Rand report proposes standards for mass antibiotic dispensing

first_img The standards are geared toward 72 cities that take part in the federal government’s Cities Readiness Initiative (CRI), a program launched by the Centers for Disease Control and Prevention (CDC) in 2004 to prepare major cities and metropolitan areas to distribute antibiotics from the Strategic National Stockpile within 48 hours of a federal order to release them. Though federal law mandates that the standards be evidence-based, the Rand authors pointed out that the rarity of large-scale public health disasters means there is little evidence to base the standards on. Instead, the authors developed the standards by talking to practitioners, reviewing existing literatures, using mathematical modeling, and seeking feedback from an expert panel. Next stepsThe Rand authors suggest that HHS officials review the suggested standards, consider if changes are needed, then move forward to enact the standards. They also suggest that HHS consider whether the standards should apply to all locations that would receive antibiotics from the SNS, not just the 72 cities that participate in the CRI program. Oct 15, 2008 (CIDRAP News) – The Rand Corp., responding to a request from the US Department of Health and Human Services (HHS), recently unveiled a set of proposed standards for cities to use as they establish plans to distribute antibiotics to the public in the event of a bioterrorist attack or other public health emergency. The 133-page technical report, which appears on Rand’s Web site, covers four main topics: the number and location of points of dispensing (PODs), internal POD operations, staffing, and security. PODs are places where members of the public would go to receive antibiotics or other countermeasures in an emergency. See also: Internal operationsThe scale of the public health emergency will likely guide the selection of a dispensing protocol, and the report acknowledges the need for flexibility as cities make their operational plans. But the standards would require cities to establish and exercise at least one rapid-dispensing protocol that minimizes the need for licensed medical workers and gives instructions for directing recipients through the process, selecting the medication to dispense, releasing information about the medication, and dispensing the medication. The standards are designed to allow communities to be flexible and innovative in how they meet the 48-hour dispensing goal, the report says. “Moreover, the standards are intended to provide minimal requirements and should not discourage CRI sites from exceeding them,” it states. Instead of setting targets for numbers of PODs, the standards call for cities to estimate the number of people who would go to individual  PODs seeking antibiotics. Officials would then use a formula supplied in the report to determine how many PODs would be needed. Number and location of sitesThe authors recommend that the first planning step be to estimate the overall number of people who will likely come to PODs to pick up their medications, which will help them determine the number of PODs they will need. Estimating the number of people will likely depend on several factors that vary by location, such as tourism levels and the size of the urban workforce. Staffing provisionsThe authors predicted that recruiting adequate staffing for the PODs would probably be the most difficult aspect of conducting a mass dispensing operation and would present diverse challenges in different cities. “The standards development process revealed concern that uniform, one-size-fits-all staffing standards would fail to account for community differences, unnecessarily require jurisdictions to undo work already completed, and stifle innovation,” they wrote. Because rapid drug-dispensing actions are likely to push legal and liability boundaries, the standards require city officials to identify such conflicts and communicate them to those who have the authority to initiate legal changes. Another suggestion is that HHS establish an oversight committee to regularly review the standards in a way that engages stakeholders, seeks public input, and includes an appeal process. Security concernsThe standards would require cities to assess security at each POD, involve local law enforcement agencies in developing security plans, and provide for law enforcement presence at each site. In another nod to varying local needs, the authors give cities some leeway in the form of alternative standards regarding security staffing and formal law enforcement approval of security plans. For example, cities could use trained volunteers of private security firms if having sworn officers at every site were not feasible. “The standard assumes that individual jurisdictions are in the best position to define the scope of the population for whom they will be responsible for administering prophylaxis,” the Rand authors wrote. They also advised planners to factor in 12 hours for the CDC to get the drugs to warehouses and 12 hours to get the drugs to PODs. The Pandemic and All-Hazards Preparedness Act of 2006 requires HHS to develop performance standards for public health preparedness, and the HHS Office of the Assistant Secretary for Preparedness and Response (ASPR) asked Rand to develop the proposed standards, according to the report. Public health officials will also need to recruit enough staff to operate the PODs and perform quarterly drills to keep in contact with them. The authors said the staffing requirement may be very large for some locations—as many as 6,000 in some metropolitan areas—so they offered an alternative standard under which officials would recruit and regularly contact only the core staff. Rand report on proposed antibiotic dispensing standardslast_img read more

