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WHO: Infectious diseases spread faster

Sally Furniss

Well-known member
WHO: Infectious diseases spread faster

http://www.miamiherald.com/news/world/AP/story/212009.html

By ERICA BULMAN
Associated Press Writer

GENEVA --
With an estimated 2.1 billion airline passengers roaming the planet last year alone, infectious diseases are spreading faster than ever before, the U.N. health agency said Thursday.

The World Health Organization called on governments to follow its revised regulations for fighting dangerous health crises.

"New diseases are emerging at the historically unprecedented rate of one per year," WHO Director-General Dr. Margaret Chan said in an introduction to the annual World Health Report.

"It would be extremely naive and complacent to assume that there will not be another disease like AIDS, another Ebola, or another SARS, sooner or later," the report said.

The thrust of WHO's efforts to protect global health has been the revision of the International Health Regulations, which came into effect in June. The voluntary regulations govern how countries should report potentially dangerous health emergencies to WHO.

While the regulations are meant to improve disease reporting worldwide, it is uncertain how much influence they actually have. For example, American officials earlier this year anxiously tracked the European whereabouts of a U.S. lawyer believed to have a highly dangerous form of tuberculosis.

International officials eventually identified the roughly 127 people thought to have been exposed to his illness during two trans-Atlantic flights. But it was only after he had left Europe that U.S. officials informed WHO and other countries of the event. At that stage, they were powerless to act. The lawyer later turned out to have a less serious form of the disease.

While the governments of WHO's 193 member states would ideally be the first source of information in any outbreak, that is often not the case. Nearly half of all of WHO's outbreak alerts come from the media and are then followed up by affected countries.

WHO's annual report also urges countries to share viruses to help develop vaccines and to tighten domestic efforts to combat disease outbreaks.

But an ongoing battle with Indonesia, the nation hardest hit by the deadly H5N1 strain of bird flu, has yet to be resolved. Though Indonesia has said it would send human bird flu virus samples to WHO, it has not yet fully shared the samples.

Indonesia has repeatedly demanded assurances that any pandemic vaccines developed would be affordable for developing nations. Instead of sharing viruses with WHO, Indonesia has signed agreements with vaccine makers, promising to share samples in exchange for vaccine expertise.

China stopped sharing H5N1 specimens with WHO for almost a year before finally sending samples in June, while Vietnam said it sent samples but has encountered shipping road blocks.

In 1951, when WHO issued its first set of health regulations to prevent the international spread of diseases, the situation was stable, the report said. People traveled internationally by ship, slowing the spread of diseases around the world and new diseases were rare.

But today, high volumes of people can quickly travel worldwide, meaning an outbreak or epidemic in any part of the planet is only a few hours away from becoming an imminent threat somewhere else, the report said. Over the last five years, WHO confirmed more than 1,100 disease outbreaks worldwide, such as cholera, polio and bird flu.

There are 39 new pathogens that were unknown a generation ago, including HIV/AIDS, Ebola hemorrhagic fever and SARS, or severe acute respiratory syndrome.
 
Re: WHO: Infectious diseases spread faster



<!-- only technology articles will display the technews branding -->


Infectious diseases spreading faster than ever: U.N.

By Laura MacInnis
Reuters
Wednesday, August 22, 2007; 6:06 PM
GENEVA (Reuters) - Infectious diseases are emerging more quickly around the globe, spreading faster and becoming increasingly difficult to treat, the World Health Organisation (WHO) said on Thursday.
In its annual World Health Report, the United Nations agency warned there was a good possibility that another major scourge like AIDS, SARS or Ebola fever with the potential of killing millions would appear in the coming years.
<TABLE id=content_column cellSpacing=0 cellPadding=0 width=238 align=right><TBODY><TR><TD width=10></TD><TD width=228>


