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Dr KK Aggarwal 28 May 2018
In December 2015 WHO had included Nipah as a disease likely to cause serious outbreaks
Nipah Breaking News
Way back on 10 December 2015: A panel of scientists and public health experts convened by WHO met in Geneva to prioritise the top emerging pathogens likely to cause severe outbreaks in the near future, and for which few or no medical countermeasures exist. The initial list of disease priorities needing urgent R&D attention comprises:
Crimean Congo haemorrhagic fever, Ebola virus disease and Marburg, Lassa fever, MERS, SARS coronavirus diseases, Nipah and Rift Valley fever.
Three other diseases were designated as serious, requiring action by WHO to promote R&D as soon as possible Chikungunya, Severe fever with thrombocytopaenia syndrome and Zika.Other diseases with epidemic potential - such as HIV/AIDS, Tuberculosis, Malaria, Avian influenza and Dengue - were not included in the list because there are major disease control and research networks for these infections, and an existing pipeline for improved interventions.
2018 annual review of the Blueprint list of priority diseases
The second annual review occurred 6-7 February 2018. Experts consider that given their potential to cause a public health emergency and the absence of efficacious drugs and/or vaccines, there is an urgent need for accelerated research and development for:
A number of additional diseases were discussed and considered for inclusion in the priority list, including: Arenaviral hemorrhagic fevers other than Lassa Fever; Chikungunya; highly pathogenic coronaviral diseases other than MERS and SARS; emergent non-polio enteroviruses (including EV71, D68); and Severe Fever with Thrombocytopenia Syndrome (SFTS).
These diseases pose major public health risks and further research and development is needed, including surveillance and diagnostics.
Although not included on the list of diseases to be considered at the meeting, monkeypox and leptospirosis were discussed, and experts stressed the risks they pose to public health.
Several diseases were determined to be outside of the current scope of the Blueprint: dengue, yellow fever, HIV/AIDs, tuberculosis, malaria, influenza causing severe human disease, smallpox, cholera, leishmaniasis, West Nile Virus and plague. These diseases continue to pose major public health problems and further research and development is needed through existing major disease control initiatives, extensive R&D pipelines, existing funding streams, or established regulatory pathways for improved interventions. In particular, experts recognized the need for improved diagnostics and vaccines for pneumonic plague and additional support for more effective therapeutics against leishmaniasis.
Financial Health: Nature of expenses covered under Section 43B –
Wellness
High fiber sources: brown rice, bulgur (cracked wheat), barley, oats, nuts, beans and lentils, apples, blueberries and carrots
Vitamins and minerals
Iron - meat, poultry, fish, and beans
Vitamin A - carrots, sweet potatoes, spinach, kale
Vitamin B12 - meat, poultry, fish
Vitamin E - nuts, seeds, vegetable oils
Phytochemicals
Flavonoids - blueberries, raspberries, strawberries, blackberries
Carotenoids - orange vegetables such as carrots, sweet potatoes, and winter squash
Lycopene - tomatoes
Isoflavones - soy foods, such as soybeans (or edamame)
Resveratrol - red grapes
Catechins - teas
Policy
Legal
Clinical
Pollution
Indoor pollution: Volatile organic compounds (VOCs) are carbon-containing compounds with a high vapor pressure at room temperature. VOCs are emitted from a variety of building and consumer products and are largely responsible for the "new carpet" or "new car" smell. VOCs can emanate from many indoor materials such as paints, floor finishes, furniture, carpeting, polyurethane spray foam insulation, and other building materials. They are implicated to upper-airway and mucous membrane irritation, headaches, difficulty concentrating, irritability, nausea, and drowsiness.
Weather
Heat Wave:
Yesterday, heat wave conditions observed at most parts over West Rajasthan; many parts over north Madhya Pradesh, Haryana, Chandigarh & Delhi; at some parts over East Rajasthan and at one or two pockets over Vidarbha and Punjab.
Maximum Temperature
Maximum temperatures were appreciably above normal (3.1°C to 5.0°C) at most places over Punjab, Haryana, Chandigarh & Delhi, West Rajasthan and West Madhya Pradesh; at many places over Uttrakhand, East Rajasthan, Gujarat, Uttar Pradesh, Marathwada and Madhya Maharashtra; at a few places over Himachal Pradesh, East Madhya Pradesh and Bihar; at isolated places over Jammu & Kashmir and Vidarbha; above normal (1.6°C to 3.0°C) at a few places over Jharkhand; at isolated places over Kerala. They were markedly below normal (-5.1°C or less) at a few places over Assam & Meghalaya; appreciably below normal (-3.1°C to- 5.0°C) at a few places over Lakshadweep and Tamilnadu & Puducherry and below normal (-1.6°C to -3.0°C) at many places over Andaman & Nicobar Islands and Coastal Andhra Pradesh; at a few places over Odisha and Chhattisgarh and near normal over rest of the country. Yesterday, the highest maximum temperature of 47.5°C was recorded at Churu (West Rajasthan) over plains of the country.
Temperatures Recorded at 1430 Hours IST 27 th May, 2018
Temperatures more than 40.0°C is observed at most parts of Punjab, Haryana, Chandigarh & Delhi, Rajasthan, Madhya Pradesh, East Uttar Pradesh, Gujarat region and Vidarbha; at many parts of Marathwada; at some parts of West Uttar Pradesh and at one or two pockets of Jammu division, Chhattisgarh, Gangetic West Bengal, Telengana, Jharkhand, Odisha, Saurashtra & Kutch and Madhya Maharashtra. (Annexure 3). o Temperature recoded at 1430 hours of today have risen at isolated places by 3-5°C in Jammu Division and by about 2°C in Madhya Pradesh and Gujarat region.
Heat Wave Warnings for Next 5 Days
Day maximum temperatures very likely to continue 42-45°C over from parts of Northwest India and Central India, in the range of 41-44°C most parts of Northern parts of peninsular India and West India during next 48 hours and decrease thereafter. Heat wave conditions are very likely abate gradually from more parts of Northwest India and Central India from tomorrow onward, in view of the likely setting of easterly winds over the northern plains.
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