African country struggles to protect girls from HPV
When health workers arrived at the Upendo Primary School on the outskirts of Dar es Salaam in Tanzania, they instructed the girls, who will turn 14 this year, to line up to be vaccinated. Quinn Chango urgently, in a whisper, conferred with her friends. What was the injection really for? Could it be the Covid vaccine? (They heard rumors about it.) Or was it to prevent them from having children?
Ms. Chango was uneasy, but she remembered that her sister had been vaccinated against the human papillomavirus last year. So she got in line. However, some girls slipped away and hid behind school buildings. When some of Ms. Chango’s friends returned home that evening, they faced questions from their parents, who were worried that it might make their children feel more comfortable with the thought of sex, even if some of them didn’t want to go out right away. say so.
The HPV vaccine, which provides almost complete protection against the sexually transmitted virus that causes cervical cancer, has been administered to adolescents in the United States and other industrialized countries for nearly 20 years. But it is only now beginning to be widely adopted in low-income countries, where 90 percent of cervical cancer deaths occur.
Tanzania’s experience — with misinformation, cultural and religious discomfort, and supply and logistical obstacles — highlights some of the challenges countries face in implementing what is considered a critical health intervention in the region.
Cancer screening and treatment in Tanzania is limited; the shot could drastically reduce mortality from cervical cancer, the deadliest cancer for Tanzanian women.
HPV vaccination efforts have been stalled across Africa for years. Many countries have developed programs due to begin in 2018 by working with Gavi, a global organization that supplies vaccines to low-income countries. But Gavi couldn’t get the shots for them.
In the United States, the HPV vaccine costs about $250; Gavi, which usually negotiates big discounts with pharmaceutical companies, was aiming to pay $3 to $5 per shot for the large volumes of vaccine it sought to purchase. But as high-income countries have also expanded their programs, vaccine makers Merck and GlaxoSmithKline have targeted those markets, leaving little to developing countries.
“Despite the fact that we were very vocal about the supplies we needed from manufacturers, they were not there,” said Aurelia Nguyen, director of strategy at Gavi. “So we had 22 million girls who were being asked by countries to get immunizations for which we didn’t have supplies at the time. It was a very painful situation.”
Low-income countries had to decide where to distribute the limited amount of vaccine they received. Tanzania decided to target 14-year-old girls first, who, as the oldest eligible girls, were considered the most sexually inclined. Girls start dropping out at this age, before moving on to high school; the country planned to supply vaccines mainly to schools.
But vaccinating a teenager against HPV is not like vaccinating a child against measles. Florian Tinuga, Program Manager, Department of Immunization and Vaccine Development, Ministry of Health. Fourteen year olds need to be convinced. However, since they are not yet adults, parents also need to be won over. This means talking frankly about sex, a sensitive issue in the country.
And because 14-year-old girls were considered young women almost of marriageable age, rumors quickly spread on social media and messaging apps about what’s really in the frame: could it be a covert birth control campaign? coming from the West?
The government did not foresee this problem, dr. Tinuga said sadly. Rumors have been difficult to counter among a population with limited understanding of research or scientific evidence.
The Covid pandemic has further complicated the HPV campaign as it disrupted health systems, forced school closures and created a new level of vaccine hesitancy.
“Parents take their kids out of school when they hear about the imminent vaccination,” said Khalila Mbow, who runs the Tanzanian office of Girl Effect, an NGO funded by Gavi to boost demand for the vaccine. “Vaccination issues have escalated since Covid.”
Girl Effect released a radio show, beautiful posters, chatbots and social media campaigns urging the girls to take a picture. But these and other efforts in Tanzania have been focused on encouraging girls to take the vaccine, without giving sufficient consideration to the influence of other gatekeepers, including religious leaders and school officials, who have a strong say in the decision, Ms Mbowe said.
Asia Shomari, 16, was terrified the day health workers came to her school on the outskirts of Dar es Salaam last year. The students were not instructed and did not know what the shot was for. According to Ms Shomari, it was in an Islamic school where no one ever talked about sex. She hid behind a toilet block with her friends until the nurses left.
“Most of us chose to run,” she said. When she returned home and spoke about what had happened, her mother said that she had done the right thing: any vaccine related to the reproductive organs was suspicious.
But now her mother, Pili Abdallah, has begun to reconsider. “Girls her age are sexually active and have a lot of cancers,” she said. “If she could be protected, that would be good.”
While Girl Effect is aimed at mothers, the truth is that fathers have the final say in most families, Ms Mbow said. “The decision-making power does not belong to the girl.”
