Tag: agency

  • Avian flu reappears in Cambodia, UN health agency warns

    Avian flu reappears in Cambodia, UN health agency warns

    These are the to start with instances of avian influenza, recognized as H5N1, documented in Cambodia considering the fact that a widespread outbreak in 2014, the Entire world Health Firm (WHO) claimed. The an infection, which mostly influences animals, has a 50 for each cent mortality level in people.

    “The worldwide H5N1 situation is stressing given the extensive spread of the virus in birds all-around the entire world,” said Sylvie Briand, Director for Epidemic and Pandemic Preparedness and Avoidance at the UN overall health company.  “We are in close conversation with the Cambodian authorities to fully grasp more about the outbreak.”

    Even more conditions predicted

    Due to the fact the virus carries on to be detected in poultry populations, more human conditions can be predicted, WHO claimed. Pretty much all H5N1 an infection conditions in people have been affiliated with close speak to with contaminated live or dead birds or contaminated environments.

    “WHO takes the risk from this virus critically and urged heightened vigilance in all nations,” she stated.

    From 2003 to 25 February 2023, a overall of 873 human instances of H5N1 and 458 deaths have been noted globally in 21 nations around the world.

    Nonetheless, centered on the present info, WHO advises against implementing any vacation or trade limits. To day, evidence reveals that the virus does not infect people very easily and human being-to-man or woman transmission seems to be strange.

    Investigations launched

    In Cambodia, a joint animal-human wellness investigation is presently underway in Prey Veng province, where the circumstance was documented. It aims at identifying the supply and mode of transmission.

    Meanwhile, a high-amount government reaction is performing to comprise any more spread of the virus, and an outbreak investigation is aimed at figuring out the publicity of the two claimed cases to the virus, WHO mentioned.

    Cambodian wellness authorities experienced notified WHO on Thursday of the very first situation and loss of life. A youthful lady had contracted the avian flu and had died on Wednesday. By Friday, they experienced noted the second circumstance, noting that a person of the girl’s family members customers experienced analyzed favourable with the virus but was asymptomatic.

    In response to past outbreaks, veterinary efforts to contrast avian influenza strains were bolstered across Asia.

    In reaction to past outbreaks, veterinary attempts to distinction avian influenza strains were bolstered throughout Asia.

    International response technique

    By way of its World Influenza Surveillance and Response System, the UN wellness agency screens the evolution of the virus and conducts possibility assessments. For pandemic preparedness uses, WHO can also suggest the improvement of extra new prospect vaccine viruses.

    The company underlined the great importance of international surveillance to detect and keep track of virological, epidemiological, and medical improvements linked with emerging or circulating viruses that may perhaps have an affect on human or animal wellbeing.

    Currently, there is no vaccine extensively available to defend in opposition to avian influenza in individuals. WHO suggests that all individuals involved in get the job done with poultry or birds should really have a seasonal influenza vaccination to decrease likely hazards.

    Previous outbreaks

    Virtually a decade in the past, the UN Foods and Agriculture Business (FAO) experienced issued an urgent warning of an outbreak in southeast Asia of a strain of avian influenza termed H5N6.

    In 2015, FAO once more lifted alarms about a dangerous outbreak of the hugely virulent H5N1 strain, which had spread to five West African nations around the world within six months. The company had appealed for $20 million in emergency funds “to stop it in its tracks” before it impacted individuals.

    At the time, FAO had reported the H5N1 pressure has triggered the death of tens of tens of millions of poultry and losses of tens of billions of dollars.

    Considering the fact that then, the agency has worked to enhance veterinary devices and the abilities of nearby laboratories. By 2018, FAO experienced educated 4,700 veterinarians, who worked to shield farm animals in opposition to deadly viruses in 25 nations throughout Africa, Asia, and the Center East.

    In Cambodia, a 2003 H5N1 outbreak had, for the 1st time, impacted wild birds. Given that then, and right until 2014, human situations because of to poultry-to-human transmission have been sporadically described in the state.

    As of 25 February, Cambodia has described a total of 58 conditions of human infection with the H5N1 virus have been reported since 2003, including 38 fatalities.

  • NC veterans agency ignores nursing home assessment deadline

    NC veterans agency ignores nursing home assessment deadline

    By Thomas Goldsmith

    Until they heard from Gov. Roy Cooper, the state Division of Military and Veterans Affairs slow-walked directives and missed legislative deadlines to look into the state veterans nursing home system and to report regularly on their progress, state records show. 

    Provisions in the state budget bill passed last winter directed the division to “conduct an assessment of the long-term care needs of the State’s veterans and to develop a plan to address those needs.” Recently, after questions from North Carolina Health News, the governor’s office reached out to DMVA to ask why mandated reports are missing and told them they should get them done. 

    The budget signed into law Nov. 18, 2021 required reports to be delivered Feb. 1 and April 1 to three legislative committees and the General Assembly’s Division of Fiscal Research. The budget also appropriated $250,000 for the study. 

