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Medics warn Ugandans against off the counter COVID-19 treatment ‘drugs’

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Some of the Covid treatment drugs combo

Some of the Covid treatment drugs combo

With hospitals turning away patients, gazetted treatment isolation centers filling up fast and daily infections skyrocketing, several Ugandans have now resorted to stocking off-the-counter drugs to treat or prevent coronavirus disease (COVID-19).  

But medical experts have now warned that stocking drugs holds an even bigger danger to the public than COVID-19 itself. Dr. Richard Idro, the president of the Uganda Medical Association says as a result of the infection scare and for capitalistic intentions, many pharmacies around the city have even formulated lists of medicine combinations (combos) that one can take from home once tested positive.

Some of such drugs that have been popularized for the treatment of viral respiratory disease include zinc, azithromycin, Vitamin C, dexamethasone, but medics say not everyone that tests positive needs treatment. 

“We’re seeing a lot of things circulating on social media prescribing of what you should buy and take. Do not buy dexamethasone and take it at home, do not buy prednisolone and take it at home. These things will lower your immunity, they can only be prescribed by a doctor for a good reason. They induce, they might worsen your diabetes…please don’t do it. People are buying antibiotics over the counter, it is creating drug resistance in our environment,” says Dr Idro.

For the asymptomatic patients who comprise over 80 per cent of people testing positive, doctors say they need to feed well with plenty of fruits and vegetable, hydrate often with recommendations of up to three liters of fluids each day, get at least 30 minutes of sun exposure every day and exercise and the disease will clear on its own even without having any medicine. 

For vitamin C for instance, which people continue taking in error to prevent infection, the ministry of Health earlier this year discontinued its use even among admitted COVID-19 patients after their analysis found it to have disastrous effects on patients.

Dr Bruce Kirenga, a lung expert who works in the COVID-19 treatment ward at Mulago National Referral hospital said the drug was very toxic and yet it wasn’t effective in treating the disease. Many people who had been using the drug showed up in hospital at the brink of developing kidney failure because of its continued use.

In addition to the drugs, Dr Robert Lubega, another doctor at Mulago reveals that out of desperation individuals are opting to purchase oxygen cylinders to keep them at home, and yet wiring one onto oxygen requires thorough analysis which should be done in a hospital setting.

However, amidst this danger, pharmacies around Kampala continue making a killing out of the combos. When URN visited some of the pharmacies in Wandegeya, smaller packs containing a mixture of these drugs go for between Shs 50,000 and Shs 100,000 and the bigger packs depending on what is contained therein can go for as much as Shs 200,000.

Medics say if anything, Ugandans should opt for natural home remedies instead 

Dr Idro says that instead of the public spending on non-prescribed dangerous drugs, they should instead invest in small gadgets for measuring temperature and oxygen levels in blood.

“There are people who say they are preventing Covid, they have been taking Vitamin C for months, it is not a good thing to do. A lot of our fruits have an adequate amount of these things. If you need medication, the health worker will prescribe…There is a lot of dangerous information circulating on social media, it is very important while you’re being monitored for mild disease at home that you know and have a way of getting to hospital so that you’re transferred. Have available at home somebody who can support you, don’t be at home alone even if you have mild symptoms. Ask somebody to stay with you,” said Idro.

Adding: “Monitor your temperature at least 3 times a day…because should the temperature go beyond 35 you need to go to hospital, you can’t stay at home. It will no longer be mild disease. If you experience any difficulty in breathing rush to hospital this is now an emergency matter.”

Constant monitoring he says, will give one pointers on when to involve a health worker or run to the nearest hospital. Currently, according to latest ministry of Health figures released last evening, 784 people are currently admitted in hospitals around the country with COVID-19.  The majority of the positive cases are either asymptomatic or mild and are self- treating from home.



Source – observer.ug

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Nic Dlamini is set to be first black South African at Tour de France

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South African cyclist Nic Dlamini
Nic Dlamini is set to become the first black South African to ride the Tour de France

Nic Dlamini will make history at this year’s Tour de France by being the first black South African to compete in cycling’s most famous race.

The 25-year-old will be one of the eight riders for Africa’s only top-flight professional cycling team Qhubeka-Assos at the Tour, which runs from 26 June until 18 July.

He will be the only African on the team that will be jointly led by Australia’s Simon Clarke and Austrian Michael Gogl as well as including the Italian 2015 Vuelta a Espana winner Fabio Aru.

“Being selected to ride in my first Tour de France is an absolute dream come true for me,” Dlimani said.external-link

“It’s always been an childhood dream and now that I’m about to live it makes it feel surreal.

“I think it speaks to what the team is about, the Ubuntu spirit [I am because we are], and how we change people’s lives because it is honestly a very special moment: to come from a small township and then to go to the Tour de France.”

