Global & Disaster Medicine

Archive for November, 2017

Iran-Iraq EQ Toll: More than 430 dead and over 7000 injured

BBC

CNN


Bangladesh steps up vaccination for new Rohingya arrivals as measles cases rise

WHO

Press release 1671

 

Bangladesh steps up vaccination for new Rohingya arrivals as measles cases rise

Cox’s Bazar, Bangladesh, 10 November 2017 – An increase in the number of suspected measles cases among the newly arrived Rohingya and their host communities in southern Bangladesh has prompted the Government and UN partners to step up immunization efforts in overcrowded camps and makeshift shelters close to the border with Myanmar.
Nearly 360 000 people in the age group of six months to 15 years among the new Rohingya arrivals in Cox’s Bazar and their host communities, irrespective of their immunization status, would be administered measles and rubella  vaccine through fixed health facilities, outreach vaccination teams, and at entry points into Bangladesh.
Measles, a childhood killer disease which can be particularly dangerous among unimmunized and malnourished children,  is one of the major health risks among the over  611 000 people who have crossed over to Bangladesh from Myanmar since late August and are now living in cramped and insanitary conditions  in Cox’s Bazar district.

As of 4 November, one death and 412 suspected cases of measles have been reported among the vulnerable populations living in camps, settlements, and among the host communities in Cox’s Bazar. Of them, 352 cases are from Ukhia and 46 from Teknaf sub-districts, and 11 have been reported from the district hospital. Majority of cases – 398 – are among the new arrivals and 14 among the host communities. As many as 82% cases are among children under five years of age.
“Children are especially at risk from outbreaks of measles and other communicable diseases that result from the crowded living conditions, malnutrition and severe lack of water and sanitation in the camps and other sites,” said Edouard Beigbeder, UNICEF Bangladesh Representative. “To halt any wider outbreak, it’s essential that coordinated efforts begin immediately to protect as many children as possible.”
With the risk of measles being high during such health emergencies, Ministry of Health and Family Welfare (MoHFW), with support of WHO, UNICEF and other local partners, was quick to roll out a measles and rubella (MR) vaccination campaign, between 16 September and 4 October, within weeks of the start of the recent influx of Rohingyas from Myanmar. Nearly 136 000 children between six months and 15 years were administered MR vaccine. Additionally, around 72 000 children up to five years of age were given bivalent oral polio vaccine (bOPV) and a dose of Vitamin A to help prevent measles related complication. The number of new arrivals has increased since the MR campaign, which also had challenges reaching out to all children in view of movement of people within the camps and settlements.
“As part of stepped up vaccination efforts, 43 fixed health facility sites, 56 outreach vaccination teams and  vaccination teams at main border entry points will administer MR vaccine to population aged six months to 15 years, along with oral polio vaccine to children under five years and TT vaccine to pregnant women. These efforts are aimed at protecting and preventing the spread of measles among the vulnerable population,” WHO Representative to Bangladesh, Dr N Paranietharan, said.
More than 70 vaccinators from government and partners have been trained to deliver routine vaccination though fixed sites and outreach teams beginning tomorrow, while vaccination at entry points at Subrang, Teknaf, is ongoing since 1 November.
The fixed sites and outreach teams will also cover under two year olds with vaccines available in Bangladesh  EPI schedule, such as BCG, pentavalent vaccine, oral polio vaccine, pneumococcal vaccine and two doses of MR vaccine.
As an additional measure, resources to treat measles cases are being reinforced with the distribution of vitamin A supplements, antibiotics for pneumonia and Oral Rehydration Salt (ORS) for diarrhoea related to measles. To improve hygiene conditions among the refugee population, 3.2 million water purification tablets and a total of 18,418 hygiene kits have been distributed benefitting 92,090 people.
The current initiative is yet another massive vaccination drive being rolled out for the new arrivals from Myanmar and their host communities in Cox’s Bazar since 25 August this year.  After covering 136 000 people in the September- October MR campaign, MoHFW and partners administered 900 000 doses of oral cholera vaccine to these vulnerable populations in two phases. The first phase that started 10 October covered over 700 000 people aged one year and above  – both the new arrivals and their host communities, while the second phase from 4 – 9 November provided an additional dose of OCV to 199,472 children between one and five years, for added protection  and bOPV to 236,696 children under 5 years of age.

