Tag: Contributing

  • What is the Ultimate Lifestyle?

    What is the Ultimate Lifestyle?

    [ad_1]

    Since the mission of this newsletter is to help you define,

    carve out, and live your own Ultimate Lifestyle, I figured I

    should devote some space to laying a proper foundation for

    doing that.

    Before you can hit a target, you need to know where it is!

    So, to begin, let’s answer the question:

    What is The Ultimate Lifestyle?

    First of all, it’s different for different people. There are

    no rules or formulas. For some people, it means a lot of

    money, lots of “stuff,” a fast-paced and “jet-set” sort of

    lifestyle. For others, it means a very simple, slow-paced

    life that focuses on service to others. And for others, it’s

    every possible scenario in between these two “extremes.”

    There’s no right or wrong lifestyle, or good or bad

    lifestyle.

    There’s just what works for you — and it will likely change

    over time. I know it has for me.

    No matter how you end up defining Ultimate Lifestyle for

    yourself, now and in the future, there are 8 components that

    must be considered:

    1) Income Streams

    To live your Ultimate Lifestyle, you must have income

    streams flowing that allow you to pay your bills and finance

    all the “extras” you prefer. To me, the ultimate target to

    shoot for in this arena is to have income streams flowing

    whether you “show up” for “work” or not, so you can choose

    what you want to show up for (even if it continues to be

    what you call “work” or a “job.”).

    That’s what I’ve been able to achieve by applying my

    Invisible Path/11th Element strategies combined with direct

    marketing on and off the Internet.

    Having income streams flowing whether you show up or now

    seems like “pie in the sky” to many people, but it’s

    actually very attainable in today’s world. You’ll learn more

    about how to do it in future issues.

    2) Emotions and Beliefs

    Many people fail to create their Ultimate Lifestyle because

    they have emotional blocks, issues, or beliefs (what I call

    “p.s’s.” or “master biography files”) that hold them back.

    Other people have produced extraordinary results and could

    live their Ultimate Lifestyle, but their blocks, issues or

    beliefs prevent them from doing it — or fully enjoying it.

    Therefore, living The Ultimate Lifestyle must include having

    access to resources and inner skills that allow you to

    uncover and remove, heal, or release any blocks, issues or

    beliefs that hold you back. You’ll learn more about how to

    do that in future issues.

    3) Fulfillment and Satisfaction

    Whether you have a 9-5 job and career, you’re a full-time

    mom, or whatever you do with your time, a big part of living

    The Ultimate Lifestyle means getting as much fulfillment and

    satisfaction from what you spend your time on as possible.

    Many people don’t ask for this, don’t focus on this, and

    therefore don’t get it. You must make it part of your

    intention and focus!

    4) Living Environment

    How and where do you want to live? In the mountains? In the

    big city? On the water? Multiple homes? Do you want to live

    in a big home or a small home? Is privacy or seeing

    beautiful scenery out your windows important to you? Do you

    like modern furnishings, antiques, or an eclectic mix?

    Living the Ultimate Lifestyle means asking these questions

    and having a home base that nourishes you at a very deep

    level. My family recently moved to Charlottesville, Virginia

    in pursuit of the nourishing living environment we craved —

    and we got it, even better than we expected!

    5) Relationships

    What good is having income streams, a healthy emotional

    life, empowering belief systems, a great living environment,

    and a sense of fulfillment and satisfaction from how you

    spend you time if you’re alone (and don’t want to be) or

    your relationships with significant others (parents,

    siblings, kids, associates, etc.) are a mess? Believe me, I

    know about this one from long personal experience (before

    meeting my wife, Cecily).

    Therefore, living The Ultimate Lifestyle must include having

    access to resources and inner skills that allow you to

    attract, build, and maintain healthy relationships.

    6) Health

    Again, what good is having income streams, a healthy

    emotional life, empowering belief systems, a great living

    environment, fulfillment and satisfaction, and great

    relationships if you have health problems that drag your

    quality of life into the gutter?

    Dr. Robert Lindberg says, “We spend most of our life gaining

    wealth and we then spend most of our wealth on gaining back

    our health.”

    Living The Ultimate Lifestyle means having access to

    knowledge, resources, and skills that allow you to get

    healthy, stay healthy, and quickly resolve difficulties if

    and when they arise. I discussed some of the resources I use

    for this in previous issues, and will continue to share them

    in future issues,

    7) Time

    You can have income streams, a healthy emotional life,

    empowering belief systems, a great living environment,

    fulfillment and satisfaction, great relationships and health

    and if you don’t have any time to do what you love, to

    follow your non-work passions, or to truly enjoy anything,

    what’s the point? I know many people who could absolutely be

    living their Ultimate Lifestyle, but they choose to work too

    much, to the detriment of their quality of life. That’s too

    bad — to have the choice and ability and not do it.

    8) Wealth Building, Management, and Responsibility

    The final component to living The Ultimate Lifestyle is

    having systems in place that allow you to use your income

    streams to create wealth (as you define it), manage it, grow

    it, protect it, structure your financial and business

    affairs for maximum efficiency and personal benefit, and

    find ways of contributing and giving back (if that’s

    important to you, which it is to me and my wife).

    I’ll be writing a follow up article, called “The fuel that drives the Ultimate Lifestyle” shortly.

    [ad_2]

    Source by Bob Scheinfeld

    Views: 0

  • Why Customer Concentration Impacts a Business Sale Transaction

    Why Customer Concentration Impacts a Business Sale Transaction

    [ad_1]

    Few owners recognize the major impact that customer concentration has on the sale of their business. Customer concentration represents a significant obstacle and will affect the salability, valuation, and deal structure of a business-for-sale transaction. Not only will it create problems in qualifying buyers but it will impact the ability for any prospective purchaser to obtain third party financing to complete the acquisition. Determining if customer concentration is present in an enterprise is a critical element of the succession planning process.

    Customer concentration is a situation when one customer represents a significant portion of revenues or when the business has a very small customer base. Based upon the expert one consults, the exact percentage for a concentration to exist varies. In most cases it is recognized when one customer represents more than 10% of sales or when the top five customers comprise greater than 25% of a company’s revenue. In either situation, a huge risk is created from the lack of diversification and steps to mitigate it should be taken years in advance of a planned business exit.

    When evaluating a business sale it is important for an owner to recognize that their client base has a significant impact on the enterprise value of the company. A broad and diverse base of customers where there are a large number of clients contributing to the business’ revenue will achieve a higher transaction value as it reduces the risk that a sizable decrease in earnings will occur if any one customer is lost or a particular industry segment that the business serves encounters economic distress.

    In addition to a lower sales price, businesses with customer concentration issues are more difficult to market for sale. For main street business transactions (those with adjusted earnings of less than $2mm) third party financing is used in the majority of cases. Businesses with high levels of customer concentration are very difficult to get financed. Lenders may provide only partial financing, offer sub-optimal terms, or decline the loan altogether. In situations where third party financing is not available, the pool of available buyers is significantly restricted and the terms of a deal could be heavily weighted on a contingent earn-out based on retaining the revenues derived by the largest customers. “Typically we want no customer concentration over a 10% level when considering financing an acquisition. Higher levels are possible with much more explanation and supporting documentation but remain a major concern” states Steve Mariani, President of Diamond Financial Services.

    Lastly, customer concentration will have a direct impact on the deal structure for the business sale transaction. Buyers will strive to bridge the customer concentration risk through a variety of delayed ‘performance based’ financing methods. For example: Assume both parties agree on a transaction price of $900,000 based upon $300,000 of adjusted earnings (a 3x multiple). If the key account in question represents $75,000 of the $300,000 this would represent $225,000 of the transaction price. A buyer will strive to isolate the $225,000 component to ensure that revenue is maintained post sale. After a period of 12 months, if the customer and income are still in place the seller would receive the funds. If the identified client and corresponding revenue was lost during this period, a pricing adjustment would be made.

