Stephen Kenny has stressed the Republic of Ireland cannot dwell upon Declan Rice and Jack Grealish switching allegiance to England, with the focus firmly on the future.West Ham midfielder Rice and Aston Villa captain Grealish are in the England squad for Thursday’s friendly against Ireland at Wembley.- Advertisement – Image:Jack Grealish (left) represented Republic of Ireland at U21 level, Declan Rice (right) at senior level Alexander-Arnold set to Ireland gameTrent Alexander-Arnold is set to withdraw from the England squad ahead of the game against Republic of Ireland with a suspected calf injury.Liverpool boss Jurgen Klopp confirmed the defender will have a scan on Monday but insisted he would not be available to report for international duty“He will be out of England. Scan tomorrow and then we will see,” Klopp said after Liverpool’s 1-1 draw against Manchester City on Sunday.The right-back had to be substituted in the 63rd minute with a suspected calf problem, with James Milner replacing him. Rice made three senior friendly appearances for the Irish before making the switch, while Grealish played up to U21 level.Asked with regard to the pair if he ever found himself wondering what might have been, boss Kenny said: “Not really. I think obviously they are both very good players. I’m very happy with some of the players we have. We have a lot of talent coming through.“I think we have a lot of good players, a lot of talent, and we’re not far away from being a very good side.- Advertisement – – Advertisement – Image:Trent Alexander-Arnold is set to miss out on Thursday’s friendly Kenny was then asked if he had thought about what he could do to prevent similar scenarios arising down the line.“Well, I think I can’t make promises you can’t fulfil,” he said- Advertisement – “I can’t worry about other players that could have been part of the equation. We can’t really dwell on that from our point of view. We have to look forward and see what players are coming through and what other players emerge.” “What we can do is try to make the environment at all ages, all levels, as professional as possible, make sure there’s a clear pathway between the Under-15s and the senior international team, make sure the players are exceptional and move up the ages quicker, to accelerate their development. I think that’s very important.“Try to create an environment that players can really identify with, an identify for the Irish team.“And to be fair, all the players love playing for Ireland, in all of the age groups. There can be some misinformation maybe nowadays that players are not as committed – that wasn’t my experience when I came in and managed the players.“I felt when they were left out of squads they were devastated and desperate to play.”Southgate: Grealish and Rice can thrive for EnglandGareth Southgate is convinced Rice and Grealish, as well as Michael Keane – who also represented Ireland at youth level and is in the squad for Thursday – will go on to have successful international careers with England.“In terms of Declan, well, we’ve got the same situation with Jack and the same situation with Michael Keane, really, so we’ll have to play somebody!” Southgate said.“But I can’t think too much about that. We’re obviously playing in an empty stadium which makes things a little bit different but I understand the interest in these players.“We’ve got a lot of these situations. We played Wales last month and they had a couple of players who were with us as youngsters: Tyler Roberts and Ethan Ampadu. We didn’t want to lose them.“I think everybody is facing these challenges with dual nationality players and we’ve always got to get the balance right of not capping them too early, just to stop them going somewhere else – we want to be fair to them so they can have a career.“But I think the three boys we have with us, they look as if they can have good international careers with us and we’re just focusing on that part of it, really.”
Ethan Brown, founder, president and CEO of Beyond Meat.Adam Jeffery | CNBC – Advertisement – Shares of Beyond Meat cratered as much as 28% Monday in after-hours trading following the release of disappointing third-quarter results, capping off a frenzied day of trading for the volatile stock.McDonald’s announcement of a plant-based line called “McPlant” sparked confusion among investors about whether Beyond would be a supplier for the largest U.S. restaurant chain by sales. The company made the meatless burger patty for a McDonald’s test in Ontario.The fast-food giant declined to provide CNBC with any details on its suppliers for the forthcoming products.- Advertisement – – Advertisement – “We have a relationship with Beyond Meat, where they supported us in our Canadian test market,” McDonald’s CEO Chris Kempczinski told CNBC’s Carl Quintanilla. “We haven’t made a decision yet about how we’re going to be and which suppliers are supporting our global rollout, so I don’t want to comment on that.”But a spokesperson for Beyond said in a statement to CNBC that the company co-created a meat-free patty with McDonald’s that will be available as part of McPlant.On Beyond’s earnings conference call Monday evening, J.P. Morgan analyst Ken Goldman told Beyond CEO Ethan Brown that he thought Brown was “spooking people a little bit” because he wasn’t giving investors any substantial details on what could be a major source of growth for Beyond.- Advertisement – In a response to Goldman, Brown said that in his own observation, McDonald’s might have wanted to keep the spotlight on their investor day and announcing Beyond as a supplier could’ve disrupted that focus. He also said that he would wait to work with McDonald’s before making further comments on Beyond’s role within McPlant.“I will say this: Everything we said is true,” Brown said. Beyond has developed a “very long-term” relationship with McDonald’s, including creating the burger that will be a part of McPlant, he said, adding that it is up to the chain to decide the extent of the collaboration.
