Common Misconception About Onchocerciasis

Thursday, February 10, 2022 1:04:40 AM

Common Misconception About Onchocerciasis

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Onchocerciasis - River Blindness

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Most cases occur in people who do not need to be hospitalized, so it is safe to assume that many of these people recover at home. There is not a reporting structure in place to track their recovery. If you are fully vaccinated, you should wear a mask in public indoor settings in areas of substantial and high transmission. You do not have to wear masks or practice physical distancing in most outdoor settings. You will be required to wear a mask in certain situations, even if you are vaccinated.

On planes, buses including school buses , trains, and other forms of public transportation traveling into, within, or out of the United States , and in indoor U. Travelers are not required to wear a mask in outdoor areas of a conveyance like on a ferry or the top deck of a bus or while outdoors at transportation hubs. FAQs on the public transportation order are available here. On August 12, , the State Health Commissioner reissued a Public Health Order requiring all students, teachers, staff, and visitors in K schools to wear masks indoors, regardless of vaccination status.

This Order reinforces current state law, which requires Virginia schools to adhere to mitigation strategies outlined by the Centers for Disease Control and Prevention. These mitigation strategies include mask wearing indoors for all students, staff, and visitors regardless of vaccination status. If you are unvaccinated and partially vaccinated, you should continue to wear masks and practice physical distancing in most indoor and outdoor settings in accordance with CDC recommendations. According to research, masks do offer some level of protection for the wearer. The amount of protection you get from a mask probably depends in part on the kind of fabric - and its thread count - used in the mask, the number of mask layers, and how well or tightly the mask fits.

The dose or number of viral particles that initially infects a person is called the viral inoculum. That smaller inoculum is important because studies with influenza and other viruses have suggested that coming in contact with a smaller viral inoculum leads to a milder infection. If you are fully vaccinated, you should however wear a mask in public indoor settings in areas of substantial and high transmission. Check here to see if you are in one of those areas. Fully vaccinated individuals do not have to wear masks or practice physical distancing in most outdoor settings except where required by federal, state, local, tribal, or territorial laws, rules, and regulations, including local business and workplace guidance.

CDC provides easy to read material on wearing a mask here. However, in these and most other situations outside of your home, frequent handwashing or use of a hand sanitizer can help protect you from COVID The two exceptions are 1 when caring for someone who is sick and 2 when routinely cleaning or disinfecting your home or other space. Disposable gloves should be worn when caring for or cleaning around any person or animal who is sick at home or in any other non-healthcare site, including when handling dirty clothes, towels, or other laundry from a sick person.

The trash from a sick person or animal should be discarded in a disposable trash bag. Disposable gloves should be worn whenever a cleaning or disinfection supply label includes glove wearing as a recommendation. Be sure to follow the glove-wearing instructions, if any, on the label of cleaning or disinfecting solution s and be sure to use a fan or other method of getting fresh air into the space being cleaned.

When finished with disposable gloves, remove them carefully and throw them out in a lined trash container. Be sure to wash or clean your hands after using and disposing of the gloves and after handling the trash container and trash bags. Guidelines and recommendations for glove use in healthcare or other work settings differ from recommendations given to the general public. Gloves are considered an integral aspect of personal protective equipment PPE for health workers. Infection control guidelines for healthcare settings can be found on the CDC website. No, they do not. Although SARS-CoV-2 may rarely cause an infection through the conjunctiva the mucous membrane of the inner eyelids , and although the SARS-CoV-2 virus has been found in tears, becoming infected that way appears far less common than infection from particles breathed in by nose or mouth or from touching contaminated surfaces.

Thus, maintaining physical distance, avoidance of indoor spaces away from home, use of masks, cleaning your hands, and avoidance of touching around your eyes remain the most important COVID prevention steps. If you are fully vaccinated you should wear a mask in public indoor settings in areas of substantial and high transmission. The more an unvaccinated individual interacts with others, and the longer that interaction, the higher the risk of COVID spread. Masks may reduce the risk of COVID spread when they are consistently used by customers and employees, especially when social distancing measures are difficult to maintain.

The risk of COVID spread increases in a restaurant or bar setting as interactions within 6 feet of others increase, as described below. For more information on this topic, please see here. It takes at least 30 seconds for hand sanitizer to kill the virus. Pour hand sanitizer about the size of a quarter into one hand. Rub hands together for a minimum of 30 seconds longer is fine so that the gel gets all over hands, in between fingers, on fingertips, under nails, etc.

Then, let hands dry on their own. Do not wipe away hand sanitizer gel. FDA test results show certain hand sanitizers have concerningly low levels of ethyl alcohol or isopropyl alcohol, which are active ingredients in hand sanitizer products. The agency urges consumers not to use these subpotent products and has expanded its list to include subpotent hand sanitizers, in addition to hand sanitizers that are or may be contaminated with methanol or 1-propano l. If you have been fully vaccinated , you should wear a mask in public indoor settings in areas of substantial and high transmission.

Y ou do not have to wear a mask or practice physical distancing in most outdoor settings except where required by federal, state, local, tribal, or territorial laws, rules, and regulations, including local business and workplace guidance. Additionally, CDC has issued an order that requires masks to be worn by all travelers irrespective of vaccination status while on public transportation, such as airplanes, ships, buses including school buses , trains which includes all passengers and all personnel operating conveyances , and when in indoor transportation hubs.

CDC recommends that travelers who are not fully vaccinated continue to wear a mask and maintain physical distance when traveling. In Virginia, an issued Public Health Emergency Order requires universal masking in all indoor settings in public and private K schools for all individuals aged two years and older, regardless of vaccination status. You should wear a mask, regardless of vaccination status, when in healthcare settings, correctional or detention facilities, homeless shelters, in child care settings and while inside elementary schools. Masks should be washed after each use, if they are the washable, non-disposable type.

Masks should not be placed on children younger than 2 years of age, anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the cover without assistance. See here for more information from VDH. CDC recommends that people who are unvaccinated practice routine cleaning and disinfection of frequently used surfaces with household cleaners and EPA registered disinfectants that are appropriate for the surface, respectively. In most situations, cleaning alone with a household cleaner that contains soap or detergent removes most virus particles on surfaces.

