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Remarks by Dr Michael Ryan, Executive Director, WHO Health Emergencies Programme at media briefing on COVID-19 on 13 February 2020

Good afternoon everyone and apologies for being late, and apologies too from Dr Tedros, who is just about to land in the Democratic Republic of the Congo where he is following up on important Ebola matters and meeting with President Tshisekdi and many others to look at the future post-Ebola of the health system in Congo.

I’m sure you’ll understand how important a task and mission that is given the last year-and-a-half in Congo and the ongoing struggles in that country to deliver effective healthcare and reduce suffering and mortality from infectious diseases.

Let me start by updating you on the latest numbers.

In the last 24 hours China has reported 1,820 laboratory-confirmed cases, bringing the total to 46,550.

In addition, China reported 13,332 clinically confirmed cases in Hubei province, and crucially, we understand that most of these cases relate to a period going back over days and weeks and are retrospectively reported as cases, sometimes back to the beginning of the outbreak itself.

So this increase that you’ve all seen in the last 24 hours is largely down to a change in how cases are being diagnosed and reported.

So, in other words, in Hubei province only, a trained medical professional can now classify a suspected case of COVID-19 as a clinically-confirmed case on the basis of chest imaging, rather than having to have a laboratory confirmation.

This allows clinicians to move and report cases more quickly, not having to wait for lab confirmation, ensuring that people get to clinical care more quickly, and also allows public health responses in terms of contact tracing and other important public health measures to be initiated.

As you’ve noticed with suspect cases, there have been some backlogs in testing and this is also going to help ensure that people get adequate care and adequate public health measures can be taken.

So we are not dealing, from what we understand, with a spike in cases of 14,000 on one day.

To an extent this is an artefact of the reporting and we are working with our colleagues in China, and our team there are working very hard to see exactly how many days and weeks and how those numbers are spread across those days and weeks.

In the rest of China and the rest of the world, laboratory confirmation for reporting is still required.

WHO will continue to track both laboratory and clinically-confirmed cases in Hubei province.

We’ve seen this spike in the number of cases reported in China, but this does not represent a significant change in the trajectory of the outbreak.

Outside China, there are 447 cases from 24 other countries, and now two deaths. In addition to the death in the Philippines, there is now one more death in Japan.

We have said consistently that we need to be cautious when drawing conclusions from daily reported numbers. I think we were having that discussion yesterday and I think the numbers today speak to that.

We need to be very careful when interpreting any extremes. Be it in incubation period, be it in daily numbers, we must take all numbers into account, we must look at all numbers seriously but we also must try and interpret what those numbers mean and not react directly to the number itself.

The number of countries reporting cases has still not changed and outside the cases on the Diamond Princess cruise ship, we’re not seeing a dramatic increase in transmission outside China.

That is the current picture. We’re still saying to governments around the world that we still have an opportunity to prepare for the potential spread of the virus.

Regarding the Diamond Princess cruise ship, which is currently quarantined in Yokohama, 218 passengers have tested positive for the virus, which does represent the largest cluster of COVID-19 cases outside China.

This morning, I briefed health ministers from the European Union, convened by Croatia, the presidency, about COVID-19 and our teams are working with governments and partners of the European Union to ensure that the latest information is disseminated, that preparations are made and there’s good coordination between ourselves and the European Union and our WHO Regional Office for Europe.

And we very much welcome the strong support from the European Union in supporting countries with weaker health systems and ensuring that other countries have the investment and support needed to prepare for the arrival of the virus.

In terms of the international mission, the advanced team and their Chinese counterparts have now finalized the scope of work and design of the mission and we expect the rest of the international team to start arriving in China over the weekend.

Thank you.

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February 27, 2020
Ministers to agree new global road safety agenda to 2030

Government ministers and senior officials from over 100 countries will meet in Stockholm, Sweden from 19-20 February to discuss new steps to halve road traffic deaths and injuries by 2030, in line with global targets agreed in the United Nations Sustainable Development Goals (SDGs).

“The fact that an estimated 1.35 million lives are lost every year due to road traffic collisions is an outrage. It is an unacceptable price to pay for mobility,” said Dr Tedros Adhanom Ghebreyesus, Director-General at the World Health Organization (WHO).

Road traffic injuries are now the leading cause of death for children and young adults aged 5 to 29 years, according to WHO’s most recent Global status report on road safety.

More than half of all road traffic deaths occur among pedestrians, cyclists and motorcyclists. The risk of a road traffic death remains three times higher in low-income countries than in high-income countries. Moreover, as many as 50 million people experience non-fatal road injuries, which impose human suffering and major economic losses.

