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Statement of the Twenty-Fourth IHR Emergency Committee
The Twenty-fourth meeting of the Emergency Committee under the International Health Regulations (2005) (IHR) on the international spread of poliovirus was convened by the Director General on 26 March 2020 with committee members only attending
via teleconference, supported by the WHO Secretariat. In order to ease the burden on affected State Parties in the exceptional situation following the determination of the COVID-19 outbreak as a Public Health Emergency of International Concern
(PHEIC) on 30 January 2020, characterized as a pandemic on 11 March 2020, the invited State Parties were asked to present their reports electronically only instead of attending via teleconference. Reports were received from Afghanistan, Burkina
Faso, Central African Republic, Cote d’Ivoire, Democratic Republic of Congo (DR Congo), Ethiopia, Ghana, Pakistan, and Philippines.

The Emergency Committee reviewed the data on wild poliovirus (WPV1) and circulating vaccine derived polioviruses (cVDPV). The WHO Secretariat presented a report of progress for affected IHR States Parties subject to Temporary Recommendations.

Wild poliovirus

The Committee remains gravely concerned by the significant increase in WPV1 cases globally in 2019 and 2020, with 175 cases in 2019 compared to 33 in 2018, and already 32 cases as at 17 March 2020, compared to six for the same period in 2019, with no
significant success yet in reversing this trend.

In Pakistan transmission continues to be widespread, as indicated by both acute flaccid paralysis (AFP) surveillance and environmental sampling. While the issues of vaccine hesitancy and refusals by individuals and communities and problems with management
of the national polio program are being addressed, these are yet to have impact on the current worrying epidemiology. The added pressure on the program due to detection of cVDPV2 and ongoing spread in several provinces (see below) has continued
into 2020.

In Afghanistan, the security situation remains very challenging. Inaccessibility and missed children particularly in the Southern Region have led to a large cohort of susceptible children in this part of Afghanistan. The risk of a major upsurge
of cases is growing, with other parts of the country that have been free of WPV1 for some time now at risk of outbreaks. This would again increase the risk of international spread.

The Committee noted that based on sequencing of viruses, there were recent instances of international spread of viruses from Pakistan to Afghanistan and also from Afghanistan to Pakistan. The recent increased frequency of WPV1 international
spread between the two countries suggests that rising transmission in Pakistan and Afghanistan correlates with increasing risk of WPV1 exportation beyond the single epidemiological block formed by the two countries.

The Committee noted the continued cooperation and coordination between Afghanistan and Pakistan, particularly in reaching high risk mobile populations that frequently cross the international border and welcomed the all-age vaccination now being taken
at key border points between the two countries.

Vaccine derived poliovirus (VDPV)

The multiple cirulating VDPV (cVDPV) outbreaks in four WHO regions (African, Eastern Mediterranean, South-east Asian and Western Pacific Regions) are very concerning, with two new countries reporting outbreaks since the last meeting (Malaysia and Burkina
Faso). Unlike historical experience, cross border spread of cVDPV2 has become quite common, with recent spread from Angola to DR Congo and Zambia, and from Chad and CAR to Cameroon, and from Ghana to Burkina Faso. In addition, local emergences
attributable to mOPV2 use have recently occurred in Togo, Chad and Ethiopia.

The Committee noted that the GPEI has published a strategy to address cVDPV2 outbreaks but was extremely concerned that the monovalent OPV2 stockpile was still depleted. The Committee strongly supports the development and proposed Emergency Use
Listing of the novel OPV2 vaccine which should become available mid-2020, and which it is hoped will result in no or very little seeding of further outbreaks.

Impact of COVID-19

The Committee noted the very recent policy guidance of the GPEI:
- GPEI recommendations for countries during the COVID-19 pandemic. This document summarizes the recommendations from the Polio Oversight Board meeting on 24 March 2020 which calls for postponement of both preventive and outbreak response campaigns,
  while ensuring surveillance and nOPV2 development and roll out plans continue in full.
- The COVID-19 Polio programme continuity plan. The operational guide was developed in collaboration with the regional polio eradication teams and the GPEI Partners to ensure essential GPEI functions continue, polio programme personnel and staff are
  kept safe, and to plan for a fast and effective resumption of polio eradication activities including supplementary immunization activities as soon as the public health situation with COVID-19 allows.
The Committee is extremely concerned about the impact of the COVID-19 pandemic on the risk of heightened transmission of polio and consequently the potential for international spread and significant reversal of polio eradication.

