An HSI Report: the Connection Between Animal Agriculture, Viral Zoonoses, and Global Pandemics
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Pandemic Flu Planning for Schools
PandemicPandemicPandemic FluFluFlu PlanningPlanningPlanning forforfor SchoolsSchoolsSchools EdenEden Wells,Wells, MD,MD, MPHMPH Michigan Department of Community Health Influenza Strains •Type A – Infects animals and humans –Moderate to severe illness – Potential epidemics/pandemics • Type B – Infects humans only Source: CDC – Milder epidemics – Larger proportion of children affected •Type C –No epidemics –Rare in humans A’s and B’s, H’s and N’s • Classified by its RNA core – Type A or Type B influenza • Further classified by surface protein – Neuraminidase (N) – 9 subtypes known – Hemagluttin (H) – 16 subtypes known • Only Influenza A has pandemic potential Influenza Virus Structure Type of nuclear material Neuraminidase Hemagglutinin A/Moscow/21/99 (H3N2) Virus Geographic Strain Year of Virus type origin number isolation subtype Influenza Overview • Orthomyxoviridae, enveloped RNA virus •Strains –Type A –Type B –Type C Source: CDC • Further classified by surface protein –Neuraminidase (N) – 9 subtypes known – Hemagglutinin (H) – 16 subtypes known Influenza A: Antigenic Drift and Shift • Hemagglutinin (HA) and neuraminadase (NA) structures can change •Drift: minor point mutations – associated with seasonal changes/epidemics – subtype remains the same •Shift:major genetic changes (reassortments) – making a new subtype – can cause pandemic Seasonal Influenza •October to April • People should get flu vaccine • Children and elderly most prone • ~36,000 deaths annually in U.S. Seasonal Effects Seasonal Influenza Surveillance Differentiating -
Use of Antibiotics for Cholera Chemoprevention
Use of antibiotics for cholera chemoprevention Iza Ciglenecki, Médecins Sans Frontières GTFCC Case management meeting, 2018 Outline of presentation • Key questions: ₋ Rationale for household prophylaxis – household contacts at higher risk? ₋ Rationale for antibiotic use? ₋ What is the effectiveness? ₋ What is the impact on the epidemic? ₋ Risk of antimicrobial resistance ₋ Feasibility during outbreak control interventions • Example: Single-dose oral ciprofloxacin prophylaxis in response to a meningococcal meningitis epidemic in the African meningitis belt: a three-arm cluster-randomized trial • Prevention of cholera infection among contacts of case: a cluster-randomized trial of Azithromycine Rationale: risk for household contacts Forest plot of studies included in meta-analysis: association of presence of household contact with cholera with symptomatic cholera Richterman et al. Individual and Household Risk Factors for Symptomatic Cholera Infection: A Systematic Review and Meta-analysis. JID 2018 Rationale: clustering of cholera cases in time and space Relative risk for cholera among case cohorts compared with control cohorts at different spatio-temporal scales Living within 50 m of the index case: RR 36 (95% CI: 23–56) within 3 days of the index case presenting to the hospital Debes et al. Cholera cases cluster in time and space in Matlab, Bangladesh: implications for targeted preventive interventions. Int J Epid 2016 Rationale: clustering of cholera cases in time and space Relative risk of next cholera case occuring at different distances from primary case Relative risk of next cholera case being within specific distance to another case within days 0-4 Within 40 m: Ndjamena: RR 32.4 (95% 25-41) Kalemie: RR 121 (95% CI 90-165) Azman et al. -
A Comparative Evaluation Between the Impact of Previous Outbreaks and COVID-19 on the Tourism Industry Has Been Made Based on Statistics and Previous Research Studies
