Flu season poses challenge for Arab region amid COVID-19 pandemic

While vast amounts of experiment findings continue to be published on the nature of SARS-CoV-2 — the virus that causes COVID-19 — many have been left wondering whether it is worth getting a flu shot this winter. (AFP/File Photo)
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Updated 18 November 2020
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Flu season poses challenge for Arab region amid COVID-19 pandemic

  • To alleviate the coronavirus burden on health facilities, doctors recommend the public get a flu jab
  • Although two COVID-19 vaccines show promise, experts are concerned about the approaching flu season 

DUBAI: For many GCC residents, the approach of the Gulf’s mild winter season signals a time for outdoor gatherings and festivities. But with many Middle East countries battling a second coronavirus wave, many are wary about stepping outdoors, especially as it coincides with the annual flu season when hospitals tend to be under the most pressure.

While vast amounts of experiment findings continue to be published on the nature of SARS-CoV-2 — the virus that causes COVID-19 — many have been left wondering whether it is worth getting a flu shot this winter.

In early October, medical experts around the world went on the record to confirm the flu shot’s inability to protect people from COVID-19 in an effort to dispel myths surrounding the coronavirus.

However, health authorities in many countries believe the potential benefits of getting the flu shot cannot be overlooked; they are asking people of all ages to opt for the annual jab as soon as possible.

For instance, Saudi Arabia’s health ministry has just launched a campaign recommending residents receive a flu jab by sending SMS messages to residents directing them to nearby health centers. A concomitant awareness drive is providing residents with free vaccinations at large shopping centers.

The health ministry recently said that residents who suffer from COVID-like symptoms or who have the virus can still safely receive a flu vaccine.

Dr. Richard Kennedy, co-director of the Mayo Clinic Vaccine Research Group, is among the many doctors worldwide who believe that taking the flu shot is advisable.

“In addition to protecting recipients from influenza, the flu shot also reduces their chances of being infected with both SARS-CoV-2 and influenza at the same time,” he told Arab News from Rochester in the US.

Since influenza and COVID-19 share many symptoms, taking the flu shot will help alleviate the burden on hospitals and testing centers as it reduces the risk of illness by 40-60 percent.




Health authorities in many countries believe the potential benefits of getting the flu shot cannot be overlooked; they are asking people of all ages to opt for the annual jab as soon as possible. (AFP/File Photo)

However, the effectiveness of the flu shot vaccine varies from year to year, says Kennedy.

“It depends, in large part, on how close the vaccine matches the virus circulating in the community,” he said. “It is important to note that while the vaccine won’t protect everyone from getting sick, it can provide partial protection in many ways.”

In fact, several flu vaccines have also been designed specifically for adults over the age of 65.

“The vaccine can prevent you from having severe illness and going to the hospital, and reduces this risk by 70-80 percent in young children, by 50-60 percent in adults, and by 40 percent in the elderly,” said Kennedy.

Additionally, the shot also protects patients with chronic lung or heart disease or diabetes from developing long-term issues after influenza infection and prevents further development of bacterial pneumonia.

INNUMBERS

COVID-19

* 96.3% recovery rate in Saudi Arabia.

* 2.5% mortality rate in MENA region.

* 2.8% mortality rate in OECD countries.

* 2.4% mortality rate in the world.

In any event, the annual death rate linked to the flu remains high. Although the flu shot has been around for a long time, the World Health Organization (WHO) estimates that between 290,000 and 650,000 people die each year due to complications from seasonal influenza.

In the US alone, research shows that an estimated 38 million people were sick with influenza in 2019-2020, out of which 18 million were sick enough to visit a health-care provider. A total of 400,000 of those patients were hospitalized and 22,000 died.

“Every flu season is different and so these numbers vary widely, also by geographic region,” said Kennedy.

While cases of influenza may be lower in the Middle East, studies suggest that strains of the infection may affect 10.2 percent of the Arab population each year. This rate, however, may not be reflected accurately this winter considering the similarity in symptoms between the flu and the coronavirus.

