Strengthen surveillance, public health measures for monkeypox: WHO
New Delhi(PTI): Regional Director of WHO's South-East Asia Region on Sunday called on member countries to strengthen surveillance and public health measures for monkeypox, with the disease being declared a public health emergency of international concern by the global health body.
Monkeypox has been spreading rapidly and to many countries that have not seen it before, which is a matter of great concern, said Dr Poonam Khetrapal Singh, Regional Director, WHO South-East Asia Region.
"However, with cases concentrated among men who have sex with men, it is possible to curtail further spread of the disease with focused efforts among at-risk population, she said.
Globally, over 16,000 cases of monkeypox have been reported from 75 countries. In the WHO South-East Asia Region, four cases of monkeypox have been reported, three from India and one from Thailand. The cases in India are among nationals who returned home from the Middle East, while in Thailand a Nigerian living in the country has been confirmed positive for monkeypox.
Importantly, our focused efforts and measures should be sensitive, devoid of stigma or discrimination," the regional director said.
The decision to term monkeypox as a public health emergency of international concern (PHEIC) was announced by Tedros Adhanom Ghebreyesus, Director-General WHO on Saturday, a day after he convened yet another meeting of the International Health Regulations (IHR) emergency committee to review the multi-country outbreak.
Though the risk of monkeypox globally and in the Region is moderate, the potential of its further international spread is real. Also, there are still many unknowns about the virus. We need to stay alert and prepared to roll out intense response to curtail further spread of monkeypox, Dr Khetrapal Singh said.
Since the start of the outbreak, WHO has been supporting countries assess risk, and initiate public health measures, while also building and facilitating testing capacities in the Region.
Engaging and protecting the affected communities; intensifying surveillance and public health measures; strengthening clinical management and infection prevention and control in hospitals and clinics; and accelerating research into the use of vaccines, therapeutics and other tools, are among the key measures that need to be scaled-up, the Regional Director said.
Monkeypox virus is transmitted from infected animals to humans via indirect or direct contact. Human-to-human transmission can occur through direct contact with infectious skin or lesions, including face-to-face, skin-to-skin, and respiratory droplets.
In the current outbreak in countries and amongst the reported monkeypox cases, transmission appears to be occurring primarily through close physical contact, including sexual contact. Transmission can also occur from contaminated materials such as linens, bedding, electronics, clothing, that have infectious skin particles.
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3rd T20I: A three-match 'audition' starts for Gill to find his game back
Dharamsala (PTI): The countdown to save his place in the playing XI begins for a beleaguered Shubman Gill, who is likely to get three matches against South Africa to prove his worth before the Indian team management switches to a ‘Plan B’ ahead of the T20 World Cup, starting in six weeks.
As India gear up to play the third T20I against the Proteas on Sunday in sub-10-degree temperatures in the lap of the ice-clad Dhauladhar range, things are suddenly heating up in the Indian dressing room, with the prolonged poor form of skipper Suryakumar Yadav coming under the scanner.
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Worse, his deputy Shubman Gill, who was pushed into the XI at the expense of a settled Sanju Samson, is not inspiring much confidence.
The South African pace attack featuring Anrich Nortje, Marco Jansen, Lungi Ngidi, Ottniel Baartman and Lutho Sipamla — has shown how to bowl on Indian tracks, and the HPCA Stadium strip, offering extra bounce and some movement off the surface, will certainly keep them interested.
Among all T20 sides, South Africa, in terms of personnel, appears to have the requisite balance to win the trophy in the Indian subcontinent this time. Quinton de Kock’s return, along with the likes of Aiden Markram, Dewald Brevis, Donovan Ferreira, David Miller and all-rounder Jansen, gives their batting an intimidating look.
With only eight games, starting from the third T20I, left before the start of the T20 World Cup title defence, India's under-fire head coach Gautam Gambhir won't be able to afford, two out-of-form top-order batters in the starting line-up.
Being the skipper of the side, Surya will certainly have immunity going into the T20 World Cup despite being completely out of form for the past one year but same can't be said about Gill, who wasn't the original choice as an opener.
Gill's entry into the T20 set-up was a classic case of trying to fix something that ain't broken and things haven't looked good so far.
In this backdrop, Gill would need to bat out of his skin to prove that Ajit Agarkar-led committee wasn't wrong in throwing Samson under the bus for one bad series against England.
The stylish Indian Test and ODI skipper will have to find his T20 game and at least score in two of the three matches if he doesn't want Samson to get his rightful place back or for that matter, find Yashasvi Jaiswal, with a fabulous T20I strike-rate of 165, enter the fray during New Zealand series.
Lack of clarity
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While head coach Gambhir is too proud a person to admit but sending Axar Patel as a one drop batter during the second T20I was a "tactical brain fade" from the team's think-tank.
The kind misstep that was taken with Axar's promotion is unlikely to be repeated in the third game where skipper is expected to go back to No.3 where he has got a lot of success in his first few years at the international level.
Similarly, Shivam Dube being sent at number eight due to the shuffling of batting order was another poor call which would need course correction in the next game.
Is there a place for Kuldeep Yadav?
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Kuldeep Yadav is one bowler who has consistently troubled the Proteas batter but in an Indian team where batting till No. 8 is non-negotiable, the left-arm wrist spinner often finds himself getting the rough end of the stick.
At Dharamsala too, he might have to sit out as Kuldeep and Varun Chakravarthy, two non-batters can't be clubbed in the same T20 playing eleven as that would lead to compromise in batting depth.
While Arshdeep hasn't had a good series so far, it will be interesting to find if team management can find a place for Kuldeep in the playing eleven with Hardik Pandya sharing the new ball with Jasprit Bumrah.
The five-match series is currently tied 1-1.
Teams:
India: Suryakumar Yadav (captain), Shubman Gill, Abhishek Sharma, NT Tilak Verma, Axar Patel, Hardik Pandya, Shivam Dube, Jitesh Sharma (wk), Varun Chakravarthy, Arshdeep Singh, Jasprit Bumrah, Sanju Samson (wk), Harshit Rana, Kuldeep Yadav, Washington Sundar.
South Africa: Aiden Markram (captain), Quinton de Kock, Reeza Hendricks, Dewald Brevis, David Miller, Tristan Stubbs, Donovan Ferreira, Marco Jansen, Lutho Sipamla, Ottniel Baartman, Anrich Nortje, Lungi Ngidi, Corbin Bosch, Keshav Maharaj, George Linde.
Match Starts at 7 pm.
