Russia-Ukraine conflict and COVID-19:a double burden for Ukraine's healthcare system and a concern for global citizens

The conflict between Ukraine and Russia significantly influences the healthcare sector. The ongoing COVID-19 pandemic and the armed conflict have badly devastated the established healthcare system. Only 36.08% of the Ukrainian population has received the COVID-19 vaccination, with the majority receiving two doses, and currently, Ukraine records the highest mortality rate in the world. In addition to the conflict injuries, increased susceptible deaths to COVID-19 can be found due to inadequate vaccination rates for the disease. To save their lives and for their well-being, many individuals have been relocating to the underground metro stations, other cities, nearby towns and countries. In these settings, social distancing, hand sanitation and wearing masks are not prioritised. In the current circumstances, the broken healthcare system needs to be rebuilt, and the Non-Governmental Organizations (NGOs), doctors and all the front-line workers should extend their humanitarian support to the Ukrainian population. Conclusion: It is an arduous task for healthcare organisations to supply vaccines and medicines in this ‘armed conflict’ between Russia and Ukraine. This can only happen when both parties extend their support to rebuild the shattered healthcare infrastructure

Ebola virus outbreak returns to the Democratic Republic of Congo:An urgent rising concern

On April 23, 2022, the Ministry of Health of the Democratic Republic of the Congo announced an EVD outbreak after discovering 2 confirmed cases and identifying 267 contacts. With collaboration from the WHO, the MoH are taking many interventions to prevent further expansion of this outbreak. Forty-six years ago, the Ebola virus was first discovered in 1976 near the Ebola River in the DRC. Since then, 13 outbreaks of EVD have occurred in the DRC and, in 2020, it witnessed the second largest EVD outbreak in the world, resulting in 3481 cases and 2299 mortalities. This article discusses the epidemiology of the current DRC outbreak by examining the etiology of EVD, the number of affected cases, and the subsequent case index. Considering these data, this paper discusses measures taken by the MoH, WHO, CDC, and UNICEF to mitigate the Ebola outbreak, such as supporting local teams to provide essential care, training medical staff, and raising awareness for vaccination. Finally, by comparing the gravity of the situation to current measures, this article provides recommendations for individuals and governments to protect themselves and mitigate future outbreaks

Hepatitis A virus outbreak in Lebanon:Is it a matter of concern?

Lebanon has been grappling with hepatitis A virus (HAV) outbreaks for 3 decades, to an extent that it has been now termed an endemic zone for HAV. However, the rise in cases above the annual average concerns a potential outbreak in the North, and the Bekaa governorates of Lebanon must be highlighted. Although the Lebanese health authorities have ordered a probe into the possible causes of the outbreak, it has been speculated that the immigration of Syrian refugees has overburdened public health services. Reduced seroprevalence of HAV immunoglobulin G has also led to an epidemiological shift from child to adult populations. The current economic crisis affecting Lebanese society is another significant problem that could have contributed to the rise in incidents. This article examines Lebanon's current HAV outbreak and epidemiological status, offering suggestions for the future. In the event of an outbreak, the infrastructure for water sanitation and sewage is known to allow HAV to spread via the faecal-oral pathway. Maintaining personal hygiene, early detection, and vaccination have all been recommended as significant regional and individual control measures

Leptospirosis outbreak in Tanzania:An alarming situation

On July 5, 2022, the Tanzanian Ministry of Health (MoH) announced the re-emergence of leptospirosis after reporting 20 confirmed symptomatic cases and 3 mortalities. Leptospirosis is caused by a spirochete bacterium that lives in an animal's renal tubule and spreads to individuals through contact with contaminated animal urine. Unsupervised agricultural practices, urban development, wildlife infiltration, and a lack of sanitation have all been proposed as potential environmental causes of the present outbreak. The MoH is taking the necessary steps to halt the spread of said outbreak with assistance from the World Health Organization (WHO). This article examines the risk factors, etiology, number of confirmed cases, and subsequent case index to analyse the epidemiology of the current leptospirosis outbreak in Tanzania's southern Linda region. In light of these findings, this research further details recent recommendations made by the WHO, Centers for Disease Control and Prevention, and MoH to mitigate such an alarming situation. These recommendations include early detection and isolation, contact tracing, and chemoprophylaxis using doxycycline. The article concludes by outlining suggestions for individuals and governments, including the launch of public awareness campaigns, immunisation, increased surveillance, rapid detection testing, and the installation of suitable purification systems, to help contain future leptospirosis outbreaks

