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June 27, 2014

Fukushima’s Children are Dying

Filed under: disaster,disease/health,japan,nuclear/radiation — admin @ 2:43 pm

More than 48 percent of some 375,000 young people–nearly 200,000 kids–tested by the Fukushima Medical University near the smoldering reactors now suffer from pre-cancerous thyroid abnormalities, primarily nodules and cysts.Some 39 months after the multiple explosions at Fukushima, thyroid cancer rates among nearby children have skyrocketed to more than forty times (40x) normal.

More than 48 percent of some 375,000 young people–nearly 200,000 kids–tested by the Fukushima Medical University near the smoldering reactors now suffer from pre-cancerous thyroid abnormalities, primarily nodules and cysts. The rate is accelerating.

More than 120 childhood cancers have been indicated where just three would be expected, says Joseph Mangano, executive director of the Radiation and Public Health Project.

The nuclear industry and its apologists continue to deny this public health tragedy. Some have actually asserted that “not one person” has been affected by Fukushima’s massive radiation releases, which for some isotopes exceed Hiroshima by a factor of nearly 30.

But the deadly epidemic at Fukima is consistent with impacts suffered among children near the 1979 accident at Three Mile Island and the 1986 explosion at Chernobyl, as well as findings at other commercial reactors.

The likelihood that atomic power could cause such epidemics has been confirmed by the Canadian Nuclear Safety Commission, which says that “an increase in the risk of childhood thyroid cancer” would accompany a reactor disaster.

In evaluating the prospects of new reactor construction in Canada, the Commission says the rate “would rise by 0.3 percent at a distance of 12 kilometers” from the accident. But that assumes the distribution of protective potassium iodide pills and a successful emergency evacuation, neither of which happened at Three Mile Island, Chernobyl or Fukushima.

The numbers have been analyzed by Mangano. He has studied the impacts of reactor-created radiation on human health since the 1980s, beginning his work with the legendary radiologist Dr. Ernest Sternglass and statistician Jay Gould.

Speaking on the Green Power & Wellness Show, Mangano also confirms that the general health among downwind human populations improves when atomic reactors are shut down, and goes into decline when they open or re-open.

Nearby children are not the only casualties at Fukushima. Plant operator Masao Yoshida has died at age 58 of esophogeal cancer. Masao heroically refused to abandon Fukushima at the worst of the crisis, probably saving millions of lives. Workers at the site who are employed by independent contractors–many dominated by organized crime–are often not being monitored for radiation exposure at all. Public anger is rising over government plans to force families–many with small children–back into the heavily contaminated region around the plant.

Following its 1979 accident, Three Mile Island’s owners denied the reactor had melted. But a robotic camera later confirmed otherwise.

The state of Pennsylvania mysteriously killed its tumor registry, then said there was “no evidence” that anyone had been killed.

But a wide range of independent studies confirm heightened infant death rates and excessive cancers among the general population. Excessive death, mutation and disease rates among local animals were confirmed by the Pennsylvania Department of Agriculture and local journalists.

In the 1980s federal Judge Sylvia Rambo blocked a class action suit by some 2,400 central Pennsylvania downwinders, claiming not enough radiation had escaped to harm anyone. But after 35 years, no one knows how much radiation escaped or where it went. Three Mile Island’s owners have quietly paid millions to downwind victims in exchange for gag orders.

At Chernobyl, a compendium of more than 5,000 studies has yielded an estimated death toll of more than 1,000,000 people.

The radiation effects on youngsters in downwind Belarus and Ukraine have been horrific. According to Mangano, some 80 percent of the “Children of Chernobyl” born downwind since the accident have been harmed by a wide range of impacts ranging from birth defects and thyroid cancer to long-term heart, respiratory and mental illnesses. The findings mean that just one in five young downwinders can be termed healthy.

Physicians for Social Responsibility and the German chapter of the International Physicians for the Prevention of Nuclear War have warned of parallel problems near Fukushima.

The United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR) has recently issued reports downplaying the disaster’s human impacts. UNSCEAR is interlocked with the United Nations’ International Atomic Energy Agency, whose mandate is to promote atomic power. The IAEA has a long-term controlling gag order on UN findings about reactor health impacts. For decades UNSCEAR and the World Health Organization have run protective cover for the nuclear industry’s widespread health impacts. Fukushima has proven no exception.

In response, Physicians for Social Responsibility and the German International Physicians for the Prevention of Nuclear War have issued a ten-point rebuttal, warning the public of the UN’s compromised credibility. The disaster is “ongoing” say the groups, and must be monitored for decades. “Things could have turned for the worse” if winds had been blowing toward Tokyo rather than out to sea (and towards America).

There is on-going risk from irradiated produce, and among site workers whose doses and health impacts are not being monitored. Current dose estimates among workers as well as downwinders are unreliable, and special notice must be taken of radiation’s severe impacts on the human embryo.

UNSCEAR’s studies on background radiation are also “misleading,” say the groups, and there must be further study of genetic radiation effects as well as “non-cancer diseases.” The UN assertion that “no discernible radiation-related health effects are expected among exposed members” is “cynical,” say the groups. They add that things were made worse by the official refusal to distribute potassium iodide, which might have protected the public from thyroid impacts from massive releases of radioactive I-131.

Overall, the horrific news from Fukushima can only get worse. Radiation from three lost cores is still being carried into the Pacific. Management of spent fuel rods in pools suspended in the air and scattered around the site remains fraught with danger.

The pro-nuclear Shinzo Abe regime wants to reopen Japan’s remaining 48 reactors. It has pushed hard for families who fled the disaster to re-occupy irradiated homes and villages.

