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WHO warns of additional problems for the Ukrainian health system in the face of a difficult winter

The World Health Organization (WHO) warned that Ukraine is perhaps facing its most complicated winter after the massive Russian attacks on its energy infrastructure, which have caused additional problems for the health system, hit by almost 2,000 attacks since the Russian invasion in 2022.

“Ukraine is approaching its third winter in the middle of war, probably the most difficult,” said the WHO regional director for Europe, Hans Kluge, who has carried out a week-old mission through Ukraine, at a press conference in Kiev.

2,000 attacks on medical infrastructures

The Belgian doctor recalled that to date the WHO has confirmed almost 2,000 attacks on Ukrainian health, including hospitals, health workers and patients, to which are added the Russian bombings of the last six months against the country’s energy network, which have caused massive power cuts.

“The frequent power outages in summer are already causing havoc with signs of danger for the winter,” Kluge warned, who said that, by endangering the storage and distribution of vaccines, Ukraine could experience an increase in preventable diseases.

Increase in waterborne infections

“Or water systems could be compromised, since water distribution sites depend on an uninterrupted power supply,” he added, which in turn could lead to an increase in diseases transmitted by water and food.

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In turn, the lack of heating and ventilation systems in winter could contribute to an increase in respiratory infections, from the flu to COVID-19.

Antibiotic resistance

Kluge also drew attention to the threat of antimicrobial resistance.

“We have cases of injuries that simply do not heal as a result of antibiotic resistance, which is a situation with possible consequences far beyond Ukraine if medicines become useless,” he explained.

Supply of generators and heating equipment

The WHO regional director stressed that, in response to concerns about the power supply, the organization and health authorities are accelerating efforts to install generators and other crucial equipment in health facilities.

A total of 15 heating units are being installed in eight Ukrainian regions, he said.

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In turn, in order to face the danger of antimicrobial resistance in the short term, Ukraine now has one hundred laboratories that carry out the surveillance of drug-resistant bacteria, compared to only three in 2017.

Kluge pointed out that another cause for concern during the winter is the risk of increased mental health problems.

Millions of people at risk

“It is estimated that about 10 million people are already at risk of suffering from mild to serious mental health problems. With the war about to be three years old, these problems only increase, and the realities of the winter season could worsen the situation,” he warned.

All this when more than 80% of households say they have problems getting the medicines they need. 6% say they don’t have access to essential medicines and a third don’t have enough money to buy medicines, he explained.

Kluge stressed that primary care is being given priority for the winter.

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“Until the end of the year, when winter has really arrived, we will have installed about 40 modular primary care clinics in six regions,” he said.

“I reiterate how vital it is for the Ukrainian health system to resist and overcome the challenges of the war and the imminent winter, including attacks on health that constitute a clear violation of international humanitarian law,” he concluded.

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International

Marco Rubio warns Venezuela against military action against Guyana

U.S. Secretary of State Marco Rubio warned Venezuela on Thursday that a military attack on Guyana would be “a big mistake” and “a very bad day for them,” expressing his support for Georgetown in its territorial dispute with Caracas.

“It would be a very bad day for the Venezuelan regime if they attacked Guyana or ExxonMobil. It would be a very bad day, a very bad week for them, and it would not end well,” Rubio emphasized during a press conference in Georgetown alongside Guyanese President Irfaan Ali.

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Ecuador oil spill worsens as containment dam collapses

The collapse of a containment dam holding back part of the 25,000+ barrels of oil spilled from a pipeline rupture nearly two weeks ago has worsened the environmental crisis in northwestern Ecuador, contaminating rivers and Pacific beaches.

The Ecuadorian government attributed the March 13 pipeline rupture—which led to the spill of 25,116 barrels of crude—to an act of sabotage. The spill affected three rivers and disrupted water supplies for several communities, according to authorities.

On Tuesday, due to heavy rains that have been falling since January, a containment dam on the Caple River collapsed. The Caple connects to other waterways in Esmeraldas Province, a coastal region bordering Colombia, state-owned Petroecuador said in a statement on Wednesday.

Seven containment barriers were installed in the Viche River, where crews worked to remove oil-contaminated debris. Additional absorbent materials were deployed in Caple, Viche, and Esmeraldas Rivers, which flow into the Pacific Ocean.

Authorities are also working to protect a wildlife refuge home to more than 250 species, including otters, howler monkeys, armadillos, frigatebirds, and pelicans.

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“This has been a total disaster,” said Ronald Ruiz, a leader in the Cube community, where the dam was located. He explained that the harsh winter rains caused river levels to rise, bringing debris that broke the containment barriersthat were holding the accumulated oil for extraction.

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International

Federal court blocks Trump’s use of Enemy Alien Act for deportations

A federal appeals court upheld the block on former President Donald Trump’s use of the Enemy Alien Act on Wednesday, preventing him from using the law to expedite deportations of alleged members of the transnational criminal group Tren de Aragua.

With a 2-1 ruling, a panel from the Washington, D.C. Court of Appeals affirmed previous decisions by two lower court judges, maintaining the legal standoff between the White House and the judiciary.

On March 14, Trump invoked the 1798 Enemy Alien Act, a law traditionally used during wartime, to deport hundreds of Venezuelans whom he accused of belonging to Tren de Aragua, a criminal organization that originated in Venezuelan prisons.

The centuries-old law grants the president the power to detain, restrict, and expel foreign nationals from a country engaged in a “declared war” or an “invasion or predatory incursion” against the United States, following a public proclamation.

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