ACEP unveils plan to manage fall pandemic wave

first_img Stephen Cantrill, MD, an emergency department physician in Denver and a member of ACEP’s clinical policy committee, told CIDRAP News that the novel influenza plan is also designed to raise awareness among emergency physicians. The potential burdens will be vast, he said, not only for keeping the workforce functioning during the surge, but also keeping departments adequately supplied. He added that planning for a second wave will be successful only with cooperation between first responders and public health officials. The plan urges local ACEP chapters to enlist support from state and local health directors, local emergency managers, and political leaders for emergency planning efforts. The 16-page plan was produced under a contract with the US Department of Health and Human Services (HHS) office of the Assistant Secretary for Preparedness and Response (ASPR) and its Emergency Care Coordination Center, ACEP said today in a press release. The document defines critical capabilities and suggests ways to achieve them, ACEP said. As a result, if the second pandemic wave begins September, health officials may depend heavily on community mitigation strategies to slow the spread of the virus. Emergency departments will still face a surge of patients, but interventions such as school closures will likely strain the department workforces even further, the ACEP plan warns. The nation’s economic problems and the importance of staying on the job may add to the pressures to keep schools open, the planners wrote. News reports of deaths in young people, an age-group currently bearing the brunt of illnesses, might fuel even more parents to seek medical care for their children. Jul 6, 2009 (CIDRAP News) – The American College of Emergency Physicians (ACEP) recently released a plan to help emergency departments, first responders, and public health departments manage a surge in pandemic flu cases that many experts predict will happen this fall. The plan includes 27 capabilities for emergency department response to a severe novel H1N1 outbreak, each with suggested steps and an outline for what level of health or government group is responsible. For example, the plan covers personal protective equipment stockpiling, facility security, crowd management, alternate locations for triage and screening, and configuring waiting rooms for social distancing, if possible. See also: One of ACEP’s key planning assumptions is that large volumes of vaccine against the novel H1N1 virus probably won’t be available until mid October at the earliest and that the public won’t be protected from infections until 2 weeks after a second injection. “There are so many vulnerabilities in the supply chain, where do you start?” he asked, adding that even departments that are well prepared might not able to sustain their supplies. ACEP national novel H1N1 influenza strategy The impact of the influenza pandemic on emergency departments will be affected greatly by how local public health officials craft their messages to the public, Cantrill said. He said the US Centers for Disease Control and Prevention (CDC) has done a good job communicating flu facts to the public, including details on when to seek medical care. “While the precise effects on emergency departments to function cannot be predicted with confidence, contingency plans should be made for a challenging scenario,” the plan states. Social distancing measures will also affect critical infrastructure businesses and institutions, which may slow the flow of transportation and supplies. Emergency planners shouldn’t assume that antiviral medications will be effective for a virus that may have undergone selection pressure between waves, the report notes. “While H1N1’s virulence is not predictable, it is expected to be highly contagious and will place added strains on the emergency care system,” said Nicholas Jouriles, MD, president of the ACEP, in the statement. The main components of the plan, based on the federal template for managing biological threats, include situational awareness, protecting emergency department infrastructure and personnel, preventing service disruptions, organizing a timely surge response, and recovering to the previous status. Communications with local and state public health officials are crucial, and it’s important to have agreements in place for the “triggers” authorities will use to “stand down” the pandemic plan, according to the document. Jul 6 ACEP press releaselast_img read more

