![]() Improvements in community and household sanitation, such as access to household latrines, help control fly populations and breeding grounds. 3 Good hygiene practices such as washing hands with soap, and washing faces with water to remove discharge from eyes and nose help reduce the spread of trachoma. This is likely due to their close contact with infected children and their increased frequency of getting infected. Women are blinded by trachoma 4 times as often as men. Children are more likely to touch their eyes and have unclean faces that attract eye-seeking flies, so they are especially vulnerable to infection. Since trachoma is spread through close personal contact, it typically infects children and their caretakers. These mass drug administration programs continue until trachoma levels drop below levels recommended by WHO.įacial cleanliness (F). Antibiotics are given annually to entire districts affected by trachoma. Pfizer donates the antibiotic Zithromax™ to trachoma programs, and the International Trachoma Initiative manages distribution. It also stops the lashes from scratching the cornea, which stops blindness from progressing.Īntibiotics (A). Surgery relieves the pain of lashes rubbing against the eye. Surgery to correct trichiasis (“S” in the SAFE strategy). The SAFE strategy combines surgery to correct trichiasis (S), antibiotics to clear infection (A), and prevention measures to keep the disease from spreading (F, & E). Environmental improvements, specifically increasing access to water and sanitation.Surgery to treat the advanced, blinding stage of the disease (trichiasis).You cannot bypass all the changes it brings.To support the elimination of trachoma, the World Health Organization (WHO) established a public health strategy known as SAFE: You have to sit with the unexpected change. Be that as it may, the process is the same. ![]() It is not the first time I have had to work through grief, unfortunately, I have experienced loss in far too many areas of my life. Nevertheless, for those who realize the friendship is doing more harm than good, leaving you to question your value in their lives, or even the worth you hold as a person so begins the process of separation and working through grief. Maybe not on the recipient end as their actions would suggest any number of changes in how they value the friendship. And before you know it you do not feel safe in the midst of the emotional whiplash that has begun to occur.Ī friendship break-up is one of the hardest life changes to initiate and follow through with. The friend who makes your life all the better because they are in it. The friend you can spend hours with and not even notice the time go by. The friend who does not allow you to change under pressure, but encourages you to hold fast to your true self. The friend who encourages and advises you to take those business leaps. The friend who you call when you’re lost in a parking garage and can’t get out. The friend who you can count on to be the homebase in the midst of a large group of people. The friend who is always on your team in the midst of a breakup, separation or divorce. The friend who you call to commiserate a frustrating or bad relationship! Grieving a friendship “breakup” can make the rest of your life feel just a little bit lonelier. Which is where I find myself this past week. You can experience grief through the loss of a future, ie an unexpected illness that drains both your hope and finances, a life long dream that ends unexpectedly, leaving you to wonder “what is next?”, or the end of a relationship/marriage in which you had envisioned so much more time and plans.Īnd you can grieve the loss of a friendship. You can experience grief through the loss of security, ie: a job that provides financial stability, a home that you invested in, a stable environment that allows you to feel safe. However, we often forget to talk about the various other ways we can experience loss and its subsequent grief. As a society, we are starting to bring light to the profound potency of grief and how it can change you! How grief can wash over you when you least expect it, leaving you to feel IMMENSE pain, sometimes all the way to the bone. A loss due to death would seem the most prominent, however the loss of a beloved pet or a miscarriage can be just as crippling as the death of a parent, sibling, child or significant other. ![]() ![]() I’m working through some of my own personal grief, and it seemed only fitting that I would share how I seek to do the hard emotional work to get through this loss I am experiencing. As the days get longer, it would be easy to leave some of the dark, hard emotional work behind us in the beauty of the sunlight, giving a false sense of relief however, that repose can cost us more later if we are not careful.
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