Image:Scotland players celebrate after David Marshall’s save secures victory in the penalty shootout 8:53 “When we got in front we never sat back, we looked to get the second goal. We conceded a poor goal and it knocked us for a bit going into extra time, but the players showed another side to them. And we’re 10/10 for penalties just now!”Scotland’s reward for the win in Belgrade is a place in Group D alongside England, Croatia and Czech Republic – and a mouth-watering Euro 2020 schedule that will see two of their matches – against Croatia and Czech Republic – played in Glasgow.“For Scottish football it’s great, the SFA were projecting they would lose a lot of money, hopefully us qualifying will help,” Naysmith added.“I just pray and hope fans will be allowed back in stadiums for these games. After so long away it would be unjust if fans couldn’t be there. I’ve been checking the prices for Wembley, they are reasonable until the Tartan Army get involved.” Highlights of the European Championship Qualifying Path C play-off final between Serbia and Scotland 4:02 – Advertisement – Derby goalkeeper Marshall, refusing to believe what he had just achieved, approached referee Antonio Mateu Lahoz, who was waiting on VAR, to find out whether he had stepped off his line.A few moments passed before reality set on the 35-year-old and he was engulfed by his elated team-mates. Naysmith, who won 46 caps for Scotland, expects those moments to be remembered for years to come. “Marsh was in the squad when I was there. He’s got around 40 caps now but for a lot of his career he has had to play second or third choice to Allan McGregor and Craig Gordon. He always turned up when Scotland needed him,” Naysmith told Sky Sports News.- Advertisement – David Marshall’s reaction to his crucial penalty save against Serbia to send Scotland though to Euro 2020 will become iconic, says Gary Naysmith.Steve Clarke’s side qualified for their first major tournament since 1998 after Marshall saved Aleksandar Mitrovic’s sudden death penalty in a tense shootout in Belgrade.- Advertisement – Naysmith also says Scotland’s qualification for Euro 2020 is testament to the tactical work done by Clarke and his backroom coaching team.Scotland’s fortunes have been transformed by Clarke’s influence in the dugout with a run of nine matches unbeaten coinciding to a shift to three central defenders.“It’s testament to him and his backroom staff. When we first went to a back three I thought it didn’t really work, there were a lot of things wrong.“He stuck with it, persevered and now there are two or three players for each position, even just in the defence. We have a good depth in the squad now.“The performance of the players was exceptional, for such a high pressure game they controlled it from start to finish. “I’m delighted for him to play such a big part, obviously the penalty save was different class, his reaction to see if it would be allowed was iconic.“His save in extra-time was outstanding. He’s played a big, big part, as big as anyone.” Scotland manager Steve Clarke said he may shed a tear back in his hotel room after his side qualified for their first major tournament since 1998 – Advertisement –
Hartwig Fischer, director of the British Museum said they were “honoured” to be working with colleagues from Edo State, the Benin Royal Palace, the Legacy Restoration Trust, the National Commission for Museums and Monuments of Nigeria, and Adjaye Associates on “this exciting project”. – Advertisement –
Nonetheless, he said mosquito control should be a public health function. He recommended the approach known as integrated pest management, which requires careful monitoring to determine “if, when, and where” to spray or otherwise combat mosquitoes. Jul 15, 2004 (CIDRAP News) Now that West Nile virus (WNV) is in North America to stay, mosquito control is becoming an important task of the public health system, West Nile experts said at a public health convention in St. Paul today. See also: In Colorado Springs, Colo., a program that combined mosquito control with public education and cooperation among local governments appeared to succeed in limiting WNV cases last year, according to another speaker at the meeting. Mosquitoes also spread the viruses that cause St. Louis encephalitis, western equine encephalitis, eastern equine encephalitis, and LaCrosse encephalitis, Nasci said. Cases of St. Louis encephalitis average only about 115 per year, and the other three diseases are even less common. Editor’s note: This story was revised Jul 19, 2004, to include additional