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Urgent action needed to counter major threat to life like Covid-19 in conflict zones

Plans to prevent and respond to the virus must urgently move forward before it gains a foothold in conflict zones.

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Photo by Martin Sanchez from Unsplash.com

It will be nearly impossible to fight COVID-19 in countries already devastated by conflict unless a concerted response by states and humanitarian organizations is launched immediately, the International Committee of the Red Cross (ICRC) has warned. Plans to prevent and respond to the virus must urgently move forward before it gains a foothold in conflict zones.

COVID-19 represents a major threat to life in countries with strong health systems. But the threat is even greater in places where health systems have been ravaged by war, where people uprooted by conflict live in close proximity, and where life-saving resources like clean water, soap and medicine are in short supply.

Additionally, health systems weakened by conflict have reduced capacity for detection, management and the follow-up of cases of sickness, which in turn increases the risk of transmission.

COVID-19 has overwhelmed advanced health care systems. Many of the places where we work lack even basic health care infrastructure, let alone intensive care capacity. Our fear is that unless urgent action is taken to curb the spread of the virus, it will devastate some of the world’s most vulnerable communities,” said Peter Maurer, President of the International Committee of the Red Cross.  

The ICRC fears the worst for people in prisons and displacement camps around the world. Health systems in conflict zones in places such as Syria, Yemen, South Sudan, northeast Nigeria, and Afghanistan are simply not prepared to handle a flood of COVID-19 cases without a surge in support. 

An immediate and concerted response by states and humanitarian organizations is vital. COVID-19 does not have to be catastrophic for war-torn countries with weakened healthcare systems, but it does require the international community to scale up support. Last week the International Red Cross and Red Crescent launched an appeal for 800 million Swiss francs, a call for States to boost resources for countries with limited capacity to respond to this urgent threat.

In displacement camps, physical distancing is not possible, and we fear it will be impossible to stop the spread of coronavirus once it enters a camp. Indeed, we fear the virus will spread rapidly and viciously, straining the medical response. Containment will be difficult, as it is harder to trace and isolate suspected cases when people flee their homes due to violence.

Warfare has not stopped because of the virus, and victims of conflict still need and deserve assistance.

“Our work helping victims of conflict is still needed even amid an increased response to the virus. This work is made extra difficult because of the scale of this current pandemic, and the necessary and vital measures countries are now taking to contain it, such as movement restrictions of people and goods. To avoid a catastrophe, governments and other armed actors in conflict theaters must facilitate the work of humanitarians as a priority. Viruses know no borders: this is a global problem which will only be solved by global action,” said President Maurer.

Even as the ICRC continues its work in places of war, it is re-orienting its activities to try to prevent and assist with the COVID-19 pandemic, often in close collaboration with National Red Cross and Red Crescent Societies and the IFRC. Some of the ICRC’s COVID-19 response includes:

In Afghanistan and Myanmar, ICRC’s work in prisons and in support of health systems is focusing on COVID-19 preparedness, detection, and preventive procedures. We are also creating a rapid response plan with isolation measures, hygiene improvement and protective materials.

In Armenia, the ICRC recently donated soaps and disinfectant products to medical units of the country’s 12 detention centers. We also provided infrared thermometers to four penitentiaries.

In Burkina Faso, we are running radio spots about COVID-19. We continue to improve access to clean water and soap in areas affected by violence, and distribute soap and gel in places of detention. 

In Colombia, the ICRC over the next three months will support the refurbishment of lavatories and the provision of hygiene materials in 20 detention centers to restrain COVID-19.

In the Democratic Republic of Congo, we are helping the hospitals we support to set up quarantine measures, training health care staff in suspected case isolation, and implementing infection prevention control measures in health facilities and places of detention visited by the ICRC.   

In El Salvador, we are distributing soap to detainees to assist with hand washing. 

In Gaza, the ICRC has donated 500 mattresses and 1,000 blankets for people in quarantine. It has also donated 43 infrared thermometers to health authorities to help screening suspected cases. 