But Three Mile Island, Chernobyl and the plague of death and disease now surfacing near Fukushima make it all too clear that the human cost of such decisions continues to escalate–with our children suffering first and worst.

Fiji Asks For Help to Fight the Affects of Climate Change in the Pacific

Filed under: climate change,fiji — admin @ 2:40 pm

The Government of the island nation of Fiji is accusing the international community, pointing mainly at Australia, of being selfish in regards to climate change policy. Fiji, like many other pacific nations is suffering greatly from the rising sea levels; these small island nations contribute very little to global carbon emissions but are suffering the consequences of the rest of the world’s high level of carbon output.

In a climate change summit hosted by Fiji, interim Prime Minister Bainimara said the global will to combat climate change is receding. He further pointed at Australia, saying that since the election of conservative Prime Minister Tony Abbot there has been a distinct change of attitude in Australia toward climate change policy. Abbot has been quoted as saying that he will not support any climate change policy in Australia that would negatively impact the Australian economy.

The interim Prime Minister of Fiji issued a harsh statement to the world, pointed at Australia and Prime Minister Abbot, saying that history will judge them harshly if they do nothing to effect policy change and allow the islands of the pacific to sink below the ocean. He further stated that leaders need to see the situation is dire for Fiji and other island nations and that leaders need to risk minor economic impact to save lives.

Indonesia was invited to the climate change summit in Fiji and pledged support to Fiji in combating climate change. Indonesia also has a strong incentive to mitigate the effects of climate change in the pacific. Indonesia has offered $20 million to Fiji to help fight the effects of climate change and has offered further support in the form of increased trade agreements with Fiji to boost trade revenue by a targeted $1 billion in the future.

The situation in Fiji is so serious that entire communities have had to be relocated since January 2014. The village of Vaunidogola had to be relocated to higher ground due to rising sea levels; the relocation affected 50 families whose ancestors had lived on that land for generations. The government of Fiji has also identified 600 villages across the Fiji islands that are at risk from the rising sea levels. The government predicts that over the next 10 years 40 settlements will have to be relocated due to the rise in sea levels, the pollution of the ground water and the destruction of agricultural land.

How Mexico’s Cartels Are Behind the Border Kid Crisis

Filed under: human rights,intra-national,mexico,usa — admin @ 2:38 pm

Mexico’s drug gangs have taken over the human-trafficking business along the border, and agents suspect they may have a hand in the unprecedented number of underage migrants stagnating in Arizona’s detention centers.

NOGALES, Mexico — Father Ricardo Machuca strides back and forth between six long, metal picnic tables packed with men and women as volunteers pass out plates piled high with corn, beans, rice and pork rinds. Clutching a microphone and wearing jeans, a white tunic, sandals and a messenger bag, Machuca looks more like a bohemian motivational speaker than a Jesuit priest.

Don’t accept offers from strangers who want to help you cross, he warns his audience in Spanish as they quietly dig into their meals. Crossing with coyotes is human trafficking and it’s “un delito federal,” he says. A federal offense. In recent years, warnings about who to avoid on the streets of Nogales have become a key part of Machuca’s advice to those who pass through the binational Kino Border Initiative’s migrant outreach center. Better known as the Comedor, meaning “soup kitchen” in Spanish, the center has been offering hot meals, first aid, clean clothing, and spiritual guidance to migrants since 2009. Someone offering to help wire money could rob you, Machuca tells the migrants. Or a stranger willing to let you use their cellphone to call your family might save their number and use it to extort them later.

“The vulnerability is very high here on the border,” Father Sean Carroll, Machuca’s American counterpart, tells me as an assembly line of volunteers rushes hot plates from the kitchen to the tables. “They want to contract the migrants to try to cross again.”

Carroll is referring to Mexican drugs cartels, along with the smugglers hired by the cartels to recruit desperate migrants looking for a way back into the United States. Over the past decade, after long existing side by side with coyotes, the cartels decided to get in on the action. Now, they’ve turning what was once a relatively informal and somewhat familial underground operation into a highly sophisticated human trafficking network.

While the journey north was always treacherous and costly, in the hands of the cartels it has become deadlier than ever. The entire border, and the routes leading up to it, are controlled by some combination of the Los Zetas, Sinaloa and Knights of Templar cartels, along with a few smaller groups–making it impossible to cross without their permission. And their permission will cost you. Where migrants may have once paid a single person from their hometown $300 to $500 to guide them across, the initial going rate to cross the cartel-occupied border can range between $3,000 and $6,000 per person, the price varying depending on the age, gender, and origin of the migrant. Most people can’t afford that much up front, so family members in the States will often wire money to the smugglers, or pay in installments along the way.

Under the cartel-run migration model, migrants typically make arrangements to cross from their hometowns and are told to find their own way to a certain point where they will meet the coyote. The city of Altar, for example, about 112 miles from Nogales in the Mexican state of Sonora, is a popular launching point for border crossers, and as such, it has become a center of immigration commerce. Here, smugglers often tell migrants to wait for days before they cross, during which time they are nickel-and-dimed into buying stealth desert-crossing gear–camouflage backpacks, black water bottles, and carpet booties–from vendors who set up shop around town.

For those coming from Central America, just getting to a meeting place like Altar often means riding buses or atop freight trains from southern Mexico where they may be subjected to robbery, beatings, and getting thrown off the train by cartel lackeys. Those who make it will continue to encounter crippling fees at practically every leg of their journey to the border. Refusal or inability to pay may result in migrants being forced to carry backpacks filled with marijuana, getting kidnapped in order to extort money from their families, or being murdered on the spot. Last year, Zetas leader Miguel Angel Trevino Morales was captured by Mexican Marines and charged with ordering the kidnapping and murder of 265 migrants. For female migrants, there is always a good chance they could be raped along the way, either by their guide or one of the stray predators who stalk the desert.

