Half of South Korean Elderly Are Living in Extreme Poverty

The pension retirees receive is only a quarter of the amount needed for single households, causing many elderly to return to work. 

Elderly South Korean woman. Mctrent. CC BY-NC 2.0

South Korea is known for high rise buildings, luxury skin care and high tech devices. Yet with all of these advances, it has the worst senior poverty rate among developed nations. The population has been struggling to stay off the streets with only 35% of seniors receiving a monthly pension. Fewer than half of seniors receive government assistance and it is only a quarter of the amount needed to cover basic necessities. 

The Confucian tradition of children taking care of their parents is fading in South Korea. In previous generations the elderly turned to their children for financial assistance, often living with their children until their passing. However, the Census has shown that one in three Korean seniors live alone today and six out of ten elderly are supporting themselves. It has become difficult for children to help aging parents due to the expensive cost of living and the high unemployment rate. The country’s legal retirement age is 60, but many employees at private companies are pressured to leave around age 50 due to scarce executive or high-ranking jobs. When they retire at such a young age, they realize their pensions or severance packages are far below the cost of living and that the social safety net is insufficient. They are forced to re-enter the working world, but often in positions that are temporary or day-to-day, offering very low pay.

Retiree collecting cardboard boxes. Mariej55quebec. CC PDM 1.0

In order to make a living, many retirees collect anything that can be recycled and transported to the local junk yard using makeshift handcarts. Cardboard boxes are what they tend to collect most because they are the easiest to come across. Although prices vary, the average income per kilogram (2.2 lbs.) is 40 won ($0.33). On a 12 hour day, retirees earn about $6.68: a salary that’s far below the poverty line. South Korea is expected to become a “super-aged society” with more than 20% of its population aged 65 years and older by 2026. A fall in the fertility rate and rising longevity are the two fundamental contributors to the country’s growing ageing population. 

Pre-pandemic, soup kitchens were a social gathering place for many retirees. A popular one among the elderly was Angel Soup Kitchen. On average, they served more than 350 free meals three times a week: operating 26 centers across South Korea. Retirees would line up in the early hours of the day to guarantee a spot in line. It was a place where they could be among other seniors enjoying a meal. However, with the pandemic and the elderly being the most vulnerable, Angel Soup Kitchen closed and now distributes take home meals. With so many soup kitchens closing, Warm Chaeumteo was one of the few that remained open. They provide three meals a day, seven days a week. Due to the temporary closure of other soup kitchens, the center is getting approximately 100 more visitors a day, compared with the normal turnout before the outbreak. They receive just under 1,000 people per day. It is becoming harder to keep soup kitchens open with the decline in volunteers, many deciding they want to avoid face to face interactions.

Senior Koreans Playing Chess at a Park. Terence. CC BY-ND 2.0

The mental health of retirees has seen a spike in recent years. The disruption of the traditional family unit is a large reason why. Children often lose contact with their parents, leaving the retired elderly to feel lonely and isolated. A long term effect of these feelings will trigger depression, anxiety and loneliness. To socialize, retirees frequent parks and public areas, but with the restrictions of the pandemic, most areas are now closed. This forces the elderly into further isolation and a toll on their mental health. Health Insurance Review and Assessment Service reported that about 40% of the 684,000 Koreans diagnosed with severe depression were over age 60. With an aging population that will only continue to grow, countries with large elderly populations are facing an unprecedented issue: how to properly care for a large influx of elderly people, while still moving towards the future. Living longer is usually associated as being a hallmark of success, but current societal structures in many countries are not equipped to provide the social services needed. 

As South Korea and the globe try to figure out how to care for this large wave of retirees living longer, there are startups like EverYoung. A company that only hires employees aged 55 and older. Employees monitor blog content and detect sensitive information, as well as perform other IT tasks. There are 420 seniors from a variety of career backgrounds employed. Moreover, a mandated 10-minute break for every 50 minutes of work, and staff are rostered on four-hour shifts. Manager Kim Seong-Kyu told ChannelNews Asia that older employees have detail-oriented skills not common in the younger workforce, with distracting cell phones stored away during work time. Kyu said, “they are full of passion. The time that they have, and their interest in this work, are primarily why they come to work”.

To Get Involved:

The Korea Legacy Committee and Asian Boss have partnered to provide free meals every Sunday for the South Korean elderly. They aim to become a safe haven for impoverished seniors and expand the meal program around the country.  

To learn more about Korea Legacy Comittee click here.

To support the South Korean elderly during the pandemic click here.

Jennifer Sung

Jennifer is a Communications Studies graduate based in Los Angeles. She grew up traveling with her dad and that is where her love for travel stems from. You can find her serving the community at her church, Fearless LA or planning her next trip overseas. She hopes to be involved in international humanitarian work one day.

A Cage Home Away from Being Homeless in Hong Kong

Cage homes have become the dangerous solution to living in the most expensive housing market in the world: Hong Kong.

Man Living in a Cage Home. Pondspider. CC BY-NC-SA 2.0

Hong Kong is considered one of the most expensive cities to live in the world. The population of 7.4 million people live in a metropolis 110 times smaller than New York City.  Many struggle with the mounting housing prices which seem to keep rising. As a dangerous solution, low income individuals have developed "cage homes'' or “coffin homes” in which they reside. It consists of a bed-space, usually made of wood or wired boxes, large enough to only fit a bed and one or two personal items. An estimated 200,000 people, including 40,000 children live in cage homes in Hong Kong. The poor and elderly are the ones experiencing the effects the housing crisis Hong Kong has caused. 

Out of desperation, many people are deciding to live out of these cage homes in order to avoid living on the streets. These barbed wire “homes” were created in the 1950’s due to an influx of refugees coming from mainland China. They provided cheap labor for Hong Kong and, therefore, a demand for low cost bed space apartments. The apartment operators decided to make more profit by stacking bunk beds known as cages on top of each other, and the term “cage home” was created. Since then, the inhabitants have grown from immigrant workers to elderly men and women and children.

