Easy Suggestions, Strategies And Advice For Working With Leg

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A Virus Linked To Birth Defects Is Spreading Across The Globe

In October 2015, Brazilian health authorities notified the World Health Organization that an alarming number of Brazilian babies had been born with microcephaly, a rare, debilitating birth defect with lifelong consequences.

Researchers quickly linked the spike in birth defects to the outbreak of a little-known tropical disease called Zika virus, which is transmitted by mosquito.

Since its discovery in Uganda in 1947, Zika virus has popped up in different African and Asian countries, but no widespread outbreaks had occurred until 2013, when the virus infected an estimated 11 percent of the population of French Polynesia and spread to neighboring Pacific islands.

Then, in 2014, Brazil hosted a series of international sporting events — the FIFA World Cup and the Va’a World Elite & Club Sprint Championships canoe race. Researchers suspect that this is when people from the Pacific islands who were infected with Zika virus first introduced it to South America. 

Since then, the virus has spread across South and Central America, as well as the Caribbean — reaching as far as the U.S. territory of Puerto Rico.

So far, two people have tested positive for the virus in Spain, and approximately a dozen people in the U.S. have tested positive for it since 2015. The virus has also been linked to a microcephalic baby born in Hawaii.

However, it’s important to note that the U.S. and European cases of the virus were acquired by travelers who had recently visited areas already affected by Zika. The virus has not necessarily reached the places where these people were diagnosed.

Here’s what you need to know about the virus and where it has traveled.

Zika Virus Is In Central And South America

As of Jan. 22, the U.S. Centers for Disease Control and Prevention have graded 22 countries and territories with a “Level 2” travel health warning because of reports of local Zika virus transmission. This means travelers should be extra vigilant to protect themselves from mosquito bites and prevent Zika.

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The countries and territories are: Barbados, Bolivia, Brazil, Cape Verde, Colombia, Ecuador, El Salvador, French Guiana, Guadeloupe, Guatemala, Guyana, Haiti, Honduras, Martinique, Mexico, Panama, Paraguay, Puerto Rico, Saint Martin, Samoa, Suriname and Venezuela. 

Pregnant Women Are Most Affected

The CDC warning, issued Friday morning, advises pregnant women in any trimester to avoid traveling to these areas, if possible. Women who want to become pregnant should also first consult with a health care provider before going.

If travel is unavoidable, the CDC says, pregnant women and women who want to become pregnant should follow the strictest protocols to guard against mosquito bites. This means using products with active ingredients like DEET or picaridin on exposed skin. (The CDC says these products are considered safe for pregnant and breastfeeding women.)

The agency also advises wearing long sleeves and pants and sleeping in air-conditioned, screened-in rooms.

Zika Travels Well 

Zika virus started popping up across Africa and in some Asian countries in the decades after it was discovered. However, because the virus’ symptoms seemed relatively mild — temporary fever, rash, joint pain and red eyes — it wasn’t considered much of a threat compared to other mosquito-borne diseases.

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That started to change in 2007, when Zika virus broke out in Yap, an island in the southwestern Pacific Ocean. It was the first time the virus had been found outside the African or Asian continents, researcher Edward Hayes noted at the time. While the symptoms were again relatively mild, Hayes said the outbreak should “prompt awareness of the potential for ZIKV to spread to other Pacific Islands and the Americas.” 

Then, as Hayes predicted, French Polynesia suffered a large outbreak of Zika virus in 2013. This time, however, it also happened to coincide with a 20-fold increase in Guillain-Barré syndrome, a rare autoimmune disorder in which the body’s immune system attacks the nerves, causing tingling, muscle weakness and even temporary paralysis in the worst cases.  

Zika Virus May Have A Devastating Effect On Babies

Zika virus made its way to the Americas by 2015, and Brazil bore the brunt of the outbreak. As many as 1.5 million people in Brazil contracted Zika virus that year, and an alarming potential side effect of the virus began to emerge.

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The Zika virus outbreak seemed to coincide with a sharp increase in babies born with a birth defect called microcephaly, which is when the brain doesn’t develop normally in the womb and babies are born with abnormally small heads. This can have lifelong consequences for the child, including intellectual disabilities, developmental delays and seizures.

