Tag: Guide

  • World Health Worker Week – April  5 – 11, 2020

    The COVID-19 pandemic and different international emergencies present us as soon as once more the heroic efforts well being staff on the entrance traces make day-after-day to maintain their communities—and the world—protected and wholesome.  The WHO and the Global Health Workforce Network is happy to associate with civil society companions—the Frontline Health Workers Coalition and its members—to honor well being staff throughout World Health Worker Week: April 5-11, 2020. The Eighth Annual World Health Worker Week is yet one more alternative to mobilize communities, companions, and policymakers to extend assist of well being staff worldwide.

    The 2020 theme is Leaders on the Front Line. This theme highlights the want to offer higher management alternatives for frontline well being staff—significantly ladies well being staff, who make up greater than 70% of the worldwide well being workforce. At the identical time, this theme emphasizes how well being staff usually put themselves on the road, usually at nice private danger to themselves and their households, to avoid wasting and enhance lives.

    We invite all well being workforce stakeholders to affix us by elevating public consciousness and fascinating on well being workforce points, and acknowledge the lifesaving contribution of the well being workforce. All actions can be filtered by a World Health Worker Week portal, hosted by the Frontline Health Workers Coalition secretariat at IntraHealth International.

     Some key methods to get entangled:

    • Add your voice to the #WHWWeek dialog on social media! Use the WHWW Social Media Guide with key messages, graphics, and steered tweets.
    • Participate within the WHWW Video Testimonial Series and inform well being policymakers why frontline well being staff are Leaders on the Line and the way we will higher assist them. It’s straightforward to participate—see the guidance and add your video.
    • Celebrate World Health Day on Tuesday, April 7. In this International Year of the Nurse and the Midwife, World Health Day will shine a lightweight on the important function nurses and midwives play in offering well being care world wide, and name for a strengthening of the nursing and midwifery workforce. Share and promote World Health Day belongings here.

     

     

    World Health Worker Week - April  5 - 11, 2020
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    https://www.who.int/news-room/detail/02-04-2020-world-health-worker-week-2020

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  • The Ultimate Guide to Video Marketing on YouTube

    There are a variety of reasons web-based video is such an important media vehicle, and marketers that understand the nuances will be more successful than the laggards

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    http://www.associationofmarketing.org/articles/view.php?article_id=6714

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  • New WHO Guide to help countries expand access to essential medicines

    New WHO Guide to help countries expand access to essential medicines

    WHO’s   new user guide for countries, ‘Selection of medicines at country level’, is based on the WHO Model List of Essential Medicines. It sets out the key actions countries should undertake to develop and update their own
    national essential medicines lists based on the treatment needs of their populations and their capacity to reimburse payments for medicines.

    The document also aims to support countries in progressing towards universal health coverage. Today, approximately half of the world’s population is unable to  access essential medicines. The large majority of these people live in poorer countries,
    but rising prices of new medicines are also becoming a challenge for health systems in wealthy countries.

    A careful selection of essential medicines is the first step in ensuring a population can obtain the quality-assured medicines it needs at an affordable price.  Countries need to do more to ensure that all people and communities can access highly
    effective medicines. WHO’s new manual is a resource to do just that. 

    The document, intended for policy makers in charge of national medicines and reimbursement lists, aims to increase transparency on how essential medicines are selected. Most national lists of essential medicines have several differences when compared
    with WHO’s model list, which lists only medicines of proven safety and efficacy. Some national lists include medicines that bring little extra benefit to patients. Decision-makers should refer to the WHO global list to gauge the public health
    value of listing certain medicines for their populations.

    The essential medicines concept 

    Essential medicines are: 

    • those that satisfy the priority health care needs of the population
    • selected with due regard to disease prevalence and public health relevance, evidence of efficacy and safety, and comparative cost-effectiveness
    • intended to be available within the context of functioning health systems at all times in adequate amounts, in the appropriate dosage forms, with assured quality and adequate information, and at a price the individual and community can afford.  

    The essential medicines concept is global and forward-looking. It incorporates the need to regularly update medicines selections to reflect new therapeutic options and changing therapeutic needs; the need to ensure drug quality; and the need for continued
    development of better medicines, medicines for emerging diseases and medicines to meet changing resistance patterns.

    Achieving universal health coverage and equity in public health depends on access to essential, high-quality and affordable health related technologies for all. To achieve access for all by 2030, at least two billion more people will need to have access
    to essential health services by 2030.

    In an effort to make the Model List of Essential Medicines more readily accessible, WHO recently developed an electronic version of the list, bringing the traditional EML to computer screens, tablets and smartphones in a freely accessible, downloadable,
    online database.

