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Weekly Epidemiological Record

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The Weekly Epidemiological Record ( WER ) is a publication of the World Health Organization (WHO) that as of 2020 is in its 95th volume. It is published in English and French with the alternative title of the Relevé épidémiologique hebdomadaire . It aims to rapidly disseminate epidemiological information about outbreaks of diseases under the International Health Regulations and about communicable diseases of public health importance. This includes emerging or re-emerging diseases.

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111-851: It was first published as the Relevé Hebdomadaire by a group of epidemiologists based in the Health Office of the League of Nations , in Geneva, in 1926 and later evolved to be a WHO publication. Between 1968 and 1979, it provided data on the smallpox situation in each country, allowing frontline workers to appraise their own work and compare it with others. In 1981 it began to publish data on emerging information on AIDS . The bulk of its content relates to vaccination , epidemic and pandemic preparedness and response and treatment, in addition to reports on neglected tropical diseases such as

222-568: A League of Nations mandate ) and the Soviet Union on 18 September 1934, but the Empire of Japan and Germany (under Hitler) withdrew in 1933. This marked the League's largest extent at 58 member states. In December 1920, Argentina quit (being absent from all sessions and votes) without formally withdrawing, on rejection of an Argentine resolution that all sovereign states would be admitted to

333-533: A "league of nations to ensure peace and justice." British foreign secretary, Arthur Balfour , argued that, as a condition of durable peace, "behind international law, and behind all treaty arrangements for preventing or limiting hostilities, some form of international sanction should be devised which would give pause to the hardiest aggressor." The war had had a profound impact, affecting the social, political and economic systems of Europe and inflicting psychological and physical damage. Several empires collapsed: first

444-659: A 46 percent (59 percent when age standardised) reduction in years lived with disability (YLD) for the 13-year time period from 1990 to 2013 for all intestinal/nematode infections, and even a 74 percent (80 percent when age standardised) reduction in YLD from ascariasis. As many as 135,000 die annually from soil transmitted helminthiasis. The 1990–2013 Global Burden of Disease Study estimated 5,500 direct deaths from schistosomiasis, while more than 200,000 people were estimated in 2013 to die annually from causes related to schistosomiasis. Another 20 million have severe consequences from

555-578: A League with the reservation that only Congress could take the U.S. into war. Lodge gained a majority of Senators and Wilson refused to allow a compromise. The Senate voted on the ratification on 19 March 1920, and the 49–35 vote fell short of the needed 2/3 majority . The League held its first council meeting in Paris on 16 January 1920, six days after the Versailles Treaty and the Covenant of

666-589: A body would be ineffective, but agreed to participate in or not impede creation of a neutral mediating body, if other nations agreed and if President Woodrow Wilson would initiate a body. In the midst of the War, Wilson refused. In 1915, a body similar to the Bryce Group was set up in the United States, led by former president William Howard Taft . It was called the League to Enforce Peace . It advocated

777-407: A good choice for the nations of the world. Support for Geneva as the selection came from Swiss Federal Councillor Gustave Ador and economist William Rappard. The Palais Wilson on Geneva's western lakeshore, named after Woodrow Wilson, was the League's first permanent home. The covenant had ambiguities, as Carole Fink points out. There was not a good fit between Wilson's "revolutionary conception of

888-454: A high or a low worm burden, the burden reacquired after successful treatment is proportional to that before treatment. It is estimated that intestinal nematode infections cause 5 million disability-adjusted life years (DALYS) to be lost, of which hookworm infections account for more than 3 million DALYS and ascaris infections more than 1 million. There are also signs of progress: The Global Burden of Disease Study published in 2015 estimates

999-732: A high-risk group. Most of these initiatives are undertaken by the World Health Organization (WHO) with positive outcomes in many regions. Deworming programs can improve school attendance by 25 percent. Although deworming improves the health of an individual, outcomes from mass deworming campaigns, such as reduced deaths or increases in cognitive ability, nutritional benefits, physical growth, and performance, are uncertain or not apparent. If complications of helminthiasis, such as intestinal obstruction occur, emergency surgery may be required. Patients who require non-emergency surgery, for instance for removal of worms from

1110-632: A much higher figure of 3.5 billion infected with one or more soil-transmitted helminths. In 2014, only 148 people were reported to have dracunculiasis because of a successful eradication campaign for that particular helminth, which is easier to eradicate than other helminths as it is transmitted only by drinking contaminated water. Because of their high mobility and lower standards of hygiene, school-age children are particularly vulnerable to helminthiasis. Most children from developing nations will have at least one infestation. Multi-species infections are very common. The most common intestinal parasites in

1221-512: A peace conference directed by Jane Addams was held in the neutral United States. The delegates adopted a platform calling for creation of international bodies with administrative and legislative powers to develop a "permanent league of neutral nations" to work for peace and disarmament. Within months, a call was made for an international women's conference to be held in The Hague . Coordinated by Mia Boissevain , Aletta Jacobs and Rosa Manus ,

