Health
WHO’s chief calls for ‘engagement’ to prevent collapse of health sector

World Health Organization Director General Tedros Adhanom Ghebreyesus said on Thursday that the health system in Afghanistan is on the brink of collapse and called on the international community to engage with the new rulers, the Islamic Emirate of Afghanistan (IEA).
Giving a report back following his visit to Kabul this week, Ghebreyesus said: “In Afghanistan, we met with senior members of the Taliban (IEA) leadership, including the interim Prime Minister Mullah Mohammad Hasan Akhund. I believe that engaging the Taliban (IEA) leadership is essential if we are to support the people of Afghanistan.”
Ghebreyesus said that the health system in Afghanistan is on the brink of collapse.
“Over the past 20 years, significant health gains have been made in Afghanistan, in reducing maternal and child mortality, to end polio, and more. Those gains are now at severe risk, with the country’s health system on the brink of collapse,” he said.
According to him, almost 50% of children in Afghanistan are at risk of malnutrition and the country is facing an imminent humanitarian catastrophe unless urgent action is taken.
“There has been a surge in cases of measles and diarrhea; almost 50% of children are at risk of malnutrition; a resurgence of polio is a major risk; and 2.1 million doses of COVID19 vaccine remain unused,” Ghebreyesus said.
Ghebreyesus also raised his concern over the exodus of health workers from the country.
“Health workers are leaving, creating a brain drain that will have consequences for years to come,” said Ghebreyesus adding that “We visited a hospital where I met some nurses who have stayed. My heart broke when they told me they have not been paid in three months, but they said they would continue to serve their patients.”
Ghebreyesus also said that education is essential for protecting and promoting health in all countries, both in terms of health literacy, and for building the health workforce.
“The Taliban (IEA) leadership has announced that primary schools are open for boys and girls, and that they are preparing to open high schools to girls. In our discussions we offered to support that process, in partnership with other UN agencies,” Ghebreyesus said.
Ghebreyesus stated that at the moment the WHO’s priority is to support and sustain the health system in Afghanistan.
“The focus of our efforts now is to support and sustain the Sehatmandi project, which is the backbone of Afghanistan’s health system, providing care for millions of people through 2,300 health facilities, including in remote areas,” Ghebreyesus said.
He called on international donors to rapidly re-commit to finance the health system in Afghanistan and said the current pause in funding has resulted in only 17% of these facilities being fully functional at the moment.
He also said two thirds of all health facilities are out of stock of essential medicines.
“As a stop-gap measure, the UNCERF and the GlobalFund are financing WHO and our partners to ensure continuity of health services for the next three months. But this is simply not enough.
“WHO is calling on international donors to rapidly re-commit to finance Sehatmandi, as they have done for almost two decades. We simply can’t abruptly halt support for life-saving health services for millions of Afghans at a time when they’re most vulnerable,” he said.
Ghebreyesus also announced that WHO has now shipped more than 170 metric tons of medical supplies to Afghanistan in the past few weeks.
“We also need a reliable supply chain to be established urgently. WHO was the first agency to airlift essential medicines and supplies into Afghanistan, and we have now shipped more than 170 metric tons of medical supplies,” he said.
Afghanistan is now faced with a medicine shortage crisis due to disrupted border crossings and limited operation of banks along with the stoppage of foreign transactions.
Almost all medicine in Afghanistan is imported from neighboring countries, such as Pakistan, India, Bangladesh, Iran and Turkey.
However, the border crossings between Afghanistan and its neighbors were disrupted in the lead-up to the Islamic Emirate of Afghanistan’s (IEA) takeover, and normal operations are yet to resume.
Health
Nationwide polio vaccination campaign kicks off, target is 11 million children

The Ministry of Public Health of Afghanistan says that the Ministry in cooperation with the relevant United Nations agencies started a nationwide polio vaccination campaign on Monday.
According to the ministry, the aim of the campaign is to vaccinate more than 11 million children under the age of five against the wild polio virus.
The ministry added that vitamin A capsules are also given to children who are between the ages of 5 and 6.
“Unfortunately, 5 positive cases of polio have been recorded in 2023, which is very worrying for us,” read the ministry’s statement.
“We are committed to eradicating polio in Afghanistan with the cooperation of our partners. The recent positive cases of polio are worrying and we will continue polio vaccination campaigns and basic health services until the complete eradication of this disease,” said Dr. Qalandar Ebaad, Minister of Public Health.
Ebaad further added: “The support of all Afghans, especially the elders of the areas and religious scholars is important in the eradication of polio. They need to participate in the fight against polio.”
Polio is a highly infectious disease caused by a virus. It invades the nervous system and can cause total paralysis in a matter of hours.
The virus is transmitted by person-to-person. Initial symptoms are fever, fatigue, headache, vomiting, stiffness of the neck and pain in the limbs. One in 200 infections leads to irreversible paralysis (usually in the legs). Among those paralyzed, 5–10% die when their breathing muscles become immobilized.
Polio mainly affects children under 5 years of age. However, anyone of any age who is unvaccinated can contract the disease.
There is no cure for polio, it can only be prevented.
Health
Health minister unveils new emergency call center

