平特五不中

More investment in vaccines could prevent deaths due to antimicrobial resistance (AMR) and reduce antibiotic use by 2.5 billion doses annually, the World Health Organization (WHO) said in a new report published on Thursday. 

96 Global Health NOW: Health Care in a Hurricane; Politics in Leprosy Elimination; and Fixing the Women鈥檚 Health Funding Disparity October 9, 2024 Health Care in a Hurricane 
  Health care workers in Florida are bracing for the potentially brutal effects of a from Hurricane Helene followed by the 鈥渕onstrous鈥� Hurricane Milton, .

• 鈥淭here is no doubt that they are weary, given the back-to-back storms,鈥� said Mary C. Mayhew, president and CEO of the Florida Hospital Association, adding that Helene increased vulnerabilities for hospitals statewide. 

Battening down the hatches: Hospitals across the region are preparing backup power, water, and food sources, while also deploying flood protections, .

• Tampa General Hospital withstood Helene鈥檚 record-breaking storm surge because of a flood barrier called an AquaFence; but Milton poses an even greater threat, . 

Transporting patients: The state鈥檚 鈥渓argest evacuation ever鈥� includes 300 health facilities, mainly long-term care facilities. Ten hospitals have also reported evacuations. 

Meanwhile in Western North Carolina: Running water remains unavailable to ~136,000 people as critically damaged water systems require significant repairs, .

• The ongoing crisis has created a 鈥減ublic health emergency鈥� in the region, , with the region鈥檚 largest hospital depending on 40 continuously pumping water tankers, .

GLOBAL HEALTH VOICES The Latest One-Liners   Live Oropouche virus was detected in semen 16 days after symptom onset, suggesting risk of sexual transmission of the virus, a published yesterday in Emerging Infectious Diseases has found.

LGBTQ+ women face 鈥渟ubstantial鈥� health disparities, mental illness, and barriers to care, finds a National Center for Lesbian Rights that analyzed a national survey of 5,000 respondents.

A series of lawsuits against TikTok were filed yesterday by more than a dozen states and the District of Columbia, each alleging the app鈥檚 algorithm is designed to be addictive to kids and is harming youth mental health.

Nearly 50% of researchers quit science within a decade of starting their careers, with women more likely than men to stop publishing, a large published in Higher Education finds. NEGLECTED DISEASES Politics in Leprosy Elimination  
A campaign in India promises to eliminate leprosy by 2027, three years ahead of the WHO鈥檚 target鈥攂ut advocates warn that the campaign is under-resourced and based more on political 鈥済randstanding鈥� than 鈥済enuine commitment.鈥�

• Leprosy鈥攐ne of the world鈥檚 most stigmatized diseases鈥攊s fully curable.


• 60% of the 200,000 new cases reported annually are in India. 

Challenges:

• India鈥檚 medical schools have not taught leprosy treatment and diagnosis for the last 20 years.


• COVID-19 stalled a previous vaccination rollout.


• Awareness campaigns have yet to be implemented, leading to worries that cases may be undercounted to meet goals.  

GLOBAL HEALTH VOICES RESEARCH Expanding Biobanks
Increasingly, researchers and physicians rely on genetic data to tailor treatments to patients, in a field known as precision medicine. 

Glaring data gaps: Genetic information represented in biobanks used to guide treatment decisions is disproportionately focused on European ancestry鈥攍imiting critical insights and options for other populations.

• In particular, Indigenous groups in Latin America are underrepresented in these banks鈥攁 significant obstacle for researchers developing targeted treatments.

Drilling down: Efforts are gaining in Latin America and elsewhere to collect far more detailed genetic data to expand diversity in biobanks.

WOMEN'S HEALTH Fixing the Funding Disparity
Women and girls make up half of the population鈥攜et organizations dedicated to them receive less than 2% of all charitable giving in the U.S., reveals.
 
Philanthropist Melinda French Gates鈥攚ho has long focused on the lack of investment in women and girls鈥攁nnounced a new effort today to help address the disparity, inviting grant applications to her organization, Pivotal, through an .

• Applicants should address issues relating to women鈥檚 mental and physical health in the U.S. and around the world.

• The new program allocates $250 million, through grants of $1 million to $5 million each, adding to French Gates鈥� pledge to donate $1 billion to women and girls over the next two years.

The goal: To identify women鈥檚 health nonprofits in need of new funding streams鈥攅specially those that historically might not have been eligible.

Related: The 鈥榟uge disadvantage鈥� women behind femtech phenomenon face 鈥� OPPORTUNITY QUICK HITS Stigma adds to Burundi's challenges in mpox fight 鈥�

The end of smallpox was ... the beginning for mpox 鈥�

Loiasis: bringing an end to neglect 鈥�

Severe Covid infections can inflame brain鈥檚 鈥榗ontrol centre鈥�, research says 鈥�

A Boy鈥檚 Bicycling Death Haunts a Black Neighborhood. 35 Years Later, There鈥檚 Still No Sidewalk. 鈥�

The Supreme Court appears to have found a gun regulation it actually likes 鈥�

Scientists discover a secret to regulating our body clock, offering new approach to end jet lag 鈥�

The next lifesaving antibiotic might be a virus on your toothbrush 鈥� Issue No. 2794
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, Aliza Rosen, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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  Copyright 2024 Johns Hopkins Bloomberg School of Public Health. All Rights Reserved. Views and opinions expressed in Global Health NOW do not necessarily reflect those of the Johns Hopkins Bloomberg School of Public Health or Johns Hopkins University.


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Around one in seven children and adolescents aged 10 to 19 are affected by mental health conditions 鈥� with anxiety, depression and behavioural disorders among the most common, according to a new World Health Organization and UN Children鈥檚 Fund report released on Wednesday. 

Our 鈥渃ollective amnesia鈥� about how bad the COVID-19 pandemic was should not prevent us from protecting ourselves and our loved ones from the ongoing spread of respiratory diseases as the northern hemisphere prepares for winter, the UN World Health Organization (WHO) said on Wednesday.

Scientists use stem cells to follow development of protein bodies characteristic of neurological disease

Scientists use stem cells to follow development of protein bodies characteristic of neurological disease

96 Global Health NOW: Transportation Justice in Music City; The New Fight Against Fistula; and Health Workers Traumatized With Nowhere to Turn October 8, 2024 GHN EXCLUSIVE REPORT Many of the historic buildings, shops, bars, and clubs along Broadway in Nashville, Tennessee. Cheryl A. Austin/Wikimedia Commons Transportation Justice in Music City   NASHVILLE, Tenn.鈥� to 鈥渞everse the effects of environmental racism.鈥� His engine of choice: transportation infrastructure. 
 
