Global & Disaster Medicine

Archive for August, 2018

8/17/1999: More than 17,000 people are killed with damages totaling $6.5 billion in a 7.4M earthquake in Turkey

History


Lassa Fever: 9 new confirmed cases were reported from three different states in Nigeria

NCDC

In the reporting Week 31 (July 30-August 5, 2018) nine new confirmedi cases were reported from Edo(7), Ondo(1) and Enugu(1) with two new deaths from Edo(1) and Enugu (1) 

Enugu state recorded the first confirmed case in the state since the beginning of the outbreak with death in the confirmed case  From 1st January to 5th August 2018, a total of 2334 suspected cases have been reported from 22 states. Of these, 481 were confirmed positive, 10 are probable, 1844 negative (not a case) 

Since the onset of the 2018 outbreak, there have been 123 deaths in confirmed cases and 10 in probable cases.

Case Fatality Rate in confirmed cases is 25.6%  

In the reporting week 31, no new healthcare worker was infected. Thirty-nine health care workers have been affected since the onset of the outbreak in seven states

A total of 6383 contacts have been identified from 22 states. Of these 439(6.9%) are currently being followed up, 5846 (91.6%) have completed 21 days follow up while 10(0.2%) were lost to follow up. 88 (1.4%) symptomatic contacts have been identified, of which 30 (34%) have tested positive from five states

Lassa fever national multi-partner, multi-agency Technical Working Group(TWG) continues to coordinate response activities at all levels


“…..Doctors Without Borders/Médecins Sans Frontières (MSF) opened an Ebola treatment center on Tuesday, August 14 in Mangina, a small town considered to be the epicenter of the outbreak in North Kivu, Democratic Republic of Congo. A total of 37 patients are currently hospitalized in this facility, with 31 of those cases confirmed and six suspected cases….”

MSF

 


A deadly fire tornado, a life lost


Red Tide & Florida: NOAA

NOAA

NEW: Summer 2018 Red Tide Event Affecting the West Coast of Florida

 Frequently Asked Questions:

What is happening?

An unusually persistent harmful algal bloom (red tide) is currently affecting portions of the southwest coast of Florida. For the latest updates on this event, visit the Florida Fish and Wildlife Conservation Commission red tide status website or the NOAA Harmful Algal Bloom Bulletin.

How long will this red tide last?

If and when bloom the current bloom will end remains an open-ended question. Red tides can last as little as a few weeks or longer than a year. They can even subside and then reoccur. In 2005, for example, a bloom started off the coast of St. Petersburg, Florida, in January and then spread from there to Pensacola and Naples by October, persisting for the majority of the year. The duration of a bloom in nearshore Florida waters depends on physical and biological conditions that influence its growth and persistence, including sunlight, nutrients, and salinity, as well as the speed and direction of wind and water currents. Researchers are watching oceanographic conditions in the region carefully and using forecasting tools similar to seasonal weather forecasts to predict how long this bloom will last.

map of redtide

NOAA issues twice weekly forecasts to monitor bloom conditions during a harmful algal bloom event.

What is NOAA’s role in responding to this red tide event?

NOAA conducts scientific research and provides forecasts to give communities advance warnings to better deal with the adverse environmental impacts, health effects and economic losses associated with red tide and other harmful algal bloom events.

NOAA monitors conditions year round and provides official forecasts for red tide through two main products: conditions reports and bulletins. The conditions report identifies if red tide cell concentrations are present and provides forecasts of the highest potential level of respiratory irritation over the next three to four days. Bulletins provide decision-makers with a more in-depth analysis of the location of a current bloom and reported impacts, as well as forecasts of potential development, intensification, transport, and associated impacts of blooms. Both products are updated twice weekly during a bloom.

In addition, NOAA and a network of trained and authorized professionals from state and local organizations work together to respond to stranded marine animals found along the coastline during these events.

Can this red tide event be stopped?

There are currently no means of controlling the occurrence of red tide.

Is this red tide dangerous?

The Florida red tide organism, Karenia brevis, produces potent neurotoxins, called brevetoxins, that can affect the central nervous system of many animals, causing them to die. That is why red tides are often associated with fish kills. Mortalities of other species, including manatees, dolphins, sea turtles, and birds also occur.

Wave action near beaches can break open K. brevis cells and release the toxins into the air, leading to respiratory irritation. For people with severe or chronic respiratory conditions, such as emphysema or asthma, red tide can cause serious illness. People with respiratory problems should avoid affected beaches during red tides.

