Tag: Quality

  • Types of Mental Health Services

    Types of Mental Health Services

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    In the last few years we have gained awareness of the various needs that individuals with mental health issues need in order to achieve overall well-being. Many times, we talk about the importance of medication, individual counseling, family counseling, and, socialization.

    Those are all of extreme importance when it comes to mental health but the one service that seems to be forgotten is care management. A lot of people attribute care management services to individuals who are aging or who have chronic medical conditions. Although, care management can be very helpful for those issues, we also see a huge need for intense care management for individuals who have a chronic mental illness and cannot get access to any services. It is not a secret that severe and persistent mental illness like schizophrenia, bi-polar disorder, and major depression can require intense care management and advocacy.

    Just as a refresher, the duties of a mental health care manager include:

    • Acting as a connector between the individual and the community resources
    • Advocating on behalf of the individual so that he or she gain access to needed quality services
    • Overseeing the care of an individual including medication management, doctors' appointments, therapy, psychiatric services, and anything else related to their care
    • Connecting the client's family to support services such as individual, family, or group counseling
    • Being an advocate if there is need for hospitalization to ensure the safety of the client and their family members
    • Facilitating access to needed benefits
    • Assisting the individual with navigating all the different services so that it does not become overwhelming for them
    • Crisis intervention
    • Alleviating family members of some stress regarding the care and wellbeing of their loved one
    • Coordinating for advanced planning for the individual
    • Connect individual with social services and programs
    • Any service that the person may need the care manager will make that connection.

    As professionals in the field of mental health, we see that families with loved ones living with a mental health condition often want an immediate and instant "fix" for their family member. It is important for them to keep in mind, that a mental illness is a lot like a physical illness that needs constant care. This is not to say that you cannot live a "normal" life with a mental illness however extra care is needed. In addition, as family members it is important to remember that you also have a vital role in the recovery of your loved one. The more involved you are, the more likely your loved is to recover.

    There is a lot of value in having a care manager involved in the care of your loved one with a mental illness. A care manager will initially do a full initial assessment of your loved one's needs and wishes and will explore what services can add value to the life their life. They will explore the physical, psychological, social, and emotional well-being of your family member and will assess for possible gaps that need to be filled. For example, your family member may be living with schizophrenia and has been in and out of the hospital while being non -compliant with medication. Once this happens we know that your loved ones has probably had many psychotic episodes resulting in severe impaired functioning. Therefore. he or she may need home care services to assist with activities of daily living such. However, every case is different some more severe than others.

    Another common case for care management is one that your adult child has recently been diagnosed with a mental illness and you as parents / family members do not even know where to start. In cases like this, the care manager steps in and coordinates for all initial care. When this occurs we often see a sense of relief in our family members as they often will say "I do not even know how I would have started this process without you". A care manager is also a huge support system for the individual as they now know that they have an advocate overseeing their needs and wishes.

    It is important to remember that living with a mental illness or having a family member with a mental illness is nothing to be ashamed of. In addition, the diagnosis of a mental illness does not mean that the person's life is over as many people mistakenly think. We have worked with many individuals and their families as they cope with diagnoses like schizophrenia, bipolar disorder, major depression, generalized anxiety disorder, agoraphobia, and many others. The beginning of the process is usually made up of what we like to call growing pains full of discomfort. It is important to note that many of our clients with these diagnoses live normal lives but are able to do so because they gained access to the resources in the community. One very important step is accepting the presence of this new diagnosis and what it may mean. Another important step is realizing that you may need the help of psychiatric and / or home care services. It is important to act as early as you can, as early intervention can lead to the best results.

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    Source by Tom Mike

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  • Plannet Marketing Review – Is This Travel Company The Real Deal?

    Plannet Marketing Review – Is This Travel Company The Real Deal?

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    So lately, I’ve been getting a few messages about a new Travel-based Network Marketing company called Plannet Marketing. And chances are if you’re reading this, you’re probably thinking about joining and you’re doing some last minute research on the company. If that’s the case, then look no further. In this Plannet Marketing Review, I’ll cover all the essential details you’ll need before you join. With that said, I do want to disclose that I am not a Plannet Marketing distributor. In all honesty, it really doesn’t matter to me one way or the other if you join so you know you’ll be getting a truly unbiased review.

    Who Is Plannet Marketing?

    Plannet Marketing is a company that sells travel through a Network Marketing business model. The company is based out of Atlanta, Georgia and as of this writing Plannet Marketing is just over 6 months old. The company was founded by Donald Bradley, formerly of YTB and Paycation Travel. Bradley brings with him 20 years of experience in Network Marketing. Before starting Plannet Marketing, Bradley was the Master Distributor and #1 Income Earner in Paycation Travel. He literally had everyone in Paycation in his downline and was responsible for bringing in the company’s top leadership group. I’m not sure what happened, but around the time Craig Jerabeck and Barry Donalson left 5linx and joined Paycation was the same time Bradley decided to leave. Maybe he didn’t feel good about those guys joining and being sponsored by the company when he was the Master Distributor. Who knows? And who really cares? Regardless of the reason, it looks like Bradley was willing to walk away from everything he built to start from scratch again. Overall, the company looks pretty solid. And while it’s too early to tell if they’ll even be around for the long haul because they’re only a few months old, Bradley and the other members of the Corporate team bring a ton of experience in Network Marketing and Travel, which is a good thing.

    How Do You Make Money With Plannet Marketing?

    The actual compensation plan provides several ways for distributors to get paid. But the crown jewel of the compensation plan is the 3X9 Matrix. With a Matrix model, it’s critical that you get a spot early on if you want to capitalize on spillover. If you’re positioned underneath a strong builder, you can benefit from their efforts as they place people under you while they’re filling up their Matrix. With a fully filled 3X9 Matrix, you’ll have 29,523 distributors underneath you. If they’re all active and you get $4 monthly from each distributor, you can make up to $118,092 monthly. In addition to your Matrix pay, you can also earn a 10% Match on the Matrix pay of your personally sponsored distributors.

