Stronger governance needed to fight superbugs in Africa: Antimicrobial Resistance threatens Africa’s development

17 November 2021, Accra – The leaders of six regional organizations in Africa are calling for stronger governance to fight antimicrobial resistance, or AMR, on the eve of World Antimicrobial Awareness Week (18-24 November).

The emergence and spread of antimicrobial resistance in Africa – where micro-organisms such as bacteria, viruses, fungi and parasites are resistant to antimicrobial treatment – is complicating the management of many infectious diseases, and endangers animal health and welfare, and food production, safety and security.

Addressing AMR requires an holistic and multi-sectoral approach. World Antimicrobial Awareness Week (WAAW) in Africa aims to encourage best practices among the public, health workers, farmers, animal health professionals and policy makers to prevent further emergence and spread of drug-resistant infections in people and animals.

The week also marks two years since a unique partnership of six regional organizations was formed to push ahead on fighting AMR in Africa, involving the Tripartite Partners (the Food and Agriculture Organization of the United Nations (FAO), the World Organisation for Animal Health (OIE), and the World Health Organization (WHO), with the UN Environment Programme (UNEP) , the Africa Centres for Disease Control and Prevention (Africa CDC), and the African Union Inter-African Bureau for Animal Resources (AU-IBAR).

Events in Africa during WAAW 2021 include:

• A high-level event on Thursday 18 November including panel discussions with representatives of the regional organizations and ministers of human, animal, and environment health. The six regional organizations will also launch a communique calling for greater AMR governance in Africa and renewing their commitment to tackle AMR together.

• A series of roundtable discussions on major issues:

• Friday 19 November: regulations and legislation needed for responsible AMR risk management;

• Monday 22 November: implementing and financing AMR multisectoral national action plans;

• Tuesday 23 November lessons learned from COVID-19: the role of civil society organisations and professional bodies in combatting AMR;

• Wednesday 24 November: adopting a One Health approach and multisectoral coordination mechanisms for AMR;

• A twitter chat on Saturday 20 November on combatting AMR in the Africa context. Get involved by following the hashtag #WAAWAfrica2021

To find out more about this year’s events, go to: https://bit.ly/2YCfDGn

Spread the word, not the germs!

Simple steps individuals can take to reduce AMR risk in their communities include:

Be AMR-Smart: Staying healthy by washing hands frequently and practising good hygiene, and thinking twice and seeking advice before buying and using antimicrobials. Farmers can improve farm management, hygiene, animal welfare and biosecurity practices to prevent animal infections and the spread of germs. When animals get sick, the best course of action is to seek a correct diagnosis and follow instructions to administer antimicrobials properly and use vaccines when indicated.

Be an educator: To help spread awareness of AMR, a simple step is to wear blue during World Antimicrobial Awareness Week. Despite being a leading global public health threat, many policymakers, professionals, and the general public often remain largely unaware of AMR. To improve visibility of this health priority, individuals, communities, and organizations are encouraged to wear blue.

Be a vaccine hero: Keeping people healthy so they don’t need to take any antimicrobials in the first place is key to fighting AMR. Get vaccinated and encourage your family and friends to get vaccinated against all diseases that have vaccines.

Facts about AMR in Africa

• AMR affects humans, animals and the environment.

• AMR could kill 4.1 million people across Africa by 2050 unless we take action to Resist the Resistance now.

• Developing countries across Africa could lose up to 5% of their GDP as a result of AMR. That means the financial toll of antimicrobial resistance would be deeper than the 2008 financial crisis.

• Killer infections like tuberculosis (TB) have become resistant to the antibiotic drugs that save lives. Malaria, which kills 3,000 children in Africa every day, is becoming resistant to a once-effective treatment. If we don’t Resist the Resistance, we could lose these life-saving medicines.

• Coronavirus disease (COVID-19) is making AMR worse. One recent study found that among patients who went to hospital with COVID-19, 72% were given an antimicrobial they did not need. Only 8% had infections that were treatable with this life-saving medicine.

