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The plastic in our bodies

Nobody, it seemed, had thought to look before.

When two Austrian scientists discovered last year th..

Nobody, it seemed, had thought to look before.

When two Austrian scientists discovered last year that its likely most people have plastic inside their bodies, it wasnt because they had invented some new, complicated scientific method. It was because they were the first to check.

Their approach was simple. They asked eight people, mostly in Europe, but also in Japan and Russia, to keep a weeklong food diary. Then, they examined stool samples from their subjects, looking for plastic.

They found it in every single one: On average, 20 tiny pieces in each 10 grams of stool; given that humans poop on average 400 to 500 grams a day, that means their subjects were likely passing some 800 to 1,000 pieces of so-called microplastic daily.

The scientists, Philipp Schwabl, a researcher at the Medical University of Vienna, and Bettina Liebmann of Austrias environment agency, are the first to admit their findings are at best preliminary. Their results dont say where that plastic came from, what exactly it contains, and how — or whether — it is affecting our health.

The Great Pacific garbage patch; debris found in fish, turtles and whales; microscopic pieces within us — plastic, it seems, is literally everywhere.

The study is just now undergoing peer review, and much larger sample sizes will be needed to confirm its conclusions. But based on their results, the scientists estimate that more than half of the worlds population might have plastic passing through their bodies.

The study set off a wave of concern about the potential impact plastic could be having on humans, adding momentum to the transformation that plastic is undergoing in the public consciousness.

In its short history, plastic has gone from miracle material to a cause of mounting global concern. The Great Pacific garbage patch; debris found in fish, turtles and whales; microscopic pieces within us — plastic, it seems, is literally everywhere.

And as a substance, its turning out to be devilishly difficult to do something about. Plastic is cheap to produce, useful nearly everywhere and incredibly durable. These qualities make it nearly indispensable to large swathes of the modern economy, from packaging and fashion to medicine and transportation. They also make it a nightmare to regulate or dispose of.

Plastics can lodge in the organs of fish, causing inflammation and physical damage | Miguel Riopa/AFP via Getty Images

At the same time, even if the science isnt yet clear about the effect plastics have on our bodies, worries are rapidly mounting.

“Were running this big human experiment on how they will affect us,” said Alice Bernard, a lawyer for environmental advocacy group ClientEarth. “It was not thought through at all.”

Endless possibilities

Its taken just over a century for plastics to become a ubiquitous part of our lives, our environment and perhaps even our bodies.

The first mass-produced plastic was invented in 1907, by Belgian-born scientist Leo Baekeland. In creating a hard, moldable material that would retain its shape after being heated, Baekeland opened a Pandoras box in reverse — a flurry of hope followed by microscopic mayhem.

The plastics boom began in earnest after World War II, when global production skyrocketed from 1.5 million tons annually in 1950 to 100 million tons in 1989. In 2017, nearly 350 million tons were being produced each year.

Of more than 6 billion tons of plastic waste produced since the 1950s, only 9 percent has been recycled, and 12 percent has been burned.

“In product after product, market after market, plastics challenged traditional materials and won,” wrote author Susan Freinkel in a book on the materials ubiquity. Plastics possibilities are near-endless: In its various forms it has replaced steel in cars, wood in furniture, paper and glass in packaging, and cotton in clothes.

It didnt take long for the material to move into the environment.

Although most plastics are derived from petroleum — an organic matter — the manufacturing process warps individual chemical units found in petroleum, helping them form extremely strong carbon bonds unlike anything produced in nature. Because of this uniqueness, the organisms that decompose organic matter dont know how to break down plastic.

This, combined with the fact that many plastic items are used once and thrown away, means the vast majority of the plastic that has been produced is still out there, somewhere.

Of more than 6 billion tons of plastic waste produced since the 1950s, only 9 percent has been recycled, and 12 percent has been burned.

Bio-degradable glitter, an alternative to microplastics, has gained more fans amongst festival and carnival goers | Carl de Souza/AFP via Getty Images

Some of the other 4.7 billion tons of plastic waste sits in landfills, little trash mountains piling up in every country in the world.

