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WHO lauds Global Partnership to Stop Leprosy; will help renew efforts for zero leprosy

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WHO lauds Global Partnership to Stop Leprosy; will help renew efforts for zero leprosy

MEDIA CENTRE

SEAR/PR/1677

New Delhi, 27 January 2018 – Welcoming the launch of the ‘Global Partnership to Stop Leprosy’, the World Health Organization today said a stronger force with a common vision was much needed to accelerate efforts to end leprosy.
“A collaborative approach by leading partners to address remaining challenges with innovative solutions, is expected to provide renewed energy and impetus to accelerate efforts against leprosy. This is a turning point, we must harness this energy to free the world of leprosy forever,” said Dr Poonam Khetrapal Singh, Regional Director for WHO South-East Asia, who also steers WHO’s Global Leprosy Programme.
The new partnership, launched ahead of the World Leprosy Day 2018, brings together leading agencies and organizations working towards zero leprosy in various parts of the world. The partnership is expected to boost collaboration between national programmes, technical partners, academic sector, patient advocates and donors as it aims to support roll-out of global policy options, scale up interventions and mainstream leprosy under the aegis of universal health coverage.
The Global Partnership to Stop Leprosy is also expected to enhance implementation of WHO Global Leprosy Strategy 2016-2020 “Accelerating towards a leprosy-free world” which focuses on stronger political ownership, enhanced disease control and eliminating stigma and discrimination.
While globally, elimination of leprosy as a public health problem was achieved in 2000 with its prevalence reduced to less than one case per 10 000 population, every year on an average more than 200 000 new cases are reported. Though there is progress, it is very slow.
Advocating for enhancing efforts against leprosy, World Leprosy Day is observed on the last Sunday of January every year. This year, the day focuses on the critical target of zero leprosy-related disabilities in girls and boys by 2020.
In 2017 as many as 18 472 new child cases of leprosy were reported to the World Health Organization worldwide. These girls and boys must be diagnosed and given multidrug therapy (MDT), provided free of cost by WHO, before visible deformities and disabilities manifest.
Dr Khetrapal Singh said, “disabilities inhibit development, limit life-long productivity and result in stigma and discrimination. Given the ongoing presence of deformities and disabilities among new cases of leprosy, including in girls and boys, decisive action must be taken to detect and treat cases earlier.”
Reaching zero leprosy-related disabilities in children means tackling stigma and discrimination head-on, the Regional Director said, adding that fear of social exclusion continues to be a major cause of delay in diagnosis and treatment. It is, therefore, a major cause of deformity and disability.
“On World Leprosy Day this year we must reflect on and renew our focus on ending leprosy-related disabilities in girls and boys and on accelerating towards a leprosy-free world. We must renew our commitment to achieving a world where no child is left behind,” Dr Khetrapal Singh said. The Global Partnership to Stop Leprosy makes us confident as togetherwe will be able to move closer to a leprosy-free world.

ORIGINAL SOURCE OF INFO: WHO SEARO

Zero Disabilities in Girls and Boys #WorldLeprosyDay2018

WHO lauds Global Partnership to Stop Leprosy; will help renew efforts for zero leprosy

Zero Disabilities in Girls and Boys#WorldLeprosyDay2018

Leprosy Control Programme in Nepal

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Zero Disabilities in Girls and Boys #WorldLeprosyDay2018

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written by Public Health Update

World Leprosy Day is observed on the last Sunday of January, each year and this year, it falls on 28 January. The theme for 2018 is ‘Zero Disabilities in Girls and Boys’. By working together and through early case detection, diagnosis and treatment and social inclusion the world can closer to eliminating leprosy. (PAHO)
The World Health Organization (WHO) says national programmes should boost active case-finding, strengthen surveillance, improve contact-tracing and focus more on early detection of leprosy cases among children to ensure achievement of the global target of zero child infection by 2020.

The call comes as the world observes World Leprosy Day (annually, on the last Sunday of January) to mark the suffering of people affected by this preventable and curable disease that has eluded defeat. Leprosy was globally declared to have been “eliminated as a public health problem” 18 years ago. 

