
Source: Oceana.org
A simple surgery can normally repair the injury, with success rates as high as 90 per cent for experienced surgeons. The average cost of fistula treatment and post-operative care is just US $300. Sadly, most women with the condition do not know that treatment is available, or they cannot afford it.
Like maternal mortality, fistula is almost entirely preventable. But at
least 2 million women in Africa, Asia and the Arab region are living
with the condition, and some 50,000 to 100,000 new cases develop each
year. The persistence of fistula is a signal that health systems are
failing to meet the needs of women.
Obstetric fistula occurs disproportionately among impoverished girls
and women, especially those living far from medical services. Affecting
the most powerless members of society, it touches on nearly every
aspect of UNFPA's mandate, including reproductive health and rights, gender equality, poverty and adolescent reproductive health.
In 2003, UNFPA spearheaded the global Campaign to End Fistula, a
collaborative initiative to prevent fistula and restore the health and
dignity of those living with its consequences.
"A Walk to Beautiful" is a feature length film about Fistula. It follows five women in Ethiopia who suffer from devastating childbirth injuries, particularly, obstetric fistula. Shunned by their communities, these women append their lives in loneliness and shame. The film follows them on their journey to the Fistula Hospital in Addis Ababa, Ethiopia, where their lives are transformed. The film weaves their stories into a portrait of grief and courage, compassion and triumph. "A Walk to Beautiful" was named Best Feature Length Documentary of 2007 by the International Documentary Association. The film was produced by Engel Entertainment in New York, and is 85 minutes long.
Director: Mary Olive Smith
Executive Producer: Steven Engel
Co-Director: Amy Bucher
Editor: Andrew Ford
Co-Producer: Allison Shigo
How to help:
Campaign to end fistula - www.endfistula.org
According to Beatrice Were, ActionAid’s HIV and AIDS research and policy analyst, children can no longer learn their family backgrounds from their elders like it used to be in the past, especially because many HIV infected parents usually die when their children are very young.
The Memory Book helps parents, relatives and friends save vital information about their family backgrounds.
She says: “Although the Memory Book was first written for children whose parents had HIV and AIDS, the materials are useful for all vulnerable children such as orphans or those separated from their parents for whatever reasons.”
The first memory books, according to Were, were made in England in the 1990s by African parents who were afraid they would die while their children were very young and lose their origins.
The idea has been used widely in many cultures to support children who are going through any type of loss and bereavement.
In Uganda, it was adapted by the National Community of Women living with HIV and AIDS to help its members and their families cope with the pandemic.
Were has mobilised many women living with HIV to challenge abuses and stigma and has helped many women to open up to their children and families about their HIV status.
After struggling for eight years with the need to reveal to her children that she had HIV, Were started a memory book.
“I have fought AIDs denial, fear and stigma. I have fought so that women will not be afraid to seek HIV testing and discuss AIDS with their families. I have fought so that women will have an easier time revealing their HIV status especially to their children than I did,” said Were.
She said the book addresses the fact that children have a right to know about HIV in their families and that parents with HIV have a duty to tell their children before telling any body else.
Were said the memory book empowers parents with communications skills to talk to their children about AIDS, sexuality and death.
The book also documents important family history into an album with family photographs so that children can remember their childhood memories.
Watch the documentary about the Memory Book Project
He is absolutely right to view this as an opportunity to not only address the most serious environmental issue of our time, but to rebuild America, put Americans back to work and free us from our dependence on foreign oil.
The first skirmish in the fight for global warming legislation this year is for Congress to pass budget language that bolsters the call for climate action this year.
Please send your members of Congress an email urging them to support President Obama's budget language.
Source: BBC News - Science & Environment
Carbon dioxide emissions from human activities are
acidifying the oceans and threaten a mass extinction of sea life, a top
ocean scientist warns.
Dr Carol Turley from Plymouth Marine Laboratory says it is impossible to know how marine life will cope, but she fears many species will not survive.
Since the Industrial Revolution, CO2 emissions have already turned the sea about 30% more acidic, say researchers.
It is more acidic now than it has been for at least 500,000 years, they add.
The problem is set to worsen as emissions of the greenhouse gas increase through the 21st Century.
"I am very worried for ocean ecosystems which are currently productive and diverse," Carol Turely told BBC News.
"I believe we may be heading for a mass extinction, as the rate of change in the oceans hasn't been seen since the dinosaurs.
"It may have a major impact on food security. It really is imperative that we cut emissions of CO2."
Dr Turley is chairing a session on ocean acidification at the Copenhagen Climate Change Congress.
Testing times
The problem is most acute for creatures which make calcified shells.Scientists fear mussels may not be able to cope, either. Oysters may be less vulnerable, and farmed oysters may fare better than wild oysters.
"One thing is certain," says Dr Turley. "Things will change. We just don't know yet exactly how they will change.
"It is not a very wise experiment to be making."
Professor Andy Watson, an ocean biologist from the University of East Anglia, believes climate change and overfishing may ruin the seas before acidification does.
He condemns increases in CO2 from human activities, but points out that ocean acidity also fluctuates naturally.
He also wonders if some creatures might adapt to the changes over time.
"(In) many of the experiments that are being done at the moment, sudden changes are made; the CO2 is quickly raised, for example, or the acidity is quickly raised.
"Of course, that's not really what will happen in the real world," he told BBC News.
"There will be instead a gradual ramping up of CO2 and acidity.
And we don't know whether organisms will be able to adapt or how
quickly they'll be able to adapt."
Professor Tony Knapp runs the BIOS institute in Bermuda, where some of the key measurements of acidity are taken.
He defends his conclusion that the recent increase in acidity has been caused by CO2 emissions from burning fossil fuels.
"It took me a long time to determine that I was convinced... I'm a cynic at heart.
"But if you look at the data, and you're intimate with the data, there's really no other conclusion you could make".
Stormy waters
On the island of Ischia, in the Bay of Naples, Italy, scientists believe they have evidence that many creatures will fail to adapt to increased acidification.The seawater around a part of the island has been more acidic for thousands of years thanks to volcanic CO2 vents that turn the seabed into a sort of jacuzzi.
If research here presents an accurate picture of future oceans, the prospects for shell-forming organisms are bleak.
Some of the creatures that appear to survive increased levels of acidity in short-term laboratory studies are not present here in the real world at the same levels of pH.
"We are very worried," says Dr Jason Hall-Spencer from Plymouth University, who researches the site with help from the Naples-based Benthic Ecology Laboratory at Stazione Zoologica.
"The changes here have clearly made life impossible for shell-forming creatures."When you start messing around with a complex ecosystem it is impossible to tell what will happen."
The Ischia site does not present a perfect experiment for future oceans because levels of acidity shift regularly as the currents change, whereas future oceanic pH levels will be more stable.
But the site does show clear winners and losers: the lush seagrass, hyper-fertilised by CO2, may be the tallest in the world.
The extra acidity will suit some creatures, but Dr Hall-Spencer argues that the diversity of the site is reduced and therefore it is likely that productivity of valuable species will diminish in future acidified oceans.
Ocean acidification is increasingly known as "the other CO2 problem".
It is a new branch of science and researchers were initially uncertain how seriously to take the threat.
"In 2004, I did a Google search for ocean acidification and got 17 hits," says Dr Turley.
"Now you get hundreds of thousands. There is much more evidence to show this will be a problem for the future - indeed it may even be a problem for now."
For many people it will strike a sobering note that humans appear to be changing the chemistry of the mighty oceans.