History

Mauritania Mauritania, officially the Islamic Republic of Mauritania, is a sovereign country in Maghreb, Northwest Africa. It is bordered by the Atlantic Ocean to the west, Western Sahara to Mauritania–Western Sahara border, the north and northwest, ...

health care Health care, or healthcare, is the improvement or maintenance of health via the preventive healthcare, prevention, diagnosis, therapy, treatment, wikt:amelioration, amelioration or cure of disease, illness, injury, and other disability, physic ...

infrastructure in the early 1980s consisted of a central hospital in

Nouakchott Nouakchott ( ) is the capital and largest city of Mauritania. Located in the southwestern part of the country, it is one of the largest cities in the Sahara. The city also serves as the administrative and economic center of Mauritania. Once a ...

, twelve regional hospitals, a number of health clinics, maternal and child care centers, dispensaries, and mobile medical units to serve the countryside. All facilities suffered from a lack of equipment, supplies, and trained personnel. The ratio of people to hospital beds was 2,610 to one. The ratio of people to

physician A physician, medical practitioner (British English), medical doctor, or simply doctor is a health professional who practices medicine, which is concerned with promoting, maintaining or restoring health through the Medical education, study, Med ...

s was 13,350 to one. This ratio represented an improvement over the 1965 figure of 36,580 to one and was better than that of some of Mauritania's neighbors.Berry, LaVerne. "Medical Care". I
''Mauritania: A Country Study''
(Robert E. Handloff, editor).

Library of Congress The Library of Congress (LOC) is a research library in Washington, D.C., serving as the library and research service for the United States Congress and the ''de facto'' national library of the United States. It also administers Copyright law o ...

Federal Research Division The Federal Research Division (FRD) is the research and analysis unit of the United States Library of Congress. The Federal Research Division provides directed research and analysis on domestic and international subjects to agencies of the Unite ...

(June 1988). ''This article incorporates text from this source, which is in the public domain.'' In 1987 Mauritania's largest medical facility was the 500-bed government-run hospital in Nouakchott. Staffed by Mauritanian and expatriate

doctor Doctor, Doctors, The Doctor or The Doctors may refer to: Titles and occupations * Physician, a medical practitioner * Doctor (title), an academic title for the holder of a doctoral-level degree ** Doctorate ** List of doctoral degrees awarded b ...

s, it lacked supplies and properly maintained equipment. Other facilities included the National Health Center, built in 1977 for the study of disease prevention and methods of public health care education, and the National School of Nurses and Midwives, founded in 1966 to train

nurse Nursing is a health care profession that "integrates the art and science of caring and focuses on the protection, promotion, and optimization of health and human functioning; prevention of illness and injury; facilitation of healing; and alle ...

midwive A midwife (: midwives) is a health professional who cares for mothers and newborns around childbirth, a specialisation known as midwifery. The education and training for a midwife concentrates extensively on the care of women throughout their ...

s, and paramedical personnel. In general, health standards were quite low, and many

infectious disease An infection is the invasion of tissue (biology), tissues by pathogens, their multiplication, and the reaction of host (biology), host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmis ...

s were endemic. Contagious diseases (such as

measles Measles (probably from Middle Dutch or Middle High German ''masel(e)'', meaning "blemish, blood blister") is a highly contagious, Vaccine-preventable diseases, vaccine-preventable infectious disease caused by Measles morbillivirus, measles v ...

and

tuberculosis Tuberculosis (TB), also known colloquially as the "white death", or historically as consumption, is a contagious disease usually caused by ''Mycobacterium tuberculosis'' (MTB) bacteria. Tuberculosis generally affects the lungs, but it can al ...

) and respiratory disorders were more prevalent in northern arid regions, whereas

malaria Malaria is a Mosquito-borne disease, mosquito-borne infectious disease that affects vertebrates and ''Anopheles'' mosquitoes. Human malaria causes Signs and symptoms, symptoms that typically include fever, Fatigue (medical), fatigue, vomitin ...

, guinea worm infection, and

schistosomiasis Schistosomiasis, also known as snail fever, bilharzia, and Katayama fever is a neglected tropical helminthiasis, disease caused by parasitism, parasitic Schistosoma, flatworms called schistosomes. It affects both humans and animals. It affects ...

were more common in the

Senegal River Valley The Senegal River ( or "Senegal" - compound of the Serer term "Seen" or "Sene" or "Sen" (from Roog Seen, Supreme Deity in Serer religion) and "O Gal" (meaning "body of water")); , , , ) is a river in West Africa; much of its length mark ...

. The desert tended to be a healthier environment than the more tropical south, but several major diseases were common to all areas of the country.

Typhoid Typhoid fever, also known simply as typhoid, is a disease caused by ''Salmonella enterica'' serotype Typhi bacteria, also called ''Salmonella'' Typhi. Symptoms vary from mild to severe, and usually begin six to 30 days after exposure. Often ther ...

poliomyelitis Poliomyelitis ( ), commonly shortened to polio, is an infectious disease caused by the poliovirus. Approximately 75% of cases are asymptomatic; mild symptoms which can occur include sore throat and fever; in a proportion of cases more severe ...

hepatitis Hepatitis is inflammation of the liver parenchyma, liver tissue. Some people or animals with hepatitis have no symptoms, whereas others develop yellow discoloration of the skin and whites of the eyes (jaundice), Anorexia (symptom), poor appetite ...

