Malawi Cholera Cases Rise Despite Vaccination Campaign

Despite a nationwide vaccination campaign that started in May, Malawi is struggling to contain a cholera outbreak that has infected more than 1,073 people and caused 44 deaths.

The figures from the Malawi Ministry of Health, updated as of Aug. 16, 2022, are triple the numbers recorded when the vaccination campaign was launched three months ago.

The report also says the outbreak has spread to 10 districts from eight in May. The hardest hit districts include Blantyre with 489 cases, Neno with 128 cases, and Nsanje with 289 cases.

George Mbotwa, spokesperson for a health office in Nsanje district, which borders Mozambique south of Malawi, said continued incidents of cholera in the district are largely because of movements of people between the two countries.

“What is worrisome is that we have now continued to record the cases when by now we would have contained the situation,” he said. “It’s because some of these cases we are sharing with Mozambique. So, the cases will be coming from Mozambique and then reporting to health facilities in Nsanje, then being recorded as Nsanje cases.”

Mbotwa said the situation is slowly improving, after officials on the Mozambican side agreed during recent discussions to set up cholera treatment sites on their side of the border.

“The Mozambican side by then didn’t have cholera treatment sites, and now they have them there, so people are able to report the cases right there, unlike coming with cases to Malawi,” he said.

Cholera is an acute diarrheal infection caused by ingesting food or water contaminated with bacteria. The disease affects both children and adults, and if untreated, it can kill within hours.

Penjani Chunda, environmental health officer in Blantyre, said although Blantyre is largely an urban area, cholera cases are on the rise because most people fetch water from unprotected sources like rivers and streams.

“In most parts of Blantyre, we don’t have portable water sources,” he said. “It might be like an urban setup, but it has no portable water sources, and we have got dry taps in some of the areas and [water] kiosks are not working at all.”

The spokesperson for the Health Ministry, Adrian Chikumbe, said health authorities are currently distributing chlorine for water treatment, and providing public education on good hygiene.

Chikumbe also hopes the second phase of the national oral cholera vaccination campaign, which is expected to start soon in the most-hit districts, will help contain the situation.

Source: Voice of America

WHO Chief Calls Tigray Worst Humanitarian, Man-Made Disaster on Earth

The director-general of the World Health Organization, Tedros Adhanom Ghebreyesus, said Wednesday that Ethiopia’s conflict-ridden province of Tigray is the worst humanitarian and man-made disaster on Earth.

The WHO chief said more than 6 million people in Tigray have been under siege by Ethiopia and Eritrea for nearly two years. He said they have been sealed off from the outside world with no electricity, no banking services, and only limited fuel supplies.

Tedros said a trickle of food aid and medicine has been reaching the beleaguered northern province since a truce between the Ethiopian government and Tigray rebel forces was declared in late March. The population is still facing multiple outbreaks of diseases, including malaria, anthrax and cholera, he added.

“Nowhere in the world would you see this level of cruelty, where … a government punishes 6 million of its people for more than 21 months by denying them basic services,” he said.

The 57-year-old Tedros is not a neutral observer of the Tigray conflict. He is a native of the region, served as a Tigray regional health official in the early 2000s, and later spent more than a decade in the Ethiopian government, first as minister of health, then as minister of foreign affairs.

Tedros noted that peace talks for the Tigray conflict are ongoing. However, he said, they are leading nowhere because powerful countries in the developed world are not using their influence to make it happen.

He said all eyes are focused on the tragedy unfolding in Ukraine, to the detriment of the tragedy playing out in Tigray.

“The humanitarian crisis in Tigray is more than Ukraine without any exaggeration,” Tedros said. “And, I said this many months ago, maybe the reason is the color of the skin of the people in Tigray. … This is the worst disaster on Earth as we speak. I am from Tigray. It is not because I am from Tigray I am saying this. That is the truth.”

Tedros said he is appealing to the Ethiopian government to resolve the conflict in Tigray peacefully. He said he also is appealing to the Russian government to end the war in Ukraine and choose peace.

He said both the Ethiopian and Russian governments can make peace happen if they choose to do so.

Source: Voice of America

Zimbabwe’s Measles Outbreak Claims 157 Lives

Health officials in Zimbabwe are attempting to contain a measles outbreak that has infected more than 2,000 people and killed at least 157 children. The country’s health ministry blames the outbreak on religious sects that are against vaccinations. The government wants all children vaccinated before schools reopen in early September.

Zimbabwe’s information minister, Monica Mutsvangwa, said the infectious viral disease – which causes a fever and a red rash – was rampant in Manicaland province, which borders Mozambique.

She said 1,270 cases and 122 deaths had been recorded in the province as of Tuesday.

“All the victims had not received vaccinations against measles. Government has invoked Civil Protection Unit Act to deal with the emergency, and the Ministry of Health and Child Care is on the ground carrying out an intensive vaccination program,” Mutsvangwa said. “Cabinet has directed the Ministry of Health and Child Care to engage traditional and faith leaders for their support on the vaccination program.

The government is trying to vaccinate all children between ages six and 15 with the help of U.N. agencies such as UNICEF and the World Health Organization, said July Moyo, Zimbabwe’s minister of local government.