It’s almost impossible to separate the cartels’ migration takeover from the security crackdown on the U.S.-Mexico border. In the 13 years since U.S. Border Patrol became a part of the post-9/11 Department of Homeland Security and adopted the mission of keeping terrorists out of the country, the Southwest border has been transformed into a militarized zone, with nearly 700 miles of varying degrees of steel fencing, 21,000 Border Patrol agents, security cameras and ground sensors, with more high-tech surveillance on the way. Some combination of this beefed-up security, a George W. Bush-era policy of jailing and formally deporting all illegal border crossers, plus the U.S.’ weakened housing and job markets, brought the net flow of migration from Mexico to a standstill in 2011. While traffic over the border has slowed, those still crossing have been funnelled into the roughest corners of the desert, where human predators are only part of the danger.

To avoid areas where Border Patrol agents are most highly concentrated, migrants must take longer routes through Mexico, often walking for days through the blistering heat and unpaved and often mountainous desert terrain, dodging rattlesnakes, yellow jackets and cacti, before they even reach the international line. It’s physically impossible to carry the amount of water needed for more than a few days in the desert.

To coyotes getting paid for each person who successfully makes it over, it’s not worth the risk of stalling the whole group to stop and care for someone who is hurt or sick. More often than not, those who can’t keep up will be left to die in the desert. Even as the number of illegal crossers apprehended at the border has reached all-time lows, more people are dying than ever. According to a report by the human-rights group the Washington Office on Latin America, 463 migrants died in fiscal year 2012. The last time that there were more deaths was in 2005, when 492 migrants died. But the pool of people crossing over was much larger–that year, Border Patrol apprehended three times as many people as in 2012.

Juanita Molina is the executive director of Border Action Network and Humane Borders, two Tucson, Arizona-based humanitarian groups that set up water tanks in the desert based on their maps of where the most deaths occur and advocate for humane treatment of migrants and border communities by Border Patrol. She argues that the criminalization of economic migration has backed an already vulnerable group of people into a corner, with the cartels capitalizing on the situation.

“As a society, we feed the danger by forcing all of these people into the shadows,” Molina told me at her office in Tucson. She speculates that limiting the ability to cross the border to the most dangerous areas was part of the Border Patrol strategy to deter people from crossing.

“Or maybe they didn’t care that people were dying, that there is a certain amount of collateral damage that comes with enforcement,” she says. “It’s hard to know.”

What Molina does know, from mapping desert deaths for the past 12 years, is that people are dying closer to the international line and farther from the roads in town. “The dynamic of pushing people further into these wilderness areas is almost like putting out meat for the wolves,” she says.

Central American migrants are naturally more vulnerable to cartel manipulation and violence on the journey north than native Mexicans. But the cartels may actually be responsible for the recent influx of Central Americans attempting to cross the Southwest border and, specifically, the surge in unaccompanied minors coming from the region.

In 2011, the World Bank declared narcotics trafficking to be one of the greatest threats to development in Central America. After Mexican President Felipe Calderon launched a military crackdown on drug traffickers within his country in 2006, Mexico’s most powerful cartels–Los Zetas, Sinaloa and others–started to spread south, recruiting local gangs to join their operation and terrorizing Guatemalan, Honduran, and Salvadoran cities with the same indiscriminate violence that once made Ciudad Juarez the world’s murder capital. Whereas three political parties plus institutions like the Catholic Church and the business community have prevented Mexico from completely crumbling under the cartel chaos, Central America’s historically fragile economy and easily corruptible political, judicial and military systems are much less poised to withstand the weight of the wealthy and heavily-armed drug cartels. Peace accords to end Guatemala’s civil war in 1996, for example, cut the country’s army by two-thirds, leaving a major opening for organized crime. As of 2011, Guatemala’s murder rate was double that of Mexico. And while that rate technically dropped during the past three years, the U.S. Department of State’s Bureau of Diplomatic Security noted in its 2013 Crime and Safety Report that the commonly cited statistics provided by Guatemala’s Policia Nacional Civil undersell the homicide situation, as they do not include murders in which the victim didn’t die right at the scene of the crime.

“Guatemala’s worrisome murder rate appears driven by four key factors: an increase in narco-trafficking activity, growing gang-related violence, a heavily armed population (upwards of 60 percent possess a firearm), and a police/judicial system that remains either unable or unwilling (or both) to hold most criminals accountable,” read the report. “Well-armed criminals know there is little chance they will be caught or punished.”

Meanwhile, Honduras and El Salvador have maintained the world’s highest and second-highest homicide rates since the mid-1990s.

By making these countries so dangerous and virtually unlivable for their poorest citizens, the cartels have effectively created an incentive for people to flee, providing themselves with more clientele for their human smuggling business to supplant the hole left by the drop in Mexican migrants.

The cartels are also driving the current border-children crisis in the U.S. Since last October, 52,000 unaccompanied minors were apprehended by Border Patrol. House Speaker John Boehner and other Republicans have blamed local news coverage in Central American countries of Obama’s pathway to citizenship for the massive influx of kids. But as The Huffington Post discovered by scouring Central American news reports, regional media has accurately covered DACA and the proposed Comprehensive Immigration Reform and regularly depicts President Obama as tough on immigration.

