Category: ccjoiisr

Canadian call for health worker flu shots stirs debate

first_imgNov 6, 2012 (CIDRAP News) – A recent editorial calling for requiring influenza shots in healthcare workers (HCWs) has stirred debate in the pages of the Canadian Medical Association Journal (CMAJ), with two groups of researchers questioning the quality of the evidence that the vaccinations protect patients.Last week CMAJ published an editorial endorsing a flu-shot requirement for HCWs, with exemptions granted only for medical contraindications or “deeply held religious or philosophical convictions.” Ken Flegel, MDCM, MSc, senior associate editor of the journal, wrote that high rates of HCW vaccination reduce patient mortality and save money.”Our patients’ lives depend on this change,” he wrote.Today CMAJ published replies by two groups of researchers who took issue with the evidence cited by Flegel, plus a reply from a Canadian advocacy group that raised similar questions and also expressed concern about vaccine side effects.A growing number of US health systems and hospitals now require their employees to receive a flu-shot or else wear a mask during flu season. In addition, a number of states require healthcare facilities to take steps to promote flu immunizations among their employees, according to information from the Centers for Disease Control and Prevention (CDC).A CDC chart says that Alabama requires hospitals to mandate flu vaccination for their staff members. Ten other states (California, Illinois, Maine, Maryland, Massachusetts, Nebraska, New Hampshire, Oklahoma, Rhode Island, and Tennessee) require healthcare facilities to offer flu shots and, in most cases, to require employees sign a form if they decline the immunization, according to the CDC.In Canada, Public Health Ontario recently recommended that healthcare facilities require flu shots for their staffs, according to the CMAJ editorial.Among the arguments Flegel made in the editorial were these:Flu vaccines are about 86% efficacious when they are well matched to circulating flu strainsFour randomized trials showed that high flu immunization rates in long-term care facility (LTCF) workers yielded a 5% to 20% reduction in overall seasonal mortality among residentsOne cost-benefit analysis suggested that every $1,000 (US) spent on vaccinating HCWs saved $1,600Flu strains with the potential to induce Guillain-Barre syndrome (GBS) “are generally avoided in creation of the vaccine”In reply, several members of the Cochrane Collaboration, an international network of researchers who examine the evidence for medical interventions, said Flegel cited an outdated version of their flu-vaccine review, leading to inaccuracies on the benefits of HCW vaccination.The group, led by Peter Doshi, PhD, of Johns Hopkins University, said Flegel cited a 2006 Cochrane review rather than the 2010 review in discussing the benefits in LTCFs. In the 2010 review, Doshi said he and his colleagues concluded that there was no evidence that vaccinating only HCWs prevents lab-confirmed flu, pneumonia, and death from pneumonia in LTCFs.The editorial also drew objections from experts at the University of Minnesota’s Center for Infectious Disease Research and Policy, which publishes CIDRAP News.CIDRAP Director Michael T. Osterholm, PhD, MPH, and staff member Nicholas S. Kelley, PhD, wrote that they strongly support flu immunization for HCWs, but said the stated efficacy of 86% when the vaccine matches well with circulating strains is inaccurate.They noted that their own meta-analysis of flu vaccine efficacy and effectiveness studies, published last year in Lancet Infectious Diseases, concluded that inactivated vaccine provided about 59% protection in healthy, working-age adults and that the vaccine-virus match made little difference. (The meta-analysis was updated last month in a lengthy CIDRAP report on flu vaccines, which called for a major effort to develop “game-changing” vaccines.)In addition, they said that two of the four randomized trials that Flegel cited concerning protection in LTCFs do not support the claim, and the other two provide only weak evidence for it.Osterholm and Kelley made two further points:The cost savings cited by Flegel are not mentioned in the reference he used, and most flu-vaccine cost-effectiveness figures are based on overestimations of vaccine efficacy.There is no way to select flu strains that reduce the risk of GBS, because the reason that flu vaccines may cause the paralytic condition is still unclear.The other reply was written by Susan Fletcher, president of the Vaccination Risk Awareness Network Inc., a Canadian group that questions the safety of vaccines. She used information from the recent CIDRAP flu-vaccine report to question Flegel’s assertions about vaccine efficacy and “herd immunity” to flu.Fletcher also questioned the cost-effectiveness of flu vaccination for HCWs and argued that vaccine-related adverse events are probably under reported for various reasons, including consumers’ unawareness that they can report them.See also: Oct 29 CMAJ editorialReplies to editorial, published Nov 5 and 6CDC chart of state requirements on flu immunization for hospital workersOct 15 CIDRAP News story “Report: Complacency, misperception stymie quest for better flu vaccines”last_img read more

