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  • Discount Car Rental – How to Get the Discount Out of a Discount Car Rental

    How to Get the Discount Out of a Discount Car Rental

    Discount car rentals are so hard to come by, and in recent times, discount car rentals simply mean you pay less for something less, and lets face it, sometimes when you pay less for a car rental, you end up with something that looks more like a farmer’s truck than a car. It’s hard to come up with a budget friendly rental, so how do you get a discount car rental these days? Well here are a few tips to boost the value of your money, car rental wise.

    1.A good way to essentially, get a discount car rental is to, once you return the car, fill the tank with the cheapest no-name gas you could find, not for revenge or anything, but because car rental companies, require customers to fill the gas tank before returning it, and it you don’t they’ll fill it for you with the company pump but at a higher price, now we don’t want that, so be sure to fill your tank before you return the car.

    2.To get the discount off of discount car rental, make early reservations, some car rental companies give discounts or free upgrades for customers who reserve their cars early.

    3.When you’re planning to use your rental car for more than five days, or longer, ask the rental car company if you can get discount car rentals for a weekly rate, most companies offer discounts for the sixth and seventh day for weekly rentals.

    4.Ask your travel agency if you could get discount car rentals if you acquire packages like fly-stay-drive or fly-drive. Most travel agencies as well as hotels offer these programs at a discounted price, what’s good about this is that you get a discount and you shoot two to three birds with one stone.

    5.When you go to a car rental company, ask them if you could get a discount car rental in exchange for your frequent flyer miles, this is good for those miles that are about to expire, so instead of throwing them away you’d get one last use for them.

    6.One way to get a discount car rental or maybe just the best deal for your money is to look for sites or rental car firms that accepts a pre-determined budget. This is when you indicate the money you’re willing to spend for the car rental, most rental car companies will give you the program that has the biggest discount car rental and the best deal for you, of course it pays to know if the company has a history of fraud, in this day and age, you can’t really trust people that much with your money, check out the car before you reserve.
    Discount Car Rental
    7.Ask the rental company for discount car rentals when you frequently rent a car at their firm, they’re most likely to give discounts or free upgrades if you always rent with them.

    8.Get discount car rentals by reserving your car through the internet. Most rental firms have internet only discounts that can save you a lot of money, look up the rental firm that has the greatest discount for the same value.

    9.To get a discount car rental upgrade, try going to pick up your car just as the shop is opening, there’ll be a shortage in the economy cars, and you’ll probably get a free upgrade when they can’t give you the car you reserved.

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  • Beauty Magazines: Are They Worth Your Money?

    When waiting in line at the supermarket checkout, have you ever ended up buying a beauty magazine that you saw by the checkout counters?  If you have, you are definitely not alone.  While a large number of individuals, possibly just like you, purchase beauty magazines on occasion or as an impulse buy, many others have to have copies of all beauty magazines and on a monthly or even a weekly basis at that.  While it is okay to have a collection of beauty magazines, you need to be careful about wasting your money.

    When it comes to buying beauty magazines, there are many individuals, especially first time buyers, who wonder if beauty magazines are really worth the money.  In all honesty, you will find that it depends.  Beauty magazines come in a number of different formats and they are made and published by different individuals and companies. For that reason, no two beauty magazines are really the same.  That is why you should examine each beauty magazine individually to determine whether or not it is worth your money.

    One thing that you will want to examine is the contents of a beauty magazine.  Beauty magazines, as previously stated, have different materials inside of them.  If you are looking for something in particular, like how to keep your face clean and free of pimples, you may want to make sure that the magazine you are interested in buying covers that problem.  If it does, the magazine in question may be worth your money, but if not, it may actually end up being a waste of your money.

    beauty fitness
    beauty fitness

    What you also need to remember is that beauty magazines are not the only way that you can go about familiarizing yourself with the latest in beauty and fashion trends, as well as get tips on how to improve your appearance, beauty wise.  You should also know that you can turn to the internet.  Online, you may be able to find online beauty magazines, which are similar to the printed magazines sold in stores, but they come in online formats and many are offered free of charge.  You may also find online websites that are designed to offer you free tips.  There also online websites that have beauty message boards on them. These message boards are nice because you can not only get free beauty tips online or share tips that you know, but you can also make an online friend or two.

