Global & Disaster Medicine

Archive for November, 2018

Taxing red and processed meat according to its health impacts: New research

Springmann M, Mason-D’Croz D, Robinson S, Wiebe K, Godfray HCJ, Rayner M, et al. (2018) Health-motivated taxes on red and processed meat: A modelling study on optimal tax levels and associated health impacts. PLoS ONE 13(11): e0204139. https://doi.org/10.1371/journal.pone.0204139

PLOS 1

“……Including the social health cost of red and processed meat consumption in the price of red and processed meat could lead to significant health and environmental benefits, in particular in high and middle-income countries. The optimal tax levels estimated in this study are context-specific and can complement the simple rules of thumb currently used for setting health-motivated tax levels...….”

 


Pakistan: Report on Dengue and Crimean-Congo Fever

SAMAA

“…..From 2015 till today, 51,764 people infected with dengue in the country of whom 107 people have died…….

The Congo virus on the other hand, has infected 613 people in the same time period. Of these people, 148 died due to the disease….”

Distribution Map for Crimean-Cogngo Hemorrhagic Fever. Areas endecmic of CCHF are Azerbaijan, Benin, Bosnia and Herzegovina, Bulgaria, Burkina Faso, Central African Republic, Congo DRC, Croatia,Egypt, Ethiopia, Georgia, Greece, Guinea, Gujart India, Iran, Iraq, Kazakhstan, Kenya, Kyrgyzstan, Madagascar, Mauritania, Montenegro, Namibia, Nigeria, Oman, Pakistan, Rajasthan India, Russia, Saudi Arabia, Senegal, Serbia, Slovenia, South Africa, South Sudan, Sudan, Tajikistan, Tanzania, Macedonia, Turkey, Turkmenistan, Uganda, Ukraine, United Arab Emirates, Uzbekistan, Xinjiang China, and Zimbabwe

Map 3-01. Distribution of dengue in the Americas and the Caribbean

Map 3-02. Dengue risk in Africa and the Middle East

Map 3-03. Dengue risk in Asia and Oceania


What’s shaping up in the Indian and western Pacific Oceans?

 


California fires: At least 31 people have died statewide.

NPR


NASA: Wildfire Smoke Moving from California to the Rest of the USA

Which Way Will the Smoke Go?

By the time the U.S. Forest Service declared the Mendocino Complex Fire 100 percent contained in mid-September 2018, it had burned for nearly two months, destroyed 157 homes, and scorched more than 459,000 acres, making it the largest wildfire in California history. Wildfires in the state burned more than 1.3 million acres from January 1 through November 4, shrouding the region and, at times, whole swaths of the country, in smoke.

In the past, the behavior of such wildfires and their smoke plumes was notoriously difficult to forecast. “It was a challenge for the atmospheric models to know where a fire was, how active it was, and how much emissions it was putting into the atmosphere,” said Andy Edman, who oversees Western region wildfires for the National Weather Service. “It was sort of like having a family reunion. Most everyone is going to be acting normal, but wildfire behavior can be like your crazy uncle—erratic and difficult to predict.”

But a new experimental model that relies on data from National Oceanic and Atmospheric Administration (NOAA) and NASA satellites has proven remarkably good at simulating the behavior of wildfire smoke. The High-Resolution Rapid Refresh Smoke model, or HRRR-Smoke, builds on NOAA’s existing HRRR weather model, which forecasts rain, wind, and thunderstorms. It ingests real-time data from the Joint Polar Satellite System’s Suomi-NPP and NOAA-20 polar-orbiting satellites, as well as NASA’s Terra and Aqua satellites.

The image on the top left, captured by the Visible Infrared Imaging Radiometer Suite (VIIRS) on Suomi-NPP, shows the Western United States in natural color in the afternoon on August 6, 2018, at the height of the Mendocino Complex Fire. On the top right is a HRRR-Smoke simulation from the same region at the same time.

Central to HRRR-Smoke is an important metric called fire radiative power. FRP is a measurement of the amount of heat released by a given fire in megawatts. A large fire, for example, might reach about 4,000 megawatts per pixel (750×750 meters). Calculating radiative power and where it is distributed can help scientists pinpoint the active front of a fire and predict the density and trajectory of the smoke it will emit.

The HRRR-smoke model combines FRP data with observations of wind speed, rain, and atmospheric temperature. It also includes vegetation maps because the more scientists know about what is burning, the better the simulation. (For instance, sagebrush burns differently than ponderosa pine.) These measurements are mapped to a three-dimensional grid that extends nearly 16 miles into the atmosphere. What results is a detailed forecast of the amount of smoke produced, the direction it should travel, and its plume height. HRRR-Smoke generates forecasts four times per day and looks ahead by 36 hours.

