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Renforcement de la surveillance et du partage d’informations à l’échelle transfrontalière en Afrique
Le document intitulé « Strategic Framework for Strengthening Cross-Border Surveillance and Information Sharing in Africa » présente une stratégie coordonnée élaborée par Africa CDC afin d’améliorer la surveillance de la santé publique et la collaboration au-delà des frontières national
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es en Afrique. Il met en évidence le défi posé par le fait que les maladies infectieuses se propagent fréquemment au-delà des frontières en raison des mouvements de population, du commerce et des migrations, tandis que les systèmes de surveillance et les mécanismes de partage des données restent souvent centrés sur le niveau national et fragmentés.
Le cadre stratégique propose de renforcer la coordination régionale, d’harmoniser les systèmes de surveillance, d’améliorer le partage d’informations entre les pays et de développer les capacités des laboratoires ainsi que des ressources humaines. Il souligne également l’importance de la détection rapide des menaces sanitaires transfrontalières, des enquêtes conjointes sur les flambées épidémiques et d’une meilleure communication entre les États membres. Dans l’ensemble, le document vise à renforcer la préparation, les systèmes d’alerte précoce et la réponse collective aux menaces de santé publique sur le continent africain.
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O documento intitulado “Fortalecimento da Vigilância Transfronteiriça e do Compartilhamento de Informações na África” apresenta uma estratégia coordenada elaborada pelo Africa CDC para melhorar a vigilância em saúde pública e a colaboração além das fronteiras nacionais na Áfric
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a. Ele destaca o desafio de que as doenças infecciosas frequentemente se propagam através das fronteiras devido ao movimento de pessoas, ao comércio e à migração, enquanto os sistemas de vigilância e os mecanismos de compartilhamento de dados permanecem muitas vezes centrados no nível nacional e fragmentados.
O quadro estratégico propõe fortalecer a coordenação regional, harmonizar os sistemas de vigilância, melhorar o intercâmbio de informações entre os países e desenvolver a capacidade dos laboratórios e dos recursos humanos. Também enfatiza a importância da detecção oportuna de ameaças sanitárias transfronteiriças, de investigações conjuntas de surtos e de uma comunicação aprimorada entre os Estados-membros. De modo geral, o documento visa reforçar a preparação, os sistemas de alerta precoce e a resposta coletiva às ameaças à saúde pública no continente africano.
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The WHO publication “Surveillance, case investigation and contact tracing for mpox: interim guidance” provides updated global technical guidance on monitoring and responding to mpox (formerly known as monkeypox). It explains how countries should conduct surveillance to detect new outbreaks, car
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ry out case investigation including clinical assessment and lab specimen collection, and perform contact tracing to monitor people exposed to confirmed or probable cases in order to stop transmission and protect at-risk groups. The guidance includes practical recommendations for how long contacts should be monitored (e.g., daily for 21 days without requiring quarantine if symptom-free) and advising good hygiene and reduced exposure risk during the monitoring period. This interim guidance is intended to support public health authorities worldwide in strengthening mpox outbreak detection, response, and reporting.
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Populations affected by emergencies are continually at risk of outbreaks of epidemic-prone diseases and other public health hazards. This operational guidance aims to guide decision-making on when and how to implement and strengthen Early Warning Alert and Response (EWAR) in preparation for and resp
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onse to emergencies. Each module aims to provide updated operational guidance for EWAR practices, which may be more easily understood and applied during emergencies. Through its application, this operational guidance aims to contribute to:
- earlier detection of acute public health events
- earlier and more effective response
- reduced impact of emergencies on health
- increased trust of the population in the (public) health system
- fulfilling our collective commitments to the International Health Regulations (IHR,
2005).
This guidance was developed jointly by 69 experts from more than 20 organizations from global level to country level.
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Despite gains in childhood survival, more effort is needed to improve the well-being of children with developmental delays and disabilities. All children, including children with developmental delays and disabilities, need nurturing care. Nurturing care can contribute to preventing developmental del
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ays and protect children who are exposed to risk factors, as well as improve functioning and long-term outcomes for children with developmental disabilities. This Brief outlines why and how nurturing care is relevant for children with developmental delays and disabilities. Recognizing that these children have diverse needs requiring different levels of coordinated and family-centred support, it recommends a set of actions to strengthen policies, services, communities and caregiver capabilities so that these children receive nurturing care.
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La idea de escribir un libro sobre el cambio climático y la salud, como quinto y último de esta serie a propósito de los 120 años que cumple la OPS, refleja la colaboración de la organización con los profesionales del país. Este libro intenta compilar una buena parte de la información cient
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fica e histórica disponible sobre temas de investigación realizados en Cuba relacionados con el impacto del cambio climático y los determinantes ambientales en la salud de la población, así como la colaboración de la OPS con ellos.
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World Health Organization (2018). A practical guide for developing and conducting simulation exercises to test and validate pandemic influenza preparedness plans.
Organización Mundial de la Salud (2019). Guía práctica para la preparación y ejecución de ejercicios de simulación destinados a poner a prueba y validar los planes de preparación ante la gripe pandémica. Organización Mundial de la Salud.