He becomes the latest rider to progress from the South African-registered team’s development squad and onto the UCI WorldTour.

Humble beginnings

South African cyclist Nic Dlamini

The 25-year-old, who grew up in an informal settlement in Cape Town, first caught the eye as a runner before moving into cycling where his talents saw him move to the UCI’s World Cycling Centre Africa in Potchefstroom, South Africa.

“Considering where I come from it would simply have been impossible for me to have the opportunity to ride at the Tour de France if it wasn’t for Team Qhubeka-Assos,” he explained.

“The platform that they’ve provided me, and other riders from Africa, to compete at the highest level in cycling has been critical.

“I really hope that this will serve as a reference of hope and inspiration to many young South Africans, and people around the world, who have been working really hard to reach their dreams. My hope is that they take from this that anything is possible.

“I want to race the Tour to inspire more kids on Qhubeka bikes to follow in my footsteps and to experience the world like I have, for more kids in communities to put their hands up for bikes to work hard like I did, to dream big.”

According to the team “Dlamini’s style of racing will likely see his talents deployed in the offensive strategy the team will look to pursue during the race, while also playing a key supporting role in the flatter stages.”

The team is completed by Belgium’s Victor Campenaerts, Max Walscheid of Germany, debutant Sean Bennett of the USA and Colombian Sergio Henao.

Qhubeka-Assos’ team principal Douglas Ryder also hopes that Dlamini’s inclusion is a special moment.

“For Nic, what a moment though; his story is simply an incredible one and for him to have earned this opportunity shows that dreams really do come true, and for the team to have provided that opportunity makes me incredibly proud,” he said.

“He’s always been an individual that has stepped up and taken the opportunities that he’s fought for; and he does so again as he lines up at the startline in Brest on the sport’s biggest stage in front of the world.

“This will culminate in an incredible moment for him, South Africa and especially for our team.

“His selection speaks to everything about what we’ve created and built with this team through providing hope, an opportunity and then ultimately the platform to be on the biggest stage of all, the Tour de France.”

The only African rider to have worn the Tour de France leader’s famous ‘yellow jersey’ is Dlamini’s compatriot Darryl Impey, who wore it for two stages in 2013.



Source – www.bbc.co.uk

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In COVID hit Asia, mixed messages on refugee vaccinations | Coronavirus pandemic News

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Medan, Indonesia – Earlier this month, dozens of Rohingya refugees landed on a deserted island off the coast of Indonesia’s Aceh Province.

The refugees had been at sea for more than 100 days, having left Cox’s Bazar in Bangladesh in a rickety wooden fishing boat, and were spotted huddling on uninhabited Idaman Island by local fishermen who used the island as a rest stop between fishing trips.

By June 5, just a day after their arrival, all 81 refugees, including children, had been vaccinated against COVID-19.

“The refugees were vaccinated in conjunction with the local government,” Nasruddin, the humanitarian coordinator of Geutanyoe Foundation, an NGO which provides education and psychosocial support to refugees in Indonesia and Malaysia, told Al Jazeera.

“When we found them, they were in a crisis situation on the island with no food, water or electricity, so local residents brought them food and we also brought them 50 tanks of water,” he added. “The feeling on the ground was that we needed to share our vaccines with the refugees in order to protect them as well. No one complained that the vaccines were being given to refugees.”

Aceh Province has been widely praised by humanitarian groups, NGOs and the general public for vaccinating Rohingya refugees, but elsewhere in Southeast Asia, asylum seekers, refugees and migrant workers have not been so lucky.

Hard line

When Nasruddin assessed the 81 refugees on Idaman Island, they told him that they had wanted to go to Malaysia. Some had family members who were already living there, while others were under the impression that the country had a more liberal policy towards refugees than its neighbours.

Some of the Rohingya refugees who arrived in Aceh earlier this month. They told NGOs that they had wanted to go to Malaysia because they had family there or thought it would be more welcoming to refugees than other countries in Southeast Asia [Cek Mad/AFP]

But like most countries in Southeast Asia, Malaysia is not a signatory to the United Nations Refugee Convention and while the government has said it will vaccinate everyone living in the country, it has also taken a hard line on undocumented migrants and refugees, including Rohingya.

“In February, the cabinet decided that in the interest of pandemic recovery all foreigners would receive vaccination free of charge, including refugees and undocumented migrants,” Lilianne Fan, the co-founder and international director of Geutanyoe Foundation who is based in Kuala Lumpur, told Al Jazeera.

“The COVID-19 Immunisation Task Force and Science Minister Khairy Jamaluddin as coordinator of the vaccination programme, have been vocal advocates of this approach.

