Patients dying as conflict prevents supplies reaching Tigray hospitals

Medics unable to keep babies alive, says doctor, as Ethiopia’s civil war creates desperate shortages of drugs, oxygen, fuel and food

People in Tigray are dying due to a lack of oxygen and medicines, a doctor at the region’s largest hospital has said, as medics struggle to care for the sick amid frequent electricity blackouts and fuel shortages.

As the 16-month conflict between Tigrayan forces and Ethiopian government forces drags on, the isolated northern region of 5.5 million people continues to suffer under what the UN has called a de facto blockade.

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Increase funding or abandon hope of ending malaria, TB and Aids, UK warned

Global Fund urges UK and other donors to pledge billions to get efforts to end diseases by 2030 ‘back on track’ after catastrophic impact of Covid

Britain is being urged to pledge billions of dollars to get the fight against malaria, tuberculosis and Aids “back on track” after efforts were ravaged by the Covid-19 pandemic.

The UK has historically been one of the main donors to the Global Fund, an international financing organisation aimed at ending the three deadly epidemics by 2030. Now it is warning that, unless donors make an unprecedented total funding pledge of $18bn (£13.25bn) this year, that goal will be missed.

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Dr Paul Farmer, healthcare advocate for some of world’s poorest, dies aged 62

Farmer defied skeptics to create healthcare systems for the most vulnerable in places like Haiti, Rwanda and Peru.

Dr Paul Farmer, a physician, humanitarian and author renowned for providing healthcare to millions of impoverished people worldwide and who co-founded the global non-profit Partners in Health, has died. He was 62.

The Boston-based organization confirmed Farmer’s death on Monday, calling it “devastating” and noting he unexpectedly died in his sleep from an acute cardiac event while in Rwanda, where he had been teaching.

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My dying grandmother’s pain inspired me to challenge Zimbabwe’s pharmacy system | Dudzai Mureyi

Finding the right medicine at the right price was once a lottery – now the crowdsourcing service I set up is bringing down the cost of illness

In July 2015, as my 82-year-old grandmother, Sophie Mafuku, lay dying of a terminal illness in Zimbabwe, I spent a day speaking to fellow pharmacists as I tried to fill her morphine prescription. If it takes 24 hours for the grandmother of a well-connected medical professional to access scarce drugs, I thought, how long is it taking people with no connections? It set me off on a journey.

In Zimbabwe, systemic shortages are common. Sometimes, only a handful of pharmacies have particular drugs in stock. The shortages are caused by well-documented economic challenges, which affect Zimbabwe’s capacity to manufacture or import medicines.

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‘Babies here are born sick’: are Bolivia’s gold mines poisoning its indigenous people?

The government has been criticised for apparent inaction as evidence mounts that mercury contamination is causing illness in fishing communities

Outside a small brick house shared by four families, Daniela Prada, who is heavily pregnant, gathers guava leaves to make a tea for her two-year-old son.

“My baby gets sick a lot,” she says, boiling a pot of water in her outdoor kitchen. “He always has diarrhoea and last night he had a fever. Most of the time I give him natural medicine.”

In an identical house nearby, town leader Oscar Lurici says fevers are a part of life in Eyiyo Quibo village on the Beni River in northern Bolivia. People of all ages suffer from debilitating head and body aches, bouts of vomiting and diarrhoea, memory loss and tiredness. Some children show signs of cognitive development delays.

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Mandatory Covid jabs in Malawi ‘violate human rights’, say civil society groups

Measure aimed at frontline workers to reduce spread of Omicron variant may increase unrest in country with low vaccine take-up, critics warn

Civil rights groups in Malawi have cautioned the government on its decision to make the Covid-19 vaccination mandatory for frontline workers.

From January, it will be compulsory for public sector workers, including healthcare staff, police and teachers, as well as journalists, to be vaccinated, after an announcement by Malawi’s health minister, Khumbize Kandodo Chiponda, last week.

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Malaria kills 180,000 more people annually than previously thought, says WHO

UN agency says world must support urgent rollout of new vaccine as it reveals new figures for malaria deaths

The World Health Organization has called for a “massive, urgent” effort to get the new malaria vaccine into the arms of African children, as it warned that about 180,000 more people were dying annually from the disease than had previously been thought.

Dr Pedro Alonso, director of the WHO’s global malaria programme, said the RTS,S vaccine, recommended for widespread rollout in October, represented a historic opportunity to save tens of thousands of lives, mostly those of under-fives in sub-Saharan Africa.

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Activists call for revolution in ‘dated and colonial’ aid funding

Aspen Institute’s New Voices want donors to exercise humility and trust those receiving grants to know what their communities need

Aid donors are being urged to revolutionise the way money is spent to move away from colonial ideas and create meaningful change.

Ahead of a two-day conference this week, activists from Africa, Asia and Latin America have called on public and private global health donors – including governments, the United Nations, private philanthropists and international organisations – to prioritise funding for programmes driven by the needs of the community involved, rather than dictated by preconceived objectives.

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Warning on tackling HIV as WHO finds rise in resistance to antiretroviral drugs

Nearly half of newly diagnosed infants in 10 countries have drug-resistant HIV, study finds, underlining need for new alternatives

HIV drug resistance is on the rise, according to a new report, which found that the number of people with the virus being treated with antiretrovirals had risen to 27.5 million – an annual increase of 2 million.

Four out of five countries with high rates had seen success in suppressing the virus with antiretroviral treatments, according to the World Health Organization’s HIV drug-resistance report.

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I got help for postnatal depression that saved me. Most women in India do not | Priyali Sur

With up to one in five new mothers suffering depression or psychosis, experts say the need for help is ‘overwhelming’ India

A month after giving birth, Divya tried to suffocate her new daughter with a pillow. “There were moments when I loved my baby; at other times I would try and suffocate her to death,” says the 26-year-old from the southern Indian state of Kerala.

