text:
Re: Europe - 36 dead, 3500+ infected, 800+ severe cases of E-coli - EHEC STEC hemolytic uremic syndrome
Editor, Senior Moderator
Re: Europe - 30 dead, 2800+ infected, 722 severe cases of E-coli - EHEC STEC hemolytic uremic syndrome
http://www.promedmail.org/pls/otn/f?...3A1000%2C88866
Source: ProMed
Archive Number	20110613.1798
Published Date	13-JUN-2011
Subject	PRO/AH/EDR> E. coli O104 - EU (17): case update, medical care stretched
E. COLI O104 - EUROPEAN UNION (17): CASE UPDATE, MEDICAL CARE
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[1] ECDC update
[2] WHO update
[3] Medical care in the wake of the epidemic
Date: Sun 12 Jun 2011
Source: European Center for Disease Control (ECDC) [edited]
<http://www.ecdc.europa.eu/en/activities/sciadvice/Lists/ECDC%20Reviews/ECDC_DispForm.aspx?List=512ff74f%2D77d4%2D4ad8%2Db 6d6%2Dbf0f23083f30&ID=1108&RootFolder=%2Fen%2Facti vities%2Fsciadvice%2FLists%2FECDC%20Reviews>
Epidemiological update, 12 Jun 2011, 11:00
On 22 May 2011, Germany reported a significant increase in the number
of patients with hemolytic uremic syndrome (HUS) and bloody diarrhea
caused by a Shiga toxin-producing _E. coli_ (STEC). Since 2 May 2011,
809 cases of HUS and 2474 non-HUS STEC cases have been reported from
European Union Member States, including 773 HUS cases and 2387 non-HUS
STEC cases in Germany. 23 of the HUS cases and 12 non-HUS STEC cases
in EU Member states have died. See table below.
While HUS, caused by STEC infections, is usually observed in children
under 5 years of age, in this outbreak the great majority of cases are
adults, with around two thirds being women.
Most cases are from, or have a history of travel to the North of
Germany (mainly Schleswig-Holstein, Lower Saxony,
North-Rhine-Westphalia, and Hamburg). In the EU/EEA[ European Economic
Area], Austria, Denmark, Germany, the Netherlands, Poland, Spain,
Sweden, and the United Kingdom have reported cases of HUS, while 5
other Member States have reported only non-HUS STEC cases.
Laboratory results indicate that STEC serogroup O104:H4
(Stx2-positive, eae-negative, hly-negative, ESBL, aat, aggR, aap) is
the causative agent. PFGE [pulsed field gel electrophoresis] results
shows indistinguishable pattern of 7 human O104:H4 outbreak strains in
Germany and 2 strains of O104:H4 in Denmark.
STEC is a group of pathogenic _E. coli_ strains capable of producing
Shiga toxins, with the potential to cause severe enteric and systemic
disease in humans. The clinical manifestations of the disease can be
extremely severe.
Table: number of HUS and non-HUS STEC cases and associated deaths per
EU/EEA Member States as of 12 Jun 11:00
EU Member State: HUS cases (deaths) / Non-HUS STEC cases (deaths)
Austria: 1 (0) / 3 (0)
Czech Republic: 0 (0) / 1 (0)
Denmark: 8 (0) / 12 (0)
France: 0 (0) / 2 (0)
Germany: 773 (22) / 2387 (12)
Greece: 0 (0) / 1 (0)
Luxembourg: 0 (0) / 2 (0)
The Netherlands: 4 (0) / 4 (0)
Norway: 0 (0) / 1 (0)
Poland: 2 (0) / 0 (0)
Spain: 1 (0) / 1 (0)
Sweden: 17 (1) / 30 (0)
United Kingdom: 3 (0) / 3 (0)
Total: 809 (23) / 2447 (12)
Total cases HUS + Non-HUS = 3256, Total deaths = 35
Case fatality rate = 1.07 percent
Communicated by:
ProMED-mail
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Date: Sat 11 Jun 2011
Source: WHO, Regional Office for Europe, International Health
Regulations [edited]
<http://www.euro.who.int/en/what-we-do/health-topics/emergencies/international-health-regulations/news/news/2011/06/ehec-outbreak-update-14>
Enterohemorrhagic _E. coli_ (EHEC) outbreak: update 14
On 10 Jun 2011, German authorities stated that mounting
epidemiological and food-chain evidence indicated that bean and seed
sprouts (including fenugreek, mung beans, lentils, adzuki beans, and
alfalfa) are the vehicle of the outbreak in Germany.
