Global & Disaster Medicine

Archive for January, 2016

** Droughts and heat waves wiped out nearly 1/10 of the rice, wheat, corn and other cereal crops in countries hit by extreme weather disasters between 1964 and 2007.

Global Temperatures:1885 - 1894Global Temperatures:2005 - 2014

                             1885 – 1894                                                                  2005 – 2014

NASA:  The world is getting warmer, whatever the cause.

According to an analysis by NASA scientists, the average global temperature has increased by about 0.8°Celsius (1.4° Fahrenheit) since 1880.

Two-thirds of the warming has occurred since 1975.

NY Times


Brazil has identified 199 new suspected cases of microcephaly potentially related to the spread of Zika virus in the past week, raising the total of suspected cases to 3,174.

CIDRAP

 


Hong Kong: The Centre for Health Protection (CHP) of the Department of Health (DH) is today (January 6) closely monitoring an additional human case of H7N9 in Mainland China.

H7N9

**  The patient is a 58-year-old woman in Jieyang and in critical condition.
**  From 2013 to date, 667 human cases of avian influenza A(H7N9) have been reported by the Mainland health authorities.


China: Arson is suspected in a deadly bus fire that killed at least 17 and injured at least 30.

 


El Nino’s impact on California

https://www.youtube.com/watch?v=3nT5gf3Z7ig

 


H5N6 in China: 2 cases in critical condition

WHO

Human infection with avian influenza A(H5N6) virus – China

Disease outbreak news
4 January 2016

Between 30 December 2015 and 2 January 2016, the National Health and Family Planning Commission (NHFPC) of China notified WHO of 2 additional laboratory-confirmed cases of human infection with avian influenza A(H5N6) virus.

Details of the cases

  • The first case is a 26-year-old female from Baoan District, Shenzhen City, with onset date of 24 December. The patient was admitted to hospital on 27 December and is now in critical condition.
  • The second case is a 40-year-old female from Duanzhou District, Zhaoqing City, with onset date of 22 December. The patient was admitted to hospital on 28 December and is now in critical condition.

Public health response

The Chinese Government has taken the following surveillance and control measures:

  • making every effort to treat the patient; collecting and testing the specimens of the patient, carrying out viral isolation and whole genome sequencing and comparison;
  • conducting epidemiological investigation; tracing, managing and observing the close contacts of the patient;
  • strengthening surveillance of unexplained pneumonia and routine sentinel surveillance of influenza; strengthening the etiological surveillance of influenza/avian influenza virus.

WHO risk assessment

WHO continues to closely monitor the influenza A(H5N6) situation and conduct risk assessments. So far, the overall risk associated with avian influenza A(H5N6) viruses has not changed.

WHO advice

WHO advises that travellers to countries with known outbreaks of avian influenza should avoid poultry farms, or contact with animals in live bird markets, or entering areas where poultry may be slaughtered, or contact with any surfaces that appear to be contaminated with faeces from poultry or other animals. Travellers should also wash their hands often with soap and water. Travellers should follow good food safety and good food hygiene practices.

WHO does not advise special screening at points of entry with regard to this event, nor does it currently recommend any travel or trade restrictions. As always, a diagnosis of infection with an avian influenza virus should be considered in individuals who develop severe acute respiratory symptoms while travelling or soon after returning from an area where avian influenza is a concern.

WHO encourages countries to continue strengthening influenza surveillance, including surveillance for severe acute respiratory infections (SARI) and to carefully review any unusual patterns, in order to ensure reporting of human infections under the IHR (2005), and continue national health preparedness actions.


Kingdom of Saudi Arabia notified WHO of 4 additional cases of MERS-CoV infection, including 2 deaths

WHO

  • A 48-year-old male from Najran city developed symptoms on 10 December, and on 15 December, was admitted to hospital. The patient tested positive for MERS-CoV on 16 December and, on 18 December, passed away. She had comorbidities and a history of frequent contact with camels and consumption of their raw milk.
  • A 41-year-old, non-national female from Buridah city developed symptoms on 13 December and, on 14 December, was admitted to hospital. The patient, who has no comorbidities, tested positive for MERS-CoV on 15 December. Currently, she is in stable condition in a negative pressure isolation room on a ward. The patient has a history of contact with a MERS-CoV case (see case no. 4 below). She has no history of exposure to other known risk factors in the 14 days prior to the onset of symptoms.
  • A 21-year-old female from Riyadh city developed symptoms on 25 November and, on 30 November, was admitted to hospital. The patient, who has no comorbid conditions, tested positive for MERS-CoV on 1 December. Currently, she is in critical condition in ICU. Investigation of history of exposure to known risk factors in the 14 days prior to the onset of symptoms is ongoing.
  • A 35-year-old female in Buridah city developed symptoms on 22 November and, on 27 November, was admitted to hospital. The patient tested positive for MERS-CoV on 28 December and passed away on 5 December. She had comorbidities.

Oman: Health ministry confirms 7th MERS-CoV case

Times of Oman

Dust over Oman

 


The earthquake that struck northeast India and Bangladesh on Monday, killed at least 11 and injuring nearly 200

REUTERS


The January 3, 2016 M 6.7 earthquake near Imphal, India occurred as the result of strike slip faulting in the complex plate boundary region between India and the Eurasia plate in southeast Asia.

