Have you ever wanted to write an e-book before? There are million of Americans who have thought about it. Many of those individuals are interested in writing an e-book due to their love for writing, but others are interested in making a profit. Unfortunately, to make a profit, you will not only have to write an e-book, but sell it. This can be a long and difficult task; however, that does not mean that you can’t make money by selling e-books. You can with something that is known as private label resell rights.
To obtain the private label resell rights to an e-book, you will need to find an opportunity. Online, it is likely that you will come across a number of different individuals who are selling the resell rights to their e-books. The fact that they are selling their rights does not necessarily mean that their work cannot sell or that it is poor in quality. In fact, many e-book authors just do not have the time to market their product to its targeted audience. However, if you do have the time and the knowledge, you could make a full or part-time living.
As previously mentioned, you will have to find an individual who is willing to sell their e-book resell rights to you. When searching for that individual and e-book, you are encouraged to be on the lookout for a number of different things. First, it is important to request samples or a copy of the e-book. The cost of obtaining the resell rights to a private label product, including an e-book, can be fairly high. Before agreeing to purchase the resale rights, you will need to make sure that the product will be marketable and in demand. If so, you can then proceed to strike a deal.
Finding an e-book author, that is selling their private label resell rights, is a fairly easy process. The hard part is finding buyers for the product that you are now responsible for selling. There are a number of different ways that you can try and sell an e-book. In addition to just using one selling methods, you may be able to find extra success by using a combination of them.
Perhaps, the best way to sell an e-book is to target the e-book’s intended audience. You may want to think about creating a simple webpage with your e-book information on it. This webpage will not only be picked up by search engines, but you can also provide links; this is where targeting your audience will come in. For instance, if you have an e-book on popular beauty tips, you may want to post on message boards that have a focus on personal care. There are a large number of online message boards that allow the posting of a signature. This signature may include the link to your e-book’s website.
In addition to using linking, you can also advertise the e-book with online classified ads. Online, there are literally an unlimited number of classified websites and many of them are free to use. Advertising the e-book that you have available for sale online, especially with classified ads, is a low-cost way to generate public interest. Local classifieds are also a good idea; however, many cost money. Whether you only use online classified ads, local classified ads, or both, your e-book should get the exposure that it needs to start selling.
Another way that you could sell the e-book is through an online auction website. On any given day, most online auction websites have over one million products listed. There is always a chance that your e-book could get lost in those items, but the chances are slim. On most occasions, your e-book will get purchased or it will at least get the exposure needed to generate interest.
All business opportunities, including the buying and selling of e-books, takes time to generate revenue. If you do not automatically see the results that you were looking for, with private label e-book resell rights, you are encouraged to give it time With that being said, you can still do whatever you wish, which may include moving on to another business opportunity.
Are you in need of beauty products? If you are interested in improving your appearance, beauty wise, you may be. If really haven’t placed much of a focus on your appearance, beauty wise, in the past, you may be a little bit surprised when you start shopping for beauty product and supplies. Unfortunately, that surprise will not always be a good one. You will likely find that many, in fact a large number of, beauty products are expensive. In fact, some may be so expensive that you may just want to turn around and walkout of the store and forever give up your quest to look “beautiful,” but you don’t have to. There are a number of different ways that you can go about finding affordable beauty products.
One of the easiest ways to find affordable beauty products is by visiting a retail store, like a beauty supply store, a fashion store, or a department store. What you will want to do is visit the store’s clearance or markdown sections. Most retailers, including beauty supply stores, have a clearance section that contains marked down beauty products. Most of the time, there is nothing wrong the products that are being discounted. When it comes to storefront stores, many retailers are limited on space; therefore, they regularly try to move out older products to make room for new ones. This common retail practice may be able to save you a considerable amount of money on beauty products.
In addition to having a clearance section or a markdown section, many retailers, including beauty supply stores, also regularly have sales. In fact, most retailers have large storewide sales once a week or so. If you are able to find a good store sale on beauty products, you may be able to save yourself a decent amount of money. It is common to find retailers that give you a percentage discount off of your order or a certain item. You may also see offers that are like buy one get one free or buy one get one half off. You should always try to check your local stores to see if they are having any sales and also check your newspapers for store sale fliers or inserts.
Although shopping at a local beauty supply store or another retailer is nice, you may also want to think about buying beauty products online. What is nice about buying beauty products online is that you often have hundreds of retailers to choose from. That actually translates into an unlimited number of beauty products for sale. Also, with the internet, you can easily compare prices and products, making it easier to find affordably priced beauty products. You will also be able to find beauty products for sale on online auction websites. Of course, you can make your purchases from there, if you want, but you need to review the person who you will be doing business with, like their feedback. Buying health and beauty products from someone who you don’t know is risky, as you can never be too sure about contaminations and such.
In addition to using the internet to find beauty products for sale online, you may also want to use the internet to find moneysaving coupons. It is common to find money saving coupons for certain products or certain retail sores. If you have a nearby beauty supply store and that store has an online website, you may want to see if they have any coupons for you to print off. You will also want to check the online websites of your favorite product manufacturers for the same. It may also be good idea to pick a copy of your local Sunday paper, as many Sunday papers are full of coupons, some of which may be for beauty products, like makeup, skincare products, and hair care products.
As you can see, there are a number of different ways that you can go about finding and buying affordably priced beauty products. Looking great or “beautiful,” may be important to you, but it isn’t something that should leave you broke.
Are you interested in learning about beauty trends? If you are, you may have tried using the internet and you may even spent money on beauty books or beauty magazines, but have you ever thought about just turning your television on? If you have yet to take the television approach, you may want to think about doing so.
When it comes to learning more about popular beauty trends, there many individuals who wonder exactly how turning on the television can help. Well, if you are like many other Americans, there is a good chance that you have cable or satellite TV. If you do, this means that you often have access to a large number of channels. One or two of those channels may be referred to as beauty or fashion channels. These types of channels are where you may want to go to learn more about the latest in beauty or fashion tends. You may also find shows that help you learn how to properly apply your makeup and so forth.