An average home in Hong Kong is about $1.28 million USD and a tiny “nano” apartment is on average $500,000 USD. Cage homes are approximately $230-$300 USD a month. They are the size of a parking space in the US, 7.5 feet in width and about 10 feet in length. They’re stacked on one another and there are approximately 30 cage homes in one room. All of the renter’s personal items are locked away at night or when renter’s go out for the day. Bathrooms are mostly communal and often there are no kitchens, just electric portable burners. While living in these homes, renters usually have no privacy or natural light coming in. Most windows are away from where the cage homes are placed. Many of the cage homes are in older urban districts, such as, West Kowloon, Sham Shui Po and Mongkok. 

The mental and physical effects of living in a cage home are concerning. The people who live in these spaces are dealing with depression, anxiety and stress due to their financial situation and cramped living space. Although they live among others, they often feel isolated and alone. Hygiene is also a big issue when living in these confined spaces. Up to a dozen people share bathrooms and kitchen areas, which are at times both in one room. In addition, there are poor safety regulations due to the buildings’ age and the number of people living in these tight spaces. The inadequate fire protection is a big risk many face when choosing to live in constricted spaces like these. Renters often have to deal with the infestation of rodents, roaches and bed bugs, which in turn affects their sleep and adds to health issues. There is poor air quality and no ventilation systems, with summer temperatures making it unbearable. Some elderly people have described their lives in their cage homes as “waiting for death.”

The new coronavirus pandemic has made it extremely difficult to live in these confined spaces. The cage home inhabitants find it impossible to quarantine safely as they do not have any walls or personal space. Most of them have to wear masks to sleep in order to avoid contracting the virus from others in their room. Many who live in the cage homes used to escape their reality by spending the day in parks, librairies or jungle gyms, however the pandemic has forced all public areas to close. Now cage home dwellers pass the time by, napping, listening to music or watching TV. Volunteers visit the people living in these spaces and bring food to donate, while also spending time with the residents to ease their loneliness.

Panorama of Hong Kong. CC BY-NC 2.0

The reason for the rising costs in the housing market is Hong Kong’s dense population, in which only seven percent of the city’s land is used for residential living. The pace of land supply and creation has slowed down in recent years. With low supply and high demand for living space, Hong Kong’s housing prices have no chance to come down. Chief Executive of Hong Kong Carrie Lam has proposed a variety of measures to boost the number of homes in the residential market. Her plan includes an aggressive target to turn the remote northern part of the city into a “metropolis” for 2.5 million people, a project that will take decades to complete. In July, Director of the Hong Kong and Macau Affairs Xia Baolong set a city goal to eliminate its ‘infamously small apartments’ by 2049. This refers to less than 500 square foot apartments many residents live in. The Hong Kong government legally recognised cage homes, but did so under the label “bedspace apartments,” which are defined as “any flat in which there are 12 or more bed spaces occupied or intended to be occupied under rental agreements.” The United Nations has taken notice and calls the poor conditions present “an insult to human dignity”.

Jennifer Sung

Jennifer is a Communications Studies graduate based in Los Angeles. She grew up traveling with her dad and that is where her love for travel stems from. You can find her serving the community at her church, Fearless LA or planning her next trip overseas. She hopes to be involved in international humanitarian work one day.

The World’s Electronic Waste is Ending Up in Ghana’s Landfill

While new tech gadgets launch every few months, the buildup of electronic waste is being sent to Ghana and damaging the citizens’ health. 

Location, Ghana. Fairphone. CC BY-NC 2.0

The capital city of Accra in Ghana is home to the largest e-waste landfill, Agbogbloshie. Electronic waste or e-waste is waste material with any battery or power cable. It ranges from everyday appliances to laptops, circuit boards, lamps, phones, etc. If these items are not disposed of properly, they can become harmful to the environment and people. An estimated 250,000 tons of electronics are sent every year to the dumpsite. The site not only houses e-waste, but about 40,000 Ghanaians inhabit the area alongside livestock. 

The e-waste arrives in Ghana through the Port of Tema, about 20 miles east of Agbogloshie. Most of the items in the container ships are from the United States or Western Europe. The electronics are secondhand and sent to Ghana with the idea of being refurbished then sold.  The majority of the items cannot be fixed and become e-waste, which is then taken to Agbogbloshie. Once the electronics arrive at the dumpsite, there is an entire process the electronics go through. First, small collectors sell the items to scrap dealers known as “masters.” The scrap dealers then have their workers, known as “boys,” use their bare hands, hammers and other tools to break apart the valuable metals inside. At times insulated wires are bundled together and taken to the “burner boys” they’re in charge of burning the plastic off of the wires. In doing so, they’re able to retrieve valuable metals. The metals include copper, aluminum, zinc, silver and others. Once the metals are recovered, they are weighed and sold for instant cash. 

PCBs Used to Extract Metals. Fairphone. CC BY-NC 2.0

The supply and demand is what fuels the toxic pollution in Agbogbloshie. As soon as the bulk of metals and wires are sold, they are exported out of Ghana and reused to produce new devices. The men and young boys who do this harmful labor are usually from rural northern cities searching for work to provide for their families back home. A “burner boy” will make about $40-50 Ghanaian cedis a day (US$6-8). Living in extreme poverty and barely making enough to move further up the chain, along with paying the ultimate price with their lives. They work arduously with no protective gear and no government regulations. At times, these young men and children have multiple health issues due to the toxic fumes and chemicals that leak from the electric waste. They face chronic nausea, debilitating headaches, skin diseases, burns, respiratory problems, infected wounds and cancer among others. All these issues are brought on by the toxic work environment, pollution and lack of regulations. Most people know that this line of work is debilitating to their health. However, the desperation for survival is the driving force. 

The people who work and live in Agbogbloshie are not the only ones suffering; the livestock is, too. The toxins are entering the food chain as cattle roam and graze the dumpsite freely. This is concerning as the Agbogbloshie area is home to one of the largest food markets in Accra. Most of the cows and chickens are slaughtered and eaten by the residents, which then ingest the high-level toxins. In addition, the water is also being contaminated as Agbogbloshie is situated on the Korle Lagoon. This lagoon is filled with piled-up waste of all sorts and links to the Gulf of Guinea, the Northeastern part of the Atlantic Ocean. 

