WHO says monkeypox not currently a global health emergency

A man is vaccinated at a monkeypox vaccination clinic run by CIUSSS public health authorities in Montreal, Quebec, Canada, June 6, 2022. (REUTERS)
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Updated 26 June 2022
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WHO says monkeypox not currently a global health emergency

  • “The vast majority of cases is observed among men who have sex with men, of young age,” chiefly appearing in urban areas, in “clustered social and sexual networks,” according to the WHO report of the meeting

GENEVA: The World Health Organization’s chief said Saturday that the monkeypox outbreak was a deeply concerning evolving threat but did not currently constitute a global health emergency.
WHO director-general Tedros Adhanom Ghebreyesus convened a committee of experts on Thursday to advise him whether to sound the UN health agency’s strongest alarm over the outbreak.
A surge of monkeypox cases has been detected since early May outside of the West and Central African countries where the disease has long been endemic. Most of the new cases have been in Western Europe.
More than 3,200 confirmed cases and one death have now been reported to the WHO from more than 50 countries this year.
“The emergency committee shared serious concerns about the scale and speed of the current outbreak,” noting many unknowns about the spread and gaps in the data, Tedros said.
“They advised me that at this moment the event does not constitute a Public Health Emergency of International Concern (PHEIC), which is the highest level of alert WHO can issue, but recognized that the convening of the committee itself reflects the increasing concern about the international spread of monkeypox.”
Tedros said the outbreak was “clearly an evolving health threat” that needed immediate action to stop further spread, using surveillance, contact-tracing, isolation and care of patients, and ensuring vaccines and treatments are available to at-risk populations.

“The vast majority of cases is observed among men who have sex with men, of young age,” chiefly appearing in urban areas, in “clustered social and sexual networks,” according to the WHO report of the meeting.
While a few members expressed differing views, the committee resolved by consensus to advise Tedros that at this stage, the outbreak was not a PHEIC.
“However, the committee unanimously acknowledged the emergency nature of the event and that controlling the further spread of outbreak requires intense response efforts.”
They are on standby to reconvene in the coming days and weeks depending on how the outbreak evolves.
The committee recommended that countries improve diagnostics and risk communication.
It noted that many aspects of the outbreak were unusual, while some members suggested there was a risk of sustained transmission due to the low level of population immunity against pox virus infection.

The committee that considered the matter is made up of 16 scientists and public health experts and is chaired by Jean-Marie Okwo-Bele, a former director of the WHO’s Vaccines and Immunization Department.
Thursday’s five-hour private meeting was held in person at the WHO’s Geneva headquarters and via video conference.
The committee discussed current observations of plateauing or potential downward trends in case numbers in some countries; difficulties in contact tracing due to anonymous contacts, and “potential links to international gatherings and LGBTQI+ Pride events conducive for increased opportunities for exposure through intimate sexual encounters.”
They were also concerned that the potential stigmatization of affected groups could impede response efforts.
There are knowledge gaps on transmission modes, the infectious period, as well as over access to vaccines and antivirals and their efficacy, they said.

The normal initial symptoms of monkeypox include a high fever, swollen lymph nodes and a blistery chickenpox-like rash.
Initial outbreak cases had no epidemiological links to areas that have historically reported monkeypox, suggesting that undetected transmission might have been going on for some time.
Few people have been hospitalized to date, while 10 cases have have been reported among health care workers.
The WHO’s current plan to contain the spread focuses on raising awareness among affected population groups and encouraging safe behaviors and protective measures.
There have been six PHEIC declarations since 2009, the last being for Covid-19 in 2020 — though the sluggish global response to the alarm bell still rankles at the WHO HQ.
A PHEIC was declared after a third emergency committee meeting on January 30. But it was only after March 11, when Tedros described the rapidly worsening situation as a pandemic, that many countries seemed to wake up to the danger.


