Tag Archives: political

UN health agency announces list of bacteria for which new antibiotics are urgently needed

27 February 2017 – The United Nations health agency today published its first-ever catalogue of antibiotic-resistant bacteria that pose the greatest threat to human health.

The list of priority pathogens consisting of 12 families of bacteria was drawn up to guide and promote research and development (R&D) of new antibiotics, as part of the World Health Organization (WHO)’s efforts to address growing global resistance to antimicrobial medicines.

&#8220This list is a new tool to ensure R&D responds to urgent public health needs,&#8221 said Marie-Paule Kieny, WHO’s Assistant Director-General for Health Systems and Innovation in a news release.

&#8220Antibiotic resistance is growing, and we are fast running out of treatment options. If we leave it to market forces alone, the new antibiotics we most urgently need are not going to be developed in time,&#8221 she warned.

The list highlights in particular the threat of ‘gram-negative’ bacteria that are resistant to multiple antibiotics. These bacteria have built-in abilities to find new ways to resist treatment and can pass along genetic material that allows other bacteria to become drug-resistant as well.

The WHO list is divided into three categories according to the urgency of need for new antibiotics: critical, high and medium priority.

Priority 1: CRITICAL
  • Acinetobacter baumannii, carbapenem-resistant
  • Pseudomonas aeruginosa, carbapenem-resistant
  • Enterobacteriaceae, carbapenem-resistant, ESBL-producing

The most critical group of all includes multidrug resistant bacteria that pose a particular threat in hospitals, nursing homes, and among patients whose care requires devices such as ventilators and blood catheters. They include Acinetobacter, Pseudomonas and various Enterobacteriaceae, including Klebsiella, E. coli, Serratia, and Proteus. They can cause severe and often deadly infections such as bloodstream infections and pneumonia.

These bacteria have become resistant to a large number of antibiotics, including carbapenems and third generation cephalosporins &#8211 the best available antibiotics for treating multi-drug resistant bacteria.

G20 health experts will meet this week in Berlin. The list is intended to spur governments to put in place policies that incentivize basic science and advanced R&D by both publicly funded agencies and the private sector investing in new antibiotic discovery.

While more R&D is vital, alone, it cannot solve the problem. To address resistance, there must also be better prevention of infections and appropriate use of existing antibiotics in humans and animals, as well as rational use of any new antibiotics that are developed in future.

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Refugees and migrants taking ‘enormous risks’ to reach Europe – UN agency

27 February 2017 – Increased border restrictions and lack of accessible legal ways to reach Europe have caused refugees and migrants to take more &#8220diversified and dangerous journeys,&#8221 such as relying on people-smugglers or using flimsy boats to cross rough seas, a new report by the United Nations refugee agency has revealed.

&#8220This report clearly shows that the lack of accessible and safe pathways leads refugees and migrants to take enormous risks while attempting to reach Europe, including those simply trying to join family members.&#8221 said Vincent Cochetel, the Office of the UN High Commissioner for Refugees (UNHCR) Director of Europe Bureau, in a news release announcing the report.

According to Desperate Journeys, issued today by UNHCR, the &#8220closure&#8221 of the Western Balkan route and the European Union (EU)-Turkey Statement in March 2016, caused a drastic decrease in the number of people reaching Greece via the Eastern Mediterranean route.

However since then, the Central Mediterranean route from North Africa to Italy become the primary entry point to Europe and arrival trends in Italy show that the primary nationalities who crossed to Greece had not switched in significant numbers to the Central Mediterranean route.

In addition to drowning, migrants and refugees also risk of being kidnapped, held against their will for several days, physical and sexual abuse, torture and extortion by smugglers and criminal gangs at several points along key routes.

The Central Mediterranean route

The UN agency pointed out that in 2016, some 181,436 arrived in Italy by sea in need of international protection, and also victims of trafficking and migrants seeking better lives. About 90 per cent of them travelled by boat from Libya, and the top two nationalities of those arriving were Nigerians (21 per cent) and Eritreans (11 per cent).

This route is particularly dangerous and, in 2016, recorded more deaths at sea than ever before.

RELATED: UN reports more than 300 migrant deaths on Mediterranean crossing in first two months of 2017

Furthermore, children making this journey are especially vulnerable, and the number of unaccompanied and separated children arriving is increasing. Last year more than 25,000 came, representing 14 per cent of all new arrivals in Italy.

&#8220Their number more than doubled compared to the previous year,&#8221 said UNHCR.

The Western and Eastern Mediterranean routes

The report also showed that in the last part of 2016, more people reached the continent through the Western Mediterranean route, either by crossing the sea to Spain from Morocco and Algeria, or by entering the Spanish enclaves of Melilla and Ceuta.

Similarly, people continued to leave Turkey along the Eastern Mediterranean route from April onwards, but in much smaller numbers. Most crossed the sea to Greece or Cyprus, others also crossed via land into the country or into Bulgaria.

Most who arrived by sea to Greece (87 per cent) came from the top ten refugee producing countries.

This was also the case for those who continued to move along the Western Balkans route: in Serbia, for instance, 82 per cent of those who arrived came from Afghanistan, Iraq and Syria and almost half are children &#8211 20 per cent of those unaccompanied.

These numbers, however, numbers have reduced since April 2016, noted UNHCR.

Additionally, according to the study, tens of thousands of people also have been reportedly pushed back by border authorities in Europe, including in Bulgaria, Croatia, Greece, Hungary, Serbia, Spain, and the former Yugoslav Republic of Macedonia, with many cases of alleged violence and abuses in an apparent attempt to deter further entry attempts.

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