Contacts monitored People completed monitoring 58 1,701 Total cases* 605 Daily Update on Novel Coronavirus (COVID-19)October 20, 2020New or updated information is in red and bold.This update is available online at healthvermont.gov/covid19(link is external)Click the “See the Latest Update” button.Please visit the Vermont Department of Health’s COVID-19 web and data pageshealthvermont.gov/covid19(link is external)Don’t let pandemic fatigue set in, Dr. Levine saysHealth Commissioner Mark Levine, MD, said at Tuesday’s press conference that the Central Vermont outbreak tied to recreational hockey and broomball leagues is now at 34 confirmed cases. He emphasized that transmission did not necessarily occur on the ice, as contact tracing teams have learned of social interactions and carpooling that may have been factors in spread of the virus.Dr. Levine acknowledged we are all facing pandemic fatigue — adjusting our routines, forgoing social and family activities, and being relentlessly reminded to wear a mask and keep a distance from one another.But we still have to wait a little longer for a COVID vaccine, and we are seeing cases increase — both nationwide and closer to home, he said.“As we start to head into the holiday season, I am asking us all to join together, to take a moment to re-center, to step back from pandemic fatigue and rededicate to doing everything we can to keep the virus from spreading,” he said.Think carefully about travel, and know that if you do, you will most likely have to quarantine upon your return, he said.“And take a hard line if you are not feeling well. Even a headache or a runny nose – things you wouldn’t think of as symptoms – could be a sign of the virus,” Dr. Levine said. “I say this based upon our epi teams experience – multiple instances where people have continued their daily activities while symptomatic. This is why kids may be sent home from school and day care, and why you should stay home from work if you have even these mild symptoms.”The good news is, we already know what we need to do, he said.“We just need to double down on prevention, and not roll the dice on risk,” Dr. Levine said. “Because one thing we do know is that when gambling with health the virus might really win. We have been a model for the nation, and if together we stay Vermont Strong, we can keep it that way.”Dispose of your unused, unwanted & expired prescription drugs on Take Back DayThis Saturday, October 24, is Prescription Drug Take Back Day — when you can dispose of leftover prescription and over-the-counter drugs safely at a collection site near you.Dr. Levine noted the Take Back Day scheduled for last April was cancelled due to the pandemic, “so this is a great opportunity to make up for lost time.” “More than half of people who misuse prescription medication get it from a friend or relative — often straight out of the medicine cabinet,” Dr. Levine said. “We already know COVID-19 is taking a toll on Vermonters with substance use disorder, and unfortunately, we have seen an increase in opioid fatalities this year compared to last year. By disposing of medications safely — especially prescription painkillers — you can do your part to keep anyone from ever misusing them.”So, this coming weekend, grab your unused medications, of course your mask, before heading to a drop-off location. Get more info at healthvermont.gov/doyourpart(link is external).And remember, you don’t have to wait for a Take Back Day either — many drug disposal sites in Vermont are permanent. Or you can request a free mail-back envelope through our website. Time to Get Your Flu ShotIt’s especially important for everyone to get their flu shot this year – when flu viruses and the new coronavirus may be spreading at the same time. Help keep flu out of the picture!Go to healthvermont.gov/flu(link is external) to learn more about the flu, the vaccine and find where to get a flu shot near you.While there are no significant delays in the national flu vaccine supply or distribution, high demand may mean that some providers and pharmacies run out of vaccine before their next shipment. This is typical for the start of the season when initial demand is high. If your local pharmacies and providers don’t yet have a supply, they will soon.Who should get a flu shot?Anyone over 6 months old, with rare exceptionsPeople in a high-risk group(link is external) or who has underlying health conditionsWhere can I get my flu shot?From your health care providerAt your local pharmacyAt a flu clinic near youCase InformationCurrent COVID-19 Activity in VermontAs of 12 p.m. on October 20, 2020 Description 86 Total people recovered People tested 0 Travelers monitored 0 Currently hospitalized Deaths+ Hospitalized under investigation 179,713 9,757 1,956(10 new) Number * Includes testing conducted at the Health Department Laboratory, commercial labs and other public health labs.+ Death occurring in persons known to have COVID-19. Death certificate may be pending. Hospitalization data is provided by the Vermont Healthcare Emergency Preparedness Coalition and is based on hospitals updating this information.Find more at the data dashboard: healthvermont.gov/currentactivity(link is external).Guidance for Long-Term Care Facilities and Adult Day ProgramsFind guidance for long-term care facilities(link is external) and adult day programs(link is external), on the Department of Disabilities, Aging, and Independent Living’s Restart Vermont web page(link is external).Guidance for Vermonters and BusinessesIf you are having a medical emergency, call 9-1-1 or go to the hospital.If you think you have symptoms of COVID-19(link is external), call your health care provider.Maintain physical distancing of at least 6 feet and wear a mask when near others.Key Guidance:Health