From 2010 to 2014, Brazil had seen an average of 156 babies born every year with microcephaly. But from October 2015 to January 2016, that number had spiked to almost 4,000 babies. Researchers suspected that these infants may have been infected with Zika virus when in the womb, and that the virus may have adversely affected their development.

Like French Polynesia, Brazil has experienced an uptick in Guillain-Barré syndrome. However, Brazilian officials have not been able to quantify it because the condition was previously so rare that health officials saw no need to record cases, reports The New York Times. To date, there is no vaccine or cure for Zika virus.

Here’s What Could Happen Next

Researchers are still confirming the link between Zika virus and conditions like microcephaly and Guillain-Barré syndrome, but countries where the virus is widespread — including Brazil, Colombia and El Salvador — are already advising women to delay pregnancy. Jamaica issued a similar warning, but hasn’t seen a single case of Zika virus case yet. However, Jamaican officials assume it will arrive soon because it’s already endemic in neighboring countries, The Associated Press reports.

While people in the U.S. have already been diagnosed with Zika virus, they are though to have contracted the disease while traveling abroad. The mother of the baby born with microcephaly in Hawaii likely contracted the virus while she was in Brazil.

Yet based on the migration of other mosquito-borne diseases, it may only be a matter of time before states like Texas, Florida and Hawaii start seeing cases that emerge locally, experts say. 

The migratory patterns of the mosquitos that carry the Zika virus, as well as global travel patterns, may mean Zika will continue to spread before the outbreak dies out. Experts say that the best way to guard against Zika is to wage war on mosquitoes by eliminating stagnant pools of water where they breed and by fumigating areas with mosquito repellant.

Graphics by Alissa Scheller for The Huffington Post.

Read more: www.huffingtonpost.com

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Venezuela’s opposition won the election – but the real difficulties still lie ahead

The country has chronic goods shortages, a byzantine exchange rate, alarming crime rates and steep inflation. Where does the opposition coalition begin?

Aura Ledezma voted for the opposition in Venezuelas parliamentary elections last week because she was sick of standing in line. But a few days after the poll, six hours into a queue to buy chicken, she wondered if things would actually change any time soon.

After Venezuelan voters gave the opposition an overwhelming victory and control of the national assembly, the 47-year-old housewife fears that a political power struggle may stifle any chance of fixing the chronic shortages, steep inflation and violent crime that led Venezuelans to punish the socialist government of President Nicolás Maduro in the elections.

If Maduro and the opposition focus on fighting each other, we the poor are going to continue suffering, said Ledezma as the queue for the government-run PDVal supermarket inched forward.

The line was particularly long because word had spread that the market in the 23 de Enero working-class neighbourhood had chicken and beans. I havent seen a chicken in two months, she said.

The oppositions Democratic Unity coalition, known as MUD, won 112 of the 167 seats in the national assembly, to the governments United Socialist partys 55 seats, according to final results.

But the incoming majority lawmakers wont have it easy. The countrys problems are so entrenched, and political polarization so extreme, that a showdown between the government and opposition is already taking shape.

On Friday the opposition coalition presented their legislative agenda that promised to stimulate production and supply, reverse expropriations of private businesses and tackle security issues.

It also included a law freeing political prisoners, the most prominent of whom is Leopoldo López, convicted in a highly politicized trial of inciting violence against the government in 2014 protests in which some 40 people were killed.

On the same day, the outgoing congress promoted Susana Barreiros the judge in Lópezs trial to head public defender.

Maduro had previously said he would rebuff any attempt to grant amnesty to the more than 70 opposition members facing charges for dissent.

They can send me a thousand laws but the killers of the people have to be judged and have to pay for their crimes, Maduro said in his weekly television appearance late on Tuesday, from the hilltop fort that holds the remains of Hugo Chávez, his predecessor and leader of Venezuelas Bolivarian revolution.

Lilian Tintori, right, and Mitzy Capriles, the wives of Venezuelan opposition leaders Leopoldo López and Antonio Ledezma respectively, hold hands during a meeting with Argentinian opposition legislators. Photograph: Juan Mabromata/AFP/Getty Images

Earlier that day, Yvonne Quevedo wept openly as she ran her hand over Chávezs black granite mausoleum guarded by four stony-faced soldiers in bright red and gold uniforms.