Conclusion

The Committee unanimously agreed that the risk of international spread of poliovirus remains a Public Health Emergency of International Concern (PHEIC) and recommended the extension of Temporary Recommendations for a further three months. However
noting that some if not many international borders are closed to prevent international spread of COVID-19, State Parties may not currently be able to enforce the Temporary Recommendations in all places. The Committee strongly urges countries
subject to these recommendations to maintain a high state of readiness to implement them as soon as possible ensuring the continued safety of travelers as well as health professionals . The Committee recognizes the concerns regarding the lengthy
duration of the polio PHEIC, but concludes that the current situation is extraordinary, with clear ongoing risk of international spread and ongoing need for coordinated international response. The Committee considered the following factors in reaching
this conclusion:
- Rising risk of WPV1 international spread: The progress made in recent years appears to have reversed, with the Committee’s assessment that the risk of international spread is at the highest point
  since 2014 when the PHEIC was declared. This risk assessment is based on the following:
  - the WPV1 exportation in 2019 from Pakistan to Iran and to Afghanistan, and more recently spread from Afghanistan to Pakistan;
  - ongoing rise in the number of WPV1 cases and positive environmental samples in Pakistan, and to a lesser extent Afghanistan;
  - the quickly increasing cohort of unvaccinated children in Afghanistan, with the risk of a major outbreak imminent if nothing is done to access these children;
  - the urgent need to overhaul the leadership and strategy of the program in Pakistan, which although already commenced, is likely take some time to lead to more effective control of transmission
    and ultimately eradication;
  - increasing community and individual resistance to the polio program.
- Rising risk of cVDPV international spread: The clearly documented increased spread in recent months of cVDPV2 demonstrate the unusual nature of the current situation, as international spread of cVDPV
  in the past has been very infrequent. The number of new emergences of cVDPV2 in Africa raises further concern. The risk of new outbreaks in new countries is considered extremely high, even probable.
- COVID-19: This new and unprecedented pandemic is likely to substantially negatively impact the polio eradication program and outbreak control efforts. There is a risk of exportation of both
  WPV1 and cVDPV to known high risk countries, to which it may take a lot of time and effort to adequately respond.
- Falling PV2 immunity: Global population mucosal immunity to type 2 polioviruses (PV2) continues to fall, as the cohort of children born after OPV2 withdrawal grows, exacerbated by poor coverage
  with IPV particularly in some of the cVDPV infected countries.
- Multiple outbreaks: The evolving and unusual epidemiology resulting in rapid emergence and evolution of cVDPV2 strains is extraordinary and not yet fully understood and represents an additional risk
  that is yet to be quantified.
- Weak routine immunization: Many countries have weak immunization systems that can be further impacted by various humanitarian emergencies including COVID19, and the number of countries in which immunization
  systems have been weakened or disrupted by conflict and complex emergencies poses a growing risk, leaving populations in these fragile states vulnerable to outbreaks of polio.
- Surveillance gaps: The appearance of highly diverged VDPVs in the Philippines, Somalia and Indonesia are examples of inadequate polio surveillance, heightening concerns that transmission could be missed
  in various countries. Furthermore, the missed transmission in China for a year illustrates that even countries with generally good surveillance can miss VDPV transmission. COVID-19 is likely to have a negative impact on polio surveillance
  also.
- Lack of access: Inaccessibility continues to be a major risk, particularly in several countries currently infected with WPV or cVDPV, i.e. Afghanistan, Nigeria, Niger, Somalia and Myanmar, which all
  have sizable populations that have been unreached with polio vaccine for prolonged periods.
- Population movement: The risk is amplified by population movement, whether for family, social, economic or cultural reasons, or in the context of populations displaced by insecurity and returning refugees.
  There is a need for international coordination to address these risks. A regional approach and strong crossborder cooperation is required to respond to these risks, as much international spread of polio occurs over land borders.
Risk categories

The Committee provided the Director-General with the following advice aimed at reducing the risk of international spread of WPV1 and cVDPVs, based on the risk stratification as follows:
- States infected with WPV1, cVDPV1 or cVDPV3, with potential risk of international spread.
- States infected with cVDPV2, with potential risk of international spread.
- States no longer infected by WPV1 or cVDPV, but which remain vulnerable to re-infection by WPV or cVDPV.
Criteria to assess States as no longer infected by WPV1 or cVDPV:
- Poliovirus Case: 12 months after the onset date of the most recent case PLUS one month to account for case detection, investigation, laboratory testing and reporting period OR when all reported AFP cases with onset within 12 months of last case have been tested for polio and excluded for WPV1 or cVDPV, and environmental or other samples collected within 12 months of the last case have also tested negative, whichever is the longer.
- Environmental or other isolation of WPV1 or cVDPV (no poliovirus case): 12 months after collection of the most recent positive environmental or other sample (such as from a healthy child) PLUS one month to account for the laboratory testing and reporting period
- These criteria may be varied for the endemic countries, where more rigorous assessment is needed in reference to surveillance gaps (e.g. Borno State, Nigeria)
Once a country meets these criteria as no longer infected, the country will be considered vulnerable for a further 12 months. After this period, the country will no longer be subject to Temporary Recommendations, unless the Committee has concerns based on the final report.

TEMPORARY RECOMMENDATIONS

States infected with WPV1, cVDPV1 or cVDPV3 with potential risk of international spread

WPV1

Afghanistan                               (most recent detection 25 February 2020)

Pakistan                                                (most recent detection 2 March 2020)

Nigeria                                      (most recent detection 27 Sept 2016)

cVDPV1

Malaysia                                     (most recent detection 26 October 2019)

Myanmar                                   (most recent detection 9 August 2019)

Philippines                                 (most recent detection 28 October 2019)

These countries should:
- Officially declare, if not already done, at the level of head of state or government, that the interruption of poliovirus transmission is a national public health emergency and implement all required measures to support polio eradication; where such declaration has already been made, this emergency status should be maintained as long as the response is required.
- Ensure that all residents and longterm visitors (i.e. > four weeks) of all ages, receive a dose of bivalent oral poliovirus vaccine (bOPV) or inactivated poliovirus vaccine (IPV) between four weeks and 12 months prior to international travel.
- Ensure that those undertaking urgent travel (i.e. within four weeks), who have not received a dose of bOPV or IPV in the previous four weeks to 12 months, receive a dose of polio vaccine at least by the time of departure as this will still provide benefit, particularly for frequent travelers.
- Ensure that such travelers are provided with an International Certificate of Vaccination or Prophylaxis in the form specified in Annex 6 of the IHR to record their polio vaccination and serve as proof of vaccination.
- Restrict at the point of departure the international travel of any resident lacking documentation of appropriate polio vaccination. These recommendations apply to international travelers from all points of departure, irrespective of the means of conveyance (e.g. road, air, sea).
- Further intensify crossborder efforts by significantly improving coordination at the national, regional and local levels to substantially increase vaccination coverage of travelers crossing the border and of high risk crossborder populations. Improved coordination of crossborder efforts should include closer supervision and monitoring of the quality of vaccination at border transit points, as well as tracking of the proportion of travelers that are identified as unvaccinated after they have crossed the border.
- Further intensify efforts to increase routine immunization coverage, including sharing coverage data, as high routine immunization coverage is an essential element of the polio eradication strategy, particularly as the world moves closer to eradication.
- Maintain these measures until the following criteria have been met: (i) at least six months have passed without new infections and (ii) there is documentation of full application of high quality eradication activities in all infected and high risk areas; in the absence of such documentation these measures should be maintained until the state meets the above assessment criteria for being no longer infected.
- Provide to the Director-General a regular report on the implementation of the Temporary Recommendations on international travel.
States infected with cVDPV2s, with potential or demonstrated risk of international spread

