Tag Archives: WHO

Yemen set to run out of fuel and vaccine in a month: UNICEF

A boy is being treated at a malnutrition treatment center in Sanaa, Yemen November 4, 2017.

GENEVA (Reuters) – Yemen’s stocks of fuel and vaccines will run out in a month unless a Saudi-led military coalition allows aid into the blockaded port of Hodeidah and Sanaa airport, UNICEF’s representative in the country said on Friday.

Meritxell Relano, speaking by phone to reporters in Geneva, said fuel prices had risen 60 percent and there were urgent concerns about a diphtheria outbreak, as well as food shortages because of the port closure.

“The situation that was already catastrophic is just getting worse,” she said. “The impact of this is unimaginable in terms of health and diseases.”

After two years of civil war, Yemen has 7 million people on the brink of famine and has had 900,000 suspected cholera cases in the past six months.

The number of new cases has fallen consistently for the past eight weeks, according to data from the World Health Organization.

But progress against cholera, which has killed 2,196 people, could be reversed by the blockade, WHO spokeswoman Fadela Chaib told a regular U.N. briefing in Geneva.

“If the closure is not stopped in the coming days, we may see that the progress is stopped,” Chaib said. “We can see even more cases and more deaths as a result of not being able to get access to people.”

The closure of Hodeidah port prevented a ship setting sail from Djibouti with 250 tonnes of WHO medical supplies on Wednesday. Trauma kits in particular are running short.

“If the hostilities continue and the ports remain closed, we will not be able to perform life-saving surgeries or provide basic healthcare,” Chaib said.

 

(Reporting by Tom Miles; Editing by Andrew Roche)

 

Plague in Madagascar Surprises and Alarms World Health organizations, U.S. not immune

World Health Organization responding to Seychelles plague

By Kami Klein

Experts are alarmed at a recent outbreak of plague that is spreading through major populated areas in Madagascar.  So far there has been 1,836 suspected or confirmed cases of pneumonic plague and 133 deaths in areas that have never seen this form of the disease before.

Every year Africa and Madagascar deal with an outbreak of plague within their borders. The World Health Organization (WHO) anticipates this in outlying areas and is ready to step in with antibiotics and information which eventually curtails the outbreak.  This year, health organizations around the world were surprised as the plague has spread so quickly and is primarily being found in heavily populated areas. While they anticipate around 400 cases a year, this year’s outbreak began sooner and a different strain of the disease has the world watching.

What is causing the alarm is that 65% of the plague occurring in Madagascar, pneumonic plague, is the only form that can be spread from human to human through droplets from coughing.  This makes containing the disease much more difficult and the chances that there will be more deaths almost certain.

According to the Center for Disease Control here in the United States, there are major differences in bubonic plague and pneumonic. Bubonic plague is spread to humans by the bites of infected fleas that live on small mammals such as rats.Without treatment, it kills up to two-thirds of those infected. One in 10 cases will develop into pneumonic plague which is almost always fatal if not treated quickly with antibiotics. This form, can and will spread from human to human which is the case in this outbreak. The good news is that a simple short course of antibiotics can cure the plague, providing it is given early.

Dr. Tim Jagatic told BBC News that the outbreak had spread to populated areas when a man infected with bubonic plague had traveled from the highlands to the capital and then on to the coastal city of Tamatave by bus.

“He had the bubonic form of the plague and entered into one of the major cities, where the bubonic version of the disease had the potential of turning into the pneumonic form without treatment.”

“He was in a closed environment with many people when he started to develop severe symptoms, and he started to transmit the pneumonic form of the disease to others.”

“So it wasn’t recognised until later,” he said, allowing the disease to “proliferate over a period of time unabated”.

This  case infected 31 other people, according to the WHO, four of whom died. It wasn’t until a couple of weeks later that an outbreak of the plague was detected and officially confirmed.

Although a travel ban has not been issued as of yet, officials do expect another spike in the disease before the season ends in April.  Medical personnel are all on  alert in parts of Africa that are most frequented by Madagascar citizens. WHO has delivered nearly 1.2 million doses of antibiotics and released $1.5 million dollars in emergency funds to fight the plague in Madagascar.

