Global & Disaster Medicine

Archive for September, 2019

A soldier stationed at Fort Riley was charged in federal court with sending over social media instructions for making bombs

NEWS RELEASE OFFICE OF UNITED STATES ATTORNEY STEPHEN MCALLISTER DISTRICT OF KANSAS Contact Jim Cross, Public Affairs ! (316) 269-6481 ! 301 N. Main, Suite 1200  ! Wichita, KS 67202 www.usdoj.gov/usao/ks Sept. 23, 2019 FOR IMMEDIATE RELEASE
Soldier at Fort Riley Charged With Distributing Instructions for Bombs

TOPEKA, KAN. B A soldier stationed at Fort Riley was charged in federal court here today with sending over social media instructions for making bombs, U.S. Attorney Stephen McAllister said.
Jarrett William Smith, 24, Fort Riley, Kan., was charged with one count of distributing information related to explosives and weapons of mass destruction.
Smith, a private first class infantry soldier, joined the Army June 12, 2017, and was transferred to Fort Riley, Kan., on July 8, 2019. According to an FBI investigator’s affidavit, Smith said on Facebook he was interested in traveling to the Ukraine to fight with a paramilitary group called the Azov Batallion.
During a Facebook chat, Smith offered to teach other Facebook users to make cell phone explosive devices “in the style of the Afghans.” On Aug. 19, 2019, Smith told an undercover investigator he was looking for “radicals” like himself. Smith talked about killing members of Antifa and destroying nearby cell towers or a local news station. On Aug. 21, Smith told an undercover investigator about how to make a vehicle bomb. When the

investigator commented that most of the components were household items, Smith said: “Making AK47s out of expensive parts is cool, but imagine if you will if you were going to WalMart instead of a gun store to buy weapons.”
Smith also described in detail to the undercover investigator how to build a bomb that could be triggered by calling a cell phone.
“Be very careful with the fully armed device,” Smith warned the investigator.
If convicted, Smith could face up to 20 years in federal prison and a fine up to $250,000. The FBI investigated. Assistant U.S. Attorney Tony Mattivi is prosecuting.
In all cases, defendants are presumed innocent until and unless proven guilty. The indictments merely contain allegations of criminal conduct.


Welcome to the Insecticide-Treated Net (ITN) Access and Use Report.

ITN

JohnsHopkins

“……The Johns Hopkins Center for Communication Programs is launching a user-friendly, interactive website that pulls together the latest data on trends in the use of insecticide-treated nets in sub-Saharan Africa and Asia to prevent malaria……”


A deadly American summer: 26 mass shootings; 126 people dead.

NYT

“……During the unofficial summer season, between Memorial Day and Labor Day, America endured 26 mass shootings in 18 states…….Mass killings can be inspired by bigotry, by domestic anger, by botched drug deals, or, in one case this summer in California, by an argument over golf. But sometimes, including in Las Vegas in 2017, the site of the deadliest mass shooting in modern American history, the reasons for a massacre are never discovered……..”


Prevalence of Tuberculosis in Children After Natural Disasters: The Philippines

Murray, K. O., Castillo-Carandang, N. T., Mandalakas, A. M., Cruz, A. T., Leining, L. M., & Gatchalian, S. R. (2019). Prevalence of Tuberculosis in Children After Natural Disasters, Bohol, Philippines. Emerging Infectious Diseases, 25(10), 1884-1892. https://dx.doi.org/10.3201/eid2510.190619.

“In 2013, a severe earthquake and typhoon affected Bohol, Philippines. To assess the postdisaster risk for emergence of Mycobacterium tuberculosis infection in children, we conducted a cross-sectional multistage cluster study to estimate the prevalence of tuberculin skin test (TST) positivity and tuberculosis (TB) in children from 200 villages in heavily affected and less affected disaster areas. Of the 5,476 children we enrolled, 355 were TST-positive (weighted prevalence 6.4%); 16 children had active TB. Fourteen (7%) villages had >20% TST-positive prevalence. Although prevalence did not differ significantly between heavily affected and less affected areas, living in a shelter with >25 persons approached significance. TST positivity was independently associated with older age, prior TB treatment, known contact with a person with TB, and living on a geographically isolated island. We found a high TST-positive prevalence, suggesting that national programs should consider the differential vulnerability of children and the role of geographically isolated communities in TB emergence.


A Case of Malaria: A 37-year-old woman from Denmark with no underlying conditions and no previous history of malaria traveled with her husband and children for 6 weeks in various parts of peninsular Malaysia and Thailand in 2018. None of them took malaria chemoprophylaxis; however, they used mosquito repellents and mosquito nets.

Hartmeyer GN, Stensvold CR, Fabricius T, Marmolin ES, Hoegh SV, Nielsen HV, et al. Plasmodium cynomolgi as Cause of Malaria in Tourist to Southeast Asia, 2018. Emerg Infect Dis. 2019;25(10):1936-1939. https://dx.doi.org/10.3201/eid2510.190448

Plasmodium cynomolgi parasites in a Giemsa-stained thin smears of blood from a traveler returning from Southeast Asia to Denmark. Overall, few parasites were visible in the thin film, and no schizonts were visible at all. A) Young trophozoite. The cytoplasm is ring shaped, and the nucleus is spherical. The erythrocyte is not enlarged, and neither Schüffner’s dots nor pigment are visible. B) Growing trophozoite. The young parasite is ring shaped and takes up more than half of the diameter of the