As a result, ambiguity surrounding the timeline of an effective and widely available COVID-19 vaccine has left many second-guessing the need to take the flu shot while eagerly awaiting a solution to the paralyzing pandemic.




Dr. Julio Gomez, consultant pulmonologist at Fakeeh University Hospital in Dubai, told Arab News that people in the region should certainly consider getting a flu shot to ease this pressure. (Supplied)

As of November, over 52 million people worldwide have been infected with the coronavirus, of which more than a million have succumbed to the infection.

At the same time, several pharmaceutical companies have trumpeted possible vaccines that could be rolled out before the holiday season.

On Monday, US pharma giant Moderna revealed its new COVID-19 vaccine was almost 95 percent effective in preventing the disease in a study involving 30,000 people.

The announcement came close on the heels of a claim by Pfizer and BioNTech that their vaccine had proved more than 90 percent effective in preventing infection in a study involving over 43,000 participants.

With much optimism, Dr. Albert Bourla, Pfizer chairman and CEO, described the new vaccine as a “much-needed breakthrough” at a time when infection rates are setting new records leading to the overcrowding of hospitals and posing new challenges for many struggling economies.

While the preliminary data seems promising, further details on the effectiveness of both vaccines among vulnerable groups, the extent of immunization and availability of distribution are yet to be published.

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It is also likely to be several months before any vaccine can bring the pandemic to a halt. The twin threat of COVID-19 and influenza this winter therefore remains a pressing concern for health professionals.

Dr. Julio Gomez, consultant pulmonologist at Fakeeh University Hospital in Dubai, told Arab News that people in the region should certainly consider getting a flu shot to ease this pressure.

With these factors in mind, the flu shot can help boost one’s immunity and reduce the risk of “dual infection,” he said.

“It is highly recommended to take the influenza shot on a yearly basis to help prevent flu infection and protect those more vulnerable.

“Once the COVID vaccine is finalized and becomes available, it is (also) recommended that people get it as well,” he said.

Gomez referred to the low coronavirus mortality rate in the UAE — 0.4 percent — pointing out that “anticipation and early planning” are vital to minimizing fatalities.




The twin threat of COVID-19 and influenza this winter remains a pressing concern for health professionals. (AFP/File Photo)

“By implementing a strong emergency preparedness plan, the UAE has avoided the oversaturation of vital healthcare resources, such as ICU beds and ventilators, and put in place support measures, which have been vital to reducing the impact of COVID-19 on people and the healthcare system,” he said.

When it comes to studying the nature of the COVID-19 infection, Gomez feels there is still not enough data to conclude the virus is losing steam.

While research has shown the virus has already mutated, there is no proof it is affecting the severity of the disease it causes once it infects a person.

“With the continued use of precautionary measures and the future provision of the COVID-19 vaccine, I am confident that we will be able to find a balance between this virus and the human being,” said Gomez.

For the time being, his only advice to residents of the region is to strictly follow the recommended preventive measures (wearing of masks, handwashing and social distancing) to reduce the infection rate and to take the flu shot.

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Twitter: @jumana_khamis


Israeli leaders split over post-war Gaza governance

Updated 7 sec ago
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Israeli leaders split over post-war Gaza governance