    In situations where the buyer is unable to obtain transaction financing due to customer concentration issues, the seller might have to accept a “contingent earn-out” for the revenues derived from the largest customers, or worse, they may also have to finance a major portion of the “non-contingent purchase price” negotiated with buyers.

    Contingent payouts could be structured in a variety of methods:

    Earn-Out:

    Earmark part of the purchase price with payments made over a period of time contingent upon the retention of specific customers or achieving specific revenue targets.

    Escrow:

    A percentage of the acquisition price will be held in an escrow account for a specified time.

    Seller-Financing:

    The seller would be responsible for financing a major portion of the purchase price through a seller note. The seller note could be structured with contingencies for revenues derived from the largest customers.

    With any of these deal structuring techniques, the seller cannot be expected to guarantee the revenue in perpetuity and if the transaction price is based upon retaining one or more key customers, the seller may require more active involvement in maintaining the client relationship during the term of the agreement. Obviously, this brings an additional complexity to the transaction.

    In most cases, buyers will look to discount the amount they are willing to pay for a business (with high customer concentration) unless they receive assurances that the risk is low. While the obvious strategy to reduce customer concentration risk is to diversify and increase the business customer base, there are a number of situations where customer concentration either does not pose a significant risk or could be mitigated.

    Customer Contracts:

    Having a contract in place will not eliminate all of the risk of losing a key customer, but it will provide the buyer with security that the revenue and profits will continue after a change in ownership takes place. When customer contracts are involved, the ability to assign or transfer will be important to understand. In many cases, a stock sale vs. asset sale is elected to preserve these contracts.

    Barriers to Entry or Exit:

    Businesses could have intellectual property, product expertise, or patents that create competitive advantages barring competition. Others are located in geographically remote areas where the supply benefits discourage customers from changing the relationship. Lastly, there could be significant capital requirements for manufacturing and tooling or agency approvals (pharmaceutical or government contracting industry) that creates a barrier to entry from potential competitors.

    Providing a Variety of Products and/or Services:

    Having a broad relationship with a key customer where the relationship is not based solely on one product, one location, and one individual decreases the risk that a singular change will fundamentally impact the future revenue stream and continuity of the account.

    Economies of Scale or Synergies:

    The acquisition may be pursued by a strategic buyer where they are bringing new products/services to the enterprise, a broader geographic distribution footprint, or economies of scale in production. Any of these elements would assist in reducing the concentration of revenue risk that an identified key client would represent to the future organization.

    Summary

    Businesses which have high levels of customer concentration are inherently risky and it is important for the owner to appreciate this concern from the perspective of a potential acquirer. Ultimately, the buyer seeks only to retain the customers which have contributed to the success of the business and are factored in the valuation and transaction price. From the position of a buyer a few logical questions and concerns would be:

    1. How does the value of the company change if a customer representing 10% or more of revenue and/or profits is lost in the first year?
    2. How easy would it be for the client representing the customer concentration concern to leave the business?
    3. What unique situations exist within the business to preserve the customer relationship in the years ahead?
    4. What are the logical steps and corresponding costs to mitigate the customer concentration risk?
    5. How do I achieve a win-win transaction? Protecting me, the buyer, against the risk of a near term revenue loss while providing the seller with the proper remuneration for the fair market value of their business?

    While the risk may not be able to be totally eliminated, there are a number of situations where customer concentration is more palatable and a proper explanation should be provided to the buyer at the earliest opportunity. Getting out in front of this potential challenge is critical to achieve a win-win deal. When good communication exists, and two fair and reasonable parties are at the table, there are a number of structuring options available, when necessary, to mitigate the risk and negotiate a fair and reasonable transaction price. Obviously, the best approach for a prospective business seller would be to develop and implement plans to reduce any customer concentration elements years in advance of a business exit. Eliminating this type of risk is just sound advice for any small business owner regardless of whether a sale is contemplated.

    [ad_2]

    Source by Michael Fekkes

    Views: 0

  • Study Links Drug Use to High Rates of Syphilis

    Study Links Drug Use to High Rates of Syphilis

    [ad_1]

    A connection between drug use and high syphilis rates in the United States was established by a recent report released by the Centers for Disease Control and Prevention (CDC). Sarah Kidd, lead author of the report, pointed out that two major health issues, namely addiction and syphilis, seemed to be colliding with each other.

    The report displayed a connection between drug use and instances of syphilis in heterosexual men and women. As per the report, the usage of heroin, methamphetamine, and other injection drugs by the aforementioned group almost doubled from 2013 to 2017.

    The report however, did not display a similar increase in drug abuse in gay men suffering from syphilis. According to the researchers, the results of the study indicated that risky sexual behaviors associated with drug abuse may be one of the key driving factors for this increase in syphilis among the heterosexual population.

    People using drugs more likely to engage in unsafe sexual activities

    According to experts, people abusing drugs are more likely to engage in unsafe sexual activities, thereby making them more susceptible to sexually transmitted diseases (STDs). Syphilis significantly increased among heterosexuals especially during the ‘crack cocaine epidemic’ prevalent during the 1980s and 1990s. It was observed that during this particular time period, the usage of drugs was connected with the higher transmission rates of syphilis.

    According to Patricia Kissinger, professor epidemiology at the Tulane University School of Public Health and Tropical Medicine, it is common tendency among people abusing drugs to indulge in unprotected sex, exchange sex in lieu of money or drugs, and have multiple sex partners. All these are considered as significant risk factors contributing to the spread of the disease.

    Syphilis rates are setting new records

    At the national level, the occurrences of syphilis jumped by around 73 percent at an overall level and 156 percent in case of women patients between 2013 and 2017. While syphilis had been almost eradicated, of late, the highest resurgence of the disease was reported in California, Louisiana, and Nevada. Syphilis can be treated with antibiotics, but if left untreated, it can cause organ damage and even death in some cases. In women, congenital syphilis typically occurs when a mother transmits the disease to her unborn baby, leading to cases of premature birth and newborn fatalities.

    Analyzing the syphilis cases that occurred between 2013 and 2017, the researchers discovered that methamphetamine abuse was the biggest contributor. The report revealed that more than one-third of women and a quarter of heterosexual men suffering from syphilis were reported to be abusing methamphetamine within the last year. The California Department of Public Health reported that methamphetamine use by people suffering from syphilis, doubled in case of heterosexual men and women between 2013 and 2017.

    Why is it difficult to treat sexually transmitted infections?

    Owing to the overlapping instances of substance abuse and sexually transmitted infections (STIs), it becomes challenging to identify and treat people suffering from syphilis. That is because, typically, people using drugs are less likely to visit a doctor or report their sexual activities or partners.

    Likewise, pregnant women may refrain from seeking prenatal care and get themselves tested for syphilis owing to concerns such as their gynecologists reporting their drug abuse. To combat this issue, the CDC urges to bring about more collaboration between programs treating substance abuse and programs addressing STIs.

    Fresno County reported highest rate of congenital syphilis

    According to the report, the highest rate of congenital syphilis was reported in Fresno County in California. The county’s community health division manager, Joe Prado, said that the California Health Department analyzed around 25 congenital syphilis cases in 2017 and more than two-thirds of these women were abusing drugs.

    To address this issue, the country took proactive measures such as offering STD testing for patients getting admitted into inpatient drug treatment centers. Patients coming back for reports were provided incentives including gift cards. Apart from this, for patients undergoing drug treatment, the county offered a care package comprising of contraceptives and education materials about STIs.

    Challenges faced

    While it is significant to have an increased collaboration between STD clinics and drug treatment providers, it is not always that simple, since these two entities have not worked together previously. Usually both these units tend to focus only on their relevant specialties and often fail to screen people for associated ailments like syphilis or other forms of STIs or for drug abuse.

    According to Jeffrey Kalusner, professor of medicine and public health at the University of California, Los Angeles (UCLA), in order to fight the rising rates of syphilis more resources are needed. He added that though policies can be implemented towards syphilis testing, these policies need to be accompanied with appropriate resources.