    Yes, beauty magazines are not all that expensive.  In most cases, you will find that beauty magazines cost around three or four dollars an issue.  With that in mind, however, you need to remember that some people have a hard time with buying just one beauty magazine.  Beauty magazines, over time, can get fairly costly; therefore, you will want to make sure that you examine each magazine that you want to buy before actually doing so.  Even if you stop yourself from buying a beauty magazine even just five months out of the year, you may enjoy your extra savings.

    In short, the decision as to whether or not you want to buy a beauty magazine or a number of them is your decision to make.  However, with that in mind, it is important to remember that you don’t need to buy a beauty magazine to get beauty tips and information on the latest trends.  If you do decide to buy beauty magazines though, you will at least want to take a few minutes to skim through them.  This will give the opportunity to see if the magazine or magazines in question are really worth your money.

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  • Free Beauty Samples: What They Are and How to Find Them

    Have you heard of free beauty samples before?  If you have, have you been requesting them whenever you come across free sample offers? If you haven’t, you may want to think about doing so, as there are a number of benefits to requesting free beauty samples, a few of which are briefly touched on below.

    One of the many benefits of requesting free beauty samples is that they are free.  Many times, you don’t even have to pay for the cost of shipping. Depending on who the free sample in question is being offered by, the product manufacturer or the retailer in question will ship the free sample to you free of charge.  When you look at it that way, what do you have to lose by requesting free beauty samples?

    Another one of the many benefits to requesting free beauty samples is the products that you can find available. For starters, free beauty samples come in a number of different sizes, but you are often only given a free trail size. As for the actual free beauty sample, you will find that there a number of products for you to choose from. For instance, free beauty samples often include makeup, perfume, skincare creams, lotions, shampoos, conditioners, and so forth. No matter what you are looking for, in terms of a beauty product, you should be able to find some form of that product type available as a free sample.

    Free Beauty Samples: What They Are and How to Find Them
    beauty fitness

    Speaking of what you are looking for, that leads to another one of the many benefits to requesting free beauty samples.  Requesting free beauty samples is relatively easy to do. In fact, you have a number of different options.  One of the best ways to go about requesting free beauty samples is by using the internet. When using the internet to find free beauty samples, you will want to think about performing a standard internet search.  You may want to visit the online websites of beauty product manufacturers, as well as beauty supply stores, as they often have free sample request forms on their websites.

    You can also use the internet to find free beauty samples by visiting websites that are regularly referred to as freebie sites or free product sample websites. These websites are often in message board formats so that internet users can share free product samples that they come across online with others. What is nice about visiting a free product sample website is that you will not only find links to free beauty samples, but a wide range of other sample types, including books, movies, food, pet products, and baby products.

    It may also be a good idea for you to visit one of your local beauty supply stores on occasion. While it is more common to find free beauty samples online, many beauty supply stores also offer free beauty samples to their customers or even those who just enter the store.  Since not all retailers offer in store free samples, you should not count on receiving them, but if you happen to be in or around a local beauty supply store you may want to look to see if they have any free beauty samples available for taking.

    Perhaps, the greatest benefit to requesting free beauty samples or taking one when you find them in store is that you never really know what you may end up with.  Product manufacturers and retailers often offer free samples on their new products; therefore, it is likely something that you haven’t already tired before.  In that case, you may be pleasantly surprised with the free beauty sample that you requested, whether it was perfume, makeup, or a skincare product.  In fact, you may be so pleased with your recently acquired free sample that you decide to buy the full size product from then on out.

    In addition to sending you a free product sample, it is common for a product manufacturer or a retailer to also include moneysaving coupons with your free sample. This is nice because should you like the product in question, you may want to buy the full sized product and your coupon may come in handy if and when you decide to do so.