information, guidance and data: healthvermont.gov/covid19(link is external)By sector guidance: accd.vermont.gov/covid-19(link is external)Travel map and modeling: dfr.vermont.gov/about-us/covid-19/modeling(link is external)Governor’s actions: governor.vermont.gov/covid19response(link is external)Get the information you need at our Frequently Asked Questions(link is external).Return to School Guidance Strong and Healthy Start: Safety and Health Guidance for Vermont Schools(link is external)Strong and Healthy Start FAQ: Transitioning from Step II to Step III(link is external)Mental Health: A Strong and Healthy Start: Social, Emotional and Mental Health Supports During COVID-19(link is external)Sports: Fall Sports Programs for the 2020-2021 School Year(link is external)Child care: Health Guidance for Child Care and Out of School Care(link is external)More resources on our Schools, Colleges and Child Care Programs web page(link is external).Traveler InformationVisit our Travel to Vermont(link is external) web page for continually updated information and guidance, including about quarantine requirements, testing, and to sign up with Sara Alert for symptom check reminders(link is external).The cross-state travel map(link is external) is now updated each Tuesday.Getting Tested for COVID-19Anyone can get tested, but not everyone needs to get tested.Talk with your health care provider If you think you should be tested for COVID-19.If you don’t have a provider, dial 2-1-1, or contact the nearest federally qualified health center(link is external) or one of Vermont’s free & referral clinics(link is external).Visit our testing web page(link is external) for more guidance and where to get tested if you do need it.Take Care of Your Emotional and Mental HealthIf you or someone you know is in crisis or needs emotional support, help is available 24/7:Call your local mental health crisis line(link is external). Call the National Suicide Prevention Lifeline(link is external) at 1-800-273-8255.Text VT to 741741 to talk with someone at the Crisis Text Line(link is external).For more information visit healthvermont.gov/suicide(link is external).Get self-help tips and connect to mental health services at COVID Support VT(link is external).See ways for Coping with Stress(link is external).
Skirt Sports, inventor of the original fitness skirt and a key player in the women’s fitness apparel industry, has announced the launch of its nationwide mentorship program for women, Kick it Forward.As part of its continued commitment to reach women of all ages, backgrounds and abilities, Skirt Sports’ Kick it Forward initiative is the ‘first-of-its-kind online resource centre designed to give women the tools to empower other women to seize the power of fitness.’Women interested in becoming a mentor for a beginner runner can join the free program by identifying a partner in need of motivation (friend, neighbour, family member, etc.) and registering at www.skirtsports.com.Members of Kick it Forward have access to a resource-rich online community with training plans, motivation tools and tips from experts, all to support a mentor as she guides her beginner to successfully complete a 5K event in their local area.“Kick it Forward is an initiative Skirt Sports launched to empower women through the challenge of setting a fitness goal and accomplishing it with the help of another woman,” said Nicole DeBoom, founder and CEO of Skirt Sports.“I know there is a huge group of women in America that need help getting motivated, because I would stand at the start of a race, look around and see different versions of myself. By creating this easy-to-use online community support system, we hope to inspire women to do what they do best – support each other.“We encourage women everywhere to share their love of fitness and spread the joy and power that comes from being active with a woman who has not found this gift – mentors will probably improve their own training as a result.”Skirt Sports is currently seeking Personal Motivators as mentors. Personal Motivators are women ‘who find empowerment, fulfilment and sanity in running and want to share this passion and commitment with a beginner whether it is a friend, family member, or colleague.’A Personal Motivator does not need to be a fitness expert; all she needs to do is connect with a beginner and reach out to Skirt Sports for the next step.Kick it Forward will provide all members with assistance every step of the way including a motivation guide, custom training plans, weekly tips, a private forum for communication with other program members, and a special gift from Skirt Sports with proof of registration for a 5K race.Beginning runners are also encouraged to identify Personal Motivators in their lives and join the community www.skirtsports.com/kick-it-forward/. Related
Legislative Action March 15, 2013 Regular News Legislative Action U nder Rule 2-9.3 (b) – (e), Rules Regulating The Florida Bar, active members of the Bar may file a specific objection to any legislative position adopted by the Board of Governors.Objections properly filed within 45 days of this News issue will be considered for a refund of that portion of mandatory membership fees applicable to the contested legislative position, within an additional 45 days. The Bar’s governing board has the option to grant the appropriate refund to an objector or to refer the matter to arbitration.The arbitration process will determine solely whether the legislative position is within those acceptable activities for which compulsory membership fees may be used under applicable constitutional law. The objecting member’s fees allocable to the contested legislative position will be escrowed promptly upon receipt of the objection, and any refund will bear legal