Source: World Health Organization. Africa

Angola receives over one million doses of Astrazeneca vaccine

Luanda – Angola on Wednesday received a batch of 1.1 million doses of AstraZeneca vaccine, in a donation from the Republic of France.

With this third donation, as the first being 100,800 doses, the second 495,600 doses and the third of 1.1 million doses, France has so far provided a total of 1.75 million doses of vaccine.

The Secretary of State for Public Health, Franco Mufinda, said that the donation strengthened the commitment outlined by the Angolan state in continuing the fight against Covid-19, adding that it was the first time that Angola had received over a million doses of the Astrazeneca vaccine.

According to the French ambassador to Angola, Daniel Vosgien, this donation is part of the cooperation agreements between the two countries, adding that France has planned a supply of about 120 million vaccines for Africa.

Daniel Vosgien said that his Government will continue to support the Angolan Government in the fight against the Covid-19 pandemic.

Source: Angola Press News Agency

Covid-19: Angola receives over 700,000 doses of Pfizer vaccine

Luanda- Angola Tuesday received a batch of 750,000 doses of vaccine from Pfizer, in a donation from the United States of America.

This is the sixth batch of Pfizer vaccine that the United States has donated to Angola since last February.

Over 4.4 million doses of Pfizer’s vaccine have so far been donated to combat the pandemic.

The Secretary of State for Public Health, Franco Mufinda, reiterated his thanks for a gesture that further strengthens the good relations between both countries.

Franco Mufinda took the opportunity to appeal to the citizens to adhere to the vaccination posts.

In his turn, the Chargé d’Affaires of the US Embassy, Gregory Segas, said that the donation shows the commitment of President Joe Biden with Angola and the world.

The official made it known that they will continue with the donation programmes.

Source: Angola Press News Agency

Covid-19: Angola announces 14 new infections and 658 recoveries

Luanda – The country announced this Monday, 14 new infections and the recovery of 658 patients from Covid-19.

According to the daily bulletin, of the new infections – which refer to 9 males and 5 females, with ages ranging from 10 to 68 years – seven were diagnosed in Luanda, 2 in Cabinda, Cuando Cubando and Huambo and a single case in Benguela.

Among the recoveries, 278 were registered in Cabinda, 208 in Benguela, 157 in Zaire, 9 in Huambo, 2 in Cuando Cubango, Cunene and Huíla, respectively.

In the last 24 hours, 1,310 samples through RT-PCR were processed, with a positivity rate of 1.1 per cent.

The country sums an overall of 64,927 confirmed cases, in which resulted in 1,727 deaths. There are also 62,345 recoveries and 855 current diseased.

Regarding the current diseased cases, there are 7 patients in critical conditions, 4 severe, 13 moderates, 20 mild and 811 asymptomatic.

Source: Angola Press News Agency

Germany donates 924 000 surgical face masks to WHO for the support to Ministry of Health COVID-19 response work in Zambia

– On 10 November 2021, H.E. Anne Wagner-Mitchell, the German Ambassador to Zambia and Dr Nathan Bakyaita, WHO Representative to Zambia came together with Hon Sylvia Masebo, Minister of Health at the Ministry of Health for a handover ceremony of 924 000 surgical face masks.

Over the past months, the Ministry of Health of the Federal Republic of Germany has made in-kind donations of surgical and medical masks to the World Health Organization (WHO) and more than 120 million face masks have been distributed to 100 countries all over the world. As part of this donation, the WHO country office in Zambia received 924 000 surgical and medical face masks for its work in Zambia to support the Ministry of Health’s response to the COVID-19 pandemic.

The kind support from the Government of Germany comes at a time when Zambia is anticipating the fourth wave of COVID-19 infections. Since the outbreak began in March 2020, Zambia has reported 209 939 laboratory-confirmed cases of COVID-19, including 3664 deaths (2742 COVID-19 deaths and 922 COVID-19 associated) as of 10 November 2021. Vaccination has taken up since the re-launch by HE HH but coverage remains low with only 7% of the target population (all adults aged 18 years and above) fully vaccinated.