  • Prime Minister Benjamin Netanyahu comes under personal attack from Defense Minister Yoav Gallant for failing to rule out an Israeli government in Gaza after the war
JERUSALEM: New divisions have emerged among Israel’s leaders over post-war Gaza’s governance, with an unexpected Hamas fightback in parts of the Palestinian territory piling pressure on Prime Minister Benjamin Netanyahu.
The Israeli army has been battling Hamas militants across Gaza for more than seven months while also exchanging near-daily fire with Iran-backed Hezbollah forces along the northern border with Lebanon.
But after Hamas fighters regrouped in northern Gaza, where Israel previously said the group had been neutralized, broad splits emerged in the Israeli war cabinet in recent days.
Netanyahu came under personal attack from Defense Minister Yoav Gallant for failing to rule out an Israeli government in Gaza after the war.
The Israeli premier’s outright rejection of post-war Palestinian leadership in Gaza has broken a rift among top politicians wide open and frustrated relations with top ally the United States.
Experts say the lack of clarity only serves to benefit Hamas, whose leader has insisted no new authority can be established in the territory without its involvement.
“Without an alternative to fill the vacuum, Hamas will continue to grow,” International Crisis Group analyst Mairav Zonszein said.
Emmanuel Navon, a lecturer at Tel Aviv University, echoed this sentiment.
“If only Hamas is left in Gaza, of course they are going to appear here and there and the Israeli army will be forced to chase them around,” said Navon.
“Either you establish an Israeli military government or an Arab-led government.”
Gallant said in a televised address on Wednesday: “I call on Prime Minister Benjamin Netanyahu to make a decision and declare that Israel will not establish civilian control over the Gaza strip.”
The premier’s war planning also came under recent attack by army chief Herzi Halevi as well as top Shin Bet security agency officials, according to Israeli media reports.
Netanyahu is also under pressure from Washington to swiftly bring an end to the conflict and avoid being mired in a long counterinsurgency campaign.
Washington has previously called for a “revitalized” form of the Palestinian Authority to govern Gaza after the war.
But Netanyahu has rejected any role for the PA in post-war Gaza, saying Thursday that it “supports terror, educates terror, finances terror.”
Instead, Netanyahu has clung to his steadfast aim of “eliminating” Hamas, asserting that “there’s no alternative to military victory.”
Experts say confidence in Netanyahu is running thin.
“With Gallant’s criticism of Netanyahu’s failure to plan for the day after in terms of governing Gaza, some real fissures are beginning to emerge in the Israeli war cabinet,” Colin P. Clarke, director of policy and research at the Soufan Group think tank, wrote on X, formerly Twitter.
“I’m not sure I know of many people, including the most ardent Israel supporters, who have confidence in Bibi,” he said, using Netanyahu’s nickname.
The Gaza war broke out after Hamas’s attack on southern Israel which resulted in the deaths of more than 1,170 people, mostly civilians, according to an AFP tally of Israeli official figures.
The militants also seized about 250 hostages, 125 of whom Israel estimates remain in Gaza, including 37 the military says are dead.
Israel’s military retaliation has killed at least 35,386 people, mostly civilians, according to the Hamas-run Gaza’s health ministry, and an Israeli siege has brought dire food shortages and the threat of famine.
Many Israelis supported Netanyahu’s blunt goals to seek revenge on Hamas in the aftermath of the October 7 attack.
But now, hopes have faded for the return of the hostages and patience in Netanyahu may be running out, experts said.
On Friday, the army announced it had recovered bodies of three hostages who were killed during the October 7 attack.
After Israeli forces entered the far southern city of Rafah, where more than a million displaced Gazans were sheltering, talks mediated by Egypt, the United States and Qatar to release the hostages have ground to a standstill.
“The hostage deal is at a total impasse — you can no longer provide the appearance of progress,” said Zonszein of the International Crisis Group.
“Plus the breakdown with the US and the fact that Egypt has refused to pass aid through Rafah — all those things are coming to a head.”

Sudan paramilitaries say will open ‘safe passages’ out of key Darfur city

Updated 18 May 2024
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Sudan paramilitaries say will open ‘safe passages’ out of key Darfur city

