Disease

Lucky delivery: A south Sudan refugee mother takes a meal after successfully delivering her newborn at Nzjaipi health center III. A number of expecting mothers in limbo due to inadequate health facilities at refugee transit and sattlement sites in Adjumani.  Charles Akena/IRIN

irinnews.org

GULU-NAIROBI, 27 January 2014 (IRIN) - Disease burden is growing among people who fled their homes following the outbreak of conflict in South Sudan.

The mid-December eruption of fighting between army forces loyal to President Salva Kiir and those supporting former vice-president Riek Machar has adversely impacted the already weak health system.

“Even before this crisis, South Sudan’s health system was extremely fragile - 80 percent of the health services were provided by international organizations," Raphael Gorgeu, the Médecins Sans Frontières (MSF) head of mission for South Sudan, told IRIN in an email. “So for MSF, the current conflict exacerbates an already dire situation.”

(READ COMPLETE ARTICLE)

submitted by Luis Kun

homelandsecuritynewswire.com - December 13, 2013

Computational model demonstrates how disease spreads in a highly connected world. The computational work has led to a new mathematical theory for understanding the global spread of epidemics. The resulting insights could not only help identify an outbreak’s origin but could also significantly improve the ability to forecast the global pathways through which a disease might spread. . .

. . . Their study is published today (13 December) in the journal Science.

(READ COMPLETE ARTICLE)

RESEARCH - Science - The Hidden Geometry of Complex, Network-Driven Contagion Phenomena

A corpse was carried on Thursday to a mass grave in Tacloban, the city of 220,000 that was flattened by the storm that made landfall a week ago. The number of dead still remains uncertain.  Sergey Ponomarev for The New York Times

nytimes.com - by Rick Gladstone - November 14, 2013

The aftermath of the Philippines typhoon is now threatening the country with outbreaks of debilitating and potentially fatal diseases, including some thought to have been nearly eradicated, because of a collapse in sanitation, shortages of fresh water and the inability of emergency health teams to respond quickly in the week since the storm struck, doctors and medical officials said Thursday.

Illnesses including cholera, hepatitis, malaria, dengue fever, typhoid fever, bacterial dysentery and others that thrive in tropical, fetid environments, where sewage and water supplies intermingle, could form what doctors fear is the disaster’s second wave.

(READ COMPLETE ARTICLE)

Operational Biosurveillance - biosurveillance.typepad.com - October 1, 2013

Mexico is reporting upwards of 44 cases of cholera now with one fatality involving Hidalgo State and Mexico City.  The appearance of cholera in Mexico City is deeply concerning from the standpoint of the "tip of the iceberg": we only know of the recognized cases.  There are likely others out there.

A couple of points about this:

1. Totally expected to see expansion of the Nepalese cholera from Haiti to the DR, to Cuba, and now to Mexico. It is likely to include many other countries in that region before all is said and done.

2. It is likely to spread in Mexico in 'fits and starts' due to lack of indigenous immunity and will cause disruption.

3. It will likely spread along trade and migrant labor routes to the US and other countries doing business with Mexico.

4. Communities in the US may be caught unawareness due to basic expectation of border communities in Texas serving as "canaries in a coal mine" for the rest of the country. We propose the migrant labor routes penetrate deep into the US and far from these border communities.