SOUTH AFRICA: Decentralizing care and treatment for drug-resistant TB

DURBAN, 14 June 2012 (PlusNews) – South Africa’s move to decentralize the treatment of drug-resistant tuberculosis (TB) has given rise to a crop of nurses equipped not only to initiate patients on HIV treatment, but also to prescribe for and monitor drug-resistant TB (DR-TB) patients. However, experts and government officials say the need for specialist physicians and hospitals will continue, based on research presented at the South African TB conference in the port city of Durban. Continue reading “SOUTH AFRICA: Decentralizing care and treatment for drug-resistant TB”

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Poverty and Culture Undermine Cervical Cancer Treatment

CAIRO, 14 June 2012 (IRIN) – On 30 April the Egyptian government launched a nationwide campaign to raise awareness of cervical cancer and offer free immunization to 15,000 unmarried women on the assumption that they would not have had any sexual contact.

Cervical cancer is caused by sexually-acquired infection; prevention and treatment are unaffordable for many of Egypt’s poor.

According to Omar Abdel Aziz, a gynaecologist from Cairo University, 80 percent of women in Egypt are prone to cervical cancer and there are 100,000 new cases a year, making it the second most widespread form of cancer in women after breast cancer. Continue reading “Poverty and Culture Undermine Cervical Cancer Treatment”

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SOUTH SUDAN-SUDAN: Thousands Still Stranded Despite Airlifts

JUBA, 14 June 2012 (IRIN) – Thousands of South Sudanese remain stranded in Sudan or internally displaced en route to their homes or relatives in South Sudan, following the final International Organization of Migration (IOM) airlift of people from Sudan to South Sudan on 6 June.

IOM airlifted 11,840 people in 24 days from Kosti transit station in Sudan to Juba in South Sudan after the government of Sudan decided that ethnic South Sudanese should formalize their status in the north or leave.

The latest estimates show that 38,000 South Sudanese are living in makeshift conditions at “departure points” around the Sudanese capital Khartoum, waiting for transport, according to the UN Refugee Agency (UNHCR). Thousands more are displaced within South Sudan in makeshift housing, temporary shelter, transit camps and way stations, with limited access to basic services, food and water.

Northern Bahr El-Ghazal State (in the western part of South Sudan) alone has received some 70,000 southerners, according to the UN Mission in South Sudan. The state currently has the highest rate of poverty in the country, with 76 percent of the population classified as “poor” by South Sudan’s National Bureau of Statistics.

The recently airlifted returnees are relieved to have arrived back in their “homeland” but are anxious about their future, with no guaranteed prospects of land, a job, or government support. Many of them have spent most or all of their lives in the north following a 22-year civil war, and have no known relatives left in the south.

Local authorities have also expressed concern about how these returnees will rebuild their lives in a new country burdened by high levels of unemployment, poverty and inadequate government capacity to assist internally and externally displaced people.

No relatives

“Hundreds of thousands of returnees have been integrating into South Sudan relatively well over the last two years, but those currently stranded do not have the means or family connections to do so,” explains Latio Kudus, head of disaster management at the South Sudan Red Cross.

“We are now very concerned about the remaining returnees who were reluctant to move back to the south due to lack of transport and limited means… It’s still not clear how they will manage,” he added.

The airlifted returnees were taken to Kapuri Transit Camp, 13km west of Juba, where they receive some assistance before continuing their onward journeys; many people remain in Kapuri, waiting for relatives or unsure about where to go.

An airlifted returnee, Elisa Ekanga, spent a year in Kosti, “Life was very hard for us in Kosti… We had hardly any access to food and I never thought we would get out… I am relieved to be here, but anxious about my future… I am from the Torit area, but have no relatives left there. We have not been told we have land or tools to cultivate,” she added.

“I’m still waiting for my husband and possessions… which could take weeks or months, but still don’t know how we will survive when we leave the camp.”