Goat Freely Roaming. Fairphone. CC BY-NC 2.0 

Agbogbloshie is known to many of the locals as Sodom and Gomorrah. These biblical cities are synonymous with Agbogbloshie’s difficult living conditions. Although harsh, the people of this slum depend heavily on electrical waste in order to make a living. The Ghanian government has condemned the activity that’s taking place here. However, it has not lessened. As of now, change might be taking place in the near future. The German agency, GIZ, is in the middle of delivering a $5.5 million project for the people of Agbogbloshie. The plan is to build a sustainable recycling system and a health clinic and football pitch for workers. Much more will need to be done to keep the people’s health intact and away from this harmful environment. However, this is a start in bettering the status quo.

Jennifer Sung

www.jennwanders.com

Jennifer is a Communications Studies graduate based in Los Angeles. She grew up traveling with her dad and that is where her love for travel stems from. You can find her serving the community at her church, Fearless LA or planning her next trip overseas. She hopes to be involved in international humanitarian work one day.

W.H.O. Approves First-Ever Malaria Vaccine

On October 6,  the World Health Organization recommended the vaccine Mosquirix for widespread use against the deadliest malaria-causing parasite. The vaccine is anticipated to save the lives of over 100,000 young children living in sub-Saharan Africa.

Malaria Vaccine. tpsdave. CC BY 2.0. 

On October 6, the WHO Director-General announced the UN agency’s approval of humanity’s first vaccine against malaria for broad rollout. Dr. Tedros Adhanom Ghebreyesus termed the announcement a ‘historic moment’ and a ‘glimmer of hope’ for sub-Saharan infants and children, who are the most vulnerable demographic to die from the parasitic disease.

Disease Background

Malaria is a life-threatening infectious disease caused by the Plasmodium” family of protozoan parasites. The disease is transmitted via mosquito bites rather than human contact.  Mosquitoes’ saliva can pick up the parasite from an infected person, then give the parasite to the enxt healhty person they bite. Upon contraction, the parasite circulates throughout the human bloodstream and destroys  their red blood cells. Within two to four weeks of contraction, malaria symptoms such as fever, aches, chills, nausea and vomiting occur. Severe cases of malaria can cause anemia and jaundice, and if left untreated, it can cause seizures, kidney failure, coma or death. 

Disease Burden

Though there are nearly 230 million cases of malaria worldwide, Africa pays the greatest price. The continent sees 94% of malaria cases globally, where six countries account for approximately half of all reported malaria deaths: Nigeria (23%), Democratic Republic of Congo (11%), United Republic of Tanzania (5%), Burkina Faso (4%), Mozambique (4%) and Niger (4%). While malaria occurs in other regions such as South America, the disease predominantly wreaks havoc upon the planet’s poorest continent.

Children under the age of five are twice as likely as older patients to die upon contraction. For example, of the 409,000 global deaths caused by malaria in 2019, children five years or younger accounted for 67% of them. 

Africa’s disproportionate prevalence of malaria is the result of a confluence of factors. First, the continent’s tropical and subtropical climates are perfect conditions for marsh mosquitos year-round.  Second, relative socio-political instability and lagging economic development have made it difficult to implement large-scale preventive public health practices like mosquito nets and insecticide sprays that are needed to curtail transmission. 

Vaccine Information

After a decade of clinical trials operating within seven African countries, the World Health Organization coordinated a pilot program to evaluate the safety and efficacy of the Mosquirix vaccine (GlaxoSmithKline’s RTS,S). The trials served 15,000 infants and young children in Ghana, Kenya and Malawi. The trial found that Mosquirix is feasible and cost-effective to deliver to the public, even amidst the COVID-19 pandemic. Equitable access to malaria prevention is now a reality thanks to the Mosquirix vaccine’s approval. 

However, there are some logistical obstacles that countries will need to navigate because Mosquirix is imperfect. The vaccine was shown to prevent about four in ten malaria cases. The dosage structure is also time-intensive. One must receive three doses in three months, followed by a final injection a year later. This vaccination timeline will likely be the biggest obstacle. Peter Agre, the head of Johns Hopkins Malaria Research Institute, acknowledges “from an objective level most are disappointed that [Mosquirix] wasn’t more effective”. 

Nevertheless, public health experts are excited about Mosquirix’s potential. Of more than 2.3 million total doses injected throughout the pilot, the vaccine reduced severe malaria by 30%. In addition it reached two-thirds of children lacking a bed-net to sleep under. As the Director of the WHO Global Malaria Programme, Dr. Pedro Alonso states, “We’ve been looking for a malaria vaccine for over 100 years now. This will save lives and prevent disease.”

Rohan A. Rastogi

Rohan is an engineering graduate from Brown University. He is passionate about both writing and travel, and strives to blend critical thinking with creative communication to better understand the places, problems, and people living throughout the world. Ultimately, he hopes to apply his love for learning and story-sharing skills to resolve challenges affecting justice, equity, and humanity.

Chernobyl Becomes a Symbol of Resilience, 35 Years After Disaster

Time and time again, humans have been ravaged by disaster, only to successfully prove their resilience. Thirty-five years after the Chernobyl nuclear disaster, Ukrainians appear eager to rewrite their story. 

The abandoned streets of Chernobyl, Ukraine. Pedro Moura Pinheiro. CC BY-NC-SA 2.0. 

The Chernobyl nuclear disaster of 1986 marked chaos for the Soviet Union and still influences modern-day Ukraine. The accident was caused by a series of technical faults, resulting in a nuclear explosion that spewed radioactive substances into the air. Chernobyl stands as the most devastating nuclear incident to have ever occurred, with 31 deaths as a direct result of the meltdown, 4,000 cancer deaths from exposure to radiation and millions affected in various other ways. 

President Volodymyr Zelenskyy announced that Chernobyl will now function as a nuclear waste site.

Now, at the 35th anniversary of the Chernobyl disaster, Ukrainians are determined to move forward. Life has slowly begun to return to the area; the “exclusion zone” stands as a prime example of the resilience of nature. What was once a deadly zone, marked as a no man’s land, now abounds with life. Radiation levels in the area have decreased over the years, creating a nature preserve of sorts—elk, deer and other wildlife graze throughout the empty space. 