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‘Fiscal cliff’ agreement protects preparedness funds–for now

first_imgJan 2, 2013 (CIDRAP News) – The House of Representative’s final approval last night of a deal to stave off severe “fiscal cliff” budget cuts protects public health preparedness funding, at least for the next 2 months.Lack of an agreement on the measure, which passed the Senate during the early-morning hours yesterday, would have triggered automatic budget cuts beginning today, a key provision of an August 2011 bill that raised the national debt limit.Among a host of other nondefense jobs and services, the cuts would have seriously affected Public Health Emergency Preparedness (PHEP) grants that help states prepare for and respond to public health threats such as pandemic flu and bioterror attacks.A July report from Sen Tom Harkin, D-Iowa, estimated that the sequestration would have led to a $48 million reduction in fiscal year 2013 funding for the PHEP grant program, a 7.8% cut.Though Harkin’s July report warned that the cuts would have a destructive impact on programs that affect the middle class, he was one of the few senators who voted against the bill. In a statement yesterday Harkin criticized the bill, which he said includes permanent tax benefits for high-income earners and doesn’t do enough to generate new revenue and more jobs.Jeffrey Levi, PhD, executive director of Trust for America’s Health (TFAH), a nonprofit, nonpartisan health advocacy group based in Washington, D.C., told CIDRAP News that most of the fiscal cliff agreement focuses on taxes and revenue, with cuts to be named in the future. For the time being, preparedness funding is safe, he added.Another legislative issue that TFAH and other public health advocates have been watching in the final hours of the 112th Congress was possible Senate action on the reauthorization of the Pandemic and All-Hazards Preparedness Act (PAHPA). First passed in 2006, the reauthorization would continue work on medical countermeasures against chemical, biological, radioactive, and nuclear threats, as well as programs to bolster the nation’s public health preparedness.On Dec 19 the House overwhelmingly passed a bill that after months of work between House and Senate members reflected common ground between the two chambers, and TFAH urged the Senate to swiftly pass the bill before the end of the year.Levi said, however, that the Senate did not act on the legislation, which means that it dies and the new Congress, which convenes tomorrow, must start the legislative process to reauthorize PAHPA all over again.See also:Dec 19, 2012, CIDRAP News scan “House passes final version of preparedness reauthorization law”Dec 19, 2012, TFAH statementJan 1 Sen Harkin statementlast_img read more

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Bath loses Ministry of Defence jobs but gains land for homes

first_imgTo access this article REGISTER NOWWould you like print copies, app and digital replica access too? SUBSCRIBE for as little as £5 per week. Would you like to read more?Register for free to finish this article.Sign up now for the following benefits:Four FREE articles of your choice per monthBreaking news, comment and analysis from industry experts as it happensChoose from our portfolio of email newsletterslast_img

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Housing can bridge the generation gap

first_imgTo access this article REGISTER NOWWould you like print copies, app and digital replica access too? SUBSCRIBE for as little as £5 per week. Would you like to read more?Register for free to finish this article.Sign up now for the following benefits:Four FREE articles of your choice per monthBreaking news, comment and analysis from industry experts as it happensChoose from our portfolio of email newsletterslast_img

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Air Products to better serve West Midlands

first_imgGet instant access to must-read content today!To access hundreds of features, subscribe today! At a time when the world is forced to go digital more than ever before just to stay connected, discover the in-depth content our subscribers receive every month by subscribing to gasworld.Don’t just stay connected, stay at the forefront – join gasworld and become a subscriber to access all of our must-read content online from just $270. Subscribelast_img