USC cornerback Josh Shaw suspended indefinitely

first_imgSenior cornerback and co-captain Josh Shaw has been suspended from all football activities indefinitely after he admitted about lying about the nature of the ankle injuries he sustained on Saturday night.Shaw shanks redemption – Senior cornerback Josh Shaw (6) had four interceptions for the Trojans last season and was recently named a team captain. News of his suspension comes three days before the Trojans are set to face Fresno State.On Sunday, USC Athletics released a statement saying that Shaw was out indefinitely after suffering two high ankle sprains because he leapt from a balcony at a family function in order to save his nephew who was drowning in the pool.Monday morning at practice, head coach Steve Sarkisian disclosed that USC had received inquiries questioning the validity of the story and that he would look into it.Still, coaches and players reaffirmed their faith in Shaw’s character, stating that he had always demonstrated good character both on and off the field.But on Wednesday afternoon, Shaw came to USC’s athletic department and admitted to fabricating the entire story about rescuing his nephew.“We are extremely disappointed in Josh,” Sarkisian told USCTrojans.com. “He let us all down. As I have said, nothing in his background led us to doubt him when he told us of his injuries, nor did anything after our initial vetting of his story.“I appreciate that Josh has now admitted that he lied and has apologized. Although this type of behavior is out of character for Josh, it is unacceptable. Honesty and integrity must be at the center of our program. I believe Josh will learn from this. I hope that he will not be defined by this incident, and that the Trojan Family will accept his apology and support him.”Shaw issued the following statement via his lawyer, Donald Etra: “On Saturday August 23, 2014, I injured myself in a fall. I made up a story about this fall that was untrue. I was wrong to not tell the truth. I apologize to USC for this action on my part. My USC coaches, the USC Athletic Department, and especially coach Sarkisian have all been supportive of me during my college career and for that, I am very grateful.”USC’s athletic department also issued an apology for running the original story.last_img read more

Thunder Bay National Marine Sanctuary’s shipwreck facade project officially completed

first_imgAddThis Sharing ButtonsShare to FacebookFacebookShare to TwitterTwitterShare to MoreAddThisAlpena — It’s a feeling of ‘mission accomplished’ for the Thunder Bay National Marine Sanctuary and the Downtown Development Authority. The second phase of installing and funding large shipwreck facades off the Thunder Bay River has officially been completed.“This is bringing the stories of the shipwrecks to the people,” said Thunder Bay National Marine Sanctuary Media Coordinator Stephanie Gandulla.Colored images of shipwrecks and divers cover much of the abandon Fletcher buildings. The project started back in May with the Sanctuary applying for a grant opportunity offered by the DDA. The sanctuary planned to add a number of colored images off the Thunder Bay Maritime Heritage Trail, complementing the black and white shipwreck ‘skrims’ that were installed five years ago. With the Fletcher buildings deteriorating, creating an eye soar for the downtown, the leaders of the sanctuary took it upon themselves to beautify the area.“Whether it’s a historic based project or something like the marine sanctuaries where the skrims were installed where a full renovation wasn’t possible, you know either way they beautify the downtown,” said DDA Director Anne Gentry.The shipwreck facades offer a number of added benefits. First, they help people see shipwrecks that are extremely difficult to reach, usually a challenge for technical SCUBA divers. Second, Alpena Shipwreck Tours passes right along the images, so they make great talking points and add to the experience.“I’m not a diver, I know a lot of other people aren’t so being able to see what the sanctuary promotes and preserves is really cool,” said Gentry.Funding for the project started with the Thunder Bay National Marine Sanctuary and Friends of the Thunder Bay National Marine Sanctuary. Both parties covered the original cost, over $10,000. The DDA provided grant funding once the project was completed. The goal is to encourage more businesses to take part in beautification projects and utilize grant money from the DDA to help offset some of the cost.“I think everybody’s doing such a great job with the flowers and maintain their grounds and putting up beautiful signage and imagery so we’re kind of a part of that whole pride in Alpena,” said Gandulla.AddThis Sharing ButtonsShare to FacebookFacebookShare to TwitterTwitterShare to MoreAddThis Tags: alpena, Alpena Shipwreck Tours, Anne Gentry, beautification, Downtown, Downtown Alpena, Downtown Development Authority, Facades, Grant, GREAT LAKES MARITIME HERITAGE CENTER, Great Lakes Maritime Heritage Trail, shipwrecks, Skrims, Stephanie Gandulla, Thunder Bay National Marine Sanctuary, Thunder Bay RiverContinue ReadingPrevious What’s Trending for August 28Next Alpena County commissioners shoot down pot proposallast_img read more

