Health
Child deaths in Gambia linked to cough syrups made in India – WHO

The deaths of dozens of young children in Gambia from acute kidney injuries may be linked to contaminated cough and cold syrups made by an Indian drug manufacturer, the World Health Organization said on Wednesday.
The findings, announced by WHO Director-General Tedros Adhanom Ghebreyesus, followed tests on several medicinal syrups that were suspected of causing 66 child deaths in the tiny West African country.
Tedros told reporters that the U.N. agency was conducting an investigation with Indian regulators and the company that made the syrups, New Delhi-based Maiden Pharmaceuticals Ltd.
Maiden Pharma declined to comment, while calls and messages to the Drugs Controller General of India went unanswered. India’s health ministry did not respond to a request for comment, Reuters reported.
According to Reuters the WHO issued a medical product alert on Wednesday asking regulators to remove Maiden Pharma goods from the market.
The products may have been distributed elsewhere through informal markets, but had so far been identified only in Gambia, the WHO said in its alert.
The alert covers four products: Promethazine Oral Solution, Kofexmalin Baby Cough Syrup, Makoff Baby Cough Syrup and Magrip N Cold Syrup, read the report.
Lab analysis confirmed “unacceptable” amounts of diethylene glycol and ethylene glycol, which can be toxic and lead to acute kidney injury, the WHO said.
Medical officers in Gambia raised the alarm in July, after dozens of children began falling ill with kidney problems. The deaths confounded medics before a pattern emerged: dozens of patients younger than five were falling ill three to five days after taking a locally sold paracetamol syrup.
Gambia’s director of health services, Mustapha Bittaye, said similar problems have been detected in other syrups but that the ministry is awaiting confirmation of the results, Reuters reported.
He said the number of deaths has tapered off in recent weeks and that the sale of products made by Maiden Pharmaceuticals was banned. However, until recently, some of the syrups were still being sold in private clinics and in hospitals, he said.
Gambia’s Medicines Control Agency sent a letter on Tuesday to health professionals ordering them to stop selling any of the products listed by WHO.
Maiden Pharmaceuticals manufactures medicines at its facilities in India, which it then sells domestically as well as exporting them to countries in Asia, Africa and Latin America, according to its website.
Health
Kabul military hospital specialists perform life-changing surgery on Helmand man

Brigadier General Dr. Abdul Wali Ahmadzai and a team of specialists at the Kabul military hospital have successfully operated on a man from Helmand who was born with a club foot.
The medical team from the orthopedic department of the Sardar Mohammad Dawood Khan Hospital in Kabul, said the patient, Abdul Ahmad, never received corrective surgery on his right foot as a child.
“He had not seen a doctor, he was in a defective condition,” a statement issued by the hospital read.
Now, however, Ahmad’s foot has been realigned and he is expected to make a full recovery.
Another success story was Sara, a 13-year-old girl, who had been struggling with a severe limb deformity and had been unable to walk. After successful surgery, she can now walk, doctors said.
According to the statement, the team of specialists has made enormous progress in recent months in treating patients – often performing life-changing surgery.
With the appointment of qualified staff and ensuring standards are maintained, treatment being offered is helping to prevent patients from having to travel to neighboring countries for medical treatment.
Health
Nuristan gets new clinic thanks to Swedish Committee and UN

Local officials say the construction of Malil and Mashfi Basic Healthcare Center in Nurgram district of Nuristan province is complete and the clinic is now operational.
According to officials, the healthcare center was built at a cost of 21 million afghanis with the help of the Swedish Committee and the United Nations.
Ghulam Yahya, the head of the Swedish Committee in the East Zone, said this hospital provides healthcare facilities for 32,000 people.
Naqibullah Noori, the head of public health in Nuristan, welcomed the establishment of the new hospital, and said that a lot of work has been done in the healthcare sector in the province recently and that the department had been able to improve services substantially.
“The condition of the health system in this province has improved by fifty percent,” said Noori.
The residents of Nurgram district, who had limited access to healthcare in the province in the past, have also welcomed the initiative.
“We are grateful to the Swedish Committee and UNDP for doing this basic work for us,” said a Nuristan resident.
According to the Public Health Department of Nuristan, the Swedish Committee has also established at least 37 clinics in various districts across the province.
Health
80 Afghan children to get medical treatment in Germany: ARCS

The Afghan Red Crescent Society (ARCS) in cooperation with Germany’s Peace Village plans to take 80 Afghan children to Germany for medical treatment on Thursday.
These children are suffering from bone diseases and severe burns, according to ARCS
Eighty children will be sent to Germany, fifty-five of them for bone disease treatment and the remaining 25 have severe burns, said Irfanullah Sharafzoi, a spokesperson for ARCS.
Sharafzoi also stated that of the 90 children sent for treatment six months ago, 50 of them will return to the country on Wednesday and the rest will come home once they have recovered.
“Fifty of the children who were sent to Germany in the past year will return to the country tomorrow, and 40 of them will be returned to the country after completing their treatment in Germany,” he said.
Habib Hassan, the head of ARCS’ foreign relations said each selection phase takes place every six months and almost 1,000 children are assessed at a time by ARCS.
“So far, [over the years] 4,854 children have been treated through this process,” Hassan said.
Children eligible for treatment have to be between the ages of one and 11 and girls and boys are treated. They have their medical expenses paid by the German Peace Village Charity Foundation.
The foundation has been working in cooperation with ARCS for over 30 years in Afghanistan to facilitate the treatment of children. Wednesday’s group of children will be the 89th group to be sent to Germany.
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