Elimination of leprosy as public health problem (defined as a registered prevalence of less than 1 case
 per 10 000 population) was achieved globally in 2000. However, pockets of endemicity have
continued in many  countries. India and Brazil report the highest number of cases annually.

 
Leprosy is caused by infection with the bacillus Mycobacterium leprae, which multiplies very slowly in the human body. The bacterium has a long incubation period (on average five years or longer). The disease affects nerve endings and destroys the body’s ability to feel pain and injury.
Data published by WHO in 2017 show that although the overall number of cases is slowly declining, that of new cases does not align with global efforts and resources deployed to interrupt transmission.
Reports from 145 countries of WHO’s six regions show that of the total of 216 108 newly diagnosed cases of leprosy during 2016, 18 472 involved children, representing almost 9% of all new cases reported annually. Leprosy is curable and treatment provided in the early stages averts disability. (WHO)
Based on 173 358 cases at the end of 2016, prevalence rate corresponds to 0.29/10,000.
In 2016 WHO launched its “Global Leprosy Strategy 2016–2020: Accelerating towards a leprosy-free world” to reinvigorate efforts for leprosy control. The strategy focuses on avoiding disabilities, especially among children.

The Global Leprosy Strategy 2016–2020: Accelerating towards a leprosy-free world

The Global Leprosy Strategy 2016‒2020 is structured around following 3 core pillars:

Pillar I: Strengthen government ownership, coordination and partnership

Key interventions

  • Ensuring political commitment and adequate resources for leprosy programmes.
  • Contributing to universal health coverage with a special focus on children, women and underserved populations including migrants and displaced people.
  • Promoting partnerships with state and non-state actors and promoting intersectoral collaboration and partnerships at the international and national levels.
  • Facilitating and conducting basic and operational research in all aspects of leprosy and maximizing the evidence base to inform policies, strategies and activities.
  • Strengthening surveillance and health information systems for programme monitoring and evaluation (including geographical information systems).

Pillar II: Stop leprosy and its complications

Key interventions

  • Strengthening patient and community awareness of leprosy.
  • Promoting early case detection through active case-finding (such as campaigns) in areas of higher endemicity and contact management.
  • Ensuring prompt start of, and adherence to treatment, including working towards improved treatment regimens.
  • Improving prevention and management of disabilities.
  • Strengthening surveillance for antimicrobial resistance including laboratory network.
  • Promoting innovative approaches for training, referrals, and sustaining expertise in leprosy, such as e-health.
  • Promoting interventions for the prevention of infection and disease.

Pillar III: Stop discrimination and promote inclusion

Key interventions

  • Promoting societal inclusion by addressing all forms of discrimination and stigma.
  • Empowering persons affected by leprosy and strengthening their capacity to participate actively in leprosy services.
  • Involving communities in action for improvement of leprosy services.
  • Promoting coalition-building among persons affected by leprosy and encouraging the integration of these coalitions and/or their members with other community-based organizations.
  • Promoting access to social and financial support services, for example to facilitate income generation, for persons affected by leprosy and their families.
  • Supporting community-based rehabilitation for people with leprosy-related disabilities.
  • Working towards abolishing discriminatory laws and promoting policies facilitating inclusion of persons affected by leprosy.

World Health Organization

WHO lauds Global Partnership to Stop Leprosy; will help renew efforts for zero leprosy

Zero Disabilities in Girls and Boys#WorldLeprosyDay2018

Leprosy Control Programme in Nepal

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Nepal’s air quality is worst in the world: EPI report

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Nepal’s air quality is worst in the world: EPI report

