Tuesday, April 30, 2024

A00023 - Joel Breman, Doctor Who Helped Stop an Ebola Outbreak in Africa

 


Joel Breman, Who Helped Stop an Ebola Outbreak in Africa, Dies at 87

Part of a team flown in to fight the deadly virus in 1976, Dr. Breman also worked to stamp out tropical diseases like smallpox, malaria and Guinea worm.

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He was photographed looking at the camera and smiling while sitting at a table against a bright green wall. He wore a charcoal gray suit and a red necktie.
Joel G. Breman in 2020. In 1976, as an Ebola outbreak spread in Congo, he interviewed patients and witnesses, traveling from village to village and going from house to house in only “the most basic protective equipment.”Credit...ImageAV, via Breman Family

Dr. Joel Breman, a specialist in infectious diseases who was a member of the original team that helped combat the Ebola virus in 1976, died on April 6 at his home in Chevy Chase, Md. He was 87.

His death was confirmed by his son, Matthew, who said his father died of complications from kidney cancer.

“We were scared out of our wits,” Dr. Breman, recollecting his pioneer mission, told a National Institutes of Health newsletter in 2014, as a new and even deadlier Ebola outbreak raged that year.

Nearly 40 years earlier, his team of five had just landed in the interior of what is now the Democratic Republic of Congo, at a remote Roman Catholic mission hospital. They were up against a viral infection that had no name, whose origin was unknown, and that was accompanied by high fever and bleeding that led to a painful and quick death.

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Dr. Breman, dispatched by the Centers for Disease Control and Prevention, had only what he described to the N.I.H. as “the most basic protective equipment” against the disease, in contrast to the full-body spacesuit-like gear that was standard in the later outbreak. He and others on the team, laboring in intense heat and bitten by sand flies, “developed rashes and didn’t know if we would catch the virus too,” he said.

But he calmly began deploying the techniques he had honed on earlier missions to Africa, on anti-smallpox initiatives in Guinea and Burkina Faso. He interviewed patients and witnesses, traveling from village to village and going from house to house. He and his colleagues, he recalled, soon determined that the infection was “spread by close contact with infected body fluids,” and that it had been propagated at a rural hospital that was using unsterilized needles.

Over a long career, much of it spent at the Centers for Disease Control, the World Health Organization and the National Institutes for Health, Dr. Breman worked to stamp out deadly tropical diseases like smallpox, malaria and Guinea worm. But that initial Ebola outbreak, he told an interviewer in 2009, “was the scariest epidemic of my entire medical career and possibly of the last century.”

Compared with the later outbreak in West Africa, which lasted more than two years, the Congo (then Zaire) epidemic was quickly contained. There were fewer than 300 deaths, in marked contrast to the more than 11,000 from 2014 to 2016. The relative success in 1976 was partly because of Dr. Breman’s efforts to analyze, contain and isolate this frightening new virus.

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A black and white photo Dr. Berman, on the left, posing beside an African man; both are looking at the camera. Dr. Berman wears a medal pinned to the lapel of his suit jacket.
For his work in fighting an Ebola outbreak in 1976, Dr. Berman was presented with an award by Dr. Nguete Kikhela, the health minister of Zaire (now the Democratic Republic of Congo).Credit...via Breman family

“He was my mentor, and he was the leader of the team,” said Dr. Peter Piot, a former director of the London School of Hygiene and Tropical Medicine and himself a pioneering Ebola and AIDS researcher.

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“He already had great experience of outbreak investigations and fieldwork,” Dr. Piot continued. “He was a combination of walking encyclopedia and accumulated experience. He had an incredible commitment to solve problems for people, reaching out to people and listening to them.”

Dr. Breman would spend a half-hour or more simply chatting with village notables, about their families and other matters, before getting down to questions about the disease, Dr. Piot said. “He made the connection between human understanding and interaction, and data analysis. He had the human factor.”

Dr. Piot had special praise for Dr. Breman’s demeanor: “He remained calm. This was a pretty stressful time. Lots of people died. He was very patient with me.”

