medicalcondition:headache

Le journal diagnostic la grippe un peu rapidement...

Du coup, on en inspecte d’autres…
#EK203 (au cas où…)

These flights have been quarantined and evaluated over sick passengers | Deseret News (article du 9/09/2018)
▻https://www.deseretnews.com/article/900030842/these-flights-have-been-quarantined-and-evaluated-over-sick-passengers.

https://media.deseretdigital.com/file/081e682537.jpg

Several flights across the country have been quarantined and evaluated over the past few days after some passengers showed signs of sickness.

On Wednesday, a flight from Dubai to John F. Kennedy Airport was quarantined after at least 19 passengers suffered from a confirmed case of the flu, according to ABC News.

The CDC quarantined the Emirates aircraft, which held 520 passengers. The CDC evaluated 100 passengers, who said they suffered from coughs, headaches, sore throats and fevers, ABC News reported.

At least 10 people were hospitalized as a “precaution.” The rest were cleared.

“Given the symptoms that we are seeing in the patients and given the history that they present, it looks like this is probably influenza,” acting New York City Health Commissioner Dr. Oxiris Barbot said. “But again, until we have our final results late tonight we won’t be able to give a final determination on what the underlying cause is of this illness.”

Similarly, Southwest Airlines passengers on four flights between Dallas, Houston and Harlingen, Texas, may have been exposed to #measles, the airline company told KTRK-TV.

The airline said it contacted customers who traveled on the plane two weeks ago to see if anyone onboard had the highly contagious virus.

The Houston Health Department is working with the Centers for Disease Control and Prevention to speak with the passengers.

The department told KTRK that the passenger who had the virus did not visit the airport after their flight. They stayed in a waiting room for an hour after the flight.

And, as The Verg_e reported, two more international flights were evaluated after passengers were caught coughing and showing signs of sickness.

Both flights were from American Airlines, flying from Munich and Paris to Philadelphia International airport. About 12 people on each flight felt sick, according to a statement from the airport.

The airport said “_all passengers on the two flights — totaling about 250 plus crew — were held for a medical review and the CDC was notified.”

Allen Parmet, an aerospace medicine expert, told The Verge, “It’s actually pretty common to have somebody coughing in a plane.”

“If it turns out to be the flu, this could be an early forecast of the flu season ahead. And the CDC has some tips for keeping the virus from spreading: get vaccinated, and stay home when you’re sick, if you can,” according to The Verge.

#grippe #flu #influenza
#rougeole

les consignes du CDC :
#se_faire_vacciner
#rester_chez_soi
#ne_pas_tousser_dans_l'avion (bon, ça c’est de moi…)

C’est un coup des musulmans du pèlerinage #Hajj …

Health Scares At Two U.S. Airports Linked To Pilgrims Arriving From Muslim Hajj In Mecca
▻https://www.inquisitr.com/5064809/health-scares-at-two-us-airports-linked-to-pilgrims-arriving-from-muslim-

https://cdn.inquisitr.com/wp-content/uploads/2018/09/Sick-Passengers-At-JFK-Airport-Linked-To-Mecca-Pilgrim.jpg

U.S. health officials revealed on Friday that major health scares at two U.S. airports involving inbound flights are tied to pilgrims returning from Hajj, the pilgrimage to Mecca that Muslims take at least once in their lifetime, and which ended in late August.

Health officials on Wednesday sent an emergency response team to the John F. Kennedy International Airport in New York after more than 100 Emirates passengers from Dubai showed flu-like symptoms.

In an interview with Reuters, Martin Cetron, director for the division of Global Migration and Quarantine at the U.S. Centers for Disease Control and Prevention, said that 11 of the nearly 549 passengers evaluated at the airport were sent to a local hospital for further testing.

Ten were tested for respiratory pathogen in an attempt to rule out serious infections that may pose health threats to the public.

“Our most critical issue was to rule several respiratory illnesses of urgent public health significance,” Cetron said.

Two tested positive for a virulent type of the influenza A virus. One of the two was found gravely ill with pneumonia and also infected with another respiratory virus. Another passenger was positive for the cold virus.

Seven crew members of the flight who were not at the pilgrimage tested negative for respiratory infections that could be of public health concern.
 
