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Maritime community begins to adhere to MCO

LANGKAWI: The Kedah and Perlis Malaysian Maritime Enforcement Agency’s continued monitoring has seen the maritime community in the region increasingly adhere to the Movement Control Order (MCO), enforced since March 18 to curb the spread of Covid-19 infection.

Its deputy director Maritime Capt Zulinda Ramly said in the early days of the MCO enforcement, there were still tour boats in the island’s waters carrying out their activities.

“But the numbers have declined due to our continuous monitoring. During the implementation of the MCO, we monitor target groups such as fishermen, commercial ships and yachts,” she told Bernama today.

She said based on today’s surveillance, no banned activities were detected in Langkawi waters

She said two assets with 30 personnel are deployed to carry out surveillance in the region during the enforcement of the MCO.

“The surveillance is to ensure that the maritime community complies with the directive which prohibits them from conducting non-essential activities at sea. At the same time, we still carry out our regular duties, including search and rescue operation if needed,” she said. – Bernama

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https://www.thesundaily.my/local/maritime-community-begins-to-adhere-to-mco-BN2168829

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March 22, 2020
Sufficient supply of basic necessities despite panic buying

GEORGE TOWN: The supply of basic necessities in Penang is sufficient although there were cases of panic buying at some of the state’s supermarkets until yesterday.

Penang Domestic Trade and Consumer Affairs office director Mohd Ridzuan Ab Ghapar said investigations conducted by enforcement officers found that four supermarkets on the island were the target of panic buying.

“I urge the people to stop panic buying immediately because there are enough essentials. It takes a bit of time to restock depleted goods such as rice, cooking oil, eggs, sardines and instant noodles to the four supermarkets.

“However, the essentials are still available at groceries and mini markets,“ he told Bernama, here today.

More than 100 business premises were inspected from Wednesday until yesterday to ensure adequate supply of basic necessities.

Mohd Ridzuan said that until today he had only received complaints about the shortage of face masks and expected that to be resolved soon.

“From our monitoring of the 16 premises selling face masks in Penang, only five shops in Seberang Perai Tengah have supplies. We will continue monitoring to ensure sufficient supply,“ he said.

He said any complaints and inquiries can be referred to the trade enforcement office at 04-5751703 and 04-255 2435 for Seberang Perai and George Town areas, respectively.

Meanwhile, checks at a supermarket in George Town found that people were still buying necessities in large quantities purportedly because they have many family members at home.

Consumer Mohd Syukri Abdul Razak, 45, said he had no choice but to buy essentials, especially rice, eggs, bread, sardines and chicken in large quantities as his household consisted of eight people including his mother, wife and five children.

“I work in manufacturing and factory operations are still going on. Today I am off, out buying household goods for a week. This is not panic buying but a weekly routine,“ he added. – Bernama

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https://www.thesundaily.my/local/sufficient-supply-of-basic-necessities-despite-panic-buying-LN2168805

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March 22, 2020
Government must address hurdles putting people off electric cars

Ambitious targets have been set by the UK and Scottish governments to become net-zero carbon economies by 2050 and 2045 respectively. But a variety of initiatives will be required on the part of government, industry and society to achieve this target.

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https://techxplore.com/news/2020-03-hurdles-people-electric-cars.html

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March 20, 2020
Activities in food supply chain to operate as normal

PUTRAJAYA: Activities in the production, processing and distribution of food including imports and exports will continue as normal during the movement control order, which came into effect from March 18 to 31 to ensure continuity in the food supply chain ecosystem, said the Agriculture and Food Industry Ministry.

“Therefore the supply process from wholesalers to retailers will continue to operate as usual and the people are advised not to panic buy or hold excessive stockpile of food,” said the ministry.

The ministry in a statement today said the Minister, Datuk Seri Dr Ronald Kiandee (pix) had conducted two visits to MyFarm outlet in Putrajaya and rice miller, YHL Trading Sdn Bhd in Semenyih today to ensure sufficient food supply in the market.

According to the ministry, main food items such rice, meat, fish, vegetables and fruits are at stable level and adequate.

“The supply is supported by domestic production, import and stocks. The stock of rice in the market now is 500,000 tonnes,” he said.

The ministry said its delivery service to target groups would go on as normal such as food development services, biosecurity, inspection and quarantine.