    Seeking treatment for drug abuse

    Drug abuse is often associated with the development of physical ailments like hepatitis C, human immunodeficiency virus (HIV), syphilis and other STDs. These infections can be severe and result in rapid deterioration of overall health. The best way to avoid the contraction of these diseases is to avoid taking drugs or if addicted, to seek addiction treatment help at the earliest.

    The drug rehab centers of Hillside Mission offer comprehensive evidence-based treatment plans for substance abuse. Whether selecting an inpatient, outpatient, or a residential plan, the detox process at Hillside Mission is designed to minimize the patient’s discomfort and result in a shorter treatment cycle.

    [ad_2]

    Source by Susan Navarez

    Views: 0

  • Could Your Sedentary Lifestyle Be Contributing To Your Acid Reflux?

    Could Your Sedentary Lifestyle Be Contributing To Your Acid Reflux?

    [ad_1]

    Could a sedentary lifestyle be a contributing factor to the upsurgence of acid reflux in our society? I typed these words into Google search: statistics about sedentary lifestyles. What I found was eye-opening and pretty darn scary!!

    These were the statistics from the first article that popped up, “Sitting Disease is Taking a Toll on Your Body:”

    • 300,000 deaths occur annually due to inactivity and poor dietary habits in the United States alone.
    • 20% of all deaths of people 35 and older are attributed to a lack of physical activity.
    • 65% of Americans watch 2 or more hours of TV everyday.
    • Sedentary lifestyles are responsible for an estimated $24 billion in direct medical spending
    • Women are more likely to lead sedentary lives than men.

    Shocking! And this was just the infographic!!

    Could my being sedentary be a contributing factor to my acid reflux? At age 57, I am facing the sober fact that my sitting lifestyle has not served my aging digestive system. When I needed to change my habit, I grabbed antacids, acid-blockers, acid-reducers and proton inhibitor medications instead. It seemed to work for a while but invariably, the symptoms returned. And this time, with a vengeance!

    Fast forward to the past few days. I’ve had a resurgence of acid reflux. Like an alcoholic does when he or she has fallen off the wagon and goes back to a Twelve Step Meeting, I went back through the treatment regimen and supplementation recommendations from my naturopathic doctor to see where I’d gone wrong. Vitamins and supplements, check. Drinking water, okay, I can add a bottle or two. Greek yogurt, hate it but I’ll buy some more and put flaxseed in it. And so on and so on.

    What had not changed was the long hours sitting on my rump. From sun up to almost another sun up, for hours at a time, I am in a seated position. (Even writing this article, I’m seated on my recliner with my laptop in my lap!) My mind is constantly engaged but my body is not. So in many ways I am the poster child for the afore-mentioned article.

    According to WebMD, a 10-15 minute walk throughout the day can help your digestion. It can rid you of gas, heartburn, constipation and stomach cramps reports Ameya C, a contributing writer for StyleCraze, the world’s largest website for women. The Universe is sending me–it’s sending us–a wake up call. Today is the day to make a decision. Will it be hard? Heck yes! But as someone once said to me, “When has something being hard been a good enough reason not to do it?”

    [ad_2]

    Source by Suzette Vearnon

    Views: 0

  • Indonesia firmly committed to eliminating lymphatic filariasis as a public health problem

    Indonesia firmly committed to eliminating lymphatic filariasis as a public health problem

    Indonesia recently completed the last of its annual large-scale treatment for lymphatic filariasis (also known as elephantiasis or Penyakit Kaki Gajah) in Malaka District located in its southernmost province, East Nusa Tenggara. Unprecedented
    progress by the National Lymphatic Filariasis Elimination Programme has strongly placed the country on the path to achieving the elimination of lymphatic filariasis as a public health problem.

    “We reached an estimated number of 40.7 million people living in the 118 high-risk districts during this month-long treatment campaign in October 2019” said Dr Anung Sugihantono, who recently retired as Director General of Diseases
    Prevention and Control, Ministry of Health Indonesia. “
    Single doses of diethylcarbamazine citrate and albendazole facilitated by WHO were delivered to all eligible populations.”

    In 2010, an estimated 125 million Indonesians were still at risk of the disease and required treatment.

    But things changed considerably in 2015 when Indonesia mounted an annual national campaign to resolutely address transmission of the disease and to tackle the morbidity and disability associated with it. The results were apparent as early as 2017, with
    remarkable progress.

    In Indonesia, LF is considered a significant public health concern. In 2009, risk mapping identified a population of 124.5 million people needing treatment for LF. The country initiated a national level LF elimination campaign in 2015, addressing both
    disease prevention and management. 

    “In 2017 and in just two years we managed to achieve 100% geographical coverage of all people requiring treatment” said Dr Sugihantono. “It meant achieving more than 78% epidemiological coverage – much higher than the generally recommended 65% to stop transmission.”

    Transmission of lymphatic filariasis can be stopped through large-scale treatment (or mass drug administration – MDA) of entire at- risk communities with recommended medicines once a year. These medicines kill the microfilariae in an infected patient’s
    blood preventing mosquitoes to transmit1 the disease to others. Through mass treatment, the aim is to reduce the reservoir of microfilariae in the blood to a level insufficient to maintain transmission by the mosquito vector.

    This strategy to interrupt transmission is the corner-stone of the World Health Organization’s (WHO) Global Program to Eliminate Lymphatic Filariasis (GPELF). Indonesia has been using the GPELF’s strategy since 2002 using a district or city
    as its implementation unit.

    In 2005, it listed the elimination of LF as a national priority for controlling infectious diseases and the medicines it has been using in large-scale treatment programmes are diethylcarbamazine citrate (DEC) and albendazole2 which are
    largely distributed by volunteer community health workers3.

    “Community health volunteers are themselves members of the community and know how to reach people effectively to improve compliance” said Dr. Stefanus Bria Seran, the Regent of Malaka District, one of LF endemic district in Indonesia. “Besides ensuring every single person ingests the medicine given to them, these community workers help in disseminating information well before a large-scale treatment campaign and also assist in reporting activities related to each treatment campaign”. 

    Indonesia’s efforts to eliminate lymphatic filariasis began in the 1970s but faced numerous challenges including programme coordination in the many inhabited islands, conducting information, education and awareness programmes, lack of capacity and
    insufficient medicines.

    Furthermore, the situation in Indonesia is unusual than in many other countries endemic for lymphatic filariasis as the country is endemic for all three species of thread-like filarial worms – Brugia malayi, Brugia timori, and Wuchereria bancrofti –
    that cause the disease. Most of the infections in Indonesia, however, are caused by B. malayi.

    In the past, some of the factors that prevented access to the medicines (DEC and albendazole) were social stigmatization linked to the disease, the vast geography of the territory and challenges in reaching remote populations.

    With an estimated population of 242 million, Indonesia is the world’s largest island nation and consists of approximately 17,000 islands, of which 5,000–6,000 are inhabited. It is the fourth most populated nation behind China, India, and the United
    States.

    Indonesia is endemic for many other neglected tropical diseases and an estimated 110 million Indonesians are believed to suffer from at least one neglected tropical disease (NTD), including lymphatic filariasis and soil-transmitted helminth infections.
    Leptospirosis (not classified as NTD) is also widespread.

    Indonesia is the only country of WHO’s South East Asia Region with endemic schistosomiasis. Like many other countries of the Region, it also faces recurrent threats of dengue outbreaks.

    Global progress

    The world has made significant progress towards the elimination of lymphatic filariasis as a public health problem.

    Sixteen countries4 and one territory are now acknowledged by WHO to have achieved elimination of lymphatic filariasis as a public health problem.  

    Seven additional countries have successfully implemented recommended strategies, stopped large-scale treatment and are under surveillance to demonstrate that elimination has been achieved.

    The disease

    Lymphatic filariasis is caused by infection with parasitic worms living in the lymphatic system. The larval stages of the parasite (microfilaria) circulate in the blood and are transmitted from person to person by mosquitoes.