    In addition to the Matrix, the company provides monthly bonuses to Directors. Here’s a simple breakdown of how the Director bonuses work:

    1 Star Director – 100 active distributors – $500/month

    2 Star Director – 300 active distributors – $1,000/month

    3 Star Director – 500 active distributors – $2,000/month

    4 Star Director – 1,500 active distributors – $5,000/month

    5 Star Director – 4,000 active distributors – $10,000/month

    6 Star Director – 10,000 active distributors – $16,000/month

    7 Star Director – 25,000 active distributors – $30,000/month

    8 Star Director – 50,000 active distributors – $50,000/month

    9 Star Director – 100,000 active distributors – $100,000/month

    Between the Matrix Pay, the 10% Match on your personals and the Director Bonuses, it’s pretty clear that there’s plenty of money on the back end. If you’re a strong team builder and you have a knack for creating good culture, Plannet Marketing might be a very lucrative opportunity for you.

    Should You Join Plannet Marketing?

    Well, only you can truly answer that. The company certainly looks solid. Travel is a very marketable service that’s easy to talk about. And the compensation plan is generous and lucrative. All those things together should guarantee success, right? Unfortunately, nothing could be further from the truth. At the end of the day, it is your ability to sponsor people into your business on a consistent basis that will lead to your success. This is why I recommend that you learn Attraction Marketing. If you can position yourself in front of prospects that are already looking for what you’re offering, you’ll have no problem getting leads online. And if you have an abundance of quality leads, there’s no telling how successful you can be.

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    Source by Jaime Soriano

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  • The Importance of Business Systems

    The Importance of Business Systems

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    “If you can’t describe what you are doing as a process, you don’t know what you’re doing” – W. Edwards Deming (1900-1993)

    What are business systems?

    Business systems are documented procedures setting out how your organisation operates. They are processes, usually combining actions taken by people and some form of automated application, organised in such a way so as to meet a given set of business objectives. Such systems can generally take place without the business founder / owner’s direct action, over and over again, as efficiently as possible.

    Examples of processes may include how your staff should answer the telephone, how they take and pass on messages; the procedure for raising, approving, placing and receiving orders; the process for generating, checking and sending out client invoices, as well as receiving payments and following up on outstanding bills etc.

    Regardless of the size or type of your business, it is likely that you already have set procedures in place covering many functions within your organisation, which employees follow out of habit or as directed by their supervisor / manager.

    Business systems are the manual for your business; the “know-how” of any business that many business founders / owners usually hold in their head, and have not got round to putting onto paper.

    Why implement business systems?

    There are many reasons and just as many benefits for having established and documented systems in your business, some of which include the following:

    1. They provide a framework for your operations and an effective structure to support your business.

    2. They improve consistency: production, delivery, customer service, after-sales care etc.

    3. They improve results and/or productivity, because you and your employees don’t have to re-invent the wheel every time.

    4. They provide a better work environment for your employees, as an effective system will contribute to clarifying roles and responsibilities as well as providing staff with some guidelines to refer to.

    5. They ensure compliance with legislation, safety regulations or any other legal requirement specific to your type of business operations.

    6. They give your business the ability to expand and they facilitate business growth, as they will make your business more attractive to any potential investor or buyer.

    What system works best?

    Although there are similarities across many functions, such as Accounts, Human Resources, Sales, Stores, Logistics etc., unfortunately there is no one perfect, one size fits all system that works for all companies. Any system will need to integrate the company’s business objectives, its people and the way it provides its products or services.

    It is important to have a well-designed system, customised to your type of operation, and thought out by people at all levels within the organisation.

    Such a system will be more likely to be followed by all employees, because they have been involved in its design, and they understand the value that having a system in place brings to the quality of their work and the service they provide to customers.

    One point to keep in mind is that having great people working with poorly designed systems – or no systems – is likely to lead to an under-performing business. On the other hand, great systems without good people won’t work either, hence the additional benefit of involving employees in designing a system, or simply in documenting the processes they are following.

    Equally so, employees who have been trained in your business systems should also feel empowered enough so that they don’t feel they just have to follow a given script without using their head.

    For this reason, it is important to encourage feedback not just from your customers, but also from your employees and to use such comments to review and to continuously improve and develop your business systems.

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    Source by Cecile Scaros

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  • Quality Products for Quality Lifestyle

    Quality Products for Quality Lifestyle

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    Farm Fresh milk is the milk which is organic, natural, pure and delivered to you in the shortest time possible. Finding any trusted source online which delivers farm fresh milk to your doorstep everyday is very difficult. Thus, here we are to help all those women out there. Just turn into online shoppers and save your time with just one click.

    Out of all the top quality farm fresh milk out there, Nutoras is one popular name. Nutoras Grade A+ milk is immediately chilled after getting the cows milked. It is immediately homogenised and pasteurised to ensure all bacteria present in the milk is killed and the fat doesn’t separate from the milk to form a layer on top. Untouched by human hands, it is then packed into pouches and delivered to your home as early as possible.

    Farm fresh milk is full of nutrition and enriched with calcium which is extremely important for growing children and women. This milk should be boiled before consumption and consumed within 3 days.

    Let’s take a look at the nutritional benefits of this dairy product

    Minerals:

    Fresh milk contains calcium and phosphorous to a great extent. When both the nutrients are consumed together, the absorption of calcium increases. It helps to improve the bone health and helps the skeletal integration. Phosphorous also helps in creating energy from the food you consume.

    One cup of the dairy beverage helps to satisfy 30% of the daily requirement of both the nutrients.

    Protein:

    This nutrient helps in repairing muscles, maintaining blood supply and creating antibodies.

    Protein provides amino acids to your body. Although, some amino acids can be obtained from other meals and foodstuffs, there are approximately 12 out of 20 amino acids which only farm fresh milk can give you. Milk is a rich source of protein. 1 serving of this dairy beverage gives 8 grams of proteins.

    Vitamin:

    The dairy beverage gives vitamin A, B and D group of vitamins. These groups maintain eye and skin health, helps to absorb calcium from your food consumption and also helps to enhance your metabolism. One serving of fresh milk gives you around 20% of vitamin A, 50% of D and 50% of B.

