Staff, stuff, systems and space. Those are the four things Paul Farmer said are necessary in order to combat infectious pathogens in healthcare deficient areas.On Tuesday, Farmer, a physician, anthropologist, chief strategist and cofounder of Partners in Health, gave a lecture entitled, “Taking up the Challenge of Poverty: Why Accompaniment Matters” that tackled the complexities of the Ebola outbreak and accompaniment, which consists of long-term health care provision on the community-based level.“Every single one of the documented Ebola outbreaks since 1976 have the same story,” Farmer said. “They are all due to poor infection control. Even the most recent outbreak, the story is the same. They simply don’t have the staff, the stuff, the space or the systems to stop the epidemic.”Farmer said the Ebola epidemic is primarily focused in Liberia, Sierra Leon and Guinea. According to Farmer, Ebola is a type of zoonosis pathogen, meaning it is an animal pathogen that ends up in humans. He said these pathogens, which can adapt to multiple hosts, often lead to death.“Why these three countries and no others? All the neighboring countries were effected — but not a lot. Why? These countries were uniquely vulnerable because of the extraordinarily weak health systems that collapsed not only because of wars, but because of extractive institutes that did not feel the need to reinvest in health and education,” he said. “The real story is one of continued extraction, colonial rule, and then, after independence, continued extraction and eventual civil war.”In order to contain Ebola, Farmer said the worldwide response has largely been segregation, which is inefficient.“This ‘control-only’ paradigm is the one that we only advance officially, as the world, to stop Ebola. The focus was on isolation, containment, quarantine and segregating those who fall ill,” he said. “If you’re putting people put into a holding room with no proper food and water … of course they are going to perish.”According to Farmer, those infected with Ebola often do not seek medical attention, as they know that the hospital will be largely understaffed and unable to provide effective treatment. Therefore, Farmer said, family members often end up taking care of the sick.“It’s a concentric cycle of caregiving without proper accompaniment. It’s not caregiving in improper fashion — it’s that these people need accompaniment to care for the sick and help bury the dead,” he said. “This is a big problem. A ‘disease-control’ only paradigm that did not have caregiving in the middle of it was the main reason that Ebola stayed at home … it’s because people knew they would end up in horrible places [like understaffed medical centers].”“The healthcare deficiencies in these countries has led to understaffed and decaying hospitals that are unable to serve patients,” Farmer said. “That is why accompaniment matters.”It is necessary that the healthcare systems in these countries be improved and strengthened, Farmer said.“Accompaniment is not just about being a nice person; it’s about having expert mercy linked to pragmatic solidarity. This is a technical matter, but it is not enough to have a technocracy,” he said. “We need to have compassionate, merciful and just healthcare systems, and that is part of accompaniment.”Farmer also said emergency responses to epidemics never lead to health system strengthening, training, capacity building or research, which are critical to ensuring that an epidemic does not occur again.“Surely there has to be progress, and we have to get better about thinking of health system strengthening,” Farmer said. “These matters are regarded as not urgent enough [during epidemics]. But, nothing is more important then building a health system that prevents people from falling ill or dying in the first place.”Tags: Ebola, epidemic, Healthcare, poverty
Share:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to email this to a friend (Opens in new window) Pexels Stock Image.JAMESTOWN – It’s like Mother’s Day, Father’s Day, Grandparent’s Day, and every similar day combined, today is National Family Day.National Day Calendar says the National Center on Addiction created the day back in 2001.The organization’s interest comes from research showing teens who eat meals with their families, are less likely to abuse substances. They’re also healthier, and they do better in school.Of course, not everyone has children and not all children have parents in their lives. So, whatever your biological or chosen family looks like, Monday is a time to honor those you love.Take a family photo and share it using #NationalFamilyDay.