Against all odds, Tanzania managed to vaccinate nearly three-quarters of its 14-year-old girls in 2021 with the first dose. (Tanzania achieved this goal of first-dose coverage twice as fast as the United States.) It was harder to convince people to come back for a second dose: only 57 percent received a second dose six months later. A similar gap persists in most sub-Saharan countries that have started HPV vaccination.
Because Tanzania has largely relied on school makeshift clinics to administer immunizations, some girls miss their second dose because they leave school by the time health workers return.
Rahma Saeed was vaccinated at school in 2019 when she was 14 years old. But soon after, she failed her exams to move on to high school and dropped out. Ms Said tried a couple of times to get a second shot at government clinics in her neighborhood, but no one had the vaccine, and last year she said she gave up.
Tanzania is likely to switch to a single dose regimen next year. Tinuga said. There is growing evidence that a single HPV vaccine will provide adequate protection, and in 2022 WHO recommended that countries switch to a single shot campaign, which would improve vaccine costs and supply, and eliminate this problem of trying to vaccinate girls. second time.
Switching from school vaccinations to HPV vaccinations as one of the regular vaccines offered at health centers could be another step towards cost savings, public health experts say. To bring about this shift will require a huge and sustained effort in public education.
“We have to make sure that the demand is very, very high, because usually they are not going to come to institutions for other interventions,” said Ms Nguyen from Gavi.
Ms Nguyen said that now, finally, stocks of the vaccine have increased, and new versions of the vaccine have entered the market from companies in China, India and Indonesia. Supply is expected to triple by 2025.
Populated countries, including Indonesia, Nigeria, India, Ethiopia and Bangladesh, are planning to introduce or expand the use of the vaccine this year, which could jeopardize even expanding supplies. But there is hope that enough doses will soon be available to enable countries to vaccinate all girls aged 9 to 14, Ms Nguyen said. Once they are caught, the vaccine will become routine for 9-year-olds.
“By the end of 2025, we have set a goal of having 86 million girls,” she said. “That would be 1.4 million deaths averted.”
Ms. Chango and her friends giggled at the mere mention of sex, but they said that in fact, many girls in their class were already sexually active and that it would be better if Tanzania could vaccinate girls as young as 9 years old. .
“Eleven is too late,” said Restuta Chunja, shaking her head grimly.
Ms. Chengo, a sparkling-eyed 13-year-old who plans to become a pilot when she finishes school, said her mother told her that the vaccine would protect her from cancer, but that she shouldn’t think about it.
“She said I shouldn’t get married or have any kind of sexual relationship because that would be bad and you could get something like HIV.”
The HPV vaccine is offered to both boys and girls in higher-income countries, but WHO recommends giving priority to girls in developing countries with existing vaccine supplies, as women get 90% of HPV-related cancers.
“From Gavi’s point of view, we are not yet ready to add boys,” Ms Nguyen said.
Dr. Mary Rose Giattas, technical director of reproductive cancer in Tanzania for Jhpiego, a non-profit health organization affiliated with Johns Hopkins University, believes any remaining doubt can be overcome. When she tells the audience about the picture, she is talking about Australia.
“I say forget the rumors: Australia has virtually eliminated cervical cancer. And why? Because they get vaccinated. And if the vaccine had caused fertility problems, we would have known about it because they were one of the first countries to use it.”
According to her, misconceptions can be dispelled with the help of “chewed pieces” of evidence. “I say that our Ministry of Health is taking serious steps to test drugs: they do not come directly from Europe to your clinic. I tell women, “Unfortunately, you and I missed this due to our age, but I’d like to get vaccinated now.”
Family of woman who died after falling out of police car in Georgia sues
The family of a Georgia woman who died after falling out of a police car filed a gross negligence lawsuit in the 2022 incident, their lawyers said Wednesday.
Brianna Grier, 28, was suffering from a mental illness and was being driven by a Hancock County Sheriff’s Deputy when she fell out of a moving patrol car on July 15, authorities said.
The Georgia Bureau of Investigation determined that the deputy did not close the rear passenger door before the vehicle left the scene.
Grier went into a coma after falling out of her car and died on July 21, a week later.
That night, her family called for help at their home in Sparta, about 60 miles west of Augusta, and she ended up being arrested, handcuffed and put in the back seat of a patrol car, according to her family and officials.
On the way to the sheriff’s office, Grier fell out of the passenger door of the car. Body camera video released by the authorities showed the reaction of the second deputy, who asked the driver: “How do you open the back door?”
No criminal charges were brought.
