Medical systems Collaboration and Communications (C2) blog

December 10, 2008

Update 3 DIOXIN CONTAMINATION, PIG MEAT – IRELAND, EUROPE (03)

Filed under: Current Operations — dandeakin @ 19:35
Tags: , , , , ,

A ProMED-mail post

<http://www.promedmail.org>

ProMED-mail is a program of the

International Society for Infectious Diseases <http://www.isid.org>

[1]

Date: Wed 10 Dec 2008

Source: The European Food Safety Authority (EFSA) Journal (2008) 911, 1-15 [edited] <http://www.efsa.europa.eu/EFSA/efsa_locale-1178620753812_1211902210863.htm>

Statement of EFSA on the risks for public health due to the presence of dioxins in pork from Ireland, issued 10 Dec 2008

————————————————

Summary

——-

The European Food Safety Authority (EFSA) received a request on 8 Dec 2008 from the European Commission, Directorate General Health and Consumers requesting urgent scientific advice on the risks to public health due to the contamination by dioxins in pork from Ireland. Considering the urgency of this request for advice, EFSA issued a statement following Art. 13 b [a "fast-track response". - Mod.AS] of the “Decision concerning the establishment and operations of the scientific committee and panels”

adopted by the Management Board of EFSA on 11 Sep 2007.

During routine monitoring of Irish pork, elevated levels of polychlorinated biphenyls (PCBs) were found in pork. Further investigations revealed the presence of dioxins and dioxin-like PCBs at levels up to 200 pg WHO-TEQ/g fat.

The toxic responses to dioxins include dermal toxicity, immunotoxicity, carcinogenicity, reproductive, and developmental toxicity. The toxicity of dioxins is related to the amount accumulated in the body during a lifetime, the so-called body burden. A tolerable weekly intake (TWI) of 14 pg WHO-TEQ/kg body weight (bw) has been established by the Scientific Committee on Food (SCF) in 2001.

EFSA has based this statement on a limited data set, assuming that the average person has an exposure at the TWI corresponding to a body burden of 4000 pg/kg body weight. EFSA also assumed that exposure at these high levels only began in September 2008 and that effective measures have now been taken to remove this excessive dietary exposure from Irish pork and pork products.

EFSA calculated several exposure scenarios for both average and high consumers assuming 3 different dioxin concentrations in the pork (50, 100, 200 pg WHO-TEQ/g fat), and 3 different proportions of contaminated meat (100, 10, and 1 per cent).

In very extreme cases, assuming a daily consumption of 100 per cent contaminated Irish pork, for a high consumer of pork fat during the respective period of the incidence (90 days), at the highest recorded concentration of dioxins (200 pg WHO-TEQ/g fat), EFSA concludes that the uncertainty factor embedded in the TWI is considerably eroded. Given that the TWI has a 10-fold built-in uncertainty factor, EFSA considers that this unlikely scenario would reduce protection, but not necessarily lead to adverse health effects.

In a more likely scenario with a daily consumption of 10 per cent contaminated Irish pork for a mean consumer of pork fat for the respective period of the incidence (90 days), at the highest recorded concentration of dioxins (200 pg WHO-TEQ/g fat), the body burden would increase by approximately 10 per cent. EFSA considers this increase in body burden of no concern for this single event.

communicated by:

ProMED-mail

<promed@promedmail.org>

[See the full Statement (15 pages) at

<http://www.efsa.europa.eu:80/cs/BlobServer/Statement/contam_ej_911_dioxins%20rev1.pdf?ssbinary=true>.

A corresponding press release is available at <http://www.efsa.europa.eu/EFSA/efsa_locale-1178620753812_1211902210953.htm>.

- Mod.AS]

******

[2]

Date: Tue 9 Dec 2008

Source: Food Safety Authority of Ireland: Beef Alert [edited] <http://www.fsai.ie/industry/hottopics/industry_topics_beef_withdrawal.asp>

Beef alert

Q & A

—–

Is it now known that beef is contaminated?

Yes, preliminary tests have shown the presence of marker PCBs in a number of beef samples tested.

Is beef being recalled?

No, beef is not being recalled.

What has been done?

All animals in herds shown to be above the proposed legal limit will be taken out of the food chain.

Any products from these herds will not be released onto the market.

The European Commission is being informed of the results.

Why is there not a recall, as was the case with pork and bacon?

Beef is not being recalled as it is considered that there is no public health concern. The reason for this is as follows:

- only 45 farms were supplied with potentially contaminated feed out of approximately 110 000 beef farms in the Republic of Ireland. The total number of cattle slaughtered from these herds from 1 Sep 2008 amounts to some 3000 out of a total annual slaughter of approximately 1.5 million.

This represents 0.2 per cent of total annual beef production in the Republic of Ireland;

- results from 11 of the 45 farms have become available. Of these, 8 were clear and 3 were just above the proposed legislative limits for marker PCBs in beef. Tests are being carried out in the remaining farms, which remain under restriction until cleared;

- the samples are technically non-compliant with proposed EC limits for marker PCBs but not at a level that would pose any public health concern.

This is a different situation compared to pork products, where dioxin contamination was confirmed and the levels of dioxins were 80 to 200 times the legal limit;

- cattle consume a wider variety of feeds and the way their bodies process the feed is different, which makes the risk of contamination significantly lower than in pork;

- there is a very robust traceability system in place for beef.

What about beef and beef products?

We are not advising that consumers destroy or return beef or beef products.

It is unlikely that they are contaminated, and any possible contamination would be so low as not to cause any concern.

What about dairy products?

We have no information to suggest that there has been contamination of dairy cattle, therefore we can assume that milk and dairy products are not affected. The Department of Agriculture, Fisheries and Food will inform us if this situation changes.

What precautions were taken while waiting for these results to come back?

Since the authorities became aware that contaminated feed may have gone to these cattle farms, restrictions were put in place. These restrictions will only be lifted when clear test results are reported.

What are PCBs?