    Sugars:

    The major sugar which milk contains is lactose. This is a complex sugar and needs enough amount of lactase in your intestine to break down into simple sugars, namely glucose and galactose.

    Generally, sugars are needed by the body for the healthy maintenance of kidney and brain health. These sugars provide carbohydrates to your body which is converted into energy and makes you go through the day. 1 cup of this dairy beverage provides 12 grams of sugar to the body. But if you are suffering from lactose intolerance, that is allergy of lactose, than this wouldn’t really be a benefit for you.

    A word of caution! You should always buy from a trusted source. Pouches are adulteration prone and adulteration can lead to a lot of diseases.

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    Source by Sunny Sharma

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  • Compendium of research projects at the interface of tuberculosis and COVID-19

    As the world comes together to tackle the COVID-19 pandemic, it is important to ensure that tuberculosis (TB) prevention and care approaches are adapting appropriately to ensure continuous and safe delivery of high-quality TB services. Considering the overlaps in TB and COVID-19 in disease presentation and transmission, the pandemic presents many questions for the TB field that may require learning through research and innovation. 

    To better understand challenges and opportunities in this space, the World Health Organization Global TB Programme is collating information on ongoing research at the interface of TB and COVID-19 (i.e. research which would improve TB prevention and care approaches in the context of the COVID-19 pandemic). We are developing a living compendium (listing), which will be updated periodically to make ongoing research projects and publications visible on its website. With your consent we would like to include any study you have in this compendium.

    To fulfill these objectives, we need the cooperation of organizations and individuals engaged in TB/COVID-19 research to complete this  one page template before 20 May 2020. We encourage you to please share this in your network, so we can reach all stakeholders widely.

    We thank you in advance for your cooperation, and please do not hesitate to contact us if you have any questions.

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    https://www.who.int/news-room/detail/04-05-2020-compendium-of-research-projects-at-the-interface-of-tuberculosis-and-covid-19

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  • Massive proportion of world’s population are living with herpes infection

    Massive proportion of world’s population are living with herpes infection

    Virus causing genital herpes may put millions of people at greater risk of infection with HIV

    About half a billion people worldwide are living with genital herpes, and several billion have an oral herpes infection, new estimates show.

    Authored by staff at the University of Bristol, World Health Organization (WHO), and Weill Cornell Medical College-Qatar, and published in the Bulletin of the World Health Organization,
    the new study estimates the global infection prevalence and incidence of herpes simplex virus types 1 and 2 (HSV-1 and HSV-2) in 2016. 

    “Herpes infection affects millions of people across the globe and can have far-reaching health effects. We need more investment and commitment to develop better treatment and prevention tools for this infection.” says Dr Sami Gottlieb, Medical
    Officer at WHO and an author of the study.

    Prevalence and incidence

    An estimated 491.5 million people were living with HSV-2 infection in 2016, equivalent to 13.2% of the world’s population aged 15 to 49 years. HSV-2 is almost exclusively sexually transmitted, causing infection in the genital or anal area (genital
    herpes).

    An estimated 3.7 billion people had HSV-1 infection during the same year – around 66.6% of the world’s population aged 0 to 49. HSV-1 is mainly transmitted by oral to oral contact to cause infection in or around the mouth (oral herpes). However,
    HSV-1 can also be transmitted to the genital area through oral-genital contact – during oral sex – to cause genital herpes. Most HSV-1 infections were oral; however, between 122 million to 192 million people were estimated to have genital
    HSV-1 infection, depending on the assumptions used in the estimation model.

    Because herpes is a lifelong infection, estimated prevalence increased with age; HSV-2 prevalence was also higher among women and in the WHO African Region.

    Health and social impacts

    Most people living with herpes, caused by either HSV-1 or 2, are unaware they have the infection.

    When symptoms do occur however, oral herpes infection can lead to painful sores around the mouth (“cold sores”). Genital herpes infection can cause recurring, often painful, genital sores, often referred to as genital ulcer disease. 

    WHO and partners published a study in March 2020 estimating that around 5% of the world’s population (187 million people) suffered from at least one episode of herpes-related genital ulcer disease in 2016 (1). Most of these episodes were due to
    HSV-2, which can recur frequently over many years.

    Recurrent symptoms of genital herpes can lead to stigma and psychological distress, and can have an important impact on quality of life and sexual relationships. However, in time, most people with herpes adjust to living with the infection.

    “Genital herpes is a substantial health concern worldwide – beyond the potential pain and discomfort suffered by people living with the infection, the associated social consequences can have a profound effect on sexual and reproductive health”
    says Dr Ian Askew, Director of the Department of Sexual and Reproductive Health and Research at WHO. 

    Herpes and HIV

    A strong association exists between HSV-2 infection and HIV infection. In 2019, WHO commissioned a modeling study to estimate how much HSV-2 infection might contribute to HIV incidence. The study estimated that almost 30% of new sexually acquired HIV
    infections in 2016 worldwide were likely attributable to HSV-2 infection (2). 

    Evidence shows that people with HSV-2 infection are at least three times more likely to become infected with HIV, if exposed. HSV-2 leads to inflammation and small breaks in the genital and anal skin that can make it easier for HIV to cause infection.
    In addition, people with both HIV and HSV-2 infection are more likely to spread HIV to others.

    Women have higher biologic susceptibility to both HSV-2 and HIV. Women living in the WHO Africa Region have the highest HSV-2 prevalence and exposure to HIV – putting them at greatest risk of HIV infection, with negative implications for their health
    and well-being. 

    For people living with HIV (or who are living with other conditions that compromise their immune systems) as well as HSV-2, the symptoms of herpes can be more severe and more frequent. 

    Neonatal herpes

    Neonatal herpes can occur when an infant is exposed to HSV in the genital tract during delivery. This is a rare condition, occurring in an estimated 10 out of every 100,000 births globally, but can lead to lasting neurologic disability or death. The risk
    for neonatal herpes is greatest when a mother acquires HSV infection for the first time in late pregnancy. Women who have genital herpes before they become pregnant are at very low risk of transmitting HSV to their infants.