Figure 1. Plasmodium cynomolgi parasites (arrows) in Giemsa-stained thin smears of blood from a traveler returning from Southeast Asia to Denmark. Overall, few parasites were visible in the thin film, and no schizonts were visible at all. A) Young trophozoite. The cytoplasm is ring shaped, and the nucleus is spherical. The erythrocyte is not enlarged, and neither Schüffner’s dots nor pigment are visible. B) Growing trophozoite. The young parasite is ring shaped and takes up more than half of the diameter of the host erythrocyte. The cytoplasm has become slightly amoeboid. Schüffner’s dots are more prominent than in P. vivax at this stage. Pigment is visible as small yellowish granules in the cytoplasm. Erythrocyte enlargement is not evident. C) Growing trophozoite. The cytoplasm appears amoeboid but relatively compact. Schüffner’s dots are prominent, but no pigment is seen in the cytoplasm. The erythrocyte is slightly enlarged. D) Growing trophozoite. The cytoplasm appears amoeboid, and the nucleus has increased in size. Schüffner’s dots and yellowish pigment are prominent. Enlargement of the erythrocyte is evident. E) Growing trophozoite. The host cell is further enlarged. The cytoplasm is amoeboid as in P. vivax at this stage. Schüffner’s dots are clearly visible, and yellowish pigment is dispersed within the cytoplasm. F) Growing trophozoite. An infected erythrocyte with major alteration in the shape, similar to that sometimes seen in P. vivax–infected erythrocytes. The cytoplasm is amoeboid, with hardly any pigment. Schüffner’s dots are prominent, and the host erythrocyte is enlarged. G) Growing trophozoite. The cytoplasm is amoeboid and appears relatively compact. Schüffner’s dots are dominant. Pigment is visible in small granules but appears more yellowish-brown and is scattered around in the cytoplasm. H) Near-mature trophozoite. The parasite is becoming more compact with an enlarged nucleus. No ring or amoeboid form is visible. Schüffner’s dots are very dense, and abundant yellowish-brown pigment is clearly visible in the cytoplasm. I) Mature microgametocyte. It is round and resembles that of P. vivax at the same stage. The nucleus is diffuse and takes up most of the parasite. The stippling of the host cell is forced toward the periphery, as seen for P. vivax. Microgametocytes stain reddish-purple (pink hue) in contrast to macrogametocytes, which stain light blue. The yellowish-brown pigment is scattered around in the parasite. Scale bars indicate 100 μm.

 


The WHO is getting nervous about Ebola in Tanzania and no one notifying them about it.

WHO

“……On 10 September 2019, through its regular event-based surveillance process, WHO was made aware of unofficial reports regarding the death of a person with suspected Ebola Virus disease (EVD) case in Dar es Salaam, United Republic of Tanzania. The identified contacts of the deceased were unofficially reported to be quarantined in various sites in the country. Under the IHR Articles 9 and 10, WHO immediately sent a verification request to the National IHR Focal Point (NFP) of the country.

On 11 September, through its regular event-based surveillance process, WHO was made aware of unofficial reports that a RT-PCR test performed at the Tanzanian National Health Laboratory was positive for EVD for this patient. On the same day, WHO received unofficial reports regarding another suspected EVD case in Mwanza, located in the northern region of the United Republic of Tanzania, who later tested negative for EVD. WHO continued to reach out under the IHR to the health authorities of the United Republic of Tanzania to verify these signals.

On 12 September 2019, WHO was informed by unofficial sources of a 27-year-old patient suspected of EVD admitted in a hospital of Dar es Salaam without further information regarding laboratory tests and results

Despite several requests, WHO did not receive further details of any of these cases from Tanzanian authorities…..”


At least 37 people were injured on Saturday when a 5.6-magnitude earthquake struck Albania’s central coast near the port city of Durrës

DYFI intensity map

Estimated Fatalities

Estimated Fatalities Histogram
Yellow alert for shaking-related fatalities and economic losses. Some casualties and damage are possible and the impact should be relatively localized. Past yellow alerts have required a local or regional level response.

Estimated Economic Losses

Estimated Economic Losses Histogram
Estimated economic losses are less than 1% of GDP of Albania.


Is Jerry targetting Bermuda?

[Key Messages]


Final FEMA SitRep on the flooding situation in TX after Imelda

FEMA

Situation:

• Remnants of Imelda have moved north into KS

• Moderate risk of flash flooding in KS and MO for today

• Houston area bayous have crested

Lifelines:

Food, Water, Shelter: 14 (-4) shelters / 1,106 (+202) occupants (ARC; 6:00 a.m.)

Energy: Minimal power outages (DOE EAGLE-I as of 7:00 a.m. EDT)

Transportation: • I-10 (Houston): San Jacinto River bridge closed (CISA-IOCC as of 4:27 a.m. EDT) • I-10 between Beaumont and Winnie closed in both directions; expected to reopen this evening (TX DOT as of 7:00 a.m. EDT)

State / Local Response:

• Governor declared a state of emergency for 13 counties

• TX EOC at Partial Activation

FEMA Response:

• Region VI IMAT-2 & a Region VI LNO deployed to TX EOC

• IA Preliminary Damage Assessments will begin 9/23

• FEMA ROC & Region VI Enhanced Watch deactivated

Day 1 image not available


September 21, 1999: An earthquake in Taiwan kills thousands of people, causes billions of dollars in damages and leaves an estimated 100,000 homeless.

HxC


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