The current issue and full text archive of this journal is available on Emerald Insight at: https://www.emerald.com/insight/2516-8142.htm Impact of A comparative evaluation between COVID-19 on the impact of previous outbreaks the tourism and COVID-19 on the industry tourism industry Gulcin Ozbay, Mehmet Sariisik and Veli Ceylan Received 11 November 2020 Revised 9 January 2021 Gastronomy and Culinary Arts, Sakarya University of Applied Sciences, Accepted 10 January 2021 Sakarya, Turkey, and Muzaffer Çakmak Gastronomy and Culinary Arts, Istanbul_ Gelis¸im University, Istanbul, Turkey Abstract Purpose – The main purpose of this study is to make a comparative evaluation of the impacts of previous outbreaks and coronavirus disease 2019 (COVID-19) on the tourism industry. COVID-19 appears to have disrupted all memorizations about epidemics ever seen. Nobody has anticipated that the outbreak in late December will spread rapidly across the world, be fatal and turn the world economy upside down. Severe acute respiratory syndrome, Ebola, Middle East respiratory syndrome and others caused limited losses in a limited geography, thus similar behaviors were expected at first in COVID-19. But it was not so. Today, people continue to lose their lives and experience economic difficulties. One of the most important distressed industries is undoubtedly tourism. Design/methodology/approach – This study is a literature review. In this review, a comparative evaluation between the impact of previous outbreaks and COVID-19 on the tourism industry has been made based on statistics and previous research studies. Findings – The information and figures obtained show that COVID-19 and previous outbreaks have such significant differences that cannot be compared. -
The Next Influenza Pandemic: Lessons from Hong Kong, 1997
Perspectives The Next Influenza Pandemic: Lessons from Hong Kong, 1997 René Snacken,* Alan P. Kendal, Lars R. Haaheim, and John M. Wood§ *Scientific Institute of Public Health Louis Pasteur, Brussels, Belgium; The Rollins School of Public Health, Emory University, Atlanta, Georgia, USA; University of Bergen, Bergen, Norway; §National Institute for Biological Standards and Control, Potters Bar, United Kingdom The 1997 Hong Kong outbreak of an avian influenzalike virus, with 18 proven human cases, many severe or fatal, highlighted the challenges of novel influenza viruses. Lessons from this episode can improve international and national planning for influenza pandemics in seven areas: expanded international commitment to first responses to pandemic threats; surveillance for influenza in key densely populated areas with large live-animal markets; new, economical diagnostic tests not based on eggs; contingency procedures for diagnostic work with highly pathogenic viruses where biocontainment laboratories do not exist; ability of health facilities in developing nations to communicate electronically, nationally and internationally; licenses for new vaccine production methods; and improved equity in supply of pharmaceutical products, as well as availability of basic health services, during a global influenza crisis. The Hong Kong epidemic also underscores the need for national committees and country-specific pandemic plans. Influenza pandemics are typically character- Novel Influenza Viruses without ized by the rapid spread of a novel type of Pandemics influenza virus to all areas of the world, resulting In addition to true pandemics, false alarms in an unusually high number of illnesses and emergences of a novel strain with few cases and deaths for approximately 2 to 3 years. -
Bacon, Bourbon & Beer
bacon, bourbon & beer Add House Cut Bacon to Anything $3.50 Bacon Flight Salads Slab bacon, two of each flavor 12.5 Chicken or Steak Cajun & Bleu Mixed Greens - Tomatoes - English Cucumbers - Bourbon Soaked Bacon - Onion Rings - House Cut Fries - Candied Jalapeno & Cheddar Cheddar Cheese Chicken Lunch 11 Steak Lunch 13 Bourbon & Brown Sugar Sarris Chocolate Drizzled Bacon House Salad Feta Cheese – Pecans - Tomatoes - Pickled Red Onions - Bourbon Soaked Rendered Bacon 7 Norwegian Salmon Salad* Shareables Mixed Field Greens - Tomatoes - Candied Pecans - Pickled Pears - Goat Cheese - Maple Bourbon Glazed Salmon Filet 17 Our salmon is prepared to a medium temperature unless otherwise Bacon Jam Fried Pickles requested Goat Cheese - Balsamic Beer Battered Pickles - Caramelized Onion - Toasted Roasted Tomato Aioli 10 Crostini - Bacon Jam - Strawberry Fields Salad Roasted Red Peppers 10 Stuffed Jalapenos Fresh Greens - Strawberries - Bourbon Bacon - Roasted Pecans - Red Onions - Crumbled Bleu Cheese - Balsamic Halved Peppers - Bacon Jam When Pigs Fly Vinaigrette - House Strawberry Vinaigrette 13 - Goat Cheese 10 Add Steak 7 Add Chicken 5 Add Salmon 7 Deep Fried Tender Cubed Pork - Choice of Sauce - BBQ - Honey Sriracha - Bacon Wrapped Fried Buffalo - Plain 10 Homemade Dressings additional sauce .75 Cheese Mozzarella Sticks - Bacon Ranch - Blue Cheese – Dark Balsamic - Wrapped - Deep Fried - Strawberry Vinaigrette - Bacon Vinaigrette - Pork Belly Orange BBQ 10 Vinaigrette - Extra dressing .75 Ancho Chili Rub - Oven Braised - Maple Bourbon Onion Rings Glaze 10 Crispy Fried Onion Rings - Candied Jalapeño Ketchup 10 Soups B3 Chili Beer White Cheddar Tomato Basil Cheddar - Pickled Red Onion - Bacon Bacon Crumbles - Crostini - Parsley 5 Parmesan Whipped Cream - Crumbles 5 Basil Leaf 5 * All burgers are cooked to order. -