    Link to manual: Selection of essential medicines at country level

    Link to e-EML: Model List of Essential Medicines

    New WHO Guide to help countries expand access to essential medicines
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  • World TB Day 2020 Newsletter

    World TB Day 2020 Newsletter

    Latest news and updates from WHO

    World TB Day 2020 Newsletter 1

    Dear colleagues and friends,

    World TB Day, this year, comes at a sobering time – as the world grapples with the COVID-19 pandemic. We stand in solidarity with those affected, those at the frontlines of the fight to combat COVID-19, as well as those who continue efforts to support
    those ill with longstanding health problems like TB, HIV and other diseases. However, we cannot forget the millions and their families who battle TB every day and lose their lives to this ancient disease – which remains the world’s top
    infectious killer.

    As eloquently emphasized by WHO Director-General Dr Tedros Adhanom Ghebreyesus in his press briefing on COVID-19 yesterday, “I’d like to remind everyone that although COVID-19 is dominating the world’s attention-there is another respiratory
    disease that is both preventable and treatable, but kills 1.5 million people every year – that disease is tuberculosis”

    “It’s Time”, the focus for World TB Day this year is therefore on urgently accelerating the TB response to save lives and end suffering, even in times of crisis. This will be essential if we are to reach the targets and commitments made
    by Heads of State at the 2018 UN High Level Meeting on TB. 

    We have made important strides against the TB epidemic to date.

    We announced last year, that more people received life-saving treatment for tuberculosis in 2018 than ever before, largely due to improved detection and diagnosis. Globally, 7 million people were diagnosed and treated for TB – up from 6.4 million in 2017
    – enabling the world to meet one of the milestones towards the United Nations political declaration targets on TB and the WHO Director-General Flagship Initiative Find.Treat.All End TB jointly with Stop TB Partnership and the Global Fund. This
    has been a big win for the TB community.

    WHO is working with countries to roll out important guidelines, including a comprehensive package on TB preventive treatment released today, and updated MDR TB guidelines to promote the use of all-oral regimens for patients with drug-resistant TB which
    would be helpful – particularly at this point, when visiting health centers is a challenge. Furthermore, WHO has developed a note to guide and urge countries to ensure continuity of TB services during the COVID-19 pandemic.

    We are strengthening our collaboration with civil society – more information is highlighted in the WHO Civil Society Taskforce Progress Review released today.

    Youth mobilization is being ramped up through the WHO 1+1 Youth Initiative to end TB and the Global Youth Declaration to End TB. Multisectoral accountability is being promoted in countries through our framework and we have finalized a new global strategy
    on TB research and innovation, that will be reviewed by the World Health Assembly.

    Yet, the gains we have made are at risk – if there is any slackening of commitment and action, especially in times of crisis.

    We are at a crossroads and we need to unite forces to take the path of success that will save lives and end suffering.

    I was especially heartened today, to see the TB community coming together like never before. We all took our events to the virtual realm due to COVID-19 lockdowns. The WHO Online Talk Show held this afternoon, had a powerful line up of speakers that included,
    TB survivors and advocates, civil society, high level government representatives, heads of agencies, researchers and partners. As of this evening we have surpassed 10,000 views on YouTube. I also participated in townhalls organized by Stop TB Partnership.
    Our joint efforts have indeed ensured a continuing spotlight on those affected by TB, and clearly shows that no matter what the barrier, we can surpass it if we work together.

    I am proud to stand shoulder-to-shoulder with you all virtually – and recommit to champion End TB efforts till we reach the finish line.

    It’s time to deliver on our promises and ensure no one is left behind.

    It’s time to End TB!

    Dr Tereza Kasaeva
    Director
    Global TB Programme
    World Health Organization


    World TB Day Talk Show

    World TB Day 2020 Newsletter 2

    In the backdrop of the global battle against COVID-19, WHO organized a special online talk show to mark World TB Day 2020. The talk show had a powerful line up of speakers from among TB survivors and advocates, civil society, high-level government representatives,
    heads of agencies, researchers and partners. The video was streamed live on WHO’s Youtube channel crossing over 10,000 views in a few hours. Watch the talk show video


    Spotlight on TB Preventive Treatment

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

    24 March 2020 News release

    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. Read more

    The full package is available below and at our World TB Day Campaign Page


    WHO Civil Society Taskforce on TB: Progress Review

    The WHO Civil Society Taskforce provides a platform for meaningful engagement of civil society, building on the commitment of the Director-General, with emphasis on harnessing the untapped potential in engagement with civil society and affected communities
    al all levels. To mark World TB Day 2020, the Task Force has released a Progress Review highlighting key achievements since its formation in 2018.

