Home' Trinidad and Tobago Guardian : February 11th 2015 Contents A32
body & soul
Guardian www.guardian.co.tt Wednesday, February 11, 2015
Ministry of Finance and the Economy
INLAND REVENUE DIVISION
PRIVATE SECTOR EMPLOYERS
P.A.Y.E. SEMINAR 2015
The Board of Inland Revenue invites you to participate in a 1-day
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February 24, 2015
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To increase knowledge & understanding of the
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participants of new tax measures relevant to the
effective application of the PAYE System.
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REGISTRATION February 09, 10 and 11, 2015
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'Changing the way we interact with people'
Measles this year has hit the most
disparate places: camps for internally
displaced people in northeast Nigeria,
who ve had to flee from Boko Haram,
and Disneyland in California.
The differences of the two settings
are stark. In one, people are fighting
for survival and have difficulty getting
health care; the other is a first-world
amusement park where people can
afford medical choices regarding a vac-
The United States is grappling with
the resurgence of a disease it eliminated
15 years ago. But it s not alone.
Data by the World Health Organi-
zation indicate that measles immuni-
sation rates are declining in several
Western countries, like Canada, Bel-
gium, Denmark and Spain, as some
parents are opting out due to personal
The data also shows that more than
100 countries, including Zimbabwe,
Iran and North Korea, have higher
measles immunization rates than the
United States, which was at 91 per
Dr Robert Kezaala, senior health
adviser of immunization at UNICEF,
spent years promoting polio and
measles vaccines in Africa.
"Generally, in the developing world,
people welcome the vaccines," he said.
"The vaccine hesitancy, concern among
the elite ... this is not a major issue in
immunisation against measles, because
people have seen devastation from the
Globally, measles deaths hit record
lows in 2012, which the WHO attrib-
uted to successful immunisation cam-
paigns as annual deaths declined to
122,000 from 562,000 in 2002.
But the WHO warned that progress
was fragile, because outbreaks still
occur and measles remains one of the
leading killers of children in the world.
A joint global plan involving UNICEF,
the WHO, US Centers for Disease Con-
trol and Prevention, American Red
Cross and UN Foundation aims to
eliminate measles by 2020.
"In the last two to three years, we ve
seen more stagnation of progress
because there is complacency," said
rocked by measles
Asia has the most suspected case of
measles, with China at top, followed
by the Philippines and Vietnam,
according to 2014 data from the WHO.
But the rate, rather than raw numbers,
offers a more accurate measure of the
One of the countries worst hit by
the measles is the Philippines, which
was struck by Typhoon Haiyan in
November 2013. The spread of the
virus has been exacerbated by mass
migration, with nearly 4 million people
displaced by the devastating storm.
But what happens in the Philippines
has a direct connection to the United
States, because the virus can easily
travel---as was the case of the unvac-
cinated Amish missionaries who
brought back measles from the Philip-
pines to cause an Ohio outbreak that
infected 383 people in 2014.
Immunisation official perplexed
Measles outbreaks have also been
reported in Sudan and Nigeria.
In mid-January, the News Agency
of Nigeria reported a measles outbreak
in the state of Adamawa in the country s
northeast at camps for internally dis-
placed people. The state is frequently
under attack by Boko Haram militants.
An official told the media that the out-
break stemmed from a daily mass
movement of people.
Unicef has to deal with logistical,
infrastructure and transport challenges
to get vaccines to some of the most
remote and insecure areas in the world,
Regarding the current outbreak in
the United States, he said: "It perplexes
me, to see a country with no logistical
challenges, readily available resources,
with refuted studies and the anti-vac-
cine lobbies, you still see transmission
continuing. It s not easy for me to
Eliminated diseases make come-
back in the West
The United States is not the only
developed country going through vac-
In Canada last year, a group that
doesn t get vaccines carried the infec-
tion back after visiting the Netherlands.
Local health authorities in British
Colombia confirmed 375 cases, which
was declared the worst measles out-
break in 30 years in Canada.
The Netherlands also saw a major
measles outbreak from May 2013 to
How bad is measles
around the world?
& RATES IN 2014
Countries with the highest
measles incidence per 100,000
1 Georgia - 79.5
2 Bosnia and Herzegovina - 62.9
3 Angola - 59.3
4 Philippines - 58.2
5 Namibia - 41.9
Countries with the most
suspected measles cases
1 China - 107,024
2 Philippines - 57,564
3 Vietnam - 17,267
4 Ethiopia - 16,028
5 Angola - 12,300
Source: WHO, does not include
data from all countries
March 2014, where more than
2,600 people contracted the dis-
ease in communities that do not
Europe reported 4,735 measles
cases in 2014, in which 85 per cent
of the cases were unvaccinated
and 10% had not finished their
doses. The continent saw a peak
in 2010, with 32,480 measles cases.
China sees increased
China, which had the most
measles cases in 2014, is also going
through multiple outbreaks. Measles
has been reported in a university
in Shanxi province and a downtown
Beijing office, resulting in quaran-
tines and vaccinations for thousands
of people, according to Xinhua, the
Chinese state-run news agency.
The Chinese Center for Disease
Control and Prevention reported
three toddler deaths and more than
2,700 measles cases in January---
double the rate seen in the same
month two years ago.
"Measles outbreak occurs every
four to five years," said Pang
Xinghuo, deputy director of the local
Beijing disease control agency.
Officials from the national health
agency told state-run CCTV that
many of the cases are occurring in
adults who never received their vac-
Vaccine campaigns were not
strong in the 1970s and 1980s, so
some missed their shots. As many
as two-thirds of the Beijing cases
are among people over the age of
YOUR DAILY HEALTH
News and advice
A child receives a
vaccination in Tchadoua,
PHOTO: GETTY IMAGES
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