The Georgia Bureau of Investigation, or GBI, said in November that his investigation was closed and that the Okmulgee County District Attorney refused to present him before a grand jury.
The lawsuit, announced Wednesday, alleges gross negligence, excessive force, wrongful death and other claims.
He names Hancock County Sheriff Tomlin Primus, Lieutenant. Marlin Primus and Deputy Timothy Legett.
The lawsuit seeks compensatory and punitive damages, but the civil lawsuit does not list an amount.
A request for comment from or on behalf of the sheriff’s office through the Hancock County government late Wednesday night was not immediately returned.
Grier’s family said she was diagnosed with schizophrenia and was on medication for the disorder. According to her lawyers, she had a mental breakdown and her mother turned to the authorities for help. According to Crump, an ambulance has come in the past.
Greer’s mother, Mary Greer, said Wednesday that her daughter’s two children sometimes ask where their mother is. “I tell them the truth: she went home to be with God,” she said.
“They knew her condition, they knew it. Because it’s not the first time they’ve been here,” Mary Grier said. “I don’t think they did the right thing with her. I miss my daughter.”
What’s the use of $800 million, Brian Johnson, if you’re eating baby food? | Emma Brox
THere are plenty of details to enjoy in the story of Brian Johnson, the middle-aged near-billionaire who spends $2m (£1.6m) a year on the pursuit of eternal youth. ace described in The Times this week Johnson received “plasma infusions” from his 17-year-old son, “33,537 images of his intestines” were taken and experimental treatments were tried that had previously only been tested on mice. But the one I like the most, I think, revolves around his meal plan. As the man who made $800m (£646m) selling his company to eBay, he enjoys a diet of “brown ooze” pureed vegetables – in other words, baby food. Judging by the photos, these measures are certainly working: the 45-year-old tech entrepreneur looks to be about 43 years old.
It is certainly a source of reliable entertainment for learning how the very rich begin to ruin their lives. If excess is the quickest and most common path to self-destruction, then self-denial is a more useful approach to the idle observer. There is nothing like the sight of a man with vast resources who cannot cope with his own mortality and spends his remaining precious time on a bleak pursuit of a goal that is doomed to failure.
This gloating is no doubt unappealing, and to Johnson’s credit, during the plasma transfusion video feed, he good-naturedly read out some of the gruesome messages coming from the audience, including: “I hope he gets hit by a bus.” “, and “Perhaps he will choke on a piece of broccoli or a mushroom” – which, Johnson admitted, would certainly correspond to the “irony of life.” Perhaps, in his place, we could also throw money at the only insurmountable problem of life, namely death, and subject ourselves to the same ridicule. But this whole enterprise, spread in various forms among the billionaire class, seems to be based on such a misunderstanding of what it means to be alive that it’s hard not to wonder how these people got so rich in the first place.
This is the age-old chicken-and-egg question about the super-rich: Is their denial of reality one of the traits that made them rich, or is it a fallacy that comes along with it? The standard motivational advice to accept no limits can be helpful if you’re starting a payment processing software company, but seems less helpful when you’re trying to make sense of life. This is the arrogance of people who think they are above the rules, including those who run the body (this is reminiscent of Steve Jobs, who unsuccessfully tried to crack conventional cancer treatment). At some point, there are likely to be breakthroughs and breakthroughs in the field of human longevity, but it is unlikely that they will be associated with a diet of pureed vegetables.
The bigger question is cost; in the case of Johnson and his associates, not financial, but existential. How sad, one might think, to be so detached from who you are in the present and afraid of who you are in the present to use all your resources. It’s one thing to exercise and eat well to prevent frailty, and it’s quite another to fixate on trying to be a teenager again. It is assumed that when all these processes fail, Johnson and others have cryogenic insurance and trust in their heirs to bring them back when the technology exists, creating the only upside of a potential mass extinction due to global warming.
Perhaps billionaires would be better off investing in more low-tech resources, like a good introduction to existential philosophy, on the assumption that brown food and mouse-tested life extension procedures will only help them up to a point. If a high tolerance for risk and a focus on danger is part of the nature of people who have been so successful, they can blow their own brains when confronted with the absolute certainty that their short, invigorating presence on Earth is all there is or ever will be. will be… and that denying it might mean missing out on everything.
Introducing the seamless underwear revolution
Seamless lingerie, a marvel of innovation in lingerie, redefines the boundaries of comfort and style. Its lightweight and breathable design sets it apart from others, allowing you to wear it effortlessly in your daily life without any feeling of tightness or burdensome weight. Say goodbye to uncomfortable seams that have plagued traditional underwear for a long time, causing irritation and discomfort in the most uncomfortable places. Experience sheer elegance in seamless lingerie designed specifically for those looking for ultimate comfort while maintaining a casual, chic look throughout the day.
