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Today's Headlines - 22 July 2023
Climate change aiding spread of CCHF virus
GS Paper - 3 (Health and Diseases)

As Europe reels under a heatwave and wildfires, the rising temperatures have also raised fears of spread of viruses generally not found in colder climates. Alert has been sounded about the Crimean-Congo haemorrhagic fever (CCHF), an infection spread by ticks that has a high fatality rate, according to the World Health Organization (WHO). The CCHF is endemic to Africa, the Balkan countries, Middle East, and parts of Asia.

What is CCHF?

According to the WHO, Crimean-Congo haemorrhagic fever (CCHF) is a viral haemorrhagic fever usually transmitted by ticks. It can also be contracted through contact with viraemic animal tissues (animal tissue where the virus has entered the bloodstream) during and immediately post-slaughter of animals.
CCHF outbreaks constitute a threat to public health services as the virus can lead to epidemics, has a high case fatality ratio (10–40%), potentially results in hospital and health facility outbreaks, and is difficult to prevent and treat.”
The virus is present in the tick family of insects. According to the US Centers for Disease Control and Prevention (CDC), animals such as cattle, goats, sheep and hares serve as amplifying hosts for the virus. Transmission to humans occurs through contact with infected ticks or animal blood.
CCHF can be transmitted from one infected human to another by contact with infectious blood or body fluids”, such as sweat and saliva. The ticks can also be hosted by migratory birds, thus carrying the virus over long distances.
While the disease was first detected among soldiers in the Crimean Peninsula (near the Black Sea) in 1944, in 1969, it was found that an ailment identified in the Congo Basin was caused by the same pathogen. Thus, the disease was named the Crimean-Congo haemorrhagic fever.
What are the symptoms, cure of CCHF?

CCHF symptoms include fever, muscle ache, dizziness, neck pain, backache, headache, sore eyes and sensitivity to light, according to the WHO.
There may be nausea, vomiting, diarrhoea, abdominal pain and sore throat early on, followed by sharp mood swings and confusion. After 2–4 days the agitation may be replaced by sleepiness, depression and lassitude.
There is no vaccine for the virus in either humans or animals, and treatment generally consists of managing symptoms.
According to the WHO, the antiviral drug ribavirin has been used to treat CCHF infection with apparent benefit.

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Today's Headlines - 05 August 2023
WHO report on tobacco control measures
GS Paper - 3 (Health and Diseases)

Bengaluru finds special mention in a World Health Organisation (WHO) report on tobacco control measures released. Hundreds of enforcement drives, putting up ‘No Smoking’ signs, and creating awareness about the effects of smoking and second-hand smoke resulted in a 27% reduction in smoking in public places in the city, the report said. Across the world, there are 300 million fewer smokers today, with the prevalence of smoking declining from 22.8% in 2007 to 17% in 2021.

Measures of the report

Fifteen years ago, WHO had developed the MPOWER measures – monitor tobacco use and prevention policies; protect people from tobacco smoke; offer help to quit tobacco; warn about dangers of tobacco; enforce bans on tobacco advertising; and raise taxes on tobacco products.
The report assesses the implementation of these measures.

What does the report say?

In the 15 years since the MPOWER measures were first introduced, 5.6 billion people in the world – or 71% of the entire population – remain protected by at least one of the measures. This has increased from just 5% of the population in 2008.
The number of countries implementing at least one MPOWER measure has increased from 44 countries in 2008 to 151 in 2022. At least four countries – Brazil, Turkiye, Netherlands, and Mauritius – have implemented all the measures.
WHO urges all countries to put in place all of the MPOWER measures at best-practice level to fight the tobacco epidemic, which kills 8.7 million people globally, and push back against the tobacco and nicotine industries, who lobby against these public health measures.
With a focus on second-hand smoking, the report says that almost 40% countries now have completely smoke-free indoor public spaces.

The report has some bad news as well.

There are at least 44 countries in the world that still do not implement any MPOWER measure.
There are 53 countries that do not completely ban smoking in healthcare facilities. And only half of the countries have smoke-free workplaces and restaurants.
The director general of WHO, Dr Tedros Adhanom Ghebreyesus, also flagged the dangers of e-cigarettes.
In the report, he said, “But progress so far is being undermined by the tobacco industry’s aggressive promotion of E-cigarettes as a safer alternative to cigarettes.

How does India fare?