Afghanistan           (most recent detection 8 January 2020)

Angola                      (most recent detection 9 February 2020)

Benin                        (most recent detection 9 December 2020)

Burkina Faso          (most recent detection 11 January 2020)

Cameroon              (most recent detection 30 January 2020)

CAR                           (most recent detection 5 February 2020)

Chad                         (most recent detection 5 February 2020)

Cote d’Ivoire          (most recent detection 11 February 2020)

China                        (most recent detection 25 April 2019)

DR Congo                 (most recent detection 22 January 2020)

Ethiopia                (most recent detection 21 February 2020)

Ghana                      (most recent detection 28 January 2020)

Malaysia                 (most recent detection 18 January 2020)

Niger                         (most recent detection 3 April 2019)

Nigeria                  (most recent detection1 January 2020)

Pakistan                   (most recent detection 12 February 2020)

Philippines              (most recent detection 16 January 2020)

Somalia                    (most recent detection 4 February 2020)

Togo                          (most recent detection 10 January 2020)

Zambia                     (most recent detection 25 November 2019)

These countries should:
- Officially declare, if not already done, at the level of head of state or government, that the interruption of poliovirus transmission is a national public health emergency and implement all required measures to support polio eradication; where such declaration has already been made, this emergency status should be maintained.
- Noting the existence of a separate mechanism for responding to type 2 poliovirus infections, consider requesting vaccines from the global mOPV2 stockpile based on the recommendations of the Advisory Group on mOPV2.
- Encourage residents and longterm visitors to receive a dose of IPV four weeks to 12 months prior to international travel; those undertaking urgent travel (i.e. within four weeks) should be encouraged to receive a dose at least by the time of departure.
- Ensure that travelers who receive such vaccination have access to an appropriate document to record their polio vaccination status.
- Intensify regional cooperation and crossborder coordination to enhance surveillance for prompt detection of poliovirus, and vaccinate refugees, travelers and crossborder populations, according to the advice of the Advisory Group.
- Further intensify efforts to increase routine immunization coverage, including sharing coverage data, as high routine immunization coverage is an essential element of the polio eradication strategy, particularly as the world moves closer to eradication.
- Maintain these measures until the following criteria have been met: (i) at least six months have passed without the detection of circulation of VDPV2 in the country from any source, and (ii) there is documentation of full application of high quality eradication activities in all infected and high risk areas; in the absence of such documentation these measures should be maintained until the state meets the criteria of a ‘state no longer infected’.
- At the end of 12 months without evidence of transmission, provide a report to the Director-General on measures taken to implement the Temporary Recommendations.
States no longer infected by WPV1 or cVDPV, but which remain vulnerable to re-infection by WPV or cVDPV

WPV1
- none
  cVDPV
  - Kenya cVDPV2 (last env positive specimen 21 March 2018)
  - Mozambique cVDPV2 (last virus detected 17 December 2018)
  - PNG cVDPV1 (last environmental positive specimen 6 November 2018)
  - Indonesia cVDPV1 (last virus detected 13 February 2019)
These countries should:
- Urgently strengthen routine immunization to boost population immunity.
- Enhance surveillance quality, including considering introducing supplementary methods such as environmental surveillance, to reduce the risk of undetected WPV1 and cVDPV transmission, particularly among high risk mobile and vulnerable populations.
- Intensify efforts to ensure vaccination of mobile and crossborder populations, Internally Displaced Persons, refugees and other vulnerable groups.
- Enhance regional cooperation and cross border coordination to ensure prompt detection of WPV1 and cVDPV, and vaccination of high risk population groups.
- Maintain these measures with documentation of full application of high quality surveillance and vaccination activities.
- At the end of 12 months without evidence of reintroduction of WPV1 or new emergence and circulation of cVDPV, provide a report to the Director-General on measures taken to implement the Temporary Recommendations.
Additional considerations

Impact of COVID-19 on the polio program:
- The committee urges all countries, but particularly those at high risk of polio, to maintain a high level of polio surveillance throughout the pandemic period, noting that the postponement of polio immunization campaigns whether preventive or in response to outbreaks may lead to an increase in polio transmission including international spread. Maintainenance of access to laboratory diagnosis in the face of widespread transport and shipping disruption is critical.
- Secondly, countries affected by campaign postponement should strive to maintain a high degree of operational readiness in order that immunization activities, including border vaccination, can resume quickly adhering to principles of good hygiene and safety for the vaccinee as well as for the health professionals to prevent COVID-19 spread. This includes ensuring teams have access to appropriate personal protective equipment.
- Given the risk of international spread, countries need to ensure that they are ready to use appropriate vaccines, as recommended by the Strategic Advisory Group of Experts on Immunization, in response to new outbreaks.
- The committee urged countries to maximize the use of polio assets to synergistically address the COVID19 pandemic, noting that polio affected countries may be vulnerable to poorer outcomes in the pandemic due to health care system fragility and poorer health status of the population generally.
- Lastly the pandemic should serve as a reminder to high risk countries with poor immunization coverage that infectious disease outbreaks can lead to social and economic disruption as well as straining the health care system, and countries can increase their population resilience and recovery through prioiritising robust immunization programmes. This is relevant not only to polio, but to all other vaccine preventable diseases particularly measles.
Based on the current situation regarding WPV1 and cVDPV, and the reports provided by affected countries, the Director-General accepted the Committee’s assessment and on 7 April 2020 determined that the situation relating to poliovirus continues to constitute a PHEIC, with respect to WPV1 and cVDPV. The Director-General endorsed the Committee’s recommendations for countries meeting the definition for ‘States infected with WPV1, cVDPV1 or cVDPV3 with potential risk for international spread’, ‘States infected with cVDPV2 with potential risk for international spread’ and for ‘States no longer infected by WPV1 or cVDPV, but which remain vulnerable to re-infection by WPV or cVDPV’ and extended the Temporary Recommendations under the IHR to reduce the risk of the international spread of poliovirus, effective 7 April 2020.