A kaleidoscope of styles in the world of seamless underwear
Seamless underwear is considered one of the most comfortable and sought after on the market. Its reputation is based on superior comfort, flawless fit and unparalleled freedom of movement. To meet different preferences and needs, Seamless underwear comes in a bewitching array of styles and fabrics. Let’s take a look at a few interesting options available today:
Bikini panties. Enhance the charm of these low-rise panties with a slim waistband that gracefully hugs your natural waistline. These adorable pieces feature invisible leg openings for comfort and discreet under any outfit. Offering full coverage without revealing or limiting, they strike the perfect balance.
Shorts for boys. Designed for those looking for maximum thigh-to-thigh coverage, the Boys Shorts exude confidence and exceptional comfort. Their high waist ensures safety and a snug fit around the waist. Whether you’re wearing a short dress or a skirt that tends to ride up as you move, fear not – these boys shorts will keep you protected by preventing any possible wardrobe mishaps.
Thong panties. While not as common as other styles, thongs offer minimal fabric coverage combined with maximum support. They are slender and flattering, flattering under skinny jeans or leggings for an ultra-shine look.
Discovering Hidden Gems: The Benefits of Wearing Seamless Underwear
An integral part of our daily wear, underwear deserves careful attention when it comes to finding the perfect fit for comfort and health. Let’s dive into some of the great benefits of seamless underwear.
The most important of the advantages is the unsurpassed comfort that it provides. Seamless underwear with no seams or tags fits snugly against the skin, eliminating the hassle of chafing or pinching. This is especially helpful for people with sensitive skin or people who often experience irritation from traditional underwear. In addition, seamless underwear often uses breathable materials such as cotton and spandex, which allow air to circulate more freely and keep you cool and comfortable throughout the day.
In addition to increased comfort, seamless underwear also boasts improved hygienic properties. The absence of seams and marks reduces areas where bacteria can accumulate, providing a longer feeling of freshness. By eliminating the buildup of odor-causing bacteria in hard-to-reach areas, seamless underwear contributes to an increased feeling of freshness and cleanliness. Plus, with superior craftsmanship and the use of better materials, seamless underwear has a longer lifespan, saving you money in the long run by reducing the frequency of replacements.
Care for seamless underwear: care guide
As seamless styles continue to dominate the lingerie industry for both men and women, proper care becomes critical to maintaining their durability and performance. Follow these important tips to keep your seamless underwear in perfect condition:
Gentle hand wash: Machine washing can damage the delicate fabric of seamless underwear, causing damage and unnecessary wear. Instead, choose a gentle hand wash using a mild detergent. Fill a basin with cold water and add a small amount of detergent. Shake your underwear gently and let it soak in for a short time. Rinse the fabric thoroughly with cold water to maintain the shape, elasticity and original color of the fabric.
Air Dry: Avoid using a dryer when drying seamless underwear, as high temperatures can shrink or damage the material over time. Instead, choose to air dry by hanging them on a clothesline indoors or laying them out on a clean, dry surface. Ensure proper ventilation to speed up the drying process and maintain the integrity of the fabric.
Separation is key: When washing seamless underwear, it is important to separate it from other garments, especially those with zippers, hooks, or rough textures. This prevents any potential snagging or damage to delicate fabrics, ensuring the longevity of your underwear.
Careful storage. Proper storage is critical to maintaining the shape and condition of seamless underwear. Fold them carefully and place them in a storage box or box away from direct sunlight and excessive heat. This will prevent any unnecessary stretching, fading or deterioration of the fabric.
Charming Conclusion: Seamless Underwear is Your Perfect Companion
Seamless underwear is a great choice for any wardrobe, seamlessly combining comfort, breathability and flexibility while maintaining its shape and elegance. Smooth fabric and a form-fitting cut will take the worry out of visible lines or creases, allowing you to confidently wear any outfit. With a wide range of styles and colors to suit every taste, seamless underwear is the perfect combination of comfort and style, making it a must-have option for those who value comfort and fashion in their underwear.
Embrace the seamless underwear revolution and experience a new level of comfort and sophistication that will transform your everyday wear. Discover the allure of seamless lingerie and discover a world of unparalleled comfort, flawless fit and durable style. Refresh your wardrobe and enjoy the allure of seamless lingerie today.
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