On 10 Jun 2011, authorities from the Robert Koch-Institute (RKI), the
Federal Institute for Risk Assessment (BfR) and the Federal Office of
Consumer Protection and Food Safety (BVL) jointly stated that mounting
alfalfa) are the vehicle of the outbreak in Germany caused by the
unusual enteroaggregative verocytotoxin-producing _Escherichia coli_
(EAggEC VTEC) O104:H4 bacterium. The outbreak remains primarily
centered in Germany.
- The authorities now recommend that people in Germany should not eat
raw bean and seed sprouts of any origin. Households, caterers, and
restaurants should dispose of any bean and seed sprouts that they
have, and any food items that might have been in contact with them,
- The recommendation not to eat cucumbers, tomatoes, and leafy salads
in northern Germany is cancelled.
- They recommend withdrawal from the market of all food products from
a farm in Lower Saxony, where the implicated bean and seed sprouts
originated.
- Numerous investigations continue, including into delivery chains.
So far, there is no evidence that bean and seed sprouts from the farm
have been exported beyond Germany.
- The authorities recommend strict adherence to general hygiene
advice when handling food items, after using the toilet, and when
health professionals are in contact with patients.
As of 10 Jun 2011 at 15:00 CET, Germany had reported 773 HUS cases
(including 22 fatalities): 14 more cases and 1 additional deaths since
the previous day. 68 percent of cases were in females and 88 percent
in adults aged 20 years or older, with the highest attack rates per
100 000 population in the group aged 20-49 years. Case-onset dates
ranged from 1 May to 6 Jun 2011.
Enterohemorrhagic _E. coli_ (EHEC)
As of 10 Jun 2011 at 15:00 CET, 2374 cases of EHEC infection (without
HUS) had been reported in Germany (12 fatal): 145 more cases and 3
more deaths since the previous day. 60 percent of cases were in
females and 87 percent in adults aged 20 years or older. Case-onset
dates ranged from 1 May to 6 Jun 2011.
RKI stated that the number of notified HUS/EHEC cases reported to it
has declined over the past few days. The daily absolute and relative
numbers of patients presenting to hospital emergency departments with
bloody diarrhea have also decreased. It is still uncertain whether
this decline in outbreak activity is due to changes in consumption of
raw vegetables and/or the waning of the source of infection. However,
the previously observed decrease of daily absolute and relative number
of patients presenting to emergency departments with bloody diarrhea
in hospitals participating in a voluntary surveillance system has not
further decreased since 6 Jun 2011.
As of 10 Jun 2011, 13 other European countries had reported a total
of 36 HUS cases (12 fatal) and 66 EHEC cases (none fatal): 0 more HUS
cases and 3 more EHEC cases since the previous day. In addition, the
CDC in the USA have published information on 3 HUS cases (1 confirmed
and 2 suspected) and 2 suspected EHEC cases (without HUS) in the USA
linked to this outbreak. On 7 Jun 2011, the Public Health Agency of
Canada reported on 1 suspected case of _E. coli_ O104 infection
(without HUS), in a person with travel history to northern Germany and
with links to a confirmed case of _E. coli_ O104 infection in
There are 3255 HUS and EHEC cases in total, including 35 fatalities.
All but 5 of the HUS and EHEC cases above were in people who had
traveled to or lived in Germany during the incubation period for
infection, typically 3-4 days after exposure (range: 2-10 days).