“However, the recent statement of the minister of home affairs that those without valid documents should not be vaccinated, combined with renewed crackdown on undocumented migrants, contradicts the government’s earlier position and will simply drive more people into hiding and slow down Malaysia’s pandemic recovery.”

Malaysia went into its second strict lockdown at the beginning of June after cases of coronavirus surged – stretching hospitals and intensive care units to the limit. The health ministry announced 6,440 new cases on Friday.

The government has indicated that it will ease the lockdown as more people are vaccinated, and Khairy has consistently stressed that the programme will include everyone living in the country.

But as it did during last year’s first lockdown, Malaysia has once again stepped up operations against undocumented migrants.

Malaysia’s Home Minister Hamzah Zainudin has declared that PATI – the acronym for undocumented people in the Malay language – will be detained and sent to immigration detention centres.

This month, he stressed that undocumented migrants had to “surrender” before they would be vaccinated.

In early June, a video from state news agency Bernama showed 156 undocumented migrants from India, Pakistan, Bangladesh and Myanmar being sprayed with disinfectant in Cyberjaya, near Malaysia’s international airport, after they had been detained.

Last week the immigration department shared a post on its Facebook page – styled like a poster for an action movie – with the headline “Ethnic Rohingya migrants are not welcome”. After an outcry, but not before it had been widely shared among refugee communities, it was deleted.

The Human Rights Commission of Malaysia on Monday expressed concern at “recent statements portraying migrants, undocumented or irregular migrants, refugees and asylum seekers as a threat to the safety and security of the country and a risk to the health of Malaysians” and urged the government to rethink its approach.

“Instilling fear through threats of arrests and detention of undocumented foreigners is counterproductive in light of ongoing efforts to overcome the pandemic and achieve herd immunity,” it said, stressing the clear differences in the situations of migrant workers, and refugees and asylum seekers.

Malaysia closed its borders during the first strict lockdown last year when immigration officers carried out a number of raids on areas under ‘enhanced’ lockdown. Rights groups fear more raids will deter people from coming forward for the vaccine that is crucial to Malaysia ending the COVID pandemic [File: Lim Huey Teng/Reuters]

Rohingya made up about 57 percent of the 179,570 refugees registered with the United Nations High Commissioner for Refugees (UNHCR) in Malaysia at the end of May.

Unofficial estimates suggest the country may have as many as three million undocumented migrants, according to the International Organization for Migration.

Widespread problem

The mixed messaging on vaccinations for refugees is not exclusive to Malaysia.

In a statement released in early June, the UN refugee agency warned that a shortage of vaccines in the Asia Pacific region was putting the lives of refugees and asylum seekers at risk.

“Refugees remain especially vulnerable to the spread of COVID-19. Overcrowded settings, coupled with limited water and sanitation facilities, can contribute to increased infection rates and an exponential spread of the virus,” UNHCR spokesperson Andrej Mahecic said in the statement.

There are almost 900,000 Rohingya refugees in Cox’s Bazar, making it the single largest and most densely populated cluster of refugee camps in the world. According to Mahecic, the number of COVID-19 cases in the camps has increased dramatically in the last two months.

As of 31 May, there had been more than 1,188 confirmed cases among the refugee population, with more than half of these cases recorded in May alone.

None of the refugees in Cox’s Bazar has yet been vaccinated against COVID-19.

Mahecic added that, in many countries in the Asia Pacific region, there were not enough vaccines to go around, leading to groups such as migrant workers and asylum seekers being sidelined.

The UNHCR had observed a “worrying increase” in the number of coronavirus cases among refugees and asylum seekers in countries including Thailand, Malaysia and Indonesia, he said.

Indonesia, at least, appears to be starting to do more to address the problem.

The UNHCR says COVID-19 has begun to accelerate in the crowded refugee camps of Cox’s Bazar, but no Rohingya living there have been vaccinated [File: Mohammad Ponir Hossain/Reuters]

Other parts of the country have started to follow Aceh’s lead, according to the IOM, which vaccinated more than 900 refugees in the Indonesian city of Pekanbaru in Riau Province in early June in collaboration with the local government.

“IOM applauds the response of the City Government of Pekanbaru for making vaccines available to the refugee community in the city,” Ariani Hasanah Soejoeti, the national media and communications officer of IOM Indonesia told Al Jazeera, adding that all refugees in the city over the age of 18 have now received vaccines.

“Vaccines are one of our most critical and cost-effective tools to prevent outbreaks and keep individuals and therefore entire communities safe and healthy,” she said.

“The virus knows no borders or nationality; and neither should our solidarity.”





Source – www.aljazeera.com

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Why Ethiopia’s 'alphabet generation' feel betrayed by Abiy

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PM Abiy Ahmed swept to power after mass protests, but his Oromo community still feel like outsiders.



Source – www.bbc.co.uk

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