Category: Health

  • Ebola fight starting to pay off but too early to claim success

    Ebola fight starting to pay off but too early to claim success

    {The deadliest Ebola outbreak ever is finally slowing in Liberia, the worst-hit country, but still wreaking havoc in two neighbouring west African states amid warnings of thousands of unreported deaths.}

    As the initially lacklustre global response to the crisis centred in Liberia and adjoining Sierra Leone and Guinea gathered some pace following repeated and impassioned appeals from top UN officials and world leaders, the good news from Liberia was tempered by warnings that the global toll is likely vastly underestimated.

    The outbreak is officially thought to have claimed 4,960 lives and infected 13,042 people, according to the latest data issued by the World Health Organization. But that could be the tip of the iceberg, an official at the UN health agency said.

    “There are lots of missing deaths in this epidemic,” Christopher Dye, WHO’s strategy chief, told AFP, estimating that around 5,000 fatalities could be missing from the count.

    This assessment, he said, was based on the knowledge that the fatality rate in the epidemic stands at about 70 percent.

    Dye said the likely explanation was that many people were burying the dead in secret, possibly to avoid having authorities interfere with burial customs like washing and touching the deceased widely blamed for much of the transmission.

    Sierra Leone’s President Ernest Bai Koroma pressed the point in a meeting this week with lawmakers well as tribal and religious chiefs.

    “You must enforce the law and take out the sick,” he said, referring to a ban on traditional mourning rites with involve contact with corpses.

    “This is time for action and you must stop the hypocrisy in the fight against Ebola,” added Koroma, whose country has recorded 1,070 deaths from the disease and 4,759 cases.

    – ‘Progress sporadic’ –

    Even though the spread of the virus has slowed in Liberia, where 2,697 people had died out of a total of 6,525 cases, officials warned that this is no time for complacency.

    “We cannot wait. This is a situation where we’re seeing progress but progress can be sporadic with this disease if we are not vigilant,” said Ertharin Cousin, the head of the UN’s World Food Programme this week while on a tour of west Africa.

    “And one message is that now is the time for everyone to come together to ensure that we are meeting the needs of people who are affected by this disease, because we are seeing progress,” Cousin said.

    Among these are more than 2,000 children left orphans by the disease in Liberia alone, West Africa’s regional bloc ECOWAS said, urging international help to go beyond immediate medical care.

    Anthony Banbury, the UN’s pointman on the fight against Ebola, told the BBC that the international body had neither received sufficient funds nor the means to fight the disease.

    “It’s not here yet. There are still people, villages, towns [and] areas that [are] not getting any type of help right now and we definitely don’t have the response capability on the ground now from the international community,” he said.

    The United Nations said it has received just over half — $572 million of the $988 million — the funds it is seeking to finance the fight against the worst outbreak of Ebola since the discovery of the viral disease in 1976.

    US President Barack Obama is asking Congress for more than $6.0 billion in emergency funding while Japan became the latest country this week to pledge extra aid, taking Tokyo’s contribution to a total of $140 million.

    AFP & FRANCE 24

  • Over 5,000 people have died due to Ebola-UN

    Over 5,000 people have died due to Ebola-UN

    An epidemic of Ebola that began in Guinea in March 2014 has now spread to neighbouring West African countries. The outbreak is the most severe epidemic of the disease to have occurred to date, and has been declared an international emergency by the World Health Organization. The virus has claimed over 5,000 lives in Guinea, Liberia and Sierra Leone, with a few cases which occurred in Nigeria, the Democratic Republic of the Congo and in Senegal.

    Beyond the death and suffering caused by the disease, the crisis could have lasting development consequences in the region, where many countries are still recovering from years of conflict and instability. Guinea, Sierra Leone and Liberia are projected to lose $1.17 billion in lost GDP due to Ebola. The agricultural sector accounts for 57% of Sierra Leone’s GDP and 37% of Liberia’s. Disruptions during the growing season have resulted in the inflation of the price of key food crops. In Liberia, the price of a highly nutritious and standard food staple, cassava, has increased by 150%. While individual livelihoods have shrunk due to lost wages, unemployment, and lost productivity, rising hunger fueled by soaring costs of basic necessities are exacerbating the ongoing crisis. Economic growth has been affected as emerging sectors such as tourism, agriculture and private sector investment are reduced, and development programmes may have to be postponed or interrupted in affected areas.