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1332-591: A project launched in 2012 called the London Declaration on Neglected Tropical Diseases , which aimed to control or eradicate certain neglected tropical diseases by 2020. Helminthiasis has been found to result in poor birth outcome, poor cognitive development, poor school and work performance, poor socioeconomic development, and poverty. Chronic illness, malnutrition , and anemia are further examples of secondary effects. Soil-transmitted helminthiases are responsible for parasitic infections in as much as

1443-596: A quarter of the human population worldwide at any one time, far surpassing HIV and malaria together. Schistosomiasis is the second most prevalent parasitic disease of humans after malaria. In 2014–15, the WHO estimated that approximately 2 billion people were infected with soil-transmitted helminthiases, 249 million with schistosomiasis, 56 million people with food-borne trematodiasis, 120 million with lymphatic filariasis, 37 million people with onchocerciasis, and 1 million people with echinococcosis. Another source estimated

1554-472: A quarter of the human population worldwide. One well-known example of soil-transmitted helminthiases is ascariasis . Of all the known helminth species, the most important helminths with respect to understanding their transmission pathways, their control, inactivation and enumeration in samples of human excreta from dried feces, faecal sludge , wastewater , and sewage sludge are: Helminthiases are classified as follows (the disease names end with "-sis" and

1665-418: A result of the body's immune response and the stress of combating infection. Specifically, some of the cytokines released in the immune response to worm infestation have been linked to anorexia in animals. Helminths may cause iron-deficiency anemia . This is most severe in heavy hookworm infections , as Necator americanus and Ancylostoma duodenale feed directly on the blood of their hosts. Although

1776-557: A scheme for its organisation. Together with Lord Bryce , he played a leading role in the founding of the group of internationalist pacifists known as the Bryce Group , later the League of Nations Union . The group became steadily more influential among the public and as a pressure group within the then-governing Liberal Party . In Dickinson's 1915 pamphlet After the War he wrote of his "League of Peace" as being essentially an organisation for arbitration and conciliation. He felt that

1887-621: A unified international organisation to prevent future wars. Historian Peter Yearwood argues that when the new coalition government of David Lloyd George took power in December 1916, there was widespread discussion among intellectuals and diplomats of the desirability of establishing such an organisation. When Lloyd George was challenged by Wilson to state his position with an eye on the postwar situation, he endorsed such an organisation. Wilson himself included in his Fourteen Points in January 1918

1998-797: A year in September. The special functions of the Assembly included the admission of new members, the periodical election of non-permanent members to the council, the election with the Council of the judges of the Permanent Court, and control of the budget. In practice, the Assembly was the general directing force of League activities. The Council acted as a type of executive body directing the Assembly's business. It began with four permanent members – Great Britain , France , Italy , and Japan – and four non-permanent members that were elected by

2109-553: Is associated with "lower scores ... on tests of mental and motor development ... [as well as] increased fearfulness, inattentiveness, and decreased social responsiveness". Studies in the Philippines and Indonesia found a significant correlation between helminthiasis and decreased memory and fluency. Large parasite burdens, particularly severe hookworm infections, are also associated with absenteeism , under-enrollment, and attrition in school children. Helminths are transmitted to

2220-407: Is measured in units of eggs per gram . However, it does not quantify mixed infections , and in practice, is inaccurate for quantifying the eggs of schistosomes and soil-transmitted helminths. Sophisticated tests such as serological assays , antigen tests , and molecular diagnosis are also available; however, they are time-consuming, expensive and not always reliable. Disrupting the cycle of

2331-486: Is not uniform within communities or families. A small proportion of community members harbour the majority of worms, and this depends on age. The maximum worm burden is at five to ten years of age, declining rapidly thereafter. Individual predisposition to helminthiasis for people with the same sanitation infrastructure and hygiene behavior is thought to result from differing immunocompetence , nutritional status , and genetic factors . Because individuals are predisposed to

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2442-457: Is the drug of choice for schistosomiasis, taeniasis, and most types of food-borne trematodiases. Oxamniquine is also widely used in mass deworming programmes. Pyrantel is commonly used for veterinary nematodiasis. Artemisinins and derivatives are proving to be candidates as drugs of choice for trematodiasis. In regions where helminthiasis is common , mass deworming treatments may be performed, particularly among school-age children, who are

2553-632: Is very well when sparrows shout, but no good at all when eagles fall out." At its greatest extent from 28 September 1934 to 23 February 1935, it had 58 members. After some notable successes and some early failures in the 1920s, the League ultimately proved incapable of preventing aggression by the Axis powers in the 1930s. Its credibility was weakened because the United States never joined. Japan and Germany left in 1933, Italy left in 1937, and Spain left in 1939. The Soviet Union only joined in 1934 and

2664-747: The 1939 New York World's Fair , a semi-official flag and emblem for the League of Nations emerged: two five-pointed stars within a blue pentagon. They symbolised the Earth's five continents and "five races ". A bow at the top displayed the English name ("League of Nations"), while another at the bottom showed the French (" Société des Nations "). The League consisted of 42 founding members in November 1920. Six other states joined in its founding year (by December 1920), and seven more joined by September 1924, bringing

2775-521: The Concert of Europe that developed after the Napoleonic Wars in the 19th century in an attempt to maintain the status quo between European states and so avoid war. By 1910, international law developed, with the first Geneva Conventions establishing laws dealing with humanitarian relief during wartime, and the international Hague Conventions of 1899 and 1907 governing rules of war and