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For further information please contact:

  • Catalin-Constantin Bercaru, WHO Bangladesh, bercaruc@who.int  +88 01787693318
  • Shamila Sharma, WHO South-East Asia Regional Office, sharmasha@who.int +91 9818287256
  • Jean Jacques Simon, UNICEF Bangladesh, jsimon@unicef.org, +880 01713043478
  • AM Sakil Faizullah, UNICEF Bangladesh, asfaizullah@unicef.org +880 1713 049900
  • Faria Selim, UNICEF Bangladesh, fselim@unicef.org +880 1817 586 096

Pneumonia takes the lives of 920,000 children annually—a life every 2 minutes, more than malaria and diarrhea combined.

Global Health Now

  • While pneumonia deaths have dropped by nearly 50% since 2000, too many kids still don’t have access to vaccines that can prevent the disease from taking hold in the first place.
  • Approximately 1/2 of the world’s children are still not receiving PCV (pneumococcal conjugate vaccine).

Save The Children Fighting for Breath

 


Latest update on the Iran-Iraq Earthquake (M7.3): >400 dead and 6,500 injured


11/13/1985: Nevado del Ruiz, the highest active volcano in the Andes Mountains of Colombia, erupts killing more than 23,000 people, injuring over 5,000, and destroying more than 5,000 homes.

History Channel

 

 


11/13/1970: An immense tidal wave and storm surge caused by a powerful cyclone kills over 200,000 people in East Pakistan (Bangladesh).

History Channel

 


A powerful magnitude 7.2 earthquake hit the region along the border between Iran and Iraq on Sunday killing at least 61 and injuring another 300 in Iran. 

CBS

ShakeMap Intensity image

Structure Information Summary

Overall, the population in this region resides in structures that are highly vulnerable to earthquake shaking, though some resistant structures exist. The predominant vulnerable building types are adobe block and low-rise nonductile concrete frame with infill construction.

Secondary Effects

Recent earthquakes in this area have caused secondary hazards such as landslides that might have contributed to losses.

Seismotectonics of the Middle East and Vicinity

No fewer than four major tectonic plates (Arabia, Eurasia, India, and Africa) and one smaller tectonic block (Anatolia) are responsible for seismicity and tectonics in the Middle East and surrounding region. Geologic development of the region is a consequence of a number of first-order plate tectonic processes that include subduction, large-scale transform faulting, compressional mountain building and crustal extension.

Mountain building in northern Pakistan and Afghanistan is the result of compressional tectonics associated with collision of the India plate moving northwards at a rate of 40 mm/yr with respect to the Eurasia plate. Continental thickening of the northern and western edge of the India subcontinent has produced the highest mountains in the world, including the Himalayan, Karakoram, Pamir and Hindu Kush ranges. Earthquake activity and faulting found in this region, as well as adjacent parts of Afghanistan and India, are due to collisional plate tectonics.

Beneath the Pamir-Hindu Kush Mountains of northern Afghanistan, earthquakes occur to depths as great as 200 km as a result of remnant lithospheric subduction. Shallower crustal earthquakes in the Pamir-Hindu Mountains occur primarily along the Main Pamir Thrust and other active Quaternary faults, which accommodate much of the region’s crustal shortening. The western and eastern margins of the Main Pamir Thrust display a combination of thrust and strike-slip mechanisms.

Along the western margin of the Tibetan Plateau, in the vicinity of southeastern Afghanistan and western Pakistan, the India plate translates obliquely relative to the Eurasia plate, resulting in a complex fold-and-thrust belt known as the Sulaiman Range. Faulting in this region includes strike-slip, reverse-slip and oblique-slip motion and often results in shallow, destructive earthquakes. The relatively fast moving left-lateral, strike-slip Chaman Fault system in southeastern Afghanistan accommodates translational motion between the India and Eurasia plates. In 1505, a segment of the Chaman Fault system near Kabul, Afghanistan ruptured causing widespread destruction of Kabul and surrounding villages. In the same region, the more recent 30 May 1935, M7.6 Quetta, Pakistan earthquake, occurred within the Sulaiman Range, killing between 30,000 and 60,000 people.

Off the south coast of Pakistan and southeast coast of Iran, the Makran trench is the present-day surface expression of active subduction of the Arabia plate beneath the continental Eurasia plate, which converge at a rate of approximately 20 mm/yr. Although the Makran subduction zone has a relatively slow convergence rate, it has produced large devastating earthquakes and tsunamis. For example, the November 27, 1945 M8.0 mega-thrust earthquake produced a tsunami within the Gulf of Oman and Arabia Sea, killing over 4,000 people. Northwest of this active subduction zone, collision of the Arabia and Eurasia plates forms the approximately 1,500-km-long fold and thrust belt of the Zagros Mountains, which crosses the whole of western Iran and extends into northeastern Iraq. Collision of the Arabia and Eurasia plates also causes crustal shortening in the Alborz Mountains and Kopet Dag in northern Iran. Eastern Iran experiences destructive earthquakes that originate on both strike-slip and reverse faults. For example, the 16 September 1978 M7.8 earthquake, along the southwest edge of the Dasht-e-Lut Basin killed at least 15,000 people.