    At the same time, measures such as border containment, quarantine, airport screening, and appropriate protection for medical personnel could cost the governments of the region hundreds of millions of dollars from already stretched budgets.

    UNDP and UN country teams are working closely with the World health Organization, which is coordinating the medical response to the disease, while UNICEF and UNFPA are leading on community outreach, mobilization and education.

    {{What is UNDP doing?}}

    We are deploying some extra 130 staff to the three countries to boost the organization’s response. We are spearheading action on the ground to contain the disease:

    In Guinea, we are re-orienting our country programme to help tackle the socioeconomic crisis, focusing on three priorities: community engagement to stop the disease and keep the security, cash transfers to ensure the continuation of essential services, and assessing the socioeconomic impact of the crisis;

    In Liberia, we are training police and security services to secure borders and prevent further spread of the disease in prisons and public areas. We have provided telecommunications equipment to ensure contact between border posts and central command in Monrovia;

    In Sierra Leone, we are involved in community engagement, including running public information campaigns on how to prevent infection and where to seek treatment, and procuring basic goods to survivors (kits containing items for personal hygiene, clothes, blankets, mattresses, food).

    UNDP is working on plans to make cash transfers available to thousands of affected families. At the same time, our economists are assessing the development impact of the crisis to help drive recovery efforts and make sure communities can rebuild their lives.

    {{UN}}

  • Scientists find mechanism for spontaneous HIV cure

    Scientists find mechanism for spontaneous HIV cure

    {French scientists on Tuesday unveiled the genetic mechanism by which they believe two men were spontaneously cured of HIV, and said the discovery may offer a new strategy in the fight against AIDS.}

    In both asymptomatic men, the AIDS-causing virus was inactivated due to an altered HIV gene coding integrated into human cells, they wrote in the journal Clinical Microbiology and Infection.

    This, in turn, was likely due to stimulation of an enzyme that may in future be targeted for drug treatment to induce the same response, they said.

    “This finding represents an avenue for a cure,” study co-author Didier Raoult of the French Institute of Health and Medical Research (Inserm) told AFP.

    Neither of the men, one diagnosed HIV positive 30 years ago and the other in 2011, have ever been ill, and the AIDS-causing virus cannot be detected with routine tests of their blood.

    In both, the virus was unable to replicate due to DNA coding changes that the researchers proposed were the result of a spontaneous evolution between humans and the virus that is called “endogenisation”.

    “We propose that HIV cure may occur through HIV endogenisation in humans,” they wrote. “We believe that the persistence of HIV DNA can lead to cure, and protection, from HIV.”

    The approach hitherto has been the opposite: to try and clear all traces of HIV from human cells.

    The teams said they did not believe the two patients were unique or that the phenomenon was new.

    France 24

  • 1300 Police officers to train in handling suspected Ebola patients

    1300 Police officers to train in handling suspected Ebola patients

    {The Ministry of Health is set to train about 1300 Police officers in handling people suspected of having entered into contact with persons suspected of having Ebola symptoms or diagnosed with the virus.}

    About 400 officers are set to be trained in the City of Kigali alone while 30 others from each of the 30 districts will also benefit from the same training

    The Minister for Health, Agnes Binagwaho while addressing Police officers at the Rwanda National Police headquarters in Kacyiru on Wednesday, said the idea is to be prepared to respond to Ebola outbreak.

    The dreadful virus has so far claimed over 5000 people in West Africa.

    “This is a preparedness and response measure. The training will focus on traceability and health investigative skills in Ebola morbidity suspicion. Police officers will be equipped with skills and kits that are necessary for dispatching suspected patients to hospitals,” Minister Binagwaho said.

    Suspected patients, she said, will later be transferred to Remera-Mbogo hospital in Rulindo district where a specialized unit of medical experts was also established.

    “Given the nature of investigative instincts, Police will assist in identifying people who might have had contact with an Ebola suspected victim which in turn will ease minimizing its spread,” she explained.

    The Deputy Inspector General of Police in charge of Operations, Dan Munyuza said the force is always prepared to intervene in such situations.

    “Police is ever ready to offer such services as it is one of our prerogative obligations of protecting citizen,” DIGP Munyuza said.