PCBs are a similar set of compounds to the group of chemicals known as dioxins. Like dioxins, their toxicity depends on the chemical structure of each chemical in the group. Some PCBs have similar toxicity to dioxins and these are called the dioxin-like PCBs. Other PCBs are sometimes referred to as marker-PCBs or non-dioxin-like PCBs and these are much less toxic than dioxins or dioxin-like PCBs.

If a food contains Marker PCBs will it always contain dioxins or dioxin-like PCBs?

Contamination of food with marker PCBs indicates that there is a potential contamination of the food with dioxin-like PCBs or even dioxins. Usually the level of dioxin-like PCBs or dioxins, if present at all, will be very much lower that the marker PCBs. It is difficult to determine whether the presence of marker PCBs in food will be predictive of dioxin contamination and therefore it is always prudent to test also for dioxins and dioxin-like PCBs. Sometimes marker PCBs can be present but dioxins and dioxin-like PCBs can be well below legal limits for the food. The presence of marker-PCBs are not considered to be a direct health concern unless you were exposed to a very high dose, much higher than you would get from eating beef contaminated with marker PCBs.

communicated by:

ProMED-mail

<promed@promedmail.org>

******

[3]

Date: Tue 9 Dec 2008

From: Conor Kretsch <conor@cohabnet.org>

The following pages from the Irish Times’ website report that some cattle herds in the Irish Republic that were given feed from the same source as the feed behind the current pork scare, have now tested positive for elevated levels of dioxin <http://www.irishtimes.com/newspaper/breaking/2008/1209/breaking21.htm> and <http://www.irishtimes.com/newspaper/breaking/2008/1209/breaking64.htm>.

I note that both the Irish minister for agriculture and the Irish prime minister (Taoiseach) state that the detection of dioxin in these cattle, at

“2 to 3 times proposed legal levels”, is merely a “technical non-compliance” and therefore all Irish cattle products (beef and dairy) are considered to be safe and there will be no related recall (although there as yet has been no confirmation as to the period of time over which these herds may have been exposed to dioxin-tainted feed, whether any potentially tainted Irish cattle products have reached the market, or indeed if such products have been or will be tested). In the light of the current scare over Irish pork, this has unfortunately sent a confusing message to the public and added to media hysteria. It is worth noting that Ireland has a comprehensive “farm to fork” food tracing system, so a limited recall should be possible in any event. In that light, the decision to include all organic pork in the recent pork recall is unfortunate and adds to the confusion over the cattle results.

While the Irish authorities are certainly correct in seeking to avoid a public panic, and are dealing with a particularly delicate situation given Ireland’s current economic woes, it seems some less ambiguous messages, and more definitive guidance on risks from short term exposure to certain dioxins, are needed. Even if only to avoid horrific (but amusing) headlines like this one <http://www.mirror.co.uk/news/top-stories/2008/12/08/poison-pigs-fed-on-plastic-bags-115875-20954761/>.

Conor Kretsch

Director

COHAB Initiative Secretariat

PO Box 16

Tuam

Co. Galway

Ireland

<http://www.cohabnet.org>

<conor@cohabnet.org>

[The COHAB Initiative ("Co-Operation On Health And Biodiversity") is "an international programme of work on human well-being and sustainable development", which "works to establish an international, inter-disciplinary collaborative framework to support activities on community health, international development and biodiversity conservation, and to support the implementation of the United Nations Convention on Biological Diversity and the Millennium Development Goals". - Mod.AS]

******

[4]

Date: Wed 10 Dec 2008

Source: The Guardian, Reuters report [edited] <http://www.guardian.co.uk/business/feedarticle/8142415>

Used oil may have caused Irish food crisis – paper

————————————————–

Used oil from electrical transformers may have caused the dioxin contamination in animal feed that has led to an international recall of Irish pork products, the Irish Times reported on [Wed 10 Dec 2008].

Earlier this week, more than 20 countries cleared their shelves of Irish pork after dioxins up to 200 times the legal levels were found on 10 pig farms.

The Irish Times, without citing sources, said the contamination may have been caused by waste oil originating in Northern Ireland that should have been stored or destroyed.

The farm ministry said it was not in a position to comment on its investigations into the contamination. Ireland’s Environmental Protection Agency, which is assisting the ministry in the probe, also declined to comment.

The crisis escalated further on Tuesday [9 Dec 2008], when authorities said

3 cattle herds in Ireland were contaminated with dioxins.

Ireland, one of the world’s top 5 beef exporters, said there was no need to recall any Irish beef products because the level and extent of contamination in the affected animals was much lower than the levels discovered at the pig farms.

Ireland’s chief veterinary officer, Paddy Rogan, will confirm to EU counterparts in Brussels on Wednesday [10 Dec 2008] that Irish beef is safe and can continue to be traded normally on both domestic and export markets, the farm ministry said in a statement. “We are facing yet another big challenge for the beef industry,” Aidan Cotter, chief executive of Ireland’s food board said on Wednesday.

Worries for Ireland’s pig meat industry continued to grow as processors have refused to reopen their slaughterhouses until they get compensation for the loss of trade. Talks between the processors and government resumed on Wednesday [10 Dec 2008] and prime minister Brian Cowen said progress had been made. “I remain confident of achieving an outcome that will facilitate the early resumption of processing,” Cowen told deputies during a parliamentary debate. “We are acutely aware of the impact that suspension of slaughtering has had on the hundreds of producers throughout the country and the thousands of workers whose jobs have been compromised by recent events.”

Farmers said a return to production was vital. “If you go out to the supermarket shelves this morning they are being replaced with imported produce,” said Tim Cullinan, head of the Irish Farmers Association’s pigs committee. Cullinan said stocks were building up on farms. “We need to move 50 000 to 60 000 pigs into the processing plants on a weekly basis,” he told public broadcaster RTE. “We seem to be literally the meat in the middle of the sandwich here,” he said. “We want to be back out on our farms and running our business.”