Another health scare happened at the Philadelphia International Airport the next day. Medical teams had to screen passengers who boarded two American Airlines flights from Europe when 12 passengers showed flu-like symptoms. One of the sick passengers visited Mecca for the Muslim pilgrimage.

Of the 11 passengers taken to the hospital for evaluation, 10 had respiratory symptoms and one exhibited signs of food poisoning. The 10 patients were also tested for Middle East Respiratory Syndrome, but none was positive. MERS is a highly contagious viral respiratory illness first reported in Saudi Arabia in 2012.

The incident prompted a medical review of 250 passengers from the two flights. Authorities said that this was done as a precautionary measure.

“While airport operations were not affected, out of an abundance of caution, officials performed medical evaluations and assessments,” the Philadelphia International Airport said on Twitter.

CDC spokesman Benjamin Haynes said that CDC and public health officers worked with emergency medical service personnel and officials from the Customs and Border Protection to evaluate the sick passengers.

Twelve were found to have coughs and sore throats, and one tested positive for flu. The CDC said that this is not unusual since flu is a year-round virus.

#MERS-CoV (ça faisait longtemps, tiens !)

Ici un billet avec une suite des articles sur ce sujet :
►https://seenthis.net/messages/649717
▻https://seenthis.net/messages/649717#message653433

#retour_volontaire

cf. aussi ici :
▻https://seenthis.net/messages/652350#message656947

#merci @02myseenthis01, en effet il s’agit d’articles qui traitent du retour volontaire, mais non pas de ce que je cherche (à moins que je n’ai pas loupé quelque chose), soit de personnes qui, une fois rapatriées via le programme de retour volontaires, décident de reprendre la route de la migration (comme c’est le cas des Afghans, beaucoup plus documenté, notamment par Liza Schuster : ▻https://www.city.ac.uk/people/academics/liza-schuster)

De rien, @cdb_77, merci surtout pour le lien de Liza Schuster - elle a l’air de toucher pas mal des points sensibles dans la discussion scientifique et de la pratique.

Encore un essai de ma part - selon l’information donnée peut-être dans le billet ici, commencé au Déc 2016 jusqu’à Juin/Julliet on l’y peut trouver.

►https://seenthis.net/messages/548137

@02myseenthis01 : j’ai pas mal utilisé les travaux de Liza Schuster pour soutenir mon propos dans cet article que j’ai publié sur le site de @lacite (si jamais cela t’intéresse) :

https://static1.squarespace.com/static/55b0a2c5e4b07fa072ccba33/t/56c256180c4a682f8c8691bd/1455579578161/ruckkehr_1021_683.jpg?format=2500w#.jpg

Libya return demand triggers reintegration headaches

“This means that the strain on the assistance to integration of the country of origin has been particularly high because of the success, paradoxically of the return operation,” said Eugenio Ambrosi, IOM’s Europe director, on Monday (12 February).

“We had to try, and we are still trying, to scale up the reintegration assistance,” he said.

Since November, It has stepped up operations, along with the African Union, and helped 8,581 up until earlier this month. Altogether some 13,500 were helped given that some were also assisted by African Union states. Most ended up in Nigeria, followed by Mali and Guinea.

People are returned to their home countries in four ways. Three are voluntary and one is forced. The mixed bag is causing headaches for people who end up in the same community but with entirely different integration approaches.

“The level of assistance and the type of reintegration assistance that these different programmes offer is not the same,” noted Ambrosi.

►https://euobserver.com/migration/140967
#réintégration

Et une partie de cet article est consacrée à l’#aide_au_retour par les pays européens :

Some EU states will offer in-kind support, used to set up a business, training or other similar activities. Others tailor their schemes for different countries of origin.

Some others offer cash handouts, but even those differ vastly.

Sweden, according to a 2015 European Commission report, is the most generous when it comes to cash offered to people under its voluntary return programme.

It noted that in 2014, the maximum amount of the in-cash allowance at the point of departure/after arrival varied from €40 in the Czech Republic and €50 in Portugal to €3,750 in Norway for a minor and €3,300 in Sweden for an adult.

Anti-migrant Hungary gave more (€500) than Italy (€400), the Netherlands (€300) and Belgium (€250).

However, such comparisons on cash assistance does not reveal the full scope of help given that some of the countries also provide in-kind reintegration support.