    In addition, DMVA was told to ask for proposals, receive applications, and engage an independent consultant to carry out the work of assessing in detail the strengths and weaknesses of the veterans health care operations and recommending new approaches if needed.

    None of the requirements had been completed when this reporter reached the division June 24, and officials have since maintained that they can meet the goals and save money by substituting information from several federal reports that have little connection to the topic. On July 2, a division spokeswoman said that reports supplied to North Carolina Health News in response to our query were meant only to give an idea about developments to come in long-term care.

    Cooper: Meet your deadlines

    “Information on the needs facing long-term care facilities is important to ensuring quality care and DMVA will provide you an update on this process,” Cooper spokesman Jordan Monaghan wrote in an email to North Carolina Health News. “The Governor expects agencies to work diligently to meet deadlines.”

    North Carolina’s four veterans nursing homes — in Fayetteville, Black Mountain, Kinston and Salisbury — came to increased public scrutiny in 2020 after 39 residents died with COVID-19 infections. For-profit managers PruittHealth, of Norcross, Ga., subsequently received a five-year renewal of its contract in 2021 by bidding against two competitors. 

    NC Health News has run a series of stories since 2020 on the COVID-related deaths and the management company’s decision not to release full details of how the infections and deaths occurred. 

    The legislature told DMVA in the budget provisions to acknowledge that veterans require broader and more complex care than “traditional, institutional-based system of care.” In addition the law says that pre- and post-Gulf War veterans have different requirements, and that the existing state-owned nursing homes should be incorporated into a “larger long-term system of care to meet the needs of veterans in both rural and urban areas.”

    DMVA says federal data will fill gaps, save money

    On June 24, the day after Cooper made his expectation known, DMVA sent two  documents to NC Health News in an effort to support the way officials have handled the directions sent by legislators. 

    One was a federal Veterans Administration report that looked at health care for veterans mostly in the system of large hospitals run by that agency. A second federal report outlined a VA proposal on a possible realignment of hospitals and health care services for veterans in parts of Virginia and North Carolina.

    There seemed to be little direct link between the reports sent by the agency and those that legislators ordered DMVA and DHSS to carry out.

    “We are analyzing and evaluating this recently prepared report to discern any gaps that North Carolina may need to study,” DMVA spokeswoman Tammy Martin said in an email. “Our efforts should complement the VA in their future endeavors. To avoid redundancy, the monies appropriated to DMVA have not been expended.”

    DMVA described its decision not to spend the $250,000 allocated with the directed tasks as “performing our due diligence on behalf of N.C. taxpayers.” 

    Martin wrote: “The direction described in the bodies of the (federal) report will serve as the basis of our recommendations towards addressing the long-term care needs of veterans proudly calling North Carolina home.”

    Then, responding July 2 to questions about the federal reports, the division spokeswoman offered another change of direction.  

    “The VA reports I sent earlier are not intended to replace the DMVA report,” Martin wrote. “While it is not NC specific, it does indicate the direction of future care facilities.” 

    Earlier explanation: Reports are delayed

    On the same day as Cooper’s response, a newly hired Martin had provided the first agency response to a reporter’s query. That was 10 days after a request for information went initially to Terry Westbrook, DMVA assistant secretary of veterans affairs, who did not respond. 

    “At this point, the reports have been delayed and are not complete,” Martin wrote in an email. “NC DMVA continues to work diligently for our military and veteran populations with care and compassion.”

    The state Department of Health and Human Services was also tasked under statute with working with the DMVA on the survey of the veterans nursing homes system. When there’s a complaint about a nursing home, the state DHHS essentially becomes a local arm of the federal regulatory body. Someone from DHHS, or a local county, inspects nursing homes, which are ultimately regulated by the federal government.

    In this role, DHHS is designated under the law to take part in the survey for which the $250,000 in non-recurring taxpayer dollars were appropriated. 

    “In response to your inquiry concerning the $250,000 – it remains unspent as the departments continue to work together to ensure it is spent with efficiency,” Martin wrote.

    ‘Looking about 20 years out’

    Westbrook talked about a longer-term assessment of the veterans nursing home system when he addressed a meeting of the North Carolina Coalition on Aging on March 25. The meeting occurred nearly two months after the agency’s first missed deadline and one week before the second report to the General Assembly failed to materialize. 

    “The state General Assembly tasked us with developing a strategic plan and doing an assessment of the needs of the veterans community as we go forward from here,” Westbrook told the statewide nonprofit group, according to a transcript.  “So we’re going to be looking about 20 years out in the future.

    “We’re going to be looking at what the needs of the population is going to be, not only from the perspective of skilled nursing care, but from the perspective of what type of home-care options we might be able to generate and fund and support, and what other kinds of assisted living care would make the most sense for us.”

    Meanwhile, the information that lawmakers wanted to have gathered on the state veterans nursing home system, as designated by statute, covers a wide range of current data. Included are staffing levels in relation to number of residents; average daily number of residents; numbers of beds; demographics of residents including gender, race, and age; satisfaction surveys; length of waiting lists, daily rates sorted based on responsible parties; costs to the state; and the “number of admissions, discharges, and deaths.”

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