[byline: Jonathan Saul]

communicated by:

ProMED-mail

<promed@promedmail.org>

[The consumer's concern at the background of this -- still unfolding -- food safety scare is just one more manifestation of the public's lost confidence, the roots of which dating back to the last 2 decades of the previous century, particularly (but not solely) due to BSE (bovine spongiform encephalitis). The 16-volume Phillips BSE Inquiry Report, issued in London in October 2000 after 33 months of hearings, included, among its

13 key conclusions, the following points:

"- at times officials showed a lack of rigour in considering how policy should be turned into practice, to the detriment of the efficacy of the measures taken;

- at times bureaucratic processes resulted in unacceptable delay in giving effect to policy;

- the possibility of a risk to humans was not communicated to the public or to those whose job it was to implement and enforce the precautionary measures;

- the Government did not lie to the public about BSE. It believed that the risks posed by BSE to humans were remote. The Government was preoccupied with preventing an alarmist over-reaction to BSE because it believed that the risk was remote. It is now clear that this campaign of reassurance was a mistake. When on 20 Mar 1996 the Government announced that BSE had probably been transmitted to humans, the public felt that they had been betrayed. Confidence in government pronouncements about risk was a further casualty of BSE."

It is indeed this loss of confidence, which continues haunting authorities, all over the globe. This time, as twice before in Europe, it is dioxin. The real risk to public health is, probably, rather negligible but the economical impact is most serious. Clearly, the Irish authorities are aware of the points raised in the Phillips report: to rigorously apply measures, to prevent delays, to communicate risks, to tell the truth, and to maintain maximal transparency. But all those virtues still seem to fall short of fully regaining the lost confidence. It remains to hope, however, that this scare will be shorter than previous ones. - Mod.AS]

[see also:

Dioxin contamination, pig meat - Ireland, Europe (02) 20081208.3857 Dioxin contamination, pig meat - Ireland, Europe 20081207.3842 Dioxin, buffalo mozzarella cheese - Italy: (Campania) 20080327.1146

2006

---

Dioxin, animal feed - Belgium (02) 20060206.0390 Dioxin, animal feed - Belgium 20060130.0303

2004

---

Dioxin, feed contamination - Netherlands (02): exported 20041110.3042 Dioxin, feed contamination - Netherlands 20041106.3009

2003

---

Dioxin, feed contamination - Germany (Thuringia) 20030210.0363

2001

---

Dioxin food levels, WHO statement 20010108.0065 2000

---

Dioxin contamination, fish - Europe 20001218.2213

1999

---

Dioxin in meat, poultry, eggs banned again - Belgium 19991109.2006 Dioxin & PCB contam., food - Belgium: update 19990729.1281 Dioxin in meat, poultry & eggs - Belgium (06) 19990630.1101 Dioxin food contamination, international response (06) 19990617.1032 Dioxin poultry ban lifted - Belgium (02) 19990613.1011 Dioxin & PCB contamination of food - Germany 19990613.1010

Dioxin: websites available 19990611.1002 Dioxin food contamination, international response (05) 19990611.1001 Dioxin & PCB contamination of food - Belgium 19990610.0999 Dioxin poultry ban lifted - Belgium 19990609.0989 Dioxin food contamination, international response (04) 19990609.0987 Dioxin health assessments (02) 19990609.0986 Dioxin food contamination, international response(03) 19990609.0980 Dioxin in meat, poultry & eggs - Belgium (04) 19990608.0978 Dioxin contamination of meat: USA response (02) 19990607.0967 Dioxin food contamination, international response(02) 19990607.0966 Dioxin contamination of meat: USA response 19990605.0941 Dioxin food contamination, international response 19990604.0930 Dioxin health assessments 19990604.0929 Dioxin contamination, pigs - Belgium 19990604.0928 Dioxin, chicken & eggs contaminated - Belgium 19990531.0913]]

……………..arn/mj/sh

Failing Zimbabwe – systemic collapse a possiblity

Filed under: Current Operations, Disease — dandeakin @ 14:24
Tags: , , , , ,

Failing Zimbabwe: Reporter round-up from the BBC

A cholera epidemic is sweeping across Zimbabwe, causing further suffering to millions of people already struggling to survive in a country close to systemic collapse as food shortages and hyperinflation continue to take their toll.

The map below shows the extent of hunger and cholera in Zimbabwe. Click on the towns to read more about the situation on the ground.

The BBC does not have permission to report from Zimbabwe, so the names of some contributors have been changed to protect identities.

HARARE: BRIAN HUNGWE

A strong odour pounces up your nose, choking it stone dry, as you drive into Harare’s Mbare township past hostels and its popular market, Mbare Musika.

The stomach-churning stench is enough to kill your appetite for a week.

Raw sewage flows through Mbare Musika – Harare’s rendezvous for farmers selling their produce.

A burst sewage pipe in Harare, Zimbabwe

Apostolic worshippers walk near a burst sewage pipe in a suburb of Harare

East of the township, more sewage flows effortlessly into the Mukuvisi River, one of the city’s main suppliers of water.

Communal toilets in the surrounding hostels hosting hundreds of families have broken down.

As pumps are not working, sewage waste from burst pipes flows from the hostels’ third floor down, leaving waste traces on the windows.

There are many sick people inside, they can’t walk and relatives don’t have money to send them to hospital
Mbare resident Majorie

And on the walls below, a thick dark layer of waste, hanging loose on windows has been accumulating over the past months.

It is a recipe for disaster, and a health scandal, according to a local priest.

“Even now, there are many sick people inside, they are frail, they can’t walk and relatives don’t have money to send them to hospital, so they are left to suffer,” said Majorie, a middle-aged woman carrying a child on her back.

In the streets, piles of uncollected refuse are commonplace with flies feasting on the rubbish.

In this chaos, vendors selling tomatoes, mangoes and vegetables rove around.

Customers are still available. Some buy the produce and walk leisurely, eating mangoes, alongside streams of raw sewage to their hostels.