For Refugees Detained in Libya, Waiting is Not an Option

Niger generously agreed to host these refugees temporarily while European countries process their asylum cases far from the violence and chaos of Libya and proceed to their resettlement. In theory it should mean a few weeks in Niger until they are safely transferred to countries such as France, Germany or Sweden, which would open additional spaces for other refugees trapped in Libya.

But the resettlement process has been much slower than anticipated, leaving Helen and hundreds of others in limbo and hundreds or even thousands more still in detention in Libya. Several European governments have pledged to resettle 2,483 refugees from Niger, but since the program started last November, only 25 refugees have actually been resettled – all to France.

As a result, UNHCR announced last week that Niger authorities have requested that the agency halt evacuations until more refugees depart from the capital, Niamey. For refugees in Libya, this means their lifeline to safety has been suspended.

Many of the refugees I met in Niger found themselves in detention after attempting the sea journey to Europe. Once intercepted by the Libyan coast guard, they were returned to Libya and placed in detention centers run by Libya’s U.N.-backed Government of National Accord (GNA). The E.U. has prioritized capacity building for the Libyan coast guard in order to increase the rate of interceptions. But it is an established fact that, after being intercepted, the next stop for these refugees as well as migrants is detention without any legal process and in centers where human rights abuses are rife.

▻https://www.newsdeeply.com/refugees/community/2018/03/12/for-refugees-detained-in-libya-waiting-is-not-an-option

#limbe #attente

#réinstallation (qui évidemment ne semble pas vraiment marcher, comme pour les #relocalisations en Europe depuis les #hotspots...) :

Several European governments have pledged to resettle 2,483 refugees from Niger, but since the program started last November, only 25 refugees have actually been resettled – all to France.

“Death Would Have Been Better” : Europe Continues to Fail Refugees and Migrants in Libya

Today, European policies designed to keep asylum seekers, refugees, and migrants from crossing the Mediterranean Sea to Italy are trapping thousands of men, women and children in appalling conditions in Libya. This Refugees International report describes the harrowing experiences of people detained in Libya’s notoriously abusive immigration detention system where they are exposed to appalling conditions and grave human rights violations, including arbitrary detention and physical and sexual abuse.

►https://www.refugeesinternational.org/reports/libyaevacuations2018

#rapport

Lien vers le rapport :

The report is based on February 2018 interviews conducted with asylum seekers and refugees who had been evacuated by UNHCR from detention centers in Libya to Niamey, Niger, where these men, women, and children await resettlement to a third country. The report shows that as the EU mobilizes considerable resources and efforts to stop the migration route through Libya, asylum seekers, refugees and migrants continue to face horrendous abuses in Libya – and for those who attempt it, an even deadlier sea crossing to Italy. RI is particularly concerned that the EU continues to support the Libyan coast guard to intercept boats carrying asylum seekers, refugees and migrants and bring them back to Libyan soil, even though they are then transferred to detention centers.

►https://static1.squarespace.com/static/506c8ea1e4b01d9450dd53f5/t/5ad3ceae03ce641bc8ac6eb5/1523830448784/2018+Libya+Report+PDF.pdf
#évacuation #retour_volontaire #renvois #Niger #Niamey

#Return_migration – a regional perspective

The current views on migration recognize that it not necessarily a linear activity with a migrant moving for a singular reason from one location to a new and permanent destination. Within the study of mixed migration, it is understood that patterns of movements are constantly shifting in response to a host of factors which reflect changes in individual and shared experiences of migrants. This can include the individual circumstance of the migrant, the environment of host country or community, better opportunities in another location, reunification, etc.[1] Migrants returning to their home country or where they started their migration journey – known as return migration—is an integral component of migration.

Return migration is defined by the International Organization for Migration (IOM) as the act or process of going back to the point of departure[2]. It varies from spontaneous, voluntary, voluntary assisted and deportation/forced return. This can also include cyclical/seasonal return, return from short or long term migration, and repatriation. Such can be voluntary where the migrant spontaneously returns or assisted where they benefit from administrative, logistical, financial and reintegration support. Voluntary return includes workers returning home at the end of their labour arrangements, students upon completion of their studies, refugees and asylum seekers undertaking voluntary repatriation either spontaneously or with humanitarian assistance and migrants returning to their areas of origin after residency abroad. [3] Return migration can also be forced where migrants are compelled by an administrative or judicial act to return to their country of origin. Forced returns include the deportation of failed asylum seekers and people who have violated migration laws in the host country.