The challenges:

• Time spent in traffic congestion increased to in 2023 from in 2022.


• It has America鈥檚,, with long drive times and a lack of walkability, bikeability, and public transportation.


• Pollution from traffic snaking through the city鈥檚 urban core disproportionately impacts communities that have been historically marginalized because of the racist practice of .

O鈥機onnell wants to establish economic equity and reduce pollution-related health threats by:

• Replacing two-thirds of the city鈥檚 traffic lights with capable of adjusting traffic flows on demand while reducing commute times and stop-and-go fuel emissions.


• Constructing bike lanes, 86 miles of new , and 12 new transit centers with 24-hour bus service.


• Planting by 2050 and seeding citywide. 

The catch: Much of O鈥機onnell鈥檚 goals depend upon passage of a referendum next month that would impose a temporary sales tax surcharge that would help the city access federal funds from the .
 
GLOBAL HEALTH VOICES The Latest One-Liners   Junior doctors in West Bengal, India, launched a hunger strike demanding improved security for hospitals following the alleged rape and murder of a young female doctor last August.
 
Hospitals are urging the White House to help shore up supplies of IV bags after the North Carolina factory that produces 60% of the nation鈥檚 supply was shuttered temporarily by Hurricane Helene.
 
The U.S. Supreme Court declined to intervene in a Texas emergency abortion case, leaving in place a lower court ruling that exempts doctors in Texas from performing emergency abortions that conflict with the state鈥檚 abortion ban鈥攔ejecting a Biden Administration appeal that the Texas ban violates federal law.
 
20th-century gains in human life expectancy are slowing down鈥攔ising only six and a half years since 1990, of 10 wealthy countries, hinting that the human lifespan is reaching a limit. SURGERY The New Fight Against Fistula
  In Nepal, fistula鈥攁 debilitating condition caused by a hole in the bladder鈥攊s more and more brought on by botched surgeries, not obstructed and prolonged labor.

• The devastating condition, which leaves women incontinent and leaking urine, affects at least 4,500 women in Nepal.

The growing proportion of fistulas caused by botched hysterectomies or C-sections signals broader issues in the health system, such as surgeons who struggle to admit they aren鈥檛 qualified to do certain procedures.

The Quote: 鈥淟atrogenic fistula [caused by a surgical error] is a sentinel indicator, it鈥檚 saying something about the quality of surgical care on offer,鈥� says Carrie Ngongo, a health systems specialist at the Research Triangle Institute.

  GLOBAL HEALTH VOICES HEALTH WORKERS Traumatized With Nowhere to Turn
In 2020 the Soldiers鈥� Home in Holyoke, Massachusetts, had one of the deadliest COVID-19 outbreaks to occur at a long-term nursing facility.

• The outbreak, in which dozens of veterans died, prompted a top-to-bottom overhaul of the facility and its leadership and a $56 million settlement for veterans and families. 

But many nursing assistants who worked on the front lines at the facility and remain traumatized by the effects of the ordeal鈥攊ncluding depression and PTSD鈥攈ave received little relief.  
 
The situation is a vivid example of 鈥渉ow labor conditions can jeopardize the health of employees鈥濃�攁nd for lower-paid staff with limited power and resources at work, a lack of agency adds to the stress, reports Amy Maxmen.
 
OPPORTUNITY QUICK HITS Tragic statistics show African roads are among world's deadliest 鈥�

CDC: 35% flu vaccine efficacy in South America may predict similar for US season 鈥�

US CDC to issue second-highest travel alert for Rwanda on Marburg outbreak 鈥�

Q&A: How California, now an epicenter for bird flu in dairy cattle, is monitoring the virus 鈥�  

Biden sets a 10-year deadline for US cities to replace lead pipes and make drinking water safer 鈥�

Tiny brain, big deal: fruit fly diagram could transform neuroscience 鈥� Thanks for the tip, Xiaodong Cai!

Why So Many Hungarians Are Staying Child-Free 鈥�

Turning AI's Hype into a Realistic Hope for Global Healthcare 鈥�  

8 ways to make the future brighter: from battling misinformation to honoring grandmas 鈥�

Another Reason to Hate Ticks 鈥� Issue No. 2793
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, Aliza Rosen, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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  Copyright 2024 Johns Hopkins Bloomberg School of Public Health. All Rights Reserved. Views and opinions expressed in Global Health NOW do not necessarily reflect those of the Johns Hopkins Bloomberg School of Public Health or Johns Hopkins University.


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96 Global Health NOW: September Recap October 7, 2024 People participate in a Tashlich ritual organized by Jewish Voice for Peace to mark the one-year anniversary of Hamas鈥� attack on Israel and calling for a ceasefire. October 6, Los Angeles. Apu Gomes/AFP via Getty A Year of 鈥楿nrelenting Tragedy鈥�
The year that has passed since Hamas launched the deadliest attack in Israel鈥檚 history has been one of 鈥渦nimaginable suffering鈥� across the region, .

• 鈥淚t has been 12 months of unrelenting tragedy鈥攖his must end,鈥� said Joyce Msuya, the UN鈥檚 acting under-secretary-general and emergency relief coordinator.

The mounting toll, per OCHA and :

• 1,500+ Israelis have been killed, mostly during Hamas鈥� Oct. 7 attacks; ~5,500 have been injured; and ~250 others were abducted. ~100 hostages remain in captivity, denied humanitarian assistance and subjected to inhumane treatment鈥攊ncluding sexual violence. 


• 41,600+ Palestinians have been killed in Israel鈥檚 counterattacks, while ~96,600 have been injured. 鈥淣early the entire population of Gaza has been displaced, many of them multiple times, with no safe place to go,鈥� and civilians face 鈥渆xtreme deprivation鈥� with no access to food, electricity, or health care. 

An altered world: In a to mark one year since the Oct. 7 attacks, UN Secretary-General Ant贸nio Guterres called on the international community to condemn the 鈥渁bhorrent acts鈥� that triggered the ever-widening conflict鈥攚hich has no end in sight. GLOBAL HEALTH VOICES The Latest One-Liners   Cholera death rates in Sudan and Nigeria have surged to up to 3X the global average as conflict and flooding continue to disrupt treatment.
 
