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Medical Product Alert N°2/2020
This Medical Product Alert relates to a confirmed falsified human immunodeficiency virus (HIV) in vitro diagnostic medical device (IVD) that has been identified circulating in Guyana and Kenya.

Through its Global Surveillance and Monitoring System (GSMS) for substandard/falsified medical products,
WHO was informed that at least 8,240 falsified rapid diagnostic tests to detect HIV-1/2 have been distributed in Guyana at end-user level. The product is Uni-Gold™ HIV and claims to be manufactured by
Trinity Biotech plc. Subsequent reports
revealed that the same falsified product is also circulating in Kenya.

Uni-Gold™ HIV is a single-use rapid diagnostic test – an immunoassay for the qualitative detection of antibodies to HIV-1 and HIV-2 in serum, plasma and whole blood. Uni-Gold™ HIV is intended for use in point of care settings as an aid
in diagnosis of HIV-1 and HIV-2 infection.

The WHO testing strategy recommends three HIV reactive test results to confirm an HIV-positive status in a
patient. The use of this falsified Uni-Gold™ HIV, subject of WHO medical product alert n°2 of 2020, is likely to lead to delayed diagnosis of HIV status.

Table 1: Specific details of the falsified product Uni-Gold™ HIV, subject of WHO Medical Product Alert n°2 of 2020

Product Name

Uni-Gold™ HIV

Lot Number

HIV7120026

Expiry Date

5 DEC 2020

Stated manufacturer

Trinity Biotech

The packaging of this falsified HIV test kit is in English.

The genuine manufacturer (Trinity Biotech plc) has confirmed that:
- They did not manufacture the falsified product in Table 1.
- Genuine lot HIV7120026 was made by Trinity Biotech plc and expired in 2019.
- The expiry date is incorrect and does not correspond with their batch manufacturing records.
Photographs and advice to the public are available below.

Figure 1 – Falsified Uni-Gold™ HIV, lot number HIV7120026, displaying falsified expiry date

Figure 2 – Falsified Uni-Gold™ HIV, displaying labelling inconsistencies

Advice on action to be taken by end-users:
- Please check to see if any Uni-Gold™ HIV test kits in your facility have lot number HIV7120026.
- If you are in possession of these falsified test kits with lot number HIV7120026:
1. Please do not use.
2. Please immediately contact the organization that supplied you with the product (either your HIV testing programme, nongovernmental organization or local distributor).
3. Please contact Trinity Biotech plc
Phone : +353 1 276 9800

E-mail : hiv@trinitybiotech.com
1. Please contact your national health authorities
All medical products must be obtained from authentic and reliable sources. Their authenticity and condition should be carefully checked.

Advice on action to be taken by national health authorities:

WHO requests increased scrutiny within the supply chains of all countries, particularly at testing sites (health facilities, community-based), clinical laboratories, medical stores/warehouses, and at the facilities of relevant economic operators (agents,
authorized representatives, distributors, wholesalers, etc.).

If these falsified test kits with lot number HIV7120026 are discovered, please do not use.

National health authorities are asked to immediately inform WHO, if these falsified products are discovered in their country using the WHO IVD complaint form.

If you have any information concerning the manufacture, distribution, or supply of this product, please contact rapidalert@who.int

WHO Global Surveillance and Monitoring System for Substandard and Falsified Medical Products

For further information, please visit our website: https://www.who.int/medicines/regulation/ssffc/en/

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April 1, 2020
Nigerian Red Cross Calls For Support To Scale Up Coronavirus Response

The Nigerian Red Cross has appealed to members of the public to support its ongoing efforts at creating more awareness on the dangers of Coronavirus and how citizens can avoid contracting the pandemic.

In a briefing with journalists on Tuesday, the organisation said that support in form of food and other essential items were needed to distribute to households in order to help cushion the effect of the lockdown ordered by President Muhammadu Buhari on Sunday.

The lockdown is to be observed in Lagos, Ogun and FCT.

Head of Communications and Advocacy of Nigeria Red Cross, Nwakpa O. Nwakpa, said they will continue to work with relevant stakeholders to help curtail the spread of the virus in the country.

