State, local public health get mixed grades on readiness

first_imgDec 19, 2012 (CIDRAP News) – An annual report on state and local public health preparedness offered mixed grades today, saying much progress has been made in the past decade but that important gaps persist and an ominous budget-cutting trend continued in most states.The Trust for America’s Health (TFAH), a nonprofit, nonpartisan advocacy group in Washington, DC, said 35 states met no more than 6 of 10 key indicators that were used to gauge preparedness this year, ranging from funding to community resiliency and laboratory capacity.The report is the 10th annual edition of TFAH’s Ready or Not? Protecting the Public from Diseases, Disasters, and Bioterrorism. It was issued in partnership with the Robert Wood Johnson Foundation.”The biggest threats to public health preparedness are budget cuts and complacency,” TFAH Executive Director Jeffrey Levi, PhD, said in introducing the report at a press teleconference today.TFAH found that 29 states reduced public health funding between fiscal years 2010-11 and 2011-12. Twenty-three of those cut their budgets 2 years in a row, and 14 did so 3 years running. And since 2008, budget cuts have forced 45,700 job losses in state and local public health, the report says, with 57% of local health departments reducing or dropping at least one program in 2011.In addition, preparedness grants from the Centers for Disease Control and Prevention (CDC) have declined by 38%, adjusted for inflation, since 2005, TFAH said.On the 10 preparedness indicators, five states led the pack by meeting 8 of 10: Maryland, Mississippi, North Carolina, Vermont, and Wisconsin. On the other end of the scale, Kansas and Montana met only 3 of the 10.One finding TFAH emphasized was that only two states have met the national goal of vaccinating 90% of young children (10 to 35 months of age) against pertussis. This year Washington state had one of the biggest pertussis outbreaks in recent history, the group noted.Levi said the set of indicators used this year is not identical to sets in previous years, as TFAH adjusts the indicators to reflect changing priorities and concerns. “New issues arise, and we need to pay attention to that,” he said. “Climate change would be a good example of that.”Only 15 states have climate-change adaptation plans, which include planning for the health threats posed by extreme weather events, the report says.Some of the indicators have been retired over the years because large majorities of states achieved them, the report says. For example, all states now have met the CDC standard for the capability to receive and distribute medical supplies from the Strategic National Stockpile.Other findings about the preparedness indicators include these:Forty-seven states and Washington, DC, were able to notify and gather public health staff to ensure a quick response to an incident in 2011, according to CDC findings.Thirteen states and the nation’s capital do not require Medicaid to cover flu shots without copayments for beneficiaries younger than 65.Twenty states do not require licensed child-care facilities to have an evacuation and relocation plan for multiple hazards, a requirement listed as a barometer of community resilience.Twenty-states have not been accredited by the Emergency Management Accreditation Program, a voluntary, peer-reviewed process.Twenty-six states and Washington do not participate in a multi-state compact allowing nurses to practice in other states in emergencies.Thirteen state public health labs say they don’t have enough staff to work five 12-hour days for 6 to 8 weeks in response to an infectious disease outbreak.Only one public health lab, in Washington, DC, reported a decrease in its capacity to deal with chemical threats between August 2011 and August 2012.TFAH said the scores are not intended to reflect on the performance of specific state or local health departments, because they are influenced by factors that are often beyond the control of those agencies.The report offers a number of recommendations to remedy the gaps in preparedness. One of them is for Congress to reauthorize the Pandemic and All-Hazards Preparedness Act (PAHPA)—a goal that moved closer today with House passage of the latest version of the reauthorization bill.TFAH also called for modernizing biosurveillance to create a “real-time, interoperable system to better detect and respond to problems.”Officials at TFAH were asked if that means they endorse BioWatch, the Department of Homeland Security Program that monitors the air in major cities for pathogens that might signal a bioterrorist attack.”We’re not necessarily endorsing a specific approach, Levi replied. “What we’re saying and what is consistent with what the administration is saying is we need to be harnessing new technologies. With the move to high-tech approaches to health information technologies we can learn so much more about public health and have situational awareness during a public health emergency.”In other comments at the press conference, Paul Kuehnert, MS, RN, of the Robert Wood Johnson Foundation said the past 18 months have brought many lessons about how to respond to public health threats. He recited a sizable list of state and local responses to Superstorm Sandy on the East Coast, such as a hotline that New Jersey’s health department established to answer questions about mold hazards and drinking water.”The response to Sandy was inspiring. It provided a clear set of examples of the important role public health plays in a time of need,” Kuehnert said. He is senior program officer and director of the foundation’s public health team.See also: Dec 19 TFAH press releaseFull text of the TFAH report (80 pages)Dec 20, 2011, CIDRAP News story on 2011 TFAH reportlast_img read more

