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Authorities In Zimbabwe Face Drug-Resistant Cholera Bacteria

Critics blame the government for failing to address issues of poor water supply, blocked sewers, and irregular trash collection, factors which are said to be making a cholera outbreak worse.

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Cholera, Zimbabwe
Cholera patients are seen isolated at Budiriro clinic. VOA

The United Nations says it is hopeful Zimbabwe will soon contain an outbreak of cholera that has killed more than two dozen people. Efforts are complicated as authorities are fighting a drug-resistant bacterium said to be fueling the spread of the waterborne disease.

Zimbabwe’s Ministry of Health Friday said the number of cholera-related deaths has climbed to 28, and more than 3,700 cases have been reported across Zimbabwe, with the country’s capital, Harare, remaining the epicenter of the problem.

Cholera, Zimbabwe
Amina Mohammed, the deputy chief of the U.N. Children’s Fund (UNICEF), says her organisation is importing more drugs to combat cholera and is optimistic the situation is improving and stabilizing, in Harare, Zimbabwe. VOA

Amina Mohammed, the deputy chief of the U.N. Children’s Fund (UNICEF), said patients are not responding to the drugs typically used to combat the disease. She said doctors are now using second and third-line drugs, which she said UNICEF is importing.

She said the outbreak can be contained if people follow basic hygiene practices at home.

Cholera, Zimbabwe
A medical staff member (left) administers oral rehydrating solution to a cholera patient to replace fluids he lost through diarrhea, in Harare, Zimbabwe. VOA

 

“This is an outbreak, at the beginning it is not easy to bring everyone together. But I think we have all rallied behind and are improving. I think we are stabilizing. I am happy about that. It could be better but we are happy that there is coordination by the ministry of health, together with the WHO, ourselves, MSF is doing a great job managing these cases,” said Mohammed referring to the World Health Organization and Doctors Without Borders, the latter known for its French acronym MSF.

UNICEF, the WHO and MSF are some of the organizations that took action after Zimbabwe’s health minister declared a state of emergency Monday.

 

Cholera, Zimbabwe
A woman is seen washing clothes in the Mukuvisi River in Harare, Zimbabwe, Sept. 11, 2018, as water shortages persist, what experts say is fueling the spread of cholera. VOA

 

On Thursday, the University of Zimbabwe postponed a graduation ceremony that President Emmerson Mnangagwa was supposed to attend, after police banned all public gatherings in light of the cholera outbreak.

But Jacob Mafume, spokesman of the main opposition party MDC, said the ban was only meant to stop its planned “inauguration” of party leader Nelson Chamisa Saturday as the “people’s president.”

 

Cholera, Zimbabwe
Raw sewage is seen flowing in the streets in Harare, Zimbabwe Sept. 11, 2018, with experts saying such conditions create an ideal environment for waterborne diseases such as salmonella, typhoid and cholera to thrive. VOA

 

“The government is using its failure to provide water, it is taking advantage of its failures to restrict the freedoms of the people. They are running scared of our president Nelson Chamisa since his victory, to quickly take over from ZANU-PF inefficiency so that people can be healed from medieval diseases,” said Mafume.

Mnangagwa’s government has refused to comment on what it called “cheap politics” by the opposition, which has refused to accept results from the July 30 elections.

Cholera, Zimbabwe
Authorities go for weeks without collecting trash resulting in Harare residents dumping it anywhere they can, creating conditions for cholera organisms to thrive, say health experts, in Harare, Zimbabwe. VOA

It said it is concentrating on containing the cholera outbreak which has since spread from Harare to other parts of the country.

Also Read: Video- Zimbabwe’s Newly Appointed President Calls For Unity

Critics blame the government for failing to address issues of poor water supply, blocked sewers, and irregular trash collection, factors which are said to be making a cholera outbreak worse. (VOA)

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Know How Higher Intake of Sodium Can Treat Lightheadedness

Greater sodium intake is widely viewed as an intervention for preventing lightheadedness when moving from seated to standing positions.

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"Health practitioners initiating sodium interventions for orthostatic symptoms now have some evidence that sodium might actually worsen symptoms," Juraschek said. Pixabay

Higher sodium intake should not be used as a treatment for lightheadedness, say researchers challenging current guidelines for sodium consumption.

Lightheadedness while standing, known as postural lightheadedness, results from gravitational drop in blood pressure and is common among adults.

Greater sodium intake is widely viewed as an intervention for preventing lightheadedness when moving from seated to standing positions.

However, contrary to this recommendation, researchers at Beth Israel Deaconess Medical Centre (BIDMC) found that higher sodium intake, actually increases dizziness.

“Our study has clinical and research implications,” said Stephen Juraschek, researcher from BIDMC in Boston.

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Greater sodium intake is widely viewed as an intervention for preventing lightheadedness when moving from seated to standing positions. Pixabay

“Our results serve to caution health practitioners against recommending increased sodium intake as a universal treatment for lightheadedness. Additionally, our results demonstrate the need for additional research to understand the role of sodium, and more broadly of diet, on lightheadedness,” Juraschek said.

For the study, reported in The Journal of Clinical Hypertension, the team used data from the completed DASH-Sodium trial, a randomised crossover study that looked at the effects of three different sodium levels (1500, 2300, and 3300 mg/d) on participants’ blood pressure for four weeks.

While the trial showed that lower sodium led to decrease in blood pressure, it also suggested that concerns about lower level of sodium causing dizziness may not be scientifically correct.

Also Read: ‘It Has Been A Very Long Process, But Ultimately A Very Successful Process’: South Korea Agrees to Pay More for U.S. Troops

The study also questioned recommendations to use sodium to treat lightheadedness, an intervention that could have negative effects on cardiovascular health.

“Health practitioners initiating sodium interventions for orthostatic symptoms now have some evidence that sodium might actually worsen symptoms,” Juraschek said.

“Clinicians should check on symptoms after initiation and even question the utility of this approach. More importantly, research is needed to understand the effects of sodium on physical function, particularly in older adults.” (IANS)