CDC provides easy to read material here. There have been studies which have shown in a laboratory setting, that products such as over the counter nasal rises and mouthwashes have the ability to inactivate viruses such as coronavirus. You should speak with your healthcare provider for treatment options. Masks, physical distancing, and hand hygiene are essential prevention tools to control the spread of COVID Portable air cleaners also known as air sanitizers or purifiers can help achieve a high clean air delivery rate CADR by using a high-efficiency particulate air HEPA filter. A HEPA filter is a type of pleated mechanical air filter that can likely remove at least Particles that are larger or smaller than 0.

When used properly, portable air cleaners and HEPA filters can help reduce airborne contaminants. Portable HEPA filters may be particularly helpful when additional ventilation with outdoor air is not possible without compromising indoor comfort temperature or humidity , or when outdoor air pollution is high. It is important to physical distance, wear a mask, wash hands frequently, and treat frequently touched surfaces with disinfectants. Additional household precautions and other best practices recommended can be found here:. More detailed information can be found here. The main way by which people are infected with the virus is through exposure to respiratory droplets from an infected person. Even though the coronavirus can survive for a short period on some surfaces, it is unlikely to be spread from domestic or international mail, products or packaging.

However, it may be possible that people can get COVID by touching a surface or object that has the virus on it and then touching their own mouth, nose, or possibly their eyes, but this is not thought to be the main way the virus spreads. A person with COVID is considered to be contagious starting from 2 days before they became sick, or 2 days before they tested positive if they never had symptoms.

Exception : In K settings, a student who is within feet of an infected student is not considered a close contact as long as both students are wearing well-fitting masks the entire time. This exception does not apply to teachers, staff, or other adults. Close contact includes:. Exception: In K settings, a student who is within feet from an infected student is not considered a close contact as long as both students are wearing well-fitted masks the entire time. NOTE : This exception does not apply to teachers, staff, or other adults. A person with COVID is considered to be contagious starting two 2 days before they became sick or 2 days before they tested positive if they never had symptoms until they meet the criteria to discontinue isolation.

COVID spreads through close contact with an infected person. Your local health department will reach out to you with more recommendations if you are identified as a close contact during contact tracing. Certain people are not required to stay home quarantine after exposure. This includes people who:. Even if you are fully vaccinated, to maximize protection from the Delta variant and prevent possibly spreading it to others, wear a mask indoors in public if you are in an area of substantial or high transmission. People who are not required to stay home quarantine after exposure must still watch for symptoms of COVID for 14 days and continue to wear a mask, stay at least 6 feet away from others, avoid crowds, and wash hands often.

It is safest to stay home quarantine for 14 days. Even if you do not stay home for the recommended 14 days, it is very important to continue monitoring for symptoms and follow all recommendations e. People with certain jobs e. They can only go to work if they do not have any symptoms and if additional precautions are taken to protect them and the community. Learn more about VDH's recommendations for potential exposures for critical infrastructure workers. If you are identified as a close contact of a person with COVID and are unvaccinated, VDH recommends being tested immediately and then tested again in days after last exposure if the initial test is negative or immediately if symptoms develop during quarantine.

Fully vaccinated people who have come into close contact with someone with COVID should be tested days following the date of their exposure and wear a mask in public indoor settings for 14 days or until they receive a negative test result. They should self-isolate if they test positive. It is safest to stay home for 14 days. Additionally, for unvaccinated individuals CDC recommends being tested immediately after being identified as a close contact and tested again in days after last exposure if the initial test is negative or tested immediately if symptoms develop during quarantine.

They should isolate if they test positive. If you had or continue to have close contact with a contact of someone with COVID, you do not need to be tested or stay home quarantine just because you are a contact of a contact. But stay in touch with that contact person. If your contact person tests positive for COVID, then you become a true close contact and should stay home quarantine if unvaccinated. You can lower your risk by having the person with COVID wear a mask, staying at least 6 feet away, wearing a mask yourself, and limiting the amount of time you spend in the room. Having good ventilation in the room, such as by opening windows, can help, too.

If you have been identified as a close contact and are not fully vaccinated ,you should be tested immediately. If you test negative, you should be tested again days after your last exposure or immediately if symptoms develop. This is the safest option, as opposed to shortened quarantine options. By staying home and away from others for 14 days, you lower the chance of passing COVID to others in case you do get sick. It may take up to 14 days after an exposure for you to develop COVID, which is why it is important to stay home during this time period. Some people with COVID will be asymptomatic have no symptoms , or have very mild symptoms but even these people with no or mild symptoms can still spread the disease. The health department might also use an electronic symptom monitoring program for those who have been assessed as exposed to COVID If they do have symptoms, these can range from mild to severe illness.

Symptoms can include fever, chills, cough, shortness of breath or difficulty breathing, fatigue feeling very tired , muscle or body aches, headache, sore throat, or new loss of taste or smell, stuffy or runny nose, nausea or vomiting, and diarrhea. These symptoms may appear days after exposure. This list does not include all possible symptoms and will be updated as we learn more about COVID See the list of symptoms here. You can use the Coronavirus Self-Checker to help determine when to seek testing or medical care. It is possible to test positive for the flu as well as other respiratory infections and COVID at the same time.

Both influenza flu and COVID are contagious respiratory illnesses, but they are caused by different viruses. Symptoms of flu and COVID can be similar, so testing will likely be needed during flu season to know which disease you have. If you have any of these symptoms, you should contact your Healthcare Provider for evaluation, treatment and possible testing. Since both the flu and COVID are contagious and can lead to serious illness, it is important to stay home while sick and for the recommended length of time after symptoms improve.

Please click here. If you have concerning symptoms, you should contact your healthcare provider for evaluation, treatment and possible testing. If you think you might have COVID, it is important for you to stay home and away from others as much as possible. Rest and take care of yourself. If you are concerned about the symptoms you are having or they get worse, call your healthcare provider.