Where supported by appropriate policies and implementation and a rights-based approach, return migration can beneficial to the migrant, the country of origin and the host country. Migrants who successfully return to their country of origin stand to benefit from reunification with family, state protection and the possibility of better career opportunities owing to advanced skills acquired abroad. For the country of origin, the transfer of skills acquired by migrants abroad, reverse ‘brain drain’, and transactional linkages (i.e. business partnerships) can bring about positive change. The host country benefits from such returns by enhancing strengthened ties and partnerships with through return migrants. However, it is critical to note that return migration should not be viewed as a ‘solution’ to migration or a pretext to arbitrarily send migrants back to their home country. Return migration should be studied as a way to provide positive and safe options for people on the move.
Return migration in East Africa

The number of people engaging in return migration globally and in the Horn of Africa and Yemen sub-region has steadily increased in recent years. In 2016, IOM facilitated voluntary return of 98,403 persons worldwide through its assisted voluntary return and re-integration programs versus 69,540 assisted in 2015. Between December 2014 and December 2017, 76,589 refugees and asylum seekers were assisted by humanitarian organisations to return to Somalia from Kenya.

In contexts such as Somalia, where conflict, insecurity and climate change are common drivers for movement (in addition to other push and pull factors), successful return and integration of refugees and asylum seekers from neighbouring countries is likely to be frustrated by the failure to adequately address such drivers before undertaking returns. In a report titled ‘Not Time To Go Home: Unsustainable returns of refugees to Somalia’,Amnesty International highlights ongoing conflict and insecurity in Somalia even as the governments of Kenya and Somali and humanitarian agencies continue to support return programs. The United Nations has cautioned that South and Central parts of Somalia are not ready for large scale returns in the current situation with over 2 million internally displaced persons (IDPs) in the country and at least half of the population in need of humanitarian assistance; painting a picture of returns to a country where safety, security and dignity of returnees cannot be guaranteed.

In March 2017, the Kingdom of Saudi Arabia ordered all undocumented migrants to regularize their status in the Kingdom giving them a 90-day amnesty after which they would face sanctions including deportations. IOM estimates that 150,000 Ethiopians returned to Ethiopia from Saudi Arabia between March 2017 and April 2018. Since the end of the amnesty period in November 2017, the number of returns to Ethiopia increased drastically with approximately 2,800 migrants being deported to Ethiopia each week. Saudi Arabia also returned 9,563 Yemeni migrants who included migrants who were no longer able to meet residency requirements. Saudi Arabia also forcibly returned 21,405 Somali migrants between June and December 2017.

Migrant deportations from Saudi Arabia are often conducted in conditions that violate human rights with migrants from Yemen, Somalia and Ethiopia reporting violations. An RMMS report titled ‘The Letter of the Law: Regular and irregular migration in Saudi Arabia in a context of rapid change’ details violations which include unlawful detention prior to deportation, physical assault and torture, denial of food and confiscation of personal property. There were reports of arrest and detention upon arrival of Ethiopian migrants who had been deported from Saudi Arabia in 2013 during which the migrants were reportedly tortured by Ethiopian security forces.

Further to this, the sustainability of such returns has also been questioned with reports of returnees settling in IDP camps instead of going back to their areas of origin. Such returnees are vulnerable to (further) irregular migration given the inability to integrate. Somali refugee returnees from Kenya face issues upon return to a volatile situation in Somalia, often settling in IDP camps in Somalia. In an RMMS research paper ‘Blinded by Hope: Knowledge, Attitudes and Practices of Ethiopian Migrants’, community members in parts of Ethiopia expressed concerns that a large number of returnees from Saudi Arabia would migrate soon after their return.

In November 2017, following media reports of African migrants in Libya being subjected to human rights abuses including slavery, governments, humanitarian agencies and regional economic communities embarked on repatriating vulnerable migrants from Libya. African Union committed to facilitating the repatriation of 20,000 nationals of its member states within a period of six weeks. African Union, its member states and humanitarian agencies facilitated the return of 17,000 migrants in 2017 and a further 14,000 between January and March 2018.[4]
What next?