Limited land

The government of South Sudan only owns a limited amount of land in the country following the Sudan Peoples’ Liberation Movement (SPLM) decision in 2005 to hand the land back to the people. It is now facing the time-consuming and challenging task of negotiating with host communities. It was hoped most returnees would go to rural areas and take up farming, but the vast majority are now expected to settle in urban areas, spurring the growth of slums and taxing public services.

“Many of these people have lived their lives on the move as a result of war. They are resilient and can adapt easily, but will also need more support,” explained a South Sudan Red Cross volunteer working at Kapuri Transit Camp.

However, overstretched humanitarian agencies are shifting their efforts and resources to the ongoing refugee crisis in the border regions. Some 160,000 Sudanese refugees have moved into South Sudan in recent months as a result of conflict and food insecurity.

To fill this humanitarian assistance gap, the South Sudan Red Cross is providing basic support to returnees at a series of transit sites, helping with such things as tracing family members, emergency first aid, nutritional screening and immunizations. It is also assessing the needs of returnees.

The movements of refugees, returnees and internally displaced persons are proving to be a major challenge to South Sudan and its humanitarian partners.

IRIN NEWS

tl/cb

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Scientists Find More Than Ten Thousand Microbes in Humans

“When I get up from my chair, ten times more bacterial cells get up than human ones,” says Dr Bruce Birren.

He is one of the hundreds of US scientists involved in the world’s most extensive map of the microbes that live in and on us.

The Human Microbiome Project has catalogued the genetic identity of many bacteria, viruses and other organisms that live in intimate contact with us.

They are not germs that need eliminating but a fundamental part of what makes us human, researchers say.

“I might have a different organism on my tongue than you do on your tongue but collectively they bring the same genes to the party..”

Yet until recently, little was known about the identity of trillions of the microbes populating our bodies.

‘Beneficial bugs’

For centuries we could only investigate microbes that can survive in laboratories and study them in isolation – often one microbe at a time.

But with the advent of ever-improving techniques to sequence DNA, the Human Microbiome Project has been able to uncover microbes that have never been seen before and look at how they behave as communities.

Many of the results of the five-year project, launched by the National Institutes of Health, have been published in Nature and PLoS journals.

Over 200 healthy men and women from the US had microbe samples taken from various parts of their bodies.

And researchers were able to find over 10,000 different types of organisms as part of the healthy human microbiome.

Most of these microbes appeared to do no harm at all. In fact, there is growing evidence that these bugs help us in many ways.

Some help us get energy from food and others help us absorb nutrients such as vitamins.

‘Shared microbes?’

And we are learning about the role they play in shaping, rather than just attacking our immune systems, says Prof Barbara Methe of the J Craig Venter Institute, also involved in the project.

One of the key questions researchers asked was – is there a core set of microbes that all humans share?

Scientists actually found a diversity of microbes across different human beings and unique communities of microbes living at different body sites.

But what surprised some is that at specific parts of the body, many of the microbes shared similar jobs.

“I might have a different organism on my tongue than you do on your tongue but collectively they bring the same genes to the party – so they are able to perform some of the same functions, for example, breaking down sugars,” Dr Birren says.

This finding suggests a shift in thinking from a one-microbe model of disease, that essentially pins the blame for certain illnesses on one bug.

‘Bacterial phone-book’

Perhaps what matters in some diseases is not the particular type of bug, but that the function of this group of bugs has somehow gone awry, Dr Huttenhower says.

Researchers found that healthy volunteers carry low levels of microbes, classically been thought to cause disease.

For example, the bacteria Staphylococcus aureus, which can be involved the infection MRSA, was found in the noses of about 30 percent.

“We now have a phone-book of 100 of these bugs, which in the right environment, have the potential to go bad.

“We know where they live in healthy people and which organisms surround them too. So perhaps we can begin to understand what keeps them in check and where their reservoirs are,” Dr Huttenhower says.

And most microbes carry at least 100 times as many genes as we do.

