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Monkey Pox name to be phased out recommends WHO

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By Deandrea Hamilton

Editor

 

November 29, 2022 – It’s a 52-year-old name which has run its course and in a year will be completely phased out, making way for its new, more politically correct and patient sensitive title: MPox.  The World Health Organization briefed the world of the shift in a media statement on Monday November 29; the renaming process described as “accelerated.”

“When the outbreak of monkeypox expanded earlier this year, racist and stigmatizing language online, in other settings and in some communities was observed and reported to WHO.  In several meetings, public and private, a number of individuals and countries raised concerns and asked WHO to propose a way forward to change the name.”

The World Health Organization has as part of its global health remit, to name or rename illnesses in consultation with its member states; some 45 countries weighed in on this particular change which factored in stigmatization and versatility.

“Various advisory bodies were heard during the consultation process, including experts from the medical and scientific and classification and statistics advisory committees which constituted of representatives from government authorities of 45 different countries.

The issue of the use of the new name in different languages was extensively discussed.  The preferred term mpox can be used in other languages.  If additional naming issues arise, these will be addressed via the same mechanism. Translations are usually discussed in formal collaboration with relevant government authorities and the related scientific societies.”

Although monkeyPox symptoms disappear on their own in a matter of weeks, for some the symptoms have led to medical complications and death.  Immuno-compromised children are listed as particularly vulnerable, so are newborn babies.

“Complications from monkeypox include secondary skin infections, pneumonia, confusion, and eye problems. More recent complications include proctitis (sores and swelling inside the rectum that cause pain) and pain or difficulty when urinating.  In the past, between 1% to 10% of people with monkeypox have died.  It is important to note that death rates in different settings may differ due to a number of factors, such as access to health care.  These figures may be an overestimate because surveillance for monkeypox has generally been limited in the past,” informed the CDCs website.

Dr Tedros Adhanom Ghebreyesus, Direcgtor-General, WHO in considering the advice from health experts specifically recommends:  “Adoption of the new synonym mpox in English for the disease; Mpox will become a preferred term, replacing monkeypox, after a transition period of one year.  This serves to mitigate the concerns raised by experts about confusion caused by a name change in the midst of a global outbreak.  It also gives time to complete the ICD update process and to update WHO publications;  The synonym mpox will be included in the ICD-10 online in the coming days.  It will be a part of the official 2023 release of ICD-11, which is the current global standard for health data, clinical documentation and statistical aggregation. The term “monkeypox” will remain a searchable term in ICD, to match historic information.”

As of November 28, there had been 81,188 cases of mpox recorded worldwide according to the US Centers for Disease Control (CDC).  Most alarming; over 80,000 of the cases have been recorded in locations not historically known to have monkeypox.  Some 110 countries have now recorded mpox, a staggering 103 of them are newly added to the list of nations where the disease has been detected.

The biggest explosion of cases is recorded in the United States; 29,288 people were confirmed with the disease and 14 people have died as a result of it.

Regionally, Cuba, Dominican Republic, Jamaica, The Bahamas, Aruba, Curacao, Barbados, Martinique, Guadeloupe, Bermuda and Guyana have confirmed mpox on their shores.

In the coming days, the new mpox name will be added to the International Classification of Diseases or ICD and will be used in communication from health bodies.  While the label: MonkeyPox will become a relic, it will continue to be used for at least another year.

“WHO will adopt the term mpox in its communications, and encourages others to follow these recommendations, to minimize any ongoing negative impact of the current name and from adoption of the new name,” it said in the statement posted at its website.

 

Photo credit:

Maurizio de Angelis/Science photo libraryMonkeypox virus, illustration. Monkeypox virus particles are composed of a DNA (deoxyribonucleic acid) genome surrounded by a protein coat and lipid envelope.

Caribbean News

Health City Surgeon Provides Hope for Critically Ill Cardiac Patients

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KINGSTON, Jamaica (August 10, 2023) – There is hope for patients suffering from critical cardiovascular issues in the Caribbean, reports one of the region’s leading cardiac specialists.