13 more killed in Pakistan sectarian fighting

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13 more killed in Pakistan sectarian fighting

  • Fresh fighting broke out last Thursday when two separate convoys of Shiite Muslims traveling under police escort were ambushed, killing more than 40
Peshawar: Sectarian feuding in northwest Pakistan killed 13 more people, a local government official said Saturday, as warring Sunnis and Shiites defied repeated ceasefire orders in recent conflict claiming 124 lives.
Pakistan is a Sunni-majority country, but Kurram district — in Khyber Pakhtunkhwa province, near the border with Afghanistan — has a large Shiite population and the communities have clashed for decades.
Fresh fighting broke out last Thursday when two separate convoys of Shiite Muslims traveling under police escort were ambushed, killing more than 40.
Since then 10 days of fighting with light and heavy weapons has brought the region to a standstill, with major roads closed and mobile phone services cut as the death toll surged.
A Kurram local government official put the death toll at 124 on Saturday after 13 more people were killed in the past two days.
Two were Sunni and 11 Shiite, he said, whilst more than 50 people have been wounded in fresh fighting which continued Saturday morning.
“There is a severe lack of trust between the two sides, and neither tribe is willing to comply with government orders to cease hostilities,” he told AFP, speaking on condition of anonymity.
“Police report that many people want to flee the area due to the violence, but the deteriorating security situation makes it impossible,” he added.
A seven-day ceasefire deal was announced by the provincial government last weekend but failed to hold. Another 10-day truce was brokered Wednesday but it also failed to stymie the fighting.
A senior security official in the provincial capital of Peshawar, also speaking anonymously, confirmed the total death toll of 124.
“There is a fear of more fatalities,” he said. “None of the provincial government’s initiated measures have been fully implemented to restore peace.”
Police have regularly struggled to control violence in Kurram, which was part of the semi-autonomous Federally Administered Tribal Areas until it was merged with Khyber Pakhtunkhwa in 2018.
The Human Rights Commission of Pakistan said 79 people had been killed in the region between July and October in sectarian clashes.
The feuding is generally rekindled by disputes over land in the rugged mountainous region, and fueled by underlying tensions between the communities adhering to different sects of Islam.

Schools shut as heavy storm approaches India coast

Updated 42 min 31 sec ago
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Schools shut as heavy storm approaches India coast

  • Cyclonic storm Fengal is forecast to make landfall in Tamil Nadu state with sustained winds of 70-80 kilometers an hour
  • The forecast urged fishing crews to stay off the water and predicted surging waves of one meter that posed a flood risk

BENGALURU: Schools in India’s south were shut and hundreds of people moved inland to storm shelters ahead of a powerful cyclone storm set to hit the region on Saturday.
Cyclonic storm Fengal is forecast to make landfall in Tamil Nadu state with sustained winds of 70-80 kilometers an hour (43-50 mph) in the afternoon, India’s weather bureau said.
The forecast urged fishing crews to stay off the water and predicted surging waves of one meter (three feet) that posed a flood risk to low-lying coastal areas.
Schools and colleges in numerous districts across Tamil Nadu were shut and at least 471 people had been moved to relief camps, the Economic Times newspaper reported.
Cyclones — the equivalent of hurricanes in the North Atlantic or typhoons in the northwestern Pacific — are a regular and deadly menace in the northern Indian Ocean.
Fengal skirted the coast of Sri Lanka earlier this week, killing at least 12 people including six children.
Scientists have warned that storms are becoming more powerful as the world heats up due to climate change driven by burning fossil fuels.
Warmer ocean surfaces release more water vapor, which provides additional energy for storms, strengthening winds.
A warming atmosphere also allows them to hold more water, boosting heavy rainfall.
But better forecasting and more effective evacuation planning have dramatically reduced death tolls.


Thailand flooding kills nine, displaces thousands

Updated 30 November 2024
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Thailand flooding kills nine, displaces thousands

  • ‘Very heavy rain’ could continue to affect some areas of the country’s south through next week
  • The government has deployed rescue teams to assist affected residents