Though not widely publicized, the United States does have several cases of plague per year mostly in the Southwest. Dr Tim Jagatic, a doctor with Doctors without Borders currently working in Madagascar stated that the conditions which cause the plague outbreaks on the African island are also found in the US.

“Something today that very few people are aware of is that in the United States for instance, in the south-west, there’s an average of 11 cases of bubonic plague per year.

“These outbreaks occur simply because this is a bacteria which is able to maintain a reservoir in wild animals and every once in awhile, when humans come into contact with fleas that have had contact with the wild animals, it is able to transmit to humans.”

Information Sheet on the Plague

Information Sheet on the Plague

 

Sources:   BBC, WHO,CDC, New York Post  CNN

MSF says closing most cholera centers in Yemen as epidemic wanes

MSF says closing most cholera centers in Yemen as epidemic wanes

By Stephanie Nebehay

GENEVA (Reuters) – The medical charity Medecins Sans Frontieres (Doctors Without Borders) is closing most of its 37 cholera treatment centers in Yemen, saying the epidemic appears to have peaked.

Some 884,368 suspected cholera cases have been recorded in the war-torn country in the past six months, including 2,184 deaths, according to the latest figures from the World Health Organization (WHO). The case fatality rate is now 0.25 percent.

“The number of cholera cases reported in MSF treatment centers has significantly decreased since the peak of the outbreak. As a result, the medical organization is closing the majority of its cholera treatment centers or reducing their capacity,” MSF said in a statement late on Monday.

Some 567 new patients sought treatment for suspected cholera at MSF’s centers in nine governorates of Yemen during the second week of October, down from 11,139 at the peak in the third week in June, it said.

“Only 9 percent of patients admitted by MSF last week needed to be hospitalized and a limited number of patients have symptoms that correspond with the cholera case definition (acute watery diarrhea with or without vomiting),” it said. “The remaining cases are believed to be due to other pathogens.”

Ghassan Abou Chaar, MSF head of mission in Yemen, said: “The cholera outbreak is not over but it is no longer our medical priority in Yemen. However, this should not eclipse the dire health situation of millions of Yemenis who are unable to access basic primary healthcare.”

Civil war in Yemen has killed more than 10,000 people since it began in March 2015. Yemen’s war pits the armed Houthi movement that controls the capital against the internationally-recognized government of President Abd-Rabbu Mansour Hadi, which is backed by a Saudi-led coalition that has launched thousands of air strikes to restore him to power.

Cholera epidemics usually subside once the disease passes through a population, but aid agencies say the Yemen epidemic lasted longer and spread wider than they initially expected because of the war’s toll on health care.

U.N. humanitarian chief Mark Lowcock said on Sunday that an aid effort by the World Health Organization, United Nations Children’s Fund UNICEF, the International Committee for the Red Cross (ICRC) and other agencies had managed to “largely contain the devastating cholera epidemic”, but warned it could flare up again without urgent investment in health, water and sanitation.

ICRC said last month that the humanitarian situation in Yemen is a “catastrophe”, and cholera cases could reach a million by the end of the year.

Alexandre Faite, head of the ICRC delegation in Yemen, said at the time that the “health sector is really on its knees in Yemen … the health staff is on its knees as well because they are not paid.”

“Preventable illnesses and deaths are increasing in Yemen, and this can be partly attributed to the salary crisis,” MSF said, noting that doctors, nurses and other public health workers had not been paid in 13 months.

(Reporting by Stephanie Nebehay; Editing by Peter Graff)

Venezuela doctors in protest urge stronger WHO stance on health crisis

People hold letters which read "Hunger" during a protest outside the World Health Organization (WHO) office in Caracas, Venezuela September 25, 2017. REUTERS/Ricardo Moraes

By Alexandra Ulmer

CARACAS (Reuters) – Venezuela’s doctors, fed up with what they called the World Health Organization’s passive attitude toward the country’s deep medical crisis, protested at the agency’s Caracas office on Monday to demand more pressure on the government and additional assistance.

Venezuela is suffering from a roughly 85 percent shortage of medicines, decrepit hospital infrastructure, and an exodus of doctors during a brutal recession.