    Infection involves asymptomatic, acute, and chronic conditions. Most infections are asymptomatic, showing no external signs while contributing to transmission of the parasite. Although asymptomatic, these infections still cause damage to the lymphatic
    system and the kidneys and alter the body’s immune system.

    When lymphatic filariasis develops into chronic conditions it leads to lymphoedema (tissue swelling) or elephantiasis (skin/tissue thickening) of limbs and hydrocele (scrotal swelling). Involvement of breasts and genital organs are common.

    Manifestation of the disease after infection takes time and can result in an altered lymphatic system, causing abnormal enlargement of body parts, and leading to severe disability and social stigmatization of those affected.

     


    1Lymphatic filariasis is transmitted by different types of mosquitoes – e.g the Culex mosquito which widespread across urban and semi-urban areas; Anopheles, mainly found in rural areas; and, Aedes, mainly
    in endemic islands in the Pacific.

    2In 2017, WHO recommended an alternative three drug treatment to accelerate the global elimination of lymphatic filariasis. The treatment, known as IDA, involves a combination of ivermectin, diethylcarbamazine citrate and albendazole.
    It is recommended annually in settings where its use is expected to have the greatest impact.

    3Community health workers, also called ‘cadres’, are volunteers who form part of the communities they serve and work with local
    communities to educate families. Their contribution in promoting health has been significant in the country.

    4Cambodia, The Cook Islands, Egypt, Kiribati, Maldives, Marshall Islands, Niue, Palau, Sri Lanka, Thailand, Togo, Tonga, Vanuatu, Viet Nam, Wallis and Futuna, and Yemen

    Indonesia firmly committed to eliminating lymphatic filariasis as a public health problem
    Read More
    https://www.who.int/news-room/detail/29-04-2020-indonesia-firmly-committed-to-eliminating-lymphatic-filariasis-as-a-public-health-problem

    Views: 0

  • Making available free paediatric medicine can accelerate elimination of congenital Chagas disease

    Making available free paediatric medicine can accelerate elimination of congenital Chagas disease

    The donation of an essential antiparasitic medicine can potentially accelerate the elimination of Chagas disease infection in children. A pediatric presentation of benznidazole with accurate dosage and will soon be made available freely to address
    a long-standing gap in the treatment of congenital infections of Chagas disease.  

    The donation, by the Mundo Sano Foundation1 and INSud Pharma2 group to the World Health Organization (WHO), is expected to become effective soon.

    “Making benznidazole freely available for the treatment of newborns and children until the age of 19 will be a game-changer in the fight against Chagas disease” said Dr Mwelecele Ntuli Malecela, Director, WHO Department of Control
    of Neglected Tropical Diseases. “This can save future generations from developing life-threatening and fatal complications and also boost up diagnosis and treatment contributing to congenital Chagas disease elimination.”

    The three-year agreement will make available 108 000 tablets of benznidazole3 – one of the two antiparasitic medicines against Chagas disease. Treatment4 with benznidazole in the early stages of infection can cure Chagas
    disease, prevent or curb disease progression and prevent congenital transmission in pregnant women.

     “We have now added the systematic detection and treatment of all newborns and children under 19 which was not part of  our recent switch from control to elimination of congenital Chagas disease” said Dr Pedro Albajar
    Vinas, Medical Officer, WHO Department of Control of Neglected Tropical Diseases. “In addition, screening of pregnant women at risk of infection who have not had past antiparasitic treatment provides an excellent opportunity for prevention of posterior transmission throughout pregnancy and birth.”

    Each year, an estimated 15 000 children are born from infected mothers. 

    The agreement

    The donation by Mundo Sano Foundation for the duration of the agreement comprises benznidazole:

    • 105,000 tablets of 100mg
    • 3,000 tablets of 12.5mg

    Furthermore, the Foundation may donate funds to support activities associated with distribution of medicines and is ready to consider extending this agreement beyond the specified duration of three years.

    The disease

    Chagas disease, also known as American trypanosomiasis, is a potentially life-threatening illness caused by the protozoan parasite Trypanosoma cruzi (T. cruzi).

    Although considerable progress has been achieved, particularly in reducing vector transmission and screening of blood and organ supply, reaching, diagnosing and providing healthcare for people most affected has been a challenge.

    Currently, under-diagnosis of Chagas disease cases is as high as 90% and under-diagnosis of congenital and paediatric cases is believed not to be lower.

    Globally, an estimated 6-7 million people are infected with T. cruzi.

    The disease is found mainly in endemic areas of 21 continental Latin American countries5. But movement of people to urban areas and to other continents has expanded its transmission through non vectorial routes, such as blood transfusion,
    congenital transmission, organ transplants and oral transmission through food contamination.

    Considering that neglected tropical disease as a growing public health problem in many countries, the World Health Assembly – WHO’s decision-making body – decided in May 2019 to commemorate World Chagas Disease Day on 14 April.

    The inaugural celebration happens this year.


    1Mundo Sano is a nonprofit international foundation working with the public and private sectors, academia, and other international organizations to provide solutions to the affected communities and generate scientific knowledge.
    In 2012, it led a public-private consortium in 2012 to produce benznidazole in Argentina.

    2Insud Pharma (formerly known as Chemo Group) specializes in research, development, manufacture, sale and marketing of active pharmaceutical ingredients and medicinal products for human and veterinary use.

    3In 2017, the United States Food and Drug Administration (FDA) approved benznidazole for the treatment of children aged 2–12, making it the first treatment approved in the United States for Chagas disease.

    4Nifurtimox is also 100% effective in curing Chagas disease if given soon after onset of infection, including cases of congenital infection. It is donated by Bayer who pledged more than 7.5 million tablets for the period 2012-2021.

    5Argentina, Belize, Bolivia (Plurinational State of), Brazil, Chile, Colombia, Costa Rica, Ecuador, El Salvador, French Guiana, Guatemala, Guyana, Honduras, Mexico, Nicaragua, Panama, Paraguay, Peru, Suriname, Uruguay, and Venezuela
    (Bolivarian Republic of).

     

     

     

     

    Making available free paediatric medicine can accelerate elimination of congenital Chagas disease
    Read More
    https://www.who.int/news-room/detail/02-04-2020-making-available-free-paediatric-medicine-can-accelerate-elimination-of-congenital-chagas-disease

    Views: 0

  • Women in the New Age

    Women in the New Age

    42. The Transvaluation of Values

    The gradual emancipation of ladies that has been happening for the final century has nonetheless a protracted technique to proceed earlier than they’re wholly delivered from their conventional burdens and so stand away from the oppressions of males. But already, it should be plain, they’ve made monumental progress—maybe greater than they made within the ten thousand years previous. The rise of the commercial system, which has borne so harshly upon the race normally, has introduced them sure unmistakable advantages. Their financial dependence, although nonetheless adequate to make marriage extremely enticing to them, is nonetheless thus far damaged down that giant lessons of ladies are actually virtually free brokers, and fairly impartial of the favour of males. Most of those girls, responding to concepts which can be nonetheless highly effective, are but intrigued, after all, by marriage, and like it to the autonomy that’s coming in, however the truth stays that they now have a free alternative within the matter, and that dire necessity now not controls them. After all, they needn’t marry if they do not need to; it’s doable to get their bread by their very own labour within the workshops of the world. Their grandmothers had been in a much more troublesome place. Failing marriage, they not solely suffered a merciless ignominy, however in lots of instances confronted the menace of precise hunger. There was merely no respectable place within the economic system of these occasions for the free girl. She both needed to enter a nunnery or settle for a disdainful patronage that was as galling as charity.

