Surgery by candlelight: hospitals in Nigeria suffer losing power – and staff

As a failing electric grid further burdens the creaking health system, doctors continue to seek opportunities abroad

The waiting rooms at the Ifako Ijaiye hospital in Lagos are overcrowded with patients waiting to see doctors. Often people have to stand outside.

“It is now like this every day. We have to come early and pick numbers before we can meet the doctors. Even though the doctors try to see everybody, it has got worse,” says Oluchi Ezegbo, a market trader from Okearo, in nearby Ogun state.

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The success stories of 2019 from across the world

From the first Ebola-free baby to advances in women’s rights, we take our pick of the breakthroughs

There was a glimmer of hope amid the rising death toll in the Democratic Republic of the Congo’s largest Ebola outbreak when a baby called Sylvana tested negative for the virus.

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Asia’s hardest year for dengue fever – in pictures

More than a million cases were reported in south-east Asia last year with poorer households most at risk

The global toll of dengue fever is becoming well known, with rising temperatures contributing to severe outbreaks that made 2019 the worst year on record for the disease.

In 1970 only nine countries faced severe dengue outbreaks. But the disease, which is spread by mosquitoes that can only survive in warm temperatures, is now seen in more than 100 countries. There are thought to be 390m infections each year

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Coke, crisps, convenience: how ads created a global junk food generation

From Bangladesh to Britain, blanket exposure to promotional material for unhealthy foods is encouraging children to eat badly, new research claims

Nepalese schoolgirl Prasiddhika Shrestha is holding up a video camera at her aunt’s house, filming her cousins as they devour crisps, corn puffs, soda and dalmoth, a traditional lentil-based snack.

“What is it that you like eating most?” she asks them. “Lay’s chips and Coke,” says Diwani, who drinks between one and two litres of soft drink every day. Rihana includes a pack of Kurkure corn puffs in her daily diet.

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‘We were so close’: how unrest in Congo thwarted the battle against Ebola

World Health Organization rues spike in violence that impeded efforts of health workers when outbreak was almost under control

The men who came to the village of Ntombi in the Democratic Republic of the Congo in mid-December aimed to spare no one.

Militants with the Allied Democratic Forces (ADF), one of dozens of armed groups operating in DRC’s North Kivu, they hacked to death women and children, killing 22 people in a single incident in one of a series of attacks over the course of a weekend that left 43 dead in total.

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‘They travel hours to see a doctor for a minute’: India’s mental health crisis

With fewer than two psychiatrists for every 100,000 people, experts are seeking innovative solutions to address the emergency

On a sunny morning at Calcutta Pavlov Hospital, 600 people wait patiently in the outpatient department. For many, the journey to see a doctor started hours before sunrise, with some even travelling overnight to secure their place in line. Despite waiting for hours, most will spend just 90 seconds with the psychiatrist.

One of the doctors on call, Dr Debananda Saha, expects to treat about 250 patients during his seven-hour shift at the government hospital.

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UN #MeToo whistleblower sacked for alleged sexual and financial misconduct

Martina Brostrom, who accused senior UNAids official of sexual harassment, claims her dismissal is an act of ‘retaliation’

A high-profile UN whistleblower, whose claims of sexual assault at the main agency dealing with Aids prompted a long-running scandal, has been sacked along with another colleague for alleged sexual and financial misconduct.

Martina Brostrom publicly accused a senior director at UNAids of forcibly kissing her and trying to drag her out of a Bangkok elevator in 2015. She also said he had sexually harassed her on other occasions.

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Spike in Ebola cases alarms health officials in DRC

Many cases blamed on a single individual who appears to have caught virus for second time

Health officials are investigating an alarming spike in Ebola cases in the Democratic Republic of the Congo, with many blamed on a single individual who appears to have contracted the disease for a second time this year.

Amid the struggle to bring the 16-month outbreak under control, the World Health Organization noted an almost 300% increase in cases in the last three weeks, with 17 of 27 linked to a single chain of transmission.

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Ebola responders face deadly attacks. We must step up security in DRC

The devastating disease can’t be stopped unless more protection is provided for patients and health workers

Entering the city of Goma as night fell, I saw the red lava glowing atop nearby Mount Nyiragongo – an ominous reminder of the insecurity hovering over the Democratic Republic of the Congo’s volatile east.

But a manmade – not natural – terror is keeping health workers in DRC awake tonight.

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142,000 died from measles last year, WHO estimates

Number of cases reported so far this year is three times higher than at same stage in 2018

The worldwide surge in deadly measles outbreaks is showing no sign of abating, with nearly 10 million cases and 142,000 deaths last year, according to new estimates, and three times more cases reported so far this year than at the same stage in 2018.

