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WHO mission to Syria quake zone boosts protection from disease outbreaks

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WHO mission to Syria quake zone boosts protection from disease outbreaks

“The focus of the mission was to enhance the capacity of the early warning alert and response network (EWARN) and ensure rapid detection, verification and response to communicable diseases alerts and outbreaks”, the WHO office for the Eastern Mediterranean said in a statement issued on Thursday.

They identified areas in preparedness and response that needed strengthening, said WHO, and carried out several field visits, including to Maaret Tamsrin, one of the areas impacted by the earthquake, to assess the local hospital and the integration of reception centres as part of the wider early warning system review.

Two reception centres were also visited for water quality monitoring, and the drinking water tested in coordination with a Syrian NGO, resulting in a recommendation to chlorinate water supply at the centres.

Rapid response

Mission members also boosted capacity in the rapid response teams (RRTs) which have been set up for cholera and other epidemic-prone diseases. This included a two-day online RRT training course on how to establish teams at reception centres.

RRTs are vital, as the members can rapidly investigate and respond to outbreaks and communicable diseases”, said Dr Sherein Elnossery of the Infectious Hazard Prevention unit at the WHO Regional Office, who was part of the mission and delivered the training.

More than 150 participants attended the training from surveillance, community health care, WASH and medical teams. It included sessions on outbreak response, community engagement, water and hygiene services.

In addition, the psychological impact of community crises was addressed, and participants instructed on providing psychological first aid.

Strengthening cholera response

During the mission, the WHO team worked to strengthen the coordination and leadership of the response to cholera and other epidemic-prone diseases. They also supervised the implementation of an oral cholera vaccination campaign targeting 1.7 million people in Dana and Harim subdistricts.

Additionally, team members assessed the risk of the existing cholera outbreak expanding and, accordingly, 10 subdistricts in north-west Syria with a target population of 1.12 million people have been identified for oral cholera vaccine campaigns.

Dr Elnossery insisted that WHO “will continue to support the affected areas in northwest Syria to recover from the earthquake”.

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Boost for developing nations as mRNA technology hub moves to the next phase in South Africa

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Boost for developing nations as mRNA technology hub moves to the next phase in South Africa

Over 200 international participants working with the mRNA Technology Transfer Programme had their first face-to-face meeting, in a bid to make one of the most revolutionary medical technologies which led the field in vaccine development against COVID-19, more widely and fairly available, in the places where it is most needed.

‘Lifesaving’ breakthrough: Tedros

“I am delighted to be here in Cape Town with our partners to support a sustainable model for mRNA technology transfer to give low and middle-income countries (LMICs) equitable access to vaccines and other lifesaving health products,” said WHO Director-General Dr Tedros Adhanom Ghebreyesus.

“I am immensely proud of the achievement of all those involved in this project; in less than two years we have shown that when we work collaboratively, we succeed collectively.”

Tedros was joined for the launch by South African ministers Dr. Joe Phaahla and Ebrahim Patel, together with high-level officials from funding countries, to review the progress of the programme, launched by WHO and the Medicines Patent Pool (MPP), in June 2021.

The meeting participants include partners from 15 countries in the programme, leading experts, industry, civil society representatives, and funders.

During the five-day meeting, participants will share progress and discuss critical enablers for the sustainability of the programme such as intellectual property issues and regulatory aspects, as well as the science of mRNA technologies and key applications relevant to other disease areas such as HIV and tuberculosis.

Vaccine equity

The COVID-19 pandemic has underscored that inequity exists in access to many health products, especially vaccines. As of March this year, more than three years after WHO declared COVID-19 a Public Health Emergency of International Concern (PHEIC), 69.7 per cent of the global population had received at least one dose of a COVID-19 vaccine.

However, this proportion remains below 30 per cent in low-income countries (LICs).

This programme aims to contribute to equitable access to mRNA vaccines by increasing the distribution of sustainable manufacturing capacity across LMICs, enhancing regional and inter-regional collaboration, and developing and empowering a local workforce through tailored and inclusive training and expert support.

Dr. Phaahla, Minister of Health South Africa, said: “What we see here today, is a moment in history, a programme that is aimed at empowering LMICs through a global collaborative network.

‘Thrilling’ progress

“I am thrilled to see the progress made in such a relatively short time and welcome the support from so many different countries – countries like South Africa that have a strong vibrant biomanufacturing capacity and that are willing to work together, learn from and share with each other.”

