California is Burning

World of Signs

World leaders rehearse for a global pandemic that will come ‘sooner than we expect’

Washington Post    October 24, 2017

The government ministers were facing a new infectious disease outbreak. The mysterious virus was sickening and killing people with alarming speed. Some patients had to be placed on ventilators to help them breathe. The new virus seemed resistant to antiviral medicine.

Within a week, officials had closed a major hospital and schools and quarantined thousands of people. Fear and panic spread quickly as people in neighboring countries became infected and died.

That scenario was part of a pandemic simulation held during the World Bank’s annual meeting in Washington this month. It’s not the kind of event that people would typically associate with the World Bank. But it’s the fourth such exercise the bank has helped organize in the past year, reflecting what experts say is the growing awareness outside the traditional global health sector of the increasing threat and economic disruption posed by a global pandemic.

The chaotic and “horrendously inefficient” early response to the 2014 Ebola epidemic in West Africa that killed more than 11,000 people was the catalyst for the simulations, said Tim Evans, senior director for health, nutrition and population at the World Bank.

“We realized that people were just making it up as they were going along, including us,” Evans said, referring to the Ebola response. The bank wanted to “move from a history of panic and neglect to one where we’re going to start to prepare much more systematically to be ready for the 100 percent probability we will be dealing with this again,” he said. “Probably sooner than we expect.’”

Outbreaks of life-threatening infectious diseases are spreading faster and with more unpredictability than ever.

An unusually large plague outbreak in Madagascar has killed 106 people since August. About 70 percent of the cases are the more virulent form of pneumonic plague that spreads by coughing, sneezing or spitting and is almost always fatal if untreated with antibiotics.

In Uganda, officials are on high alert because of a recently reported outbreak of the deadly Marburg virus that has killed one person and may have exposed hundreds more at health facilities and during traditional burial ceremonies. Marburg is a highly infectious hemorrhagic fever similar to Ebola and is among the most virulent pathogens known to infect humans.

For the World Bank simulation, organizers looked at the impact on travel and tourism of an outbreak of a mysterious respiratory virus in a hypothetical country. Participants included finance, health and tourism ministers from about a dozen countries, and officials from organizations including the World Health Organization, the Centers for Disease Control and Prevention, and the International Air Transport Association.

England’s chief medical officer has warned of a “post-antibiotic apocalypse"

RT   14 Oct, 2017

 England’s chief medical officer has warned of a “post-antibiotic apocalypse,” calling on world leaders to address the growing threat of drug-resistant infections.

Ahead of a global conference in Berlin organized by the UK government to map out the threat of drug resistance, Professor Dame Sally Davies cautioned against giving patients antibiotics they “don’t need,” as the drugs will lose their effectiveness and “spell the end of modern medicine.”

She warned that the threat of infections posed by antimicrobial resistance (AMR) heightens the risk of carrying out operations such as caesarean sections and hip replacements.

“We really are facing, if we don’t take action now, a dreadful post-antibiotic apocalypse,” she said.

“I don’t want to say to my children that I didn’t do my best to protect them and their children.”

Around 700,000 people around the world die annually due to drug-resistant infections including tuberculosis (TB), HIV and malaria.

If no action is taken, it has been estimated that drug-resistant infections will kill 10 million people per year by 2050.

“This is a serious issue that is with us now, causing deaths.

“If it was anything else people would be up in arms about it. But because it is hidden they just let it pass.

“It does not really have a ‘face’ because most people who die of drug resistant infections, their families just think they died of an uncontrolled infection.

“It will only get worse unless we take strong action everywhere across the globe.

“We need some real work on the ground to make a difference or we risk the end of modern medicine,” Davies added.

She also debunked the assumption held by patients that GPs will not prescribe antibiotics because they are “mean.” They are in fact “trying to save the drugs, so that they work when they are actually needed.”

While in the UK, one in four antibiotic prescriptions is not needed, Davis said “other countries use vastly more antibiotics in the community and they need to start doing as we are, which is reducing usage,” she said.

“Our latest data shows that we have reduced human consumption by 4.3 percent in 2014-15 from the year before.”

The new project which will map the spread of superbugs is a collaboration between the UK Government, Wellcome Trust, Bill and Melinda Gates Foundation, the University of Oxford, and Institute for Health Metrics and Evaluation.

2017 Is Strange