There is nothing they can do about it.

Goods in a Zimbabwean supermarket are priced in foreign currency

Most imported goods have to be bought with foreign currency

In this crisis, statistics of people dying of cholera rise each day.

But it is not just killing people, it is devouring Africa’s traditional norms and values.

When Ruth Huni, a woman living in Glen Norah township died last week there were just six relatives seated outside when I visited her home.

Zimbabwean funerals used to be huge affairs with hundreds of friends, family and well-wishers. But no more.

It was common knowledge she had died of cholera.

“Where are our values as Africans?” asked John Mkwananzi, her brother and a famous musician with the popular Runn Family group.

There is a feeling here that people are being punished for supporting the opposition
Budiriro resident Claudios Mkwati

“They know she died of cholera. There are many friends, even relatives, around yet they are not visiting. Out of fear. I suppose,” he said.

“What are we doing to our culture, if we can’t pay condolences? Cholera is there, but we should rise above the problem and respect our cultural values that bind us together,” he said.

Christians are not taking chances either.

At St Peter’s Catholic Church in Mbare, there is something special missing during and after fellowship.

“Our usual shaking of hands which is a sign of peace and reconciliation – our custom to do during mass, during the holy service – we had to abandon it because people are afraid it might lead to more transmission of the virus,” says Father Oskar Wermter, of the Catholic Church.

“People refrain from it so we just nod at each other in a friendly manner or just clap our hands to ourselves [the] traditional [way],” he says.

After the Sunday service this week, there were hardly any hugs, handshakes, or kisses.

Raw sewage running behind the church, a few yards away, left an unsettling odour.

A woman and her children walk past a heap of uncollected refuse in Harare

Rubbish has not been collected from the streets of Harare

Budiriro is Harare’s worst hit township, recording close to 200 cholera-related deaths.

It is an opposition MDC stronghold.

“There is a feeling here that people are being punished for supporting the opposition,” says resident Claudios Mkwati.

“Our local councillors and legislators can’t do much, because the buck stops at the ministry of local government which provides the money,” he explained.

The township has over 300,000 families.

Schools here in Harare are now officially closed for the Christmas holidays but most have been closed for months now.

The past schooling year has basically been one long break for the majority of pupils who have not attended a class in months because of the lack of teachers and unaffordable fees.

Most shop shelves remain empty of foodstuffs except for the few supermarkets in a position to sell imported goods, mostly available to those with foreign currency.

Their shelves are full but the items are so expensive that they are beyond the reach of most city dwellers.

MASVINGO: OWEN CHIKARI

Health officials have said that at least 51 people here in Masvingo have died from cholera over the past two weeks and more than 1,500 cases have been reported.

Over 20 people starved to death in my constituency alone last month
MP Tachiona Mharadze

There are strong fears that even more lives could be lost as the government has run out of the required medication to treat the affected.

Provincial medical director Julius Chirengwa said: “Although the situation appears to be under control the shortage of drugs and experienced staff still remain a challenge.”

The critical food shortages which are forcing thousands of starving people to rely on wild fruits for survival is also worsening the situation because the fruits are not cleaned according to proper hygienic standards.

Thousands of patients have been left stranded because almost all the government-run health institutions here have been closed indefinitely, owing to a lack of finance.

Children collecting wild fruits in Zimbabwe

Many people are relying on wild fruits because of food shortages

Masvingo general hospital – the province’s sole referral centre – has also been closed.

Hospital superintendant Amadiof Shamu said: “We have closed all the wards and we are urging people with relatives at the institutions to come and collect them.”

“I do not know where to go and what to do,” said David Muyaka, a seriously ill patient who was ordered to leave hospital.

Striking doctors and nurses have refused to return to work until they are paid $2,500 (£1,690) per month.

Schools closed before the term had ended because teachers refused to work without being paid.

Policemen and soldiers were bankrolled by the Reserve Bank of Zimbabwe to oversee the end-of-year examinations.

A student in Zimbabwe studying by candlelight

Students wrote some exams in Masvingo by candlelight

However examination papers arrived late in the day at some centres, forcing students to write by candlelight.

Government officials are denying claims that at least 20 people in the past fortnight have died from starvation in Masvingo province, saying the figures are exaggerated.

Yet a legislator in Masvingo West constituency, Tachiona Mharadze, said: “People are dying every day because of hunger. Over 20 people starved to death in my constituency alone last month.”

A villager from neighbouring Gutu, Edson Marima explained: “We are now living like wild animals because we search for food every day.

“We rely on edible wild fruits and sometimes eat vegetables only because we have nothing else.

“Some people are starving to death due to these food shortages.”

MUTARE: DAVID FARIRA

Thirty people have died here in Manicaland province from the cholera epidemic sweeping across Zimbabwe.

It’s a serious violation of rights
Trust Manda
Zimbabwe Lawyers for Human Rights

About 450 cases have been reported.

Government officials conceded they were losing the battle.

While people are battling with the cholera threat, members of the Zimbabwe National Army are going from door-to-door in poor townships arresting residents found possessing foreign currency.

Those suspected to have given accommodation to foreigners who flocked to the eastern border city to buy diamonds also fell prey to the marauding soldiers.

Those found with hard currency are taken to the police station and then driven to the Chiadzwa diamond fields to fill up the illegal mine gullies.

Children eating maize meal in Zimbabwe

NGOs are distributing food to some rural areas

Once there, they are beaten up and ordered to sing songs in praise of the ruling Zanu-PF party and its leader President Robert Mugabe.

“It’s a serious violation of rights,” said Trust Manda, the regional co-ordinator of Zimbabwe Lawyers for Human Rights.

Teachers are still on strike, demanding decent salaries and better working conditions.

Non-governmental organisations are distributing food aid in rural areas after a failed agricultural season.

But the food aid is finding its way into the poor townships where it is being sold at hugely inhibitive prices.

Children are dropping out of school mainly because of hunger; and those that were at boarding schools are now at home because the fees are too high and there is no food any more.

