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  • World TB Day 2020: It’s Time for solidarity

    World TB Day 2020: It’s Time for solidarity

    At this unique time in history when the world is grappling with the COVID-19 pandemic, the WHO Department of Global HIV, Hepatitis and STI Programmes stands in solidarity with governments and communities as they seek to maintain health services
    and continue to address the needs of patients suffering from HIV and tuberculosis (TB). 

    Despite being preventable and treatable, tuberculosis remains the world’s biggest infectious killer and the leading cause of death among people living with HIV (PLHIV), responsible for 32% of the 770 000 lives lost to HIV in 2018. People
    living with HIV are far more vulnerable (nearly 20 times more) to TB infection than people without HIV and are three times more likely to die during TB treatment.  

    While there are proven interventions that reduce TB deaths – such as provision of TB preventive treatment, adoption of novel diagnostics for earlier TB diagnosis and linkage to treatment, and antiretroviral therapy (ART) – we are far behind
    in scaling these up, and diagnostic and treatment gaps remain, with only half of estimated TB cases among PLHIV reaching care in 2018, only half of estimated PLHIV with TB receiving ART, and less than half of PLHIV new on ART initiating TB preventive
    treatment in a subset of countries which reported globally.

    On this World TB Day, WHO highlights two key interventions to reduce unnecessary TB deaths among PLHIV: 

    • (1) provision of TB preventive treatment for all eligible PLHIV; and 
    • (2) increased uptake of newer diagnostic tests such as the lateral flow urine lipoarabinomannan assay (TB-LAM.) 

    As the new Director for the Department of Global HIV, Hepatitis and STI Programmes, I support current efforts to continue and to take to scale TB activities. It’s Time for solidarity!

    -Meg Doherty, Director Global HIV, hepatitis and STI Programmes, WHO

    HIV programmes are encouraged to ensure that TB preventive treatment, including shorter WHO-recommended regimens, with updated guidance launched today, are provided to all eligible PLHIV as part of a routine package of care, including provision of ART, and that treatment completion is ensured.   

    In recent months, WHO has also released guidelines for use of a bedside urine TB-LAM test to accelerate earlier TB diagnosis, with significantly expanded eligibility criteria. As this test is “point of care” with the potential for earlier
    TB diagnosis and treatment initiation, HIV programmes should consider these recommendations as they enhance strategies for TB diagnosis among PLHIV, including as part of a routine package of advanced HIV care. 

    It’s Time to urgently scale up TB preventive treatment and TB diagnosis and strengthen referral and linkages to TB treatment at HIV service delivery points in all countries and continue to scale-up ART among PLHIV with TB. This applies to all populations
    at risk, including children, pregnant women and marginalized groups, to ensure no one is left behind.

    WHO calls for continued collaboration in countries across health programmes for harmonized and integrated policies and service delivery, and engagement with communities and other sectors. Unless HIV programmes scale up interventions to close these
    gaps in prevention, diagnosis and treatment both for TB and HIV, countries and their development partners will not meet our common target: a 75% reduction in TB deaths among PLHIV between 2010 and 2020. HIV mortality cannot be reduced without addressing
    the leading cause: tuberculosis.

     

    World TB Day 2020: It’s Time for solidarity
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    https://www.who.int/news-room/detail/24-03-2020-world-tb-day-2020-it-s-time-for-solidarity

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  • New WHO recommendations to prevent tuberculosis aim to save millions of lives

    Geneva –  New World Health Organization (WHO) guidance will help countries accelerate efforts to stop people with tuberculosis (TB) infection becoming sick with TB by giving them preventive treatment.

    A quarter of the world‘s population is estimated to be infected with TB bacteria. These people are neither sick nor contagious. However, they are at greater risk of developing TB disease, especially those with weakened immunity. Offering them TB
    preventive treatment will not only protect them from becoming sick but also cut down on the risk of transmission in the community.  

    As we mark World TB Day 2020, the disease remains the world’s top infectious killer. In 2018, 10 million people fell ill with TB worldwide and 1.5 million people lost their lives to this disease.

    “COVID-19 is highlighting just how vulnerable people with lung diseases and weakened immune systems can be,“ said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. “The world committed to end TB by 2030; improving prevention is key
    to making this happen. Millions of people need to be able to take TB preventive treatment to stop the onset of disease, avert suffering and save lives”.