  • El-Fasher has been in the grips of fighting as the RSF seeks to control it

PORT SUDAN: Sudan’s paramilitary Rapid Support Forces have announced their willingness to open “safe passages” out of the former haven city of El-Fasher in Darfur, which has been gripped by fighting for weeks.
The RSF, battling the regular army for more than a year, affirmed in a post on X late Friday “the readiness of its forces to help citizens by opening safe passages to voluntarily leave to other areas of their choosing and to provide protection for them.”
El-Fasher, the state capital of North Darfur and once a key hub for humanitarian aid where many had gathered for shelter, has been in the grips of fighting as the RSF seeks to control it.
The paramilitaries called on residents of El-Fasher to “avoid conflict areas and areas likely to be targeted by air forces and not to respond to malicious calls to mobilize residents and drag them into the fires of war.”
Sudan has been in the throes of conflict for over a year between the regular army led by de facto ruler Abdel Fattah Al-Burhan and the RSF led by his former deputy Mohamed Hamdan Dagalo.
The conflict has killed as many as 15,000 people in the West Darfur state capital of El-Geneina alone, according to United Nations experts.
Medical charity Doctors Without Borders on Wednesday said its hospital in North Darfur had received more than 450 people killed in the fighting since May 10, but noted that the actual death toll was likely much higher.
Also on Wednesday, the UN’s humanitarian coordinator said residents of Sudan were “trapped in an inferno of brutal violence” and increasingly at risk of famine due to the rainy season and blocked aid.
Tens of thousands of people have died and millions have been displaced since the war broke out in April 2023.
The UN on Friday warned it only had 12 percent of the $2.7 billion it sought in funding for Sudan, warning that “famine is closing in.”


Funerals offer displaced Lebanese villagers a chance to go home

Updated 18 May 2024
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Funerals offer displaced Lebanese villagers a chance to go home

  • Many residents of towns and villages on either side of the Israel-Lebanon border have evacuated their homes for safety

MAIS AL JABAL: For displaced south Lebanese villagers, funerals for those killed in months of cross-border clashes are a rare chance to return home and see the devastation caused by Israeli bombardment.
“My house is in ruins,” said Abdel Aziz Ammar, a 60-year-old man with a white beard, in front of a pile of rubble in the border village of Mais Al-Jabal.
Only a plastic water tank survived.
“My parents’ house, my brother’s house and my nephew’s house have all been totally destroyed,” said Ammar, who was back in Mais Al-Jabal this week for the funeral of a Hezbollah fighter from the village.
Many residents of towns and villages on either side of the Israel-Lebanon border have evacuated their homes for safety.
The Iran-backed Lebanese movement has been intensifying its attacks, while Israel has been striking deeper into Lebanese territory, in cross-border violence that has killed at least 419 people on the Lebanese side, according to an AFP tally.
Most of the dead are Hezbollah fighters, including seven from Mais Al-Jabal, but at least 82 are civilians, three of whom journalists.
Israel says 14 soldiers and 11 civilians have been killed on its side of the border.
For funerals in the south, the Lebanese army informs United Nations peacekeepers, who then inform the Israeli military, a spokesperson for the United Nations Interim Force in Lebanon said.
The peacekeepers usually patrol near the border, and act as a buffer between Lebanon and Israel.
Ammar fled his village for Beirut’s southern suburbs, a Hezbollah stronghold, two weeks after the violence broke out.
The International Organization for Migration says more than 93,000 people have been displaced in south Lebanon, while authorities in Israel have evacuated tens of thousands from the country’s north.
“We come for the funerals, but we inspect our homes. Those whose houses haven’t been destroyed use the time to collect their belongings,” Ammar said.
“The house meant a lot to us, it was big,” with plenty of space for the children outside, he said of his home in Mais Al-Jabal.
“My daughter always tells me, ‘I miss the house, when will we go back?’”
An AFP photographer saw dozens of houses razed or partially destroyed in the village, which resembled a battlefield surrounded by green countryside.
A funeral procession crossed the rubble-strewn streets, with people chanting slogans in support of Hezbollah, not far from Israeli positions across the border.
Hezbollah flags fluttered in the wind as women in chadors walked together, some wearing yellow scarves -the color of the Shiite Muslim movement — or holding pictures of the fallen “martyr”.
“Whether I carry a weapon or not, just my presence in my village means I am a target for the Israelis,” Ammar said, noting the fighting does not always stop for the funerals.
On May 5, a man, his wife and two children were killed in a strike on Mais Al-Jabal while a funeral took place.
They had returned to the village to collect things from a store they owned, believing it to be a moment of calm, local media reported.
In front of a half-destroyed house, people piled a small truck with whatever they could — a washing machine, a child’s stroller, a motorbike and plastic chairs.
Amid rubble in the village, a sign was propped up reading: “Even if you destroy our houses, your missiles cannot break our will.”
Lebanese authorities are waiting for a ceasefire to fully assess the damage, but have estimated that some 1,700 houses have been destroyed and 14,000 damaged.
Emergency personnel have reported huge damage and villages emptied of residents, while many journalists have been reluctant to travel to the border areas due to the heavy bombardment.
The overall bill already exceeds $1.5 billion, authorities estimate, in a crisis-hit country where compensation procedures remain vague.
But to village resident Khalil Hamdan, 53, who also attended the funeral, “the destruction doesn’t make a difference.”
“We will rebuild,” he told AFP.