Jan 25, 2018 (The Kathmandu Post)
Air quality in Nepal is the worst in the world, with the country being ranked at the bottom among the 180 countries surveyed in terms of air-quality in a global study. 
The latest global Environmental Performance Index (EPI) was released on Tuesday by Yale University and Columbia University in collaboration with the World Economic Forum. The EPI report ranks the countries on 24 indicators across 10 categories, covering environmental health and ecosystem vitality. Environmental health also includes two other components of water and sanitation and exposure to heavy metals.
Nepal was ranked the last for air-quality among 180 countries, according to the EPI report which highlighted air pollution as a leading threat to public health.
The report had measured Household solid fuels, PM2.5 exposures and PM2.5 exceedance for measuring air quality of countries included in the study. 
With the score of 3.94, Nepal’s air quality has been reported worse than other countries in the region like Pakistan (176th), China (177th), India (178th) and Bangladesh (179th). Australia secured the highest ranking for clean air while the United States ranked 10th. 
Nearly all countries at the lower end of the global rankings for poor air quality are from Africa or Asia, said the report. The report also showed Nepal’s overall performance as “poor” in terms of environmental performance index, leaving it at the bottom of  the pile. 

The overall EPI rankings indicate countries’ best performances against the array of environmental pressures that every nation faces, said the report.
Nepal has managed a meagre 31.44 score for the 176th place, only ahead of India, Democratic Republic of Congo, Bangladesh and Burundi. Nepal stood in the 24th place on the EPI standings among Asian countries. 
“Low scores on the EPI are indicative of the need for national sustainability efforts on a number of fronts, especially cleaning up air quality, protecting biodiversity, and reducing GHG emissions. Some of the lowest-ranking nations face broader challenges, such as civil unrest, but the low scores for others can be attributed to weak governance, they note,” the report said.
At the top of the green rankings is Switzerland with an impressive score of 87.42, followed by France, Denmark, Malta, and Sweden. Switzerland stands out in the categories of climate and energy, and air pollution. Denmark, Malta and Sweden stand out for high scores in air quality within environmental health. Malta scores the highest in water and sanitation.
“These metrics provide a gauge at a national scale of how close countries are to established environmental policy goals. The EPI thus offers a scorecard that 
highlights leaders and laggards in environmental performance, gives insight on best practices, and provides guidance for countries that aspire to be leaders in sustainability,” it said. 
Best five
  • 1. Switzerland 87.42
  • 2. France 83.95
  • 3. Denmark 81.60
  • 4. Malta 80.90
  • 5. Sweden 80.51
Worst five
  • 176. Nepal 31.44
  • 177. India 30.57
  • 178. DR Congo 30.41
  • 178. Bangladesh 29.56
  • 180. Burundi 27.43

Published: 25-01-2018 07:30 Jan 25, 2018 (The Kathmandu Post)

 

AQIAir Pollution LevelHealth Implications
0 – 50GoodAir quality is considered satisfactory, and air pollution poses little or no risk
51 -100ModerateAir quality is acceptable; however, for some pollutants there may be a moderate health concern for a very small number of people who are unusually sensitive to air pollution.
101-150Unhealthy for Sensitive GroupsMembers of sensitive groups may experience health effects. The general public is not likely to be affected.
151-200UnhealthyEveryone may begin to experience health effects; members of sensitive groups may experience more serious health effects
201-300Very UnhealthyHealth warnings of emergency conditions. The entire population is more likely to be affected.
300+HazardousHealth alert: everyone may experience more serious health effects

 

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2018 Environmental Performance Index: Air quality top public health threat

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2018 Environmental Performance Index: Air quality top public health threat