Along the eastern margin of the Mediterranean region there is complex interaction between the Africa, Arabia and Eurasia plates. The Red Sea Rift is a spreading center between the Africa and Arabia plates, with a spreading rate of approximately 10mm/yr near its northern end, and 16mm/yr near its southern end (Chu, D. and Gordon, R. G., 1998). Seismicity rate and size of earthquakes has been relatively small along the spreading center, but the rifting process has produced a series of volcanic systems across western Saudi Arabia.

Further north, the Red Sea Rift terminates at the southern boundary of the Dead Sea Transform Fault. The Dead Sea Transform is a strike-slip fault that accommodates differential motion between the Africa and Arabia plates. Though both the Africa plate, to the west, and the Arabia plate, to the east, are moving in a NNE direction, the Arabia plate is moving slightly faster, resulting in the left-lateral, strike-slip motion along this segment of the plate boundary. Historically, earthquake activity along the Dead Sea Transform has been a significant hazard in the densely populated Levant region (eastern Mediterranean). For example, the November 1759 Near East earthquake is thought to have killed somewhere between 2,000-20,000 people. The northern termination of the Dead Sea Transform occurs within a complex tectonic region of southeast Turkey, where interaction of the Africa and Arabia plates and the Anatolia block occurs. This involves translational motion of the Anatolia Block westwards, with a speed of approximately 25mm/yr with respect to Eurasia, in order to accommodate closure of the Mediterranean basin.

The right-lateral, strike-slip North Anatolia Fault, in northern Turkey, accommodates much of the westwards motion between the Anatolia Block and Eurasia Plate. Between 1939 and 1999, a series of devastating M7.0+ strike-slip earthquakes propagated westwards along the North Anatolia Fault system. The westernmost of these earthquakes was the 17th August 1999, M7.6 Izmit earthquake, near the Sea of Marmara, killed approximately 17,000 people.

At the southern edge of the Anatolia Block lies the east-west trending Cyprian Arc with associated levels of moderate seismicity. The Cyprian Arc represents the convergent boundary between the Anatolia Block to the north and the Africa Plate to the south. The boundary is thought to join the East Anatolia Fault zone in eastern Turkey; however no certain geometry or sense of relative motion along the entire boundary is widely accepted.


BBC: A breakdown in communication led to a near two-hour delay in sending fire crews to the scene of the Manchester Arena attack on May 22.

BBC

Fire crews were deployed to the Ariana Grande gig 1 hour 47 minutes after Salman Abedi killed 22 and injured 512.

“…..The BBC understands the document includes:

  • County Fire Officer Pete O’Reilly was not informed the bomb had gone off for 35 minutes
  • Fire brigade bosses followed protocol by not deploying crews due to the potential risk of a second terrorist incident
  • The brigade claims it did not know until nearly two hours after the attack that the threat had been lifted….”

 

 


“Gas Chamber”: United Airlines has canceled flights to New Delhi until the air gets better.

Newsweek


2017-2018 Influenza Season Week 44 ending November 4, 2017

CDC

Synopsis:

During week 44 (October 29-November 4, 2017), influenza activity remained low in the United States, but is increasing.

    • Viral Surveillance: The most frequently identified influenza virus type reported by public health laboratories during week 44 was influenza A. The percentage of respiratory specimens testing positive for influenza in clinical laboratories is low.

 

 

  • Outpatient Illness Surveillance:The proportion of outpatient visits for influenza-like illness (ILI) was 1.8%, which is below the national baseline of 2.2%. All 10 regions reported ILI below region-specific baseline levels. Two states experienced moderate ILI activity; six states experienced low ILI activity; New York City, the District of Columbia, and 42 states experienced minimal ILI activity; and Puerto Rico had insufficient data.
  • Geographic Spread of Influenza: The geographic spread of influenza in Guam and six states was reported as regional; 13 states reported local activity; the District of Columbia and 31 states reported sporadic activity; and Puerto Rico and the U.S. Virgin Islands did not report.

 

 


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