Tag: Present

  • Top ten things to consider before claiming Social Security

    Top ten things to consider before claiming Social Security

    In this episode, Maria and Joel present their top 10 list of things to think about before claiming Social Security.
    Top ten things to consider before claiming Social Security
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    https://investornews.vanguard/top-ten-things-to-consider-before-claiming-social-security/

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  • WHO teams with partners to mitigate the potential impact of the COVID-19 pandemic in malaria-affected areas

    The rapid spread of COVID-19 is testing the resilience of robust health systems around the world. WHO and its partners are taking measures to mitigate the potential impact of sustained transmission of the coronavirus in malaria-endemic settings –
    particularly in sub-Saharan Africa, which shoulders more than 90% of the global malaria burden.

    To date, a small proportion of the global COVID-19 cases have been identified in malaria-affected countries. However, as of 17 March, 25 countries in the African Region had reported cases of COVID-19, and local transmission of the disease had been detected
    in 6 countries (Algeria, Cameroon, Kenya, Rwanda, Senegal, South Africa).

    “At this point, we still don’t know what the COVID-19 pandemic will look like in sub-Saharan Africa,” said Dr Pedro Alonso, Director of the WHO Global Malaria Programme. “But we do know that when public health emergencies have
    hit parts of Africa with weak health systems and high malaria transmission, the impact on malaria disease and death has been very severe.”

    The 2014-2016 Ebola outbreak in Guinea, Liberia and Sierra Leone, for example, undermined malaria control efforts and led to a massive increase in malaria-related illness and death in the 3 countries.

    Joint action 

    To support malaria-affected countries, WHO has identified the need for a set of inter-related actions among global partners: 

    • generating, using and disseminating accurate information; 
    • mitigating against health system disruptions; and 
    • ensuring the continuity of routine malaria-specific interventions while also providing, where needed, additional emergency measures, such as mass drug administration, in health systems significantly impacted by COVID-19. 

    The Organization convened partners on 17 March to discuss areas of collaboration, coordination and next steps.

    WHO has begun monitoring the evolving geographic location of COVID-19 cases to understand the extent to which the coronavirus and malaria affect the same target groups. This information will reveal who is likely to be at greatest risk, where and when,
    and thus inform the need for malaria-specific interventions to save lives.

    In parallel, WHO is working across the 3 levels of the organization to ensure that any advice intended to curb coronavirus transmission and to guide COVID-19 disease management is appropriate in malaria-affected settings.  

    In recent days, there have been reports of disruptions, as a result of COVID-19, in the production and global supply chains of essential malaria commodities, such as the long-lasting insecticidal nets, diagnostic testing and antimalarial medicines. Coordinated
    efforts are required to ensure the availability of key malaria control tools – particularly in countries with a high burden of the disease – and that efforts to limit transmission of COVID-19 do not compromise access to malaria prevention,
    diagnosis and treatment services. 

    Malaria-affected countries may also experience disruptions in health systems in the coming months. A marked increase in febrile patients seeking treatment for COVID-19 at health facilities, for example, would present a significant challenge for a health
    workforce that may itself be depleted by the disease.

    Policy guidance

    WHO is developing guidance for national malaria control programmes and implementing partners to prepare them for the challenges they may face as result of COVID-19.  Among other areas, the guidance will address the mitigation of stockouts of
    malaria medicines and commodities; the use of preventive malaria therapy for health workers; the deployment of emergency measures in some settings; and the generation of information relating to the geographic distribution and populations affected
    by COVID-19 in malaria-endemic settings.  

    Restrictions around grouping people together – for training, social and behavior change communication activities, fixed-site distribution and clinical care – as well as the restrictions around movement of people in the country, will require
    significant adaptations in order to deliver quality interventions and care.

    All people living in malaria-affected areas are advised to follow same precautions as the general population, including: frequent hand-washing, respiratory hygiene, social distancing, seeking prompt medical care if symptoms arise (cough, fever,
    difficulty breathing), and other WHO-recommended actions. 