    Access link here


    WHO eTB guidelines: A digital platform to promote adolopment of TB recommendations

    World TB Day 2020 Newsletter 3

    WHO Global TB Programme / McMaster University

    The WHO Global Tuberculosis (TB) Programme, in collaboration with McMaster University, Canada, is developing a smart platform to improve access to and use of all WHO recommendations on TB prevention and care. The WHO eTB guidelines platform will facilitate
    the adoption, adaptation and implementation (“adolopment”) by countries of recommendations across the continuum of care. This digital platform will provide a variety of users – TB programme managers, healthcare workers including
    nurses, researchers, patients and affected communities – with easy access to all essential information about WHO-s current policy guidance on TB.

    The first set of recommendations on TB preventive treatment were released on this new platform on World TB Day.

    WHO eTB guidelines platform

    Infographic


    TB and COVID-19

    24 March 2020 News release

    Geneva –  As the world comes together to tackle the COVID-19 pandemic, it is important to ensure that essential health services and operations are continued to protect the lives of people with TB and other diseases or health conditions. Health services,
    including national programmes to combat TB, need to be actively engaged in ensuring an effective and rapid response to COVID-19 while ensuring that TB services are maintained. Read more


    Let’s never forget: It’s time to end TB

    Ksenia Schenina

    World TB Day 2020 Newsletter 4

    Ksenia Schenina

    24 March 2020 Photo story

    On World TB Day 2020, the theme – “Its time” – stresses the urgency to end the TB epidemic. TB survivor and advocate, Ksenia Schenina, talks about her struggle with the disease, the persistence of stigma and the role that remembrance can play
    in fighting it.   Through her TB memorial project, she aims to remember those who passed away from this terrible and ancient disease. “We do it to show what kind of people they were – what kind of things they liked, what kind of music
    they listened to and what their favorite movies were; if they liked fishing or dreamt of a flight to space,” she says. Read more


    Commentary

    To end TB, we must invest in research and innovation

    24 March 2020 Commentary

    If the world is to get anywhere near ending TB, a disease that killed more than 1.5 million people in 2018, something significant needs to change.

    TB remains the world’s leading infectious killer and yet, in the last 50 years, only three new drugs and regimes have been developed to combat the disease. “What we need is more research and more tools in the pipeline; better diagnostics,
    more effective vaccines, and safer, shorter drug regimes,” explains Dr Tereza Kasaeva, Director of the World Health Organization Global Tuberculosis Programme. Read more


    Emily: A Day in the Life of a TB Nurse

    World TB Day 2020 Newsletter 5

    Maria Emily C. Ballesteros

    Watch this story of Emily, a nurse managing the tuberculosis (TB) program of the City Health Office in Tuguegarao City. Her dream for Tuguegarao is to one day see zero TB cases and that no one dies from this infectious disease. Nurses and healthcare workers
    play a critical role in TB prevention and care. It’s time to invest in them to improve healthcare for all. We thank all the nurses, midwives and healthcare workers working to #EndTB! Watch the video


    Updates and messages

    New research tool supports scale-up of digital technologies to End TB

    24 March 2020 TDR news item

    National anti-tuberculosis efforts are increasingly involving digital technologies, such as mobile applications to support treatment adherence and electronic surveillance systems that enable real-time monitoring of a country’s TB situation. Read more

    World TB Day 2020: It’s Time for solidarity

    24 March 2020 HIV/TB news item

    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).  Read more

    New, shorter treatment to prevent TB to be rolled out in five high TB burden countries

    24 March 2020 news item

    Three-month regimen expected to prevent TB in those at highest risk of developing the disease, including people living with HIV and children under the age of five
    Today, the Aurum Institute and its partners, as part of the IMPAACT4TB project, announced that five high-burden TB countries will roll out a new, shorter drug regimen (known as 3HP) to prevent TB. The announcement comes as countries around the world mark World TB Day, which takes place every year on March 24th. Countries that will initially provide the new regimen with funding from Unitaid, U.S. PEPFAR and the Global Fund include Cambodia, Ethiopia, Kenya, Malawi, South Africa and Zimbabwe. More than 120,000 patient courses of 3HP will be delivered by the project to 12 countries in 2020. An additional 1 million patient courses are expected to reach low- and middle-income countries by the end of the year, through the combined support of Unitaid, Global Fund, the Stop TB Partnership’s Global Drug Facility (GDF) and PEPFAR. Read more
    World TB Day 2020 Newsletter
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    https://www.who.int/news-room/detail/30-03-2020-world-tb-day-2020-newsletter

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  • The Political Economy Of Coronavirus By Kunle Wizeman Ajayi

    The Political Economy Of Coronavirus By Kunle Wizeman Ajayi

    The Political Economy Of Coronavirus By Kunle Wizeman Ajayi 6

    The Political Economy Of Coronavirus By Kunle Wizeman Ajayi 7


     

    The most powerful person in Aso Rock, Abba Kyari; who is the chief of staff to the president, has tested positive to Covid19. No government official can reach President Buhari without him. There is a ripe suspicion that the kitchen cabinet might have been infected. Likewise in Europe, the most powerful person, Angela Merkel the chancellor of Germany, has been quarantined. While Trump and Boris Johnson took the same path in trying to ignore the pandemic, their governments are in deep crises of the damages and exposures their neglect has caused the citizens.

