Global & Disaster Medicine

Archive for October, 2016

Typhoon Sarika was blasting across the northern Philippines on Sunday and headed toward Vietnam.

WSJ

  • Sustained winds of about 130 kilometers per hour (81 miles per hour)
  • Gusts up to 220 kph as it crossed the main island of Luzon

 


At least 24 people died and dozens more were hurt in a stampede in the ancient city of Varanasi on Saturday

Reuters

“….Deadly stampedes are common at India’s big pilgrimages and religious festivals.

In 2008, 145 people died when a panicking crowd pushed people over a ravine in north India.

In 2013 a crowd rush at a railway station killed at least 36 Hindu pilgrims, attending a festival.

Last July, at least 27 were killed and dozens more injured in a stampede at a Hindu festival in south India and in

August 10 more died in a similar incident in Jharkhand…..”

 


At least 24 people were killed and 20 others injured in a stampede that occurred as they were crossing a crowded bridge to reach a Hindu religious ceremony in northern India

Washington Post

 


A suicide bomber struck a funeral gathering in Baghdad on Saturday, killing at least 35 and wounding more than 60.

NY Times

 


A gun battle at an LA restaurant left 3 dead and 12 others wounded early Saturday

LA Times

An argument broke out.  Then 3 men left the restaurant and returned with firearms and began shooting at another group.


October 15: Global Handwashing Day

Global Handwashing Day 2016

Keeping your hands clean is one of the most important steps you can take to avoid getting sick and spreading germs to the people around you. Many diseases and conditions are spread by not cleaning your hands properly. Here are five important things you might not know about washing your hands and why it matters.

  1. Soap is key. Washing your hands with soap removes germs much more effectively than using water alone.[i] The compounds, called surfactants, in soap help remove soil and microbes from your skin. You also tend to scrub your hands more thoroughly when you use soap, which also helps to removes germs.[ii]Make handwashing a habit
  1. It takes longer than you might think. The optimal length of time to wash your hands depends on many factors, including the type and amount of soil on your hands. Evidence suggests that washing your hands for about 15–30 seconds removes more germs than washing for shorter periods.[iii] CDC recommends washing your hands for about 20 seconds, or the time it takes to hum the “Happy Birthday” song twice from beginning to end.
  1. It’s all about technique. Make sure to clean the spots on your hands that people miss most frequently. Pay particular attention to the backs of your hands, in between your fingers, and under your nails. Lathering and scrubbing your hands creates friction, which helps to remove dirt, grease, and germs from your skin.
  1. Don’t forget to dry. Germs can be transferred more easily to and from wet hands, so you should dry your hands after washing.[iv] Studies suggest that using a clean towel or letting your hands air dry are the best methods to get your hands dry.[v],[vi],[vii]
  1. Hand sanitizer is an option. If you can’t get to a sink to wash your hands with soap and water, use an alcohol-based hand sanitizer that contains at least 60% alcohol. Make sure you use enough to cover all surfaces of your hands. Do not rinse or wipe off the hand sanitizer before it is dry.[viii]

Note: Hand sanitizer may not kill all germs, especially if your hands are visibly dirty or greasy,[ix] so it is important to wash hands with soap and water as soon as possible after using hand sanitizer.

Why it Matters

Remember, clean hands save lives. Diarrheal diseases and pneumonia are the top two killers of young children around the world, killing 1.8 million children under the age of five every year.[x] Among young children, handwashing with soap prevents 1 out of every 3 diarrheal illnesses [xi] and 1 out of 5 respiratory infections like pneumonia worldwide.[xii],[xiii]

October 15th is Global Handwashing Day

Handwashing is for everyone…everywhere. Global Handwashing Day is an opportunity to support a global and local culture of handwashing with soap and water, shine a spotlight on the state of handwashing in each country, and raise awareness about the benefits of washing your hands with soap. Although people around the world clean their hands with water, very few use soap to wash their hands because soap and water for handwashing might be less accessible in developing countries.

Get Involved!

References

[i] Burton M, Cobb E, Donachie P, Judah G, Curtis V, Schmidt WP. The effect of handwashing with water or soap on bacterial contamination of hands. Int J Environ Res Public Health. 2011 Jan;8(1):97-104.

[ii] Burton M, Cobb E, Donachie P, Judah G, Curtis V, Schmidt WP. The effect of handwashing with water or soap on bacterial contamination of hands. Int J Environ Res Public Health. 2011 Jan;8(1):97-104.

[iii] Jensen D, Schaffner D, Danyluk M, Harris L. Efficacy of handwashing duration and drying methods. Int Assn Food Prot. 2012 July.

[iv] Patrick DR, Findon G, Miller TE. Residual moisture determines the level of touch-contact-associated bacterial transfer following hand washing. Epidemiol Infect. 1997 Dec;119(3):319-25.

[v] Gustafson DR, Vetter EA, Larson DR, Ilstrup DM, Maker MD, Thompson RL, Cockerill FR 3rd. Effects of 4 hand-drying methods for removing bacteria from washed hands: a randomized trial. Mayo Clin Proc. 2000 Jul;75(7):705-8.

[vi] Huang C, Ma W, Stack S. The hygienic efficacy of different hand-drying methods: a review of the evidence. Mayo Clin Proc. 2012 Aug;87(8):791-8.