EHEC and HUS have exclusive notification categories, so case numbers
should not overlap. The figures in any rapidly evolving outbreak,
however, are provisional and subject to change for a variety of
Source: US National Public Radio (NPR), Associated Press (AP) report
<http://www.npr.org/2011/06/11/137122719/german-hospitals-stretched-thin-in-e-coli-crisis>
Blood specialist Dr Cay-Uwe von Seydewitz has been making his rounds
16 to 18 hours a day, 7 days a week, since the outbreak of a deadly
bacterial epidemic. The wing he's in charge of was a construction site
a month ago, hastily converted back into useable space to keep up with
the spike in patients needing massive blood plasma exchanges to try
and purge their systems of the toxins from the aggressive, previously
unknown form of _E. coli_.
Like other doctors, nurses, and hospital staff around Germany, for
von Seydewitz taking a day off has not been an option. "If you have a
new illness, it's important to have the same doctor from the start to
the end to see how it changes over time," said von Seydewitz, wearing
blue hospital scrubs and sporting a 5 o'clock shadow at midday,
standing near stacks of supplies in brown boxes still on their
pallets.
Investigators on Fri 10 Jun 2011, breathed a sigh of relief, saying
that their epidemiological probe of the pattern of the outbreak
produced enough evidence to conclude vegetable sprouts from a farm in
Lower Saxony were the cause of the outbreak, even while noting that
work for medical professionals was far from over.
"There will be new cases," warned Reinhard Burger, head of the Robert
Koch Institute -- Germany's national disease control center.
In Kiel and Luebeck, which have also been hit hard in the outbreak,
doctors have been taking only short naps on stretchers in hospital
hallways and staying in the building for days in a row, said Oliver
Grieve, the spokesman for the university hospitals in the northern
cities.
Others canceled their vacations or called in from hospitals around
the country to offer their help for overwhelmed clinics in northern
Germany. "There has been a very high level of commitment," Grieve
said. "It is amazing to see how everyone has done the utmost to help
out in this crisis."
More than 700 of the patients in Germany are suffering not only from
diarrhea and cramps but have also developed a life-threatening
complication that can cause kidney failure, and require
round-the-clock medical care.
Dr Friedrich Hagenmueller, the medical director of Asklepios Hospital
Altona, the hospital where von Seydewitz works, which has seen about
200 patients total, noted that with such an illness it's not just the
doctors and nurses working overtime but the cleaning staff.
"We brought people back from the holidays, they must constantly clean
and disinfect the toilets," he told The Associated Press during a
break in making his rounds. "The turnover of the patients is
relatively quick, and when a patient is released they have to quickly
clean and disinfect the toilets and I haven't heard a word of
complaint."
While the numbers of newly infected patients are slowly declining,
hospitals are still working to the limit with hundreds of people still
in intensive care. Earlier this week, health authorities said there
were still some 670 patients suffering from severe complications
including kidney failure, paralysis, and epileptic seizures. "We still
have some extra 12 dialysis nurses from southern Germany working with
us" at the university hospitals in Kiel and Luebeck, Grieve said.
At Asklepios Hospital in Hamburg this week, von Seydewitz was
overseeing 22 patients undergoing blood plasma exchange to try and
remove the toxins from their system. In the procedure, doctors remove
which 4 liters (quarts) of blood plasma and replace it with fresh
plasma for 3 days in a row -- or longer if needed.
At the start of the outbreak von Seydewitz said he only had 2
machines to perform the relatively rare procedure, but since then has
leased more machines, and borrowed others from the hospital's dialysis
treatment area and now has a total of 8 functioning. "Now we also have
patients from other hospitals for the procedure," he said.
With the high demand for blood plasma, Germany's Red Cross has begun
special blood drives. In normal times, hospitals need between 500 and
700 of the 250 mL (8.5 fluid ounces) portions of blood plasma in 14
days; they used 12 000 portions in the last 2 weeks, said Jense Lichte
from the Red Cross.
