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_imgIndependent 23 June 2017Family First Comment: Bring this common sense to NZ!“By the time they start school, most children know their name, how old they are and where they live. Most also know for certain whether they are a boy or a girl. Despite this, many primary schools now have policies in place ‘to support trans children’ and to ‘provide a broad overview of the needs of transgender children and their families’. This can be counterproductive, she said, “encouraging even the youngest children to question whether they really are a boy or a girl.”Introducing transgender policies in schools is a waste of time and taxpayers’ money, and only confuses children further, a leading academic has claimed.As increasing numbers of children and adults in the UK seek referrals for gender identity clinics, schools are being encouraged to become more inclusive, with many now providing gender neutral toilets, uniforms and language policies.But putting such policies into practice only encourages more children to question unnecessarily whether they are a boy or a girl, argues Dr Joanna Williams.“We are increasingly reminded that schools are struggling financially. Yet the time, effort and money that goes into producing and monitoring Transgender Policies is out of all proportion to the tiny number of trans children currently in British schools,” she told teachers and school leaders.Speaking at the Festival of Education at Wellington School, Berkshire, the author and academic researcher said the vast majority of children may start school understanding the difference between genders, but are “quickly encouraged to unlearn this knowledge”.“By the time they start school, most children know their name, how old they are and where they live.“Most also know for certain whether they are a boy or a girl. Despite this, many primary schools now have policies in place ‘to support trans children’ and to ‘provide a broad overview of the needs of transgender children and their families’.”This can be counterproductive, she said, “encouraging even the youngest children to question whether they really are a boy or a girl.”READ MORE: read more

first_imgILOILO City – A farmer was shot to deathin Barangay Agpalali, Tapaz, Capiz. With no apparent reason, Budalan allegedlyshot the victim several times using a .45-caliber pistol. It was not immediately established whatwas the motive in the incident. According to police investigation, Gapasinaofetched the suspect in his house on Wednesday.  Gapasinao’s friend 52-year-old IsidroBudalan was tagged suspect. The 54-year-old resident LeandroGapasinao sustained gunshot wounds on the body. He died on the spot, policesaid. Officers of the Tapaz police stationconducted a manhunt operation against Budalan, who fled after the incident./PNlast_img read more

first_imgGREENSBURG, Ind. — A Greensburg man was arrested was arrested on criminal rape charges, according to the Decatur County Sheriff’s Department.Chase W. Hollin, 19, was arrested late last week after an arrest warrant was issued.According to police, an investigation into Hollin began back in September when a woman and her roommate contacted police claiming that Hollin had raped the woman in her apartment as she tried to sleep.Police say the two had a friendship that began after they met at her work.Hollin was a guest in the woman’s home the night the incident occurred, according to police.Police say the woman reported that she had declined the encounter with Hollin that night and told him several times to stop.When police interviewed Hollin, he admitted that he heard and understood the woman’s refusal, but still engaged.According to police he stopped when he realized that she was uncomfortable.Hollin’s trial is set for April 12.last_img read more

first_imgFormer Arsenal defender Martin Keown would not be surprised if Arsene Wenger turns down the chance to re-sign Cesc Fabregas. The Spanish playmaker is reported to be available for transfer this summer and keen on a reunion with Arsenal, where he scored 57 goals in 303 appearances. Arsenal, however, are understood to have passed up the opportunity to bring Fabregas back to the club, leaving London rivals Chelsea in pole position to seal the 27-year-old’s signature. “I’m not surprised,” said Keown, who made 449 appearances for the Gunners and was speaking on behalf of Official England Supporter “After Fabregas left, Arsene had to invest time in someone else and h e doesn’t want to block their path if Fabregas comes back. “Alex Oxlade-Chamberlain is someone who can play in that central midfield position as well as Jack Wilshere of course. “Wenger probably feels he’s more than catered for in that attacking midfield area – it’s a defensive midfielder that’s going to be more purposeful in that Arsenal squad now.” Arsenal splashed a club-record £42.4m on Real Madrid’s Mesut Ozil last summer and already have the likes of Aaron Ramsey, Santi Cazorla, Tomas Rosicky and Mikel Arteta in their creative ranks – as well as Wilshere and Oxlade-Chamberlain. If the club are to make any star signings before the start of the new campaign, Keown believes it will be a striker – rather than a midfielder – that comes in. “I do believe Fabregas would improve any team in the world so of course, he deserves special consideration b ut there are only so many £30m players you can buy every summer,” Keown said. “Arsene Wenger has just signed a new three-year contract and I’m not sure he’ll be signing another one so he might think if he’s going to spend £30m, he would prefer it to be on a centre forward than another midfielder.” Press Association Fabregas joined Arsenal as a 16-year-old in 2003 and matured into one of the world’s most exciting creative talents. Named club captain in 2008, the Spaniard developed a strong attachment to the Gunners and described Wenger as “like a father figure” in an emotional parting tribute in 2011. Keown admits a move to another English club, particularly fellow title-challengers Chelsea, would prove difficult for both Fabregas and Arsenal’s supporters. “I don’t think Chelsea would be an ideal move for Fabregas having been at Arsenal before, but it remains to be seen where he ends up,” Keown added. “People move on, people make their decisions and if he ends up playing for one of A rsenal’s rivals that’s football, it’s just the way it is.” Fabregas is currently on World Cup duty with Spain, who start the defence of their title against Holland on Friday. **England are rated 25/1 to win the World Cup by** last_img read more