Nwakpa said, “Following the first confirmed case in Nigeria, the Nigerian Red Cross Society trained and mobilised 100 volunteers in Lagos and Ogun states for intense mass mobilisation to create awareness on preventive measures through radio jingles, live radio shows, distribution of flyers, sensitisation in religious centres, markets, motor parks and streets for two weeks.

“As we all are aware, number of confirmed cases is still rising, thus there is urgent need for the Nigerian Red Cross Society to scale up her response in all affected states and neighbouring states.

“Thus, the Nigerian Red Cross Society is planing to scale her response to 20 states including the Federal Capital Territory.

VIDEO: Nigerian Red Cross Boss Answers Question About Underreporting Of #COVID19 Cases In Nigeria @nrcs_ng @NCDCgov #Coronavirus #COVIDã¼19 #CoronaVirusNigeria #COVID19Nigeria pic.twitter.com/UJaWtolVsD

— Sahara Reporters (@SaharaReporters) March 31, 2020

“The Nigerian Red Cross hereby calls on donor agencies, international agencies, well-spirited Nigerians to partner with it to be able to scale up the fight against COVID-19 spread and imminent hardship should the lockdown persist.

“The Nigerian Red Cross therefore will be willing to receive support in cash, food, household items.

“All Nigerians should adhere strictly to government’s directives at all times including staying at home and observing optimal personal hygiene.”

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April 1, 2020
Menara City One cases linked to Sri Petaling tabligh cluster

PUTRAJAYA: The Health Ministry (MOH) has found that the Covid-19 cases detected at the Menara City One condominium tower in Kuala Lumpur are linked to the Sri Petaling mosque tabligh cluster.

Health director-general Datuk Dr Noor Hisham Abdullah said the index case at the building had attended the tabligh gathering at the Sri Petaling mosque.

“The index case then went on to infect 12 members of his family in the building.

“The number of cases rose drastically after that, up to 17 cases, which led to the building being subjected to the Enhanced Movement Control Order (EMCO),” Dr Noor Hisham said at the Covid-19 daily media briefing at the ministry, here today.

The government enforced the EMCO on Menara City One, located in Jalan Munshi Abdullah, Kuala Lumpur effective today until April 13.

Dr Noor Hisham added that the MOH has been screening every unit at the condominium tower since yesterday. – Bernama

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March 31, 2020
Anyone concealing family members exposed to Covid-19 will face action: Home Ministry

KUALA LUMPUR: The Home Ministry warned today that those who conceal family members who have been exposed to the Covid-19 virus clusters from the authorities will face stern action.

Home Minister Datuk Seri Hamzah Zainuddin said this latest action is to send out a clear and stern message to those who continue harbouring high-risk individuals who have been exposed.

“We are into the second week of the movement control order (MCO) and this is our first warning,” he said at a press conference after a meeting with Inspector-General of Police Tan Sri Abdul Hamid Bador and other police top brass at Bukit Aman this evening.

“Those who know of family members who were exposed to the clusters, such as the Tabligh event, and have not disclosed this to us will face severe action. They should come forward and get themselves tested for the virus. We are not going to arrest them, we just want them to get tested.”

When asked on action to be taken, Hamzah declined to elaborate but said: “When we do, the media can come and see for itself what action we take.”

He said although the police have identified about 10,000 people who attended the tabligh even at a mosque in Sri Petaling, there are still an undetermined number of those who are yet to come forward.

Hamzah said the authorities are focusing on the tabligh event cluster as those infected there make up more than 50% of the current recorded cases of the disease.

The minister also warned those who stoke disarray among the races by associating the disease with any particular race.

“The Covid-19 does not target a particular race, religion, position or social status. It can infect anyone. We also wish to warn those who post hurtful or sensitive comments that can cause chaos and disunity among the multi-races that we will take action on them as well. We as Malaysian must stand by each other regardless of race. We want to build and develop this nation together,“ he said.

Hamzah said he also discussed with police ways to enhance enforcement of the MCO as there are still many who are defying the order.

He said among the plans was to increase the number of roadblocks nationwide, adding that 3,125 people have been arrested for defying the MCO, of which 246 have been charged in court.