People responded, with donations up 14.5 percent since the outbreak
began, he said. "Luckily, Germans have been coming to our blood
drives," Lichte said, saying that despite the high demand the country
never ran close to a real shortage.
In addition to physical exhaustion, some doctors say the epidemic has
also taken a high emotional toll. "It has been very stressful for all
of us because we are dealing predominantly with younger patients
without significant previous diseases ... many of us were deeply moved
when a lot of these cases developed in such a dramatic way," said Marc
Voss, a senior internist at Regio Clinic Elmshorn northwest of
Hamburg. "The identification with the patients is very high, because
one thinks 'it could have been me.'"
Some 77 percent of patients in Germany are women and the majority of
them are between 20 and 50 years old, most fit and with healthy
lifestyles.
"Our staffers are used to seeing very severe cases," said Grieve.
"But to see those young, healthy girls break down from one day to the
next, getting cramps and slipping into coma, that's been the most
stressful thing ever."
Grieve added that even the psychologists at the hospitals were
working day and night to comfort the traumatized family members of the
sick who have been waiting for weeks in some cases for signs of
recovery.
[Byline: Kirsten Grieshaber, Dorothee Thiesing]
[It is important to underscore this report. Any catastrophe (whether
the morbidities and mortalities are caused by a tornado, an
earthquake, a tsunami, or a natural or man-made epidemic) puts extreme
stress upon the health care infrastructure. The ability to respond to
the surge of needed emergency room visits, hospital admissions,
surgical procedures, ventilators, medications, blood/blood products,
and health care deliverers and their support staff can be extremely
problematic and this moderator cannot stress any stronger what a
phenomenal job the German medical infrastructure is doing. Seeing
previously healthy relative young individuals on the edge of death or
worse makes the long and severe environment even worse... really it is
a war zone with the enemy being _E. coli instead of _H. sapiens_.
Even as new cases in the EU appear to be dropping, the sprouts may be
over, but the malady lingers on. - Mod.LL]
[see also:
E. coli O104 - EU (16): case update, 20110610.1766
E. coli O104 - EU (15): case update, EaggEC VTEC O104:H4
E. coli O104 - EU (14): case update, neurological symptoms
E. coli O104 - EU (13): case update, new countries 20110607.1737
E. coli O104 - EU (12): sprout cultures negative so far
E. coli O104 - EU (11): case update, poss. sprout source
E. coli O104 - EU (10): USA commentary 20110605.1718
E. coli O104 - EU (09) & USA 20110603.1701
E. coli O104 - EU (08) & USA: genetic analysis, more cases
E. coli O104 - EU (05): (Germany) monoclonal antibody trial
E. coli O104 - EU (04): (Germany) more deaths & HUS cases
E. coli O104 - EU (03): (Germany, EU ex Germany) alert 20110527.1629
E. coli O104 - EU (02): (Germany, EU ex Germany), alert
E. coli O104 - EU: (Germany, Denmark, Sweden) Spanish cucumbers
E. coli VTEC - Germany (04): O104, poss. salad source 20110526.1600
E. coli VTEC - Germany (03): O104, spread South 20110525.1587
E. coli VTEC - Germany (02): increased case burden 20110524.1578
E. coli VTEC - Germany: RFI 20110523.1566
E. coli VTEC non-O157 - Japan: O111, raw beef, alert 20110504.1378
E. coli VTEC non-O157 - USA (07): O26, ground beef, alert, recall
E. coli VTEC non-O157 - USA (06): O145, lettuce 20100528.1777
E. coli VTEC non-O157 - USA (03): O145, lettuce, recall
E. coli VTEC non-O157 - USA (02): (OH, MI, NY) O145 20100505.1460
E. coli VTEC non-O157 - USA: (MI, OH) 20100427.1358
E. coli VTEC non-O157, restaurant - USA (04): (OK), O111
E. coli VTEC non-O157, restaurant - USA: (OK), O111 20080902.2748
E. coli VTEC non-O157, past. ice cream, 2007 - Belgium: Antwerp
E. coli VTEC non-O157, beef sausage - Denmark 20070602.1784
E. coli VTEC non-O157, 2000-2005 - USA (CT) 20070118.0240
E. coli VTEC non-O157, lettuce - USA (UT)(02): background
E. coli VTEC non-O157, lettuce - USA (UT) 20060904.2521
E. coli VTEC non-O157 - Norway (03) 20060416.1133
E. coli VTEC non-O157 - Norway 20060329.0947