“Face masks are a key measure to suppress the transmission of COVID-19 and hence do contribute to saving lives” said Dr Bakyaita in a statement made at the handover event, adding “masks are a crucial part of the fight against the pandemic, together with other rules such as physical distancing, avoiding crowded, closed and close-contact settings, good ventilation, regularly washing hands and covering sneezes and coughs.” The WHO Representative expressed his sincere gratitude to the Government of Germany and the German Embassy for partnering with WHO and the Government of the Republic of Zambia to prevent the spread of COVID-19.

Germany is currently the number one top contributor to WHO’s global COVID-19 Strategic Preparedness and Response Plan and Germany’s support to WHO Zambia – in addition to the masks the country office has received USD 1.26m from the Government of Germany that helped purchase other needed equipment such as oxygen concentrators and cylinders – has enabled the Organization to provide crucial support to the response to COVID-19 in Zambia when it was needed the most.

“This global crisis requires global cooperation. This is why – as longstanding partner and friend of Zambia – the German Government remains committed to support the Zambian people to control the outbreak of the pandemic and to mitigate the economic and social consequences of the crisis”, said German Ambassador Anne Wagner-Mitchell during the handover. “The most efficient way to protect lives and the health sector in this pandemic is to vaccinate against COVID-19. To this end, Germany supported the Coordinating Mechanism “Access to COVID-19 Tools Accelerator” with EUR 2.2 billion as the second largest donor. This global collaboration aims at accelerating development, production, and equitable access to COVID-19 vaccines. Moreover, Germany will share 175 million vaccine doses, mainly via COVAX, of which more than 18 million doses have already been delivered.”

Using the occasion of the meeting that was also live streamed on MoH social media, Hon Minister of Health, Sylvia Masebo said “Today, I am urging all Zambians 18 years and above to get vaccinated when they can. This is our only way out of the pandemic.”

During the ceremony, the 924 000 surgical face masks were officially handed over to the Ministry of Health as part of COVID-19 response activities, to be used by the general population, as well as frontline workers involved in managing public services amid the ongoing COVID-19 outbreak in the country.

Source: World Health Organization. Africa

Review of Health Emergencies Programme in Nigeria’s Northeast opens, government and partners solicit WHO’s continued support.

– The Biannual Joint Operations Review (JOR) opens in Maiduguri, Borno State today, 15 November 2021 with participation by representative of Borno Stat Governor, Commissioners for Health, partners and Civil Society Organizations.

The 4-Day event is expected to review WHO’s health emergency programme in Northeast region, revise strategies to inform the development of the WHO plan for 2022.

To open the JOR in Maiduguri, Representative of the Governor and Commissioner, Intergovernmental Affair, Mr Mohammed Kabir acknowledged huge contributions of WHO to BAY (Borno, Adamawa and Yobe) States and of WHO on public health interventions such as polio eradication, malaria elimination, efforts against gender-based violence. He looks forward to being continued robust support from WHO and pledged collaboration and commitment of the State in delivering health services. He urged participants to identify strategies on how best to address communicable diseases and provide requisite services to populations in need.

Earlier in her welcome address, Borno State Commissioner for Health says, “WHO has continued to play a vital role as the technical lead partner in efforts to strengthen a robust health system for ???? and indeed, Borno State and calls on WHO to continue its support in the establishment of a linkage between the humanitarian response and health system development for universal health coverage as well support the revitalization of primary healthcare among others”.

In Nigeria, the Northeast humanitarian health emergency was first graded in 2016 as grade 3, the highest level, owing to its severity and impact on public health which significantly reduced access to basic health services and rendered the population vulnerable to disease outbreaks, malnutrition, injuries, and mental health. Following four cycles of grading reviews with the emergency remaining active, the emergency was graded as a protracted emergency.