Evidence That Coronavirus Superspreading Is Fat-Tailed BRIEF REPORT Felix Wonga,B,C and James J
Evidence that coronavirus superspreading is fat-tailed BRIEF REPORT Felix Wonga,b,c and James J. Collinsa,b,c,d,1 aInstitute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA 02139; bDepartment of Biological Engineering, Massachusetts Institute of Technology, Cambridge, MA 02139; cInfectious Disease and Microbiome Program, Broad Institute of MIT and Harvard, Cambridge, MA 02142; and dWyss Institute for Biologically Inspired Engineering, Harvard University, Boston, MA 02115 Edited by Simon A. Levin, Princeton University, Princeton, NJ, and approved September 28, 2020 (received for review September 1, 2020) Superspreaders, infected individuals who result in an outsized CoV and SARS-CoV-2 exhibited an exponential tail. We number of secondary cases, are believed to underlie a significant searched the scientific literature for global accounts of SSEs, in fraction of total SARS-CoV-2 transmission. Here, we combine em- which single cases resulted in numbers of secondary cases pirical observations of SARS-CoV and SARS-CoV-2 transmission and greater than R0, estimated to be ∼3 to 6 for both coronaviruses extreme value statistics to show that the distribution of secondary (1, 7). To broadly sample the right tail, we focused on SSEs cases is consistent with being fat-tailed, implying that large super- resulting in >6 secondary cases, and as data on SSEs are sparse, spreading events are extremal, yet probable, occurrences. We inte- perhaps due in part to a lack of data sharing, we pooled data for grate these results with interaction-based network models of disease SARS-CoV and SARS-CoV-2. Moreover, to avoid higher- transmission and show that superspreading, when it is fat-tailed, order transmission obfuscating the cases generated directly by leads to pronounced transmission by increasing dispersion. -
Shigellosis Outbreak Investigation & Control
SHIGELLOSIS OUTBREAK INVESTIGATION & CONTROL IN CHILD CARE CENTERS / PRE-SCHOOLS Colorado Department of Public Health & Environment Communicable Disease Epidemiology Program For information on Shigella disease control and epidemiology, including reporting requirements and routine case investigation, please refer to the CPDHE Communicable Disease Manual, available at: http://www.cdphe.state.co.us/dc/Epidemiology/dc_manual.html When a case of shigellosis occurs in a child care center attendee or worker, immediate involvement of public health authorities is critical. Shigella spreads very quickly through child care centers, but can be controlled if appropriate action is taken. When an outbreak occurs, the first case to be diagnosed may be a child, or an adult contact of a child. For a single case of shigellosis associated with a child care center: • Children with shigellosis should not be permitted to re-enter the child care center until diarrhea has resolved and either the child has been treated with an effective antibiotic for 3 days or there are 2 consecutive negative stool cultures. • It is important to obtain the antibiotic susceptibility pattern for the isolate from the physician or the clinical laboratory that performed the test in order to determine if a child has been treated with an effective antibiotic. • Parents of cases should be counseled not to take their children to another child care center during this period of exclusion. • Public health or environmental health staff should visit the facility, review hygienic procedures, and reinforce the importance of meticulous handwashing with childcare center staff. • Look for symptoms consistent with Shigella infection (diarrhea and fever) in other children or staff during the 3 weeks previous to the report of the index case. -