    No cure – better treatment and prevention needed

    There is no cure for herpes. At present, antiviral medications, such as acyclovir, famciclovir, and valacyclovir, can help to reduce the severity and frequency of symptoms but cannot cure the infection.

    As well as increasing awareness about HSV infection and its symptoms, improved access to antiviral medications and heightened HIV prevention efforts for those with genital HSV symptoms are needed globally. 

    In addition, development of better treatment and prevention interventions is needed, particularly HSV vaccines. WHO and partners are working to accelerate research to develop new strategies for prevention and control of HSV infections. Such research includes
    the development of HSV vaccines and topical microbicides. Several candidate vaccines and microbicides are currently being studied.

    “A vaccine against HSV infection would not only help to promote and protect the health and well-being of millions of people, particularly women, worldwide – it could also potentially have an impact on slowing the spread of HIV, if developed
    and provided alongside other HIV prevention strategies” says Dr Meg Doherty, Director of the WHO Department of Global HIV, Hepatitis, and STI Programmes.

    Related publications

    WHO guidelines for the treatment of Genital Herpes Simplex Virus

    WHO preferred product characteristics for herpes simplex virus vaccines

     

    ———————-

    (1) Looker KJ, Johnston C, Welton NJ, et al. The global and regional burden of genital ulcer disease due to herpes simplex virus: a natural history modelling study. BMJ Glob Health. 2020;5(3):e001875. doi: 10.1136/bmjgh-2019- 001875.

    (2) Looker KJ, Welton NJ, Sabin KM, et al.Global and regional estimates of the contribution of herpes simplex virus type 2 infection to HIV incidence: a population attributable fraction analysis using published epidemiological data. Lancet Infect Dis.2020;20(2):240-249. doi: 10.1016/S1473-3099(19)30470-0.

    Massive proportion of world’s population are living with herpes infection
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  • New estimates highlight need to step up the response to hepatitis D

    Lyon, France, 29 April 2020 – In a study published in the Journal of Hepatology, 1 Professor Anna Maria Geretti and Dr Alexander Stockdale from the University of Liverpool (United Kingdom), in collaboration with researchers
    from the World Health Organization (WHO) and the International Agency for Research on Cancer (IARC), estimate that worldwide, hepatitis D virus (HDV) affects nearly 5% of people who have a chronic infection with hepatitis B virus (HBV) and that HDV
    co-infection could explain about 1 in 5 cases of liver disease and liver cancer in people with HBV infection..

    To map the epidemiology of HDV infection in the world, Professor Geretti and Dr Stockdale joined forces with the WHO Global Hepatitis Programme and IARC, alongside investigators in Germany, Malawi, and the United Kingdom. “Infection with HDV occurs
    in about 1 in 22 cases of chronic HBV infection in the world,” Dr Stockdale says. “More high-quality data are needed, but we have identified several geographical hotspots of high prevalence of HDV infection: in Mongolia, the Republic of
    Moldova, and countries in Western and Middle Africa.”

    “Although it is less common than hepatitis B, hepatitis D is a serious disease that often affects underprivileged and vulnerable populations,” says Dr Meg Doherty, Director of the WHO Global Hepatitis Programme. Those who are more likely to
    have HBV and HDV co-infection include people who inject drugs and people with hepatitis C virus or HIV infection. The risk of co-infection also appears to be higher in recipients of haemodialysis, men who have sex with men, and commercial sex workers.
    Dr Doherty points out, “This information helps in identifying the groups with HBV among whom we should be looking for HDV.”

    HDV (formerly known as the Delta agent) is a small virus – one of the smallest that is known to cause disease in humans – and can replicate only in the presence of HBV, from which HDV borrows some of its structures. Compared with people with
    HBV infection alone, those who have a chronic infection with both HBV and HDV have a much higher risk of developing disease in the form of cirrhosis and liver cancer. “HDV is a significant contributor to severe liver disease and liver cancer,”
    says IARC scientist Dr Catherine de Martel. “The findings from this study inform our work on the association between viral infections and cancer, which is focused on developing improved prevention strategies.”

    Professor Geretti concludes, “HDV has long been neglected, because for decades the prevalence of infection remained uncertain and effective treatment was lacking. Mapping the epidemiology of the infection is just the first step. More efforts are
    needed to reduce the global burden of chronic hepatitis B and develop medicines that are safe and effective against hepatitis D and are affordable enough to be deployed on a large scale to those who are most in need.”

    1 Stockdale AJ, Kreuels B, Henrion MYR, Giorgi E, Kyomuhangi I, de Martel C, Hutin Y, Geretti AM (2020). The global prevalence of hepatitis D virus infection: systematic review and meta-analysis. J Hepatol. Published online 23 April 2020;
    https://doi.org/10.1016/j.jhep.2020.04.008

    For more information, please contact

    Véronique Terrasse, Communications Group, at +33 (0)6 45 28 49 52 or terrassev@iarc.fr or IARC Communications, at com@iarc.fr

    The International Agency for Research on Cancer (IARC) is part of the World Health Organization. Its mission is to coordinate and conduct research on the causes of human cancer, the mechanisms of carcinogenesis, and to develop scientific strategies for
    cancer control. The Agency is involved in both epidemiological and laboratory research and disseminates scientific information through publications, meetings, courses, and fellowships. If you wish your name to be removed from our press release emailing
    list, please write to com@iarc.fr. 

    About University of Liverpool

    Founded in 1881 as the original ‘red brick’, the University of Liverpool is one of the UK’s leading research-intensive higher education institutions. Consistently ranked in the top 200 universities worldwide, we are a member of the prestigious
    Russell Group and have a global reach and influence that reflects our academic heritage as one of the country’s largest civic institutions. For more information please visit us at www.liverpool.ac.uk

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    https://www.who.int/news-room/detail/29-04-2020-new-estimates-highlight-need-to-step-up-the-response-to-hepatitis-d

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  • WHO calls for healthy, safe and decent working conditions for all health workers, amidst COVID-19 pandemic

    WHO calls for healthy, safe and decent working conditions for all health workers, amidst COVID-19 pandemic

    On World Day for Safety and Health at Work, the World Health Organization calls upon all governments, employers and workers organizations and the global community to take urgent measures for strengthen countries’ capacities to protect occupational health and safety of health workers and emergency responders respect their rights to decent working conditions, and develop national programmes for occupational health of health workers and to provide them with occupational health services. Amidst the COVID-19 pandemic, ILO has dedicated World Day for Safety and Health at Work 2020 in addressing the outbreak of infectious diseases at work, in particular, on the COVID-19 pandemic.