    Dr Tedros highlighted the importance to continue efforts to tackle longstanding health problems, including TB during global outbreaks such as COVID-19. At the same time, programmes already in place to combat TB and other major infectious diseases
    can be leveraged to make the response to COVID-19 more effective and rapid.

    Although some progress has been made towards targets set at the UN high-level Meeting on TB in 2018, TB preventive treatment has been largely neglected. Global leaders committed to ensuring access to TB preventive treatment to at least 24 million contacts
    of people with active TB and 6 million people living with HIV by 2022.  To date only a fraction of that target has been reached, with countries putting less than 430,000 contacts and 1.8 million people on TB preventive treatment in 2018.

    TB remains the top cause of death among people with HIV. TB preventive treatment works synergistically with antiretroviral therapy to prevent TB and save lives. Reinvigorated efforts by governments, health services, partners, donors and civil society
    will be needed to increase access to TB preventive treatment to the levels targeted.

    The new consolidated guidelines recommend a range of innovative approaches to scale up access to TB preventive treatment:

    • WHO recommends a scale-up of TB preventive treatment among populations at highest risk including household contacts of TB patients, people living with HIV and other people at risk with lowered” immunity or living in crowded settings.
    • WHO recommends an integration of TB preventive treatment services into ongoing case finding efforts for active TB. All household contacts of TB patients and people living with HIV are recommended to be screened
      for active TB. If active TB is ruled out, they should be initiated on TB preventive treatment.
    • WHO recommends that either a tuberculin skin test  or interferon-gamma release assay (IGRA) be used to test for TB infection. Both tests are helpful to find people more likely to benefit from TB preventive treatment
      but should not become a barrier to scale-up access. Testing for TB infection is not required before starting TB preventive treatment in people living with HIV, and children under 5 years who are contacts of people with active TB.
    • WHO recommends new shorter options for preventive treatment in addition to the widely used 6 months of daily isoniazid. The shorter options that are now recommended range from a 1 month daily regimen of rifapentine plus isoniazid
      to 3 months weekly rifapentine plus isoniazid, 3 months daily rifampicin plus isoniazid, or 4 months of daily rifampicin alone.

    “As people around the globe come together to commemorate World TB Day, WHO is calling on governments, affected communities, civil society organizations, health-care providers, donors, partners and the industry to unite forces and step up
    the TB response – notably for TB preventive treatment – to ensure no one is left behind,” said Dr Tereza Kasaeva, Director of WHO’s Global TB Programme. “The new WHO guidance shows the way forward for millions to rapidly
    access new tools and shorter, safer options for preventive treatment. The time for action is now.”

    TB preventive treatment is an affordable intervention that can prevent families from sliding into poverty and preserve the health and economy of whole communities. WHO anticipates that as new and safer drugs come onto the markets, and as prices
    fall, it will become a highly-cost effective way to save millions of lives.

     

    NOTES FOR EDITORS:

    WORK BY WHO AND PARTNERS

    WHO works closely with Member States including the US Government and technical and funding partners such as UNITAID to enhance access to shorter TB preventive treatment regimens. UNITAID-supported projects such as IMPAACT4TB and Cap-TB projects
    enabled by WHO with partners in Brazil, Cambodia, Cameroon, Côte d’Ivoire, Democratic Republic of Congo, Ethiopia, Ghana, India, Indonesia, Kenya, Lesotho, Malawi, Mozambique, South Africa, Uganda, United Republic of Tanzania and
    Zimbabwe are leading the way. The new treatment options are also now more affordable, thanks to the significant price drop of rifapentine – a key drug – facilitated recently by UNITAID, the Global Fund to Fight AIDS, Tuberculosis and Malaria
    and global biopharmaceutical company Sanofi, along with forthcoming arrangements underway with generic manufacturers.

    MORE ABOUT THE GUIDELINES

    The new consolidated WHO guidelines come with an operational handbook to help guide countries step-by-step as they take TB preventive treatment to scale. This includes guidance on how to prioritize and invest from demand creation for TB prevention
    to supervision and monitoring of the programme.

    The guidelines and operational handbook are also accompanied by an innovative mobile application – Prevent TB –to help health-care workers manage TB preventive treatment in their communities. Its online dashboard allows programme
    managers to visualize and monitor data in real time. The application can be customized by countries to suit their specific settings and is currently being adopted in India and Philippines.