If symptoms are severe, such as if you are having trouble breathing, call and get emergency care. The recommendations provided here apply to anyone who is sick or tests positive for COVID, even if they are fully vaccinated. An infected person can spread COVID starting 48 hours or 2 days before the person has any symptoms or tests positive. By letting your close contacts know they may have been exposed to COVID, you are helping to protect everyone. Call if you have a medical emergency : If you have a medical emergency and need to call , notify the dispatch personnel that you might have COVID If possible, put on a mask before emergency medical services arrive.

Emergency warning signs include but are not limited to : trouble breathing, persistent pain or pressure in the chest, new confusion or inability to arouse a person, or pale, gray or blue-colored skin, lips or nail beds, depending on skin tone. This list does not include all possible symptoms. Please consult your healthcare provider for any symptoms that are severe or concerning.

If you have symptoms or a positive test for COVID, follow the steps below to help prevent the disease from spreading to people in your home and community:. Find more details about what to do if you are sick at: What to do if you are Sick. Clean high touch surfaces everyday. High touch surfaces include counters, tabletops, doorknobs, bathroom fixtures, toilets, phones, keyboards, tablets, and bedside tables. Clean the area or item with soap and water or another detergent if it is dirty. Then use a household disinfectant. The caregiver should wear a mask and wait as long as possible after the person has used the bathroom. Do not touch your face while cleaning and be sure to wash your hands with soap and water after cleaning.

If possible, open doors and windows to increase air circulation. Clean and disinfect any surfaces that may have blood, stool, or body fluids on them. Visitors, other than caregivers, are not recommended. Be sure to follow the instructions on the label to ensure safe and effective use of the product. Many products recommend keeping the surface wet for several minutes to ensure germs are killed. Many also recommend precautions such as wearing gloves and making sure you have good ventilation during use of the product. Most EPA-registered household disinfectants should be effective. People of any age with certain medical conditions and disabilities are at increased risk of severe illness from COVID A list of specific medical conditions can be found here.

Systemic health and social inequities have put many people from racial and ethnic minority groups at increased risk of getting very sick and dying from COVID If you tested positive for COVID but never had any symptoms, you can be around others after 10 days have passed since the first positive diagnostic test. With certain diseases, including sometimes with COVID, the amount of oxygen in our blood can sometimes fall below normal levels. When oxygen levels are too low, we may need to take extra oxygen in a process called oxygen therapy.

Because there are risks involved in both getting too much oxygen and not enough oxygen, using an oxygen concentrator to get extra oxygen without talking with a doctor first can do more harm than good. On one hand, getting oxygen concentrations that are too high can damage your lungs. On the other hand, if you really do have COVID, using an oxygen concentrator on your own can lead to a delay in receiving the best available treatment. Sometimes oxygen concentrators are sold online but buying or using any of these without a prescription is not approved by the FDA. Using an oxygen concentrator on your own should not replace staying alert for early COVID symptoms such as fever and cough or seeking medical help when you need it.

The FDA provides information here. A pulse oximeter is a device used by healthcare professionals to measure the oxygen level oxygen saturation of the blood. Low blood oxygen levels can be a sign of COVID, but it is only one of many signs and symptoms that may be present during illness. Use of a pulse oximeter should only be used under the direction and supervision of a physician. Any private medical information should be shared only at the discretion of the individual and with healthcare providers who need the information to provide necessary medical care services. In addition, a person suspected or confirmed to have COVID should notify people who they have been in close contact with so that the contacts can follow public health recommendations and should follow any reporting policies set up where they work to help prevent the spread of disease.

If you have a confirmed positive lab result, both the lab and your healthcare provider are required by state regulation to report your status to the local health department. Someone from the health department may get in touch with you. Reinfection means a person was infected got sick once, recovered, and then later became infected again. At this time, whether you have had COVID or not, the best way to prevent infection is to take steps to protect yourself.

For more information on reinfection, click here. A breakthrough infection is an infection with the virus that causes COVID even after you have been vaccinated. If breakthrough infections occur, they appear to be mild. CDC and experts around the world are working to learn more about short- and long-term health effects associated with COVID, who gets them, and why. Other infectious diseases can also cause longer-term symptoms for a variety of reasons. Most post-COVID conditions can be diagnosed and managed by primary care providers, and if needed specialty care providers and support services e. Healthcare professionals may also consider referral to multidisciplinary post-COVID care centers, where available, for additional care considerations.

The following list may not include all centers. VDH does not recommend or endorse specific clinics. People with mild illness should stay home, rest, drink plenty of fluids, and take over-the-counter OTC medications to relieve the symptoms they are having. Be sure to follow the instructions on the package of the OTC medication, and do not give OTC cough or cold medicine to children under 6 years old. A table of types of OTC medications you can take for each symptom is available here. Continue to monitor your symptoms and call your healthcare provider if they get worse or you are concerned. Be sure to stay away from others isolate in the home to prevent the spread of disease.

For most persons with mild illness, these measures may be all that is needed. Healthcare providers may recommend treatment with a monoclonal antibody for mild illness in a person who is considered high risk for progression to severe COVID Persons with medical conditions or disabilities that put them at high risk for severe COVID should contact their healthcare provider as soon as symptoms start. People with more serious illness should call their healthcare provider and follow their recommendations for treatment and self-care.

People who develop emergency warning signs such as 1 trouble breathing, 2 persistent pain or pressure in the chest, 3 new confusion or inability to arouse or 4 bluish lips or face, need immediate medical attention and should be called. If you need to call , notify the dispatch personnel that you have, or are being evaluated for, COVID Do not place a mask of any kind on children under 2 years of age. Please consult a licensed physician or other healthcare provider for additional recommendations about disease treatment. Further information can be found here. The FDA has approved remdesivir , an antiviral drug, to treat hospitalized adults and children aged 12 years or older.

The use of remdesivir in children younger than 12 years is still being evaluated. Gilead Sciences Inc. The use of convalescent plasma, which involves taking the plasma from a person who has recovered from COVID and infusing it into a person with the illness, is being studied. For more information about therapies under investigation, please see here. When a virus or other germ enters your body, your immune system responds by producing antibodies, which help the body fight off infection. Monoclonal antibodies are versions of these antibodies that your body naturally makes, but they are made in a laboratory. The FDA has authorized two combinations of monoclonal antibodies for emergency use as post-exposure prophylaxis prevention for COVID in certain adults and pediatric individuals 12 years of age and older weighing at least 40 kg who are at high risk for progression to severe COVID, including hospitalization or death.