In addition to television channels and shows that are devoted to fashion and beauty, you may also want to think about tuning into an entertainment show. Entertainments shows are shows that often cover the entertainment industry. It is not uncommon to find a popular celebrity being interviewed or shown on an entertainment show. As you likely already know, celebrities are often well known for their good tastes in fashion, as well as their beauty. By watching an entertainment show, you may able get a good look at some of you today’s hottest celebrities and the latest fashion and beauty trends they are sporting. In addition to traditional entertainment shows, you will also find that many news channels also have a small entertainment session.
It may even be a good idea to just sit down and start watching a television show or a movie, particularly one that is new or was just recently released. As it was previously mentioned, celebrities are often known for looking their best at all times, especially when they are on screen. If are looking for new ways to spice up your appearance, beauty wise, you may to examine some of the many fashions and beauty products that are shown your television screen. In a way, this won’t even seem like research to you. It is fun to watch TV and kind of amazing when you think about everything that you can learn from it.
In your search for beauty and fashion related programming, you will likely also come across infomercials. These are paid advertising slots. In addition to just selling a beauty product, many infomercials contain multiple product reviews and recommendations from others. While it is nice to find neat beauty products on your television screen, you need to remember that there are no guarantees. Infomercials are a great way to find and possibly buy beauty products, but they may not necessarily be the best at helping you understand the latest in today’s beauty trends.
As you can see, there are a number of different ways that you can use the television to help you learn more about beauty trends, as well as other beauty related issues. This is nice as television is likely something that you already have; therefore, no extra expenses need to be incurred. All you need to do is set aside a few minutes of your time, grab the remote and you should be good to go.
Have you ever heard of a beauty salon spa before? Although you might have, you want to be sure not to confuse beauty salons with beauty salon spas. Yes, they are quite similar and alike in many ways, but there is a difference between a traditional beauty salon and a beauty salon spa. For that reason, if you have yet to try a beauty salon spa, you may want to think about doing so.
When it comes to visiting a beauty salon spa, many individuals wonder exactly why they should do so. As previously mentioned, traditional beauty salons and beauty salon spas are not the same, despite the fact that many people actually think that they are. Therefore, you should think about visiting a beauty salon spa just for the point of trying something new. In all honesty, it is something that you will likely remember for years to come.
One of the reasons why a beauty salon spa visit will likely be a memorable one for you is because of the services that you have access to. When examining the services that could be provided to you, it is important to remember that not all beauty salon spas are the same. For that reason, if you are looking for a particular service, like a spray on tan, you may want to think about contacting your local beauty salon spa ahead of time to first make sure that they do offer spray on tans.
Despite the possibility of various services being offered, there are many services that are offered by most beauty salon spas. As a reminder, beauty salon spas are similar to traditional beauty salons, even though there are a few differences. In terms of the similarities, you will find that beauty salon spas regularly offer common treatments like hair care, such as hair trimming and hair coloring. Nail care, tanning, and makeup applications are also commonly offered at most beauty salon spas.
beauty fitness
As for the difference between a beauty salon spa and a traditional beauty salon, it is the spa setting. Spas are known for their peaceful surroundings. Some beauty salons are too, but many are focused more on seeing as many customers as possible, as opposed to making everyone feel like they could stay all day. In addition to the spa-like settings, you will also find that many spa treatments are offered at many beauty salon spas. For instance, you may be able to undergo acupuncture, get a massage, or even get a body wrap. Additional spa treatment may also be available, but it tends to depend on the beauty salon spa in question.
Although not always common, you may find beauty salon spas that offer cosmetic procedures. Each year, more beauty salon spas are making the decision to offer these types of procedures. A number of beauty salon spas are now starting to offer BoTox injections, laser hair removal, and so forth.
As a reminder, the above mentioned beauty salon spa services are just a few of the many that you may find available at your local spa, but there are no guarantees. Since different beauty salon spas are operated in different ways, you may want to think about contacting your local beauty salon spa for additional information, particularly before making any appointments. This will help make it easier for you to find the beauty salon spa that can best fit you and all of your needs.
Are you looking to improve your sex life? If you are, you may have already heard that being spontaneous is advised. Spontaneity often leads it an increase in interest and an increase in satisfaction, in terms of intimacy. Unfortunately, some men and women find being spontaneous a lot easier said than done. If you are one of those individuals, please continue reading on for some helpful tips.
One of the many ways that you can be spontaneous is by not waiting for your partner to initiate sex. Unfortunately, many women wait for their husbands or boyfriends to get sex started. Why wait? You shouldn’t. In fact, did you know that your partner may be hoping that you start showing more interest in being intimate with them? What better way to do so than to initiate sex yourself?
A creative way to be spontaneous, where sex and intimacy is concerned, is by using text messages. If you and your partner have and use cell phones, send sexy and seductive text messages to them. In addition to text messages, you can also call your partner or send love notes with them when they walk out the door.
As previously stated, there are some individuals who find it difficult to be spontaneous. Parents are often one of those individuals. Even if you are a parent who has children in the house, there are a still a number of ways that you can be spontaneous, in terms of intimacy with you partner. Did you just put your children down for bed? Jump on your partner, literally, as soon as your kids leave the room. Most parents want to sit down and relax after their kids have gone to bed, but show your partner that you have other things on your mind.
Having sex somewhere other than the bed or the bedroom is another way to be spontaneous with your partner. If you are a parent who has kids in the house, just be careful. Don’t have sex outside of the bedroom when they may be awake at night and don’t be too loud or you may have an uncomfortable situation on yours hands.
As for where you can have sex outside of the bedroom, use your creativity. Where do you want to have sex? What locations would allow you to try new positions that just can’t be done in a bed? In addition to being intimate in places like on the couch, in a closet, in the bathroom, or on the kitchen table, consider going outside of the home as well, like to a hotel.
Speaking of getting intimate outside of the home, surprise your partner. You can do this by booking a night at a hotel in town. Make sure you choose one that has romantic rooms or an onsite hot tub or swimming pool. If you are a parent, arrange childcare for your children first, like by calling on a trusted friend or family member. Don’t tell your partner about your plans until you are ready to leave, as being spontaneous involves surprising them.
As you can see, there are a number of different ways that you can use spontaneity as a way to improve your relationship, both inside and outside of the bedroom. What are you waiting for? Get started today? Your partner may appreciate your quick thinking.
Are a high school student who is trying to determine which career field that you would like to enter? If you are not a high school student, are you just an adult who is looking for a career change? If you are and if you have a love for beauty and fashion, have you ever thought about the careers that are focused on fashion and beauty? If you have yet to do so, you may want to take the time to familiarize yourself with some of the many beauty and fashion focused careers that you may find interesting.