    WORLD TB DAY

    The new guidelines and tools are being released ahead of World TB Day. World TB Day is observed on March 24 each year to raise public awareness and understanding about the world’s deadliest infectious killer – TB and its devastating
    health, social and economic impact on people around the world. Under the theme “It’s Time”, the spotlight this year is on urgently accelerating the TB response to save lives and end suffering.

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    https://www.who.int/news-room/detail/24-03-2020-new-who-recommendations-to-prevent-tuberculosis-aim-to-save-millions-of-lives

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  • Mercy Malaysia launches Covid-19 fund

    Mercy Malaysia launches Covid-19 fund

    Mercy Malaysia launches Covid-19 fund 1

    KUALA LUMPUR: Mercy Malaysia launched the Covid-19 Pandemic Fund today to support the severely strained healthcare system due to the outbreak of the disease and implementation of the movement control order that took effect today.

    The non-profit organisation’s executive director, Amran Mahzan said the fund would also go towards supporting medical services and the essential needs of marginalised groups.

    “We have been reinforcing preventive measures such as hand-washing, eating well-cooked food and correct use of face masks at our mobile clinics for refugees and migrants since last month.

    “These marginalised communities cannot be left out of the pandemic containment plan as they can potentially be hot spots for the virus to spread rapidly,“ he said in a statement today.

    Amran said to support Mercy Malaysia’s initiatives, the donation could be made through www.mercy.org.my or direct to MERCY Humanitarian Fund (5621 7950 4126) or MERCY Malaysia (CIMB 8000-7929-08). All donations are tax-exempted.

    The movement control order was declared by Prime Minister Tan Sri Muhyiddin Yassin on Monday night. So far, Malaysia has recorded 790 Covid-19 positive cases with the first fatalities yesterday involving two local residents. – Bernama

    Mercy Malaysia launches Covid-19 fund
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    https://www.thesundaily.my/local/mercy-malaysia-launches-covid-19-fund-BA2147388

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  • (Video) Police deploy in numbers to enforce restricted movement order

    (Video) Police deploy in numbers to enforce restricted movement order

    (Video) Police deploy in numbers to enforce restricted movement order 2

    PETALING JAYA: Selangor police went full force tonight in enforcing the restricted movement order on its first full day, by mounting roadblocks and conducting checks on business outlets that continued to operate as usual.

    Dozens of police teams were despatched to various areas in the Klang Valley to detect shop operators who had defied the order and to ensure that their businesses were shut down.

    Car repair workshops, car wash centres, vape stores and religious gatherings were among those approached by the police teams.

    In Petaling Jaya, district police chief ACP Nik Ezanee Mohd Faisal said that about four roadblocks are in place round-the-clock for conducting checks on motorists who remain outdoors.

    “We are focusing on educating our communities on the importance of staying indoors,” he said.

    In Kuala Lumpur, similar efforts were taken by state police.

    A police four-wheel-drive vehicle was seen moving in the city with loudspeakers playing announcements urging the public to observe the restricted movement order.

    Elsewhere, food stall operators who defied the order were advised to close down and return home.

    Although police have the powers to detain those who defied orders to remain indoors, Inspector-General of Police Tan Sri Abdul Hamid Bador said on Tuesday that a softer approach of advising and issuing warnings will be adopted in the early stages of the order’s implementation.

    (Video) Police deploy in numbers to enforce restricted movement order
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    https://www.thesundaily.my/local/video-police-deploy-in-numbers-to-enforce-restricted-movement-order-BA2147157

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  • King decrees all Malaysians to obey movement control order

    King decrees all Malaysians to obey movement control order

    King decrees all Malaysians to obey movement control order 3

    KUALA LUMPUR: Yang di-Pertuan Agong Al-Sultan Abdullah Ri’ayatuddin Al-Mustafa Billah Shah (pix) today decreed all Malaysians to obey the movement control order announced by Prime Minister Tan Sri Muhyiddin Yassin yesterday and to give full cooperation in containing the spread of Covid-19 infections in the country.

    The order will take effect from tomorrow until March 31.

    Comptroller of the Royal Household of Istana Negara Datuk Ahmad Fadil Shamsuddin said His Majesty, nevertheless, said that the people should face the situation calmly to help the government and the relevant authorities tackle the situation effectively.