Red tide toxins can also accumulate in filter-feeders mollusks such as oysters and clams, which can lead to Neurotoxic Shellfish Poisoning (NSP) in people who consume contaminated shellfish. While not fatal, NSP causes diarrhea and discomfort for about three days. Rigorous state monitoring of cells and toxins is conducted to close commercial shellfish harvesting if necessary to protect human health. Recreational shellfish harvesters should check State web pages to make sure it is safe to consume shellfish.

Is it still safe to go to the beach?

Some areas may be more affected than others. Check NOAA forecasts to assist in locating unaffected areas, and learn more about red tide health concerns from Florida Health.

Is this normal?

This year’s bloom is different from what we’ve seen before in several ways:

Timing: Blooms of this alga typically start in late summer or early fall. The last large early summer bloom was in 2005. The current bloom started last fall and is still going.

Duration: While not unprecedented in its duration, this bloom is unusually persistent. It started in October 2017 and continued through spring of 2018. By early summer, the bloom resurged and was detected in five southwest Florida counties. Some shellfish harvesting areas have been closed since November 2017.

Size: The size of the bloom changes from week to week, and it is patchy. Not every beach is affected every day, so it is important to stay up to date with the NOAA conditions report. As of August 15, the bloom stretched from Pinellas County to Collier County, more than 150 miles.

While the timing, duration, and size of this red tide are unusual, red tides are not new to the Gulf Coast. Red tides were documented in the southern Gulf of Mexico as far back as the 1700s and along Florida’s Gulf coast in the 1840s. Fish kills near Tampa Bay were even mentioned in the records of Spanish explorers. For more information on historical red tide events in Florida, see the Florida Fish and Wildlife Conservation Commission’s harmful algal bloom monitoring database.

What do you do if you see sick, injured, stranded, or dead wildlife?

If you see sick, injured, or stranded wildlife, such as a sea turtle, manatee, dolphin, seabird, or a large fish kill in Florida, report it to the following standing network hotlines. To report an injured, hooked, entangled, or stranded sea turtle, call 1-877-942-5343. To report other sick or injured wildlife and fish kills, contact FWC Wildlife Alert or call 888-404-FWCC (888-404-3922). If you see dead or injured marine mammals, call 1-877-WHALE HELP (1-877-942-5343). You can also report via the Dolphin and Whale 911 Phone App.

What is the projected effect of this red tide on marine life? How long will it take for impacted marine life to recover?

There is no way to project the cumulative effects of this red tide event. Red tide occurs naturally in coastal waters of the Gulf of Mexico with blooms appearing seasonally. Although the Florida red tide organism, Karenia brevis, typically blooms between August and December, blooms often deviate from that time frame. The current bloom continues to be monitored by our local and state partners. Visit the Florida Fish and Wildlife Conservation Commission’s (FWC) red tide status page. Reports of fish kills and marine animal deaths are made publicly available on FWC’s website. For more information on the effects of red tide on marine animals, shellfish, and people, visit our health information page for more information.

Can NOAA provide travel advice for people planning to visit this region?

While NOAA provides regional harmful algal bloom forecasts and supports research to better understand the causes, impacts, and effects of these events, we are not in a position to provide travel advice. We have provided links to Florida state resources in the right column of this announcement that we hope will help people make informed decisions about their travel plans.

red circle icon with Florida in white in center

Resources for More Information:

NOAA Resources

Florida Resources

Contact Us

General Information about Red Tide and NOAA’s Role in HAB Forecasting

What is red tide?

Harmful algal blooms occur nearly every summer along the nation’s coasts. Often, the blooms turn the water a deep red. While many people call all such events “red tides,” scientists prefer the term harmful algal bloom or HAB. A red tide or HAB results from the rapid growth of microscopic algae. Some produce toxins that have harmful effects on people, fish, marine mammals, and birds.  In Florida and Texas, this is primarily caused by the harmful algae species Karenia brevis. Red tide can result in varying levels of eye and respiratory irritation for people, which may be more severe for those with preexisting respiratory conditions (such as asthma). The blooms can also cause large fish kills and discolored water along the coast.

illustration of redtide

Red Tide in Florida and Texas

Red Tide in Florida and Texas is caused by the rapid growth of a microscopic algae called Karenia brevis. When large amounts of this algae are present, it can cause a harmful algal bloom (HAB) that can be seen from space. NOAA issues HAB forecasts based on satellite imagery and cell counts of Karenia brevis collected in the field and analyzed by NOAA partners. | Transcript

How Does the NOAA Forecast Work?