As frightening as Chernobyl may seem, locals have moved back. Elderly residents have returned to the surrounding area despite being advised against it; for them, the comfort of home outweighs the peril of living in the region. These residents stand as a reminder of the power—and the risks—that follow one’s determination. 

Officials in Ukraine hope that Chernobyl will be added as a World Heritage Site, as many residents believe that the outsize influence of the site merits its inclusion. 

Once wholly abandoned, Chernobyl and the nearby town of Pripyat allow visitors today. Travelers come to the site and find an unconventional experience; the disaster has created a reflective tone, as Chernobyl’s tragic history sheds light on the lows of human struggle and the highs of human triumph. 

On April 26, Ukrainian President Volodymyr Zelenskyy announced that Chernobyl will now function as a nuclear waste site. It is projected that the nuclear waste site will save Ukraine about $200 million per year. 

Zelenskyy also promised to “transform the exclusion zone, as Chernobyl is referred to, into a revival zone.” While it won’t be easy, Ukraine intends to move on from the past and head toward a stronger future.

As time passes, many tragic incidents of history dissolve from the spotlight. With revival on the horizon, Ukraine hopes for a triumph at Chernobyl.

Ella Nguyen

Ella is an undergraduate student at Vassar College pursuing a degree in Hispanic Studies. She wants to assist in the field of immigration law and hopes to utilize Spanish in her future projects. In her free time she enjoys cooking, writing poetry, and learning about cosmetics.

Ten Years After Nuclear Disaster, Recovery Remains Distant in Fukushima

The tsunami and ensuing meltdowns at the Fukushima Daiichi nuclear power plant forced thousands to flee their homes. A decade later, some locals have returned home, but full recovery remains remote.

A tsunami’s wreckage. UCLAnewsroom. CC BY-NC-SA 2.0.

Upon returning home after 10 years away, Masumi Kowata found a monkey in her living room. It wasn’t a joyful homecoming. In 2011, she evacuated her home along with 160,000 locals across Japan’s Fukushima prefecture. A cloud of radiation, spewing from three simultaneous meltdowns at the Fukushima Daiichi nuclear power plant, rendered swaths of land uninhabitable. Only in 2021 did the government allow she and her husband to return. Even then, it was only safe for them to visit for the day. Clad head to toe in plastic protective gear, she tread cautiously through the wreckage of an earthquake, a tsunami and neglect: a house shaken by earthquake, food left to rot for a decade, overgrown plants vining up the walls. The monkey had helped itself to Kowata’s belongings. It pranced around the room “wearing our clothes like the king of the house.”

A house under nature’s dominion. colincookman. CC BY-NC-SA 2.0.

Wild animals have overtaken “difficult-to-return” zones, as the government termed them. Such areas encompass 2.4% of Fukushima prefecture and experience 50 times more radiation than what is considered safe. Boars, raccoon dogs and macaques roam the dangerously radioactive neighborhoods oblivious to the damage but unfettered by human life. They can cross streets without fear of speeding cars and feed on the produce of untended gardens, long overgrown. Human beings have returned much more slowly. Currently, the zones remain stuck in time at the moment of disaster. 

The tsunami crashing through Minamisoma, Fukushima. Warren Antiola. CC BY-NC-ND 2.0

Agriculture struggles to recover as a result. Boars descended from the nearby mountains and invaded farms and rice paddies to feast on the crops. Hunters struggle to control the wild boar population. That is to say, they shoot as many as possible. “When I got married and was about to have my first child,” said one elderly boar hunter, “my mother said to me, ‘You’re going to be a father. Stop killing. Is that really the right thing to do?’ I stopped hunting then.” Now, he ventures out each day to beat back nature’s 10-year-long advance on Fukushima’s villages. “My town is abandoned and overrun with radiated boars,” he says. “It is my duty to help.”

The tasks of hunting down boars, tending to radioactive cattle and repopulating deserted towns fall to the few who have returned. Of the 160,000 who were evacuated after the meltdowns, only one-fourth plan to return. Most of them are elderly. The majority of evacuees found it easier to settle down elsewhere than endure a yearslong wait to return home. Young people especially favored big cities filled with jobs over their provincial hometowns, a trend that predated the disaster. In the nine years before the meltdowns, Fukushima’s population declined by 100,000. In the nine years after, it fell by another 180,000.

An elderly man with a picture of his late wife. Al-Jazeera English. CC BY-SA 2.0.

Local communities feel the absence of locals. As residents begin to plan for the future, they struggle to build a new community amid the ruins of an old one. Ancestral homes sit empty. Classrooms are frozen in time at the moment of the tsunami. Farmers spent generations breeding prized lines of livestock which are now useless. Radiated cattle, horses and pigs—as well as hunted boar—cannot be consumed because of radiated meat. Once famous for its produce, the prefecture’s fruits and vegetables now sell for below the national average. Though radiation tests ensure that the food is safe to eat, the stigma of nuclear disaster keeps customers away. 

Hope Tourism seeks to make these ruins the foundation of the future. The group offers tours through areas that reflect both the devastation wrought by the nuclear disaster and the communal efforts toward reconstruction. Tourists see the abandoned elementary school in Ukedo, roads bent out of line by the tsunami’s rip current and black bags filled with radioactive soil. They can also tour villages trying to revive their local industries and meet community leaders who spread awareness about the dangers of nuclear fallout. 

Where to put radioactive waste? UCLAnewsroom. CC BY-NC-SA 2.0.

In the face of hardship, locals still express pride in their roots. Iitate village joined the exclusive club of “most beautiful villages of Japan” in 2010, only to be wrecked by the tsunami and ensuing meltdowns. Ten years later, locals gathered to celebrate the opening of a new community center. It was built from parts of abandoned buildings: windows from old businesses, doors from run-down houses, a chalkboard from a school with no children to attend. An elderly woman in a green kimono sang folk tunes while the crowd enjoyed chestnut-filled rice balls. The Hope Tourism website states the village’s motto is a single word: madei. It means “thoughtfully” or “wholeheartedly” in the local dialect. It refers to the steady, persistent progress toward a revived community. 

An abandoned building. Patrick Vierthaler. CC BY-NC 2.0.