    As I type, the fear of corona virus is the beginning of real wisdom as governments are now banning even churches and mosques from gathering. The Nigerian federal ministry of health has announced 42 cases so far. And even the mass of working people who have hitherto doubted our thieving class so far, are now more wary and precautionary over their immediate safety without relying on the failed health institutions. People seldom shake hands now. Corona waves na the way to greet now! That corona virus has turned a corruption racket is what will be duly discussed another day. 

    Industries are closing down as Wall Street falls like pack of cards. US President Donald Trump is shouting “cuts” for the working class and bail-outs for industries and big business. Whereas, Socialist presidential aspirant Bernie Sanders is calling for “healthcare for all” as well as pay for all US citizens staying at home during the pandemic days. The globalised trend of the corona virus needs a global understanding and lessons of how the world is being ruled everywhere. The way US rulers have failed to care for the poor and invest in proper and compulsory healthcare for all but private pharmaceutical companies who make healthcare a commercial quantity that only the rich can afford, is the same way Nigerian rulers failed to build hospitals and kept allocating between 4 to 6% budgetary spending on education while them and their children spend billions on medical tourism. Also, Boris Johnson’s UK government is renting “beds at hospitals.” This is unlike Spain that has nationalized its healthcare!

    The price of crude oil has fallen globally. The global stock exchange has crashed as workers can no longer go to work and make great wealth for their casino. Coronavirus has superceded SARS with its speedy spread and effects globally. So the world economic crises have been, for the first time, propelled by a health crisis. What can the Left and the revolutionaries in Nigeria make out of this global crises that could leave no island untouched? 

    Naomi Klein, the author of the classic ‘The Shock Doctrine: The Rise of Disaster Capitalism’ has come up to warn that “if you’re a hard-core free-market economist, you understand that when market fails it lends itself to progressive change much more organically, than it does (when) the kind of deregulatory policies emerge. Political and economic elites understand that moment of crises is their chance to push through their wish list of unpopular policies that further polarize wealth…”

    I argue that while the government in Nigeria has reduced the cruelly expensive cost of petrol by just #20, and there is lipservice to building new hospitals, there is a larger probability of massive corruption as the federal government has already declared #2trillion intervention fund. Why we the working people have to very much care is because the same elements who created the crises (whichever ways) would end up profiting largely from the crises. This just as many military officers and politicians are billionaires courtesy the Boko Haram war.

    The interplay of methods of these corruptive accumulations on one hand, and the trajectory of working class resistances is critically assessed weighing up why and how the working people were at the loosing ends at the 2008/9 global economic crises that made the Central Bank under the Soludo/Sanusi bail-outs policies made the criminal banks even richer than before. Though a few bank MDs and top officers were detained on “hospital beds” and such other “ajebutter” prisons; no bank owner was even questioned. 

    The fact that both the US and Nigeria are rich governments that have bad healthcare policies, discussing social infrastructures as class struggle under this system of “primitive accumulation” needs to be knocked up as perspectives to guide millions who want an end to crises and build another world that would be for all and not a tiny thieving few.    

    A CLASSLESS PANDEMIC

    The corona virus has shown that the gap between the rich and the poor is just an artificial creation. The nature of humans is more communal than competitive. Plenty of the rich mouth the fact that we are all equal, but some are more equal than others. This virus is a threat to all and shows that the world can organize together and defeat any virus that attacks it. Crises like this shows that there is no policy that is pro-rich that can save society. Most of the capitalists who rule our world have been saying that government cannot help all and cater for the needs of majority. They tend to tell us that getting “healthcare for all” is rocket science. Corona virus has proved that all that is wrong!

    Meanwhile, many Nigerians are debating as to the cause of corona virus, and why it has drawn more attentions than malaria that kills about 800 everyday and child mortality that murders about 300 women daily. These debates became rife when Ibrahim Magu; head of the Economic Financial Crimes Commission (EFCC) asserted that “corona virus is caused by corruption.” His position, while quite misleading, is correct to the point that the virus is actually caused by the greed of man in unsettling the animal and forest lives. Most of the viruses live in the wildest of forests but humans go in and destroy their habitats. These make the virus homeless and have to migrate to live with humans. 

