Doctors Without Border (MSF), which has been critical of the WHO’s response, said today that the organization was still failing to control the outbreak. “Whatever the official status of this outbreak is, it is clear that the outbreak is not under control and therefore we need a better collective effort. The virus has not spread to neighboring countries so far, but the possibility exists,” said Gwenola Seroux, emergency manager at MSF in a press statement. Ron Klain, the United States Ebola response coordinator during the West African outbreak, took to Twitter to criticize the WHO. “The response is failing to get the disease under control,” Klain said. “This is particularly worrisome given that — unlike the Ebola response in 2014-15 — this effort has the benefit of a highly effective vaccine that can prevent the disease’s spread.” Klain called for the US government to step up its response efforts for this crisis, and quickly. The United States has not had feet on the ground in the DRC since September, when Trump administration officials removed personnel amid security concerns.
A University of Arkansas biologist found a newly discovered species of ebolavirus, named Bombali, in a bat caught in Kenya. Bombali, which is not known to infect humans, had previously been found only in Sierra Leone, 3,400 miles to the west.
Multiple states across the country have reported outbreaks of hepatitis A, primarily among people who use drugs and people experiencing homelessness. Since the hepatitis A outbreaks were first identified in 2016, more than 15,000 cases, 8,500 (57%) hospitalizations, and 140 deaths as a result of hepatitis A virus (HAV) infection have been reported. This Health Alert Network (HAN) update recommends that public health departments, healthcare facilities, and partners and programs providing services to affected populations vaccinate at-risk groups against hepatitis A, applying the updated recommendations of the Advisory Committee on Immunization Practices (ACIP).
Last week, USDA-trained detector dogs played a major role in the seizure of roughly 1 million pounds of pork smuggled from China where there is an outbreak of African swine fever (ASF). The highly contagious and deadly disease affects both domestic and feral (wild) pigs and there is no treatment or vaccine available for it.
If a visitor comes to LA with active zika, yellow fever, chikungunya or dengue and is bitten by a local LA Aedes, that mosquito can become ground zero for the spread of those diseases in LA! With modern air travel and global warming, it is inevitable that those diseases get a foothold in LA unless LA has a very active and aggressive vector control system.
“The boy required 57 days of inpatient acute care, including 47 days in the intensive care unit. The inpatient charges totaled $811,929 (excluding air transportation, inpatient rehabilitation, and ambulatory follow-up costs). One month after inpatient rehabilitation, he returned to all normal activities, including running and bicycling. Despite extensive review of the risks and benefits of tetanus vaccination by physicians, the family declined the second dose of DTaP and any other recommended immunizations.”
One of the remarkable, and most worrying, things about influenza is its ability to continually re-invent itself, either via a slow process of antigenic drift, or rapidly through antigenic shift (reassortment).
Antigenic drift causes small, incremental changes in the virus over time. Drift is the standard evolutionary process of influenza viruses, and often come about due to replication errors that are common with single-strand RNA viruses (see NIAID Video: Antigenic Drift).
Shift occurs when one virus swap out chunks of their genetic code with gene segments from another virus. This is known as reassortment. While far less common than drift, shift can produce abrupt, dramatic, and sometimes pandemic inducing changes to the virus (see NIAID Video: How Influenza Pandemics Occur).
While reassortment can occur with just about any influenza A virus, H5Nx subtypes appear unusually agile in this department, and genetic contributions from LPAI H9N2 can be found inside many avian viruses (see PNAS: Reassortment Potential Of Avian H9N2).
Bem Vindos a este espaço onde compartilhamos um pouco da realidade do Japão à todos aqueles que desejam visitar ou morar no Japão. Aqui neste espaço, mostramos a realidade do Japão e dos imigrantes. O nosso compromisso é com a realidade. Fique por dentro do noticiário dos principais jornais japoneses, tutoriais de Faça você mesmo no Japão e acompanhe a Série Histórias de Imigrantes no Japão. Esperamos que goste de nossos conteúdos, deixe seu like, seu comentário, compartilhe e nos ajudar você e à outras pessoas. Grande abraço, gratidão e volte sempre!
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