Tuesday, May 19, 2020

Covid -19 in the Caribbean

http://www.fao.org/americas/publicaciones-audio-video/covid19-y-sistemas-alimentarios/es/

Covid-19 in cuba

Intervención del Ministro de Salud Pública en la 73a Asamblea Mundial de la Salud

Estimado director general, Dr. Tedros Adhanom Ghebreyesus; distinguidos ministros y ministras de Salud;
La COVID-19 es un reto global, que no distingue fronteras, ideologías o niveles de desarrollo, ha puesto a prueba los sistemas sanitarios de todo el mundo y nuestra capacidad de respuesta ante eventos epidémicos.
Cuando en Cuba se diagnosticaron los primeros casos, el pasado 11 de marzo, ya se aplicaban medidas del Plan Nacional elaborado en consonancia con los protocolos y buenas prácticas de la Organización Mundial de la Salud. Su seguimiento diario, ha permitido reforzar la vigilancia epidemiológica, garantizar el diagnóstico temprano y el tratamiento oportuno de la enfermedad en la Mayor de las Antillas.
Su implementación se apoya en un sistema de salud gratuito y resiliente, con un indicador de 9,0 médicos por cada mil habitantes que permite una cobertura al 100% de la población; y también en una industria médico-farmacéutica y biotecnológica, con productos novedosos para el tratamiento de la enfermedad como el interferón alfa 2B, los anticuerpos monoclonales, el péptido CIGB 258 y el Surfacen. Gracias a ello se ha logrado que el país esté actualmente en un escenario favorable en el enfrentamiento a la pandemia.
Sin descuidar en ningún momento la responsabilidad de proteger a nuestro pueblo, no hemos abandonado la vocación solidaria de la Revolución Cubana. Más de 2300 colaboradores, organizados en 26 brigadas médicas del Contingente Henry Reeve, contribuyen hoy en la lucha contra esta enfermedad en 24 países. A ellos se suman los más de 28 mil profesionales de la salud que ya se encontraban en 59 naciones.
Este gesto solidario no han podido impedirlo ni el genocida bloqueo impuesto por el Gobierno de los Estados Unidos contra Cuba, cruelmente recrudecido, ni los intentos de la administración de ese país para desacreditar y obstaculizar la cooperación médica internacional cubana.
Ningún país por sí solo puede enfrentar esta pandemia, se requiere de una respuesta mundial, sobre la base de la unidad, la solidaridad y la cooperación multilateral renovada.
Cuba reitera a la OMS y a sus estados miembros, la disposición de cooperar y compartir nuestras modestas experiencias.
Muchas gracias.

Intervención del Ministro de Salud Pública en la 73a Asamblea Mundial de la Salud

Estimado director general, Dr. Tedros Adhanom Ghebreyesus; distinguidos ministros y ministras de Salud;
La COVID-19 es un reto global, que no distingue fronteras, ideologías o niveles de desarrollo, ha puesto a prueba los sistemas sanitarios de todo el mundo y nuestra capacidad de respuesta ante eventos epidémicos.
Cuando en Cuba se diagnosticaron los primeros casos, el pasado 11 de marzo, ya se aplicaban medidas del Plan Nacional elaborado en consonancia con los protocolos y buenas prácticas de la Organización Mundial de la Salud. Su seguimiento diario, ha permitido reforzar la vigilancia epidemiológica, garantizar el diagnóstico temprano y el tratamiento oportuno de la enfermedad en la Mayor de las Antillas.
Su implementación se apoya en un sistema de salud gratuito y resiliente, con un indicador de 9,0 médicos por cada mil habitantes que permite una cobertura al 100% de la población; y también en una industria médico-farmacéutica y biotecnológica, con productos novedosos para el tratamiento de la enfermedad como el interferón alfa 2B, los anticuerpos monoclonales, el péptido CIGB 258 y el Surfacen. Gracias a ello se ha logrado que el país esté actualmente en un escenario favorable en el enfrentamiento a la pandemia.
Sin descuidar en ningún momento la responsabilidad de proteger a nuestro pueblo, no hemos abandonado la vocación solidaria de la Revolución Cubana. Más de 2300 colaboradores, organizados en 26 brigadas médicas del Contingente Henry Reeve, contribuyen hoy en la lucha contra esta enfermedad en 24 países. A ellos se suman los más de 28 mil profesionales de la salud que ya se encontraban en 59 naciones.
Este gesto solidario no han podido impedirlo ni el genocida bloqueo impuesto por el Gobierno de los Estados Unidos contra Cuba, cruelmente recrudecido, ni los intentos de la administración de ese país para desacreditar y obstaculizar la cooperación médica internacional cubana.
Ningún país por sí solo puede enfrentar esta pandemia, se requiere de una respuesta mundial, sobre la base de la unidad, la solidaridad y la cooperación multilateral renovada.
Cuba reitera a la OMS y a sus estados miembros, la disposición de cooperar y compartir nuestras modestas experiencias.
Muchas gracias.