In WHO’s rating, protracted emergency is an environment in which a significant proportion of the population is acutely vulnerable to death, disease, and disruption of livelihoods over a prolonged period. Governance in these settings is often weak, with limited state capacity to respond to, and mitigate, the threats to the population, or provide adequate levels of protection.

Also speaking during the opening ceremony, the WHO Representative (WR) to Nigeria, Dr Walter Kazadi Mulombo appreciated the BAY States for significant progress in the Northeast, especially the planned resettlement of >1.7million IDPs.

He reiterated WHO’s commitment towards ensuring that health services are provided to those settled.

Responding to request by Borno State to WHO, Dr Mulombo says, “resources will be deployed for revitalization of primary healthcare for achieving universal health coverage.

The WR indicated the need to give attention to the humanitarian development nexus, in view of the Covid-19 pandemic and other public health emergencies

Representatives from partner agencies also underscored the progress made to improve security and access to displaced populations.

Partners expect that the JOR will critically identify the challenges & lessons learnt in the preceding year and come up with practicable recommendations for the humanitarian response going forward.

On expectations, the Commissioners for Health from states emphasized the need to support Human Resources for Health, revamp primary health care, support research which are in line with WHO strategic direction.

The review will be concluded on 19 November, 2021.

Source: World Health Organization. Africa

On the frontlines of diabetes fight in Senegal

Dakar – Senegal, like many African countries, is bearing an increasing heavy diabetes burden. While efforts are being made to improve prevention, care and treatment, Professor Maïmouna Ndour Mbaye, head of the Internal Medicine unit, Cheikh Anta Diop University of Dakar and director of the country’s national Diabetes Centre, notes that stepping up diabetes control in Senegal starts with a strong national programme. The response must involve all the sectors of the society up to individuals who have a crucial prevention role by adopting healthy practices.

Being on the frontlines of the diabetes fight, what are the trends and challenges?

The progression of diabetes in Senegal is much like elsewhere in the world. Although data collection is not done routinely, the first nationwide survey conducted in 2015 showed a prevalence of 3.4% in people aged 18-69 years and 7.9% in those over 45 years.

Hospital statistics, notably those from the National Diabetes Centre, also give a good idea of this progression: in the 1980s, an average of 200 new cases were recorded annually. Since 2005, this has increased to nearly 2500 new cases yearly. Currently, nearly 60 000 diabetes patients are being monitored from all cities in Senegal and even from neighbouring countries.

The number of consultations increased by more than 20% between 2018 and 2019. In 2020, the number dropped significantly due to the COVID-19 pandemic.

This rapid progression of diabetes is one of the main challenges of the national diabetes centre, whose capacity has been largely exceeded. This has an impact on the quality of patient care: instead of doing check-ups every two to three months as recommended, we can only provide two or even one consultation a year.

At the national level, despite major efforts to decentralize care and train health professionals, human resources are still insufficient and there is still a lack of infrastructure and equipment for appropriate care of diabetes and its complications.

Senegal does not yet have a national diabetes programme, but rather a noncommunicable diseases division within the Ministry of Health. Standards and protocols have been developed to improve the management of this disease and its risk factors. Several activities are carried out, but the projects are financed by donors and face recurrent challenges of sustainability since there is no domestic financing for the implementation of strategies.

How is COVID-19 further challenging people living with diabetes?

The COVID-19 pandemic has worsened the picture. Statistics show that diabetes and hypertension are the comorbidities most frequently associated with death in patients hospitalized for COVID-19. The emotional and psychosocial impact is huge among diabetes patients.

The pandemic has cause significant disruptions in diabetes and noncommunicable disease services in general. Infrastructures and care personnel were assigned to the COVID-19 response. For example, in our diabetes department, out of 40 beds, 20 have been allocated to COVID-19 cases. Activities considered non-urgent like systematic screening for chronic complications of diabetes have been postponed, including follow-up appointments.

