BAGUIO CITY, December 27, 2018 – Philippines – The Department of Health – Cordillera launched a new campaign to put a stop to the increasing number of individuals affected by the human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS).
DOH-Cordillera OIC Regional Director Dr. Amelita Pangilinan and Mary Joy Morin of the DOH Central Office National AIDS & STI Prevention and Control Program led the launching of the “LHIVE- Free” campaign during the awarding of the academic and skills competition on HIV/AIDS Awareness and the search for the Reyna di Cordillera as HIV and AIDS Advocacy Ambassadors in Baguio City recently.
Morin said the LHIVE- Free campaign aims to encourage the key population at risk for HIV such as males having sex with males to get tested, seek treatment if they have HIV, be educated and empowered about the proper use of condom and help them live a worry-free life.
The LHIVE- Free campaign will also reach out to partners who will serve as enablers and support groups, hence the word FREE means F for family and friends, R is for religious and political leaders, E is for educators and media, and the last E is for employers and the community.
“We are confronted with seriously worsening concern on HIV,” Morin said citing the 32 new HIV cases per day.
“We are the highest in the rate of increase of HIV in the Asia Pacific Region. Persons at risk for HIV are afraid or shy away from getting and HIV test. There is extremely low level of knowledge on HIV, especially the modes of transmission and ways of prevention, even among those who already in risky sexual behaviors. The use of condoms among those who engage in anal sex is also very low. There are persons who are already HIV positive and still decide to delay treatment,” she said.
In Baguio City, 33 new cases of HIV and AIDS were recorded in Baguio City from January to August this year, the Epidemiology Bureau of the Department of Health (DOH) has reported. This brings to 307 the total number of HIV/AIDS cases in the city since monitoring started in 1984.
Cordillera statistics show that there are a total of 457 HIV/AIDS cases from 1984 to August 2018. Benguet has 54 cases; Abra, 50; Kalinga, 13; Ifugao, 12; Apayao, 11; and Mountain Province, 10. A total of 61 new cases were recorded from January-July in the region.
“Let us continue to work together so we can witness a generation where people with HIV can live free of fear, stigma and discrimination and the rest of the population,” Morin said.
By: Redjie Melvic M. Cawis
Philippine Information Agency
600 young Farmers & Fishers for 21 million JMD gender-sensitive, climate resilience project
#Jamaica, 15 August 2022 – Jamaica 4-H Foundation and the United Nations Development Programme (UNDP) are partnering to strengthen the climate and disaster resilience of 600 young farmers and fishers, in support of national efforts to shore up food security against climate crisis.
Farmers and fishers from select communities in Clarendon, Manchester, St Elizabeth, Westmoreland, St Thomas are slated to benefit under a 21.3 million JMD pilot project launched Thursday (11 August) at the Jamaica 4-H Training and Production Centre at Denbigh.
Six hundred will receive awareness building resources on climate smart agriculture and value-added income generating opportunities in their sectors; 175 of the 600 will be trained and certified in crop and livestock production, fisheries, and agro processing; and 110 trained and certified beneficiaries will get venture inputs, technical support, and coaching to support a successful start in business.
In a bid to address gender inequities that typically restrain the full potential of the sector, the project will provide male and female participants with equal access to resources, training and coaching.
The project is being piloted over six months under the EnGenDER project (Enabling Gender-Responsive Disaster Recovery, Climate & Environmental Resilience in the Caribbean) with funding from Global Affairs Canada, and the UK Government.
“It is no secret that our women and young people face great challenges in accessing resources to adapt to climate change. If we are to create a future that ensures agricultural security, as we grow smart and eat smart, our youth must be at the forefront of this drive for food security”, Minister of State in the Ministry of Agriculture and Fisheries, Hon Franklin Witter stated.
He said youth inclusion is a priority and reiterated government’s policy decision to direct 20% of government owned lands for lease by young farmers. He said the EnGenDER pilot project will strengthen youth resilience to climate change and help to pull vulnerable groups towards maximizing their true potential.
“Gender Equality is the most effective way to reduce poverty and to build a more inclusive, peaceful and prosperous world”, Canadian High Commissioner Excellency Emma Tudakovic stated in her remarks. She said the EnGenDER project and its climate change adaptation pilot have provided opportunities to strengthen the integration of gender equality into sectoral planning and implementation processes to strengthen climate resilience. “It is our hope that with this support, more young persons will become included in these important industries and the project will provide a supportive framework for the ongoing development of the fisheries sector., Ms Tudakovic said. She emphasized the importance of engaging and encouraging youth to develop solutions to the climate induced challenges faced by the agricultural sector and the need for climate smart agriculture.