BULAWAYO, THEMBA NKOSI

Bulawayo’s city health department says only eight deaths have been recorded in the city and those, they say, came from elsewhere.

A Zimbabwean family bury a relative who died of cholera

There are disputes about the number of people dying of cholera

But this figure is disputed by doctors and residents.

Bulawayo’s ceremonial Mayor Thaba Moyo has said those who died of cholera came from Beitbridge, the town on the border with South Africa, 380km (236 miles) south.

Health officials in Beitbridge put the latest death toll at 56 but nurses have apparently told friends that as many as 80 people have died of the disease and the small mortuary is congested with decomposed bodies.

Villagers who live on the border with prosperous South Africa are crossing every day to seek medical attention at the hospitals in Musina town, about 10km (six miles) from the border.

The scale of the disease in Matabeleland is less serious than in Harare.

The cholera epidemic is one of the symptoms of a collapsed economy and health sector.

Someone selling containers in Zimbabwe

The price of containers to carry water has escalated in recent weeks

The crisis has also forced many schools to close. A situation made worse as thousands of Matabeleland’s teachers have left the country for paying jobs in South Africa and Botswana.

Villagers in southern Matabeleland have appealed for more food aid as starvation worsens in the region.

Aid agencies put the figure of the population needing food aid at three million but the government says only one million are in need.

Cholera and hunger are not the only headaches for President Robert Mugabe and his ruling elite in the region.

Their party, Zanu-PF, is struggling to prevent mass resignations of senior and junior officials in this region which supported Joshua Nkomo, not Robert Mugabe, during the 1970s liberation war and has never fully supported Mr Mugabe.

CHINHOYI: POTERAI BAKWA

The health system here in Mashonaland West province, where President Robert Mugabe hails from, is collapsing with the provincial hospital being the last of six district hospitals to close.

We have had seven casualties in prison and 16 more are under quarantine in one cell
Guard at Chinhoyi prison

For the past month, trained senior nurses and doctors have not reported for duty.

“‘The provincial referral hospital is being manned by student nurses and no operations are being conducted here,” said a senior doctor, who refused to be named.

He added that they had to down tools after they failed to get their salaries from banks, where there are daily cash withdrawal limits. The daily limit cannot even buy a loaf of bread.

The cholera outbreak has hit Chinhoyi prison. Seven inmates have reportedly died.

Zimbabwean children collect stagnant water despite cholera risk

School enrolment has dropped significantly in the past year

“‘We have had seven casualties in prison and 16 more are under quarantine in one cell,” said a prison guard, who cannot be named for fear of victimisation.

Provincial medical director Doctor Wenclilus Nyamayaro refused to comment, saying: “It’s a security issue as it involves uniformed forces and I am not at liberty to comment.”

In Karoi town, 204km (126 miles) north-west of Harare, immunisation programmes for children under five years old have been suspended.

Health workers at the hospital confirmed that immunisations for polio, measles, tetanus and other normally preventable and treatable diseases have had to be suspended as they have run out of the medication.

Last week district medical officer Dr Kudzai Zimbudzi was forced to carry out pauper burials for 10 bodies after mortuary attendants went on strike. The corpses had been in the mortuary for three months – no-one had come to claim them.

Power cuts have badly affected mortuaries.

Vending is the only paying job in Zimbabwe
A former teacher

Schools officially close on Thursday for the Christmas holiday but for many, going to school has not been a reality for months.

Pupils, especially in rural areas, instead spend their days gathering wild fruits to eat.

Teachers have joined the ranks of the country’s starving professionals and many have turned to selling vegetables to put food on their tables.

In rural Hurungwe, teachers are not eligible for food aid.

”We are being sidelined by non-government organisations. We have to fetch wild fruits and edible roots for our survival,” explained Sinikiwe, a teacher in remote Siakobvu, about 300km (186 miles) west of the capital, Harare.

Many in those towns have resorted to becoming street vendors in Chirundu – the border post town before crossing into Zambia – as a means of survival.

A demonstrating nurse in Zimbabwe

Many nurses and doctors in Zimbabwe are on strike

”Vending is the only paying job in Zimbabwe where you will not get frustrated by any employer. Government has neglected us and this year was the worst in the education sector. The army invigilated the grade seven [primary school leaving] exams. It is disastrous for the country’s future,” said a former teacher.

In Karoi, only a handful of pupils were going to school. School enrolment has dropped significantly.

In rural Zvimba, Mr Mugabe’s home, the villagers are fighting with donkeys for wild fruit to eat.

If the government can defy court orders with such immunity, then they will never respect rule of law and political affiliation in Zimbabwe politics
MDC lawyer Alec Muchadehama

Meanwhile, lawyers for the opposition Movement for Democratic Change are still battling to get access to 15 of their supporters who were abducted in Banket, a farming town in Mashonaland West, four weeks ago.

Among those abducted by suspected state security agencies is a two-year-old boy called Nigel who was with his mother, Violet Mupfuranhwewe.

MDC lawyer Alec Muchadehama said: “Our frantic efforts have failed to bring even Home Affairs Minister Kembo Mohadi and Police Chief Augustine Chihuri to comply with High Court ruling to bring the suspects to any police station or court.

“If the government can defy court orders with such immunity, then they will never respect rule of law and political affiliation in Zimbabwe politics.”

HWANGE: JOEL GORE

The municipality of Victoria Falls has banned the sale of mangoes and fish in the resort town in a bid to control the spread of cholera.

A school child sells wild fruits alongside a roadside in Zimbabwe

Selling wild fruit is also a valuable source of income

Mayor Nkosinathi Jiyane warned that anyone found selling fish, fresh or dry, and mangoes would be arrested and fined.

An anti-cholera campaign team has been formed and police are using loud speakers to announce precautions to be followed to prevent the spread of the disease.

Cholera has killed one person in Dete township and four in the urban area of Hwange despite government reports that the disease is under control.