In Iraq, we have donated soap and disinfectant, protective equipment like gloves, goggles and gowns and thermometers to 13 places of detention housing 22,000 detainees. We’ll soon donate to another 11 institutions holding 20,000 detainees, including materials for handwashing and chlorine spray. 

In Mexico, the ICRC and Mexican Red Cross are distributing water, hygiene kits and information on the virus to help prevent its spread.

In Lebanon, the ICRC runs an emergency ward at the Rafik Hariri University Hospital – where COVID-19 cases are being treated.

In Somalia, we provided tents for isolation to the Mogadishu hospital we support and are implementing a surveillance system to monitor suspected cases at clinics supported by the Somali Red Crescent. We are also providing hygiene items in places of detention and giving soap, chlorine tabs and hygiene information on COVID-19 to more than 120,000 households. 

In Sudan, we are repairing dozens of handpumps and distributing soap to tens of thousands of displaced people, and helping government health agencies to stock gloves, gowns and disinfectant. 

In Syria, in Al Hol Camp, our field hospital remains operational and our team has started to take all necessary and preventive measures to protect the patients against COVID-19. 

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The look and feel of your neighborhood may affect your sleep

Those living in neighborhoods rated as having a stronger sense of safety tended to sleep longer, and that this rating appeared to be shaped by the streetscape.

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Your neighborhood’s “streetscape”—the physical environment of your street—is something that you have probably never consciously thought about, despite seeing it every day. But what if the streetscape was affecting you on a subconscious level and disrupting your sleep? 

This intriguing question is posed by the findings of a study led by Professor Daisuke Matsushita of the Graduate School of Human Life and Ecology at Osaka Metropolitan University. The research team used AI to analyze more than 200,000 Google Street View images to identify visual neighborhood characteristics. They then linked these characteristics to the self-reported sleep of 1,089 working adults living on the lower floors of apartments in Tokyo, who were most likely to be affected by the streetscape.  

They found that those living in neighborhoods rated as having a stronger sense of safety tended to sleep longer, and that this rating appeared to be shaped by the streetscape. Generally, people slept longer in areas with lots of greenery, such as leafy trees, on the street. Similarly, high “enclosure”—meaning many tall vertical buildings and few wide-open spaces—was also associated with longer sleep and fewer insomnia symptoms. 

However, the study also made a surprising finding. The researchers found that highly walkable streetscapes, such as those with more sidewalks and traffic signs, were associated with a lowered sense of safety and shortened sleep duration.  

This suggests that walkability does not always represent a reassuring environment. Instead, a possible explanation is that streets with extensive pedestrian infrastructure are often busier, more crowded, and used by more strangers, which may be perceived as less safe or less relaxing than quieter residential streets.  

“This study demonstrates the potential for evaluating streetscape characteristics across large geographic areas in a cost-effective manner,” Dr. Matsushita said. “Based on the technique used in this study, cities could potentially measure perceived safety, beauty, liveliness, and enclosure as well as pollution and noise.”  

“We hope that opening up this new perspective creates further possibilities for designing healthier neighborhoods,” he concludes.  

The findings were published in Building and Environment.

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Workout or nap? Either can help your sleepless brain, study finds

People who either completed 20 minutes of moderate-to-vigorous exercise or took a 90-minute nap performed about 22 per cent better on memory tests after 30 hours without sleep than those who did neither.

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A short workout or a nap can help protect memory after a sleepless night, a McGill University-led study has found.

Researchers found people who either completed 20 minutes of moderate-to-vigorous exercise or took a 90-minute nap performed about 22 per cent better on memory tests after 30 hours without sleep than those who did neither. The findings, published in Proceedings of the National Academy of Sciences (PNAS), point to practical ways to counter the effects of sleep deprivation.

“Sleep loss affects nearly every aspect of how we think and function, but many people can’t simply stop what they’re doing and get more sleep,” said senior author Marc Roig, Professor in McGill’s School of Physical and Occupational Therapy. “Our findings show that even a brief bout of exercise may help preserve one of our most important cognitive abilities.”

