Global & Disaster Medicine

Archive for March, 2018

Nursing Now aims to improve health globally by raising the profile and status of nurses worldwide – influencing policymakers and supporting nurses themselves to lead, learn and build a global movement.

NursingNow

Uganda, where the Government has joined with nursing, health and academic organisations to set out a Nursing Now road map for developing nursing and midwifery. This work is laying the groundwork for Nursing Now Africa.

Singapore, where the Government is running a campaign to promote nursing as an exciting career. They are creating new opportunities for nurses, celebrating their achievements and engaging nurses at the forefront of developing community services.

Narayana Health in India, where the founder Dr Devi Shetty and the Board have recognised the enhanced role that nurses can play and established a development programme for nurses. They are using nurses to lead the way in extending their services into Africa.

 

Rwanda, where a private organisation is working with the government to support nurse entrepreneurs providing vital services in the most rural areas.

Albert Einstein Hospital in São Paolo, Brazil, where nurses are engaging the many men who do not attend the basic health units for consultations. They are reaching out by going to bars to talk to people about how they can take better care of their health.

Jamaica, where the Government is working with partners to tackle violence against women and children as the first programme of Nursing Now Jamaica.

Community Aging in Place, Advancing Better Living for Elders (CAPABLE) in the USA, which is providing a multi-disciplinary service to support elderly people to live in their own homes.


3/8/1669: Mount Etna begins rumbling and multiple eruptions over the next few weeks kills more than 20,000 people and leaves thousands more homeless.

History

 


The Nor’easter dumped snow in several states Wednesday, including NY, NJ and PA and now it’s in New England.

CNN

https://www.youtube.com/watch?v=_YsnneH_ElE

 


With the demise of the Islamic State, a revived al-Qaeda and its affiliates should now be considered the world’s top terrorist threat.

Council on Foreign Relations

“…..Although ISIS…has commanded the world’s attention since then, al-Qaeda has been quietly rebuilding and fortifying its various branches. Al-Qaeda has systematically implemented an ambitious strategy designed to protect its remaining senior leadership and discreetly consolidate its influence wherever the movement has a significant presence. Accordingly, its leaders have been dispersed to Syria, Iran, Turkey, Libya, and Yemen, with only a hard-core remnant of top commanders still in Afghanistan and Pakistan. Advances in commercial digital communication tools, alongside successive public revelations of U.S. and allied intelligence services’ eavesdropping capabilities, have enabled al-Qaeda’s leaders and commanders to maintain contact via secure end-to-end encryption technology.….”

 


Leopoldo López: Savior of Venezuela or Potential Martyr?

NY Times

“…..López was arrested in February 2014 after leading a public protest that turned violent. Prosecutors acknowledged in court that López was technically peaceful, but they accused him of inciting others to hatred and violence. Before his arrest, he was among the most prominent and popular opposition leaders in Venezuela. Polling suggested that he could defeat President Nicolás Maduro, the unpopular successor to Hugo Chávez, in a free election. At trial, he was sentenced to 13 years and nine months in prison. Since then, he has become the most prominent political prisoner in Latin America, if not the world. ….”

 


Brits: A former Russian spy and his daughter were poisoned by a nerve agent in Britain this week

NY Times

“…..On Sunday afternoon, he and his daughter became severely ill at a mall in the quiet cathedral town of Salisbury, England. They lost consciousness and remain in critical condition.

Some of the emergency workers who went to the scene also became ill, and one police officer has been hospitalized in serious condition….”


A Russian military transport plane carrying 33 passengers and six crew members crashed on landing at an air base in Syria on Tuesday.

NY Times

 


Another Nor’easter to impact the Mid-Atlantic and Northeast on Wednesday into Thursday

Northeast sector loop

SPC Products Overview


Over the past few days, Saudi Arabia reported 7 more MERS-CoV infections and 2 deaths from the disease.

3-3-2018-01.jpg


The Nigerian Lassa fever outbreak continues to grow, with more than 1,000 suspected cases

Nigeria Centre for Disease Control

HIGHLIGHTS 

In the reporting Week 09 (February 26-March 4,2018) thirty five new confirmed cases were recorded from five States Edo (19), Ondo (5), Bauchi (1), Ebonyi (9), and Plateau (1), with seven new deaths in confirmed cases from three states Ondo (2), Edo (2), and Ebonyi (3) 

From 1st January to 4th March 2018, a total of 1121 suspected cases. Of these, 353 are confirmed positive, 8 are probable, 723 are negative (not a case) and 37 are awaiting laboratory results (pending).

18 States are active (Edo, Ondo, Bauchi, Nasarawa, Ebonyi, Anambra, Benue, Kogi, Imo, Plateau, Lagos, Taraba, Delta, Osun, Rivers, FCT, Gombe and Ekiti)

Lassa Fever distribution map.  Countries reporting endemic disease and substantial outbreaks are Guinea, Sierre Leone, Liberia, and Nigeria.  Countries reporting few cases, periodic isolation of virus, or serologic evidence of Lassa virus infection are Mali, Burkina Faso, Cote d'Ivoire, Ghana, Togo, and Benin.

Since the onset of the 2018 outbreak, there have been 110 deaths: 78 in positive-confirmed cases, 8 in probable cases and 24 in negative cases.

Case Fatality Rate in confirmed and probable cases is 23.8%

Two health workers were confirmed positive this week in Ebony State. Cumulatively, sixteen health care workers have been affected in six states –Ebonyi (9), Nasarawa (1), Kogi (1), Benue (1), Ondo (1) and Edo (3) with four deaths in Ebonyi (3) and Kogi

Predominant age-group affected is 21-40 years (Range: 9 months to 92 years, Median Age: 34 years)

The male to female ratio for confirmed cases is 2:1 

85% of all confirmed cases are from Edo (44%) Ondo (25%) and Ebony(16%)states 

Cases currently on admission this weekend at Irrua Specialist Hospital (35), FMC Owo (18) and FETH Abakiliki (16) all isolation beds at the treatment facilities occupied. 

National RRT team (NCDC staff and NFELTP residents) batch B continues response support in Ebonyi, Ondo and Edo States 

A total of 3126 contacts have been identified from 18 active states. Of these 1586 are currently being followed up, 1485 have completed 21 days follow up and 21 of the 47 symptomatic contacts have tested positive from 3 states (Edo-11, Ondo-7 and Ebonyi-3) 

WHO and NCDC has scaled up response at National and State levels  Bernhard Nocht Institute for Tropical Medicine Germany is currently supporting ISTH, NRL and LUTH Laboratories with testing reagents  NCDC distributed response commodities -PPEs, Ribavirin (injection and tablets), beds, body bags and hand sanitizers to FMC Owo, FETH Abakiliki, Niger and Ekiti states in the reporting week  NCDC is collaborating with ALIMA and MSF in Edo, Ondo and Anambra States to support case management  NCDC deployed teams to four Benin Republic border states (Kebbi, Kwara, Niger and Oyo) for enhanced surveillance activities  National Lassa fever multi-partner multi-agency Emergency Operations Centre (EOC) continues to coordinate the response activities at all levels

 

 


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