Nigel Owens reacts to THAT clear out on Faf de Klerk

first_imgTuesday Apr 6, 2021 Nigel Owens reacts to THAT clear out on Faf de Klerk Referee Nigel Owens has said that Scarlets lock Jake Ball’s tackle on Sale Sharks’ Faf de Klerk in the Heineken Champions Cup on Sunday “should be a red card”.ADVERTISEMENTOwens was responding to the many complaints online that Ball went punished in the match despite making contact with the head of de Klerk as the scrum-half was picking the ball up from the base of the ruck.The incident was looked at during the match to see whether the lock was offside, but the high shot was strangely overlooked in the Sharks’ 57-14 win.While Owens did not explicitly state whether he thought it should have been a red card or not, he responded to those who were insistent on Twitter that contact was made to the head by saying that it should have been a red card if that was the case.Moreover, the Welshman emphasised that the ball being out or not is irrelevant.ADVERTISEMENTOwens has not necessarily unearthed a complex or unknown Law in this situation, which is all the more confusing how Ball managed to remain on the pitch.A cursory look on social media would show that the vast majority of fans clearly saw contact to the head of de Klerk from Ball’s shoulder/arm, with some providing photos and GIFS to make it clearer.Some events over the past weekend suggest that there is still room for improvement in terms of officiating, particularly with regards to the television match officials. What makes the incident more bizarre, however, is how the illegality of the tackle was not noticed when reviewing it for being offside.The South African came out of the challenge unscathed and played on, although he could have suffered a head or leg injury, but was quick to protest to the officials.ADVERTISEMENT Posted By: rugbydump Share Send Thanks Sorry there has been an error Big Hits & Dirty Play Related Articles 10 WEEKS AGO FAF DE KLERK: Twitter takes off after nasty-looking… 10 WEEKS AGO WATCH: Foley carded for flattening Barrett… 10 WEEKS AGO Chris Ashton picks up heavy ban for dangerous… From the WebThis Video Will Soon Be Banned. Watch Before It’s DeletedSecrets RevealedUrologists Stunned: Forget the Blue Pill, This “Fixes” Your EDSmart Life ReportsYou Won’t Believe What the World’s Most Beautiful Girl Looks Like TodayNueeyIf You Have Ringing Ears Do This Immediately (Ends Tinnitus)Healthier LivingGranny Stuns Doctors by Removing Her Wrinkles with This Inexpensive TipSmart Life Reports30+ Everyday Items with a Secret Hidden PurposeNueeyThe content you see here is paid for by the advertiser or content provider whose link you click on, and is recommended to you by Revcontent. As the leading platform for native advertising and content recommendation, Revcontent uses interest based targeting to select content that we think will be of particular interest to you. We encourage you to view your opt out options in Revcontent’s Privacy PolicyWant your content to appear on sites like this?Increase Your Engagement Now!Want to report this publisher’s content as misinformation?Submit a ReportGot it, thanks!Remove Content Link?Please choose a reason below:Fake NewsMisleadingNot InterestedOffensiveRepetitiveSubmitCancellast_img read more

Pasadena Based HEAR Center Selected for Citadel Outlet’s 11th Annual Shopping Extravaganza