When it comes to India, the report states that the country has the highest level of achievement when it comes to putting health warning labels on tobacco products and providing tobacco dependence treatment.
With 85% of cigarette packs carrying health warnings both on the front and back, India figures among the top 10 countries in terms of the size of health warnings. The cigarette packets in the country also carry a toll-free number for a quit-line.
India has also banned the sale of e-cigarettes, and banned smoking in healthcare facilities and educational institutions.
The report ranks the implementation of these bans an 8 out of 10 in healthcare facilities, 6 in schools, and 5 in universities.

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What does the study show?

The new analysis focuses on the environmental dissemination of ARGs. With every 1% rise in PM2.5 pollution, antibiotic resistance increased between 0.5-1.9% depending on the pathogen — a link which has only intensified with time.
The researchers added that this airborne spread may have also caused premature deaths in India and China, among other countries in South Asia, North Africa and the Middle East which are population dense.
An average of 18.2 million years of life was lost in 2018 worldwide, resulting in an annual economic loss of $395 billion (more than Pakistan’s GDP) due to premature deaths.
The paper is unique in its scale and scope: global antibiotic resistance is driven by multiple factors, one being the “effect derived from the environment, which is poorly understood in relation to antibiotic resistance”.
The researchers collected data from 116 countries spanning almost two decades, to observe the link between rising PM2.5 and antibiotic resistance. The researchers also analysed other predictors, including sanitation services, antibiotic use, population, education, climate.
How is air linked to antibiotic resistance?

Antibiotic-resistant bacteria and genes travel through different pathways: food, soil, water, air, and even direct contact with sources such as animals.
The hypothesis is that ARGs, when emitted from, say, hospitals or livestock farming, could latch on to pollutant particles, which were found to contain “diverse antibiotic-resistant bacteria and antibiotic-resistance genes, which are transferred between environments and directly inhaled by humans, causing respiratory-tract injury and infection.”
When suspended in the environment or breathed into the lungs, the ARGs could enter the bacteria found in the human body and solidify its resistance to drugs. “PM 2.5 can facilitate the horizontal gene transfer of antibiotic-resistant genes between bacteria,” the research found.
PM2.5 contains a high concentration of antibiotic resistance-determinant genes, and these particles can travel far and wide due to wind speed, water evaporation, and dust transport.
ARGs are also more abundant in urban air particles than in sediment, soil or rivers, the analysis showed.

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Today's Headlines - 19 August 2023
WHO holds first traditional medicine summit
GS Paper - 3 (Health and Diseases)

The World Health Organization opened its first summit on traditional medicine with the group saying it was seeking to collect evidence and data to allow for the safe use of such treatments. Traditional medicines are a "first port of call for millions of people worldwide", the UN health agency said.

More about the summit

The two-day WHO Traditional Medicine Global Summit takes place alongside a meeting of G20 health ministers in the Indian city of Gandhinagar.
The first global traditional summit, co-hosted by the World Health Organization (WHO) and the Ministry of Ayush.
This summit is designed to foster political commitment and evidence-based action in the field of traditional medicine.
As a vital healthcare source for millions worldwide, traditional medicine will be closely examined and evaluated as a formidable force in addressing health and well-being needs.
With a wide array of engagement groups, working groups, and meetings, this event aims to represent the interests of the Global South countries within the G20 framework.
The theme of "One Earth, One Family, One Future" embodies India's philosophy of Vasudhaiva Kutumbakam.
More about traditional medicine

The UN health agency defines traditional medicine as the knowledge, skills and practices used over time to maintain health and prevent, diagnose and treat physical and mental illness.
But many traditional treatments have no proven scientific value and conservationists say the industry drives a rampant trade in endangered animals -- including tigers, rhinos and pangolins -- threatening the existence of entire species.
Use of homemade remedies soared during the Covid-19 pandemic, including a green herbal drink based on Artemisia that was promoted by Madagascar's president as a cure.
The plant has a proven efficacy in malaria treatment, but its use to combat Covid was widely scorned by many doctors.
In China, traditional medicine has a distinguished history, but top European medical bodies have previously demanded it be subject to the same regulatory oversight as conventional medical methods.
Flashback

Of the WHO's 194 member states, 170 acknowledged their use of traditional and complementary medicine since 2018, but only 124 reported having laws or regulations for the use of herbal medicines -- while only half had a national policy on such methods and medicines.
About 40 percent of approved pharmaceutical products currently in use derive from a "natural product basis", according to the WHO, which cited "landmark drugs" that derive from traditional medicine, including aspirin, drawing on formulations using willow tree bark.

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