Oliver Blake, Head of Jamaica Political and Development Team and Senior Governance Adviser (Caribbean), in the British High Commission underscored the importance of translating global and regional commitments into actionable solutions that touch people on the frontlines of climate change. “Some people round the world have the resources to adapt easily or to move their families and business elsewhere but in Small Island Developing States (SIDS) that is not so easy. We know that SIDS did not contribute to climate change, and the first to suffer its effects most immediately. Those first to suffer are those in poorer communities,” Mr Blake underlined.
UNDP Resident Representative Denise E Antonio called for greater investments in gender sensitive resilience programming to strengthen Jamaica’s climate resilience. “A gender equal approach integrating youth, women, men, Persons with Disabilities, and other groups at risk of being left behind, will maximize the resilience and productivity of Jamaica’s fisheries and agricultural sectors,” she said. Ms Antonio said more young people and more young women should participate in these sectors on a level playing field that affords equal access to capital and support for resilient livelihoods and recovery in the event of a climate-induced disaster. She charged the participants to pass on what they learned to others. “… absorb the resources of this project, apply, and add value to what you have learned. Innovate new methods of securing your outputs and energizing your business ideas as overcomers of climate change, then come back and teach us what you have learned”, she advised.
Jamaica 4-H Clubs chairman Colin Virgo called climate change and food security the two single greatest threats to humanity and called for action to address the threats. “Let us not wait for us to have another record-breaking year of category five storms (caused by climate change); let us not wait until the world breaks out into war over food. Let us not wait until we cannot feed the population of the world,” he warned.
Jamaica 4-H Foundation Director Ronald Blake called for food diversification using resilient plants to strengthen food security, cut wastage while combatting combat climate change. He said the earth creates 90% of its food from only 20 of approximately 20 000 plant species. “We believe if we are going to fix food security, we have to eat some of the things we are no longer eating. Some of these foods are resilient to the changes to the climate,” he explained.
In Jamaica, only 20% of farmers are young people 18 to 35 years of age, and only 31% of youth farmers are female. In the fisheries sector, this is further reduced to 5.9% females.
Cleveland Clinic Performs First-In-World Full Multi-Organ Transplant to Treat Rare Appendix Cancer
#USA, August 13, 2022 – Cleveland Clinic has successfully performed a first-in-the-world full multi-organ transplant to treat a patient with a rare form of appendix cancer called pseudomyxoma peritonei (PMP). Upon completion of the lifesaving transplant surgery, the patient received five digestive organs: liver, stomach, pancreas, duodenum, and small intestine.
Anil Vaidya, M.D., Cleveland Clinic’s Intestinal Transplant Program co-director, led the seven-surgeon team that completed the pioneering operation on a 32-year-old man in September 2021.
“The patient had one of the more advanced cases of PMP I have seen,” said Dr. Vaidya. “While about 80% of patients with the condition can be treated with traditional therapies, what do you do with the 20% for whom the traditional therapy isn’t successful? In some cases, the answer may be a multi-organ transplant.”
During the 17-hour operation, surgeons removed the patient’s diseased organs. He then received the following deceased donor’s organs all together and at the same time: liver, stomach, pancreas and duodenum (pancreaticoduodenal complex), spleen, small intestine, and right colon. The donor spleen was initially transplanted to boost the immune protection of the newly transplanted organs and improve blood flow to the pancreas until fully transplanted. The donor right colon was initially transplanted to help protect the new intestine from infection and improve its ability to absorb nutrients. Both the donor spleen and donor right colon were removed prior to the completion of the transplant after they successfully served to protect the other organs during the operation.
“As far as we know, it is the first time in the world that a full multi-organ transplant, including the liver and four other digestive organs, is performed to treat PMP,” said Dr. Vaidya.
Prior to joining Cleveland Clinic in 2020, Dr. Vaidya performed in England the world’s first modified multi-organ transplant (excluding the liver) to treat a patient with PMP who had exhausted all other management strategies.
PMP is a rare cancer that typically originates as a tumor in the appendix. When the slow-growing tumor ruptures, its jelly-like content spreads to other digestive organs, with additional tumors developing that impair gastrointestinal function. Malnutrition and life-threatening complications ultimately occur.
Following the diagnosis in 2019, the patient began a long odyssey of treatments. He was one of the 20% of patients with PMP for whom the traditional treatments were ineffective. Often, this population of patients is left with few to no treatment options.