first_img Press Association Leicester City Supporters Club chairman Cliff Ginnetta has insisted they do not want Nigel Pearson’s fan row played out like a “pantomime”. Ginnetta believes the majority still back the Foxes boss despite his angry exchange with a supporter on Tuesday and want to focus on beating the drop. The Leicester chief rowed with a fan during their 3-1 defeat to Liverpool which left them bottom of the Barclays Premier League. center_img But Ginnetta said, while Foxes fans wait for an apology from Pearson, he still retains their support in the fight against relegation. “He should put his hands up, admit he was out of order, apologise to the people and move on, that’s all everyone wants,” said Ginnetta. “We don’t want to make it a big thing or play it out like a pantomime, we just want to get on with winning games. “I’m sure the majority do (still support him), people are worried and moaning but that’s football fans, you’re never really happy. It’s the nature of the beast. “If you looked after the QPR game (a 3-2 defeat) there was no booing or shouting, they were applauding them off, the fans are right behind him and he has to remember that. He is popular but this arrogance spills over sometimes.” Pearson admitted he had been involved in a “spat” with a fan but said if they could not see his team’s efforts then they should stay at home. The club are investigating the matter although Ginnetta expects any outcome to be decided after the game at Aston Villa on Sunday. A City spokesman said: “We are aware of an incident that took place during Tuesday night’s match and are looking into the matter to establish a full and accurate account of proceedings. “Once the facts have been determined and suitably corroborated, we will decide what next steps, if any, should be taken.” last_img read more

first_imgArsenal face a potentially pivotal Barclays Premier League game with Manchester City on Monday night looking to continue a good run of form against their title rivals. A 5-2 win at the King Power Stadium and a swashbuckling display in beating United 3-0 at home should give Wenger and his side plenty of confidence heading into Monday’s game, especially as no-one else has been able to stop Leicester at home. “I always took them seriously but when we won 5-2 over there, nobody took our performance seriously,” he said of their September success at Leicester. “They just thought it was normal that we won at Leicester, but ever since you have been able to see that it was a great result and a great performance on the day.” Wenger has spoken kindly of Leicester’s unexpected rise to the top of the table, which culminated in a 2-1 victory over Chelsea last week and saw Jose Mourinho lose his job with the reigning champions. And the Frenchman believes it is good to see a team belying their financial short-comings when compared to the big spenders in the division. “It’s good for everybody in football all over the world to see teams who are not on the biggest budget at the start, that they can compete as well,” he added. “There’s always a way to be successful when you’re intelligent and competent. Of course that’s very positive and they’ve shown another fantastic performance on Monday night.” While Claudio Ranieri’s Foxes remain in the mix, many still believe Monday’s protagonists are the two sides more likely to be doing battle for the title when it comes to the business end of the season. Press Association The Gunners are right in the title picture and have the chance to dent the challenge of Manuel Pellegrini’s City side when they visit the Emirates Stadium in the last Premier League fixture this side of Christmas. Arsene Wenger has seen his team beat in-form Leicester and comfortably secure three points against Louis van Gaal’s Manchester United – the other two sides occupying the top four places along with Arsenal and City. Wenger agrees but does not consider this meeting as any sort of decider. “I don’t know if they are the number one threat but City are a threat,” he added. “If you look at what they have achieved in the last three or four years, their individual quality, you cannot dismiss them as not being a threat to winning the championship. We are in December, we are not fighting for the Premier League on Monday night.” last_img read more

