Health
More Children at Risk of Measles in Wake of Ebola Epidemic
LAURAN NEERGAARD, AP Medical Writer
WASHINGTON (AP) — Ebola’s toll moved beyond 10,000 deaths Thursday even as researchers warned of yet another threat to hard-hit West Africa: On the heels of the unprecedented devastation, large outbreaks of measles and other vaccine-preventable diseases could move into the region.
Ebola derailed child immunizations in the three countries hardest hit by Ebola — Liberia, Sierra Leone and Guinea, leaving hundreds of thousands more children vulnerable to the more routine infections, researchers said Thursday. Already, worrisome clusters of measles cases are cropping up.
The new study warns that it’s crucial to restart the shots quickly, citing math models that estimate thousands could die if a large enough measles outbreak were to strike before the battered health care system has a chance to recover.
Measles epidemics often follow humanitarian crises because “measles is so incredibly contagious,” explained Johns Hopkins University epidemiologist Justin Lessler, who led the study published in the journal Science.
“Measles is not the only health threat that has been made worse by the Ebola crisis, and may not even be the most dire, but it is one we can do something about,” he added.
The Ebola death milestone announced by the World Health Organization on Thursday had been expected for weeks, even though overall the epidemic is waning. Liberia has begun the 42-day countdown toward being declared Ebola-free if no new cases arise. Guinea and Sierra Leone still are struggling to end new infections, although cases aren’t nearly as high as in the fall.
A side effect of hospitals closed in the outbreak zone, and a population frightened of what health care remained, is that unnecessary deaths occurred from malaria, childbirth and other common conditions.
Now the question is whether measles and other vaccine-preventable childhood diseases will be the next post-Ebola problem.
In Guinea, UNICEF has reports of 339 suspected measles cases, 27 of them confirmed, agency spokesman Patrick Moser said in New York.
Doctors Without Borders said it has reports of 182 suspected measles cases in Liberia, plus some suspected cases in Sierra Leone, too.
Health services are slowly resuming in areas where Ebola’s grip has lessened. In Liberia, routine childhood vaccinations are being given in health facilities again, said Tolbert Nyenswah, an assistant health minister.
In addition, UNICEF and Doctors Without Borders are working with Liberian officials for a measles and polio vaccination campaign in May that will target more than 600,000 children under age 5, Moser said. Similar campaigns also are planned for Sierra Leone, depending on the continuing Ebola situation.
Measles remains a leading killer of children in developing countries, and it’s far more contagious than Ebola. There have been some huge epidemics when vaccinations were disrupted. Hopkins’ Lessler noted that between 2010 and 2013, about 294,000 cases of measles spread through the Congo, with more than 5,000 deaths, after a period of political instability.
His team set out to model what might happen if a large measles outbreak spread across Liberia, Sierra Leone and Guinea.
At the start of the Ebola crisis there already were about 778,000 unvaccinated children ages 9 months to 5 years in the three countries, the study estimated. For every month that Ebola disrupted regular health care, an extra 20,000 children became susceptible to measles, the researchers calculated.
In a worst-case regional outbreak, about 127,000 people would have gotten sick before Ebola but, after 18 months of vaccine disruption, an additional 100,000 illnesses could be expected, the researchers calculated. Anywhere from 2,000 to 16,000 more deaths could occur.
That estimate assumed that vaccinations dropped by 75 percent during the Ebola crisis, and Lessler said recent information suggests the decreases weren’t that severe. Even if vaccinations dropped by just 25 percent, Lessler said that still could mean tens of thousands more illnesses and anywhere from 500 to 4,000 additional deaths than before the recent Ebola outbreak.
Models are just that, and there’s no way to know if the region really is poised for a post-Ebola measles outbreak. But health groups say it’s urgent to restart vaccinations.
“There is a threat,” Dr. Estrella Lasry of Doctors Without Borders said in a phone interview from Liberia.
Health workers will have to make sure parents understand the need for resuming routine childhood immunizations, and the difference from studies of experimental Ebola vaccines that are being conducted in the region.
“There’s a need to rebuild trust in the health system,” she said.
___
Associated Press writers Maria Cheng in Geneva and Jonathan Paye-Layleh in Monrovia, Liberia, contributed to this report.
Copyright 2015 The Associated Press. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.
Activism
LIVE! — TOWN HALL ON RACISM AND ITS IMPACT — THURS. 11.14.24 5PM PST
Join us for a LIVE Virtual Town Hall on the Impact of Racism hosted by Post News Group Journalist Carla Thomas and featuring Oakland, CA NAACP President Cynthia Adams & other Special Guests.
Thursday, November 14, 2024, 5 p.m. – 6:30 p.m. PST
Join us for a LIVE Virtual Town Hall on the Impact of Racism hosted by Post News Group Journalist Carla Thomas and featuring Oakland, CA NAACP President Cynthia Adams & other Special Guests.
Thursday, November 14, 2024
5 p.m. – 6:30 p.m. PST
Discussion Topics:
• Since the pandemic, what battles have the NAACP fought nationally, and how have they impacted us locally?
• What trends are you seeing concerning Racism? Is it more covert or overt?
• What are the top 5 issues resulting from racism in our communities?
• How do racial and other types of discrimination impact local communities?
• What are the most effective ways our community can combat racism and hate?
Your questions and comments will be shared LIVE with the moderators and viewers during the broadcast.
STREAMED LIVE!