“The ministry will continue to monitor and cooperate with producers and distributors to ensure adequate food supply during the movement control order,” it said. – Bernama

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https://www.thesundaily.my/local/activities-in-food-supply-chain-to-operate-as-normal-NE2152780

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March 19, 2020
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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https://www.who.int/news-room/detail/18-03-2020-who-teams-with-partners-to-mitigate-the-potential-impact-of-the-covid-19-pandemic-in-malaria-affected-areas

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March 19, 2020
The unmet need for social context in family planning

New evidence on the relationship between sexual health and social context finds a strong association between gender equality, education and family planning

Twenty-five years ago, two global events – the International Conference on Population and Development and the Fourth World Conference on Women in Beijing – formally recognized that women’s health and reproductive choices cannot be separated from the social context of their lives.

Now, researchers have created a dataset which brings together national surveys from 74 countries, representing 3 million women. For the first time, it allows them to describe trends in demand/use of modern contraceptives alongside social and economic indicators.

The data is published in The Lancet Global Health and is authored by the London School of Hygiene & Tropical Medicine and the World Health Organization.

It shows that, over time, women are more likely to have their demand for modern contraception met in countries where gender equality and their educational opportunities improve.

Gender equality and education increases access to modern contraception

Trends in sexual activity and demand for use and use of modern contraceptive methods in 74 countries: a retrospective analysis of nationally representative surveys finds that met need for modern contraception is strongly correlated with positive shifts in social structures.
For every 0.1-point increase in a country’s gender development index, it found a 6.7% rise in women who were sexually active and did not want to conceive. Of those women, an additional 13.5% used modern methods to prevent a pregnancy.

Expectations of every girl’s right to education also made a difference. Each extra year in schooling is linked to an increase of 2.3% in demand, and a 4.7% increase in use of modern contraceptive methods.

“This study shows how every woman must negotiate her reproductive autonomy within the social framework in which she lives, responding to barriers and opportunities as they emerge,” says Dr Lale Say, one of the authors of the study and Unit Head at WHO and HRP.

“Gender equality is both a precondition and a driving force for securing women’s reproductive health and rights – as well as the sustainable development targets, which are our best chance for delivering health and well-being for all.”

Global trends reveal new challenges in family planning

Overall, the data reinforce global trends: more time spent sexually-active and single, postponement of parenthood, and the near-universal desire for smaller families.

The study also highlights where action is needed at country-level to avoid family planning services falling behind demand.

Out of the 74 countries analyzed, 42 showed an increase in demand for contraception. Only 37 countries show an increase in use of a modern method to prevent pregnancy.

Although unmet need for contraception declined in 34 countries, it increased in 14 countries. Significantly more progress is needed, and faster, to ensure each girl and woman is able to access the sexual and reproductive health services she needs.

Barriers and solutions to reproductive health and rights

Gender equality can affect contraceptive use in many ways. From the personal and political degree to which women are free to choose their sexual activity, to accessing family planning services it can also shape any power imbalances within personal relationships. This study supports recent efforts by WHO to adopt a broader, integrated concept of sexual and reproductive health – and to translate it into a framework for policy and practice.

The authors argue that family planning targets in the 2030 Agenda for Sustainable Development will not be met without a profound shift: from focus on ‘access to contraception’, to broader aspects of sexual health and social context.

Since reproductive health and women’s empowerment are intertwined, trends in contraceptive use can also reveal progress towards another global target: progress towards gender equality.

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https://www.who.int/news-room/detail/10-03-2020-the-unmet-need-for-social-context-in-family-planning

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March 11, 2020
Cervical cancer elimination initiative updates

February: Garnering international support on the path to eliminate cervical cancer

On
5 February, the WHO Executive Board recommended to the 73rd World
Health Assembly the adoption of the draft Global Strategy to accelerate
the elimination of
cervical cancer as a public health problem, and urged its
implementation. The proposed resolution urges Member States to implement
the strategy, calling for the support of international organizations
and other relevant stakeholders, and includes a request
for the Director General to support Member states in this endeavor.
The WHA will consider the resolution when it convenes in May 2020. The
session included 23 interventions from EB Member States, most of them
in full support of the Strategy and resolution;
18 from other Member States, 6 observers and 6 non-state actors. Dr
Nono Simelela, ADG and Special Adviser to WHO Director-General Dr
Tedros, responded at the end of the session, thanking delegates for the
broad support, and addressing some of the comments
by sharing some of the ongoing work such as the efforts with the
immunization partners to address HPV vaccine supply challenges and
transparency in pricing.