In reality, it’s more likely a loophole in the George W. Bush-era policy of expeditiously charging, imprisoning, and deporting adult illegal border crossers that is drawing children in droves. According to this policy, while Mexican minors can be sent back over the border immediately, minors from other countries must be held in Customs and Border Protection’s custody for a maximum of 72 hours before they are turned over to the Department of Health and Human Services’ Office of Refugee Resettlement. ORR houses the minors in shelters while searching for U.S.-based relatives with whom they can stay during their deportation proceedings. As of March 2014, there were 366,758 pending deportation cases in U.S. immigration courts. That backlog means even just receiving a court date could take years, by which time the minor could make the case that they are better off with their extended family in the States. Or they could just not show up to court and choose to live under the radar like the 11 million other undocumented immigrants in the United States. No doubt the criminals interested in recruiting border crosses have emphasized to families that kids face better odds in the U.S.–and so the children keep on coming.

Some suspect the recent inundation of unaccompanied minors at the border is part of a strategic move by the cartels to distract Border Patrol while they move drugs.

Last week the Obama administration publicized plans to open more facilities to detain children and families, and to reassign immigration officers and judges to population (upwards of 60 percent possess a firearm), and a police/judicial system that remains either unable or unwilling (or both) to hold most criminals accountable,” read the report. “Well-armed criminals know there is little chance they will be caught or punished.”

Meanwhile, Honduras and El Salvador have maintained the world’s highest and second-highest homicide rates since the mid-1990s.

By making these countries so dangerous and virtually unlivable for their poorest citizens, the cartels have effectively created an incentive for people to flee, providing themselves with more clientele for their human smuggling business to supplant the hole left by the drop in Mexican migrants.

The cartels are also driving the current border-children crisis in the U.S. Since last October, 52,000 unaccompanied minors were apprehended by Border Patrol. House Speaker John Boehner and other Republicans have blamed local news coverage in Central American countries of Obama’s pathway to citizenship for the massive influx of kids. But as The Huffington Post discovered by scouring Central American news reports, regional media has accurately covered DACA and the proposed Comprehensive Immigration Reform and regularly depicts President Obama as tough on immigration.

In reality, it’s more likely a loophole in the George W. Bush-era policy of expeditiously charging, imprisoning, and deporting adult illegal border crossers that is drawing children in droves. According to this policy, while Mexican minors can be sent back over the border immediately, minors from other countries must be held in Customs and Border Protection’s custody for a maximum of 72 hours before they are turned over to the Department of Health and Human Services’ Office of Refugee Resettlement. ORR houses the minors in shelters while searching for U.S.-based relatives with whom they can stay during their deportation proceedings. As of March 2014, there were 366,758 pending deportation cases in U.S. immigration courts. That backlog means even just receiving a court date could take years, by which time the minor could make the case that they are better off with their extended family in the States. Or they could just not show up to court and choose to live under the radar like the 11 million other undocumented immigrants in the United States. No doubt the criminals interested in recruiting border crosses have emphasized to families that kids face better odds in the U.S.–and so the children keep on coming.

Some suspect the recent inundation of unaccompanied minors at the border is part of a strategic move by the cartels to distract Border Patrol while they move drugs.

Last week the Obama administration publicized plans to open more facilities to detain children and families, and to reassign immigration officers and judges to population (upwards of 60 percent possess a firearm), and a police/judicial system that remains either unable or unwilling (or both) to hold most criminals accountable,” read the report. “Well-armed criminals know there is little chance they will be caught or punished.”

Meanwhile, Honduras and El Salvador have maintained the world’s highest and second-highest homicide rates since the mid-1990s.

By making these countries so dangerous and virtually unlivable for their poorest citizens, the cartels have effectively created an incentive for people to flee, providing themselves with more clientele for their human smuggling business to supplant the hole left by the drop in Mexican migrants.

The cartels are also driving the current border-children crisis in the U.S. Since last October, 52,000 unaccompanied minors were apprehended by Border Patrol. House Speaker John Boehner and other Republicans have blamed local news coverage in Central American countries of Obama’s pathway to citizenship for the massive influx of kids. But as The Huffington Post discovered by scouring Central American news reports, regional media has accurately covered DACA and the proposed Comprehensive Immigration Reform and regularly depicts President Obama as tough on immigration.

In reality, it’s more likely a loophole in the George W. Bush-era policy of expeditiously charging, imprisoning, and deporting adult illegal border crossers that is drawing children in droves. According to this policy, while Mexican minors can be sent back over the border immediately, minors from other countries must be held in Customs and Border Protection’s custody for a maximum of 72 hours before they are turned over to the Department of Health and Human Services’ Office of Refugee Resettlement. ORR houses the minors in shelters while searching for U.S.-based relatives with whom they can stay during their deportation proceedings. As of March 2014, there were 366,758 pending deportation cases in U.S. immigration courts. That backlog means even just receiving a court date could take years, by which time the minor could make the case that they are better off with their extended family in the States. Or they could just not show up to court and choose to live under the radar like the 11 million other undocumented immigrants in the United States. No doubt the criminals interested in recruiting border crosses have emphasized to families that kids face better odds in the U.S.–and so the children keep on coming.

Some suspect the recent inundation of unaccompanied minors at the border is part of a strategic move by the cartels to distract Border Patrol while they move drugs.

Last week the Obama administration publicized plans to open more facilities to detain children and families, and to reassign immigration officers and judges to speed up deportation proceedings. During a visit with senior leaders from Guatemala, El Salvador and Honduras in Guatemala on Friday, Vice President Joe Biden announced the U.S. would be dedicating $225 million to the Central American countries to better prosecute gang members, cut down on gang recruitment with youth outreach programs, and help reintegrate deportees.

On the opposite side of the border in Nogales, Arizona Border Patrol spokesman Peter Bidegain is pointing at a two-story yellow brick house just across the border fence. “This yellow building here, it’s operated by the one of the cartels as a scouting facility,” he says. Nearby, a yellow Caterpillar excavator sits idle next to an opening that once led into a cross-border tunnel. “You can see guys on the porch sometimes with binoculars. They work in shifts just like we do.”