interest.Any active member may provide written notice to the executive director of The Florida Bar, setting forth an objection to a particular legislative position. Failure to object within 45 days of this News issue will constitute a waiver of any right to object to a particular legislative position within this notice.The policy requires the Bar to notice such legislative positions in the next available News issue following their adoption.Pursuant to Standing Board Policy 9.21, on February 18, 2013, the Executive Committee of The Florida Bar Board of Governors approved the following positions of The Florida Bar: 14. Supports amendment of Article V, Section 8 of the Florida Constitution, to increase the mandatory retirement age for justices and judges, from 70 years to 75 years of age. 15. Supports a merit based process for selecting Florida judges through independent judicial nominating commissions and opposes any changes to the current JNC process that would impair the independence of the commissions.
In our twenties and thirties, two things happen to many of us as part of adulting: we become parents and we become bosses, or some kind of team leaders or managers. In some ways these are very different – no team member has ever spat up on me. In others they are very similar – there is always someone wanting your attention; if things are going wrong, fingers are pointed and tears may be shed. Ultimately, you become responsible in a way that you have never been challenged before. We Manage Based On Our Examples As a manager, the same rules apply. We most often manage the way we were managed — unless, of course, we try very hard to manage differently. But, unlike parenting, there is a disincentive to do so. Going against the grain and managing differently in any business can draw unwanted scrutiny — and can in some cases make you the target of criticism. (Social scientists would say managers who try to be take these alternative approaches are violating social norms or refusing to conform.) As such, it’s usually the outcasts, the leaders and the changemakers, not the ones who fit the mold, who are willing to try something new. In the moment, these folks are often criticized. Yet when they are successful, they become the people we so revere, like Edison, Ford and Jobs. Authoritarian Approaches Create Fear, Decreasing Performance Empathetic Management Creates Outperforming Teams What you may find surprising is that the managers who are willing to take that risk — to manage based on the needs of their team instead of the needs of themselves — are more effective. Their teams outperform, their turnover is low, and they regularly are asked to take on more responsibility, raising their status in the organization. (Articles abound touting the benefits of people-first strategies, including one last May here in Forbes.) This happens for two key reasons. … Read the whole story: Forbes More of our Members in the Media > Second, when employees feel like they are part of a team, they are more likely to adhere to the norms of that team. That’s the mechanism behind conformity, at least according to Harvard Professor Cass Sunstein, co-author of “Nudge,” and, more recently, “Conformity.” The social norms for a team are the “rules” that the manager and the team agree on and may include areas such as timeliness, accountability and the definitions of a working versus finished product. The degree to which the team conforms is a good indicator of how well accepted they feel on your team. While managers generally consider part of their job to be enforcing adherence to norms, they may use their authority alone to make demands. Colloquially, we call this the command-and control model. Authority is one of the principles of influence identified by social psychologist and professor Robert Cialdini (as are the aforementioned concepts, liking and social norms). But managing through one’s authority isn’t really authority. It’s using fear to get a result. Real authority, the kind that influences, comes from respect. With real authority, team members turn to you for guidance and help; that’s much more positive, creates a supportive team environment, and results in better outcomes for the team and the firm. When I first started managing teams, command-and-control was the only approach I had seen modeled. Yet it was also an approach I hated. It treated me like I was a cog in the machine. It lacked humanity. Over the years and through a lot of trial-and-error, I developed a new approach whereby I treated the people who reported to me as people, not as reports. I asked them what they wanted to work on, rather than doling out assignments, for example. I gave my team members my respect, and earned theirs in return. Now, instead of using my authority to demand, I use it to coach and help. My teams became happier, started performing better, and I have consistently been recognized as the manager people beg to work. First, employees are happier when they like their managers and their teammates. Professor and neuroeconomist Paul Zak argues that liking breeds trust, which increases oxytocin, the neurochemical responsible for bonding. Employees who like, trust and bond with their teams are much less likely to leave, reducing employee turnover and the costs of replacement, including lost productivity. And, as I’ll explain, they are also more likely to work harder to maintain their own likeability and status in the team. In both management and parenting, the most common approach taken is to mimic what you’ve seen and experienced. As a parent, you are likely to raise your child as you were raised. Unless you decide and make the effort to take a different approach – perhaps one that is introduced to you by the partner you choose to raise that child with.