Read the full story

Read the full draft resolution

Download the
Draft Strategy

Dr Nono Simelela presented the draft Global Strategy towards Eliminating Cervical Cancer as a Public Health Problem during a webinar with partners. This presentation was given as part of
the Us vs. HPV Prevention Week webinar series hosted by the Global
Initiative Against HPV and Cervical
Cancer. While highlighting WHO’s life-course approach to cervical
cancer control, Dr Simelela also explained the proposed elimination
threshold and targets as laid out in the strategy. She also discussed
addressing salient challenges such as redressing inequities
and taking special considerations for women living with HIV.

Read the full story

Listen to the full webinar “Gathering momentum for the global elimination of cervical cancer”

Watch the video: Cervical Cancer Elimination – developed by Basic Health International (BHI), Union for International Cancer Control (UICC) and the Global Initiative Against HPV and Cervical Cancer (GIAHC)

Read the story:To eliminate cervical cancer in the next 100 years, implementing an effective strategy is critical

Dr
Simelela was invited to Rwanda to support the kick off for a national
cervical screening program set to put Rwanda on the path towards the
Global Strategy goals
for elimination of cervical cancer.

Amongst
others, Rwanda’s First Lady Jeannette Kagame received her for a
discussion on how WHO can support efforts against cervical cancer in her
own country and
throughout Africa. Dr Simelela held discussions on cervical cancer
screening and treatment services, including building radiotherapy
capacity, with the dedicated staff of Ruhengeri Hospital, Butaro
Hospital, the Muhoza health center and hospital and the Rwanda
Military Hospital. While cervical cancer and breast cancer are the most
prevalent cancers among the women in the country, Rwanda has
impressively reached a 97% HPV vaccination rate since introducing a
vaccination programme in 2011, with a target to reach 70%
screening coverage in five years. We look forward to a continuing and
fruitful partnership with Rwanda and all the countries who have pledged
their commitment to eliminate this preventable cancer. Together we can
answer WHO’s call and improve the lives of
girls and women around the world.

Follow us for more updates!

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For
news and real-time updates from around the world,
follow Dr Princess Nono Simelela on Twitter
@DrNonoSimelela
ADG, Special Adviser to the Director-General on Strategic Programmatic Priorities

Upcoming events

International Women’s Day
8 March 2020

64th Session of the Commission on the Status of Women/Beijing+25
9 – 20 March 2020

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24 – 30 April 2020

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https://www.who.int/news-room/detail/04-03-2020-cervical-cancer-elimination-initiative-updates-december-2019

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March 11, 2020
Global gathering of ministers determines road safety agenda to 2030

The 3rd Global Ministerial Conference on Road Safety convened 1700 delegates from around 140 countries, including more than 70 ministers and vice-ministers and heads of international agencies, civil society organizations, foundations and private companies. Hosted at the request of the UN General Assembly by the Government of Sweden in collaboration with WHO, the theme was “Achieving Global Goals 2030”, highlighting the connections between road safety and achievement of other Sustainable Development Goal targets.

Through its 6 high-level panels and 18 parallel sessions, the Ministerial Conference addressed a range of topics, from building effective leadership for road safety to promoting sustainable cities and communities, mitigating climate change through road safety, and ensuring the safety of pedestrians and cyclists. The gathering was instrumental in reviewing progress in the Decade of Action for Road Safety 2011-2020 and defining ways to accelerate action on proven strategies to save lives. Among many pre-events, the 2nd World Youth Assembly for Road Safety hosted by YOURS: Youth for Road Safety and co-hosted by WHO, brought 200 young leaders together proclaiming “Enough is enough!” and claiming their space at the decision-making table for sustainable mobility.

The Ministerial Conference culminated in the forward-looking “Stockholm Declaration”, which calls for a new global target to reduce road traffic deaths and injuries by 50% by 2030. In addition, it invites strengthened efforts on activities in all five pillars of the Global Plan for the Decade of Action: better road safety management; safer roads, vehicles and people; and enhanced post-crash care. It also calls for speeding up the shift to safe, affordable, accessible and sustainable modes of transport like walking, cycling and public transport. WHO is asked to continue to produce the series of global status reports, as a means of monitoring progress towards achievement of the 12 Global Road Safety Performance Targets.