first_img Wanyama’s 74th-minute red card for a needless challenge which led to his sending off was swiftly followed by Norwich’s winning goal, although the midfielder has since apologised for his “reckless and irresponsible” actions on social media. Wanyama is likely to escape any further internal sanction but Mane’s misdemeanor may not be forgiven so easily, with Koeman revealing in his post-match interviews that it is the second time the Senegal international has broken that particular club rule. Mane, whom the Sunday newspapers have once again reported is of interest to Manchester United following the player’s latest fall out with his manager, did come on as an 80th-minute substitute against Norwich. However, with the players having Sunday off, it remains to be seen whether his demotion to the bench is seen as punishment enough by Koeman. Meanwhile, Wanyama, whose future at Southampton has also been the subject of speculation, has taken to Instagram to say sorry for his red card. He said: “I would just like to apologise to the manager, fans and everyone at the club for my red card yesterday. “It was reckless and irresponsible and I should have used my experience to have not let it happen, especially when I was on a yellow card. “I now just want to focus on getting back on the pitch and helping the team as much as I can.” Southampton forward Sadio Mane will hope to avoid further punishment for turning up late for the team meeting which led to him being dropped at Norwich. Press Association Southampton had the lion’s share of control and chances at Carrow Road until being reduced to 10 men, but now find themselves just a point ahead of the newly-promoted Canaries after a sixth defeat from their last eight Barclays Premier League fixtures. James Ward-Prowse put Wanyama’s red card down to his fellow midfielder’s enthusiasm but felt the other Saints players battled well for the remainder of the match. “Victor is an aggressive player and he likes to get around the pitch. It was unfortunate for him that he got sent off,” Ward-Prowse told the club’s official website, “It’s always difficult, but we coped well after the goal. It was just one of those moments and to be fair, the guy took the goal very well. “It was a real test of character out there and we can learn a lot from that. “We have to learn from it – it’s a new year and a new start, but it wasn’t the ideal start. It’s a test of character to come through the bad times.” Alex Tettey scored the goal against Southampton which saw Norwich earn successive wins for the first time this season, following Monday’s 2-0 home victory over Aston Villa. And the significance of another three points was not lost on the midfielder, who told the club’s official website, “It’s massive because we knew we had to try and get back-to-back wins. “That’s happened, which means we’re very pleased. It’s something we hadn’t yet done this season so we’re really happy. “We have two clean sheets in a row now, and that’s pleasing as a team. It’s been a good month for us despite some difficult fixtures. “We have to continue picking up points now because that’s what it’s all about.” Mane was withdrawn from the starting line-up to face the Canaries on Saturday just a couple of hours before kick-off after arriving late for the gathering, as is club protocol under Saints boss Ronald Koeman. Koeman publicly blamed the 23-year-old winger and his team-mate Victor Wanyama after their indiscipline helped condemn Southampton to a 1-0 defeat at Carrow Road. last_img read more

first_imgNew Delhi: Former Australian skipper Michael Clarke has warned critics not to underestimate the importance of Mahendra Singh Dhoni to the Indian team following their 2-3 One-Day International (ODI) series loss to the men from Down Under. India surrendered a 2-0 lead in the recently concluded 5-match series as the Australians made a superb recovery by winning three consecutive matches to claim the series.Incidentally, Dhoni did not feature in the last two matches with young wicketkeeper Rishabh Pant struggling to fill the former India captain’s shoes.Clarke took to social media to underline Dhoni’s importance to the Indian team. “Never underestimate the importance of MSD — experience in the middle order is so important,” Clarke tweeted on Thursday.Apart from his skills as a wicket-keeper, Dhoni also guides the bowlers with his instructions from behind the stumps.Left-hand spinner Kuldeep Yadav was one bowler who missed Dhoni’s guidance as he struggled in the last two matches. IANSAlso Read: Sports Newslast_img read more

first_img`IT is believed that the player who starts with the White pieces, begins the game with a slight advantage. Today,all of the top four players secured wins as the Guyana National Junior Chess Championships 2016 commenced at the Ocean Spray Hotel.On board-one was the highly confident and more experienced player Roberto Neto who outplayed his opponent,Nellisha Johnson,in the Queens Gambit Declined. Johnson made one theoretical error which Neto was quick to pounce on and grabbed two pawns easily in the opening stage. Neto routinely converted his pawn advantage into a full point.Board-two saw another QGD opening. This time it was veteran junior Saeed Ali vs Aravinda Singh. In this game, Aravinda fell to an opening trap idea and was a piece down in the early stage. With not much fight, Saeed brought home the full point.Board-three was the game of the day and could have provided an upset. Jaden Taylor, 13yrs old and from Saints,playing with the black pieces should have won his game against WCM Sheriffa Ali.In the opening,Jaden sac a pawn with which he gained better pawn structure, quicker development and piece coordination. By the middle game, Jaden pieces were menacing White’s position. A moment for three-fold repetition occurred but WCM on the third move avoided the repetition.By end-game, Jaden had an outside pass pawn but WCM Ali’s fire within was still blazing as she played accurately and solidly until Jaden made that one decisive error to cause him the game.Board-four saw a Saints Chess Club clash as Joshua Gopaul played Ghansham Allijohn. Both players played solidly in an Italian Game Opening. But Alijohn fell to the famous Bishop trap by the White pawns (c3,b4,a5).last_img