Once-controlled diseases like diphtheria and measles have returned due in part to insufficient vaccines and antibiotics, while Venezuelans suffering chronic illnesses like cancer or diabetes often have to forgo treatment.

Malnutrition is also rising, doctors say.

Rare government data published in May showed maternal mortality shot up 65 percent while malaria cases jumped 76 percent. The former health minister was fired shortly after the bulletin’s publication, and it has not been issued since.

In the latest protest by an umbrella group of health associations, dozens of doctors and activists gathered at the Pan American Health Organization (PAHO), the WHO’s regional office, urging the agency step up pressure on Nicolas Maduro’s leftist government and provide more aid during its 29th Pan American Sanitary Conference this week.

“There’s been a complicit attitude because they haven’t denounced things,” Dr. Rafael Muci said during the rally.

“This is an unlivable country, and no one is paying attention,” he said, adding he earns about $8 a month at a state hospital.

In a statement on Monday, PAHO stressed its main role was to provide “technical cooperation” and highlighted recent help in providing vaccines.

The Venezuelan government, which accuses activists of whipping up panic and the business elite of hiding medicines, did not respond to a request for comment.

Venezuelans seeking certain drugs often have to scour pharmacies, seek foreign donations or turn to social media.

Sociologist Maria Angelica Casanova, 51, has struggled to find psychiatric medicines for a year. “Sometimes they come, sometimes they don’t. It’s serious,” she said, as passers-by shouted “Down with Maduro!”

Measles, which were controlled after a mass immunization in the 1990s, has returned to Venezuela’s jungle state of Bolivar, PAHO data show.

As the crisis stokes emigration, Venezuela’s health problems could be exported, doctors warned.

“We don’t know how many people who are emigrating could have some of these pathogens in incubation period,” said Andres Barreto, an epidemiologist who had participated in the measles vaccination drive.

(Reporting by Alexandra Ulmer; Additional reporting by Johnny Carvajal; Editing by Richard Chang)

Dengue outbreak kills 300 in Sri Lanka, hospitals at limit

A mosquito landing on a person. Courtesy of Pixabay

COLOMBO (Reuters) – An outbreak of dengue virus has killed around 300 people so far this year in Sri Lanka and hospitals are stretched to capacity, health officials said on Monday.

They blamed recent monsoon rains and floods that have left pools of stagnant water and rotting rain-soaked trash — ideal breeding sites for mosquitoes that carry the virus.

The International Federation of Red Cross and Red Crescent Societies is scaling up emergency assistance to Sri Lanka with the Sri Lanka Red Cross to help contain the outbreak.

“Dengue patients are streaming into overcrowded hospitals that are stretched beyond capacity and struggling to cope, particularly in the country’s hardest hit western province,” Red Cross/Red Crescent said in a statement.

According to the World Health Organization, dengue is one of the world’s fastest growing diseases, endemic in 100 countries, with as many as 390 million infections annually. Early detection and treatment save lives when infections are severe, particularly for young children.

The Sri Lankan government is struggling to control the virus, which causes flu-like symptoms and can develop into the deadly hemorrhagic dengue fever.

The ministry of health said the number of dengue infections has climbed above 100,000 since the start of 2017, with 296 deaths.

“Ongoing downpours and worsening sanitation conditions raise concerns the disease will continue to spread,” Red Cross/Red Crescent said.

Its assistance comes a week after Australia announced programs to help control dengue fever in Sri Lanka.

“Dengue is endemic here, but one reason for the dramatic rise in cases is that the virus currently spreading has evolved and people lack the immunity to fight off the new strain,” Novil Wijesekara, head of health at the Sri Lanka Red Cross said in a statement.

(Reporting by Ranga Sirilal and Shihar Aneez Editing by Jeremy Gaunt.)

Yemen’s cholera death toll rises to 1,500: WHO

FILE PHOTO: Women sit with relatives infected with cholera at a hospital in the Red Sea port city of Hodeidah, Yemen May 14, 2017. REUTERS/Abduljabbar Zeyad

ADEN (Reuters) – The death toll from a major cholera outbreak in Yemen has risen to 1,500, Nevio Zagaria, the World Health Organization’s (WHO) representative in Yemen, said on Saturday, and appealed for more help to put an end to the epidemic.