Afrigen in Cape Town and local vaccine maker Biovac were chosen last year by WHO for the pilot project to give LMICs the technological know-how and licences to manufacture COVID vaccines, and Afrigen has used mRNA sequencing to produce its own version of the inoculation, known as AfriVac 2121, and is currently scaling up that process to a level suitable for manufacturing vaccine batches to be used in Phase I/ II clinical trials to GMP standards.

In a parallel process, Afrigen will continue to carry out training and technology transfer to network partners.

According to news reports, the vaccine candidate will move to the human testing phase, in early 2024.

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Sudan: Guterres calls for immediate ceasefire

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Sudan: Guterres calls for immediate ceasefire

This must be the first step in providing respite from the fighting and paving the way for a permanent ceasefire,” he told journalists in New York.

Dialogue and transition

The AU meeting brought together the UN, the League of Arab States, the East African bloc IGAD, the European Union, and countries committed to bringing an end to the hostilities in Sudan, where rival military factions have been battling for power for nearly a week.

Hundreds have been killed in the interim, including children.  Humanitarians have been hampered from carrying out lifesaving operations, due to attacks and looting.

Mr. Guterres said the cessation of hostilities must be followed by serious dialogue, allowing for the successful transition, starting with the appointment of a civilian government.

Concern for UN staff

He condemned the targeting of humanitarian workers and assets, and reminded the parties of their international obligations, including to ensure the safety and security of aid workers.

“I’m also extremely worried about the situation of United Nations personnel, many of whom are trapped in their homes in areas of active conflict. We are doing everything in our power to be able to support them,” he continued.

Clashes between the Sudanese armed forces and the paramilitary group, the Rapid Support Forces (RSF) – who are at odds over the return to civilian rule – erupted on Saturday.  Most of the fighting has been in the capital, where residents have been trapped in their homes for days.

Secretary General António Guterres briefs the media on the situation in Sudan.

Concern over healthcare

Thousands have fled the city, though evacuation has become increasingly difficult. Humanitarians warn that people are running out of food, fuel and other vital supplies, and many urgently need medical care.

“The situation in Sudan is increasingly concerning and heart breaking. Over 330 people have died so far, and nearly 3,200 are injured,” the Director-General of the World Health Organization (WHO), Tedros Adhanom Ghebreyesus, wrote in a statement posted on his official Twitter account.

Tedros condemned all loss of life, especially attacks on civilians and healthcare.  He expressed deep concern over reports of forces occupying health facilities, underlining that attacks on healthcare are a flagrant violation of international law.

Services in chaos

“The lack of safe access, of electricity, food, water, personnel and the diminishing medical supplies are making it nearly impossible for many health facilities to function at the exact time when there are thousands injured in need of urgent care,” he said.

Tedros urged the sides to respect the truce so that people can seek refuge or healthcare, or access food, water and medicine.

The head of the UN Children’s Fund (UNICEF) also called on the parties to respect their international obligations to protect boys and girls from harm and to ensure humanitarians can quickly reach children in need.

Childhood under fire

“Five days of intense hostilities in Sudan, and four failed ceasefires, have already taken a devastating toll on the country’s children,” UNICEF Director Catherine Russell said in a statement. “If the violence does not stop, this toll will only increase.”

She said at least nine children have reportedly been killed, and more than 50 reportedly injured as hostilities continues in Khartoum, the Darfur states and North Kordofan, though insecurity makes it difficult to collect and verify information.

“We have received reports of children sheltering in schools and care centres while fighting rages around them, of children’s hospitals forced to evacuate as shelling moves closer, and hospitals, health centres and other critical infrastructure damaged or destroyed, limiting access to essential and lifesaving care and medicine,” she added.

Critical care disrupted

Humanitarian needs in Sudan were already at record levels at the start of the year, according to UN relief agency, OCHA, with nearly one third of the population, almost 16 million people, requiring assistance.

Ms. Russell said the crisis has disrupted critical-life saving care for an estimated 50,000 children suffering from acute malnutrition, who need ongoing round-the-clock care.

“The fighting also puts at risk the cold chain in Sudan, including over $40 million worth of vaccines and insulin, due to the breaks in the power supply and the inability to restock generators with fuel,” she added.

Hunger could rise

Meanwhile, the World Food Programme (WFP) warned that the violence could push millions more into hunger.