Dr. Breman spent two months in Congo, becoming chief of surveillance, epidemiology and control for the mission. He was then sent by the C.D.C. to help run the World Health Organization’s smallpox program in Geneva.

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By 1980, with smallpox effectively eradicated — “one of the greatest triumphs in the history of medicine,” he called it in a Story Corps interview with his son — Dr. Breman began what he called “a new career” running the disease control center’s anti-malaria program.

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He was seated at a desk in a rustic setting treating an African man while other men and boys look on. Behind them was a white stucco wall.
Dr. Breman in Ivory Coast in 1986. He spent many years in Africa trying to stamp out deadly tropical diseases like smallpox, malaria and Guinea worm, in addition to Ebola.Credit...via Breman family

At a memorial tribute on April 9, Dr. Rick Steketee, a fellow member of the American Society of Tropical Medicine and Hygiene, said that in the years that followed, and through new postings, Dr. Breman “wrote book chapters that guide the medicine and public health practice around the world and edited textbooks that influenced the practice of infectious disease control and elimination, especially in low-resource countries.” Dr. Breman was president of the society in 2020.

Joel Gordon Breman was born on Dec. 1, 1936, in Chicago to Herman Breman, a painting contractor, and Irene (Grant) Breman. When Joel was 7, the family moved to Los Angeles, where his father painted movie sets and his mother bought and sold furniture and property.

Dr. Breman attended Hamilton High School in Los Angeles. He received a B.A. in political science from the University of California, Los Angeles, in 1958 and a medical degree from the University of Southern California in 1965. He was awarded a degree from the London School of Hygiene and Tropical Medicine in 1971.

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His first assignment overseas was in Guinea, from 1967 to 1969, when the C.D.C. assigned him to run its smallpox eradication program. That mission fueled a lifelong passion for Africa, Matthew Breman said. Numerous scientific trips there followed, often as a consultant to the World Health Organization.

Dr. Breman held a number of senior positions at the National Institutes of Health, from which he retired in 2010 as a senior scientist emeritus.

In addition to his son, he is survived by his wife, Vicki; his daughter, Johanna Tzur; and six grandchildren.

“My dad loved helping others and thought it was important to help everyone,” Matthew Breman said. “I think that’s one of the reasons he went into medicine.”

Monday, April 29, 2024

A00022 - Beatrice Mtetwa, Zimbabwean Human Rights

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Beatrice Mtetwa is a Swazi was born 1957[1] and naturalised Zimbabwean lawyer who has been internationally recognized for her defense of journalists and press freedom. The New York Times described her in 2008 as "Zimbabwe's top human rights lawyer".[2]

Mtetwa received her LLB from the University of Botswana and Swaziland in 1981 and spent the next two years working as a prosecuting attorney in Swaziland.[3] In 1983, she moved to Zimbabwe, where she continued working as a prosecutor until 1989.[3] That year, she went into private practice, and soon began specializing in human rights law.[3] In one of her more notable cases, she successfully challenged a section of Zimbabwe's Private Voluntary Organizations Act which allowed a government minister the authority to dissolve or replace the board members of non-governmental organizations.[3] She also challenged the results of 37 districts in the 2000 parliamentary elections.[3] In a PBS documentary, Mtetwa described her motives for her activism as "not because there is any glory or cash to it and not because I'm trying to antagonize the government... I'm doing it because it's a job that's got to be done".[4]

Mtetwa is particularly noted for her defense of arrested journalists, both local and international.[5] In 2003, for example, she won a court order preventing the deportation of Guardian reporter Andrew Meldrum, presenting it to security officials at Harare International Airport only minutes before Meldrum's plane was scheduled to depart.[6] She also won acquittals for detained reporters Toby Harnden and Julian Simmonds from London's Sunday Telegraph, who had been arrested during coverage of the April parliamentary election on charges of working without government accreditation.[5] In April 2008, she secured the release of New York Times reporter Barry Bearak, who had been imprisoned on similar charges.[2] She also defended many local journalists arrested in the run-up to the 2008 presidential election.[7] Mtetwa is also a director who sits on Econet board .