The fight against nature’s invasion of Fukushima’s villages still preoccupies recently decontaminated zones. The national government branded the upcoming Olympics as the “Recovery Olympics” to highlight the region’s progress since the disaster. The Olympic torch relay will begin at Fukushima’s J-Village sports complex, which workers used as a base during the crisis in 2011. Japan will need to escape the shadow of the Fukushima disaster if the government is to accomplish key items on its agenda. Prime Minister Yoshihide Suga pledged a carbon neutral Japan by 2050, an unthinkable prospect without nuclear power. 

A radioactive bouquet. Abode of Chaos. CC BY 2.0.

National priorities rarely concern those repopulating Fukushima, though. They focus on the day-to-day resurrections of ghost towns. Some still search for ghosts. “I often tell people that my daughter would be a very independent and successful adult out in the world,” says one man. He lost his entire family in the tsunami, including his young daughter. “She was the type of girl other people could rely on.” With a shovel, a trowel and his gardening gloves, he digs through the soil for his daughter’s remains. “I’ve found about 20% of her, but 80% is still missing,” he says. “That means she’s definitely still here.”

Radiated livestock are marked with a white symbol that tells farmers the animal was affected by the 2011 meltdowns. There is no such symbol for the psychic wounds that Fukushima’s disaster continues to exact on its people. 

Michael McCarthy

Michael is an undergraduate student at Haverford College, dodging the pandemic by taking a gap year. He writes in a variety of genres, and his time in high school debate renders political writing an inevitable fascination. Writing at Catalyst and the Bi-Co News, a student-run newspaper, provides an outlet for this passion. In the future, he intends to keep writing in mediums both informative and creative.

Iran’s Shoddy ‘Satellite Cities’ Test Citizens’ Patience

Thanks to high rent prices and overpopulation, thousands of Iranians have been forced out of their hometowns. But the “satellite cities” built to hold them leave much to be desired. 

An aerial view of Tehran, Iran. Hansueli Krapf. CC BY-SA 3.0

In the 1980s, Iran intentionally tried to grow its own population, aiming to increase its military strength amid the Iran-Iraq war. The 1979 Islamic Revolution had seen Iran’s old monarchy overthrown and a new republic built on Shiite Islam take shape. Student groups and leftist organizations rejoiced at the new rights promised to women; Islamist groups lauded the fact that their country was now a theocracy. But the new government wanted to ensure that the ideas of the revolution would last beyond one generation. So it encouraged polygamy, made birth control nearly impossible to find and lowered the age of marriage to 9 for girls and 15 for boys.

The plan worked—Iran’s population grew enormously. Forty years after the revolution, there are almost 50 million more people living in Iran. But these newcomers are not a new generation of happy, loyal citizens. They are people who the nation was not built to hold. 

Overpopulation was not something Iran was completely unprepared for. Soon after the revolution, 17 new “satellite cities” were planned on the outskirts of the country's major cities. They had names like Pardis (“paradise” in Persian) and Parand ("silk"). They were to provide affordable places to live for people that the larger cities could not hold. But as Iran struggled with unrest and war, these cities wouldn’t begin to be built for decades. They remain half-finished even today.

The Mehr housing project in Nishapur, Iran. Sonia Sevilla. CC BY 1.0

In 2007, the Iranian government developed a scheme it hoped would solve the overpopulation problem and make the satellite cities more livable: contract out free land to real estate developers who were willing to build low-income housing units. In this way around 2 million homes were planned to be built throughout Iran. But the Mehr housing project, as it was called, failed to deliver in the cities that needed housing the most. The 400,000 units built were poorly constructed and lacked essential utilities, like plumbing and clean water. The sterile white color that all the high-rises were painted with in Pardis says it all. These buildings didn’t seem like they were meant to be lived in, only passed through. 

But the satellite cities are indeed lived in. In recent years, the overpopulation that plagues Iran’s largest cities has only gotten worse. The Financial Times reported in 2017 that the population of Tehran, Iran’s capital and largest city, “exceeds the optimum level by more than 70%.” The air is full of pollution, and the city’s roads are packed with traffic. But the last straw for many Tehranis is the cost of housing, which according to the New Yorker has more than doubled in the last three years. U.S. sanctions have contributed to this, as did former President Donald Trump’s decision to withdraw from the Iran nuclear deal. With nowhere else to go, droves of Iranians have moved to the satellite cities, where houses are cheaper. In 2019, the population of Parand was 100,000; a year later, that number had doubled.

The unfinished cities have been unable to provide jobs for their populations. Most of the people who make up Pardis must commute each day to work in Tehran. And, as the city lacks most forms of public transport, this means driving—sometimes up to three hours each way. The cities lack recreational areas, stores and the capabilities to provide health care and schooling to their growing populations. It’s no surprise that drug abuse and suicides are common in the cities.

Real estate prices remain high in congested Tehran, and more and more people are expected to leave. The people who make up these satellite cities, despite the lack of basic amenities, are grateful that they have a place to go at all. The Mehr housing project is not finished, and it is possible that in five years the livability of Tehran’s satellite cities will improve. But it is up to the Iranian government to ensure that these improvements do happen, and soon. The well-being of many Iranians depends on it.

Finn Hartnett

Finn grew up in New York City and is now a first-year at the University of Chicago. In addition to writing for Catalyst, he serves as a reporter for the Chicago Maroon. He spends his free time watching soccer and petting his cat.

Oregon and Washington State Rethink the War on Drugs

A new law in Oregon decriminalized possession of small quantities of hard drugs. With Washington state possibly following its lead, the war on drugs might begin to be phased out.

Is the end in sight for the war on drugs? Thomas Martinsen. CC BY-NC-SA 3.0.

Currently, an Oregon police officer cannot arrest someone for possession of small amounts of heroin, meth, LSD or any other hard drug. Ballot Measure 110, voted into law last November, decriminalized the possession of small quantities of such substances. Instead of a felony conviction and jail time, a drug user caught red-handed will face either a $100 fine or a medical evaluation that could direct them to an Addiction Recovery Center (ARC). The new law fundamentally changes the state’s approach to epidemic rates of drug use and could revolutionize the role of Oregon’s police force. 

