Global & Disaster Medicine

Archive for January, 2019

Madariaga virus in Haitian children

PLOS

Lednicky JA, White SK, Mavian CN, El Badry MA, Telisma T, Salemi M, et al. (2019) Emergence of Madariaga virus as a cause of acute febrile illness in children, Haiti, 2015-2016. PLoS Negl Trop Dis 13(1): e0006972. https://doi.org/10.1371/journal.pntd.0006972 

“……While most MADV case reports have involved patients with encephalitis, it is likely that the majority of infections occur in persons who are asymptomatic or who have only relatively mild disease …..In Haiti, no prior data are available on MADV in vectors, animal reservoirs, or humans. While we cannot exclude the possibility that MADV was present in Haiti before the current case cluster, our phylogenetic studies are strongly suggestive of recent introduction of the virus into Haiti from Panama. ….”

More than 303,500 women – 99 percent of them in developing countries – died during childbirth in 2015, according to the World Health Organization. In addition, some 2.7 million babies died in their first month, mainly from complications during pregnancy or childbirth.

Maternal-Infant Mortality

“……Hemorrhages, high blood pressure and infections accounted for three-fourths of maternal deaths.….”


Nairobi: The attack


A review of injuries associated with drone attacks in Gaza

The Lancet Planetary Health

“……drone strikes were associated with more proximal amputations that needed more surgical operations after initial life-saving emergency surgery than traumatic amputations caused by other types of explosive weapons. …..”

 


1/16/1995: Avalanches sweep two buses off the highway between Srinagar and Jammu in Kashmir, India

HxC

“……wo more days of avalanches in the area eventually killed more than 200 people; 5,000 others had to be rescued…..”


Al-Shabaab claims responsibility for the concluded Nairobi attack that killed 14

CNN

“……[The attack] happened three years to the day after Al-Shabaab militants targeted a Kenyan military base in neighboring Somalia, killing dozens of soldiers.

And in 2013, Al-Shabaab militants targeted the luxury shopping center of Westgate, killing 67 people in a siege that lasted several days……”

Very wet storms will impact California and some surrounding states over the next several days. Heavy rain may cause flash flooding, and mud and debris flows on burn scars. Heavy snow will impact the western mountains, with blizzards in the California mountains.

Pacific Southwest sector loop

40 mph mudslides, floods, blizzards, 6 feet of snow, 110 mph winds: California nightmare

 


Nairobi: An explosion tore through a bank in the compound at about 3 p.m. local time, then a suicide bomb detonated in the lobby of the nearby DusitD2 hotel, before attackers entered the hotel, killing at least 15.

NPR

 

 


WHO in emergencies

WHO

Grade 3 emergencies

Grade 3: a single or multiple country event with substantial public health consequences that requires a substantial WCO response and/or substantial international WHO response. Organizational and/or external support required by the WCO is substantial. An Emergency Support Team, run out of the regional office, coordinates the provision of support to the WCO.

Grade 2 emergencies

Grade 2: a single or multiple country event with moderate public health consequences that requires a moderate WCO response and/or moderate international WHO response. Organizational and/or external support required by the WCO is moderate. An Emergency Support Team, run out of the regional office (the Emergency Support Team is only run out of HQ if multiple regions are affected), coordinates the provision of support to the WCO.

Grade 1 emergencies

Grade 1: a single or multiple country event with minimal public health consequences that requires a minimal WCO response or a minimal international WHO response. Organizational and/or external support required by the WCO is minimal. The provision of support to the WCO is coordinated by a focal point in the regional office.


Jan. 15, 1919: “Send all available rescue vehicles and personnel immediately — there’s a wave of molasses coming down Commercial Street.”

NBC

  • The Great Boston Molasses Flood of 1919
  • 2 million gallon tank erupted
  • 21 killed

 

 


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