More information can be found here and here. FDA has issued an emergency use authorization for several monoclonal antibody combinations for individuals with mild to moderate symptoms of COVID who are at higher risk of severe illness. This includes individuals over the age of 65 years and others with chronic medical conditions. Individuals must be 12 years of age or older and weigh at least 40 kilograms about 88 pounds. Information on specific therapies can be found here and here. FDA has also issued an emergency use authorization for a monoclonal antibody that may be used in certain hospitalized individuals aged 2 years or older.

There are clinical trials underway to see if other monoclonal antibodies are safe and effective at preventing or treating COVID If you have fully recovered from COVID, you may be able to help patients currently fighting the infection by donating your plasma. These antibodies helped your immune system to fight the virus when you were sick, so your plasma may be able to be used to help others fight off the disease. The FDA has information on plasma donation here. There is currently no scientific evidence to show that taking ibuprofen while sick with COVID will lead to worsening illness.

For persons looking for a medication to reduce their fever, acetaminophen might be preferable. Both acetaminophen and ibuprofen, like any other medication, can have serious side effects. You should consult with your healthcare provider if you are unsure what the best medication is for you. While there are approved uses for ivermectin in people and animals, it has not been shown to be a safe or effective way to prevent or treat COVID Ivermectin tablets are approved by the FDA to treat people with intestinal strongyloidiasis and onchocerciasis, two conditions caused by parasitic worms. In addition, some topical forms of ivermectin are approved to treat external parasites like head lice and for skin conditions such as rosacea.

If your health care provider writes you an ivermectin prescription, fill it through a legitimate source such as a pharmacy, and take it exactly as prescribed. Seek immediate medical attention or call the poison control center hotline for advice if you have taken ivermectin or a product that contains ivermectin and are having symptoms. Signs and symptoms include gastrointestinal effects nausea, vomiting, abdominal pain, and diarrhea , headache, blurred vision, dizziness, fast heart rate, and low blood pressure.

Other severe nervous system effects have been reported, including tremors, seizures, hallucinations, confusion, loss of coordination and balance, decreased alertness, and coma. When the virus that causes COVID infects a human host, it uses the host cells to make copies of itself. Any changes to the viral genome like this are called mutations. It is normal and expected for many types of virus to constantly change through mutation and some mutations can affect how easily a virus can be spread or can affect the kind of symptoms that develop in infected people. Accumulations of these kinds of mutations can lead to the emergence of new viral variants or strains. Sometimes these new COVID variants emerge for a short time and then disappear — either because the mutations provide no real functional benefit to the virus or because they might negatively impact the way the virus functions.

Another good example of this mutation process is the flu, where we know that the influenza virus changes over time and we all need to get an updated flu vaccine every year to keep us protected from the newest circulating strains or variants of the flu. Several variants of the virus have been documented in the United States and globally during this pandemic. The most recently arrived variant in the United States is the Delta variant. Information about the characteristics of these variants is rapidly emerging. This information helps us better understand how much the virus is changing and if these changes might affect how the virus spreads and what happens to people who are infected with it. See here , for additional information about the Delta Variant. Public health recommendations to slow the spread of the virus that causes COVID will also work to protect us from these variants.

Until you are fully vaccinated, you should keep yourself and others safer by:. COVID infections. This rapid shift has probably occurred because Delta is more contagious than all the other COVID variants that circulated earlier in the pandemic. Being more contagious means that the Delta variant can spread faster from person-to-person and thus cause many more infections than earlier variants, even in vaccinated individuals. In addition, some early data suggest that the Delta variant is causing more severe illness when it infects unvaccinated people. Despite this, the current COVID vaccines remain highly effective at preventing severe COVID disease and death, including from the Delta variant, meaning that unvaccinated people remain the greatest public health and medical concern.

However, such transmission to other people happens much less frequently from vaccinated people than from unvaccinated people, because 1 vaccinated people get Delta infections much less frequently than unvaccinated people and 2 because fully vaccinated people who do get Delta infections seem to be infectious for a shorter time than unvaccinated people who get Delta infections. Because of the ongoing rapid spread and high transmissibility of Delta, and because vaccines are not perfect, masks and other layered COVID prevention strategies are increasingly important for supplementing the societal benefits of COVID vaccines.

The most recent data and other information on the Delta variant can be found here. More information on this topic can be found here and here. COVID viral tests check samples from your respiratory system e. How the sample is collected will depend on the specific test that is used. The test might be based on a nasal swab, throat swab, or saliva sample. The sample may need to be collected by a healthcare provider or could be done by self-collection. Antibody serology tests check your blood for antibodies to SARS-CoV-2 that would show whether you had a past infection.

An antibody test will not be able to show if you have a current infection, because it can take weeks after infection to make antibodies. Antibody tests should not be used to identify active current COVID illness or to make decisions about returning to work or school, traveling, using personal protective equipment PPE , or the need to stop following disease prevention measures like wearing a mask, physical distancing, or avoiding crowded or poorly ventilated places. The tool helps individuals determine what type of test they should seek. After test results are in, the tool can help interpret test results and guide next steps. Contact your healthcare provider if you have symptoms, had an exposure, or have taken part in activities that put you at higher risk for COVID and you want to be tested.

Some testing sites in Virginia are offering community testing events, such as drive-thru testing. This site is updated frequently. Each site has different policies and procedures for testing and billing. Please reach out to the individual site for information about testing availability. If you cannot get to a testing location, you and your healthcare provider might also consider either an at-home collection kit or an at-home test.

More information about currently available self-collection kits and self-tests can be seen on this VDH table. Contact your healthcare provider to see if one of these is right for you and available in your area. You can use the Coronavirus Self-Checker to help determine when to seek viral testing or medical care. Your healthcare provider may collect samples to test you or help you find testing sites in your area. If you cannot get to a testing location, you and your healthcare provider might also consider having you use either an at-home collection kit or an at-home test. Even if you test negative during your quarantine period after a known exposure, VDH recommends that you complete a full days of quarantine before being around other people.