Switzerland tops the report while India falls to the bottom tier, illustrating the challenge of sustainable
development DAVOS, Switzerland, January 23, 2018 – The 2018 Environmental Performance Index (EPI)
finds that air quality is the leading environmental threat to public health. Now in its twentieth year, the biennial report is produced by researchers at Yale and Columbia Universities in collaboration with the World Economic Forum. The tenth EPI report ranks 180 countries on 24 performance indicators across 10 issue categories covering environmental health and ecosystem vitality. Switzerland leads the world in sustainability, followed by France, Denmark, Malta, and Sweden.
Switzerland’s top ranking reflects strong performance across most issues, especially air quality and climate protection. In general, high scorers exhibit long-standing commitments to protecting public health, preserving natural resources, and decoupling greenhouse gas (GHG) emissions from economic activity.
India and Bangladesh come in near the bottom of the rankings, with Burundi, Democratic Republic of the Congo, and Nepal rounding out the bottom five. Low scores on the EPI are indicative of the need for national sustainability efforts on a number of fronts, especially cleaning up air quality, protecting biodiversity, and reducing GHG emissions, said the researchers. Some of the lowest-ranking nations face broader challenges, such as civil unrest, but the low scores for others can be attributed to weak governance, they note.
EPI Rankings The United States places 27th in the 2018 EPI, with strong scores on some issues, such as sanitation and air quality, but weak performance on others, including deforestation and greenhouse gas emissions. This ranking puts the United States near the back of the industrialized nations, behind France (2nd), the United Kingdom (6th), Germany (13th), Italy (16th), Japan (20th), and Canada (25th). Of the emerging economies, China and India rank 120th and 177th respectively, reflecting the strain population pressures and rapid economic growth impose on the environment, note the researchers. Brazil ranks 69th, they add, suggesting that a concerted focus on sustainability as a policy priority will pay dividends – and that the level and pace of development is just one of many factors affecting environmental performance. Sustainability outcomes among emerging
economies remains highly variable.
Seychelles ranks as the most-improved country over the past decade, due largely to its commitment to combating greenhouse gas emissions. São Tomé and Príncipe, Kuwait, and Timor-Leste also increased their ranking due to several factors, including the establishment of areas protecting biodiversity and habitat. Burundi, Central African Republic, Madagascar, the Bahamas, and Latvia slipped significantly in environmental performance, largely due to sub-par performance on climate change. All trend analyses are based on backcasting this year’s EPI methods on historical data.

2018 EPI Trends

The 2018 EPI offers not only a snapshot of where countries stand today but also reflects important trends in environmental performance at both the national and global levels. The global community is generally improving on a number of issues, such as health outcomes related to drinking water and sanitation and protection of marine ecosystems, while on other issues significant challenges remain.
Fisheries continue to deteriorate in most countries, with significant problems in El Salvador, Papua New Guinea, and Portugal. Substantial populations still suffer from poor air quality, most notably in India, China, and Pakistan. And on some issues, a small number of countries are failing to address critical problems. Indonesia, Malaysia, and Cambodia, for example, have experienced significant deforestation over the past five years, reflecting broad policy failures, said the researchers.

2018 EPI Press Release

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Govt launches cancer registry across nation

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Govt launches cancer registry across nation

January 21, 2018 The Kathmandu Post

The Nepal Health Research Council (NHRC) has launched the population-based cancer registry (PBCR) in a bid to collect data of cancer patients across the country.
While such registry has already been in use in seven hospitals, including Bhaktapur Cancer Hospital, Bhaktapur and BP Koirala Memorial Cancer Hospital (BPKMCH), Chitwan, the Ministry of Health is planning to expand it in all health facilities.
“With this registry, we will be able to understand the real burden of cancer patients in the country. With data in hand, we can also plan more effectively and set our priorities right,” said Dr Anjani Kumar Jha, the council chair. “In the first phase of the programme, we will introduce the registry in health facilities inside Kathmandu, Lalitpur and Bhaktapur. Then we will expand it across the country.”
Experts say that the PBCR will help collect and classify information on all cancer cases in order to produce statistics on the occurrence in define populations. The population-based registry will allow for the calculation of incidence rates while assessing the current magnitude of cancer burden and future burden, according to them. It will also help in monitoring the impact of interventions.
The 10-year data from these registry show that a total of 3,251 patients were diagnosed and treated for cancer in the year 2003 while a total of 7,212 patients were diagnosed in 2012. The report by the registry states that in the year 2014, Kathmandu headed the list of the top 10 cancer-affected districts, followed by Sunsari, Morang, Chitwan, Jhapa, Lalitpur, Rupandehi, Kaski, Nawalparasi and Bhaktapur.
Similarly, lung cancer is the most prevalent cancer among Nepalis, followed by cervix uteri, breast, stomach, gall bladder, ovary, oesophagus, urinary bladder and thyroid. 
In Nepal, the Hospital Based Cancer Registry began for the first time in 1998 from three health institutions: Bir Hospital, TU Teaching Hospital and Kanti Children’s Hospital. It was later expanded to other hospitals. Three international organisations, including the World Health Organization, Country Office, Nepal; International Agency for Research on Cancer (IARC), France and IARC Regional Hub, Mumbai, will be providing technical support to the ministry for the implementation of the programme.