    The training of police officers will supplement other measures already in place including mobile clinics at Kigali International Airport and all border posts.

    Police

  • Southern Province Midwives and nurses to gain from maternal and neonatal blended e-learning course

    Southern Province Midwives and nurses to gain from maternal and neonatal blended e-learning course

    {In partnership with the Rwanda Biomedical Center through its maternal and child health unit, College of Medicine and Health Sciences, Ubuzima Project, and Health[e] Foundation; nurses, midwives and maternal health counselors have started a three month online maternal and neonatal refresher courses. }

    Speaking on the occasion of the kickoff of this course on Tuesday, 28th October 2014, Dr. Nadine Pakker from the Health [e] Foundation a project based in the University of Amsterdam, Holland said that they organized this course to upgrade the skills of midwives, nurses and health professionals involved in maternal and child health in order to refresh their skills to further improve maternal and neonatal services in hospitals and health centers.

    “Through the project “Health[e] Families, participants will improve knowledge on management of reproductive and maternal health for community members and to improve knowledge on maternal health care delivery for midwives in Rwanda and this will be done by training both midwives/nurse-midwives and community workers through blended learning” Dr. Nadine Pakker explained.

    “Previously, we have offered courses on infectious diseases and HIV/AIDS management. However, we have found it important to also consider the area of reproductive health and safe motherhood since maternal and child mortality and morbidity in the low resources countries emerge among the leading causes of death and handicaps,” she revealed.

    She further added that the course is the first blended e-learning course of its kind focusing on maternal and neonatal issues. She called upon participants to take time and read resources of the course. He stressed that collaboration and peer discussions among participants will help to understand more the course.

    Dr. Brenda Kateera Asiimwe who spoke on behalf of the College of Medicine and Health Sciences came back on the burden of maternal and child health mortality and morbidity. According to the Rwanda Demographic Health Survey conducted in 2010, the country’s maternal mortality ratio stood at 476/100,000 live births. Among the leading causes of maternal deaths include post partum hemorrhage, sepsis and induced abortions.

    She called participants to play a big role in keeping on improving maternal and child health outcomes in their service delivery and community outreach. Talking on the significance of this refresher course, she called participants to study it diligently and added that the knowledge to acquire will help improve reproductive health services in Rwanda. “We hope that it will help you refresh your knowledge and skills and further enable you to help mothers the role of antenatal and postnatal care as well as delivering in the hands of skilled attendants. To achieve this requires your active role in bettering maternal and neonatal as well as other safe motherhood services you offer to your clients”, she urged them.

    During a three months period, participants will learn tips on offering focused antenatal care, handling complicated labor and delivery, managing post partum hemorrhage, breastfeeding, detecting cervical cancer among women and offering family planning services among other safe motherhood and reproductive health issues. Participants will be logging in to follow the courses using flash disks or via the website. Modules are expected to have been completed by February, 2015. Participants who will have completed all course modules with an average 60% and who were in the kickoff and end of the course shall be awarded a certificate from the University of Amsterdam.

  • 680 veterans of the UN mission in Rwanda (1994) Exposed to high levels of trauma

    680 veterans of the UN mission in Rwanda (1994) Exposed to high levels of trauma

    Soldiers who have taken part in peacekeeping missions suffer high levels of mental health problems, post-traumatic stress disorder and alcohol abuse.

    A French soldier protecting a camp in Gikongoro.  27 July 1994

    A study says the rate is far higher than for veterans of more recent missions and only slightly below that of Vietnam veterans.

    Since 1945, Australia has contributed more than 34,000 troops to 23 major peacekeeping operations.

    The study, commissioned by the Department of Veterans Affairs and conducted by the Australian Centre for Posttraumatic Mental Health, examined the mental and physical health of a more than 1000 veterans.

    They had participated in seven missions including Rwanda (1994-95), Cambodia (1991-93), Somalia (1992-96) and East Timor (1999-2002).

    They reported a high level of exposure to potentially traumatic events including death threats, witnessing misery and degradation, and seeing dead bodies.

    “While around half of the participants appear to be coping well with little or no evidence of psychological dysfunction, around one quarter report moderate levels of mental ill-health and vulnerability, with slightly over one quarter … reporting more severe diagnosable problems,” it said.