Rwanda launched a Marburg vaccine clinical trial yesterday to curb the outbreak, which has killed at least 12 people; those most at risk鈥攊ncluding health workers and patients鈥� contacts鈥攚ill be first in line for the 700 doses received for the study.

Mpox vaccinations were kicked off in the DRC over the weekend after the country received 265,000 doses; priority is being given to health workers, frontline responders, contacts of confirmed cases, and other at-risk groups.

Swarms of yellow jackets disturbed by Hurricane Helene in North Carolina have led to a spike in requests for Benadryl and epinephrine injections at pharmacies and hospitals, state health officials and relief groups report. SEPTEMBER鈥橲 MUST-READS The Sharp Bite of Inequity  
Marking International Snakebite Awareness Day (September 19), 鈥攆rom the likelihood of encountering a venomous snake and being bitten to having protection like basic shoes and adequate shelter to access to treatment.
  
There鈥檚 an ambitious plan to help鈥攖丑别 鈥攂ut it is still grossly underfunded. Support from the , one of the few funding sources, is set to end soon, and no new donors have stepped up.

Everyday Poisoning in Afghanistan  
Researchers trying to understand why Afghanistan has one of the world鈥檚 highest rates of lead exposure鈥攅specially as Afghan refugee children arriving in the U.S. showed 鈥渄ramatically elevated blood lead levels鈥濃�攝eroed in on a culprit: aluminum cooking pots; one 鈥渓eached sufficient lead to exceed the childhood limit by 650-fold.鈥�

Compounding Crisis in the Dari茅n Gap  
The dense rainforest of the Dari茅n Gap has long been considered inaccessible, shielding Indigenous communities and the region鈥檚 rich biodiversity from outside impact. But the surge of migration through the region over the last five years has brought unprecedented pollution to the rainforest鈥攖hreatening the local ecosystem and the health of people who depend on it, community leaders say. GHN鈥檚 SEPTEMBER EXCLUSIVES Local Reporting Initiative:

• By Scovian Lillian

• By Adeel Saeed

Q&A:

• By Morgan Coulson

Commentaries:

• Zipporah Gathuya:

• Niranjan Konduri:

• Benjamin Mason Meier, Neha Saggi, Muhammad Jawad Noon, and Xinshu She:

GLOBAL HEALTH VOICES SEPTEMBER鈥橲 BEST NEWS Pesticide Bans Slow Suicides in Nepal
A few years ago, pesticides鈥攐r 鈥減lant medicines,鈥� as the locals called them鈥攚ere used in roughly a third of Nepal鈥檚 suicides.
 
鈥淲hat if the pesticide had not been on the market?鈥� wondered one doctor, Rakesh Ghimire, recognizing that most suicides are impulsive and that the chemicals were too easily available. He helped ban the sale and import of eight pesticides in 2019, and deaths fell鈥攂y as much as 30% by 2023.
 


More good news:
Hope to fight rising heroin use: A Pretoria, South Africa program is replacing the rehab model with drop-in centers offering methadone and counseling, with excellent patient retention stats.

Shining a light on noma: The addition of the devastating gangrenous disease to WHO鈥檚 list of neglected tropical diseases is already leading to substantive research funding boosts and a stigma-busting effect.

Trees as treatment: Adding to tree planting鈥檚 climate benefits, University of Louisville researchers are documenting human health benefits of 鈥済reened鈥� neighborhoods, too. QUICK HITS At least 78 dead and dozens missing after ferry disaster in DR Congo 鈥�

WHO approves first mpox test for quick diagnosis 鈥�

H5N1 infects second farm worker in California as feds bolster vaccine supply 鈥�

Is there hope for changes to the NHI Act? 鈥�

Catholic hospital offered a bucket and towels to woman it denied abortion, California AG says 鈥�

The activists working to abolish IVF 鈥�

Pharma eyes male birth control pill for Gen Z 鈥� September 2024 Monthly Recap
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, Aliza Rosen, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

Please send the Global Health NOW free sign-up link to friends and colleagues:

Want to change how you receive these emails? You can or . -->



 
  Copyright 2024 Johns Hopkins Bloomberg School of Public Health. All Rights Reserved. Views and opinions expressed in Global Health NOW do not necessarily reflect those of the Johns Hopkins Bloomberg School of Public Health or Johns Hopkins University.


Want to change how you receive these emails?
You can or .

96 Global Health NOW: A Year of 鈥楿nrelenting Tragedy鈥�; and Your September Recap October 7, 2024 People participate in a Tashlich ritual organized by Jewish Voice for Peace to mark the one-year anniversary of Hamas鈥� attack on Israel and calling for a ceasefire. October 6, Los Angeles. Apu Gomes/AFP via Getty A Year of 鈥楿nrelenting Tragedy鈥�
The year that has passed since Hamas launched the deadliest attack in Israel鈥檚 history has been one of 鈥渦nimaginable suffering鈥� across the region, .

• 鈥淚t has been 12 months of unrelenting tragedy鈥攖his must end,鈥� said Joyce Msuya, the UN鈥檚 acting under-secretary-general and emergency relief coordinator.

The mounting toll, per OCHA and :

• 1,500+ Israelis have been killed, mostly during Hamas鈥� Oct. 7 attacks; ~5,500 have been injured; and ~250 others were abducted. ~100 hostages remain in captivity, denied humanitarian assistance and subjected to inhumane treatment鈥攊ncluding sexual violence. 


• 41,600+ Palestinians have been killed in Israel鈥檚 counterattacks, while ~96,600 have been injured. 鈥淣early the entire population of Gaza has been displaced, many of them multiple times, with no safe place to go,鈥� and civilians face 鈥渆xtreme deprivation鈥� with no access to food, electricity, or health care. 

An altered world: In a to mark one year since the Oct. 7 attacks, UN Secretary-General Ant贸nio Guterres called on the international community to condemn the 鈥渁bhorrent acts鈥� that triggered the ever-widening conflict鈥攚hich has no end in sight. GLOBAL HEALTH VOICES The Latest One-Liners   Cholera death rates in Sudan and Nigeria have surged to up to 3X the global average as conflict and flooding continue to disrupt treatment.
 
Rwanda launched a Marburg vaccine clinical trial yesterday to curb the outbreak, which has killed at least 12 people; those most at risk鈥攊ncluding health workers and patients鈥� contacts鈥攚ill be first in line for the 700 doses received for the study.