The study involved 54 healthy young adults who stayed awake for 30 consecutive hours under lab supervision. Participants were then assigned to one of three groups: a 20-minute cycling session, a 90-minute nap or a control condition. Three days later, researchers tested their memory for images they had viewed immediately after the intervention. Those who exercised or napped remembered significantly more images than participants who did neither.

Same result, different pathways

While the memory benefits were nearly identical, brain recordings revealed that exercise and napping helped in different ways.

Napping appeared to help the brain recharge, making it easier to take in and remember new information. Exercise, by contrast, helped the brain use its remaining resources more efficiently, without making participants feel more tired.

The findings could eventually inform fatigue-management strategies in workplaces where sleep loss is common and mistakes can have serious consequences, such as health care, transportation and emergency response.

“A nap isn’t always possible in the middle of a shift,” said first author Madhura Lotlikar, a doctoral candidate in McGill’s Department of Neurology and Neurosurgery. “Exercise is accessible, inexpensive and easy to implement. That makes it a promising tool to help people stay cognitively sharp when sleep is limited.”

The researchers emphasize that exercise cannot replace sleep, but it may help people function better when getting enough rest isn’t possible.

About the study

“Protecting episodic memory after sleep loss: Similar benefits of exercise and naps via distinct neural contributions” by Madhura Lotlikar and Marc Roig et al., was published in Proceedings of the National Academy of Sciences of the United States of America.

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Study links coffee consumption to metabolic health and sex hormones

Despite having a similar body mass index (BMI), individuals with higher coffee consumption had lower total and visceral fat and greater skeletal muscle mass than those who consumed less coffee.

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Coffee is one of the world’s most widely consumed beverages, and previous research has linked its consumption to a lower risk of conditions such as type 2 diabetes and cardiovascular disease. However, the biological mechanisms behind these benefits remain unclear. A new Finnish study links habitual coffee consumption to healthier body composition and metabolic markers, while revealing distinct associations with sex hormones in men and women.

The study, conducted at the University of Oulu, analysed data from 2,264 participants aged 46 in the Northern Finland Birth Cohort 1966. Researchers examined how habitual coffee consumption was associated with circulating metabolites, cardiometabolic risk markers and sex hormones.

Despite having a similar body mass index (BMI), individuals with higher coffee consumption had lower total and visceral fat and greater skeletal muscle mass than those who consumed less coffee.

In both men and women, higher coffee consumption was correlated with lower circulating levels of branched-chain amino acids, biomarkers that have previously been linked to insulin resistance and an increased risk of type 2 diabetes when chronically elevated.

The strongest sex-specific associations were observed in men. Higher coffee consumption was linked to a more favourable glucose–insulin profile, higher concentrations of total and bioavailable testosterone, and increased levels of sex hormone-binding globulin (SHBG). At the same time, free testosterone and the free androgen index were modestly lower. In women, hormonal associations were more limited and were primarily characterised by higher SHBG and lower measures of free androgens.

“Coffee is consumed by millions of people every day, yet we still know surprisingly little about how it relates to our metabolism and hormones. What stood out in our findings was a distinct hormonal signature that didn’t disappear even after we took into account BMI and lifestyle factors, with several of these associations differing between men and women,” says Luca Verroest, lead author of the study and Doctoral Researcher at the University of Oulu.

The results suggest that hormonal pathways may partly explain the relationship between coffee consumption and metabolic health. However, as this was an observational study, the findings demonstrate associations rather than cause-and-effect relationships.

The study is particularly relevant in Finland, one of the world’s highest coffee-consuming countries, where annual consumption averages around 11.8 kilograms per person.

The researchers say the findings provide a foundation for future studies aimed at determining whether coffee itself drives these biological changes and identifying the compounds responsible. These questions are currently being investigated in animal models, with the long-term goal of progressing to human intervention studies. Further research will be needed before the findings could inform dietary recommendations.

The study, Associations of habitual coffee intake with testosterone and cardiometabolic markers: the Northern Finland Birth Cohort 1966 study, has been published in the European Journal of Nutrition.

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