    Of particular concern was that 10 per cent reported thinking of suicide.

    A separate study examined 680 veterans of the Rwanda mission, launched following the 1994 mass slaughter in which the country’s Hutu ethnic group massacred as many as a million of their Tutsi neighbours.

    All were exposed to high levels of trauma, notoriously the Kibeho massacre of April 1995 when 32 Australian soldiers witnessed the murder of some 4000 refugees by government troops.

    The study specifically examined claims for veterans compensation, finding 31 per cent had claimed for PTSD, a rate significantly higher than for other missions.

    Peak periods for compensation claims came five and 11 years after the mission ended.

    The Rwanda deployment included a large group of medical personnel who reported much lower levels of PTSD than accompanying infantrymen and support personnel.

    SBS News

  • Liberia: Quarantined Citizens Threaten to Break Isolation over Food

    Liberia: Quarantined Citizens Threaten to Break Isolation over Food

    Dozens of people quarantined for Ebola monitoring in western Liberia are threatening to break out of isolation because they have no food, the West African nation’s state radio reported Thursday.

    Forty-three people were put in quarantine after four people died of Ebola in Jenewonda, a town in an impoverished corner of Grand Cape Mount County near the Sierra Leone border, the Liberia Broadcasting System said.

    It quoted those quarantined as saying that the U.N. World Food Program apparently has stopped providing food to people affected by Ebola in the area. A WFP press officer said he is looking into the claim.

    Liberia is the hardest hit of three West African nations being ravaged by Ebola. The latest figures published Wednesday by the U.N. World Health Organization show the country has at least 4,665 infected people and 2,705 have died there. WHO says there probably are more ill people and deaths but the numbers are under-reported. Overall, the WHO says the disease has killed 4,877 people and infected 9,936, almost all in Liberia, Guinea and Sierra Leone.

    Rwanda’s minister of health, meanwhile, is reversing a decision she made to require visitors who had been in the U.S. or Spain during the previous 22 days to report their medical condition to Rwandan authorities daily. Dr. Agnes Binagwaho said on Twitter late Wednesday that the decision to screen travelers from the U.S. and Spain, two countries that have seen cases of Ebola, was solely her decision and not the government’s. She apologized for any inconvenience.

    A posting on President Paul Kagame’s Twitter account said the measures instituted by Binagwaho weren’t necessary and that his health minister sometimes acts first and thinks later.

    No Ebola cases have been reported in Rwanda. The U.S. Embassy said that Rwanda is not allowing visitors who have recently traveled to Guinea, Liberia, Senegal, or Sierra Leone.

    In Freetown, the Sierra Leone capital, the head of the U.N. Mission for Ebola Emergency Response, Anthony Banbury, told a news conference Thursday that “We are working to put this fire under control.”

    They would start by trying to isolate at least 70 percent of cases, he said. The U.N. plan to stop transmission also includes safely burying at least 70 percent of victims by Dec. 1, and to have 100 percent of cases isolated and all the dead safely buried by Jan. 1.

    An internal U.N. World Health Organization report obtained by The Associated Press blames a series of blunders for allowing the epidemic to spiral out of control, notably the organization’s own “failure to see that conditions for explosive spread were present right at the start.”

    Banbury said, “The World has never seen a serious, grave and complex crisis of this nature where people are dying everyday with unsafe burial practices.”

    Among needs he identified were efficient contact tracing, safe burials, social mobilization and involvement of communities, bringing treatment centers closer to communities and ensuring that the centers are supported by robust logistics and training.

    “A lot of work needs to be done and no one country can do it alone,” he said.

    AP

  • Samsung donates 3,000 smartphones in support of the fight against Ebola

    Samsung donates 3,000 smartphones in support of the fight against Ebola

    {Samsung Electronics Co., Ltd. announced that the company will donate 3,000 smartphones, worth about USD 1 million, to support the ongoing fight against Ebola. The smartphones, to be donated through the United Nations Office for the Coordination of Human Affairs (OCHA), will be used in the Humanitarian Connectivity Project, the UN’s IT project that utilizes mobile devices to provide humanitarian support in disaster areas.}

    The donated GALAXY S3 Neo smartphones will be used in 60 Ebola medical clinics in the three worst-hit African countries, Guinea, Liberia, and Sierra Leone. By installing the UN’s Smart Health Pro mobile application, medical staff can utilize the smartphones to treat patients and collect medical data, while quarantined patients can contact their families using the devices.