first_img Name (required)  Mail (required) (not be published)  Website  Get our daily Pasadena newspaper in your email box. Free.Get all the latest Pasadena news, more than 10 fresh stories daily, 7 days a week at 7 a.m. Top of the News Pasadena Will Allow Vaccinated People to Go Without Masks in Most Settings Starting on Tuesday Business News Make a comment First Heatwave Expected Next Week EVENTS & ENTERTAINMENT | FOOD & DRINK | THE ARTS | REAL ESTATE | HOME & GARDEN | WELLNESS | SOCIAL SCENE | GETAWAYS | PARENTS & KIDS Pasadena’s ‘626 Day’ Aims to Celebrate City, Boost Local Economy faithfernandez More » ShareTweetShare on Google+Pin on PinterestSend with WhatsApp,Donald CommunityPCC- COMMUNITYVirtual Schools PasadenaHomes Solve Community/Gov/Pub SafetyPasadena Public WorksPASADENA EVENTS & ACTIVITIES CALENDARClick here for Movie Showtimes Community Newscenter_img 3 recommended0 commentsShareShareTweetSharePin it More Cool Stuff Community News Subscribe Your email address will not be published. Required fields are marked * Herbeauty6 Signs You’re Not Ready To Be In A RelationshipHerbeautyHerbeautyHerbeautyYou Can’t Go Past Our Healthy Quick RecipesHerbeautyHerbeautyHerbeauty12 Most Breathtaking Trends In Fashion HistoryHerbeautyHerbeautyHerbeautyHe Is Totally In Love With You If He Does These 7 ThingsHerbeautyHerbeautyHerbeautyRed Meat Is Dangerous And Here Is The ProofHerbeautyHerbeautyHerbeautyWhy Luxury Fashion Brands Are So ExpensiveHerbeautyHerbeauty Citadel Outlets invites the friends, families, and supporters of HEAR Center behind the Assyrian Wall for a day of fun, shopping and fundraising at the Center’s 11th Annual Shopping Extravaganza on Saturday, October 1, 2016. As a participating charity, HEAR Center will receive a portion of funds from the more than 4,500 Angelenos expected to attend one of the best shopping days of the year.This is our first year participating in Citadel’s Outlet’s Shopping Extravaganza and we’re so excited to be a part of such a fun event. It’s a wonderful opportunity to invite family and friends to help a great cause, and what better way to help raise funds for HEAR Center! Citadel Outlets has stores that appeal to everyone, so invite your friends, family, colleagues, or anyone you know who loves to shop great deals! ” explained Angelica Tamayo of the HEAR Center.The day of fun-filled shopping includes access to exclusive deals on top of Citadel Outlet’s daily savings of 30-70% off retail prices. From 9:00 a.m. to 7:00 p.m. event attendees can enjoy added discounts at over 90 luxury brands, private catered lunch, live entertainment, complimentary wine tasting, and the chance at $90,000 in prizes. Tickets are $35 per person and can be purchased online at“We’re so proud of the amazing projects supported by funds raised from this unique shop-for-a- cause event,” said Traci Markel, Marketing Director at Citadel Outlets. “It’s been inspiring to watch Shopping Extravaganza grow over the past 11 years and impact people and organizations here in our Los Angeles Community.”Citadel Outlets is located just minutes from Downtown Los Angeles on I-5 at 100 Citadel Drive, Suite 480 Los Angeles. For more information please visit Center is the only nonprofit of its kind in Los Angeles County, providing free hearing and speech screenings to over 4,000 children each year. We provide free follow-up evaluations at HEAR Center’s office for those children who fail their screening and whose families cannot afford their required care. These services as well as HEAR Center’s sliding scale and no-cost rates are funded in part by local foundations and individual donations.For more information about the HEAR Center, visit or contact HEAR Center at (626) 796-2016 or [email protected] Community News Pasadena Based HEAR Center Selected for Citadel Outlet’s 11th Annual Shopping Extravaganza From STAFF REPORTS Published on Sunday, September 18, 2016 | 1:49 am Home of the Week: Unique Pasadena Home Located on Madeline Drive, Pasadenalast_img read more

Former garda abused disabled young boys

first_imgNewsLocal NewsFormer garda abused disabled young boysBy admin – December 31, 2012 1009 Twitter WhatsApp Print Linkedin Previous articleAirport strike unlikelyNext articleLimerick home helps welcome cut reversal admincenter_img Facebook Advertisement Email A FORMER Garda and scout master abused young boys when he was in charge of a special scout troop for disabled children, Limerick Circuit Court has been told. John Joseph (Jack) Dunne, formerly based at Pearse Street Garda Station in Dublin pleaded guilty to 14 counts of indecent assault on young boys in Dublin on dates unknown between 1963 and 1969.The court heard that two of Dunne’s victims were polio sufferers whom he contacted through his work with a group of disabled scouts.Sign up for the weekly Limerick Post newsletter Sign Up The now 82-year-old, who lives at Cannon Breen Park, Thomondgate, Limerick, indecently assaulted two of his victims at Pearse Street Garda Station, where he worked as Juvenile Liason Officer, while other indecent assaults took place at scout camps in Dublin and Waterford, and in his car after he dropped the boys home from scout meetings.In his evidence Sargent Martin Philips from the National Bureau of Criminal Investigation in Harcourt Square, Dublin, said Dunne resigned from the force in 1976 when he was the subject of allegation of indecency but no charges were brought.A native of Limerick city, Dunne was a Scout Master from 1953 to 1976 and involved with a special group for disabled children at a scout hall near Pearse Street which was then known as Westland Row.Judge Carroll Moran was told the sexual abuse first came to light after the publication of the Ryan Report in 2009 when one of Dunne’s victim’s contacted gardai.In his victim impact statement, the now 58-year-old, who contracted polio when he was six months old, recalled how he met Dunne while on a train to Knock with the Polio Fellowship of Ireland.He said the former Garda was the scout leader with a group of disabled scouts from Dublin and he invited the ten-year-old to join the troop when they got back to Dublin.The victim, who is confined to a wheelchair for the past four years, said he was first abused during an overnight stay in the scout den, when Dunne put his hand down his pyjamas and started touching his private parts.The victim also recalled incidents of abuse where he was kissed and fondled by the former Garda during a trip to the cinema and on another occasion in the Phoenix Park when Dunne gave him a lift home from the scouts.“Jack Dunne was in a position of trust; he was a Scout Leader; a Garda and a person of power. He abused that power and hid behind his so-called good works. I now see him as a bad person who used that trust and his position to gain access to young boys,” the victim said.Another victim, who is now aged 56, told the court that he met Dunne when he was hospitalised for polio which he contracted when he was two years old.In his victim impact statement, he called the former Garda a paedophile and claimed Dunne had visited a particular ward at a children’s hospital in Dublin “especially to recruit new victims”.He said he was abused by Dunne in his car just a short distance from his home in Dublin, and also in Pearse Street Garda Station as well as at the annual scout camp.“He had free access everywhere he went; nobody questioned his word. He was seen as the good garda looking after the poor little handicapped kids,” he said.The court heard Dunne met his two other victims, two brothers from Dublin, at a swimming gala organised by the scouts.Dunne brought one of the boys to play snooker in a room on the top of Pearse Street Garda Station and cooked him a fry and then put his hand down his pants and fondled his penis.Defence Counsel Mark Nicholas (BL) said his client’s behaviour was “disgraceful and unforgiveable” but said Dunne, who joined a religious order after he left the Gardai, had sought help for his problems in America twenty years ago.The court heard he joined the Congregation of the Blessed Sacrament in 1977 and, following advice from his superiors, went to seek help for his problems at Trinity House in Chicago in 1992.Mr Nicholas said the abuse involving the four victims had come to light as a “downstream effect of the Ryan Report “ when people got the strength to come forward. He said that his client had made early admissions of guilt.Judge Moran was told Dunne had one previous conviction for indecent assault on a 12-year-old boy in 1986 for which he received the Probation Act.The Judge said it was a difficult case with a lot to consider and adjourned sentencing until January 18.last_img read more