Mpox vaccinations were kicked off in the DRC over the weekend after the country received 265,000 doses; priority is being given to health workers, frontline responders, contacts of confirmed cases, and other at-risk groups.

Swarms of yellow jackets disturbed by Hurricane Helene in North Carolina have led to a spike in requests for Benadryl and epinephrine injections at pharmacies and hospitals, state health officials and relief groups report. SEPTEMBER鈥橲 MUST-READS The Sharp Bite of Inequity  
Marking International Snakebite Awareness Day (September 19), 鈥攆rom the likelihood of encountering a venomous snake and being bitten to having protection like basic shoes and adequate shelter to access to treatment.
  
There鈥檚 an ambitious plan to help鈥攖丑别 鈥攂ut it is still grossly underfunded. Support from the , one of the few funding sources, is set to end soon, and no new donors have stepped up.

Everyday Poisoning in Afghanistan  
Researchers trying to understand why Afghanistan has one of the world鈥檚 highest rates of lead exposure鈥攅specially as Afghan refugee children arriving in the U.S. showed 鈥渄ramatically elevated blood lead levels鈥濃�攝eroed in on a culprit: aluminum cooking pots; one 鈥渓eached sufficient lead to exceed the childhood limit by 650-fold.鈥�

Compounding Crisis in the Dari茅n Gap  
The dense rainforest of the Dari茅n Gap has long been considered inaccessible, shielding Indigenous communities and the region鈥檚 rich biodiversity from outside impact. But the surge of migration through the region over the last five years has brought unprecedented pollution to the rainforest鈥攖hreatening the local ecosystem and the health of people who depend on it, community leaders say. GHN鈥檚 SEPTEMBER EXCLUSIVES Local Reporting Initiative:

• By Scovian Lillian

• By Adeel Saeed

Q&A:

• By Morgan Coulson

Commentaries:

• Zipporah Gathuya:

• Niranjan Konduri:

• Benjamin Mason Meier, Neha Saggi, Muhammad Jawad Noon, and Xinshu She:

GLOBAL HEALTH VOICES SEPTEMBER鈥橲 BEST NEWS Pesticide Bans Slow Suicides in Nepal
A few years ago, pesticides鈥攐r 鈥減lant medicines,鈥� as the locals called them鈥攚ere used in roughly a third of Nepal鈥檚 suicides.
 
鈥淲hat if the pesticide had not been on the market?鈥� wondered one doctor, Rakesh Ghimire, recognizing that most suicides are impulsive and that the chemicals were too easily available. He helped ban the sale and import of eight pesticides in 2019, and deaths fell鈥攂y as much as 30% by 2023.
 


More good news:
Hope to fight rising heroin use: A Pretoria, South Africa program is replacing the rehab model with drop-in centers offering methadone and counseling, with excellent patient retention stats.

Shining a light on noma: The addition of the devastating gangrenous disease to WHO鈥檚 list of neglected tropical diseases is already leading to substantive research funding boosts and a stigma-busting effect.

Trees as treatment: Adding to tree planting鈥檚 climate benefits, University of Louisville researchers are documenting human health benefits of 鈥済reened鈥� neighborhoods, too. QUICK HITS At least 78 dead and dozens missing after ferry disaster in DR Congo 鈥�

WHO approves first mpox test for quick diagnosis 鈥�

H5N1 infects second farm worker in California as feds bolster vaccine supply 鈥�

Is there hope for changes to the NHI Act? 鈥�

Catholic hospital offered a bucket and towels to woman it denied abortion, California AG says 鈥�

The activists working to abolish IVF 鈥�

Pharma eyes male birth control pill for Gen Z 鈥� Issue No. 2792
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, Aliza Rosen, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

Please send the Global Health NOW free sign-up link to friends and colleagues:

Want to change how you receive these emails? You can or . -->



 
  Copyright 2024 Johns Hopkins Bloomberg School of Public Health. All Rights Reserved. Views and opinions expressed in Global Health NOW do not necessarily reflect those of the Johns Hopkins Bloomberg School of Public Health or Johns Hopkins University.


Want to change how you receive these emails?
You can or .

The number of people in Africa living with hearing loss could rise to 54 million by 2030, up from 40 million today, unless urgent measures are taken, the World Health Organization (WHO) said in a report published on Monday. 

As the world remembers the Hamas-led terror attacks on Israel exactly one year ago, the World Health Organization (WHO) is highlighting how the tragedy triggered a mental health crisis among frontline workers. 

鈥樷�楾his story doesn鈥檛 start from day one. It starts from nine months ago 鈥� the day I learned I was going to be a mother.鈥�

The World Health Organization (WHO) announced on Friday that it has approved the first mpox diagnostic test for emergency use, which will boost diagnostic capacity in countries facing outbreaks of the disease. 

96 Global Health NOW: The Hidden Health Burden of Hurricane Helene; Leveraging Technology to Bridge Health System Gaps; and Say It With Cats October 3, 2024 An aerial view of damaged houses after Hurricane Helene made landfall in Horseshoe Beach, Florida, on September 28. Chandan Khanna/AFP via Getty The Hidden Health Burden of Hurricane Helene  
Hurricane Helene鈥檚 rampage across the U.S. Southeast this week killed more than 160 people鈥攁lready making it one of the country鈥檚 deadliest hurricanes in a century, second only to Hurricane Katrina, .
 
And the danger hasn鈥檛 passed. shows that tropical storms have a long-term impact on public health鈥攃ontributing to elevated mortality long after the clean-up.

• The analysis of 501 U.S. tropical storms from 1930 to 2015 found that the average tropical storm or hurricane 鈥渋ndirectly accelerated the death鈥� of an additional 7,000鈥�11,000 people over the next 15 years, .


• Tropical storms contributed to more U.S. deaths鈥�3.6 to 5.2 million鈥攄uring the study period than automobile crashes, infectious diseases, and combat. 

What鈥檚 going on: It isn鈥檛 just the obvious, direct causes of death tied to the storms, such as drowning in flood water; 鈥渄isasters trigger complex cascades of events that ultimately may cause additional future mortality,鈥� Axios notes.

• Post-storm stress may worsen cancer, heart disease, and other chronic conditions.


• The high cost of hurricane recovery and home repairs can have severe economic repercussions, reducing their health care spending for years to come.