    Nothing might be plainer than the impact that the rising financial safety of ladies is having upon their entire behavior of life and thoughts. The diminishing marriage fee and the much more quickly diminishing delivery charges present which manner the wind is blowing. It is frequent for male statisticians, with attribute imbecility, to ascribe the autumn within the marriage fee to a rising disinclination on the male aspect. This rising disinclination is definitely on the feminine aspect. Even although no appreciable physique of ladies has but reached the particular doctrine that marriage is much less fascinating than freedom, it should be plain that giant numbers of them now method the enterprise with far better fastidiousness than their grandmothers and even their moms exhibited. They are tougher to please, and therefore happy much less usually. The girl of a century in the past may think about nothing extra beneficial to her than marriage; even marriage with a fifth fee man was higher than no marriage in any respect. This notion is progressively feeling the opposition of a opposite notion. Women normally should desire marriage to work, however there may be an rising minority which begins to understand that work could supply the better contentment, notably if it’s mellowed by a certain quantity of philandering.

    There already seems on the planet, certainly, a category of ladies, who, whereas nonetheless not genuinely averse to marriage, are but free from any idea that it’s needed, and even invariably fascinating. Among these girls are an excellent many considerably vociferous propagandists, virtually male of their violent earnestness; they vary from the man-eating suffragettes to such preachers of free motherhood as Ellen Key and such skilled shockers of the bourgeoisie because the American prophetess of birth-control, Margaret Sanger. But amongst them are many extra who wake the world with no such noisy eloquence, however content material themselves with finishing up their concepts in a quiet and respectable method. The variety of such girls is way bigger than is usually imagined, and that quantity tends to extend steadily. They are girls who, with their financial independence assured, both by inheritance or by their very own efforts, mainly within the arts and professions, do precisely as they please, and make no pother about it. Naturally sufficient, their superiority to conference and the frequent frenzy makes them extraordinarily enticing to the higher form of males, and so it isn’t unusual for certainly one of them to seek out herself voluntarily sought in marriage, with none preliminary scheming by herself—certainly an expertise that only a few odd girls ever get pleasure from, save maybe in desires or delirium.

    The previous order changeth and giveth place to the brand new. Among the ladies’s golf equipment and within the girls’s faculties, I’ve little doubt, there may be nonetheless a lot debate of the previous and foolish query: Are platonic relations doable between the sexes? In different phrases, is friendship doable with out intercourse? Many a girl of the brand new order dismisses the issue with one other query: Why with out intercourse? With the decay of the traditional idea of ladies as property there should come inevitably a reconsideration of the entire intercourse query, and out of that reconsideration there should come a revision of the mediaeval penalties which now punish the slightest frivolity within the feminine. The notion that honour in girls is completely a bodily matter, {that a} single aberrance could convert a girl of the best deserves into a girl of none in any respect, that the only real invaluable factor a girl can convey to marriage is virginity—this notion is so preposterous that no clever particular person, male or feminine, truly cherishes it. It survives as one of many hole conventions of Christianity; nay, of the levantine barbarism that preceded Christianity. As girls throw off the opposite conventions which now bind them they are going to throw off this one, too, and so their advantage, grounded upon fastidiousness and self-respect as an alternative of upon mere concern and conformity, will grow to be afar extra laudable factor than it ever may be below the current system. And for its absence, in the event that they see match to get rid of it, they are going to no extra apologize than a person apologizes immediately.

    43. The Lady of Joy

    Even prostitution, in the long term, could grow to be a roughly respectable occupation, because it was within the nice days of the Greeks. That high quality will certainly connect to it if ever it grows fairly pointless; no matter is pointless is at all times respectable, for instance, faith, modern clothes, and a information of Latin grammar. The prostitute is disesteemed immediately, not as a result of her commerce entails something intrinsically degrading and even unpleasant, however as a result of she is presently assumed to have been pushed into it by dire necessity, towards her dignity and inclination. That this assumption is normally unsound is not any objection to it; practically all of the pondering of the world, notably within the area of morals, is predicated upon unsound assumption, e.g., that God observes the autumn of a sparrow and is shocked by the autumn of a Sunday-school superintendent. The fact is that prostitution is without doubt one of the most tasty of the occupations virtually open to the form of girls who have interaction in it, and that the prostitute generally likes her work, and wouldn’t trade locations with a shop-girl or a waitress for something on the planet. The notion on the contrary is propagated by unsuccessful prostitutes who fall into the fingers {of professional} reformers, and who assent to the imbecile theories of the latter as a way to domesticate their good will, simply as convicts in jail, questioned by tee-totalers, at all times ascribe their rascality to alcohol. No prostitute of something resembling regular intelligence is below the slightest duress; she is completely free to desert her commerce and go into a store or manufacturing facility or into home service each time the impulse strikes her; all of the prevailing gabble about white slave jails and kidnappers comes from pious rogues who make a dwelling by feeding such nonsense to the credulous. So lengthy as the common prostitute is ready to make an excellent dwelling, she is sort of content material together with her lot, and disposed to distinction it egotistically with the slavery of her virtuous sisters. If she complains of it, then you might ensure that her success is under her expectations. A ravenous lawyer at all times sees injustice, within the courts. A nasty doctor is a bitter critic of Ehrlich and Pasteur. And when a suburban clergyman is pressured out of his treatment by a vestry-room revolution he virtually invariably concludes that the sinfulness of man is incurable, and typically he even begins to doubt among the typographical errors in Holy Writ.

    The excessive worth set upon virginity by males, whose esteem of it’s primarily based upon a mix of vainness and voluptuousness, causes many ladies to protect it in their very own individuals with a jealousy far past their non-public inclinations and pursuits. It is their idea that the lack of it could materially impair their probabilities of marriage. This idea isn’t supported by the information. The fact is that the girl who sacrifices her chastity, all the pieces else being equal, stands a significantly better probability of creating a creditable marriage than the girl who stays chaste. This is very true of ladies of the decrease financial lessons. At as soon as they arrive into contact, hitherto socially troublesome and typically virtually unimaginable, with males of upper lessons, and start to tackle, with the curious facility of their intercourse, the refinements and tastes and factors of view of these lessons. The mistress thus gathers allure, and what has begun as a sordid sale of amiability not uncommonly ends with formal marriage. The variety of such marriages is enormously better than seems superficially, for each events clearly make each effort to hide the information. Within the circle of my essentially restricted private acquaintance I do know of scores of males, a few of them of wealth and place, who’ve made such marriages, and who don’t appear to remorse it. It is an previous commentary, certainly, {that a} girl who has beforehand disposed of her advantage makes an excellent spouse. The frequent idea is that it’s because she is grateful to her husband for rescuing her from social outlawry; the reality is that she makes an excellent spouse as a result of she is a shrewd girl, and has specialised professionally in masculine weak spot, and is thus extra-competent on the conventional enterprise of her intercourse. Such a girl usually reveals a really magnificent sagacity. It could be very troublesome to deceive her logically, and it’s unimaginable to disarm her emotionally. Her revolt towards the pruderies and sentimentalities of the world was proof, to start with, of her mental enterprise and braveness, and her success as a insurgent is proof of her extraordinary pertinacity, resourcefulness and acumen.