Employers in tourism oppose the increase of the sojourn tax without first analyzing the efficiency of the system of tourist boards and the effects of existing financial resources from the sojourn tax and without ensuring the efficiency of collection and proportional burden of all forms of accommodation-tax payers.At the proposal of the Decree on determining the amount of the sojourn tax for 2018, they sent a negative statement to the Ministry of Tourism and HUP i CCC, and during the public consultation the key opinion was given by key associations of entrepreneurs in tourism: Association of Employers in the Croatian Hotel Industry, HUP-Association of Hospitality and Tourism, Association of Hoteliers at the Croatian Chamber of Commerce, Croatian Camping Association, HUP-Association of the Nautical Sector, Association of Boat Accommodation Service Providers-charter at the Croatian Chamber of Commerce.Employers believe that before making a decision on any changes in the arrangement and increase the sojourn tax, it is necessary to analyze the existing financial income and fulfill the purpose and task of tourist boards. Only when the necessary changes are defined and the system of tourist boards is reorganized through the adoption of the long-announced new Law on Tourist Boards and the new Law on Sojourn Tax will it be possible to determine the financial needs of the system and define necessary increases of sojourn tax based on expected effects. In this way, the representatives of the tourism industry communicated with the relevant ministry during the preparation of the new Sojourn Tax Act, after which the Ministry of Tourism put into the procedure only a proposal to increase the sojourn tax through the adoption of the current Decree. Also, as they point out in their statement, the increase of the sojourn tax would be another unjustified burden for Croatian tourism after the increase of VAT and real estate tax. Namely, the sojourn tax, although not paid directly by employers but by tourists, is an integral part of the final cost of accommodation paid by the guest, ie an integral part of the total price of all accommodation services with which Croatia competes in the tourism market. Any additional burden reduces the competitiveness of the Croatian tourism sector, which is in stark contrast to the strategy for the development of Croatian tourism and the EU recommendations to reduce the fiscal and parafiscal burdens of the economy. Revenues from the sojourn tax are already growing significantly due to the growth of arrivals, so that the increase in 2016 amounted to 6%, or HRK 25 million. “Associations of employers in tourism do not oppose changes to the current model of residence tax, but our unique position is that the system should be regulated first, ie the long-announced new Law on Tourist Boards and the new Law on Tourist Tax, which will specify activities in more detail. carried out by each individual level of the system of tourist boards in the Republic of Croatia, as well as the precise, ie more transparent purpose of the funds collected on the basis of the sojourn tax We believe that the Ministry of Tourism will respect the position of key associations in the tourism sector and review the justification for adopting the current proposal to increase the sojourn tax and postpone the proposed changes to the sojourn tax for now. We are available to cooperate in all necessary analyzes in order to make the best decision together in the interest of stable growth and development of Croatian tourism. ” conclude employers in tourism.Related news: THE LAW ON RESIDENCE TAXES IS CHANGED. GET INVOLVED IN THE PUBLIC DEBATE!
Researchers from the Institute of Economics, Zagreb Marina Tkalec, Ivan Žilić and Vedran Recher published in the prestigious scientific journal in the field of tourism the International Journal of Tourism Research scientific paper “Effects of the film industry on tourism: Game of Thrones and Dubrovnik” in which they evaluate “On tourist results in Dubrovnik-Neretva County.The results of the evaluation carried out using the method of assessing the effect of treatment suggest that the filming of the “Game of Thrones” in Dubrovnik had a very positive effect on tourism results. According to the results of the evaluation, in the period from 2012 to 2015 alone, the Dubrovnik-Neretva County was visited by an average of 60 more tourists every year due to the filming of “Game of Thrones”.Cumulatively, during the entire analyzed period, the Dubrovnik-Neretva County was visited by 244.415 more tourists due to the filming of the “Game of Thrones” in Dubrovnik, who realized almost a million and a half more nights (1.441.395 more nights). The guests who visited the county motivated by the “Game of Thrones” also spent a total of 126 million euros in the analyzed period.Scientists from the Institute of Economics, Zagreb, also found that the filming of “Game of Thrones” in Dubrovnik (it should be noted that Dubrovnik was the original filming location to which locations in other counties were added in later seasons) led to positive tourist results. in other counties, but this spillover effect to other counties was not subject to evaluation of the published work.Photo: InstagramOne of the most popular series in the world, “Game of Thrones”, began filming in Dubrovnik in 2011 in its second season. Dubrovnik was chosen as the location for King´s Landing, the fictional capital of the seven kingdoms that appears frequently in the series. The rich and exceptionally preserved Dubrovnik’s cultural and architectural heritage fits perfectly into the medieval context of the series, which is why images of Dubrovnik’s city walls, Lovrijenac and Lokrum often appear in the series. These recordings left a strong impression on the viewers of the series, raising the global visibility of Dubrovnik and stimulating the demand for tourist visits to that city.”Evaluations of this type are of great social and economic importance because they enable policy makers to assess the profitability of possible investments of public funds in attracting production companies that would shoot new films and series in Croatia in the future. Such evaluations should be done for all other forms of spending public funds and subsidies, so that both taxpayers and policy makers are sure that investing public money through certain public policies is both economically and socially justified.”From the Institute of Economics in ZagrebUnfortunately, in Croatia such evaluations are very rare, so decisions on spending public funds are usually made without any prior evaluation, while subsequent evaluations of the efficiency of spending these funds are either not done or conducted at a very superficial and insufficiently professional level.You can read the whole scientific paper here