E. coli VTEC non-O157, minced beef - Norway 20060304.0680
E. coli O145, fatal - Slovenia 20050916.2739
E. coli, VTEC non-O157 - UK (Scotland): correction 20030828.2166
E. coli, VTEC non-O157 - UK (Scotland) 20030825.2144
E. coli O26 - South Korea 20010509.0896
E. coli O111, diarrhea - USA (Texas) 19990707.1134
E. coli, non-0157 - Belgium 19970610.1215]
.................................................s b/ll/mj/mpp
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EU Ban on Egyptian Fenugreek Seeds Extended
BY NEWS DESK | OCT 21, 2011
Last week the European Commission lifted import restrictions on fresh and chilled podded peas and green beans and other fresh produce from Egypt. The ban had been an emergency action imposed in July, after imported Egyptian fenugreek seeds were blamed for the outbreak of E. coli O104:H4 linked to sprouts in Germany and France.
But while fresh peas and beans got a green light, the temporary ban on Egyptian seeds and sprouts, scheduled to expire Oct. 31, will be extended until the end of March, following an "unsatisfactory audit" of seed producers in Egypt, the EC has decided.
The extended ban involves arugula sprouts, leguminous vegetable sprouts (fresh or chilled), soy bean sprouts, dried (shelled) leguminous vegetables, fenugreek seeds, soy beans and mustard seeds.
Details of the audit, which was conducted by the EC's Food & Veterinary Office from Aug. 21-25, are still under review, but will be published soon, the EC said in a statement.
Briefly, the EC said the audit showed that measures taken by the Egyptian authorities to address shortcomings in the production of seeds that may be sprouted for human consumption were not sufficient "to tackle the identified risks."
Those shortcomings were not seen in the growing and processing sites for fresh peas and beans, the EC said, therefore those vegetables are no longer considered a food safety risk.
The European Commission's Standing Committee on the Food Chain and Animal Health endorsed the extension of the seed and sprout ban on Monday.
Meanwhile, the European Commission awaits a scientific opinion from the European Food Safety Authority (EFSA) on the risk posed by Shiga-toxin producing E. coli (STEC) and other pathogenic bacteria in seeds and sprouts, shoots and cress derived from seeds. EFSA is expected to deliver that opinion by the end of this month.
Foodsafetynews
"Addressing chronic disease is an issue of human rights – that must be our call to arms"
Richard Horton, Editor-in-Chief The Lancet
~~~~ Twitter:@GertvanderHoek ~~~ GertvanderHoek@gmail.com ~~~
tetano
Two years after: EHEC shaft with 53 deaths has left deep traces
The EHEC epidemic can recur at any time with 53 deaths two years ago from the perspective of the Hanoverian kidney doctor Jan Kamal stone in a similar form. 'Our medical system must adapt to such events – whether EHEC or the swine flu,' said the expert of the EHEC from the medical school of Hanover of the dpa. The Berlin Robert Koch Institute dated the beginning of the outbreak of the epidemic on May 8, 2011. About 3800 people especially in Northern Germany suffer from the dangerous intestinal germ, 855 of the severe form of HUS. Currently, much less former EHEC patients suffer complications than was feared from Kiel stone according to. 'Well over 90 percent feel anything more,' said the Professor workers at the clinic for Nephrology. But long-term damage could turn out to be only after a few years. Together with colleagues and the German society for Nephrology, Kiel stone has built up an EHEC register that collects data from former EHEC patients. 'Throughout Germany are less than ten patients on dialysis, and they already had kidney problems', the doctor reported. A small number have more memory problems as well as anxiety and panic disorders.
http://www.braunschweiger-zeitung.de...-id988303.html


End of Days Events won the 2015 Scar Award for best zombie survival event, but not wanting to rest on their laurels, invited us to try our their new offering "The Mill". How would we fare on the second part of their ongoing story based in an old, seemingly disused mill in Huddersfield? Especially as we were booked in on the late night extreme version!