LIT offers Free Chemistry and Maths Revision Seminars to Leaving Cert…

first_imgRELATED ARTICLESMORE FROM AUTHOR Twitter Email TAGSChemistryJuneLimerick Institute of TechnologyMathsstate examinationsSTEM Limerick Institute of Technology (LIT) Moylish Campus.Picture: Alan Place.Limerick Institute of Technology (LIT) is offering free leaving cert revision seminars to Maths and Chemistry students ahead of the state examination this June.The seminars, which are in the form of workshops, are aimed at helping leaving cert students reach their full potential in these STEM subjects which are key to many career opportunities in the mid west.LIT President, Professor Vincent Cunnane, described STEM subjects as central to ‘Innovation 2020’ – Ireland’s strategy for Research and Development, Science and Technology.“The strategy highlights the importance of excellence in STEM Education. Graduates in these disciplines help to drive innovation and enterprise, and have played a significant part in the growth in our economy, particularly in this region,” he said.“It is the quality of our education in these subjects at both second and third level that contributes significantly to attracting Foreign Direct Investment (FDI) and provides an active ecosystem for indigenous start-ups here in the mid west.”“Many students are dissuaded from taking up subjects such as maths and chemistry, as there is a perception that they are particularly difficult to master. We at LIT maintain that these subjects open up students to a range of exciting careers, and believe every student should have the best possible chance to excel in these subjects if they so wish,” added Prof Cunnane.“To this end, we are providing free workshops in our Moylish Campus to assist students as they prepare for their leaving cert exams in Mathematics, (ordinary and higher level) and Organic Chemistry.”The free workshops will begin on Tuesday May 8. From 7pm to 9pm, Dr. Maria Sheehan, an experienced chemistry and science teacher, will guide students through questions on Organic Chemistry preparations for the Leaving Certificate papers – both Higher and Ordinary.The Mathematics workshops on May 14 and May 15 will focus on particular strands of the Leaving Certificate curriculum and will be facilitated by Dr Maura Clancy, Department of Electrical and Electronic Engineering at LIT.The Mathematics workshop on May 14 will focus on higher level maths and more specifically Strand 5 Section 2 (calculus), while on May 15 the Mathematics (ordinary level) workshop will look at Strand 4 (algebra).Pre-booking is essential for all three workshops, as places are limited. Booking details are available at up for the weekly Limerick Post newsletter Sign Up More about education here. Facebook Advertisement Limerick Institute of Technology president takes up office as Chair of THEA board for 2020 Limerick Institute of Technology awarded €750,000 capital grant towards works on its five campuses Printcenter_img NewsEducationLIT offers Free Chemistry and Maths Revision Seminars to Leaving Cert StudentsBy Staff Reporter – April 27, 2018 5212 Limerick Institute of Technology launch new app to facilitate energy renovation upskilling Limerick Institute of Technology researcher calls for ban on cigarette vending machines Limerick’s Student Radio Station Wired FM Celebrates 25 Years on Air Linkedin WhatsApp Limerick colleges recognised at Irish Games Fleadh 2020 Previous articleLimerick schoolchildren participate in Regional Climate Hope ForumNext articleBeyond the neon runes Staff Reporter last_img read more