Yemen has been devastated by a 27-month war between a Saudi-led coalition and the armed Iran-aligned Houthi group, making it a breeding ground for the disease, which spreads by faeces getting into food or water and thrives in places with poor sanitation.

Speaking at a joint news conference with representatives of the United Nations Children Fund (UNICEF) and the World Bank, Zagaria said that had been some 246,000 suspected cases in the period to June 30.

The WHO said this week that the outbreak had reached the halfway mark at 218,798 cases as a massive emergency response has begun to curb its spread two months into the epidemic.

Although most of Yemen’s health infrastructure has broken down and health workers have not been paid for more than six months, the WHO is paying “incentives” to doctors, nurses, cleaners and paramedics to staff an emergency cholera network.

With funding help from the World Bank, the WHO is setting up treatment centers with 50-60 beds each, overseen by shifts of about 14 staff working around the clock. The aim is to reach 5,000 beds in total.

(Reporting by Mohammed Mukhashaf, writing by Sami Aboudi; editing by Jason Neely)

Polio outbreak in Syria poses vaccination dilemma for WHO

A health worker administers polio vaccination to a child in Raqqa, eastern Syria November 18, 2013. REUTERS/Nour Fourat

GENEVA (Reuters) – Vaccinating too few children in Syria against polio because the six-year-old war there makes it difficult to reach them risks causing more cases in the future, the World Health Organization (WHO) said on Friday, posing a dilemma after a recent outbreak.

Two children have been paralyzed in the last few months in Islamic State-held Deir al-Zor in the first polio cases in Syria since 2014 and in the same eastern province bordering Iraq where a different strain caused 36 cases in 2013-2014.

Vaccinating even 50 percent of the estimated 90,000 children aged under 5 in the Mayadin area of Deir al-Zor would probably not be enough to stop the outbreak and might actually sow the seeds for the next outbreak, WHO’s Oliver Rosenbauer said.

Immunisation rates need to be closer to 80 percent to have maximum effect and protect a population, he told a briefing.

“Are we concerned that we’re in fact going to be seeding further future polio vaccine-derived outbreaks? … Absolutely, that is a concern. And that is why this vaccine must be used judiciously and to try to ensure the highest level of coverage,” Rosenbauer said.

“This is kind of what has become known as the OPV, the oral polio vaccine paradox,” he said.

The new cases are a vaccine-derived poliovirus type 2, a rare type which can emerge in under-immunised communities after mutating from strains contained in the oral polio vaccine.

“Such vaccine-derived strains tend to be less dangerous than wild polio virus strains, they tend to cause less cases, they tend not to travel so easily geographically. That’s all kind of the silver lining and should play in our favor operationally,” he said.

All polio strains can paralyze within hours.

Syria is one of the last remaining pockets of the virus worldwide. The virus remains endemic in Afghanistan and Pakistan.

(Reporting by Stephanie Nebehay; Editing by Louise Ireland)

WHO says India reports cases of Zika virus

FILE PHOTO: Aedes aegypti mosquitoes are seen inside Oxitec laboratory in Campinas, Brazil, on February 2, 2016. REUTERS/Paulo Whitaker/File Photo

NEW DELHI (Reuters) – India has reported cases of the Zika virus, the World Health Organization said, adding that efforts should be made to strengthen surveillance.

The WHO said that on May 15 India’s health ministry reported three confirmed cases from the western state of Gujarat. Cases were detected during testing in February and November last year, while one was detected in January this year, according to the statement, which was released on Friday but did not gain public attention until Saturday.

A federal health ministry official said states were following standard protocols and there was “nothing to worry” about. The ministry had in March cited one confirmed case of Zika – from January of this year in Gujarat – while answering a question in India’s parliament.

“These findings suggest low level transmission of Zika virus and new cases may occur in the future,” the WHO said in the statement on its website.

“Zika virus is known to be circulating in South-East Asia Region and these findings do not change the global risk assessment.”

In its most recent outbreak, Zika, which is mainly a mosquito-borne disease, was identified in Brazil in 2015 and has been spreading globally.

When the virus infects a pregnant woman, it can cause a variety of birth defects including microcephaly, where the baby’s head is abnormally small.

