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Steady Decline of HIV Prevalence in Somalia Says WHO

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The World Health Organization (WHO) said Thursday it has in partnership with Somalia managed to keep the HIV/Aids prevalence in the country on a steady decline from above 1 percent in 2013 to 0.10 percent in 2022.
In a joint statement issued in Mogadishu, the capital of Somalia to mark World Aids Day, the WHO said that together with the ministry of health, they have managed to keep the country since 2014 classified as a low-level HIV epidemic country.
“This success rate has been achieved on account of WHO’s close monitoring of the HIV/AIDS situation in the country including ensuring equitable access to patient care, close follow-up of patients who are on ART and regular monitoring of clinical conditions of the HIV/AIDS patients,” WHO said.
It said the HIV prevalence among the general population has seen statistically a significant decline, with the most recent 2018 sentinel survey showing that antenatal HIV prevalence dropped to 0.15 percent in Somaliland, 0.17 percent in Puntland and 0.04 percent in South Central Somalia.
William Rogers Busulwa, WHO’s Medical Officer for HIV/AIDS welcomed the reported decline in the prevalence of AIDS in Somalia but noted that more efforts are still needed to contain the situation.
“We still have a lot of ground to cover to ensure that communities and especially high-risk segments of society are regularly and consistently engaged for raising awareness about the deadly disease, in addition to infected people are given equitable means of getting treatment without any fear of ostracization,” Busulwa said.
WHO called on global leaders and citizens to boldly recognize and address the inequalities which are holding back progress in ending AIDS, and equalize access to essential HIV services, particularly for children and key population groups who are at risk of contracting HIV/AIDS.

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RCMP warn about benzodiazepine-laced fentanyl tied to overdose in Alberta – Edmonton Journal

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Grande Prairie RCMP issued a warning Friday after it was revealed fentanyl linked to a deadly overdose was mixed with a chemical that doesn’t respond to naloxone treatment.

The drugs were initially seized on Feb. 28 after a fatal overdose, and this week, Health Canada reported back to Mounties that the fentanyl had been mixed with Bromazolam, which is a benzodiazepine.

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Mounties say this is the first recorded instance of Bromazolam in Alberta. The drug has previously been linked to nine fatal overdoses in New Brunswick in 2022.

The pills seized in Alberta were oval-shaped and stamped with “20” and “SS,” though Mounties say it can come in other forms.

Naloxone treatment, given in many cases of opioid toxicity, is not effective in reversing the effects of Bromazalam, Mounties said, and therefore, any fentanyl mixed with the benzodiazepine “would see a reduced effectiveness of naloxone, requiring the use of additional doses and may still result in a fatality.”

Photo of benzodiazepine-laced fentanyl seized earlier this year by Grande Prairie RCMP after a fatal overdose. edm

From January to November of last year, there were 1,706 opioid-related deaths in Alberta, and 57 linked to benzodiazepine, up from 1,375 and 43, respectively, in 2022.

Mounties say officers responded to about 1,100 opioid-related calls for service, last year with a third of those proving fatal. RCMP officers also used naloxone 67 times while in the field, a jump of nearly a third over the previous year.

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CFIA continues surveillance for HPAI in cattle, while sticking with original name for disease – RealAgriculture

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The Canada Food Inspection Agency will continue to refer to highly pathogenic avian influenza in cattle as HPAI in cattle, and not refer to it as bovine influenza A virus (BIAV), as suggested by the American Association of Bovine Practitioners earlier this month.

Dr. Martin Appelt, senior director for the Canadian Food Inspection Agency, in the interview below, says at this time Canada will stick with “HPAI in cattle” when referencing the disease that’s been confirmed in dairy cattle in multiple states in the U.S.

The CFIA’s naming policy is consistent with the agency’s U.S. counterparts’, as the U.S. Animal and Plant Health Inspection Service has also said it will continue referring to it as HPAI or H5N1.

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Appelt explains how the CFIA is learning from the U.S. experience to-date, and how it is working with veterinarians across Canada to stay vigilant for signs of the disease in dairy and beef cattle.

As of April 19, there has not been a confirmed case of HPAI in cattle in Canada. Appelt says it’s too soon to say if an eventual positive case will significantly restrict animal movement, as is the case with positive poultry cases.

This is a major concern for the cattle industry, as beef cattle especially move north and south across the U.S. border by the thousands. Appelt says that CFIA will address an infection in each species differently in conjunction with how the disease is spread and the threat to neighbouring farms or livestock.

Currently, provincial dairy organizations have advised producers to postpone any non-essential tours of dairy barns, as a precaution, in addition to other biosecurity measures to reduce the risk of cattle contracting HPAI.

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Toronto reports 2 more measles cases. Use our tool to check the spread in Canada – Toronto Star

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Canada has seen a concerning rise in measles cases in the first months of 2024.

By the third week of March, the country had already recorded more than three times the number of cases as all of last year. Canada had just 12 cases of measles in 2023, up from three in 2022.

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