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March 31, 2020
Police tracking down six men over Klang robberies

SHAH ALAM: Police are on the hunt for six men believed to have been responsible for two robbery cases in Klang district on March 23 and 29.

South Klang district police chief ACP Shamsul Amar Ramli said the six are Mohamad Syrul Suhaimy, 31; Muhammad Harith Mohd Rosly, 18; M. Satisylin, 26; R. Vijendran, 20; B. Logendran, 24 and B. Kervin, 26.

He said Mohamad Syrul’s last known address is at Lot 478, Jalan Hassan, Klang while Muhammad Harith’s last known address is at Lot 231 on the same street.

Both are believed to be have used a hammer to rob a Cambodian woman and her two-year-old child in Kampung Sungai Udang, Klang at 7.45pm on March 23.

Meanwhile, Shamsul Amar said Satisylin, also known Seelan, Vijendran (Vijay), Logendran (Loga) and Kervin (Kevin) are sought after for allegedly robbing a 26-year-old Bangladeshi in Jalan Datuk Abdul Hamid, Klang at 2pm on March 29.

“In that incident, the victim, who was at home, was approached by four men wearing face masks and armed with a piece of wood and a knife.

“The suspects ran off with four handphones and RM300 belonging to the victim and his friends and escaped in a white Perodua Alza vehicle with the registration number JQK 6976,” he said in a statement here today.

He said Seelan’s last known address is at No 6, Lorong Hulubalang 30B Taman Sentosa, Klang; Vijay’s is at No 99, Jalan Dato Dagang 29, Taman Sri Sentosa, Klang; Loga’s is at No 6, Lorong Dato Dagang 50C KS/7 Taman Sentosa Putri, Klang and Kevin’s last known address is at A.3A.26 Vista Bayu Apartment Jalan Batu Unjur 9, Klang.

Both cases are being investigated under section 395/397 of the Penal Code for armed robbery.

Shamsul Amar urged those who have information on the six men to call the South Klang district police headquarters at 03-33762222 or any nearest police station. – Bernama

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March 31, 2020
WHO releases guidelines to help countries maintain essential health services during the COVID-19 pandemic

The COVID-19 pandemic is straining health systems worldwide. The rapidly increasing demand on health facilities and health care workers threatens to leave some health systems overstretched and unable to operate effectively.

Previous outbreaks have demonstrated that when health systems are overwhelmed, mortality from vaccine-preventable and other treatable conditions can also increase dramatically. During the 2014-2015 Ebola outbreak, the increased number of deaths caused
by measles, malaria, HIV/AIDS, and tuberculosis attributable to health system failures exceeded deaths from Ebola
^[1,2].

“The best defense against any outbreak is a
strong health system,” stressed WHO Director-General Tedros Adhanom Ghebreyesus.
“COVID-19 is revealing how fragile many of the world’s health systems and
services are, forcing countries to make difficult choices on how to best meet
the needs of their people.”

To help countries navigate through these challenges, the World Health Organization (WHO) has updated operational planning guidelines in balancing the demands of responding directly to COVID-19 while maintaining essential health service delivery, and mitigating
the risk of system collapse. This includes a set of targeted immediate actions that countries should consider at national, regional, and local level to reorganize and maintain access to high-quality essential health services for all.

Countries should identify essential services that will be prioritized in their efforts to maintain continuity of service delivery and make strategic shifts to ensure that increasingly limited resources provide maximum benefit for the population. They
also need to comply with the highest standard in precautions, especially in hygiene practices, and the provision of adequate supplies including personal protective equipment This requires robust planning and coordinated actions between governments
and health facilities and their managers.

Some examples of essential services include: routine vaccination; reproductive health services including care during pregnancy and childbirth; care of young infants and older adults; management of mental health conditions as well as noncommunicable diseases
and infectious diseases like HIV, malaria and TB; critical inpatient therapies; management of emergency health conditions; auxiliary services like basic diagnostic imaging, laboratory services, and blood bank services, among others.

Well-organized and prepared health systems can continue to provide equitable access to essential service delivery throughout an emergency, limiting direct mortality and avoiding increased indirect mortality.