    Health workers are at the front line of the COVID-19 outbreak response and as such are exposed to hazards that put them at risk of infection. Hazards include pathogen exposure, long working hours, psychological distress, fatigue, occupational burnout, stigma, and physical and psychological violence.

    Infections with COVID-19, insufficient measures for infection prevention and control, occupational safety and health, mental health and psychosocial support for health workers result in high rates of absenteeism and deplete the health workforce – the most precision resources for stopping the COVID outbreak. 

    Key Messages and Facts

    COVID-19 infections among health workers:

    • As of 21 April 2020 countries reported to WHO that over 35, 000 health workers were infected with COVID19. This number is significantly higher because of underreporting.
    • The major occupational risks for COVID19 infection among health workers are: late recognition or suspicion of COVID-19 in patients, working in a higher-risk department, longer duty hours, sub-optimal adherence to infection prevention and control measures, such as hand hygiene practices, and lack of or improper use of personal protective equipment (PPE). Other factors have also been documented, such as inadequate or insufficient IPC training for respiratory pathogens, including the COVID-19 virus, as well as long exposure in areas in healthcare facilities where large numbers of COVID-19 patients were being cared for.
    • The prevention of infections requires the use of appropriate infection prevention and control measures by all health workers, with a special focus on the adherence to hand hygiene and personal protective equipment when caring for COVID-19 patients, as well as a combination of environmental and administrative controls
    • Health workers infected with COVID-19 following exposure in the workplace should have the right to employment injury benefits for occupational disease, including compensation, rehabilitation, and curative services.

    Violence and stigma against health workers:

    • Health workers are at high risk of violence all over the world. Between 8% and 38% of health workers suffer physical violence at some point in their careers. Many more are threatened or exposed to verbal aggression and social stigma because of their work.
    • In the COVID19 crisis, shortage of staff and resources and increasing social tensions result in increased level of violence against health workers and even attacks against health care facilities. Doctors, nurses, security personnel and those who are assisting in testing, tracing contacts and enforcing physical distancing measures to stop COVID-19 experience threats and aggression.
    • WHO calls upon governments, employers and workers organizations to institute measures for zero-tolerance to violence against health workers at the workplace and at the way to and from their workplace, and for intensifying social support and respect for health workers and their families.

    Long working hours and psychosocial hazards for health workers:

    • Many health workers have to work longer or irregular hours because of the increasing demand for health services. In addition, many countries experience shortage of health workers, or junior staff are working in demanding new roles.
    • Health workers face psychosocial hazards, which are exacerbated during emergencies where demands increase and they have to experience risk of infection witness higher suffering or mortality.
    • Long working hours, shift work, high workload and other psychosocial hazards can lead to fatigue, occupational burnout, increased psychological distress or declining mental health – affecting the health of health workers, and the quality and safety of care delivered.
    • WHO calls for adequate staffing levels and clinical rotation in healthcare facilities, measures to minimize psychosocial hazards, and provision of access to mental health and psychosocial support for health workers.

    The annual World Day for Safety and Health at Work on 28 April promotes the prevention of occupational accidents and diseases globally. It is an awareness-raising campaign intended to focus international attention on the magnitude of the problem and on how promoting and creating a safety and health culture can help reduce the number of work-related deaths and injuries.

     

    WHO calls for healthy, safe and decent working conditions for all health workers, amidst COVID-19 pandemic
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    https://www.who.int/news-room/detail/28-04-2020-who-calls-for-healthy-safe-and-decent-working-conditions-for-all-health-workers-amidst-covid-19-pandemic

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  • Commitment and call to action: Global collaboration to accelerate new COVID-19 health technologies

    Commitment and call to action: Global collaboration to accelerate new COVID-19 health technologies

    Our Vision and Mission

    Grounded in a vision of a planet protected from human suffering
    and the devastating social and economic consequences of
    COVID-19, we, an initial group of global health actors (BMGF,
    CEPI, Gavi, Global Fund, UNITAID, Wellcome Trust, WHO) and
    private sector partners and other stakeholders, are launching
    a landmark, global and time-limited collaboration to accelerate the
    development, production and equitable global access to new COVID-19 essential health technologies.

    We know that as long as anyone is at risk from this virus, the entire
    world is at risk – every single person on the planet needs to be
    protected from this disease.

    We agree that alongside evidence-based public health measures,
    innovative COVID-19 diagnostics, therapeutics and vaccines are
    needed – in record time and at record scale and access – to save
    millions of lives and countless trillions of dollars, and to return
    the world to a sense of ‘normalcy’.

    We recognize the significant amount of critical work, investment
    and initiatives already ongoing around the world to expedite
    the development and deployment of innovative COVID-19 related
    products and interventions.

    We appreciate that while development and deployment of
    innovative products is essential, it will not be enough. We must
    simultaneously and urgently accelerate the strengthening of
    sustainable health systems and capacities to enable delivery of
    the new COVID-19 tools to those who need them and to mitigate
    the knock-on impact on other diseases.

    We remember lessons from the past, which have shown that even
    when effective tools are available to the world, too often some
    are protected, while others are not. This inequity is unacceptable –
    all tools to address COVID-19 must be available to all. In the fight
    against COVID-19, no one should be left behind.

    We understand we cannot do this alone, and that we need to
    work together in unprecedented and inclusive partnership with all
    stakeholders – political leaders, public and private sector partners,
    civil society, academia, and all other stakeholders across society
    – jointly leveraging our comparative strengths and respective
    voices to drive towards collective solutions, an accelerated path,
    and access for all. We are stronger, faster and more effective
    working together.

