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Bangladesh rolls out typhoid immunisation drive for 50 million children | Health News

The campaign aims to protect the children from the drug-resistant disease spreading across South Asia.

Bangladesh has begun a nationwide vaccination campaign to protect millions of children from typhoid, a life-threatening disease that is becoming increasingly resistant to antibiotics.

The monthlong drive, launched on Sunday, aims to immunise about 50 million children aged between nine months and 15 years with a single dose of the typhoid conjugate vaccine (TCV).

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The vaccine, approved by the World Health Organization (WHO), offers protection for up to five years and is being distributed free under the government’s Expanded Programme on Immunisation (EPI).

The campaign follows mounting concerns over drug-resistant typhoid strains spreading across South Asia. Pakistan has been battling a strain since 2016 that is resistant to nearly all antibiotics except one.

Health workers in Bangladesh are administering the vaccine through schools, clinics, and door-to-door visits, prioritising urban slums and remote villages. The campaign will run until November 13, after which TCV will be included in the country’s regular immunisation schedule.

Typhoid, caused by Salmonella Typhi bacteria, spreads through contaminated food and water. It triggers fever, abdominal pain, and nausea, and can cause fatal complications if untreated.

Researchers in Bangladesh have recently identified ceftriaxone-resistant strains – a worrying development, as ceftriaxone remains one of the last effective treatments.

Experts warn that without preventive action, resistant strains could make typhoid far harder to manage. Supported by Gavi, the Vaccine Alliance, the campaign aims to lower infection rates and limit the spread of resistance.

Inaugurating the drive, the government’s health adviser, Nurjahan Begum, said it was “shameful” that children still die from typhoid in Bangladesh. She expressed hope that the country would defeat the disease as it did diarrhoea and night blindness.

Officials highlighted the vaccine’s strong safety record in neighbouring countries such as Pakistan, Nepal, and in India’s Mumbai, where no major side effects were reported.

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Justice Department sues California, other states that have declined to share voter rolls

The U.S. Justice Department sued California Secretary of State Shirley Weber on Thursday for failing to hand over the state’s voter rolls, alleging she is unlawfully preventing federal authorities from ensuring state compliance with federal voting regulations and safeguarding federal elections against fraud.

The Justice Department also sued Weber’s counterparts in Michigan, Minnesota, New York, New Hampshire and Pennsylvania, who have similarly declined its requests for their states’ voter rolls.

“Clean voter rolls are the foundation of free and fair elections,” Atty. Gen. Pam Bondi said in a statement on the litigation. “Every state has a responsibility to ensure that voter registration records are accurate, accessible, and secure — states that don’t fulfill that obligation will see this Department of Justice in court.”

In its lawsuit against Weber, who is the state’s top elections official, the Justice Department argues that it is charged — including under the National Voter Registration Act — with ensuring that states have proper protocols for registering voters and maintaining accurate and up-to-date rolls, and therefore is due access to state voter rolls in order to ensure they are so maintained.

“The United States has now been forced to bring the instant action to seek legal remedy for Defendants’ refusal to comply with lawful requests pursuant to federal law,” the lawsuit states.

Weber, in a statement, called the lawsuit “a fishing expedition and pretext for partisan policy objectives,” a “blatant overreach” and “an unprecedented intrusion unsupported by law or any previous practice or policy of the U.S. Department of Justice.”

“The U.S. Department of Justice is attempting to utilize the federal court system to erode the rights of the State of California and its citizens by trying to intimidate California officials into giving up the private and personal information of 23 million California voters,” Weber said.

She said California law requires that state officials “protect our voters’ sensitive private information,” and that the Justice Department not only “failed to provide sufficient legal authority to justify their intrusive demands,” but ignored invitations from the state for federal officials to come to Sacramento and view the data in person — a process Weber said was “contemplated by federal statutes” and would “protect California citizens’ private and personal data from misuse.”

The Justice Department has demanded a “current electronic copy of California’s computerized statewide voter registration list”; lists of “all duplicate registration records in Imperial, Los Angeles, Napa, Nevada, San Bernardino, Siskiyou, and Stanislaus counties”; a “list of all duplicate registrants who were removed from the statewide voter registration list” and the dates of their removals.

It has also demanded a list of all registrations that have been canceled because voters in the state died; an explanation for a recent decline in the recorded number of “inactive” voters in the state; and a list of “all registrations, including date of birth, driver’s license number, and last four digits of Social Security Number, that were cancelled due to non-citizenship of the registrant.”

The litigation is the latest move by the Trump administration to push its demands around voting policies onto individual states, which are broadly tasked under the constitution with managing their own elections.