Count your date of last exposure as Day 0. NOTE : A slightly riskier approach to COVID prevention is that if you are not able to stay home for 14 days after your exposure and you do not have symptoms, you may leave home after Day 7 if you have a negative PCR or antigen test performed on or after Day 5. Like Lucy, Israel said due to ignorance, myths, misconception and fear of stigmatisation and ostracisation, hundreds of sufferers have refused to seek proper treatment for their conditions.

Israel informed that 13 out 23 Local Government Areas, LGAs in Rivers state are endemic for elephantiasis, while over million Nigerians are at risk of this disease across the country. The coordinator reiterated that early detection could help tackle NTDs, but the ignorance, misconceptions in addition to low funding among others continue to stall progress. Nse Akpan, national coordinator of NTDs elimination programme pointed out that apart from the pain NTDs inflict on sufferers, it also has several economic, health and social implications for Nigeria.

He stressed that NTDs promote low productivity and health complications and poor education outcomes. Meanwhile, Nigeria has set a target to eliminate NTDs by , but the goal is being threatened by the aforementioned factors. Akpan, while noting that poor hygiene fuels NTDs; said communities need to be mobilised to take appropriate actions. This, he said, can be achieved using various channels of the media. He however regretted that even the available funding is often not released on time and there is still a high dependence on foreign donations. Funding from the Federal Government has been allocated but release is epileptic because we are still enjoying donor support.

According to him, about million tablets of mass administration of medicines, including ivermectin and albendazole, which are donated by UNICEF go to waste every year due to the failure of states to invest in the fight against NTDs by providing counterpart funds for logistics to distribute the medicines. He therefore called on all states government to prioritise and intensify investment to eliminate NTDs. Home News Ignorance worsening burden of tropical diseases in Nigeria — Experts. He governs by diktat. He permits lawless torture. Global renditions persist on his watch. He institutionalized tyranny.

He authorized indefinitely detaining anyone called a national security threat without charge or trial including US citizens. He prioritizes targeted assassinations anywhere. He authorized killing US citizens abroad. He deployed special forces death squads globally. They operate covertly in or more countries. He destroyed hard won labor rights. He wants it made another business profit center.

He wants it destroyed on his watch. He targets Muslims, Latinos, African Americans, environmental activists, animal rights defenders, truth-tellers and whistleblowers. He pronounced Bradley Manning guilty by accusation. Doing so assures conviction. Obamas drone program is CIA murder of innocent people and drones must be abolished. Here or Watch Below. The previously described policies are proving effective in moving populations into densely populated urban centers in accordance with Agenda 21 policy.

However, the process is not as speedy as the globalists had hoped. The global elite needed a game-changing event in the United States. In order to speed things up, the elite bankers at Goldman Sachs masterminded the Gulf oil spill to this end. Imagine what days per year of peace could do. Both countries are increasing bilateral border transportation and infrastructure coordination. The perimeter security deal is being sold as vital to improving the flow of trade and travel across the border. In order to appease U. As part of a North American security perimeter, Canada will always be at the mercy of any new U. The Purpose of Geoengineering and Chemtrails is Death.

In earlier times it was easier to control a million people than physically to kill a million people. Today it is infinitely easier to kill a million people then to control a million people. The evidence demonstrates that the primary purpose of the public nuisance of Geoengineering is to cause bodily injury and premature death with malice aforethought. The Geoengineers are well aware of the consequences of spraying tiny particles aluminum, barium, and other dangerous toxins into the atmosphere. The pubic must be educated and the stratospheric spraying stopped immediately. Are you on the list? Are you one of the millions of Americans that have been designated a threat to national security by the U.

Will you be subject to detention when martial law is imposed during a major national emergency? There is a list that contains the names of at least 8 million Americans known as Main Core that the U. If you have ever been publicly critical of the government, there is a very good chance that you are on that list. Truth11 Films lastest film The Enemy Within. The camps are built, the drills have been run. The police state is secured. Its time to wake up.

View on Vimeo. America honors its worst. It persecutes its best. Manning is heroic. He risked great personal harm. He did so to reveal vital truths. People have a right to know. Washington has no right to conceal them. Secrecy, lawlessness, and contempt for humanity define US policy. Excluding it reflects police state justice. On June 3, United States v. Bradley Manning court-martial proceedings began. Pre-trial, Obama pronounced him guilty by accusation. Doing so denies any possibility of judicial fairness. His word is final. Manning broke the law. Obama reflects the worst of US governance. He rules by diktat authority. He does so secretly.

He does so at home and abroad. With a stroke of his pen he could free Manning. Pronouncing guilt by accusation assures his conviction. Doing so publicly leaves no doubt. So do secret trial proceedings. They violate constitutional law. Read 11 Articles on Bradley Manning here. Two disturbing developments have occurred in the last couple of days that have gone relatively unnoticed.

Which brings us to the second development: the Pentagon has recently granted itself police powers on American soil. This war is not a means to any end but rather is the end in itself. Not only is it the end itself, but it is also its own fuel: it is precisely this endless war — justified in the name of stopping the threat of terrorism — that is the single greatest cause of that threat. A self-perpetuating permanent war against a shadowy undefinable enemy appears to be the future of American foreign policy. How convenient for the war machine and tyrants who claim surveillance is safety. For all those still in denial that America is a militarized police state, this should be the ultimate cure to your delusion.

We have been tricked into fighting perpetual wars of mass genocide for pointless profit. There is no enemy. The enemy is within the US government. All exterior enemies are created to justify the advancing military industrial complex. There is only one way war will end. The masses must rise up, unite, and demand world peace. A select group of diabolic oligarch globalists and their puppet cronies embedded within the United States government are heavily involved in crimes against humanity. These tyrants will stop at nothing to usher their hush, hush global aerosol agenda into full swing. Air Force wants to fully control the weather on earth by the year Far surpassing even the most horrific act of terror real or staged , posing as literal gods, these globalists will stop at nothing to control the world by not only controlling the fraudulent banking systems but by owning the weather through a process blanket term called Geoengineering.

