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US and Britain roll out campaigns after poliovirus detected in water samples

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The detection of poliovirus in wastewater samples from New York and London has sparked fears of a possible public health crisis but health experts in the United States believe that the virus is unlikely to secure widespread transmission in the country, especially in highly vaccinated areas.

Medical Daily reported that the US declared the eradication of poliovirus in September 1994, and not many people are aware of the disease it causes and its symptoms at present. There is also limited awareness on how it spreads.

According to the Centers for Disease Control and Prevention (CDC), poliovirus spreads through person-to-person contact and other ways, such as the oral-fecal route and droplets.

Poliovirus is so contagious it can contaminate food and water in unsanitary conditions. Transmission is inevitable when a person makes contact with the feces from an infected person while infection via droplets from a sneeze or cough is less common, Medical Daily reported.

The CDC noted that an infected person could spread the virus almost immediately before and up to two weeks after the symptoms of the disease appear. Once the virus enters the mouth, it can stay in the intestines for many weeks. Asymptomatic people can still pass the virus to other people and make them sick, the report read.

Last month, the US reported its first case of polio in almost a decade.

Meanwhile, Britain rolled out urgent polio vaccinations this week for all London-based children below 10 after the discovery of polio traces in sewage samples across several London boroughs. The move was made after the detection of polio in wastewater samples from New York, London and even Israel sparked fears of a wider outbreak.

Among the symptoms of polio, paralysis is the one most commonly associated with the disease since it can lead to permanent disability or even death. Scientific data showed between 2 and 10 out of 200 infected people develop paralysis and die because the virus can significantly impact the muscles used for breathing.

Since there is no cure or specific treatment for paralytic polio, patients rely on long-term physical or occupational therapy to help them with arm or leg weakness.

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South Korean team develops ‘Iron Man’ robot that helps paraplegics walk

Kim Seung-hwan, who is himself a paraplegic and part of the KAIST team, demonstrated the prototype which helped him walk at a speed of 3.2 kph (2 mph), climb a flight of stairs and take sideways steps to slide into a bench.

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South Korean researchers have developed a lightweight wearable robot that can walk up to paraplegic users and lock itself onto them, enabling them to walk, manoeuvre obstacles and climb staircases, Reuters reported.

The Exoskeleton Laboratory team at the Korea Advanced Institute of Science and Technology (KAIST) said their goal is to create a robot that seamlessly integrates into the daily lives of individuals with disabilities.

Kim Seung-hwan, who is himself a paraplegic and part of the KAIST team, demonstrated the prototype which helped him walk at a speed of 3.2 kph (2 mph), climb a flight of stairs and take sideways steps to slide into a bench.

"It can approach me wherever I am, even when I’m sitting in a wheelchair, and be worn to help me stand up, which is one of its most distinct features," Kim said.

The powered exoskeleton, named WalkON Suit F1, features aluminium and titanium composition to weigh in at 50 kg (110 lb), and is powered by 12 electronic motors that simulate the movements of human joints while walking, read the report.

Park Jeong-su, another member of the KAIST team, said he was inspired by the movie "Iron Man". "After watching Iron Man, I thought it would be great if I can help people with a robot in real life."

To ensure the user's balance while walking, the robot is equipped with sensors on its soles and in the upper body that monitor 1,000 signals per second and anticipate the user's intended movements.

Lenses on the front of the robot work as eyes which analyse its surroundings, identify the height of stairs and detect obstacles to compensate for the lack of sensory ability of users with complete paraplegia, Park said.

Kim Seung-hwan won the gold medal while wearing the WalkON Suit F1 in the exoskeleton category at Cybathlon 2024, which saw developers with varying physical disabilities demonstrate assistive robots in eight categories, Reuters reported.

"I wanted to tell my son .... that I also used to able to walk. I wanted to share a diverse range of experiences with him," said Kim.

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Herat Regional Hospital struggling to deal with heavy patient load

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Herat Regional Hospital has a capacity to treat about 1,000 patients a day, 650 as in-patients. However, the hospital is being stretched to its limits and is treating more than double this number of people every day, hospital officials say.

Officials say that in most wards, there are two patients per bed. They say the hospital needs to expand - that they urgently need more space and more equipment.

According to doctors, the High Care Unit has only 10 beds, when it actually needs at least 65. In addition, they say the dialysis department is only running at half-mast. It has 17 dialysis machines, but only eight are in working order.

Herat residents have also raised concern over the state of the hospital and said some departments, especially the dialysis unit and pediatrics urgently need equipment and additional space.

Afghanistan is grappling with significant health challenges marked by a fragile healthcare system and unequal access to services, particularly in rural areas.

This is due to a number of issues such as transportation difficulties, shortage of healthcare professionals, and limited access to quality healthcare services.

Despite efforts to improve the country’s healthcare infrastructure, Afghanistan continues to grapple with systemic issues that hinder effective healthcare delivery. Analysis by UN agencies of under-served areas shows that 13.2 million people in 34 provinces reside in areas where primary healthcare services are not accessible within a one-hour walking distance.

 

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Excluding Afghan women from medical institutes threatens the future of health care in the country: MSF

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The Islamic Emirate of Afghanistan’s (IEA) decision to bar women from studying in medical institutes will have far-reaching consequences for women’s health in the country, Médecins Sans Frontières (Doctors Without Borders) said on Friday.

This is another stage in the removal of women from public and professional life in Afghanistan. Already, there is an insufficient number of female health care workers in the country, impacting the availability of health care, especially given the separation of hospital wards by gender. New constraints will further restrict access to quality health care and pose serious dangers to its availability in the future, MSF said in a statement.

“There is no health care system without educated female health practitioners,” said Mickael Le Paih, MSF’s country representative in Afghanistan. “At MSF, more than 50 percent of our medical staff are women. The decision to bar women from studying at medical institutes will further exclude them from both education and the impartial provision of health care.”

The medical needs in Afghanistan are huge, and more female Afghan medical staff need to be trained to address them. For this to happen, women need to have access to education. Education restrictions for women and girls put in place in 2024, 2022, and 2021 considerably reduce the number of female medical staff in the future, MSF said.

“If no girls can attend secondary school, and no women can attend university or medical institutes, where will the female health professionals of the future come from and who will attend to Afghan women when they are at their most vulnerable?” said Le Paih. “For essential services to be available to all genders, they must be delivered by all genders.”

Recently, there have been reports that the leader of the Islamic Emirate has ordered the closure of medical institutes to women. The Islamic Emirate has not yet officially commented on this matter.

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