#pan american health organization

[allthebrazilianpolitics]

PAHO: Brazil lists efforts to tackle racism in the Americas

The Brazilian government has delivered to the Pan American Health Organization (PAHO) proposals and guidelines for tackling racism in the Americas. The list comes as the result of the Regional Meeting: Addressing Ethnic-Racial Inequalities in Health, hosted by Brazil and attended by representatives from 22 countries from the region.

The recommendations are aimed at implementing the Strategy and Action Plan on Ethnicity and Health in Latin America:

Continue reading.

[worldblooddonorday]

Webinario - 20 años celebrando la generosidad: ¡Muchas gracias, donantes de sangre!

La campaña del Día Mundial del Donante de Sangre 2024 tiene como lema “20 años celebrando la generosidad: ¡Muchas gracias, donantes de sangre!”, en conmemoración del hito del vigésimo aniversario y el profundo impacto que tiene la donación de sangre en la vida de pacientes y donantes. Esta campaña brinda la oportunidad de dar las gracias a las personas de todo el mundo que salvan vidas con sus donaciones de plasma sanguíneo y plaquetas. La campaña además hace un llamamiento a la acción, para motivar a más personas a que se unan al movimiento mundial de donación de sangre.

[thethief1996]

Israel has just bombed a hospital where hundreds of wounded and refugees were taking solace. Journalists in Gaza have reported there was hardly a single body whole in the aftermath (If you can stomach it, there's a video of a father holding what remains of his child). At least 500 people killed by IOF soldiers, who planned this action, got into an airplane and dropped that bomb willingly. The deadliest attack in five wars, according to the Ministry of Health.

Israel has denied ownership of the attack and said it was a misfired Hamas rocket. Originally, they celebrated it on their social media, saying they had destroyed a Hamas target, treating the deaths like an unfortunate collateral. After international backlash, they posted videos to their social media claiming it was a Hamas rocket. The video, though, shows a second explosion 40 minutes after the airstrike, and they edited it our of their tweet in a pathetic attempt at covering up.

Israel has said multiple times that they were going to bomb hospitals. They told doctors to evacuate and leave their patients to death because they were going to bomb, namely: Al Shifa, Shuhada Al Aqsa and the Quwaiti Hospital. Al Shifa housed at least 10.000 refugees and wounded, and worked as a hub for the press because it was one of the only hospitals that still had working generators. Medical crew worked with sirens blaring to signal the hospitals were not empty. This was a purposeful massacre. These people died hungry, thirsty and in pain because of the Israeli government's cruelty.

CNN and other media outlets already tried to pin the blame on Hamas, parroting back the pathetic propaganda being sold by the IOF. Even in death, Palestinians can't be respected and are used to further their own oppression. These people's deaths are not going to be in vain. Within our lifetimes, Palestine will be free.

Take action. The Labour Party in the UK had an emergency meeting today after several councilors threatened to resign if they didn't condemn Israeli war crimes. Calling to show your complaints works.

FOR PEOPLE IN THE USA: USCPR has developed this toolkit for calls

FOR PEOPLE IN THE UK: Friends of Al-Aqsa UK and Palestine Solidarity UK have made toolkits for calls and emails

FOR PEOPLE IN GERMANY: Here's a toolkit to contact your representatives by Voices in Europe for Peace

FOR PEOPLE IN IRELAND: Here's a toolkit by Voices in Europe for Peace

FOR PEOPLE IN POLAND: Here's a toolkit by Voices in Europe for Peace

FOR PEOPLE IN DENMARK: Here's a toolkit by Voices in Europe for Peace

FOR PEOPLE IN SWEDEN: Here's a toolkit by Voices in Europe for Peace

Protests in support have already erupted in Beirut, Madrid and Rabat in response to the shelling of the hospital. Join your local protest and raise your voices. For people in the US, Israel has just asked for additional $10bi in aid on top of the annual $3.8bi already given to them. Palestinians are asking that you refuse this loudly, with their every breath.

Here's a constantly updating list of protests:

Global calendar

USA calendar

Here are upcoming events:

WASHINGTON, DC: Outside Congress on 18/10 at 12 PM

WASHINGTON, DC: NATIONAL MARCH in front of the White House on 4/11 at 12 PM

SAN DIEGO: 2125 Pan American E Rd. (Spreckles Organ Pavillion) on 18/10 at 7 PM

NEW YORK: 72nd st. And 5th ave., Brooklyn on 21/10 at 2 PM

NEW YORK: CUNY Grad Building on 18/10 at 2 PM

NEW YORK: Oct 18, 5pm, Steinway & Astoria Blvd.

DALLAS: 1954 Commerce Street (Dallas Morning News Building) on 19/10 at 3 PM

[CAR RALLY] KITCHENER-WATERLOO: Fairview Park, 2960 Kingsway Dr. on 18/10 at 6 PM

KITCHENER-WATERLOO: CBC Building, 117 King St. W on 19/10 at 5 PM

HOUSTON: Zionist Consulate, 24 Greenway Plaza on 18/10 at 4 PM

OMAHA: 72nd St & Dodge St on 18/10 at 6 PM

SAINT PAUL, MN: Oct. 18, 5:30pm. State Capitol, 75 Rev Dr Martin Luther King Jr. Blvd.