Mtetwa and Tawanda Nyambirai founded Mtetwa & Nyambirai Legal Practitioners in 2006 and it has established itself over the past decade as one of Zimbabwe's leading law firms. Mtetwa & Nyambirai's history is punctuated by landmark cases in multiple areas of the law. With Econet Wireless’s the largest telecommunications company in Zimbabwe being the firms most notable clients, the Econet name appears on many of those landmark cases. These include cases such as Econet Wireless v Trustco Mobile, and Derdale v Econet Wireless which is now the seminal case on the inherent jurisdiction of the High Court under the 2013 Constitution of Zimbabwe.

Mtetwa's firm has been involved with multiple high-profile human rights cases. Notably, we were instrumental in the recovery of abducted activist Jestina Mukoko — who was held incommunicado and tortured for nearly a month in 2008. Mtetwa subsequently handled a string of related legal cases that followed, including securing a stay of prosecution for Ms Mukoko and suing her abductors for damages in their personal capacity. Over the years, the Mtetwa and Nyambirai has grown into a full service law firm with the capacity to handle matters relating to all aspects of Zimbabwean law.[8]

In 2003, Mtetwa was arrested on allegations of drunk driving. At the police station, she was reportedly beaten and choked before being released three hours later without a formal charge. Though unable to speak for two days after the attack, she returned on the third day with a folder of medical evidence in order to file charges against the police officers who assaulted her.[5] Police officers reportedly attacked Mtetwa again in 2007, beating her and three colleagues with rubber truncheons during a march protesting harassment of Zimbabwe's lawyers.[7][9]

In an interview with the Committee to Protect Journalists, Mtetwa described her procedure for averting potential attacks:

"I think I confront the danger immediately before it happens. I always make sure that if, for instance, I'm called in the middle of the night to a scene that is potentially dangerous, I make sure that there are as many media practitioners as possible, particularly to record what will happen there. And in the glare of cameras I find that people don't want to do what they would want to do. So in a lot of ways I think I've been lucky, and I haven't received as much harassment as one would have expected, or as much as other human rights defenders have had."[5]

On 17 March 2013, Mtetwa was arrested while executing her professional duties. She was attending to a client whose home was searched by the police. Mtetwa was placed under arrest after requesting the production of a valid search warrant and an inventory list of items that had already been removed. Her mobile phone, containing privileged attorney-client communication, was confiscated. She was charged with defeating and / or obstructing the course of justice under the Criminal Law (Codification and Reform) Act, section 184(1)(g).

The Zimbabwean police defied an emergency high court ruling ordering the release of Mtetwa and continued to hold her on charges of obstructing justice. After more than a week in jail, Mtetwa was released on Monday 25 March 2013 after a high court judge overruled a lower court's decision that she be held without bail on a charge of obstruction of justice.

On November 26, 2013, Magistrate Rumbidzai Mugwagwa said Mtetwa had no case to answer to. Magistrate Mugwagwa found that there was no evidence to suggest that Mtetwa caused the police to fail to perform their duties.[10]

In 2005, she won the International Press Freedom Award of the Committee to Protect Journalists.[5] The award citation stated that "in a country where the law is used as a weapon against independent journalists, Mtetwa has defended journalists and argued for press freedom, all at great personal risk."[5] She also won the group's Burton Benjamin Memorial Award for Lifetime Achievement in 2008.[7]

Mtetwa was also received several awards from legal organizations. In 2009, the European Bar Human Rights Institute awarded her the Ludovic-Trarieux International Human Rights Prize ("The award given by lawyers to a lawyer"), reserved each year to a lawyer who throughout his or her career has illustrated, by activity or suffering, the defence of human rights in the world.[11] Mtetwa also won the 2010 International Human Rights award of the American Bar Association.[3] In 2011, she was awarded the Inamori Ethics Prize by Case Western Reserve University in the US.[12] In 2014 she was a recipient of the International Women of Courage Award.[13]

St. Francis Xavier University, located in Nova Scotia, Canada, was the first university to celebrate Mtetwa's many achievements by presenting her with an honorary degree in May 2013.