“Most road traffic deaths and injuries can be prevented, using tried and tested strategies,” added Dr Tedros. “This conference is an opportunity for the world to embrace a new agenda to radically reduce the number of lives lost on our roads and re-think how we can provide access to safe, affordable, accessible and sustainable transport systems for all.”

Progress in road safety

Many countries have already made progress through effective road safety management and focusing on better legislation and enforcement around key risks such as speeding; drinking and driving, and failing to use seatbelts. They have also improved infrastructure through measures such as safer sidewalks and dedicated lanes for cyclists; implemented vehicle standards such as those that mandate advanced braking and electronic stability control; and enhanced post-crash care.

Improvements have occurred when a number of sectors have been involved – including transport, health, urban planning and law enforcement, among others. Success has also depended mainly on strong leadership and political will at the highest level of government and in close collaboration with civil society and the private sector.

The Stockholm Declaration

Hosted by the Government of Sweden in collaboration with WHO, the 3^rd Global Ministerial Conference on Road Safety offers delegates an opportunity to share successes and lessons learned, chart future strategic directions for global road safety, and define ways to fast-track progress around proven strategies to save lives.

The Stockholm Declaration will be presented as the final outcome document of the Ministerial Conference calling for strong political will and international cooperation as well as partnerships across many sectors of society. The Declaration will lay out key recommendations for accelerated action to drive progress towards halving global road traffic deaths and injuries by 2030.

Beyond preventing human suffering and major economic losses, addressing road traffic deaths and injuries has positive impact across all aspects of society and development ─ including those linked to environment, climate change, education, employment, energy, poverty, human rights and equality ─ as outlined in the SDG targets.

Note to editors:

Road safety is reflected in the SDGs agreed in 2015, with two dedicated targets: (a) 3.6 aimed at preventing road traffic deaths and injuries and (b) 11.2 providing access to safe, affordable, accessible and sustainable transport systems for all.

Achieving these targets would lead to increases in walking, cycling and using public transport, in other words, those modes of transport which impact most favorably on noncommunicable diseases like heart and lung diseases, cancer and diabetes. It would also contribute to reducing environmental risks, such as air and noise pollution, and steering sustainable urbanization, with less congestion and universal access to safe, inclusive and green public spaces.

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https://www.who.int/news-room/detail/07-02-2020-ministers-to-agree-new-global-road-safety-agenda-to-2030

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February 27, 2020
WHO and FIND formalize strategic collaboration to drive universal access to essential diagnostics

Geneva, Switzerland – 10 February 2020 – The World Health Organization (WHO) and the Foundation for Innovative New Diagnostics (FIND) announced today that a memorandum of understanding has been signed by the two organizations to formalize a strategic collaboration that will strengthen diagnosis in resource-poor countries by closing major diagnostic gaps at country level and bolstering disease surveillance that will inform public health initiatives and enhance outbreak preparedness and response.

“This collaboration is an inspiring development that will take us a long way towards ensuring access to diagnostics to all who need them,” said Dr Tedros Adhanom Ghebreyesus, Director-General of the World Health Organization. “Global health challenges such as the ongoing novel coronavirus (2019-nCoV) outbreak demonstrates that without these essential elements of health systems, we cannot hope to promote health, keep the world safe, and serve the vulnerable. I look forward to working closely with FIND to determine what countries need and to forge a path to deliver these innovations so that no one is left behind.”

Diagnosis is a driver of patient, financial and health systems impact, and a critical enabler of universal health coverage, but it is also the weakest link in the care cascade. This is especially true in primary healthcare settings in low- and middle-income countries. A unique and unprecedented opportunity exists to expand the role and impact of diagnostics to fully realize their potential to address major health security threats and evolving disease burdens through technological and digital advances.

FIND has been an active partner with WHO since 2008 and a WHO Collaborating Centre since 2014, acting in the areas of laboratory strengthening and diagnostic technology evaluation. This expanded collaboration will put in place the building blocks necessary to enable transformative change in a move toward a country-led diagnostics alliance. Initial workstreams will focus on demand-driven access to essential diagnostics and the development of national Essential Diagnostics Lists, alongside collection of data that assist the scale up of diagnostics to support low- and middle-income countries on their paths to universal health coverage.

“Each and every person has the right to a quality, timely diagnosis,” said Catharina Boehme, CEO of FIND. “Comprehensive diagnostic services underpin functional and efficient health systems not only to manage day-to-day healthcare needs, but also to ensure new disease outbreaks can be spotted and contained quickly. Working closely with WHO as part of a country-led alliance, we will strive to ensure that low- and middle-income countries have what they need to develop their own comprehensive, data-driven diagnostic strategies that enable universal health coverage and empower disease surveillance. Our ambition is that all patients, providers and decision-makers have access to the diagnostic solutions needed for optimal health outcomes.”

