January 2024

Indigenous African grains such as millet and sorghum are known to be nutritious but are not popular with many, especially the Gen Zers who view the grains as food for the poor. To change this narrative, a Kenyan entrepreneur is using the grains to make snacks and breakfast cereals to promote consumption of indigenous grains and foster environmental sustainability, as Juma Majanga reports from Nairobi. Video by Amos Wangwa.
…

Nairobi — A polio vaccination campaign that was planned for November but postponed due to heavy rains and floods is finally taking place in three high risk counties in the northeastern part of Kenya. This comes after 13 cases of the so-called circulating vaccine-derived poliovirus type 2 (CVDPV2) were discovered last year in the area. 

This is the third round of polio vaccination targeting three high-risk counties of Mandera, Wajir and Garissa.

The goal, according to Kenya’s ministry of health and its partners, is to reach about 750,000 children under the age of five. About 238,000 children ages 6 to 15 in certain areas will also be vaccinated.

Aden Ibrahim, Garissa County director of health, explains.

“The first case, the sample was collected in June 2023. It was a child which came from the Somalia side, later became sick and went to a health facility; they [child] were investigated because they were symptomatic, and they were confirmed as having a polio positive,” he said.

Ibrahim said soon after, more cases were detected in some of the refugee camps. 

“In Hagadera camps, there were 13 confirmed cases of polio in the camps last year and that has necessitated 3 rounds of campaign to be conducted where we did the two rounds last year and this one was actually scheduled to take place last year in November,” he said.

But due to heavy rains and floods that killed 130 and displaced 89,000 the November round was postponed.

Kenya is not the only country affected by a resurgence of polio. After three decades of being polio-free, Burundi had 16 cases last year. And as of August 2023, 187 confirmed cases of circulating variant poliovirus have been reported in 21 countries in Africa Region according to the World Health Organization.

Among the many reasons this has been happening are inaccessibility to basic healthcare, conflicts and insecurity in some of the countries, and climate change, said Ibrahim.

“Polio is more of an oral-fecal transmission and because of this climate change, age of drought brings poor sanitation at the end of the day because of issue of lack of water and all those things,” he said.

The Horn of Africa region recently suffered its worst drought in decades.  

To eradicate the disease, Ibrahim points out that countries need to strengthen routine immunization, invest in a robust surveillance system, and improve their respective healthcare systems.

Polio is a highly infectious and debilitating disease that affects children under 5 causing permanent paralysis. It can also cause death in 2 to 10 percent of those paralyzed according to WHO.
…

new york — The U.S. syphilis epidemic isn’t abating, with the rate of infectious cases rising 9% in 2022, according to a new federal government report on sexually transmitted diseases in adults.

But there’s some unexpected good news: The rate of new gonorrhea cases fell for the first time in a decade.

It’s not clear why syphilis rose 9% while gonorrhea dropped 9%, officials at the U.S. Centers for Disease Control and Prevention said, adding that it’s too soon to know whether a new downward trend is emerging for the latter.

They are most focused on syphilis, which is less common than gonorrhea or chlamydia but considered more dangerous. Total cases surpassed 207,000 in 2022, the highest count in the United States since 1950, according to data released Tuesday.

And while it continues to have a disproportionate impact on gay and bisexual men, it is expanding in heterosexual men and women, and increasingly affecting newborns, too, CDC officials said.

Syphilis is a bacterial disease that can surface as painless genital sores but can ultimately lead to paralysis, hearing loss, dementia and even death if left untreated.

New syphilis infections plummeted in the U.S. starting in the 1940s when antibiotics became widely available and fell to their lowest number by 1998.

About 59,000 of the 2022 cases involved the most infectious forms of syphilis. Of those, about a quarter were women and nearly a quarter were heterosexual men.

“I think it’s unknowingly being spread in the cisgender heterosexual population because we really aren’t testing for it. We really aren’t looking for it” in that population, said Dr. Philip Chan, who teaches at Brown University and is chief medical officer of Open Door Health, a health center for gay, lesbian and transgender patients in Providence, Rhode Island.

The report also shows rates of the most infectious types of syphilis rose not just across the country but also across different racial and ethnic groups, with American Indian and Alaska Native people having the highest rate. South Dakota outpaced any other state for the highest rate of infectious syphilis at 84 cases per 100,000 people — more than twice as high as the state with the second-highest rate, New Mexico.

South Dakota’s increase was driven by an outbreak in the Native American community, said Dr. Meghan O’Connell, chief public health officer at the Great Plains Tribal Leaders’ Health Board based in Rapid City, South Dakota. Most Nearly all of the cases were in heterosexual people. O’Connell said STD testing and treatment was limited in isolated tribal communities and only got worse during the pandemic.

The U.S. Department of Health and Human Services last year convened a syphilis task force focused on stopping the spread of the STD, with an emphasis on places with the highest syphilis rates — South Dakota, 12 other states and the District of Columbia.

The report also looked at the more common STDs of chlamydia and gonorrhea.

Chlamydia cases were relatively flat from 2021 to 2022, staying at a rate of about 495 per 100,000, though there were declines noted in men and especially women in their early 20s. For gonorrhea, the most pronounced decline was seen in women in their early 20s as well.

Experts say they’re not sure why gonorrhea rates declined. It happened in about 40 states, so whatever explains the decrease appears to have occurred across most of the country. STD testing was disrupted during the COVID-19 pandemic, and officials believe that’s the reason the chlamydia rate fell in 2020.

It’s possible that testing and diagnoses were still shaking out in 2022, said Dr. Jonathan Mermin, director of the CDC’s National Center for HIV, Viral Hepatitis, STD and TB Prevention.

“We are encouraged by the magnitude of the decline,” Mermin said, though the gonorrhea rate is still higher now than it was pre-pandemic. “We need to examine what happened, and whether it’s going to continue to happen.”
…

The United Nations Conference on Trade and Development ranks Africa as the region with the lowest amount of e-commerce investment. UNCTAD says e-commerce is currently accessible to very few urban areas. An AI solution, however, aims to solve the problem. Senanu Tord reports from Accra, Ghana.
…