Original Source of Info : January 21, 2018 The Kathmandu Post
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World Moves Closer to Eradicating Guinea Worm Disease

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World Moves Closer to Eradicating Guinea Worm Disease

JOHANNESBURG (The Associated Press): A new report says the world is moving closer to eradicating Guinea worm disease, in which a meter-long worm slowly emerges from a blister in a person’s skin.
The US-based Carter Center, which leads the eradication campaign, says just 30 cases were reported last year in isolated areas of Ethiopia and Chad. All 15 cases in Ethiopia occurred at a farm where workers drank unfiltered water from a contaminated pond.
Mali has not reported any cases in 25 months, and civil war-torn South Sudan has reported no cases in 13 months. The Carter Center called that a “major accomplishment.”
The incapacitating disease three decades ago affected more than 3 million people in 21 countries in Africa and Asia. The meter-long worm incubates in people for up to a year before painfully emerging, often through extremely sensitive parts of the body.
“It was more painful than giving birth,” one South Sudan resident, Rejina Bodi, told The Associated Press last year. “Childbirth ends but this pain persists.”
Unlike other diseases which are controlled by medicines or vaccines, Guinea worm can be eradicated by educating people how to filter and drink clean water.
Globally, the Guinea worm program is entering the final stretch, though the World Health Organization warns that the remaining cases can be the most difficult to control as they usually occur in remote and often inaccessible areas.
If South Sudan continues to report no cases, the world’s youngest country will be on track to be certified Guinea worm-free in the next couple of years. In an interview last year with the AP, former President Jimmy Carter praised South Sudan for making steady progress despite the “tremendous problems” in the East African nation.
The Associated Press

World Moves Closer to Eradicating Guinea Worm Disease

World Moves Closer to Eradicating Guinea Worm Disease

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Tuberculosis kills 7,000 annually

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BHAKTAPUR, Jan. 20
The National Tuberculosis Centre (NTC) Bhaktapur has revealed that around 35,000 new patients of tuberculosis have been detected every year. 
At a two-day-long workshop on TB organized in Nagarkot, Director of NTC Dr Kedarnarsingh KC said around 10,000 to 12,000 patients are still out of contact. 
He said that a total of 120 new TB patients have been traced every day while maximum of 7,000 TB patients succumb to TB every year. The NTC said that some 45 per cent of the country’s population is at risk of TB prevalence. 
The NTC estimates that the number of multi-drug resistant TB patients is around 1,100 and only 352 of them are in contact. Likewise, the NTC said that over 4,000 DOTS centres are in operation in the country meant for free treatment of the patients. 
The NTC has also begun a national survey under the national five-year strategic plan to confirm the exact number of the TB patients. The result of the survey being conducted in 99 clusters across the country from January 1 would be published by the end of 2019.

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Yoga is a valuable tool to increase physical activity and decrease NCDs

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Yoga is a valuable tool to increase physical activity and decrease noncommunicable disease