One of the many different ways that you can make a living off of your love for beauty and fashion is by becoming a beauty consultant. A beauty consultant is also commonly referred to as a fashion consultant or an image consultant. A beauty consultant often advises or consults with those who are looking for beauty tips, like what type of makeup they should wear for a special event, like a wedding. Beauty consultant also offer varying services, depending on the individual in question. For instance, there are some beauty consultants who also specialize in makeup application, but not all do.
Another career opportunity that has a focus on fashion and beauty is that of a beauty salon owner or a beauty salon spa owner. In all honesty, there is a very small difference between a beauty salon and a beauty salon spa. Both offer popular services like hair care, nail care, makeup application, and tanning, but beauty salon spas also have a focus on many spa treatments, like massage treatments, acupuncture, and so forth. Getting your own beauty salon or beauty salon spa up and running can be a little bit difficult and costly, but as more men and women are deciding to pamper themselves, it is a business venture that may bring you profits.
As it was previously mentioned, owning your own beauty salon or beauty salon spa can be profitable, but it often takes quite a bit of money, hard work, and determination to get started. If you would still like to work at a beauty salon or a beauty salon spa, but you don’t want to start your own business, you can still do so. Each year in the United States, thousands of new beauty salons and beauty salon spas open for business and many more decide to hire new employees. If you have experience working for a beauty salon or a beauty salon spa or if you attended beauty school, even if it was just a locally offered training course, you stand a good chance of being hired as an employee at a beauty salon or a beauty salon spa.
If you have a love for beauty, but you don’t necessarily have experience trimming hair or doing popular nail care procedures, you may want to think about opening your own beauty supply store. What is nice about opening your own beauty supply store is that you have a number of different options. For starters, you can choose to have a storefront location or you can choose operate your business online. In fact, you can even choose to do both if you want. You also have the option of carrying as many or as few beauty products and supplies as you want to. You also have the option to buy all of your merchandise wholesale, which many business owners seem to find more affordable.
As with working as an employee at a beauty salon or a beauty salon spa, you can also choose to work at a beauty supply store instead of actually own one. Many beauty supply stores often hire beauty consultants, as well as managers, stockers, and cashiers. You may even want to think about selling beauty products for another company, like Avon or Mary Kay, as an independent contractor.
As you can see, there are a number of different careers out there for those, like you, who may have a love for fashion and beauty. It is a known fact that those who work in a career field that they enjoy are more likely to be happy with their lives, even outside of work; therefore, you may want to further research the above mentioned career and job opportunities.
Originally broadcast live on 06 April 2020, the daily press briefing on coronavirus COVID-19, direct from WHO Headquarters, Geneva Switzerland with Dr Tedros WHO Director-General, Dr Micheal Ryan, Executive Director of the Health Emergencies Programme, and Dr Maria Van Kerkhove, Technical lead, WHO Health Emergencies Programme with special guests Lady Gaga and Hugh Evans, CEO and Co-founder of Global Citizen.
Transcript:
Speaker key:
TJ Tarik Jasarevic
TAG Dr Tedros Adhanom Ghebreyesus
LG Lady Gaga
HE Hugh Evans
MR Dr Michael Ryan JA Jamie
MK Dr Maria Van Kerkhove KA Kai
KT Kate
IN Innocent
YA Yang
00:00:19
TJ Good evening to everyone from Geneva and WHO headquarters. Welcome to the regular press conference on COVID-19. Journalists who are online can ask their questions by clicking raise hand if you are
on Zoom. Today we have a special guest but I will let Dr Tedros do his opening remarks and introduce them. Before I give the floor to Dr Tedros, just to remind you, we will also be sending you some news from other
WHO offices around the world with the audio file from this press briefing a little bit later. I give the floor immediately to Dr Tedros.
00:01:07
TAG Good morning, good afternoon and good evening. The COVID-19 pandemic continues to take a heavy toll on families, communities and nations the world over but it’s also giving rise to incredible acts of generosity,
solidarity and co-operation. We have said consistently that we’re all in this together and we can only succeed together. We need an all- of-society approach with everyone playing their part. That includes people in the entertainment
industry.
Today I’m very delighted to be joined by one of the biggest names in entertainment in the world, Lady Gaga, and my friend Hugh Evans, the founder and CEO of Global Citizen.
WHO has been working with Global Citizen for several weeks on the Together At Home concert series with artists like Chris Martin and John Legend giving free online performances.
Now we’re working with Lady Gaga and Global Citizen to take this concept and make it even bigger through the One World Together At Home virtual global special on Saturday 18th April. It’s now my great pleasure to invite
Lady Gaga and Hugh Evans to say more about this very special event, One World.
00:03:10
LG Thank you very much, Dr Tedros. Good morning, good afternoon and good evening to everyone who’s listening and watching. I would like to thank the World Health Organization and the
United Nations as well as Global Citizen; thank you very much, Dr Tedros and Hugh Evans, for all of your leadership in this fight against COVID-19 and thank you very much to the World Health Organization for asking me to collaborate
with you on this special.
We are also very grateful to all of the healthcare professionals across the country and around the world who are on the front lines during COVID-19. This global pandemic is a catastrophe. I’m so thankful to them and I’m also
praying for those who are sick. It’s been a pleasure to partner with Global Citizen and we’ve been working all together behind the scenes to raise money for the World Health Organization.
I would also like to send my prayers as well to people that are losing their jobs and are having a hard time feeding themselves and their children. We are raising money for the World Health
Organization’s COVID-19 Solidarity Response Fund and seven days ago we held a call with more than 68 corporate leaders from some of the world’s biggest and most generous companies and I asked them to join my corporate kindness
list as there have been many corporations and philanthropists that have been very, very generous during this time.
00:04:38
Since then we have also been calling on philanthropists around the world as well and tech companies included. I’d like to reiterate our deep gratitude to the medical community. My heart is very, very aching and warm for those
who are ER doctors as well as nurses who are sleeping in cars to make sure they don’t infect their families or their patients. What you’re doing is putting yourselves in harm’s way to help the world
and we all salute you and you are a triumph truly.