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Vogtle expansion gets a lift

first_imgThe CA05 structural module is housed within the unit 3 containment building and is comprised of reinforced steel plates that will be filled with concrete to provide structural support for the containment building.Plant Vogtle (or the Vogtle Electric Generating Plant) is jointly owned by Georgia Power, Oglethorpe Power Corporation, Municipal Electric Authority of Georgia and Dalton Utilities.Construction of the two-unit plant began in 1974, and two additional power units are expected to enter service in 2017 and 2018 respectively.This year has also seen the installation of a 417-tonne CR10 module (or cradle) at unit 4, placement of the 997-tonne CA20 module at unit 3, and the successful lowering of the 816-tonne containment vessel bottom head (CVBH) into unit 4.Most recently, the project team placed the 15.2 m high, and 861-tonne lower ring on top of unit 3’s CVBH, which Georgia Power claims was one of the largest lifts of the project.The modules are lifted using one of Bigge Crane’s 7,500-tonne capacity super cranes – the Bigge125D – which was purchased by the Shaw Group in 2012, and is now called the Shaw HLD (heavy lift derrick) 125.Southern Nuclear, a subsidiary of Southern Company, is overseeing construction and will operate the two new 1,100 MW units for Georgia Power and its co-owners. One of the plant’s larger lifts. www.georgiapower.comwww.bigge.comwww.southerncompany.comlast_img read more

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RedBox claims NSR first

first_imgThe company’s chief executive officer, Philip Adkins claims: “No one has ever delivered modules of this size in the middle of winter from Qingdao to Sabetta via the Northern Sea Route.”It is slow-going and the ambient temperature is -25 C.”We have invested a lot over the last two years in the training and preparation of our crews for this type of voyage. I am really proud of them.”Audax is scheduled to arrive in Sabetta on the January 4, 2017 depending on the ice conditions.According to Adkins, the RedBox fleet of four specialist marine heavy lift ships represents the largest commitment of vessels from one owner handling the huge infrastructure modules that are being shipped to Russia in order to bring the vast Yamal LNG project on stream. The company’s 50,000 dwt semi-submersibles, Red Zed I and Red Zed II, became the first vessels to transport prefabricated building structures for Yamal LNG in summer 2015.As weather conditions in the Russian Arctic started to deteriorate and ice limited sailing opportunities, Redbox’s two ice-class ARC7 28,500 dwt PC-3 module carriers have come into their own.The two ships, each of which have ice-breaking capabilities, are capable of navigating year round above the Arctic Circle and will continue to be deployed to carry modules from Asia on to Sabetta, helping Technip to keep the construction project on schedule, says Adkins.   www.redboxgroup.comlast_img read more

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£51m boost for criminal legal aid – but more needed say lawyers

first_imgLord chancellor has announced package of accelerated measures as well as plans for an independent reviewSource: ShutterstockPractitioners will be consulted on remuneration for pre-charge engagement this autumn, after the attorney general issued new disclosure guidelines.Unexpectedly, Buckland also announced plans for an independent review of the criminal legal aid system in its entirety, which will consider working practices and market incentives.Representative bodies welcomed today’s measures but highlighted the need for further support.The Law Society said the fee increases were a ‘small step in the right direction’ but added that a ‘giant leap’ in investment is needed to ensure criminal legal aid firms survive.Simon Davis, president, said: ‘A profession which was already perilously underfunded before the pandemic – with defence firms sinking at an alarming rate – has been plunged into even choppier waters by Covid-19. Social distancing requirements and overstretched courts mean work for criminal legal aid firms has fallen through the floor – leaving many hanging on for survival. In this light, the criminal legal aid fee increases announced [today] are a welcome small step in the right direction after two-and-a-half decades without a rise in funding.’Davis welcomed the independent review, saying ‘it should not be the paymaster who dictates whether that pay is sustainable’.The Bar Council said it was pleased that barristers will finally be paid for work they are obliged to do to prepare cases properly for court. Amanda Pinto QC, chair, said: ‘Nonetheless, the rates of pay must be revisited as part of the wider independent review, which we look forward to engaging with, to ensure the sustainability of this vital provision. Without further support from the government we fear that this great public service will disappear.’ The lord chancellor has today announced ‘quick wins’ that will inject up to an extra £51m per year into criminal legal aid. The Law Society welcomed what it said were the first fee increases in 25 years – but highlighted the need for greater investment.The Ministry of Justice, which began reviewing criminal legal fee schemes at the beginning of 2019, received nearly 500 consultation responses to a proposed package of accelerated measures. This covered unused material, paper-heavy cases cracked trials, sending cases to the Crown court and pre-charge engagement.In a ministerial foreword to the government’s consultation response, Robert Buckland said Covid-19 delayed the department’s response but ‘through these quick wins we can inject an additional £35m to £51m per year into criminal legal aid’.The ministry will proceed with nearly all of the proposals set out in the consultation. For instance, practitioners will receive a fixed payment of 1.5 hours for the first three hours spent on unused material. However, payment for work sending cases to the Crown court will increase from two to four hours, paid at magistrates’ court hourly rates, after the ministry heeded the Law Society’s point that sending hearings typically takes up to a full court day.last_img read more