2886-570: The Fourteen Points of January 1918), as well as the work of the Phillimore Commission. The outcome of House's work and Wilson's own first draft proposed the termination of "unethical" state behaviour, including forms of espionage and dishonesty. Methods of compulsion against recalcitrant states would include severe measures, such as "blockading and closing the frontiers of that power to commerce or intercourse with any part of

2997-592: The Great Powers , who would adjudicate world affairs, and for the creation of a permanent secretariat to enhance international co-operation across a range of activities. In the course of the diplomatic efforts surrounding World War I , both sides had to clarify their long-term war aims. By 1916 in Britain, fighting on the side of the Allies , and in the neutral United States, long-range thinkers had begun to design

3108-568: The International Health Regulations and about communicable diseases of public health importance. This includes emerging or re-emerging diseases. The Weekly Epidemiological Record was first published by a group of epidemiologists based in the Health Office of the League of Nations , in Geneva, on 1 April 1926, 20 years before the constitution of the World Health Organization was signed at

3219-509: The Rockefeller Foundation . It made major grants designed to build up the technical expertise of the League staff. Ludovic Tournès argues that by the 1930s the foundations had changed the League from a "Parliament of Nations" to a modern think tank that used specialised expertise to provide an in-depth impartial analysis of international issues. The official languages of the League of Nations were French and English. During

3330-723: The Russian Empire in February 1917, followed by the German Empire , Austro-Hungarian Empire and Ottoman Empire . Anti-war sentiment rose across the world; the First World War was described as " the war to end all wars ", and its possible causes were vigorously investigated. The causes identified included arms races, alliances, militaristic nationalism, secret diplomacy, and the freedom of sovereign states to enter into war for their own benefit. One proposed remedy

3441-526: The Treaty of Versailles , signed on 28 June 1919. French women's rights advocates invited international feminists to participate in a parallel conference to the Paris Conference in hopes that they could gain permission to participate in the official conference. The Inter-Allied Women's Conference asked to be allowed to submit suggestions to the peace negotiations and commissions and were granted

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3552-879: The WER between 1968 and 1979, during which time front line workers could appraise their own work and compare it with others. Following reports of AIDS in the CDC's Morbidity and Mortality Weekly Report in June 1981, the WHO collected and published emerging information on the disease in the WER . The WER is published by the WHO in English and French with the alternative title of the Relevé épidémiologique hebdomadaire . The bulk of its content relates to vaccination , epidemic and pandemic preparedness and response and treatment. It includes professional reviews of selected infectious diseases and global, regional and country epidemic events. Since 1998,

3663-505: The WER publishes the WHO policy relating to new vaccines. During the SARS outbreak in 2003 , the WER reported epidemiological data on cases and by April 2003, more than 50% of the publication was dedicated to travel restrictions, reporting protocols and the transmission of SARS. In May 2012, the WER published the WHO SAGE's ( Strategic Advisory Group of Experts on immunization ) stance on

3774-596: The Zürich Peace Conference held between 17 and 19 May 1919, the women of the WILPF condemned the terms of the Treaty of Versailles for both its punitive measures, as well as its failure to provide for condemnation of violence and exclusion of women from civil and political participation. Upon reading the Rules of Procedure for the League of Nations, Catherine Marshall , a British suffragist, discovered that

3885-564: The biliary tree , can be pre-treated with the anthelmintic drug albendazole. Areas with the highest prevalence of helminthiasis are tropical and subtropical areas including sub-Saharan Africa, central and east Asia, and the Americas. Some types of helminthiases are classified as neglected tropical diseases . They include: The soil-transmitted helminths ( A. lumbricoides , T. trichiura , N. americanus , A. duodenale) , schistosomes , and filarial worms collectively infect more than

3996-656: The final host in several ways. The most common infection is through ingestion of contaminated vegetables, drinking water, and raw or undercooked meat. Contaminated food may contain eggs of nematodes such as Ascaris , Enterobius , and Trichuris ; cestodes such as Taenia , Hymenolepis , and Echinococcus ; and trematodes such as Fasciola . Raw or undercooked meats are the major sources of Taenia (pork, beef and venison), Trichinella (pork and bear), Diphyllobothrium (fish), Clonorchis (fish), and Paragonimus (crustaceans). Schistosomes and nematodes such as hookworms ( Ancylostoma and Necator ) and Strongyloides can penetrate

4107-443: The gastrointestinal tract of their hosts , but they may also burrow into other organs , where they induce physiological damage. Soil-transmitted helminthiasis and schistosomiasis are the most important helminthiases, and are among the neglected tropical diseases . These group of helminthiases have been targeted under the joint action of the world's leading pharmaceutical companies and non-governmental organizations through

4218-399: The Assembly for a three-year term. The first non-permanent members were Belgium , Brazil , Greece , and Spain . The composition of the Council was changed several times. The number of non-permanent members was first increased to six on 22 September 1922 and to nine on 8 September 1926. Werner Dankwort of Germany pushed for his country to join the League; joining in 1926, Germany became