I am proud to say that over the past seven days we’ve raised a total of $35 million for the Solidarity Fund. This money will [inaudible] essential PPE, supplies and testing kits around the world and will help improve lab capacity
to rapidly process tests. It will also [inaudible] research development. It is so important to think globally and to support the World Health Organization to curb the pandemic and prevent future outbreaks.
I know Dr Tedros is particularly concerned about Africa and [inaudible]. We also need to act globally by supporting local charities and initiatives so that the front-line health workers in most immediate need have the resources they need
to survive during this time. It has been an honour to help with this huge broadcast event, which will take place on April 18th, where we need to tell the stories of and celebrate the front-line community, healthcare workers and their acts of kindness.
We will be on different networks, many networks actually and I want to [inaudible] about what we’re going to be doing. What’s very important is that two things happen for all of us; that we celebrate and we highlight the singular, kind global community
that is arising right now. Two, we want to highlight the gravity of this historically unprecedented cultural movement and, three, we want to celebrate and encourage the power of the human spirit.
00:06:47
I would like to, on behalf of the World Health Organization and Global Citizen, thank Dr Tedros as well as everyone that has donated so far. We are going to continue fundraising but I would like to also let you know that
this broadcast special is not actually a fundraiser. We all wanted to raise the money before we went on air so when we do air live on April 18th put your wallets away, put your credit cards away, anything
away that you need to and just sit back and enjoy the show that you all very much deserve.
I’d like to pass this now to Hugh Evans, who’s been a wonderful partner of mine. Hugh, thank you so much and thank you, Dr Tedros.
HE Good morning, good afternoon, good evening and thank you, Dr Tedros and thank you, Lady Gaga. Your Excellencies, ladies and gentlemen; Lady Gaga, Dr Tedros,
you’ve both demonstrated extraordinary leadership at an unprecedented moment when our society is being challenged like never before and we are so thankful for your leadership. I’d like to echo Lady Gaga’s sentiment and commend the incredible acts
of bravery demonstrated by the front-line community health workers around the world and I hope that we as a shared humanity emerge from this moment forever grateful for the work of doctors, nurses, teachers, grocery store workers and all of those who are
the backbone of our communities.
Global health is at the very core of the global citizen mission and we must ensure that the world’s poorest and most marginalised people have access to resources to cope with and tackle this health crisis. Through One
World: Together At Home on April 18th we’ll be calling on philanthropists, corporations and governments to fund critical global COVID-19 response efforts including distribution of resources and PPE to critical front-line healthcare
workers.
00:09:09
In our partnership with the WHO and United Nations Global Citizen is committed to driving action to help ensure our global health systems are strong enough to stop a future pandemic before it happens. April 18th is going to be a moment of global unity
connecting the world through a historic global broadcast. We are bringing together the greatest artists in the world under the passionate and extremely talented curation of Lady Gaga.
In alphabetical order some of the artists we’ll be announcing today include Alanis Morissette, Andrea Bocelli, Billie Eilish, Billy Joe Armstrong of Green Day, Burna Boy, Chris Martin, Sir David Beckham, Eddie Vedder,
Sir Elton John, Finneas, Idris and Sabrina Elba, J Balvin, John Legend, Kacey Musgraves, Keith Urban, Kerry Washington, Lang Lang, Lizzo, Maluma, Sir Paul McCartney, Priyanka Chopra Jonas, Shah Rukh Khan, Stevie Wonder and many more to be announced over the coming weeks from all corners of the globe under the passionate and extremely talented curation of Lady Gaga.
We’re grateful to all of you for participating and supporting this critical effort. One World Together At Home will be broadcast live on Saturday April 18th 2020 at 5:00pm PDT, 8:00pm EDT and 12:00am BST, airing on ABC, NBC, Viacom and CBS networks,
IHeartMedia, and Bell media networks and platforms in Canada. Internationally BBC1 will run the programme on Sunday April 19th and additional international broadcasters include BN Media Group, Multi-Choice Group and RTE in Ireland.
00:11:43
The digital broadcast will celebrate and support brave community health workers who are doing life-saving work on the front line and we’ve all seen the limitations of world leaders around this world to step up and face this extraordinary challenge
and we want to do our best to support the essential work of the World Health Organization, driving action and raising critical funds. Thank you again, Dr Tedros, and thank you, Lady Gaga, for your leadership.
Thank you all.
TJ Thank you very much to our guests for their remarks. Dr Tedros, I guess you would like to thank them too.
TAG Once again I would like to thank Lady Gaga and Hugh Evans for their partnership. We had a call last week and I was so amazed by the energy and passion of Lady Gaga. It’s incredible commitment to humanity and that’s
when I said, I think what she has planned can happen. It’s bringing the world together to improve awareness and to mobilise resources to fight the pandemic so I thank her for her incredible passion and commitment and leadership and
also to my friend, Hugh Evans, for connecting all the dots and for his leadership.
We all look forward to joining you for the One World: Together At Home concert on 18th April. As the pandemic continues we recognise that individuals and governments want to do everything they can to protect themselves and others and so do we.
We understand that some countries have recommended or are considering the use of both medical and non-medical masks in the general population to prevent the spread of COVID-19.
00:14:21
First and foremost medical masks must be prioritised for health workers on the front lines of the response. We know medical masks can help to protect health workers but they’re in short supply globally. We’re concerned that the mass
use of medical masks by the general population could exacerbate the shortage of these specialised masks for the people who need them most. In some places these shortages are putting health workers in real danger.
In healthcare facilities WHO continues to recommend the use of medical masks, respirators and other personal protective equipment for health workers. In the community we recommend the use of medical masks by people who are sick and those who
are caring for a sick person at home.
WHO has been evaluating the use of medical and non-medical masks for COVID-19 more widely. Today WHO is issuing guidance and criteria to support countries in making that decision. For example countries could consider using masks in communities where other measures such as cleaning hands and physical distancing are harder to achieve because of lack of water or cramped living conditions.
If masks are worn they must be used safely and properly. WHO has guidance on how to put on, take off and dispose of masks. What’s clear is that there is limited research in this area. We encourage countries that are considering the use
of masks for the general population to study their effectiveness so we can all learn. Most importantly masks should only ever be used as part of a comprehensive package of interventions. There is no black or white answer and no silver bullet.
Masks alone cannot stop the pandemic. Countries must continue to find, test, isolate and treat every case and trace every contact. Mask or no mask, there are proven things all of us can do to protect ourselves and others.