Catching the bug

first_imgRelated posts:No related photos. Catching the bugOn 1 Feb 2001 in Musculoskeletal disorders, Personnel Today Previous Article Next Article Comments are closed. What is the role of an NHS occupational health department in minimising theimpact of the influenza virus on health care workers?  By Kathy Hine The occupational health department is pivotal to the prevention, treatmentand maintenance of health of its organisation’s employees. This article explores the contribution made by OH staff to the physical andmental well being of employees within an NHS Trust, with respect to theinfluenza virus of 1999-2000, and evaluates local and national health plans. Health promotion emerged during the 1990s and is now an important part ofhealth strategy. During the past decade there has been a steady increase inhealth and safety regulations and this provides the OH team with an excellentopportunity to improve health. Their practice incorporates the identificationof groups and individuals in achieving optimal health1. The health care sector is a major part of the UK economy, accounting forover 6.9 per cent of gross domestic product (GDP) in 1996. In some areasoccupational health advice is still undervalued by health care professionals2. The modern approach to occupational health and safety relies upon riskassessment. Once hazards are identified, harm should be assessed so thatappropriate control measures can be instituted. Most large employees in the UK closely monitor the health of theirworkforce, but good practice is not always common in the NHS. “Is this thecase of the cobbler’s children being poorly shod, or is it perhaps, that healthcare is a low risk business?”2. The influenza virus Disease background Hippocrates first described influenza as far back as 412BC and the firstdescribed pandemic of influenza-like illness occurred in 15813. Possibly as many as 31 epidemics have been documented since then, three ofwhich have occurred in this century – 1918, 1957 and 1968. Influenza viruses are “typed” for identification purposes. The1918 pandemic – known as “Spanish Flu” – was designated H1N1. Thismeans that the surface antigens were haemaglutinin type 1 and neuraminidasetype 14. The pandemics of 1957 and 1968 were due to an antigenic shift tosubtypes H2N2 and H3N3, respectively. Influenza is generally described as an acute, self-limiting respiratorytract infection caused by either influenza A or influenza B virus, which,although not considered serious in otherwise healthy patients, has thepotential for rapid spread in populations. It is easily transmitted by closecontact, or more commonly, through airborne infected particles by sneezing,talking or coughing. Patients present after two to three days with bothrespiratory and systemic symptoms such as myalgia, headache, fever, cough,shivering, malaise and anorexia. The fever appears at the onset of the illness. The elderly and those withpre-existing disease such as asthma or cardiovascular complaints are most atrisk of developing complications; so too are patients with kidney disease,immuno suppressed patients and people living in residential care. Every outbreak of influenza is variable in terms of size, severity andduration but some degree of infection occurs every winter. In 1968 Hong Kongflu occurred and each year since then the same virus has returned in a newlymutated form, the change being a response to the immunity of the population. Outbreaks of influenza usually occur in the UK between September and March.Major epidemics occur typically after an antigenic shift of a subtype of theinfluenza A virus. These antigenic changes have led to all the major pandemicstrains, including the 1918 Spanish flu, the Asian flu of 1957, the Hong Kongflu of 1968 and the Russian flu of 1977. All the genes of the influenza viruses are maintained in the aquatic birdpopulation – in gulls and ducks. After mutation they are transmitted to otherspecies including humans5. The influenza pandemic of 1918 caused more fatalities than any other singleevent, including World War 1. Between 1918 and 1919 it is estimated that 20-40million people died of influenza. It was established that one-fifth of thehuman population was infected and between 2-3 per cent died6. Even though influenza is an ancient disease it continues to evolve toacquire new genes and new hosts. It still has the potential to create the samefatalities as the 1918 pandemic. Burden of disease Last year the Department of Health (DoH) issued a recommendation that allpeople aged 75 years and over should be vaccinated against influenza. Thisfigure represents 8 per cent of a general practitioner’s total list for1998-19997. It is difficult to quantify exactly the impact of influenza morbidity andmortality, as laboratory confirmation is required for exact diagnosis. However,influenza is believed to cause a significant burden both in direct and indirectcosts. Influenza is often associated with additional morbidity or mortalityparticularly in patients who are elderly – over 65 years – or in patients whohave diabetes, or other conditions such as respiratory or cardiovasculardisease. The most recent major influenza epidemic in the UK was in 1989-1990 when29,000 excess deaths are estimated to have occurred, 39 per cent of which werein private residential care8. The role of the OH department Occupational health services were originally designed to provide treatmentfor employees who became injured or ill at work. The emphasis was on therestorative nature of nursing and medicine and little attention was given tothe protection of workers9. By the early 1900s opinion was changing. Sir Thomas Legg stated “theworkforce should be told something of the danger of the material which theycome into contact withÉ sometimes at the cost of their lives”10. Health promotion today has a more structured approach. This is outlined inTable 1. It is estimated that 100,000 people in the UK are forced to leave or changetheir jobs as a result of ill-health. The cost to the British economy is 2-3per cent of 11 GDP. The DOH has produced a resource pack for employers reminding them of theirstatutory duty to prevent employees from becoming ill from work12. The principles for controlling the ill health of employees are the same asthose