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https://www.who.int/news-room/detail/08-04-2020-statement-of-the-twenty-fourth-ihr-emergency-committee

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April 9, 2020
Govt urged to help all companies, not just SMEs

PETALING JAYA: The government has been urged to look at the survival of all companies and not just Small and Medium Enterprises (SMEs).

SMEs have a strict definition by SME Corp Malaysia, and many companies fall out of this scope, Knight Frank Malaysia Managing Director Sarkunan Subramaniam said today.

Knight Frank LLP is a leading independent global property consultancy.

In welcoming the third stimulus package worth RM10 billion rolled out to mitigate the severe social and economic impacts arising from the Covid-19 pandemic and the on-going movement control order (MCO), he said SMEs contribute 40% to the national economy.

“The initiatives should be extended to all businesses that are badly affected during this economic slump and additional measures should be extended to the businesses involved in the hospitality, food and beverage, tourism and aviation sectors,” he said in a statement.

“With the exception of those categorised as ‘essential services’, all other business activities have literally slowed or grind to a halt during this month-long MCO, which may be further extended should the number of infected cases continue to rise daily.”

Sarkunan said SMEs operating at premises owned by government-linked companies (GLCs) could enjoy rent exemption or discounts, although the quantum of discounts or rental exemption for these SMEs are unclear at this moment.

He applauded the government’s direction of encouraging private property owners to provide at least 30% rental discounts to SMEs during the MCO and three months after it ends by granting these landlords equivalent tax deductions.

However, he pointed out that this creates an issue for landlords having to verify if their tenants are SMEs or not. It is better for this relief be extended to all businesses since the balance 60% contribution to the national economy is other than SMEs.

“We regret that this initiative is purely for SME tenants only and urged the government to extend it to all tenants as they also facing challenges in sustaining their businesses amid this unprecedented event. All companies, small or big, are important for the country’s economy, no one should be left out,” Sarkunan added.

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https://www.thesundaily.my/local/govt-urged-to-help-all-companies-not-just-smes-CX2231646

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April 8, 2020
Need a New Idea? Try Changing Your Perspective

One definition of creativity states that creative people look at the same thing everyone else does, yet they see something no one else does. But even creative people (which includes all of you, of course) can run into roadblocks every now and then. Sometimes it’s not possible to see something different. Sometimes you’ve just been staring at a problem for so long it’s now impossible to look at it in any other way. So what do you do in these situations? Why not try changing your perspective? Read on to see what I’m talking about.

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http://www.associationofmarketing.org/articles/view.php?article_id=7023

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March 30, 2020
EU urges online media to ditch HD during virus

The European Union on Wednesday urged online media platforms to stream movies and entertainment in standard rather than high definition to relieve pressure on the internet during the coronavirus epidemic.

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https://techxplore.com/news/2020-03-eu-urges-online-media-ditch.html

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March 18, 2020
Are You Getting Your Share of Mailbox Money?

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Does your business allow for “mailbox money” and a lifestyle you love? If not, what would it take for you to create this?

Let’s start with the definition of mailbox money. This is money you receive in both your inbox and your physical mailbox.

I first heard the term from Mary Morrissey. When I heard her definition I realized I have had mailbox money for years.

Based on how you have your business set up you likely have a general idea of a minimum amount of money that will arrive daily whether it be a few hundred or a few thousand. Beyond the baseline, you likely won’t know from day to day how much cash will arrive. The reason? Multiple streams of revenue that fluctuates from day to day.

Multiple streams of revenue is exactly what it sounds like; money that comes from various sources. One way to create multiple streams of mailbox money is with information products; yours and those you sell for others.

The more information you have to offer that your market has an interest in the more revenue you can generate.

If you have no products of your own you can start by becoming an affiliate seller. Make sure whomever you sell for and whatever you make available you are selling an outstanding product or service you are proud to make available to your market. Never, ever, ever sell anything you can’t put your personal stamp of approval on.

Keep this in mind.

Don’t sell simply to make money. Making money simply for the sake of making money may be short lived. Start from the point of, “What would create the greatest value and truly serve my market?” When you think in terms of being of service, the money will follow for a long time to come.

You may have to test a few products to identify your markets’ sweet spot both with the type of information you are introducing and the price point.

Some online entrepreneurs are very successful by selling other experts’ products. Others prefer to create their own. Still others like a combination of the two.

I lean towards the latter.

If you’re planning on developing your own products now is the perfect time to begin. However, you will be well served to plan out what you introduce.

Follow these simple steps to move you in the right direction.

• Identify what your potential customers are interested in. A survey can help considerably in this area.

• Determine what knowledge you have that people would be willing to pay for.

• Decide the format for the information product; video, audio, MP3.

• Determine method of delivery; ClickBank, autoresponder, other.

• Determine method of payment; PayPal, credit card.

• Develop the product.

• Develop a landing page. If you’re not qualified you can find plenty of eager designers on elance.com or get a free or low cost template program.

• Market.

Obviously, there’s more detail I could cover, but this will be a great place to start. I can assure you that when you have several things to offer your market, both yours and those of other experts, you’ll get very used to watching your “mailbox money” arrive on a daily basis.