The Islamic Emirate of Afghanistan’s (IEA) public health minister, Dr Qalandar Ibaad, has officially launched the newly established call center for emergencies.
The National Emergency Operations Center, will be run by Dr Nek Wali Shah Momin, and will respond to medical-related questions and concerns of the public.
“This is the responsibility of the Call Center to promptly respond to the questions and concerns of the people in close coordination with the relevant departments,” added the minister before cutting the ribbon.
The Call Center is technically and financially supported by UNICEF and is also focused on polio eradication.
It is equipped with state-of-the-art technology and staffed by highly trained call agents. This new facility will provide assistance to citizens, ensuring swift resolution of their queries and concerns.
This center will also drive awareness and communicate through telephonic conversations, messages and surveys.
Health
Pig heart transplanted into human patient for the second time

Surgeons have transplanted a pig’s heart into a dying man in a bid to prolong his life – only the second patient to ever undergo such an experimental feat. Two days later, the man was cracking jokes and able to sit in a chair, Maryland doctors said Friday.
The 58-year-old Navy veteran was facing near-certain death from heart failure but other health problems meant he wasn’t eligible for a traditional heart transplant, according to doctors at University of Maryland Medicine, the Associated Press reported.
“Nobody knows from this point forward. At least now I have hope and I have a chance,” Lawrence Faucette, from Frederick, Maryland, said in a video recorded by the hospital before Wednesday’s operation. “I will fight tooth and nail for every breath I can take.”
While the next few weeks will be critical, doctors were thrilled at Faucette’s early response to the pig organ.
“You know, I just keep shaking my head – how am I talking to someone who has a pig heart?” Dr. Bartley Griffith, who performed the transplant, told The Associated Press. He said doctors are feeling “a great privilege but, you know, a lot of pressure.”
The same Maryland team last year performed the world’s first transplanet of a genetically modified pig heart into another dying man, David Bennett, who survived just two months.
There’s a huge shortage of human organs donated for transplant. Last year, there were just over 4,100 heart transplants in the U.S., a record number but the supply is so tight that only patients with the best chance of long-term survival get offered one.
Attempts at animal-to-human organ transplants have failed for decades, as people’s immune systems immediately destroyed the foreign tissue. Now scientists are trying again using pigs genetically modified to make their organs more humanlike.
Recently, scientists at other hospitals have tested pig kidneys and hearts in donated human bodies, hoping to learn enough to begin formal studies of what are called xenotransplants.
To make this new attempt in a living patient outside of a rigorous trial, the Maryland researchers required special permission from the Food and Drug Administration, under a process reserved for certain emergency cases with no other options.
It took over 300 pages of documents filed with FDA, but the Maryland researchers made their case that they’d learned enough from their first attempt last year – even though that patient died for reasons that aren’t fully understood – that it made sense to try again.
And Faucette, who retired as a lab technician at the National Institutes of Health, had to agree that he understood the procedure’s risks.
In a statement his wife, Ann Faucette, said: “We have no expectations other than hoping for more time together. That could be as simple as sitting on the front porch and having coffee together.”
What’s different this time: Only after last year’s transplant did scientists discover signs of a pig virus lurking inside the heart – and they now have better tests to look for hidden viruses. They also made some medication changes.
Possibly more important, while Faucette has end-stage heart failure and was out of other options, he wasn’t as near death as the prior patient.
By Friday, his new heart was functioning well without any supportive machinery, the hospital said.
“It’s just an amazing feeling to see this pig heart work in a human,” said Dr. Muhammad Mohiuddin, the Maryland team’s xenotransplantation expert. But, he cautioned, “we don’t want to predict anything. We will take every day as a victory and move forward.”
This kind of single-patient “compassionate use” can provide some information about how the pig organ works but not nearly as much as more formal testing, said Karen Maschke, a research scholar at the Hastings Center who is helping develop ethics and policy recommendations for xenotransplant clinical trials. That FDA allowed this second case “suggests that the agency is not ready to permit a pig heart clinical trial to start,” Mashke added.
The pig heart, provided by Blacksburg, Virginia-based Revivicor, has 10 genetic modifications – knocking out some pig genes and adding some human ones to make it more acceptable to the human immune system.
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