BALTIMORE: Oct 20, 6pm. Baltimore City Hall

DUBLIN: Leinster House, Kildare Street, Dublin 1 on 18/10 at 5 PM

THURLES: Liberty Square on 19/10 at 7 PM

LURGAN: Market Street on 21/10 at 3 PM

PORTO ALEGRE: Rua João Alfredo, 61 on 18/10 at 19h

RIO DE JANEIRO: Cinelândia on 19/10 at 17h

RECIFE: Parque Treze de Maio on 19/10 at 17h

MANAUS: Teatro Amazonas, Largo de São Sebastião on 19/10 at 17h

SÃO PAULO: Praça Oswaldo Cruz on 22/10 at 11h

FOZ DO IGUAÇU: Praça da Paz on 22/10 at 9h

TSHWANE: Belgrade Square Park, Jan Shoba Street on 20/10 at 10 AM

VEREENIGING: Roshnee Sports Grounds on 21/10 at 14h30

Feel free to add more resources

[chagasdiseaseday]

The theme for World Chagas Disease Day 2023 is Time to integrate Chagas disease into primary health care.

 There are approximately 6-7 million people infected with Chagas disease worldwide, with 10,000 deaths, every year. World Chagas Diseases Day 2023.

[hellomynameisbisexual]

Bisexual erasure. “When bisexuality is ignored, discriminated against, demonized, or rendered invisible by both the heterosexual world and the lesbian and gay communities. Often, the entire sexual orientation is branded as invalid, immoral, or irrelevant.”

what does it Look like?

- Assuming that two women together are lesbians, two men together are gay, or a man and a woman together are straight

- In most scientific studies, bisexuality is lumped in under “gay” or “lesbian” identities

- Many LGBTQ+ organizations don’t offer programming for bisexuals

- Questioning someone’s bisexuality if they haven’t had sex with both men and women.

what does it sound like?

- “I’m not interested in dating you because you’ve only dated men.” (Implying that I’m actually straight)

- “Bi women are more likely to leave you for a straight relationship.”

- “He’s only ever dated men, so he’s obviously gay.”

- “There’s no point in coming out as Bi if you never plan to leave your current relationship. You just want attention.”

what are the consequences?

- Bi erasure leads to bi phobia (discrimination, anger, blame, and hypersexualization).

- Bi people have *significantly* higher health risks than any other sexual identity group, including alarmingly high rates of depression and suicide.

- Bi women experience much higher rates of domestic violence.

- In the ‘80s and ‘90s bi people were blamed for spreading HIV. and we are still blamed for the spread of other STI’s.

what can I do?

- If you want to help, here’s what you can do:

- Check your own biases When someone says something shitty about bisexuality, correct them—even if a bisexual person isn’t present

- Ask your local LGBTQ+ orgs to offer bi/Pan programs

- Donate time or money to bi-specific organizations.

- Resources: Bisexual Resource Center (BiResource.org) Bi Plus Organizing US (@BiPlusOrgUS) Bi Pride UK (BiPrideUK.org) BiPhoria! (biphoria.org.uk) American Institute of Bisexuality (bisexuality.org) “Greedy: Notes from a Bisexual Who Wants Too Much” by Jen Winston “Look Both Ways: Bisexual Politics” by Jennifer Baumgardner “Hunger: A Memoir of (My) Body” by Roxane Gay

[covid-safer-hotties]

Also preserved on our archive

Vaccine hesitancy driven by covid-19 antivaxxers is also effecting other vaccination, driving down efficacy. Mask up and get vaxed!

By Mary Van Beusekom, MS

The effectiveness of the seasonal flu vaccine against hospitalization among high-risk groups during the 2024 seasonal flu season in five Southern Hemisphere countries was low (35%), down from 50% in 2023 but not outside the expected range, which may portend similar efficacy during the upcoming Northern Hemisphere flu season if similar A(H3N2) viruses predominate, Centers for Disease Control and Prevention (CDC) researchers report.

The interim estimates, published late last week in Morbidity and Mortality Weekly Report (MMWR), come from Argentina, Brazil, Chile, Paraguay, and Uruguay, where an average of only 21.3% of patients hospitalized for flu from March to July 2024 (the Southern Hemisphere flu season) had received the flu vaccine.

"While Southern Hemisphere data cannot predict exactly what will happen in the Northern Hemisphere, what we can say is that if we see similar influenza viruses (strains or clades) circulating this season in the Northern Hemisphere, we can expect similar vaccine effectiveness against influenza-related hospitalizations," lead author Erica Zeno, PhD, epidemic intelligence service officer with the CDC’s Influenza Division, told CIDRAP News in an email.

This flu season, the United States is using trivalent (three-strain) vaccines with the same components as those in Southern Hemisphere vaccines, Zeno said.

On August 29, the CDC forecasted that the upcoming flu season "will be similar to or lower than that of the 2023-2024 season rate of 8.9 weekly laboratory-confirmed hospitalizations per 100,000, with moderate confidence," it wrote. "However, past seasons have varied widely in the number of illnesses, hospitalizations, and deaths, depending on the subtypes circulating, population immunity to different subtypes, and vaccine effectiveness against circulating subtypes."

Campaign targeted high-risk groups The researchers used a test-negative, case-control design to analyze data from a multinational surveillance network to generate estimates of interim vaccine effectiveness (VE) against hospitalization with flu-related severe acute respiratory illness (SARI).

The study population was made up of 11,751 SARI patients from three Pan American Health Organization (PAHO) vaccination target groups: young children (58.3%), older children and people with underlying medical conditions (14.5%), and older adults (27.2%). Case-patients had SARI and tested positive for flu, while control patients had SARI and tested negative for flu and COVID-19.

Data were pooled from 30 hospitals in Argentina, 2,477 in Brazil, 13 in Chile, 5 in Paraguay, and 10 in Uruguay beginning 2 weeks after each country's flu vaccination campaign. Vaccination status was confirmed using national electronic vaccination records.