Some of it is floating in the oceans, contributing to island-sized patches of floating garbage accumulated by rotating ocean currents. The rest of it surrounds us in the form of microplastics, particles ranging in size from microscopic to 5 millimeters long.

The term microplastics was coined in 2004 by Richard Thompson, a professor of marine biology at Plymouth University. He noticed that groups trying to clean up plastic pollution on beaches were mainly looking for “trophy items” like tires and fishing nets. He decided to look a bit closer.

“We found small bits among the sand grains that looked like sand grains,” he said. “We confirmed that they were plastic.”

Microplastics can act as a “vehicle” for some of the more harmful chemical additives in plastic | Tobias Schwarz/AFP via Getty Images

The microplastics varied in size and origin: Some were created at a very small size — think the little beads in exfoliating cosmetics or in fertilizers — but most of them are the result of bigger plastic items breaking down into smaller and smaller pieces, then slipping into the environment unnoticed. The two biggest sources of unintentionally released microplastics are wear from synthetic rubber tires and plastic fibers released from washing polyester or nylon clothes.

Thompsons research demonstrated that the amount of microscopic plastic on beaches has increased substantially since the 1960s. And he made another discovery. “We showed that a range of creatures can ingest that material,” he said.

In the years since, Thompsons findings have been confirmed over and over again. Microplastics have been found in nearly every fish and aquatic animal thats been tested.

Mussels in the coal mine

Now concern is growing about the effect of plastics on the human body, primarily informed by research that has been done on animal health.

Studies have found that sea birds, and marine animals like whales that filter-feed, can ingest so many microplastics that they accumulate in their digestive systems and block the ability to digest food. Others found that plastics can lodge in the organs of fish, causing inflammation and physical damage by jabbing and rubbing up against organ walls.

And beyond the mechanical problems caused by small pieces of non-biodegradable material stuck in organs, research has also shown that microplastics can act as a “vehicle” for some of the more harmful chemical additives in plastic, carrying them directly into the bodies of animals.

“They can soak up all these substances from other toxins, colorants and additives, and bring those into an organism,” said Frédérique Mongodin, a marine litter policy officer at the environmental NGO Seas at Risk.

This contamination from microplastics has been found in marine animals big and small, and its been linked to a host of problems, from inhibiting brain activity in tilapia fish to contributing to the early death of whales.

Plastic pollution does not have the known deadly effects that other environmental challenges do.

But while it may seem intuitive that its only a matter of time until negative effects are proven for humans too, most researchers are more cautious.

Plastic has been found in the guts of many commercially fished species, but since humans dont generally eat fish stomachs, scientists thought it was possible we werent digesting it. Plastic also shows up in a range of food products — from table salt to drinking water to beer — but until Schwabl and Liebmann started looking through fecal samples, nobody had showed it was present in our bodies in large quantities.

Some scientists wondered if seafood we eat whole, like mussels, could be carrying chemicals from plastics into our bodies, but they found were exposed to most of these from so many other places that microplastics from eating seafood is actually a negligible factor.

Schwabl and Liebmanns study has helped propel a new wave of research — partly because it left two important questions unanswered.

A wild deer rummage through garbage dumped at an open ground in Sri Lanka | Lukruwan Wanniarachchi/AFP via Getty Images

First, it cant say anything about where the plastic came from. “We showed it must have been swallowed,” Schwabl said. But thats it. The plastic could have been in something people ate or drank, or it could have migrated from materials in packaging or forks.

Second, it says nothing about whether the plastics in our guts are doing us any harm.

The gastrointestinal tract serves as a barrier between what we eat and our insides. Some who have looked at the study argue that as long as the plastics simply pass through our digestive system and are flushed out as waste, there may not be a problem. “And I second that opinion,” Schwabl said.

Funding is being doled out globally to research projects that are examining whether microplastics pose a risk to human health. But as scientists call for more research on human health impacts, some are also calling for the response to be proportional to the risk.

