‘Community infections could happen any time’: Kenya prepares for Covid-19

One of the last places to be hit by coronavirus, experts in Kenya are worried it doesn’t have the resources to cope

Callers to BK radio, a station broadcasting to the remote region around Mount Elgon in western Kenya, were worried on Wednesday evening.

“Will the government help us if we stay indoors and we need food?” one asked. “What if we have small houses, where we can’t stay too far apart?” asked another.

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Nepal tourism hit hard as global coronavirus fears close Everest

The mountain’s closure is devastating for many in a Himalayan nation that relies heavily on trekkers and climbers

The tiny airport at Lukla, perched on the edge of a mountain high in Nepal’s Himalayas, usually echoes with the roar of propeller planes flying a constant stream of adventure-seekers into the small town, known as the gateway to Mount Everest.

During the peak spring tourist season, tens of thousands of trekkers and mountaineers arrive to test themselves on the popular trek to Everest base camp, and perhaps go on to climb the world’s highest peak.

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True numbers of FGM victims could be far higher as countries fail to record cases

New report calls for national surveys by governments to underline scale of worldwide abuse

The number of women and girls who have undergone female genital mutilation (FGM) could be much higher than previously estimated, as a new report shows the practice is carried out in more than 90 countries around the world.

The UN estimates that 200 million women and girls have undergone FGM. But this figure is drawn from only 31 countries – 27 in Africa – where national data has been collected.

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African nations impose stricter measures as coronavirus spreads

Governments warn disease will cause huge challenges for continent’s health services

Countries across Africa have imposed wide-ranging and stringent new measures as the coronavirus begins to spread more rapidly across the continent.

Though the continent is still far behind Europe and Asia in the total numbers of Covid-19 cases, the disease has now reached about half of its countries. Algeria has 48 confirmed cases, Egypt 110, while South Africa has 62, according to the World Health Organization and national governments on Monday. Other countries have fewer cases, mostly in single figures.

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‘It became part of life’: how Haiti curbed cholera

When cholera broke out just months after a devastating earthquake, Haiti’s health system was pushed to the brink. The extraordinary rearguard action that followed offers an object lesson in dealing with a public health crisis

Marie Millande Tulmé was at work in a prison when she received a call confirming her fears: the gruesome sickness spreading rapidly across her nation was indeed cholera.

The head nurse for Haiti’s Central Plateau region at the time, Tulmé was investigating rumours that prisoners were getting violently ill and that two had died. “I thought: ‘Haiti will perish,’” she says, recalling her reaction when Haiti’s national laboratory phoned with the news. “Because I knew that cholera was grave. That it spreads easily.”

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Seven out of 10 global health leaders are men – and change is half a century away

‘Stagnant’ global health system is dominated by rich states, rooted in colonialism and undervalues women, says study

A small group of privileged men based in Europe and the US preside over a global health system which is 70% male, according to new research.

The Global Health 50/50 report, published on Monday by University College London’s Institute of Global Health, warns it could take 54 years until the world’s major health organisations have equality in their leadership.

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Inside the cruise ship that became a coronavirus breeding ground

As contagion swept through the Diamond Princess, its crew had to carry on working. Here, they recall the climate of chaos and fear that prevailed during the ship’s two-week quarantine

Christian Santos* remembers staying awake at night, anxiously listening to the sound of his colleague coughing. They were sleeping below deck, in one of the small rooms shared by workers on board the stricken Diamond Princess cruise ship.

He had spent the previous two weeks serving guests who were confined to their rooms, and watching the miserable failure of disease-control measures on the vessel. Now he knew the coronavirus, which had already transmitted to hundreds of people onboard, had almost certainly entered his own cabin.

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Faulty condoms leave charity facing court case in Uganda

Two men sue over alleged HIV and gonorrhoea infections that they claim were caused by defective contraceptives

Two Ugandan men have taken court action against an international charity for distributing faulty condoms which, they claim, led to one of them contracting HIV and the other gonorrhoea.

In a lawsuit, Joseph Kintu and Sulaiman Balinya say they bought Life Guard condoms from stores supplied by the Marie Stopes organisation in Uganda in October last year.

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World Bank’s $500m pandemic scheme accused of ‘waiting for people to die’

Bonds designed to provide fast funding for poor countries branded ‘obscene’ because of complex payout criteria

A flagship $500m World Bank scheme to help the poorest countries deal with a health emergency is “too little too late” for the coronavirus outbreak, say health experts.

The first pandemic emergency financing (PEF) bonds were launched in 2017 by Jim Yong Kim, the bank’s president at the time, after the Ebola outbreak in west Africa. Designed to potentially “save millions of lives and entire economies” by speedily funnelling money to nations facing pandemics.

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Coronavirus in a war zone: Afghanistan braces for outbreak after first case

Lone Kabul laboratory preparing to treat patients in the midst of political turmoil and tentative peace talks, as border with Iran closed

Preparations for an outbreak of coronavirus were underway in Afghanistan as the country confirmed its first case in the western province of Herat, which borders Iran.

