The WHO has diagnosed more than 3,000 cases of the life-threatening disease in refugee camps in Bangladesh. Most patients are children.
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The NGO Doctors Without Borders (MSF) has reporteda dramatic outbreak of diphtheria in Rohingya refugee camps in Bangladesh. Thus far, the humanitarian organization has treated 2,000 patients showing symptoms of the bacterial infection. The World Health Organization, meanwhile, has registered more than 3,000 recent cases, with more coming in.
"This outbreak of diphtheria hits the people in the camps at a time where they're already struggling with a measles epidemic and an overall emergency situation, which puts enormous strain on the health system," said Pavlos Kolovos, the country coordinator for MSF.
Bad hygenic and healthcare circumstances are aggravating the epidemic: Many people - particularly children - are not vaccinated. Refugees live in primitive shelters with little space and no safe water supply.
Since the 1980s authorities worldwide have managed to almost completely eradicate diphtheria by systematically vaccinating all young children with a combined vaccination against diphtheria, tetanus and polio, called DTP3.
However, in recent years, there have typically been several thousand cases per year in countries of Southeast Asia.
What is diphtheria and how is it being transmitted?
The disease comes from the Corynebacterium diphtheria - a germ discovered by doctors Edwin Klebs and Friedrich Loeffler in 1884. People transmit it by coughing, sneezing, kissing or through contact infection.
The bacteria generate a toxin that inhibits protein biosynthesis in cells - a vital mechanism that enables us to produce body proteins in the first place.
What are the symptoms?
The illness can be visually detected through a sticky gray-white mucus covering the throat and nose. Patients have a difficult time breathing. Infants develop bloody and pus-filled phlegm. The infection spreads to the larynx and lungs and triggers a cough. The lymph nodes also begin swelling.
Patients can also develop stomach ulcers or inflammations in the eye. The toxin generated by the bacteria will eventually find its way through the bloodstream into other organs, such as the kidneys, liver or heart. There, they can result in fatal organ failure.
How do doctors treat diphtheria?
Once the illness has broken out, doctors can administer a diphtheria antitoxin to neutralize the effect of the bacterial poison. But that will only show success if the infection gets diagnosed and treated early. Once the toxin is inside the bloodstream, it can circulate and remain there for a long time, damaging the organs.
Patients additionally receive penicillin, an antibiotic, to kill off the bacteria. And those who've cared for the patients will also receive the antibiotic as a preventive measure.
The most effective weapon against diphtheria, however, is childhood vaccination - of the entire population - with the DTP3 vaccine.
World Health Day 2015 is about highlighting food security. So what's the role of microorganisms in our food? We take a look at mold, bacteria and viruses that can spoil your appetite - but are also be useful.
Image: imago/Gerhard Leber
Ewww!
Just scrape the mold off, right? Wrong. A moldy old sandwich like this one is anything but harmless. While there are some harmless kinds of mold - like on Camembert cheese - many molds are toxic. Furthermore, mycelium spores can trigger allergies. Through contact with highly toxic types of mold, humans with weakened immune defenses could even die as a result of an extended exposure.
Image: imago/imagebroker
Mold as a biocatalyst
Mold can also be useful: Fungi is able to break down carbon hydrates, fats and proteins - more efficiently than any other organism. Industry makes use of a genetically modified Aspergillus niger fungus, which produces enzymes that can be used in food processing and production of detergents - like a living factory.
Image: BASF
Salami tactics
"Botulus" is Latin for "sausage." If mistakes are made in the production of sausage, or if meat or vegetables get contaminated during canning, this can cause botulism. The bacteria Clostridium botulinum causes this life-threatening poisoning.
Image: picture-alliance/dpa
Life without oxygen
Clostridium botulinum thrives in anaerobic, or oxygen-free, environments. It produces the nerve agent botox - used among cosmetic surgeons to help smooth skin. But in food, it leads to paralysis. At first, certain body parts get paralyzed, resulting in symptoms like slurred speech. But later, also the muscles responsible for breathing and heartbeat freeze up - eventually resulting in death.
Image: picture alliance/OKAPIA
Fresh vegetables not always healthy
Fenugreek sprouts were a favorite among Germans trying to eat healthy - until 2011. That year, seeds contaminated with the bacteria Escherichia coli (EHEC) caused an outbreak that killed 53 people - hundreds more were sickened. EHEC produces a toxin that destroys intestinal wall cells, and later attacks brain and kidney cells. Cooking raw vegetables and meat kills the harmful bacteria.