USGS

Tectonic Summary

The January 3, 2016 M 6.7 earthquake near Imphal, India occurred as the result of strike slip faulting in the complex plate boundary region between India and the Eurasia plate in southeast Asia. Focal mechanisms for the event indicate slip occurred on either a right-lateral fault plane dipping moderately to the east-northeast, or on a left-lateral fault dipping steeply to the south-southeast. In the region of the earthquake, the India plate is moving towards the north-northeast with respect to Eurasia at a velocity of approximately 48 mm/yr; the regional plate boundary in eastern India – the Indo-Burmese Arc – is oriented approximately south-southwest-north-northeast.

The tectonics of southeast Asia are broadly dominated by the collision of the Indian subcontinent with Eurasia, which causes uplift that produces the highest mountain peaks in the world, including the Himalayan, the Karakoram, the Pamir and the Hindu Kush ranges. In northeast India, the ~east-west oriented Himalayan Front takes a southward turn towards Burma (Myanmar), and plate boundary deformation is more broadly distributed over a series of reverse and strike-slip structures in the Indo-Burmese Arc system, including the Sagaing, Kabaw and Dauki faults. The January 3, 2016 earthquake occurred in this region of broad deformation, at a depth of close to 50 km within the lithosphere of the India plate. The causative fault is unknown, but is broadly related to this plate boundary deformation. Farther south, plate motions are accommodated by northeast-oriented subduction of the India plate beneath the Sunda plate and the Burmese Arc.

Moderate-to-large earthquakes in this region are fairly common; 19 other M 6+ earthquakes have occurred within 250 km of the 2016 event over the preceding century. The largest was a M 8.0 earthquake in 1946, 220 km to the southeast of the 2016 earthquake on the Sagaing Fault. Other nearby damaging events include a M 7.3 earthquake 150 km to the east of the 2016 event in August 1988, which caused several fatalities and dozens of injuries, and a M 6.0 earthquake 90 km to the southwest in December 1984 that caused 20 fatalities and 100 injuries.

Seismotectonics of the Himalaya and Vicinity

Seismicity in the Himalaya dominantly results from the continental collision of the India and Eurasia plates, which are converging at a relative rate of 40-50 mm/yr. Northward underthrusting of India beneath Eurasia generates numerous earthquakes and consequently makes this area one of the most seismically hazardous regions on Earth. The surface expression of the plate boundary is marked by the foothills of the north-south trending Sulaiman Range in the west, the Indo-Burmese Arc in the east and the east-west trending Himalaya Front in the north of India.

The India-Eurasia plate boundary is a diffuse boundary, which in the region near the north of India, lies within the limits of the Indus-Tsangpo (also called the Yarlung-Zangbo) Suture to the north and the Main Frontal Thrust to the south. The Indus-Tsangpo Suture Zone is located roughly 200 km north of the Himalaya Front and is defined by an exposed ophiolite chain along its southern margin. The narrow (<200km) Himalaya Front includes numerous east-west trending, parallel structures. This region has the highest rates of seismicity and largest earthquakes in the Himalaya region, caused mainly by movement on thrust faults. Examples of significant earthquakes, in this densely populated region, caused by reverse slip movement include the 1934 M8.1 Bihar, the 1905 M7.5 Kangra and the 2005 M7.6 Kashmir earthquakes. The latter two resulted in the highest death tolls for Himalaya earthquakes seen to date, together killing over 100,000 people and leaving millions homeless. The largest instrumentally recorded Himalaya earthquake occurred on 15th August 1950 in Assam, eastern India. This M8.6 right-lateral, strike-slip, earthquake was widely felt over a broad area of central Asia, causing extensive damage to villages in the epicentral region.

The Tibetan Plateau is situated north of the Himalaya, stretching approximately 1000km north-south and 2500km east-west, and is geologically and tectonically complex with several sutures which are hundreds of kilometer-long and generally trend east-west. The Tibetan Plateau is cut by a number of large (>1000km) east-west trending, left-lateral, strike-slip faults, including the long Kunlun, Haiyuan, and the Altyn Tagh. Right-lateral, strike-slip faults (comparable in size to the left-lateral faults), in this region include the Karakorum, Red River, and Sagaing. Secondary north-south trending normal faults also cut the Tibetan Plateau. Thrust faults are found towards the north and south of the Tibetan Plateau. Collectively, these faults accommodate crustal shortening associated with the ongoing collision of the India and Eurasia plates, with thrust faults accommodating north south compression, and normal and strike-slip accommodating east-west extension.

Along the western margin of the Tibetan Plateau, in the vicinity of south-eastern Afghanistan and western Pakistan, the India plate translates obliquely relative to the Eurasia plate, resulting in a complex fold-and-thrust belt known as the Sulaiman Range. Faulting in this region includes strike-slip, reverse-slip and oblique-slip motion and often results in shallow, destructive earthquakes. The active, left-lateral, strike-slip Chaman fault is the fastest moving fault in the region. In 1505, a segment of the Chaman fault near Kabul, Afghanistan, ruptured causing widespread destruction. In the same region the more recent 30 May 1935, M7.6 Quetta earthquake, which occurred in the Sulaiman Range in Pakistan, killed between 30,000 and 60,000 people.