Behind the research: The researchers looked at typical mortality patterns and isolated anomalies that only the variable under study鈥攁 sizable storm鈥攃ould have caused, . Previously, that technique helped improve understanding of excess deaths caused by COVID-19 and heat waves. GLOBAL HEALTH VOICES The Latest One-Liners   The WHO reported a new human case of MERS-CoV in Saudi Arabia yesterday; the man, who was admitted to a hospital on August 31 and has since recovered, had no history of contact with camels and is not a health worker.

U.S. kindergarten vaccination rates slipped last year, translating to ~80,000 fewer kids covered with MMR, DTaP, polio, and chickenpox immunizations鈥攁nd exemptions rose to an all-time high of 3.3%, shared yesterday.

The FDA missed its September 30 deadline to release new suggested best practices for pulse oximeters to increase the accuracy of blood oxygen readings in people of color; researchers in 2020 found that the devices often miss low blood oxygen levels in patients with darker skin.

Global spending to fight lead poisoning has doubled thanks to a USAID and UNICEF initiative, Partnership for a Lead-Free Future, backed with $150 million in initial funding from USAID, the Gates Foundation, Open Philanthropy, and other sources. GHN EXCLUSIVE COMMENTARY A health care worker connects with callers from the community using Chipatala Cha Pa Foni (Health Center by Phone). Lilongwe, Malawi in 2016. Paul Joseph Brown Leveraging Technology to Bridge Health System Gaps
In the quest to restore global immunization to pre-pandemic levels, some important data points are known: 鈥淲e know where these children are (mostly in fragile and conflict-affected countries), and which vaccines they missed (measles vaccines, among others),鈥� .
 
What鈥檚 missing: An understanding of community preferences and perspectives on when, where, and how people receive immunizations and other health care services; African populations, in particular, are severely underrepresented in available data.
 
Tech can 鈥渃lose the loop鈥�: Mobile health apps, health hotlines, digital avatars, chatbots, and other tools can help underreached communities share feedback consistently and discreetly.
 
Success stories:

• A health hotline in Malawi helps disseminate鈥攁nd collect鈥攈ealth information, the spread of misinformation and flagging early signs of outbreaks.


• uses machine learning to analyze radio content in Uganda, gleaning insights that inform outbreak tracking.

Clearing obstacles: The authors map out what鈥檚 needed to address the digital divide鈥攊nequitable access to the internet and digital devices鈥攄escribing their as a model for community-centered health programs built on community feedback.

DATA POINT REPRODUCTIVE HEALTH RIGHTS Abortion Pills Under Lock and Key in Louisiana 
Abortion pills are now considered 鈥渃ontrolled dangerous substances鈥� in Louisiana under a first-of-its-kind law that took effect Tuesday, criminalizing possession without a prescription,
 
Mifepristone and misoprostol are used for medication abortions and in routine miscarriage management. Misoprostol is also used to stop dangerous bleeding after childbirth.

• The new law requires that the pills be kept in a locked box in hospitals, raising fears that physicians will not be able to access the drugs quickly in emergency situations, .

• The pills are now in the same category as opioids, antidepressants, and other potentially addictive substances, .

Stage set for tighter restrictions in other states? 鈥淭his new law sets a dangerous precedent by mischaracterizing safe medications that are neither addictive nor dangerous, but rather are standard of care for a variety of women鈥檚 health and other conditions,鈥� said Jennifer Avegno, director of the New Orleans Health Department.  ALMOST FRIDAY DIVERSION Do you ever wonder how people communicated before cat memes?  
They used cat postcards! The global postcard craze of the early 20th century was the social media of yesteryear, complete with concerns about privacy (no envelope!) and whether the short-form medium was making people dumber.
 
Nevertheless, Edwardian mail bags felt the weight of the cat craze as does today鈥檚 internet, stuffed with postcards of 鈥渃ats just being cats鈥濃�攐r dressed up as humans, doing day jobs. 

Even the Suffragettes harnessed the power of the feline, deploying images of cats in jaunty hats, campaigning for women鈥檚 right to vote. Suffice to say, their efforts paid off!
 
QUICK HITS US breast cancer rate rising sharply even as deaths fall: study 鈥�

Brazil eliminates lymphatic filariasis as a public health problem 鈥�
 
Was Missouri鈥檚 bird flu case a one-off or something more? Quest for answers faces testing delay 鈥�

Most accurate ultrasound test could detect 96% of women with ovarian cancer 鈥�

Condoms aren鈥檛 a fact of life for young Americans. They鈥檙e an afterthought 鈥�

Opinion: Want People to Embrace Public Health? Make It More Like Weather Forecasting. 鈥�

Can flashing lights stall Alzheimer鈥檚? What the science shows 鈥� Issue No. 2791
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, Aliza Rosen, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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96 Global Health NOW: Rwanda鈥檚 Simmering Marburg Outbreak; Mpox Epicenter; and No Medical Code? No Money Back The WHO warns that mpox could spread outside of Rwanda. October 2, 2024 Colorized scanning electron micrograph of Marburg virus particles (yellow) both budding and attached to an infected VERO E6 cell (blue). NIAID via Flickr/Creative Commons License Rwanda鈥檚 Simmering Marburg Outbreak  
Concerns about the Marburg outbreak in Rwanda are rising as more than two dozen cases have been confirmed and the WHO has warned of the risk of the disease spreading to neighboring countries and beyond.
 
The latest:

• Confirmed cases have reached 29鈥�10 of which have been fatal, .


• Possible cases have been reported in districts that border the DRC, Tanzania, and Uganda.


• A contact of a confirmed case traveled to Belgium but has completed 21 days of monitoring and is not considered a risk to public health.

Vax race: Currently, no therapies or vaccines against the viral hemorrhagic fever are approved, . But Rwandan scientists have been appointed to run potential trials and may work with Marburg virus vaccine consortium scientists.

• At least one vaccine trial will be launched if the outbreak continues.


• The trial would follow the ring vaccination strategy that involves immunization of an infected individual鈥檚 contacts.

Simmering outbreak: The large number of Marburg cases鈥擱wanda鈥檚 outbreak is one of the largest ever鈥攊ndicates the virus has been circulating for a few weeks, the CDC鈥檚 Jennifer McQuiston told , adding that it takes up to 21 days post-exposure for symptoms to appear. GLOBAL HEALTH VOICES The Latest One-Liners   An 鈥渆xtremely concerning malaria surge鈥� has overtaken Ethiopia with 5.9 million cases reported by the WHO this year as of Sept. 22鈥攆ar above the 4.5 million cases reported in all of 2023; cases in Ethiopia have increased every year since 2018.
 