00:17:13
Keep your distance, clean your hands, cough or sneeze into your elbow and avoid touching your face. Less than 100 days since WHO was notified about the new coronavirus research has accelerated at incredible speed. The viral genome
was mapped in early January and shared globally, which enabled tests to be developed and vaccine research to start. More than 70 countries have joined WHO’s Solidarity Trial to accelerate the search for an effective treatment and about
20 institutions and companies are racing to develop a vaccine.
WHO is committed to ensuring that as medicines and vaccines are developed they’re shared equitably with all countries and people. I want to thank the Medicines Patent Pool and Unitaid for the initiative they announced last
Friday to include medicines and diagnostics for COVID-19 in their licensing pool.
I also want to thank the President of Costa Rica, President Carlos Alvadaro, and the Health Minister, Daniel Salas, for their proposal to create a pool of rights to tests, medicines and vaccines with free access or licensing on reasonable and affordable
terms for all countries. Muchas gracias, Mr President. I support this proposal and we’re working with Costa Rica to finalise the details.
00:19:09
Poorer countries and fragile economies stand to face the biggest shock from this pandemic and leaving anyone unprotected will only prolong the health crisis and harm economies more. I call
on all countries, companies and research institutions to support open data, open science and open collaboration so that all people can enjoy the benefits of science and research.
Finally we’re nearing the end of the Ebola outbreak in the Democratic Republic of the Congo. This is one piece of good news. If there are no more cases the Government of the Democratic Republic of Congo could declare the outbreak over as early
as this Sunday. We’re not there yet and we remain in full response mode. We’re continuing to investigate alerts and to test samples.
This would not have been possible without the incredible health workers who have put themselves at risk for more than 18 months to stop this outbreak, just as health workers are putting themselves in danger to save lives from COVID-19. Health
workers in DRC faced the double threat of fighting a deadly virus in one of the world’s most dangerous and unstable regions, exposing themselves to Ebola and bullets.
Tomorrow, as you know, is WHO’s birthday, a day we celebrate each year as World Health Day. This year we’re paying tribute to the incredible contribution of all health workers, especially nurses and midwives. Nurses and midwives are the backbone of
every health system. They’re there from the first moments of life to the last. Tomorrow we’re publishing our first report on the state of the world’s nursing which highlights gaps and makes recommendations for all countries.
00:22:00
One of the lessons I hope the world learns from COVID-19 is that we must invest in health workers, not only to protect lives but also to protect livelihoods. I thank you.
TJ Thank you very much, Dr Tedros. Also, as always, we have Dr Mike Ryan and Dr Maria Van Kerkhove, who will be answering questions. We will now open the floor. I will go to one question
that I received by email this morning and I promised to answer; that’s Ankit Kumar from India Today. Ankit is asking; we have recently seen a spike in cases caused through religious gatherings in India, in fact almost a third of new cases
were linked to one gathering in India. We have also seen incidents of violence against health workers due to fear and misinformation. Is WHO concerned with these developments, what is WHO’s message to religious and community leaders and their
followers?
MR First and foremost the idea of violence against health workers is driven by fear and it’s driven by misunderstanding but it’s really unacceptable. We ask everyone and every community to see our health workers
as our heroes and to support them in every way we can.
With regard to gatherings of any type, be they religious or be they for other purposes, there are always risks associated with such gatherings in the midst of a major epidemic. WHO has issued guidance on that. Many of these gatherings
are now postponed or cancelled. We’ve been working very, very closely with religious and faith-based organisations all over the world including groups from the Islamic tradition, Christian
traditions and others and continue to work through faith-based organisations to communicate using our Epiwin platform.
00:24:21
We’re also continuing to develop guidance specifically for the holy month of Ramadan and are working through our Eastern Mediterranean regional office to be able to advise governments and religious institutions on how best to manage
the risks associated with such holy events.
But it’s very important again; having COVID-19 is not anybody’s fault. Every case is a victim and every case needs to be treated with sensitivity, as the health workers who treat them so it’s very important that we’re not profiling COVID-19
along racial, along religious, along ethnic lines. This is not helpful.
TJ Thank you very much. This was a question from Ankit Kumar from India Today. Now we will go to journalists online. We will start with Jamie from Associated Press. Jamie, can you hear us?
JA Hi, yes. Can you hear me? TJ Yes. Please go ahead.
JA Great, thank you very much. I wanted to ask you about… Over the weekend Dr Anthony Fauci mentioned that – if I understood it correctly – as much as 50% of transmission could be asymptomatic. Just aligned
with that, if you could give us a little bit more about what you’re thinking about the fact that some countries have said that this outbreak is more infectious than influenza. The CDC is saying that it’s up
to three times more infectious than influenza so what do you have to say about that? Thanks.
00:26:13
MK I’ll start and then perhaps Mike or DG would like to supplement. The modes of transmission and the way in which this virus is transmitted are of significant interest to all of us. What we are doing is working
with member states, we’re working with everyone that’s affected by this, looking through the research and trying to understand when most transmission is happening, when any transmission is happening.
What we know from reports, what we know from published literature is that the predominant way in which transmission is occurring is amongst symptomatic individuals and these are people that can be very early on in symptoms, even when they start
to feel a little bit unwell. This is supported by some data that attempts to catch a virus from individuals who are symptomatic.
We also know that it’s possible that people can transmit in the few days before they become symptomatic or in their pre-symptomatic phase. There have been some studies that have come out and we learned about this when we were on mission
in China back in January or early February, that there are individuals that can shed virus one to three days before they develop symptoms.
However it’s very important to note that even if you are pre-symptomatic or even if you don’t have any recognised symptoms you still have to transmit through droplets, you still have to have these infectious particles that come out
of your nose and your mouth. So while we know that that is possible we do not believe that it’s a major driver of transmission.
00:27:42
We’ve also seen modelling estimates that suggest that there’re large numbers of unrecognised transmission and I used unrecognised on purpose because I’m not saying asymptomatic. I’m saying that we may be missing people who are out there who are infected
but we’re missing them because of current surveillance strategies. That is certainly possible in many parts of the globe.
Whether or not those individuals are asymptomatic; we will have to wait until we see the results of serologic studies, which we hope we’ll be seeing in the coming days if not weeks.
