Global & Disaster Medicine

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Tropical cyclone potential globally

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3 p.m. local time all Americans “voluntarily and informally observe in their own way a Moment of Remembrance and respect, pausing from whatever they are doing for a moment of silence or listening to Taps.”

US Memorial Day

Ongoing Transmission of Candida auris in Health Care Facilities — United States, June 2016–May 2017.

Tsay S, Welsh RM, Adams EH, et al. Notes from the Field: Ongoing Transmission of Candida auris in Health Care Facilities — United States, June 2016–May 2017. MMWR Morb Mortal Wkly Rep 2017;66:514–515. DOI:

Italy: An elaborate system of modern-day slavery

NY Times

“….this year the authorities arrested six people, accusing them of using their recruiting and transportation agencies to extort wages from women so poor and desperate (n= ~40 000) they dared not speak up and worked under extreme conditions……”


Flu in Europe: Week 2/2017 (9 – 15 January 2017)

Flu News Europe

Week 2/2017 (9 – 15 January 2017)

  • Influenza activity remained widespread across the region with high or very high intensity in 8 out of 44 reporting countries or regions and medium intensity in 26 countries.
  • The proportion of influenza virus detections among sentinel surveillance specimens was 46%, a slight decline from 52% in the previous week.
  • The great majority of influenza viruses detected were type A (97%) and, of those subtyped, 99% were A(H3N2).
  • Most of the hospitalized laboratory-confirmed cases reported have occurred in people aged 65 years or more.
  • Excess all-cause mortality among the elderly has been observed in the past 1 to 2 months in most of the 18 countries that take part in  EuroMOMO.

Season overview

  • Influenza activity started early this season compared to previous seasons.
  • Week 46/2016 is the earliest week that the overall influenza-positivity rate in sentinel specimens reached 10% since the emergence of A(H1N1)pdm09 viruses in the 2009 season; during the last 6 seasons this occurred between weeks 48 and 51.
  • Since week 40/2016, influenza A viruses have predominated, accounting for 96% of all sentinel detections; the great majority (99%) of subtyped influenza A viruses from sentinel sites has been A(H3N2).
  • In an influenza season in which A(H3N2) viruses predominate, elderly populations can be expected to be most severely affected. Indeed, confirmed cases of influenza A infection reported from hospitals have predominantly been in adults aged over 65 years.
  • So far, circulating A(H3N2) viruses are antigenically similar to the vaccine strain. While about two-thirds of the A(H3N2) viruses characterized belong to a new genetic subclade (3C.2a1), these viruses are antigenically similar to the vaccine strain (clade 3C.2a).
  • Early monitoring of vaccine effectiveness in Finland and Sweden suggests levels of effectiveness similar to estimates from multi-country studies during the seasons 2011–2012 to 2014–2015 with 26% (95% CI 22% to 30%) and 24% (95% CI 11% to 34%) vaccine effectiveness, respectively, in persons aged 65 years and older with laboratory-confirmed influenza A. Given the partial effectiveness of influenza vaccines, rapid use of neuraminidase inhibitors for laboratory-confirmed or probable cases of influenza infection should be considered for vaccinated and non-vaccinated patients at risk of developing complications.
  • No reduced antiviral susceptibility has been observed among the viruses tested.
  • A risk assessment on seasonal influenza in EU/EEA countries was published by ECDC on 24 December 2016. The above summary is in line with the findings of the risk assessment.


Figure. Influenza virus detections in sentinel-source specimens by type and subtype, by week and cumulatively


A truck driver plowed into a crowded Christmas market late Monday on a city square in central Berlin, killing at least 9 and injuring 50 others. Deliberate????

NY Times

“…The episode immediately evoked memories of the attack last July in Nice, France, when a truck driver ran over and killed more than 80 people during Bastille Day celebrations….”

WHO: Zika Situation Report, December, 2016



RIP: John Glenn, Astronaut, Senator, Hero


11/13/2015: What happened at the Bataclan?




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