    WHO stands ready to work with countries and other stakeholders to mitigate the negative impact of the coronavirus on malaria responses worldwide and, where possible, contribute towards a successful COVID-19 response.  

    About COVID-19

    COVID-19 is the infectious disease caused by the most recently discovered coronavirus. This new virus and disease were unknown before the outbreak began in Wuhan, China, in December 2019. Essential information on the COVID-19 pandemic can be found in
    a dedicated WHO site.

    About malaria

    Malaria is a preventable and treatable disease caused by parasites that are transmitted to people through the bites of infected female Anopheles mosquitoes. In 2018, there were an estimated 228 million cases of malaria worldwide and
    405 000 malaria-related deaths. For more on malaria, visit: www.who.int/malaria

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    https://www.who.int/news-room/detail/18-03-2020-who-teams-with-partners-to-mitigate-the-potential-impact-of-the-covid-19-pandemic-in-malaria-affected-areas

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  • Unsubscribe to be Displayed Without Opening an Email for Gmail Users

    Gmail users frustrated with unsolicited marketing emails will now see the ?unsubscribe? link even before they open the message. At present, the link is buried at the bottom of promotional emails.

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    http://www.associationofmarketing.org/articles/view.php?article_id=14444

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  • Malaysia-Singapore working committee to be set up following movement control order

    Malaysia-Singapore working committee to be set up following movement control order

    Malaysia-Singapore working committee to be set up following movement control order 1

    JOHOR BARU: A special working committee will be set up to formulate mitigation plan to address the issues of the movement of people, goods and services between Malaysia and Singapore, said Johor Mentri Besar Datuk Hasni Mohammad (pix).

    He said following the latest development of the Covid-19 outbreak and the announcement of the Movement Control Order yesterday, Prime Minister Tan Sri Muhyiddin Yassin today agreed that the committee be set up.

    “The committee will be jointly-chaired by Senior Minister of Defence Datuk Seri Ismail Sabri Yaakob, myself and a Singaporean cabinet representative,” he said in a statement today.

    He said the committee would be tasked with formulating mitigation plan for managing common interests between Malaysia and Singapore, particularly in ensuring the smooth and safe movement of Malaysians working in Singapore.

    Hasni said the committee would then present recommendations to the prime minister of both countries for further action.

    He said the committee also would notify the progress of related issues from time to time. – Bernama

    Malaysia-Singapore working committee to be set up following movement control order
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    https://www.thesundaily.my/local/malaysia-singapore-working-committee-to-be-set-up-following-movement-control-order-BC2141614

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  • Govt to convene special Covid-19 meeting tomorrow to discuss further measures

    Govt to convene special Covid-19 meeting tomorrow to discuss further measures

    Govt to convene special Covid-19 meeting tomorrow to discuss further measures 2

    JOHOR BARU: The government will convene a special Covid-19 meeting tomorrow to discuss further measures needed to contain infections, following the spike in cases to a total of 428 recorded until noon today, since the beginning of infections in the country.

    Health Minister Datuk Seri Dr Adham Baba (pix) said apart from Health Ministry representatives, Prime Minister Tan Sri Muhyiddin Yassin and representatives of the Defence Ministry are also expected to attend.

    “We (Malaysia) have now entered the ‘late containment’ phase”, he said, in view of the 428 cases recorded so far.

    He told reporters this after observing the situation at the Customs, Immigration and Quarantine (CIQ) Complex at Bangunan Sultan Iskandar here today. Also present was Johor Health Director Dr Aman Rabu and state Health and Environment Committee chairman R. Vidyananthan.

    Adham said initial investigations indicated that most of the latest cases were linked to the ‘tabligh’ rally cluster – the rally had taken place at Masjid Jamek Sri Petaling in Kuala Lumpur, from Feb 27 to March 1.