The toxic levels that are being used in these aerosols goes beyond shocking — it would appear that these levels are indeed criminal by EPA Standards; These figures indicate how many times they are over the allowable toxic limit:. It wants total unchallenged global control. June issues for discussion:. With this merger, the world is set to be shaped into a highly surveilled and planned system at the direction of unelected elitists. This is the backdrop to the Google-Berg merger. Governments are going broke. Globalist influences have broken down national borders. Tax exempt foundations and mega corporations are filling the gap. Freedom of Information Act in the UK filed by a doctor there has revealed 30 years of secret official documents showing that government experts have.

Known they cause the diseases they are supposed to prevent 3. Known they are a hazard to children 4. Colluded to lie to the public 5. Worked to prevent safety studies. Those are the same vaccines that are mandated to children in the US. Israel and America are longstanding imperial partners. They spurn international laws. They do so repeatedly. They ignore their own. They jointly plan and wage wars. On October 24, it became effective. It has final say. Under no circumstances may one nation, or combination thereof, intervene against another without lawful Security Council authorization. Doing so is lawless aggression. Belligerents like America and Israel put their own priorities above international laws.

They ignore their own as it suits them. Wars rage without end. New ones are planned. Washington wages permanent ones. Peace is a four-letter word. Attacking Syria is their latest provocation. They acted without justification. Doing so reflects naked aggression. The name which struck terror into the German people who still believed in freedom and wanted their nation to remain a peaceful, respectable member within the international community.

Apparently this lesson has not been lost on the dictators of the world since that era as the communist leaders and rulers around the world learned that building an effective domestic spying and military police apparatus was the key to remaining in power. Corrupt cell phone companies cowardly hiding their towers of hell on the roof of rental units. Corrupt property companies cashing in by selling out the health of their unit holders with no disclosure.

Corrupt fascist government ignoring countless health studies and reports claiming their levels are safe, which are times less stringent than European standards. Thousands sick, and the number is growing. A massive nation wide scam that is affecting us all. Clinics are set up to treat the symptoms of exposure, medical industry acknowledges the health issues, while Canadian and US governments are ignoring them. Ron Paul — Forced lockdown of a city. Militarized police riding tanks in the streets. Door-to-door armed searches without warrant. Families thrown out of their homes at gunpoint to be searched without probable cause.

Businesses forced to close. Transport shut down. These were not the scenes from a military coup in a far off banana republic, but rather the scenes just over a week ago in Boston as the United States got a taste of martial law. The ostensible reason for the military-style takeover of parts of Boston was that the accused perpetrator of a horrific crime was on the loose. The Boston bombing provided the opportunity for the government to turn what should have been a police investigation into a military-style occupation of an American city. This unprecedented move should frighten us as much or more than the attack itself. Sadly, we have been conditioned to believe that the job of the government is to keep us safe, but in reality the job of the government is to protect our liberties.

Once the government decides that its role is to keep us safe, whether economically or physically, they can only do so by taking away our liberties. That is what happened in Boston. This is unprecedented and is very dangerous. We must educate ourselves and others about our precious civil liberties to ensure that we never accept demands that we give up our Constitution so that the government can pretend to protect us. America is being absolutely consumed by fear, stress, anger and depression; by design. We spend our prime years working for others making them rich in order to pay off debts that we have foolishly accumulated thus making the banks even wealthier.

When most Americans reach the end of their lives, they look back and wonder what they actually accomplished. Jobs are modern-day slavery. We are paid just enough to live and not more. Throughout human history, most slavery has been enforced physically — with whips and chains. You either did what you were told or they beat you into submission. Most modern people mistakenly believe slavery has been largely eradicated across our world. Modern culture no longer accepts overt slavery, right? As it turns out, slavery is alive and well on our planet, and its shackles are made of numbers, not steel.

False flag attack, kill one patsy, nab another patsy, ship him off to Guantanamo and have a martial law training exercise. Martial law has been declared in Boston to hunt for another patsy. One suspect dead, another kid has been nabbed and is being treated as a terrorist so no trial, straight to Guantanamo with him. Fucking bullshit it was this kid and not the trained mercenaries photographed with back packs with skulls depicting a stupid motto justifying in their pathetic minds the carnage they were about to ensue. False flag with cover up, resulting in martial law exercise. Textbook Nazi Bullshit.! Calling for a global understanding of how to protect yourself and detoxify yourself from the harmful radiation that now affects us all.

Life is not going to be the same, we must learn to fix any problems due to this nuclear fall out. Even as the mainstream media and a television-obsessed American public refuse to admit the existence of chemtrails and government sponsored weather modification programs, the evidence continues to mount with ever-incresaing speed that not only do these programs exist, but they are also effective and wide spread. Daily global efforts with an aim to dominate the weather completely while dumping disease causing chemicals on us daily.

In the 21st century Americans have experienced an extraordinary collapse in the rule of law and in their constitutional protections. Today American citizens, once a free people protected by law, can be assassinated and detained in prison indefinitely without any evidence being presented to a court of their guilt, and they can be sentenced to prison on the basis of secret testimony by anonymous witnesses not subject to cross examination.

There is no difference. Have you ever wondered why most major municipal water utilities across America continue to artificially fluoridate public water supplies when inexpensive fluoride toothpastes are readily available for those who choose to use them? Or why governments and medical groups continue to force fluoridated tap water on the public in spite of the fact that it has many known and proven health risks? These and many other pertinent questions find their answers in the hard-hitting documentary Fluoridegate: An American Tragedy , one of the most powerful documentaries ever made about the fluoride fraud.

A sordid narrative that recaps the dirty history of fluoride and how it came to be an officially recommended water additive, Fluoridegate delves deep into the completely unscientific and blatantly corrupt process by which the U. The film also exposes how Dr. Watch movie here. January 11, , marked the 11th year that the infamous Guantanamo prison has been in operation by the United States. It would be nice to think that the reason behind the gun control debate was the safety of the population. Although great lengths are taken to ensure the population are swayed by the news of horrible events, mass shootings, real, staged or provoked it is not the reason the guns are wanted out of our hands.