How has Senegal innovated in its response to the disease?

To address these challenges, innovative approaches were being implemented even before the COVID-19 pandemic. Senegal is the first country in French-speaking Africa to implement the global BeHealthy BeMobile programme to improve diabetes management. This is the mDiabetes project, which consists of using cell phones to deliver simple diabetes prevention messages to the population. In 2014 the mDiabetes platform was used to send millions of prevention messages against the Ebola outbreak and it was also used during the COVID-19 pandemic. This programme has been evaluated and shown to improve beneficiaries’ glycaemic control.

Other telehealth projects are underway: remote consultation for certain patients since the beginning of the pandemic, tele-screening for diabetic retinopathy, e-learning for health professionals.

What more does the country need to do to bring diabetes under control?

There is still room to do more. There is need to set up a national diabetes programme with strategies, objectives and financing. We must also reinforce prevention and epidemiological surveillance of diabetes and noncommunicable diseases. Other keyways to improve diabetes control include stronger coordination of interventions and adopting a multidisciplinary and multisectoral approach including government, health care providers, diabetes patients, civil society, pharmaceutical and food industry, communication professionals. We also need to strengthen our system for chronic diseases management so that we can ensure continuity of care while dealing with emergencies such as COVID-19.

Source: World Health Organization. Africa

Covid-19: Angola reports 156 recoveries, 24 new cases

Luanda- The health authorities announced, this Saturday, the recovery of 156 patients, 24 new cases and 1 death.

Among the recovered patients, 150 reside in Zaire, 4 in Luanda and 2 in Huíla.

According to the daily bulletin, among the new cases, 13 were diagnosed in Luanda and 11 in Cabinda.

With ages ranging from 7 to 75 years old, the list is composed of 20 male and 4 female patients.

In the last 24 hours, the laboratories processed 2,669 samples by RT-PCR, with a daily positivity rate of 0.9 percent.

The death was registered in Luanda.

Angola has 64,899 confirmed cases, of which 1,727 deaths, 61,666 recovered and 1,506 active. Of the active cases, 4 are critical, 4 severe, 10 moderate, 19 mild and 1,469 asymptomatic.

At treatment centers, 37 patients are hospitalized, while 83 citizens are serving institutional quarantine and 96 contacts of positive cases are under medical surveillance.

Source: Angola Press News Agency

Covid-19: US donates fourth batch of Pfizer vaccine to Angola

Luanda – Angola received, this Saturday, 245,360 doses of Pfizer vaccine in a donation from the United States of America (USA) Government.

This is the fourth batch of Pfizer vaccines donated in the framework of the Covax initiative, totaling 3.2 million doses.

To date, according to the Secretary of State for Public Health, Franco Mufinda, Angola totals 13 million doses of vaccines through donations and purchases by the Angolan government.

Angola plans to vaccinate 54 percent of the population, a total of 16.8 million people over the age of 18.

Franco Mufinda appeals to the population to adhere to vaccination.

Data indicate that, until this Saturday, about 8 million people were vaccinated with a single dose.

For her part, the representative of the U.S. Embassy, Julie Nenon, stressed that the goal is to save lives worldwide, as a way to combat the pandemic.

According to the director of the Agency for International Development (USAID), the U.S. intends to distribute more than 110 million doses of the vaccine to more than 60 countries.

Source: Angola Press News Agency

Covid-19: Angola with 153 recoveries, 42 new cases

Luanda- Health authorities recorded last Thursday the recovery of 153 patients, 42 new cases and 2 deaths in the latest 24 hours.

Among the recovered, 151 resides in Luanda, 1 in Huíla and 1 in Lunda Norte.

According to Covid-19 daily report, 29 new cases were diagnosed in Luanda, 6 in Moxico, 5 in Cabinda and 2 in Uíge.

So far, Angola has totaled 64,857 cases, 1,725 deaths, 61,283 recoveries and 1,849 active patients.

Source: Angola Press News Agency