The World Health Organization (WHO) today issued guidance on caring for Ebola survivors, emphasizing integrated care for their diverse needs, while two case reports yesterday demonstrated the persistence of Ebola virus in the breast milk and semen of survivors.The WHO guidance comes after flare-ups of Ebola virus disease (EVD) in West Africa, some tied to sexual transmission of the virus, and after a high-profile relapse in a nurse survivor in the United Kingdom. Issues with survivors include the ability of the Ebola virus to survive for long periods in some parts of the body like the eyes, breasts, and testicles, as well as emotional trauma and long-lasting physical symptoms.The WHO said there are more than 10,000 Ebola survivors today, the vast majority of them in West Africa.Guidance covers many facetsThe 31-page guidance document includes advice before and after discharge, common lingering conditions (sequelae), monitoring for persistent viral infection, and infection prevention and control. It also has sections on special populations—children and pregnant women—and on risk communication.The WHO underscores the importance of an integrated approach: “An intensive integrated program is necessary to address the medical and psychosocial needs of EVD survivors as well as the risk of virus reintroduction. Medical services for EVD survivors should ideally be integrated into existing routine health services and facilities.”Pre-discharge care should include education and counseling about potential physical sequelae, including long-term disability and viral persistence, and psychological problems survivors might need to deal with, such as social stigma, the agency says. Close family members should ideally be involved.The first post-discharge follow-up appointment should include a battery of assessments, such as musculoskeletal, ocular, auditory, neurologic, mental health, and sexual health, the WHO advises. A range of lab tests might also be warranted.The section on sequelae reflects the largest survivor study yet published, which appeared in The Lancet Infectious Diseases last month. That study, of 227 Sierra Leone Ebola survivors, found that the most common conditions were joint pain (76%), vision problems (60%), hearing difficulties (24%), and eye inflammation (18%). The WHO also details steps to assess and care for other potential sequelae like abdominal pain, neurologic conditions, and relapse due to persistent virus.This latter possibility was highlighted last fall with the case of UK nurse Pauline Cafferkey. In her case, medical officials said she had meningitis related to her original Ebola infection, and her cerebrospinal fluid tested positive for traces of the virus. The guidance mentions her case without using her name.The long-lasting effects of Ebola were underscored in a study last month in the New England Journal of Medicine. Of eight US survivors studied, only one had recovered completely at that point.The section of the WHO guidance on monitoring patients includes details on testing semen, vaginal fluids, and breast milk, as well as advice on counseling survivors about sexual health and breastfeeding.The agency also emphasizes infection control practices such as proper protective equipment and disposing of infectious waste. The guidance also includes specific steps for patients after handling breast milk or semen that has tested positive for the virus.In a section on communicating with survivors—called risk communication because it involves messaging during a crisis—the WHO says, “Try to understand how the Ebola survivor and their family perceive their health status and identify their main concerns—stigma, inability to find employment, worries about transmitting the disease through sexual contact or from mother to baby.”It adds, “Elicit these concerns as part of a conversation, before giving advice or instructions. Provide opportunities—prompted or spontaneous—for them to ask questions.”Breastfeeding riskBoth case reports appeared as letters in Emerging Infectious Diseases. In the first letter, an international team details the case of a Guinean woman with 4-month-old twins, who were exclusively breast-fed.The first twin died after developing a fever and being treated by a traditional healer, and was buried without lab testing. Eleven days after the baby’s death, the woman fell ill. She was admitted to an Ebola treatment unit 5 days later and was given convalescent plasma after she tested positive for EVD.The woman’s breast milk tested positive on day 6 of her hospitalization and again on day 14, when she was convalescing, as well as on day 21. On day 24, the woman was given cabergoline to