    The corona virus has also made the Nigerian politicians to have no escapist lives again. Most of them used to go abroad for medical tourism. But there is nowhere to run to now! This is why revolutionaries must use this chance to support striking doctors and demand for free, functionally standard and compulsory healthcare for all. We do not want a situation where the ruling class would use state wealth to build defence and cure for corona virus, only for the rich, instead for all. We must avoid repeating case of the last economic meltdown where what we could see is socialism for the rich and leave the poor uncatered for. This is why we must all reject the paltry #20 that was reduced from oil price as well as condemn the full devaluation of the naira. These policies will make the rich eat their cake and have it. Petrol price should be reduced to at least #45 while naira should be strengthened. The time to consider the #RevolutionNow demands of an “economy for the majority” is now! 

    2008/9: A FLASHBACK 

    When the 2008 global economic meltdown stormed Nigeria, the rulers ordered “technocrats” to adopt the Obama measures in bailing out the banks and their thieving managers. After prosecuting five CEOs of Afribank, Oceanic, Finbank, Intercontinental, and Union bank, The CBN went ahead to put #460bn as bail-outs for the banks after recovering just #70bn. The CEOs lost their posts for giving out #700bn loans without collateral. The loans portfolio of the bank, according to CBN, is #2.8tn. The richest guys in the country were involved in this public racket and were never touched. A good instance is Aliko Dangote who had a loan worth $15m with Oceanic Bank but got elected to replace Ndi OKereke as Nigerian Stock Exchange president. The same person has the monopoly of trading in rice, salt, sugar, textiles, and vegetable oil. The same persons who created the crises in the same place got rewarded after the crises. This is what Naomi Klein is warning about. For the rich, socialism is never good for the majority. The rich, in the time of corona virus and other disasters, want bail-outs but never for the working people. Just as Omoyele Sowore noted; “when crises arises, capitalism retires and socialism becomes the messiah!  

    We must start asking for Cost of Living Allowance (COLA) from the federal government. Every Nigerian must each be paid at least #100,000 monthly as the corona virus effect billing. We should also demand a standard hospital per 5 streets with the doctors and nurses paid appropriately! 

    THE TRUMP/BUHARI DISORDER

    President Buhari’s address to Nigerians has failed to address the pandemic. Trump’s tweets are of the same mental disorders like those of the ministers and officials of Buhari’s government.  Trump boasted that the “virus is under total control…The market will take care of itself,” he had to recant after the Dow Jones Industrial closed with its worst one-day decline since 1987; “The market will be very strong as soon as we get rid of the virus.”

    “But even as he was doing so, Trump maintained that he hadn’t said the virus was “under control,” which is something he has most definitely said on many occasions — along with other attempts to play down fears” CNN noted.

    Garba Shehu and other spokespersons of President Buhari have also been speaking from all sides of their mouths. They first downplayed the effect of the virus by revealing that malaria has been killing hundreds…Until they made some allocations of about $1.2trillion to the virus effects. The question remains the goals of the government. Many Nigerians do not trust the same government that has never given as much as 8% budgetary allocation to healthcare since the Buhari regime came into place, just like the PDP governments before it. While the president is one of the most sick, he prefers to betray electoral promises and visit private hospitals in the UK for months instead of building standard public health care. 

    Working people in US,UK, and Nigeria should look beyond their reactionary rulers and make real political demands that will make sure the same rogues who cause the crises don’t come back to claim to be the super heroes of the same crises. The case of Ebola and Lassa in Nigeria are classics in this regard. While Nigeria was lucky to get over the Ebola case with the sacrifice of health officials; Lassa fever has killed thousands so far loosely tackled because rodents most likely cannot enter luxury houses.

    Nigerians should be aware that both Buhari and Trump are exponents of crazy capitalism and prefers to give false answers to real threats and would only be falsely apologetic later. We must understand that the rulers are neither interested in our well being nor our future. Their fear is that the virus should never become for all. They prefer crises for just the masses. But oga corona no mind. This is why despite Trump trying to call it Chinese virus or Buhari trying to boycott addressing the country, nothing matters to the working people than having a healthy society. Arms in arms, we will have to care for one another and defeat the most dangerous virus ever in the history of the world! 

    OPIUMS ON THE CROSS

    Pastors in Nigeria, aside the ban on public and mass gatherings, are seriously on trial! Many a youths are asking what their “God” would do in this time of corona virus to save the followers from untimely deaths. The first pastor to become so fearless had predicted that he would go to China to cure the virus. But by the time the Italian became the first case in view; the pastor got admitted in a hospital for unknown reasons.

    Also, the mosques are closing shop. Even many are contemplating drinking alcohol to help in preventing corona virus. Despite the fact that many a churches and mosques become well attended public places, the belief in better life and a prosperous world without danger have been the egg tacts around the building of these beliefs. Saudi Arabia has stopped religious visitations. Government everywhere is banning all worshipping junctures. If these bans have been summoned by political demands of the left, it couldn’t have sailed through but the struggle is being marshaled by a pandemic. Bernie Sanders was seen as too extreme but most of those pro-establishment strollers must be shitting in their yanshes now!