information about the percentage of West Nile virus infections that result in illness. A recent study from the Chicago area suggested that mosquito control programs made a difference in WNV infection rates, he said. For example, the Des Plaines Valley district, with an intensive program to kill mosquito larvae, had four West Nile cases per 100,000 people, while the North Shore district, with a less ambitious program, had 51 cases per 100,000. Similarly, he said, a study from Michigan indicated that people in areas with no mosquito control program had a tenfold greater risk of WNV than those in areas where mosquitoes were controlled. ASTHO report, “Public Health Confronts the Mosquito: Developing Sustainable State and Local Mosquito Control Programs” Since 1999, West Nile has quickly surpassed four other mosquito-borne arboviruses as a cause of human disease in the United States, Nasci said. There were 9,862 cases of WNV illness reported to the CDC in 2003, and 2,775, or 28%, of those involved encephalitis or a related brain disease, Nasci reported. The disease killed 260 people. (However, only about 20% of people infected with WNV actually become ill, and only about 1 in 150 infected people suffers severe illness with brain inflammation, according to CDC estimates.) However, this pattern didn’t hold in a comparison of the cities of Fort Collins and Loveland in Colorado: Loveland had a higher rate of WNV cases even though it worked harder on mosquito control, according to Nasci. WNV, native to Africa and the Middle East, has spread quickly across the United States since it emerged in the New York City area in 1999. Birds serve as the virus’s natural host, and mosquitoes spread it to humans after feeding on birds. Nasci cited a new report from the Association f State and Territorial Health Officials (ASTHO) as a good source of further information on mosquito control (see link below). Rosemary Bakes-Martin, MS, MPH, acting director of public health for El Paso County, said the county began girding for the West Nile battle in the fall of 2002. Officials knew that public opposition would preclude spraying to kill adult mosquitoes. Instead, they mounted an effort to kill mosquito larvae countywide at the start of the season, and then followed up with larva-killing measures in areas where infected birds were found. Nasci said the scientific case for mosquito control as a way to fight West Nile is not yet compelling. “We know that we can document a reduction of mosquitoes through mosquito management,” but there is conflicting evidence on whether mosquito control programs reduce human cases of WNV, he said. Bakes-Martin said the county also used thousands of “tip cards,” posters, and brochures in two languages to educate the public about protecting themselves from mosquitoes. Other measures included generating heavy news coverage of West Nile and enlisting the help of all the county’s cities and towns in the public education effort. By October, El Paso had the second lowest WNV case rate among Colorado counties, fewer than 20 cases per 100,000 people, according to Bakes-Martin. “We felt like we did something right,” she said. Later in the season, the county took steps to kill mosquito larvae in areas where human West Nile cases turned up, Bakes-Martin said. Patients “all seemed to know when they were bitten by the mosquito that got them ill,” she explained. “I’d say in 90-some percent of instances, we found within a hundreds yards a place where there was mosquito breeding.” He said he doesn’t expect WNV to become so widespread in this country that most people will develop immunity from having been exposed at some point. In Africa the disease mostly affects children and teenagers, who then develop immunity and are protected in adulthood, he said. “We’re not going to find human herd immunity coming into play” in the United States, he said. “There’s a reevaluation of mosquito control as a public health function going on now,” said Roger Nasci, PhD, an entomologist who studies mosquito-borne viruses at the Centers for Disease Control and Prevention (CDC) laboratory in Fort Collins, Colo. He spoke at the annual conference of the National Association of County and City Health Officials (NACCHO). In response to questions, Nasci ventured a prediction about the future of WNV in the United States. He said the pattern for West Nile could evolve to resemble that of Japanese encephalitis in Asia. Modest outbreaks of the disease occur each year, but, depending on weather, it occasionally erupts on a much larger scale, he said.