Image: picture-alliance/dpa
A useful relative
But not all varieties of E. coli are dangerous. Inside the human large intestine, the bacteria are usually responsible for producing vitamin K - important for the development of bones and cells, and for blood coagulation. In biotechnology, the bacteria play a role in producing insulin and growth hormones. They can even be used for turning microalgae into alcohol-based biofuel.
Image: Harvard’s Wyss Institute
Bacteria preserves foods
Thousands of years ago, humans learned to use lactic acid bacteria - for the production of yoghurt, kefir, sourdough bread and cheese. Raw milk warmed to 20 degrees Celsius is heaven for bacteria: Within 10 hours, the milk will go sour. Milk fermented with the help of bacteria, however, can stay edible for much longer.
Image: ZDF
Too much of a good thing
One of the many varieties of lactic acid bacteria are streptococci, which play a role in producing sauerkraut and fermented milk products. Although streptococci are everywhere - on humans, animals and plants - some of them are unhealthy. Some strains of strep can trigger tooth decay or sepsis, commonly known as blood poisoning.
Image: picture-alliance/OKAPIA
Dangerous diarrhea
Rod-shaped bacteria like Campylobacter and Salmonellae cause illness and death the world over. Undercooked beef, pork or chicken containing Campylobacter is a common cause of diarrhea wordwide. Typhus is the most dangerous form of salmonellae, triggering high fever, weak heartbeat and constipation. Every year, about 32 million people are sickened from typhus - mainly by drinking impure water.
Also viruses can contaminate food
Norovirus or stomach flu is transmitted person-to-person through traces of vomit or feces. Just 100 tiny norovirus particles are enough to infect someone. The virus can easily pass into the food chain via infected drinking water.
Image: Foto: Gudrun Holland/Robert-Koch-Institut
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After reading this, you'll never shake hands again
Think a handshake represents a friendly, professional way of greeting? Think again. Hand-shaking is a major way of spreading disease in Western cultures.
Image: picture-alliance/AP Photo/Stew Milne
Ancient custom
The practice of hand-shaking has been around for more than 2,000 years. It was documented in the times of antiquity, as portrayed on this ancient Greek flask. But the ancient Greeks, who thought illness was related to a imbalance of humors in the body and represented punishment from the gods, never made a connection between hand-shaking and disease.
Image: picture alliance/Prisma Archiv
Gesture of peace
Hand-shaking is believed to originate in how, for two strangers meeting for the first time, approaching each other with open right hands demonstrates a lack of weapons. On a neurochemical level, a proper handshake can release chemicals in the brain including the bonding hormone oxytocin, which can promote harmony and friendship. But researchers have found it's a significant way to spread disease.
Image: Fotolia/Sergiy Serdyuk
Layers of meaning
Not only does hand-shaking pass along germs, it carries unspoken meaning - yet this can vary by culture. A firm handshake is positively perceived to show decisiveness in Western societies, while Eastern societies generally prefer weaker or "limp" handshakes to prevent imparting a sense of dominance. Regardless, whenever you shake hands, you come away with more than just a lasting impression.
Image: imago/imagebroker
Nasty habit
Hand-shaking can transmit viruses like the cold or flu, parasites like scabies, and bacteria such as Staphylococcus (pictured above). Someone who has a cold could wipe their dripping nose, leaving mucus teeming with rhinovirus on that person's hand. When you shake hands with them and then touch your eye, you can catch that infection. Still eager to shake hands?
Image: picture alliance/dpa/Centers for Disease Control and Prevention/MCT /Landov
Proper hygiene for prevention
One surefire way to prevent the spread of disease, including through handshakes, is to wash your hands with warm water and soap on a regular basis. But many people simply don't bother: In one observational study, only two-thirds of men washed their hands after using a public restroom. Which might make you ask yourself: Do I actually want to shake hands with the next stranger I meet?
Image: BilderBox
Handshake phobia
Prominent figures - including Bill Gates and Donald Trump - reportedly simply do not shake hands due to the disease factor. A person who is hand-shaking phobic could always carry around a small bottle of hand-sanitizer and constantly use it. But that person runs the risk of seeming obsessive and strange. Although there are some proposals for alternatives to shaking hands …
Image: Fotolia/koszivu
'No offense, it just makes sense!'
A recent study proposed banning handshakes from healthcare settings altogether. Hospitals could be made into handshake-free zones, for example. As more people come to understand the link between the handshake and the spread of disease, the "anti-handshake" movement even seems to be gaining momentum. But what could replace the glorious gesture?
Image: Fotolia/Andres Rodriguez
The mighty fist bump
A study has shown that exchanging greetings via fist bump, or a brief touch between the outer portions of two fists, transmits 90 percent fewer infectious organisms than the handshake. And with people like Barack and Michelle Obama setting the example, perhaps that could become the next big thing.