    Even probably the most lowly prostitute is healthier off, in all worldly methods, than the virtuous girl of her personal station in life. She has much less work to do, it’s much less monotonous and dispiriting, she meets a far better number of males, and they’re of lessons distinctly past her personal. Nor is her occupation hazardous and her final destiny tragic. A dozen or extra years in the past I noticed a considerably amusing proof of this final. At that point sure sentimental busybodies of the American metropolis during which I lived undertook an elaborate inquiry into prostitution therein, and a few of them got here to me prematurely, as a sensible journalist, for recommendation as to the way to proceed. I discovered that each one of them shared the frequent superstition that the skilled lifetime of the common prostitute is simply 5 years lengthy, and that she invariably ends within the gutter. They had been enormously amazed after they unearthed the reality. This fact was to the impact that the common prostitute of that city ended her profession, not within the morgue however on the altar of God, and that those that remained single usually continued in follow for ten, fifteen and even twenty years, after which retired on competences. It was established, certainly, that absolutely eighty per cent married, and that they virtually at all times obtained husbands who would have been far past their attain had they remained virtuous. For one who married a cabman or petty pugilist there have been a dozen who married respectable mechanics, policemen, small shopkeepers and minor officers, and a minimum of two or three who married well-to-do tradesmen {and professional} males. Among the 1000’s whose careers had been studied there was truly one who ended because the spouse of the city’s richest banker—that’s, one who bagged the perfect catch in the entire group. This girl had begun as a home servant, and deserted that harsh and dreary life to enter a brothel. Her experiences there polished and civilized her, and in her previous age she was a grande dame of nice dignity. Much of the sympathy wasted upon girls of the traditional occupation is grounded upon an error as to their very own angle towards it. An educated girl, listening to {that a} frail sister in a public stew is anticipated to be amiable to all kinds of bounders, thinks of how she would shrink from such contacts, and so concludes that the precise prostitute suffers acutely. What she overlooks is that these males, nonetheless gross and repulsive they could seem to her, are measurably superior to males of the prostitute’s personal class—say her father and brothers—and that communion with them, removed from being disgusting, is usually relatively romantic. I effectively keep in mind observing, throughout my collaboration with the vice-crusaders aforesaid, the delight of a girl of pleasure who had attracted the discover of a police lieutenant; she was intensely happy by the concept of getting a consumer of such haughty manners, such sensible costume, and what appeared to her to be so dignified a occupation. It is at all times forgotten that this weak spot isn’t confined to prostitutes, however run by the entire feminine intercourse. The girl who couldn’t think about a bootleg affair with a rich cleaning soap producer and even with a lawyer finds it fairly simple to think about herself succumbing to an envoy or a duke. There are only a few exceptions to this rule. In probably the most reserved of recent societies the ladies who characterize their highest flower are notoriously complaisant to royalty. And royal girls, to finish the circuit, not sometimes yield to actors and musicians, i.e., to males radiating a glamour not encountered even in princes.

    44. The Future of Marriage

    The transvaluation of values that’s now in progress will go on slowly and for a really lengthy whereas. That it’s going to ever be fairly full is, after all, unimaginable. There are inherent variations will proceed to point out themselves till the top of time. As girl progressively turns into satisfied, not solely of the potential for financial independence, but in addition of its worth, she’s going to in all probability lose her current overmastering need for marriage, and tackle herself to assembly males in free financial competitors. That is to say, she’s going to tackle herself to buying that sensible competence, that prime expertise for puerile and mainly mechanical expertness, which now units man forward of her within the labour market of the world. To do that she must sacrifice a few of her current intelligence; it’s unimaginable to think about a genuinely clever human being turning into a reliable trial lawyer, or buttonhole employee, or newspaper sub-editor, or piano tuner, or home painter. Women, to get upon all fours with males in such silly occupations, must commit non secular suicide, which might be a lot additional than they are going to ever truly go. Thus a shade of their current superiority to males will at all times stay, and with it a shade of their relative inefficiency, and so marriage will stay enticing to them, or in any respect occasions to most of them, and its overthrow might be prevented. To abolish it completely, as sure fevered reformers suggest, can be as troublesome as to abolish the precession of the equinoxes.

    At the current time girls vacillate considerably absurdly between two schemes of life, the previous and the brand new. On the one hand, their financial independence continues to be stuffed with circumstances, and however they’re in revolt towards the immemorial conventions. The result’s a normal unrest, with many signs of extravagant and unintelligent revolt. One of these signs is the looks of mental striving in girls—not a striving, alas, towards the real pearls and rubies of the thoughts, however one merely towards the acquirement of the rubber stamps that males make use of of their so-called pondering. Thus we’ve girls who launch themselves into get together politics, and fill their heads with an enormous mass of ineffective information about political methods, customs, theories and personalities. Thus, too, we’ve the girl social reformer, trailing alongside ridiculously behind a tatterdemalion posse of male utopians, every with one thing to promote. And thus we’ve the girl who goes in for superior knowledge of the kind on draught in girls’s golf equipment—in short, the form of knowledge which consists completely of a physique of beliefs and propositions which can be ignorant, unimportant and unfaithful. Such banal striving is most prodigally on show within the United States, the place superficiality quantities to a nationwide illness. Its reputation is because of the comparatively better leisure of the American individuals, who work lower than another individuals on the planet, and, above all, to the comparatively better leisure of American girls. Thousands of them have been emancipated from any compulsion to productive labour with out having acquired any compensatory mental or creative curiosity or social obligation. The result’s that they swarm within the girls’s golf equipment, and waste their time, listening to dangerous poetry, worse music, and nonetheless worse lectures on Maeterlinck, Balkan politics and the unconscious. It is amongst such girls that one observes the periodic rages for Bergsonism, the Montessori methodology, the twilight sleep and different such follies, so pathetically attribute of American tradition.

    One of the evil results of this tendency I’ve hitherto descanted upon, to wit, the rising disposition of American girls to treat all routine labour, notably within the residence, as infra dignitatem and therefore insupportable. Out of that notion come up many lamentable phenomena. On the one hand, we’ve the spectacle of a large number of wholesome and well-fed girls engaged in public actions that, 9 occasions out of ten, are meaningless, mischievous and a nuisance, and however we behold such a decay within the home arts that, on the first onslaught of the late conflict, the nationwide authorities needed to import a overseas professional to show the housewives of the nation the veriest components of thrift. No such instruction was wanted by the housewives of the Continent. They had been merely informed how a lot meals they may have, and their pure competence did the remainder. There is rarely any avoidable waste there, both in peace or in conflict. A French housewife has little use for a rubbish can, save as a depository for uplifting literature. She does her finest with the means at her disposal, not solely in conflict time however always.

    As I’ve stated over and over on this inquiry, a girl’s disinclination to accumulate the intricate expertness that lies on the backside of fine housekeeping is due primarily to her lively intelligence; it’s troublesome for her to pay attention her thoughts upon such silly and meticulous enterprises. But whether or not troublesome or simple, it’s clearly vital for the common girl to make some effort in that course, for if she fails to take action there may be chaos. That chaos is duly seen within the United States. Here girls reveal certainly one of their subterranean qualities: their deficiency in conscientiousness. They are fairly with out that dog-like constancy to obligation which is without doubt one of the shining marks of males. They by no means summon up a excessive pleasure in doing what’s inherently unpleasant; they at all times go to the galleys below protest, and with vows of sabotage; their basic philosophy is nearly that of the syndicalists. The sentimentality of males connives at this, and is thus largely accountable for it. Before the common puella, apprenticed within the kitchen, can choose up a fourth of the culinary subtleties which can be commonplace even to the cooks on eating vehicles, she has caught a person and want concern herself about them no extra, for he has to eat, within the final evaluation, no matter she units earlier than him, and his lack of intelligence makes it simple for her to close off his tutorial criticisms by bald appeals to his feelings. By a straightforward course of he lastly attaches a optimistic worth to her indolence. It is a proof, he concludes, of her fineness of soul. In the presence of her lofty incompetence he’s abashed.

    But as girls, gaining financial autonomy, meet males in progressively bitterer competitors, the rising masculine mistrust and concern of them might be mirrored even within the enchanted area of marriage, and the husband, having yielded up most of his previous rights, will start to disclose a brand new jealousy of those who stay, and notably of the fitting to a good quid professional quo for his personal docile trade. In transient, as girls shake off their historic disabilities they will even shake off a few of their historic immunities, and their doings will come to be regarded with a soberer and extra exigent scrutiny than now prevails. The extension of the suffrage, I consider, will encourage this awakening; in wresting it from the reluctant male the ladies of the western world have planted dragons’ tooth, the which can presently leap up and gnaw them. Now that girls have the political energy to acquire their simply rights, they are going to start to lose their previous energy to acquire particular privileges by sentimental appeals. Men, going through them squarely, will think about them anew, not as romantic political and social invalids, to be coddled and caressed, however as free opponents in a harsh world. When that reconsideration will get below manner there might be a normal overhauling of the relations between the sexes, and among the truthful ones, I believe, will start to marvel why they did not let effectively sufficient alone.