On the north-western side of the Tibetan Plateau, beneath the Pamir-Hindu Kush Mountains of northern Afghanistan, earthquakes occur at depths as great as 200 km as a result of remnant lithospheric subduction. The curved arc of deep earthquakes found in the Hindu Kush Pamir region indicates the presence of a lithospheric body at depth, thought to be remnants of a subducting slab. Cross-sections through the Hindu Kush region suggest a near vertical northerly-dipping subducting slab, whereas cross-sections through the nearby Pamir region to the east indicate a much shallower dipping, southerly subducting slab. Some models suggest the presence of two subduction zones; with the Indian plate being subducted beneath the Hindu Kush region and the Eurasian plate being subducted beneath the Pamir region. However, other models suggest that just one of the two plates is being subducted and that the slab has become contorted and overturned in places.

Shallow crustal earthquakes also occur in this region near the Main Pamir Thrust and other active Quaternary faults. The Main Pamir Thrust, north of the Pamir Mountains, is an active shortening structure. The northern portion of the Main Pamir Thrust produces many shallow earthquakes, whereas its western and eastern borders display a combination of thrust and strike-slip mechanisms. On the 18 February 1911, the M7.4 Sarez earthquake ruptured in the Central Pamir Mountains, killing numerous people and triggering a landside, which blocked the Murghab River.

Further north, the Tian Shan is a seismically active intra-continental mountain belt, which extends 2500 km in an ENE-WNW orientation north of the Tarim Basin. This belt is defined by numerous east-west trending thrust faults, creating a compressional basin and range landscape. It is generally thought that regional stresses associated with the collision of the India and Eurasia plates are responsible for faulting in the region. The region has had three major earthquakes (>M7.6) at the start of the 20th Century, including the 1902 Atushi earthquake, which killed an estimated 5,000 people. The range is cut through in the west by the 700-km-long, northwest-southeast striking, Talas-Ferghana active right-lateral, strike-slip fault system. Though the system has produced no major earthquakes in the last 250 years, paleo-seismic studies indicate that it has the potential to produce M7.0+ earthquakes and it is thought to represent a significant hazard.

The northern portion of the Tibetan Plateau itself is largely dominated by the motion on three large left-lateral, strike-slip fault systems; the Altyn Tagh, Kunlun and Haiyuan. The Altyn Tagh fault is the longest of these strike slip faults and it is thought to accommodate a significant portion of plate convergence. However, this system has not experienced significant historical earthquakes, though paleoseismic studies show evidence of prehistoric M7.0-8.0 events. Thrust faults link with the Altyn Tagh at its eastern and western termini. The Kunlun Fault, south of the Altyn Tagh, is seismically active, producing large earthquakes such as the 8th November 1997, M7.6 Manyi earthquake and the 14th November 2001, M7.8 Kokoxili earthquake. The Haiyuan Fault, in the far north-east, generated the 16 December 1920, M7.8 earthquake that killed approximately 200,000 people and the 22 May 1927 M7.6 earthquake that killed 40,912.

The Longmen Shan thrust belt, along the eastern margin of the Tibetan Plateau, is an important structural feature and forms a transitional zone between the complexly deformed Songpan-Garze Fold Belt and the relatively undeformed Sichuan Basin. On 12 May 2008, the thrust belt produced the reverse slip, M7.9 Wenchuan earthquake, killing over 87,000 people and causing billions of US dollars in damages and landslides which dammed several rivers and lakes.

Southeast of the Tibetan Plateau are the right-lateral, strike-slip Red River and the left-lateral, strike-slip Xiangshuihe-Xiaojiang fault systems. The Red River Fault experienced large scale, left-lateral ductile shear during the Tertiary period before changing to its present day right-lateral slip rate of approximately 5 mm/yr. This fault has produced several earthquakes >M6.0 including the 4 January 1970, M7.5 earthquake in Tonghai which killed over 10,000 people. Since the start of the 20th century, the Xiangshuihe-Xiaojiang Fault system has generated several M7.0+ earthquakes including the M7.5 Luhuo earthquake which ruptured on the 22 April 1973. Some studies suggest that due to the high slip rate on this fault, future large earthquakes are highly possible along the 65km stretch between Daofu and Qianning and the 135km stretch that runs through Kangding.

Shallow earthquakes within the Indo-Burmese Arc, predominantly occur on a combination of strike-slip and reverse faults, including the Sagaing, Kabaw and Dauki faults. Between 1930 and 1956, six M7.0+ earthquakes occurred near the right-lateral Sagaing Fault, resulting in severe damage in Myanmar including the generation of landslides, liquefaction and the loss of 610 lives. Deep earthquakes (200km) have also been known to occur in this region, these are thought to be due to the subduction of the eastwards dipping, India plate, though whether subduction is currently active is debated. Within the pre-instrumental period, the large Shillong earthquake occurred on the 12 June 1897, causing widespread destruction.


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