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March 27, 2022 02:34 pm

Russia's Invasion of Ukraine Could Also Cause New Epidemics, Health Experts Worry

Heath workers worry Russia's invasion of Ukraine "threatens to upend decades of progress against infectious diseases throughout the region," reports the New York Times, "sparking new epidemics that will be nearly impossible to control."Ukraine has alarmingly high numbers of people living with HIV and hepatitis C and dangerously low levels of vaccination against measles, polio and COVID-19. Overcrowded and unsanitary living conditions for refugees are breeding grounds for cholera and other diarrheal diseases, not to mention respiratory plagues like COVID-19, pneumonia and tuberculosis.... Ukraine and the surrounding region also make up a world epicenter of multi-drug-resistant tuberculosis, a form of the disease impervious to the most powerful medications. The Ukrainian health ministry in recent years had made progress in bringing these epidemics under control, including a 21% drop in new HIV infections and a 36% decline in TB diagnoses since 2010. But health officials now fear that delays in diagnosis and treatment interruptions during the war may allow these pathogens to flourish again, with consequences that ripple for years. "Last year, we were working to differentiate between different TB mutations," Iana Terleeva, who heads tuberculosis programs for Ukraine's Ministry of Health, said in a statement. "Now instead, we are trying to differentiate between aerial shelling, raids and other military hardware." The fighting also has damaged health facilities throughout the country and spawned a refugee crisis, imperiling thousands of people with chronic conditions like diabetes and cancer who depend on continuing care.... Only about 80% of Ukrainian children were immunized against polio in 2021, and the country had detected a few polio cases even before the war began. The vaccination coverage for measles in Ukraine is likewise too low to prevent outbreaks. These are the ingredients of a public health calamity, many experts fear. The WHO and other organizations are deploying medical teams and shipping supplies, vaccines and drugs to Ukraine and to neighboring countries. But the aid may never reach areas of active conflict.

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