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  • Tips on how to get the most off a budget car rental

    Budget car rentals are a traveler’s savior from being stranded in one place and from expensive taxi rides. But with today’s competitive market, I won’t be surprised that from trying to rent a car you end up renting a lawnmower instead. Well maybe not a lawnmower, but sometimes, well most of the time, the people that assist you in car rentals just doesn’t have your best interest in mind, so you end up paying a truckload of money for a pool of frustrations. To avoid this here are a few tips to get the budget, out of budget car rental.

    1. If you’re not choosy with a budget car rental, try to get a budget car rental through sites that let you rent cars at your own price. These firms will try to get the best deal for the car that you’ll get and might just toss in unlimited mileage and upgrades, all of that without spending an extra dime out of budget.

    2. Look for package deals, fly-drive-stay, or fly- drive, most of these packages give great discounts for rentals, but don’t do it with an airline, airlines although convenient aren’t really the more economic way to go, their budget car rental prices are hardly budget, and tend to be higher than those of outside firms.

    3. Use the internet to reserve a rental car. Ah, the internet, what other good can it provide? Yes there are budget car rentals on the internet that can give you a better bargain. Some budget car rental sites even go as far as internet only discounts. Aside from that you can easily get upgrades and depending on the season, at least one rental company is bound to have a special offer that can help you save money, plus, you can rent a car in the comfort of your own home, beat that!

    4. Ask for discounts that can be applicable to you, remember even when you’ve scored the best deal, there is still that one last ditch of a possibility that one of your credit cards support the company and provide discounts or that your frequent flyer program or military service can put that budget in budget car rental, its along shot but its worth a try.

    5. Most budget car rentals are low on maintenance so when you rent a car, check all sides for damage, and I mean every side and every nook and cranny of that car, make sure to inform the renter of these so that you wont have to pay for damages once you return the car. In addition, try to check out all the accessories, wipers, radio, brakes, seatbelts etc, to familiarize yourself with them, and also to check if they work, like the previous tip, you might be charged for this if you don’t inform them.%image_alt%

    6. Now we pass the subject of insurance, sometimes your own car insurance covers car rentals, so have a look see before you buy insurance from the rental firm. Budget car rental insurance doesn’t cost much, but if you already have one why buy another? Car rental insurance is always required when you rent a car.

    7. Another money saving tip is to pick up your car early in the morning, make it so that the firm is just opening, this is because at this time most of the budget car rentals haven’t been returned yet, and you may get an upgrade for a lower price.

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  • Adsense and the Web Surfer

    Adsense and the Surfer

    AdSense is an easy program to grasp: it's a great form of an advertising bringing a lot of benefits to every person in the chain. And of course, seeing the results it can have on a business (and a publisher) people encourage this form of publicity.

    For the browsing audience this is probably the most straightforward model available, because they can be directed to a lot of new sites they wouldn't have otherwise found. Needless to say, if you have an AdSense banner on your site, and a large number of visitors you'll know it offers a great financial benefit.

    But why does it work for the people clicking the links, as opposed to a standard approach?

    It is aided by today's society. With bloggers and information based articles on the internet, people may be encouraged to complete purchases, which adsense can provide links to relevant suppliers whilst also benefiting the publisher.

    And the good thing about this is that it works for site visitors as well. In fact Google realized that by pleasing the people who are looking for something, and directing them to what they need faster, everybody wins.

     It is because of this that a lot of websites promote through AdSense in both content and search. They do it because they ultimately learned that it works for everyone.

    If we look in the past, we can realize that this kind of publicity has a great impact over the people, especially in the last few years. When we enter on a web site and we see a graphical banner, our first idea is to cancel it out of our mind, because it's of no concern to us.

    That's why traditional banner advertising is wrong. It's precisely because people are becoming savvy that they don’t look at a flashy banner because they think they'll be losing their time with it.

    We've gotten accustomed to banners that don't interest us. And we're accustomed to them having nice graphics. So we naturally associate the two things and think that a banner with nice graphics has nothing to tell us.

    But we might look at a text-ad because we've grown accustomed to them being targeted at what we're looking for. Basically these advertisements have marketed themselves into being looked at by any visitor.