4329-498: The Assembly of the League took place on 15 November 1920. In 1919, U.S. president Woodrow Wilson won the Nobel Peace Prize for his role as the leading architect of the League. The diplomatic philosophy behind the League represented a fundamental shift from the preceding hundred years. The League lacked its own armed force and depended on the victorious Allied Powers of World War I (Britain, France, Italy and Japan were

4440-583: The Council take action aiming at the international organisation of intellectual work, which it did by adopting a report presented by the Fifth Committee of the Second Assembly and inviting a committee on intellectual co-operation to meet in Geneva in August 1922. The French philosopher Henri Bergson became the first chairman of the committee. The work of the committee included: an inquiry into

4551-550: The International Health Conference in New York. At the time, the WER's mission was to provide the world with information about disease threats that mostly travelled via the sea route: cholera , plague , smallpox , typhus and yellow fever . The WER subsequently evolved into a WHO publication. Until 1967, during efforts to eradicate smallpox , smallpox unit chief Donald Henderson noted that

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4662-400: The League as a solid replacement for a corrupt alliance system, a guardian of international order, and protector of small states," versus Lloyd George's desire for a "cheap, self-enforcing, peace, such as had been maintained by the old and more fluid Concert of Europe." Furthermore, the League, according to Carole Fink, was, "deliberately excluded from such great-power prerogatives as freedom of

4773-605: The League failed to achieve its main goal of world peace , it did manage to build new roads towards expanding the rule of law across the globe; strengthened the concept of collective security , gave a voice to smaller nations; fostered economic stabilisation and financial stability , especially in Central Europe in the 1920s; helped to raise awareness of problems like epidemics , slavery , child labour , colonial tyranny, refugee crises and general working conditions through its numerous commissions and committees; and paved

4884-502: The League of Nations came into force. On 1 November 1920, the headquarters of the League was moved from London to Geneva , where the first General Assembly was held on 15 November 1920. Geneva made sense as an ideal city for the League, since Switzerland had been a neutral country for centuries and was already the headquarters for the International Red Cross. Its strong democracy and location in central Europe made it

4995-465: The League of Nations was signed on 28 June 1919 as Part I of the Treaty of Versailles , and it became effective with the rest of the Treaty on 10 January 1920. Australia was granted the right to participate as an autonomous member nation, marking the start of Australian independence on the global stage. The first meeting of the Council of the League took place on 16 January 1920, and the first meeting of

5106-601: The League of Nations, Afghanistan abolished slavery in 1923, Iraq in 1924, Nepal in 1926, Transjordan and Persia in 1929, Bahrain in 1937, and Ethiopia in 1942. Led by Fridtjof Nansen , the Commission for Refugees was established on 27 June 1921 to look after the interests of refugees, including overseeing their repatriation and, when necessary, resettlement. At the end of the First World War, there were two to three million ex-prisoners of war from various nations dispersed throughout Russia; within two years of

5217-467: The League on the grounds that "Ethiopia had not reached a state of civilisation and internal security sufficient to warrant her admission." The League also succeeded in reducing the death rate of workers constructing the Tanganyika railway from 55 to 4 per cent. Records were kept to control slavery, prostitution, and the trafficking of women and children . Partly as a result of pressure brought by

5328-545: The League's size to 55. Costa Rica withdrew in December 1924, making it the member to have most quickly withdrawn, and Brazil became the first founding member to withdraw in June 1926. Germany (under the Weimar Republic ) was admitted to the League of Nations through a resolution passed on 8 September 1926. The League's size remained at 54 for the next five years. Through the first half of the 1930s, six more states joined, including Iraq in 1932 (newly independent from

5439-466: The League. It resumed its participation in September 1933. The League's membership declined through the second half of the 1930s as it weakened. Between 1935 and the start of World War II in Europe in September 1939, only Egypt joined (becoming the last state to join), 11 members left, and 3 members ceased to exist or fell under military occupation (Ethiopia, Austria, and Czechoslovakia). The Soviet Union

5550-586: The League. The British were particularly active in setting up junior branches for secondary students. The League of Nations was relatively more universal and inclusive in its membership and structure than previous international organisations, but the organisation enshrined racial hierarchy by curtailing the right to self-determination and prevented decolonisation. At the Paris Peace Conference in 1919, Wilson, Cecil and Smuts all put forward their draft proposals. After lengthy negotiations between

5661-471: The League: representation had been accorded not only to governments but also to representatives of employers' and workers' organisations. Albert Thomas was its first director. The ILO successfully restricted the addition of lead to paint, and convinced several countries to adopt an eight-hour work day and forty-eight-hour working week. It also campaigned to end child labour, increase the rights of women in

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5772-742: The Legal Status of Women sought to inquire into the status of women all over the world. It was formed in 1937, and later became part of the United Nations as the Commission on the Status of Women. Helminthiasis Helminthiasis , also known as worm infection , is any macroparasitic disease of humans and other animals in which a part of the body is infected with parasitic worms , known as helminths . There are numerous species of these parasites , which are broadly classified into tapeworms , flukes , and roundworms . They often live in