So much in fact, you will know what it means to have a lifestyle business.

What’s your experience with mailbox money? Are you getting your share?

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Source by Kathleen Gage

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February 10, 2020
What Is the Best Definition of a Wealth Creator?

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One of the most important personal traits of a wealth creator is that they have integrity, in other words, their words and their actions go hand-in-hand. It is because of this personal trait that they can always be trusted and are trustworthy.

Unfortunately, most people say one thing and do another, that is, their words are not backed up by their actions. It is, therefore, understandable why most people are not creators of wealth. You cannot be a creator of wealth unless you have integrity.

Secondly, their relationships are built on trust and respect and therefore, their relationships are positive, good and long-lasting. This makes perfect sense, as any relationships that lack trust and respect, simply cannot last.

Thirdly, creators of wealth lead solid, stable and progressive lives. They are not living grand, high-flying lives one day, and then down-and-out on the streets the next. The main reason for this, is that wealth creators do not take risks and therefore, do not put themselves in situations where they stand the chance of losing everything.

This goes against the popular conventional belief that the higher the risk, the higher the reward. People who believe this to be true, are not creators of wealth and if they believe this to be true and are wealthy because of taking high risks, they can then be considered, to be gamblers.

Gamblers do stand a chance of becoming wealthy, however, they also stand the chance of losing all of their wealth.

Creators of wealth, on the other hand, grow their wealth.

Fourthly, creators of wealth do not create their wealth by chance, by fortune, or by luck. They each have a formula for building wealth and they simply, steadfastly, stick to the formula. Creators of wealth grow their wealth by following a successful formula that consistently provides positive results; it can, therefore, be said that wealth creators are results-driven people, that is, that they are only interested in the results.

My next point, is that wealth creators know how to build an investment or business. They have taken the time and effort to invest in themselves, so that they have the necessary knowledge and skills, in order to build a business or investment.

Lastly, wealth creators have the ability to make their money work for them – they do not have to work for their money. This is another reason, why most people aren’t wealth creators, as most people are only able to work for their money and are unable to make their money work for them.

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Source by Trevor Warwick Miller

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February 9, 2020
How to Attract Wealth by Altering Your Invisible Field?

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Wealth attraction means more than just inviting more money into your life. It means having fulfilling relationships, love, wealth, health, career and success. If you agree that money is not the only yardstick for wealth, and like to know how to attract wealth by altering your invisible field, you are in the right place.

First, what is this invisible field? It is the aura that surrounds us. Most of us can’t see this glowing field, but certainly we can feel it.

Think about this: Have you ever experienced someone standing quietly behind you? It might be your boss watching what you were doing, or a friend planning to give you a surprise. For whatever reason, you would have felt their presence unless you were overly engrossed in your task. The reason why you could feel it was because another invisible field impinged into yours. And that invisible field is the aura.

Our aura is not only invisible, it is also magnetic. What you attract into your life first manifests in your aura, then in reality. Of course, the manifestation in the aura is not in term of events or objects. Instead, it shows in the shade, shape, condition and colors of the aura.

Simply put, by changing your aura, you can attract abundance. So how to attract wealth by changing the aura? The 5 step formula for manifesting abundance are as follows:

1) Create a Clear Picture of Your Desire – First is to be clear and concise on what you want. For simplicity, let’s say you want more money. Write down the amount. Start with what you expect to have 3, 6 and 12 months from now. Check your emotions when you put down the value. If you feel uneasy, adjust the amount till you feel manageable.

Based on the amount you have written, see yourself celebrating and holding more money progressively.

2) Get the Aura Tool for Wealth – The truth is you can use visualization to change your aura. But it is easier and faster with crystal. Why crystal? How does it work? The vibe of each type of crystal is unique, consistent and pure. Because of this special characteristic, each crystal has an aura of specific shade and color.

By leveraging on these stones we can alter our aura to attract wealth. But how to attract wealth with crystal?

Depending on your definition of wealth, first select a suitable crystal. But since we used money as the example earlier, let’s continue with it.

For money, we will go with citrine. This stone is a renowned money magnet and mood lifter. Get a citrine crystal sphere of 2 inches or more – the bigger, the better.

3) Preparing your Wealth Tool – You need to cleanse, charge and program it with the wealth images you have created in step 1.

Soak the citrine in sea salt water overnight. Rinse with distilled or filtered water and sun it for about half hour. Next place the citrine on your left palm and visualize the images you have created earlier. During visualization, stay relaxed, happy and fulfilled.

4) Wealth Meditation – In step 4 on how to attract wealth, meditate with the citrine. You can adopt the “sitting on char”, half lotus or full lotus posture. Hold your citrine in your left hand and firmly supported with the right below.

Meditate for 30 minutes for 7 consecutive days. It will be better to do it for 49 days straight. During meditation, again visualize the created images to reinforce the wealth attraction power.

5) Release the Feeling – At the end of the meditation, let go of the images and feelings. Place the citrine by the side of your bed and carry on your usual daily tasks.

With the help of citrine, you have infused your aura with the right shade and colors for wealth attraction. Congratulation!

Having learned how to attract wealth by changing your aura colors, you must be impressed with what crystals can do for you.

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Source by Glen Lim

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February 5, 2020
Holistic Healthcare versus Traditional Western Medicine

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The Western medicine community recently asked the question: Will Alternative Healthcare, a.k.a. Holistic, Metaphysical, Energy or Mind, Body, Spirit healing and Western Medicine (WM) merge? This question implies there is reason to wonder and/or we need to consider the benefits a merger might create. The consideration of merging Holistic, Metaphysical, Energy or Mind, Body, Spirit healing and Western Medicine is analogues to comparing apples to oranges. The only comparison between apples and oranges is that they are both fruit–but the comparison ends there. Holistic, Metaphysical, Energy or Mind, Body, Spirit Healing and Western Medicine is diametrically polar opposites with nothing in common, except the subject (you). I will explain.