Jul 18, 2005 (CIDRAP News) – Researchers report that the antiviral drug oseltamivir helped mice survive infection with the H5N1 avian influenza virus, boosting hopes that the drug could be an effective weapon if the virus sparked a human flu pandemic.Up to 80% of mice treated with oseltamivir survived the infection, whereas all mice treated with a placebo died, according to a report by a team of leading influenza virus researchers in the Journal of Infectious Diseases.The team also determined that the current strain of the H5N1 virus, which has killed at least 54 people in Southeast Asia in the past 19 months, is much more virulent than the H5N1 strain that killed 6 of 18 people infected in Hong Kong in 1997.The H5N1 virus is regarded as likely to trigger a flu pandemic if it evolves into a form that could pass easily from person to person. If that happens, it will take months to produce a vaccine specific to the virus. In the meantime, oseltamivir (Tamiflu) and similar drugs, called neuraminidase inhibitors, might be the only effective medications for preventing and treating the illness, according to disease experts. Neuraminidase inhibitors block a protein that enables flu viruses to leave host cells.”We need to know whether antiviral drugs can prevent and treat avian flu, because in the early stages of a global outbreak, most people would be unvaccinated,” said Anthony Fauci, MD, director of the National Institute of Allergy and Infectious Disease (NIAID), which sponsored the study. Fauci was quoted in an NIAID news release.The NIAID said the study is the first published research on the use of oseltamivir against the H5N1 strain now circulating in Vietnam. It was conducted at St. Jude’s Children’s Research Hospital in Memphis and authored by Hui-Ling Yen, Arnold S. Monto, Robert G. Webster, and Elena A. Govorkova.The investigators used an H5N1 strain derived from a Vietnamese patient who died. They inoculated 80 mice with the virus and treated them with one of three possible dosages of oseltamivir (0.1, 1, or 10 mg/kg of body weight per day) or a placebo. The highest dosage was proportional to the dosage humans receive when treated for the flu. Thirty mice received oseltamivir for 5 days—the same regimen as is recommended for humans—while 30 received the drug for 8 days.Survival rates for the mice depended on their daily dose and regimen length. Five of 10 mice that received 10 mg/kg/day for 5 days survived, but all the mice that received lower doses for 5 days died. Among mice on the 8-day regimen, the survival rates were 1 of 10 on the lowest dose, 6 of 10 on the middle dose, and 8 of 10 on the highest dose.”The eight-day dose of oseltamivir allowed more time for virus levels to fall and less chance for avian flu to rebound after the drug was stopped,” the NIAID said. In mice on the 5-day regimen, analysis of the lungs showed that the virus survived and grew again after the treatment ended. Most of the mice that died had severe neurologic symptoms.The researchers found that oseltamivir was less potent against the 2004 Vietnam strain of H5N1 than it had been against the 1997 Hong Kong strain in a previous mouse experiment at St. Jude’s. Therefore the investigators compared the virulence of the two strains by assessing their growth and infectivity in chicken eggs, canine kidney cells, and mice. They found significantly higher yields for the 2004 strain than the 1997 strain.”The higher brain and blood titers in mice infected with the VN1203/04 [Vietnam 2004] virus indicated a greater propensity toward systemic spread,” the report states. It adds that the higher virulence of the 2004 virus may help explain why oseltamivir didn’t work as well against it.”The H5N1 avian flu viruses are in a process of rapid evolution,” author Govorkova said in the NIAID release. “We were surprised at the tenacity of this new variant.”The researchers also did a genetic analysis to look for any emerging mutations that could make the virus more drug-resistant. They sequenced the neuraminidase and hemagglutinin genes from several viruses isolated from the mice and found no amino-acid changes.The NIAID noted that H5N1 virus was found in the spinal fluid of a Vietnamese boy who died last year, suggesting that the virus is able to infect the human brain. The authors say more research is needed to determine if a higher dosage or longer regimen of oseltamivir might stop the virus from growing in the lungs and spreading to the brain.They conclude that it is “encouraging” that the 2004 virus was sensitive to oseltamivir in mice, even though a longer treatment regimen and higher dosage were required.Yen H, Monto AS, Webster RG, et al. Virulence may determine the necessary duration and dosage of oseltamivir treatment for highly pathogenic A/Vietnam/1203/04 influenza virus in mice. J Infect Dis 2005 Aug 15;192(4):665-72 [Abstract]