5883-574: The Paris-based Office international d'hygiène publique (OIHP) founded in 1907 after the International Sanitary Conferences , was discharging most of the practical health-related questions, and its relations with the League's Health Committee were often conflictual. The Health Committee's purpose was to conduct inquiries, oversee the operation of the League's health work, and prepare work to be presented to

5994-801: The Permanent Court of International Justice and several other agencies and commissions created to deal with pressing international problems. These included the Disarmament Commission, the International Labour Organization (ILO) , the Mandates Commission, the International Commission on Intellectual Cooperation (precursor to UNESCO ), the Permanent Central Opium Board , the Commission for Refugees,

6105-515: The Secretariat was responsible for preparing the agenda for the Council and the Assembly and publishing reports of the meetings and other routine matters, effectively acting as the League's civil service. In 1931 the staff numbered 707. The Assembly consisted of representatives of all members of the League, with each state allowed up to three representatives and one vote. It met in Geneva and, after its initial sessions in 1920, it convened once

6216-909: The Slavery Commission, and the Economic and Financial Organization . Three of these institutions were transferred to the United Nations after the Second World War: the International Labour Organization, the Permanent Court of International Justice (as the International Court of Justice ), and the Health Organisation (restructured as the World Health Organization ). The Permanent Court of International Justice

6327-412: The United States are Enterobius vermicularis , Giardia lamblia , Ancylostoma duodenale , Necator americanus , and Entamoeba histolytica . In a developing country like Bangladesh, the most common species are round worm ( Ascaris lumbricoides ), whipworm (Tricurias tricuras) and hookworm (Ancylostoma duodenalis). Even in areas of high prevalence, the frequency and severity of infection

6438-538: The aggressors in the conflict. The onset of the Second World War in 1939 showed that the League had failed its primary purpose: to prevent another world war. It was largely inactive until its abolition. The League lasted for 26 years; the United Nations (UN) replaced it in 1946 and inherited several agencies and organisations founded by the League. Current scholarly consensus views that, even though

6549-440: The array of data failed to provide a true picture of what was going on in different countries. He had himself been through and distributed more than 230 reports from mainly field staff, until it was suggested to him to publish the data where it could be shared in one place, in the WER , where it had a reach of some 5,000 people. Clear and concise data on the smallpox situation in each country subsequently appeared every three weeks in

6660-504: The body. Helminths excrete into the intestine toxic substances after they feed. These substances then enter the circulatory and lymphatic systems of the host body. Chronic immune responses to helminthiasis may lead to increased susceptibility to other infections such as tuberculosis , HIV , and malaria . There is conflicting information about whether deworming reduces HIV progression and viral load and increases CD4 counts in antiretroviral naive and experienced individuals, although

6771-594: The causative worms are in brackets): The signs and symptoms of helminthiasis depend on a number of factors including: the site of the infestation within the body; the type of worm involved; the number of worms and their volume; the type of damage the infesting worms cause; and, the immunological response of the body. Where the burden of parasites in the body is light, there may be no symptoms. Certain worms may cause particular constellations of symptoms. For instance, taeniasis can lead to seizures due to neurocysticercosis . In extreme cases of intestinal infestation,

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6882-567: The commission's foundation, it had helped 425,000 of them return home. It established camps in Turkey in 1922 to aid the country with an ongoing refugee crisis, helping to prevent the spread of cholera , smallpox and dysentery as well as feeding the refugees in the camps. It also established the Nansen passport as a means of identification for stateless people . The Committee for the Study of

6993-518: The commission's results were later incorporated into the Covenant of the League of Nations . The French authorities also drafted a much more far-reaching proposal in June 1918; they advocated annual meetings of a council to settle all disputes, as well as an "international army" to enforce its decisions. American President Woodrow Wilson instructed Edward M. House to draft a US plan which reflected Wilson's own idealistic views (first articulated in

7104-516: The conditions of intellectual life, assistance to countries where intellectual life was endangered, creation of national committees for intellectual cooperation, cooperation with international intellectual organisations, protection of intellectual property, inter-university co-operation, co-ordination of bibliographical work and international interchange of publications, and international co-operation in archaeological research. The Slavery Commission sought to eradicate slavery and slave trading across

7215-511: The congress, which opened on 28 April 1915 was attended by 1,136 participants from neutral nations, and resulted in the establishment of an organisation which would become the Women's International League for Peace and Freedom (WILPF). At the close of the conference, two delegations of women were dispatched to meet European heads of state over the next several months. They secured agreement from reluctant foreign ministers, who overall felt that such

7326-492: The council or the Assembly. The Court was open to all the nations of the world under certain broad conditions. The International Labour Organization was created in 1919 on the basis of Part XIII of the Treaty of Versailles. The ILO, although having the same members as the League and being subject to the budget control of the Assembly, was an autonomous organisation with its own Governing Body, its own General Conference and its own Secretariat. Its constitution differed from that of

7437-436: The council. This body focused on ending leprosy , malaria , and yellow fever , the latter two by starting an international campaign to exterminate mosquitoes. The Health Organisation also worked successfully with the government of the Soviet Union to prevent typhus epidemics, including organising a large education campaign. Linked with health, but also commercial concerns, was the topic of narcotics control. Introduced by