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FDA: Antibiotic use in food animals continues to rise

first_imgA report today from the US Food and Drug Administration (FDA) shows that sales and distribution of all antimicrobial drugs approved for use in food-producing animals rose by 1% from 2014 to 2015, continuing an upward trend.While the 1% increase ties for the lowest annual increase since 2009, the FDA report, which includes several years of domestic sales and distribution data, shows that sales and distribution of all antimicrobial drugs approved for use in meat and poultry increased by 24% from 2009 through 2015. More significantly, sales and distribution of medically important antibiotics for use in food animals increased by 26% from 2009 through 2015, including a 2% increase from 2014 to 2015.Overall, medically important antibiotics accounted for 62% of all antibiotics sold for use in food-producing animals in 2015. Approximately 70% of all medically important antibiotics in the United States are sold for use in animals.Among the antibiotics that are considered medically important in human medicine, lincomasides saw the greatest percentage increase in domestic sales over the 6-year period, rising 96% from 2009 to 2015. That includes a 22% decrease in sales from 2014 to 2015.Tetracyclines, which represent the largest volume of sales, increased by 31% from 2009 through 2015 and by 4% from 2014 through 2015. Aminoglycoside sales volume showed the greatest percentage increase from 2014 through 2015, rising 13%. And cephalosporins, which represent only a fraction of total sales, rose by 61%.’Every year it goes up’Experts say the continued rise in the use of medically important antibiotics in food-producing animals is a concern.”Every year I expect sales of medically important antibiotics to go down, since the industry keeps saying they are using less and only when justified,” public health and animal medicine consultant Gail Hansen, DVM, told CIDRAP News. “But every year it goes up.”Hansen noted, however, that since the number of animals raised in the United States went up in 2015, it’s possible that sales per animal are steady compared with 2014.”The news is not good,” David Wallinga, MD, senior health officer with the Natural Resources Defense Council (NRDC), wrote in a blog post. “Against the backdrop of a crisis in now untreatable or nearly untreatable infections, this report further underscores how urgently we need more and stronger government action to address the ongoing overuse of the drugs in livestock.”Under the Animal Drug User Fee Amendments of 2008, antimicrobial drug sponsors are required to report to the FDA on annually the amount of antibiotics they sell or distribute for use in food-producing animals. But the FDA cautions that this information does not necessarily represent actual use of products, since not all purchased antibiotics are used.Critics say better data are needed to create a more comprehensive picture of antibiotic use in food-producing animals and how it relates to antibiotic resistance.       Under FDA Guidance for Industry #213, drug sponsors are being asked to voluntarily remove growth promotion from the labels of all medically important antibiotics used in food animals starting in 2017. In addition, use of the drugs will require veterinary oversight. The FDA is hopeful this new policy will reduce the use of medically important antibiotics on farms.But some say ending the use of antibiotics for growth promotion isn’t enough. In September 2013, the NRDC and six other groups petitioned the FDA to withdraw approval of the use of medically important antibiotics in livestock and poultry for disease prevention, as well.See also:Dec 22 FDA summary reportDec 22 FDA news release on the reportDec 22 NRDC blog postlast_img read more