She sought help from women’s organisations and the women’s police station, staffed by female officers, in her town. But Divya was told that the safest place for a child was with her mother.

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Pregnant women at risk in Malawi as drug shortage prevents caesareans

Patients travelling long distances to find surgery cancelled as lack of anaesthetics shuts operating theatres in half of hospitals

Almost half of Malawi’s district hospitals have closed their operating theatres due to a dire shortage of anaesthetics.

Maternity care has been affected by a lack of drugs, said doctors. Surgery, including caesareans, has been cancelled and patients needing emergency care have been moved hundreds of miles around the country.

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Malawian campaigner makes history as country’s first elected MP with albinism

Overstone Kondowe’s election hailed as ‘giant step forward’ in continent where people with albinism face stigma and attacks


The first Malawian with albinism to become an elected MP took his seat in the new parliament on Monday, making history in the southern African country. It also marks a significant milestone in a continent where people with the hereditary lack of pigmentation in the skin, hair and eyes face severe discrimination and physical attacks.

Overstone Kondowe, the 42-year-old son of a teacher, grew up in a village without any help to ease the pain in his sun-sensitive skin or glasses to aid his poor eyesight.

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Noma: the hidden childhood disease known as the ‘face of poverty’

This little known and preventable disease disfigures those it does not kill – and a new campaign hopes to raise awareness and eradicate it entirely

Warning: this article includes graphic images some readers may find disturbing

Fidel Strub was three when the inside of his cheek started to itch. After a few days, it felt like it was burning, then it began to smell as if it was rotting. A splitting headache came next before his whole body started to feel uncomfortably hot.

“I remember darkness came,” he says. “I had a hammering headache and a burning body. When I opened my eyes, any light stung them and it burned like hell. It was easier to close my eyes for less pain. I could do nothing but lie on the floor.”

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Global heating ‘may lead to epidemic of kidney disease’

Deadly side-effect of heat stress is threat to rising numbers of workers in hot climates, doctors warn

Chronic kidney disease linked to heat stress could become a major health epidemic for millions of workers around the world as global temperatures increase over the coming decades, doctors have warned.

More research into the links between heat and CKDu – chronic kidney disease of uncertain cause – is urgently needed to assess the potential scale of the problem, they have said.

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‘You shouldn’t work if your kidneys are failing – but people can’t afford not to’

Global heating is having a deadly impact on Nicaragua’s sugar cane workers, who toil in temperatures of up to 45C

At the Sacuanjoche clinic in Chinandega, the largest city in Nicaragua’s sugar cane-growing region, nephrologist Nelson Garcia does the rounds of his patients. Many are suffering from chronic kidney disease (CKD); most fell ill while working long hours under the beating sun in the nearby sugar cane fields, and now have damaged and failing kidneys.

“People arrive with a host of symptoms here; some are really nauseous, or vomiting, or have severe diarrhoea,” Garcia says, adding that although unsure exactly how many people he has treated for heat stress and related kidney diseases this year, he knows it is a lot. “Others are physically weakened, tired, or have nasty muscular cramps, while others complain about having no appetite or libido – there really are so many symptoms.”

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Afghanistan to restart polio vaccination programme with Taliban support

The WHO and Unicef campaign will restart after three years, and the hardliners say they will assist and allow frontline female staff

Afghanistan will restart nationwide polio vaccinations after more than three years, as the new Taliban government agreed to assist the campaign and to allow women to participate as frontline workers, the UN said on Monday.

The World Health Organization and Unicef said the vaccination drive would begin on 8 November with Taliban support.

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WHO endorses use of world’s first malaria vaccine in Africa

World Health Organization’s director general hails ‘historic day’ in fight against parasitic disease

The World Health Organization has recommended the widespread rollout of the first malaria vaccine, in a move experts hope could save tens of thousands of children’s lives each year across Africa.

Hailing “an historic day”, the WHO’s director general, Dr Tedros Adhanom Ghebreyesus, said that after a successful pilot programme in three African countries the RTS,S vaccine should be made available more widely.

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US to donate an additional 500m Covid vaccines to poorer countries, says Biden

US president outlines plan at Covid summit, bringing America’s global donation to over 1.1bn doses amid backlash over boosters

Joe Biden has announced that the US will donate an additional 500m Covid-19 vaccines to low- and middle-income countries around the world, bringing America’s total global donation to more than 1.1bn doses.

The US president outlined the plan on Wednesday at a virtual coronavirus summit where he urged world leaders to “go big” in tackling the pandemic and closing the vaccination gap with poorer nations.

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Most infants in 91 countries are malnourished, warns Unicef

Climate crisis, conflict and Covid stunting progress on nutrition, UN says on eve of food security summit

Only a third of children under two in many developing countries are fed what they need for healthy growth and no progress has been made on improving their nutrition over the past decade.

Unicef, the UN’s children’s agency, said in a report published on Wednesday that a combination of crises from Covid-19 to conflict and the climate breakdown had stunted progress on children’s nutrition in 91 countries.

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‘Hunger was something we read about’: lockdown leaves Vietnam’s poor without food

Vietnam was a Covid success story but the latest lockdown, with people unable to leave the house even for food, is leaving tens of thousands hungry

When the strictest lockdown to date was imposed in Ho Chi Minh City, Tran Thi Hao*, a factory worker, was told that the government would keep her and her family well fed – but for two months they have eaten little more than rice and fish sauce.

She was put on unpaid leave from her job in July, while her husband, a construction worker, has not worked for months. They are behind on their rent, with another payment due soon.

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