for safety – by risk assessment. Unlike safety risks the results of daily exposure to health may not becomeapparent for months or years. According to Popp, “the enhancement of health within a workforce isthat of shared responsibility between employer and employee – workers must beeducated to understand that their health is something for which they too areresponsible”13. OH departments are entrusted with responsibilities for advising employees inmatters that will benefit their physical and mental health. Ill health among staff has long been recognised by managers as a key factorinfluencing the effective provision of OH services. The NHS has a high level ofsickness compared with the rest of the working population14. This poses thequestion – how can staff be expected to provide health care when theythemselves are unwell? Indications for immunisation In September 1999 OH departments within the NHS received a circular from theDepartment of Health. NHS trusts were asked to consider whether or not theywished to offer immunisation to their staff and which groups of staff should beoffered the vaccine. No additional funds were to be made available for theprogramme. Experience of recent winters has shown that there is little margin in termsof NHS workers coping with additional workload. The circular suggested “even a modest amount of influenza at a crucialperiod could threaten the ability of the NHS to cope with demand”. Were the seeds of doubt already being sown in September for OH departments’abilities to cope with large numbers of ill staff, by a government that wasaware of an NHS about to crumble due to under staffing and under funding? Reducing absenteeism due to influenza is of course an obvious benefit ifvaccination were offered – it has been calculated that influenza accounts for10-12 per cent of absenteeism in NHS staff15. Indications for continued immunisation An effective way to reduce the risk of an influenza outbreak is to vaccinatethose considered at risk and those at risk of transmission. Health care workersare potential reservoirs for transmission of influenza. A confined workplace isideal for the rapid spread of an influenza virus, and health ministers in theirgovernment circular concluded that vaccination of NHS staff should be regardedas an acceptable part of a trust’s winter planning arrangements. OH departments and hospital clinicians were encouraged to set up programmesof vaccination for staff, even though previous immunisation programmes amonglarge organisations have been associated with only a small reduction insickness absence16. Dr Michael Goodman, in an article written in the Health Service Journal,concludes, “I suspect everyone will pull together, and I suspect that theGovernment suspects that too”17. Health surveillance and maintenance Among the key functions undertaken by OH departments is that of appropriatehealth surveillance. Following the publication of the DOH circular in 1999, “InfluenzaVaccination”, our OH department at the Mid Essex Hospital Trust workedclosely with key members of the trust in determining our approach to therecommendation. There were four main points to consider: – There is an identifiable disease or adverse health concern related to thework concerned – Valid techniques are available to detect indications of the disease – There is reasonable likelihood that the disease would mutate and spreadwithin the workforce – Health surveillance would be likely to further the protection of thehealth of employees18. Health surveillance is a proactive measure as it is designed to identifythat control measures have failed before the impact on an individual issignificant19. Monitoring staff health is a primary function of OH departments.Benchmarking is a recognised means of comparison between performance andacceptable standard. Our OH department used accepted best practice standardsand decided upon generic benchmarking undertaken with data from externalorganisations, in this instance the Post Office, in making the decision whetheror not to embark on a vaccination and maintenance programme for staff. Maintenance of a programme such as influenza vaccination may be difficult tosustain: all control systems deteriorate over time. A structured campaign wouldneed to be implemented and an auditing and review process put into place. Thiswould provide a “feedback loop” to enable the organisation toreinforce, maintain and develop, and ensure continued effectiveness. Planned prevention Legislation requires that healthcare workers be protected against hepatitisB. This infection may occur through contact with infected body fluids. Thelikelihood of infection occurring is about 30 per cent20. Successive governments have implemented appropriate screening programmes andprovided funding for vaccination, thereby saving lives. No funding was madeavailable for a vaccination programme against influenza. In the UK, Departmentof Health guidelines do not recommend immunisation of healthy adults. Atpresent they advise vaccination only for those persons most at risk of seriousillness or death if they contract influenza. Cost v benefit analysis – Government data In 1997 the Government issued a multiphase contingency plan for a pandemicof influenza. This was revised in February 1999. Its aims and objectives are toassist organisations in the health care sector, including OH departments, toprepare contingency arrangements. In inter-pandemic years the virus can take 18months to spread from the Far East via transportation routes thus allowing thenew strain to be incorporated into the UK’s annual vaccines. Sadly, newpandemics can travel worldwide in six months. In a milder pandemic phase in 1957, 30,000 deaths occurred in England andWales of which 6,716 were ascribed to influenza. An estimate from 29 GPpractices was 2.3 deaths per 1000 cases attended. Two-thirds of the deaths werein patients aged 55 years and over. Since these statistics were published, advances have been made in thedevelopment of influenza vaccines. In the 1994-95 season six million doses ofvaccine were given at a cost to the NHS of over £3m. None of these vaccines wasavailable to staff. During the 1999-2000 season Glaxo-Wellcome introduced Relenza – an oralspray to be used for influenza treatment. The new NHS body with