    He said a total of 190 new cases of the coronavirus had been reported until noon today, bringing the total number of cases to 428.

    Adham added that the Health Ministry would invoke section 15 (1) of the Prevention and Control of Infectious Diseases Act 1988 to track down and enforce health screening on rally participants who have refused to come forward to health authorities for testing.

    “The ministry calls on those who were at the Sri Petaling mosque to contact the nearest District Health Office for further action,“ he said.

    The minister added that from Jan 5 until today, a total of 6.8 million people comprising foreigners and Malaysians had undergone health screening at all entry points in Johor, and so far, no positive Covid-19 cases had been detected through the screening.

    He also stressed that premises with individuals who have been confirmed to have been infected with Covid-19, should be closed by operators without waiting for instructions from the ministry. — Bernama

    Govt to convene special Covid-19 meeting tomorrow to discuss further measures
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    https://www.thesundaily.my/local/govt-to-convene-special-covid-19-meeting-tomorrow-to-discuss-further-measures-XI2129022

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  • Covid-19: 1,000 housemen to assist government hospitals

    Covid-19: 1,000 housemen to assist government hospitals

    Covid-19: 1,000 housemen to assist government hospitals 3

    JOHOR BARU: The Ministry of Health (MOH) will station 1,000 housemen at government hospitals nationwide to help smoothen the day-to-day operations following the Covid-19 pandemic.

    Health Minister Datuk Seri Dr Adham Baba (pix) said all the trainee doctors would undergo a five-day induction training starting from Monday including handling of Covid-19 elements.

    Their immediate stationing at the hospitals is to relieve the burden of existing doctors who are focusing their attention on Covid-19 cases.

    “They (trainees) have to undergo an induction course and we (MOH) will provide them with skills pertaining to Covid-19 elements before they enter the MOH system,“ he told reporters after hearing a briefing on the Covid-19 situation at Permai Hospital, here, today.

    Also present were Johor Health and Environment Committee Chairman R. Vidyananthan and Johor Health Director Dr Aman Rabu.

    On the tabligh members who attended a gathering at the Sri Petaling Jamek Mosque, Kuala Lumpur, from Feb 27 to March 1, he said 508 participants from the state who attended the programme had volunteered to have health checks on Covid-19.

    “Ninety-four patients were treated at the Permai Hospital with 21 of them positive for Covid-19.

    “There are 73 others who are Persons Under Investigation (PUI) for Covid-19 including 13 who are tabligh members who had attended the gathering,“ he said, calling on those who had attended the gathering to volunteer for health examination.

    At the same time, the Tenggara Member of Parliament called on the public to respect the government’s decision that all gatherings including international meetings, sports, social and religious events be postponed or canceled accordingly until April 30.

    “Concerning the limit of a mass gathering, we have heard the Prime Minister’s (Tan Sri Muhyiddin Yassin) message that there should be no gathering in the current situation, I urge the people not to hold a public gathering of more than 50 people at any one time,“ he said, advising the public to practice good hygiene. especially washing their hands.

    At the same time, he said MOH also urged private hospitals to limit visiting hours as done in government hospitals to reduce the risk of Covid-19 infection.

    “We have called for the co-operation of private hospitals to be more stringent in this regard and, the latest, we have reached an understanding with private hospital in dealing with Covid-19,“ he said. — Bernama

    Covid-19: 1,000 housemen to assist government hospitals
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  • End in sight, but flare-ups likely in the Ebola outbreak in the Democratic Republic of the Congo

    End in sight, but flare-ups likely in the Ebola outbreak in the Democratic Republic of the Congo

    Remarks by Dr Ibrahima Socé Fall, World Health Organization Assistant Director-General, Emergency Response

     

    Good afternoon. 

    I hope that your busy week was interrupted, like mine, with a moment of joy on Tuesday.

    That moment was the celebration of a woman being discharged from an Ebola treatment centre in Beni. Her name is Masiko.

    She was the last person in the Democratic Republic of the Congo confirmed to have Ebola.

