cost developing economies billions of dollars every year,” Associate Director of External Relations of END Fund, Yayne Hailu told Arab News.

The five most common NTDs are intestinal worms, schistosomiasis, trachoma, lymphatic filariasis and river blindness.

Intestinal worms cause infection which give the patient diarrhea with blood and mucus in the stool. Schistosomiasis cause abdominal pain, diarrhea, bloody stool, or blood in the urine. Trachoma causes a roughening of the inner surface of the eyelids. Lymphatic filariasis affects body’s fluid balance and fights infections. While river blindness causes severe itching, bumps under the skin, and blindness.

Populations living in poverty, without adequate sanitation and in close contact with infectious vectors and domestic animals and livestock are those worst affected.

Yemen has one of the highest levels of NTDs across the Middle East, according to the END Fund, a private philanthropic initiative dedicated to ending the five most common NTDs, whose founding investment came from Legatum Foundation, a Dubai-based private investment company.

 

The World Health Organisation (WHO) estimated that in 2016, over 6 million people in Yemen were in need of treatment for NTDs.

Over the last seven years, Yemen’s Ministry of Public Health and Population with support from NGOs, began treating people suffering from schistosomiasis and intestinal worms.  And according to the END Fund, nine million people received treatment for these two diseases since 2013.

However, treatment was stopped in 2015 due to the conflict, but localized rounds were conducted in 2016 and 2017 in areas deemed secure. But, due to security issues, treatment is difficult, a report by the END Fund said. 

It is not known what the exact number is of the those currently affected due to the lack of facilities and disruptions caused by war.

Hailu explained that the unstable situation in Yemen could lead to the wide spread of the diseases.

“Conflict can pose several threats including migration of large numbers of people fleeing conflict zones and living in crowded areas with a lack of access to proper sanitation and clean water,” she said.

She also stated that the conflict could cause several people to interrupt their treatment, which is often a multi-year process.

“If treatment is unable to continue, this could cause a resurgence of these diseases and halt progress being made in ending them in certain communities,” Hailu said.

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Neglected Tropical Diseases

NTDs affecting 1.5 billion people worldwide and killing around 170,000 per year


A language course is reviving Moroccan Jewish culture and bridging Middle East divide

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A language course is reviving Moroccan Jewish culture and bridging Middle East divide

  • “In my family there were (many) different languages — Moroccan Arabic, French, Hebrew at the synagogue, and my dad also speaks Amazigh, Berber,” said Elfassi.
  • His passions for music and language took Elfassi on a journey to Bordeaux, France, and Be’er Sheva, Israel, writing a dissertation on Jewish identity among Moroccan Jews

