Global & Disaster Medicine

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National Interagency Coordination Center Incident Management Situation Report Thursday, August 9, 2018 – 0530 MT


National Preparedness Level 5

National Fire Activity Initial Attack Activity: Light (122 fires)

New large incidents: 5

Large fires contained: 9

Uncontained large fires:** 56

Area Command teams committed: 0

NIMOs committed: 0

Type 1 IMTs committed: 12

Type 2 IMTs committed: 16

Nationally, there are 51 large fires being managed under a strategy other than full suppression.

**Uncontained large fires include only fires being managed under a full suppression strategy. Link to Geographic Area daily reports.

One hundred thirty-eight fireline management personnel from Australia and New Zealand are assigned to support large fires in the California and Northwest Areas.
Two MAFFS C-130 airtankers and support personnel from the 152nd Airlift Wing (Nevada Air National Guard), one from the 146th Airlift Wing (California Air National Guard) and one from the 302nd Airlift Wing (Colorado Springs, Air Force Reserve) have been deployed to McClellan Airfield, CA in support of wildland fire operations.

One RC-26 aircraft with Distributed Real-Time Infrared (DRTI) capability and support personnel from the 141st Air Refueling Wing (Washington Air National Guard) has been deployed to Spokane, WA in support of wildland fire operations in the West.

The voracious fall armyworm has devastated food stocks across Africa has now arrived in southern India

The Guardian

“…..the food security of millions of people across Asia could be at risk if the armyworms are not contained…..”

Weeks of Extreme Weather in India


After the quake: Hundreds of people are trapped on a volcano on the popular Indonesian tourist island of Lombok


“…Tick-borne encephalitis (TBE) cases have significantly increased in 2018, and areas of high risk continue to expand. The Swiss government is considering issuing a nationwide vaccination recommendation against the virus. …”


“…..Almost 230 people have already been infected with the virus – which in rare cases can be fatal – since the beginning of 2018….

Cases have almost doubled compared to last year’s figures for the same time period…..”

“…..In Switzerland, the tick season starts in March and ends in June, depending on the weather. The health office says ticks are found above all in deciduous forests with lush undergrowth and at an altitude of up to 1,500 metres.

TBE-infected ticks can cause the outbreak of two stages of the disease. During a first episode, which occurs seven to 14 days after the sting, patients suffer flu-like symptoms such as headaches, fever, fatigue or joint complaints.

In 5%-15% of those affected, a second stage of the illness develops, which can last for months and may involve symptoms of meningitis or encephalitis. These symptoms can cause paralysis and leave permanent disabilities. About 1% of cases are fatal….”

Doctors Without Borders/Médecins Sans Frontières on the declared end of the Ebola epidemic in he Democratic Republic of Congo.


The Democratic Republic of Congo’s (DRC) Ministry of Health (MoH) declared today the end of a recent Ebola epidemic. Between May and mid-July, the international medical humanitarian organization Doctors Without Borders/Médecins Sans Frontières (MSF) ran a three-month emergency intervention in Equateur Province to aid the MoH and the World Health Organization’s (WHO) response.

Throughout the course of the outbreak, Congolese MoH teams supported by MSF in Bikoro, Itipo, Mbandaka, and Iboko, provided care to 38 confirmed patients, 24 of whom survived and 17 of whom died.

In total, 3,199 people were vaccinated against Ebola with the investigational Ebola vaccine rVSVDG-ZEBOV-GP under WHO’s Expanded Access Framework by teams from MSF, WHO, and the Congolese MoH. MSF teams alone vaccinated some 1,673 people in the Bikoro and Itipo areas, including the contacts of confirmed Ebola patients and their contacts and frontline workers (health workers, burial workers, traditional healers, and motorbike taxi drivers) considered to be most at risk of contracting the virus.

Dr. Micaela Serafini, medical director for MSF in Geneva, said the following about today’s announcement:

“MSF welcomes this announcement and the end of the Ebola epidemic.

“Since the beginning of the outbreak, MSF set up its medical response along with national health authorities, providing care, isolation of patients, and health promotion activities, in addition to participating in epidemiological surveillance and safe burials in Mbandaka, Bikoro, Itipo, and Iboko.

“Along with the Ministry of Health and the World Health Organization (WHO), MSF also participated in an investigational vaccination to hold off the spread of the virus. The data is still being analyzed, but we are encouraged that this vaccination—as well as the rapid international response and concerted outreach efforts into remote communities—contributed to stemming the spread of this deadly virus. Vaccination provides an additional tool for fighting such epidemics.

“While Ebola remains a threat in the Democratic Republic of the Congo, we are heartened by some advances made in the recent response. We also hope that the resources dedicated to this Ebola intervention in Equateur Province will have a long-term positive impact in the future by strengthening the capacity of DRC’s health system.

“MSF continues to respond to other non-Ebola outbreaks elsewhere in the DRC, such as measles and cholera. MSF is also continuing research efforts into potential treatments for Ebola in order to give patients the best possible chance of beating the virus in case of a new epidemic.”

Scandal and mistrust rocks the Chinese vaccine industry


“…..The scandal erupted a week ago, after major vaccine maker Changsheng Biotechnology was found to have violated standards in making a rabies vaccine for humans.  Last week, China’s Zhejiang Huaihai Pharmaceutical said it was recalling a heart drug sold in the United States after the European Medicines Agency found that it was tainted with an impurity linked to cancer…….”

Four Bahamians suffering from ciguatera poisoning



Happy Birthday!

A suicide bomber struck a crowd of Afghan Sikhs and Hindus arriving to meet with President Ashraf Ghani on Sunday as he visited Jalalabad; 19 dead, 10 wounded.

NY Times

“…..The suicide bombing was the second deadly attack in 24 hours in the province…..Late on Saturday, militants targeted a boys’ school in Khogyani district, beheading three workers and setting fire to the school building……”


Indonesia: A suicide bombing at a police headquarters in Surabaya on Monday was carried out by a family of 5 riding on two motorbikes. 10 injured.




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