All countries used World Health Organization (WHO)–recommended egg-based Southern Hemisphere formulations. Argentina, Brazil, Chile, and Uruguay used trivalent (three-strain) vaccines containing antigens from A/Victoria/4897/2022 (H1N1)pdm09–like virus, A/Thailand/8/2022 (H3N2)–like virus, and B/Austria/1359417/2021 (B/Victoria lineage)–like virus, while Paraguay used quadrivalent (four-strain) vaccines that also contained the B/Yamagata lineage–like virus.

Vaccination rate lower than prepandemic norms The five countries reported 11,751 flu-related SARI cases and an average low seasonal flu vaccination rate. "The documented influenza vaccination coverage levels (21.3%) were below pre–COVID-19 norms," the researchers wrote. "This finding is consistent with postpandemic declines in vaccination coverage across the Americas associated with vaccine misinformation, hesitancy, and disruptions in routine immunization services, prevalent during the COVID-19 pandemic."

The adjusted VE was 34.5% against hospitalization, 36.5% against the predominant A(H3N2) influenza substrain, and 37.1% against the A(H1N1)pdm09 substrain. VE was 58.7% among patients with chronic conditions, 39.0% among young children, and 31.2% among older adults.

"The vaccine effectiveness estimated is within the confidence interval of prior H3N2 (34%–53%) and H1N1 (18%–56%) for this Southern Hemisphere network," Zeno said. "It is lower than what was observed in the United States last season, but that was on the high-end of the historic range."

As of July 19, too few influenza B cases were available to estimate VE, the authors said. Adjusted VE against SARI from any flu virus was 42.2% in Argentina, 30.3% in Brazil, 56.9% in Chile, and 61.0% in Uruguay; VE was not calculated for Paraguay because of insufficient data. A sensitivity analysis excluding Brazil estimated an adjusted VE of 56.5%.

In total, 32.7% of SARI patients tested positive for flu, and 98.6% of identified viruses were influenza A. Only 0.7% of patients were infected with influenza B, all of which were of the B/Victoria lineage. Of 61.9% of subtyped influenza A viruses, 68.3% were A(H3N2), and 31.7% were A(H1N1)pdm09. Most (59.2%) of the case-patients were older adults, followed by people with chronic conditions (50.4%), and the lowest proportion of cases (16.0%) occurred among young children.

Vaccination can reduce illness severity, death "While flu vaccine effectiveness can vary from season to season, we know that influenza vaccination can offer significant protection for people who get vaccinated and is the best protection against influenza," Zeno said. "Importantly, influenza vaccination also can reduce severity of illness in people who get vaccinated but still get sick."

Vaccination is one of the most effective interventions to prevent flu-related complications, including death, the authors said. "Annual influenza vaccination should be encouraged for young children, persons with comorbidities, and older adults," the authors wrote. "To enhance this year’s modest influenza vaccine protection against hospitalization, providers should treat patients with suspected or confirmed influenza as soon as possible with antivirals."

"Influenza vaccine postintroduction evaluations and knowledge, attitudes, and practices surveys might identify additional reasons for low coverage and strategies for improved coverage for the next Southern Hemisphere season," they added.

[plumbits]

Leptospirosis: What it is, what it does, and how you can protect yourself and your pets.

People always have questions about leptospirosis (lepto) when they come into the clinic, especially in regards to the vaccine. This post will hopefully clear up those questions or any confusion regarding lepto and its vaccine, and why it's so serious. The information in this post comes from my formal education as a LVT, as well as other sources including the CDC, PAHO, and AVMA. If I missed anything or you see something that's incorrect, please let me know!

First and foremost: What is leptospirosis?

Leptospirosis is a bacterial disease that effects human and non-human animals. It's caused by bacteria in the genus Leptospira. In humans, it can cause a wide range of symptoms that can be very general. This leads to misdiagnoses. Animals such as dogs, livestock, and certain wildlife are all susceptible to infection.

How is leptospirosis spread?

Lepto is most often spread through contact with the urine of an infected animal. This is especially the case (but not the only case) with wild rodents. Infected dogs can seem healthy, but still pass the bacteria on in their urine. In urine-soaked soil, the bacteria can survive for weeks to months.

Dogs typically become infected when their mucous membranes or open wounds come into contact with urine or urine contaminated surfaces (like soil or water). Infection can also be spread through urine-contaminated bedding or food, or the tissues from the carcass of an infected animal. There have been rare instances where lepto has been transmitted by bite or breeding. A pregnant dog who is infected may pass the bacteria to her puppies through the placenta.

Humans contract lepto pretty much the same way: through contact with urine from an infected animal or urine-contaminated surfaces.

What are the signs and symptoms?

In humans:

High fever

Headache and muscle aches

Chills

Jaundice

Vomiting and diarrhea

Redness of the eyes

Abdominal pain

Rash

Humans can also be asymptomatic, which is particularly concerning. It usually takes anywhere from 2 days to 4 weeks post-exposure to the infection source before any symptoms are displayed. The illness begins abruptly and it may occur in 2 phases. The first phase is where you will see a lot of the general symptoms listed above. The person infected may recover for a period of time, but become ill again. The second phase is more severe, leading to kidney or liver failure, and possible meningitis. The illness can last a few days to 3 weeks or longer.

Without treatment, recovery can take several months.