Moyo said the goal is to finish the vaccinations as soon as possible.

“The Civil Protection Unit met to analyze what has to be done. What they are sure of is that this spread (of measles) now needs to be tackled as an emergency,” Moyo said. “We have now mobilized resources to make sure that the children are vaccinated before schools open. This July and August, we have a lot of churches that assemble and we think that is the way this measles can be spread so we are targeting those, so that they can be vaccinated.”

Dr. Cleophas Chimbetete, president of Zimbabwe College of Public Health Physicians, says the government must continue talking to religious leaders of sects that do not believe in vaccination to prevent more measles outbreaks.

“This is the second one and it’s sad because measles is one of the vaccine preventable diseases of childhood… Such an outbreak shows that things really are not functioning as they should in terms of our public health system…. In this case, you realize that the majority of children that are being affected belong to a certain sect and sadly this sect does not consent to vaccination of children,” Chimbetete said.

A previous measles outbreak in Manicaland province in May affected 137 people and caused about 20 deaths.

Source: Voice of America

Forest Fires in Northern Algeria Leave at Least 26 Dead

At least 26 people died and dozens of others were injured in forest fires that ravaged 14 districts of northern Algeria on Wednesday, the interior minister said.

Kamel Beldjoud told state television that 24 people died in fires in El Tarf, near the border with Tunisia, and two others died earlier in Setif.

The civil protection agency in Setif had said that two women, “a 58-year-old mother and her 31-year-old daughter,” were killed in the town.

In Souk Ahras, farther to the east near Algeria’s border with Tunisia, people were seen fleeing their homes as fires spread before firefighting helicopters were deployed.

An earlier update said four people in Souk Ahras suffered burns and 41 others had breathing difficulties, the authorities said. Media reports said 350 residents had been evacuated.

No current figures were given on the number of people injured in the fires in other areas.

The police have closed several roads as a result of the fires.

“Thirty-nine fires are underway in 14 wilayas [administrative councils],” the civil protection agency said, noting that El Tarf was the worst hit, with 16 fires in progress.

Helicopters used buckets to drop water on fires in three wilayas, including Souk Ahras.

Since the start of August, 106 fires have broken out in Algeria, destroying more than 2,500 hectares of woodland.

Beldjoud said some of the fires were started by people.

Wednesday’s toll brought the total number of people killed in wildfires this summer to 30.

Algeria has 4.1 million hectares (10.1 million acres) of forest. Each year the northern part of the country is affected by forest fires, a problem that has worsened because of climate change.

Last year, at least 90 people died in forest fires that ravaged northern Algeria, destroying more than 100,000 hectares of woodland.

Source: Voice of America

Nigeria Launches Council to Eliminate Malaria by 2030

Nigerian President Muhammadu Buhari has launched a council to eradicate malaria and named Africa’s richest man, Aliko Dangote, as its leader. Africa accounts for the vast majority of deaths from the mosquito-borne disease, with nearly a third of victims in Nigeria. But Africa has struggled to eliminate the disease.

The launch of Nigeria’s End Malaria Council, EMC, took place Tuesday at the presidential banquet hall in Abuja.

During the event, Nigerian President Buhari inaugurated the 16-member committee, which will oversee an effort to eliminate malaria in Nigeria within the next eight years.

He appointed business magnate Aliko Dangote as the chairman of the group. Dangote runs a non-profit that has been mobilizing private sector support for malaria control in Africa.

Buhari said the council will advocate for more funding to sustain anti-malaria projects in the country.

“Our inauguration today will ensure that malaria elimination remains a priority on our agenda with strong political commitment from leaders at all levels,” said Buhari. “The successful implementation of the council’s agenda will result in improvement in the quality of life.”

The World Health Organization says Nigeria alone accounts for about 27% of all malaria cases and 32% of malaria deaths globally.

The idea to set up country-led councils to fight malaria in Africa was birthed by the African Union Assembly in 2018 with the stated aim of eliminating the disease from the continent by 2030.

Lack of funding and lack of innovation have been major factors stalling progress, says Lynda Ozor, WHO malaria program chief, who spoke to VOA Tuesday.

“For me it represents the highest political commitment to end malaria. The political commitment which we saw yesterday translates to recommitment to accelerate actions towards ending the disease,” said Ozor. “Malaria is not just a disease but a socioeconomic problem. We hope that in the very near future we should be gearing towards our elimination goal.”

The mosquito-borne disease is endemic in Africa and mostly affects children under five years old, due to low acquired immunity.

Wellington Oyibo, a parasitologist at the University of Lagos, says eradicating malaria will require a multi-pronged strategy. He spoke to a Lagos-based Channels television station.

“With the approval of the vaccine last year, every other control measure – vector control, the use of efficacious medicines, the use of diagnostics to confirm fever before treatment, even going further to the reengineering of the environment will be needed. It’s going to be all tools together,” said Oyibo.

Nigeria is one of more than 20 African countries that have launched country-specific responses to malaria, including Kenya, Zambia, Eswatini, and Uganda.

Source: Voice of America