    All donated smartphones will be destroyed once the virus outbreak has subsided.

    Samsung is also supporting various efforts to defeat Ebola in Africa, including providing financial support for the purchase of hazmat suits in Ghana and distribution of hand sanitizers in the Democratic Republic of Congo, as well as launching an Ebola SMS text service in South Africa.

    {{Biztechafrica}}

  • WHO: Ebola vaccine trials in W. Africa in January

    WHO: Ebola vaccine trials in W. Africa in January

    {{GENEVA}} — {Tens of thousands of doses of experimental Ebola vaccines could be available for “real-world” testing in West Africa as soon as January as long as they are deemed safe, a top World Health Organization official said Tuesday.}

    Dr Marie Paule Kieny, an assistant director general for WHO, said clinical trials that are either underway or planned in Europe, Africa and the U.S. are expected to produce preliminary safety data on two vaccines by December.

    If the vaccines are declared safe, she said they will be used in trials in West Africa beginning in January to test their effectiveness among tens of thousands — but not millions — of people.

    “I’m not suggesting at this moment that there would be mass vaccination campaigns at population levels starting in 2015,” she said, adding that none of the volunteers who take part in the trials could accidentally contract Ebola from the testing.

    The Ebola outbreak in West Africa has already killed over 4,500 people, mostly in Liberia, Guinea and Sierra Leone, since it emerged 10 months ago. Experts have said the world could face 10,000 new cases a week in two months if authorities don’t take stronger steps to fight the deadly virus.

    In Sierra Leone, the government said Tuesday that number of infected people in the country’s western region is soaring, with more than 20 Ebola deaths a day. That region is on the opposite side of the country from where the first Ebola cases emerged.

    And in Spain, doctors said tests showed that a Spanish nursing assistant infected with Ebola in Madrid was now completely clear of the virus. Teresa Romero, 44, had battled for her life after she tested positive Oct. 6.

    One of the two vaccines that Kieny mentioned was developed by the U.S. National Institutes of Health and GlaxoSmithKline from a modified chimpanzee cold virus and an Ebola protein. It is in clinical trials now in the U.K. and in Mali and will be used in trials in Lausanne, Switzerland, by the start of February.

    The second front-runner, developed by the Public Health Agency of Canada and known as VSV-EBOV, has been sent to the U.S. Walter Reed Army Institute of Research in Maryland for testing on healthy volunteers, with preliminary results about its safety expected by December. The next stage would be to test it more broadly, including among those directly handling Ebola cases in West Africa.

    Canada has donated 800 vials of the experimental vaccine to WHO but the shipment was delayed by a Lufthansa pilots’ strike. Those are now expected to arrive in Switzerland on Wednesday for testing coordinated by the U.N. health agency among volunteers at the University Hospital of Geneva, and volunteers in Hamburg, Germany, and in Gabon and Kenya, Kieny said.

    “These data are absolutely crucial to allow decision-making on what dose level should go in the efficacy testing in Africa,” Kieny said. “We expect, we hope, to have a go-ahead by the end of the month.”

    That would allow the vaccine to be shipped for use in Africa immediately afterward.

    Kieny said decisions about “which strategy to use and how and where and who” regarding the vaccines will be made in the next few weeks. Then vaccines will be given to health workers and select segments of the general population “early in 2015, in January.”

    {{Washington Post}}

  • Rwanda requires US, Spain visitor health reports

    Rwanda requires US, Spain visitor health reports

    {The U.S. Embassy in Rwanda says that Rwanda’s Ministry of Health is requiring visitors who have been in the United States or Spain during the previous 22 days to report their medical condition to health authorities.}

    A Ministry of Health document says all passengers from the U.S. and Spain — two countries that have seen cases of Ebola — will have temperatures taken upon arrival. Passengers with fevers will be denied entry, and those without fevers will still be required to report daily health conditions.

    No Ebola cases have been reported in Rwanda. The U.S. embassy says Rwanda is not allowing visitors who have recently traveled to Guinea, Liberia, Senegal, or Sierra Leone. Though the incoming health form advises those traveling from those countries must also report health conditions daily.

    {{AP}}