BANGKOK: Flooding driven by heavy rains in southern Thailand has killed nine people and displaced more than 13,000, officials said Saturday, as rescue teams using boats and jet skis worked to reach stranded residents.
Local media footage showed residents wading through murky, chest-deep water and cars submerged in flooded streets.
“Flooding across eight provinces in southern Thailand has affected 553,921 households and claimed nine lives, prompting agencies to mobilize urgent assistance,” the country’s disaster agency said on its official Facebook page.
More than 13,000 people had been forced to flee their homes, with temporary shelters set up in schools and temples, it added.
Nampa, a resident of coastal Songkhla province, told state broadcaster Thai PBS she was concerned about the dwindling food supplies.
“We are doing fine now, but I am not sure how long can we stay in this condition,” she said.
Two hospitals in nearby Pattani province suspended operations to prevent floodwaters from damaging medical facilities.
In neighboring north Malaysia, the rains have forced the evacuation of at least 80,000 people to temporary shelters this week, with disaster officials there saying at least four people have been killed.
The Thai Meteorological Department has warned that “very heavy rain” could continue to affect some areas of the country’s south through next week.
The government has deployed rescue teams to assist affected residents and designated 50 million baht ($1.7 million) in flood relief for each province.
Thai Prime Minister Paetongtarn Shinawatra said Friday on social media platform X that the goal was to “restore normalcy as quickly as possible.”
While Thailand experiences annual monsoon rains, scientists say man-made climate change is causing more intense weather patterns that can make destructive floods more likely.
Widespread flooding across the country in 2011 killed more than 500 people and damaged millions of homes.


Stealth destroyer to be home for first hypersonic weapon on a US warship

Updated 30 November 2024
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Stealth destroyer to be home for first hypersonic weapon on a US warship

  • The USS Zumwalt is at a Mississippi shipyard where workers have installed missile tubes that replace twin turrets from a gun system that was never activated

The US Navy is transforming a costly flub into a potent weapon with the first shipborne hypersonic weapon, which is being retrofitted aboard the first of its three stealthy destroyers.
The USS Zumwalt is at a Mississippi shipyard where workers have installed missile tubes that replace twin turrets from a gun system that was never activated because it was too expensive. Once the system is complete, the Zumwalt will provide a platform for conducting fast, precision strikes from greater distances, adding to the usefulness of the warship.
“It was a costly blunder but the Navy could take victory from the jaws of defeat here, and get some utility out of them by making them into a hypersonic platform,” said Bryan Clark, a defense analyst at the Hudson Institute.
The US has had several types of hypersonic weapons in development for the past two decades, but recent tests by both Russia and China have added pressure to the US military to hasten their production.
Hypersonic weapons travel beyond Mach 5, five times the speed of sound, with added maneuverability making them harder to shoot down.
Last year, The Washington Post reported that among the documents leaked by former Massachusetts Air National Guard member Jack Teixeira was a defense department briefing that confirmed China had recently tested an intermediate-range hypersonic weapon called the DF-27. While the Pentagon had previously acknowledged the weapon’s development, it had not recognized its testing.
One of the US programs in development and planned for the Zumwalt is “Conventional Prompt Strike.” It would launch like a ballistic missile and then release a hypersonic glide vehicle that would travel at speeds seven to eight times faster than the speed of sound before hitting the target. The weapon system is being developed jointly by the Navy and Army. Each of the Zumwalt-class destroyers would be equipped with four missile tubes, each with three of the missiles for a total of 12 hypersonic weapons per ship.
In choosing the Zumwalt, the Navy is attempting to add to the usefulness of a $7.5 billion warship that is considered by critics to be an expensive mistake despite serving as a test platform for multiple innovations.
The Zumwalt was envisioned as providing land-attack capability with an Advanced Gun System with rocket-assisted projectiles to open the way for Marines to charge ashore. But the system featuring 155 mm guns hidden in stealthy turrets was canceled because each of the rocket-assisted projectiles cost between $800,000 and $1 million.
Despite the stain on its reputation, the three Zumwalt-class destroyers remain the Navy’s most advanced surface warship in terms of new technologies. Those innovations include electric propulsion, an angular shape to minimize radar signature, an unconventional wave-piercing hull, automated fire and damage control and a composite deckhouse that hides radar and other sensors.
The Zumwalt arrived at the Huntington Ingalls Industries shipyard in Pascagoula, Mississippi, in August 2023 and was removed from the water for the complex work of integrating the new weapon system. It is due to be undocked this week in preparation for the next round of tests and its return to the fleet, shipyard spokeswoman Kimberly Aguillard said.
A US hypersonic weapon was successfully tested over the summer and development of the missiles is continuing. The Navy wants to begin testing the system aboard the Zumwalt in 2027 or 2028, according to the Navy.
The US weapon system will come at a steep price. It would cost nearly $18 billion to buy 300 of the weapons and maintain them over 20 years, according to the Congressional Budget Office.
Critics say there is too little bang for the buck.
“This particular missile costs more than a dozen tanks. All it gets you is a precise non-nuclear explosion, some place far far away. Is it really worth the money? The answer is most of the time the missile costs much more than any target you can destroy with it,” said Loren Thompson, a longtime military analyst in Washington, D.C.
But they provide the capability for Navy vessels to strike an enemy from a distance of thousands of kilometers — outside the range of most enemy weapons — and there is no effective defense against them, said retired Navy Rear Adm. Ray Spicer, CEO of the US Naval Institute, a think tank, and former commander of an aircraft carrier strike force.
Conventional missiles that cost less aren’t much of a bargain if they are unable to reach their targets, Spicer said, adding the US military really has no choice but to pursue them.
“The adversary has them. We never want to be outdone,” he said.
The US is accelerating development because hypersonics have been identified as vital to US national security with “survivable and lethal capabilities,” said James Weber, principal director for hypersonics in the Office of the Assistant Secretary of Defense for Critical Technologies.
“Fielding new capabilities that are based on hypersonic technologies is a priority for the defense department to sustain and strengthen our integrated deterrence, and to build enduring advantages,” he said.