Return migration can play an important role for migrants, their communities, and their countries, yet there is a lack of research and data on this phenomenon. For successful return migration, the drivers to migration should first be examined, including in the case of forced displacement or irregular migration. Additionally, legal pathways for safe, orderly and regular migration should be expanded for all countries to reduce further unsafe migration. Objective 21 of the Global Compact for Safe, Orderly and Regular Migration (Draft Rev 1) calls upon member states to ‘cooperate in facilitating dignified and sustainable return, readmission and reintegration’.

In addition, a legal and policy framework facilitating safe and sustainable returns should be implemented by host countries and countries of origin. This could build on bilateral or regional agreements on readmissions, creation of reception and integration agencies for large scale returns, the recognition and assurance of migrant legal status, provision of identification documents where needed, amending national laws to allow for dual citizenship, reviewing taxes imposed on the diaspora, recognition of academic and vocational skills acquired abroad, support to vulnerable returnees, financial assistance where needed, incentives to returnee entrepreneurs, programs on attracting highly skilled returnees. Any frameworks should recognize that people have the right to move, and should have their human rights and dignity upheld at all stages of the migration journey.

▻http://www.mixedmigration.org/articles/return-migration-a-regional-perspective

Reçu via la mailing-list Migreurop, le 20.09.2018

Niamey, le 20 septembre 2018

D’après des témoignages recueillis près du #centre_de_transit des #mineurs_non_accompagnés du quartier #Bobiel à Niamey (Niger), des rixes ont eu lieu devant le centre, ce mardi 18 septembre.

A ce jour, le centre compterait 23 mineurs et une dizaine de femmes avec des enfants en bas âge, exceptionnellement hébergés dans ce centre en raison du surpeuplement des structures réservées habituellement aux femmes.

Les jeunes du centre font régulièrement état de leurs besoins et du non-respect de leurs droits au directeur du centre. Certains y résident en effet depuis plusieurs mois et ils sont informés des services auxquels ils devraient avoir accès grâce à une #charte des centre de l’OIM affichée sur les murs (accès aux soins de santé, repas, vêtements - en particulier pour ceux qui sont expulsés de l’Algérie sans leurs affaires-, activité récréative hebdomadaire, assistance légale, psychologique...). Aussi, en raison de la lourdeur des procédures de « #retours_volontaires », la plupart des jeunes ne connaissent pas la date de leur retour au pays et témoignent d’un #sentiment_d'abandon.

Ces derniers jours certains jeunes ont refusé de se nourrir pour protester contre les repas qui leur sont servis (qui seraient identiques pour tous les centres et chaque jour).
Ce mardi, après un vif échange avec le directeur du centre, une délégation de sept jeunes s’est organisée et présentée au siège de l’OIM. Certains d’entre eux ont été reçus par un officier de protection qui, aux vues des requêtes ordinaires des migrants, s’est engagé à répondre rapidement à leurs besoins.
Le groupe a ensuite rejoint le centre où les agents de sécurité du centre auraient refusé de les laisser entrer. Des échanges de pierres auraient suivi, et les gardiens de la société #Gadnet-Sécurité auraient utilisé leurs matraques et blessé légèrement plusieurs jeunes. Ces derniers ont été conduits à l’hôpital, après toutefois avoir été menottés et amenés au siège de la société de gardiennage.

L’information a été diffusée hier soir sur une chaine de télévision locale mais je n’ai pas encore connaissance d’articles à ce sujet.

Alizée

#MNA #résistance #violence

Agadez, des migrants manifestent pour rentrer dans leurs pays

Des migrants ont manifesté lundi matin au centre de transit de l’Organisation Internationale pour les Migrations (OIM). Ce centre est situé au quartier #Sabon_Gari à Agadez au Niger. Il accueille à ce jour 800 migrants.

Parmi eux, une centaine de Maliens. Ces migrants dénoncent la durée de leurs séjours, leurs conditions de vie et le manque de communication des responsables de l’OIM.

https://www.studiotamani.org/images/image/magazine/Aout_18/mag-210818.jpg

Les cas publiés dans le NEJM (article derrière paywall)

Acute Neurologic Disorder from an Inhibitor of Fatty Acid Amide Hydrolase — NEJM
►http://www.nejm.org/doi/full/10.1056/NEJMoa1604221

BACKGROUND
A decrease in fatty acid amide hydrolase (FAAH) activity increases the levels of endogenous analogues of cannabinoids, or endocannabinoids. FAAH inhibitors have shown analgesic and antiinflammatory activity in animal models, and some have been tested in phase 1 and 2 studies. In a phase 1 study, BIA 10-2474, an orally administered reversible FAAH inhibitor, was given to healthy volunteers to assess safety.