South Africa has pulled Top Score Instant Porridge from shelves after three children in Eastern Cape province who ate the porridge died; the cause is not known.

U.S. women with sickle cell disease were more likely to undergo tubal sterilization post-delivery than people without the condition鈥�8.8% compared to 6.7%, ; the contrast is more extreme in certain states, including Alabama, Mississippi, Kentucky, and Tennessee.

The WHO validated the elimination of trachoma as a public health problem in Pakistan, crediting the country鈥檚 use of the for reducing transmission of the disease, which can result in irreversible blindness; Pakistan is the 19th country to reach the milestone. MPOX Sex Workers鈥攁nd Miners鈥攁t the Epicenter  
In Kamituga, a DRC mining town, sex work is flourishing鈥攁nd so is mpox.
 
Sex workers and their clients鈥攎ostly miners鈥攁re key to blocking the spread of the virus鈥檚 dangerous new variant, per health authorities.

• Many of the town's estimated 40,000 sex workers鈥攕ome 13% of the population鈥攁re single mothers with few job alternatives. 

Health workers say the government should shutter nightclubs and mines鈥攁nd compensate sex workers. Local officials counter that strategy exceeds their budget鈥攁nd their responsibility.
 
Protection tools in short supply: 

• It鈥檚 unclear when any of Congo鈥檚 ~250,000 vaccines will make it to Kamituga鈥檚 sex workers and miners.

• Until then, advocates are emphasizing education, as well as condoms鈥攚hich they say are underused, but sex workers say are too expensive.

Miners are major: Mpox awareness campaigns are needed in the mines, where conditions are often unsanitary and not all miners are taking the virus seriously.
 

  
Related:
 
11 new cases of monkeypox reported in Argentina 鈥�
 
WHO鈥檚 Slow Mpox Response Calls For a Rethink 鈥�
 
Think *Your* Job Sucks? Epidemiologists Study Mpox By Collecting Used Condoms 鈥� GLOBAL HEALTH VOICES INSURANCE No Medical Code? Big Problem
Years of youth sports took a toll on 17-year-old Preston Nafz鈥檚 body, leaving him in chronic pain that physical therapy and anti-inflammatory drugs didn鈥檛 help.

Ultimately, a doctor recommended Nafz undergo a to mend damaged tissue in his pelvis. 

Missing code: Unfortunately, the procedure had no medical billing or 鈥淐PT鈥� code鈥攚hich insurers identify from provider claim forms to determine the amount of reimbursement.

The cost: As is often the case for procedures that lack codes, Nafz鈥檚 insurer denied the claim, forcing his father to pay more than $7,000 upfront for the surgery. 

• With extra documentation, he was eventually reimbursed鈥攆or $620.26.

WEBINAR Tomorrow: Planetary Health, Education, and the Earth Crisis
The unprecedented crises of Earth鈥檚 systems brought about by human activity require a planetary health approach that addresses pollution, water scarcity, extreme weather, changing patterns of disease transmission, and other threats.
 
Join a free webinar by the American Public Health Association and the Planetary Health Alliance to learn about the vital connections between ecological systems and human health.
 
Speakers will share educational materials and practical tools for educators and learners.
 
Details:

• Thursday, October 3 at 2 p.m. EDT

QUICK HITS 'People are hopeless here': Sudan's sick, starving and injured spill into camps across its borders 鈥�

Finding help to get sober is hard. In Kentucky, it's even harder as a mom. 鈥�

WHO calls for urgent transformation of care and support systems for older people 鈥�

Radon, even at levels below EPA guideline for mitigation, is linked to childhood leukemia 鈥�

New advisory body needed to guide U.S. biomedical research policy, panel says 鈥�

The huge toll of PhDs on mental health: data reveal stark effects 鈥�

Three Effective Ways to Use Routinely Collected Data to Evaluate Health Programs 鈥� Insights from Rwanda鈥檚 Mass Drug Administration Program 鈥� Issue No. 2790
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, Aliza Rosen, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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96 Global Health NOW: Pakistan鈥檚 Trans Community Especially Vulnerable to Climate Crises; Narrowing HIV Education Gaps; and Lifesaving Snakebite Software October 1, 2024 On a hot and humid afternoon in Peshawar, Pakistan, Gulalai gets ready for a dance performance; the nearby fan is not working due to electrical outages. July 22. Adeel Saeed GLOBAL HEALTH NOW EXCLUSIVE Pakistan鈥檚 Trans Community Especially Vulnerable to Climate Crises   PESHAWAR, Pakistan鈥�, her clothes soaked in sweat, while trying to get home after performing at a wedding celebration.
 
Timely rescue and medical care helped Shama, a transgender person, recover from severe dehydration. Still, the health threats from climate extremes persist, exacerbated for trans people by a pervasive stigma that pushes people like Sharma to the margins of society. 

• Many trans people are disowned by their families, limiting education, work, and housing options鈥攁nd often forcing them to live in temporary shelters that can withstand neither increasingly erratic storms, nor sizzling heat.


• 鈥淲e spend restless days and sleepless nights subjected to unbearably scorching heat,鈥� Shama says鈥攐ften with no respite from fans or air conditioners.

Legal hurdles: Family estrangement makes it hard for trans people to obtain national identity cards needed to access welfare and disaster relief assistance.
 
Easing of obstacles: Government officials say they鈥檙e advancing gender-sensitive policies鈥攔elaxing documentation required for identity cards, for example, and working to include trans people in disaster management guidelines.
 
Transgender advocates say, however, that gender-inclusive policies should be a compulsory component of planning for climate-induced disasters.
 
Ed. Note: This article by Adeel Saeed, a Pakistan-based journalist, is part of , made possible through the generous support of loyal GHN readers.  GLOBAL HEALTH VOICES The Latest One-Liners   Some 5.4 million Haitians鈥攏early half the country鈥檚 population鈥攁re in a hunger crisis, with close to 6,000 people starving; gang violence is a key contributor, as people fear leaving their homes and food transportation is hampered.

Lebanon鈥檚 health system is being stretched thin following Israeli attacks; three hospitals have been evacuated, 37 out of 317 health centers have been shut down, and staff shortages are rising as displacement increases.
 
A 65-year-old Minnesota resident died of rabies after coming into contact with a bat last July, the state health department reported late last week.
 