It is simply the ease of martial law take over. In reality they are after our guns so we are defenceless against them. Even if they get a large chunk of law abiding citizens to hand in their guns it would be that many people that would not rise up against them armed when the hammer falls. The definition of the Second Amendment: A well regulated Militia, being necessary to the security of a free State, the right of the people to keep and bear Arms, shall not be infringed.

Hidden agendas, divide and conquer, controlling the narrative, and problem-reaction-solution. These are certainly time-honored and effective strategies for the political elites. To get simpler, we could just say lie-cheat-steal-kill. A powerful elite group first forms a goal, an objective. It clarifies that goal. For example: domination of the global food supply. With that goal in mind, and with the technology to genetically modify food crops, huge corporations like Monsanto, along with their politicians firmly in their pockets, decide to patent every kind of food seed possible. But they also realize they have to deal with opposition.

In response to widespread outrage over the National Defense Authorization Act passed last year, Congress is said to be working on a more Constitution friendly version of the legislation. The latest version was overwhelmingly approved by the House Armed Services Committee on May 8 and introduced the following week. The new statute actually states that persons lawfully in the U. The original the statute we are fighting in court never went that far. Hell is coming. Hell is near. Thousands upon thousands of troops are massing for the ground invasion of a small patch of land crammed full with human beings trapped without any defense against the steel that will destroy them.

Several children have already died in the preliminaries. Many, many more will die when the real feast of death begins. Obama has won reelection, and his supporters think that somehow things are going to be different. Fat chance. The FBI spied on him and found that he was having an affair with his biographer, a woman 20 years younger than his 60 years.

What is it with Americans and sex? Why is an illicit affair the ONLY reason for removing someone from political office? Why is it that government officials, presidents and vice presidents included, can violate US statutory law and torture people, spy on Americans without the necessary warrants, murder US citizens without due process, confine US citizens to dungeons for life without evidence and due process of law, start multi-trillion dollar wars on the basis of contrived allegations that have no basis in fact, murder civilians in seven countries, overthrow legitimate governments, and all of these massive crimes against humanity can be accepted as long as no one in Washington gets any sex out of it?

Why does Washington want hegemony over the world? Why does Washington want this hegemony so badly that Washington is willing to murder women, children, aid workers, husbands and fathers, village elders, anyone on earth including its own American heroes? What is the evil that drives Washington? How can the evil that drives Washington be contained, stamped out, prevented from destroying the human race? What does the world do when it confronts unbridled evil, which is what Washington is?

Real history: Vaccines not responsible for halting infectious diseases of 20th century. A common misconception about vaccines purports that they are the primary reason why infectious disease rates saw a rapid and steady decline throughout the early-to-mid 20th century. But an honest look at the figures reveals that diseases like polio, typhoid, measles, and tuberculosis were already in significant decline long before vaccines were ever even invented, this being the result of improved hygiene and diet. The avowed, deliberate intent of these sinister machinations is to embed the use of death squads and drone terror attacks into the policy apparatus of future administrations, so that the killing of human beings outside all pretense of legal process will go on, year after year after year, even when the Nobel Peace Laureate has left office.

The sickening nature of this perpetual-motion death-machine — and the husk-like inhumanity of those who operate it and the sycophants who applaud it — are all too plain. These butchers — our bipartisan elites, our whole respectable, self-righteous establishment — have trapped us all in an Age of Hell. We arrive at the 11th anniversary of the false flag attack that changed the world as we know it. The tactic was nothing new. The purpose clear: The false enemy, fake war on terror, enables the establishment to reign fascist terror upon the planet, and it has gone 11 years with no justice or main stream acceptance of the truth.

We must continue to educate and awaken the masses. For those still living in an 11 year bubble of denial.. Perpetual war, genocide, and fascist rule continue because the masses live with the assumption that if they ignore the fact that their government is against them, that it will not affect them. Well it does and it affects millions around the world. You cannot sit in denial any more. We have great strength in numbers and we must all rise up and resist this fascist government. A time comes when silence is betrayal.

This is a groundbreaking documentary discusses the reality behind the crisscrossing streaks of white clouds trailing behind jet aircraft, stretching from horizon to horizon, eventually turning the sky into a murky haze. The documentary discusses the developing industry called geo-engineering, driven by scientists, corporations and governments intent on changing global climate, controlling the weather, and altering the chemical composition of soil and water. See documentary here. We have been hearing a lot about genetically modified food lately.

Stories are coming out about their environmental impacts and the role they play in a war waged on our health and the health of our children. We have also been hearing a lot of other stories about our food — antibiotics and growth hormones in meat or radiation and chemicals in fish from the sea. From the news sources to which I subscribe the truth is clear and simple: we need to consume nutritious, whole foods that are grown organically.

Our future and our family is worth it. It is a choice between weakness and strength for our bodies and our minds, an issue of black vs. We do not get the newspaper at my house, but I have been known to snag the occasional grocery store flyer from the recycling and have a look. The other day something was in there that made me think. The film V for Vendetta is a shining example of what we are facing and how we can overcome a fight against a corrupt fascist government. For many this seems such a daunting task they would rather live in denial at the cost of their own health, freedom and economic situation. Living in denial allows a perpetual state of war.

Genocide that fuels the military industrial complex and advances the fascist government that plagues the US, Canada, The UK and Australia and so on.. As the film V is For Vendetta illustrates we have great strength in unity. We must simply organize ourselves. The film shows a symbolic organization and unification of the populous to rise up at once to take control. This is what is required. But we cant stop there. The same problem can occur when the new ones in control become corrupt. So the solution therefore is in unity we must stay. Not just for one event but to act in unison as a collective making decisions for the collective. Not anarchy, that is where individuals rule themselves without concern for others.

I am talking about the individual making a decision that will benefit themselves and in turn everyone else. The significance of this qualitative leap could be compared to the transition from cold steel to firearms, or from conventional weapons to nuclear weapons. Construction began in Google will meet this Wednesday with the Council on Foreign Relations to discuss ways that they can use their dominant search engine to penetrate and disrupt international crime. Under the cloak of doing good by fighting international crime, Google will likely be given full reign to not only monitor but infiltrate people and organizations that the DoD, DEA, CFR and other alphabet agencies desire.

