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EPIDEMICS
UN warns cholera epidemic in Somalia may spread amid famine
by Staff Writers
Geneva (AFP) Aug 12, 2011

The UN warned Friday that a cholera epidemic in Somalia, which has claimed at least 181 lives in one Mogadishu hospital this year, could quickly spread as thousands flee famine in the south.

"The concern here is the root cases of cholera, and that is related to water and sanitation. And with the IDPs and population movement, this increases the risk of further spread of the disease, and that is our fear," Michel Yao, a public health advisor at the UN health agency, told reporters.

"With cholera, everyone is at risk, but the conditions are perfect for transmission now in Mogadishu," World Health Organisation spokesman Tarik Jasarevic added.

According to WHO figures, around 4,272 cases of acute watery diarrhoea were reported in one Mogadishu hospital since the beginning of the year, with 181 related deaths, "some two to three times" what was observed a year ago.

Half of the victims were children under two, it said.

Children are particularly vulnerable, the UN's children agency said.

"The massive influx of people into Mogadishu and the rising number of cases of acute watery diarrhea in crowded urban areas places malnourished children at grave threat from cholera, which is a deadly and contagious disease," UNICEF spokeswoman Marixie Mercado said.

"Right now you have around half a million children at imminent risk of death if they do not get (food) help within weeks.

"But beyond being a malnutrition crisis, it is also a crisis for child survival generally because children who are acutely malnourished are that much more susceptible to cholera ... all in the context of massive displacement and poor water and sanitation," Mercado said.

The United Nations also warned that lack of funding was starting to limit the delivery of humanitarian aid.

Elisabeth Byrs, spokeswoman for the UN's Office for the Coordination of Humanitarian Affairs, said that around half of the 4.56 million people who have been targeted for food assistance in Ethiopia would get reduced rations due to lack of funds.

"We are ringing the alarm, we need this funding," said Byrs.

"Because of the lack of funding, and the difficulty of distributing, these rations will be incomplete," said the spokeswoman, adding that some $18 million would be required to cover the shortfall.

According to the most recent UN figures, only 48 percent of the requested $2.4 billion for humanitarian assistance to some 12.4 million people in the famine-stricken Horn of Africa has been received.

"Money needs to come," Byrs said.




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South Africa to boost anti-AIDS drugs roll-out
Johannesburg (AFP) Aug 13, 2011 - The South African government has expanded its AIDS programme to allow people living with HIV to start antiretroviral treatment earlier, the national AIDS council said on Saturday.

Under the new programme, people who test positive for HIV would be put on anti-AIDS drugs when their CD4 count -- the level of white blood cells that strengthen the immune system -- drops to 350.

Previously state facilities offered the treatment only to people with a CD4 count of 200 or less, as well as pregnant women and people with tuberculosis.

"The South African National AIDS Council (SANC) has endorsed the National Health Council (NHC) policy to initiate treatment for all those who test positive with a CD4 count of 350 or less," the council said in statement after a meeting chaired by Deputy President Kgalema Motlanthe.

South Africa has one of the world's highest rates of HIV infection, with 5.6 million people out of a population of 50 million living with the virus, according UN figures.

Last year the government announced that more than a million people were receiving state-issued treatment.

The decision to boost the drugs roll-out was welcomed by AIDS groups and labour unions.

"It is a measure that will improve the quality of life of many people with HIV, reduce mortality and reduce new infections," AIDS advocacy group Treatment Action Campaign (TAC) said in a statement.

The South African Congress of Trade Unions (COSATU), the country's largest union body, hailed the initiative.

"This is another milestone in the battle to roll back the deadly HIV epidemic. If these new guidelines are effectively implemented, it will improve the quality of life of many people with HIV," the union said in a statement.

A study released by the Actuarial Society of South Africa (ASSA) in March indicated that AIDS deaths had fallen by nearly 25 percent from 2005 to 2010, due to scaled up access to life-saving drugs.





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