At its core, Ballot Measure 110 diverts drug users away from the criminal justice system and toward the health care system. The bill requires that a network of 15 ARCs be built to treat drug users and pair them with case workers who can help them reach sobriety. Funding for the ARCs will come, ironically, from tax revenue from legal marijuana sales. Oregon can expect a lot of money from such sales. In 2020, tax revenue from marijuana reached $133 million, a 30% increase from the previous year. Additionally, the state anticipates that more funds will appear as police stop pursuing arrests for drug possession.

The simple demotion of drug possession from a felony to a misdemeanor will have lasting repercussions. Before, an Oregon police officer who saw a pipe in a car could justify searching the car for illegal substances, since the pipe was proof of a possible felony. Now that it would indicate only a misdemeanor, the officer cannot search the vehicle. Arrests will decrease sharply as a result. The Oregon Criminal Justice Commission estimates that there will be 3,679 fewer arrests for possession per year, a 90.7% decrease. Distributors will still face criminal sentences since they possess drugs in large quantities, but users will receive health care, not jail time.

A disease, not a crime. Drugs Treatment Clinic Parus. CC BY-SA 4.0.

Building 15 ARCs by Oct. 1 will be a substantial challenge. Oregon will need to transition from addiction recovery programs focused on prisons to separate health care facilities that require supplies, staff and resources. Already, officers have made fewer arrests for possession to mitigate the risk of COVID-19 outbreaks in prisons. Thousands of drug users who would have landed in jails will now be placed into ARCs. Many who argued against the ballot measure now question whether so many facilities can be built by October. 

They have other qualms, too. As crude as the criminal justice system can be, drug addicts who served time in prison often entered court-mandated treatment programs; this won’t happen now that drug possession is a misdemeanor. County sheriffs expressed concern at a potential surge in illegal drug use now that prison is not a deterrent. Since the ballot measure passed with 58.5% of the vote, it’s clear these arguments weren’t entirely persuasive. 

The least worst option? Michael Kappel. CC BY-NC 2.0.

For one, prison might be the worst place to overcome a drug dependency. An addict is thrust into an unfamiliar environment to undergo withdrawal, and they may cope with trauma by self-medicating when the opportunity arises. The risk for opioid overdose alone is 129 times higher than average in the first two weeks after being released from jail. As for a potential surge in drug use, multiple examples of decriminalization in other countries indicate that this will most likely not occur. After decriminalizing hard drugs in Portugal, rates of drug use remained steady, but drug deaths fell as the percentage of users treated for addiction rose 21% between 2001 and 2008. 

Criticisms of Ballot Measure 110 go beyond the issue of how to treat epidemic rates of drug addiction. They speak to a concern about the ability of Oregon’s health care infrastructure to manage the flow of drug users from prisons to ARCs. This transition plays into a more ambitious, long-term agenda that many advocates of Ballot Measure 110 advocate for: defunding the police. By turning criminals into patients, ARCs would take the issue of drug addiction and mental health crises away from police; Oregon is even considering an alternative to 911 that people can call for drug-related issues or mental health crises.          

A Black Lives Matter protest in Portland, Oregon. Matthew Roth. CC BY-NC 2.0.

Washington state is considering a similar transition with House Bill 1499, which if passed would decriminalize drugs much the same way as Oregon’s Ballot Measure 110. Revenue for Washington state’s ARCs would come not from marijuA Black Lives Matter protest in Portland, Oregon. Matthew Roth. CC BY-NC 2.0.ana sales but from taxes on pharmaceutical companies, which played a large role in starting the opioid epidemic. Washington state currently has a program designed to lead drug addicts away from the criminal justice system and into treatment centers, the Law Enforcement Assisted Diversion (LEAD) program. It differs from other diversion programs in that it provides care before, not after, an arrest and takes referrals from community members, not just law enforcement. Nationwide, the program has been held up as a model diversion program.

Both states will struggle to make a seamless transition from prisoners to patients. It requires reforming two systems that often become embroiled in partisan conflicts. When the Seattle City Council cut its police department’s budget by 11%, in part to fund diversion programs, 186 police officers quit in response. Oregon will labor to build 15 ARCs by October, even with abundant funding from marijuana sales. Despite the state’s efforts, success depends largely on ever-shifting political winds.

Michael McCarthy

Michael is an undergraduate student at Haverford College, dodging the pandemic by taking a gap year. He writes in a variety of genres, and his time in high school debate renders political writing an inevitable fascination. Writing at Catalyst and the Bi-Co News, a student-run newspaper, provides an outlet for this passion. In the future, he intends to keep writing in mediums both informative and creative.

The Immense Impact of COVID-19 on Global Poverty

A pair of boys carry water near a refugee camp in Jowhar, Somalia. The COVID-19 pandemic has made conditions for marginalized groups such as refugees more dire. World Humanitarian Summit. CC BY-NC-ND 2.0

For the past 30 years, the world has been able to make immense progress in international development, with the amount of people living in extreme poverty (making below $1.90 a day) declining from 36% in 1990 to just 10% in 2015. The COVID-19 pandemic is reversing that. For the first time in three decades global poverty is on the rise, and up to half a billion people are now at risk of falling into poverty due to the coronavirus. Even more concerning is the matter of where the economic impacts of the virus are being felt the hardest, with the “global south” countries facing the highest risk of increased poverty for what could be years to come. 

In 2015, the U.N. adopted the 2030 Agenda for Sustainable Development, which included 17 goals acting as guidelines for the sustainable and equitable development of all member states. Known as the “sustainable development goals” (SDGs), the international community hoped that they would act as a framework for reducing inequality and promoting economic development. Poverty reduction is at the forefront of this initiative, with SDG 1 calling for the end of global poverty. That goal will most likely not be achieved by 2030. 

Even before the spread of the coronavirus, countries were not on track to completely eliminate poverty, with the U.N. estimating that 6% of the world population will still live in extreme poverty in 2030. Furthermore, the effects of the COVID-19 pandemic have made that goal even more difficult. In 2020 alone, more than 71 million people have fallen into extreme poverty, and millions more worldwide will likely fall into the same trap as the economic disruptions of the pandemic linger for years to come. 