FACEBOOK: facebook.com/PostNewsGroup
YOUTUBE: youtube.com/blackpressusatv
X: twitter.com/blackpressusa
California Black Media
Gen. Election Update: Tracking Your Votes on Ballot Propositions — and What They Mean for Our Communities
In the Nov. 5 General Election, Californians cast their votes on ten propositions addressing issues from education and climate funding to prison labor and the minimum wage.
By Joe W. Bowers Jr., California Black Media
In the Nov. 5 General Election, Californians cast their votes on ten propositions addressing issues from education and climate funding to prison labor and the minimum wage.
Below is a breakdown of the propositions, their potential impact and an update on how we voted on them.
Likely to Pass:
Proposition 2: Bonds for Public School and College Facilities
With 56.7% support, Prop 2 is on track to pass. This measure would allocate $10 billion to repair and upgrade K-12 and community college facilities, especially in under-resourced schools. For students, this funding could lead to safer and more supportive learning environments.
Proposition 3: Constitutional Right to Marriage
Prop 3 currently has 61.4% support and is likely to pass. This measure aims to amend California’s constitution to affirm marriage rights for all. For LGBTQ+ individuals in our communities, this is a powerful affirmation of equality and inclusion.
Proposition 4: Bonds for Water, Wildfire, and Climate Risks
Currently passing with 57.8%, Prop 4 is on track to deliver $10 billion for projects that address water quality, wildfire prevention, and climate resilience. This could have a significant impact on communities that face the harshest effects of climate change.
Proposition 34: Restricts Spending of Prescription Revenues
Prop 34 is narrowly passing with 51.4% support, indicating that it may succeed. The measure would require specific healthcare providers to use 98% of revenue from federal drug discount programs on direct patient care. This could improve healthcare access for low-income residents.
Proposition 35: Provides Permanent Funding for Medi-Cal
With 66.8% of voters in favor, Prop 35 is on course to pass, securing permanent funding for Medi-Cal, California’s low-income healthcare program. For many in our communities who depend on Medi-Cal, this measure promises stability and continued access to essential healthcare services.
Proposition 36: Increased Sentencing for Certain Drug and Theft Crimes
With strong support at 70.5%, Prop 36 is poised to pass, increasing penalties for specific theft and drug offenses. This measure would partially roll back sentence reductions established by Prop 47, sparking concerns about potential increases in incarceration rates.
Likely to Fail:
Proposition 5: Bonds for Affordable Housing and Infrastructure
With 56.4% of voters opposed, Prop 5 is likely to fail. The measure aimed to reduce the voting threshold for local bonds from two-thirds to 55%, making it easier to fund affordable housing. Without it, local governments will continue to face higher approval requirements, potentially slowing progress on affordable housing solutions.
Proposition 6: Eliminates Forcing Inmates to Work
Currently failing with 54.9% opposed, Prop 6 is expected to be defeated. This measure would have ended involuntary labor for incarcerated individuals, a practice critics argue disproportionately affects Black inmates. It’s likely failure means the prison labor system will remain unchanged.
Proposition 32: Raises Minimum Wage
With 52.1% of voters opposing it, Prop 32 appears likely to fail. This measure would have raised the minimum wage to $18 an hour. While proponents argued it would provide greater financial stability for low-wage workers.
Proposition 33: Local Government Residential Rent Control
With 61.9% voting “no,” Prop 33 is expected to fail, meaning that local governments won’t gain expanded authority to enact rent control. Real estate groups argued that this measure could hinder housing development. Its failure means that current rent control laws will remain in place, leaving fewer protections for renters.
California Black Media
Covered California Open Enrollment Began Nov. 1
Open enrollment for Covered California kicked off on Nov. 1, 2024, offering individuals, families, and businesses a chance to secure quality, affordable health insurance for the upcoming year. This annual enrollment period allows California residents to choose from a variety of health plans that meet their specific needs. Covered California offers comprehensive coverage, including preventive care and financial assistance to help eligible applicants lower their monthly premiums.
By Bo Tefu, California Black Media
Open enrollment for Covered California kicked off on Nov. 1, 2024, offering individuals, families, and businesses a chance to secure quality, affordable health insurance for the upcoming year. This annual enrollment period allows California residents to choose from a variety of health plans that meet their specific needs.
Covered California offers comprehensive coverage, including preventive care and financial assistance to help eligible applicants lower their monthly premiums. The program features insurance plans from leading providers, ensuring access to essential health services such as doctor visits, hospital care, and mental health services.
This year, notable updates include expanded financial assistance, which increases the support available for eligible households to help offset monthly costs. Additionally, consumers will find greater plan flexibility, allowing them to select options that fit their lifestyles and budgets. Access to no-cost preventive services — like vaccinations, screenings, and annual check-ups — remains a priority.
Key enrollment deadlines are set as follows:
- The open enrollment period runs from Nov. 1, 2024, to Jan. 31, 2025.
- Those who enroll by Dec. 15, 2024, will have their coverage start on Jan. 1, 2025.
To facilitate enrollment, applicants can fill out an inquiry form on the Covered California website, reach out to Certified Enrollment Counselors, or contact Covered California directly at (888) 234-5366 or via email at GetCovered@cbhn.info.
The California Black Health Network (CBHN) collaborates with Covered California to advocate for health equity, focusing on underserved communities, including unemployed and gig workers. CBHN’s certified enrollers engage in outreach and onsite signups to help individuals access affordable healthcare options.
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