In dogs:

Signs and symptoms may vary slightly depending on the strain of the infected bacteria. The signs are also very general in dogs, but the most common ones include:

Loss of appetite

Vomiting and diarrhea

Lethargy

Abdominal pain

Jaundice

Dehydration

Increased thirst and urination

Weight loss

Stiffness or muscle pain

The disease can also progress to kidney and liver failure in dogs, with damage to other organ systems also noted in the literature. Lepto can also cause bleeding disorders, which can lead to blood in urine, vomit, feces, or saliva, and petechiae on the mucous membranes or light colored skin.

Who is most at risk?

For humans, those who are most at risk include those who work with animals or outdoors where you come into contact with wildlife. The Pan American Health Organization (PAHO) also mentions that sewer workers and military personnel are at-risk populations. Farmers (and generally people who work with livestock) also make the list, as do veterinarians, veterinary technicians, and veterinary assistants.

For dogs, it's all of them. "All dogs are at risk of leptospirosis, regardless of age, breed, lifestyle, geographic location, time of year, and other factors." (source: AVMA)

Situations that can increase the risk of your dog contracting leptospirosis are listed below:

Exposure to drinking from slow-moving or stagnant water sources (this includes puddles)

Roaming on rural property

Exposure to wild animals or farm animals, even if it's only in the yard

Contact with other dogs (such as in urban areas, dog parks, boarding, or training facilities.

How is leptospirosis treated and diagnosed?

Disclaimer: I am NOT a medical doctor or DVM, but I am an LVT. If you think you're experiencing these symptoms, PLEASE go see your doctor. If you think your dog or any of your other animals are experiencing these symptoms, PLEASE take them to your vet.

Diagnosis in non-human animals:

Unfortunately, routine blood tests alone cannot diagnose leptospirosis. That's why it's important for your vet to use all information available to them (i.e. diagnostics, signs and symptoms, lifestyle, etc). There WILL be abnormal results for blood work, most likely high liver and/or kidney values and high white blood cell count. There are specific tests available for diagnosing lepto, such as the DNA-PCR and MAT tests. Both may be needed to reach or confirm a diagnosis. False negatives are possible, so your pet may be treated as if they have leptospirosis, even if the test results are negative. False positives are exceedingly rare.

Diagnosis in humans:

Leptospirosis is diagnosed in a similar fashion in humans. A physical exam, blood work, and urinalysis will likely be run. The same style of tests are used: DNA-PCR and MAT.

Treatment in non-human animals:

Leptospirosis is treated with antibiotics and supportive care. Doxycycline is most commonly used, and will likely be prescribed for 2 weeks or more. Supportive care includes hospitalization with IV fluids and management of electrolyte levels. Additional medications and procedures may be necessary.

Treatment in humans:

The treatment is similar in humans, with antibiotics (usually doxycycline). Your doctor may also suggest to take ibuprofen and monitor yourself at home for less severe cases. If the case is severe, then you'll likely spend time in the hospital. Additional medications or procedures may also be necessary.

Outcomes:

In non-human animals:

Leptospirosis is responsive to treatment with antibiotics. Complete recovery is possible, but some animals that survive may be left with chronic kidney and liver disease. Some animals may not survive if the infection has gotten to the point where it causes severe organ damage or the ability of blood to form clots.

In humans:

You can survive leptospirosis. Most cases have either very mild symptoms that go away on their own, or none at all. Without treatment, leptospirosis can cause kidney damage, meningitis, liver failure, trouble breathing, and even death. PLEASE go see a doctor if you think you're experiencing any of these symptoms, especially together.

Prevention

How can you prevent infection and protect your pets?

For dogs, there's the leptospirosis vaccine. This is an annual vaccine that vaccinates against multiple strains of Leptospira. If you're worried about your dog having a vaccine reaction, let your vet know and they can administer an injection of diphenhydramine (generic benadryl) beforehand, OR you can ask them what the appropriate dose is for your dog and give them the respective amount at home (in tablets or liquid). Vaccine reactions are uncommon, but if they do happen, it's usually immediately after exposure to the vaccine. You can ask to stick around in the lobby/waiting area of your vet clinic for a few extra minutes if you're still concerned.

Limit your dog's access to standing water. Don't let them drink from it. Prevent rodent problems where you can by properly storing food items in appropriate containers, securing your garbage, and patching up any access points into your house if you see them. Try to avoid contact with wildlife, when possible.

For humans, the recommendations remain similar. Don't wade or swim in stagnant water, ESPECIALLY if you have open wounds. Avoid contact with wildlife. WASH YOUR HANDS, often and appropriately. USE PPE if you work in a veterinary setting and properly clean and disinfect surfaces and equipment. Make sure you know or research the area that you're in if you like swimming and boating. Check to see if there have been any recent lepto infections. Cover your scrapes and wounds with waterproof bandages and wear water shoes if possible.

I hope this post answered a lot of your questions! Thanks for reading.

Sources under the cut.

Sources:

[howieabel]

'Dengue fever in Argentina broke a record this year. In the first eight weeks of 2024, authorities reported 57,461 confirmed cases and 47 deaths, a 2,153% increase compared with the same period last year. Recent data from the health ministry indicates a new record was reached in March when cases rose to 233,000 and deaths to 161. The spike in cases occurred in the same year Argentina registered record temperatures, providing the conditions for the Aedes aegypti mosquito to thrive. An as-yet-unpublished report from the National Scientific and Technical Research Council (Conicet) associated with the University of Buenos Aires, two leading Argentine institutions, paints a picture of the current state of the epidemic in the country. “Our study shows that the thermal favourability for the mosquito to continue acting for longer has increased and, in this year’s case, has spread among more people,” says Sylvia Fischer, a researcher at Conicet and a co-author of the forthcoming report. “The conditions of large cities, with a large part of the population living in densely populated areas, is another significant factor.” On 2 April, the health ministry published a note on X that questioned the vaccine’s efficacy, saying it would wait for “more scientific evidence” before offering it to the public. “The vaccine is not a validated tool for controlling the transmission of the disease in the context of the outbreak, as expressed by the Pan American Health Organization”, the note said.' - Guardian

[zlitbtrwel]

What do you love most?