Forbidden subjects in New Zealand politics

first_imgDominion Post 21 April 2012The Dominion Post has a feature on Euthanasia, Gay adoption, and abortion. Family First is quoted in two of the categories. The article highlights which political parties are pushing the issueGay Adoption…. A spokesman for Mr Key says that while the Adoption Act has not been amended for some time, there have been several reviews since 2000. The Government will consider whether adoption laws need updating “as other priorities allow”. In the run-up to last year’s election, Labour introduced its Rainbow policy, pledging to tackle the issue. But Mr Hague is critical. “On same-sex adoption Labour made a big deal just before the election, of course, to gay community audiences . . . but the fine print is, of course, that actually their policy is still to allow all of their members a conscience vote. “If you are not at least guaranteeing that your members of Parliament are going to vote for something I don’t know that the policy has a lot of meaning.” Labour’s social development spokeswoman, Jacinda Ardern, says it is likely to remain a conscience issue but stresses it is about “updating our law in its entirety… I would hate to see anyone narrow this issue”. Although her party made “significant amendments” to guardianship laws, work on adoption was never completed. “National has indicated that for them, it’s not a priority,” she says. “I do think that the fact this would require tackling the inequality in the law and the issue of same-sex adoption . . . is certainly a big part of why the Government hasn’t touched it, certainly Simon Power’s valedictory seemed to suggest that.” Former justice minister Mr Power retired last year, saying it was Parliament’s role to tackle the big issues. Gay rights advocate Rainbow Wellington has asked for meetings with MPs to discuss a law change. Chairman Tony Simpson says Labour and the Greens are “sympathetic”. “Really it requires one of those three main parties to pick it up. The National Party, we’ve had no response whatsoever. In fact, you could change the bit in specific relation to same-sex adoption very easily, just a fairly small amendment.” Lobby group Family First welcomes a debate – but argues same-sex adoption is an “adult- centred” policy which “harms children because it intentionally creates motherless and fatherless families . . . it is dangerous ground”.Abortion…Recent figures show a decline in both the rate and overall numbers of abortions, with 16,630 terminations in 2010, down from 17,550 the year before. Right to Life recently released figures showing that between 2009 and 2011, 877 women were treated in hospital following complications after abortions. The group wants better reporting of statistics by the Abortion Supervisory Council. Family First says the number of abortions “represents the worst of child abuse” and wants the law amended to “protect the unborn from conception”. Dr Healey hopes the debate will shift from whether numbers are too high, to the impact “outdated” abortion laws are having on women.…The subsequent furore and the departure of Ms Chadwick from Parliament will see the subject slide quietly off the radar, save for court battles between anti- abortionists and the Medical Council or the Abortion Supervisory Committee. “It’s going to take a real strong politician with some really strong support, either within the party or across parties to push through anything like that,” Dr Healey says. However, the Abortion Law Reform Association does see parental notification for under-16s seeking a termination as “a possible threat”. The move is supported by socially-conservative Cabinet members such as Judith Collins and Bill English. “From the intel we have had, Family First have had meetings with the prime minister on what their position is around the need for parental notification.” John Key’s office says he last met with Family First earlier this year and several issues, including parental notification, were discussed. The prime minister noted the group’s position “but no commitments were made”. Both National and Labour MPs exercise a conscience vote on abortion. read more

Andrew Gillum says he’s entering rehab

first_imgAfter being found unconscious in a hotel room, former Florida candidate for governor Andrew Gillum says he has opted to enter rehab.Gillum was found Sunday unconcious with two other males in a hotel room which contained several baggies of what authorities believed was crystal meth.Despite the report, Gillum says he consumed too much alcohol which caused him to vomit and pass out in the hotel room. He also claimed that he did not know that there were drugs in the room with him.Gillum was checked out by medical personnel at the scene and was allowed to go home.The 40-year-old has since told reporters that he developed a problem with alcohol after he lost the bid to become Florida’s next governor to Ron DeSantis.He was also not charged with any crime.Police:Andrew Gillum involved in apparent drug overdose in Miamilast_img read more