    Karl Marx was very clear that “religion is the opium of the masses, the soul of the soulless.” The realizations of the fact that the immediacy of the problems of society can only be derailed if the people think that there is an umbrella or belief that can make some magic. With corona now, even the state that employs religion is not apologetic in banning its public activities. Sadly, many priests still in shock as to a possible demarketing have kept on lying to their congregations. A viral video shows a pastor saying “coronavirus cannot enter Nigeria where there is corrosive anointing;” so cocky in ignorance.  Such public ranting must be condemned.

    CONFUSION BREAK BONE; NAIJA HEALTH IN CRISES

    When the deposed emir of Kano, former CBN governor Sanusi Lamido Sanusi, was banned to Awe in Nassarawa State; the town has two (2) doctors to two hundred thousand (200,000) people. Such is the metaphor of health care in Nigeria.  Most doctors, nurses, and other medical personnel have migrated to other climes in an unprecedented brain drain. As Yusuf posited “7 out of 10 Nigerians live on less than $1.25 (~500 Naira) a day and they also live in a country where 70% of health expenditures are out-of-pocket payments. Nineteen years after the Abuja Declaration where African Union states pledged to allocate at least 15% of their annual budget to health, Nigeria continues to default. With over 23,584 public primary health care facilities, 8,290 private primary health care facilities and 200,000 patent and proprietary medicine vendors (PPMVs) in Nigeria, yet the country’s health indices and other health indicators continue to remain abysmal without any significant improvement compared to other countries in Sub-Saharan Africa.

    Citizens are condemned to self-care using several unregulated drugs and African raw herbs. The yearly allocations to health care in the budget never rise beyond 6 and 8%. This is despite the fact that Aisha, wife of President Buhari once publicly complained that Aso rock clinic has no syringe! At the Teaching hospitals, one has to pay heavily to get health care as the state has been practicing health care commercialization. The medical equipments are really not there while there are so poor remunerations of medical personnel. Yet, when Ebola came knocking in 2014, the health workers paid the sacrifices. 

    Corona virus is global and has now halted the medical tourism of the rich class of whom President Buhari is the chief. If not for Covid-19, he would have gone visiting his London doctors for the umpteenth time!  

    The health workers’ unions have been fighting for a better system for years. This has been led by the Joint Health Staffs Union (JOHESU) and the Nigeria Medical Associations (NMA.) JOHESU has led enormous strikes and pickets but the neo-liberal policies of the ruling class keep ignoring these strikes. As I write, doctors in Abuja are on strike. The rulers are now in a quagmire. This is the time for the unions to collaborate with the civil society and revolutionary movements to take up the state and fight for “free health care for all.”

    THE EXAMPLE OF CUBA

    Fidel Castro’s people are the certified global doctors today! 

    A small island at the backyard of the United States of North America; Cuba is a state-capitalist economy led by revolutionary socialists. While the state have yet boomed since 1959 as a result of the prevailing capitalist globe, it has been vociferous on social welfarism especially education, food, health, and housing. This has been the minimum with which the Communist Party has been working on since the revolution. With its third president in charge now; Cuba is the country that is now rescuing the world from the genocide of corona virus. The vessel that is wholly affected by the virus has been shipped to the Cuban shore and Cuba has been treating the patients on board. Italy is receiving about 200 Cuban doctors and nurses as the catholic country leads the population of casualties. The Cuban health statistics shows that 98% is living healthily just as education is 98.5%. 

    Cuba stood by the world on hurricane Katrina; by South Africa against apartheid; by Angola against imperialist Portugal, and now that “God-forsaken communist country” stands by the world with the best of its great medical care against corona virus. This is a lesson that we need to abide by and make the world a socialist island. The current system of “greed and power” is a pandemic. It is ruled by political viruses that live mainly on primitive accumulations of the sweat and blood of the majority. The working class of all lands should unite and fight capitalism to the ruins and replace it with a world led by the people who make the wealth, not those who do nothing but steal the wealth.  

    IN ALL; THIS PANDEMIC WILL FALL

    The struggle for a safer world is in danger of that “common ruins of the contending classes.” Italy, Nigeria, Spain, China, US, and some others have recorded deaths through corona virus. It is currently rumoured that some senators and members of the House of Representatives have contracted the deadly virus. We have 582 deaths in US and 46,145 cases with only 295 recoveries. One death has been recorded in Nigeria with 46 cases recorded. 6,777 are dead out of 63,927 cases in Italy. China has 16,578 dead in 382,570 incidents. Germany has 29,056 with 123 people dead. German chancellor, Angela Merkel has been quarantined. India with over 1 billion population has about 500 cases with no deaths. 