Some residents in the province fear the disease might spread unabated with the onset of the rainy season because broken pipes have meant that a lot of business, health and education premises are now polluted with filthy and stagnant sewage.

In Hwange town, police and wildlife park rangers invaded the houses of owners suspected of selling uninspected meat.

Ladies carrying buckets of water are followed by a dog

It is feared the onset of the rainy season will worsen the cholera crisis

Their blitz has also affected the informal traders selling vegetables and tomatoes in the streets and at out-door markets.

Traditional chiefs as well as political and religious leaders are saying that people are dying of hunger because of the food shortages.

The MP for Binga South area, Joel Ghabuza, told a story of a grandmother and her two grandchildren who died after eating wild fruits they had not known were in fact poisonous.

And from reports going round, there are many other similar tales of needless deaths.

There is no food in the province and if donors fail to assist this coming year the situation will deteriorate even further.

Most families have failed to prepare for farming because there are no seeds to plant.

December 9, 2008

Radio hams come to rescue

Filed under: Technology — dandeakin @ 20:00
Tags: , , , ,

Radio hams come to rescue
By Leanne Carter
Published: 05 December, 2008

A FAMILY left stranded when their car skidded off a country road were rescued thanks to the quick thinking of two amateur radio enthusiasts.
advertising

Unable to get a mobile phone signal anywhere near the scene of the accident, radio ham Barry Horning sent out a call for help over the airwaves.

His plea for medical assistance for the injured female driver was picked up almost 20 miles away in Longmorn by fellow enthusiast Jon Coulter.

The pair were delighted that their hobby was able to play such a pivotal role in the rescue of the family, and succeeded where mobile technology failed.

Mr Coulter said: “It’s certainly been one of the most interesting things that’s happened, but as Barry said to me, it just goes to show the power of amateur radio.

“They were lucky that Barry came along when he did because it certainly helped the emergency services to get there as quickly as they could.”

The drama unfolded last Friday morning when Mr Horning came across the couple and their three children and the wreck on the B9009 Dufftown-Tomintoul road.

Mr Horning, who lives in Tomintoul, was travelling away on holiday and, as many other enthusiasts do, had his radio gear in the car with him.

The female driver had sustained chest injuries and was bleeding, and her partner was desperately trying to raise help on his mobile phone without success.

It was then that Mr Horning came up with the idea of using his radio. Mr Coulter said: “I was sitting at home when I heard Barry call out with his call name on the local repeater. Basically, there are repeaters dotted all around the country: it boosts your signal and it’s got a wider coverage.

A plea for help over the radio airwaves was answered by Jon Coulter, who was able to alert the emergency services to a car smash in a remote part of Speyside. NS

“I went back to him with my call sign, and he asked me to get the emergency services. It caused a little bit of confusion when I got through to the police. I told them the accident was on the Dufftown-Tomintoul road, and they wondered how I knew about it when I was in Longmorn.

“A few minutes later, the ambulance phoned me and asked if I could help with a more specific location, so I got back on the radio and was able to relay the information coming from Barry.

“The ambulance crew seemed pretty impressed. It saved them a lot of time driving about trying to find the location when we could tell them exactly where it was.

“I haven’t spoken to Barry since because he’s away on holiday, so I haven’t heard what happened after that. I don’t know who was involved in the accident, but I hope they were all okay.”

Mr Coulter has been licensed to use radios for the past four years. While radios may seem a little old fashioned in today’s hi-tech age, the technology is more advanced than many would think.

“I would thoroughly recommend it as a hobby, as we talk to people all over the world and I make regular contacts with radio amateurs in the United States. It’s a really interesting hobby, and we’re always keen for more people to get involved,” said Mr Coulter.

l.carter@northern-scot.co.uk

December 7, 2008

Radio volunteers keep lines open in a disaster

Filed under: Current Operations, Technology — dandeakin @ 06:01
Tags: , , ,
December 3, 2008 – 1:35PM

At the height of Hurricane Dolly, a group of volunteers re-established vital communication between city of Harlingen and state emergency managers.

Hours after the 2001 collapse of the Queen Isabella Causeway, the same group made first contact with South Padre Island residents cut off from the mainland.

The Mission-based Emergency Amateurs Responding To Help has offered its 25 amateur HAM radio operators to local emergency management coordinators responding to disasters for nearly two decades.

Wherever phone lines or 9-1-1 systems go down, the cadre of enthusiasts rises to the occasion, EARTH president Toby Driscoll said.

“We’re the last resort in emergency communications,” he said.

Using wireless network of voice transmissions, EARTH’s licensed volunteers often fill local emergency operations centers to provide an alternate means of communications during crisis.

As cell networks and land lines went down across the Rio Grande Valley during Hurricane Dolly, they kept lines of communication open between residents, state officials and city employees.

Driscoll, 43, like many of his group’s members discovered his love for the voice transmission network as a child.

“There was a guy in my hometown that was into HAM radio,” he said. “Being an experimenter and a curious little kid, I just fell into it.”

It’s a passion he’s carried into his adult professional life. In addition to his work with the EARTH organization, Driscoll now operates his own electronics repair business.

And in this age of cell phones, text messages and lightning-fast Internet, he maintains that inspiring a new generation of HAM hands is more important than ever.

“When that technology fails, we need a way to keep the lines of communication open,” he said. “It’s our
way of giving back to our community.”

Jeremy Roebuck covers courts and general assignments for The Monitor. You can reach him at (956) 683-4437.

December 3, 2008

Zimbabwe: OCHA Daily Cholera Update, 02 Dec 2008 – 565 Dead

Filed under: Uncategorized — dandeakin @ 01:31
Tags: , , ,

Source:

UN Office for the Coordination of Humanitarian Affairs

The total number of suspected cholera cases stand at 12,546 and 565 deaths as at 2 December 2008. The details on affected areas are tabulated below; and the highlighted areas signify recent outbreaks..