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Hildane for sale for £170m

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Derek Data Joins Dura International As Vice President Of Sales

first_img“The heart of every EV is the battery, so it was crucial for us to develop our own battery pack in-house,” said CEO Robert Bollinger. “Our engineering team has created a pack with high-strength structural properties, exemplary cooling features and state-of-the-art software.”  Bollinger Motors will manufacture battery packs for its own vehicles – as well as make them commercially available for standalone applications – starting in 2021. The Bollinger Motors battery pack is composed of modules in 35 kWh strings that can be connected in series or parallel to form a variety of pack sizes and configurations. Pack sizes will include 35, 70, 105, 140, 175 kWh, and higher, with many sizes capable of both 350V and 700V configurations.  The modules are connected to both sides of a symmetrical and structural I-beam. The I-beam includes channels, through which cooling fluid is pumped, to extract heat away from the battery modules. The I-beams also provide cross-vehicle structural support and help protect the pack from side intrusions.  Dura International has announced the appointment of Derek Data to the position of vice president of sales. In this role, Data will have responsibility for servicing customers and managing sales agencies in the Eastern U.S.AdvertisementClick Here to Read MoreAdvertisementData brings more than 20 years of experience, most recently as vice president of sales for Modern Silicone Technologies and Magnum Gaskets. His prior aftermarket experience also includes time with Federal-Mogul and Gencorp. Data has held key management roles that encompassed sales, finance, sourcing, strategic planning and operations.Dura International offers premium quality brake products and is headquartered in Rancho Dominguez, California, with distribution facilities in Memphis and Avenel, New Jersey.,Bollinger Motors has filed a patent with the United States Patent and Trademark Office (USPTO) for its battery pack design. The scope of the patent includes mechanical, electrical and systems-engineering innovations. AdvertisementClick Here to Read MoreAdvertisementcenter_img Designed for safety, high energy density, and high continuous power capacity, the Bollinger Motors battery pack will be suitable for heavier applications such as medium-duty trucks, agricultural and construction equipment. The Battery Management System (BMS) has also been developed in-house. The BMS has been created to handle any number of strings, therefore one BMS can be manufactured for all future battery-pack sizes and voltages.  The BMS monitors voltage, current, and temperature at multiple points within the pack and manages the system accordingly. It works with other vehicle-control units to maintain optimum operating conditions that increase efficiency and extend battery life. The BMS also provides several features which ensure system safety, including detecting and isolating faults to enable continued vehicle operation.Advertisement Bollinger Motors filed the provisional patent application on Oct. 12. The patent application number is 17/068,260.last_img read more

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Air Liquide acquires ADEP Assistance

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Logwin expands in Port Elizabeth

first_imgThe new location (pictured below) includes warehousing space totalling 1,300 sq m and is set up for general freight as well as hazardous materials.Logwin’s previous facility in Port Elizabeth were located in two different buildings. “Now we can even better offer our customers all of our services from a single source,” says Patrick Federle, managing director of the Region Africa in the business segment Air + Ocean with Logwin.Along with Port Elizabeth, Logwin has further branches in South Africa in Durban, East London, Johannesburg, and Cape Town.www.logwin-logistics.comlast_img read more

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ADM gets skid moving

first_imgThe skid was first transported about 25 km by road from its production facility in Mol to ADM’s own ro-ro terminal on the Albert Canal, using the company’s new Nooteboom 3+6 PXE low loader trailer, which required the removal of various electric cables, high voltage cables, traffic lights and trees.At the ro-ro terminal the cargo was loaded onto a barge and transported downriver to the port of Antwerp, where ADM handled transhipment onto a coaster vessel for final shipment to Scotland.ADM Team Heavy Weight is a member of The Heavy Lift Group (THLG).  www.thw-adm.bewww.theheavyliftgroup.comlast_img read more