Bidegain describes a common cat-and-mouse game played by smugglers and the Border Patrol agents in which migrants are led over the fence on a ladder, prompting the agents to go after the migrants and allowing drug smugglers to sneak by. Vast scouting networks using cellphone or radio transmissions, powered by solar panel battery chargers in the mountains, allow lookouts on both sides of the border to study Border Patrol agents’ every move, waiting for the perfect time to pounce. With Border Patrol and Mexican police stacked on either side of the 15-foot-high steel wall, drugs stuffed in the sides of cars or fake fruit in the back of trucks or even on the back of a single person have a better chance of making it through Nogales than a group of migrants.

“A lot of times the people who are being smuggled here are just being used as bait,” he says.

Some suspect the recent inundation of unaccompanied minors at the border is part of a strategic move by the cartels to distract Border Patrol while they move drugs.

“We have grave concerns that dangerous cartel activity, including narcotics smuggling and human trafficking, will go unchecked because Border Patrol resources are stretched too thin,” Texas Attorney General Greg Abbott wrote in a letter to Department of Homeland Security Secretary Jeh Johnson this month, requesting $30 million for additional law enforcement. Recent U.S. Drug Enforcement Administration statistics back this theory. Total marijuana, cocaine, heroin and methamphetamine seizures between January 1 and June 14 of this year have dropped across all states that line the U.S.-Mexico border, but the decrease in Texas–the center of the surge in unaccompanied minors–has been bigger than the average, at 34 percent. The DEA and Border Patrol have said it’s too soon to tell whether the decrease in drug seizures is at all connected to the increase in underage crossers.

As policymakers debate how best to handle the current immigration crisis, the day-to-day game of Whack-A-Mole continues along the border. Border Patrol zeroes in on the highest trafficked areas and, in turn, smugglers change position.

“They will use what’s successful, so they’ll try anything,” Bidegain told me. “It just depends on the smuggling du jour.”

Nearly 4,600 now affected by untreatable virus spreading through Caribbean

Filed under: caribbean,disease/health,usa — admin @ 2:35 pm

Many people have heard of malaria and may even know about Dengue fever, two health-ravaging, mosquito-borne diseases. Malaria brings fever, chills and flu-like symptoms, and Dengue fever elicits fever, headache, pain and skin rash.

What few people have heard of is the chikungunya virus, an emerging mosquito-borne virus that was once isolated in Asia, Africa and the Indian subcontinent. Originally discovered in Tanzania in the 1950s, chikungunya stayed in the shadows for decades. By 2007, the disease had spread to northeastern Italy, infecting 10. Most shocking, though, has been its emergence in the past six months. The disease, spread by the Aedes aegypti mosquito, has made its way to the Americas and is spreading fast. Hundreds of new cases have been rising up throughout the Caribbean islands.

4,600 new cases of chikungunya in the Caribbean

In the last six months, the Pan American Health Organization has documented nearly 4,600 new cases of chikungunya in the Caribbean. Puerto Rico has recently confirmed its first case as has the US Virgin Islands. The mosquito-borne disease is sweeping through the tropics, inflicting its victims with arthritis-like symptoms — chronic joint pain. The disease is like Dengue fever, causing fever, rash and nausea. The symptoms of chikungunya can last for months or years.

Chikungunya is spreading rapidly on the French islands of Guadeloupe and Martinique, accounting for 2,800 of the new cases. At least 20 states or islands have confirmed new cases, with 793 cropping up on the French side of St. Martin and 123 on the Dutch side.

“It has not been here before, so people are susceptible, there is no resistance and we have had a lot of the mosquitoes that transmit it,” said Dr. James Hospedales, executive director of the Caribbean Public Health Agency [emphasis added].

“The players in the tourism industry need to be concerned,” said Dr. Hospedales. “We have been working with the Caribbean Tourism Organization on some of the communications messages because you have to be truthful and honest in informing the population, but on the other hand you can’t cause alarm and panic.”

According to the Caribbean Tourism Organization, more than 25 million tourists visited the disease-stricken region in 2013. The area is one of the largest tourist destinations in the world.

Chikungunya making its way to the US

As tourism treks on in the Caribbean, the CDC is worried that the virus will spread onto cruise ships, moving quickly to larger populations and, ultimately, the United States.

As a matter of fact, the first cases of the disease in the US have been confirmed in Georgia and Florida.

“Both the cases were imported,” said Claudia Blackburn, a health officer in Leon County Florida. Tourists who visited the Caribbean contacted the disease, but Blackburn said, “We don’t anticipate seeing any local spread.”

Since then, the CDC has confirmed at least 60 new cases arising in the US. In the meantime, public health officials advise travelers and tourists to wear protective clothing if possible, use mosquito nets or carry around a reliable bug repellent.