The guidelines stress the importance of keeping up-to-date information. This requires frequent transparent communications with the public, and strong community engagements so the public can maintain trust in the system to safely meet their
essential needs and to control infection risk in health facilities. This will help ensure that people continue to seek care when appropriate, and adhere to public health advice.

1. Elston, J. W. T., Cartwright, C., Ndumbi, P., & Wright, J. (2017). The health impact of the 2014–15 Ebola outbreak. Public Health, 143, 60-70.

2. Parpia, A. S., Ndeffo-Mbah, M. L., Wenzel, N. S., & Galvani, A. P. (2016). Effects of response to 2014–2015 Ebola outbreak on deaths from malaria, HIV/AIDS, and tuberculosis, West Africa. Emerging infectious diseases, 22(3), 433.

For interviews please contact: Tarik Jasarevic

To access the full guidance please visit: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/technical-guidance/maintaining-essential-health-services-and-systems

For further information and guidance on COVID-19 please visit: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

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March 31, 2020
How Boko Haram Terrorists Dealt Us Heavy Blow –Nigerian Army Commander

Olusegun Adeniyi, Commander of Operation Lafiya Dole, a group of Nigerian soldiers deployed to the North-East region to combat Boko Haram terrorists and other insurgent groups, has revealed how they recorded heavy casualty during a recent encounter with the hoodlums.

In a video making the rounds on the Internet, Adeniyi could be seen standing together with his men on the battle field and lamenting how the terrorists shelled their positions with heavy artillery and mortar bombs.

According to him, they lost several soldiers during the mission due to wrong intelligence provided by military authorities.

He added that they lacked necessary weapons to face the firepower of the terrorists.

Speaking in the widely-circulated video, Adeniyi said, “We have been met with very strong resistance – from more than pockets of Boko Haram. From every flank not less than 15 gun trucks were facing us.

FLASH: @HQNigerianArmy Generals Admit Boko Haram Challenges in Unusual Video pic.twitter.com/D8RXxsTPQj

— Sahara Reporters (@SaharaReporters) March 29, 2020

“I’m standing here with Sector 2 Commander; the armed helicopter has just come to hover our air, the instruction I gave them was that anything they see moving they should engage because most of my gun trucks are not moving. Like I said earlier, the three battalions are fighting as deployed — nobody is running.

“But what we have here, I will give you some estimates. Boko Haram has fired more than a hundred mortar bombs at us; they have fired 80 to a hundred RPGs at us; in addition to eight to 10 gun trucks firing at us from all sides. We have not run, and the soldiers are not misbehaving or disobeying orders.

“We have casualties. I will come and see you in person on what we need to do. But we are not running.

“We lost about 20 MRAP tires here. We have changed close to 250 Hilux tires due to the terrain.

“This is what we are facing in the Timbuktu triangle. We are not running, we are fighting as a system to curtail the situation.”

Several wounded soldiers could be seen crying in the video while bodies of their colleagues was scattered all over location.

Recall that Boko Haram recently ambushed troops in Borno and killed more than 50 soldiers during that attack.

An unspecified number of military personnel, who participated in that mission, remain missing and unaccounted for till this day.

Boko Haram

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March 31, 2020
Graphics Designer Demands Compensation After Ogun State ‘Stole’ COVID-19 Awareness Design

A graphic designer in Nigeria, Jeremiah Olatinwo, has demanded compensation from Ogun State Government for using his graphics design to create awareness about Coronavirus without his permission.

Olatinwo had designed an image to raise awareness on the virus and how to stay safe from it.

He used the ‘End COVID-19 WITH SWAG’ to launch a media campaign on steps Nigerians can take to curb the spread of the virus.

He was however, left distraught when the Ogun State Government placed its official crest on it and uploaded it on its official website.

In a chat with our correspondent, Olatinwo expressed anger at the action of the state government without reaching out to him.

He said, “As a social media enthusiast and digital marketing expert, I designed a media campaign themed ‘END COVID-19 WITH SWAG’ and it was widely accepted and distributed on social media.

“I got a call from a friend who saw and also shared my creative work that the Ogun State Government had plagiarised my concept – word for word, colour for colour without giving due credit.