stop her lactation, after which no more breast milk could be collected. Her blood and urine tested negative on day 29. The surviving twin never tested positive for Ebola virus.The authors conclude, “Considering the high EVD death rate, until further evidence is found, we recommend that EBOV-positive women stop breast-feeding immediately and that breast-feeding not be resumed until 2 negative RT-PCR tests of the breast milk have been confirmed.”Long virus survival in semenIn the second letter, investigators from India describe a 26-year-old Indian man who returned from the outbreak region on Nov 10, 2014, with a certificate from the Liberian government stating he was “cured” of EVD. He was nonetheless placed in isolation at a New Delhi airport, and initial semen samples tested positive for Ebola virus by polymerase chain reaction.In addition, follow-up semen samples tested positive for 165 days—or more than 5 months—after the patient was declared Ebola-free, but negative after that. The authors note that Ebola virus has been detected in semen for up to 10 months after a patient was declared Ebola-free.The authors write, “The current elimination period may need to be extended, and further studies on the infectivity of semen samples from recovered EVD patients are warranted.”See also:Jan 22 WHO guidanceDec 23, 2015, CIDRAP News story “Ebola studies reveal new findings on survivors, vaccine”Nov 21, 2015, CIDRAP News story “UK nurse with Ebola meningitis released from isolation”Dec 17, 2015, CIDRAP News story “Ebola studies highlight survivor symptoms, malaria therapy”WHO landing page on Ebola survivorsJan 21 Emerg Infect Dis letter on breastfeeding womanJan 21 Emerg Infect Dis letter on male survivor
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Europe’s courts must stop barring citizens and non-governmental organisations (NGO) from challenging European Union decisions that affect the environment, a United Nations committee ruled last week.No citizen or NGO has ever been granted standing in the EU courts to challenge decisions made by the European institutions on environmental grounds.This has now changed following a UN Aarhus Convention Compliance Committee ruling that the EU – along with its member states – should be subject to the Aarhus Convention, which seeks to ensure access to justice in environmental cases by requiring full openness and accountability.James Thornton, chief executive of environmental law group ClientEarth, which asked the UN committee to consider the case for EU compliance with the convention, said: ‘Promoting an open society and ensuring good governance are essential principles recognised in law by the EU institutions, but not fully realised in practice.’The UN committee’s recommendations send a clear signal to the institutions that change is overdue.’The ruling coincides with the opening of ClientEarth’s EU Aarhus Centre, which will offer citizen groups and NGOs legal advice on their rights to information, participation and justice in environmental matters.In April 2011 the UK government was referred to the European Court of Justice for its continued failure to comply with the Aarhus Convention and provide an affordable procedure for mounting legal challenges to development plans that might damage the environment.
Isabel Boira-Segarra, who is renewables sector leader at EC Harris, holds a PhD in energy policy and has written numerous papers on energy markets and renewables. She focuses on power project development drawing on her extensive experience advising lenders, developers, governments and private equity funds on energy strategy, renewable project development and climate change issues.Isabel has skills in technical analysis and risk assessment relating to the power sector and other complex infrastructure projects. She has also examined the operation of power and carbon markets and has been involved in numerous acquisitions and divestitures of power projects. Isabel has in-depth experience of the low carbon and renewable sectors and has lead multidisciplinary teams providing strategic, commercial and technical advice.
Agility Colombia will provide export/import services, airfreight, oceanfreight, inland freight, warehousing, distribution and other services. Agility Colombia is a joint venture with Navemar Group.”Colombia is a vibrant retail and consumer market and a supplier of important agricultural, mineral and energy commodities,” said Margarita Sanmartin, country manager of Agility Colombia. “With political stabilisation, it has a chance to be an important bridge between South and Central America as economies in the region deepen their integration.”www.agility.com