Outbreak of Ebola in Guinea, Liberia, and Sierra Leone

Filed under: disease/health,guinea,liberia,Sierra leone — admin @ 2:29 pm

At a Glance:

* Suspected and Confirmed Case Count: 390 * Suspected Case Deaths: 270 * Laboratory Confirmed Cases: 260

Liberia at a Glance

* Suspected and Confirmed Case Count: 51 * Suspected Case Deaths: 34 * Laboratory Confirmed Cases: 34

Sierra Leone at a Glance

* Suspected and Confirmed Case Count: 158 * Suspected Case Deaths: 58 * Laboratory Confirmed Cases: 147

Highlights

* June 20, 2014, the Guinea Ministry of Health announced a total of 390 suspect and confirmed cases of Ebola hemorrhagic fever (EHF), including 270 fatal cases. * Affected districts include Conakry, Guéckédou, Macenta, Kissidougou, Dabola, Djingaraye, Télimélé, Boffa, Dubreka, and Kouroussa (see map). * 260 cases across Guinea have been confirmed by laboratory testing to be positive for Ebola virus infection. * In Guinea’s capital city, Conakry, 65 suspect cases have been reported to meet the clinical definition for EHF, including 33 fatal cases. * June 20, 2014, the Ministry of Health and Sanitation of Sierra Leone reported 147 laboratory confirmed cases of EHF with 34 fatal cases among the confirmed. * A total of 158 clinical EHF cases have been reported from 5 Sierra Leone districts: Kailahun, Kambia, Port Loko, Kenema, and Western. * June 22, 2014, the Ministry of Health and Social Welfare of Liberia reported 51 suspect and confirmed EHF cases (including 34 laboratory confirmations) and 34 reported fatalities and. * Genetic analysis of the virus indicates that it is closely related (97% identical) to variants of Ebola virus (species Zaire ebolavirus) identified earlier in the Democratic Republic of the Congo and Gabon (Baize et al. 2014External Web Site Icon). * The Guinean Ministry of Health, the Ministry of Health and Sanitation of Sierra Leone, and the Ministry of Health and Social Welfare of Liberia are working with national and international partners to investigate and respond to the outbreak.

Oubreak Update

As of June 20, 2014, the total number of confirmed and suspect Ebola hemorrhagic fever (EHF) cases as stated by the Ministry of Health (MoH) of Guinea was 390, including 270 fatal cases and 260 laboratory confirmed cases. Active surveillance continues in Conakry, Guéckédou, Macenta, Télimélé, Dubreka, and Boffa districts.

The World Health Organization has stated that as of June 20, 2014, the Ministry of Health and Sanitation of Sierra Leone reported a cumulative total of 158 clinical cases of EHF (including 147 laboratory confirmations, 34 of these being fatal cases). Districts reporting clinical EHF patients include Kailahun, Kenema, Kambia, Port Loko, and Western. Reports and investigations of suspect cases continue across the country. Laboratory testing is being conducted in Kenema city. The Government of Sierra Leone, WHO, and CDC have sent experts to aid in the response and investigation.

As of June 22, 2014, the Ministry of Health and Social Welfare of Liberia had reported 51 overall clinical cases of EHF, including 34 laboratory confirmations, and 34 fatal cases. All cases reported in June have been from Lofa and Montserado districts. Laboratory testing is being conducted in Monrovia.

CDC is in regular communication with its international partners, WHO, and MSF regarding the outbreak. Currently CDC has a 4 person team in Guinea and a staff member in Sierra Leone assisting the respective MOHs and the WHO-led international response to this Ebola outbreak

Based on reports from the Ministry of Heath of Guinea, the Ministry of Health and Sanitation of Sierra Leone, the Ministry of Health and Social Welfare of Liberia, and WHO EPR.

Viral Hemorrhagic Fevers

Filed under: disease/health,guinea — admin @ 2:25 pm

INFECTIOUS AGENT

Viral hemorrhagic fevers (VHFs) are caused by several families of enveloped RNA viruses: filoviruses (Ebola and Marburg viruses), arenaviruses (Lassa fever, Lujo, Guanarito, Machupo, Junin, Sabia, and Chapare viruses), bunyaviruses (Rift Valley fever [RVF], Crimean-Congo hemorrhagic fever [CCHF], and hantaviruses), and flaviviruses (dengue, yellow fever, Omsk hemorrhagic fever, Kyasanur Forest disease, and Alkhurma viruses).

TRANSMISSION

Some VHFs are spread person to person through direct contact with symptomatic patients, body fluids, or cadavers or through inadequate infection control in a hospital setting (filoviruses, arenaviruses, CCHF virus). Zoonotic spread may occur from contact with the following:

* Livestock via slaughter or consumption of raw meat from infected animals and, potentially, unpasteurized milk (CCHF, RVF, Alkhurma viruses) * Bushmeat, likely via slaughter or consumption of infected animals (Ebola, Marburg viruses) * Rodents via inhalation of or contact with materials contaminated with rodent excreta (arenaviruses, hantaviruses) * Other reservoir species, such as bats (Ebola, Marburg viruses)

Vectorborne transmission also occurs via mosquito (RVF virus) or tick (CCHF, Omsk, Kyasanur Forest disease, Alkhurma viruses) bites or by crushing infected ticks.

EPIDEMIOLOGY

The viruses that cause VHFs are distributed over much of the globe. Each virus is associated with ?1 nonhuman host or vector species, restricting the virus and the initial contamination to the areas inhabited by these species. The diseases caused by these viruses are seen in people living in or having visited these areas. Humans are incidental hosts for these enzootic diseases; however, person-to-person transmission of some viruses can result in large human outbreaks. Specific viruses are addressed below. Ebola and Marburg: Filoviral Diseases

Ebola and Marburg viruses cause hemorrhagic fever in humans and nonhuman primates. Five species of Ebola virus have been identified: Côte d’Ivoire, Sudan, Zaire, Bundibugyo, and Reston. Countries with confirmed human cases of Ebola hemorrhagic fever include Republic of the Congo, Côte d’Ivoire, Democratic Republic of the Congo, Gabon, Sudan, and Uganda. Ebola-Reston virus is believed to be endemic in the Philippines and potentially in neighboring countries but has not been shown to cause human disease. Countries with confirmed human cases of Marburg hemorrhagic fever include Angola, Democratic Republic of the Congo, Kenya, Uganda, and possibly Zimbabwe.