The forecasts include two key sets of predictions. “Near-surface smoke” refers to the smoke that will hover within 8 meters (26 feet) of the ground—the kind responsible for burning eyes and aggravated asthma. “Vertically integrated smoke” depicts all of the smoke in a vertical column, including smoke high in Earth’s atmosphere. That is the smoke you see at sunrise and sunset. The animation below shows a 36-hour forecast of vertically integrated smoke on August 6, 2018.

8/6-7/18

“Near-surface smoke is one indicator of air pollution, but the smoke could also be at much higher altitudes,” said Ravan Ahmadov, the main developer of the HRRR-smoke model, and a research scientist at NOAA’s Earth Systems Research Laboratory and the Cooperative Institute for Research in Environmental Sciences. “That’s important to know, because the smoke could affect visibility for aviation.” High-altitude smoke can also block incoming sunlight, which can cool air temperatures and interfere with solar energy production.

HRRR-Smoke is being used increasingly by forecasters and government agencies, but also by some local groups. During California’s Ferguson fire, the Department of Transportation used HRRR-Smoke simulations as part of its decision-making to suspend Amtrak rail service in the region. Likewise, the model was part of the National Park Service calculus when it closed parts of Yosemite.

On a local scale, schools in Utah referred to model forecasts when they opted to keep kids inside during recess and to cancel football games due to fires burning south of Provo. In Oregon, a youth swimming coach moved outdoor practice to an indoor pool after hearing the forecast.

“When we can tell people that the smoke is going to move in and hang around for a day, they can take smart actions to anticipate the event,” Edman said. “If you have a child with asthma, you’ll know to take precautions.”

The HRRR-Smoke model is still evolving. One limitation, Ahmadov said, is that each polar orbiting satellite passes each location in the continental United States just twice a day, and fires can spread and evolve rapidly during the time between those observations. He hopes to eventually incorporate data from geostationary satellites like GOES-16 and GOES-17, which have a lower spatial resolution but would scan the fires more often. The ultimate goal is to add smoke to the regular HRRR model used by the National Weather Service.

“In the next couple of years, I think we are going to see a lot of small, incremental improvements,” Edman said. “The model is not perfect, but all of the components came together this year, and the forecasts were pretty darn good.”

NASA Earth Observatory images by Lauren Dauphin, using VIIRS data from the Suomi National Polar-orbiting Partnership and HRRR-Smoke data. Story by Jenny Marder, Joint Polar Satellite System.


The Global Slavery Index: ~ 2% of the population (90,000 Mauritanians) are enslaved.

T. Reuters


Results from a phase 2 trial of a live-attenuated, measles-vectored chikungunya vaccine (MV-CHIK) showed the vaccine to be safe, well-tolerated, and immunogenic.

Lancet

Immunogenicity, safety, and tolerability of the measles-vectored chikungunya virus vaccine MV-CHIK: a double-blind, randomised, placebo-controlled and active-controlled phase 2 trial

DOI:https://doi.org/10.1016/S0140-6736(18)32488-7

Countries with current or previous local transmission of chikungunya virus, listed in below data table

CDC

Symptoms

  • Most people infected with chikungunya virus will develop some symptoms.
  • Symptoms usually begin 3–7 days after being bitten by an infected mosquito.
  • The most common symptoms are fever and joint pain.
  • Other symptoms may include headache, muscle pain, joint swelling, or rash.
  • Chikungunya disease does not often result in death, but the symptoms can be severe and disabling.
  • Most patients feel better within a week. In some people, the joint pain may persist for months.
  • People at risk for more severe disease include newborns infected around the time of birth, older adults (≥65 years), and people with medical conditions such as high blood pressure, diabetes, or heart disease.
  • Once a person has been infected, he or she is likely to be protected from future infections.

Diagnosis

  • The symptoms of chikungunya are similar to those of dengue and Zika, diseases spread by the same mosquitoes that transmit chikungunya.
  • See your healthcare provider if you develop the symptoms described above and have visited an area where chikungunya is found.
  • If you have recently traveled, tell your healthcare provider when and where you traveled.
  • Your healthcare provider may order blood tests to look for chikungunya or other similar viruses like dengue and Zika.