The second we parked the car we were met by a man dressed in army fatigues who seemed slightly on edge. There were no pleasantries, we were immediately in the story, and we already started to feel slightly uncomfortable.The story behind the event is that following the apocalypse, strong holds like The Mill had been set up to ensure humanity's survival. This particular stronghold housed a team of weapons experts, all defending a research doctor. As we had guns pointed to our heads, that's all we can tell you about the actual story line - they know where we live - we don't want to upset them any more!
It was clear from the start that the three Marshall's in charge of survivor safety were deadly serious and wouldn't tolerate anybody not following their rules. During a brief introduction one of the Marshall's heard something and took one of the Scaretour guests and two other people to investigate. This was where we saw first-hand how physical and demanding this event was going to be. The Marshall's delivered various safety speeches and we were taken in pairs to sign a disclaimer. This is naturally an important part but it seemed to take quite a while, eating into the anticipation we were feeling. Perhaps it could have been done altogether, as an actual scene?
From here we headed to weapons training using pump action shotguns that fire three rounds per shot. The solid plastic BB's the gun's fire pack a real punch...as we would unfortunately find out for ourselves. Our training took place by one of the cells that undead test subjects were being held in and it's hard to concentrate when you have 6 extremely bloodied zombies glaring and snarling at you through a window.
On guarded transfer to the next location, all hell literally broke loose in a well-played scene. We were trapped and our survival skills and weapons training were about to be tested. Now we'd like to pretend we're experts in all things apocalyptic but on first contact with the undead, one of the ScareTOUR team was on the floor with a zombie on top of him and could feel it's teeth literally gnawing at his neck. The zombie wasn't going to move until one of the other player's made it do so.
The three-hour long event was fast paced and the zombies were relentless. They came from every angle taking the shots we fired at them. The Marshall's were also brutal and had no problem in physically moving us or screaming orders at us to get everyone to focus. There were loud surprises, twists and turns, insults galore and a story that saw the group broken into teams taking different paths, all contributing to the big finale.
Unfortunately there was one scene that was vital to the story but only two of us got to see it as it took place in the doctor's room which was very small. It's such a good scene it would be a shame if wasn't played out for everyone to see on future events. A minor gripe and one that isn't insurmountable. As for the venue itself - The Mill is a great location but there isn't much in the way of set dressing. Fortunately the run down nature of this regular Airsoft combat zone, compensates for this.
This was a thoroughly enjoyable night and we met some fantastic people in the staff, actors and other players. The zombies were well costumed and never came out of character, even when they're being fired at non-stop, and believe us, it hurts! We left the venue, tired, sore, bloodied from the zombies and aching. Job well done. We'd had a fantastic time and with the next event The Purge now being announced, we will be back for more!


Hello Mickey! Hello Disney! Hello highway traffic from hell?
So my husband accepted a job offer in Orlando, Florida. It's not too far from where we are currently. I couldn't be more proud and happy for my husband! He did it! We did it! Graduation isn't here yet, but he managed to lock in a job offer a few months ago (what a relief!).
We truly believed that after law school we would be making our way back to New York City. Oh life. Isn't she funny?
So the fun part about blogging again, and with moving is how I will be able to document this next chapter of my life. I can't wait to share with you all the not-so-fun parts of planning a big move (again) and exploring this new city we will be living in for the next couple of years (I say, couple because you just never know where the wind will blow us, right?).
Moving to a new city for a job is not only unnerving, but can be quite an overwhelming and complicated process. Making the decision to move to a new city depends on many factors, as you're not just considering one big change, but many.