Trudeau in Florida to meet Trump as tariff threats loom

Updated 30 November 2024
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Trudeau in Florida to meet Trump as tariff threats loom

  • The unannounced meeting came at the end of a week that has seen Canada as well as Mexico scramble to blunt the impact of Trump’s trade threats

Palm Beach: Canadian Prime Minister Justin Trudeau traveled to Florida on Friday for a dinner with Donald Trump at the president-elect’s Mar-a-Lago estate, as the incoming US leader promised tariffs on Canadian imports.
The unannounced meeting came at the end of a week that has seen Canada as well as Mexico scramble to blunt the impact of Trump’s trade threats, which experts have warned could also hit US consumers hard.
A smiling Trudeau was seen exiting a hotel in West Palm Beach before arriving at Mar-a-Lago, making him the latest high-profile guest of Trump, whose impending second term — which starts in January — is already overshadowing the last few months of President Joe Biden’s administration.
Flight trackers had first spotted a jet broadcasting the prime minister’s callsign making its way to the southern US state. A Canadian government source later told AFP that the two leaders were dining together.
Trump caused panic among some of the biggest US trading partners on Monday when he said he would impose tariffs of 25 percent on Mexican and Canadian imports and 10 percent on goods from China.
He accused the countries of not doing enough to halt the “invasion” of the United States by drugs, “in particular fentanyl,” and undocumented migrants.
Mexican President Claudia Sheinbaum spoke with Trump by phone on Wednesday, though the two leaders’ accounts of the conversation differed drastically.
Trump claimed that Mexico’s left-wing president had “agreed to stop migration through Mexico, and into the United States, effectively closing our Southern Border.”
Sheinbaum later said she had discussed US-supported anti-migration policies that have long been in place in Mexico.
She said that after that, the talks had no longer revolved around the threat of tariff hikes, downplaying the risk of a trade war.
Billions in trade
Biden warned that same day that Trump’s tariff threats could “screw up” Washington’s relationships with Ottawa and Mexico City.
“I think it’s a counterproductive thing to do,” Biden told reporters.
Trudeau did not respond to questions from the media as he returned to his hotel Friday evening after meeting with Trump.
But for Canada, the stakes of any new tariffs are high.
More than three-quarters of Canadian exports, or Can$592.7 billion ($423 billion), went to the United States last year, and nearly two million Canadian jobs are dependent on trade.
A Canadian government source told AFP that Canada is considering possible retaliatory tariffs against the United States.
Some have suggested Trump’s tariff threat may be bluster, or an opening salvo in future trade negotiations. But Trudeau rejected those views when he spoke with reporters earlier in Prince Edward Island province.
“Donald Trump, when he makes statements like that, he plans on carrying them out,” Trudeau said. “There’s no question about it.”
According to the website Flightradar, the Canadian leader’s plane landed at Palm Beach International Airport late Friday afternoon.
Canadian public broadcaster CBC said that Trudeau’s public safety minister, Dominic LeBlanc, was accompanying him on the trip.