    Our Mission is not only accelerated development and availability
    of new COVID-19 tools – it is to accelerate equitable global access
    to safe, quality, effective, and affordable COVID-19 diagnostics,
    therapeutics and vaccines, and thus to ensure that in the fight
    against COVID-19, no one is left behind.

    Our Commitment

    1. We commit to the shared aim of equitable global
      access to innovative tools for COVID-19 for all.
    2. We commit to an unprecedented level of partnership
      – proactively engaging stakeholders, aligning and
      coordinating efforts, building on existing collaborations, collectively devising solutions, and grounding
      our partnership in transparency, and science.
    3. We commit to create a strong unified voice to
      maximize impact, recognizing this is not about
      singular decision-making authority, but rather
      collective problem-solving, interconnectedness and
      inclusivity, where all stakeholders can connect and
      benefit from the expertise, knowledge and activities
      of this shared action-oriented platform.
    4. We commit to build on past experiences towards
      achieving this objective, including ensuring that
      every activity we undertake is executed through the
      lens of equitable global access, and that the voices
      of the communities most affected are heard.
    5. We commit to be accountable to the world, to
      communities, and to one another. We are coming
      together in the spirit of solidarity, and in the service
      of humanity, to achieve our mission and vision.

    Our Call

    We ask the global community and political leaders to
    support this landmark collaboration, and for donors to
    provide the necessary resources to accelerate achievement
    of the objectives of this global collaboration, capitalizing
    on the opportunity provided by the rolling pledging
    campaign that will start on 4 May 2020.

    Commitment and call to action: Global collaboration to accelerate new COVID-19 health technologies
    Read More
    https://www.who.int/news-room/detail/24-04-2020-commitment-and-call-to-action-global-collaboration-to-accelerate-new-covid-19-health-technologies

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  • EUGENICS AND CHARACTER

    EUGENICS AND CHARACTER

    The rapidly growing interest in Eugenics, and the scientific consideration of the world-wide decline in the birth-rate have drawn attention to the study of the eugenic factors which determine the production of high ability in offspring. Many distinguished investigators have conducted long and exhaustive investigations for the purpose of ascertaining and summarizing all possible biological data concerning the parentage and birth of the most notable persons born in European countries, and to a lesser extent in America.

    The investigations are now acquiring a fresh importance, because, while it is becoming recognized that we are gaining a control over the conditions of birth, the production of children has itself gained an importance. The world is no longer to be bombarded by an exuberant stream of babies, good, bad, and indifferent in quality, with mankind to look on calmly at the struggle for existence among them. Whether we like it or not, the quantity is steadily diminishing, and the question of quality is beginning to assume a supreme significance. The question then is being anxiously asked: “What are the conditions which assure the finest quality in our children?”

    A German scientist, Dr. Vaerting, of Berlin, published just before the War a treatise on the subject of the most favorable age in parents for the production of offspring of ability. He treated the question in an entirely new spirit, not merely as a matter of academic discussion, but rather as a practical matter of vital importance to the welfare of modern society. He starts by asserting that “our century has been called the century of the child,” and that for the child all manner of rights are now being claimed. But, he wisely adds, there is seldom considered the prime right of all the child’s rights, i. e., the right of the child to the best ability and capacity for efficiency that his parents are able to transmit to him. The good doctor adds that this right is the root of all children’s rights; and that when the mysteries of procreation have been so far revealed as to enable this right to be won, we shall, at the same time renew the spiritual aspect of the nations.

    The writer referred to decided that the most easily ascertainable and measurable factor in the production of ability, and efficiency in offspring, and a factor of the greatest significance, is the age of the parents at the child’s birth. He investigated a number of cases of men of ability and efficiency, along these lines, and made a careful summary of his results. Some of his results are somewhat startling, and may possibly require the corroboration of other investigators before they can be accepted as authoritative; but they are worthy of being carefully considered at the present time, pending such further investigation.

    Vaerting found that the fathers who were themselves not notably intellectual have a decidedly more prolonged power of procreating distinguished children than is possessed by distinguished fathers. The former may become the fathers of eminent children from the period of sexual maturity up to the age of forty-three or beyond. When, however, the father is himself of high intellectual distinction, the records show that he was nearly always under thirty, and usually under twenty-five years of age at the time of the birth of his distinguished son, although the proportion of youthful fathers in the general population is relatively small. The eleven youngest fathers on Vaerting’s list, from twenty-one to twenty-five years of age, were with one exception themselves more or less distinguished; while the fifteen oldest, from thirty-nine to sixty years of age, were all without exception undistinguished.

    Among the sons on the latter list are to be found much greater names (such as Goethe, Bach, Kant, Bismarck, Wagner, etc.) than are to be found among the sons of young and more distinguished fathers, for here is only one name (Frederick the Great) of the same caliber. The elderly fathers belonged to the large cities, and were mostly married to wives very much younger than themselves. Vaerting notes that the most eminent men have frequently been the sons of fathers who were not engaged in intellectual avocations at all, but earned their living as humble craftsmen. He draws the conclusion from these data that strenuous intellectual energy is much more unfavorable than hard physical labor to the production of marked ability in the offspring. Intellectual workers, therefore, he argues, must have their children when young, and we must so modify our social ideals and economic conditions as to render this possible.

    Vaerting, however, holds that the mother need not be equally young; he finds some superiority, indeed, provided the father is young, in somewhat elderly mothers, and there were no mothers under twenty-three on the list. The rarity of genius among the offspring of distinguished parents he attributes to the unfortunate tendency to marry too late; and he finds that the distinguished men who marry late rarely have any children at all. Speaking generally, and apart from the production of genius, he holds that women have children too early, before their psychic development is completed, while men have children too late, when they have already “in the years of their highest psychic generative fitness planted their most precious seed in the mud of the street.”

