Mar 25, 2011Hawaii reports four dengue cases The Hawaii Department of Health (HDH) said yesterday that it is investigating two confirmed dengue fever cases and two more suspected infections among Oahu residents and are warning those on the island to take precautions, according to an HDH press release. An investigation into the cases suggests the patients were infected near their homes by mosquitoes, the HDH said. Earlier this week officials sent an alert to physicians, advising them to consider dengue infection in those with similar symptoms and test and report suspected cases. Health director Loretta Fuddy said in the statement that authorities are conducting more tests and surveying, along with developing a mosquito control plan for the areas where the four patients were likely infected. In 2001 Hawaii identified its first locally acquired dengue case in 56 years. The reemergence of the virus led to an outbreak with 122 confirmed cases on three if the state’s islands, according to a 2005 report by HDH researchers in Emerging Infectious Diseases. In background information on its Web site, the HDH said that incoming travelers with dengue fever can infect local mosquitoes, which played a role in the 2001 outbreak.Mar 24 HDH press releaseMay 2005 Emerg Infect Dis reportHDH dengue background informationHighly resistant bug turning up in Los Angeles hospitalsA highly antibiotic-resistant bacterium that was thought to be confined mainly to the East Coast is invading hospitals and other health facilities in the Los Angeles area, according to a report from the Society for Healthcare Epidemiology of America (SHEA). The pathogen, called carbapenem-resistant Klebsiella pneumonaie (CRKP), is resistant to nearly all antibiotic options and has been linked to higher mortality, longer hospital stays, and higher healthcare costs, SHEA reported in a news release. At a SHEA news briefing this week, Dr. Dawn Tereshita of the Los Angeles County Department of Public Health said CRKP previously was believed to be rare in the region. After the health department declared CRKP a lab-reportable disease, 350 cases were reported from June through December of 2010. Tereshita said 42% of the cases were from long-term acute care hospitals and 6% from skilled nursing facilities. The study did not address why CRKP is growing more common in the area. Tereshita commented that patients in long-term acute care hospitals tend to be elderly people with many health problems and “are often placed on antibiotics which may or may not be appropriate,” all of which tend to increase their risk for healthcare-acquired infections. Tereshita’s study is scheduled to be reported in more detail at SHEA’s annual meeting on Apr 3.Mar 24 SHEA news releaseAug 20, 2010, CIDRAP News story discussing carbapenem-resistant K pneumoniaeTB rates down in EuropeThe number of cases of tuberculosis (TB) in Europe declined 4.5% in 2009 and 27% since 1995, but treatment success seems to have leveled off, according to a Eurosurveillance report yesterday. In 2009, the last year for which data were available, 79,665 TB cases were reported by the 27 EU countries, Iceland and Norway, down 3,635 cases (4.5%) since 2008. The decrease between 2007 and 2008 was 1.4%. The number of cases dropped 29,992 since 1995, from 109,657 to 79,665, for a 27.4% drop. Cases per 100,000 population dropped from 22.7 in 1995 to 15.8 in 2009, a 30.4% decline. Countries reporting the highest rates per 100,000 were Romania (108.2), Lithuania (62.1), Latvia (43.2), Estonia (30.7), Bulgaria (38.3), Portugal (27.0), and Poland (21.6). Those at the lower end were Iceland (2.8), Greece (5.2), Germany (5.4), Luxembourg (5.5), Denmark (6.0), and Italy (6.5). By comparison, figures released yesterday by the US Centers for Disease Control and Prevention (CDC) showed 3.6 TB cases per 100,000 US residents in 2010. The European report also said that, while the number of countries achieving the target of 85% TB treatment success has doubled since 2008, overall European treatment success has not improved and even declined a bit from 2007 to 2008.Mar 24 Eurosurveill reportMar 24 CDC TB dataPakistan faces tough polio battleThe battle against polio in Pakistan faces many complexities, including opposition to immunization from religious groups who have armed militia members on their side, floods in 2010 that seemed to exacerbate the spread of the virus, and possible vaccine campaign mismanagement, Integrated Regional Information Networks (IRIN), the humanitarian news organization of the United Nations, reported today. After leading the world in polio cases last year, the country has already reported 15 this year, with President Asif Ali Zardari declaring a national emergency over the epidemic and saying that failure to eradicate the disease amounted to “criminal negligence.” Late last year a polio vaccine worker in one of the tribal areas was reportedly kidnapped and killed, and in February the virus was detected in water samples from five cities. A polio vaccine campaign official told IRIN that more supervisors have been sent to oversee vaccination activities. Also, a nongovernmental organization called National Research and Development Foundation is enlisting religious leaders to build the public’s support for polio vaccination, according to the report.Mar 25 IRIN storyFAO: North Korea needs $1 million to control FMD outbreakNorth Korea needs $1 million worth of equipment and vaccine to stop foot-and-mouth disease (FMD) outbreaks, the United Nations Food and Agriculture Organization (FAO) said yesterday. It based the estimate on reports from international veterinary experts who were invited by North Korea to assess and help manage the outbreak between Feb 27 and Mar 8. Outbreaks of type O FMD have been reported in a variety of locations in 8 of North Korea’s 13 provinces. The team found that the country’s capacity to detect and contain outbreaks needs to be strengthened significantly, especially biosecurity practices and laboratory infrastructure. They recommended several steps to their North Korean colleagues, including conducting surveillance, mapping disease clusters, conducting adequate sampling, and strategizing the use of appropriate vaccines to contain disease outbreaks. The FAO said farm animals are vital to North Korea’s food security and that cows and oxen are also a key source of draft power for agricultural production.Mar 24 FAO press release