Corona virus and your gut

Coronavirus can attack your gut as well as your lungs. This is what we know so far

When we think of the symptoms of coronavirus, we think of the lungs – people on ventilators or with nasty coughs, struggling to breathe. That’s because a COVID-19 positive patient often presents with fever, persistent cough, muscle pain and fatigue.
But the molecule which the virus attacks in our bodies – Angiotensin Converting Enzyme 2 or ACE2 – is present not just in our lungs, but in our gastrointestinal tract as well. This is what could be behind the significant number of cases in which patients show gastrointestinal symptoms such as diarrhoea, nausea and vomiting.
recent commentary in Gut, a British Medical Journal publication, highlighted important evidence from China which showed that if a patient presents with gastrointestinal issues, like diarrhoea, nausea and vomiting, more than a quarter of them may not have respiratory symptoms.
Unlike previous work, which had shown that less than 4% of COVID-19 patients had gastrointestinal symptoms, this study put the rate at 11%. Others have suggested that the rate may be as high as 60%.
Patients with gastrointestinal symptoms may develop more serious forms of the disease, according to emerging research.
Patients with gastrointestinal symptoms may develop more serious forms of the disease, according to emerging research.
Image: Stephania Lecocq/EPA
In these small studies, the researchers also linked patients with gastrointestinal presentations to poorer outcomes. When they compared them to those without gastrointestinal symptoms, patients had more severe disease, higher fevers and a greater risk of liver injury.
In a separate study of those with a mild form of COVID-19, researchers compared those who had gastrointestinal or respiratory symptoms, or both, with those presenting only with respiratory symptoms. They found that 23% of patients had gastrointestinal presentations alone, while 57% had both a gut and a respiratory illness. It also took longer for those with digestive symptoms to clear the virus.
It is interesting to note that the first case of novel coronavirus reported in the US had two days of nausea and vomiting and episodes of diarrhoea in addition to their respiratory symptoms. The virus was detected in samples from this patient’s nose, their throat but also isolated from stool samples collected.
There are a number of symptoms associated with COVID-19.
There are a number of symptoms associated with COVID-19.
Image: King's College London
Analysis of specimens taken from the gastrointestinal tract of 95 COVID-19 patients has identified the virus in the oesophagus, stomach, duodenum and rectum. The virus also showed up in about half of the stool samples collected.
The suggestion is that the gastrointestinal symptoms are caused by the virus invading the ACE2-containing cells that are found throughout the bowel. This together with the presence of the virus in the stool suggest the gastrointestinal tract as another possible route of infection and transmission.
It appears that SARS-CoV-2 is detectable in the stool for several days after it has cleared from respiratory tract samples. So patients who have recovered from COVID-19 or are asymptomatic could be shedding virus into their stool without knowing it, potentially increasing the risk of transmission to others.
Why your microbiome matters
Why do symptoms in your gut mean you might get a worse case of COVID-19? It’s likely that the composition of your microbiome – the millions of bacteria and other organisms that usually live in our gastrointestinal tract – is a critical part of how an individual responds to COVID-19.
One group of researchers created a risk score based on biomarkers in the blood that can be increased or decreased depending on the composition of your microbiome. They found that the higher the score, the worse the outcome from COVID-19. This association was stronger for older individuals. It may be that the health of our gut bacteria has a critical role in how our immune system reacts to the disease.
So it’s important to maintain a healthy microbiome to fight COVID-19.
How do you do that? The key is to eat to feed your microbiome. Eating plant-based food you cook yourself and limiting ultra-processed and take-away foods are to be commended, while supplementing your diet with natural probiotics such kombucha, kimchi and natural yoghurt. This will optimise your microbiome, not just for COVID-19, but for your long-term health as well.
With the pandemic continuing, we should all pay more attention to our guts. Much of the focus to date has been on ventilators, intensive care and the respiratory consequences of the novel coronavirus infection. However, if you have new onset sickness and vomiting or diarrhoea, and no other explanation, it may be COVID-19 and you may need to seek help.
And if it’s true that the gastrointestinal tract is another source for virus transmission in both symptomatic and asymptomatic individuals, it remains paramount that people follow the advice to stay home and stay safe with a combination of shielding, social distancing and regular hand-washing.
Finally, it is worth considering how to maintain a healthy microbiome in these challenging and unprecedented times – eating well may just make a difference to your COVID-19 outcome.

Monday, March 24, 2014

Detox the Liver !!!!

2 tbsp lemon or lime  juice ( 1/2 lemon)
1 tbsp of pure grade B maple syrup
1/10 tsp cayenne pepper (red) or to taste
12 oz of purified Water ( warm or medium hot)

Combine ingredients and drink. You may fill several quart jars and drink all day long. This will help purify the liver.

1. Dissolves and eliminates toxins and congestion that have formed in any part of the body.

2.  Cleanses the kidneys and the digestive system

3.  Purifies the glands and cells

4.  Eliminates all unusable waste and hardened material in the joints and muscles.

5.  Build a healthy blood stream.

6.  Relieves pressure and irritation in the nerves, arteries, and blood vessels.

When this mixture is used on a 10 day fast it contains all of the nutrition needed for the duration of the fast.

Grade B maple syrup contains a large variety of minerals and vitamins. These include: potassium, calcium, magnesium, manganese, iron, copper, phosphorus, sulphur, chlorine and silicon. Vitamin A, B1, B2, B6, C nicotinic acid and pantothenic acid are also present.