Today, around 1.35 million people lose their lives on the world’s roads every year, and as many as 50 million are injured. More than one quarter of those killed and injured are pedestrians and cyclists. Road traffic injuries are now the leading cause of death for children and young adults aged 5-29 years. Given the enormous human suffering and major economic losses for families and societies, road traffic deaths remain an unacceptable price to pay for mobility.

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https://www.who.int/news-room/detail/20-02-2020-global-gathering-of-ministers-determines-road-safety-agenda-to-2030

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March 5, 2020
Streaming titans seek passage to India for new growth

Netflix and Amazon are battling a dizzying array of homegrown outfits, from Bollywood producers to broadcasters, for dominance of India’s streaming market, a key target as growth in Western countries slows.

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March 4, 2020
To eliminate cervical cancer in the next 100 years, implementing an effective strategy is critical

Vaccination, screening, treatment and palliative care are the key interventions of WHO’s Draft Global Strategy towards the Elimination of Cervical Cancer as a Public Health Problem,
the fourth most common cancer in women.

On World Cancer Day, new estimates show that this strategy could save more than 62 million girls and women from a cervical cancer death and prevent 74 million cases within the next 100 years – but only if these interventions are used effectively
together.

No single intervention can eliminate cervical cancer

These estimates, published by the WHO Cervical Cancer Elimination Modelling Consortium (CCEMC) in The Lancet, are based on the draft strategy’s targets to achieve a global coverage of 90% vaccination, 70% screening and 90% treatment by 2030.

Impact of HPV vaccination and cervical screening on cervical cancer elimination: a comparative modelling analysis in 78 low-income and lower-middle-income countries

Mortality impact of achieving WHO cervical cancer elimination targets: a comparative modelling analysis in 78 low-income and lower-middle-income countries

Developed by Member States, UN agencies and other partners, the draft global strategy seeks to redress the unequal burden of cervical cancer around the world. Nine in 10 cervical cancer deaths occur in low and lower-middle-income countries, where
women lack access to health services.

As Dr Tedros Adhanom Ghebreyesus, WHO’s Director-General has said, “It doesn’t have to be this way. Cervical cancer
is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively.”

This new analysis compares the impact of vaccination, screening and treatment of cervical pre-cancer lesions as single or combined interventions. Focusing on 78 countries where cervical cancer mortality is highest, the results clearly show that no
single intervention will be sufficient to reduce levels of cervical cancer in the next 100 years to below the elimination target of 4 cases per 100,000 women per year.

Acting immediately on all three fronts is crucial.

90-70-90: a triple intervention by 2030 and beyond

Vaccinating girls against cancer-causing types of human papillomavirus (HPV) before the age of 15 is the foundation for bringing every country’s incidence rate of cervical cancer down to the agreed elimination level.

Right now, however, vaccination is not enough. As a single strategy, vaccination targets would only deliver a 0.1% reduction in cervical cancer mortality by 2030. Scaling up screening and treatment of cervical pre-cancer lesions at the same time would
reduce mortality by more than one third, or 300,000 deaths, in the same period.

The evidence shows that when all adult women are screened for cervical cancer at least twice, at ages 35 and 45, abnormalities are more likely to be detected before they become cancerous. When cancer has developed, screening increases a women’s
likelihood of early and successful treatment, as well as palliative care if recovery is no longer an option.

Meeting these triple-intervention targets would be a major contribution to target 3.4 of the UN Sustainable Development Goals (SDGs), a one-third reduction in premature mortality from non-communicable diseases by 2030.

The future of cervical cancer elimination

WHO’s global strategy towards eliminating cervical cancer aims to set the world on the right track by 2030, but it is just the beginning.

At this pace, global elimination of cervical cancer is not predicted until 2120.

While high HPV vaccination coverage is the primary prevention intervention, ensuring every woman has two cervical screenings in her life would accelerate elimination by 11 – 31 years, depending on the country.

If no action is taken, cervical cancer deaths will rise almost 50% by 2030. Approval of the draft global strategy at the WHO World Health Assembly in 2020, and investment in mechanisms to deliver it, is vital.

As the new World Cancer Report shows, only 18% of countries that currently provide screening for cervical cancer reached the recommended target of more than 70% coverage. An estimated 55% of low-income countries that reported offering
cervical cancer screening generally lack accessible radiotherapy or surgery services.

Elimination of cervical cancer is possible within the lifetime of today’s youngest girls, but the clock starts now and every intervention counts.

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https://www.who.int/news-room/detail/04-02-2020-to-eliminate-cervical-cancer-in-the-next-100-years

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February 27, 2020