
Ivory Coast announces cholera outbreak after 7 deaths
ABIDJAN, Ivory Coast (AP) — Ivory Coast announced a cholera outbreak on Thursday, confirming seven deaths from the disease.
Daniel Kouadio Ekra, head of the National Institute of Public Hygiene, confirmed the epidemic, saying stool sample analyses conducted by the Pasteur Institute of Côte d'Ivoire, detected 'cholera vibrio.'
'On May 25, 2025, the Port-Bouët-Vridi health district reported five deaths in the village of Vridi Akobrate,' he said.
So far, 45 cases have been recorded in Vridi Akobrate, in the outskirts of Abidjan, the capital, including the seven fatalities. All of the deaths occurred within the community in the first two days.
Ivory Coast has experienced several major cholera epidemics since the 1990s.
The World Health Organization calls cholera a disease of poverty, as it thrives where there is poor sanitation and a lack of clean water. Africa has had eight times as many deaths this year as the Middle East, the second-most affected region.
Historically vulnerable, Africa is even more at risk as it faces the worst impacts of climate change as well as the effect of the El Niño weather phenomenon, health experts say. In what's become a perfect storm, there's also a global shortage of cholera vaccines, which are needed only in poorer countries.
'The government calls on the population to remain vigilant, namely to consume safe drinking water, avoid street water bags, and wash their hands regularly,' Kouadio Ekra said on Thursday. ____
Follow AP's Africa coverage at: https://apnews.com/hub/africa
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an hour ago
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Attorney general applauds city-county opioid abatement project
Claremore and Rogers County's joint opioid abatement project is "nothing short of remarkable," said Attorney General Gentner Drummond. Drummond's office granted the city and county about $500,000 last fall to combat the spread of opioids in the community. Using money the state received from 2022 settlements with pharmaceutical companies, the Oklahoma Opioid Abatement Revolving Fund paid out $12 million to 85 entities last year and is getting ready for a second round of awards. The city and county have used those funds to hire a grant manager and two personnel to provide GED prep and testing in the county jail. The funding also buoys the Women in Recovery program offered through Tulsa Family and Children's Services. Drummond visited the Rogers County Courthouse May 30 to discuss the state of the abatement project. Fourteen people – from city and county leaders to Family and Children's Services personnel to people involved with the county's drug court – sat with Drummond around a rectangle of tables. "One of the takeaways I want you to get from this time together is that this involves a lot of people, a lot of directions, a lot of expertise, a lot of people that really, really care about tackling this opioid crisis," said Scott Greenland, hired by the county last December to manage the grant. Greenland said opioid deaths are increasing in Rogers County. Eight people died of an overdose in the county in 2019; that number climbed to 28 in 2022, then dipped slightly to 23 in 2023. Greenland said men are twice as likely to die of an overdose than women, and men aged 35 to 45 face the highest risk. In 2024, Greenland said, 116 overdoses occurred in Rogers County. Nearly all the overdoses occurred in residential areas, but other than that, Greenland said no common thread ties them together. He compared the geographical spread to the random locations of marbles dropped from a helicopter. "We don't know exactly how to tackle that yet, but we're working in that direction, realizing that it's not an easy, quick fix," Greenland said. "This is something that we've got to strategically look at." Claremore City Manager John Feary said he and District 3 Commissioner Ron Burrows had first talked about a joint opioid abatement initiative several years ago, but neither the city nor the county had the money then. Feary said he is thankful the state Legislature and Drummond had made funds available, and that partner organizations like Family and Children's Services and local recovery houses had joined the team to provide their expertise. The city and county have leaned on these partner organizations to provide high school equivalency exams and parenting classes to inmates in the Rogers County jail, help inmates find stable employment upon release and give those recovering from addiction a temporary place to live. Lani Burns, director of employment and education at Family and Children's Services, said a stable job and a gain in education level are the two biggest factors in decreasing recidivism. "If we combine expertise, and that's what this collaboration is all about, we allow for pathways and cycles to break within that familial cycle of addiction and incarceration," Burns said. The other part of the city and county's strategy of combating opioids is teaching kids why they're harmful. Greenland said school-based prevention is evidence-based and differs from past "just say no" approaches by showing students how drugs like fentanyl affect their bodies, brains and futures. He said about 1,215 of Rogers County's 13,500 public school students have received prevention education from local nonprofits Rogers County Youth Services or KeyChoices. Greenland said he aims to increase this percentage from 9% to 40% in the next few years. Burrows said school prevention is the heart of the project. "It starts with the youth," Burrows said. "We know we got an issue with adults, and how do you break the cycle?" The county introduced Drummond to Chantel Reben, two years sober after going through Rogers County's drug court and Family and Children's Services Women in Recovery program. Reben said she grew up surrounded by addiction and went to prison for drugs in Okmulgee County in 2012. A recovery program helped her get clean, and she established a life in Claremore for her and her son. But after a life-altering car accident injured her son, Reben relapsed, which culminated in 2022 with another arrest and the threat of 15 years behind bars. 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Associated Press
4 hours ago
- Associated Press
Who's in charge? CDC's leadership ‘crisis' apparent amid new COVID-19 vaccine guidance