Oct 23, 2007 (CIDRAP News) – The World Health Organization (WHO) today estimated that by 2010 the world may be equipped to make enough pandemic influenza vaccine to immunize 4.5 billion people—vastly more than in previous projections, though still well short of the world’s population of 6.7 billion.”Experts now anticipate that global production capacity will rise to 4.5 billion pandemic immunization courses per year in 2010,” the WHO said in a statement. By comparison, last spring the WHO and manufacturers estimated that only about 100 million courses of flu vaccine based on the H5N1 avian flu strain “could be produced immediately with standard technology,” the statement said.The new projection assumes that the demand for seasonal flu vaccines will continue to grow, stimulating vaccine producers to add capacity, and that adjuvants will make it possible to use less antigen (active ingredient) per dose of vaccine, stretching the supply. Adjuvants are chemicals included in some vaccines to provide a general stimulus to the immune system.”With influenza vaccine production capacity on the rise, we are beginning to be in a much better position vis-à-vis the threat of an influenza pandemic,” Dr. Marie-Paule Kieny, director of the WHO’s Initiative for Vaccine Research, said in the WHO statement. “However, although this is significant progress, it is still far from the 6.7 billion immunization courses that would be needed in a six-month period to protect the whole world.”Manufacturers this year have increased production capacity for trivalent (targeting three viral strains) seasonal flu vaccine to 565 million doses, compared with 350 million last year, the WHO said, citing the International Federation of Pharmaceutical Manufacturers and Associations. Experts in the field predict that the seasonal flu vaccine production capacity will rise to 1 billion doses in 2010, “provided corresponding demand exists,” the WHO says.”This would help manufacturers to be able to deliver around 4.5 billion pandemic influenza vaccine courses because a pandemic vaccine would need about eight times less antigen, the substance that stimulates an immune response,” the statement continued.Noting that production capacity depends on how much antigen is required for each dose, the agency added, “Scientists have recently discovered they can reduce the amount of antigen used to produce pandemic influenza vaccine by using water-in-oil substances that enhance the immune response.”The statement apparently refers to adjuvants like that of vaccine producer GlaxoSmithKline (GSK). In August GSK reported good results in a clinical trial of an H5N1 flu vaccine containing a proprietary oil-in-water adjuvant. The adjuvanted vaccine induced an acceptable immune response in amounts as low as two 3.8-microgram doses, or about half the 15-mcg dose used for each viral strain in seasonal flu vaccines.The WHO said the progress in production capacity was reported Oct 19 at a meeting of the agency’s Global Action Advisory Group on pandemic vaccine production and supply, an independent 10-member committee.The new WHO projections were greeted with skepticism by some experts.”It’s a bit breathtaking, this projected increase, and as I read it, it is a really best-case scenario,” said William Schaffner, MD, professor of medicine at Vanderbilt University and a member of the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices.”I think part of what it requires would be for manufacturers to continue to gin up their capacity based on the acceptance of annual influenza immunization,” he added. “If the world doesn’t continue to use annual vaccine in an increasing fashion, the capacity won’t be there to produce pandemic vaccine, should it be necessary.”Influenza and the flu vaccine supply “are both known for their surprises. So we’ll take this with a grain of salt, perhaps,” Schaffner said. He added that the optimistic forecast makes him “feel good, but I won’t hold them to the last dose of the 4.5 billion.”Michael T. Osterholm, PhD, MPH, was more critical, calling the WHO projection unrealistic.”What the WHO is trying to do is have industry not be industry,” said Osterholm, director of the University of Minnesota Center for Infectious Disease Research and Policy, publisher of CIDRAP News. “In a free market industry, there is no way they’re going to pick up the cost of all this surge capacity, only to be used very rarely, if ever.””We need international governments to support this surge capacity, or it’s not going to happen,” he added. “And putting out these kinds of plans is really nothing more than a distraction. I think this is unfortunate and does nothing to really further the overall preparedness worldwide.”Osterholm also said it’s unrealistic to expect the demand for seasonal flu shots to grow at the pace implied by the WHO projections. Noting that fewer than half of US healthcare workers get a flu shot each year, he said, “As far as trying to get that many doses of vaccine into people, it’s so unrealistic as to be almost a fairy tale.”See also: Oct 23 WHO news releasehttp://www.who.int/mediacentre/news/releases/2007/pr60/en/index.htmlMay 10 CIDRAP News story “WHO equivocal on prepandemic use of H5N1 vaccines”