Myself.

Sun. Sky. Stars. Clouds. Weather. Ocean. Wind. Trees. Dirt. Lakes. Streams. Rivers. Rain.

Museums. Art galleries. Aquariums. Planetariums. Zoos. Gas stations. The beach. Public parks. Golf courses. Country clubs.

Birds. Bugs. Fish. Aquatic mammals & other non-fish sea life. Hands. Friends. Planes. Space. Boats. Cityscapes. A room with a view. Room service.

Algebra. Geometry. Philosophy. Psychology. History. U.S. Military.

Ferrari. Porsche. Tesla. Maserati. Lexus. Hyundai. Nissan.

Oil painting. Photography. Ballet. Short and easy hikes. Writing. Drawing. Yoga. Pilates. Knife throwing. Floor laying. Showering for far too long. Weekly massages. Laundry. Tidy home. Cooking. Baking. Inventing recipes. Traveling. Car-living. Organizing. Color coding. Alphabetizing. Observing. Dissecting. Tea parties. Pickle ball. Creating. Tarot reading.

iPad. Procreate. Books. Blue ray DVD’s. Sketch books. Cute notes. Flowers. Sailor Moon Monopoly. Game boy. Switch. Legos. Stuffed bunny. Rose oil. Mini projector. White Reeboks. Bumble bee Gucci’s. Tennis skirts with pockets. Hotel pillows. Z flip 5. Digital camera. Camcorder.

Sushi. Pork burritos. Cheesecake. Fried pickles. Grilled shrimp. Salmon. Tilapia. French fries in fish burritos. Ramen. Fried eggs. Salt and pepper chips. Jalapeño cheddar Cheetos. Annie Chuns. Calpico strawberry. Calpico peach. Aloe Vera juice. Coconut water. Steak. Fettuccine Alfredo. Pesto. Panini. Turkey sandwiches. Hot sandwiches. Ranch. House made dill pickle spears. Fish tacos. Siracha mayo. Chamberlain Coffee Matcha. Strawberry oatmeal. Konjac Jelly. Tteokbokki. Pasta. Sparking cider. Sparkling grape juice. Peach juice. Watermelon juice. Lime juice. Pineapple juice. Pickle juice.

Go Fish. Phase 10. Spit. Uno. Skip Bo. Funky puzzles.

Mario Kart. Barbie groovy games. Hello kitty happy party pals. Minecraft. Scooby doo. Frogger. Fruit ninja.

F1. Basketball. Baseball. Football (American). Tennis. Sometimes golf. Horse racing.

Pretty nails. Jewel tones. Tatcha. Pan Oxyl. Face masks. Burt’s bees. L’Oréal Paris. Snail mucin. Pureology (blue). Okay firming lotion. Okay beauty bar. Florida water soap bar. Wax strips. Exfoliating gloves. Lume.

Silk & satin. High thread counts. Soft skin. Clear skin. Happy eyes. Well-rested. Good-humored. Fresh breath. Clean white teeth. Physically fit. Good health.

Zendaya. Beyoncé. Boyfriend. Blonde friend. Brunette friend. Grandma. Grandpa. Assistant. Accountants. Business Manager. Lawyers. Anne Hathaway. Anna-Taylor Joy. Carlos Sainz. Lewis Hamilton. Kardashians. Camille Rowe. Lando Norris. Oscar Piastri. Dove Cameron. Max Verstappen. Fernando Alonso. Emma Watson. Margot Robbie. Cher. Alex Albon. Sabrina Carpenter. Victoria Beckham. Lily James. Elle Fanning. Angelina Jolie. George Russell. Rihanna. Olivia Rodrigo. Jenna Ortega. Kaya Scodelario. Dylan O’Brien. Barbra Palvin Sprouse. Dylan Sprouse. Shuang Hu. Seo Yeaji. Kim Soohyun. All BTS members. Logan Lerman. Alexandra Daddario. Uma Therman. Natalia Dyer. Dacre Montgomery. Jackson Wang.

Starfire. Kate Sharma. Jeremiah (tatbilb). Shawn Spencer. Gus TT Showbiz. Juliette Ohera Spencer. Percy Jackson. Robin (teen titans). HeKate. Persephone. Venus. Aria (PLL).

Individuality. Confidence. Kindness. Unorthodox solutions. Efficiency, efficiency, efficiency. Exclusivity. Loyalty. Honesty.

The list goes on, and on, forever. . .

[thinkeco-friendly]

The Impacts of Pollution on Human Health

Waste generation in low/high-income areas and its impacts.

It is not a secret that plastic and toxic chemical pollution due to improper waste disposal in our environment threatens our health and safety. In many places, garbage cannot be properly disposed of because of unsustainable waste disposal systems, which will pollute the water, soil, and air. Waste dumpsites, especially in rural low- and middle-income communities worldwide, are at their highest with unregulated trash. Most of the unregulated plastic pollution on land will eventually seep into the soil, and others will find their way down to bodies of water, infiltrating ocean ecosystems. Due to the inaccessibility of a reliable waste management system, many people in these communities suffer from exposed methane and carbon dioxide emissions, diseases, microplastics, and pollutants.

