Global & Disaster Medicine

Archive for April, 2017

At least 13 people were killed in one day in the capital of Caracas.

CNN

 


Major power outages caused chaos on mass transit systems in both New York and San Francisco Friday

CBS

“….In New York, platforms were packed and riders were stuck underground in the dark when an outage in Midtown Manhattan backed up trains all over the city Friday morning,  Gov. Andrew Cuomo said a Con Edison equipment failure knocked out signals, escalators, communications and lights at the station……”

 


As many as 140 Afghan soldiers were killed on Friday by Taliban attackers apparently disguised in military uniforms

My Republica

 


Global hepatitis report, 2017: 325 million people, or roughly 4% of the world’s population, lives with viral hepatitis, and the disease causes 1.34 million deaths per year

Overview

In May 2016, the World Health Assembly endorsed the Global Health Sector Strategy (GHSS) on viral hepatitis 2016–2021. The GHSS calls for the elimination of viral hepatitis as a public health threat by 2030 (reducing new infections by 90% and mortality by 65%).

This WHO Global hepatitis report describes, for the first time, the global and regional estimates on viral hepatitis in 2015, setting the baseline for tracking progress in implementing the new global strategy.

The report focuses on hepatitis B and C, which are responsible for 96% of all hepatitis mortality. It presents data along the fi ve strategic directions (strategic information, interventions, equity, financing and innovation) – key pillars of the GHSS to facilitate monitoring of progress in countries, regions and globally, and to measure the impact of interventions on reducing new infections and saving lives between 2015 and 2030.

Related links


China’s H7N9 cases are rising again, partly related to a recent spurt of local infections in Beijing

CHP

China


Echocardiography evaluation of a group of Brazilian babies with Zika-related birth defects found three times the expected rate of congenital heart disease (CHD), but only one infant had symptoms and most had minor septal defects that weren’t hemodynamically significant.

Cavalcanti DD, Alves LV, Furtado GJ, Santos CC, Feitosa FG, Ribeiro MC, et al. (2017) Echocardiographic findings in infants with presumed congenital Zika syndrome: Retrospective case series study. PLoS ONE 12(4): e0175065. https://doi.org/10.1371/journal.pone.0175065

 


Paris ‘terror attack’: One policeman has been shot dead and two others wounded with their suspected attacker killed by security forces.

BBC

 


4/20/1999, Columbine High School: By 11:35 a.m., Klebold and Harris had killed 12 fellow students and a teacher and wounded another 23 people.

History Channel

 


The US State Department and the Department of Health and Human Services (HHS) last week conducted an unprecedented inter-agency drill to test the ability to airlift clusters of infected patients to hospitals with special biocontainment units.

AP

“……The State Department and Department of Health and Human Services said Tuesday they led an unprecedented inter-agency drill last week to test their preparedness to deal with a new outbreak of Ebola or another deadly, highly infectious disease. In the drill, 11 simulated patients were flown in specially designed bio-containment containers on a pair of 747s and three smaller Gulfstream jets from Sierra Leone to Washington’s Dulles International Airport.

From Dulles, the purported patients then went to five medical facilities across the U.S – Bellevue Hospital in New York City, Johns Hopkins University in Baltimore, the University of Minnesota Medical Center in Minneapolis, the Denver Health Medical Center in Denver and the University of Nebraska Medical Center in Omaha. The patients were played by non-infected volunteers…..”


WHO: “Today, almost two billion people use a source of drinking-water contaminated with faeces, putting them at risk of contracting cholera, dysentery, typhoid and polio.”

Asian Correspondent

WHO

Radical increase in water and sanitation investment required to meet development targets

News release

Countries are not increasing spending fast enough to meet the water and sanitation targets under the Sustainable Development Goals (SDGs), says a new report published by WHO on behalf of UN-Water – the United Nations inter-agency coordination mechanism for all freshwater-related issues, including sanitation.

“Today, almost two billion people use a source of drinking-water contaminated with faeces, putting them at risk of contracting cholera, dysentery, typhoid and polio,” says Dr Maria Neira, WHO Director, Department of Public Health, Environmental and Social Determinants of Health.

“Contaminated drinking-water is estimated to cause more than 500 000 diarrhoeal deaths each year and is a major factor in several neglected tropical diseases, including intestinal worms, schistosomiasis, and trachoma,” added Neira.

The report stresses that countries will not meet global aspirations of universal access to safe drinking-water and sanitation unless steps are taken to use financial resources more efficiently and increase efforts to identify new sources of funding.

According to the UN-Water Global Analysis and Assessment of Sanitation and Drinking-Water (GLAAS) 2017 report, countries have increased their budgets for water, sanitation and hygiene at an annual average rate of 4.9% over the last three years. Yet, 80% of countries report that water, sanitation and hygiene (WASH) financing is still insufficient to meet nationally-defined targets for WASH services.

In many developing countries, current national coverage targets are based on achieving access to basic infrastructure, which may not always provide continuously safe and reliable services. Planned investments have yet to take into account the much more ambitious SDG targets, which aim for universal access to safely managed water and sanitation services by 2030.

In order to meet the SDG global targets, the World Bank estimates investments in infrastructure need to triple to US $114 billion per year – a figure which does not include operating and maintenance costs.

While the funding gap is vast, 147 countries have previously demonstrated the ability to mobilize the resources required to meet the Millennium Development Goal target of halving the proportion of people without an improved source of water, and 95 met the corresponding target for sanitation. The much more ambitious SDG targets will require collective, coordinated and innovative efforts to mobilize even higher levels of funding from all sources: taxes, tariffs (payments and labour from households), and transfers from donors.

“This is a challenge we have the ability to solve,” says Guy Ryder, Chair of UN-Water and Director-General of the International Labour Organization. “Increased investments in water and sanitation can yield substantial benefits for human health and development, generate employment and make sure that we leave no one behind.”

Additional Findings:

Official development assistance (ODA) disbursements for water and sanitation are increasing, but future investments are uncertain.

Water and sanitation ODA disbursements (spending) increased from US$ 6.3 to US$ 7.4 billion from 2012 to 2015. However, aid commitments for water and sanitation have declined since 2012 from US$ 10.4 billion to US$ 8.2 billion in 2015. Due to the multi-year nature of commitments, if commitments were to continue to decrease, it is likely that future disbursements would also decrease. Considering the greater needs to make progress towards universal access to safely managed WASH services under the SDG targets, the possibility of future reductions in aid disbursements is at odds with global aspirations.

Extending WASH services to vulnerable groups is a policy priority, but implementation is lagging.

Over 70% of countries report having specific measures to reach poor populations in their WASH policies and plans. However, the implementation of such concrete measures is lagging: few countries indicate that they are able to consistently apply financing measures to target resources to poor populations. Increasing and sustaining WASH access for vulnerable groups will not only be critical for achieving SDG 6, but also for SDG 3 on ensuring healthy lives and promoting well-being for all at all ages.

The GLAAS 2017 report presents an analysis of the most reliable and up-to-date data from 75 countries and 25 external support agencies on issues related to financing universal access to water and sanitation under the SDGs. Safe drinking-water and sanitation are crucial to human welfare, by supporting health and livelihoods and helping to create healthy environments. Drinking unsafe water impairs human health through illnesses such as diarrhea, and untreated sewage can contaminate drinking-water supplies and the environment, creating a heavy burden on communities.


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