Addressing the 36th Caribbean Cardiac Society Conference last month in Kingston, Jamaica, Dr. Binoy Chattuparambil, Senior Consultant, Cardiovascular & Thoracic Surgery and Clinical Director at Health City Cayman Islands, highlighted the life-saving ECMO or extracorporeal membrane oxygenation process, a form of life support for patients, successfully and consecutively performed at the Caymanian facility.

“There is no reason for patients with reversible cardiac diseases (to) die because you can put them on ECMO and the technology is very good and our understanding (of it also) is very good,” Dr. Binoy told his peers, explaining that ECMO provides time for the body to rest and recover by doing the work of the heart and lungs.

Having saved countless lives with this technology at the Cayman Islands hospital, the respected surgeon cited a case of a child who is doing well following treatment with ECMO and transfer to the United States for a heart transplant: “Whether it is reversible pulmonary reasons or cardiac reasons, just put them on ECMO and the recovery is usually very good and we can save lives.”

In 2017, the hospital became the Caribbean’s first regional center to provide the advanced form of life support (ECMO). The hospital also installs artificial hearts or left ventricle assist devices (LVAD) for chronic or advanced heart failure patients for whom a transplant is unlikely to be readily available in the mainland United States. Health City anticipates that transplant services will be available in the Cayman Islands in the near future following the establishment of transplant laws and regulations.

The theme of the Kingston conference was “Serving and Saving the Hearts of our People Today, Tomorrow and Beyond!” and Dr. Binoy presented on “Enhancing Cardiac Surgery in the Region – Updates and Perspectives”.

The surgeon expressed his joy at seeing greater collaboration between cardiac surgeons and cardiologists throughout the region. “Now I see my cardiologists more often in our hybrid cath lab rather than outside,” said Dr. Binoy, who established the adult and pediatric cardiac programs at Health City Cayman Islands in 2014 and has overseen thousands of successful cardiac surgeries and procedures at the tertiary care hospital.

He revealed that there were no deaths or reinterventions from elective Coronary Bypass Surgery at Health City Cayman Islands and minimally invasive surgery has been successfully completed for most mitral valve defects. Additionally, aortic valve surgery has evolved over the past two decades from an open incision with a large scar to that of no incision and no scar.

Pulmonary thromboendarterectomy to treat chronic pulmonary thromboembolism is also another achievement at the Joint Commission International (JCI)-accredited institution. This procedure has been more frequently performed since the COVID-19 pandemic where patients often present with acute pulmonary embolism which can later present as chronic thromboembolic pulmonary hypertension.

In the specialized areas of pediatric and neonatal surgery, a variety of life-saving surgeries to correct defects in the heart, in collaboration with a pediatric interventional cardiologist, have been achieved at Health City Cayman Islands. Children from over 25 countries have been treated, including those families who have insufficient funds and are supported by various charities.

A broad spectrum of vascular surgery options with successful outcomes are also provided, including repair of major arteries in the chest and abdomen to treat aneurysms, and replacement of major arteries in the chest through minimally invasive or no-incision procedures.

Dr. Binoy concluded that Healthy City has “significantly contributed to the enhancement of the scope and landscape of cardiovascular surgery in the region”, and commended the Health City team for the excellent service that they have provided over the past nine years.

 

 

Photo Captions

Header: Dr. Binoy Chattuparambil addressing the cardiac conference in Jamaica.

Insert: Health City’s team at the conference included (from left): Sales and Marketing Specialist Ingrid Harris, Dr. Binoy and Rebekah Anne Brooks, Head of Marketing & Sales.

 

About Health City Cayman Islands

Health City Cayman Islands is a medically advanced tertiary hospital located near High Rock in the district of East End in Grand Cayman. The brainchild of internationally renowned heart surgeon and humanitarian Dr. Devi Shetty, it features a unique model of health care, built with a focus on the patient and rooted in innovative business models that allow the delivery of high-quality, affordable care. It is the largest hospital in the Caribbean to have earned the prestigious Gold Seal of Approval from Joint Commission International (JCI), the worldwide leader in accrediting the quality of health care. For more information visit www.healthcitycaymanislands.com.

