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ngq, you sexy beast! Here is a sanity check for that clean meta. ;)

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A paper in Nature this week reports that Chinese scientists discovered RNA of the virus in tiny droplets in Wuhan hospitals, raising the possibility of airborne transmission. The range of clinical manifestations in patients that test positive for COVID-19 remains a public health challenge, with some remaining asymptomatic while others die quickly. Despite the more than 1,000 papers that are published every week, a Science articles concludes that a “clear picture is elusive, as the virus acts like no pathogen humanity has ever seen.”

The CDC this week added six new symptoms that may be linked with COVID-19. These include chills, repeated shaking with chills, muscle pain, headache, sore throat and a loss of taste or smell – in addition to previously listed symptoms (fever, cough and shortness of breath or difficulty breathing).

The number of cases in Russia has surged past 100,000 following a record daily increase that included its Prime Minister testing positive. The Prime Minister of Japan has also suggested the country is likely to extend the state of emergency past May 4. Yesterday, Chile announced that it will back away from plans to distribute immunity cards following warnings by the WHO of the lack of evidence of ‘sufficient immunity’ to COVID-19 that would prevent reinfection. In its daily briefing, the WHO also has urged countries to be vigilant and to avoid prematurely lifting control measures as early evidence of sero-epidemiological data suggests a significant proportion of infected people may have been missed by surveillance measures.

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Disruptions in anti-malaria programs could lead to surging incidence of malaria in endemic regions, according to the WHO. In Sub-Saharan Africa alone, malaria deaths could jump to 769,000. In Nigeria’s Kano state, where local transmission of COVID-19 has been reported, officials have attributed a sharp increase in deaths due to malaria, diabetes and meningitis. The Democratic Republic of Congo has meanwhile requested international support as it faces three simultaneous medical emergencies with Ebola, measles, and COVID-19.

Médecins Sans Frontières described the “devil’s choice” that countries and aid organizations are confronted with in attempting to balance COVID-19 preparation and response, while maintaining vaccination programs. More than 117 million children are at risk of missing the measles vaccine as 21 countries so far have reported vaccine shortages due to travel and trade restrictions. The WHO has meanwhile requested additional air capacity due to supply disruptions, as the IMF and WTO held a joint briefing urging countries to lift trade restrictions on medical and food supplies.

A new study by the UN Fund for Population Activities warns that six months of lockdown could take a major toll on the rights of women and girls, and contribute to 31 million cases of gender-based violence and 7 million additional unintended pregnancies. Many countries have already reported significant spikes in domestic violence, including in Latin America where community organizations have described it as “another pandemic.” The UNAIDS also expressed ‘extreme concern’ about the targeting and abuse of LGBTI persons, including reports that government and religious leaders are spreading misinformation about COVID-19 that has incited violence and discrimination.

According to a paper in the Lancet, prisons remain a hotspot but “in no way equipped” to deal with COVID-19. Among the estimated 11 million global prison population, Human Rights Watch raised particular concerns about the conditions in Latin America where prisons remain overcrowded, and lack adequate sanitation and access to health services. Densely populated peri-urban environments such as slums and informal settlements are also acutely vulnerable, including Brazil’s favelas – home to an estimated 13 million people – where the absence of government support and lack of control measures have raised concerns of possible uncontrolled outbreaks. Human rights groups have also raised concerns about the lack of government support to indigenous communities in Brazil, contending with widespread infections and its economic impacts.

[post_title] => Vulnerable Communities Facing Multiple and Converging Crises [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => vulnerable-communities-facing-multiple-and-converging-crises [to_ping] => [pinged] => [post_modified] => 2020-08-13 22:39:32 [post_modified_gmt] => 2020-08-14 02:39:32 [post_content_filtered] => [post_parent] => 0 [guid] => https://covid19.dighr.org/developments/vulnerable-communities-facing-multiple-and-converging-crises/ [menu_order] => 0 [post_type] => development [post_mime_type] => [comment_count] => 0 [filter] => raw ) [2] => WP_Post Object ( [ID] => 2390 [post_author] => 1 [post_date] => 2020-05-03 15:58:23 [post_date_gmt] => 2020-05-03 19:58:23 [post_content] =>

An alarming new report by the ILO estimates that nearly half of the global workforce, more than 1.6 billion people, could lose their livelihoods due to COVID-19 related reductions in global trade and increased lockdown control measures. The report projects that lost income could total US$3.4 trillion this year, as the equivalent of 200 million full-time jobs have or will disappear since the start of the pandemic. The staggering figures include many informal workers that may lack worker benefits or social protection, and push upwards of 500 million people into poverty. The UN High Commissioner for Human Rights issued a Guidance for countries to adopt strategies that protection homeless people, as the Special Rapporteur on Extreme Poverty and Human Rights raised the likelihood that extreme poverty will increase for the first time in 20 years that is threatening 40 to 60 million people globally.