Oil tanker hit by missile off Yemen: security firm

Updated 18 May 2024
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Oil tanker hit by missile off Yemen: security firm

  • The vessel and crew are safe and continuing to its next port of call: UKMTO
  • The incident occurred 76 nautical miles (140 kilometers) off Yemen’s Hodeidah

DUBAI: A crude oil tanker was hit by a missile off the coast of Yemen’s rebel-held city of Mokha overlooking the strategic Bab Al-Mandeb strait, maritime security firm Ambrey said Saturday.
“A Panama-flagged crude oil tanker was reportedly ‘attacked’” about 10 nautical miles southwest of Mokha, Ambrey said, adding that information “indicated the vessel was hit by a missile and that there was a fire in the steering gear flat.”
The British navy’s maritime security agency had earlier said it received a report of a vessel “sustaining slight damage after being struck by an unknown object.”
“The vessel and crew are safe and continuing to its next port of call,” United Kingdom Maritime Trade Operations (UKMTO) added.
It said the incident occurred 76 nautical miles (140 kilometers) off Yemen’s Hodeidah, without specifying the type of vessel involved.
The Iran-backed Houthis, who control much of Yemen, have launched dozens of attacks on vessels in and around the Red Sea since November in a campaign they say is in solidarity with Palestinians in war-torn Gaza.
The milita attacks have prompted reprisal strikes by US and British forces and the formation of an international coalition to protect the vital shipping lanes through the Gulf of Aden and the Red Sea.


Israeli forces kill senior Palestinian militant in Jenin: army

Updated 18 May 2024
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Israeli forces kill senior Palestinian militant in Jenin: army

  • The strike by a fighter jet and helicopter killed Islam Khamayseh
  • Khamayseh was a leader of the Jenin Battalion

RAMALLAH: The Israeli military said on Saturday it killed a senior Palestinian militant during an air strike on an “operations center” in the occupied West Bank city of Jenin.
“A number of significant terrorists were inside the compound,” the Israeli Defense Forces said in a statement posted to Telegram.
It said the strike by a fighter jet and helicopter killed Islam Khamayseh, a “senior terrorist operative in the Jenin Camp” who was responsible for a series of attacks in the area.
The Al-Quds Brigade, the armed wing of militant group Palestinian Islamic Jihad, confirmed in a statement that Khamayseh was killed and several others wounded during an Israeli raid on Friday night.
It said Khamayseh was a leader of the Jenin Battalion, which is affiliated with Islamic Jihad.
The Palestinian Ministry of Health said one person was killed and eight were wounded and receiving hospital treatment as a result of Israel’s operation in Jenin on Friday night.
Israel has occupied the West Bank since 1967 and its troops routinely carry out incursions into areas such as Jenin, which are nominally under the Palestinian Authority’s security control.
The West Bank has seen a recent surge in violence, particularly since the Israel-Hamas war erupted on October 7.
More than 500 Palestinians have been killed by Israeli forces or settlers across the West Bank since October 7, according to Palestinian officials, and at least 20 Israelis have been killed over the same period, according to an AFP tally based on official Israeli figures.
The Gaza Strip has been at war since Hamas’s unprecedented attack on October 7 resulted in the deaths of more than 1,170 people in Israel, most of them civilians, according to an AFP tally based on official Israeli figures.
Israel’s retaliatory offensive on the Hamas-ruled Gaza Strip has killed at least 35,303 people, most of them civilians, according to the Hamas-run territory’s health ministry.