In order to understand the ideology of Western Medicine, you need to examine the language used by doctors and researchers. Their choice of words reveals their belief systems and the models they use to understand the way they think healing works. When observing the state of Western Medicine and the unprecedented influence of pharmaceuticals and over-the-counter (OTC) drugs, an interesting paradox arises. The drug companies claim that pharmaceuticals and OTC can do wonders for people: lower cholesterol, end clinical depression, reverse osteoporosis, eliminate allergies, cure cancer, cure MS, calm children and many other similar promises.

If prescription or OTC drugs are so good for people, where are all the healthy medicated customers? The truth is, there aren’t, any. There’s nobody taking twelve prescriptions or OTC drugs with a clean bill of health. In fact, the more prescriptions a person takes, the worse their overall health. And if you approach the healthiest people you can find and ask what prescription drugs or OTC drugs they’re taking in order to be so healthy, they’ll give you a confused look: Healthy people don’t take prescription or OTC drugs!

This sort of language is not uncommon from researchers in Western Medicine. They perceive the human body as a battleground on which wars are waged against invaders (viruses, bacterial infections and tumors). Beginning with the Victorian era, Western society has become addicted to quick fixes and results with no effort. Western Medicine has in some instances provided this result. When Western Medicine doesn’t produce a ‘quick fix’ result the answer is: “Sorry, it couldn’t be helped–the surgery was a success, the patient died.” It is interesting to note the AMA reports a dismal success rate–approximately 250,000 people die each year due to misdiagnosis and/or the treatment does little or nothing to improve the person’s health. In other words these people didn’t die due to an illness they died due to the wrong treatment.

Western Medicine’s theory and doctrines fail to recognize that diseases are not separate from the person. In fact every disease can be more accurately called an expression of the patient’s lifestyle, beliefs, and energies. Cancer is not a tumor, for example: it is a systemic disorder that can only truly be cured by helping to support the body, not by attacking it with chemical bombs or knives. The tumor is merely one physical expression of the systemic disorder, and simply removing the tumor does nothing to cure the disease. The body is designed to heal itself–given it has the proper care–nutrition, herbal supplements, spiritual and emotional well-being.

The body is designed to heal itself provided it has the proper support to do its job. Traditional Chinese medicine (TCM) is based on a concept of balanced qi (pronounced “chee”), or vital energy, that is believed to flow throughout the body. Qi is proposed to regulate a person’s spiritual, emotional, mental, and physical balance and to be influenced by the opposing forces of yin (negative energy) and yang (positive energy). Disease is proposed to result from the flow of qi being disrupted and yin and yang becoming imbalanced. Among the components of TCM are herbal and nutritional therapy, restorative physical exercises, meditation, acupuncture, and remedial massage.

Holistic, Metaphysical, Energy or Mind, Body, Spirit healing has existed since the beginning of time amid religious beliefs and practices, along with the mystery, superstition, fear, and misunderstanding. Holistic Healing is now becoming recognized regardless of what anyone chooses to believe or think. Ask almost anyone about their spiritual well-being and they will probably tell you, “Yeah, I am a spiritual person, I go to church frequently.” Therein, the confusion arises out of the association of healing with religion. The majority of people, including religious leaders, do not understand the difference.

Definition: “HEAL” 1. To restore to health or soundness, 2. To set right, repair, 3. To restore a person to spiritual wholeness, 4. To become whole and sound, to return to health.

Definition: “SPIRIT” 1. The vital principle or animating force within living beings, Incorporeal consciousness. There are about twelve more elaborations mostly to do with various religious implications.

Definition: “RELIGION” 1. Belief in and reverence for a supernatural power or powers regarded as creator and governor of the universe, 2. A set of beliefs, values and practices based on the teachings of a religious doctrine.

Thus, based on Western Medicine’s common interpretations of how things ‘ARE’, many paradoxes are created. The resultant effect is confusion and un-wellness. The Truth, as Carl Jung and others have carefully worded in their writing, is this: Every Thing in the universe is Energy and Consciousness. How anyone thinks or feels about that Fact cannot change it. The purpose of All religions is the recognition that humans have a part of themselves that is not physical and there is a need to explore and experience this aspect of themselves. Part of the intent is to discover one’s purpose and to live in the best way possible. Another part of that goal also includes the attainment of Truth and Spiritual Wellness. However, the result of religious teachings with regard to our Spiritual health has been an abysmal failure. If the most important aspect of our being is our Spiritual self, and it has been neglected, it is a miracle we have existed this long.

Many churches are in a state of extreme confusion in an attempt to avoid accepting the “Truth.” The greatest struggle is how to incorporate all the now known knowledge and assimilate it into the religious dogma and theology. The problem is the impossibility of reconciling the obvious flaws in most theology and doctrine. The obvious shortcomings and how political and nationalistic and other special interests and agendas have resulted in a history filled with disappointment, tragedy, confusion and religious wars.

In many cultures it has always been thought and/or known that we are spiritual beings, the biggest exception is in western industrialized cultures that we believe we are people who happen to have a soul. Eastern philosophy believes we are a soul first, housed in this thing called a ‘body.’ The most beautiful and simple interpretation of how everything ‘IS’ can be found in the Native American tradition. “Everything in the universe is Spirit, each thing in it is of the same Spirit and it is all Connected.” This is exactly what we are beginning to understand in science and quantum physics, that everything in the universe is made of the same thing and has a consciousness about it. The two things that frustrate scientists the most is the fact that all these

things operate across time, space and dimensions they do not yet understand, and the ability of things to operate on inter-dimensional and multi-dimensional levels. A high degree of new understanding about the science and physics of what spiritual really means is now mostly coming from independent researchers. High-tech and aerospace research physicists and scientists, all seem to have a more concise and accurate understanding of Spirit and the Spiritual than those from a theological background.