RABAT: Growing up in Fez, Morocco, Yona Elfassi was always aware of the history of the city, which has been a center of culture, learning and spirituality since the ninth century.
Home to great minds such as the 12th-century philosopher and jurist Ibn Rushd and his contemporary, the physician and codifier of Jewish law Maimonides, the city was shaped by Jewish, Arab, Amazigh, Spanish and French cultures.
These influences left a deep imprint on Elfassi, 37.
“In my family there were (many) different languages — Moroccan Arabic, French, Hebrew at the synagogue, and my dad also speaks Amazigh, Berber,” said Elfassi.
Music, too, was a constant presence — from Andalusian to Flamenco, to Moroccan classic, to Moroccan chaabi popular, to Berber music,” he said. “We weren’t a family of professional musicians, but we were a family that lived with music.”
As a Jewish resident of Morocco, Elfassi belongs to a tiny demographic, as 99 percent of Jews of Moroccan heritage today live elsewhere. After major emigrations in the 20th century, only around 2,500 Jews remain in a country where they once made up 5 percent of the population. Today an estimated 50,000 live in France, 25,000 in Canada and 25,000 in the United States; and some 1 million Moroccan Jews make up one of Israel’s largest ethnic groups.
His passions for music and language took Elfassi on a journey to Bordeaux, France, and Be’er Sheva, Israel, writing a dissertation on Jewish identity among Moroccan Jews. (He has two doctorates, one in sociology and political science from Sciences Po Bordeaux and one in anthropology and history from Ben-Gurion University of the Negev.)
His research into Morocco’s history eventually grew into a vocation to teach Darija, the Moroccan Arabic dialect, to allow diaspora Moroccan Jews to connect with their ancestors through language, culture and stories.
“As a sociologist, I was fueled by the conviction that academic research ought to forge connections and deepen understanding” beyond the academy, Elfassi said. “These stories and human histories are at the core of why I decided to teach, and my identity has inspired me to work with Jews of Moroccan background to reconcile with their ancestral language.”
As the COVID-19 pandemic ended, he launched Limud Darija, an educational movement and multimedia language platform. The hybrid courses mix Zoom classes with in-person gatherings, which take place in Israel. Elfassi also holds music workshops, drawing from Sephardic piyyutim— Jewish liturgical poems with Judeo-Arabic pronunciation and melodies — and the music of 20th-century Moroccan pop icons such as Hajja El Hamdaouia, Sliman Elmaghribi, Zohra El Fassiya and Abdelhadi Belkhayat.
Limud Darija’s impact has grown rapidly. “Today our community includes over 500 active members with the mission of connecting people across generations, helping participants reclaim lost voices and fostering resilience and a sense of belonging through cultural practices,” Elfassi said.
Through his Instagram feed and TikTok presence, many Moroccan Muslims have found Elfassi’s work and are inspired to see Moroccan Jews preserving the language of their shared home. Muslims, Elfassi said, in turn have expressed interest in learning Hebrew. “I opened an active WhatsApp group where we’re teaching Hebrew to Muslim speakers of Darija,” he said.
“Through this shared connection, divisions begin to fade,” Elfassi said. “The Israelis the Muslim Moroccans meet are seen as Moroccans like themselves, as family. They are talking a common language, talking about what unites them, people are begun to be seen as individuals.” The Muslims and Jews, he said, get the chance “to bond over music and heritage and language, not political or war-related topics, and they do not further the false ‘pro-Palestine’ vs ‘pro-Israel’ dichotomy, and instead humanize everyone as individuals, as human beings.”
Limud Darija students describe how the program has connected them more deeply with people in their own lives as well. “My parents talked between them in Moroccan language, but by the time I was an adult, I forgot,” said Yehudit Levy, a retired schoolteacher in Ganei Tikvah, Israel, who has studied with Elfassi for three years. “Since I started to learn with Yona, everything comes up — songs, music, food, poetry, all the traditional things come up. I smell Morocco when I am in the class.”
Noam Sibony, a Limud Darija alumnus, is a neuroscience researcher and musician living in Toronto. The 28-year-old spent nine months volunteering in Lod, an Israeli city whose population is Arab and Jewish, at a community center, working with local children and youth. Limud Darija, he said, showed him how learning the language of another culture can help build relationships that transcend regional politics and conflicts.
Habiba Boumlik, a professor of French, literature and women’s and gender studies at LaGuardia University in Queens, New York, and co-founder of the New York Forum of Amazigh Film, an annual film festival celebrating the Indigenous Berber people of North Africa, sees parallels between Elfassi’s work and her efforts to preserve the Tamazight language.
“I give credit to people who invest in learning language, and it is great with the new technology and variety of sources on the Internet. Even if people aren’t fluent, they can do so much with the language, and they will go to Morocco and connect more deeply,” Boumlik said.
Darija is closely related to the Judeo-Arabic dialect, Boumlik explained, and so has the potential to contribute to the Moroccan vernacular, just as Judeo-Arabic slang and idioms have shaped Modern Hebrew.
“The exchange among the Moroccans and Israelis will only enrich Darija as they also enrich their families and themselves,” Boumlik said. “And it is so important that they can connect with Moroccans on the Internet and have a dialogue. It is not just the culture and language of their grandparents — it is the living language and culture of the new generation.”
Bringing people together on this level, Elfassi said, is peacebuilding on a human scale, prioritizing personal stories, shared culture and mutual respect. “For me, peace will start with people, not with the decision-makers,” he said. “Peace is just two people talking to each other, having respect for each other and having a conversation where they can disagree, but where they always show respect for the humanity of the other.”