(T)he number of school-age children facing food insecurity has increased by more than 320 million

The aggregate numbers do not portray the full extent of the impacts of COVID-19 on international development. Regions already susceptible to extreme poverty are being hit hardest by the economic impacts of the pandemic. According to the United Nations University, a 10% contraction in global per capita income would cause between 180 and 280 million people to fall into extreme poverty. However, the situation becomes more dire when one considers where people are expected to face increased rates of extreme poverty. Again assuming a 10% contraction, it is estimated that up to 85% of those newly living in poverty would be located in sub-Saharan Africa or South Asia alone. These regions already face disproportionate levels of poverty relative to their populations. For example, the African continent accounts for only 13% of the world population yet makes up over half of those living in extreme poverty. 

Those who were already at an increased risk for poverty, such as refugees, informal workers and those living in underdeveloped rural communities, are especially vulnerable to economic disruptions caused by the virus. The International Labor Organization estimates that between 5 and 25 million people could lose their jobs, which would create severe impacts for marginalized workers such as women and migrants. Additionally, the number of school-age children facing food insecurity has increased by more than 320 million according to the World Food Program.

The data shows a worrying trend that the international community must contend with to eliminate global poverty. Since the 1990s, the world has worked together to lift billions of people out of poverty and increase the global standard of living. Now, the COVID-19 pandemic has once again created a barrier to making a poverty-free future possible. The full extent of the virus’s impact has yet to be seen. However, what is already known is its effect on human livelihood, especially for those who are most at risk. The pandemic has created a new challenge for the international community if it wants to make extreme poverty a thing of the past. Yet, what can be achieved with global cooperation is immense, and the world’s vision for a sustainable future is still possible; it just might take a little bit longer than hoped for.

Aerex Narvasa

Aerex is a current student at Occidental College majoring in Diplomacy and World Affairs with a minor in East Asian Studies. He is passionate about sharing people’s stories through writing, and always strives to learn about new places and cultures. Aerex loves finding new music and exploring his hometown of Los Angeles in his free time.

Middle Eastern Countries Combat Stigma Surrounding Mental Health

While the stigmatization of mental health issues is common worldwide, sociocultural factors specific to the Middle East often prevent individuals from seeking treatment.

A drawing depicting mental health issues. Pixabay.

Mental health services are more urgently needed now than ever before. The world is currently facing a mental health epidemic, with over 264 million people struggling with depression in 2019. The additional stress and uncertainty caused by the COVID-19 pandemic have caused anxiety and depression levels to skyrocket. For many individuals, it has become even harder to participate in counseling programs. According to the World Economic Forum, over 93% of countries have reported a disruption in their mental health services since the pandemic started. 

In the Middle East, mental health awareness continues to rise, especially in the Gulf countries among the nations’ youth. A recent poll conducted in the Gulf region reported that 62% of youth agree that mental health issues are important. Even so, a recent survey in Saudi Arabia revealed that 80% of people struggling with severe mental health issues do not seek treatment. Similarly, this year’s Arab Youth Survey, which interviewed 4,000 young adults ages 18-24 from 17 Arab countries, revealed that mental health issues are rampant, with the number of people affected continuing to rise. 

Difficulties in Obtaining Proper Mental Health Care

The Kaaba in Mecca, Saudi Arabia, the holiest site in Islam. Konevi, Pixabay.

A prevalent culture of stigmatization in Middle Eastern countries prevents many individuals from seeking treatment in the first place. Due to the shame associated with mental health issues, privacy between the client and their mental health professional is of utmost concern. In many cases, mental health issues place a burden on a family’s reputation and social status. Rania Raine, a 43-year-old British-Egyptian art teacher who struggles with mental health, states that, “It’s the ‘shame’ families have, that their child isn’t perfect, that their lives are not perfect and what will people say, what will the neighbors say, society say–and then it all leads to marriage, how no one will marry the child who has a mental health condition, or worse still, ruin the chances of marriage of the other siblings.” 

Although the stigmatization of mental health conditions is common in Muslim communities, Ph.D. researcher Mounira al-Dousari states that they are “reflections of cultural practices and discourse.” There is a growing movement among mental health professionals to include faith in therapy, which results in a faster recovery for some clients. It’s also important to note that many forms of therapy use predominantly Western practices, which need to be diversified to appeal to a larger audience. According to Dousari, “When it comes to Islam, Muslim scholars and those working in the mental health field are working harder than ever to establish well-structured Islamically integrated psychotherapy models.”

Additionally, the financial burdens of seeking mental health treatment raise another concern. Even though mental health care is free in some public hospitals, many people do not trust them due to privacy concerns. Prices for private mental health care sessions are quite expensive. For example, Dousari’s research sessions cost $225 an hour, a large sum even for well-off families. 

Historic Treatment of Mental Illness in the Middle East

An entrance to the Moristan of Kala’oon, a mental health hospital in Egypt, 1878. Werner. CC2.5

Although mental health remains a prevalent issue in the region, the Middle East was well known for mental health treatment during the Islamic Golden Age. The term bimaristan, Persian for “home for the sick,” refers to entire psychiatric hospitals where a patient’s mind, body and soul were considered part of the treatment process. First opened in Fez, Morocco, and in Baghdad in the eighth century and later in Cairo, Damascus and Aleppo in the ninth, the practice was initially introduced by physician Ahmed ibn Sahl al-Balkhi. A famous manuscript written by Balkhi called “Sustenance for Bodies and Souls” was written in clear, understandable language and helped make mental health education more accessible to the public. Unfortunately, the practice declined throughout the centuries and does not occur in the mainstream today. 

Additionally, Dr. Mamoun Mobayed, director of the treatment and rehabilitation department at Behavioral Healthcare Center in Qatar, emphasizes that the stigmatization of diseases is a global phenomenon. “Any disease thought to be infectious or bizarre-looking, like leprosy, has always been stigmatized. Even with COVID-19, there have been cases where paramedics working with COVID-19 patients have been avoided due to the fear and stigma attached to the virus.”

In recent years, mental health awareness in the Middle East has become a top priority, with many countries starting their own wellness initiatives and campaigns. 

