WHO wants vaccine efficacy data in monkeypox fight

Experts have detected a surge of monkeypox cases since May, most of which have been in western Europe. (Reuters)
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Updated 30 June 2022

WHO wants vaccine efficacy data in monkeypox fight

  • The UN health agency decided that monkeypox did not meet the threshold of a so-called Public Health Emergency of International Concern

GENEVA: The World Health Organization on Wednesday appealed for vigilance to ensure monkeypox does not spread among more vulnerable groups, such as children.
Fighting the virus requires “intense” efforts, said the WHO, calling for broad data collection and sharing on how well vaccines work against the virus.
Experts have detected a surge of monkeypox cases since early May outside of the West and Central African countries where the disease has long been endemic. Most of the new cases have been in western Europe.
“I am concerned about sustained transmission because it would suggest that the virus is establishing itself and it could move into high-risk groups including children, the immunocompromised and pregnant women,” WHO chief Tedros Adhanom Ghebreyesus told reporters.
“We are starting to see this, with several children already infected.”
There are two cases aged under 18 in Britain.

WHO chief scientist Soumya Swaminathan called for “very careful studies of the vaccine in different population groups... so that we get data that’s broadly applicable, and also to ensure that children, pregnant women and the immunosuppressed are considered for inclusion in these trials.”
As of June 22 this year, 3,413 laboratory-confirmed monkeypox cases and one death have been reported to the WHO, from 50 countries.
The countries with three-figure case numbers are Britain (793), Germany (521), Spain (520), Portugal (317), France (277), Canada (210), the Netherlands (167) and the United States (142).
The vast majority of cases so far have been observed in men who have sex with men, of young age, chiefly in urban areas, in “clustered social and sexual networks,” according to the WHO.
Last week the UN health agency convened an emergency committee of experts to decide if monkeypox constitutes a so-called Public Health Emergency of International Concern (PHEIC), the highest alarm that the WHO can sound.
But a majority found the situation had not yet crossed that threshold.
Nonetheless, “they acknowledged the emergency nature of the event and that controlling the further spread requires intense response efforts,” Tedros said.

The WHO chief called for equitable access to counter-measures like vaccines and antivirals and the systematic collection of clinical data to inform future recommendations.
WHO emergencies director Michael Ryan said that countries with stockpiles of vaccines, led by the United States, had shown willingness to share them.
However, the vaccines have largely only been licensed for use against monkeypox’s far more severe relative smallpox, which is also caused by an orthopoxvirus and which is the only disease successfully eradicated through vaccination.
“It’s really important as we encourage the sharing of these products that we also collect the necessary clinical efficacy data,” said Ryan.He said the chief intervention in controlling monkeypox should be reducing transmission through education and taking steps to avoid infection, and then targeted use of available vaccines and antivirals.
Currently, vaccines are in short supply and are broadly limited to health workers exposed to higher risk while tracing contacts of cases, said Ryan.
He said some countries were beginning to consider offering vaccines to individuals “engaged in high-risk activities or at particular risk of being exposed.”


US ex-Marine gets 4-1/2 years in Russian penal colony for attacking police officer

Updated 04 October 2022

US ex-Marine gets 4-1/2 years in Russian penal colony for attacking police officer

  • Police hauled Robert Gilman off a train in Voronezh in January, while he was traveling from the southern city of Sochi to Moscow, after complaints from fellow passengers about his behavior
  • Russia has sentenced several US citizens to lengthy prison terms in recent years, though Gilman’s case has attracted less attention than most

LONDON: Former US marine Robert Gilman was sentenced to 4-1/2 years in a Russian penal colony on Tuesday for attacking a police officer while drunk, Russian news agencies reported.
Police hauled Gilman off a train in Voronezh in January, while he was traveling from the southern city of Sochi to Moscow, after complaints from fellow passengers about his behavior, the agencies reported, citing the prosecution.
While in custody, Gilman was accused of kicking out at a police officer, leaving him with bruises.
Gilman, whose lawyers told the TASS news agency he had come to Russia to study and obtain citizenship, told the court in Voronezh that he did not remember the incident but had “apologized to Russia” and to the police officer.
After being found guilty, Gilman said the four-and-a-half year sentence requested by the prosecution was too strict.
Gilman’s lawyer Valeriy Ivannikov told reporters he intended to appeal and would ask the United States to seek a prisoner exchange.
US State Department deputy spokesperson Vedant Patel said Washington was aware of the decision but said he could not give further details citing privacy considerations.
“We continue to insist that the Russian Federation allow consistent, timely consular access to all (detained) US citizens, and we urge the Russian government to ensure fair treatment to all US citizens detained in Russia,” Patel said, declining to say whether consular access had been granted in Gilman’s case.
Russia has sentenced several US citizens to lengthy prison terms in recent years, though Gilman’s case has attracted less attention than most.
WNBA basketball star Brittney Griner was sentenced in August to nine years in prison after being found in possession of cannabis oil vape cartridges.
Paul Whelan, another ex-marine who also holds Canadian, Irish and British citizenship, is serving 16 years in prison on espionage charges, which he denies.
But in April, former marine Trevor Reed, who was serving nine years after being found guilty of violence against a police officer, was freed in a prisoner exchange.
Russian officials have said they are in talks with Washington about possible new prisoner exchanges. Media reports say they could involve convicted arms dealer Viktor Bout, serving a 25-year sentence in the United States, being released back to Russia.