I am indignant, I feel helpless, horrible that the ungrateful people of Venezuela turned on him, Quevedo said, her voice cracking with emotion.

She was worried that the opposition would try to overturn the benefits she says the poor have achieved under Chavista rule, including free housing, education and healthcare as part of what are known as Bolivarian missions which won Chávez and initially Maduro a loyal following.

They are going to take everything from us, she says.

Maduro has said he wont let that happen. Reacting to reports that business leaders would seek to ease strict labour laws, the president said that before the new lawmakers take over he would draft a labour stabilization law, putting a firing freeze in effect through the rest of his term, which ends in 2018.

And he asked for the resignation of his entire cabinet to reposition the government in order to face off with the new assembly, which will be sworn in 5 January.

But behind Maduros public bluster may lie a more pragmatic attitude.

After a crushing electoral defeat, Maduro is facing pressure within the ruling party to defend Chavismo. But a well-connected source told the Guardian that privately Maduro seemed conciliatory and had sought to create a backchannel for conversations with the new legislative majority.

Collaboration will be needed to address some of the most pressing economic issues facing the country, such as fixing the three-tiered exchange rate regime, which has caused distortions throughout the economy. Currently there are three official rates, which range from 6.5 bolivars to the dollar to 200 bolivars to the dollar. On the streets, however, the rate is around 900 bolivars.

A customer receives US dollars during a transaction at an Italcambio currency exchange house in Caracas. Photograph: Bloomberg via Getty Images

Francisco, a black-market changer who asked his real name not be used because his work is illegal, laughed out loud when asked to change $100. I wouldnt have anywhere to carry it, he said, pointing to a large belt bag bulging with the equivalent of $40 in bolivars, whose highest denomination is B100.

Triple-digit inflation has whittled away purchasing power in bolivars: because price-controlled goods are scarce, people often seek out non-controlled alternatives at 10 times the price. A price-controlled chicken goes for 65 bolivars a pound. In private supermarkets, a pound of chicken can go for as high as 1,300 bolivars.

Even with four minimum wage earners in her family, Ledezma, the housewife, couldnt afford that. The minimum wage isnt enough to buy products that arent regulated, she says.

But just how high inflation might be is a matter of debate. The central bank has not published key economic data this year, but Maduro announced this week that according to government calculations inflation would be about 100% for 2015 and the economy would contract 4%. Independent analysts who have been tracking the economy in the absence of data reckon the figures could be higher.

The government has also stopped publishing official statistics on violent crime in Venezuela, which according to independent figures has the second highest murder rate in the world.

Reporter Javier Mayorca has been covering the crime beat in Caracas for the national daily El Nacional for more than 10 years. In 2005, police closed their blotters to journalists just as violent crime was spiking as part of a government effort to control information.

Now Mayorca does his best to cover the beat by hanging out at the city morgue, counting the dead and speaking to family members who come to pick up the corpses.

The sickly-sweet smell of death permeates a glass-walled waiting room, known among morgue employees as the fish tank, and most families prefer to wait outside for their relatives to be released.

Merly Vergara, 40, came on a recent midweek morning for the body of her brother, Deivis Vergara, who had disappeared several days before. After looking in the citys hospitals, she found him in the central morgue one of six homicide victims registered the night before. Hed been shot several times in the face and head.

Kidnappings for ransom and murder have become so common that if youre the victim of just an armed robbery, you consider yourself lucky, says Mayorca.

For Ledezma, the housewife standing in line, the crime wave is one of the worst things about todays Venezuela. I dont dare even stand in line with the money I need to buy at the market, she said. So when she nears the front of the queue she calls a relative to bring the cash. Otherwise I could get robbed at any moment.

Fighting crime should be one issue both the opposition and government can agree on. But as she waits for her turn to buy chicken, Ledezma doubted they could come together even for that.

And as for fixing the economy, she said: I think Ill be standing in line for a long time to come.

Read more: www.theguardian.com

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