In December 2013 Mtetwa was awarded with an honorary Doctor of Laws (LLD) by the University of Bath in the United Kingdom in recognition of her work.[14]

In April 2016, Mtetwa was awarded an honorary Doctor of Laws (LLD) degree by Rhodes University in South Africa in recognition of her achievements in the promotion and protection of human rights in Zimbabwe.

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Beatrice Mtetwa is a Zimbabwean lawyer who has been internationally recognized for her defense of journalists and press freedom.  The New York Times described her in 2008 as "Zimbabwe's top human rights lawyer".


Mtetwa received her LLB from the University of Botswana and Swaziland in 1981 and spent the next two years working as a prosecuting attorney in Swaziland. In 1983, she moved to Zimbabwe, where she continued working as a prosecutor until 1989. That year, she went into private practice, and soon began specializing in human rights law. In one of her more notable cases, she successfully challenged a section of Zimbabwe's Private Voluntary Organizations Act which allowed a government minister the authority to dissolve or replace the board members of non-governmental organizations. She also challenged the results of 37 districts in the 2000 parliamentary elections. In a PBS documentary, Mtetwa described her motives for her activism as "not because there is any glory or cash to it and not because I'm trying to antagonize the government... I'm doing it because it's a job that's got to be done".

Mtetwa is particularly noted for her defense of arrested journalists, both local and international. In 2003, for example, she won a court order preventing the deportation of Guardian reporter Andrew Meldrum, presenting it to security officials at Harare International Airport only minutes before Meldrum's plane was scheduled to depart. She also won acquittals for detained reporters Toby Hamden and Julian Simmonds from London's Sunday Telegraph, who had been arrested during coverage of the April parliamentary election on charges of working without government accreditation. In April 2008, she secured the release of New York Times reporter Barry Bearak, who had been imprisoned on similar charges. She also defended many local journalists arrested in the run-up to the 2008 presidential election.

In 2003, Mtetwa was arrested on allegations of drunk driving.  At the police station, she was reportedly beaten and choked before being released three hours later without a formal charge. Though unable to speak for two days after the attack, she returned on the third day with a folder of medical evidence in order to file charges against the police officers who assaulted her. Police officers reportedly attacked Mtetwa again in 2007, beating her and three colleagues with rubber truncheons during a march protesting harassment of Zimbabwe's lawyers.
In an interview with the Committee to Protect Journalists, Mtetwa described her procedure for averting potential attacks:
"I think I confront the danger immediately before it happens. I always make sure that if, for instance, I'm called in the middle of the night to a scene that is potentially dangerous, I make sure that there are as many media practitioners as possible, particularly to record what will happen there. And in the glare of cameras I find that people don't want to do what they would want to do. So in a lot of ways I think I've been lucky, and I haven't received as much harassment as one would have expected, or as much as other human rights defenders have had."

In 2005, she won the Interantional Press Freedom Award of the Committed to Protect Journalists.  The award citation stated that "in a country where the law is used as a weapon against independent journalists, Mtetwa has defended journalists and argued for press freedom, all at great personal risk."  She also won the group's Burton Benjamin Memorial Award for Lifetime Achievement in 2008.

Mtetwa was also received several awards from legal organizations. In 2009, the European Bar Human Rights Institute awarded her the Ludovic-Trarieux International Human Rights Prize ("The award given by lawyers to a lawyer"), reserved each year to a lawyer who throughout his or her career has illustrated, by activity or suffering, the defense of human rights in the world.  Mtetwa also won the 2010 International Human Rights award of the American Bar Association.  In 2011, she was awarded the Inamori Ethics Prize by Case Western Reserve University in the United States.  And, most recently (2014), she was named a recipient of the International Women of Courage Award that is annually given out by the United States Department of State to women around the world who have shown leadership, courage, resourcefulness and willingness to sacrifice for others, especially for better promotion of women's rights.  
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