UK interior minister vows to stop migrant ‘small boats’

Updated 04 October 2022

UK interior minister vows to stop migrant ‘small boats’

  • Irregular migration is a thorny political issue for the UK government
  • Deportation flights have been stymied by a series of legal challenges in the UK courts and at the European Court of Human Rights

BIRMINGHAM, United Kingdom: Britain’s new interior minister on Tuesday vowed to prevent migrants from claiming asylum if they arrive through an “illegal” route, and stop small boat crossings across the Channel from France.
Suella Braverman said the situation, in which criminal gangs were exploiting vulnerable migrants, had “gone on for far too long.”
Irregular migration is a thorny political issue for the UK government, which promised to tighten borders after the country left the European Union.
But a partnership deal with Rwanda signed earlier this year under the premiership of Boris Johnson to send some migrants to the African country for resettlement has so far failed.
Deportation flights have been stymied by a series of legal challenges in the UK courts and at the European Court of Human Rights.
Braverman said Britain needed to “find a way to make the Rwanda scheme work” and denounced the intervention of the ECHR, describing it as a “closed process with an unnamed judge and without any representation by the UK.”
“I will commit to look to bring forward legislation that the only route to the United Kingdom is through a safe and legal route,” she told the ruling Conservative party’s annual conference.
“If you deliberately enter the United Kingdom from a safe country you should be swiftly removed to your home country or relocated to Rwanda. That is where your asylum claim will be considered,” she said.
Reacting to Braverman’s speech, the PCS trade union which represents civil servants responsible for implementing the policy, said she did not “appear to understand the UK’s international obligations under the Geneva Convention.”
“Time and again we have called upon the government to use the expertise of our members in the Home Office to develop a solution to this crisis through safe passage,” PCS general secretary Mark Serwotka said.
“Instead, it chooses to continually demonize refugees to deflect from its hopeless inability to address the cost of living crisis facing the people of this country.”
Official government figures last month showed more migrants had crossed the Channel to the UK from northern France so far this year than in the whole of 2021, when 28,526 made the journey.
More than 33,500 people have now arrived in Britain.
Braverman’s speech played into Prime Minister Liz Truss’s right-wing agenda, urging police to stop “virtue signalling” on issues such as race and gender.
She promised to empower officers to stop “the mob” of direct-action protesters who use “guerilla tactics” to bring “chaos and misery” to the public.
“Whether you’re Just Stop Oil, Insulate Britain or Extinction Rebellion, you cross a line when you break the law and that’s why we’ll keep putting you behind bars,” she added.
On Tuesday, the Metropolitan Police said it had arrested 54 Just Stop Oil protesters on suspicion of “wilful obstruction of the highway” after a demonstration blocked traffic in central London.


Russian army maps show lost ground in key Kherson region

Updated 04 October 2022

Russian army maps show lost ground in key Kherson region

  • The maps included in Tuesday's daily military briefing showed that Russian forces were no longer in control of the village of Dudchany
  • The Ukrainian military claimed in a statement Tuesday that Russian forces in Kherson are "demoralised" and were falling back on their positions

MOSCOW: Russia’s forces occupying Ukraine’s southern Black Sea region of Kherson have suffered serious territorial losses to Kyiv’s troops over recent days, maps published by Moscow’s defense ministry showed Tuesday.
The maps included in Tuesday’s daily military briefing showed that Russian forces were no longer in control of the village of Dudchany on the west bank of the river Dnieper, where Ukraine’s forces have been pushing to reclaim territory captured at the start of Moscow’s offensive.
In the northeastern Kharkiv region, defense ministry maps showed that Russian forces have left positions on the west bank of the Oskil river, in the aftermath this month of a counter-offensive by Kyiv’s army.
The Ukrainian military claimed in a statement Tuesday that Russian forces in Kherson are “demoralized” and were falling back on their positions, destroying ammunition depots and bridges in their wake.
“All this in order to slow down the offensive of our troops,” the defense ministry said in their statement.
Ukraine’s deputy interior minister Yevhen Enin said Tuesday that Ukraine’s forces had recaptured 50 towns and villages in Kherson, without specifying when.
Kyiv’s forces have been slowly clawing back territory in Kherson for several weeks but the advance has accelerated in recent days.
With a population of one million before the war, Kherson is a key agricultural area and forms the gateway to the Crimean peninsula.
Its main city, also named Kherson, was one of the first to fall to Russian forces after they launched what the Kremlin calls its “special military operations” in February.
The Kremlin last week formally annexed the region along with three others even though Russian troops do not fully control it.