So what we can say is that most people are transmitting this virus while they are symptomatic.
JA Hi, Jamie. Just in addition because I think – I would never in any way contradict my good friend, Tony Fauci, such an eminent man. There are many different estimations of what might represent asymptomatic
transmission or other infections in the community and we do know and everyone accepts that when the seroepidemiology studies do come online we will probably find more people who’ve been infected unknowingly; there’s no question of that.
The thing we need to address in all of this is very often the idea of severity versus infection and there is a huge association between the dose of exposure and the severity of infection. We see this in many other
infectious diseases so we also probably need to look at who is getting sick and very sick and is the dose and the type of exposure they’re getting different to those who may be exposed and seroconverted in the community.
00:29:26
So it’s not just a matter of looking at how many people in the community are infected but are there specific elements of exposure that cause individuals to have a higher dose of exposure or a specific route of exposure
that causes more severe infection? There is also that concept of infectious dose when we talk about the different types of transmission. If somebody is exposed to a high dose from another individual directly or from a surface that’s
heavily contaminated you can imagine the large dose.
In other circumstances individual particles or virus particles potentially floating through the air; it can be demonstrated that that may happen in certain circumstances, certainly in healthcare settings. But is that significant in
terms of driving infection, is that significant, does that produce an infectious dose that can successfully infect another individual?
These are all very important things that still need to be studied. Again we’re only a number of weeks into this. I think we need to have the seroepi studies. I think we need more information on what is the infectious dose and particularly
the relationship between the dose of exposure or infection and the severity of disease subsequently, which has been seen with many, many other diseases in the past including cholera, Ebola and others.
TJ Thank you very much, Mike and Maria. We will go now to our next question; that’s Kai Kupferschmidt. Kai, can you hear us?
00:31:01
KA Yes, Tarik. Thanks a lot for taking my question. I wanted to ask about the global push to try and find a pre-exposure prophylaxis or a post-exposure prophylaxis. I understand there’re
several trials going on, most of them with chloroquine or hydroxychloroquine. I was just wondering whether you can speak a little bit to what role this could potentially play.
Of course also there’re a lot of smaller studies going on. Is there any way to make sure that they all lead to results that can be proved in the end?
MR Maria can give you more detail but certainly one of the Solidarity trials – I think Solidarity 3 or 4 – we have one of the trials under design which will be a multi-centre study which will look at prophylaxis in healthcare workers to see whether there’s evidence that giving lower doses of drugs like chloroquine or hydroxychloroquine to healthcare workers would reduce their risk of becoming infected in a healthcare environment.
Those studies are certainly underway and again there are a number of those studies underway in smaller studies around the world but again as WHO we’re trying to bring together a larger set of collaborative studies that will give
us the answers we need.
In terms of post-exposure prophylaxis I don’t believe we have at the moment studies planned but Maria can speak to that but there is certainly evidence for the use of – not proven evidence of effectiveness but there are a number
of studies underway and trials underway that use hyperimmune globulin in the treatment of disease; in other words they use that purified plasma of recovered individuals to give an antibody boost to people who are
suffering the disease.
00:32:49
Similar approaches have been used in post-exposure prophylaxis for other diseases but Maria may be aware of studies underway in that area.
MK Only to add that, as you mentioned, there are a number of smaller studies that are happening globally and across a large number of countries. We have teams through our science division and through GOARN,
through the Global Outbreak Alert Network, who are pulling together available literature on a number of topics, one of which is looking at different types of therapeutics and drugs.
The idea is until we can have a study that pulls together enough of a sample size to get these answers to these questions we’re trying to evaluate every piece of evidence that is published so that we can look at the way in
which these studies were done, we can look at the strengths, we can look at the limitations so that can help guide us closer towards an effective treatment for COVID-19.
TJ Thank you very much. The next question is from BFM Radio. Is is Kate who is with us?
KT Yes, hi. Good evening or good morning. I’m from BFM Radio Malaysia. My question is, many countries around the world have imposed lock-downs or some sort of restrictions on movement. I was wondering
what WHO’s guidance would be; what’s the sweet spot, the kind of data that governments need to consider before lifting or relaxing some of these lock- downs? Thank you very much.
00:34:29
MR Thank you. It is a difficulty for governments right now because the lock-downs in many situations are proving effective in dampening the flames of the epidemic in those countries but those
lock-downs are also causing great economic hardship and everybody especially in the developing world needs to get to a more sustainable way of managing this epidemic and controlling COVID-19 without continuing to damage economic and social life.
The transition strategy out of lock-down requires a calibrated, step-wise approach. It would be probably very inadvisable just to lift a complete lock-down, all of the measures because lock-downs are a general term that
include closure of schools, closure of churches, stay-at- home orders, closure of workplaces. It’s a mixture of different things and I think each government needs to break out, what does our lock-down actually constitute, what are the elements
of our lock-down, where is that happening in the country, do we now understand the epidemiology of the disease in each area in which we have an element of lock-down or shut- down.
Then to chart the path out, you have to build strong public health capacity to take over from the lock-down. In other words the lock-down is pushing the disease down by putting people back in their homes, by separating communities. Once you raise
the lock-down you have to have an alternative method to suppress the infection. The way to do that is active case finding, testing, isolation of cases, tracking of contacts, quarantining of contacts and strong community education and
participation and ownership around normal physical distancing, hygiene and giving communities the power to control infection by in effect managing their own physical distance, managing their own capacities to support the response.
00:36:32
In that situation, if you’ve strong public health capacity, if you’ve got a community that’s mobilised and empowered and if you’ve strengthened your health system then you’re potentially in a position to start unlocking or unwinding the lock-down.
The specific parameters you need to be looking at are on two sides.
One is, it would be very inadvisable to lock down [sic] if the number of cases coming through the hospital is already at a level where your occupancy of beds is nearly at 100%. You need to be in a position where
you now have free beds in your system so that you’re managing and coping with the caseload and that means you have some absorption capacity left.
You need to look at things like the doubling rate; how many days does it take for the number of cases to double? You need to look at positivity rates; what proportion of all samples that we test are positive? You’ll see in
somewhere like Korea two to 6% of the samples they test are positive. Last week in New York 37% of tested samples were positive so you need to carefully look at what proportion of people you test are positive.