responsibilityfor quality and standards, NICE (the National Institute for ClinicalExcellence) had been investigating the drug. The Government has followed itsadvice. The cost per patient is £24. The Health Secretary instructed GPs not toprescribe Relenza on the NHS, as a financially strained NHS would buckle underthe estimated £115m it would cost in the event of an influenza epidemic. An article in The Guardian newspaper suggested that at an individual cost of£5 it would be beneficial for organisations to vaccinate staff with standardvaccines21. The Department of Health circular for September 1999 did not advocate usingGovernment funds for vaccinating staff. Although it acknowledged that the NHSwas under severe strain it did not offer financial help. The HSC, a governmentauthority, with legislation in place for OH departments to provide, maintainand improve the health status of its employees has statutory duties.Communication did not occur between government departments. Local data Within my own OH department of a large NHS trust it was decided not to offervaccination to staff. It was the opinion of the trust that healthy staff whocame into contact with influenza would be better protected in the future bybuilding up their own antibodies. The view was also taken that immunised staffwho still contracted influenza could be considered malingerers, both by themselvesand by others. This could counter the goodwill created by vaccination and workagainst a speedy recovery. Using a benchmarking service – the Post Office22, which carried out thefirst large study of the cost-effectiveness of the influenza vaccination in1979, it was shown that there was no consistent benefit to those staff who werevaccinated. The five-year study did show an overall saving of 4 per cent in sicknessabsence, although this could not be directly attributed to the vaccinationprogramme. NHS Requirements Referred costs The number of new general practice consultations for influenza-like illnesscan be expected to exceed 500 per 100,000 population per week. A practice of10,000 would therefore expect 50 new patients a week. As the influenza virus spread across the UK, health professionals, OHdepartments and politicians were once again examining the options for dealingwith what the Government claimed to be the worst outbreak in 10 years. Influenza was a concern also across North America and Europe. Health serviceprofessionals in these countries felt that crises in their health services weredue to chronic funding shortages, lack of nurses and lack of emergencyservices, for example intensive care unit beds23. In Canada the Ontario Nurses Association claimed “there are just notenough nurses – period”. One explanation for the ability of continental Europe to respond better thanthe UK to an influenza epidemic is because more is spent on health and OHservices. France spends 9.7 per cent of GDP and Germany 10.7 per cent. An increase in acute admissions of patients presenting with influenza andrespiratory illness causes a backlog of routine admissions. Not only aremedical beds taken up but also surgical beds are used causing cancellation ofroutine operating. This leads to an increase in waiting lists and preventscompliance with government guidelines for those waiting over 18 months underthe Patients Charter. OH departments also bear the strain of referred costs – in my trust this wasnot the added cost of vaccination for which we had conducted a risk assessmentbut an increase in the numbers of staff with stress-related symptoms andmusculoskeletal disorders due to a combination of overtime, shift working andunder-staffing. During the period November 1999 to January 2000 the Government wasrepeatedly issuing statements regarding the “flu epidemic”. RoyalCollege of General Practitioner consultation rates, however, show that anepidemic did not occur. Were these statements issued by the Government”spin doctors” to obscure the under-funding issue? Preventing the spread of influenza Agenda for action: providing for healthcare workers Although an immunisation programme was not adopted by the Mid EssexHospital Trust, the OH department is investigating whether vaccination ofhealth care workers in geriatric wards would be an advantage. Potter says,”vaccination of health care workers has been suggested as an additionalstrategy that might reduce the transmission of influenza”24. Work environments where health care workers are regularly in contact withthe general public may benefit from a routine immunisation programme. OHdepartments will need to consider the following factors: In such an environment the decline in patient care resulting in absenteeismcaused by influenza may be a significant factor. This should be weighed upagainst the limited evidence of the cost-effectiveness of vaccination in theworkplace. Vaccination will only provide cover for one year. The Post Office study of 1996found uptake rate fell from 42 per cent in the first year to 24 per cent in thefifth year. Participants in this study were asked to describe their use of OH servicesfrom the onset of influenza to the end of the episode. Only those who presented to the OH department within five days of the firstsymptom were asked to provide a baseline blood sample for serology testing. Asecond sample was taken 21 days later. Both samples were tested for thepresence of antibodies to Influenza A and B. Predefined criteria was used toassess the data25. Immunising the community Although the uptake in influenza vaccine has increased, reports suggest thatit is under-used. GPs can improve this by compiling lists of patients in atrisk groups. Sufficient vaccines could be ordered in advance and structuredimmunisation clinics organised. Vaccination could also take place away from theGP surgery. Strategies for vaccination are shown in Table 2. Audit is an important part of clinical practice and it is essential thatagreed standards are met. Results of these audits could be discussed at PrimaryCare Group (PCG) meetings with a view to improving coverage the following year.Such activities would not only improve the health of the nation but alsoprovide important visibility of health promotion. Legal issues The HASAWA Act, 1974, and MHASAW Regulations, 1999, both placeresponsibility on employers to take care