    “His Majesty urges the people not to take the movement control lightly. The people were also asked to follow the guidelines and preventive measures issued by the Ministry of Health because this is our mutual responsibility to ensure safety and wellbeing of our families, our communities and our beloved country,” he said in a statement issued by Istana Negara today.

    He said Al-Sultan Abdullah also viewed seriously the rising number of positive Covid-19 cases in Malaysia, which was recorded at 553 yesterday and had placed his full trust in the government and the authorities to discharge their duties in containing the spread of the disease.

    Ahmad Fadil said His Majesty was well aware that the people might feel that the action taken by the Perikatan Nasional government had made it difficult for them to go about their daily activities.

    “However, we must try to understand and be patient because the government cannot wait for the situation to become more critical to take drastic action.

    “As the Head of State, His Majesty also called on all Malaysians, regardless of race and religion, to stay united and play their parts to help the government in containing the spread of Covid-19 in the country.

    “His Majesty believes that with the strong spirit, concern and cooperation from the people, we will be able to contain the spread of the disease quickly and effectively,” he said.

    Ahmad Fadil said Al-Sultan Abdullah also decreed all Malaysians to refer to the Online Health Advisory Service or the National Crisis Preparedness and Response Centre (CPRC) via the Ministry of Health’s website to find the answers to all their doubts and questions so as to prevent the spread of fake news and false information that may cause panic and confusion among themselves.

    The Yang di-Pertuan Agong also expressed appreciation and thanks to the government under the leadership of Muhyiddin, government agencies and most of all to the unsung heroes, the medical staff and healthcare personnel, the civil servants and all the others who have sacrificed their time and energy in ensuring that all preventive measures and control of the infectious disease were being implemented efficiently.

    “His Majesty also called on all Muslims to join him to pray to Allah SWT so that all our efforts be blessed and so that the COVID-19 situation can be tackled and put to end as soon as possible. InsyaAllah,” he said. – Bernama

    King decrees all Malaysians to obey movement control order
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    https://www.thesundaily.my/local/king-decrees-all-malaysians-to-obey-movement-control-order-YD2140919

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  • ICC-WHO Joint Statement: An unprecedented private sector call to action to tackle COVID-19

    ICC-WHO Joint Statement: An unprecedented private sector call to action to tackle COVID-19

    In a coordinated effort to combat the coronavirus COVID-19 pandemic, the International Chamber of Commerce (ICC) and the World Health Organization (WHO) have agreed to work closely to ensure the latest and most reliable information and tailored guidance reaches the global business community.

    The COVID-19 pandemic is a global health and societal emergency that requires effective immediate action by governments, individuals and businesses. All businesses have a key role to play in minimising the likelihood of transmission and impact on society. Early, bold and effective action will reduce short- term risks to employees and long-term costs to businesses and the  economy.

    To aid this collective effort, ICC will regularly send updated advice to its network of over 45 million businesses so that businesses everywhere can take informed and effective action to protect their workers, customers and local communities and contribute to the production and distribution of essential supplies.

    ICC will also contribute to enhancing information flows on the coronavirus outbreak by surveying its global private sector network to map the global business response. This will both encourage businesses to adopt appropriate precautionary approaches and generate new data and insights to support national and international government efforts.

    As an immediate priority, businesses should be developing or updating, readying or implementing business continuity plans. Business continuity plans should aim to reduce transmission, including by: promoting understanding of the disease, its symptoms and appropriate behavior among employees; setting up a reporting system for any cases and contacts; preparing essentials; limiting travel and physical connectivity; and planning for measures such as teleworking when necessary.

    Calls to Action

    • ICC strongly endorses WHO’s call on national governments everywhere to adopt a whole-of- government and whole-of-society approach in responding to the COVID-19 pandemic. Reducing the further spread of COVID-19 and mitigating its impact should be a top priority for Heads of State and Government. Political action should be coordinated with actors in the private sector and civil society to maximize reach of messaging and effectiveness.
    • Governments should commit to making available all necessary resources to combat COVID-19 with the minimum of delay and to ensure that cross-border medical and other essential goods supply chains are able to function effectively and efficiently
    • ICC and the WHO encourage national chambers of commerce to work closely with UN country teams, including WHO country offices where they exist, and to designate mutual focal points to coordinate this collaboration.
    • ICC encourages its members to support their country’s national response efforts and to contribute to the global response efforts coordinated by the WHO through www.covid19responsefund.org.