</TD></TR></TBODY></TABLE>"Infectious diseases are now spreading geographically much faster than at any time in history," the WHO said.
It said it was vital to keep watch for new threats like the emergence in 2003 of SARS, or Severe Acute Respiratory Syndrome, which spread from China to 30 countries and killed 800 people.
"It would be extremely naive and complacent to assume that there will not be another disease like AIDS, another Ebola, or another SARS, sooner or later," the report warned.
Since the 1970s, the WHO said, new threats have been identified at an "unprecedented rate" of one or more every year, meaning that nearly 40 diseases exist today which were unknown just over a generation ago.
Over the last five years alone, WHO experts had verified more than 1,100 epidemics of different diseases.
With more than 2 billion people traveling by air every year, the U.N. agency said: "an outbreak or epidemic in one part of the world is only a few hours away from becoming an imminent threat somewhere else."
MONITORING VITAL
The report called for renewed efforts to monitor, prevent and control epidemic-prone ailments such as cholera, yellow fever and meningococcal diseases.
International assistance may be required to help health workers in poorer countries identify and contain outbreaks of emerging viral diseases such as Ebola and Marburg hemorrhagic fever, the WHO said.
It warned that global efforts to control infectious diseases have already been "seriously jeopardized" by widespread drug resistance, a consequence of poor medical treatment and misuse of antibiotics.
This is a particular problem in tuberculosis, where extensively drug-resistant (XDR-TB) strains of the contagious respiratory ailment have emerged worldwide.
"Drug resistance is also evident in diarrheal diseases, hospital-acquired infections, malaria, meningitis, respiratory tract infections, and sexually transmitted infections, and is emerging in HIV," the report declared.
Although the H5N1 bird flu virus has not mutated into a form that passes easily between humans, as many scientists had feared, the next influenza pandemic was "likely to be of an avian variety" and could affect some 1.5 billion people.
"The question of a pandemic of influenza from this virus or another avian influenza virus is still a matter of when, not if," the WHO said.
It said all countries must share essential health data, such as virus samples and reports of outbreaks, as required under international health rules, to mitigate such risks.
Accidents involving toxic chemicals, nuclear power and other environmental disasters should also be communicated quickly and clearly to minimize public health threats.:tiphat: http://www.washingtonpost.com/wp-dyn/content/article/2007/08/22/AR2007082202137.html
 
Re: WHO: Infectious diseases spread faster

The world health report 2007 - A safer future: global public health security in the 21st century

http://www.who.int/whr/2007/en/index.html

I have not had time to read it yet but from the press comments it seems reminiscent of Dr. Greger on new disease emergence, pushes for transparency & information exchange in line with the recently adopted IHR(2005) (inc. dig at Indonesia on samples) and expresses concern about drug resistance e.g. MRSA, XDR-TB.

Interestingly it is the lead story on the International version of the BBC's site under 'WHO warns of global epidemic risk'
http://news.bbc.co.uk/2/hi/health/6959583.stm
 
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Re: WHO: Infectious diseases spread faster

from the referenced BBC article...

The WHO report also urges governments to be open about disease outbreaks, saying nearly half of all outbreak alerts it receives come from the media.

No wonder they watch FT so closely. :)

.
 
Re: WHO: Infectious diseases spread faster

New Diseases Threaten the World's Economies, Security, UN Says

By Christopher Elser

Aug. 23 (Bloomberg) -- New infectious diseases are appearing more rapidly than ever and threaten to undercut global economic growth and security, the World Health Organization said.

Governments can prevent the spread of epidemics by preparing and cooperating instead of trying to close borders and isolate themselves, the Geneva-based WHO said today in its annual report. HIV, SARS, Ebola fever and pandemic influenza are threats, as are terrorist attacks and industrial accidents, the agency said.

One or more new infectious illnesses have been detected each year since 1970, and many ailments are becoming treatment- resistance, the WHO said. With 2.1 billion people a year traveling by air, diseases can spread rapidly. Manmade disasters such as nuclear accidents or terrorism must also be monitored globally, the agency said. Countries should share data to develop vaccines or treatments and alert health agencies to outbreaks.

``International public health security is both a collective aspiration and a mutual responsibility,'' Margaret Chan, director-general of the United Nations agency, said in the report. ``The new watchwords are diplomacy, cooperation, transparency and preparedness.''

Earlier this month, the WHO said Indonesia, where bird flu has killed the most people, has yet to resume the sharing of avian influenza samples with researchers.

Indonesia began withholding samples of the avian flu virus in December to demand access to affordable drugs for Asia, where four-fifths of human cases of the disease have occurred. Doctors can't produce up-to-date vaccines without the latest H5N1 samples. While Indonesia did provide three specimens in May, the samples didn't contain the living virus, WHO officials said.

To contact the reporter on this story: Christopher Elser in London at celser@bloomberg.net .

http://www.bloomberg.com/apps/news?pid=20601086&sid=a6zBB994rSG0&refer=latin_america
 
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