00:37:45
You need to look at the number of contacts that are generated per case and it goes on and on and WHO will be issuing guidance to countries that is a much more specific around the parameters they should be looking at. There are no absolutes here, there
are no answers, there are no numbers that say if this number is this then you do that. That doesn’t exist but what we can do is offer countries very specific measurements that they need to look at to chart the path out of lock-down.
That step-wise approach of unlocking somewhat and then waiting to see; I think you need to say, we will stop doing this element of the shut-down and then we will wait and we will look at the data and if that works we go to the next
stage and the next stage. So a careful, calibrated, step-wise exit from lock-down with putting in place public health capacities, putting in place community capacity, building the capacity of the health system to cope should the disease bounce back up; that’s the safe path out of lock-down.
We want to achieve it as quickly as possible and we want to avoid many countries going into that circumstance and we still have many countries around the world who are not in a locked- down situation. In fact their epidemiology would suggest
they can avoid the worst of this and we need to support them to avoid them going into that situation.
The most damaging lock-downs are in many developing countries where people – as the DG has said many times – can live from hand to mouth, not from pay cheque to pay cheque but from day to day and we have to find adaptive solutions
around lock-down and around disease control in vulnerable periurban populations living in poverty, in poor rural communities. We have to find alternative, adapted ways to manage lock-downs or slow-downs or shut-downs in
those situations.
00:39:41
TJ Thank you very much. This was Kate from BFM Radio in Malaysia. Now we will go to Nigeria to Natural Star and it’s Innocent. Innocent, can you hear us?
IN Thank you. Can you hear me?
TJ Not very well but we will try. Please go ahead.
IN Okay, thank you for taking my questions. I have two questions to ask. One; how will WHO assess African countries on what they’ve done concerning the lock-down and management of COVID-19?
Then the second one; there’s news going around that vaccines are to be tested on Africans when they’re developed. How true is that and is there a window that’s in the nearer future when a vaccine will be developed for COVID-19? Thank you.
Hello?
TJ Yes, we are just trying to make sure that we understood the question but we will try. MR I think this is Nigeria. Is it?
TJ Yes.
00:41:08
MR Maria may answer the question around vaccine development. With regard to our general assessment on lock-down – and the Director-General may wish to comment on this because he’s been speaking with many leaders in Africa
and, I believe, spoke with the whole of the African Union leadership and countries late last week so therefore is in a much better position than me to speak about that.
We would characterise so far, Africa’s actually doing well in this response thus far. Countries have essential capacities for testing, many countries are taking strong action and want to really focus on finding cases and doing contact tracing and trying to stop this disease becoming much more extensive given the fact that health systems are not as strong in many countries.
They need support in that though, they need support in testing, they need support with protective gear and they need to be given the resources to be able to mount those types of responses so I would characterise that Africa has not suffered the worst
of this pandemic so far. The worst of it can be avoided with very, very swift action to support those countries in Africa who really do want to take a comprehensive approach to this disease.
With the many vulnerable people including refugees and migrants who live in those countries it is our responsibility to provide that support but, DG, you may wish to speak about your interactions with the African
Union countries.
00:42:46
MK I’ll answer the question around vaccines. What we can say is that there are a number of vaccines that are in development and vaccines will be tested through clinical trials with all ethical considerations
in place in whichever populations are under study with informed consent, with open and transparent communication. This is of the utmost importance, that not only do we have strong, robust scientific evidence
but we ensure that all of the studies that are done are done with appropriate and the highest level of ethical considerations.
One thing on the first question around Africa is that there are a number of countries in Africa right now which have very few cases and Mike has alluded to this in his earlier response.
Some only have imported cases and there is an opportunity here, this window of opportunity that the DG has spoken about exists in many countries still. There is an opportunity to prevent the worst from happening
in a number of countries across Africa and across countries that are still seeing their first case; in some island countries.
We need to support those governments, those countries, all of the people in those areas to prevent the worst from happening, to prevent these individual cases from becoming clusters, these clusters from becoming community transmission. I think that’s
where we need to put a lot of emphasis and support so that we can prevent countries from reaching a point where they need to put in these very restrictive movement restrictions.
TAG Thank you. Thank you for that question, my brother from Nigeria. On the situation, as Mike said, of course when you see the number of cases the African continent has the lowest number of cases so far but that doesn’t mean that
the situation will not deteriorate. It may.
00:45:06
So Africa should do everything to prevent this situation from getting worse and that’s why African leaders are doing their best. I had a chance to participate in a meeting, a Leaders’ Coalition which was arranged or invited by the current Chairperson
of the African Union, the President of South Africa, President Ramaphoza and many leaders from all corners of the continent have actually participated.
The main agenda is to have a continental strategy and also make sure that that continental strategy helps the national strategy but in addition to a coalition of political leaders or the heads of state and government they have also agreed to have a coalition of business leaders. Business leaders in Africa are also getting together because Africa will need resources and one of the major problems that was identified during the discussion
was especially shortage of equipment starting from medical equipment, PPE and test kits and so on.
The leaders have agreed to look for concrete solutions to address the problem and they also believe that considering the number of cases we have in the continent testing cases, tracing contacts and isolating them, meaning using the comprehensive approach,
will actually help. They believe that lock-downs alone may not help or the physical distancing alone cannot help and they have agreed to do everything to follow the comprehensive approach.
From WHO’s side we have been supporting and we increased, improved the testing capacity in Africa significantly in the past two months and many countries in Africa have now testing capability although we may have a shortage of test kits but
we’re working on that too and we’re finding different ways of addressing the gap.
00:48:06
But we will support the African Union, we will support the Africa CDC and also we will continue working through our WHO regional office in Congo Brazzaville and continue to support and fight the pandemic together.
Then on the vaccines issue there was, I think, a comment last week from a couple of
scientists who said the testing ground for the new vaccines will be Africa. To be honest, I was so appalled and it was a time when I said, when we needed solidarity these kind of racist remarks actually would not help, it goes against the solidarity.
Africa cannot and will not be a testing ground for any vaccine. We will follow all the rules to test any vaccine or therapeutics all over the world using exactly the same rules. Whether it’s
in Europe, Africa or wherever we will use the same protocol and if there is a need to be tested elsewhere to treat human beings the same way, equally.