    The Indian case is very peculiar in lessons for Nigeria. Public health care in all tiers is free and subsidized for those below the poverty line. The Indian health sector encompasses 18% of total outpatient care and 44% of total impatient care. Middle and upper class use public health care less than those with a lower standard of living

    The Covid19 pandemic has exposed big countries like Britain, US, China, Nigeria, and others. The pandemic have also exposed capitalism as an idea that is deficient to the mass of working people. The idea does not care for the majority but the thieving minority. The rich continue to be richer while the poor becomes poorer. We need labour and civil society to work together and reconstitute revolutionary relationships to make sure that working people does not be at the receiving end of this pandemic. We must remember that those who destroy the country must not be allowed to continue with their madness after the covid19. We must demand for #FreeHealthCareForAll!

    We must also demand that world-class hospitals are built massively all over the country and we leave the madness of neo-liberalism in the dustbin of ruins. To do these works, we need a movement of the working people dedicated to the revolution that will build a country for all like the Take It Back movement and the Coalition for Revolution (CORE). Socialist organizations like the Socialist Workers and Youth League (SWL) serve as the political tribunes that remind us all on the ideal and alternatives to the rot that is causing pandemics and wars to the world today.

    Capitalist presidents that combine neo-liberalism and fascism are in deep shit today as the covid19 has exposed their inefficiencies and monumental social infrastructural dangers. The health of the world is the safety net to our wealth. Why would we allow those who care about the wealth alone to continue to rule us? Why should we continue to allow those who think of only the individual and never the collective to continue to rule us? When Greta Thunberg was leading the climate change campaigns, Donald Trump was scolding her. Bernie Sanders, Jeremyn Corbyn, Omoyele Sowore, Elvo Morales, Bobbi Wine and other revolutionary change-seeking eggheads have all campaigned for another world; the point is for we the working people and all oppressed, in unity and action, lead #RevolutionNow to get a life warranty of #FreeHealthCareForAll!

    Nigerians should demand for Cost of living allowance (COLA) of at least #100,000 in order to survive as the country is being locked down. We all must observe hand washing regularly; social distancing; avoid touching of faces, and other sophisticated parts of the body. Government should provide water, gloves and hands sanitizers to all. There is no electricity just as there is very poor housing for the majority of the people. We need the majority of empty house in cities and towns to be massively redistributed. Electricity must be renationalized.

    With all unity and actions, we will defeat the yet another genocidal virus. This also tells us that we must choose to build the world for all and not for the few as the threat of grand barbarism stares us all in the face once again. Rosa Luxembourg would be rolling and smiling in her grave as we are condemned to learn from her battle cry: “socialism or barbarism!” 

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    Kunle Wizeman Ajayi

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    The Political Economy Of Coronavirus By Kunle Wizeman Ajayi
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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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  • WHO teams with partners to mitigate the potential impact of the COVID-19 pandemic in malaria-affected areas

    The rapid spread of COVID-19 is testing the resilience of robust health systems around the world. WHO and its partners are taking measures to mitigate the potential impact of sustained transmission of the coronavirus in malaria-endemic settings –
    particularly in sub-Saharan Africa, which shoulders more than 90% of the global malaria burden.

    To date, a small proportion of the global COVID-19 cases have been identified in malaria-affected countries. However, as of 17 March, 25 countries in the African Region had reported cases of COVID-19, and local transmission of the disease had been detected
    in 6 countries (Algeria, Cameroon, Kenya, Rwanda, Senegal, South Africa).

    “At this point, we still don’t know what the COVID-19 pandemic will look like in sub-Saharan Africa,” said Dr Pedro Alonso, Director of the WHO Global Malaria Programme. “But we do know that when public health emergencies have
    hit parts of Africa with weak health systems and high malaria transmission, the impact on malaria disease and death has been very severe.”

    The 2014-2016 Ebola outbreak in Guinea, Liberia and Sierra Leone, for example, undermined malaria control efforts and led to a massive increase in malaria-related illness and death in the 3 countries.

    Joint action 

    To support malaria-affected countries, WHO has identified the need for a set of inter-related actions among global partners: 

    • generating, using and disseminating accurate information; 
    • mitigating against health system disruptions; and 
    • ensuring the continuity of routine malaria-specific interventions while also providing, where needed, additional emergency measures, such as mass drug administration, in health systems significantly impacted by COVID-19. 

    The Organization convened partners on 17 March to discuss areas of collaboration, coordination and next steps.

    WHO has begun monitoring the evolving geographic location of COVID-19 cases to understand the extent to which the coronavirus and malaria affect the same target groups. This information will reveal who is likely to be at greatest risk, where and when,
    and thus inform the need for malaria-specific interventions to save lives.

    In parallel, WHO is working across the 3 levels of the organization to ensure that any advice intended to curb coronavirus transmission and to guide COVID-19 disease management is appropriate in malaria-affected settings.  