    This is a typical "no fluff, just stuff" situation. And in the end it means the visitors will see what they're interested in, not some random cool graphics you throw at them.

    As stated above, site visitors adopt this advertising mechanism, because it is efficient in leading them to pages of interest and can offer ton of things they really want to see. Someone coming across an article on adsense was probably looking for shoes or doing research on shoes when they came across the article.

    And most importantly for everyone, including visitors, this scheme can only improve as the process gets further refined to make ads more relevant to what you're looking for, not just a couple of keywords on a site.

    Nowadays, it is because of AdSense that Internet surfers are looking after more interesting related things from banners, and the companies behind the site (Google and the advertiser) need to have better ideas to display, as expectations have increased a great deal.

    So could "Do no evil" actually work in today's cut throat competitive marketplace? Well, as you can see it can and it does. And you, as a visitor are the one who gets to enjoy this the most. Advertising becomes less of a burden and more of a benefit, and is still a benefit you can choose to ignore.

    Less obtrusive banners; banners that you're actually likely to be interested in and click means you'll be less annoyed by surfing the web and feel like you as a visitor being offered a relevant service.

    Although some may feel reluctant to read articles that are there purely to compel consumers, undoubtedly without this consideration they are useful. Ultimately the adverts mean that you don’t have to go back to your homepage every time you are compelled to complete a purchase.

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  • Increasing Your Sales With Autoresponders

    The autoresponder is without a doubt one of the best marketing tools you can get.  It is a widely used application that will automatically respond to any email that it receives.  They are considered to be magical indeed, triggered by a blank email that they receive to their address.  Once they receive this email, they automatically start working for your business.

    Whenever someone sends the autoresponder a message, the individual who sent the message will receive a preset email message with the information they were seeking.  Depending on the servers and speed of the Internet, the email response will happen very fast.  Autoresponders have always been known for their quick speed and fast responses to any type of email message they receive.

    One of the best things about autoresponders is the fact that they are always available.  They are always there 24/7, providing your clients and customers with the information they seek.  They will make your business life easier, by boosting your sales.   They require little work from you, yet they are easy to operate.  They can also make managing your customers and clients easier than ever, as they will help you keep track of your responses and keep up with email addresses you receive.

    Even if you’ve never used an autoresponder before, you can easily use it to your advantage with your online business.  You can preset it to say a variety of messages, even inform your clients about future offers and products.  This is a great way to get your message out there, especially if you are currently holding a sale or other deal that you know people won’t want to miss out on.  Autoresponders will work for you day or night, making your company information available to anyone whenever they want it.

    Contrary to popular belief, not all buyers are impulse buyers.  Research has shown that less than 15% of those who visit websites are impulse buyers.  Although most websites focus themselves on getting visitors to buy their products immediately, most buyers need time to think about a product or offer they will purchase it.  Most buyers don’t like to buy something immediately, simply because they may not be familiar with the product or know what it can do for them.  Therefore, most buyers will learn all they can about something before they decide to go ahead and purchase it.

    You can also use an autoresponder to distribute courses, articles or reports to your clients and subscribers.  They are also great for providing free information to interested individuals, or immediately sending out information about your products and opportunities.  You can also choose to send out price lists as well, or welcome new clients to your organization.  If customers have purchased from you before, you can use an autoresponder to send out confirmations, thank you notes, and even offer discounts to those who buy your products.

    In the world of Internet marketing, autoresponders are simply beneficial to have.  They are worth more than the price you pay for them, simply because they will provide you with so much for so little.  One of the best in the business is www.Automatic-Responder.com. Sending out information is easy with an autoresponder – as it will provide information about your company and products to interested clients the instant they need it.

    All in all, an autoresponder will help you operate your business easier than ever before.  Unlike other programs you can get for your online business, autoresponders will keep you in a constant state of readiness.  You can feel free to go out and do what you want – and rest assured that your autoresponder will be there to supply information to those who need it.