Patterns of Virus Exposure and Presumed Household Transmission Among Persons with Coronavirus Disease, United States, January–April 2020 Rachel M
Patterns of Virus Exposure and Presumed Household Transmission among Persons with Coronavirus Disease, United States, January–April 2020 Rachel M. Burke, Laura Calderwood, Marie E. Killerby, Candace E. Ashworth, Abby L. Berns, Skyler Brennan, Jonathan M. Bressler, Laurel Harduar Morano, Nathaniel M. Lewis, Tiff anie M. Markus, Suzanne M. Newton, Jennifer S. Read, Tamara Rissman, Joanne Taylor, Jacqueline E. Tate, Claire M. Midgley, for the COVID-19 Case Investigation Form Working Group We characterized common exposures reported by a oronavirus disease (COVID-19) was fi rst identi- convenience sample of 202 US patients with corona- Cfi ed in Wuhan, China, in December 2019 (1). The virus disease during January–April 2020 and identifi ed fi rst reported case in the United States was identifi ed factors associated with presumed household transmis- in January 2020 (2); by mid-March, cases had been re- sion. The most commonly reported settings of known ported in all 50 states (3). On March 16, 2020, the White exposure were households and healthcare facilities; House Coronavirus Task Force published guidance for among case-patients who had known contact with curbing community spread of COVID-19 (4); soon af- a confi rmed case-patient compared with those who ter, states began to enact stay-at-home orders (5). By did not, healthcare occupations were more common. late May 2020, all 50 states had begun easing restric- Among case-patients without known contact, use of tions; reported cases reached new peaks in the summer public transportation was more common. Within the household, presumed transmission was highest from and then winter months of 2020 (6,7). -
Sexually Transmitted Infections: Epidemiology and Control
40 Rev Esp Sanid Penit 2011; 13: 58-66 M Díez, A Díaz. Sexually transmitted infections: Epidemiology and control Sexually transmitted infections: Epidemiology and control M Díez, A Díaz Epidemiology Department on HIV and Risk Behaviors. Secretary of the National Plan on AIDS. Ministry of Health, Social Policy and Equality. National Centre for Epidemiology. Health Institute Carlos III ABSTRACT Sexually transmitted infections (STI) include a group of diseases of diverse infectious etiology in which sexual transmission is relevant. The burden of disease that STI globally represent is unknown for several reasons. Firstly, asymptomatic infections are common in many STI; secondly, diagnostic techniques are not available in some of the most affected countries; and finally, surveillance systems are inexistent or very deficient in many areas of the world. The World Health Organization has estimated that in 1999 there were 340 million new cases of syphilis, gonorrhea, Chlamydia infection and trichomoniasis. An increasing trend in the incidence of gonorrhea and syphilis has been noticed in the last years in the European Union, including Spain. Co-infection with other STI, especially HIV, should be ruled out in all STI patients. Chlamydia screening is also of partic- ular importance since this is the most common STI in Europe and frequently goes unnoticed. STI prevention and control should be based on health education, early diagnosis and treatment, screening for asympto- matic infections, contact investigation and vaccination for those diseases for -
Family-Based Index Case Testing To
Family-based index case testing to identify children with HIV Shaffiq Essajee1, Nande Putta1, Serena Brusamento2, Martina Penazzato2, Stuart Kean3 and Daniella Mark4 1United Nations Children’s Fund; 2World Health Organization; 3World Council of Churches – Ecumenical Advocacy Alliance; 4Paediatric-Adolescent Treatment Africa Rationale Pediatric HIV treatment coverage is stagnating. The most recent estimates suggest 01 that only 46% of children living with HIV are on treatment, well below the AIDS Free target of 1.6 million by the end of 2018.1 A key challenge is to identify children who are living with HIV who have been missed through routine testing services. For children in the 0-14 year age group, over 95% of HIV infections are acquired as a result of vertical transmission. As a result, historical approaches to pediatric diagnosis have tended to focus on early infant diagnosis (EID) within the context of prevention of