Wisconsin looks to carry momentum into mid-week matchup

first_imgUsing their prolific and relentless offense, the No. 3 Wisconsin’s women’s hockey team looks to win again Wednesday evening against conference rival Minnesota State. The Badgers, who are 8-1, have been rolling over opponents all season and have won eight games in a row. The offense has been the key to the Badgers success all season, with the team averaging a lofty 4.3 goals per game. The offensive attack has also made things easy for the defense, as the their fore-checking keeps the puck in the opponent’s zone for much of every game. This has resulted in having just 14 goals scored against the Badgers all season.Junior forward and assistant captain Sara Bauer, who was named WCHA offensive player of the week, leads this offensive attack. Bauer scored six points in last weekend’s sweep of St. Cloud State, and had four points in Friday’s victory. She also scored a hat trick last season against the Mavericks in February.The line of team captain Sharon Cole, Bauer and forward Jinelle Zaugg produced five goals and five assists in the series. The line has been performing well all season, with Cole and Bauer displaying incredible on ice chemistry and Zaugg using her size to camp in front of the opponent’s goal and collect rebounds.”We just need to play the best hockey we can,” Cole said. “We’re doing a good job of working together, moving the puck and moving our feet. Our communication is getting better … if we continue do what we have been, we’ll do well.”The Badgers will look to continue this trend Wednesday against Minnesota State, a team the Badgers have already conquered. Wisconsin holds an all-time record of 24-0-1 against the Mavericks.Head coach Mark Johnson stated he was not worried about a letdown.”One of our mottos is we try to play well no matter who we’re playing,” Johnson said. “If you’re playing a series against one of the top teams in the country it might be easier to get up for. But if you’re a good team and you have good leadership in the locker room, you can get yourself for every game.”The Badgers defeated the Mavericks by a score of 4-1 in Mankato on Oct. 21. The second game was cancelled due to a burst water main near the arena. This mid-week game is a rarity for Johnson’s squad.”The tough part about tomorrow’s game will be playing mid-week,” Johnson said. “It throws the players off their routine and throws the whole team off. That will be the toughest challenge.”The Badgers must look out for the Mavericks’ two best offensive players, freshmen forwards Maggie Fisher and Felicia Nelson. Fisher has 10 points on the season with eight goals and two assists while Nelson has five goals and two assists.The Mavericks do have a relatively low scoring offensive attack, but their defense only allows a few goals to slip by. Minnesota State has allowed just 17 goals in nine games this season.As the Badgers have done so well in previous games, they will look to control the puck in the Mavericks zone and wear down the defense. The Mavericks’ goaltender Brit Kehler will likely face a high number of shots, as Wisconsin has peppered the opposing goalkeeper with a multitude of shots in most games this season. The Badgers out shot St. Cloud State 75-49 this past weekend at the Kohl Center and put 68 shots on goal in just one game against Vermont earlier in October.It is unclear who will start Wednesday’s game in goal, with Meghan Horras and Christine Dufour splitting every series so far this season. It is a possibility that freshman goaltender Jessie Vetter may get the nod for her first start of the season.This game will be the first in many away from the Kohl Center. The Badgers will play six series on the road and will not play at the Kohl Center again until Jan. 20. Despite being away from the Kohl Center, Johnson isn’t concerned.”It (the long road trip) is broken up by the holidays, so that’s OK,” Johnson said. “If you want to do anything in this league, you have to win on the road. I just look at it as another game day, but sometimes you have to get on a bus or get on a plane.”The Badgers will play at St. Mary’s University in Winona, Minn. The puck drops at 7:05 p.m.last_img read more