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  • Free Advert – Advertising for Free

    Free Advertising

    Advertising for free seems like an impossible thing when heard. But there are several ways by which the cost of advertisement can be conserved, with the help of some imagination and creativity.

    A business wanting to advertise, can write articles related to their field of expertise that can be submitted to media and publications having interest in that particular field. The advertising article can have information about the company and dealership opportunity. Due to the rise in Internet users and websites, new websites have sprung up which offer free services. Articles can be written for these websites and they can be broadcasted for free, which will be viewed by hundreds of people everyday.

    Once the business has gained some recognition, within no time it will gain popularity also among the crowds. This popularity can lead to them being invited on radio and television talk shows and even to interviews. Such kind of opportunities shouldn’t be missed as they provide a chance for free promotion. If it is taking a long time to get a break, the producer can be addressed with a letter that can be followed up by a telephone call or in-person visit. During the visit, the nature of expertise can be discussed about the business, which will be of interest to the viewers of the particular channel. Once a businessperson gains the status of being public-friendly, more offers start pouring in.

    Free bulletin board located in the neighborhood, like in grocery stores, libraries, and salons, are another good idea. Advertising circulars can be posted on such boards for free. Circulars for mass distribution can be handed out at the mall, shopping center, bus stops, particularly on weekends when there is a big rush. Students can be hired on part time basis for this purpose.Free Advert - Advertising for Free

    Promotional advertisement can be printed on the envelopes used by the business firms. Both the sender and the receiver can view this advertisement.  Promotional offers can be sent to customers by postcards, which should be utilized to its full, leaving only place left for writing the address.

    Some of the new mail order publications offer free first time and seasonal deductions for advertisers. Other publications offer pay per inquiry space. Inquiries can be made about stand-by space, which means that the publication holds the submission of advertisement until the space is not sold and in that case, thirty three percent saving can be achieved. Usually local newspapers provide these kinds of offers.

    If the business is involved in ad sheet or catalog publishing, other publishers can be contacted for the purpose of bartering an advertising exchange. They can place advertisement in their publication, in return for placing their advertisement in the business’s publication.

    Free offers can be provided to the customer. This can be done by emailing or printing newsletter about information regarding the area of interest of the targeted customers and can be made popular by using tag lines. Attach a free coupon with it, which the customers can use it for shopping, if a criterion is met like minimum purchase of $ 50. By this the response will be huge and most of them will purchase something or the other to avail the free offer. The basic ingredient for advertising for free is imagination and research. Opportunities should be searched and a strong working force should be applied to increase the sales.

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  • The Pros and Cons of Getting Your Beauty Tips Online

    Are you interested in improving your appearance, at least beauty wise?  If you are, you may have been told by those that you know to turn to the internet.  While the internet is a great way to familiarize yourself with the latest in beauty trends, as well as learn how to properly apply makeup, get beauty product recommendations and so forth, you also need to be careful when doing so. Despite what you and others are often told, there are both pros and cons to getting your beauty and fashion information from the internet.

    As previously mentioned, the internet is a great source of information, no matter what you are looking to research.  That is one of the many pros or plus sides to using the internet to research beauty tips, tricks, techniques, and the latest beauty trends.  You often have a number of different options. For example, you can visit traditional websites that just focus on beauty and fashion or you can visit the websites of popular printed beauty magazines. You may also be able to find strictly online versions of beauty magazines.  These types of magazines are often referred to as online beauty magazines.  Having a number of different resources at your tips is what makes the internet nice and convenient.
    The Pros and Cons of Getting Your Beauty Tips Online
    Although it is nice to be able to access to a number of online resources, when looking for beauty tips, tricks, trends, and techniques, you never really know what you will end up coming across. This is most evident when you come across a website that was designed by someone just like you, an everyday internet user. What you need to remember is that the internet allows just about anyone to post anything that they want online.  Just because someone outlines a new beauty trend or gives you a product recommendation, it doesn’t mean that they are speaking the truth. You may not necessarily think about it at the time, but getting your information from unchecked sources may actually end up putting you and your health in danger.