“To my amazement, the design was up on all social media platforms of the Ogun State Government – Twitter, Instagram and Facebook.

“Due compensation is expected for the creative work and their plagiarism as the design got impressions on their page, people have seen it and some have done screenshot and shared on various platforms.”

He added that he attempted to reach out to the social media handler of the state government but was blocked.

Olatinwo tweeted the design on March 25 while the Ogun State Government tweeted the replica of the image three days later.

‘End COVID-19 with SWAG’ is a concept by me Jeremiah Olatinwo. I designed and uploaded on March 25… And @OGSGofficial plagiarised and posted today with the seal of the state. SOS pls @MBuhari @ProfOsinbajo @dabiodunMFR @who @billgates @realFemiOtedola @segalink @unilagnigeria pic.twitter.com/KKQNuBWcAI

— Jeremiah Olatinwo (@BrosJayNG) March 28, 2020

The image, which has now been deleted across the social media platform of the state government, was the same concept without little adjustment to Olatinwo’s design.

Efforts by our correspondent to get the comment of the Kunle Somorin, Chief Press Secretary to Ogun State governor, Dapo Abiodun, was not successful as he refused to respond to calls and text messages sent to his mobile number.

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March 31, 2020
Nigeria Records Second Coronavirus Death

A second person in Nigeria has died from Coronavirus, SaharaReporters can confirm.

The victim is said to have died at Gwagwalada Specialist Hospital around 9:00pm on Sunday.

Minister of Health, Osagie Ehanire, confirmed the incident on Monday.

Ehanire said the victim, whose identity was not disclosed, had serious underlying health issues.

He said, “Majority of them are persons who came from overseas and the others have been traced as close contacts of such returnees.

“The high number of imported cases in Lagos and Abuja is directly due to their function as the country gateway for air travels.

“Till date, three persons have been discharged after successful treatments but sadly, another fatality was recorded over the weekend in the person of a patient who had severe underlying illnesses.”

The latest incident comes one week after a former Managing Director of Petroleum Products Marketing Company, Suleiman Achimugu, died of the virus.

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March 31, 2020
Muhyiddin visits MAEPS low-risk patient Quarantine & Treatment Centre

SERDANG: Prime Minister Tan Sri Muhyiddin Yassin today visited the Quarantine and Treatment Centre for low-risk Covid-19 patients at the Malaysia Agro Exposition Park Serdang (MAEPS) here.

The prime minister was accompanied by Health Minister Datuk Seri Dr Adham Baba, Ministry of Health (MOH) secretary-general Datuk Seri Dr Chen Chaw Min and Health director-general Datuk Dr Noor Hisham Abdullah.

Muhyiddin, who arrived at the centre at 5.45pm, spent almost an hour being briefed and touring the centre, which was successfully prepared for operations by various government agencies, under the coordination of the National Disaster Management Agency (Nadma), within three days.

Met after the visit, Dr Adham told reporters that the centre was the brainchild of the prime minister himself to prepare for any possibility of a drastic surge in the number of Covid-19 infections.

“We will treat Covid-19 positive patients who are asymptomatic or have mild symptoms here,” he said.

The centre has the capacity to place up to 600 patients at any one time and it will be coordinated by Nadma with the cooperation of the MOH, the Armed Forces, the Fire and Rescue Department, the Civil Defence Force, the Social Welfare Department and the Public Works Department.

Among others, it will provide clinical services, Covid-19 wards, resuscitation areas to stabilise patients during emergencies, as well as ambulance, pharmacy and pathology laboratory services.

Facilities for patients include beds, tables and chairs, lockers, television, lounges, Wifi access, computers, surau, closed-circuit television (CCTV), toilets and baths, changing rooms and rest areas.

For those on duty, there are nurse stations, treatment/resuscitation room, rest areas, changing rooms and baths, including for the ‘donning and doffing’ of personal protective equipment (PPE) as well as meeting and seminar rooms. – Bernama

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March 30, 2020

*Product Name*	Uni-Gold™ HIV
Lot Number	HIV7120026
Expiry Date	5 DEC 2020
Stated manufacturer	Trinity Biotech