    As the pandemic evolves, ICC Secretary General John W.H Denton AO and WHO Director General Dr Tedros Adhanom Ghebreyesus will continue to coordinate their efforts.

    Essential information on the COVID-19 pandemic can be found on the WHO’s dedicated site.

     

    ICC-WHO Joint Statement: An unprecedented private sector call to action to tackle COVID-19
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    https://www.who.int/news-room/detail/16-03-2020-icc-who-joint-statement-an-unprecedented-private-sector-call-to-action-to-tackle-covid-19

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  • Covid-19: 41 new cases reported, tally now 238

    Covid-19: 41 new cases reported, tally now 238

    Covid-19: 41 new cases reported, tally now 238 4

    KUALA LUMPUR: A total of 41 new COVID-19 cases were reported as at noon today, bringing cumulative cases in the country to 238, Health Director-General Datuk Dr Noor Hisham Abdullah said.

    He said all 41 new cases were linked to the tabligh religious gathering, and they involved 37 patient under investigation (PUI) cases while four more are close contact cases.

    “To date, a total 203 cases are still being treated, with five in the intensive care unit (ICU) and requiring ventilator support. The five are also being given anti-viral treatment.

    “Also, as of today, a total 1,321 samples from influenza-like-illnesses (ILI) and severe acute respiratory infections (SARI) have been tested at the Institute for Medical Research (IMR), all public health laboratories and hospitals. Of those, three samples tested positive for COVID-19,” he said in a statement, here today.

    In another development, two earlier cases (case 35 and 61) have recovered and have been discharged from the Sungai Buloh hospital, he said.

    This brings the number of recovered cases to 35 so far.

    Dr Noor Hisham also advised the public to remain calm and not to spread inaccurate information with regard to the tabligh religious gathering that took place from Feb 28-March 1.

    Also, to prevent risk of infection on those from the vulnerable communities and those prone to infection, especially the Orang Asli community, the Health Ministry (MOH) is advising organisations or groups who have plans to conduct activities with these communities to postpone them, he said.

    Dr Noor Hisham said the ministry will continue to provide health services to rural communities through outreach activities.

    “The ministry also welcomes any form of medical aid, contributions or collaborations from any party, including non-governmental organisations,” he said, adding that offers or inquiries can be submitted through the ministry’s email cprc@moh.gov.my.

    Meanwhile in an updated statement issued at 7pm, the MOH said a total 4,942 participants from the tabligh event at the Sri Petaling mosque have been identified.

    Of these, 3,069 reported themselves in at Health Clinics for examination and screening while another 137 were referred to hospitals.

    “Only 1,634 of them experienced respiratory tract infection symptoms and samples were taken, while 2,932 of them were asked to undergo home surveillance for 14 days from the last day of the gathering. Investigations and tracking of the event participants is ongoing,” the statement read. — Bernama

    Covid-19: 41 new cases reported, tally now 238
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    https://www.thesundaily.my/local/covid-19-41-new-cases-reported-tally-now-238-EC2127446

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  • WHO, UN Foundation and partners launch first-of-its-kind COVID-19 Solidarity Response Fund

    WHO, UN Foundation and partners launch first-of-its-kind COVID-19 Solidarity Response Fund

    GENEVA and Washington, D.C. – A new coronavirus disease (COVID-19) Solidarity Response Fund will raise money from a wide range of donors to support the work of the World Health Organization (WHO) and partners to help countries respond to the COVID-19 pandemic. The fund, the first-of-its-kind, enables private individuals, corporations and institutions anywhere in the world to come together to directly contribute to global response efforts, and has been created by the United Nations Foundation and the Swiss Philanthropy Foundation, together with WHO. 

    “We are at a critical point in the global response to COVID-19 – we need everyone to get involved in this massive effort to keep the world safe,” said Dr. Tedros Adhanom Ghebreyesus, WHO Director-General. “We are immensely grateful to the UN Foundation and the Swiss Philanthropy Foundation for coming forward to help us set up this fund. A lot of people and institutions have been saying they want to contribute to the fight against the novel coronavirus. Now they can.”