    Health workers and other responders sacrificed a lot to get to this point. 

    Since the outbreak was declared in August 2018 there have been 420 attacks on health facilities in DRC, resulting in 11 deaths and 86 injuries among health care workers and patients.

    It’s been a huge amount of work. At the peak of the outbreak, more than 120 cases were being reported each week. 28 health zones were affected, with cases appearing 1200 kilometres apart. In response:

    • 11 labs have been set up to test around 3500 samples each week
    • 11 Ebola treatment centres were set up to care for people with Ebola
    • 300 000 people have been vaccinated
    • 250 000 contacts have been registered
    • 26 000 safe and dignified burials have been conducted
    • More than 3000 health facilities were identified for infection prevention and control support
    • More than 1000 metric tonnes of supplies have been delivered
    • An Ebola vaccine has been licensed, and two treatments found to be highly effective
    • Almost 160 000 million people have been screened for Ebola symptoms at borders or other points of control

    This work is continuing. The outbreak isn’t over. WHO recommends waiting two full incubation periods – that’s 42 days – after the last person tests negative a second time before declaring the end of the outbreak.

    We must stay in active response mode to get us over that finish line.

    We have to be prepared for other cases emerging. It’s is a very real risk.

    Remember that during the Ebola outbreak in West Africa flare-ups of new cases occurred after the end of the outbreak.

    There are four reasons why new cases may emerge during this 42-day period, or even after the end of the outbreak.

    • First, because of the complex security environment, Ebola transmission outside of groups under monitoring is possible.  
    • Second, Ebola virus can persist in used needles, syringes or vials for several weeks.
    • Third, Ebola virus can persist in the body fluids of survivors for many months, and can be transmitted well after recovery, or in rare cases can result in relapse – as we’ve already seen during this outbreak.
    • Finally, Ebola virus is present in an animal reservoir in the region, and there is always a risk of a new spillover to humans.

    This is why it’s critical to maintain surveillance and rapid response capacities.

    And that’s what we are doing. We’re still in full response mode.

    In addition to the activities I already mentioned, I have to underline how critical it is to continue supporting the Survivor Programme, which provides follow-up care for almost all of the 1169 survivors in 26 health areas in North Kivu and Ituri. The programme also helps reduce the risks of re-introduction events. 

    We need to continue this work until the end of the outbreak, to keep the capacity in place to rapidly respond to flare-ups, to keep supporting survivors after the outbreak, and to transition the capacities built in this response toward building a stronger health system. 

    But to be very frank, right now the world risks dropping the baton at the finish line. WHO faces an immediate US $20 million funding gap. If no new resources are received, we will run out of money before the end of the outbreak.

    We appreciate the generosity of donors who have supported the response since August 2018. Now we need to get over the finish line. WHO is calling on the international community to help us end this outbreak, and keep our promises to communities to build a stronger health system.

    If we are forced to scale back operations because of a lack of funds, and then a new case emerges, we might not have the people and resources on the ground that we need to shut down transmission quickly. Just a single case could re-ignite the epidemic.

    That would be a tragedy. An avoidable tragedy. 

    It is important that the global community doesn’t only focus efforts when there is an immediate threat, then walk away when the threat subsides.

    The health system has to be strong to stop much more than Ebola. It has to stop malaria, measles, cholera, and now COVID-19.

    There is a lot more work to do.

    Thank you.

     

    End in sight, but flare-ups likely in the Ebola outbreak in the Democratic Republic of the Congo
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  • Engendering trust in an AI world

    Engendering trust in an AI world

    Can you imagine a world without personalised Spotify playlists, curated social media feeds, or recommended cat videos on the sidebars of YouTube? These modern-day conveniences, which were made possible by artificial intelligence (AI), also present a scary proposition—that the machines could end up knowing more about us than we ourselves do.