    In recent days, there have been reports of disruptions, as a result of COVID-19, in the production and global supply chains of essential malaria commodities, such as the long-lasting insecticidal nets, diagnostic testing and antimalarial medicines. Coordinated
    efforts are required to ensure the availability of key malaria control tools – particularly in countries with a high burden of the disease – and that efforts to limit transmission of COVID-19 do not compromise access to malaria prevention,
    diagnosis and treatment services. 

    Malaria-affected countries may also experience disruptions in health systems in the coming months. A marked increase in febrile patients seeking treatment for COVID-19 at health facilities, for example, would present a significant challenge for a health
    workforce that may itself be depleted by the disease.

    Policy guidance

    WHO is developing guidance for national malaria control programmes and implementing partners to prepare them for the challenges they may face as result of COVID-19.  Among other areas, the guidance will address the mitigation of stockouts of
    malaria medicines and commodities; the use of preventive malaria therapy for health workers; the deployment of emergency measures in some settings; and the generation of information relating to the geographic distribution and populations affected
    by COVID-19 in malaria-endemic settings.  

    Restrictions around grouping people together – for training, social and behavior change communication activities, fixed-site distribution and clinical care – as well as the restrictions around movement of people in the country, will require
    significant adaptations in order to deliver quality interventions and care.

    All people living in malaria-affected areas are advised to follow same precautions as the general population, including: frequent hand-washing, respiratory hygiene, social distancing, seeking prompt medical care if symptoms arise (cough, fever,
    difficulty breathing), and other WHO-recommended actions. 

    WHO stands ready to work with countries and other stakeholders to mitigate the negative impact of the coronavirus on malaria responses worldwide and, where possible, contribute towards a successful COVID-19 response.  

    About COVID-19

    COVID-19 is the infectious disease caused by the most recently discovered coronavirus. This new virus and disease were unknown before the outbreak began in Wuhan, China, in December 2019. Essential information on the COVID-19 pandemic can be found in
    a dedicated WHO site.

    About malaria

    Malaria is a preventable and treatable disease caused by parasites that are transmitted to people through the bites of infected female Anopheles mosquitoes. In 2018, there were an estimated 228 million cases of malaria worldwide and
    405 000 malaria-related deaths. For more on malaria, visit: www.who.int/malaria

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  • Coronavirus: What is social distancing and how do you do it?

    Coronavirus: What is social distancing and how do you do it?

    In response to the covid-19 pandemic, many governments are now recommending social distancing. Here’s a guide on what it means for you
    Coronavirus: What is social distancing and how do you do it?
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    https://www.newscientist.com/article/2237664-coronavirus-what-is-social-distancing-and-how-do-you-do-it/?utm_campaign=RSS%7CNSNS&utm_source=NSNS&utm_medium=RSS&utm_content=home

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  • Mid-term review of the UN Decade of Action on Nutrition

    It is almost five years now since the Nutrition Decade was declared. It is time to reflect back on its achievements so far. FAO and WHO are convening an open and inclusive dialogue with stakeholders for the mid-term review of the Nutrition Decade.  DOA_logo2

    This review follows the ECOSOC Resolution 1989/84 regarding international decades, which provides that an appropriate inter-governmental body should appraise the implementation of a decade’s programme of work at the mid-point and at the end of the decade.

    The objectives of the Mid-term Review of the Nutrition Decade are to assess and evaluate the achievements in individual policy areas of the ICN2 Framework for Action, as reflected in the actions areas of the Work Programme of the Decade, over the time period from 2016 to 2020. The Mid-term Review aims to identify focus areas for priority action and promising opportunities in each of the six action areas for future progress from 2021 to 2025. This assessment will guide the revision of the ‘living part’ of the Work Programme of the Nutrition Decade as appropriate.

    The process will include a series of consultations and dialogues with member states, civil society organizations, private sector, UN partner agencies and others, as well as an open online consultation. Finally, a global event is envisioned to be organized to underscore the achievements of the first half of the Nutrition Decade and set the stage for the priorities during the second half. More information is provided in the concept note.

    The joint FAO/WHO Nutrition Decade Secretariat has developed the Mid-term Review Foresight paper, which will serve as the background paper for the consultation process. Reflecting on the broader development in nutrition globally, this paper develops a vision on actions to be taken in the different areas of the Work Programme of the Nutrition Decade, considering specific advances and opportunities in individual policy areas.

    Background documents for the consultation process of the Mid-term Review of the UN Decade of Action on Nutrition 2016-2025 can be downloaded here. We will add the other 5 languages when they are available, and meanwhile, publish some in English only.  

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    https://www.who.int/news-room/detail/12-03-2020-mid-term-review-of-the-un-decade-of-action-on-nutrition

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