The transition, no doubt, isn't going to happen overnight. But optimism, along with some great planning, are what's really going to help me make this move easier for us.
Starting from scratch in a new city means we are going to have to do some research of the areas we'd mostly likely like to live, hang, and eat. I have found that Floridians like to use TripAdvisor more compared to New Yorkers who use Yelp. Luckily, my best friend and some extended family members live in this city, so I am sure they will give us some good recommendations.
I am also fortunate to be moving only one hour away from my mom and brothers. They're already scheduling visits to Orlando. I welcome all the moral support we can get.
Have you ever relocated for a job? What steps did you take in making the change? Share your tips in the comments!
2 Comments on Next Stop: Orlando!


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text:
About CFR
Created in the wake of World War I, the Council on Foreign Relations came of age after World War II and amid the Cold War. The focus of much of CFR's activities during those four decades was major power relations and, above all, the highly competitive and dangerous relationship between the United States and the Soviet Union. Meetings, scholarship, and the pages of Foreign Affairs were often devoted to debates over how to protect and advance U.S. interests in a manner that did not lead to direct confrontation with a nuclear-armed rival.
Work on relations between and among major powers remains essential, but it is by no means sufficient. New actors, forces, and technologies are shaping international relations as never before, and American foreign policy has changed, reflecting new challenges, concerns, and priorities. One result is that CFR's agenda, too, has evolved to ensure it can fulfill its mission of remaining a resource that is relevant for its members, elected and appointed officials, the media, corporate leaders, students and teachers, and congregational and religious leaders.
Cyberspace is a prime example of a topic that barely existed a generation ago and that now occupies a large place on CFR's intellectual agenda. In some ways, the challenge posed by cyber technology is reminiscent of that presented by nuclear weapons in the 1940s and 1950s. Then, as now, a new technology had burst onto the world scene, and in both cases this technology had the potential to do considerable good or great harm. In certain ways, the policy challenges posed by cyberrelated technologies and the Internet are even greater than those posed by nuclear weapons in light of the many actors—individuals, groups, and governments—who can enter the fray. But what remains consistent is the need to create a set of rules, institutions, and policies that will encourage behaviors deemed desirable and discourage those judged not. This in a nutshell is the objective of CFR's digital and cyberspace policy program.
Global health is another subject now receiving considerable attention at CFR, and for good reason. Infectious diseases, including but hardly limited to HIV/AIDS and Ebola, are a major threat not just to individuals but to entire societies; moreover, what may begin as a local outbreak can quickly become a threat to people everywhere, given the modern transportation systems intrinsic to globalization. Devising national and international policies and mechanisms for preventing and limiting outbreaks of infectious disease is an obvious need, one reflected in the work of several senior fellows who are part of CFR's global health program.
A related issue of growing importance is noncommunicable diseases (NCDs), including diabetes, heart disease, and various forms of cancer often caused by excessive alcohol consumption, poor diet, inadequate exercise, and smoking. Such diseases receive much less attention and far less in the way of resources from governments and global agencies, but in some aspects they constitute an even greater problem for rich and poor countries alike. It was for this reason that in 2014 CFR sponsored an Independent Task Force on NCDs.
Energy and climate change make for a third set of issues that received little attention a generation ago but that now figure prominently in both the international agenda and in U.S. foreign policy. The recent transformation of the U.S. energy position along with the potential of new technologies has far-reaching ramifications for the environment and U.S. national security alike. This set of issues is at the heart of research being carried out by fellows in CFR's program on energy security and climate change. Energy and climate change are examples of issues that are not narrowly political or military or economic. In fact, such issues, including sanctions and trade, cross disciplinary boundaries. It is for this reason that the Maurice R. Greenberg Center for Geoeconomic Studies was created at CFR more than a decade ago.
