first_imgJun 2, 2005 (CIDRAP News) – Colorado’s new system for tracking hospital admissions related to influenza is a potential model for measuring the burden of serious flu complications and the severity of flu seasons, the Centers for Disease Control and Prevention (CDC) said today.Last September Colorado became the first state to require the reporting of hospital admissions for laboratory-confirmed flu in all age-groups, the CDC says in the Jun 3 issue of Morbidity and Mortality Weekly Report. Though some existing surveillance systems yield estimates of flu-related hospitalizations, no other state or national system is designed to pick up all such cases.Colorado’s first season of experience with the system indicates that “implementation of statewide, population-based surveillance for influenza-associated hospitalizations is feasible and useful for assessing the age-specific burden of serious influenza-associated morbidity and the relative severity of influenza seasons,” the CDC says.For purposes of reporting, flu-associated hospitalization was defined as a hospital admission accompanied by laboratory confirmation of flu, including confirmation by a rapid diagnostic test, according to the article. Reporting is done mainly by hospital infection-control practitioners (ICPs), who either use the state’s Web-based disease reporting system or fax reports to the state health department.By Apr 16, 2005, 50 Colorado hospitals had reported a total of 964 flu-related hospitalizations, yielding a rate of 21.0 per 100,000 people, the CDC reports. Cases peaked in the week that ended Feb 19; the same week marked the peak for the percentage of patient visits attributed to flu-like illness, as reported by sentinel healthcare providers in Colorado.By age-group, the highest rate of flu-related hospitalization was in people aged 80 and older, with 207.3 cases per 100,000. The next highest rates per 100,000 were in babies younger than 6 months, 183.0; 70- to 79-year-olds, 78.0; and children aged 6 to 23 months, 66.3. People aged 18 to 39 years had the lowest rate at 5.8 cases per 100,000.The CDC says the Colorado figures are similar to estimates based on national hospital discharge data. Those estimates include an average of 36.8 cases per 100,000 population for pneumonia and flu hospitalizations for flu seasons from 1979-80 through 2000-01.While national estimates based on hospital discharge data take at least a year to compile, the Colorado system yields “real-time, population-based” numbers. “The system provides improved ability to assess the severity of influenza seasons, track the time course of the season, determine which populations are most affected by severe influenza-related illness, and focus prevention and control efforts on those populations,” the CDC states.A national system like Colorado’s could help guide flu immunization policy and help health agencies quickly determine if a flu season is causing high rates of hospitalizations, the article says. In addition, such a system could help identify a flu pandemic and guide the public health response.Ken Gershman, MD, MPH, a Colorado epidemiologist who contributed much of the MMWR article, said Colorado had previously required healthcare providers to report all positive influenza tests. The switch to requiring only the reporting of cases involving hospitalization has lightened the workload for providers, he told CIDRAP News.”Over the past 5 or 6 years we’ve seen the number of positive tests go up quite high, because the availability of tests has become widespread,” said Gershman, who is chief of the communicable disease program in the Colorado Department of Public Health and Environment. “Two years ago, we had about 13,000 reports in our system, and that overwhelmed hospitals and public health.” As a result, hospitals supported changing the requirement to cover only hospital admissions, because they could see it would be less burdensome, he added.Gershman said that while Colorado is the only state that requires reporting of flu-related hospital admissions in all age-groups, a CDC colleague told him that New Jersey requires reporting of hospital cases among children.The MMWR article says the surveillance program has some limitations that are likely to result in underestimates of cases. One is that not everyone hospitalized with a respiratory illness or a flu-related exacerbation of a chronic disease is likely to be tested for flu. A second is that rapid flu tests are less sensitive than viral culture tests.The possibility of making flu-related hospitalizations reportable in more states will be discussed at next week’s annual meeting of the Council of State and Territorial Epidemiologists, CDC spokeswoman Jennifer Morcone told CIDRAP News today.CDC. Surveillance for laboratory-confirmed, influenza-associated hospitalizations—Colorado, 2004-05 influenza season. MMWR 2005 Jun 3;54(21):535-7See also:Sep 22, 2004, CIDRAP News story “Flu-related hospitalizations have risen among elderly”last_img read more

first_imgThe first-pillar pension scheme for veterinarians in the German regional authority of Westfalen-Lippe has entered into a co-operation agreement with its counterpart for doctors, an arrangement said to provide “cost-efficient” access to investments “beyond the mainstream”. The agreement between the two Versorgungswerke – institutions that fund first-pillar pensions for the so-called liberal professions in Germany – covers investment, risk management and risk controlling.The agreement is effective 1 July.From then on, according to a statement, the €10.3bn* doctors pension fund (Ärtzeversorgung Westfalen-Lippe, ÄVWL) will invest on behalf of the veterinarians fund as it would for its own assets, to the extent that this fits with the investment policy of the pension funds for vets. The new arrangement will give the latter “cost-efficient access to more complex investment opportunities beyond the ‘mainstream’”, such as financing of ships and aeroplanes in the logistics transport industry or direct investment in infrastructure and renewable energy.The veterinarians’ pension fund (Versorgungswerk Tierärztekammer Westfalen-Lippe, VW TKWL) has some €300m in assets under management.It had since 2005 used the traditional industry bank for doctors and pharmacists in Germany, Apo-Bank (Deutsche Apotheker- und Ärtzebank) for investment and risk-controlling services, according to a 2013 annual report.The Versorgungswerk for dentists in Westfalen-Lippe had been carrying out risk management, according to the same report.The new co-operation agreement with the doctors’ pension fund is a response to the challenges posed by the continued low-interest-rate environment, with “standard investments” unable to deliver yields in line with discount rates.   Co-investing alongside the doctors’ pension fund will reduce the administrative burden, the Versorgungswerke said in the statement.Responsibility for all aspects of the co-operation lies with the veterinarians’ pension fund, it added.Westfalen-Lippe is one of the two regional authorities in the western German federal state of North Rhine Westphalia.*As at 31 December 2014last_img read more