Plastic pollution does not have the known deadly effects that other environmental challenges do. Air pollution contributes to 7 million deaths annually, and climate change-related diseases could each year claim a quarter of a million lives. Plastic pollution has never been blamed for a single death.

Of the 11.7 million tons of microplastics estimated to enter the environment every year, only 3 million of them began as tiny particles.

“There is a big discrepancy between the magnitude of this debate and actual scientific findings, which have merely shown the presence of microplastics in certain products,” concluded Sinja Rist, a researcher from the Technical University of Denmark, in a critical look at the science of microplastics and human health. “The recent debate has created a skewed picture of human plastic exposure.”

Earlier this year, the EU advisory body Science Advice for Policy by European Academies (SAPEA) published a meta-analysis of all available studies on microplastics. Its conclusion: Read More – Source

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A high-level delegation visited Yei River State to intensify Ebola preparedness in Sudan

Juba, 16 July 2019 – On 15 July 2019, a high-level delegation led by Dr Makur Matur Kariom, Undersec..

Juba, 16 July 2019 – On 15 July 2019, a high-level delegation led by Dr Makur Matur Kariom, Undersecretary, Ministry of Health and Mr Alain Noudehou, UN Resident/Humanitarian Coordinator and comprising Ambassadors of donor countries, heads of United Nations (UN) agencies, , and Representatives of international non-governmental organizations visited Yei town.

The objective of the visit was to among others reassure local authorities of the continued support of the development partners and the one UN in South Sudan; secure sustained commitment of the local authorities to the EVD preparedness efforts and publicize in the national press key messages to the general public regarding Ebola preparedness.
South Sudan is one of the four priority one countries (Burundi, Rwanda, South Sudan, Uganda) prioritized by WHO to enhance preparedness and operational readiness based on the proximity to the outbreak area as well as the capacity to manage Ebola virus disease (EVD) outbreaks in the Democratic Republic of Congo (DRC).

The risk of transmission of EVD into countries that share borders with DRC, including South Sudan, has been classified as “very high” by WHO. Cases of EVD have recently been confirmed in Uganda, Goma and in Ariwara, a town in DRC located just 70km from the border with South Sudan.

“Diseases such as Ebola dont respect boundaries, race or religion so all must ensure that they work together to prevent its cross border transmission into South Sudan”, said Mr Noudehou. He also reiterated the commitment of the UN to continue to support EVD preparedness in the country under the leadership of WHO.

As a priority one country for EVD preparedness, the Ministry of Health, National Task Force, WHO and partners are implementing the National EVD Preparedness Plan, including vaccinating front-line health workers, educating people about prevention and response measures, conducting screening at multiple locations to help with early detection of cases, training personnel in infection prevention and control as well as being preparing for safe and dignified burial processes if needed.

“Although South Sudan has not confirmed any EVD case, implementation of effective public health measures is critical to manage the risk posed by South Sudans complex humanitarian context, the history of previous (EVD) outbreaks, increasing global travel and proximity to DRC”, said Dr Olushayo Olu, WHO Country Representative to South Sudan.

At the end of the visit, the Governor of the state, the state Health Ministry and partners on the ground reiterated their commitment to intensify key interventions and increase public awareness by providing adequate information through all communication channels, religious and community leaders.

In his closing remarks, the Undersecretary, Dr Makur appreciated WHO and other partners for the strong partnership and support rendered to enhance capacities to effectively implement the International Health Regulations (IHR, 2005) and address the threats of EVD and other infectious diseases.

Ebola Virus Disease (EVD) is one of the most fatal and highly infectious diseases known to the world. The on-going outbreak in the Democratic Republic of Congo (DRC) is the second largest outbreak reported globally. As of 13 July 2019, 2 489 confirmed cases and 1 665 deaths have been reported.