METHODS
Single doses (0.25 to 100 mg) and repeated oral doses (2.5 to 20 mg for 10 days) of BIA 10-2474 had been administered to 84 healthy volunteers in sequential cohorts; no severe adverse events had been reported. Another cohort of participants was then assigned to placebo (2 participants) or 50 mg of BIA 10-2474 per day (6 participants). This report focuses on neurologic adverse events in participants in this final cohort. A total of 4 of the 6 participants who received active treatment consented to have their clinical and radiologic data included in this report.

RESULTS
An acute and rapidly progressive neurologic syndrome developed in three of the four participants starting on the fifth day of drug administration. The main clinical features were headache, a cerebellar syndrome, memory impairment, and altered consciousness. Magnetic resonance imaging showed bilateral and symmetric cerebral lesions, including microhemorrhages and hyperintensities on fluid-attenuated inversion recovery and diffusion-weighted imaging sequences predominantly involving the pons and hippocampi. One patient became brain dead; the condition of two patients subsequently improved, but one patient had residual memory impairment, and the other patient had a residual cerebellar syndrome. One patient remained asymptomatic.

CONCLUSIONS
An unanticipated severe neurologic disorder occurred after ingestion of BIA 10-2474 at the highest dose level used in a phase 1 trial. The underlying mechanism of this toxic cerebral syndrome remains unknown.

EDIT : je l’avais déjà pointé à la date de sa publication…
▻https://seenthis.net/messages/539107

Dans le rapport de l’ANSM, je ne vois pas la «  preuve irréfutable et involontaire  » annoncée. En revanche, la description des symptômes « classiques » chez des cobayes des essais de phase 1 fait vraiment peur. Et c’est jugé normal…
cf. @mediapart (sous #paywall)
▻https://seenthis.net/messages/546310

Le résumé de l’article sur NEJM (l’article est sous #paywall)

Acute Neurologic Disorder from an Inhibitor of Fatty Acid Amide Hydrolase — NEJM
►http://www.nejm.org/doi/full/10.1056/NEJMoa1604221

BACKGROUND
A decrease in fatty acid amide hydrolase (FAAH) activity increases the levels of endogenous analogues of cannabinoids, or endocannabinoids. FAAH inhibitors have shown analgesic and antiinflammatory activity in animal models, and some have been tested in phase 1 and 2 studies. In a phase 1 study, BIA 10-2474, an orally administered reversible FAAH inhibitor, was given to healthy volunteers to assess safety.

METHODS
Single doses (0.25 to 100 mg) and repeated oral doses (2.5 to 20 mg for 10 days) of BIA 10-2474 had been administered to 84 healthy volunteers in sequential cohorts; no severe adverse events had been reported. Another cohort of participants was then assigned to placebo (2 participants) or 50 mg of BIA 10-2474 per day (6 participants). This report focuses on neurologic adverse events in participants in this final cohort. A total of 4 of the 6 participants who received active treatment consented to have their clinical and radiologic data included in this report.

RESULTS
An acute and rapidly progressive neurologic syndrome developed in three of the four participants starting on the fifth day of drug administration. The main clinical features were headache, a cerebellar syndrome, memory impairment, and altered consciousness. Magnetic resonance imaging showed bilateral and symmetric cerebral lesions, including microhemorrhages and hyperintensities on fluid-attenuated inversion recovery and diffusion-weighted imaging sequences predominantly involving the pons and hippocampi. One patient became brain dead; the condition of two patients subsequently improved, but one patient had residual memory impairment, and the other patient had a residual cerebellar syndrome. One patient remained asymptomatic.

CONCLUSIONS
An unanticipated severe neurologic disorder occurred after ingestion of BIA 10-2474 at the highest dose level used in a phase 1 trial. The underlying mechanism of this toxic cerebral syndrome remains unknown.

#Ukraine #Russie #Crimée