Seven more suspected cases have been identified in Herat, and three cases in the nearby provinces of Farah and Ghor.

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Women can be protected from cervical cancer – so why aren’t we doing it?

Amid a global shortage of HPV vaccine, more must be done to steer supplies towards those most at risk: girls in poor countries

For too many women, cervical cancer is a death sentence. But it doesn’t have to be. A life-saving preventative vaccine can dramatically cut cases and put the world on track to eliminate this deadly disease.

The UK first began offering a vaccine against HPV – the primary cause of cervical cancer – in 2008. According to a 2018 study by Public Health England, infections of certain cancer-causing types of HPV have since fallen by 86% among 16- to 21-year-old women. A study conducted in Scotland last year found that the vaccine reduced pre-cancerous cervical lesions by up to 90%.

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The mystery sickness bringing death and dismay to eastern Ethiopia

As villagers in Somali region fall ill in unexplained circumstances, some locals fear gas exploration has tainted the local water supply

At first, 23-year-old Khadar Abdi Abdullahi’s eyes began turning yellow. Then the palms of his hands did the same. Soon he was bleeding from his nose, and from his mouth, and his body was swelling all over. Eventually he collapsed with fever. He later died.

A deadly sickness is spreading through villages near a Chinese natural gas project in Ethiopia’s Somali region, according to locals and officials who spoke to the Guardian. Many of Khadar’s neighbours have suffered the same symptoms. Like him, some died.

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The world is failing to ensure children have a ‘liveable planet’, report finds

Children in biggest carbon-emitting nations are healthiest, while those with tiny environmental footprints suffer twofold from poor health and living at the sharp end of the climate crisis

Every country in the world is failing to shield children’s health and their futures from intensifying ecological degradation, climate change and exploitative marketing practices, says a new report.

The report says that despite dramatic improvements in survival, nutrition, and education over the past 20 years, “today’s children face an uncertain future”, with every child facing “existential threats”.

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Reform urged in Malaysia after disabled man is jailed for attempted suicide

Campaign groups unite in condemnation of ‘grossly inhumane and incompassionate’ verdict

Human rights groups in Malaysia are calling for the repeal of a law that criminalises attempted suicide after a man with a physical disability was sentenced to six months in prison for trying to take his own life.

Malaysia is one of the few countries where attempting suicide is illegal. Under existing legislation, people found guilty can be punished by up to a year in prison, a fine, or both. But the Malaysian government is now considering a change to the law, which advocates say cannot come soon enough.

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Coronavirus outbreak ‘could still go in any direction’, says WHO director – video

The World Health Organization director general, Tedros Adhanom Ghebreyesus, said at a briefing on Wednesday that although the number of newly confirmed cases of coronavirus reported from China had stabilised over the past week, the outbreak 'could still go in any direction'. He also confirmed that Cambodia has agreed to accept the Westerdam cruise ship, which has been stranded at sea for several days over virus fears

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African countries braced for ‘inevitable’ arrival of coronavirus

Health centres step up preparations as World Health Organization raises fears about ability to cope with major outbreak

African health authorities are stepping up preparedness for coronavirus after the head of the World Health Organzation described the outbreak as a “very grave threat for the rest of the world”.

The number of African countries that can test for the virus tripled to 15 this week, with more expected to have testing labs up and running in the coming days. The head of the Africa Centres for Disease Control and Prevention (Africa CDC) said health centres were on “high alert” for new cases.

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Coronavirus a test of global solidarity, says WHO director – video

Tedros Adhanom, head of the World Health Organization, calls the coronavirus outbreak a 'test of political solidarity' against a 'common enemy that does not respect borders or ideologies', as well as a test of financial and scientific solidarity. The epidemic has killed more than 1,000 people and infected more 40,000. 

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Concerns coronavirus is going undetected in Indonesia

World’s fourth most populous country says it has no confirmed cases despite close links to China

There is growing concern that the new coronavirus may be going undetected in Indonesia, where officials have not confirmed a single case of infection among the 272 million-strong population despite the country’s close links to China.

As of Thursday, Indonesia said it had no confirmed cases of the coronavirus and that 238 people evacuated from Wuhan, the centre of the outbreak, had not shown symptoms, although it said they hadn’t been tested.

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‘Hidden’ coronavirus cases could thwart containment efforts, experts warn

Failure to report mild symptoms combined with highly contagious nature of disease raises fears existing figures are ‘tip of the iceberg’

Global health experts have warned that “hidden” infections make containment of the coronavirus unlikely and raised fears that the rapidly rising caseload of 25,000 people could be the “tip of the iceberg”.

“Hidden” cases – where people with mild symptoms do not seek medical help and so remain untested and unrecorded – combined with the highly contagious nature of the disease mean there could be “vastly more cases” than previously thought, according to Tom Frieden, a former director at the US Centers for Disease Control and Prevention.

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