    Another one of the many pros or plus sides to using the internet to learn more about beauty is that it is free, at least to find what you are looking for. Most of the websites and resource guides that you will find online are free to access. As long as you take a minute to examine the information being given to you or the source of that information, you shouldn’t have a problem with using the internet to get beauty product recommendations or tips on how to apply makeup and other beauty care products.  Depending on how often you search for beauty information, you may be able to save yourself a considerable amount of money by using the internet instead of buying printed fashion magazines, which can actually get quite costly overtime.

    As outlined above, you can find beauty tips, tricks, and information on beauty trends by visiting beauty focused websites, reading online beauty magazines, as well by visiting the online websites of popular printed fashion magazines.  Finding all of these resources is another one of the many pros to using the internet.  When using the internet, it is easy to find whatever you are looking for. A simple standard internet search could help direct you to a popular online beauty website or it could even take you directly to what you were looking for, like tips on how to remove properly remove your makeup at night.

    As you can see, from being outlined above, the internet is a great way to find information on beauty tips, tricks, and trends.  If you are interested in improving the way that you wear your makeup, how you wear your hair, or the appearance of your skin, you may want to think about turning to the internet to do so.  As a reminder though, it is important that you display caution and use your best judgment, especially with something important like beauty product reviews.

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  • WHO and European Investment Bank strengthen efforts to combat COVID-19 and build resilient health systems to face future pandemics

    • WHO and the European Investment Bank enhance cooperation to support countries in addressing the health impact of COVID-19
    • The first phase will address urgent needs and strengthen primary health care in ten African countries
    • Enhanced WHO-EIB partnership will scale up financing to assure the chain of essential supplies, including personal protective equipment, diagnostics and clinical management
    • New initiative will accelerate investment in health preparedness and primary health care with a focus on health work force, infrastructure, and water, sanitation and hygiene
    • The initiative involves measures to address the growing threat of antimicrobial resistance

    The World Health Organization and the European Investment Bank will boost cooperation to strengthen public health, supply of essential equipment, training and hygiene investment in countries most vulnerable to the COVID-19 pandemic.

    The new partnership between the United Nations health agency and the world’s largest international public bank, announced at WHO headquarters in Geneva earlier today, will help increase resilience to reduce the health and social impact of future health emergencies. 

    “Combining the public health experience of the World Health Organization and the financial expertise of the European Investment Bank will contribute to a more effective response to COVID-19 and other pressing health challenges,” said Dr Tedros Adhanom Ghebreyesus, WHO Director-General. 

    “WHO looks forward to strengthening cooperation with the EIB to improve access to essential supplies including medical equipment and training, and deliver better water, sanitation and hygiene where most needed. New initiatives to improve primary health care in Africa and support the EU Malaria Fund hint at the potential impact of our new partnership,” Dr Tedros concluded.

    “The world is facing unprecedented health, social and economic shocks from COVID-19. The European Investment Bank is pleased to join forces with the World Health Organization as a key part of Team Europe’s efforts to address the global impact of the COVID-19 pandemic. The EU Bank’s new partnership with the WHO will help communities most at risk by scaling up local medical and public health efforts and better protect people around the world from future pandemics. This new cooperation will enable us to combat malaria, address anti-microbial resistance and enhance public health in Africa more effectively,” said Werner Hoyer, President of the European Investment Bank.

    Improving local public health efforts to tackle coronavirus

    The WHO and the EIB will increase cooperation to help governments in low- and middle-income countries to finance and secure access to essential medical supplies and protective equipment through central procurement.

    Building resilient health systems in vulnerable countries across Africa

    The WHO and the EIB will reinforce cooperation to support immediate COVID-19 needs and jointly develop targeted financing to enhance health investment and build resilient health systems and primary health care to address public health emergencies as well as accelerate progress towards Universal Health Coverage.

    The partnership will benefit from the EIB’s planned 1.4 billion EUR response to address the health, social and economic impact of COVID-19 in Africa.

    This will address immediate needs in the health sector and provide both technical assistance and support for medium-term investment in specialist health infrastructure.

