Eden Hazard makes his first league start of the season for Chelsea, while there are also starting places for Antonio Rudiger and Andreas Christensen.The Blues are without the suspended David Luiz. Cesar Azpilicueta is set to play on the right-hand side, with Victor Moses on the bench. Pedro is also among the substitutes.Manchester City, meanwhile, are without Sergio Aguero, who was involved in a car accident this week, while Vincent Kompany is still sidelined.Chelsea: Courtois, Rudiger, Christensen, Cahill, Azpilicueta, Kante, Fabregas, Bakayoko, Alonso, Hazard, Morata.Subs: Caballero, Zappacosta, Kenedy, Moses, Willian, Pedro, Batshuayi.Manchester City: Ederson, Walker, Stones, Sterling, De Bruyne, Delph, Sané, Silva, Fernandinho, Otamendi, Jesus.Subs: Bravo, Danilo, Gündoğan, Mangala, Silva, Zinchenko, Touré. Follow West London Sport on TwitterFind us on Facebook
The new global TB plan was launched in Pholoshong Primary School in Alexandra. (Image: Bongani Nkosi) The fight against TB has been re-energised in South Africa and around the world with a new campaign launched recently in Johannesburg.International leaders of the Stop TB Partnership launched the “Global Plan to Stop TB 2011-2015” in Alexandra, the densely populated township in the north of Johannesburg, on 13 October 2010.Although there is an existing global TB plan in place, launched in 2006 and due to expire in 2015, the most recent campaign is meant to add new vigour to it, focusing on “setting new and more ambitious treatment targets for the next five years”.The new drive is about “putting a platform in place” for the facilitation of global efforts meant to eradicate TB, said Stop TB Partnership executive director Rifat Atun.The partnership is hoping to raise US$46.7-billion (R316-billion) for various global TB-fighting initiatives between 2011 and 2015.Although billions of US dollars have already been raised, more money is needed to treat the 30-million TB patients across the world, Atun said.According to the partnership, 10-million people in the world run the risk of dying from TB in the next five years. This includes 4-million women and children. “We need to stop these unnecessary deaths,” he said.“This plan will take us further towards universal access” of TB care, Atun said. “TB is curable – it’s unacceptable that it still remains a worldwide scourge.”It takes six months or slightly more to cure TB if a patient completes his or her treatment – a point the South African health department has been emphasising to its patients.The plan “will impact everyone in the world”, said the partnership’s Judith Mandelbaum-Schmid.The funds raised by the initiative will go towards beefing up TB care and vaccine research.There is still no vaccine that prevents pulmonary TB, which is the most common form of the disease, according to the partnership. But “if we execute this plan, we’ll be able to produce at least four vaccines”, Atun said.Many countries still rely on the outdated diagnostic method of testing human sputum for bacteria. Part of the plan is that new, hi-tech methods will be investigated over the next five years.Private and public sector investments will be critical for the plan’s success.Business involvementCorporates have been urged to invest in the plan. John Tedstrom, the president of the Global Business Coalition on HIV/Aids, gave assurance that international groups such as Chevrolet will be involved in new investments for vaccine research.“Business will be part of the solution,” said Tedstrom. “The re-launch of this plan is something that’s desperately needed.”UN agencies offer back-upUN health agencies, the World Health Organisation (WHO) and UNAids, firmly support the new strategy. Their senior officers attended the launch in Alexandra, where they publicly endorsed it.UNAids’ deputy director Paul De Lay said the agency “stands strongly behind the plan”. “We’ll do everything in our power to ensure that this plan is implemented.”Because HIV weakens the immune system, affected individuals are most susceptible to TB, which attacks as an opportunistic disease. De Lay decried the “terrible link” between TB and HIV/Aids at the launch.The new plan has been endorsed by various international role-players, said WHO’s Dr Mario Raviglione. “It is telling the world what needs to be done and how much money is needed to stop TB.“WHO is fully committed to supporting this plan,” said Raviglione.For those living with TB and HIV this “global plan means hope”, said Carol Nawina Nyirenda, who represents affected communities throughout Africa.SA ideal for launchAlthough South Africa has one of the highest TB rates in the world, the country is making progress in eliminating the disease, said Qedani Mahlangu, MEC of Health and Social Development in Gauteng.In the last year Gauteng, the country’s smallest yet most populated province, has achieved an 82% TB cure rate among patients on treatment.The national HIV Counselling and Testing policy, introduced by the government in April, integrates testing for both HIV and TB, and for diseases such as diabetes. The Gauteng provincial government reported that by July this year more than 300 000 people had been tested.“We’re delighted to have the global plan launched in South Africa … especially in Alexandra,” Mahlangu said.“TB is a global problem and it requires a global solution,” Atun said.