WASHINGTON (AP) — There was a notable absence last week when U.S. Health and Human Services Secretary Robert F. Kennedy Jr. announced in a 58-second video that the government would no longer endorse the COVID-19 vaccine for healthy children or pregnant women. The director of the Centers for Disease Control and Prevention — the person who typically signs off on federal vaccine recommendations — was nowhere to be seen. The CDC, a $9.2 billion-a-year agency tasked with reviewing life-saving vaccines, monitoring diseases and watching for budding threats to Americans' health, is without a clear leader. 'I've been disappointed that we haven't had an aggressive director since — February, March, April, May — fighting for the resources that CDC needs,' said Dr. Robert Redfield, who served as CDC director under the first Trump administration and supported Kennedy's nomination as the nation's health secretary. $9.2 billion-a-year agency without leader as nomination awaits The leadership vacuum at a foremost federal public health agency has existed for months, after President Donald Trump suddenly withdrew his first pick for CDC director in March. A hearing for his new nominee — the agency's former acting director Susan Monarez — has not been scheduled because she has not submitted all the paperwork necessary to proceed, according to a spokesman for Sen. Bill Cassidy, R-La., who will oversee the nomination. HHS did not answer written questions about Monarez's nomination, her current role at the CDC or her salary. An employee directory lists Monarez, a longtime government employee, as a staffer for the NIH under the Advanced Research Projects Agency for Health. Redfield described Kennedy as 'very supportive' of Monarez's nomination. Instead, a lawyer and political appointee with no medical experience is 'carrying out some of the duties' of director at the agency that for seven decades has been led by someone with a medical degree. Matthew Buzzelli, who is also the chief of staff at the CDC, is 'surrounded by highly qualified medical professionals and advisors to help fulfill these duties as appropriate,' Andrew Nixon, an HHS spokesperson said in a statement. Adding to the confusion was an employee-wide email sent last week that thanked 'new acting directors who have stepped up to the plate.' The email, signed by Monarez, listed her as the acting director. It was was sent just days after Kennedy said at a Senate hearing that Monarez had been replaced by Buzzelli. The lack of a confirmed director will be a problem if a public health emergency such as the COVID-19 pandemic or a rapid uptick in measles cases hits, said Michael Osterholm, an epidemiologist at the University of Minnesota. 'CDC is a crisis, waiting for a crisis to happen,' said Osterholm. 'At this point, I couldn't tell you for the life of me who was going to pull what trigger in a crisis situation.' An acting director rarely seen, and stalled decisions At CDC headquarters in Atlanta, employees say Monarez was rarely heard from between late January – when she was appointed acting director – and late March, when Trump nominated her. She also has not held any of the 'all hands' meetings that were customary under previous CDC chiefs, according to several staffers. One employee, who insisted on anonymity because they were not authorized to speak to the media and fears being fired if identified said Monarez has been almost invisible since her nomination, adding that her absence has been cited by other leaders as an excuse for delaying action. The situation already has led to confusion. In April, a 15-member CDC advisory panel of outside experts met to discuss vaccine policy. The panel makes recommendations to the CDC Director, who routinely signs off on them. But it was unclear during the meeting who would be reviewing the panel's recommendations, which included the expansion of RSV vaccinations for adults and a new combination shot as another option to protect teens against meningitis. HHS officials said the recommendations were going to Buzzelli, but then weeks passed with no decision. A month after the meeting ended, the CDC posted on a web site that Kennedy had signed off on recommendations for travelers against chikungunya, a viral disease transmitted to humans by mosquitos. But there continues to be no word about a decision about the other vaccine recommendations. Controversial COVID-19 vaccine recommendations bypassed CDC panel The problem was accentuated again last week, when Kennedy rolled out recommendations for the COVID-19 vaccine saying they were no longer recommended for healthy children or pregnant women, even though expectant mothers are considered a high-risk group if they contract the virus. Kennedy made the surprise announcement without input from the CDC advisory panel that has historically made recommendations on the nation's vaccine schedule. The CDC days later posted revised guidance that said healthy kids and pregnant women may get the shots. Nixon, the HHS spokesman, said CDC staff were consulted on the recommendations, but would not provide staffer's names or titles. He also did not provide the specific data or research that Kennedy reviewed to reach his conclusion on the new COVID-19 recommendations, just weeks after he said that he did not think 'people should be taking medical advice' from him. 'As Secretary Kennedy said, there is a clear lack of data to support the repeat booster strategy in children,' Nixon said in a statement. Research shows that pregnant women are at higher risk of severe illness, mechanical ventilation and death, when they contract COVID-19 infections. During the height of the pandemic, deaths of women during pregnancy or shortly after childbirth soared to their highest level in 50 years. Vaccinations also have been recommended for pregnant women because it passes immunity to newborns who are too young for vaccines and also vulnerable to infections. Nixon did not address a written question about recommendations for pregnant women. Kennedy's decision to bypass the the advisory panel and announce new COVID-19 recommendations on his own prompted a key CDC official who works with the committee – Dr. Lakshmi Panagiotakopoulos – to announce her resignation last Friday. 'My career in public health and vaccinology started with a deep-seated desire to help the most vulnerable members of our population, and that is not something I am able to continue doing in this role,' she wrote in an email seen by an Associated Press reporter. Signs are mounting that the CDC has been 'sidelined' from key decision-making under Kennedy's watch, said Dr. Anand Parekh, the chief medical adviser for The Bipartisan Policy Center. 'It's difficult to ascertain how we will reverse the chronic disease epidemic or be prepared for myriad public health emergencies without a strong CDC and visible, empowered director,' Parekh said. 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Yahoo
5 hours ago
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School's out, but child care providers not letting up on measles precautions
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