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Spiral: From the Book of Saw debuts new poster

first_imgFollowing the recent teaser trailer, a poster has been released for Spiral: From the Book of Saw.The new poster sees Detective Ezekiel “Zeke” Banks (Chris Rock) at a crime scene where there’s a body on the ground covered by a sheet and the iconic spiral of Jigsaw painted on a wall next to it. Take a look below:Credit: LionsgateThe latest chapter in the Saw franchise, Spiral is written and directed by Darren Lynn Bousman, Josh Stolberg and Pete Goldfinger. It stars Chris Rock, Max Minghella, Marisol Nichols and Samuel L. Jackson.A sadistic mastermind unleashes a twisted form of justice in Spiral, the terrifying new chapter from the book of Saw. Working in the shadow of an esteemed police veteran (Samuel L. Jackson), brash Detective Ezekiel “Zeke” Banks (Chris Rock) and his rookie partner (Max Minghella) take charge of a grisly investigation into murders that are eerily reminiscent of the city’s gruesome past. Unwittingly entrapped in a deepening mystery, Zeke finds himself at the center of the killer’s morbid game.Spiral will be released in the UK & Ireland by Lionsgate UK.last_img read more

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Joint country cadet for Dominica and Barbados

first_img Share Share LocalNews Joint country cadet for Dominica and Barbados by: – August 3, 2012 18 Views   no discussions Sharecenter_img Tweet Sharing is caring! Dominica Cadet Corps during Independence Parade 2011Ten senior cadets of the Dominica corps will be better trained to serve the organisation in more ways than one when a joint camp kicks off later this month for cadet clubs from Dominica and Barbados.The joint camp, planned by the Dominica Cadet Corps Central Committee and the Barbados Cadet Corps, will take place at the Goodwill Secondary School.Captain Dorsen Robin who is Public Relations Officer of the Dominica Cadet Corps Central Committee said the Cadet Corp is playing a significant role in society including one of linking Caribbean countries.“The Cadet movement has been in the forefront, in shaping the minds of youth in the Caribbean islands. We have seen the products in our top civil servants, in our business people and our politicians. We have no reason to doubt that this programme will deliver even better products than before if we maintain a good standing within the Cadet Corp.”Captain robin said that the Dominica Cadet Corps was inaugurated in 1910 and was decommissioned in 1979. Since its return in 2010, the aim has been to catch up with the general requirements.the captain was speaking at a press conference held on Wednesday morning when he shared that the objectives of the joint camp is to do just that.“Since we’ve been out of commission for some 21 years, we had a big loss of what you call institutional knowledge, how do you do things as a cadet corps, how do you manage a cadet corps, how do you run a camp and so we turned to our brothers in the region, in Barbados and Trinidad to get assistance, to get trainers on the ground and to access their training so that we could redevelop our programme and our volunteers could have much more knowledge. Incrementally, we are getting there in that persons on the ground now know how to run a camp in a true cadet, military fashion, knowing how to deal with issues of safety and child management.”Captain Desisle Bascombe who is team leader of the visiting Barbados cadet corps contingent noted that the six-day camp will participate in activities including a youth forum, a hike along the Waitukubuli National Trail and an open day for the public.Government Information Servicelast_img read more

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