With incomes virtually stopping overnight in some countries, the UN Global Network Against Food Crisis warns that as many as 265 million people around the world may suffer from food insecurity and possible starvation. This includes the half a billion smallholder farmers that produce almost 80% of food consumed in Asia and Sub-Saharan Africa. Some countries have turned to cash payments to support the poor, including Pakistan where the government announced US$900 million in emergency funds for over 80 million people. Many countries such as Bangladesh are confronted by increasing public protests due to lockdowns. In Malawi, the High Court set aside plans for a COVID-19 lockdown pending a review within seven days, as protestors against the lockdown carried placards declaring that it would be better to contract the virus than die of hunger because they are unable to work. The WHO has also expressed concern of community spread in West Africa, as multiple countries have issued targeted lockdowns and curfews in major cities in addition to restrictions on inter-urban travel, stopping short of nationwide lockdowns.

With a looming recession and ballooning debt obligations in many developing countries, the IMF urged donor countries to support economic stimulus packages to address the immediate and long-term hunger impact. UN OCHA also states that about 700 million people (10% of the world’s population) are most vulnerable and concentrated in about 30 to 40 countries which already receive humanitarian assistance and will see a big drop in incomes as the virus spreads and governments impose restrictive measures and lock downs. They estimate that US$90 billion would be needed to provide income support, protect against starvation, and support a systematic health response for the world’s most vulnerable people. This represents 1% of the approximately US$8 trillion stimulus packages that the IMF states G20 countries have put in place to safeguard their own economies. The World Bank’s Pandemic Emergency Financing Facility will meanwhile provide a modest  $200 million in pandemic bonds to 64 low- and middle-income countries to finance COVID-19 related medical and personal protective equipment, medicines and support for frontline health workers.

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Yemen, the world’s largest humanitarian crisis, is hit by once-in-a generation floods that have leave over 5 million children facing the threat of cholera and acute diarrhea. More than 110,000 cases of suspected cholera have been recorded across 90% of regions in Yemen since January. More than a million displaced Yemenis and refugees are currently in need of urgent critical aid, as another report by the Lebanon Protection Consortium examines the impact of regional lockdowns on Syrian refugees in Informal Tented Settlements residents in Lebanon.

The UNHCR warns that a looming humanitarian crisis is unfolding in South Sudan. Years of conflict, recent natural disasters like floods and locust swarm, as well as the looming threat from COVID-19 leave 1.7 million displaced people in crowded sites with poor sanitary conditions and limited or no access to health facilities are struggling to meet basic needs. Aid organizations have described the “impossible” challenge of COVID-19 response in humanitarian response locations. In refugee camps such as Cox Bazaar, Bangladesh, there are particular difficulties in enforcing social distancing and hand washing practices, as UNICEF attempts to scale up delivery of health and hygiene supplies to Latin American and Caribbean countries.

A COVID-19 Humanitarian Plan for Afghanistan is seeking US$108 million to reach a third of the country, as more than 7 million children are expected to face food shortages due to the current pandemic. This is in addition to the $733 million that the UN and humanitarian partners are seeking as part of the Humanitarian Response Plan for Afghanistan to provide water, sanitation and hygiene kits and tailored hygiene promotion activities. A report by the U.S. Special Inspector General for Afghanistan Reconstruction yesterday raised alarm that COVID-19 could alsoderail peace talks, as the country is likely to confront a ‘health disaster‘ through the end of the year.

According to the UN Office for the Coordination of Humanitarian Affairs (OCHA), about 700 million people (10% of the world’s population) across 30-40 countries remain acutely vulnerable to the impact of COVID-19. An estimated US$90 billion is needed to provide income support, protect against starvation, and support a systematic health response for the world’s most vulnerable people. This represents about 1% of the approximately US$8 trillion stimulus packages that G20 countries have put in place to safeguard their own economies.