30 May 2014The Comrades Marathon Association’s (CMA’s) race director, Rowyn James, briefed the media in Pietermaritzburg on Thursday on preparations for the 89th Comrades Marathon, which starts at the Pietermaritzburg City Hall at 05:30 on Sunday morning.South Africa’s Comrades Marathon was recognised by Guinness World Records as the world’s largest ultra-marathon after drawing 23 568 entries in 2010, with 13 343 runners finishing the race before the 12-hour cut-off time.James said the official route distance for this year’s down-run is 89.28km.With the event taking place over such a great distance, it presents a huge logistical undertaking.‘A magnificent experience’“We have catered in every possible way to make the 2014 Comrades Marathon a magnificent experience for our runners. We wish all participants a great run on Race Day,” James said.The route will feature 46 fully stocked refreshment stations, serving water, fruit, energy drinks, biscuits and cooked potatoes. The stations will be manned by nearly 5 000 volunteers.The South African Police Service (SAPS), Metro Police, the CMA’s security service provider, Bhejane Security, and other law enforcement officials will be assisted by 300 community marshals on race day. Bomb sweeps will be carried out by SAPS Bomb Squad personnel at the Comrades start and finish venues before and during the race, as per protocol over the past two decades.Medical provisionsExtensive medical, emergency, first aid and physiotherapy provisions for the race’s thousands of participants have also been put in place. Sponsored by Netcare 911, the much-needed medical amenities will be available at strategic positions along the 89km Comrades route and at the finish venue at Sahara Stadium Kingsmead Cricket Stadium in Durban.A dedicated emergency helicopter that ensures immediate medical assistance for runners will also be available should the need arise. It will be directed by the Joint Operations Control (JOC), based at the finish venue, which is equipped with eight computers, and a full complement of committed personnel to operate and record all details and dispatch vehicles, as and when necessary.There are eight Netcare 911 Physio/First Aid Stations, which incorporate qualified physiotherapists, professional nurses and paramedical staff.The stations can treat minor medical problems, as well as do blood sugar testing, and can be further used to treat or stabilise runners until the arrival of ambulances. Physio students will also be positioned at certain refreshment stations along the route and a physio tent will be set up at the finish.Critical careHeaded by the Comrades Doctor, Dr Jeremy Boulter, the extensive Adcock Ingram Critical Care Medical Tent at the finish is equally equipped to handle just about any medical eventuality. It comprises 50 doctors and interns, 20 nurses and a mini laboratory, courtesy of Ampath Laboratories.Other facilities at the Tent include a 3-bed fully equipped ICU-type resuscitation area, which comprises its own specialist emergency team to provide appropriate emergency care if required.A critical care emergency facility right on the finish line has also been set up in order for athletes to access on-the-spot medical help if needed. It is staffed by an emergency care doctor and a paramedic.The purpose of the facility is to have in place a primary, emergency resuscitation area if a runner is in severe trouble at the finish, and requires immediate care, prior to being transferred to the medical tent.Additionally, an advanced life support paramedic will be stationed along, or at the end of the Toyota Mile [the last mile of the race] for the purposes of responding to calls to runners in that area who are in trouble before they enter the stadium.In addition to all of the above facilities, there is the St. John’s Ambulance Tent, which will provide runners with facilities such as R&R, rub-downs, strapping, massage and the like.The Netcare group of hospitals provide required facilities for Comrades race day, with St. Anne’s Hospital in Pietermaritzburg being utilised for those runners who require hospitalisation before halfway. For those runners requiring attention in the second half of the race and at the finish, Durban’s St. Augustines will see to their needs.SpectatorsNearly 50 000 people are expected to descend on the finish venue, while more than 250 000 will once again line the route and cheer on the runners.SAinfo reporter
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