first_img Share Photo credit: virusafe.co.ukPROVIDENCIALES, Turks and Caicos Islands — The Ministry of Health and Education (MOHE) and Environmental Health Department (EHD) in the Turks and Caicos Islands (TCI) said in a press statement on Saturday that laboratory tests conducted at the Caribbean Epidemiology Centre (CAREC) Reference Laboratory for ten individuals suffering from an outbreak of a mystery illness at resorts in Providenciales have been confirmed as norovirus. According to unconfirmed reports, the government has ordered the Beaches resort to close as a result of the outbreak.Noroviruses are transmitted directly from person to person and indirectly via contaminated water and food. They are highly contagious.Outbreaks of norovirus infection often occur in closed or semiclosed communities, including hospitals and cruise ships, where the infection spreads very rapidly either by person-to-person transmission or through contaminated food. Many norovirus outbreaks have been traced to food that was handled by one infected person.Other than supportive therapy, it usually requires little by way of medical interventions and usually resolves without incident.The investigations by the public health team in the TCI are ongoing. The local team has recently been strengthened with the arrival of Dr Lisa Indar, foodborne diseases manager at CAREC and Leslie Edwards, an epidemiologist also from CAREC. Additional assistance is due to arrive shortly from PAHO in the form of two Environmental health officers with extensive experience working with the hotel industry. Infection control measures focused on proper hygiene and deep cleaning and sanitization are vital to prevent the spread of norovirus. These are being promoted throughout the TCI. Public health teams continue to conduct active surveillance at airports and affected hotels to educate and monitor the implementation of these measures.The Ministry of Health and Education (MOHE) and EHD has encouraged the general public to practice healthy hygienic measures at all times such as frequent hand washing, especially when preparing meals, before eating and after using the toilet. Anyone experiencing diarrhea, abdominal pain or vomiting should report to the nearest health care facility. Health surveillance team members continue to interview persons experiencing such signs and symptoms. All information will be kept strictly confidential.Meanwhile, the Turks and Caicos Islands Tourist Board has emphasised that TCI tourism remains open for business. Except for one or two properties on Providenciales, all of airports, resorts, cruise port and auxiliary services across the country are providing the usual friendly and professional services that have become a trademark of Brand TCI.“We would like to encourage the travel public to be guided by official statements issued by local government and tourism officials on this subject,” the board said in a statement on Saturday.“The entire country remains appreciative of your patronage and understanding during this period and we wish to reassure you that the Turks and Caicos Islands is a safe and warm destination to visit,” the statement concluded.Caribbean News Now NewsRegional Mystery illness in Turks and Caicos identified as norovirus, resort ordered closed by: – June 4, 2012 Share Tweetcenter_img Share 104 Views   no discussions Sharing is caring!last_img read more

first_img Submit FUN88 secures Newcastle United extension July 20, 2020 Related Articles Winning Post: Swedish protections self-harm progress on a regulated marketplace May 4, 2020 Share Fun88 drives cricket engagement through CPL deal August 4, 2020 OPE SPORTS has become the highest value front of shirt partner in Huddersfield Town history, after signing a multi-year partnership with the Premier League debutants.A subsidiary of global betting brand Opebet, OPE Sports will feature on the Huddersfield shirt for all home and away matches, as well as on pitch side LED, branding throughout the John Smith’s stadium and across the club’s global social media channels.The Huddersfield Town partnership was created, planned and negotiated by SportQuake, the international sport marketing agency which helped to activate Newcastle United’s three-year deal with Asian focused Fun88.Dean Hoyle, Chairman at Huddersfield Town, said: “We are delighted to welcome OPE SPORTS as the Club’s official shirt sponsor. This is without a doubt our biggest season to date as we play in the Premier League for the first time in our history.“The growth of our international fanbase since promotion and the Premier League makes OPE SPORTS an attractive partner for our club, and our growing reach around world provides OPE SPORTS with an ideal platform to continue its own growth.”An OPE SPORTS spokesman commented: “It’s a hugely exciting time to partner with Huddersfield Town as they make their debut in the Premier League. The Premier League is undoubtedly the biggest league on the planet and to be associated to it through our partnership with The Terriers is great for our brand. We look forward to working with the club and its fans throughout the 2017/18 season.” StumbleUpon Sharelast_img read more