Nets trade Jeremy Lin to Hawks

first_imgIn fight vs corruption, Duterte now points to Ayala, MVP companies as ‘big fish’ Palace OKs total deployment ban on Kuwait OFWs Don’t miss out on the latest news and information. Lights inside SMX hall flicker as Duterte rants vs Ayala, Pangilinan anew LATEST STORIES Volcano watch: Island fissures steaming, lake water receding NCAA: Lyceum holds off EAC rally for 2nd win Report: Disney dropping the ‘Fox’ from movie studio names Carpio hits red carpet treatment for China Coast Guard PLAY LIST 02:14Carpio hits red carpet treatment for China Coast Guard02:56NCRPO pledges to donate P3.5 million to victims of Taal eruption00:56Heavy rain brings some relief in Australia02:37Calm moments allow Taal folks some respite03:23Negosyo sa Tagaytay City, bagsak sa pag-aalboroto ng Bulkang Taal01:13Christian Standhardinger wins PBA Best Player award Trump assembles a made-for-TV impeachment defense teamcenter_img Nadine Lustre’s phone stolen in Brazil MOST READ FILE – In this Oct. 11, 2017, file photo, Brooklyn Nets guard Jeremy Lin (7) passes the ball as Philadelphia 76ers guards Ben Simmons, right, and JJ Redick (17) defend during the third quarter of a preseason NBA basketball game in Uniondale, N.Y. A person with knowledge of the details says the Nets have agreed to trade Lin to the Atlanta Hawks. The Nets made the move to ease an overcrowded point guard spot early Friday morning, July 13, 2018, the person told The Associated Press on condition of anonymity because the trade had not been announced. (AP Photo/Julie Jacobson, File)NEW YORK — Jeremy Lin’s injury-plagued stint in Brooklyn is over.The Nets have agreed to trade Lin to the Atlanta Hawks, a person with knowledge of the deal said early Friday. The person spoke to The Associated Press on condition of anonymity because the trade had not been announced.ADVERTISEMENT ‘High crimes and misdemeanors’: Trump impeachment trial begins The Hawks will be the seventh team for Lin, the undrafted former Harvard star who memorably broke out with the Knicks during his run of Linsanity in February 2012. The NBA’s first American-born player of Chinese or Taiwanese descent has also played for Golden State, Houston, the Lakers and Charlotte.Sports Related Videospowered by AdSparcRead Next Putin’s, Xi’s ruler-for-life moves pose challenges to West The move helps clear up the Nets’ logjam at point guard and sends Lin to another team that is also pretty crowded at the position. ESPN first reported the deal, saying the Nets and Hawks would swap future second-round picks.Lin has a year and $12.5 million left on the contract he signed two summers ago. He made it through just 37 games with the Nets and only one last season, as he ruptured the patella tendon in his right knee during a season-opening loss at Indiana.FEATURED STORIESSPORTSGinebra beats Meralco again to capture PBA Governors’ Cup titleSPORTSAfter winning title, time for LA Tenorio to give back to Batangas folkSPORTSTim Cone still willing to coach Gilas but admits decision won’t be ‘simple yes or no’Spencer Dinwiddie stepped in while Lin was out and became one of the NBA’s most improved players. Brooklyn also has D’Angelo Russell, the No. 2 pick in the 2015 draft, at the point after acquiring him from the Lakers.Now, Lin will have to find room in Atlanta, where point guard Dennis Schroder was the Hawks’ leading scorer last season. The Hawks then acquired the rights to high-scoring former Oklahoma star Trae Young in the draft. View commentslast_img read more

Chelsea transfer news: Blues striker a target for Serie A side

first_img Liverpool news live: Klopp reveals when Minamino will play and issues injury update Every Championship club’s best signing of the decade, including Taarabt and Dack silverware revealed Most Popular Premier League News 1 England’s most successful clubs of the past decade, according to trophies won How the Premier League table could change after the Boxing Day fixtures Chelsea striker Tammy Abraham in action. impact Every time Ally McCoist lost it on air in 2019, including funny XI reactions Did Mahrez just accidentally reveal Fernandinho is leaving Man City this summer? BEST OF Chelsea striker Tammy Abraham is wanted on loan by Sampdoria, according to Sportitalia.The England youth international spent last season on loan at Swansea City but is now back at Stamford Bridge, and made a cameo appearance in the Community Shield defeat to Manchester City. possible standings smart causal The average first-team salaries at every Premier League club in 2019 It is uncertain what new boss Maurizio Sarri has planned for the England under-21 international, however he is not in the first team at the moment.As a result Abraham is reportedly considering going on loan again and Sampdoria are interested in him.The Italian club want to bring in a forward by the end of August and they are tracking Zenit Saint Petersburg’s Sebastian Driussi.A deal for the 22-year-old looks unlikely, however, and Sampdoria have since turned to Abraham.Chelsea could be open to loaning the striker, but they have told the Italian side there will be no option-to-buy clause included. Boxing Day fixtures: All nine Premier League games live on talkSPORT whoops How Everton could look in January under Ancelotti with new signings Every current Premier League club’s best kit from the past decade gameday cracker predicted latest last_img read more