, and a variety of parasitic illnesses also affected the population. In late 1987, the

World Health Organization The World Health Organization (WHO) is a list of specialized agencies of the United Nations, specialized agency of the United Nations which coordinates responses to international public health issues and emergencies. It is headquartered in Gen ...

issued warnings about

cholera Cholera () is an infection of the small intestine by some Strain (biology), strains of the Bacteria, bacterium ''Vibrio cholerae''. Symptoms may range from none, to mild, to severe. The classic symptom is large amounts of watery diarrhea last ...

, and outbreaks of both yellow fever and

Rift Valley fever Rift Valley fever (RVF) is a viral disease of humans and livestock that can cause mild to severe symptoms. The mild symptoms may include: fever, muscle pains, and headaches which often last for up to a week. The severe symptoms may include: loss ...

were reported in the extreme southern part of

Trarza Region Trarza () is a region in southwest Mauritania. Its capital is Rosso. Other major cities and towns include Mederdra and Boutilimit. Trarza borders the regions of Inchiri and Adrar to the north, Brakna to the east, and the country of Senegal to ...

around Rosso. Contagious and infectious diseases were rampant in the kébés surrounding major towns, cities, and villages. In the mid-1980s, a mass

vaccination Vaccination is the administration of a vaccine to help the immune system develop immunity from a disease. Vaccines contain a microorganism or virus in a weakened, live or killed state, or proteins or toxins from the organism. In stimulating ...

campaign for children under five years of age was under way. The program, aimed at reducing infection from poliomyelitis,

diphtheria Diphtheria is an infection caused by the bacteria, bacterium ''Corynebacterium diphtheriae''. Most infections are asymptomatic or have a mild Course (medicine), clinical course, but in some outbreaks, the mortality rate approaches 10%. Signs a ...

pertussis Whooping cough ( or ), also known as pertussis or the 100-day cough, is a highly contagious, vaccine-preventable bacterial disease. Initial symptoms are usually similar to those of the common cold with a runny nose, fever, and mild cough, bu ...

, and several other diseases, was reportedly meeting with some success.

Malnutrition Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is a deficiency, excess, or imbalance of energy, protein and other nutrients which adversely affects the body's tissues a ...

remained widespread, especially in children. The long-term

drought A drought is a period of drier-than-normal conditions.Douville, H., K. Raghavan, J. Renwick, R.P. Allan, P.A. Arias, M. Barlow, R. Cerezo-Mota, A. Cherchi, T.Y. Gan, J. Gergis, D. Jiang, A. Khan, W. Pokam Mba, D. Rosenfeld, J. Tierney, ...

and the consequent drop in food production exacerbated this problem during the early 1980s. According to a 1987 report by the

United States Agency for International Development The United States Agency for International Development (USAID) is an agency of the United States government that has been responsible for administering civilian foreign aid and development assistance. Established in 1961 and reorganized in 1998 ...

, between 40 percent and 70 percent of children under the age of five had experienced moderate to severe malnutrition. The degree of malnutrition varied according to the success or failure of local crops, and some slight improvement was noted in early 1987.

Hospitals

In 2019, there were 645 medical facilities in

, including 18 general hospitals and several specialty hospitals. The other facilities were small health centers and posts.

Maternal and child healthcare

The 2020 maternal mortality rate per 100,000 births for Mauritania is 766. This is compared with 712.2 in 2008 and 1295.4 in 1990. The under 5 mortality rate, per 1,000 births is 122 and the neonatal mortality as a percentage of under 5's mortality is 35. In Mauritania the number of midwives per 1,000 live births is 1 and the lifetime risk of death for pregnant women 1 in 41.

Malaria

In 2015, together with a group of colleagues,

Khadijetou Lekweiry Khadijetou Mint Lekweiry is a Mauritanian biologist and virologist, specializing in malaria transmission in her country. In 2009 Lekweiry was awarded a L'Oréal-UNESCO Women in Science Awards to support her research, related to the transmission ...

reported that the species ''

Aedes aegypti ''Aedes aegypti'' ( or from Greek 'hateful' and from Latin, meaning 'of Egypt'), sometimes called the Egyptian mosquito, dengue mosquito or yellow fever mosquito, is a mosquito that spreads diseases like dengue fever, yellow fever, malar ...

'' was seen for the first time in Mauritania. In 2019, she reported the first appearance of the ''

Plasmodium vivax ''Plasmodium vivax'' is a protozoal parasite and a human pathogen. This parasite is the most frequent and widely distributed cause of recurring malaria. Although it is less virulent than ''Plasmodium falciparum'', the deadliest of the five huma ...

'' parasite in

Atar Atar, Ahtra, Atash, Azar () or ''Dāštāɣni'',, s.v. ''agni-.'' is the Zoroastrian concept of holy fire, sometimes described in abstract terms as "burning and unburning fire" or "visible and invisible fire" (Mirza, 1987:389). It is conside ...

, a town in the north.

References

External links