Communicating with the publicAlexandria’s communications plan is an attempt both to maximize staffing and provide tailored outreach to at-risk populations. During an influenza pandemic, the medical examiners would determine cause of death only for the first influenza-related cases, Clizbe said. Planners needed to reach out to city groups to define the emergency roles and responsibilities normally filled by the medical examiners. The health department’s outreach led to broad collaborations among mortuary providers, cemeteries, public works officials, professional communicators, law enforcement personnel, multicultural organizations, and senior citizens groups, Clizbe said. Like many cities, Alexandria incorporated federal, state, and county structures into its pandemic plan. Innovative use of community resources and partnerships ensured that the top-down process still incorporated local needs and assets. Planners opted to incorporate communications strategies from Toronto, Ontario, rather than create a plan from scratch. Alexandria lacks a Public Information Officer (PIO) to communicate pandemic risk, quell rumors, and provide up-to-date information to the general public. The Toronto plan allowed the city room to assign these communications tasks based on employees’ skills, Clizbe said. Employees with public speaking skills, a marketing background, or multicultural knowledge will be enlisted to educate the public or create materials. “They were the most complex, and the issues about which we knew the least,” Clizbe said. To complete its plans, Alexandria embarked on an intense collaboration with local agencies and got a little help from Canada along the way. Editor’s Note: This article is one of an occasional series exploring the development of public health practices included in the CIDRAP Promising Practices: Pandemic Influenza Preparedness Tools online database. We hope that describing the process and context that drove development of these practices serves as a valuable tool for pandemic planning. The Alexandria Health Department is making the job easier for its ad hoc communicators. Part of the communications planning process involves defining roles for city agencies. Alexandria’s base population of 135,000 expands daily to include a large number of tourists and commuters to nearby Washington, D.C. Communicators can craft a unified message to their highly mobile audience if they are aware of agency locations, services, and times of operation before an emergency. For instance, the health department can relay messages about opening mass dispensing sites for medication if sites throughout the city provide the same services at the same times. View tools and reviewers’ comments for “Fatality Management in Alexandria” practicehttp://publichealthpractices.org/practice/fatality-management-alexandria-va View tools and reviewers’ comments for “Risk Communications in Alexandria” practicehttp://publichealthpractices.org/practice/risk-communications-alexandria-va See also: Overcoming confusion about fatality managementCommunity-wide relationships were not restricted to communications planning. City planners recalled the confusion about identifying jurisdiction and responsibilities during Alexandria’s response to the Pentagon attack in 2001, Clizbe said. The city’s mass fatalities plan had to resolve the problems encountered on Sep 11. It also had to consider that deaths due to pandemic influenza would require a vastly different jurisdictional response, Clizbe added. In 2005, Mayor William D. Euille called together more than 60 people representing the health department, city officials, the city’s sole hospital, and community organizations. These groups formed pandemic planning subcommittees to address specific challenges facing the city, said John Clizbe, PhD. Clizbe is the emergency planner for the Alexandria Health Department, and he helped identify communications and fatality management as particular challenges facing the city. Nov 19, 2007 (CIDRAP News) Two strategiescommunicating effectively with the living and managing the bodies of the deademerged as focal points as Alexandria, Va., developed its highly collaborative pandemic plan. Lori Hardin, statewide emergency planner for the Virginia Office of the Chief Medical Examiner, lauded the groups for tackling the tough issue of fatalities. “It’s wonderful that Alexandria is talking about it and acknowledging that it’s going to be a problem.” Planners also asked city schools to play a significant part in pandemic communications. Pandemic planning “wasn’t on the schools’ radar” before 2005, said Robin Wallin, nurse coordinator for Alexandria City Public Schools. The community-wide planning set in motion by the city led to grassroots ties between the health department and schools, she added. Her participation on the mayor’s working group led to close working relationships between epidemiologists and public schools. These relationships may have tremendous benefit for effective influenza surveillance in schools, she said. Alexandria recognized that pandemic preparedness requires the involvement of many different agencies. In the city’s case, “public health was not doing it all by themselves,” Clizbe said. This recognition has been instrumental in building relationships that may benefit the public’s health before, during, and after an emergency. Continuing outreachAlexandria’s pandemic plan is still a work in progress. Collaboration between its health department and city organizations has made the ongoing planning process an “all-engaging quality effort,” Clizbe said. Further implementation of the plan will involve outreach to community organizations and nonprofits, especially those serving vulnerable populations.