The patient was referred to Cleveland Clinic in 2021 in the end stage of his disease. He was receiving hospice care at that time. The patient had stopped working and could no longer eat solid foods. He was receiving nutrients intravenously through total parenteral nutrition (TPN).
“We needed to perform an evaluation to determine if transplantation in his case was safe, feasible and could provide long-term benefits,” said Dr. Vaidya.
Dr. Vaidya completed a thorough assessment of the patient’s case and received approval from Cleveland Clinic’s Intestinal Transplant Selection Committee to proceed. The patient was placed on the national transplant waiting list in July 2021.
“The patient – who needed a liver and four other digestive organs – had started to deteriorate quite rapidly,” said Dr. Vaidya. “It was touch-and-go that he would make it.”
In September 2021, a donor was found, and less than 24 hours later, the patient was undergoing the groundbreaking
surgery. The first three hours were preparatory, in essence removing the diseased abdominal organs. Next, the donor organs were inserted into the abdominal cavity, all the necessary vascular connections were completed and a left-sided ileostomy was created to handle bodily waste and let the body recover from the surgery.
“The operation was well planned and went like clockwork,” said Dr. Vaidya. “The team members knew exactly what they were going to do, and the timing was perfect. It went really well.”
Following the transplant, the patient remained in the hospital for 51 days. Soon after he was discharged, he returned because he was suffering from a case of graft-versus-host disease, a common occurrence following intestinal or bone marrow transplants where the donated organs’ immune cells recognize the recipient’s tissues as foreign and attack the recipient.
The patient underwent a procedure perfected and performed by Amy Lightner, M.D., colorectal surgeon and director of Cleveland Clinic’s Center for Regenerative Medicine and Surgery. Dr. Lightner administered three doses of mesenchymal stromal cell (MSC)-derived exosomes, a first ever, novel treatment in solid organ transplants — another first for a patient who received a full multi-organ transplant to treat PMP.
According to Dr. Vaidya, “The patient’s recovery was absolutely amazing. His symptoms abated within two hours of the first dose.”
Nine months post-transplant, the patient, now 33, can eat and digest solid foods again and has energy to do what he loves, including walking and biking outdoors.
“There is currently no evidence of cancer recurrence,” said Dr. Vaidya.
Header: Masato Fujiki, MD, (center) and the Cleveland Clinic surgical team, led by Anil Vaidya, MD, performing the first-in-world multi-organ transplant to treat a rare type of appendix cancer. (Photo courtesy of Cleveland Clinic)
1st insert: Anil Vaidya, M.D.
2nd insert: From left: Anil Vaidya, M.D., Shannon Jarancik, physician assistant, Amy Lightner, M.D., Andy Voge, patient, Rachel Voge, Andy’s wife, and Anita Barnoski, transplant coordinator.
Release: Cleveland Clinic / DPA media
Polio is back; 65 million missed shots in another COVID fall out
By Dana Malcolm
#USA, August 4, 2022 – For the first time in almost a decade a new case of polio was recorded in the United States. The case which ended in paralysis emphasizes the danger the region faces as vaccination levels drop to 30-year lows.
The World Health Organization warned in early July explained that vaccination in the region of the Americas and the rest of world was dropping rapidly because of various spin off effects precipitated by the Coronavirus Pandemic.
Over 65 million infants missed out on basic vaccines in the last three years thanks to disruptions in routine healthcare, lockdowns and other circumstances. The effects are already being felt as once eradicated disease like measles and polio are once again emerging.
The Pan American Health Organization announced earlier this year the Americas are now facing another measles outbreak after having been declared free of the disease in 2016.
Dr. Jarvis Barbosa, Assistant director of PAHO said vaccination levels are now as low as they were in 1994 for measles and polio and Brazil has had several outbreaks of measles.
In the case of the United States an unvaccinated young adult developed the disease after contact with another individual vaccinated with a live version of the vaccine.
The breakout polio case in the US sent shockwaves across the country because of the severe nature of the disease. Polio is an extremely dangerous disease with no known cure. It causes paralysis in as many as 1 in 200 infected and that paralysis is permanent.
Normally very few school age children would be at risk in the Americas as the vaccine is required to start school but with the gap in vaccinations many more children are now at risk.
Polio was one of the most feared diseases of the 20th century, paralyzing and killing hundreds of thousands, especially children. Thankfully vaccinated individuals are not at risk and as such the WHO is advising that the best way to protect against polio is vaccination.
Photo Caption: Child in Benin takes Polio vaccine, UNSDG
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