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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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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
Gov’t cancels ‘Visit Malaysia 2020’ campaign over Covid-19

KUALA LUMPUR: The government has cancelled the Visit Malaysia 2020 campaign due to the Covid-19 situation, Tourism, Arts and Culture Minister Datuk Seri Nancy Shukri announced tonight.

She said Covid-19 has had a detrimental effect on the tourism sector in Malaysia in particular and the world in general.

Due to the movement control order from March 18 to 31 to check the spread of Covid-19, the ministry had to freeze many tourism-related services, she said in a statement.

The services include all counter and online services at the Tourism Licensing Division and ministry offices in the states, such as licensing of tour companies, tour guides, tourism accommodation, spas and foot reflexology centres, she added.

Nancy said in line with the Movement Control Order, all tourist accommodations are allowed to operate at a minimum level.

“All guests at the accommodation premises must remain in their respective rooms during the quarantine period and order their meals through room service.

“Check-ins at tourist accommodation will also be permitted, but on a small and limited scale,” she said.

However, new domestic tourists wanted to check-in at the premises would not be allowed, she added.

VM2020 was launched on Dec 31, targeting 30 million visitor arrivals and RM100 billion tourist receipts. – Bernama

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https://www.thesundaily.my/local/gov-t-cancels-visit-malaysia-2020-campaign-over-covid-19-LA2147278

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March 18, 2020
Using Social Media to Develop a Sales Strategy

It is somewhat incredible to think that Facebook only recently celebrated its 10th anniversary. Before Mark Zuckerberg founded Facebook in 2004, the concepts of “news feeds,” “status updates,” and “sharing” were limited to relatively rudimentary platforms like MySpace, Friendster, group emails and early blogging. Just 10 years later, Facebook — and social media in general — have become social and cultural cornerstones. According to recent statistics, Facebook has more than 1.3 billion monthly active users, a number which increased by 22% from 2012 to 2013. Of those users, nearly half (48 percent) visit Facebook every single day to see the latest gossip and photos from their social network, view photo albums and catch up on news that is relevant to them.

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http://www.associationofmarketing.org/whitepapers/view.php?whitepaper_id=193

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March 17, 2020
Sarikei MP admitted to Sibu hospital as PUI for Covid-19

SIBU: Sarikei Member of Parliament Wong Ling Biu (pix) of DAP has been admitted to the Sibu Hospital as a patient under investigation (PUI) for Covid-19.

Sarawak Health Director Dr Chin Zin Hing, when contacted by Bernama, confirmed that Wong has been admitted to the hospital and was a PUI.

Wong is said to have attended several political meetings in Kuala Lumpur from Feb 29 until last week following the political upheaval that led to the collapse of the Pakatan Harapan government.

Meanwhile, it is learnt that the Sibu Hospital has set up three teams, comprising medical officers and staff, to operate an infectious disease ward, with each team to work a 12-hour shift per day, for any eventuality of positive Covid-19 cases.

They have been told to have their personal belongings packed and a new job roster has been arranged for them.

Deputy Sarawak Chief Minister Datuk Amar Douglas Uggah Embas, who is the State Disaster Management Committee chairman, is expected to visit the hospital tomorrow to see the preparations made by the hospital.

Apart from the Sibu Hospital, the Kemuyang Youth Camp, about 21km from here, has been identified as another centre for quarantine of Covid-19 patients.

Sibu Medical Officer Dr Teh Jo Hun, when contacted by Bernama, confirmed the matter, saying it was still at the planning stage.

He also confirmed that a thermal scanner had been installed at the Sibu Airport to check passengers arriving from outside of Sarawak.

“The thermal scanner was installed on Feb 16. We have three staff at a time to operate the scanner,” he said, adding that there are two teams working two shifts for the purpose until 9pm daily.

Sibu Airport manager Zainuddin Abu Nasir when contacted said Malaysia Airports Holdings Bhd had purchased two portable thermal scanners to check its employees.

Meanwhile, the Rector of Sacred Cathedral Reverend Father Philip Hu had urged the Catholics in Sibu to hold special prayer at 3pm daily to seek God’s mercy to end the pandemic and to pray for those who are ill with Covid-19. — Bernama

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https://www.thesundaily.my/local/sarikei-mp-admitted-to-sibu-hospital-as-pui-for-covid-19-DC2127544

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March 14, 2020
Medical Product Alert N° 1/2020 (English version)
Falsified antimalarials in West and Central Africa displaying an outdated WHO Essential Drugs Programme logo

This Medical Product Alert relates to a series of confirmed falsified antimalarials circulating in West and Central Africa. Medicines subject of this alert display a similar logo to the outdated
WHO Essential Drugs Programme logo.