Gun laws banning the sale of high-capacity magazines were tied to a 91% drop in pediatric deaths associated with mass shootings, according to a database analysis of 178 mass shootings in the U.S. from 2009 to 2020. Rwanda's Marburg Outbreak Rwanda: Death Toll From Marburg Virus Reaches Nine 鈥�

Rwanda limits funeral sizes due to Marburg virus outbreak 鈥� 

Marburg virus outbreak in Rwanda draws concern over possibility of international spread 鈥�

What is Marburg virus, the infectious and deadly Ebola-like disease breaking out in Rwanda? 鈥�  HIV/AIDS Narrowing the Access and Education Gap  
In Dallas, HIV prevention advocates are promoting medical access and education in the Hispanic community. 
 
Resources include clinics that proudly wave pride flags or are disguised as thrift stores, social media posts of LGBTQ stories, and robust support systems鈥攁ll to combat stigma and encourage people to get tested.

• In 2021, new HIV cases for Dallas men increased by 30%. 


• 35% of cases affected Hispanic/Latino people. 

Information gap: 86% of Americans mistakenly believe that HIV primarily affects members of the LGBTQ community. In the Latino community, limited conversations about sex education bring additional challenges.
 


Related: 'America's Nobel' goes to a power couple who made a startling discovery about HIV 鈥� GLOBAL HEALTH VOICES TECH & INNOVATION Snakebite Software Could Save Lives
Treating snakebite patients in time to save them may have just gotten easier, thanks to artificial intelligence software capable of identifying venomous species of snakes. 

Two M茅decins Sans Fronti猫res hospitals are piloting the AI app in South Sudan, where the number of people taken to hospital with snakebites is high. 

• Between January and July 2024, more than 300 snakebite patients were treated in MSF medical facilities across the country.

The app鈥檚 database contains 380,000 pictures of snakes, allowing for quick and accurate species identification and ensuring the correct use of rare and expensive antivenoms.



Related: 鈥業鈥檝e seen venom disintegrate a foot鈥�: What snakebite does to the body 鈥� QUICK HITS Climate change likely to increase diarrheal disease hospitalizations in Dhaka by 2100s, study suggests 鈥�

WHO recommends maternal shot and antibody therapy to prevent RSV in infants 鈥� 

The pipeline of deadly fentanyl into the U.S. may be drying up, experts say 鈥� 

Abortion in Georgia can resume up to 22 weeks of pregnancy after court ruling 鈥�

Pooled Analysis of Physical Activity, Sedentary Behavior, and Sleep Among Children From 33 Countries 鈥� 

In the Fight to Decide the Fate of US Steel, Climate and Public Health Take a Backseat to Politics 鈥�

Rwanda unveils its new National Oxygen Strategy 鈥�

Here are the high schoolers tracking the bird flu virus in New York City 鈥� Issue No. 2789
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, Aliza Rosen, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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  Copyright 2024 Johns Hopkins Bloomberg School of Public Health. All Rights Reserved. Views and opinions expressed in Global Health NOW do not necessarily reflect those of the Johns Hopkins Bloomberg School of Public Health or Johns Hopkins University.


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The UN World Health Organization (WHO) on Tuesday issued an urgent call for countries to transform their care and support systems for older people, warning that current systems are not prepared to meet growing demand.

96 平特五不中 Perspectives on Global Health - September Issue September 30, 2024  
NEWSLETTER -->  Selected Articles from this Month  Jessica Matschek, a medical student at 平特五不中, recounts her transformative four-week medical internship in Nunavik - "My internship illuminated the many cultural and social factors affecting Inuit hesitancy to seek care in Montreal, even to the detriment of their own health." --> Mehrshad Bakhshi, a fourth-year medical student at 平特五不中, reflects on his experience with the Road2IR initiative in Uganda in this compelling photo essay.  --> Meet the 2024 cohort of 平特五不中 Global Health Programs鈥� Global Health Scholars 鈥� Undergraduate program! These talented undergraduates are addressing pressing issues at the intersection of health, equity, and social justice, from using art to combat mental health challenges to exploring COVID-19鈥檚 impact on Nigerian women.  -->  Mission in Motion
  Get ready to be inspired! In this dynamic section, we spotlight global health organizations that are making waves and driving real change around the world. Each month, we showcase their innovative strategies and impactful initiatives as they tackle pressing health challenges and champion equity. 

This month, we focus on the crucial field of contraception as we recognize World Contraception Day, observed annually on September 26th.This global awareness day unites organizations dedicated to promoting contraceptive options and empowering individuals, especially young men and women, to make informed choices about their reproductive health. --> image:  A global leader in reproductive health, providing essential contraception and safe abortion services in over 37 countries. It's committed to empowering individuals to take control of their reproductive choices, and has improved community well-being and promoted family planning for millions worldwide. --> image:  Champions reproductive justice by expanding access to abortion and contraception. Focusing on empowering women and girls, it dismantles barriers to essential services while advocating for policy changes that secure reproductive rights as fundamental human rights. Their innovative programs ensure that everyone has the resources they need for a healthy future. -->  In the News
  Stay up to date with news and opinions on Global Health
At the 79th United Nations General Assembly (UNGA79), held on September 27, 2024, global leaders emphasized the need to revitalize multilateralism, using the successful global AIDS response as a powerful model of hope and solidarity. Highlighting the extraordinary progress made in combating HIV, they outlined concrete commitments aimed at ending AIDS by 2030 and addressing the inequalities that hinder access to essential health services. -->

Antimicrobials, like antibiotics, are essential for treating infections, yet antimicrobial resistance (AMR) is drastically diminishing their effectiveness, leading to millions of deaths annually. This article examines the factors contributing to AMR and outlines crucial interventions across health, agriculture, and environmental sectors to tackle this urgent global challenge.

-->  New in Global Health Academic Literature
  Stay up to date with literature around the world in Global Health
By: Zoe Duby, et al.
"Adolescent girls and young women in South Africa are actively seeking contraceptive options that align with their unique circumstances, highlighting the importance of individualized approaches to family planning.

Despite facing numerous challenges, including stigma and access issues, many young women are determined to educate themselves about contraceptive methods and advocate for their reproductive rights." -->
By: Ebenezer Kwesi Armah-Ansah, et al.

"Women鈥檚 intention to use contraceptives is significantly influenced by their educational level, with higher education correlating to increased likelihood of contraceptive use.

