More Nigerian states reporting monkeypox cases as total reaches 31The Nigerian Centre for Disease Control (NCDC) today reported that six more states have suspected cases of monkeypox, a disease caused by a rare smallpox-like virus. There are now 31 suspected cases in seven states: Bayelsa, Rivers, Ekiti, Akwa Ibom, Lagos, Ogun, and Cross River.All patients are currently hospitalized and improving, according to an NCDC statemen. The agency said it was first notified of a possible outbreak on Sep 22, when an 11-year-old boy from Bayelsa state presented with symptoms of the disease. Eleven people, including a doctor, were confirmed to have the virus late last week.”Nigerians are once [again] advised to remain calm, avoid self-medication and report any suspected case to the nearest health facility. Public health authorities across the country have been well informed on what to do when a suspected case arises,” said Dr. Chikwe Ihekweazu, CEO of the NCDC.Monkeypox is transmitted through contact with infected animals and is usually self-limiting. In rare cases, infection can be fatal.Oct 9 NCDC statement Puerto Rico hurricane damage stretches supply of IV salineDamage in Puerto Rico from Hurricane Maria has disrupted the nation’s supply of some intravenous (IV) saline and dextrose bags, the Washington Post reported today. Baxter International, one of the makers of small-volume IV bags, widely used for rehydration and to dilute medications, said “multiple production days” were lost in the aftermath of the storm, and it has established a system to allocate the product to hospitals based on past purchases.On Oct 6, Food and Drug Administration (FDA) Commissioner Scott Gottlieb, MD, issued a statement saying the FDA is taking new steps to mitigate the impact of two recent hurricanes on the island’s medical product manufacturing sector, alongside its ongoing efforts to directly assist Puerto Rico’s residents. He said pharmaceutical and biological products account for about 30% of the territory’s gross domestic product, and 10% of all drugs consumed by Americans are made in Puerto Rico. “And that doesn’t even account for medical devices. Puerto Rico is vital to the health and wellbeing of Americans,” he said.Some facilities were hit harder than other, but the ones that sustained minor damage are running on generator power and aren’t back at full production. “New shortages could result from these disruptions, and shortages that existed before the storms could potentially be extended,” Gottlieb said, adding that the FDA is in close contact with senior management at the companies.The FDA says it is monitoring 40 products on a list of critical products for which shortages could have a substantial public health impact. The FDA said it will provide more details on specific products as appropriate and as it learns more.According to the Post story, Puerto Rico is home to more than four dozen FDA-approved drug making facilities, including ones owned by Pfizer, Merck, Eli Lilly, Johnson & Johnson, Bristol-Myers Squibb, and Amgen. A Baxter spokesman told the Post that limited IV fluid production is under way in Puerto Rico and that the company is leveraging its global production capacity to support the supply as operations are restored in Puerto Rico. Some US hospitals have said they haven’t been affected by the shortage, while others said supplies are tight.Oct 9 Washington Post story Oct 6 FDA statement Short-course antibiotics perform well in Enterobacteriaceae bacteremiaScientists have determined that short courses of antibiotics yield similar clinical outcomes as prolonged courses for Enterobacteriaceae bacteremia and may protect against subsequent multidrug-resistant gram-negative bacteria, according to a new study in PLoS Medicine.The recommended duration of antibiotic treatment for bloodstream infections caused by Enterobacteriaceae is 7 to 14 days. Researchers from the Antibacterial Resistance Leadership Group compared the outcomes of patients receiving 6 to 10 days versus 11 to 16 days of antibiotics for Enterobacteriaceae bacteremia in patients who were treated in one of three medical centers from 2008 through 2014.The team matched 385 short-course bacteremia patients with the same number of prolonged-course patients. Median treatment duration was 8 days in the former group and 15 in the latter.They found no difference between the groups in mortality and recurrent bloodstream infections. They detected a trend toward a protective effect of short-course antibiotic therapy on the emergence of multidrug-resistant gram-negative bacteria but not a statistically significant difference.Oct 8 Clin Infect Dis abstract
