Global & Disaster Medicine

Archive for December, 2018

Saudi MOH: One new case of MERS-CoV for epidemiologic week 50, the first case reported in December.

Saudi MOH

Countries with Lab-Confirmed MERS Cases

Countries in or near the Arabian Peninsula with MERS cases: Bahrain, Iran, Jordan, Kuwait, Lebanon, Oman, Qatar, Saudi Arabia, United Arab Emirates (UAE), and Yemen.

Countries outside of the Arabian Peninsula with travel-associated MERS cases: Algeria, Austria, China, Egypt, France, Germany, Greece, Italy, Malaysia, Netherlands, Philippines, Republic of Korea, Thailand, Tunisia, Turkey, United Kingdom (UK), and United States of America (USA).

An electron micrograph showing spherical particles within the cytoplasm of an infected cell


A high-speed train hit a railway engine and crashed into a pedestrian overpass Thursday at a station in the Turkish capital of Ankara, killing nine people and injuring dozens.

CBS


Marjory Stoneman Douglas High School: A state commission pointed to a range of failures on the part of school and law enforcement officials in the response to the shooting.

Draft Document:   

Marjory Stoneman Douglas High School

NYT

“……A total of 17 students and staff members lost their lives in an attack that spanned a full six minutes; 17 others were injured.….”

 


Damon M. Joseph, 21, of Holland, Ohio, was charged today in federal court with one count of attempting to provide material support to the Islamic State of Iraq and al-Sham (ISIS), a designated foreign terrorist organization, for allegedly planning an attack on a synagogue in the Toledo, Ohio area.

Dept. of Justice

FOR IMMEDIATE RELEASE
Monday, December 10, 2018
Ohio Man Arrested on Terrorism Charge After Planning Attack on Jewish Synagogue

Damon M. Joseph, 21, of Holland, Ohio, was charged today in federal court with one count of attempting to provide material support to the Islamic State of Iraq and al-Sham (ISIS), a designated foreign terrorist organization, for allegedly planning an attack on a synagogue in the Toledo, Ohio area.  Joseph was arrested Friday evening after he took possession of two semi-automatic rifles.

The announcement was made by Assistant Attorney General for National Security John C. Demers, U.S Attorney Justin E. Herdman for the Northern District of Ohio and Acting Special Agent in Charge Jeff Fortunato of the FBI’s Cleveland Division.

“Damon Joseph was allegedly inspired by ISIS’ call to violence and hate.  He planned to attack the victims, based on their religion, at a Toledo-area synagogue in the name of ISIS, and hoped that it would lead to the deaths of many and spread fear,” said Assistant Attorney General Demers.  “His alleged actions would be an assault on the liberties and respect for humanity we hold so dear.  We will continue to make every effort to prevent such attacks from occurring.  I commend the agents, analysts, and prosecutors who identified the threat posed by this defendant and took action to protect the public from his plans.”

“This man spent months planning a violent terrorist attack on behalf of ISIS here in the United States, and eventually targeted a Jewish synagogue in the Toledo area,” said U.S. Attorney Herdman.  “The charges describe a calculated man fueled by an ideology of hatred and intent on killing innocent people. The FBI, our police and Justice Department employees are to be credited for working to stop the defendant before he could act.”

“In a matter of months, Damon Joseph progressed from radicalized, virtual jihadist to attack planner,” said Acting Special Agent in Charge Fortunato.  “He ultimately decided to target two Toledo-area synagogues for a mass-casualty attack in the name of ISIS. Joseph will now be accountable in a court of law for his pursuit of a violent act of terrorism upon our fellow citizens attending their desired house of worship.”

According to an affidavit filed in U.S. District Court in Toledo:

Earlier in 2018, Joseph drew the attention of law enforcement by posting photographs of weapons and various messages in support of ISIS on his social media accounts, as well as a photograph originally distributed by the media wing of ISIS.  This activity led to multiple interactions between Joseph and undercover FBI agents.

During his communication with undercover agents, Joseph stated his support for ISIS and produced propaganda in support of ISIS recruitment.  In September, Joseph made videos that he sent to the undercover agent, hoping they would be used to recruit people to ISIS.  He also complained that the mosque he attended was critical of ISIS.

Joseph stated his support for violent attacks and operations.  For example, on Oct. 21, Joseph expressed support for “martyrdom operations” and stated: “what must be done, must be done” and “there will always be casualties of war.”

On Oct. 30, Joseph and the undercover communicated regarding the mass shooting at a Jewish synagogue in Pittsburgh. Joseph stated: “I admire what the guy did with the shooting actually.”  He added: “I can see myself carrying out this type of operation inshallah. They wouldn’t even [an attack] expect in my area…”

Over the next few weeks, Joseph continued stating he wanted to participate in an attack on behalf of ISIS.  On Dec. 2 he forwarded a document that laid out his plans for an attack, using the name “Abdullah Ali Yusuf” for himself.  In the document, he described plans to attack where the greatest number of people are gathered, inflict the most casualties during the attack and make sure no one escaped.

Joseph then stated that he did not see this necessarily as “a martyrdom operation” as his plan accounted for an escape and potential combat with law enforcement.

On Dec. 4, Joseph stated he was deciding between two synagogues in the area to attack.  He stated the choice would depend on “Which one will have the most people, what time and what day. Go big or go home.”

The next day, Joseph met with an undercover FBI agent and discussed conducting a mass shooting at a synagogue.  Joseph identified two synagogues he viewed as targets in the greater Toledo area, and discussed the types of weapons he believed would be able to inflict mass casualties.

Joseph made written notes about the firearms he wanted and provided them to the undercover agent, stating he wanted AR 15s, AK 47, Glocks and ammunition.