Most of those dying are small children, and thousands more suffer harm including pneumonia and brain damage. New scientific evidence shows survivors are at greater risk soon afterwards because their immune system is impaired.

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‘I feel constant pain’: drug resistance adds to misery of Gaza gun victims

The suffering of people wounded in conflict zones is being compounded by what doctors say are ‘horrifying levels’ of antibiotic resistance

When Jihad Nasser arrived at al-Awda trauma clinic in Gaza, he was hoping doctors could finally stop his pain. A gunshot wound in his right leg had not been not healing properly. The news, however, was bad.

The complex bone fracture he had suffered was badly infected with MRSA. Doctors told him it would not respond to treatment and they would need to amputate.

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Record rise in attacks on healthcare workers leaves ‘millions at risk’ – UN

Increase in violent conflict combined with effects of climate crisis make outlook bleak for world’s poorest people, says report

Attacks on healthcare workers have reached a record high according to a UN report that predicts a “bleak outlook” for the world’s poorest people due to intense armed conflict and the climate emergency.

The number of highly violent conflicts has risen to 41, from 36 in 2018, causing deaths, injuries, significant displacement and hunger, the UN’s global humanitarian overview 2020 report found.

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Global heating driving spread of mosquito-borne dengue fever

Record numbers across Asia and Americas infected as rising temperatures extend disease to places once seen as safe

Rising temperatures across Asia and the Americas have contributed to multiple severe outbreaks of dengue fever globally over the past six months, making 2019 the worst year on record for the disease.

In 1970 only nine countries faced severe dengue outbreaks. But the disease, which is spread by mosquitoes that can only survive in warm temperatures, is now seen in more than 100 countries. There are thought to be 390 million infections each year.

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South Africa begins rollout of cutting-edge HIV drug

Introduction of three-in-one pill hailed as a ‘game-changer’ in efforts to treat 7.7 million South Africans with HIV

South Africa has begun rolling out a state-of-the-art antiretroviral drug in a “game-changing” bid to drastically reduce the number of people living with HIV.

The distribution of the new three-in-one pill, timed to coincide with World Aids Day on Sunday, is eventually expected to treat the 7.7 million South Africans who have HIV, accounting for 20% of the global prevalence of the disease.

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Angola’s war is over and now it faces up to an HIV legacy – in pictures

A long civil war ended in 2002 but disasters, poverty and food insecurity have allowed Aids-related deaths to rise by more than 33% in the past decade. The number of new HIV infections is also on the rise and too many pregnant women are not getting access to medicines to protect their babies

All photographs by Cynthia R Matonhodze for the UNDP

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Ebola health workers killed and injured by rebel attack in Congo

World Health Organization chief warns violence will harm efforts to deal with Ebola outbreak

Four health workers fighting the Ebola outbreak in the Democratic Republic of the Congo have been killed and five injured in an attack by rebel militia, the World Health Organization has said.

The attacks occurred early on Thursday morning in the restive east of the vast central African country.

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Ebola staff in Congo on lockdown after angry residents storm UN camp

Evacuation of responders in face of violent protests demanding protection from militia killings raises fears disease will spread

Ebola responders are on lockdown in the Democratic Republic of the Congo after angry residents stormed a UN peacekeepers camp in protest at fatal militia attacks on civilians, the World Health Organization has said.

On Tuesday, the WHO evacuated 49 non-essential staff out of the 120 people working on the epidemic in the city of Beni in North Kivu, one of the recurring Ebola hotspots.

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New UNAids chief vows to stamp out sexual misconduct and abuse of power

Winnie Byanyima says known cases of sexual harassment were ‘tip of the iceberg’ as she pledges to restore trust in organisation

The new head of scandal-hit UNAids has vowed to transform the agency’s culture to safeguard staff not only from sexual harassment – which she called “the tip of the iceberg” – but any abuse of power by those at the top.

Winnie Byanyima said she would draw on lessons learned following allegations of sexual misconduct at Oxfam, of which she was international executive director until earlier this year, to address problems at the UN agency.

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Children bear the brunt as the world’s biggest measles epidemic sweeps Congo

Children under the age of five account for 90% of deaths as disease claims 5,000 lives in less than a year

More than 5,000 people, mostly children, have been killed in the Democratic Republic of the Congo, in what is currently the world’s biggest measles epidemic.

Measles, which is preventable through vaccination, has spread to all 26 provinces of the country, which is also battling a 15-month-long Ebola epidemic.

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Uganda recalls a million faulty condoms

Charity takes action after holes are discovered in two batches of Life Guard condoms

The charity Marie Stopes International is recalling more than a million condoms in Uganda, after officials raised concerns that they were prone to breaking.

The charity began the recall of packets of Life Guard condoms after the National Drug Authority found they contained holes and did not meet quality standards. More than half of the affected products have since been recovered.

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