Rule-makers will be given recommendations for adjusting the guideline hourly rates by the end of this year, it has emerged.Minutes from the March meeting of the Civil Procedure Rule Committee state that a sub-committee of the Civil Justice Council has been established and will report directly to committee chair Lord Justice Coulson. The proposal has the backing of the master of the rolls Sir Terence Etherton.Given the lengthy time period since any material changes were made to the rate, it is envisaged this sub-committee will make recommendations by the end of the year, so rates can be adjusted at a point thereafter.The issue, brought up as ‘any other business’ at the meeting, will be discussed at more length next month.Pressure to alter the rates has increased in recent years, not least following the High Court’s ruling in Ohpen last year, when Mrs Justice O’Farrell said it was ‘unsatisfactory’ that guidelines were based on rates fixed in 2010 and reviewed in 2014. She pointed out that the rate were significantly lower than the hourly rates in many London law firms.The rates were originally intended to help judges who were tasked for the first time with assessing costs as a result of the Woolf reforms and implementation of the Civil Procedure Rules. Previously they were locally-derived and based on information gathered by district judges and solicitors in practice in their county court.Guideline rates are broken down into four bands based on the experience of the lawyer and differentiated for London and the rest of the country.Rates are set at £409 for solicitors and legal executives with more than eight years’ experience based in London. This ranges down to £111 for trainee solicitors, paralegals and other fee earners in the lowest national grade.Responding to news that the rate may be changed, Claire Green, chair of the Association of Costs Lawyers, said it was more important than ever during the coronavirus crisis that lawyers are paid a proper, economic rate that reflects the costs they have to carry.She added: ‘It goes without saying that this is a very difficult time with many competing priorities, but cash flow is particularly vital for many firms at the moment. A change in the GHR – not gratuitous, but still based on evidence – would be widely welcomed.’
Share Share 21 Views no discussions Tweet NewsRegional Child Protection Task Force set up in Trinidad by: – December 2, 2013 Share Prime Minister Kamla Persad-BissessarIn response to the brutal murder of six-year-old Keyana Cumberbatch last week and the gruesome discovery of one-year-old Jacob Monroe’s body in a cesspit the week before, the Government has established a Child Protection Task Force, with a prime ministerial mandate to review all existing policies, legislation and protocols in place to protect the nation’s children.The Office of the Prime Minster said, in a release yesterday, the task force’s first job will be to “recommend measures aimed at overhauling and advancing protection, care and intervention services of the State and non-governmental organisations”.The members of the task force will be announced today.The first meeting is scheduled for this week and will “bring together the nation’s top advocates for the rights, protection and well-being of children”. Yesterday, Prime Minister Kamla Persad-Bissessar paid a personal visit to Keyana’s mother, Simone Williams, and relatives at the family’s Maloney home, the release said.“It is very hard to imagine the depth of agony being experienced by (Williams), as well as her relatives and friends. This is not a moment that any parent or any person can ever be prepared for. And what happened to Keyana is something no child must ever have to experience,” Persad-Bissessar said. Last Friday, the Prime Minister described the death of Keyana Cumberbatch as “a tragedy that is simply too horrific to imagine”.“My thoughts and my prayers are with Keyana’s family, but as Prime Minister, I will not allow this to happen to our children. I will not allow it to continue. Enough is enough. And to the one who is responsible for this crime or any crime such as this, we will find you, and we will punish you,” she said.Yesterday, she told the family the State will provide “every possible support to the family in their time of grief and anguish”.The Child Protection Task Force will complement the immediate and ongoing emergency response from the Ministry of Education and Ministry of Gender, Youth and Child Development.The Task Force’s mandate will be, among other things, to:• Comprehensively review all provisions, regulations, legislation and public-sector processes focused on the care, health and protection of children;• Recommend how, through policy intervention and partnerships with non-governmental and community organisations, the State can reduce risks to children;• Recommend on how the Children’s Authority of Trinidad and Tobago can become fully empowered; and• Recommend how emergency responses can be widened, accelerated and structured to immediately respond to the needs of children at risk.“I have chosen not to go the way of others and discuss who is to be blamed and who must be held liable. There are no solutions in blame, but there is in standing united as a people and as a nation and saying that we will not stand for this,” said the Prime Minister.Trinidad Express Sharing is caring!