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Caribbean News

Kidney transplant surgeries to be offered in St.Kitts and Nevis

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Rashaed Esson

Staff Writer

 

 

#St.KittsandNevis, August 5, 2023 – Kidney transplant surgeries will soon be offered in St. Kitts and Nevis as announced by Prime Minister Terrance Drew.

This development is a big one for the country’s health system and so it will provide kidney transplant services to citizens who are unable to travel overseas to acquire said services.  This was emphasized by Drew during the announcement at the Freedom FM’s Issues program held on Wednesday July 26th, 2023.

“These people are dying sooner than they should because they don’t have access to transplants.  I cannot allow our people to die when we have an opportunity to save their lives,” he highlighted.

Additionally, despite the country’s efforts to enhance health services for kidney patients, he urged residents to make better choices and take better care of their bodies adopting healthier habits such as frequent exercise, having balanced diets, maintaining blood pressure  and sugar levels etc.

But for those who fail to do so and fall victim to kidney ailments, he expressed that the aim is to have a something in place to help them.

“We want to make sure that they have an option for renal transplant and we are going to launch the renal transplant program.”

The kidney transplant surgeries will be provided at the country’s principal healthcare facility, the Joseph N France General Hospital.

In continuation, Drew further spoke to a team which will at some point in the near future, visit St. Kitts and Nevis from Canada to provide specialized training to the Haemodialysis Unit’s staff, to up the use of the recently acquired dialysis machines, further strengthening the nation’s fight against kidney diseases.

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Caribbean News

CARPHA Receives Automated Instruments to Assist in Gene Surveillance

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Port of Spain, Trinidad and Tobago, August 2, 2023 –  The Caribbean Public Health Agency (CARPHA) has received laboratory equipment to support genomic surveillance at its Medical Microbiology Laboratory for its  Member States.

The equipment was procured through the New Variant Assessment Platform, led by United Kingdom Health Security Agency (UKHSA).  This marks another milestone in CARPHA’s mission to strengthen its systems to better detect and respond to emerging diseases in the Caribbean region.

The items received are two liquid handling instruments namely, the Mosquito® HV, and the Dragonfly Discovery.

Dr. Joy St. John, Executive Director of CARPHA.  “Our overall collaboration with UKHSA has been very supportive to our work with our Member States. These devices have ensured further strengthening of CARPHA’s  gene sequencing capabilities, maintaining the cutting-edge array of laboratory services we provide to our Member States.”

“The acquisition of the instruments will serve to advance our laboratory productivity, shorten turnaround times, and reduce costs per sample.  Overall, the instruments will improve sample processing accuracy,” stated Dr. Michelle Hamilton, Head, Laboratory Services and Networks.

The Mosquito® HV is a highly accurate and precise multichannel pipetting system.  The Dragonfly Discovery enables innovative, low volume liquid dispensing that is compatible with a wide range of applications including molecular biology and genomics, and biochemical assays.

“Both devices will be used together to increase sequencing capacity by automating some of the preparation steps. These instruments will allow CARPHA to carry out multiple sample runs,  and switch between applications with minimal setup required,” explained Ms. SueMin Nathaniel, Manager of Laboratory Services at CARPHA.

The acquisition also included a supply of consumables. Laboratory staff at the CMML will receive training in the use of the instruments.

During the first half of 2023, CARPHA signed a Memorandum of Understanding with the UKHSA.  The agreement builds on a long-term collaboration to improve regional health security across the Caribbean. The MoU includes commitments to define strategies for combatting  infectious disease threats, non-communicable diseases, strengthening outbreak response, building laboratory and workforce capacity, and improving healthy safer tourism. There is specific emphasis on genomic surveillance of high priority pathogens which emerged as a new service during the COVID-19 pandemic.

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