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  • Study sheds light on new IEEE standard categories, showing power system impact

    Study sheds light on new IEEE standard categories, showing power system impact

    In 2003, when the Institute of Electrical and Electronics Engineers (IEEE) first drafted standards around distributed energy resources (DERs) connecting with the grid, solar power capacity was less than 1% of its current capacity. The standards document, IEEE 1547-2003, could not anticipate the technical challenges that solar and other DERs would present more than a decade later as a growing share of generation. These challenges were addressed in 2018 through a comprehensive revision of the standard.

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  • Statement on the meeting of the International Health Regulations (2005) Emergency Committee for Ebola virus disease in the Democratic Republic of the Congo on 12 February 2020

    Statement on the meeting of the International Health Regulations (2005) Emergency Committee for Ebola virus disease in the Democratic Republic of the Congo on 12 February 2020

    The meeting of the Emergency Committee convened by the WHO Director-General under the International Health Regulations (IHR) (2005) to review the current Ebola virus disease (EVD) outbreak in the Democratic Republic of the Congo (DRC) took place on Wednesday, 12 February 2020, from 14:00 to 16:45 Geneva time (CEST).

    Proceedings of the meeting

    Members and advisors of the Emergency Committee were convened by teleconference.

    The Secretariat welcomed the Committee and thanked them for their support. The meeting was turned over to the Chair, Dr Robert Steffen.

    Dr Steffen also welcomed the Committee and gave the floor back to the Secretariat.

    Representatives of WHO’s legal department and the department of compliance, risk management, and ethics briefed the Committee members on their roles and responsibilities.

    Committee members were reminded of their duty of confidentiality and their responsibility to disclose personal, financial, or professional connections that might be seen to constitute a conflict of interest. Each member who was present was surveyed and no conflicts of interest were judged to be relevant to the meeting.

    The Chair then reviewed the agenda for the meeting and introduced the presenters.

    Presentations were made by representatives of the Ministry of Health of the Democratic Republic of the Congo (DRC), the WHO Secretariat, and the UN Ebola Emergency Response Coordinator.

    The current situation in the DRC was reviewed. As of 10 February 2020, there were a total of 3431 cases, of which 3308 were confirmed and 123 were probable. 2253 persons have died (66%). Between 3 and 9 February 2020, three new confirmed cases were reported in Beni Health Zone, North Kivu. These three cases were already registered as contacts and two were under surveillance at the time of detection. More than 2000 contacts are being followed. There has been an increase in the number of security incidents in recent months.

    Challenges that remain include: strengthening of community acceptance for full commitment to response measures; protection of personnel at strategic health checkpoints; improvement of infection prevention and control practices in health facilities; strengthening of the local health system; and comprehensive treatment and support for patients in recovery.

    The WHO Secretariat gave an overview of the epidemiological situation, which shows an overall encouraging trend in case incidence and geographic spread. It was noted that sustaining this progress depends on the security situation and control of the well-known drivers of transmission, particularly in traditional health facilities, and on continued trust and communication with the community.

    A risk communication and community engagement programme has been developed, as has an EVD survivors programme. It is critical to ensure the long-term sustainability of these two initiatives.   

    The situation in countries neighbouring DRC was reviewed, as was preparedness in nonaffected areas of DRC. An EVD operational readiness standardized approach has been implemented in 9 priority countries. More than 2400 alerts have been investigated, and more than 14,600 health workers have been vaccinated.

    The UN Ebola Emergency Response Coordinator gave a brief report on operational support, focused on security challenges and preparations for any resurgence of disease.

    Context and Discussion

    The Committee noted a great deal of progress in the situation since its last meeting and commended the response, under the leadership of the DRC Ministry of Health and the multisectoral coordination commission established in July 2019. Support provided by WHO, UN agencies, nongovernmental organizations and other partners has also contributed to limiting the spread and impact of this virus in a difficult context. An increase in the number of alerts was attributed to strong and proactive community surveillance.