7548-549: The creation of a mandate system for captured colonies of the Central Powers during the war. Cecil focused on the administrative side and proposed annual council meetings and quadrennial meetings for the Assembly of all members. He also argued for a large and permanent secretariat to carry out the League's administrative duties. According to historian Patricia Clavin, Cecil and the British continued their leadership of

7659-400: The daily consumption of an individual worm (0.02–0.07 ml and 0.14–0.26 ml respectively) is small, the collective consumption under heavy infection can be clinically significant. Intestinal whipworm may also cause anemia. Anemia has also been associated with reduced stamina for physical labor, a decline in the ability to learn new information, and apathy, irritability, and fatigue. A study of

7770-422: The delegates, the Hurst – Miller draft was finally produced as a basis for the Covenant . After more negotiation and compromise, the delegates finally approved of the proposal to create the League of Nations ( French : Société des Nations , German : Völkerbund ) on 25 January 1919. The final Covenant of the League of Nations was drafted by a special commission, and the League was established by Part I of

7881-478: The development of a rules-based global order into the 1920s and 1930s, with a primary focus on the League of Nations. The British goal was to systematise and normalise the economic and social relations between states, markets, and civil society. They gave priority to business and banking issues, but also considered the needs of ordinary women, children and the family as well. They moved beyond high-level intellectual discussions, and set up local organisations to support

7992-694: The effect of deworming and iron supplementation in 47 students from the Democratic Republic of the Congo found that the intervention improved cognitive function. Another study found that in 159 Jamaican schoolchildren, deworming led to better auditory short-term memory and scanning and retrieval of long-term memory over a period of nine-weeks. Malnutrition due to helminths may affect cognitive function leading to low educational performance, decreased concentration and difficulty with abstract cognitive tasks. Iron deficiency in infants and preschoolers

8103-431: The fifth permanent member of the Council. Later, after Germany and Japan both left the League, the number of non-permanent seats was increased from nine to eleven, and the Soviet Union was made a permanent member giving the council a total of fifteen members. The Council met, on average, five times a year and in extraordinary sessions when required. In total, 107 sessions were held between 1920 and 1939. The League oversaw

8214-400: The guidelines were completely undemocratic and they were modified based on her suggestion. The League would be made up of a Assembly (representing all member states), a Council (with membership limited to major powers), and a permanent Secretariat. Member states were expected to "respect and preserve as against external aggression" the territorial integrity of other members and to disarm "to

8325-456: The idea of a league of nations to control conflict and promote peace between states. Kant argued for the establishment of a peaceful world community, not in a sense of a global government, but in the hope that each state would declare itself a free state that respects its citizens and welcomes foreign visitors as fellow rational beings, thus promoting peaceful society worldwide. International co-operation to promote collective security originated in

8436-513: The immune response is the hypersensitivity reaction that may lead to anaphylaxis . Another example is the migration of Ascaris larvae through the bronchi of the lungs causing asthma . In humans, T helper cells and eosinophils respond to helminth infestation. It is well established that T helper 2 cells are the central players of protective immunity to helminths, while the roles for B cells and antibodies are context-dependent. Inflammation leads to encapsulation of egg deposits throughout

8547-610: The initial permanent members of the Council) to enforce its resolutions, keep to its economic sanctions, or provide an army when needed. The Great Powers were often reluctant to do so. Sanctions could hurt League members, so they were reluctant to comply with them. During the Second Italo-Ethiopian War , when the League accused Italian soldiers of targeting International Red Cross and Red Crescent Movement medical tents, Benito Mussolini responded that "the League

8658-535: The lowest point consistent with domestic safety." All states were required to submit complaints for arbitration or judicial inquiry before going to war. The Council would create a Permanent Court of International Justice to make judgements on the disputes. Despite Wilson's efforts to establish and promote the League, for which he was awarded the Nobel Peace Prize in October 1919, the United States never joined. Senate Republicans led by Henry Cabot Lodge wanted

8769-423: The magnitude of this effect is likely minimal as the nutritional requirements of worms is relatively small. In pigs and humans, Ascaris has been linked to lactose intolerance and vitamin A , amino acid , and fat malabsorption . Impaired nutrient uptake may result from direct damage to the intestinal mucosal wall or from more subtle changes such as chemical imbalances and changes in gut flora. Alternatively,

8880-492: The mass and volume of the worms may cause the outer layers of the intestinal wall, such as the muscular layer, to tear. This may lead to peritonitis , volvulus , and gangrene of the intestine. As pathogens in the body, helminths induce an immune response. Immune-mediated inflammatory changes occur in the skin, lung , liver , intestine, central nervous system , and eyes. Signs of the body's immune response may include eosinophilia , edema , and arthritis . An example of

8991-464: The modern world. The League's primary goals were stated in its eponymous Covenant . They included preventing wars through collective security and disarmament and settling international disputes through negotiation and arbitration . Its other concerns included labour conditions, just treatment of native inhabitants, human and drug trafficking , the arms trade, global health, prisoners of war, and protection of minorities in Europe. The Covenant of