In partnership with the London School of Hygiene and Tropical Medicine (LSHTM) and the Geneva Centre for Education and Research in Humanitarian Action, OCHA yesterday released a Rapid Learning Review that outlines 14 actions, insights and ideas for humanitarian actors to consider in their COVID-19 responses synthesizing the best available knowledge and guidance. A coalition of academic institutions also released a set of 14 Principles in Protecting Migrants, Refugees and other Displaced Populations signed by over 800 international experts, as the WHO this week issued an Interim Guidance on Preparedness, prevention and control of COVID-19 for refugees and migrants in non-camp settings.

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Ten countries have now confirmed more than 1,000 COVID-related deaths, with 14 countries reporting more than 10,000 cases. With less than 17% of all confirmed cases globally, Italy and Spain continue to account for more than 35% of all reported deaths (21,645 and 19,130, respectively). Both countries are experiencing a slow-down in the rates of transmission, however, and while Spain is beginning to relax control measures, Italy has extended lockdown measures until May.

Sweden (12,540) is the latest country to exceed 10,000 cases, as the number of deaths doubled in less than a week, which has been blamed on its controversial voluntary public health measures. France (147,863) and Turkey (69,392) continue to experience significant daily increases in confirmed cases and deaths, while the U.K. is expected to see a drop in new cases and hospitalization, despite surpassing 10,000 deaths and approaching 100,000 cases. The U.K. Prime Minister Boris Johnson was moved out of Intensive Care over the weekend, noting “I owe (NHS staff) my life.”

Transmission rates in Russia have also raised concerns, as daily reported cases continue to surge 20% for a second consecutive day, approaching 28,000 cases and 232 deaths. As the number of COVID-related deaths in Belgium surpass China, Germany is reporting an increase of COVID-related outbreaks in nursing homes and hospitals, where the elderly account for only 17% of cases but 86% of all deaths.

Many European countries are also reporting high CFR near or above 10%, including Italy, Spain, France, the U.K., Netherlands, Belgium, and Sweden. This has been partly attributed to selective testing strategies, as a paper this week in BMJ suggests early and widespread testing may be contributing to Germany’s relatively low CFR (2%). The European CDC has recommended that countries scale up testing and surveillance systems to guide and monitor the escalation and de-escalation of mitigation strategies.

[post_title] => Regional Snapshot: Europe [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => regional-snapshot-europe [to_ping] => [pinged] => [post_modified] => 2020-08-13 22:40:11 [post_modified_gmt] => 2020-08-14 02:40:11 [post_content_filtered] => [post_parent] => 0 [guid] => https://covid19.dighr.org/developments/regional-snapshot-europe/ [menu_order] => 0 [post_type] => development [post_mime_type] => [comment_count] => 0 [filter] => raw ) [5] => WP_Post Object ( [ID] => 2372 [post_author] => 1 [post_date] => 2020-04-19 11:30:30 [post_date_gmt] => 2020-04-19 15:26:30 [post_content] =>

Earlier today, China increased the number of COVID-related deaths in Wuhan by 50%, raising the country’s toll by 1,300 to 4,632. While the government claims this reflects updated hospital counts as well as those who died at home, the revision in the reported figures partially validates accusations of under-reporting, including by intelligence agencies. The broader challenge is that most models of the pandemic are based on prior figures from China and may need to be revised to reflect these significant adjustments.

In China, a cluster of cases linked to the Nigerian community in Guangzhou has also sparked alleged discrimination towards Africans by locals and virus prevention officials.

Asian-Pacific countries are beginning to experience second waves of infections, including Singapore which is reporting the highest case rate in the region (500 cases per million people). Despite these spikes, the “suppress and lift” strategy of aggressive testing, isolation, and contact tracing by countries such as Singapore and Hong Kong remains a model response and has helped prevent exponential spread.

In Iran, the number of reported cases and deaths approach 80,000 and 5,000, respectively. Fearing a protracted economic crisis, some “low-risk” businesses were allowed to open, prompting concerns of a second wave of infections. The government has asked for economic support and sanction relief from the IMF, which the U.S. has thus far blocked despite international pressure to sideline geopolitical tensions to allow countries to respond to the pandemic.

With 13,835 confirmed cases, India has become the third Asian country to surpass the 10,000 mark. Like in Pakistan (7,025) and Bangladesh (1,838), the true outbreak size is expected to be significantly higher in India due to varying testing and counting strategies. In India, the government has extended the nation-wide lockdown until May 3, while food shortages and a mass exodus from major urban areas has raised concern about local transmission in rural parts of the country. There are positive reports that some states like Kerala have managed to bend the curve by adopting “aggressive testing, contact tracing, and cooked meals.”