Since 2013, different falsified medicines, all displaying the outdated WHO Essential Drugs Programme logo, have been reported to the WHO Global Surveillance and Monitoring System by various stakeholders. The continued and widespread availability of these falsified medicines highlights a strong need for additional vigilance. WHO previously published two alerts on this issue (No.132 in Oct 2014, and No.131 in March 2014)

This WHO medical product alert N°1/2020 refers to falsified Quinine Sulphate 300mg presented in six different combinations of batch numbers, expiry and manufacturing dates (see Table 1). The fraudulent use of the outdated WHO Essential Drugs Programme logo may create a false sense of product quality.

Table 1: List of identified falsified Quinine Sulphate 300mg, subject of WHO Alert N°1/2020

Recently received results of analysed samples show they do not contain any of the expected active ingredients.

Quinine sulphate is referenced on the WHO Model List of Essential Medicines, to manage and treat severe malaria. At this stage, no adverse reactions attributed to these falsified products have been reported to WHO.

All the above falsified products claim to be manufactured by REMEDICA LTD – Cyprus and to contain 300mg of quinine sulphate. Remedica Ltd has confirmed that:
- they did not manufacture the above falsified products; and
- the variable data (batch number and dates) on the above products has never been used by Remedica.
These falsified medicines display the following common characteristics (please see photographs):
- grey or white plastic containers which contain 1000 loose circular tablets each;
- display the outdated WHO Essential Drugs Programme logo;
- English and French labelling with mistakes and inconsistencies; and
- discovered at patient level in both regulated and unregulated outlets.
Product details, photographs and advice to the public are available on the following pages.

Outdated WHO Essential Drugs Programme logo

Photographs of confirmed falsified Quinine Sulphate 300mg tablets subject of
Medical Product Alert N°1/2020

1. Falsified
Quinine Sulphate Tablets B.P 300mg identified
in Chad (Batch 44680)

WHO requests increased vigilance within the supply chains of countries likely to be affected by these falsified products. Increased vigilance should include hospitals, clinics, health centres, wholesalers, distributors, pharmacies and any other suppliers of medical products.

If you are in possession of the above products, please do not use. If you have used these falsified products, or if you suffer an adverse event having used these products, please seek immediate advice from a qualified healthcare professional, and ensure they report the incident to your local Ministry of Health/National Medicines Regulatory Authorities/National Pharmacovigilance Centre.

All medical products must be obtained from authentic and reliable sources. Their authenticity and condition should be carefully checked. Seek advice from a healthcare professional in case of doubt.

National health authorities are asked to immediately notify WHO if these falsified products are discovered in their country. If you have any information concerning the manufacture, distribution, or supply of these products, please contact rapidalert@who.int .

WHO Global Surveillance and Monitoring System

for Substandard and Falsified Medical Products

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

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https://www.who.int/news-room/detail/09-03-2020-medical-product-alert-n-1-2020-english-version

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March 10, 2020
WHO and FIND formalize strategic collaboration to drive universal access to essential diagnostics

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

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

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

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

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

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

# # #

About FIND

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

About WHO

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

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https://www.who.int/news-room/detail/10-02-2020-who-and-find-formalize-strategic-collaboration-to-drive-universal-access-to-essential-diagnostics

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February 27, 2020
Online training as a weapon to fight the new coronavirus

More than 25 000 people across the globe have accessed real-time knowledge from WHO experts on how to detect, prevent, respond to and control the new coronavirus in the 10 days since the launch of an open online training.

The learning team of the WHO Health Emergencies Programme worked with technical experts to quickly develop and publish the online course on 26 January – 4 days before the 2019-nCoV outbreak was declared a public health emergency of international concern.

Approximately 3000 new users have registered for the training every day since its launch, demonstrating the high level of interest in the virus among health professionals and the general public. In addition, more than 200 000 people have viewed the introductory video to the course on YouTube.

The high engagement levels emerged as the international community launched a US$675 million preparedness and response plan to fight further spread of the new coronavirus and protect states with weaker health systems.

The free learning resource is available to anyone interested in novel coronavirus on WHO’s open learning platform for emergencies, OpenWHO.org. The platform was established 3 years ago with emergencies such as nCoV in mind, in which WHO would need to reach millions of people across the globe with real-time, accessible learning materials.