The lawsuit follows an executive order by Trump in March that purported to radically reshape voting rules nationwide, including by requiring voters to provide proof of citizenship and requiring states to disregard mail ballots that are not received by election day.

The order built on years of unsubstantiated claims by Trump — and refuted by experts — that the U.S. voting system currently allows for rampant fraud and abuse, and that those failures compromised the results of elections, including his 2020 loss to Joe Biden.

Various voting rights groups and 19 states, including California, have sued to block the order.

Advocacy groups say the order, and especially it’s requirements for proving citizenship, would disenfranchise legal U.S. citizen voters who lack ready access to identifying documents such as passports and REAL IDs. They have said barring the acceptance of mail ballots received after election day would also create barriers for voters, especially in large state such as California that need time to process large volumes of ballots.

California currently accepts ballots if they are postmarked by election day and received within a certain number of days after.

California Atty. Gen. Rob Bonta has called Trump’s executive order an “illegal power grab” that California and other states will “fight like hell” to stop. His office referred questions about the U.S. Justice Department’s lawsuit against Weber to Weber’s office.

Gov. Gavin Newsom’s office did not respond to a request for comment.

Assistant U.S. Atty. Gen. Harmeet K. Dhillon, who heads the Justice Department’s Civil Rights Division, defended the need for the lawsuit, saying in a statement that clean voter rolls “protect American citizens from voting fraud and abuse, and restore their confidence that their states’ elections are conducted properly, with integrity, and in compliance with the law.”

Weber, who in April called Trump’s executive order “an illegal attempt to trample on the states and Congress’s constitutional authority over elections,” said Thursday that she would not be bowed by the lawsuit.

“The sensitive data of California citizens should not be used as a political tool to undermine the public trust and integrity of elections,” she said. “I will always stand with Californians to protect states’ rights against federal overreach and our voters’ sensitive personal information. Californians deserve better. America deserves better.”

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Refugees in Kenya impacted by food aid cuts; WFP rolls out new system | Humanitarian Crises News

The WFP says aid is being cut by 60 percent for the most vulnerable groups, including pregnant women and disabled people.

The World Food Programme (WFP) has said it will need to drastically cut rations to refugees in Kenya due to reductions in global aid, including major funding cuts from the United States Agency for International Development (USAID).

Residents of the Kakuma and Dadaab refugee camps were beginning to feel the impact of food aid cuts on Monday as the WFP implemented a new assistance system there in which certain groups are prioritised over others.

The WFP said aid is being cut by 60 percent for the most vulnerable groups, including pregnant women and disabled people, and by 80 percent for refugees with some kind of income.

The two camps host nearly 800,000 people fleeing conflict and drought in Somalia and South Sudan, according to the United Nations High Commissioner for Refugees (UNHCR).

 

“WFP’s operations supporting refugees in Kenya are under immense strain,” Baimankay Sankoh, WFP’s deputy country director in Kenya, said in May. “With available resources stretched to their limits, we have had to make the difficult decision to again reduce food assistance. This will have a serious impact on vulnerable refugees, increasing the risk of hunger and malnutrition.”

“There has been a lot of tension in the last couple of weeks or so,” Al Jazeera’s Catherine Soi said, reporting from Kakuma.

“People were very angry about what WFP is calling the priority food distribution, where some people will not get food at all and others are going to get a small fraction of the food.”

These tensions boiled over, triggering protests last week, which left one person dead and several others injured, said Soi, adding that WFP officials she spoke with said the aid cuts from organisations like USAID meant they have had to make “very difficult decisions about who gets to eat and who doesn’t”.

WFP worker Thomas Chica explained to Soi that the new system was rolled out after assessments were conducted by WFP and its partners.

Refugees are now assessed based on their needs, rather than their status, said Chica. “We need to look at them separately and differently and see how best we can channel the system so that it provides.”

The impact of these cuts is severe amid concerns over malnutrition. The Global Acute Malnutrition (GAM) rate among refugee children and pregnant or breastfeeding women in Kenya is above 13 percent. A GAM rate over 10 percent is classed as a nutrition emergency.

“Already the food that is being issued is quite low, 40 percent of the recommended ration, and this is being shared by a bigger chunk of the population,” Chica said, adding that stocks will therefore not last as long as hoped.

This reduction took effect in February and is based on a daily recommended intake of 2,100kcal.

With its current resources dating from last year, WFP will only be able to provide assistance until December or January, said Chica.

WFP said in May that $44m was required to provide full rations and restore cash assistance for all refugees just through August.

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