9102-606: The most common infectious cause of blindness, trachoma , which the WER reported as posing a threat to 136.9 million people globally in July 2020, a drop from 1.5 billion in 2002 and a reduction of 91%. As of 2020 the WER is in its 95th volume. It is free of charge and available electronically via the WHO's website. Previously it was distributed by airmail and telex . It comes out on a Friday. League of Nations The League of Nations ( LN or LoN ; French : Société des Nations [sɔsjete de nɑsjɔ̃] , SdN )

9213-399: The most common infectious cause of blindness, trachoma . It includes professional reviews of selected infectious diseases. The Global Advisory Committee on Vaccine Safety (GACVS) publishes its findings in the WER . It is available electronically via the WHO's website and is free of charge. The WER aims to rapidly disseminate epidemiological information about outbreaks of diseases under

9324-704: The most recent Cochrane review found some evidence that this approach might have favorable effects. Helminth infection also lowers the immune responses to vaccination for other diseases such as BCG , measles , and Hepatitis B . Chronic helminthiasis may cause severe morbidity . Helminthiasis has been found to result in poor birth outcome, poor cognitive development, poor school and work performance, decreased productivity, poor socioeconomic development, and poverty. Helminthiasis may cause chronic illness through malnutrition including vitamin deficiencies , stunted growth , anemia , and protein-energy malnutrition . Worms compete directly with their hosts for nutrients, but

9435-538: The peaceful settlement of international disputes. Theodore Roosevelt at the acceptance for his Nobel Prize in 1910, said: "it would be a masterstroke if those great powers honestly bent on peace would form a League of Peace." One small forerunner of the League of Nations, the Inter-Parliamentary Union (IPU), was formed by the peace activists William Randal Cremer and Frédéric Passy in 1889 (and still exists as an international body focused on

9546-418: The proper disposal of their feces. Scientists are also searching for a vaccine against helminths, such as a hookworm vaccine . Broad-spectrum benzimidazoles (such as albendazole and mebendazole ) are the first line treatment of intestinal roundworm and tapeworm infections. Macrocyclic lactones (such as ivermectin ) are effective against adult and migrating larval stages of nematodes. Praziquantel

9657-509: The right to sit on commissions dealing specifically with women and children. Though they asked for enfranchisement and full legal protection under the law equal with men, those rights were ignored. Women won the right to serve in all capacities, including as staff or delegates in the League of Nations organisation. They also won a declaration that member nations should prevent trafficking of women and children and should equally support humane conditions for children, women and men labourers. At

9768-548: The seas and naval disarmament, the Monroe Doctrine and the internal affairs of the French and British empires, and inter-Allied debts and German reparations, not to mention the Allied intervention and the settlement of borders with Soviet Russia." Although the United States never joined, unofficial observers became more and more involved, especially in the 1930s. American philanthropies became heavily involved, especially

9879-545: The seat of the League at Geneva, comprised a body of experts in various spheres under the direction of the general secretary . Its principal sections were Political, Financial and Economics, Transit, Minorities and Administration (administering the Saar and Danzig ), Mandates, Disarmament, Health, Social (Opium and Traffic in Women and Children), Intellectual Cooperation and International Bureaux, Legal, and Information. The staff of

9990-494: The second International Opium Convention , the Permanent Central Opium Board had to supervise the statistical reports on trade in opium , morphine, cocaine and heroin. The board also established a system of import certificates and export authorisations for the legal international trade in narcotics . The League of Nations had devoted serious attention to the question of international intellectual cooperation since its creation. The First Assembly in December 1920 recommended that

10101-542: The secret diplomacy of the early twentieth century had brought about war, and thus, could write that, "the impossibility of war, I believe, would be increased in proportion as the issues of foreign policy should be known to and controlled by public opinion." The 'Proposals' of the Bryce Group were circulated widely, both in England and the US, where they had a profound influence on the nascent international movement. In January 1915,

10212-408: The skin directly. The roundworm, Dracunculus has a complex mode of transmission: it is acquired from drinking infested water or eating frogs and fish that contain (had eaten) infected crustaceans ( copepods ); and can also be transmitted from infected pets (cats and dogs). Roundworms such as Brugia , Wuchereria and Onchocerca are directly transmitted by mosquitoes . In the developing world,

10323-430: The use of influenza vaccines , backed by an article which stated the WHO's update on including pregnant women as a priority. The Global Advisory Committee on Vaccine Safety (GACVS), that responds to vaccine safety issues, publishes its findings in the WER . It reports on neglected tropical diseases (NTD) in a systematic way. These include schistosomiasis , lymphatic filariasis , onchocerciasis , helminthiasis and

10434-474: The use of arbitration in conflict resolution and the imposition of sanctions on aggressive countries. None of these early organisations envisioned a continuously functioning body; with the exception of the Fabian Society in England, they maintained a legalistic approach that would limit the international body to a court of justice. The Fabians were the first to argue for a "council" of states, necessarily

10545-458: The use of contaminated water is a major risk factor for infection. Infection can also take place through the practice of geophagy , which is not uncommon in parts of sub-Saharan Africa . Soil is eaten, for example, by children or pregnant women to counteract a real or perceived deficiency of minerals in their diet. Specific helminths can be identified through microscopic examination of their eggs (ova) found in faecal samples. The number of eggs