In the wine-growing year 2016/2017 The total domestic consumption of wine in Croatia is about 1 hectoliters, according to data from the Central Bureau of Statistics.Wine balance in the wine year 2016/2017 it includes the following items: total, which consists of production, total imports and initial stocks, total consumption, which consists of total domestic consumption, total exports and final stocks, and the degree of self-sufficiency and consumption for human consumption per capita.Other wines have the largest share in total domestic consumption, with 50,8% (slightly more than 509 hectoliters). In the wine-growing year 000/2016 the average consumption per capita was about 2017 liters of wine, while the degree of self-sufficiency is about 22%.Source: CBSIn production the most represented wines with a protected designation of origin (59,2%)Production of wine with a protected designation of origin in the wine-growing year 2016/2017 is 449 hectoliters. Varietal wines in the total production are represented with 760%, and other wines with 6,4%.RELATED NEWS:ISTRIAN WINERY ANNOUNCED THE DEVELOPMENT OF A STRATEGY FOR THE DEVELOPMENT OF WINE AND VITICULTURE UNTIL 2030CROATIAN WINES ARE INCREASINGLY RECOGNIZABLE IN EUROPE
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Newstalk ZB 2 March 2016Family First Comment: Yet another flawed idea coming from the current ACT party. Perhaps we should decriminalise burglary also – the gangs make money from that too.The Minister of Police is knocking back an ACT party call for a debate around the prohibition of drugs.ACT’s Leader David Seymour said prohibition is helping generate drug revenue for gangs and if the market was stopped, gangs would be de-funded.He wants to open up the conversation about what prohibition has done to support gangs.“We should be moving towards greater awareness of what some of the side effects of prohibition are and one of them is that it provides a source of revenue for gangs.”Mr Seymour said if the Government’s serious, it should be looking at gangs’ revenue streams. He said their specialisation is circumventing the prohibition of illegal drugs.READ MORE: http://www.newstalkzb.co.nz/news/politics/acts-call-for-drug-prohibition-debate-rejected/
HealthInternationalLifestylePrint Spread of polio now a world health emergency by: – May 6, 2014 Tweet Sharing is caring! Share 35 Views no discussions Share Share LAHORE, Pakistan — A Pakistani health worker gives a child a polio vaccine yeterday. (PHOTO: AP)LONDON, England (AP) — The World Health Organisation (WHO) has for the first time declared the spread of polio an international public health emergency that could grow in the next few months and unravel the nearly three-decade effort to eradicate the crippling disease.The agency described current polio outbreaks across at least 10 countries in Asia, Africa and the Middle East as an “extraordinary event” that required a coordinated international response. It identified Pakistan, Syria and Cameroon as having allowed the virus to spread beyond their borders, and recommended that those three governments require citizens to obtain a certificate proving they have been vaccinated for polio before travelling abroad.“Until it is eradicated, polio will continue to spread internationally, find and paralyse susceptible kids,” Dr Bruce Aylward who leads WHO’s polio efforts said during a press briefing yesterday.Critics, however, questioned whether this announcement would make much of a difference, given the limits faced by governments confronting not only polio but armed insurrection and widespread poverty.“What happens when you continue whipping a horse to go ever faster, no matter how rapidly he is already running?” said Dr Donald A Henderson, who led the WHO’s initiative to get rid of smallpox, the only human disease ever to have been eradicated.The WHO has never before issued an international alert on polio, a disease that usually strikes children under five and is most often spread through infected water. There is no specific cure, but several vaccines exist.Experts are particularly concerned that polio is re-emerging in countries previously free of the disease, such as Syria, Somalia and Iraq, where civil war or unrest now complicates efforts to contain the virus. It is happening during the traditionally low season for the spread of polio, leaving experts worried that cases could spike as the weather becomes warmer and wetter in the coming months across the northern hemisphere.The vast majority of new cases are in Pakistan, a country which an independent monitoring board set up by the WHO has called “a powder keg that could ignite widespread polio transmission”.Dozens of polio workers have been killed over the last two years in Pakistan, where militants accuse them of spying for the US government. Those suspicions stem at least partly from the disclosure that the CIA used a Pakistani doctor to uncover Osama bin Laden’s hideout by trying to get blood samples from his family under the guise of a hepatitis vaccination programme. US commandos killed the al-Qaeda leader in May 2011 in the Pakistani garrison town of Abbottabad.At the end of last month, there were 68 confirmed polio cases worldwide, compared with just 24 at the same time last year. In 2013, polio reappeared in Syria, sparking fears the civil war there could ignite a wider outbreak as refugees flee to other countries across the region. The virus has also been identified in the sewage system in Israel, the West Bank and Gaza, although no cases have been spotted.Associated Press
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Statewide—Over the weekend, The Indiana State Department of Health has reported that 1167 additional Hoosiers have been diagnosed with COVID-19 as of Sunday. A total of 27,778 Indiana residents have tested positive for the coronavirus. To date, 177,243 tests have been reported to ISDH at a 15.7% positive rate and 57 new deaths were reported for a total of 1607 Hoosiers have died to date.Locally, Decatur County has a total of 220 positive cases and 31 deaths, Franklin County has 106 positive cases and 7 deaths, and Ripley County has 107 positive cases and 6 deaths according to the latest data received by the Indiana State Department of Health.