Attachments:

Full_Report.pdf:

http://www.reliefweb.int/rw/rwb.nsf/retrieveattachments?openagent&docid=FD6D74423028BE5685257513007AC9F9&file=Full_Report.pdf

November 30, 2008

Bloggers provide raw view of Mumbai attacks

Filed under: Uncategorized — dandeakin @ 23:57
Tags: , , , , , ,

By SAM DOLNICK – 5 hours agoNEW DELHI (AP) — When gunmen started spraying Mumbai with bullets and seizing the city’s landmarks, countless people around the globe turned not to the television or the radio for news, but to each other.

Blogs and social networking sites like Twitter and Flickr buzzed with eyewitness accounts from India’s financial capital, providing some of the first photos of the besieged targets and serving as a forum for pleas for updates on friends and family.

Photos posted on Flickr just 90 minutes after the attacks had been viewed at least 110,000 times by Sunday.

Twitter users, who simply tagged their comments “mumbai,” traded information at a rate of 50-100 posts a minute in messages that were sometimes wrong, often fragmented, but always instant.

The lightning-quick updates of the attacks that killed 174 people read like a sketchy but urgent blow-by-blow account of the siege, providing further evidence of a sea change in how people gather their information in an increasingly Internet-savvy world.

“‘Emergency’ can some one check if there bomb blast of some shootout in oberoi hotel of anywhere in Mumbai ? I am at inox inside,” a user named Puneet wrote on Twitter, a popular “microblogging” Web site, shortly after the violence began.

“I just heard what sounded like a bomb blast! I hope I am wrong,” krazyfrog, a user in Mumbai, wrote soon after.

“People stay where you are. We’re under attack,” wrote Whizzkidd, also in the city.

The dramatic siege, which targeted some of the city’s most famous landmarks, threw the user-generated corner of the Internet into high gear.

A Google map of the targets was created hours after the violence began and had received 375,000 hits at last glance. A Wikipedia page was created for the attacks and has been updated thousands of times. Blogs like Mumbai Heros were created to honor the victims.

Vinukumar Ranganathan, 27, posted some of the first photos of the attacks. After hearing the initial blasts Wednesday night, he grabbed his camera and rushed outside his apartment near many of the targets. He found a chaotic scene of destroyed cars, buildings with blown out windows, and pools of blood spreading in the street and finally arrived at the besieged headquarters of an ultra-Orthodox Jewish center ahead most of the local and international press.

An hour and a half later — while much of the world was still struggling to understand what was unfolding — Ranganathan announced on Twitter that he had posted 112 photos on Flickr, a popular photo-sharing Web site.

Over the next three days, he ventured out into the streets several times, photographing and posting what he saw.

The pictures are blurry and raw, but, taken together, provide a compelling portrait of this week’s chaos and carnage.

“I was just updating online because I could see the buildings from my house,” Ranganathan, who works at a mobile texting company, told The Associated Press in an interview. “I just felt that there were lots of people I was communicating with who were also my friends, so it was about the personal connection.”

But many of the posts repeated rumors or were just plain wrong.

“Suspected attacker waving white flag for ceasefire,” Whizkidd wrote as the 60-hour siege was just getting under way.

Later, the same user asked: “Am i seeing smoke emanating from the hilton towers??”

He wasn’t — the Hilton hotel in Mumbai was never attacked, and Whizkidd corrected himself a minute later.

Some bloggers posted firsthand accounts of the attacks on their own sites.

Sonia Faleiro “ate stir fry and drank campari” at a boutique hotel near the landmark Taj Mahal hotel just before the violence began.

“We stepped out of the hotel and bullets rang in the air, people screamed, a tidal wave raced down the street and the security guard said ‘Inside! Madam, Inside NOW!’” she wrote. “We thought then it was a gang war, and it would end soon.”

Arun Shanbhag, another south Mumbai blogger, wrote of sleeping through the blasts, even though he lives just one block from the Taj. He later posted dramatic photos of the 105-year-old hotel in flames.

“When I saw the dome of the Taj burning, my heart bleeds! It is all in knots! I am overwhelmed! Finally tears, in torrents!…Will the Taj be there when I wake up?” he wrote.

During the attacks Twitter became the village square for the online world, and the posts served as all things at once: public service announcements about where to donate blood; news ticker updates of death tolls; and even, sometimes, comic relief.

“Random 3 a.m. question while we wait for news to filter in: Why doesn’t our PM move his facial muscles when he communicates?” a user named orange jammies posted hours after Prime Minister Manmohan Singh’s address to the nation.

For many Twitter users, traditional media like radio and TV were too slow — and forget about waiting for tomorrow’s newspaper.

“Some channels just keep repeating the same stuff,” said Ranganathan. “I felt more like I was telling friends what was happening.”

At times, Ranganathan found himself facing ethical questions familiar to larger news organizations. He snapped a series of photos of corpses, but felt uneasy about posting the images.

Struggling with the decision, he did what he had done all week: He turned to his online peers. He posted a poll on his blog about whether to publish the photos — the response was 50-50. He decided not to.

Impact of technology in communications during Mumbai event

Mumbai: Info Tech Comes Through

Despite the concerns of some, the importance of information technology as applied to the Mumbai attacks cannot be over-stressed. As noted in other outlets, the use of applications like Twitter and Flickr to provide real-time coverage is simply fantastic. Individuals and their gadgets beat traditional media and, dare I suggest it, probably bested the accuracy, volume and granularity of intelligence reporting (because we can probably count on one hand the number of human collectors who were on the ground to provide post-attack coverage, much less pre-attack warning).

But of course there are nay-sayers. Extracted from a private conversation are the following concerns:

  • Use of such technology will mean policymakers will rush to adopt untested, unreliable applications
  • What good are text messages/alerts for the nearly 1/3 of the population that is functionally illiterate?
  • Use of such apps in past warning/alert situations have fallen short
  • Not everyone has the tech/bandwidth to participate or benefit

To which I say: BS.

For starters, there is nothing that will stop ill-informed, ill-advised seniors from chasing after the latest shiny new thing, so whether its Twitter or UAVs, let’s throw out that red herring.