    The fund launches with major support already lined up, including from Facebook and Google who have instituted a matching scheme for funds raised through their platforms, while individual donors are also supporting the fund through www.COVID19ResponseFund.org.

    “We can’t ignore the fact that this is a truly global problem – one that requires truly global solutions,” said Elizabeth Cousens, UN Foundation President and CEO. “The case for global cooperation could not be clearer – communities everywhere are affected, and people want to contribute. This new fund will create space for people everywhere, together, to fight this virus.”

    Funds will go towards actions outlined in the COVID-19 Strategic Preparedness and Response Plan to enable all countries – particularly those most vulnerable and at-risk, and with the weakest health systems – to prepare for and respond to the COVID-19 crisis including rapidly detecting cases, stopping transmission of the virus, and caring for those affected.

    WHO and its partners are seeking financing for protective equipment for frontline health workers; to equip diagnostic laboratories; improve surveillance and data collection; establish and maintain intensive care units; strengthen supply chains; accelerate research and development of vaccines and therapeutics;  and take other critical steps to scale up the public health response to the pandemic.

    The COVID-19 Solidarity Response Fund is hosted by two foundations, the UN Foundation (registered in the United States) and the Swiss Philanthropy Foundation (registered in Switzerland). Both foundations have established relationships with the World Health Organization, allowing for efficient transfer of financial resources to enable COVID-19 response efforts.

    Apart from giving online at www.COVID19ResponseFund.org, the UN Foundation can also receive donations via check or wire from around the world by contacting COVID19Fund@unfoundation.org.  

    All donations made to the United Nations Foundation and Swiss Philanthropy Foundation are tax-deductible to the extent allowable by the law, where applicable (U.S. and Switzerland). Additionally, Swiss Philanthropy Foundation has partnered with Transnational Giving Europe to extend tax benefit to certain additional European countries where applicable.

     ###

    More:

    COVID-19 Strategic Preparedness and Response Plan

    Coronavirus disease (COVID-19) outbreak information

    About the United Nations Foundation

    The UN Foundation brings together the ideas, people, and resources the United Nations needs to drive global progress and tackle urgent problems. Our hallmark is to collaborate for lasting change and innovate to address humanity’s greatest challenges. With an insider’s knowledge and outsider’s flexibility, we stay agile to get things done. Learn more at: www.unfoundation.org.

     

    WHO, UN Foundation and partners launch first-of-its-kind COVID-19 Solidarity Response Fund
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    https://www.who.int/news-room/detail/13-03-2020-who-un-foundation-and-partners-launch-first-of-its-kind-covid-19-solidarity-response-fund

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  • WHO statement on cases of COVID-19 surpassing 100 000

    WHO statement on cases of COVID-19 surpassing 100 000

    As of today’s reports, the global number of confirmed cases of COVID-19 has surpassed 100 000. As we mark this sombre moment, the World Health Organization (WHO) reminds all countries and communities that the spread of this virus can be significantly slowed or even reversed through the implementation of robust containment and control activities. 

    China and other countries are demonstrating that spread of the virus can be slowed and impact reduced through the use of universally applicable actions, such as working across society to identify people who are sick, bringing them to care, following up on contacts, preparing hospitals and clinics to manage a surge in patients, and training health workers.

    WHO calls on all countries to continue efforts that have been effective in limiting the number of cases and slowing the spread of the virus. 

    Every effort to contain the virus and slow the spread saves lives. These efforts give health systems and all of society much needed time to prepare, and researchers more time to identify effective treatments and develop vaccines. 

    Allowing uncontrolled spread should not be a choice of any government, as it will harm not only the citizens of that country but affect other countries as well. 

    We must stop, contain, control, delay and reduce the impact of this virus at every opportunity. Every person has the capacity to contribute, to protect themselves, to protect others, whether in the home, the community, the health care system, the work place or the transport system. 

    Leaders at all levels and in all walks of life must step forward to bring about this commitment across society. 

    WHO will continue to work with all countries, our partners and expert networks to coordinate the international response, develop guidance, distribute supplies, share knowledge and provide people with the information they need to protect themselves and others.

    WHO statement on cases of COVID-19 surpassing 100 000
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    https://www.who.int/news-room/detail/07-03-2020-who-statement-on-cases-of-covid-19-surpassing-100-000

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