(Reporting by Aditya Kalra; Editing by Tom Lasseter and Andrew Bolton)

New WHO head seeks U.S. bipartisan support for global health

Newly elected Director-General of the World Health Organization (WHO) Tedros Adhanom Ghebreyesus attends a news conference at the United Nations in Geneva, Switzerland, May 24, 2017. REUTERS/Denis Balibouse

By Stephanie Nebehay

GENEVA (Reuters) – The new head of the World Health Organization (WHO) voiced hope on Wednesday that bipartisan support would prevail in the U.S. Congress to fund global health initiatives, despite deep budget cuts proposed by the Trump administration.

But Tedros Adhanom Ghebreyesus, a former Ethiopian health and foreign minister elected as the first African WHO director-general on Tuesday, also said the United Nations agency would be seeking new donors.

U.S. President Donald Trump proposed cuts on Tuesday of about 32 percent from U.S. diplomacy and aid budgets, or nearly $19 billion. His fellow Republicans in Congress assailed his plan, making it unlikely the cutbacks will take effect.

Tedros, asked about the proposed cuts to U.S. and multilateral aid agencies, told a news conference that donors should not suddenly pull out of existing programmes.

“I am a strong believer that there should be an exit strategy, that means a gradual exit that avoids any shocks,” he said. “When there are finance cuts like this, the most affected are the poor.”

But he added: “I don’t take it as a closed issue, and I will continue to engage and use that bipartisan position that I have already experienced while working as minister of health in my own country, but also when I was chairing the Global Fund (to Fight AIDS, Tuberculosis and Malaria).”

The United States currently provides nearly $835 million to WHO’s budget of $5.8 billion for 2016-2017, WHO figures show, combining both U.S. assessed and voluntary contributions.

Tedros said he preferred to see global agencies including WHO, the World Bank, GAVI vaccine alliance and Global Fund as part of one “big envelope”.

“We need to expand the donor base … If we have as many countries as possible who can contribute, it could be any amount, I think that will help,” he said.

“By expanding the donor base, we help the health financing to have a kind of shock absorber.”

U.S. Secretary for Health and Human Services Tom Price, in a speech to the WHO’s annual ministerial assembly on Monday, did not refer to U.S. contributions while voicing support for WHO.

“But it also means taking a clear-eyed view of what needs to change for it to fulfil that most important mission – ensuring a rapid and focused response to potential global health crises,” Price said.

“Reform with this focus must be this organisation’s number one priority,” he said. “The United States wants and we all need a strong WHO.”

(Reporting by Stephanie Nebehay; Editing by Tom Heneghan)

WHO confirms second Ebola case in Congo outbreak

FILE PHOTO: A health worker sprays a colleague with disinfectant during a training session for Congolese health workers to deal with Ebola virus in Kinshasa October 21, 2014. REUTERS/Media Coulibaly

By Aaron Ross

KINSHASA (Reuters) – The World Health Organization (WHO) confirmed on Sunday a second case of Ebola in Democratic Republic of Congo after an outbreak this week of 17 other suspected cases.

Health officials are trying to trace 125 people thought to be linked to the cases identified in the remote northeastern province of Bas-Uele province in northeastern Congo near the border with Central African Republic, WHO’s Congo spokesman Eugene Kabambi said.

Three people have so far died among the 19 suspected and confirmed cases, he added.

It was not immediately clear how the first victim, a deceased male, caught the virus, although past outbreaks have been linked to contact with infected bush meat such as apes.

The outbreak comes just a year after the end of an epidemic in West Africa killed more than 11,300 people mostly in Guinea, Sierra Leone and Liberia.

However, Congo, whose dense forests contain the River Ebola near where the disease was first detected in 1976, has experienced many outbreaks and has mostly succeeded in containing them without large-scale loss of life.

The GAVI global vaccine alliance said on Friday some 300,000 emergency doses of an Ebola vaccine developed by Merck <MRK.N> could be available in case of a large-scale outbreak and that it stood ready to support the Congo government on the matter.

(Reporting by Aaron Ross; Writing by Emma Farge; Editing by Louise Ireland and Gareth Jones)