    45. Effects of the War

    The current sequence of wars, it appears seemingly, will proceed for twenty or thirty years, and maybe longer. That the primary conflict was inconclusive was proven brilliantly by the preposterous nature of the peace lastly reached—a peace so synthetic and dishonest that the signing of it was virtually equal to a brand new declaration of conflict. At least three new contests within the grand method are plainly perception—one between Germany and France to rectify the unnatural tyranny of a weak and incompetent nation over a powerful and enterprising nation, one between Japan and the United States for the mastery of the Pacific, and one between England and the United States for the management of the ocean. To these should be added numerous minor struggles, and maybe one or two of just about main character: the trouble of Russia to regain her previous unity and energy, the trouble of the Turks to place down the slave rise up (of Greeks, Armenians, Arabs, and so on.)which now menaces them, the trouble of the Latin-Americans to throw off the galling Yankee yoke, and the joint effort of Russia and Germany (maybe with England and Italy aiding) to do away with such worldwide nuisances because the insane Polish republic, the petty states of the Baltic, and maybe additionally many of the Balkan states. I cross over the chance of a brand new mutiny in India, of the rising of China towards the Japanese, and of a normal battle for a brand new alignment of boundaries in South America. All of those wars, nice and small, are possible; most of them are humanly sure. They might be fought ferociously, and with assistance from harmful engines of the utmost effectivity. They will result in an unparalleled butchery of males, and a big proportion of those males might be below forty years of age.

    As a consequence there might be a scarcity of husbands in Christendom, and as a second consequence the survivors might be appreciably tougher to snare than the lads of immediately. Every man of agreeable exterior and straightforward means might be pursued, not merely by just a few dozen or rating of ladies, as now, however by entire battalions and brigades of them, and he might be pushed in sheer self-defence into very sharp bargaining. Perhaps in the long run the state must intervene within the enterprise, to forestall the potential husband going to waste within the turmoil of alternative.

    Just what kind this interference is prone to take has not but appeared clearly. In France there may be already a wholesale legitimization of kids born out of wedlock and in Eastern Europe there was a clamour for the legalization of polygamy, however these gadgets don’t meet the principle downside, which is the encouragement of monogamy to the utmost. A plan that means itself is the amelioration of the place of the monogamous husband, now rendered more and more uncomfortable by the legal guidelines of most Christian states. I don’t assume that the extra clever form of girls, confronted by a deadly scarcity of males, would object severely to that amelioration. They should see plainly that the current system, whether it is carried a lot additional, will start to work powerfully towards their finest pursuits, if solely by significantly reinforcing the disinclination to marriage that already exists among the many higher form of males. The girl of true discretion, I’m satisfied, would a lot relatively marry a superior man, even on unfavourable phrases, than make John Smith her husband, serf and prisoner at one stroke.

    The legislation should finally acknowledge this truth and make provision for it. The common husband, maybe, deserves little succour. The girl who pursues and marries him, although she could also be moved by egocentric goals, needs to be correctly rewarded by the state for her service to it—a service certainly to not be flippantly estimated in a navy age. And that reward could conveniently take the shape, as within the United States, of statutes giving her title to a big share of his actual property and requiring him to give up most of his revenue to her, and releasing her from all obedience to him and from all obligation to maintain his home so as. But the girl who aspires to increased sport needs to be fairly prepared, it appears to me, to resign a few of these benefits in compensation for the better honour and satisfaction of being spouse to a person of benefit, and mom to his kids. All that’s wanted is legal guidelines permitting her, if she’s going to, to resign her proper of dower, her proper to upkeep and her immunity from self-discipline, and to make another phrases that she could also be led to treat as equitable. At current girls are unable to make most of those concessions even when they might: the legal guidelines of nearly all of western nations are rigid. If, for instance, an Englishwoman ought to agree, by an ante-nuptial contract, to submit herself to the self-discipline, not of the present statutes, however of the elder frequent legislation, which allowed a husband to right his spouse corporally with a stick no thicker than his thumb, it could be competent for any sentimental neighbour to set the settlement at naught by haling her husband earlier than a Justice of the Peace for carrying it out, and it’s a secure wager that the Justice of the Peace would jail him.

    This plan, nonetheless novel it might appear, is definitely already in operation. Many a married girl, as a way to maintain her husband from revolt, makes roughly disguised surrenders of sure of the rights and immunities that she has below current legal guidelines. There are, for instance, even in America, girls who practise the home arts with competence and diligence, regardless of the plain indisputable fact that no authorized penalty can be visited upon them in the event that they failed to take action. There are girls who comply with exterior trades and professions, contributing a share to the household exchequer. There are girls who obey their husbands, even towards their finest judgments. There are, most quite a few of all, girls who wink discreetly at husbandly departures, overt or in mere intent, from the oath of chemical purity taken on the altar. It is a commonplace, certainly, that many completely happy marriages admit a celebration of the third half. There can be extra of them if there have been extra girls with sufficient serenity of thoughts to see the sensible benefit of the association. The hassle with such triangulations isn’t primarily that they contain perjury or that they provide any basic offence to the spouse; if she avoids banal theatricals, in truth, they generally have the impact of augmenting the husband’s devotion to her and respect for her, if solely because the fruit of comparability. The hassle with them is that only a few males amongst us have sense sufficient to handle them intelligently. The masculine thoughts is instantly taken in by specious values; the common married man of Protestant Christendom, if he succumbs in any respect, succumbs to some meretricious and flamboyant creature, bent solely upon fleecing him. Here is the place the cruel realism of the Frenchman reveals its superiority to the sentimentality of the lads of the Teutonic races. A Frenchman would no extra consider taking a mistress with out consulting his spouse than he would consider standing for workplace with out consulting his spouse. The result’s that he’s seldom victimized. For one Frenchman ruined by girls there are a minimum of 100 Englishmen and Americans, even supposing 100 occasions as many Frenchmen have interaction in that form of recreation. The case of Zola is typical. As is well-known, his amours had been rigorously supervised by Mme. Zola from the primary days of their marriage, and in consequence his life was wholly free from scandals and his thoughts was by no means distracted from his work.

    46. The Eternal Romance

    But no matter the way forward for monogamous marriage, there’ll by no means be any decay of that agreeable adventurousness which now lies on the backside of all transactions between the sexes. Women could emancipate themselves, they could borrow the entire bag of masculine methods, they usually could treatment themselves of their current need for the vegetable safety of marriage, however they are going to by no means stop to be girls, and as long as they’re girls they are going to stay provocative to males. Their chief allure immediately lies exactly in the truth that they’re harmful, that they threaten masculine liberty and autonomy, that their sharp minds current a menace vastly better than that of acts of God and the general public enemy—and they are going to be harmful for ever. Men concern them, and are fascinated by them. They know the way to present their tooth charmingly; the extra enlightened of them have perfected an outstanding strategy of fascination. It was Nietzsche who known as them the recreation of the warrior—not of the poltroon, keep in mind, however of the warrior. A profound saying. They have an infinite capability for rewarding masculine trade and enterprise with small and irresistible flatteries; their acute understanding combines with their capability for evoking concepts of magnificence to make them incomparable companions when the intense enterprise of the day is finished, and the time has come to increase comfortably within the interstellar ether.

    Every man, I daresay, has his personal notion of what constitutes good peace and contentment, however all of these notions, regardless of the elemental battle of the sexes, revolve round girls. As for me—and I hope I could also be pardoned, at this late stage in my inquiry, for intruding my very own persona—I reject the 2 commonest of them: ardour, a minimum of in its extra adventurous and melodramatic features, is just too thrilling and alarming for therefore indolent a person, and I’m too egoistic to have a lot need to be mothered. What, then, stays for me? Let me attempt to describe it to you.