[post_title] => Regional Snapshot: Asia [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => regional-snapshot-asia [to_ping] => [pinged] => [post_modified] => 2020-08-13 22:40:11 [post_modified_gmt] => 2020-08-14 02:40:11 [post_content_filtered] => [post_parent] => 0 [guid] => https://covid19.dighr.org/developments/regional-snapshot-asia/ [menu_order] => 0 [post_type] => development [post_mime_type] => [comment_count] => 0 [filter] => raw ) [6] => WP_Post Object ( [ID] => 2371 [post_author] => 1 [post_date] => 2020-04-19 11:29:30 [post_date_gmt] => 2020-04-19 15:25:30 [post_content] =>

Boko Haram Islamic extremists in Nigeria portrayed social distancing measures that have closed mosques as an assault on the faith. Police violence in Kenya, aimed at enforcing the dawn-to dusk lockdown, has led to 12 deaths thus far, greater than the 9 officially recorded deaths due to COVID-19.

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Northern Africa remains the most affected region on the continent, as Egypt surpassed South Africa with the highest number of confirmed cases (2,673), and Algeria (2,528) and Morocco (2,266) remaining close behind. Despite reporting over 2,600 cases, South Africa has been praised for its proactive response and for taking a regional leadership role in drafting a comprehensive action plan to assist African countries with COVID-19 response.

[post_title] => Northern Africa remains the most affected region on the continent [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => northern-africa-remains-the-most-affected-region-on-the-continent [to_ping] => [pinged] => [post_modified] => 2020-08-13 22:40:11 [post_modified_gmt] => 2020-08-14 02:40:11 [post_content_filtered] => [post_parent] => 0 [guid] => https://covid19.dighr.org/developments/northern-africa-remains-the-most-affected-region-on-the-continent/ [menu_order] => 0 [post_type] => development [post_mime_type] => [comment_count] => 0 [filter] => raw ) [8] => WP_Post Object ( [ID] => 2373 [post_author] => 1 [post_date] => 2020-04-19 11:27:30 [post_date_gmt] => 2020-04-19 15:27:30 [post_content] =>

The CDC yesterday revised its case and death counts to reflect both confirmed and probable cases and deaths. With more than 675,000 total cases, the U.S. has more cases than the next four highest reporting countries combined, while accounting for almost 20% of all reported COVID-related deaths globally. Revelations of significantly higher rates of transmission and deaths in elderly care facilities contributed to Canada becoming the 15th country to report at least 1,000 deaths, as total cases spiked by 30% this week to over 30,000. While the Canadian government announced that control and border measures will remain for months to come, the U.S. President yesterday outlined a Federal Plan to open up the country to widespread criticism by public health experts and government officials across the country.

[post_title] => Regional Snapshot: Americas [post_excerpt] => The CDC yesterday revised its case and death counts to reflect both confirmed and probable cases and deaths. [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => regional-snapshot-americas [to_ping] => [pinged] => [post_modified] => 2020-04-19 11:27:30 [post_modified_gmt] => 2020-04-19 15:27:30 [post_content_filtered] => [post_parent] => 0 [guid] => https://covid19.dighr.org/developments/regional-snapshot-americas/ [menu_order] => 0 [post_type] => development [post_mime_type] => [comment_count] => 0 [filter] => raw ) [9] => WP_Post Object ( [ID] => 2369 [post_author] => 1 [post_date] => 2020-04-19 11:27:30 [post_date_gmt] => 2020-04-19 15:23:30 [post_content] =>

This week, the UN Economic Commission for Africa issued a projection that an estimated 300,000 and 3.3 million African people could lose their lives as a direct result of COVID-19, depending on the intervention that governments introduce. As all 55 African countries are now reporting cases, the Director of the Africa CDC called COVID-19 an existential threat to the continent. Increased local transmission also contributing to exponential growth in some regions, particularly in the 24 countries that have confirmed at least 100 cases. As of this morning, there are almost 1,000 deaths and over 18,500 confirmed cases across Africa, representing a 30% increase over the past week.