Growing evidence indicates that fruit bats are the natural reservoir for filoviruses. Outbreaks occur when a person becomes infected after exposure to the reservoir species or a secondarily infected nonhuman primate and then transmits the virus to other people in the community. Four cases of Marburg hemorrhagic fever have occurred in travelers visiting caves harboring bats, including Kitum cave in Kenya and a python cave in Maramagambo Forest, Uganda. Miners have also acquired Marburg infection from working in underground mines harboring bats in the Democratic Republic of the Congo and Uganda. Lassa Fever and Other Arenaviral Diseases

Arenaviruses are transmitted from rodents to humans, except Tacaribe virus, which was found in bats. Most infections are mild, but some result in hemorrhagic fever with high death rates. Old World (Eastern Hemisphere) and New World (Western Hemisphere) viruses cause the following diseases:

* Old World viruses: Lassa virus (Lassa fever) lymphocytic choriomeningitis virus (meningitis, encephalitis, and congenital fetal infection in normal hosts, hemorrhagic fever in organ transplant recipients). Lassa fever occurs in rural West Africa, with hyperendemic areas in Guinea, Liberia, Nigeria, and Sierra Leone. Lujo virus has been recently described in Zambia and the Republic of South Africa during a health care–associated outbreak. * New World viruses: Junin (Argentine hemorrhagic fever), Machupo (Bolivian hemorrhagic fever), Guanarito (Venezuelan hemorrhagic fever), Sabia (Brazilian hemorrhagic fever), and the recently discovered Chapare virus (a single case in Bolivia).

Reservoir host species are Old World rats and mice (family Muridae, subfamily Murinae) and New World rats and mice (family Muridae, subfamily Sigmodontinae). These rodent types are found worldwide, including Europe, Asia, Africa, and the Americas. Virus is transmitted through inhalation of aerosols from rodent urine, ingestion of rodent-contaminated food, or direct contact of broken skin or mucosa with rodent excreta. Risk of Lassa virus infection is associated with peridomestic rodent exposure. Inappropriate food storage increases the risk for exposure. Health care–associated transmission of Lassa, Lujo, and Machupo viruses has occurred through droplet and contact. One anecdotal report of possible airborne transmission exists. Several cases of Lassa fever have been confirmed in international travelers staying in traditional dwellings in the countryside.

Rift Valley Fever and Other Bunyaviral Diseases

RVF causes fever, hemorrhage, encephalitis, and retinitis in humans, but primarily affects livestock. RVF is endemic to sub-Saharan Africa. Sporadic outbreaks have occurred in humans in Egypt, Madagascar, and Mauritania. Large epidemics occurred in Kenya, Somalia, and Tanzania in 1997–1998 and 2006–2007; Saudi Arabia and Yemen in 2000; Madagascar in 2008; and South Africa, Botswana, Namibia, and Mauritania in 2010. RVF virus is transmitted by mosquito, percutaneous inoculation, and slaughter or consumption of infected animals.

CCHF is endemic where ticks of the genus Hyalomma are found in Africa and Eurasia, including South Africa, the Balkans, the Middle East, Russia, and western China, and is highly endemic in Afghanistan, Iran, Pakistan, and Turkey. CCHF virus is transmitted to humans by infected ticks or direct handling and preparation of fresh carcasses of infected animals, usually domestic livestock. Health care–associated transmission often occurs.

Hantaviruses cause hantavirus pulmonary syndrome (HPS) and hemorrhagic fever with renal syndrome (HFRS). The viruses that cause HPS are present in the New World; those that cause HFRS occur worldwide. The viruses that cause both HPS and HFRS are transmitted to humans through contact with urine, feces, or saliva of infected rodents. Travelers staying in rodent-infested dwellings are at risk for HPS and HFRS. Human-to-human transmission has been reported only with Andes virus in Chile and Argentina.

Zimbabwe’s Unfolding Humanitarian Disaster – 18,000 People Forcibly Relocated to Ruling Party Farm

More than 18,000 people live in the Chingwizi transit camp in Mwenezi district, about 150 kms from their former homes in Chivi basin as they wait to be allocated one-hectare plots of land by the government.

MASVINGO, Zimbabwe, Jun 25 2014 – As the villagers sit around the flickering fire on a pitch-black night lit only by the blurry moon, they speak, recounting how it all began.

They take turns, sometimes talking over each other to have their own experiences heard. When the old man speaks, everyone listens. “It was my first time riding a helicopter,” John Moyo* remembers.

“The soldiers came, clutching guns, forcing everyone to move. I tried to resist, for my home was not affected but they wouldn’t hear any of it.”

So started the long, painful and disorienting journey for the 70-year-old Moyo and almost 18,000 other people who had lived in the 50-kilometre radius of Chivi basin in Zimbabwe’s Masvingo province. “We don’t want this life of getting fed like birds.” — John Moyo, displaced villager from Chivi basin

When heavy rains pounded the area in early January, the 1.8 billion cubic metre Tokwe-Mukosi dam’s wall breached. Flooding followed, destroying homes and livestock. The government, with the help of non-governmental organisations, embarked on a rescue mission. And even unaffected homes in high-lying areas were evacuated by soldiers.

According to Moyo, whose home was not affected, this was an opportunity for the government, which had been trying to relocate those living near Chivi basin for sometime.

“They always said they wanted to establish an irrigation system and a game park in the area that covered our ancestral homes,” he says.

For Itai Mazanhi, a 33-year-old father of three, the government had the best excuse to remove them from the land that he had known since birth.

“The graves of my forefathers are in that place,” he says. Mazanhi is from Gororo village.