Treatment

  • There is no vaccine to prevent or medicine to treat chikungunya virus.
  • Treat the symptoms:
    • Get plenty of rest.
    • Drink fluids to prevent dehydration.
    • Take medicine such as acetaminophen (Tylenol®) or paracetamol to reduce fever and pain.
    • Do not take aspirin and other non-steroidal anti-inflammatory drugs (NSAIDS until dengue can be ruled out to reduce the risk of bleeding).
    • If you are taking medicine for another medical condition, talk to your healthcare provider before taking additional medication.
  • If you have chikungunya, prevent mosquito bites for the first week of your illness.
    • During the first week of infection, chikungunya virus can be found in the blood and passed from an infected person to a mosquito through mosquito bites.
    • An infected mosquito can then spread the virus to other people.

More detailed information can be found on CDC’s chikungunya web page for healthcare providers

 


NASA: Camp Fire Photos from Space

Camp Fire Rages in California

11/8/18

On November 8, 2018, the Camp Fire erupted 90 miles (140 kilometers) north of Sacramento, California. As of 10 a.m. Pacific Standard Time on November 9, the fire had consumed 70,000 acres of land and was five percent contained, or surrounded by a barrier.

The Operational Land Imager on Landsat 8 acquired this image on November 8, 2018, around 10:45 a.m. local time (18:45 Universal Time). The image was created using Landsat bands 4-3-2 (visible light), along with shortwave-infrared light to highlight the active fire. The fire started around 6:30 a.m. Pacific Standard Time, and by 8:00 p.m., it had burned 20,000 acres of land.

11/9/18

Strong winds pushed the fire to the south and southwest overnight, tripling its size and spreading smoke over the Sacramento Valley. The Moderate Resolution Imaging Spectrometer (MODIS) on NASA’s Terra satellite captured the natural-color image above on November 9. The High-Resolution Rapid Refresh Smoke model, using data from National Oceanic and Atmospheric Administration (NOAA) and NASA satellites, shows the smoke should continue to spread west. The image also shows two more fires in southern California, the Hill and Woolsey Fires.

More than 2,000 personnel have been sent to fight the Camp Fire, which is predicted to be fully contained by November 30. Firefighters are having difficulty containing it due to strong winds, which fan the flames and carry burning vegetation downwind. The area also has heavy and dry fuel loads, or flammable material.

State and local officials have closed several major highways, including portions of Highway 191. They also ordered evacuations in several towns, including Concow and Paradise, where the fatal fire burned through the town.

NASA Earth Observatory image by Joshua Stevens, using Landsat data from the U.S. Geological Survey, and MODIS data from NASA EOSDIS/LANCE and GIBS/Worldview. Story by Kasha Patel.


California wildfire: Death toll up to 23

CNBC

“……The Camp Fire burned down more than 6,700 homes and businesses in Paradise…..

Several of the bodies discovered earlier this week were found in or near burned out cars, police have said. The flames descended on Paradise so fast that many people were forced to abandon their vehicles and run for their lives down the sole road through the mountain town.

An additional 35 people have been reported missing and three firefighters have been injured……..”


National Interagency Coordination Center Incident Management Situation Report, 11/9/18

National Interagency Coordination Center Incident Management Situation Report

Friday, November 9, 2018 – 0800 MT National Preparedness Level 1

National Fire Activity Initial Attack Activity:

Light (201) new fires

New large incidents: 5

Large fires contained: 0

Uncontained large fires:** 4

Southern California Area (PL 2) New fires: 89 New large incidents: 4 Uncontained large fires: 2 Type 1 IMTs committed: 1

* Hill, Ventura County. Cal Fire IMT 1 (Bravo). Six miles northeast of Camarillo, CA. Brush and Chaparral. Moderate fire behavior with wind driven runs, spotting and flanking. Structures threatened. Evacuations, road and area closures in effect.

* Woolsey, Ventura County. Four miles northeast of Oak Park, CA. Brush, Chaparral and Tall Grass. Extreme fire behavior with wind driven runs. Structures threatened. Evacuations in effect.

Alder, Sequoia NF. Twelve miles northeast of Springville, CA. Timber. Moderate fire behavior with flanking, backing and smoldering. Road closures in effect. Last report unless significant activity occurs.

* Mountaineer, Sequoia NF. Fourteen miles northeast of Springville, CA. Timber. Moderate fire behavior with flanking, backing and creeping. Trail closures in effect. Last report unless significant activity occurs.

* Eden, Sequoia & Kings Canyon NP. Seventeen miles northwest of Springville, CA. Timber. Moderate fire behavior with creeping, smoldering and backing. Last report unless significant activity occurs.

 


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