Jean Shafiroff==2018 Women’s Leadership Awards Hosted by NY State Assembly Woman Rebecca Seawright==Sheppard Mullin Richter & Hamilton, New York, NY==April 26, 2018==©Patrick McMullan==Photo – Gonzalo Marroquin/PMC==== Assemblywoman Rebecca Seawright, Democrat representative from the Upper East Side, hosted her third annual Women’s Leadership Awards, honoring eight women whose activism and contributions to society have put women, and all New Yorkers, on a better path to get ahead. Award winners included: Jean Shafiroff, Rena Andoh, Esq., Doryne Isley, Tiffany Raspberry, Marcia Dickstein Sudolsky, Dr. Kerry Walk, and Susan Warren. Share Jean Shafiroff, Rebecca Seawright==2018 Women’s Leadership Awards Hosted by NY State Assembly Woman Rebecca Seawright==Sheppard Mullin Richter & Hamilton, New York, NY==April 26, 2018==©Patrick McMullan==Photo – Gonzalo Marroquin/PMC==== Jean Shafiroff, Rebecca Seawright, Honorees==2018 Women’s Leadership Awards Hosted by NY State Assembly Woman Rebecca Seawright==Sheppard Mullin Richter & Hamilton, New York, NY==April 26, 2018==©Patrick McMullan==Photo – Gonzalo Marroquin/PMC====
The majority of ‘legal service providers’ feel they have leadership and culture in their firm to support innovation – but just a quarter have taken the plunge in the past three years.Joint research from the Solicitors Regulation Authority and Legal Services Board was published today showing that 25% of providers have introduced a new or improved service since 2012.The survey of 1,500 organisations, including around 900 law firms, found 80% feel they have the management structure to make innovation possible, with 40% having put in place practical steps to promote new ideas.Solicitors’ firms were found to be more innovative than barristers’ chambers, particularly through extra use of electronic communication with clients and the use of electronic forms and case management systems.Other key areas where providers have changed have been in working on fixed fees, new practice areas and greater use of technology.Almost three-quarters of providers on social media use the platforms to advertise services and provide legal updates or free information, although the direct provision of legal services through social media was uncommon.Speaking at a press briefing ahead of the report’s publication yesterday, LSB chief executive Richard Moriarty said the report reflected a mixed view of firms’ willingness to innovate.‘Very encouragingly innovation is happening out there but there is room for improvement,’ he said. ‘I certainly believe there should be more innovation in the sector to reflect the change in consumer expectation.‘There is unmet legal need and if we are going to tap into that there has to be new ways of structuring and delivering legal services.’The report reflected some interesting attitudes to innovation and how it can be achieved.Solicitor firms appear to be convinced the driver for innovation can be found in-house, with 60% respondents rating the recruitment of non-legal staff as not important.Almost one-quarter (23.6%) of firms regarded regulation as a barrier to innovation, with 17.4% citing a lack of necessary finance. Fewer than one in 10 solicitor firms reported that attitudes among staff or clients were holding back innovation.The report concluded that alternative business structures have had a ‘positive’ effect on innovation and are 13-15% more likely to introduce new legal services.SRA chief executive Paul Philip said alternative business structures had proved more ‘nimble’ in their leadership and ability to make decisions than traditional partnerships.The regulator has granted around 500 licences of which 19 have been linked to firms on the stock market, and Philip admitted the SRA can improve its handling of those entities.‘We spend a lot of due diligence asking who owns law firms,’ he said. ‘We have sorted that out.‘The real issue is can we regulate law firms? We have lots of people who understand the issue. There are other issues we need to develop our skill set in, such as listed [firms]. We are learning as the market learns.’
TURIN, Italy (AP): Despite resting Cristiano Ronaldo ahead of their crucial Champions League match, Juventus romped to a 4-1 victory over Udinese yesterday with teenager Moise Kean scoring twice. Kean, who received a standing ovation when he was replaced late, also won a penalty, which was converted by Emre Can. Blaise Matuidi added the final goal as Juventus extended their lead in Serie A to 19 points. With Juventus needing to overturn a 2-0 deficit against Atlético Madrid on Tuesday in their round-of-16 Champions League match against the Spaniards, Massimiliano Allegri rested a number of key players. The 19-year-old Kean was handed his first league start of the season, having played just a handful of minutes in two substitute appearances, and he certainly staked his claim for more time. Kean netted his first in the 11th minute by sliding to prod home Alex Sandro’s cross. He doubled his tally shortly before half-time, showing a fantastic burst of pace and feinting as if to cross before beating the goalkeeper at the near post. The goal brought Ronaldo and Paulo Dybala, who were on the substitutes’ bench, to their feet in admiration. Kean almost bagged a hat-trick in the second half, but was brought down by Nicholas Opoku, and Can fired the resulting penalty straight down the middle. Juventus had not scored more than three goals in a match this season, but they got a fourth in the 71st when Matuidi headed in Rodrigo Bentancur’s cross from the right. Kevin Lasagna netted a late consolation for Udinese.