NOAA uses a combination of satellite imagery and water samples of the algae species Karenia brevis, collected from the field by local partners, to forecast the location and intensity of red tide events.  Satellite imagery is a key tool for detecting blooms before they reach the coast, verifying bloom movement and forecasting potential respiratory irritation.

illustration of redtide

Why Should You Care?

Red Tide in Florida and Texas produces a toxin that may have harmful effects on marine life. For people, The toxin may also become airborne, which can lead to eye irritation and respiratory issues in people. People with serious respiratory conditions such as asthma may experience more severe symptoms.| Transcript

Putting the Forecast into Action

The condition reports for red tide in Florida and Texas are available to the public and give the daily level of respiratory irritation forecasts by coastal region. NOAA also issues HAB bulletins that contain analyses of ocean color satellite imagery, field observations, models, public health reports, and buoy data. The bulletins also contain forecasts of potential Karenia brevis bloom transport, intensification, and associated respiratory irritation based on the analysis of information from partners and data providers. The bulletins are primarily issued to public health managers, natural resource managers, and scientists interested in HABs.  A week after the the bulletin is issued, it is posted to the Bulletin Archive where the public can access it.

illustration of redtide

Making Choices

State and local resources are available to help beachgoers find nearby beaches and coastal areas that are not affected by red tide, but are still nearby. | Transcript

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illustration of redtide

NOAA Forecasts Can Save Your Beach Day

By paying attention to NOAA’s HAB forecasts, beachgoers can still have a good time along the Florida and Texas coast. The conditions report for Red Tide in Florida and Texas can
be found online. | Transcript

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Infographic Transcript: Red Tide

Red Tide in Florida and Texas is caused by the rapid growth of a microscopic algae called Karenia brevis. When large amounts of this algae are present, it can cause a harmful algal bloom (HAB) that can be seen from space. NOAA issues HAB forecasts based on satellite imagery and cell counts of Karenia brevis collected in the field and analyzed by NOAA partners.

Why should you care? Red Tide in Florida and Texas produces a toxin that can have harmful effects for marine life. For people, the toxin can become airborne and cause respiratory issues and eye irritation. These symptoms can be more severe for people with serious respiratory issues such as asthma.

Making Choices. State and local resources are available to help beachgoers find beaches and coastal areas that are not impacted by Red Tide, but are still nearby.


Rohingya survivors tell their stories as the genocide continues…..

Pulitzer Center

‘….. “The U.N. and policymakers around the globe are fully aware that the persecution of the Rohingya will eventually be classified legally as a genocide,” says Azeem Ibrahim, a senior fellow at the Center for Global Policy in Washington and author of The Rohingyas: Inside Myanmar’s Hidden Genocide. “Just like Rwanda, the international community will hem and haw until the removal of the Rohingya from Myanmar has been completed and action is no longer necessary. We are then likely to see some low-level military commanders carted off to The Hague as scapegoats to be tried for the crimes against humanity of an entire society.”…..’


Ecuador: At least 24 were killed and another 19 injured when a bus careened into another vehicle at high speed and overturned on a highway near Quito.

CBS

 


Cyclonic disturbances in the Pacific


Pennsylvania: “…. it started as a fight at the cash register between two customers……[A] man grabbed a gun out of a woman’s wristband and began shooting. Police say at least 10 shots were fired…..[A]t least 5 wounded….”

Fox

Northeast sector loop

 


London: A silver Ford speeds down the road, hits a group of cyclists, injures 3, jumps the sidewalk and then smashes into the heavy metal security barrier.

CBS

“…..there were no life threatening injuries. That’s probably because of special anti-terrorist barriers erected at strategic locations after last year’s car ramming on Westminster Bridge which killed five people……”

The Sun

This is what we know so far…

  • A silver Ford Fiesta crashed into anti-terror barriers outside the Houses of Parliament at 7.37am mowing down pedestrians and cyclists
  • Three people were hurt – including a man and a woman who were taken to hospital with non life-threatening injuries who have since been discharged
  • The 29-year-old driver, named by locals as Brit national Salih Khater, originally from Sudan, has been arrested on suspicion of terror offences and attempted murder
  • The suspect left Birmingham late on Monday night and drove around London for several hours before the rampage
  • Terror cops have carried out raids at two addresses in Birmingham, including the suspect’s home, and one in Nottingham as part of their investigation
  • Experts are investigating whether it was a copycat of the previous Westminster attack in March last year
  • Extra cops will now be stationed at key transport hubs across the country
  • Theresa May has praised medics and police for their quick response to the “attack”

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