Although the waste output of low- to middle-income communities will be much less than those in high-income neighborhoods, without a well-funded waste management system and access to compostable, biodegradable, environmentally friendly products, their society will remain in plastic waste. Regardless, many of these communities try to eliminate the garbage by uncontrolled burning and waste dumping, but these methods are not sustainable for themselves or the Earth's future.

Burning plastic trash instead of properly disposing of it or using techniques to limit the waste output, such as recycling or reusing, will result in black carbon and poor air quality, elevating the risk of respiratory diseases, cancer, and death. According to the Pan American Health Organization, nearly "7 million premature deaths are attributable to air pollution in 2016," and "about 88% of these deaths occur in low and middle-income countries."

Waste dumping results in plastic pollution in the environment, which "pose both physical (e.g., entanglement, gastrointestinal blockage, reef destruction) and chemical threats (e.g., bioaccumulation of the chemical ingredients of plastic or toxic chemicals sorbed to plastics) to wildlife and the marine ecosystem."

Though their methods may not be feasible in the long run, only government environmental programs and agencies can enact real change in these communities with funded systems and innovative ways to transport trash in and out of rural areas. Education on composting, reducing, reusing, and recycling may also help create a better environment.

Despite the large amounts of pollution attributed to the low- and middle-income communities' unsustainable waste systems, the continual plastic pollution is mostly because of the high production of plastic in growing industries in China, North America, and Europe. With easy access to waste-generating goods, the pollution problem becomes more prevalent in these countries. This foreshadows other factors that play a role in the plastic pollution issue, such as the illegal dumping of plastic waste, littering, and mismanagement of plastics; in 2016, the United States ranked #1 in plastic waste generation, as shown in the photo below.

Source: NPG, 2020

With the ever-growing amount of mismanaged plastic disposed of in our environment, the effects continue to show in research studies, revealing that it threatens the health of humans globally.

The diagram created by CIEL below demonstrates the multitudes of ways that exposure to pollution can affect human health.

More than ever, we should beware of its effects and stop producing single-use plastics that will only create more problems when disposed of. Learning and educating ourselves on Earth and becoming aware of the adverse effects will allow us, as a community, to grow one step closer to a more sustainable planet.

Sources

Mihai, F., Gündoğdu, S., Markley, L. A., Olivelli, A., Khan, F. R., Gwinnett, C., Gutberlet, J., Meidiana, C., Elagroudy, S., Ishchenko, V., Penney, S., & Lenkiewicz, Z. (2022). Plastic Pollution, Waste Management Issues, and Circular Economy Opportunities in Rural Communities. Sustainability, 14(1), 20. https://doi.org/10.3390/su14010020

Vinti, G., & Vaccari, M. (2022). Solid Waste Management in Rural Communities of Developing Countries: An Overview of Challenges and Opportunities. Clean Technologies, 4(4), 1138-1151. https://doi.org/10.3390/cleantechnol4040069

Zhou, B., Qi, F., Riaz, M. F., & Ali, T. (2022). An Analysis of the Factors behind Rural Residents’ Satisfaction with Residential Waste Management in Jiangxi, China. International Journal of Environmental Research and Public Health, 19(21). https://doi.org/10.3390/ijerph192114220

[allthebrazilianpolitics]

PAHO Director welcomes Brazil's proposal for Global Alliance against Hunger and Poverty within G20

In a meeting with the President of the Republic of Brazil, Luiz Inácio Lula da Silva, the Director of the Pan American Health Organization (PAHO) and World Health Organization (WHO) Regional Director for the Americas, Dr. Jarbas Barbosa, congratulated the Brazilian government for its proposal to create a Global Alliance against Hunger and Poverty within the G20 framework.

The exchange took place shortly after the pre-launch of the initiative today, 24 July, in the city of Rio de Janeiro, Brazil. During his intervention at the event’s plenary session, Dr. Barbosa also commended President Lula and Brazil's Minister for Development and Social Assistance, Family and Fight against Hunger, Wellington Dias, for putting forward the proposal.

The aim of the Global Alliance is to obtain resources and exchange knowledge for the implementation of public and social policies proven to be effective in ending hunger and poverty worldwide.

According to the PAHO Director, the poorest populations are the most affected by diseases and exposed to risk factors, which can in turn lead to an even greater reduction in income. “Ensuring healthy lives and promoting well-being for all at all ages is intrinsically linked to the commitment to end poverty, hunger and malnutrition,” he said.

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[worldblooddonorday]

Thank and recognize the millions of voluntary blood donors who have contributed to the health and well-being of millions of people around the world.

On June 14th, World Blood Donor Day 2024, let's say ''Thank you, blood donors''.

[beardedmrbean]

A record surge in dengue cases throughout Latin America and the Caribbean prompted the head of the Pan American Health Organization to warn of the need for proactive measures to curb the virus that is transmitted by mosquitoes.

PAHO Director Dr. Jarbas Barbosa said in a press briefing Thursday that as of March 26, the region had seen more than 3.5 million cases of dengue and more than 1,000 deaths.

"This is cause for concern, as it represents three times more cases than those reported for the same period in 2023, a record year with more than 4.5 million cases reported in the region,” he said.

As of March, the hardest-hit countries in Latin America are Brazil, Paraguay and Argentina — which have accounted for 92% of the dengue cases and 87% of the deaths — where mosquitoes have thrived because of the warm and rainy weather this time of year.

Barbosa said, however, that they're seeing an uptick in Barbados, Costa Rica, Guadeloupe, Guatemala, Martinique and Mexico, "where transmission is usually higher in the second half of the year.”