The online training – entitled “Emerging respiratory viruses, including nCoV: methods for detection, prevention, response and control” – is currently being produced in all official UN languages and Portuguese.

“Our job is to work with technical health experts to package knowledge using adult learning principles, quickly so that it is most useful to health workers and our staff,” said Heini Utunen, who manages OpenWHO for the WHO Health Emergencies Programme (WHE). “Our online platform – OpenWHO – is already accessed by users from every country on earth, providing more than 60 courses in 21 languages. Delivering trainings in the local language of responders is really important, especially in an emergency”.

WHE has been investing in learning and training to strengthen preparedness and real-time response to health emergencies. The programme developed its first-ever learning strategy in 2018 and has a small dedicated Learning and Capacity Development Unit that allows WHE to develop trainings quickly and get know-how to those who most need it at the front line.

For the latest information on the new coronavirus, visit the 2019-nCoV page.

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https://www.who.int/news-room/detail/07-02-2020-online-training-as-a-weapon-to-fight-the-new-coronavirus

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February 27, 2020
How to Make Money Fast by Retrieving and Returning Shopping Carts

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Are you looking for a way to make money fast? If you have a large utility vehicle, like a pick-up truck, you can retrieve and return shopping carts for a cash reward.

Most every mid to large retail grocery, variety and department store has a stock of shopping carts on hand. They are purchased by the store, of course, so that customers can use them when shopping in their store.

Shopping buggies are expensive. The average cost to the retailer for just one is between 75 and 100 dollars. Large ones like the kind you find at wholesale and club stores can run upwards of 200 dollars or more.

Most retail stores have dozens of them; busy big-box stores may even have hundreds of them. Purchasing enough of them to meet a store’s demand and traffic levels requires a significant expenditure of cash.

It is, therefore, in the best interest of the retailer to protect that investment. Most retailers do their best to make sure that carts remain on store property. However, shopping buggy theft is all too common. The average store loses about $8,000 $10,000 to per year to this problem.

Because they are so expensive to buy, many store owners and retail companies pay cash rewards for the return of their carts which have been stolen (or “borrowed”) and not returned. Cash rewards typically range from 25 to 50 dollars per cart.

Here’s how you can retrieve and return those buggies for cash: contact retailers in your area which have shopping carts. Find out if they pay for returned carts. Many do, but won’t give cash rewards to just anyone. (Store owners don’t want the public to abuse the reward system by stealing carts themselves in order to get the reward.) Usually you have to sign a cash-for-retrieval contract.

You’ll have to provide some forms of identification, usually a driver’s license plus one other item (like a Social Security or credit card). You may have to sign a waiver absolving the store of liability in the event of something unforeseen.

You can make arrangements with any or all of the retailers in your area. The more contracts you have, the more money you can make.

If you’ve lived in your city for any length of time, you’ve probably seen common dump sites for stolen shopping buggies. Visit these areas regularly. Additionally, get in the habit of keeping your eyes open every time you’re out and about town. You’ll probably spot discarded shopping carts regularly. You can pick these up and return them as you come across them, or store them at home until you have several of them.

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Source by Scott Lindsay

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February 11, 2020
How to Write Technically for the Lay Person

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While you are writing a book or for a specific magazine or article site, you must be using flowery language using striking words, long sentences, phrases or idioms. In short, you need all those elements that will make the text more catchy and will hook the readers! However, that is not the case in technical writing, i.e. when you are writing for websites that are services or products based. Built using advanced web development frameworks, they need to be produced with clean and simple content that is conversational to the buyers. Specifically, the web content must be representative of the services and the company. But, why called technical writing? A good content on the websites plays a great part in SEO and content marketing. It helps in getting the backlinks and scale up in position of the websites in the search engines to get more visitors.

So, the next time you are preparing content for a high-end website or online application for your business, keep these tips in mind.

#1 Know your target audience

The first thing you need clear-off in your head is the target audience of your site. Be it a group of businessmen or corporate services clients, they are all layman! So, keep your vocabulary outright simple. Don’t use more of technical words and flowery English to make the content snappy. Instead, keep it outright simple, such that even a kid can understand what you provide from your site.

#2 Show but don’t dictate

Do not dictate or describe everything about your products or services to the visitors in text. Let them discover that gradually as they proceed to different pages. It makes the visitors curious and persuades them to visit more pages of your site in a session. Thus, show them what you provide, but don’t spell it.