mother-to-child-transmission (PMTCT) programs. Testing the family of adult or child ‘index’ cases can serve as an entry point for identification of children living with HIV not identified through PMTCT program testing. This type of family-based approach to HIV testing and service delivery enables parents and their children to access care as a unit. Such approaches may improve retention and offer a convenient service for families affected by HIV. Unlike other types of routine approaches to pediatric HIV testing – such as testing in inpatient wards, sick child clinics, malnutrition centres or immunization clinics – index case testing is a potentially high-yield identification strategy irrespective of national seroprevalence. In fact, yield may be higher in low-prevalence countries where programs may be less mature and access to HIV testing and prevention services is lower, resulting in large gaps in PMTCT and EID coverage. -
Sexually Transmitted Infections Introduction and General Considerations Date Reviewed: July, 2010 Section: 5-10 Page 1 of 13
Sexually Transmitted Infections Introduction and General Considerations Date Reviewed: July, 2010 Section: 5-10 Page 1 of 13 Background Information The incidence of Sexually Transmitted Infections (STIs) in Saskatchewan has been increasing over the past number of years. This may be due in part to the introduction of testing procedures that are easier to complete and less invasive. In Saskatchewan, the rates for chlamydia have been among the highest in Canada. Refer to http://dsol- smed.phac-aspc.gc.ca/dsol-smed/ndis/c_indp_e.html#c_prov for historical surveillance data collected by Public Health Agency of Canada (PHAC). STIs are transmitted in the context of other social and health challenges; the risk of recurrent exposure and infection are likely unless these underlying issues are dealt with. A holistic assessment of clients assists in identifying these underlying issues and a multidisciplinary team approach is often necessary and should involve other partners such as physicians, addiction services and mental health as required. The regulations of The Health Information Protection Act must be adhered to when involving other partners in the management of individuals or when referring individuals to other agencies. This section highlights some of the general and special considerations that should be kept in mind when conducting STI investigations. It also highlights key points and summarizes the Canadian Guidelines on Sexually Transmitted Infections which can be located at http://www.phac-aspc.gc.ca/std-mts/sti-its/guide-lignesdir-eng.php. Reporting Requirements Index cases must be reported to the Ministry of Health. See Reporting Requirements in the General Information section of this manual for additional information and guidelines. -
Fuck This... Im Going to Japan
k2 said about 1 year ago: Thanks dzerzhanzhinskii! k2 said about 1 year ago: So I'm staying at this place http://www.andon.co.jp/ - any recommendations on things to do nearby? Looks kind of close to minamisenju station - get a train one stop to kitasenju and check out Senju itself. There is a fish market there (not as big as tsukiji, but still worth checking out). You can also eat basashi (raw horse meat) in the area. Also there are loads of old sento (bath house) in the area with cool Mt Fuji murals. Also there is a live music venue in Senju that is full of westerners and jappers who like westerners. Cant remember the name. Senju itself is a pretty cool neighbourhood. dzerzhanzhinskii said about 1 year ago: basashi that word makes me salivate irrationally. that and uni, otoro, rafute, shinshū soba, and horumonyaki So I'm staying at this place http://www.andon.co.jp/ - any recommendations on things to do nearby? if you like fish and unagi (eel), there are at least two places in nearby asakusa (20-30 minutes bus-ride/drive?) that serve some of the best around. komagata dozeu - traditional two century old restaurant that specialises in dojo fish - eel-like freshwater fish. they have whale meat too. irokawa - hands down, one of the best grilled eel spots in all of tokyo. dzerzhanzhinskii said about 1 year ago: 101 of 129 dzerzhanzhinskii said about 1 year ago: dzerzhanzhinskii said about 1 year ago: head over to ''hoppy street'' (hoppy dori) in asakusa for a good night out.