Qatar Paves the Way in the Gulf

Sidra Medical and Research Center in Qatar. Sergeev. CC3.0

Qatar launched a new mental health program in conjunction with World Mental Health Day. Being the first country in the Gulf to start such an initiative, the Wellness Ambassadors program aims “to promote mental health support and break the stigma attached to mental health conditions at school level.” Program ambassadors received comprehensive training on mental health issues such as anxiety, depression and bullying while breaking cultural misconceptions surrounding mental health. Dr. Mobayed states that educating individuals about mental health issues serves “to remove the barriers associated with mental health and know they are normal humans with a disorder in the mind.” 

Turkish Counseling Services Provide Assistance

Taksim Square in Istanbul. Pixabay.

A crisis helpline in Turkey helps those struggling with mental health issues during the pandemic. Supported by the World Health Organization, the service is accessible in all of Turkey’s 81 provinces and consists of 418 staff members trained in helping individuals manage stress and access mental health resources. So far, the service has offered more than 80,000 consultations since its inception. 

Social Media Campaigns in Kuwait Lead to Legislative Action

Youth in Kuwait. Wikimedia Commons. CC2.0

Kuwait enacted its first mental health law in 2019, which passed unanimously through the national assembly. Instrumental to this success were numerous social media campaigns led by youth, artists and mental health advocates. The founder of ASAP Beauty, Sheika Majda al-Sabah, credits her involvement in the campaign to her own struggles with depression. Other campaigns include “Mind Me”, “Human Line Organization” and “Taqabal”, with trending hashtags such as #noshame working to spread awareness. Outreach events helped to create a welcoming climate where people could speak more openly and denounce negative stereotypes surrounding mental illness. Since the onset of the COVID-19 pandemic, an online program called Corona Care provides mental health services for those in need. Additionally, the Gulf Program for Mental Health encourages countries to develop comprehensive mental health programs that adhere to international standards. 

Although there is still work needed to break down barriers surrounding mental health treatment, Middle Eastern countries seem ready to rise to the challenge. 

To Get Involved: 

Check out social media campaign pages “Mind Me”, “Human Line Organization” and “Taqabal” working toward mental health awareness in Kuwait. Visit the website of the Institute for Muslim Mental Health, which focuses on providing support for Muslims in the United States. The Journal of Muslim Mental Health is an excellent resource to learn about issues affecting the Muslim community in the United States and globally. 

Megan Gürer

Megan is a Turkish-American student at Wellesley College in Massachusetts studying Biological Sciences. Passionate about environmental issues and learning about other cultures, she dreams of exploring the globe. In her free time, she enjoys cooking, singing, and composing music.

COVID-19 Further Complicates Kenya’s Health Care System

Kenya is facing a double burden of communicable and noncommunicable diseases. Clustering of infections, such as HIV and tuberculosis, and noncommunicable diseases, such as diabetes and high blood pressure, renders Kenyans vulnerable to COVID-19. This has pressured an already overstretched health care system.

Hospital entrance sign in Kenya’s Rift Valley province. Melanie K Reed. CC BY-NC-ND 2.0

In mid-March, shortly after Kenya’s first confirmed COVID-19 case, the word “corona” began circulating around western Kenya’s villages. Young people used the word as a novelty, and the overall population remained preoccupied with existing illnesses. “This is a disease for whites,” said Sylvanus, a local father of seven. When calling after white people on the street, children replaced their traditional “mzungu!” (white person) with “coronavirus!” At this point, Europe was the pandemic’s epicenter. Kenyans felt that this foreign virus was removed from their world. 

However, Kenya’s high prevalence of preexisting health conditions renders a significant portion of the population immunocompromised and therefore vulnerable to the coronavirus. In a country experiencing health issues such as HIV, tuberculosis, diabetes and malaria, the pandemic has posed a threat to an already fragmented health care system. Although less than 4% of Africa’s population is over the age of 65, countries such as Kenya have seen high coronavirus mortality rates. 

Global evidence shows that people with underlying medical conditions are at a greater risk from COVID-19. In 2019, half a million Kenyans were living with diabetes, and over half of accounted deaths were associated with noncommunicable diseases. Currently, Kenya’s health care system is structured to manage individual diseases, rather than multiple ones. Because patients frequently carry more than one health condition, the health care system has been overstretched and inadequate. HIV, tuberculosis and malaria treatments are easily accessible, but noncommunicable diseases such as diabetes and cancer often go undiagnosed, and care is costly. The COVID-19 pandemic has exacerbated these shortcomings, as social distancing restrictions prevent Kenyans from accessing medical resources, and a surge of coronavirus cases imposes a double burden of disease. Additionally, front-line workers with undiagnosed, chronic illnesses have critically compromised their health, and hospitals have dealt with equipment shortages. 

Transcontinental travel has heavily contributed to the increase in COVID-19 cases across Africa. In order to minimize Kenya’s number of infections, President Uhuru Kenyatta stopped all flights from Europe. Kenyatta also imposed a national curfew and restricted movement between populated areas. Domestically, middle-class, urban dwellers have carried the virus into rural areas. On Kenyan television, villagers have urged educated, urban residents to remain in the city, instead of threatening the lives of others. 

In African countries, lockdowns are nearly impossible to implement because they would spur social and economic crises. Many people rely on cash earned daily to sustain themselves and their families. A strict lockdown would result in poverty and starvation. Kinship systems also play a crucial role in social welfare, as relatives care for one another. For people already barely getting by, cutting these social ties would be dangerous. Finally, a lockdown would interrupt the supply chains of essential drugs, preventing access to tuberculosis, HIV and malaria treatments. 

According to several African presidents, developed countries are failing to fulfill their pledges of financial support and debt relief. Throughout the pandemic, outside aid has not met the continent’s needs. While wealthy countries in the global north have funneled trillions of dollars into their own stimulus packages and health initiatives, the global south cannot afford such measures. With limited testing capacity, Africa has not confirmed many of the world’s COVID-19 cases, but the continent has been grossly affected by the economic crisis and global trade disruptions. Furthermore, the global shortage of testing kits, hygienic material and personal protective equipment has left developed countries vying for their own supplies, without consideration for underdeveloped nations. 

Anna Wood

is an Anthropology major and Global Health/Spanish double minor at Middlebury College. As an anthropology major with a focus in public health, she studies the intersection of health and sociocultural elements. She is also passionate about food systems and endurance sports.