Jun 18, 2007 TORONTO (CIDRAP News) Ten years after H5N1 avian influenza first began to raise fears of a potential pandemic, the world has a stronger set of tools to contain that virus and similar threats, but also a fresh awareness of humanity’s vulnerability to fast-spreading diseases, experts said yesterday at an international conference on flu. Heymann said the old rules “were actually a very passive system” and “a system which countries did not adhere to. Very few countries would report diseases under the International Health Regulations because when they reported those [three] diseases, or any other diseases for that matter, they were penalized with decreased trade and decreased tourism.” “We really are not much further ahead today than we were in 1918,” Dr. David Heymann, the WHO’s assistant director-general for communicable diseases, said in the conference’s keynote address. “We don’t have the vaccines we need. . . . We have some antivirals. But we do have one thing that we did not have in 1918, and that is the International Health Regulations, that now provide for proactive collective action for the H5N1 threat to global public health security.” The Options for the Control of Influenza Conference takes place in Toronto this week on the 10th anniversary of the first human cases of H5N1 flu, which were discovered in Hong Kong between May and December 1997, and one month after the multi-country odyssey of an Atlanta lawyer infected with an almost untreatable form of tuberculosis. The new rules also encourage countries to enforce disease control at their borders while respecting the rights of international travelers. And they reinforce countries’ responsibility to report and contain disease by allowing states to look over each other’s fences: For the first time, the WHO will accept reports of outbreaks not only from national governments but also from third parties ranging from Internet search engines to other states. During the 2003 SARS outbreak, for instance, Southeast Asia lost an estimated $18 billion in gross domestic product and possibly $60 billion in revenues and demand, Heymann said. The new rules, which were enacted in 2005 and became effective Jun 15, update an earlier and much weaker set of regulations that have been in force since 1969. In a change from the earlier ruleswhich emphasized control of only cholera, plague, and yellow feverthey commit WHO members to monitoring all potential public health threats, and particularly emphasize smallpox, polio, SARS, and novel flu strains, including H5N1. “It is important to maintain vigilance and not get so focused on one threat, like H5N1, that we don’t miscue on the emergence and virulence of another,” Dr. David Butler-Jones, Canada’s chief public health officer, said at the conference opener. He called the XDR TB patient’s four-country odyssey “a stark reminder of our collective vulnerability to communicable diseases. . . . The world seems to continue to be smaller, with diseases having no respect for borders, cultures or politics.” See also: Conference attendees said the porousness of borders to disease has been sharply underlined by two recent events: the emergence on the Wales-England border of an H7N2 strain of avian flu that infected at least four humans and killed a number of poultry despite being judged “low pathogenic,” and the saga of Andrew Speaker, who detoured through several countries so that he could obtain treatment in the United States for his newly diagnosed case of extensively drug-resistant tuberculosis (XDR TB). The new regulations improve on the old not only by emphasizing more diseases but also by committing states to building up their public health infrastructure so they can detect and respond to outbreaks, and to maintaining real-time surveillance of health information so that it can be transmitted to the WHO within 24 hours. But the conference’s opening ceremonies yesterday evening also came 2 days after the World Health Organization’s (WHO’s) new International Health Regulations took effect. The voluntary contract marks the first time that the WHO’s 193 member states have agreed to immediately acknowledge and attempt to control any public health emergenciesin their own country or any other territorythat could provoke international concern. Jun 15 CIDRAP News story “New global disease-control rules take effect”
Sharing is caring! 230 Views no discussions Share We all know it’s common to “kiss a lot of frogs” before finding the right partner. The good news? It’s all worth it, because once you do find your match everything else begins to fall into place. Last year, I was insecure about having a serious boyfriend when I didn’t have full-time employment. I thought I had nothing to offer without a cool job, but the man I adore ended up helping me get to where I need to be career-wise, and the individual you’re meant to end up with will do the same and more. You may not immediately know that your significant other is going to be your spouse someday, but here are some signs that you two are bound for life.10. You have similar long-term goalsThis doesn’t necessarily mean you’re in the same line of work. That can be good too, but wanting the same things long-term — whether it’s having kids, a house, or lots of vacations — will help you through any obstacles you may face.9. You like each other’s familiesIt’s true that you don’t just marry your soulmate, but his/her family as well. Many people complain about the in-laws and this doesn’t indicate your union is doomed, but life is so much easier when everyone gets along for the most part. I’m lucky my current beau’s parents and sister are awesome, but a former flame’s dad was unkind and distrustful of me, so I figured out pretty quickly that I hadn’t met the right guy yet.8. You miss him/her when you’re apartWanting to be with the person you love all of the time doesn’t make you needy or annoying. It shows you cherish that person deeply and understand every experience — whether big or small — is better with him/her around. I enjoy watching The Simpsons in bed, but I always laugh harder at Homer’s antics when my S.O. is there cackling with me. Alone time is healthy, but so is wanting to giggle and chat with your favorite person in the world after a rough day at work.7. You’re always thinking about how your decisions affect each otherConsidering a new job? You’re also thinking about how it would fit with your S.O.’s schedule and needs, especially if you live together and share finances. This works both ways, so if he’s mulling over a drastic career change and wants to move to the other side of the world or country, he should also want to take you with him.6. You don’t want any secretsFor the longest time, I was scared to stay over at my boyfriend’s house because I had a major sleeptalking/walking problem that had been going on for years. I was embarrassed about doing something ridiculous in the middle of the night but he assured me he wouldn’t judge my behavior — he just wanted me there. Sure enough, I was so relaxed with him that my sleep yelling/walking issues went away in his presence. I’m glad I explained my hesitation up front so we could find a solution.The closer you are to someone, the more important things you’ll reveal about yourself — from your salary to your family history. The more they know, the more they understand you. The less-than-appealing stuff is important, too. The right person wants all of you, not just his/her idealized version of you, because that’s not real.5. Other people comment on how great you are togetherIf parents, friends, siblings and relatives can see how happy you make each other, you know it’s going to last. On that note, how cute are Emma Stone and Andrew Garfield? You don’t need to know them to understand what an awesome pair they make. These two should get married TODAY.4. You’ve survived tough times and blowoutsAs much as I admire couples who claim they never fight over anything, I think there’s something to be said about having productive arguments. Life partnership isn’t all snuggles and kisses, so it’s important to know you can get through disagreements before you tie the knot. There will be many rough days when you’re exhausted, chasing screaming children around the house and having unpleasant conversations about money and taxes, but if you can get through the fighting and awkward discussions without too many tears, you can handle marriage.3. You don’t have to look nice for each other all the timeThough you still like to dress up and surprise the other person with a pretty outfit, you two can be messy and lazy around each other and not even think twice about it.2. You’re a good teamTo paraphrase my former D.C. mentor Matt Lewis, it’s crucial to choose a partner with whom you can go to battle. As earlier stated, life presents us with plenty of battles, and the person you marry should be willing and able to fight them alongside you. That person should also be like a good reliable teammate. This may sound unromantic, but having someone who is there for you day in and day out, for better or worse, is as sweet as it gets.1. You already know what you’d say during your wedding vowsWhen it comes to the other person, you can always articulate what makes him/her so amazing and why you’ll be there for them forever. Whether you’re “engaged to be engaged” or just having fun dating, you know you’re going to love this person until the very end. You want everyone to recognize how lucky you are to have this person in your life.Hello Giggles LifestyleRelationships 10 signs you’re with the person you should marry by: – August 28, 2014 Tweet Share Share
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