Furthermore, many refer to the CFR as an international criminal gang due to their support for violent regime change, among other questionable behavior. If history is any indicator, the agents of the CFR will use Google as a tool to eliminate competition to their interests. Truth11 Films lastest film The Enemy Within discusses the fascist police state that surrounds us and is a wake up call for some to realize we are controlled by the same people who funded Hitler. We have great strength in numbers. We must unite and organize ourselves with self government through internet automation. See film Here. As Americans mindlessly celebrate another Memorial Day with cookouts, beer and burgers, the U.

As we brutally enforce our will on foreign countries, we create more people that hate us. They hate us because we have invaded and occupied their countries. They hate us because we kill innocent people with predator drones. They hate us for our hypocrisy regarding democracy and freedom. Just when we had the opportunity to make a sensible decision by leaving Iraq and exiting the Middle East quagmire, Obama made the abysmal choice to casually sacrifice more troops in the Afghan shithole. George Bush and Barack Obama did this to prove they were true statesmen. The Soviet Union killed over 1 million Afghans, while driving another 5 million out of the country and retreated as a bankrupted and defeated shell after ten years. Young Americans continue to die, for whom and for what?

These endless foreign interventions under the guise of a War on Terror are a smoke screen for what is really going on in this country. When a government has unsolvable domestic problems, they try to distract the willfully ignorant masses by proactively creating foreign conflicts based upon false pretenses. General Douglas MacArthur understood this danger to our liberty. Bush, Cheney, Rumsfeld convicted of war crimes by international Tribunal. In the first verdict of its kind since former President George W. Bush left office, he and several members of his administration have been successfully convicted in absentia of war crimes in Malaysia. A five panel tribunal delivered a unanimous guilty verdict after a week long trial that, unsurprisingly, was not covered by American media.

The witnesses included several ex-Guantanamo detainees that gave testimony on the conditions and human rights violations that were systematically carried out under orders of the Bush administration. None were present, of course, but international war crime trials do not require the presence of the accused. Leaked U. A leaked U. A project of immense secrecy, it is the final piece in a complex puzzle assembled over the past decade. The codename of the project: Stellar Wind. The worlds largest man made ecological disaster continues to unfold. A new documentary from Alex Jones definitively declares war against the attempts to control the population through a fear of false dangers. The facts are in— terrorism as a mass threat is a hoax.

It is government, and the elite who control it, that pose the real threat to humanity. Now, a 21st century technocratic global corporate tyranny seeks to kill not mere millions but billions— through their superweapons, central banking warfare model and eugenics mindset. See movie here. In fact, the Nazification of America is almost complete. The parallels between Nazi Germany and the United States of today are going to absolutely shock many of you.

Most Americans simply have never learned what life was really like back in Nazi Germany. Under Adolf Hitler, Germany was a Big Brother totalitarian police state that ruthlessly repressed freedom and individual liberty. Read article showing 25 signs that Americas Nazification is almost complete here. When facts and informational material in newspapers can be copyrighted and lead to copyright infringement lawsuits the copyright office is a known corrupt fascist front for the giant mega corporations and mega banks.

Copyrights are suppose to only apply to creative material in nature as Judge Philip Pro believes posting an entire article is Fair Use for non commercial entities online since copyright should only apply to content creative in nature and facts cannot be copyrighted. They are the biotch of the large Mega Corporations that put out propaganda for the Council of , the Bilderberg Group, and global power brokers. They know piracy is not the real reason for newspapers losing traffic and losing advertisement money. It is because they lie, distort, and omit the facts. The newspapers lie for the U. Government and banksters that really rule America and the rest of the world.

Noble Lie: A myth or untruth knowingly told by the elite to maintain social harmony, or the social position of the elite. One hundred sixty-eight people were killed, including nineteen children. For those watching the nightly news, terrorism had come home. Hoping to shed light on answers long ignored and censored, both by prominent media outlets and the U.

This film exposes information never before examined or brought to the attention of the American public. See here. Steps from the handbook of the evil corrupt few that are running the planet. They use utmost force and violence to achieve their ends. It outlines the subjects that need to be discussed, the areas of corruption and areas of government tyranny. Set to Famine, by Opeth. See the film here. November 11 was supposed to be the end of all war.

Instead the propaganda machine continued and with its perseverance the concept of peace was lost as being normal. Perpetual war was created immediately as war was outlawed. By refusing to enforce the ban of the concept of war, perpetual war was born. All war is illegal murder. This day was made a holiday in order to celebrate an armistice that ended what was up until that point, in , on of the worst things our species had thus far done to itself, namely World War I. This November 11th is one where the truth is known by more people than ever before, plus cities are in protest and the world is awaking to the reality that we can choose world peace.

We can choose prosperity. For many years the globalists, through the federal agencies they control, have treasonously planned to use devastating orchestrated events to suspend constitutional rights and implement martial law. Despite their planning efforts, technology, and billions of dollars spent on martial law training, a handful of activists can utilize simple yet powerful tools to ensure martial law is never implemented. This plan is known as Globalist Shutdown. From the creators of Esoteric Agenda and Kymatica , UNGRIP penetrates the illusions and delusions of the legal system with direct relation to the psychology of humanity. The process of removing the cabal that has controlled most of the world for the past years is almost complete, according to sources directly involved in the takedown.

Instead, they will be bankrupted and put in jail. Evidence of the takedown is now becoming visible for all to see. This is publicly available evidence that the post war power structure is ending. The psychopathic elite and their moronic puppets in governments and media institutions cannot prevent the natural progress of freedom, peace, knowledge, truth, and love… All the establishment sources of information and news, whether television or print, are losing credibility and public trust by the day. They are beyond redemption. Their complicity in war crimes and crimes against democracy will never be forgotten. This must end. We can not allow the masses to stay in their false reality bubble at the cost of millions of lives.

We must all act upon the truth. Ten years ago to the day we were attacked by our own government. On September 11, the US government plans of pre-meditated mass murder were carried out on its own people. With the intent to enlist the population into perpetual wars of mass murder. And to further enslave the human population deeper into the fascist police state. An ever controlled life of servitude, enslaved to the same people who put Hitler in power. The same people put Bush and Obama into office and thus the Nazi rule still persists to this day.

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