The Reality and The Truth of Spirit–In plain language, there is only One God or Universal Energy that Is Everything. There is only One Consciousness. We are only one individuated expression of The One. All the dogma, theology and religious beliefs anyone chooses to pile on this truth is commonly referred to as Bunk. It is the lack of true knowledge and the application of these distortions, which have been the source of all emotional, physical and spiritual problems. Spirit is alive, it is something that is lived and experienced, the surest way to destroy or suppress it is to organize it and institutionalize it.

Spiritual Experiences teach us: Everything we think or feel affects oneself and others. We need to realize every feeling–anger, fear, hate, sadness, judgment–are mind generated emotions and need to be modified or eliminated. Left to fester–anger, fear, hate, sadness, judgment, creates physical reactions. For every physical reaction, a.k.a. symptoms–i.e. colds, cancer, MS, and everything from A to Z, there is a direct link to mind generated emotions. When these mind generated emotions are eliminated and the wounds created from long term and dysfunctional expressions are healed, the physical manifestation labeled as illness by Western Medicine is eliminated.

The bottom line is Health and Well-Being is affected by two factions–Doctors and Ministers. Doctors are trained as mechanics who work on the physical mechanism. They are in the Business of “Treatment.” They are Not Trained in the “Art of Healing”. Most doctors do not even understand the most rudimentary concepts of Healing. Most do not realize how they can produce damage and even induce death sentences on their patients.

There is little difference in the effects produced by an intentional damaging curse or a prayer prayed improperly, bad advice or simply some random negative thought. Ministers are trained in traditional theosophical dogmatic perceptions specific to the cultural religious views they ascribe to. Most people have little concept about True Spirituality or how the universe really operates. As a consequence they convey misinformation, half-truths, superstitions and fears along with a multitude of associated damaging information into a person’s consciousness. The result of which is Confusion and Paradox–which leads to distress, disease and un-wellness.

Both the good in our lives and the dis-eases we have are the results of our experiences, conditioning and beliefs. It is the experiences, conditioning and beliefs that are counter to our true nature that causes the damage. No matter how dire a client’s predicament seems to be, I Know if they are ‘Willing’ to do the emotional and spiritual work of releasing old habits, beliefs and forgiving, everything can be healed. The word ‘incurable’ used by Western Medicine really only means that the person can not be ‘cured’ by ‘outer’ methods and that they must Go Within to effect their healing. The condition was created as a way to cope–it came from within and can be healed from within. Reference: Heal Your Body, Louise L. Hay

Since Holistic/Metaphysical Healthcare focuses on supporting the Mind, Body, Spirit to heal itself as it is designed to do and Western Medicine perceives the human body as a battleground on which wars are waged with chemical bombs and scalpels against invaders, how can these divergent ideologies be merged?

The answer: They can’t be–i.e. water and vinegar doesn’t mix–it is metaphysically impossible. Likewise, it is metaphysically impossible to merge Holistic, Metaphysical, Energy or Mind, Body, Spirit healing and Western Medicine. Anyone who would consider such a merger does not understand the laws of Holistic, Metaphysical, Energy or Mind, Body, Spirit healing.

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Source by Dorothy M. Neddermeyer, PhD

Views: 0

January 28, 2020
Customer Trust and Loyalty

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Customer trust is a precondition for prosperity. Yet, most businesses…

o Act as if customer trust develops because the business believes it is honest.

o Build only a shallow type of trust that does not lead to profitable relationships and loyalty.

o Have no strategy to build the type of trust where customers increasingly value the relationship.

Now is an excellent time to aggressively and systematically work at building customer trust. Virtually all businesses have been tainted by the general rise in societal distrust of companies.

o A recent Datamonitor study of consumers in the USA and Europe found that 86% are less trusting of companies than they were five years ago.

o 80% of people stop buying products or services from companies when their trustworthiness comes into question (Edelman 2005 Trust Barometer)

o People spread distrust to friends and associates, the people we trust most.

o Over 33% who lose trust in a company, openly campaign against that company on the Internet.

The Datamonitor and Edelman research demonstrates that it goes beyond a few isolated cases. Furthermore, according to a Yankelovich study, more than two-thirds of people don’t believe advertisers and marketing. They see it as self-serving distortions.

Customers want to do business with companies they trust but, don’t know who to trust. Therefore, companies that proactively demonstrate trustworthiness stand to gain a tremendous source of competitive differentiation.

What is trust and why is it important to customer relationships? Webster gives two definitions of trust that help separate the wheat from the chaff.

1. firm belief or confidence in the honesty, integrity, reliability, justice of another person or thing.

2. confident expectation, anticipation, or hope; as in trust in the future.

Most companies believe they are trustworthy but only measure up to the first definition. They want to be known as a company that is honest, reliable and fair. They expect their products live up to expectations and when they don’t they think they treat customers equitably.

Do you think your company measures up? If you say yes, ask yourself what you proactively do to build this trust. Many companies have no deliberate strategy.

If you have a deliberate strategy, now might be a good time to question how well it is working. As mentioned above, Yankelovich’s research shows that most customers don’t believe your marketing and advertising. And, the Edelman Trust Barometer concluded that when looking for a credible source of information on a company or product, CEO’s, employees, public relations people and celebrities rank in the bottom half.

Measuring up to the first definition of trust is essential to sustainable and profitable customer relationships. However, even if customers believe your company is honest, reliable and fair, this is no guarantee they will be loyal and profitable. To garner commitment, profitability and high lifetime value, a company must measure up to Webster’s second definition as well.