    The eldest child was found to have by far the best chance of turning out distinguished, and in this fact Vaerting finds further proof of his argument. The third son has the next best chance, and then the second, the comparatively bad position of the second being attributed to the too brief interval which often follows the birth of the first child. He also notes that of all the professions the clergy come beyond comparison first as the parents of distinguished sons (who are, however, rarely of the highest degree of eminence), lawyers following, while officers in the army and physicians scarcely figure at all. Vaerting is inclined to see in this order, especially in the predominance of the clergy, the favorable influence of an unexhausted reserve of energy and a habit of chastity on intellectual procreativeness.

    It should be remembered, however, that Vaerting’s cases on his list were all those of Germans, and, therefore, the influence of the characteristic social customs and conditions of the German people must be taken into account in the consideration.

    Havelock Ellis in his well known work “Study of British Genius” dealt on a still larger scale, and with a somewhat more precise method, with many of the same questions as illustrated by British cases. After the publication of Vaerting’s work, Ellis re-examined his cases, and rearranged his data. His results, like those of the German authority, showed a special tendency for genius to appear in the eldest child, though there was no indication of notably early marriage in the parents. He also found a similar predominance of the clergy among the fathers, and a similar deficiency of army officers and physicians.

    Ellis found that the most frequent age of the father was thirty-two years, but that the average age of the father at the distinguished child’s birth was 36.6 years; and that when the fathers were themselves distinguished their age was not, as Vaerting found in Germany, notably low at the birth of their distinguished sons, but higher than the general average, being 37.5 years. He found fifteen distinguished sons of distinguished British fathers, but instead of being nearly always under thirty and usually under twenty-five, as Vaerting found it in Germany, the British distinguished father has only five times been under thirty, and among these only twice under twenty-five. Moreover, precisely the most distinguished of the sons (Francis Bacon and William Pitt) had the oldest fathers, and the least distinguished sons the youngest fathers.

    Ellis says of his general conclusions resulting from this investigation: “I made some attempts to ascertain whether different kinds of genius tend to be produced by fathers who were at different periods of life. I refrained from publishing the results as I doubted whether the numbers dealt with were sufficiently large to carry any weight. It may, however, be worth while to record them, as possibly they are significant. I made four classes of men of genius: (1) Men of Religion, (2) Poets, (3) Practical Men, (4) Scientific Men and Sceptics. (It must not, of course, be supposed that in this last group all the scientific men were sceptics, or all the sceptics scientific.) The average age of the fathers at the distinguished son’s birth was, in the first group, 35 years; in the second and third group, 37 years; and in the last group, 40 years. (It may be noted, however, that the youngest father of all the history of British genius, aged sixteen, produced Napier, who introduced logarithms.)

    “It is difficult not to believe that as regards, at all events, the two most discrepant groups, the first and last, we come upon a significant indication. It is not unreasonable to suppose that in the production of men of religion in whose activity emotion is so potent a factor, the youthful age of the father should prove favorable; while for the production of genius of a more coldly intellectual and analytic type more elderly fathers are demanded. If that should prove to be so, it would become a source of happiness to religious parents to have their children early, while irreligious parents should be advised to delay parentage.

    “It is scarcely necessary to remark that the age of the mothers is probably quite as influential as that of the fathers. Concerning the mothers, however, we always have less precise information. My records, so far as they go, agree with Vaerting’s for German genius, in indicating that an elderly mother is more likely to produce a child of genius than a very youthful mother. There were only fifteen mothers recorded under twenty-five years of age, while thirteen were over thirty-nine years; the most important age for mothers was twenty-seven.

    “On all these points we certainly need controlling evidence from other countries. Thus, before we insist with Vaerting that an elderly mother is a factor in the production of genius, we may recall that even in Germany the mothers of Goethe and Nietzsche were both eighteen at their distinguished son’s birth. A rule which permits of such tremendous exceptions scarcely seems to bear the strain of emphasis.”

    The student, however, must always remember that while the study of genius and exceptionable talent is highly interesting, and even, as is quite probable, not without significance for the general laws of heredity, still we must beware of too hastily drawing conclusions from it to bear on the practical questions of eugenics. Genius is rare—and, in a certain sense, abnormal. Laws meant for application to the general population must be based on a study of the general population. Vaerting, himself, realized how inadequate it was to confine our study to cases of genius.

    Another investigator, Marro, an Italian scientist, in his well-known book on puberty which was published several years ago, brought forth some interesting data showing the result of the age of the parents on the moral and intellectual characters of school-children in Northern Italy. He found that children with fathers below twenty-six at their birth showed the maximum of bad conduct and the minimum of good; they also yielded the greatest proportion of children of irregular, troublesome, or lazy character, but not of really perverse children—the latter being equally distributed among fathers of all ages. The largest number of cheerful children belonged to the young fathers, while the children tended to become more melancholy with ascending age of the fathers. Young fathers produced the largest number of intelligent, as well as of troublesome children; but when the very exceptional intelligent children were considered separately, they were found to be more usually the offspring of elderly fathers.

    As regarded the mothers, Marro found that the children of young mothers (under twenty-one) are superior, both as regards conduct and intelligence, though the more exceptionally intelligent children tended to belong to more mature mothers. When the parents were both in the same age-groups, the immature and the elderly groups tended to produce more children who were unsatisfactory, both as regards conduct and intelligence—the intermediate group yielding the most satisfactory results of this kind.

    Havelock Ellis makes the following plea for further investigations along these lines, in the interest of the well-being of the race: “But we have need of inquiries made on a more wholesale and systematic scale. They are no longer of a merely speculative character. We no longer regard children as the ‘gifts of God’ flung into our helpless hands; we are beginning to realize that the responsibility is ours to see that they come into the world under the best conditions, and at the moments when their parents are best fitted to produce them. Vaerting proposes that it should be the business of all school authorities to register the ages of the pupils’ parents. This is scarcely a provision to which even the most susceptible parent could reasonably object, though there is no cause to make the declaration compulsory where a ‘conscientious’ objection existed, and in any case the declaration would not be public.

    “It would be an advantage—although this might be more difficult to obtain—to have the date of the children’s marriage, and of the birth of previous children, as well as some record of the father’s standing in his occupation. But even the ages of the parents alone would teach us much when correlated with the school position of the pupil in intelligence and conduct. It is quite true that there are unavoidable fallacies. We are not, as in the case of genius, dealing with people whose life-work is complete and open to the whole world’s examination.