The study reveals that access to healthcare services and supportive partner relationships are critical factors in enhancing contraceptive agency among women of reproductive age." --> Writing to 平特五不中 Global Health Perspectives 平特五不中 Global Health Perspectives welcomes contributions relevant to global health. Contributions to Global Health Perspectives should pertain to its mission and can include perspectives from your latest research, research experience, key issues in health policy governance, equity related challenges and strengths in global health to name a few. We want to represent a wide range of voices representing global health research, commentaries and opinions on current global health challenges and ideas on future direction of global health. Click for submission guidelines.

You can submit your article, photo essay or article pitch to us by emailing us at: globalhealthblog@mcgill.ca.  --> Subscribe to our weekly newsletter to stay up-to-date on the latest information and experiences in global health! Follow us on social media  --> Copyright 漏 2017 平特五不中 Global Health Programs, All rights reserved.

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96 Global Health NOW: Countries Pledge to Reduce AMR Deaths; Marburg Outbreak Hits Rwanda; and Shining a Light on Noma September 30, 2024 Barbados Prime Minister Mia Mottley speaks during the UN General Assembly in New York on September 27. Jeenah Moon/Bloomberg via Getty Countries Pledge to Reduce AMR Deaths
National leaders committed last week at the UN General Assembly to reducing deaths from antimicrobial resistance (AMR) by 10% by 2030.
 
The , which was passed by 193 member states on Sept. 26, reflects growing international concern about the growing threat of AMR:

• 1.27 million deaths in 2019 were caused by bacterial antimicrobial resistance.

Persistent problems: While countries have made strides against AMR since a 2016 , underlying issues that aid AMR remain, including 鈥渆xcessive use of antibiotics in livestock and on fish farms鈥� and unnecessary antibiotics prescriptions for patients, .

• At least 28% of antibiotic prescriptions in the U.S. are unnecessary, .

Action items: The declaration called on countries to increase efforts across sectors, including farming, pharmaceutical manufacture, environmental protection, and health care, .  
 
The Quote: 鈥淭his is a press conference not for us with grey hair so much, but for the young people of the world, because they鈥檙e the ones who will have to face the possible threat of a reversal of a century of medical progress in what we dub the silent, slow-motion pandemic,鈥� said Barbados Prime Minister Mia Mottley at a media event before the declaration鈥檚 passage.
 
Related:
 
Tedros Adhanom Ghebreyesus: World leaders commit to radically scale-up efforts to fight the superbug threat 鈥�
 
Why the world can afford the intimidating sums needed to beat superbugs 鈥�
 
Cargill cows contaminated with vital antibiotics 鈥�
 
鈥楽uperbugs鈥� could devastate livestock globally 鈥� GLOBAL HEALTH VOICES The Latest One-Liners   Twin Russian drone strikes hit a hospital in the city of Sumy in northeastern Ukraine yesterday, killing at least nine and injuring several more; the second strike incapacitated first responders.

Four more health workers developed respiratory symptoms after caring for a Missouri patient who was hospitalized with bird flu, raising to six the number of health workers affected; CDC and the state鈥檚 health department are conducting blood tests of those affected to look for antibodies to the H5 virus linked to outbreaks in cattle and poultry.

COVID-19 vaccination during pregnancy protects newborns too young to be vaccinated from hospitalization, ; ~90% of babies hospitalized for COVID-19 had mothers who did not receive the shots while pregnant.
 
A novel drug for schizophrenia secured U.S. approval Friday; in trials, KarXT, designed to activate muscarinic receptors in the brain, relieved symptoms while causing fewer side effects, offering a promising alternative to traditional antipsychotics. ETHICS RADAR Marburg Outbreak Hits Rwanda  
Rwanda is battling an outbreak of Marburg virus鈥攖丑别 country鈥檚 first鈥攁nd, while confirmed just last Friday, it鈥檚 already the world鈥檚 fourth-largest recorded outbreak, .

• Rwanda鈥檚 Ministry of Health confirmed eight fatalities and 26 cases as of yesterday, ; ~300 people potentially exposed to the viral hemorrhagic fever are being monitored.


• Most of the victims are health workers, .

Marburg, which is initially transmitted to people via fruit bats, has a fatality rate of up to 88%鈥攁nd there are no licensed vaccines or specific treatments, The Telegraph notes.

The response:

• The WHO is deploying experts and equipment to Rwanda and coordinating cross-border containment efforts with neighbors; emergency medical supplies are expected to land in Kigali in the coming days.


• Rwandan authorities are urging people to stay calm but vigilant, wash their hands with soap and clean water, and report all suspected cases.

GLOBAL HEALTH VOICES NEGLECTED DISEASES Shining a Light on Noma
  It has not even been a year since noma was added to the WHO鈥檚 list of neglected tropical diseases.

But already the designation has buoyed researchers and doctors hoping to turn the tide against the devastating gangrenous disease, which destroys tissues of the mouth and face.

• 鈥淭he inclusion of noma on WHO鈥檚 NTD list has already been felt here,鈥� said Abdala Atumane, who leads the oral health department at the provincial health service of Zambezia in Mozambique. 

Encouraging research: The NTD designation 鈥渢ranslates into substantive increases in funding鈥� for research into the disease鈥檚 cause, as well as potential therapies. 

Fighting stigma: Public health workers say the formal attention to the disease is crucial in their efforts to screen for the disease and locate stigmatized patients who have been hidden by their families. 

QUICK HITS Sudan humanitarian crisis has catastrophic impact for women and girls, with two-fold increase of gender-based violence 鈥�

Stem cells reverse woman鈥檚 diabetes 鈥� a world first 鈥�

Whooping cough rebounds to pre-pandemic levels 鈥�

Why Thousands Of Kosovars Are On Hospital Waiting Lists For Years  鈥�

Players, coaches and teams: Here鈥檚 how men could help SA score an HIV goal 鈥�

Interview: How Michigan Targeted Avian Influenza in Dairy Cattle 鈥�

What are Brazilian butt lifts, and should they be banned? 鈥� Issue No. 2788
Global Health NOW is an initiative of Johns Hopkins Bloomberg School of Public Health.

Contributors include Brian W. Simpson, MPH, Dayna Kerecman Myers, Annalies Winny, Morgan Coulson, Kate Belz, Melissa Hartman, Jackie Powder, Aliza Rosen, and Rin Swann. Write us: dkerecm1@jhu.edu, like us on and follow us on Instagram and X .

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Au quatri猫me anniversaire du d茅c猫s de Joyce Echaquan, il reste encore beaucoup de chemin 脿 parcourir