Leyton Orient issue bizarre appeal to stop fox destroying their pitch

first_img 3 gameday who plays? How Arsenal could line up in Arteta’s first official game in charge – Ozil return? NEW ERA Leyton Orient have appealed for fans to bring their dogs to their ground to scare away a fox that is destroying the playing surface.A statement on the Vanarama National League club’s website called for drastic measures as the club race to ensure the pitch is playable for the new season, which begins on LATEST FOOTBALL NEWS predicted 3 How Chelsea could line up against Southampton – what system will Lampard play? A fox has tormented Leyton Orient’s ground staff in recent weeks How Liverpool could line up at Leicester with midfielder set for lengthy absence highlights 3 The club were relegated to the fifth tier in 2017 after a 112-year stay in the Football League.Orient‘s Breyer Group Stadium seats 9,000 people and has been targeted by the fox, which was spotted numerous times around the ground in recent weeks.A volunteer has been requested to patrol the pitch with a male dog, which is believed to be enough to keep the meddling creature at bay.The club will need the pitch ready for their first home game of the season on August 7, when they take on Ebbsfleet United. possible standings center_img Tottenham predicted XI to face Brighton with Mourinho expected to make big changes smart causal possible xi How Man United could line up for Newcastle clash – will Pogba start? impact ALTERED Orient have two weeks to repair any damage to the turf before their first home game of the season Every Championship club’s best signing of the decade, including Taarabt and Dack How the Premier League table could change after the Boxing Day fixtures The Breyer Group Stadium has been blighted by the fox’s presence Tottenham v Brighton LIVE: talkSPORT commentary and team news for Boxing Day opener Best clips, calls and talkSPORT moments of 2019, feat Hearn, McCoist and more Every current Premier League club’s best kit from the past decade The statement reads: “A strange one we know.“The club are looking for a local O’s supporter who is able to walk their male dog around the O’s pitch during mornings and late afternoons this week at the Breyer Group Stadium.“The club have been having issues with foxes entering the playing surface at night (quite literally the only time we don’t want a fox in the box) and it is thought a dog’s presence will help prevent further pitch invasions at the Breyer Group Stadium.”Anyone able to assist the club is encouraged to contact Orient’s marketing department at read more


first_imgA SICK stalker who harassed a family for six days whilst they were grieving over the death of a son showed no empathy towards his victims, a court has heard.Stephen Flood, 19, from Carnasaul, Kilmacrennan but now living in Gortlee, Letterkenny, bombarded members of a family in Convoy with hundreds of sickening phone calls and text messages.During one session he sent 68 text messages over a four hour, period – some of them urging a member of the family to take their own life in the same way another family member had done 18 months earlier. Judge Paul Kelly, who heard the case at Letterkenny District Court, said he had read victim impact statements given by members of the family and they found their ordeal to be “extremely distressing.”“I couldn’t begin to imagine how these events must have effected all the members of this family,” said the judge.The sickening harassment lasted for six days and six nights from  November 15th to 21st 2011 when family members called in Gardaí. Flood however faced just one charge of harassment and stalking.Sgt Jim Collins, who investigated the case, said Flood had gotten to know some family members through mutual friends.Judge Kelly said that he had read probation reports prepared for the court and could find no remorse whatsoever from Flood.“I’m concerned about his lack of insight into his behaviour as set out in the probation report and the lack of empathy towards this family,” said the judge.“It must be a torment for them for it to be brought up yet again,” he said, looking at the victims at the back of Court No1 in Letterkenny.Even Flood’s solicitor acknowledged this.“When I try to speak to him (Flood) it is like staring into a dark pit because he won’t say anything to me; there is an emptiness when it comes to his own well-being,” said defence solicitor Patsy Gallagher“When I try to do my best for clients I speak to them but he won’t say anything to me; his demeanour and the way he holds himself is of concern. He even has an uncaring attitude towards himself,” said Mr Gallagher.Judge Kelly told the court: “I am very conscious of the grievance and distress caused to this family and in particular to the young members of the family….who were coming to terms with a very grievous loss.“The defendant has expressed little in the way of insight or understanding of his impact on the victims.“They have been very courageous with the way have come forward and in their victim impact statements which detail all too graphically the pain and suffering they have gone through.Mr Flood, he said, should be acknowledged for having pleaded guilty to the charges.“He has at least spared the family of having to give evidence and I am obliged to take that into consideration but I also have a detailed probation report which I must also take into account. He has no convictions prior to this incident.“He (Flood) needs some attention from the probation service – for the sake of others in the community.”He sentenced Flood to serve 180 hours community service in lieu of 9 months in prison.Judge Kelly said Flood should attend for medical and/or psychiatric counselling as directed by the probation service.Any breach of those conditions would trigger the prison sentence.Judge Kelly concluded the case by offering his deep condolences to the family.SICK STALKER WHO HARASSED SUICIDE TEEN’S FAMILY ‘SHOWED NO EMPATHY TOWARDS VICTIMS’ was last modified: January 21st, 2014 by John2Share this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Tags:chargedGortleeguiltuharassmentJudge Paul KellykilmacrennanletterkennystalkerStephen Floodlast_img read more