    Conclusions and Advice

    It was the unanimous view of the Committee that this event still constitutes a public health emergency of international concern (PHEIC) under the IHR (2005).

    The Committee acknowledged the revised risk assessment, which puts the risk now as high at national and regional levels, and low at the global level.

    The Committee was concerned that withdrawing the PHEIC now might have adverse consequences for the response efforts through diminishing focus. Additionally, although the primary concern of the Committee is EVD, there are serious ongoing outbreaks of other diseases, including measles and cholera, in DRC. The country continues to need support to combat infectious diseases as well as to strengthen its health system. Further, there remains an urgent need to maintain international solidarity for the response.

    The Committee noted the ongoing discussions about the interpretation in the text of the IHR (2005) of the terms international and regional spread, and about creating an intermediate level of response between the binary possibilities of PHEIC or no PHEIC, in a way that does not require reopening negotiations on the Regulations. The Committee supports these discussions, as an intermediate level would be as useful for gradually ending a PHEIC and for signaling the potential for one to be declared.

    The Committee provided the following advice to the Director-General for his issuance as revised Temporary Recommendations under the IHR (2005).

    For DRC:

    • Sustain the political commitment and multisectoral coordination approach to the response.
    • Continue to engage and build trust with associations of survivors to facilitate rapid detection of any cases arising from exposure to infected bodily fluids of survivors.
    • Continue to strengthen capacity, implementation, and coordination for community awareness and engagement, including a focus on hotspots, preventing resurgence where cases have declined, and to support survivors in their communities.
    • Further enhance the acceptance of response measures and address access and security issues by engaging influencers and decision makers for all interventions.
    • Strengthen measures to prevent and manage nosocomial infections, including systematic mapping of health facilities, targeting of IPC interventions and sustain support to those facilities through monitoring and supervision, including in private-sector and traditional health facilities.
    • Continue cross-border screening and step up monitoring at checkpoints around hotspots and at main roads.
    • Continue to implement and share real-time full-genome genetic sequencing of all new confirmed cases.
    • Strengthen measures to prevent and manage nosocomial infections, including systematic mapping of health facilities, targeting of IPC interventions and sustain support to those facilities through monitoring and supervision.
    • Strengthen preparedness in non-affected provinces of DRC, and more generally strengthen the health system across the country to respond to concurrent health emergencies.
    • Continue to implement optimal vaccine strategies that have proven maximum impact on curtailing the outbreak, as recommended by WHO’s Strategic Advisory Group of Experts (SAGE).

    For countries at risk:

    • At-risk countries should maintain their work with partners to improve their preparedness for detecting and managing imported or locally acquired cases, including the transparent sharing of detailed information on suspect cases, as required by the International Health Regulations (2005), and sharing laboratory samples of suspect cases for confirmatory testing in accordance with WHO norms and guidance.
    • Countries should continue to map population movements and sociological patterns that can predict risk of disease spread.
    • Risk communications and community engagement, especially at points of entry, should be maintained.

    For all countries:

    • As recommended previously, no country should close its borders or place any restrictions on travel and trade.
    • The Committee does not consider entry screening at airports or other ports of entry outside the region to be necessary.

    The Committee emphasized the importance of continued support by WHO and other national and international partners towards the effective implementation and monitoring of these recommendations.

    Based on this advice, the reports made by the affected State Party, and the currently available information, the Director-General accepted the Committee’s assessment and on 12 February 2020 maintained the Ebola outbreak in the Democratic Republic of the Congo as a Public Health Emergency of International Concern (PHEIC).

    The Director-General endorsed the Committee’s advice and issued them as Temporary Recommendations under IHR (2005) to reduce the international spread of Ebola, effective 12 February 2020. The Director-General thanked the Committee Members and Advisors for their advice and requested their reassessment of this situation within two months or earlier if the situation requires.

    Statement on the meeting of the International Health Regulations (2005) Emergency Committee for Ebola virus disease in the Democratic Republic of the Congo on 12 February 2020
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