[post_title] => Director of the Africa CDC calls COVID-19 an existential threat to the continent [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => director-of-the-africa-cdc-calls-covid-19-an-existential-threat-to-the-continent [to_ping] => [pinged] => [post_modified] => 2020-08-13 22:40:11 [post_modified_gmt] => 2020-08-14 02:40:11 [post_content_filtered] => [post_parent] => 0 [guid] => https://covid19.dighr.org/developments/director-of-the-africa-cdc-calls-covid-19-an-existential-threat-to-the-continent/ [menu_order] => 0 [post_type] => development [post_mime_type] => [comment_count] => 0 [filter] => raw ) [10] => WP_Post Object ( [ID] => 2377 [post_author] => 1 [post_date] => 2020-04-19 11:26:30 [post_date_gmt] => 2020-04-19 15:26:30 [post_content] =>

Despite reporting the highest number of cases on the continent, South Africa (2,506) has been praised for its proactive response. After a drastic drop in the rate of new daily reported cases from 42% (150-200 new cases per day) three weeks ago to an estimated 4% (20-80 new cases per day) following the government’s early and strong control and testing, the last four days have seen a slight uptick in case reports (90-140 new cases per day). The South African government, meanwhile, has proposed a comprehensive action plan to assist African countries with COVID-19 response.

[post_title] => Despite highest case numbers in Africa, South Africa praised for proactive response [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => despite-highest-case-numbers-in-africa-south-africa-praised-for-proactive-response [to_ping] => [pinged] => [post_modified] => 2020-08-13 22:40:11 [post_modified_gmt] => 2020-08-14 02:40:11 [post_content_filtered] => [post_parent] => 0 [guid] => https://covid19.dighr.org/developments/despite-highest-case-numbers-in-africa-south-africa-praised-for-proactive-response/ [menu_order] => 0 [post_type] => development [post_mime_type] => [comment_count] => 0 [filter] => raw ) [11] => WP_Post Object ( [ID] => 2368 [post_author] => 1 [post_date] => 2020-04-19 11:25:30 [post_date_gmt] => 2020-04-19 15:22:30 [post_content] =>

We do not have accurate figures on the scale of the outbreak for the nearly 168 million people that according to UNOCHA require humanitarian assistance and protection. In the 30 countries where humanitarian responses are currently underway, there are over 100,000 confirmed cases, including over 2,600 deaths. These figures are believed to be significantly higher due to critical shortages in testing and clinical public health capacity. It also excludes countries like Iran where UN humanitarian agencies do not operate, and where reported cases approach 80,000, including almost 5,000 COVID-related deaths.

[post_title] => Over 100,000 confirmed cases in humanitarian response locations [post_excerpt] => [post_status] => publish [comment_status] => closed [ping_status] => closed [post_password] => [post_name] => over-100000-confirmed-cases-in-humanitarian-response-locations [to_ping] => [pinged] => [post_modified] => 2020-08-13 22:40:11 [post_modified_gmt] => 2020-08-14 02:40:11 [post_content_filtered] => [post_parent] => 0 [guid] => https://covid19.dighr.org/developments/over-100000-confirmed-cases-in-humanitarian-response-locations/ [menu_order] => 0 [post_type] => development [post_mime_type] => [comment_count] => 0 [filter] => raw ) ) [post_count] => 12 [current_post] => -1 [before_loop] => [in_the_loop] => [post] => WP_Post Object ( [ID] => 2392 [post_author] => 1 [post_date] => 2020-05-03 16:00:23 [post_date_gmt] => 2020-05-03 20:00:23 [post_content] =>

A paper in Nature this week reports that Chinese scientists discovered RNA of the virus in tiny droplets in Wuhan hospitals, raising the possibility of airborne transmission. The range of clinical manifestations in patients that test positive for COVID-19 remains a public health challenge, with some remaining asymptomatic while others die quickly. Despite the more than 1,000 papers that are published every week, a Science articles concludes that a “clear picture is elusive, as the virus acts like no pathogen humanity has ever seen.”

The CDC this week added six new symptoms that may be linked with COVID-19. These include chills, repeated shaking with chills, muscle pain, headache, sore throat and a loss of taste or smell – in addition to previously listed symptoms (fever, cough and shortness of breath or difficulty breathing).

The number of cases in Russia has surged past 100,000 following a record daily increase that included its Prime Minister testing positive. The Prime Minister of Japan has also suggested the country is likely to extend the state of emergency past May 4. Yesterday, Chile announced that it will back away from plans to distribute immunity cards following warnings by the WHO of the lack of evidence of ‘sufficient immunity’ to COVID-19 that would prevent reinfection. In its daily briefing, the WHO also has urged countries to be vigilant and to avoid prematurely lifting control measures as early evidence of sero-epidemiological data suggests a significant proportion of infected people may have been missed by surveillance measures.

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