U.S. embassies have been issuing health alerts in countries throughout the region, urging people to cover their arms and legs, use mosquito repellent and avoid stagnant water and other mosquito-breeding places.

The U.S. territory of Puerto Rico declared a dengue public health emergency this week, with a surge in cases mostly in the island's capital, San Juan.

According to the Centers for Disease Control and Prevention, “dengue viruses are spread to people through the bite of an infected Aedes species” mosquito, with symptoms that can range from mild to life-threatening for those who get sick from the infection. About 1 in 20 people can get severe dengue, which can lead to death.

The most common symptom is fever, according to the CDC; other symptoms include serious headaches, nausea, vomiting, rash and body pain.

“Facing the dengue problem is a task for all sectors of society,” Barbosa said, urging community engagement.

This includes “efforts to eliminate mosquito breeding sites and protect against mosquito bites, increase preparedness in health services for early diagnosis and timely clinical management, and continuous work to educate the population about dengue symptoms and when to seek prompt medical attention,” according to a PAHO news release.

[rabbitcruiser]

Inter-American Water Day

The Inter-American Water Day was created in 1992 by means of a declaration signed by the Pan American Health Organization (PAHO), the Inter-American Association of Sanitary and Environmental Engineering (AIDIS) and the Caribbean Water And Wastewater Association (CWWA). Its objective is to pay tribute to water as the basis of our existence. We do this on the first Saturday of October every year. The commemoration of this special day highlights the importance of water for the well-being, health and sustainable development of all humankind.

The meaning of this day expresses the existence of shared values in all American countries, underlines the sense of Pan-Americanism, and reinforces the collective interest in water, life and health.

Source

[hellomynameisbisexual]

Bisexual erasure. “When bisexuality is ignored, discriminated against, demonized, or rendered invisible by both the heterosexual world and the lesbian and gay communities. Often, the entire sexual orientation is branded as invalid, immoral, or irrelevant.”

what does it Look like?

- Assuming that two women together are lesbians, two men together are gay, or a man and a woman together are straight

- In most scientific studies, bisexuality is lumped in under “gay” or “lesbian” identities

- Many LGBTQ+ organizations don’t offer programming for bisexuals

- Questioning someone’s bisexuality if they haven’t had sex with both men and women.

what does it sound like?

- “I’m not interested in dating you because you’ve only dated men.” (Implying that I’m actually straight)

- “Bi women are more likely to leave you for a straight relationship.”

- “He’s only ever dated men, so he’s obviously gay.”

- “There’s no point in coming out as Bi if you never plan to leave your current relationship. You just want attention.”

what are the consequences?

- Bi erasure leads to bi phobia (discrimination, anger, blame, and hypersexualization).

- Bi people have *significantly* higher health risks than any other sexual identity group, including alarmingly high rates of depression and suicide.

- Bi women experience much higher rates of domestic violence.

- In the ‘80s and ‘90s bi people were blamed for spreading HIV. and we are still blamed for the spread of other STI’s.

what can I do?

- If you want to help, here’s what you can do:

- Check your own biases When someone says something shitty about bisexuality, correct them—even if a bisexual person isn’t present

- Ask your local LGBTQ+ orgs to offer bi/Pan programs

- Donate time or money to bi-specific organizations.

- Resources: Bisexual Resource Center (BiResource.org) Bi Plus Organizing US (@BiPlusOrgUS) Bi Pride UK (BiPrideUK.org) BiPhoria! (biphoria.org.uk) American Institute of Bisexuality (bisexuality.org) “Greedy: Notes from a Bisexual Who Wants Too Much” by Jen Winston “Look Both Ways: Bisexual Politics” by Jennifer Baumgardner “Hunger: A Memoir of (My) Body” by Roxane Gay

[covid-safer-hotties]

Also preserved on our archive

By Adam Piore

There’s still no cure for the debilitating condition. But some front-line clinicians are finding ways to help patients feel better.

Until Elizabeth Kenny shuffled into Dr. David M. Systrom’s clinic at Brigham and Women’s Hospital in May 2022, she’d pretty much given up hope.

Two years earlier, the 50-something actress took to her bed with COVID-19, feverish and exhausted, to wait for her body to repair itself. Instead, Kenny’s 101-degree fever lasted 70 days and left behind a series of life-altering symptoms that perplexed every doctor she’d consulted. She’d stopped sweating. Her body fluctuated between feeling hot and freezing cold. She had so much trouble digesting food that she became malnourished. She developed a stutter. Bright lights made her vision blur. The back of her head often felt like someone had whacked it with a frying pan. Her heart raced. But the worst part was the relentless, soul-crushing exhaustion.

Systrom, she recalls, “was the first person that when I was describing my symptoms, wasn’t going ‘weird,’” said Kenny, who lives in Arlington. “He was like, ‘yep.’ And then asking me questions that nobody had asked.” Systrom told her that “obviously” Kenny had long COVID. Then he introduced her to a series of unfamiliar words that she would come to know intimately in the weeks that followed: “dysautonomia,” “small fiber neuropathy,” and “mast cell disorder.” It was the beginning of a new phase in her illness. One with hope.

The US Centers for Disease Control and Prevention estimates almost 7 percent, or close to 18 million Americans, are afflicted with the mysterious condition known as long COVID, a syndrome that is so heterogenous, elusive, and difficult to treat, it took a year for some doctors to even acknowledge it was real. In the years that followed, the federal government has doled out more than $1.6 billion to study it, helping to make it one of the most researched diseases in any four years of recorded history. Yet we have little to show for it.