[vii] Jensen D, Schaffner D, Danyluk M, Harris L. Efficacy of handwashing duration and drying methods. Int Assn Food Prot Annual Meeting. 2012 July 22-25.

[viii] Widmer, A. F., Dangel, M., & RN. (2007). Introducing alcohol-based hand rub for hand hygiene: the critical need for training. Infection Control and Hospital Epidemiology, 28(1), 50-54.

[ix] Pickering AJ, Davis J, Boehm AB. Efficacy of alcohol-based hand sanitizer on hands soiled with dirt and cooking oil. J Water Health. 2011 Sep;9(3):429-33.

[x] Liu L, Johnson HL, Cousens S, Perin J, Scott S, Lawn JE, Rudan I, Campbell H, Cibulskis R, Li M, Mathers C, Black RE; Child Health Epidemiology Reference Group of WHO and UNICEF. Global, regional, and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet. 2012 Jun 9;379(9832):2151-61.

[xi] Ejemot RI, Ehiri JE, Meremikwu MM, Critchley JA. Hand washing for preventing diarrhoea. Cochrane Database Syst Rev. 2008;1:CD004265.

[xii] Rabie T and Curtis V. Handwashing and risk of respiratory infections: a quantitative systematic review.Trop Med Int Health. 2006 Mar;11(3):258-67.

[xiii] Aiello AE, Coulborn RM, Perez V, Larson EL. Effect of hand hygiene on infectious disease risk in the community setting: a meta-analysis. Am J Public Health. 2008;98(8):1372-81.

Posted on October 14, 2016 by Blog Administrator

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Stop The Bleed Campaign

Bleeding Control Website

 


Three men were charged in Wichita, Kansas federal court with conspiring to detonate a bomb at an apartment complex in Garden City where Muslim immigrants from Somalia live and worship.

Department of Justice

FOR IMMEDIATE RELEASE
Friday, October 14, 2016
Three Southwest Kansas Men Charged With Plotting to Bomb Somali Immigrants

WICHITA, KAN. -Three men from southwest Kansas were charged in federal court here today with conspiring to detonate a bomb at an apartment complex in Garden City where Muslim immigrants from Somalia live and worship, Acting U.S. Attorney Tom Beall said.

A criminal complaint unsealed today alleged the men conducted surveillance to size up potential targets, stockpiled firearms, ammunition and explosive components, and prepared a manifesto to be published after the bombing. The attack, the defendants said, would “wake people up.”

“These charges are based on eight months of investigation by the FBI that is alleged to have taken the investigators deep into a hidden culture of hatred and violence,” Beall said. “Many Kansans may find it as startling as I do that such things could happen here.”

Charged with one count of conspiring to use a weapon of mass destruction were:

Curtis Allen, 49, Liberal, Kan.

Gavin Wright, 49, Liberal, Kan., owner of G & H Mobile Home Center at 1250 E. Tucker Road in Liberal.

Patrick Eugene Stein, 47, Wright, Kan.

The complaint alleges that since February 2016 the FBI has been investigating the defendants’ activities planning a violent attack against Muslims in southwestern Kansas. A confidential source attended meetings of a militia group called the Kansas Security Force, providing the FBI with information about the groups’ activities.

The defendants were members of a small group they called the Crusaders. After considering possible targets including pro-Somali churches and public officials, the defendants decided to target an apartment complex in Garden City, Kan., where Somalis lived and maintain an apartment that served as a mosque. They discussed obtaining four vehicles, filling them with explosives and parking them at the four corners of the apartment complex to create a big explosion.

On Oct. 12, defendant Stein met with the confidential FBI source in rural Finney County to examine automatic weapons the source had brought from an FBI lab in Quantico, Va. After trying out two of the weapons, Stein took the source to see the apartment building the defendants were targeting in Garden City. Stein said he would provide ammonium nitrate for the bomb and contribute $200 to $300 for other materials.

Stein also talked with the source about defendant Allen’s arrest in a domestic violence case in Liberal the previous day, Oct. 11. Stein said he was concerned that Allen’s girlfriend would give Liberal police information about the defendants’ plans.

If convicted, the defendants face up to life in federal prison. Investigating agencies included the FBI, the Liberal Police Department, the Seward County Sheriff’s Office, the Ford County Sheriff’s Office, the Garden City Police Department, the Dodge City Police Department, the Finney County Sheriff’s Office, and Kansas Highway Patrol, and the Kansas Bureau of Investigation. Assistant U.S. Attorney Tony Mattivi is prosecuting

In all cases, defendants are presumed innocent until and unless proven guilty. The charges merely contain allegations of criminal conduct.


“The poorest of the poor in North Carolina are the ones who are being hurt the most by these floods,” Gov. Pat McCrory.

NY Times

“…..By Thursday, $2.6 million in aid from the Federal Emergency Management Agency had been disbursed and 14,000 people had applied for aid.

Individual assistance from FEMA, which has averaged about $2,000 a family in recent years, is designed to help with immediate needs — like temporary rental housing, repairs not covered by insurance, and the replacement of critical personal items — but those grants are somewhat limited…..”


The WHO substantially increased its estimate of the number of new patients with TB in India, to 2.8 million in 2015, compared with 2.2 million in 2014 — more than in any other country in the world and more than a quarter of the world total.

TB-India_Lancet-2016

NY Times

The Lancet

TB patient taking medication

 


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