Organisation mondiale de la Santé (2019). Guide pratique pour l’élaboration et la conduite d’exercices de simulation destinés à tester et à valider les plans de préparation à la grippe pandémique. Organisation mondiale de la Santé.
There has been major progress in the HIV response in eastern and southern
Africa, the region most affected by the HIV pandemic.
PLoS ONE 18(12): e0295920. https://doi.org/10.1371/journal.pone.0295920. PLHIV were largely unaware and sceptical of U = U as the message appeared to contradict
the mainstream HIV prevention clinical guidance.
Why we need Targets for 2025.
1.2020 Fast Track targets will soon elapse; 2. Current UNAIDS strategy concludes in 2021; 3. Informs possible UN General Assembly Special Session on AIDS in 2021; where a new Political Declaration on AIDS would be adopted; 4. Informs the strategies of other organisatio
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ns (Global Fund, PEPFAR); . An updated set of programmatic targets for 2025 in needed to keep us on
track for 2030
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medRxiv preprint;https://doi.org/10.64898/2026.02.18.26346597. This model application demonstrates that the sudden cessation of USAID and CDC
commitments in the largest HIV epidemic in the world leads to increased incidence and mortality
and threatens decades of progress in KZN, South Africa. Rest
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oring funding within 12 months
and increasing efficiency of HIV interventions can reestablish KwaZulu Natal province, South
Africa’s trajectory toward EHE goals.
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This document consolidates, for the first time, WHO recommendations on the prevention, testing, treatment and monitoring of hepatitis B and C, and includes testing strategies for hepatitis D. Drawing on a decade of evidence-based guidance issued between 2015 and 2025, it provides a single, practical
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handbook to support global progress toward eliminating viral hepatitis by 2030.
The document also highlights simplified service delivery models that promote decentralization, integration with primary care and related programmes such as HIV and tuberculosis, as well as task sharing and differentiated care to expand access and improve efficiency. It further underscores the need for robust data and monitoring systems to support effective programme implementation.
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Le présent document a été publié pour la première fois en 2006 (Lewis et de Bernis, 2006). Il est vraiment remarquable de le lire aujourd’hui1 et de constater à quel point la situation de la fistule a changé. En 2006, ce travail original et novateur a mis en évidence la fistule obstétrica
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le en tant que problème urgent de santé publique et a permis d’élaborer les premiers conseils pratiques pour les personnes impliquées dans les soins aux femmes souffrant de cette affection. En 2018, la communauté internationale a appelé à l’élimination de la fistule obstétricale dans un délai de dix ans, s’inscrivant ainsi en droite ligne avec l’Agenda 2030 pour le développement durable et ses 17 objectifs mondiaux.
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Female genital mutilation (FGM) is a human rights violation deeply rooted in gender inequality and discrimination. FGM violates various human rights under international human rights law including, among others, the rights to equality, life and health and the rights to be free from discrimination, to
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rture and cruel, inhuman and degrading treatment. The failure by States to end this harmful practice against women and girls is a violation of States’ obligations to respect, protect and fulfil the enjoyment of all human rights. These obligations are accompanied by certain human rights accountability mechanisms that are critical in holding States to account for implementing their international and regional human rights obligations and commitments
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The decriminalization of drug use and possession for personal use, when implemented effectively, is a critical element in a human rights and public health-based HIV response. The group of countries that have adopted decriminalization models spans all continents. This document brings together differe
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nt approaches to and experiences of decriminalization of drug use and possession for personal use and provides recommendations for countries to ensure an enabling environment for the HIV response.
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The document is a practical toolkit that provides guidance for healthcare facilities on how to prepare for emergencies, including pandemics and other disasters. It explains how to conduct risk assessments using an all-hazards approach, helping facilities identify potential threats such as natural di
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sasters, technical failures, and disease outbreaks. The text outlines how to develop emergency preparedness and pandemic plans, including key elements like communication, staffing, resource management, and coordination with local, state, and federal authorities. It also describes the four phases of emergency management—mitigation, preparedness, response, and recovery—and emphasizes continuous evaluation and improvement. Overall, the document aims to help healthcare organizations ensure continuity of care and protect patients and staff during emergencies.
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O documento apresenta o quadro da Organização Mundial da Saúde para a gestão de riscos de emergências de saúde e desastres (Health EDRM). Explica que comunidades em todo o mundo enfrentam uma ampla variedade de perigos — como surtos de doenças infecciosas, desastres naturais e conflitos —
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e enfatiza a necessidade de uma abordagem abrangente e baseada no risco para reduzir seus impactos. O quadro descreve princípios fundamentais como prevenção, preparação, resposta e recuperação, e destaca a importância de sistemas de saúde fortes, colaboração multissetorial e envolvimento da comunidade. Também apresenta componentes centrais como desenvolvimento de políticas, coordenação, força de trabalho, comunicação e infraestrutura. De modo geral, o texto tem como objetivo ajudar os países a fortalecer a resiliência, reduzir riscos à saúde e melhorar sua capacidade de lidar com emergências de forma eficaz.
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