The Gambia becomes second African state to end trachoma

Health workers spent years targeting agonising and blinding eye disease, which was rife in rural areas

The Gambia has become the second country in Africa to eliminate trachoma, one of the leading causes of blindness.

The achievement, announced by the World Health Organization on Tuesday, came after decades of work on the disease, which has damaged the sight of about 1.9 million people worldwide. Ghana was the first country in Africa to eliminate the disease in 2018.

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Killing of female polio vaccinators puts Afghan eradication campaign at risk

Rise in cases feared as murders halt campaigns and leave many women too afraid to work

Gul Meena Hotak was on her regular rounds, going door-to-door giving polio vaccinations in the eastern Afghan city of Jalalabad, when she heard gunshots.

The 22-year-old’s immediate concern was for the safety of her friend Negina and other colleagues nearby. “Negina and my supervisor were in a neighbourhood close by when a gunman approached and shot at them. My supervisor escaped with gunshot injuries, but Negina was killed on the spot,” Hotak said.

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Malawi to bin 16,000 AstraZeneca doses amid fears of rise in vaccine hesitancy

Authorities act to counter rumours out-of-date shots are being used as people drag their heels over being vaccinated

More than 16,000 expired AstraZeneca Covid-19 doses are to be destroyed in Malawi as concerns over vaccine hesitancy increase.

The vaccines are among 102,000 doses donated by the African Union (AU) to the Malawian government last month.

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Scientists sound warning note over malaria drug resistance in Africa

Rwanda study raises fears erosion of efficacy may have begun, with children at greatest risk

Resistance to malaria drugs in Africa may be starting to take hold, according to a study that maps changes similar to those seen a decade ago when drug resistance spread in south-east Asia.

In Cambodia and neighbouring countries, the artemisinin drug compounds widely used against malaria are no longer always effective. The falciparum malaria parasites have developed genetic mutations that allow them to evade the drugs. There has been great concern that drug resistance could spread to Africa, which has the highest burden of cases of this type of malaria – and the highest toll of child deaths from it.

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Neglected tropical diseases are the landmines of global health | Albert Picado and John H Amuasi

They are 20 disparate diseases that, like mines, unduly affect the world’s poorest people. Now there’s a plan to eradicate them by 2030

In January the World Health Organization launched a new strategy for eradicating neglected tropical diseases, boldly setting targets to eliminate 20 of them by 2030.

But what are neglected tropical diseases (NTDs)? There is no easy answer. The concept was first proposed in the early 2000s to bring to light a group of diseases that disproportionately affect poor people yet, despite their collective impact, do not attract as much attention as diseases such as HIV/Aids, malaria or tuberculosis.

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Death without answers: an agonising 24-hour hunt for medical help in Guinea-Bissau

Bernardo Catchura spent a last desperate night seeking treatment in the healthcare system he had spent decades campaigning to improve. His wife is still unsure how he died

In their 15 years together, Maimuna Catchura had not known her husband to be ill. But one night in late January, 39-year-old lawyer, activist and musician Bernardo Catchura could not sleep, and complained of severe stomach pain.

The pain forced Catchura from his bed at his house in Bissau, Guinea-Bissau’s capital. That night he would navigate the country’s medical care maze, visiting pharmacies, clinics and hospitals. Before the night was through, he even considered crossing the border into Senegal to get help.

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Taliban denies killing three female Afghan polio workers

Murders of two volunteers and a nurse come one day after relaunch of national vaccination campaign

Two female volunteers and a nurse working door to door to vaccinate children against polio were shot dead by gunmen in two separate incidents in the Afghan city of Jalalabad on Tuesday.

On the same day, government officials confirmed that an explosion had rocked Jalalabad’s health ministry headquarters but no casualties were reported.

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Covid third wave may overrun Africa’s healthcare, warns WHO

Leap of 50% in cases in three months and just 7m jabs across continent ‘infecting 11 health workers an hour’

Rising cases of coronavirus in Africa threaten to overrun fragile healthcare systems and test the continent’s much-touted resilience to the disease, according to the World Health Organization’s regional office for the continent.

The global health body stated that infections were on the rise in at least 12 countries in Africa including Cameroon, Ethiopia, Kenya and Guinea.

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Lack of skin-to-skin care for small and premature babies hits survival rates

Life-saving techniques fall out of favour on maternity wards in developing countries over Covid fears

Small and sick babies are at increased risk of dying due to disruptions in care caused by coronavirus, a survey of health workers across 62 mainly developing countries has found.

Every year, 2.5 million babies die within 28 days of birth, and more than 80% of them have low birth weight. A technique for premature and small babies known as kangaroo mother care (KMC), involving early prolonged skin-to-skin contact with their mothers and breastfeeding, can help reduce mortality.

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What price a child’s life? India’s quest to make rare disease drugs affordable

Parents whose only hope was finding foreign sponsorship or a clinical trial are now looking for homegrown breakthroughs

For three years, Vidya tried to find the cause of her son’s recurrent fevers and low cognitive development. When she found out, she was devastated.

Vineeth, 10, has an incurable illness – mucopolysaccharidosis type 2 – that affects his organs. Afflicting just one in a million, the enzyme-replacement medication that can help stop the illness getting any worse costs £100,000 a year, far beyond the reach of even a wealthier Indian parent.

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Coronavirus crisis unlikely to be over by the end of the year, WHO warns

Dr Michael Ryan says Covid-19 is ‘very much in control’ as global infections rise for first time in almost two months

Despite the spread of Covid-19 being slowed in some countries due to lockdowns and vaccination programs, it is “premature” and “unrealistic” to the think the pandemic will be over by the end of the year, the World Health Organization’s executive director of emergency services has said.