    “The good and clever child is not necessarily the forerunner of the first-class man or woman; and many capable and successful men have been careless in attendance at lectures, and rebellious to discipline. Moreover, the prejudice and limitations of the teachers have to be recognized. Yet when we are dealing with millions most of these fallacies would be smoothed out. We should be, once for all, in a position to determine authoritatively the exact bearing of one of the simplest and most vital factors of the betterment of the race. We should be in possession of a new clue to guide us in the creation of the man in the coming world. Why not begin today?”

    Considerable attention on the part of the American thinking public has been directed toward the investigations and researches of Casper L. Redfield. Mr. Redfield combats the orthodox scientific position that the acquired qualities are not transmitted to offspring; and he most positively states that such characteristics are transmitted to offspring, and are really the causes which have tended toward the evolution and progress of the race. But he insists upon this vital point, namely, that the parent must already have acquired improved quality before he can transmit improvement to the offspring—and that before he can have acquired this improved quality, he must have lived sufficiently long to have experienced the causes which have developed improvement in himself. Consequently, he holds that delayed parentage produces great men.

    Mr. Redfield several years ago offered a prize of two hundred dollars to anyone who could show that a single one of the great men of history was the product of a succession of young parents, or was produced by a line of ancestry represented by more than three generations to a century. But no one ever claimed the prize money. According to Mr. Redfield’s doctrine, race improvement is and will be accomplished as the result of effort, physical and mental, upon the part of prospective parents, particularly if the period of effort is sustained over a considerable number of years previous to reproduction.

    The following quotations from Mr. Redfield’s writing will give a general idea of his lines of thought and his theories. He says:

    “At some time in the past there was a common ancestor for man and the ape. At that time the mental ability of the man was the same as that of the ape, because at that time man and the ape were the same person. From that common ancestor there have been derived two main lines of descent, one leading to man and the other to the ape of today. In the line leading to man, mental ability has increased little by little so that today the mental ability of the man is far above that of the ape. While it may not be literally true for each and every generation between that common ancestor and man of the present time, still we will commit no error if we divide the total increase in mental ability by the number of intervening generations and say that each generation in turn was a little superior to that which produced it. Now it happens that mental ability is something which is inherited—is transmitted from parent to offspring. Take that fact with the fact that there has been a regular (or irregular) increase in mental ability in the generations leading to man, and it will be seen that each generation in succession transmitted to its offspring more than it inherited from its parents. But a parent cannot transmit something which he did not have. Where and how did those generations get that ability which they transmitted but did not inherit?”

    Mr. Redfield in his writings shows that what is true of the human race is true of high-bred domesticated animals, namely, the cow of high milk producing breeds; the fast running and trotting horses; and the highly developed hunting dogs. To each case he applies his question: “Where and how did those generations of animals get that power which they transmitted but did not inherit?” In his investigations he claims to have discovered the secret, namely, that the ancestors, throughout several generations, had each acquired the power which it transmitted, which added to the inherited power raised the general power of the stock. This arose from careful breeding, and directly from the fact that the average age of the parent was much higher in the highly-bred stock than in the “scrub” or ordinary run of stock. In other words, delayed parentage produced better offspring.

    Mr. Redfield proceeds to argue from these facts as follows: “At one time man and ape reproduced at the same average age, whereas now they reproduce at widely different ages. Going back to the time when man and ape separated, our ancestors survived by physical and mental activity in securing food and escaping from enemies. As time went on man reproduced at later and later average age until now he reproduces at about thirty years from birth of parent to birth of offspring. When time between generations stretched out in the man line more than it did in the ape line, the man acquired more mental development before he reproduced than did the ape, and he did this because he was mentally active more years before reproducing. The successive generations leading to modern man transmitted to offspring more than they inherited from their parents, and the generations which did this are the same generations which acquired, before reproducing, the identical thing which they transmitted in excess of inheriting.

    “Coming now to those rare men of whom we have only a few in a century, how were they produced? It should be noted that each one had two parents, four grandparents, and eight great-grandparents. Also that they are certainly improvements over their great-grandparents. If they were not such improvements, then there would be many ‘rare’ cases in a century. In looking into the pedigrees of these great men it is found that they were sons of parents of nearly all ages, but were predominantly sons of elderly parents. While we sometimes find comparatively young parents in the pedigree of a great man, we never find a succession of young parents. Neither do we find an intellectually great man produced by a pedigree extending over three generations. The great man is produced only when the average for three generations is on the elderly side of what is normal. The average age of one thousand fathers, grandfathers, and great-grandfathers in the pedigrees of eminent men was found to be over forty years. Great men rise from ordinary stock only when several generations in succession acquire mental efforts in excess amounts before reproducing.”

    It is the opinion of the present writer that the theories of Mr. Redfield are in the main true, and that in the future much valuable information will be obtained along the same lines, which will tend to corroborate his general conclusions. One’s attention needs but to be plainly directed to the matter, and then he will see that it is absurd to think of a creature transmitting to his offspring qualities which neither he or his mate had inherited or acquired. If there were no transmission of acquired qualities there would be no improvement—and in fact, we know that the bulk of inherited qualities were at some time in the history of the race “acquired.” And, reasoning along the same line, we may see that the young parents who have not had as yet an opportunity to acquire mental power cannot expect to transmit it to their offspring—all that they can do is to transmit the inherited stock qualities plus the small acquired power which they have gained in their limited experience. And, finally, it is seen that offspring produced at a riper age of parenthood, continued over several generations, tend toward unusual ability and powers. Consequently, the people or nation with a higher average age of parenthood may logically expect to attain greater mental powers than the peoples lacking that quality. And what is true of a people or nation is of course true of a particular family.

    The subject touched upon in this part of our book is one of the greatest interest to careful students of Eugenics; and is one which calls for careful and unprejudiced consideration from all persons having the interest of the race at heart.

    PRIVATE Sex Advice to Women By R. B. Armitage, M. D.

    For Young Wives and those who Expect to be Married.

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