Polio returns to the USA: An epidemiological alert

On July 21, 2022, the USA witnessed the first case of poliomyelitis after 3 decades of its eradication. Poliomyelitis is a crippling disease that results from infection with any one of the three related poliovirus types (referred to as types P1, P2, and P3), members of the enterovirus (picornavirus) family. The New York State Department of Health confirmed that a case of paralytic poliomyelitis was reported from a 20-year-old Hungarian traveller residing in Rockland County. The detected viral sequence has been found to have vaccine-derived poliovirus type 2 (VDPV2) suggesting an origin from the live attenuated oral polio vaccine (OPV). Since immunisation remains the only preventable measure, this article explores suggestions from the Centers for Disease Control and Prevention on reliable Inactivated (killed) polio vaccination in high-risk patients along with early case detection and treatment. In light of the above-mentioned findings, this research further details future recommendations like cessation of the OPV, encouragement of inactivated polio vaccine (IPV) in vaccination schedules, sensitive epidemiological surveillance system and appropriate training for healthcare providers. The affected countries have been further advised to have effective outbreak response strategy plans in place so that they can respond and stay prepared for such outbreaks in the future

Novel sensing mechanism for full-duplex secondary users in cognitive radio

International audienceIn this paper, we present a new Transmitting-Receiving-Sensing (TRS) mechanism for full-duplex cognitive radio. Our proposed mechanism permits Secondary Users (SUs) to establish a bidirectional communication over the same frequency band while keeping aware of the Primary User (PU) activity status. The activity period of SU in our proposed mechanism is composed of two stages: In the first stage SU communicates in bidirectional way with his peer SU. At the second stage, one of the SUs becomes silent in order to do not disturb his peer, which performs a spectrum sensing and remains active at the same time using self-interference cancellation technique. The probability of collision related to our mechanism is derived as well as the probability of waste and the average throughput. Our simulation results show that the proposed mechanism can significantly decrease the probability of collision at low SNRp (Signal to Noise Ratio of PU at SU)

Wireless Communication Attack Using SDR and Low-Cost Devices

International audienceWhile Wireless communication (WLC) enhances the user mobility and extends the connection and services to extreme isolated points, is the only way to establish a connection over long distance (mainly earth and space), it has many weak points: Interference, Spectrum limitations, bandwidth cost, various regulations, etc. But the major drawback is the security and risk vulnerabilities. To clarify this idea and highlight several security issues, we are working on the weak points of our wireless networks and communication protocols. In this manuscript, we develop several scenarios of Wireless attacks using simple and low-price equipment. Indeed using Software Defined Radio (SDR), a potential hacker can now access a wide range of wireless-based communication like Keyless entry, GPS and RFID system. It can also interfer and jam several other WLC services and networks

In-Network Data Aggregation for Ad Hoc Clustered Cognitive Radio Wireless Sensor Network

International audienceIn cognitive radio wireless sensor networks (CRSN), the nodes act as secondary users. Therefore, they can access a channel whenever its primary user (PU) is absent. Thus, the nodes are assumed to be equipped with a spectrum sensing (SS) module to monitor the PU activity. In this manuscript, we focus on a clustered CRSN, where the cluster head (CH) performs SS, gathers the data, and sends it toward a central base station by adopting an ad hoc topology with in-network data aggregation (IDA) capability. In such networks, when the number of clusters increases, the consumed energy by the data transmission decreases, while the total consumed energy of SS increases, since more CHs need to perform SS before transmitting. The effect of IDA on CRSN performance is investigated in this manuscript. To select the best number of clusters, a study is derived aiming to extend the network lifespan, taking the SS requirements, the IDA effect, and the energy consumed by both SS and transmission into consideration. Furthermore, the collision rate between primary and secondary transmissions and the network latency are theoretically derived. Numerical results corroborate the efficiency of IDA to extend the network lifespan and minimize both the collision rate and the network latency