The strategic collaboration agreement will initially run for a period of 5 years, until 2025.

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About FIND

FIND is a global non-profit organization that drives innovation in the development and delivery of diagnostics to combat major diseases affecting the world’s poorest populations. Our work bridges R&D to access, overcoming scientific barriers to technology development; generating evidence for regulators and policy-makers; addressing market failures; and enabling accelerated uptake and access to diagnostics in low- and middle-income countries (LMICs). Since 2003, we have been instrumental in the development of 24 new diagnostic tools used in 150 LMICs. Over 50 million FIND-supported products have been provided to our target markets since the start of 2015. A WHO Collaborating Centre, we work with more than 200 academic, industry, governmental, and civil society partners worldwide, on over 70 active projects that cross six priority disease areas. FIND is committed to a future in which diagnostics underpin treatment decisions and provide the foundation for disease surveillance, control and prevention. For more information, please visit www.finddx.org

About WHO

The World Health Organization is the directing and coordinating authority for health within the United Nations system. It is responsible for providing leadership on global health matters, shaping the health research agenda, setting norms and standards, articulating evidence-based policy options, providing technical support to countries and monitoring and assessing health trends. WHO is committed to the enjoyment of the highest attainable standard of health as one of the fundamental rights of every human being without distinction of race, religion, political belief, economic or social condition. WHO’s current global programme of work sets out three interconnected strategic priorities: ensuring healthy lives and well-being for all at all ages; achieving universal health coverage; and addressing health emergencies and promoting healthier populations. These priorities are linked to three ambitious targets, the “triple billion”: one billion more people to benefit from universal health coverage; one billion more people better protected from health emergencies; and one billion more people enjoying better health and well-being.

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February 27, 2020
E-cigarette vapor does not cause oxidative stress in viable lung epithelial cells

E-cigarette vapour is much less harmful to lung cells than cigarette smoke. Lab tests show that, unlike tobacco smoke, which causes oxidative stress and cell death, e-cigarette vapour does not. Oxidative stress and cell death are driving factors in the development of many smoking-related diseases such as COPD and lung cancer.

Vapour from e-cigarettes has been found to contain significantly lower levels of the toxicants found in cigarette smoke (Chemical Research in Toxicology DOI: 10.1021/acs.chemrestox.6b00188), but suitable lab tests and clinical studies are necessary to understand whether this translates into reductions in biological responses and disease.

Researchers at British American Tobacco have developed a standardized way of measuring and comparing the potential of conventional cigarette smoke and e-cigarette vapour to cause oxidative stress in an in vitro model of lung epithelium.

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February 27, 2020
A family-based weight management program improved self-perception among obese children

Battling the childhood obesity epidemic is a priority for many researchers, as obesity during adolescence increases the risk of chronic diseases throughout life. Because obese children have lower quality of life and self-esteem, greater levels of depression and anxiety, and also face more teasing and bullying than normal-weight peers, including mental health in any intervention is necessary. To that end, researchers studied the self-perception of children participating in the Fit Families program.

Fit Families is a program based on Social Cognitive Theory delivered through the New Mexico Cooperative Extension service. The program was developed for areas of southern New Mexico lacking resources to help combat childhood obesity in a positive, culturally appropriate manner by encouraging healthy food and nutrient intake and increased physical activity. For this study, children with a body mass index at least in the 85th percentile were referred by local physicians. The final study included 46 children, ranging from 8 to 17 years of age, 43% of whom were male, and 80% of whom were Hispanic.

“With our emphasis on fun physical activity, children and parents reported enjoying the games at Fit Families. We believe this may have resulted in the children’s increased self-perception related to their athletic ability,” said Martha Archuleta, PhD, RD, lead author of the study. “Children also improved the perception of their physical appearance, possibly due to the way self-acceptance and diversity of body sizes were promoted.”

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February 27, 2020
Christian Healing Ministries That Heal Stress and Addictions

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Jesus Christ is the focus of Christian healing ministries that are freeing people from the pain associated with unhealthy lifestyles. There is no limit on the healing power of Jesus Christ. If you are seeking: healing addictions, healing sexual abuse and healing stress: Jesus cares about those things that are plaguing you and here are some Biblical steps that you can take. Spiritual healing is available that will reach deep into a person’s soul to bring healing from these common torments that are destroying the peace and joy that is available through Jesus Christ.