Businesses that meet the first definition but not the second, run into the Satisficing Trust Barrier. Satisficing trust is the trust that allows a customer to feel comfortable in buying products or services from a company. It is a sense of confidence that the company will stand behind the product. It is sufficient trust to purchase a well-defined product, a commodity. In a world of abundance and overwhelming choice, satisficing trust does not insure repeat business. Customers buy commodities that offer the best trade-off between satisficing trust, price and convenience. Some companies become complacent because they feel they offer the best combination of the three. Unfortunately for them, all it takes to lose customers is for a competitor to create the perception of a better deal. No real relationship value has been accrued by the company who wins business this way.

The operative words in the second definition of trust are “hope” and “trust in the future.” Many purchases these days are not commodities; they are not well defined and may not have a track record. To make these types of purchases the customer must take a “leap-of-faith,” and this requires trust. In this type of trust the customer must believe that the vendor company is truly interested in a win-win relationship. That is, they are interested a long-term relationship where both parties benefit. This type of trust grows out of experience with a company demonstrating a real commitment to win-win. Since virtually all customers have been “burned,” companies often have to subjugate their short-term interests to stimulate the development of faithful trust.

Customer want to build relationships that help them more confidently make “leap-of-faith” decisions. Being able to rely on this trust helps them simplify things in an increasingly complex world. When this happens, trust in the relationship becomes more important to customers than price and convenience. It starts with “hopeful trust.” Customers want the best for themselves. They want to adapt and to embrace change, and they will place extremely high value in relationships that help. Customers are on the lookout for signs from companies that their “hopeful trust” will be well placed. But this “hopeful trust” is just a test. If experience demonstrates that trust in the relationships is justified, faithful trust will emerge.

When trust morphs from “hopeful” to “faithful,” a very significant twist occurs. The main concern of customers shifts from price and utility to the seeking of advice and guidance. When price is an issue, customers withhold information. When they seek guidance, they openly share. “Faithful trust” enables this openness. It also enables both parties to prosper and builds a basis for co-adaptation, now and in the future.

The trustworthy company gets the immediate sale, but they get much more. Snafus or mistakes that might have once terminated a relationship are now overlooked for the sake of the relationship. Customers become turbocharged advocates. They don’t merely tell others what you sell; they vouch for you and the relationship value you deliver. They come to depend on your business and, as a consequence, they want you to thrive.

The real-life story of Billy Blue, a men’s clothier in San Francisco illustrates the power of fully trusting relationships. Billy Blue’s thriving business took a nose dive during the dot.com crash. The downturn was so severe its owner, Billy Bragman, considered closing his doors. Instead, he wrote his customers a letter explaining the situation and asked them to buy more clothes. Even though many of his customers had their own business “trial and tribulations,” they increased their clothes purchases. One guy sent a check for $2,500 with a note saying, “You know what I like; just send me some new clothes.” Billy Blue customers could easily have turned to other men’s stores but they chose to support Billy Blue. They valued their relationship with Billy Blue and didn’t want it to go out of business.

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Source by John Todor

Views: 0

January 27, 2020
Semen Retention Can Affect Penis Health

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All men, and especially those who are sexually active, are advised to keep an eye on their overall penis health. After all, when a man has good penis health, he is more likely to perform at his highest level in bed than he is when penis health issues are present. There are many ways to practice good penis care, some of which use scientific evidence to support their efficacy. But many men also use practices that are based not on science but on other factors, like common sense or tradition or folklore. For example, many guys practice semen retention as one way of improving penis health and sexual efficacy. But does semen retention really impact penis health in this way?

What is semen retention?

For once, a name for a sexual activity or device doesn’t need a lot of explaining. When a man practices semen retention, it basically means he is taking steps to keep his semen inside of his body rather than letting it ejaculate out. In other words, he is refraining from engaging in sexual activity, either partner-based or with himself.

Some semen retentionists say this definition is not 100% accurate. They say that a man can be sexually active – he just has to stop short of actually ejaculating. More hard-liner semen retentionists disagree; they say that men naturally lose some seed during foreplay when pre-ejaculate escapes from the penis to provide natural lubrication and so should refrain from sexual activity even if it stops short of ejaculation.

Whichever definition one uses, the main theme is clear: these people believe there are benefits to semen retention.

So what are they?

Benefits

One of the benefits that semen retentionists promote is that it enables a man to produce a bigger load – and there is certainly some truth to this. However, this largely depends upon what a man’s typical ejaculation schedule is and how that changes if he decides to retain his semen. A man who masturbates twice a day and cuts down to masturbating twice a week should certainly see some difference, as it gives his body more time to produce semen. However, a man who ejaculates once a week and who decides to store his semen for a full month won’t really see an increase in semen production during that time.

Some claim that fewer ejaculations results in more energy. There’s a basis for this, in that one of the hormones released during ejaculation is prolactin, and it does tend to make a guy feel a bit drowsy. But it is questionable whether this alone would account for feeling more energetic. Perhaps this effect is seen more in men who masturbate regularly for lengthy period of time before bed and who simply get more sleep when they refrain from ejaculating.

For men wanting to sire a child, semen retention makes sense, as refraining from ejaculating for a week or so has been associated with greater sperm motility, or how well they swim. Similarly, it’s thought that testosterone levels will increase when a guy shoots less frequently. Studies are needed, however, to verify exactly how this works and whether the difference is significant.

Some enthusiasts believe that semen retention can even lengthen a man’s life and increase his cognitive function; but again, more evidence is needed to prove or refute claims like these.

So, semen retention, at least within reason, does not harm penis health and may benefit it. Certainly one thing that CAN benefit penis health is regular use of a first-rate penis health creme (health professionals recommend Man 1 Man Oil , which is clinically proven mild and safe for skin). It is best to look at the crème’s ingredients and be sure it includes a range of vitamins, including A, B5, C, D, and E. The best crème will additionally include L-arginine, which helps boost nitric oxide production and helps keep penile blood vessels open and flowing.

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Source by John Dugan

Views: 0

January 23, 2020