Speaking at a press briefing Geneva, Dr Michael Ryan said while vaccinating the most vulnerable people, including healthcare workers, would help remove the “tragedy and fear” from the situation, and would help to ease pressure on hospitals, the “virus is very much in control”.

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Guinea officials race to contain Ebola outbreak as death toll rises

At least four people have died in the epidemic, causing heightened alarm across west Africa

Health officials in Guinea are racing to contain a new outbreak of Ebola that has killed at least four people and raised concerns across west Africa, which previously suffered the worst from the virus.

On Monday morning, a fourth victim died in Guinea and four others are being treated in an isolation centre, suffering vomiting, diarrhoea and bleeding. At least seven of the people who contracted the virus attended the funeral of a nurse in Goueke, a town near the Liberian border, on 1 February the government said on Sunday.

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‘It’s as if there’s no Covid’: Nepal defies pandemic amid a broken economy

Cases appear low and sports venues are packed, but protests are on the rise as jobs are lost and personal debt soars

Traffic jams and soaring pollution levels are back. Political leaders are organising mass rallies, far more focused on fighting each other than any virus. If poorer Nepalis are struggling with the dire economic fallout from Covid-19, on the surface, at least, it appears daily life in the capital, Kathmandu, is back to normal.

“It’s as if nothing has happened. The nightclubs are crowded. Schools and colleges are reopening. Sports venues are full. It doesn’t seem like there is any Covid,” says Sameer Mani Dixit, a public health specialist. “It defies logic.”

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Rishi Sunak is paying Covid bills off the backs of the poor. It shames our country | Gordon Brown

A savage reversal of aid is happening at the very moment people need our help most. MPs must join together to stop it


Nothing shames our country more than Rishi Sunak, the chancellor, paying the bills for Covid off the backs of the poor – at home and abroad.

He has recently been pushed off his plan to cut £20 a week from the already low universal credit paid to 6 million of Britain’s poorest families.

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WHO’s Covid warnings were not heeded. Now the world has a new chance to beat the virus

If nations make vaccine delivery equitable, step up testing and study variant genomes, the pandemic could be under control by January 2022

A year ago, on 30 January, the World Health Organization declared the outbreak of the new coronavirus a public health emergency of international concern – the highest level of alarm at our disposal under international law.

At the time there were 98 confirmed cases and no deaths reported outside China. The WHO repeatedly urged all countries to capitalise on the “window of opportunity” to prevent widespread transmission of this new virus.

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World’s poor need action, not Covid ‘vaccine nationalism’, say experts

Nations outbidding each other creates an ‘immoral race towards the abyss’

Pharmaceutical companies should do more to transfer vaccine technology to prevent the poorest countries falling behind in the distribution of Covid-19 vaccines, according to an expert.

The warning came from Dag-Inge Ulstein, the co-chair of the global council trying to speed up access to Covid vaccines for the world’s poor, known as the Act (Access to Covid-19 Tools) Accelerator. Ulstein, Norway’s international development minister, oversees the drive to ensure vaccines reach the poor – the Covax programme.

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New year, new outbreak: China rushes to vaccinate 50 million as holiday looms

Drive to immunise 3.5% of the population in weeks comes ahead of the lunar new year festival and as three major cities are locked down

At a Shenzhen hospital, 21-year-old airport worker Wang Shuyue lines up to receive her second shot.

“I feel it’s safe because so many people around the country have taken the vaccine so there shouldn’t be any major problems,” she tells the Guardian. “I think it should be effective otherwise there wouldn’t be so many people taking it.”

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Egypt denies ‘oxygen crisis’ as Covid-19 ward videos allege shortage

Amid rising infection rates, authorities suppress efforts to discuss levels of vital supplies, as relatives’ claims fuel concerns

Filming on his phone inside Egypt’s Hussainiya hospital, Ahmed Mamdouh pans around the ward to show beds occupied by motionless bodies. “All the people are dead,” he says. Mamdouh’s own relative had just died, for which he blames a lack of medical oxygen.

In another video, a screaming woman at Zeftah hospital in Gharbiyeh governorate demands nurses help resuscitate a relative. In a third, a man in Damanhour, in the Nile delta, gasps for air, glassy-eyed as he holds an oxygen mask in his hand. “There is a lack of oxygen,” he says, extending an invitation for local health minister to come and witness the problem. “Join us, minister.”

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Bob Grose obituary

For some people, the work they do and the life they lead are in perfect alignment. My friend and colleague Bob Grose, who has died aged 71, was one of those people.

He did historically important work on HIV/Aids for the World Health Organization (WHO) in Africa, and for polio, HIV and leprosy for the Overseas Development Administration (ODA, later DfID) in India. Writing for War on Want in the mid-1980s, Bob was one of the first to predict that truckers would be high-risk vectors for the HIV epidemic in Africa. He was quickly snapped up by the WHO’s Global Programme on Aids (later UNAids) in Geneva, where he worked from 1987 to 1992 as a technical adviser. He was ahead of his time, mobilising community groups in Africa to raise awareness of the epidemic: a focus of UNAids to this day.

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Wuhan one year on: normality returns, but pain over handling of Covid endures

As China’s leadership celebrates national triumph over virus, some residents want an investigation into the start of the pandemic

Jianghan Road in Wuhan throngs with shoppers and strollers bundled up against the late December freeze. Bells ring out on the hour from the landmark Hankou Customs House where the road terminates near the wide banks of the Yangtze River.

Restaurants along the city’s main pedestrian thoroughfare are packed, even on an icy weekday night, and resound with loud conversation.

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