Healing Stress
Negative emotions are damaging to the body. Modern life is often characterized by a mounting sea of daily pressures and stressful events which are coming at us from every direction. However, the real culprit behind stress and stress related illnesses is not the situations and daily pressures that are bombarding us. The real culprit behind stress is the emotional reactions that we are experiencing on the inside of us. These emotions can generate sickness within our body. Negative emotions release chemical reactions in the body and the brain. These reactions affect organs on every level including the stomach, heart, large muscles, and the cells throughout the entire body. The most dangerous emotions include: un-forgiveness, depression, rage, anger, worry, fear, grief, guilt and frustration.

What many don’t realize is that these negative emotions are sins which not only cause disease, they also separate us from God. But don’t be discouraged! There is good news in this truth and that good news is that there is a way out from disease and the entrapment of negative attitudes and emotions that may have affected our personality. Jesus died so that we can be free of sin’s penalty and from its power. We can be set free of negative emotions which cause sickness and stress by learning how to carry our negative emotions captive to Christ (2Co 10:5). Healing stress can bring forth physical healings in our bodies from diseases that we may be experiencing. It always carries us closer to Christ.

Healing sexual abuse
Sexual abuse is a traumatic experience that causes deep feelings of rejection within the abused person. Sins against us whether they are verbal, physical, or sexual are tremendously painful experiences which can leave us experiencing symptoms in our personalities such as shyness, perfectionism, exhibitionists, and high achievers. Healing sexual abuse is necessary in order to experience the freedom of life without seeking the approval of others. The deep-rooted pain can cause a person to hide their real self from others and even from God. Healing sexual abuse will result in meaningful relationships and purposeful lives which are filled with true intimacy with others and with God.

Healing Addictions
Addiction is bondage in our lives. Spiritual/emotional bondage is anything in our lives that controls us or rules us. God-and the peace and freedom He gives us-is to be our master, not sin. Some things that are good can become addictions when moderation is passed such as eating, work, relationships, shopping, prescription drugs and entertainment. Other addictions are based on things that are not good to begin with such as gambling, foul language, illegal drug use, and pornography. True freedom from addiction and healing addictions begins with allowing God to work on your emotional life and honestly admitting deep down inside that you need His help to help you surrender and stay surrendered to His leadership in your life.

Healing stress, healing addiction, and healing sexual abuse are only possible through the power of the cross. When you receive Jesus Christ as your savior you receive the Spirit of Jesus Christ within you. Becoming a new man is not always immediately visible outwardly, but as you seek God through the truths found in the Bible you will experience freedom in your life as never before. Christ in you is the hope of glory (Col 1:27):
To them God willed to make known what are the riches of the glory of this mystery among the Gentiles: which is Christ in you, the hope of glory.

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Source by Scott J Thomas

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February 5, 2020
Lifestyle Diseases

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There have been increasing reports of several lifestyle diseases affecting the people from several countries of the world. One of the main reasons for this is lack of time to think about good health. Some of the other reasons include, lack of awareness, bodily disorders, excessive work related stress, etc. The rural uneducated people do not follow the basic principles of nutrition. Most of them are also poor.

Hyper tension and excessive blood sugar levels are the most important risks affecting the lives of many people. Besides several other contributing factors, excessive salt in the body seems to be facilitating increase in the levels of blood pressure. Kidney is the vital organ which does control blood pressure levels. According to the medical researchers, the readings above 140/90 are known as the hyper tension. lesser salt intake, relaxation, drinking green tea, consuming two or three garlic cloves in the morning, etc are some of the natural remedies Balanced diet or nutritious food and brisk walking are also helpful. Avoiding the risky decisions, planning the work perfectly, avoiding disappointment, inclusion of fun in one’s life, meditation, yoga, management of time effectively, healthy inter personal skills,etc would also aid in reducing unnecessary stress.

Good sleep can reduce higher glucose levels. Our blood needs only certain minimum levels of glucose. The excessive amounts can cause several health problems. The excessive glucose in the blood would lead to its clotting. The body might lose its immunity. Consuming our food at regular intervals would go a long way in reducing the risk of high glucose levels. Natural herbs such as neem leaves, lady finger, garlic, onion, green tea, etc are of great help to maintain normal blood sugar levels.

Obesity is one of the major factors in reducing the effectiveness of the people. It is also responsible for the onset of the above mentioned health hazards. Several factors do play a role in the increase in our body’s weight. Many people seem to be getting good awareness about the ill effects of excessive weight.

Stroke, cardio vascular diseases, loss of eye sight, etc are some of the consequences of improper lifestyle. Medical scientists do suggest to include more vegetables in the diet. Stress seems to be basically the mind’s problem. Higher glucose levels too cause stress.

Proper medication, nutritious diet, regular exercise, etc would go a long way in maintaining the normal levels of both glucose and salt.

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Source by Tirumala Prasad

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February 3, 2020