of their employees’ health, andconduct health surveillance. Both of these pieces of legislation recommend arisk assessment approach, with training and information available for staff.Same systems of work must be clearly identified. COSHH Regulations 1999 recognise micro-organisms as biological agents. Allof this legislation requires that staff are able to make an informed choicewith regard to health surveillance. The trust’s approach in deciding not to adopt a vaccination programme meantthat clear evidence would have needed to have been produced if the decision hadbeen challenged. The DOH circular suggested only that NHS trusts considered vaccination. Noclear directive was issued. Conclusion This study presents an evaluation of the influenza virus and its impact onhealth care workers. The report found that: – When the general population gets influenza, a large percentage ofhealthcare workers become infected – There is a shortage of medical and ancillary staff – There are implications surrounding bed availability, overloading andclosure of some accident and emergency departments – There are shortages of intensive care and high dependency beds – This has an impact on waiting lists for routine surgery. Government finesof £2,000 per patient per week are imposed on NHS trusts for exceeding waitinglist targets. The report highlights the complexity of managing this issue. The basis forall management of Health and Safety is HSG65. OH departments cannot prevent staff from contracting influenza and althoughthere are DOH guidelines for staff to be vaccinated there are moral andfinancial implications to this The literature research highlighted that vaccination of staff can preventdeaths among geriatric patients and those with chronic disease. However,immunisation of NHS staff, is not necessarily efficient in protecting them.Influenza may still be contracted and staff may feel guilty if absent fromduties. This will balance out any “feel-good” factors brought aboutby immunisation. It will not improve health or produce a more efficientworkforce. Immunisation lasts for one year as the virus in its mutated formkeeps changing. My own trust decided against vaccination of its workforce after discussionwith the OH service; it concluded that it was not necessary to vaccinateotherwise healthy staff and no vaccination programme was adopted. The Government confirmed an epidemic in January 2000. But from datacollected from the eastern region there was no evidence of this. The number ofnew cases per week required for such status was never reached. Action plan The Government is investigating the possibility of extending vaccination ofthe elderly and their carers and those with chronic disease in future years My own trust will continue with health surveillance and management ofinfluenza in medical and ancillary staff. Risk assessments will be undertakeneach autumn to determine if new strategies need to be adopted. Meanwhile the influenza virus still continues to claim lives and have thepotential to kill millions in its ever-changing form. References 1. Royal College of Nursing (1992) Powerhouse for change, RCN: London, UK. 2. Lichfield P. (1996) Health risks to the healthcare professional, RoyalCollege of Physicians: London, UK. 3. Oldstone MBA (1998) Viruses, plagues and history, Oxford UniversityPress: Oxford, UK. 4. International Influenza Education Panel. (2000) 5. Webster A, Monto AS, Keene O. (1999) Journal of Anti-Microbiology, TopicB; 44:23-29 6. Oldstone MBA. (1998) Viruses, plagues and history, Oxford UniversityPress:Oxford, UK. 7. Influenza News (2000) Press Release, Influenza News; 29 January www.influenzanews.com8. Ashley J. (1990) Deaths in Great Britain associated with influenzaepidemic, Population Trends; 65:16-20. 9. Fielding JE. (1990) Work site health promotion, Health PromotionInternational; 5:75-84. 10. Legg R. (1934) Industrial maladies, Oxford University Press: Oxford, UK.11. Hodges D. (1998) Occupational health nursing, Whurr Publishing:Gateshead. 12. Oakley K. (1998) Occupational health nursing, Whurr Publishing:Gateshead. 13. Popp RA. (1989) An overview of occupational health promotion, AAOHNJournal; 37(4):113-120. 14. NHS Executive. (1998) Working together, securing a workforce for the future,HMSO: London 15. Smith A. (1992) Influenza, colds and performance efficiency,Occupational Health Review; 35:13. 16. Smith JWG, Pollard R. (1978) Vaccination against influenza – a five-yearstudy in the Post Office, Epidemiological Research Laboratory: London, UK. 17. Goodman M. (2000) Health Service Journal; 1:13. 18. MHASAW (1999) 19. Gee (1999) Health and safety, Gee Publishing: London. 20. Croner (1999) Blood borne infection control, Croner’s Health Service Risks Management and Practice, Croner Publications Ltd, London. 21. Kogan H. (1998) Occupational Health;50(1):21-22. 22. Smith JWG, Pollard R (1978) Vaccination against influenza – a five-yearstudy in the Post Office, Epidemiological Research Laboratory: London, UK. 23. Lipley N. (2000) Millennium bug, Nursing Standard; 14:13-14. 24. Potter J et al. (1996) Influenza vaccination of healthcare workersreduces the mortality of elderly patients, Journal of Infectious Diseases;175:1-6. 25. Keech M, Scott AJ, Ryan P. (1998) Occupational Medicine; 48(2): 85-90. Table 1: The current approach to health promotionSetting objectives – specific, measurable, realisticControlling health risks – by risk assessmentImplementation – control measuresMeasuring performance – benchmarking, periodic inspectionsReviewing performance – to improve systemsAuditing – independent and verifiedTable 2: Strategies for vaccination– GPs could vaccinate chronically ill patients while on rounds– GPs should give the initial vaccination because of the limited risk ofanaphylactic shock– District nurses and health visitors could also vaccinate patients – Practice nurses could visit the house bound– Matrons at residential and nursing homes could vaccinate elderly patients– A written protocol must be agreed and signed by all partners in a GPsurgery– Dedicated clinics could be set up– Public awareness campaigns could be implemented each September, alertscould be broadcast on television, targeting at risk groups– Hospitals could assess the risk status of their admissionslast_img read more