On Dec. 6, Joseph met with an undercover in the Toledo area and stated it would be ideal to attack two synagogues, but that it was probably more realistic to only attack one.  Joseph also stated specifically that he wanted to kill a rabbi.

Also on Dec. 6, Joseph wrote the name and address of the synagogue where the attack was to occur.  Joseph stated he had conducted research to determine when the Jewish sabbath was so that more people would be present.  Joseph pulled up photographs of the inside of the synagogue and said he wanted the attack to begin in the sanctuary.  Joseph told the undercover agent that he would hide two semi-automatic rifles at his house once the undercover purchased them.

Later that day, the undercover agent told Joseph that he purchased rifles for the attack.  The two met on Dec. 7 at a predetermined location and Joseph took a black duffel bag containing two semi-automatic rifles, which had been rendered inoperable by law enforcement officers so that they posed no danger to the public.  Joseph was then arrested.

A charge is merely an allegation, and the defendant is presumed innocent unless and until proven guilty beyond a reasonable doubt in a court of law.

The FBI’s Joint Terrorism Task Force, which is comprised of members of the FBI, Homeland Security and Investigations, U.S. Customs and Border Protection, Ohio State Highway Patrol and Toledo Police Department, is leading the ongoing investigation.

The case is being prosecuted by Assistant U.S. Attorney Michelle Baeppler of the Northern District of Ohio, and Trial Attorneys Josh Champagne and Kyle Phillips of the National Security Division’s Counterterrorism Section.

Topic(s):
Counterterrorism
National Security
Press Release Number:
18-1624

Artesunate rectal suppositories: A God-send in the fight against deadly malaria

NYT

“…..The most important new element is artesunate delivered as a soft rectal suppository. Artesunate is the drug that hospitals inject into children in mortal danger from malaria infections of the brain. The new version comes in a form that can be given by a village health worker or even a parent.

Rectal administration gets the drug into the blood quickly and avoids the possibility that the child will vomit up the medication. Ideally, each two-dose box kills enough parasites to buy six to 12 more hours for a child to reach higher-level care….

Other advances that help save children with malaria include rapid diagnostic tests, training local health workers to recognize the disease and a fleet of bicycle ambulances.

The test gives a diagnosis in minutes with only a finger-prick drop of blood.

The ambulances are metal carts about six feet long and four feet wide that can be made in a local welding shop and attached to most bicycles. A mother and child can ride flat or sitting, and the cart can navigate dirt tracks too narrow for cars……”


DRC: One in ten Ebola cases is under five-years-old, while children who contract the Ebola virus are at higher risk of dying from the disease than adults.

UNICEF

“…..Since the start of the response to the latest Ebola outbreak in the DRC, UNICEF and its partners have:

  •  Provided psycho-social and material assistance to 520 affected families with children;
  •  Provided psychosocial support to 421 children in the Ebola Treatment Centers;
  •  Sensitized more than 91,000 children with Ebola prevention messages in schools;
  •  Briefed 4,310 teachers in schools on Ebola;
  •  Equipped 444 schools in high risk areas with hand-washing facilities;
  •  Reached more than 6,753,000 people with Ebola-prevention messages;
  •  Provided access to water to 889,440 people in the affected areas…..”

Strasbourg, France: A gunman opened fire Tuesday night in the middle of France’s biggest Christmas market, killing at least three and wounding a dozen more

NYT


12/12/1917: More than 500 French soldiers are killed when their train derails in Modane, France.

History


Separate alleged terror plots in Toledo, Ohio foiled by FBI

CBS

“…..Elizabeth Lecron was obsessed with the idea of carrying out mass murder. She was arrested Saturday after she purchased black powder and screws for making a bomb. She told an undercover agent she wanted to target a Toledo bar, and also discussed bombing a pipeline or attacking a farm…..21-year-old Damon Joseph, who investigators believe was radicalized by ISIS online, [allegedly] planned to target two Toledo area synagogues…….”

FBI Agent Collects Evidence from Exploded Car in Lebanon (AP Photo)

FBI

“Protecting the United States from terrorist attacks is the FBI’s number one priority. The Bureau employs a variety of disciplines and works closely with a range of partners to neutralize terrorist cells and operatives here in the U.S., help dismantle extremist networks worldwide, and cut off financing and other forms of support provided to foreign terrorist organizations by terrorist sympathizers. In particular, the FBI-led Joint Terrorism Task Forces (JTTFs) across the country are essential to the nation’s success in combatting terrorism. These JTTFs bring federal, state, and local agencies together on one team, allowing members to leverage one another’s skills, authorities, and accesses to prevent and disrupt terrorist attacks across the country. The JTTFs also build relationships between the community and law enforcement on the front line, which is particularly important to combatting terrorism.”

 


The Democratic Republic of the Congo (DCR) reported 13 new Ebola cases in several outbreak areas and the total is up to 500 cases

DRC

SITUATION ÉPIDÉMIOLOGIQUE DANS LES PROVINCES DU NORD-KIVU ET DE L’ITURI

Lundi 10 décembre 2018

La situation épidémiologique de la Maladie à Virus Ebola en date du 9 décembre 2018 :
  • Depuis le début de l’épidémie, le cumul des cas est de 498, dont 450 confirmés et 48 probables. Au total, il y a eu 285 décès (237 confirmés et 48 probables) et 167 personnes guéries.
  • 73 cas suspects en cours d’investigation.
  • 4 nouveaux cas confirmés, dont 3 à Katwa et 1 à Vuhovi.
  • 2 nouveaux décès de cas confirmés (tous des décès communautaires), dont 1 à Katwa et 1 à Vuhovi.
  • 2 nouvelles personnes guéries, dont 1 sortie du CTE de Beni et 1 du CTE de Butembo.


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