In July, the National Academies of Science, Engineering, and Medicine, at the behest of the Biden administration, published an official definition of the condition. Long COVID occurs after a COVID-19 infection, lasts for at least 3 months, affects one or more organ systems, and includes hundreds of possible symptoms and diagnosable conditions, scientists wrote. But there are still no approved blood tests to diagnose long COVID, no clinically validated treatments, and no cure.

The news is not all bad. Five years in, a small but growing cadre of front-line clinicians such as Systrom are beginning to unravel some of long COVID’s most vexing mysteries. In the process, they are achieving something that once seemed impossible: they are finding ways to help patients, including Kenny, get their lives back.

Doing so requires improvisation, experimentation, and a willingness to work at the edge of medical knowledge. Systrom and his colleagues discuss promising scientific papers and trade tips at conferences, on Zoom calls, and in email chains. Their growing well of anecdotal experience is pointing the way toward the groundbreaking research and clinical trials that will be needed to develop a standard of care in the years ahead as we grapple with a slow-burning public health crisis that shows no sign of abating. While the incidence of long COVID has dropped from roughly 10 percent at the peak of the pandemic to about 3.5 percent among the vaccinated, only about 25 percent of those who develop the condition recover, according to Systrom and other front-line clinicians.

In September 2021, Systrom was among the first clinicians in the nation to demonstrate a measurable change in the physiology of patients suffering from long COVID — and explain how those changes might account for the crushing fatigue that is among its most debilitating symptoms. The study helped establish long COVID as a legitimate condition and overcome the skeptics, said Dr. David Putrino, who runs a long COVID clinic at New York’s Mt. Sinai Hospital.

The study grew out of his experiences with patients: Prior to the arrival of COVID-19, Systrom, a critical care physician who runs a pulmonary clinic at Brigham and Women’s Hospital, had spent years studying chronic fatigue syndrome, also known as myalgic encephalomyelitis, an illness afflicting more than 3 million Americans. When Systrom saw his first long COVID patients — before the condition even had a name — he recognized their symptoms immediately. They were similar if not identical to those reported by patients with chronic fatigue.

To prove it, Systrom had 10 patients don masks and threaded thin, flexible tubes into their jugular veins and major arteries in the forearm to measure the concentration of oxygen absorbed into the lungs, passed into the bloodstream, and taken up by the body’s muscles as they underwent rigorous workouts on stationary bicycles.

Patients who reported symptoms of long COVID absorbed just as much oxygen into their lungs as those without it. But the amount reaching their muscles — oxygen needed to produce the energy required by the exercise — was dramatically reduced, Systrom found.

A growing body of research suggests that both long COVID and chronic fatigue are post-viral syndromes that result in chronic, low-grade inflammation that can damage healthy tissue and, in some cases, the production of auto-antibodies that can attack it.

Systrom and others have begun to catalog the scope of the microscopic carnage caused by the immune system’s friendly fire. Using skin biopsies, Systrom has identified damage to the vast microscopic network of small nerve fibers responsible for sending a wide array of sensory information to the brain. The brain uses that information to regulate involuntary physiologic processes including heart rate, blood flow, temperature, breathing, digestion, and sexual arousal. The result is a condition called “dysautonomia,” a failure of the autonomic nervous system often associated with diabetes as well as autoimmune and degenerative nerve disorders.

They have also identified reductions in mitochondria, the microscopic powerhouses that produce the chemical energy needed to perform basic cellular functions.

For many patients, these findings have been a revelation.

“He’s taken me from feeling completely lost in the woods to at least now just being on the edge of the woods,” Kenny said. “At least now I have a partial understanding of what’s happening to me.” Perhaps more important, Systrom and others have begun to find ways to blunt the condition’s most debilitating symptoms.

Most front-line treatments are still “anecdotal, based on our hunch and experience that we’ve amassed in the clinic over the past several years,” said Ziyad Al-Aly, a clinical epidemiologist at Washington University in St. Louis and leading long COVID researcher, who runs a long COVID clinic.

To tamp down the toxic low-level inflammation, Systrom often prescribes a low dosage of naltrexone, an anti-addiction drug. He and others recently launched a randomized clinical trial to demonstrate the success they have seen in the clinic. He uses Midodrine, a drug that can cause blood vessels to tighten, to increase blood pressure, which can fall dangerously low due to the problems with autonomic nerve signaling. And he offers Mestinon, approved to treat a chronic autoimmune neuromuscular disease called myasthenia gravis, to improve communication between the small nerve fibers and the brain.

Other promising off-label therapies listed by Al-Awy, Putrino, and others include emergency opioid medications that seem to attenuate brain fog, transdermal patches that deliver mitochondrial supplements, and antihistamines, which can be used to tamp down the overactivation of the immune system’s mast cells in tissues.

These treatments have not been validated by the Food and Drug Administration and the success rate varies by patient type, symptoms, and clinical practice. While Putrino and Systrom both believe the transdermal patches have helped their patients with mitochondrial dysfunction, for instance, Al-Awy has less confidence in their efficacy and is thus far less likely to prescribe them.

For Kenny, these medications make a difference. Today, she can move around her house and do things for five hours a day, instead of just two. Her brain fog has lifted enough that she can write for small windows of time. She no longer suffers from intestinal distress so severe she has to use the bathroom five times a day.

Her disease feels like a disability, not a death sentence.

“There’s this huge difference depending on which doctor you end up with,” she said. “I could have just as easily been put with a different doctor who doesn’t have Systrom’s background, who would give me that speech: ���This is a brand new disease. We don’t know anything. This is all emerging. We still don’t know.’ I got lucky.”