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Order awaited

first_imgGERMAN Railway is planning to order a small number of pre-production loco-hauled coach sets for long-distance trains, for which tenders are to be prepared later this year. They will be the forerunners for an order for 1000 to 1200 vehicles intended to replace DB’s loco-hauled inter-city fleet, which at one time was to be superseded by tilting trains.These tilt trains were to form part of a joint order with Austrian Federal and Swiss Federal Railways (RG 12.01 p812), but the price was too high in DB’s view.DB has since reassessed its needs using whole-life costs, concluding that the loco-hauled formula offers better value for money than fixed-formation tilting trainsets. The future loco-hauled fleet will carry 30% to 40% of all DB’s long-distance traffic, the rest being carried by ICEs. A significant proportion of this traffic is international, and Klaus-Albert Bolten of DB Systemtechnik says that DB has learnt that maintaining multiple-units or fixed formation trains with integral power cars outside Germany is expensive, not least because of the need to have stocks of spares at depots in other countries.The future fleet will be built for push-pull operation with all types of car using a common bodyshell. Both classes will have accommodation in open saloons, and the flamboyant interiors of the ICE3 and its sister trains is unlikely to be replicated.A previous attempt to order the stock was linked to suppliers taking over DB’s works at Ammendorf and Delitzsch, but this fell foul of competition rules. A specification has been drawn up, but DB will not rush as the present inter-city fleet has just been through a refurbishment programme that will keep it going for up to 10 years.DB has decided to refurbish the ICE1 fleet at its Nürnberg workshopslast_img read more

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Alliance targets doubling of freight market share

first_imgFRANCE: Plans to relaunch the rail freight business are now being finalised in preparation for formal presentation to the government by the end of this month. Drawn up by the Fret Ferroviaire Français du Futur alliance (4F), the proposals aim to double rail’s share of the freight transport market in France to 18% by 2030.Highlighting the rail freight sector’s ‘robust’ performance and its efficiency in providing essential transport services during the height of the Covid-19 pandemic, 4F says that the proposals are also designed to help ensure economic recovery and to reduce carbon emissions.Asserting that rail freight offers huge opportunities for technical progress with the potential for improved performance, 4F anticipates taking maximum advantage of rail’s environmental credentials. It is calling for action on three fronts:by the operators who ‘are ready to innovate and take the commercial risk of recapturing freight in France’;by infrastructure manager SNCF Réseau ― which ‘has the means available to invest in renovation of the network’ ― through giving priority to service quality;by the state, which should ensure decarbonisation of the transport sector and support competition within the rail business as part of a more sustainable logistics chain.Members of 4F are finalising proposals for actions judged essential on all three fronts in 2021 in order to ensure that the sector remains ‘dynamic’ and efficient in the medium term. At the forefront of the concept is the tripling of intermodal services embracing rail, road, maritime transport and inland waterways. This, it believes, will help industrial development and ‘relocalisation’ of industries that favour local employment.4F wants government to increase the level of support for intermodal transport both in the short and long term, to offer help for the wagonload business and to increase support for track access charges. Further, it is calling for infrastructure modernisation, rehabilitation or safeguarding of feeder lines and industrial branches, as well as a range of other measures. It believes that government action along the lines suggested would ‘send a strong political signal that the markets are waiting for’.4F consists of rail freight operators Fret SNCF, DB Euro Cargo Rail, VFLI, Europorte, RegioRail, Millet Rail and intermodal companies Novatrans, Naviland Cargo, T3M, Froidcombi, VIIA, Forwardis and the various Opérateurs Ferroviaires de Proximité, as well as a number of organisations including Association Française du Rail, industry grouping FIF, the French wagon keepers association AFWP and the French Association of Freight Transport Users AUTF.last_img read more

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Pregnant Woman Killed During a Freak Storm in Guyana

first_imgMarsha Jordan, a woman who was seven months pregnant died early Monday after a freak storm hit the village of Jawalla in the Essequibo region yesterday.The chairman of Guyana’s Region Seven, Gordon Bradford said that the woman and her two children, ages three and 11 years old, were sheltering under a house during the storm when it collapsed.Other houses in the village have been destroyed with another five partially damaged, however, neighboring villages of Phillipai, Paruima, Waramadong have not reported any damage.Bradford and a Civil Defence Commission (CDC) team were scheduled to visit Jawalla later on Monday to assess the situation.last_img read more

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