Blackouts hit 130 million in Bangladesh after grid failure

Updated 04 October 2022

Blackouts hit 130 million in Bangladesh after grid failure

  • Bangladesh has suffered a major power crisis in recent month as a result of higher global energy prices
  • It remained unclear what caused Tuesday's unscheduled blackout, which hit more than 80 percent of the country shortly after 2 pm local time

DHAKA: At least 130 million people in Bangladesh were without power on Tuesday afternoon after a grid failure caused widespread blackouts, the government’s power utility company said.
Bangladesh has suffered a major power crisis in recent month as a result of higher global energy prices following Russia’s invasion of Ukraine, and has imposed regular service cuts to conserve electricity.
But it remained unclear what caused Tuesday’s unscheduled blackout, which hit more than 80 percent of the country shortly after 2 p.m. local time (0800 GMT), according to the Power Development Board.
Apart from some locations in Bangladesh’s northwest, “the rest of the country is without power,” Power Development Board spokesman Shamim Ahsan told AFP.
Ahsan said 130 million people or more were without electricity and it remained unclear what had caused the fault.
“It is still under investigation,” he said, adding that a technical malfunction was the probable cause.
Junior technology minister Zunaid Palak said on Facebook that power would be restored by 8 p.m. in the capital Dhaka, itself home to more than 22 million people.
Soaring energy prices have wrought havoc on the South Asian nation’s electricity grid in recent months, with utilities struggling to source enough diesel and gas to meet demand.
A depreciating currency and dwindling foreign exchange reserves left Bangladesh unable to import sufficient fossil fuels, forcing it to close diesel plants and leave some gas-fired power stations idle.
The government imposed lengthy power cuts to conserve existing stocks in July, with outages lasting up to 13 hours each day at their peak.
Tens of thousands of mosques around the country have been asked to curtail the use of air conditioners to ease pressure on the electricity grid.
The blackouts sparked widespread public anger and helped mobilize large demonstrations on the streets of the capital Dhaka.
At least three protesters were killed by security forces during the rallies, partly motivated by rising cost-of-living pressures.
Around 100 others were injured during a police crackdown on one demonstration, according to the opposition Bangladesh Nationalist Party.
Consumer inflation has hit household budgets hard and the government recently pledged to cap the price of several staple foods, including rice, to quell public discontent.
Bangladesh last witnessed a major unscheduled blackout in November 2014, when around 70 percent of the country went without power for nearly 10 hours.

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WHO warns Haiti cholera toll likely to rise

Updated 04 October 2022

WHO warns Haiti cholera toll likely to rise

  • Fresh fears of a resurgent epidemic nearly three years after Haiti’s last confirmed case
  • WHO: The world was now witnessing a ‘worrying upsurge’ in cholera outbreaks

GENEVA: Haiti’s cholera outbreak death toll is likely “much higher” than reported and cases are expected to rise, the WHO said Tuesday, warning the country’s multiple crises would complicate response efforts.
The crisis-wracked Caribbean nation said Sunday that at least seven people had died from cholera, raising fresh fears of a resurgent epidemic nearly three years after Haiti’s last confirmed case.
Multiple suspected cases have been detected in Carrefour-Feuilles on the edge of the capital Port-au-Prince, and in the coastal neighborhood of Cite Soleil.
The areas are entirely controlled by gangs and access to them has been very difficult since the end of July.
Conditions in Haiti have worsened in recent weeks with blockades, fuel shortages, protest marches, looting and general strikes.
“This situation greatly complicates the humanitarian response,” World Health Organization spokesman Christian Lindmeier told reporters in Geneva.
“The situation is evolving rapidly, and it is possible earlier cases have been undetected.”
He said the death toll figures could be “much higher.”
“With the humanitarian situation as it is, the sanitary situation, and the gang-controlled areas where there’s hardly any access to control, to test or even to bring in assistance, we should expect, unfortunately, cases to be higher, and to rise,” he said.
Lindmeier said a request was being prepared to be submitted to the international coordination group for the procurement of oral cholera vaccines.
However, global vaccine availability is limited with demand outstripping supply.
Cholera is an acute diarrheal infection in the small intestine causing sometimes fatal dehydration. It is generally contracted from food or water contaminated with vibrio cholerae bacteria.
In February this year, Haiti celebrated three years without a single confirmed cholera case and was preparing to submit its case for cholera-free status certification at the end of 2022.
Cholera killed nearly 10,000 people in the wake of Haiti’s 2010 earthquake, when United Nations workers helping with the response introduced it to the country.
The outbreak affected at least 820,000 people, the WHO said.
The first infections were detected around the Artibonite River, where UN peacekeepers had dumped fecal matter.
It was not until August 2016 that the UN officially acknowledged its role in the epidemic.
Lindmeier said there was no information yet on where the current outbreak originated, but said roughly 80 percent of people carrying vibrio cholerae could be asymptomatic, making it difficult to detect.
The United Nations said it stood ready to deploy emergency response teams as soon as safe access is assured and fuel supplies are unblocked.
On Friday the WHO warned that after years of decline, the world was now witnessing a “worrying upsurge” in cholera outbreaks.
In the first nine months of this year alone, 26 countries have reported cholera outbreaks, the WHO said.