10656-465: The way for new forms of statehood, as the mandate system put the colonial powers under international observation. Professor David Kennedy portrays the League as a unique moment when international affairs were "institutionalised", as opposed to the pre-First World War methods of law and politics. The concept of a peaceful community of nations had been proposed as early as 1795, when Immanuel Kant 's Perpetual Peace: A Philosophical Sketch outlined

10767-672: The workplace, and make shipowners liable for accidents involving seamen. After the demise of the League, the ILO became an agency of the United Nations in 1946. The League's Health Organisation had three bodies: the Health Bureau, containing permanent officials of the League; the General Advisory Council or Conference, an executive section consisting of medical experts; and the Health Committee. In practice,

10878-463: The world and to use any force that may be necessary..." The two principal drafters and architects of the covenant of the League of Nations were the British politician Lord Robert Cecil and the South African statesman Jan Smuts . Smuts's proposals included the creation of a council of the great powers as permanent members and a non-permanent selection of the minor states. He also proposed

10989-493: The world's various elected legislative bodies). The IPU was founded with an international scope, with a third of the members of parliaments (in the 24 countries that had parliaments) serving as members of the IPU by 1914. Its foundational aims were to encourage governments to solve international disputes by peaceful means. Annual conferences were established to help governments refine the process of international arbitration. Its structure

11100-406: The world, and fought forced prostitution. Its main success was through pressing the governments who administered mandated countries to end slavery in those countries. The League secured a commitment from Ethiopia to end slavery as a condition of membership in 1923, and worked with Liberia to abolish forced labour and intertribal slavery. The United Kingdom had not supported Ethiopian membership of

11211-427: The worm will prevent infestation and re-infestation. Prevention of infection can largely be achieved by addressing the issues of WASH —water, sanitation and hygiene . The reduction of open defecation is particularly called for, as is stopping the use of human waste as fertilizer . Further preventive measures include adherence to appropriate food hygiene , wearing of shoes, regular deworming of pets, and

11322-477: The worms’ release of protease inhibitors to defend against the body's digestive processes may impair the breakdown of other nutrients. In addition, worm induced diarrhoea may shorten gut transit time, thus reducing absorption of nutrients. Malnutrition due to worms can give rise to anorexia . A study of 459 children in Zanzibar revealed spontaneous increases in appetite after deworming . Anorexia might be

11433-409: Was allocated by the Assembly (the League was supported financially by its member states). The relations between the assembly and the council and the competencies of each were for the most part not explicitly defined. Each body could deal with any matter within the sphere of competence of the league or affecting peace in the world. Particular questions or tasks might be referred to either. Unanimity

11544-503: Was designed as a council headed by a president, which would later be reflected in the structure of the League. At the start of the First World War, the first schemes for an international organisation to prevent future wars began to gain considerable public support, particularly in Great Britain and the United States. Goldsworthy Lowes Dickinson , a British political scientist, coined the term "League of Nations" in 1914 and drafted

11655-498: Was expelled in 1939 after invading Finland . Furthermore, the League demonstrated an irresolute approach to sanction enforcement for fear it might only spark further conflict, further decreasing its credibility. One example of this hesitancy was the Abyssinia Crisis , in which Italy's sanctions were only limited from the outset (coal and oil were not restricted), and later altogether abandoned despite Italy being declared

11766-517: Was expelled on 14 December 1939 for invading Finland , as one of the last acts of the League before it ceased functioning. The main constitutional organs of the League were the Assembly, the council, and the Permanent Secretariat. It also had two essential wings: the Permanent Court of International Justice and the International Labour Organization . In addition, there were several auxiliary agencies and bodies. Each organ's budget

11877-483: Was led by Walter Phillimore (and became known as the Phillimore Committee), but also included Eyre Crowe , William Tyrrell , and Cecil Hurst . The recommendations of the so-called Phillimore Commission included the establishment of a "Conference of Allied States" that would arbitrate disputes and impose sanctions on offending states. The proposals were approved by the British government, and much of

11988-407: Was provided for by the Covenant, but not established by it. The Council and the Assembly established its constitution. Its judges were elected by the Council and the Assembly, and its budget was provided by the latter. The Court was to hear and decide any international dispute which the parties concerned submitted to it. It might also give an advisory opinion on any dispute or question referred to it by

12099-469: Was required for the decisions of both the assembly and the council, except in matters of procedure and some other specific cases such as the admission of new members. This requirement was a reflection of the league's belief in the sovereignty of its component nations; the league sought a solution by consent, not by dictation. In case of a dispute, the consent of the parties to the dispute was not required for unanimity. The Permanent Secretariat, established at

12210-432: Was the creation of an international organisation whose aim was to prevent future war through disarmament, open diplomacy, international co-operation, restrictions on the right to wage war, and penalties that made war unattractive. In London Balfour commissioned the first official report into the matter in early 1918, under the initiative of Lord Robert Cecil . The British committee was finally appointed in February 1918. It

12321-482: Was the first worldwide intergovernmental organisation whose principal mission was to maintain world peace . It was founded on 10 January 1920 by the Paris Peace Conference that ended the First World War . The main organisation ceased operations on 18 April 1946 when many of its components were relocated into the new United Nations . As the template for modern global governance, the League profoundly shaped

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