#3 Use simple, short sentences and active voice

There is actually no point in over-elaborating technical stuff in the websites. Most visitors are basically skimmers and like to wrap up things quickly. So, try using shorter and simple sentences. And, also use active voice as it’s like you are directly interacting with them.

#4 Be assertive

Do not assume that everyone knows about your company, products or services. They don’t. But, they are coming to your site to know about it. So, write with absolute authority and command.

#5 Avoid the jargon

Your website is for the layman. Not only for the technically skilled ones! Be sure you are putting information that is also easily understandable by the non-specialists. Even if you need to use complex, technical or niche terms, explain them or hyperlink them to other pages that will give their basic information.

#6 Use text to compliment the images

While you will be putting images at every relevant point or pages on the website, create content that will perfectly compliment them. This will enhance the visuals of the site and make it more captivating for the readers.

These explain web development just do not end with creating a great website or application. But, developers need to have some online content marketing ideas too. They have to know well what exactly can fetch a good amount of visitors to a website, besides making it design-wise attractive.

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Source by Rob Stephen

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February 11, 2020
Stephen King Is More Introspective in His New Novel Doctor Sleep

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In Stephen King’s new novel, Doctor Sleep, King brings back the character of Danny Torrence, the little boy in The Shining. In interviews King says that when fans ask about the fate of specific characters (the one’s that actually live through the horror), he’s been more interested in the those that question the fate of Danny. I think most people who have seen the movie remember the cute little boy on a tricycle with a bowl haircut racing down the empty corridors of The Overlook Hotel. Later to run from a mad “white knuckle alcoholic” who was his father.

Doctor Sleep is, in my opinion, semi autobiographical. Like Duma Key, which deals with the aftermath of a man who is in a horrendous accident (like King), Doctor Sleep deals with the reality of what it is like to be a recovering alcoholic. I didn’t know King was an alcoholic, but he has been in recovery for over twenty years. So he knows the depths to which one can plunge as well as the difficulties in trying to remain sober. In Doctor Sleep, Danny is an alcoholic like his father and a chain smoker like his mother (who, in the novel, has died of lung cancer). When writing the book, King’s son, Owen, told him that the “plunge” he had given Danny, now Dan, was not far enough to equal the plunge Dan’s father, Jack, had taken. King takes his advice. So, if you don’t want gross, speed read ahead. Dan, after having picked up a girl, gotten in a fight, spends all of his paycheck on cocaine, wakes up still drunk and has to go to the bathroom. “Another lurch from his unhappy gut… That released all of the puke triggers: the vinegar smell of hard cooked eggs in a big glass jar, the taste of barbecue-flavored pork rinds, the sight of french fries drowning in a ketchup nosebleed. All of that crammed into his mouth last night between shots. He was going to spew… ” And that he does in spectacular fashion. But that leads to the main reason for the scene… Dan’s plunge. As he’s leaving the bathroom, out of another room comes a toddler with a baggy diaper full of everything a baby discards, sees the coke on the table, runs to it crying, “canny, mama, canny!” Danny keeps him from getting the “canny” and the little boy falls asleep with his drunk mother. Danny notices bruises on the little boy’s body. While the mom is passed out, he goes through her wallet taking all of her money. Justifying this by saying she’d been the one who made him spend his paycheck on coke. The taking of the money haunts Dan. And the bruises on the little boy haunt Dan. This, to me, is the real crux of the novel. Dan can not get beyond the demons of his past, his murderous, alcoholic father, the dead but not dead people from The Overlook who visit him leaving behind pieces of their rotting, putrefying bodies and the mother with her bruised baby boy. Dan discovers “that memories are the real ghosts” and that, “you take yourself with you, wherever you go.”

Of course in every King novel there has to be some type of supernatural forces causing havoc. In this novel, King expands on the concept of “the shining”. It’s the ability to read other people’s minds, or move objects, or project out of one’s self. Dan has it and so does a young teenage girl named Abra. In Doctor Sleep, they have to battle a bunch of centuries old serial killers, the True Knot, disguised as RV driving pensioners who literally feed off the pain of others. They only feed on those with “the shining”, and they make their deaths particularly brutal. It makes for better “steam”. They get a big kick out of 9/11 and other tragedies. The leader of this group, a woman named Rose, has a tusk. In Doctor Sleep, Dan fights his past with much greater dread and sense of terror than he does the woman with the tusk. Dan does, through AA, “come to know a new freedom and new happiness.” He also comes to realize that he “will not regret the past nor wish to shut the door on it.” With this novel King, apparently, is not shutting the door on his past.

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Source by Linda M Caminiti

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February 10, 2020