The hangover from a colonial mentality has to stop — and WHO will not allow this to happen. It was a disgrace actually and appalling to hear during the 21st century from scientists that kind of remark and we condemn
this in the strongest terms possible but we assure you that this will not happen in Africa and will not happen elsewhere, in any country. Proper protocols will be followed and human beings will be treated as human
beings because we’re all human beings.
00:50:37
Then after saying this the vaccine development; we’re addressing two issues and we will be announcing as soon as possible, hopefully during this week, a big initiative to accelerate the research and development and production of vaccines and also
design mechanisms for equitable distribution of the vaccines.
While we’re looking for vaccines, unless we break the barriers to equitable distribution of the products, whether it’s vaccines or therapeutics, we will have a problem, so we need to address the problem ahead of time, we need to address the problem
of access or challenges to access ahead of time.
That’s why we will put together a mechanism and we will appoint senior people from the North and South that will work out the details on how they can accelerate production but at the same time how they can ensure equitable distribution. Solidarity
is very important here. When a vaccine or a medicine is ready we have to be able to deliver it all over the world.
There should not be a divide between the haves and the have-nots.
If we say solidarity, solidarity should be in its full form and I hope each and every individual, each and every human being will go for that kind of solidarity. I thank you.
TJ Thank you, Dr Tedros. We’ll take a couple more questions. We go to Yang from Xinhua news agency. Yang, can you hear us?
00:52:58
YA Can I hear you?
TJ Yes, we can hear you. Please go ahead.
YA As World Health Day is approaching what do you have to say to the front-line medical workers in China and around the world in the global anti-virus efforts? This question is
for Dr Tedros. Thank you.
TJ If we understood well, the question is what is the message to health workers in China and around the world. Maybe you can repeat the question one more time, please.
YA Okay. As World Health Day is approaching what would you say and what message do you want to deliver to the front-line medical workers in China and around the world in the global anti-virus effort?
TAG I think I have said it earlier; as you know, this is the year of the nurse and the midwife, 2020. We were ready to celebrate it in a big way and it was supposed to be the main event in our
Assembly in mid-May. Unfortunately we’re in this situation but we will be launching a report tomorrow which is the first of its kind. It’s a report on the state of nursing. We will launch it tomorrow during the World Health
Day.
00:55:01
But while launching that report, although it’s about nursing, we will celebrate all health workers, midwives, pharmacists, doctors, you name it. I think the world is now seeing the importance and the central role that health workers play. People,
when they’re asked, of course, to choose they would say health first because it’s only when you’re healthy that you can aspire to anything, whether it’s wealth or fame or anything. It doesn’t matter if you’re not healthy.
If you’re not healthy the first thing you ask for is to get back your health and our health workers are making sure that happens and they’re central and very important for any individual. So not only during COVID but during other times too health
professionals are very important because they are safeguarding that very important aspect of life — that’s health.
So we have to celebrate them every day. Of course during COVID we can see to what extent they’re sacrificing. We have lost many of them. They’re dying while saving lives so my message first is to the public at large; that each and every individual
should recognise, whether it’s during normal times or pandemics like now, the role of health professionals and help them, protect them, really appreciate and respect what they are doing.
To the health workers, although especially during this COVID pandemic you’re working in a difficult situation you should know that your work is the most blessed one, your work is something special to the extent of losing your life
while helping others to live. We respect you and appreciate you for that and we also believe in you and that you will do everything to control this pandemic.
00:58:11
But you should know that you have – and the world understands – the most important job. We can see the humility which is coming from some leaders because of this pandemic. I know they’re seeing, starting from their own lives, the whole world through
a different prism and they will also see your role.
But the most important is not the recognition from the public or from leaders but the internal commitment and passion you have and believing that you’re doing the most blessed thing and you have all our respect and appreciation and we believe in
you, that together we will finish this pandemic. All the respect and appreciation we have to you, the greatest respect and appreciation ever. Thank you.
TJ Thank you very much, Dr Tedros. I think this important message will be heard from everyone and we will conclude this press briefing with these important words from Dr Tedros. We will
have an audio file available in the minutes to come and we invite you for our next briefing on Wednesday. Thank you.
TAG [Inaudible] and see you on Wednesday – tomorrow actually for the launch. Yes, see you tomorrow.
01:00:18
Read More
https://www.who.int/news-room/detail/06-04-2020-virtual-press-conference-on-covid-19–06-april-2020
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Researchers in China have recognised that optical character recognition (OCR) has matured and can identify and extract information from documents that use standard writing styles. However, the world over people have very different ways of writing that might remain obscure to OCR. Moreover, people scrawl and gesture on tablets and phones and other devices in ways that are not even close to their normal handwriting and so are likely to be illegible to a computer.
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Success at the dog track is measured by how much money you make. It’s as simple as that. If you walk out with less money than you walked in with, you have a problem. If you walk out with more money than you walked in with, on a regular basis, you’re a winner. Of course, we all have our losing days, but you need more winning days than losing ones.
So, what’s the best way to make sure that your bankroll grows rather than shrinks? While there are a lot of different ways to handicap greyhounds, I think that there’s only one way for most people to get to where they can make money at the track almost every time they go. You do it by starting small and building up to making bigger bets.
Your instinct might be to make big, complicated bets – wheeling and keying dogs in trifectas and superfectas. Unless you have very deep pockets, phenomenal luck and fantastic handicapping skills, you’ll lose your shirt. Instead, here’s the best way to win money and keep more of it at the dog track.
Start with win bets. Find the best dog in a race and bet it to win. Use a good handicapping system and don’t bet too many bets on a program. Betting every race is the quickest way I know to empty your pockets and get discouraged. However, DO handicap every race. Play the ones you’re surest of and just watch the rest and see if your pick wins.
No one can pick a winner in every race, I don’t care how good they are at picking dogs. On a program with 10 races, the average beginner should bet no more than 3-4 dogs. Do that until you’re hitting enough so that you’re ahead on almost every program. It’s very important to keep good, written records of your picks. No changing your mind after the race because you would have picked a dog. Be honest with yourself and keep track of your wins.
When you get to where you’re picking enough winners to make a profit on them on a regular basis, increase the amount of your win bets. That’s all there is to making a consistent profit at the track. Once you’ve mastered this, you can go on to quinielas, trifectas and even superfectas. But until you develop your handicapping skills, stick with small win bets on a few races. It’s very hard to do, but worth it in the long run.