WHO is working in Jubek, Gbudue, Tambura, Maridi, Torit, Wau and Yei River states alongside their respective state health ministries and partners to provide strategic public health leadership and support required to ensure that all the high-risk counties are operationally ready and prepared to implement timely and effective EVD risk mitigation, detection, and response measures. (more…)

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Winning the hearts of communities fearful of Ebola

Goma, Democratic Republic of the Congo, 24 June 2019 – “You cant take my son away because I know you..

Goma, Democratic Republic of the Congo, 24 June 2019 – “You cant take my son away because I know you will go kill him. You will inject him with Ebola. Thats what everybody here knows.”

This response from an angry father, faced with the possibility that his son would be moved from a local hospital to an Ebola Treatment Centre, reflects the reality of containing an epidemic in an area where folklore, rumour and suspicion of outsiders abound.

For Dr. Ramses Kalumbi, Surveillance Team Leader for the World Health Organization (WHO) in Goma, reassuring his patients and their families is all in a days work. Empathy, patience and compassion are a vital part of the treatment offered by his team of doctors, psychologists and health workers.

The Ebola-affected city of Butembo, where the 27-year-old man has been working as a driver, is 350km away – an eight-hour journey by road. He had returned home to visit his family when he started to feel unwell.

Initial symptoms indicated malaria but his high fever and diarrhoea have rung alarm bells, and now he is terrified. So far, the tiered system of surveillance set up by the government and WHO have kept the disease out of Goma, but nobody can afford to take any chances.

His case came to the attention of a surveillance team combing health facilities and neighbourhoods to identify patients with symptoms that might indicate Ebola infection.

Such cases are quickly sent to the alert centre which deploys investigators to assess the patient and decide whether to authorise a transfer to the nearest Ebola Treatment Centre for blood tests. If the test returns positive, the patient is isolated for treatment and if negative the patient is returned to the initial health facility or to their family to continue previous treatment.

Coupled with distrust of health workers is a belief among many people in Goma that Ebola does not exist.

“They do not have family members in the regions affected by the disease. They are people who have not travelled to see the devastation,” says Bahati Sabimana Faustin, a traditional healer who works in the Bujavu area of Goma.

Support from traditional healers like Faustin who have had training in how to recognise Ebola symptoms play an important role in containing the disease and in encouraging the community to take precautions. (more…)

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As post-cyclone resettlement, 200 000 people lack access to health services in Mozambique

Maputo, 21 June 2019 – 94 health facilities damaged or destroyed by Cyclones Idai and Kenneth remain..

Maputo, 21 June 2019 – 94 health facilities damaged or destroyed by Cyclones Idai and Kenneth remain unsafe and 200 000 people who have been resettled live more than 5 km away from a functioning health facility, according to a recent Post-Disaster Needs Assessment and latest data.

“The ongoing relocation of families to new resettlement areas presents new challenges for access to heath,” said Dr Djamila Cabral, WHO Representative in Mozambique. “At the resettlement sites, there is limited access to essential health care, limited or no access to water and sanitary facilities. The fact that some health facilities remain damaged is a huge risk to health.”

Humanitarian partners continue supporting the population affected by Cyclone Idai in Mozambique shifting gradually from emergency to early recovery interventions. Urgent health priorities include delivery of basic health services for the affected population – especially at resettlement sites – building back better, strengthening surveillance and laboratory capacities.

Build back better with safe hospitals

With 14 per cent of the health infrastructure in the affected provinces damaged, there is an urgent need for construction of health facilities in districts that already had few health facilities and are now hosting resettled families.

Strengthen disease surveillance, response and laboratory capacity

Many communities in resettlement sites have no disease surveillance. There is need for health-facility based, event-based and community-based surveillance and to strengthen the national surveillance system to address acute vulnerability in the coming days and weeks.

There is also need to strengthen laboratory capacities at national and provincial levels and in health facilities to ensure timely processing of specimens.

Delivery of health services to affected population

Resumption of health service delivery is in progress with many challenges. Access to power is disrupting the immunization programmes cold chain; damaged infrastructure is a barrier to service delivery; and the settlement of population far from health facilities is overstretching the already weak health system. (more…)

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