These genes have just as much ability to influence our health and disease-risk as our own, says Dr Curtis Huttenhower, from the Harvard School of Public Health, another contributor to the project.

The ability to refer to this new genetic database and investigate microbiomes that fall outside its boundaries, will be the long-term importance of this project, he says.

‘Unknown land’

Dr Lita Proctor, programme director of the project says there is a growing understanding that we pick it up in the very early stages of life.

“The human genome is inherited but the human microbiome is acquired- that means it has a very important changeable, mutable property.

“This gives us something to work with in the clinic. If you can manipulate the microbiome you can keep a healthy microbiome healthy or re-balance an unhealthy one,” she says.

But who owns the microbiomes inhabiting our bodies? And what does this mean for the regulation of pro-biotics that can change them?, asks ethicist Prof Any McGuire of Baylor College of Medicine.

These are questions that will need to be ironed out as our knowledge of this area expands, she says.

But we only have half the story. We need to find out much more about how the microbiome talks to human cells says Prof David Relman of Stanford University.

“It is still an unknown land. Even though it is on home turf we are still discovering new life forms on it,” he says.

Human Microbiome Project reveals largest microbial map

By Smitha Mundasad BBC News

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WHO Says Diesel Exhaust Fumes Cause Cancer

By James Gallagher,  Health and science reporter, BBC News

Exhaust fumes from diesel engines do cause cancer, a panel of experts working for the World Health Organization says.

It concluded that the exhausts were definitely a cause of lung cancer and may also cause tumours in the bladder.

It based the findings on research in high-risk workers such as miners, railway workers and truck drivers.

However, the panel said everyone should try to reduce their exposure to diesel exhaust fumes.

The International Agency for Research on Cancer, a part of the World Health Organization, had previously labelled diesel exhausts as probably carcinogenic to humans. Continue reading “WHO Says Diesel Exhaust Fumes Cause Cancer”

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Nigeria Financial Regulator Arunmah Oteh Suspended Pending Invenstigation

Nigeria's financial regulator Arunmah Oteh

The head of Nigeria’s stock exchange regulator, Arunmah Oteh, has been suspended pending an investigation into allegations of malpractice.

The decision of the regulator’s board comes after a parliamentary committee recommended she be investigated.

Ms Oteh was given the job of cleaning up the stock exchange following a crisis in 2009 which saw stocks lose around 60% of their value in a year.

She has not officially been accused of any wrongdoing herself.

The BBC’s Will Ross in Lagos says this not the first time a probe into fraud in Nigeria has turned into a circus of accusations and counter-accusations as the hunter turns hunted. Continue reading “Nigeria Financial Regulator Arunmah Oteh Suspended Pending Invenstigation”

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George Zimmermans Wife Shellie Zimmerman Arrested

From Trymaine Lee

Shellie Zimmerman, the wife of the Florida man charged with fatally shooting Trayvon Martin, was arrested and charged Tuesday afternoon with one count of perjury, according to law enforcement officials.

The charges stem from what prosecutors have described as a series of lies and distortions made by the couple during an earlier bond hearing in April, when George Zimmerman and his family claimed they were broke. By late Tuesday afternoon, Shellie Zimmerman posted bond, set at $1,000. Continue reading “George Zimmermans Wife Shellie Zimmerman Arrested”

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US Official Says Somali al-Shabab Camel Reward for Barack Obama is Absurd

A top US envoy has dismissed as “absurd” a reward of 10 camels for information about President Barack Obama’s hideout by Somali militants.

Al-Shabab made the mock offer after the US announced rewards of $3-7m (£2-4.5m) for various militant commanders.

The al-Qaeda linked group offered chickens for information about US Secretary of State Hillary Clinton.

Johnnie Carson became the first top US official in two decades to visit Mogadishu over the weekend.

When asked about al-Shabab’s offer at a news conference, Continue reading “US Official Says Somali al-Shabab Camel Reward for Barack Obama is Absurd”

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