By Dr Poonam Khetrapal Singh, WHO Regional Director for South-East Asia

Routine physical activity is central to life-long health and wellbeing. Among other benefits, adequate physical activity improves muscular and cardiorespiratory fitness, enhances bone and functional health, and helps prevent depression and promote mental health.
Crucially, it also reduces the risk of life-threatening noncommunicable diseases (NCDs) such as hypertension, stroke, heart attack and diabetes – conditions that already cause an estimated 8.5 million deaths across the WHO South-East Asia Region annually.
As highlighted in WHO’s recently released Global Action Plan on Physical Activity 2018-2030, the routine practice of yoga – a 5000-year-old tradition – is a valuable tool for people of all ages to make physical activity an integral part of life and reach the level needed to promote good health. For children aged 5-17 that means at least 60 minutes of moderate to vigorous-intensity activity daily. Adults require at least 150 minutes of moderate-intensity activity weekly.
As Member States across the Region strive to reduce NCD-related premature mortality by a quarter by 2025, and one-third by 2030, yoga’s full potential should be harnessed. Importantly, and as outlined in a resolution unanimously endorsed at WHO South-East Asia’s Regional Committee in 2016, doing so should be part of a wider push to promote physical activity as a key preventive health measure.
To that end, each of the Region’s Member States must go from theory to practice and fully implement the multisectoral NCD action plans they have devised. That each Member State has now developed these plans – and has included specific points on promoting physical activity – is a tremendous achievement, but one that requires concerted efforts to ensure maximum impact.
Of specific focus in promoting physical activity should be engaging more vigorously across sectors, especially with planning authorities in urban areas. By creating open-air gyms, bicycle paths and running tracks, for example, urban environments can facilitate and promote physical activity, including yoga. That is particularly important given the sedentary lifestyle urban living too often encourages.
Schools also have a vital role to play. Promoting physical activity among students – for instance, by keeping facilities open outside of school hours, or ensuring time for structured free play – can help create healthy habits that last a life-time. The importance of an active lifestyle is a lesson every pupil should learn and be encouraged to fully embrace.
Notably, the impact of efforts to promote physical activity should be monitored and evaluated on an ongoing basis. Doing so will allow national authorities to gauge the impact of their interventions and implement the right mix of policies. Achieving the target of a 15% increase in physical activity by 2030 demands all Member States stay on track or correct course where necessary.
On the International Day of Yoga, the importance of routine physical activity that is integrated into our daily lives must be grasped. For people of all ages and all means, yoga is a valuable tool to increase physical activity and decrease noncommunicable disease, creating healthier individuals, communities and countries across the South-East Asia Region.

WHO SEARO MEDIA CENTRE

International Day of Yoga: Yoga for Peace

‘Yoga for Peace and Prosperity’ – National Yoga Day 2075

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Dial 112 for ambulance service

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Dial 112 for ambulance service

Dial 112 for ambulance service: Jan 14, 2018-The government has initiated the process to launch common telephone number for ambulance service across the country, said the Ministry of Information and Communications.

This is the first time that the government is launching the service, which is into operation only in the Kathmandu valley by the private sector.
For the service as per the new provision, one can dial 112, which rings at a central dispatch centre set up in the ministry before being forwarded to the concerned authority. According to the Ambulance Service Operation Guidelines, 2073, such centre can be established in other places as per need.
Under-Secretary of the ministry Rajib Pokharel said the due process has been forwarded for the service and discussions were underway with the Nepal Telecom Authority.
“The service will be tested from Dhading. It will come into implementation across the country thereafter,” he said, adding that they hope that this would set common telephone number for the service across the country, and help people get the service in an easiest way.
Bimal Bista, country director for the Medical Teams International, said they were cooperating with the government to introduce the service under the ’emergency medical services’. Medical Teams International will provide financial help to launch the service test-operation in the first phase.

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7th anniversary of the last case of wild poliovirus in WHO SEAR

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7th anniversary of the last case of wild poliovirus in WHO SEAR

Today (13 Jan 2018)  is the 7th anniversary of the last case of wild poliovirus in the WHO South-East Asia Region!
This tremendous achievement would not have been possible without the tireless efforts of health workers across the Region. The date – 13 January – the last time that wild poliovirus crippled a child in WHO South-East Asia Region in the year 2011, should be a reminder to all countries of the continued need to reach every child with polio vaccines and to strengthen disease surveillance so that poliovirus does not return to cripple children in our Region. (WHO-SEAR)

Polio Campaign (18 December 2013 )

Polio Campaign 

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