    The collaboration envisages rapid identification and fast-track approval of financing for health care, medical equipment and supplies. 

    The first phase of the collaboration will see public health investment in ten African countries. 

    Long-term collaboration to overcome market failures in global health

    The agreement signed today establishes a close collaboration to overcome market failure and stimulate investments in global health, accelerating progress towards Universal Health Coverage. Increased cooperation between the WHO and the EIB will strengthen the resilience of national public health systems and enhance preparedness of vulnerable countries against future pandemics, thanks to investments in primary care infrastructure, health workers and improved water, sanitation and hygiene. 

    Future cooperation will strengthen the EIB’s 5.2 billion EUR global response to COVID-19 outside the European Union.

    Scaling up investment to tackle antimicrobial resistance

    The two organisations will also cooperate in an initiative to address investment barriers hindering development of new antimicrobial treatment and related diagnostics. Antimicrobial resistance is amongst the most significant global health threats.

    The WHO and the EIB are working on a new financing initiative to support development of novel antimicrobials and address the estimated 1 billion EUR needed to provide medium-term solutions to antimicrobial resistance. Other crucial partners have been invited to join this discussion. 

    Improving the effectiveness of malaria treatment

    Under the new agreement the EIB and WHO will support development of the EU Malaria Fund, a new 250 million EUR public-private initiative intended to address market failures holding back more effective malaria treatment. 

    Strengthening EIB support for healthcare, life science and COVID-19 investment

    In recent years the European Investment Bank has provided more than 2 billion EUR annually for health care and life science investment.

    In the context of the COVID-19 pandemic, the EIB is currently assessing over 20 projects in the field of vaccine development, diagnostic and treatment, leading to potential investments in the 700 million EUR range. The EIB will also take part in the EU’s rolling pledging effort for the coronavirus global response that is taking place on May 4th.

    Background information

    The European Investment Bank (EIB) is the long-term lending institution of the European Union owned by its Member States. It makes long-term finance available for sound investment in order to contribute towards EU policy goals.

    The World Health Organization provides global leadership in public health within the United Nations system. Founded in 1948, WHO works with 194 Member States, across six regions and from more than 150 offices, to promote health, keep the world safe and serve the vulnerable. Our goal for 2019-2023 is to ensure that a billion more people have universal health coverage, to protect a billion more people from health emergencies, and provide a further billion people with better health and wellbeing. For updates on COVID-19 and public health advice to protect yourself from coronavirus, visit www.who.int and follow WHO on Twitter, Facebook, Instagram, LinkedIn, TikTok, Pinterest, Snapchat, YouTube

    WHO’s information site on the COVID-19 pandemic

    Read More
    https://www.who.int/news-room/detail/01-05-2020-who-and-european-investment-bank-strengthen-efforts-to-combat-covid-19-and-build-resilient-health-systems-to-face-future-pandemics

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  • Maternal infections in health facilities

    Maternal infections in health facilities

    A clearer picture of the global impact 

    New research from the Global Maternal Sepsis Study (GLOSS), a major WHO/HRP initiative, shows that infection has a much larger impact on global maternal mortality and morbidity than previously thought.

    Logo of the Lancet Global HealthThe
    results from GLOSS, published in The Lancet Global Health, are the first to provide data on frequency of maternal infections and
    sepsis across the pregnancy and post-pregnancy period, in a large number of health facilities around the world. 

    Around 11 women per 1000 live births had an infection which resulted in or contributed to what is known as a severe maternal outcome – either they died or nearly died – during their hospitalization. 

    Urgent improvement is needed to manage this life-threatening risk faced by all pregnant and recently pregnant women, wherever they are in the world. 

    What is maternal sepsis and how does it lead to maternal death?

    Maternal sepsis is a life-threatening condition that arises when the body’s response to infection causes injury to its own tissues and organs during pregnancy, child-birth, post-abortion or the postpartum period.

    The latest global estimates place sepsis due to obstetric infections as the third most common cause of maternal mortality. However, this only includes infections as a direct result of pregnancy, such as endometritis or post-caesarean wound infections.