After being temporarily housed in the nearby safe areas of Gunikuni and Ngundu in Masvingo province, the over 18,000 people or 3,000 families were transferred to Nuanetsi Ranch in the Chingwizi area of Mwenezi district, about 150 kms from their former homes.

Chingwizi is an arid terrain near Triangle Estates, an irrigation sugar plantation concern owned by sugar giant Tongaat Hulett. The land here is conspicuous for the mopane and giant baobab trees that are synonymous with hot, dry conditions.

The crop and livestock farmers from Chivi basin have been forced to adjust in a land that lacks the natural fertility of their former land, water and adequate pastures for their livestock.

The dust road to the Chingwizi camp is a laborious 40-minute drive littered with sharp bumps and lurking roadside trenches.

From the top of an anthill, a vantage point at the entrance of this settlement reveals a rolling pattern of tents and zinc makeshift structures that stretch beyond the sight of the naked eye. At night, fires flicker faintly in the distance, and a cacophony of voices mix with the music from solar- and battery-powered radio sets. It’s the image of a war refugee relief camp.

A concern for the displaced families is the fact that they were settled in an area earmarked for a proposed biofuel project. The project is set to be driven by the Zimbabwe Bio-Energy company, a partnership between the Zimbabwe Development Trust and private investors. The state-owned Herald newspaper quoted the project director Charles Madonko saying resettled families could become sugarcane out-growers for the ethanol project.

This plan was subject to scathing attack from rights watchdog Human Rights Watch. In a report released last month, the organisation viewed this as a cheap labour ploy.

“The Zimbabwean army relocated 3,000 families from the flooded Tokwe-Mukorsi dam basin to a camp on a sugar cane farm and ethanol project jointly owned by the ruling Zimbabwe African National Union-Patriotic Front [ZANU-PF] and Billy Rautenbach, a businessman and party supporter,” read part of the report. Sugar cane fields like this one in Chisumbanje are planned to feed the ethanol project in Mwenezi district. The displaced villagers from Chivi basin fear they will be used as cheap labourers.

Sugar cane fields like this one in Chisumbanje are planned to feed the ethanol project in Mwenezi district. The displaced villagers from Chivi basin fear they will be used as cheap labourers. Credit: Davison Mudzingwa/GIP

The sugarcane plantations will be irrigated by the water from the Tokwe-Mukosi dam. Upon completion, the dam is set to become Zimbabwe’s largest inland dam, with a capacity to irrigate over 25,000 hectares.

Community Tolerance Reconciliation and Development, COTRAD, a non-governmental organisation that operates in the Masvingo province sees the displacement of the 3,000 families as a brutal retrogression. The organisation says ordinary people are at the mercy of private companies and the government.

“The people feel like outcasts, they no longer feel like Zimbabweans,” Zivanai Muzorodzi, COTRAD programme manager, says.

Muzorodzi, whose organisation has been monitoring the land tussle before the floods, says the land surrounding the Tokwe-Mukosi dam basin was bought by individuals, mostly from the ruling ZANU-PF party.

“Villagers won’t own the land or the means of production. Only ZANU-PF bigwigs will benefit,” Muzorodzi says. The scale of the habitats has posed serious challenges for the cash-strapped government of Zimbabwe. Humanitarian organisations such as Oxfam International and Care International have injected basic services such clean water through water bowsers and makeshift toilets.

“It’s not safe at all, it’s a disaster waiting to happen,” a Zimbabwe Ministry of Local Government official stationed at the camp and who preferred anonymity tells GIP. “The latrines you see here are only one metre deep. An outbreak of a contagious disease would spread fast.” Tendai Zingwe fears her child might contract diarrhoea due to poor sanitation conditions in Chingwizi camp.

Tendai Zingwe fears her child might contract diarrhoea due to poor sanitation conditions in Chingwizi camp.

Similar fears stalk Spiwe Chando*, a mother of four. The 23-year-old speaks as she sorts her belongings scattered in small blue tent in which an adult cannot sleep fully stretched out. “I fear for my child because another family lost a child due to diarrhoea last week. This can happen to anyone,” she tells GIP, sweating from the heat inside the tent. “I hope we will move from this place soon and get proper land to restart our lives.”

This issue has posed tensions at this over-populated camp. Meetings, rumour and conjecture circulate each day. Across the camp, frustrations are progressively building up. As a result, a ministerial delegation got a hostile reception during a visit last month. The displaced farmers accuse the government of deception and reneging on its promises of land allocation and compensation. Children stampede for reading material at the Chingwizi transit camp. Most of the kids had their schooling disrupted due to the displacement.

Children stampede for reading material at the Chingwizi transit camp. Most of the kids had their schooling disrupted due to the displacement.

The government has promised to allocate one hectare of land per family, at a location about 17 kms from this transit camp. This falls far short of what these families own in Chivi basin. Some of them, like Mazanhi, owned about 10 hectares. The land was able to produce enough food for their sustenance and a surplus, which was sold to finance their children’s education and healthcare.

Mazanhi is one of the few people who has already received compensation from the government. Of the agreed compensation of 3,000 dollars, he has only received 900 dollars and is not certain if he will ever be paid the remainder of what he was promised. “There is a lot of corruption going on in that office,” he says.

COTRAD says the fact that ordinary villagers are secondary beneficiaries of the land and water that once belonged to them communally is an indication of a resource grabbing trend that further widens the gap of inequality.

“People no longer have land, access to water, healthcare and children are learning under trees.”

For Moyo, daily realities at the transit camp and a hazy future is both a painful reminder of a life gone by and a sign of “the next generation of dispossession.” However, he hopes for a better future.

“We don’t want this life of getting fed like birds,” says Moyo.

*Names altered for security reasons.

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