The period since eradication has been defined by a lengthy and complex debate focussed on the destruction of the last remaining stocks of live variola virus. In 1996, at the 49th World Health Assembly, Member States decided to have this stock destroyed in June 1999, and only to allow small samples to be kept for research purposes at two designated secure laboratories – one in the United States and one in the Russian Federation.

Getting bitten by a venomous snake can be very scary, and can lead people to react in exactly the wrong way: Maybe they panic, try to catch or kill the snake, or apply ice or a tourniquet to the wound, which can be disastrous in certain situations.

So, what should we do in case we are bitten by a snake? In this article we will discuss what to do and what NOT to do in case a person is bitten by snake.

Snakebite envenoming is a potentially life-threatening disease caused by toxins in the bite of a venomous snake. Envenoming can also be caused by having venom sprayed into the eyes by certain species of snakes that have the ability to spit venom as a defence measure.

ites or sprayed venom from venomous snakes can cause a range of acute and serious medical emergencies. Envenoming from different types of snakes can cause different symptoms, some more serious than others. This makes the preparation of correct antivenoms an ongoing problem. Envenoming can cause severe paralysis that may prevent breathing, making immediate medical attention critical. People may also experience bleeding disorders that can lead to fatal haemorrhages or irreversible kidney failure.

Snake antivenoms are effective treatments to prevent or reverse most of the harmful effects of snakebite envenoming and are included in the WHO list of essential medicines. The availability and accessibility of these antivenoms, along with raising awareness on primary prevention methods among communities and health workers, are the best ways to limit serious consequences and deaths from snakebite envenoming.

After a bite by a snake suspected of being venomous, follow these steps:

The social determinants of health (SDH) are the non-medical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life. These forces and systems include economic policies and systems, development agendas, social norms, social policies and political systems.

Life expectancy and healthy life expectancy have increased, but unequally. There remain persistent and widening gaps between those with the best and worst health and well-being.

Poorer populations systematically experience worse health than richer populations. For example:

There are challenges to overcome in implementing action to address health inequities through the social determinants of health. The social determinants of health equity is a complex and multifaceted field. It involves a wide range of stakeholders within and beyond the health sector and all levels of government. In addition, social determinants of health data can be difficult to collect and share.

Soil-transmitted helminth (STH) infections are among the most common infections worldwide and affect the poorest and most deprived communities. They are transmitted by eggs present in human faeces which in turn contaminate soil in areas where sanitation is poor.

The main species that infect people are the roundworm (Ascaris lumbricoides), the whipworm (Trichuris trichiura) and the hookworms (Necator americanus and Ancylostoma duodenale).

The WHO recommended medicines –albendazole (400 mg) and mebendazole (500 mg) – are effective, inexpensive and easy to administer by non-medical personnel (e.g. teachers). They have been through extensive safety testing and have been used in millions of people with few and minor side-effects.

Both albendazole and mebendazole are donated to national ministries of health through WHO in all endemic countries for the treatment of all children of school age.

Ivermectin for the control of S. stercoralis is expected to be available at affordable price from 2021

A baby who dies after 28 weeks of pregnancy, but before or during birth, is classified as a stillbirth.

There are nearly 2 million stillbirths every year, one each 16 seconds. . Over 40 per cent of all stillbirths occur during labour – a loss that could be avoided with improved quality and respectful care during childbirth including routine monitoring and timely access to emergency obstetric care when required.