    Few
    previous studies include post-abortion infections. Neither do they address indirect infections such as respiratory and meningitis, which are aggravated by pregnancy but not directly caused by it.

    A better understanding of maternal infection

    GLOSS was a massive facility-based data collection effort led by WHO, accompanied by a ‘STOP SEPSIS!’ campaign to increase awareness among healthcare providers.

    The study gathered data on women who were admitted with suspected or confirmed infection during pregnancy or post-pregnancy over a one-week period in 2017. More than 2800 women participated in the study in 52 countries.

    GLOSS included healthcare facilities that care for women during pregnancy, childbirth or at the end of pregnancy, as well as facilities without maternity service but where women could be hospitalized during or after pregnancy, and data on infections
    which are not usually recorded as maternal sepsis, including post-abortion and indirect infections. 

    The result is a more complete understanding of the frequency and impact of maternal infections in health facilities. 

    GLOSS calls attention not only to the wider range of risks faced by pregnant women but also to the long period of time during which they are at risk. 

    Putting global numbers on maternal infection and sepsis

    Overall, around 70 pregnant or recently-pregnant women per 1000 live births were found to have a maternal infection needing hospital management. 

    Across the study, 11 women with either direct or indirect infection per 1000 live births developed a severe maternal outcome, but in low- and middle-income countries up to 15 women per 1000 births were affected.

    Infections were the underlying cause of most of the deaths recorded during the study, primarily post-abortion infection and indirect infections. Infections were also present in about a third of deaths attributed to other causes, such as postpartum
    haemorrhage.

    This suggests that the contribution of infection to global maternal mortality and morbidity may be larger than current reports of maternal sepsis mortality suggest.

    Preventing, identifying and treating maternal infection and sepsis

    Some of the most common maternal infections found in the study, such as urinary tract infections, post-caesarean and post-abortion infections, are largely preventable and treatable.

    GLOSS results suggest that current levels of monitoring and clinical care across health facilities are not enough to prevent, identify and treat levels of maternal infection effectively. 

    For instance, a complete set of vital signs was not reported for a third of the women in the study, on the day their infection was suspected or diagnosed. Delays in antimicrobial therapy were frequent.

    GLOSS also shows marked differences across countries, with the highest burden in low- and middle-income countries, compared with high-income countries.

    This may reflect the impact of broader health determinants in different country contexts. Challenges of overcrowding, limited access to water and sanitation and constraints to safe births by skilled birth attendants can reduce the ability of healthcare
    providers to manage the frequency and outcome of maternal infections.

    An opportunity to implement evidence-based practice

    GLOSS gives healthcare providers, policy-makers, and the public at large an opportunity: to mobilise around these data improve evidence-based practice, and save lives. 

    WHO has produced a number of resources which can support timely action to prevent, diagnose and treat maternal infection, as well as activities such as the upcoming SAVE LIVES: Clean Your Hands campaign
    on 5 May which celebrates the central role played by nurses and midwives in clean health care. 

    In addition, WHO will publish a global sepsis epidemiology report around the 73rd World Health Assembly (WHA) in May, as requested in the
    2017
    WHA Resolution on Improving the prevention, diagnosis and clinical managementof sepsis.

    Understanding why and how infection affects women is essential for equipping healthcare providers with life-saving knowledge and enabling health care systems to bring down global maternal mortality and morbidity.

    Related publications

    WHO recommendations for prevention and treatment of maternal peripartum infections

    WHO Clinical practice handbook for safe abortion

    Global guidelines on the prevention of surgical site infection

    WHO statement on maternal sepsis

    World Health Assembly resolution on Improving the prevention, diagnosis and clinical management of sepsis

    Health Topics

    Antimicrobial resistance

    Infection Prevention and Control

    Water Sanitation Hygiene

    Other links

    Global Maternal Sepsis Study

    SAVE LIVES: Clean Your Hands 5 May 2020

     

     

    Maternal infections in health facilities
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    https://www.who.int/news-room/detail/27-04-2020-maternal-infections-in-health-facilities

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