Cape May County Recommends Campgrounds Delay Opening

first_imgAs part of the precautionary measures to curb the spread of the coronavirus in Cape May County, Health Officer Kevin Thomas is recommending that local campground owners and operators delay the opening of countywide campgrounds until May 11.“In the best interest of the patrons and residents, we are recommending campground owners and operators hold off opening local campgrounds until May 11, as a way to reduce and discourage the number of visitors to the county during this outbreak,” Thomas said in a press release.He continued, “I’m asking them to also advise out-of-state visitors to adhere to the Governor’s executive order and not travel to the shore at this time. Now is the time to remain vigilant by following the recommendations for social distancing and isolation.”The Cape May County Department of Health is working jointly with the Office of Emergency Management and all local partners along with the New Jersey Department of Health to prevent the spread of COVID-19 and keep residents safe.“I want to assure everyone that we are all working diligently to prevent the spread and flatten the curve to protect our residents. With 25 percent of our year-round residents over 65, we are talking about more than 23,000 people that fit within the ‘most vulnerable’ category,” said Freeholder Jeffrey Pierson, liaison to the County Health and Human Services Departments.He added, “It is imperative at this time that we make every effort to especially protect our aging population. We all must follow the CDC guidelines and practice social distancing and stay indoors. This is our individual obligation to stem the spread of this virus.”Due to the seasonal nature of the county’s tourism industry, most of the lodging sector does not open until closer to the middle of May.Businesses that remain open are urged to follow CDC recommendations for sanitizing common areas as well as limit the number of people gathering to 10.“The recommendations that are being made are difficult and will temporarily impact many of us, we ask for your understanding and cooperation for the good of all of our citizens,” Pierson said.Updated information regarding the COVID-19 pandemic can be found on the county webpage at Cape May County’s coronavirus precautions include the campgrounds. (Photo courtesy of read more

Brian Stokes Mitchell & Laura Osnes Hop on The Band Wagon at Encores!

first_img Laura Osnes There’s a whole slew of stars jumping on The Band Wagon! The Encores! production begins a limited engagement November 6, and we’ve got a first look at the new cast, who took a break from rehearsal to take this gorgoeus snapshot. Featuring music by Arthur Schwartz and lyrics by Howard Dietz, The Band Wagon stars Brian Stokes Mitchell, Roger Rees, Tracey Ullman, Michael McKean, Don Stephenson, Michael Berresse and Laura Osnes. The new revival also features a book by Douglas Carter Beane, adapted from the screenplay by Betty Comden and Adolph Green. Get a sneak peek of the cast, then hop on The Band Wagon at New York City Center! Star Files Brian Stokes Mitchell View Commentslast_img

Lady Trojan Hoops Standout Lauryn Helton Signs With Ravens

first_imgEast Central Girls Basketball standout Lauryn Helton has signed to play college ball at Anderson majoring in Athletic Training.Lauryn is the daughter of Tony and Joni Helton.Courtesy of Trojans Athletic Administration Assistant April McFarland.last_img