Dec 7, 2007 (CIDRAP News) – Chinese officials said today that the father of a Chinese man who recently died of H5N1 avian influenza has been hospitalized with an H5N1 infection, raising the possibility of a new family cluster and sparking fears of human-to-human transmission.China’s health ministry said the 52-year-old man was admitted to the hospital after he came down with a fever on Dec 3, according to a statement today from Hong Kong’s Centre for Health Protection. The man’s samples were sent to the Chinese Centre for Disease Control and Prevention, where tests for the H5N1 virus were positive, the statement said.If the man’s illness is confirmed by the World Health Organization (WHO), he will be listed as China’s 27th H5N1 case-patient.The man is from Nanjing in Jiangsu province in the eastern part of the country, according to Xinhua, China’s state news agency. He was hospitalized with lower lobe pneumonia, the report said.Joanna Brent, a World Health Organization (WHO) spokeswoman based in Beijing, said the man’s illness raises concern about the possibility of human-to-human H5N1 transmission, according to an Associated Press (AP) report today.”We will be monitoring this case closely,” Brent told the AP. “If it is found to be easily passed between humans, we would be concerned.”Media reports on the father’s illness gave no indication of whether he had any exposure to sick or dead birds. Earlier reports, including one from the WHO, said his son had no known contact with infected birds.The WHO confirmed the 24-year-old son’s death on Dec 4. He got sick on Nov 24, was hospitalized 3 days later, and died on Nov 27, the WHO report said. His illness and death pushed the number of H5N1 cases in China to 26 and the fatality total to 17.Some global health officials have been skeptical about China’s claims that hardly any of the country’s reported H5N1 patients had contact with infected birds. In June, after the WHO confirmed that a 19-year-old soldier who had been serving in Fujian province had died from an H5N1 infection, WHO spokesman Gregory Hartl told the AP that only one of China’s H5N1 patients had reported contact with sick birds.Hartl said the lack of reported links to infected birds raised questions about how effectively the Chinese government was monitoring the disease in birds.Julian Tang Wei-tze, a virologist in Hong Kong, also voiced skepticism about whether China’s latest fatality really had no contact with infected birds, The Standard, a Hong Kong business newspaper, reported Dec 4.”It’s about the accuracy of their contact history. With an incompatible history it’s hard to exclude any contact with infected birds, their droppings, or people,” he told The Standard.Case clusters raise the possibility of human-to-human transmission of H5N1, which would increase the risk of a pandemic. A number of family clusters of infection have been reported, but human-to-human transmission has been proved by laboratory tests only once: in Sumatra, Indonesia in May 2006. The vast majority of human cases have been linked to contact with infected poultry.See also:Dec 7 Hong Kong Centre for Health Protection statementDec 4 WHO statementDec 3 CIDRAP News story “Chinese man dies from H5N1 infection”Jun 4 CIDRAP News story “Vietnam reports H5N1 case; Chinese patient dies”Jun 23, 2006, CIDRAP News story “H5N1 mutation showed human transmission in Indonesia”
An initial conference was held in Vukovar yesterday, presenting to the public the tourist project Virtual and Cultural Tourism – ViCTour.The project is co-financed by the InterregIPA cross-border cooperation program Croatia-Serbia 2014-2020. It aims to develop attractive, dynamic and competitive tourism promotion in order to increase the attractiveness of cross-border regions using IT tools such as holograms, augmented reality, interactive totems, etc. to improve the cross-border tourist offer and ensure better management of cultural and natural heritage.Virual and cultural tourism ”is the name of the tourist project implemented by the Vukovar-Srijem County and the Tourist Board of the Vukovar-Srijem County in cooperation with partners from Vojvodina. It is a project with a total value of over 920,000 euros, of which the EU co-finances costs in the amount of 85 percent. Within the project, which started on June 17 and lasts for 28 months, a number of tourist activities will be carried out, study trips will be organized, tourist guides will be trained, as well as various modern IT equipment will be procured.The value of the project is € 924,327, of which Vukovar-Srijem County has € 280,000 at its disposal as the holder of this project. As part of the project, a number of tourist activities will be carried out, study trips will be organized, tourist guides will be trainedDirector of the Vukovar-Srijem County Tourist Board Rujana Bušić Srpak pointed out that within this project, which is actually a continuation of the previous project “Natives”, she will make holograms of some famous people who were born or lived in some part of their lives in Vukovar-Srijem county. ” We are talking about people like Lavoslav Ruzicka, Ivana Kozarac, Nikola Iločki and St. Ivana Capistrano. Through modern technologies, that is, through holograms, tourists will be shown how these people once lived. I believe in the great interest of tourists for this tourist project “, explained Bušić Srpak, Press032.com reportsThe project partners are the Tourist Board of Vukovar-Srijem County, the Tourist Organization of Vojvodina, the Faculty of Economics in Subotica and the European Affairs Fund of the Autonomous Province of Vojvodina.