A good number of people on the planet may indeed be unable to read to a given standard, but that doesn’t stop people from learning and employing the highly non-standard language used in text messages, SMS, Twitter and the like.

Municipalities that have used SMS and similar technologies to help out in emergencies and have experienced failures are often looking at the wrong root cause. Because your people aren’t adequately trained or available is not a fault of the technology. As with most sufficiently advanced or new tech, management, policy and procedure are the last to catch up.

The lack of bandwidth is only an issue if you’re on a static platform. Phones are the largest growing computing platform – not just communications – in the world, period. That a given tech may be better experienced on a 22” LCD isn’t the point.

Is this a “2.0 revolution?” I wouldn’t go overboard, but I think we need to definitely chalk one up on the win column for this most recent demonstration. Naturally there are drawbacks – volume and reliability jump out at me for starters – but imagine the feeds places like the NMJIC and various intelligence watches could have if vetted collectors and trusted sources were adequately equipped, trained and deployed (a major concern WRT training sources is making sure they have tools that won’t make them stand out from the norm. Solution: cell phone). Imagine the big-screen-adorned watches in our IC agencies not tuned to CNN (breaking news isn’t intelligence, always a great annoyance to me) but RSS, Twitter, etc. Imagine real-time intelligence reporting, not IIRs and cables that are hours or days late.

November 27, 2008

Mumbai health care workers conducted drill 6 Nov 08 for Terror Attack

Filed under: Uncategorized — dandeakin @ 13:38
Tags: , , , ,

City healthcare workers gear up for mock drill
6 Nov 2008, 0338 hrs IST, TNN

MUMBAI: “When the 7/11 serial train blasts occurred, we managed well despite the confusion. But a drill defining roles for each and every personnel in the disaster management chain, be it fire officials or casualty staffers, would make our response sharper,” said a civic nurse participating in an intensive disaster management training on Wednesday.

The week-long training will culminate with a simulated bomb blast at Shivaji Park as part of a mock drill on Saturday. The MEMEx or the Mumbai Emergency Management Exercise is an attempt to sharpening the medical response in times of terror attacks or natural disasters like the 26\7 floods.

At the Kalina campus of Mumbai University, hundreds of civic nurses, teachers and firemen are honing their skills on how to respond to disasters in tandem with other governmental agencies. S D Sawant from the fire brigade observed that the five-day training allowed them to interact with other arms of the medical system. “We are trained in first aid, but have often wondered whether the nurses or hospital staff who attend to the patient brought in our ambulances understand our coding system of marking critical patients. Here, we can exchange ideas,” he said.

Doctors from various civic hospitals had an advanced training programme at P D Hinduja Hospital in Mahim. For some like Dr Sharad Ruia from Bhabha Hospital, the course was a re-orientation into forgotten medical practices. “One thing that struck me during the sessions was their suggestion to use cervical collars on emergency patients brought to hospitals. In day-to-day practice, we somehow don’t think of balancing the neck of patients.”

The real test will take place on Saturday when the mock drill__complete with traffic restrictions placed by the police__over 100 `patients’ will be rushed to KEM Hospital in Parel and Hinduja Hospital in Mahim.

“One of the aims of MEMEx,” said Dr Gustad Daver, medical director of Hinduja Hospital, “is to prepare a standardised protocol on emergency medical care. This will be circulated to all hospitals so that there is a standard way in which emergencies are dealt with.”

But the pitfalls to a successful disaster programme, are rooted in the lack of an EMS Act, feels emergency specialist Khusrav Bajan who points out that paramedics should be empowered to provide basic resuscitative procedure. “An ideal system would be where the traffic authorities too are roped in to make way for ambulances,” he said.

Sister Veena Madkarkar from KEM Hospital’s EMS unit said that in cities like Mumbai where calamities are commonplace, it is best that the common man is trained in CPR (cardiac-pulmonary resuscitation) because he\she is often the first respondent in times of tragedy.

Frequent drills are a must

Mock drills are important because they provide governmental agencies and citizens with an opportunity to take stock of their preparedness for disaster management, says Dr Wallace Carter of New York Presbyterian Hospital, who is an international faculty for MEMEx. He was in Ahmedabad last year to conduct a similar drill, which, according to local doctors, helped them during the recent serial blasts in the city. He will also be a part of the team that will assess the response to Saturday’s mock drill. “Mumbai has very good infrastructure, It has good hospitals where patients get good treatment in times of disaster. Its fire department infrastructure is good. But the need in times of disaster is a total coordinated effort,” he said. In other words, while the disaster preparedness in each governmental department is great, there is little coordination between thee various arms. MEMEx is an attempt to synchronise these efforts.

November 16, 2008

CA State of Emergency

Filed under: Uncategorized — dandeakin @ 16:55
Tags: , , ,

Gov. Arnold Schwarzenegger has proclaimed a state of emergency in Orange and Riverside counties due to the wildfire.

November 15, 2008

Governor Arnold Schwarzenegger declares a state of emergency in Los Angeles County

Filed under: Uncategorized — dandeakin @ 23:55
Tags: , , ,

Governor Arnold Schwarzenegger declares a state of emergency in Los Angeles County because of the more than 2,600-acre brush fire above Sylmar that has forced mandatory evacuations. Fierce winds continue to push flames out of control.

Virtually all of the 600-800 homes in the Oakridge Mobile Home Park have been destroyed, and streets signs in the park had been melted by flames when 70 mph winds blew through the area.

Evacuation centers have been set up at San Fernando Senior High School, 11133 O’Melveny Ave., Chatsworth High School, 10027 Lurline Ave., and at Kennedy High School, 11254 Gothic Ave. The evacuation center at Sylmar High School is full.

Animal evacuations: Large animals can be taken to Hansen Dam; smaller animals can be taken to the Mission area, or to Sylmar High or San Fernando High football fields.

Next Page »

Blog at WordPress.com.