    It is the shut of a busy and vexatious day—say half previous 5 – 6 o’clock of a winter afternoon. I’ve had a cocktail or two, and am stretched out on a divan in entrance of a fireplace, smoking. At the sting of the divan, shut sufficient for me to succeed in her with my hand, sits a girl not too younger, however nonetheless handsome and well-dressed—above all, a girl with a delicate, low-pitched, agreeable voice. As I snooze she talks—of something, all the pieces, all of the issues that girls speak of: books, music, the play, males, different girls. No politics. No enterprise. No faith. No metaphysics. Nothing difficult and vexatious—however keep in mind, she is clever; what she says is clearly expressed, and sometimes picturesquely. I observe the positive sheen of her hair, the gorgeous lower of her frock, the glint of her white tooth, the arch of her eye-brow, the sleek curve of her arm. I take heed to the beautiful murmur of her voice. Gradually I go to sleep—however just for an immediate. At as soon as, observing it, she raises her voice ever so little, and I’m awake. Then to sleep once more—slowly and charmingly down that slippery hill of desires. And then awake once more, after which asleep once more, and so forth.

    I ask you severely: may something be extra unutterably stunning? The sensation of falling asleep is to me probably the most beautiful on the planet. I enjoyment of it a lot that I even stay up for demise itself with a sneaking marvel and need. Well, right here is sleep poetized and made doubly candy. Here is sleep set to the best music on the planet. I match this example towards any that you just ran consider. It isn’t solely enchanting; additionally it is, in a really true sense, ennobling. In the top, when the woman grows prettily miffed and throws me out, I return to my sorrows one way or the other purged and glorified. I’m a greater man in my very own sight. I’ve grazed upon the fields of asphodel. I’ve been genuinely, utterly and unregrettably completely happy.

    47. Apologia in Conclusion

    At the top I crave the indulgence of the aesthetic reader for the imperfections essentially seen in all that I’ve right here set down—imperfections not solely resulting from incomplete data and fallible logic, but in addition, and maybe extra importantly, to sure basic weaknesses of the intercourse to which I’ve the honour to belong. A person is inseparable from his congenital vanities and stupidities, as a canine is inseparable from its fleas. They reveal themselves in all the pieces he says and does, however they reveal themselves most of all when he discusses the majestic thriller of girl. Just as he smirks and rolls his eyes in her precise presence, so he places on apathetic and unescapable clownishness when he essays to dissect her within the privateness of the laboratory. There is not any e book on girl by a person that’s not a stupendous compendium of posturings and imbecilities. There are however two books that present even a superficial need to be trustworthy—”The Unexpurgated Case Against Woman Suffrage,” by Sir Almroth Wright, and this one. Wright made a gallant try to inform the reality, however earlier than he obtained half manner by his job his ineradicable donkeyishness as a male overcame his scientific frenzy as a psychologist, and so he swiftly washed his fingers of the enterprise, and affronted the even handed with a half baked and preposterous e book. Perhaps I’ve failed too, and much more ingloriously. If so, I’m stuffed with honest and indescribable remorse.

    Extract from IN DEFENSE OF WOMEN by H. L. Mencken

    Views: 0

  • Information sharing on COVID-19

    WHO’s focus at all times is to ensure that all areas of the globe have the information they need to manage the health of their people. In a recent interview, the WHO official who headed the joint international mission to China, did not answer a question on Taiwan’s response to the COVID-19 outbreak. 

    The question of Taiwanese membership in WHO is up to WHO Member States, not WHO staff. However, WHO is working closely with all health authorities who are facing the current coronavirus pandemic, including Taiwanese health experts. 

    The Taiwanese caseload is low relative to population. We continue to follow developments closely. WHO is taking lessons learned from all areas, including Taiwanese health authorities, to share best practices globally.

    With respect to the COVID-19 outbreak, the WHO Secretariat works with Taiwanese health experts and authorities, following established procedures, to facilitate a fast and effective response and ensure connection and information flow.

    • There is a Taiwanese International Health Regulations Point of Contact, who receives IHR (2005) communications and has access to the Event Information Site (EIS) Platform (a password-protected database and information exchange mechanism supporting the IHR (2005)). 
    • The Taiwanese Field Epidemiology Training Program is a member of the Training Programs in Epidemiology and Public Health Interventions Network (also known as “TEPHINET”). WHO shares Global Outbreak Alert and Response Network alerts and requests for assistance with TEPHINET, and those messages are cascaded to the TEPHINET members.
    • Two Taiwanese public health experts participated in the Global Research and Innovation Forum organized by WHO on 11-12 February 2020, thus contributing, alongside other world scientists, including from mainland China, to critical research questions and to finding ways to work together to advance the response.

      WHO staff work around the world to respond to this pandemic with the best evidence-based guidance and operational support available for all people, based on public health needs.  Membership in WHO and status issues are decided by Member States and the rules they set at WHO’s governing body, the World Health Assembly.

      Information about COVID-19 can be found here: https://www.who.int/emergencies/diseases/novel-coronavirus-2019

       

    Read More
    https://www.who.int/news-room/detail/29-03-2020-information-sharing-on-covid-19

    Views: 0

  • Malaysia receives medical equipment supply from China

    Malaysia receives medical equipment supply from China

    Malaysia receives medical equipment supply from China 1

    PUTRAJAYA: Backed by a strong relationship between the two countries, China showed its empathy to Malaysia in combating an invisible enemy, Covid-19, by contributing a consignment of medical equipment.

    The consignment consisted of 100,000 units of n-Cov PCR test kits, 100,000 pieces of N95 Medical Protective Face Masks, 500,000 pieces of 3-ply surgical masks, 50,000 sets of Personal Protective Equipment (PPE) and 200 units of ventilators.

    The consignment was handed over by Chinese Ambassador to Malaysia, Bai Tian to Foreign Minister Datuk Seri Hishammuddin Tun Hussein, at Wisma Putra here today.

    Hishammuddin expressed Malaysia’s deep appreciation for the invaluable support of the Chinese government which clearly reflected the strong partnership between the two countries.

    “This is an extraordinary contribution by a country to Malaysia, showing the close friendship, solidarity and consideration both Malaysia and China share.

    “To China, it is my promise that Malaysia will make full use of these items and they will be immediately handed over to the National Disaster Management Agency (Nadma) so that our frontliners who have worked tirelessly will be prioritised in their distribution,“ Hishammuddin said at a press conference after the handover ceremony, here today.

    He said, prior to today’s donation, Malaysia had received multiple donations from various provincial governments, non-government organisations, business community and individuals from China.

    Meanwhile, Bai Tian said the Chinese government had paid very special attention when Prime Minister Tan Sri Muhyiddin Yassin and Hishammuddin expressed their worries about the lack of medical needs in Malaysia, and had succeeded in raising the most urgently-needed medical materials for this country.

    “As a good neighbour and close friend of Malaysia, China feels how Malaysia feels, because in the past two months, China had also gone through a strenuous battle against Covid-19.

    “The Chinese government and people will never forget how the Malaysian government and people had extended their helping hands during our darkest hours in the battle against Covid-19,“ he said.

    Bai Tian said the batch of medical supplies had arrived in Malaysia, and hoped that these materials would help in the fight of the Malaysian government and people against the epidemic.

    Besides medical supply, Bai Tian said China would also offer the support of a Covid-19 medical expert team from China, which could come here and work hand in hand with their Malaysian colleagues.

    When asked how many and when would the doctors from China arrive here, Bai Tian said it all depended on the request from Malaysia.

    “We want to know the actual need on the ground from the hospitals in Malaysia because we have experts from different areas like infection diseases, respiratory and ICU Cares.

    “We are ready to offer the best practises and knowledge,“ he said. — Bernama

    Malaysia receives medical equipment supply from China
    Read More
    https://www.thesundaily.my/local/malaysia-receives-medical-equipment-supply-from-china-HH2191669

    Views: 0