WFP had planned to support some 7.6 million people in Sudan this year but was forced to temporarily halt operations as the fighting is preventing teams from carrying out activities such as delivering critical emergency food, providing school meals, and preventing and treating malnutrition.

The UN agency has also suffered immense losses as three staff members were killed in crossfire on Saturday, and two sustained severe injuries. WFP added that its staff, offices, vehicles, equipment and food stocks have also come in the direct line of fire.

The UN Humanitarian Air Service (UNHAS), which WFP manages on behalf of the international community, is now completely grounded.  One aircraft in Khartoum has been damaged beyond repair, and at least 10 vehicles and six food trucks have been stolen.

Additionally, WFP guesthouses, offices and warehouses in Nyala, South Darfur, have been overrun and looted, resulting in the loss of up to 4,000 metric tonnes of food. 

With Sudan’s health system reportedly at near collapse, the UN reproductive health agency, UNFPA, is concerned about pregnant women who require ongoing care and access to hospitals where they can safely give birth.

UNFPA Regional Director Laila Bakur, who spoke to UN News on Wednesday, estimated that there are approximately 219,000 mothers-to-be in Khartoum alone.

“We find that there is very little that we can do in terms of provision of care, and they have not been able to access any form of safe delivery,” she said.

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Was it the whole reserve? Russian missile attacks reduced to minimum, but another danger comes into play

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For more than a month, no Russian massive missile attacks have been launched against Ukraine.

The fact about the significant reduction in the frequency and scale of rocket attacks was announced by Yuriy Ihnata, the spokesperson of the Ukrainian Air Force.

He noted that after several explosions, the Russian Federation dispersed its military planes from the Engels airfield.

“Obviously, the missiles they used to destroy our infrastructure were all the strategic potential they had, all the stockpile. I will remind you that approximately 750 cruise missiles were destroyed, not counting those that reached their targets. That is, there were more than 850 missiles that the enemy used to destroy our infrastructure,” Ihnat said.

According to him, the enemy switched to a more economical option of attacks – guided bombs.

Ukrainian Brigadier General Oleksiy Khromov explained that at current production levels, Russia would not be able to rebuild its missile stockpile in the medium term.

“This could potentially jeopardize Moscow’s ability to defend its strategic interests in the Far East and on the border with NATO countries,” Brigadier Khromov said.

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Erdogan: Putin may visit Turkey for the opening of the nuclear plant

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Azerbaijan will supply natural gas to Hungary, via Bulgaria

Russian President Vladimir Putin may visit Turkey for the opening ceremony of the Akkuyu nuclear power plant on April 27, Turkish President Recep Tayyip Erdogan announced.

“We are currently successfully continuing the construction of the Akkuyu NPP. On April 27, maybe Mr. Putin will come or we will connect via online video link and hopefully we will inaugurate the first stage of our first nuclear power plant,” Erdogan said in a televised interview.

In a social media post yesterday, Turkish Energy and Natural Resources Minister Fatih Dönmez shared: “The first nuclear fuel is coming to our facility on April 27. Thus Akkuyu NPP, being built by a Russian company, will receive the status of a nuclear facility.”

Meanwhile, Erdogan announced that Turkey and Azerbaijan are ready to supply natural gas to Europe and Hungary through the TANAP trans-Anatolian gas pipeline project, via Bulgaria.

“At the moment, we are ready to provide any kind of support to Azerbaijan regarding the supply of natural gas to Hungary through TANAP,” Erdogan said at a joint press conference with visiting Hungarian President Katalin Novak yesterday in Ankara.

The Turkish president emphasized: “We are in a world characterized by crises and wars. We have been able to build a strong, independent Turkey in this environment, and we must continue.”

“Turkey fought to keep the war away from our country and continues to do so,” Erdogan added.

“First, we will not take our country to war. Second, we will keep the family institution strong. Third, we will be more sensitive to immigration, mainly from Syria, and we will not allow immigrants to be mistreated.”

Erdogan stressed that Ankara will continue its efforts to achieve peace between Russia and Ukraine.

The current president, who is also a presidential candidate in the May 14 election, stressed that his party would conduct a “quiet but thorough election campaign” respecting the suffering of the earthquake victims.

“For 20 years we have been preparing for the elections in 2023. We know the importance of the 100th anniversary of our republic for our country. Because of the earthquake, we changed our election campaign,” he added.

Illustrative Photo by Burak The Weekender:

Transforming Europe’s food system requires coordinated action across diverse areas of EU policy

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