What these and other issues also have in common is that they are both local and global. The United States cannot on its own meet such challenges; it needs the active support of other governments as well as regional and global institutions, nongovernmental organizations, and corporations. This is the logic that led to the creation of CFR's International Institutions and Global Governance (IIGG) program. One important element of IIGG is the Council of Councils, a network of some two dozen policy-oriented think tanks from countries in every region of the world. The group meets several times a year to consider what more countries might do to combat challenges that affect all of them. This past year, the Council of Councils issued the first of what will be annual report cards assessing the world's performance in tackling such challenges as preventing conflict between and within states, terrorism, proliferation, and migration.
The focus of the Council on Foreign Relations cannot be limited to the foreign policy of the United States or others.
Richard N. Haass, President, Council on Foreign Relations
Conflict remains central to international relations and the work of the Council on Foreign Relations. CFR's Center for Preventive Action promotes strategies to prevent, mitigate, or resolve violent conflict around the world. The center's annual Preventive Priorities Survey of experts and officials assesses likely or existing conflicts and their potential impact on the United States. Its signature product, the Global Conflict Tracker, is an interactive online guide that provides information on actual or potential conflicts, including in Libya, Syria, Iraq, and North Korea.
But the focus of the Council on Foreign Relations cannot be limited to the foreign policy of the United States or others. CFR's Civil Society, Markets, and Democracy program examines the economic, political, and social dynamics that are critical to the spread of democratic values and sustainable, inclusive development around the world. An example of the program's work is the Women and Foreign Policy program, which considers the status of women an issue tightly bound to other international priorities, including public health, security, and development.
A related point can be made about national security—namely that it, too, must transcend foreign policy. The United States' continued ability to find the human, economic, and military resources to project power abroad and to set an example other countries will want to emulate will depend in no small part on how well it does at home. Immigration policy, infrastructure modernization, quality of education, deficits and debts— all will affect American competitiveness and ability to lead. Such issues are at the heart of CFR's Renewing America initiative, now entering its fourth year.
As I trust is clear, CFR's activities and research have evolved significantly over the years in order to reflect new international realities and contribute to new domestic debates. What has not changed, however, is our commitment to serving as a resource for policymakers, the public, and our members through timely, authoritative, policy-relevant work, and we will continue to evolve as needed to ensure this resource stays of the highest value.
Richard N. Haass
2015 Annual Report Highlights
CFR is a premier destination for the most influential voices in foreign policy and international relations. Known across the country and around the world as a unique forum for informed, serious, and both on- and off-the-record exchanges, it remains the venue of choice for leaders of government, business, and academia.
This past year, beginning with the UN General Assembly in September, CFR hosted dozens of foreign officials and heads of state. The most pressing issues were addressed by those most closely affected by them: Prime Minister Arseniy Yatsenyuk of Ukraine on Russia's annexation of Crimea; President Fuad Masum of Iraq on efforts to combat the self-proclaimed Islamic State; and Foreign Minister Javad Zarif of Iran on the nuclear talks with the United States, other members of the UN Security Council, and Germany. Newly elected heads of state, including Afghan President Ashraf Ghani and Indian Prime Minister Narendra Modi, chose CFR as the platform through which to reach the U.S. foreign policy community. And leaders including Japanese Prime Minister Shinzo Abe, President of the Kurdistan Region of Iraq Masoud Barzani, Mexican President Enrique Peña Nieto, and Italian Prime Minister Matteo Renzi spoke on the issues dominating their national agendas.
Henry A. Kissinger, with President Richard N. Haass, reflects on the Cold War at a symposium to mark the twenty-fifth anniversary of the fall of the Berlin Wall.
CFR also hosted an impressive number of high-ranking U.S. officials this year, including Secretary of the Treasury Jacob J. Lew, Secretary of Homeland Security Jeh Charles Johnson, and Secretary of Energy Ernest J. Moniz. CIA Director John O. Brennan and other agency heads addressed the membership, as did a number of members of Congress. Defense officials, among them Navy Secretary Ray Mabus, Pacific Fleet Commander Harry B. Harris Jr., and all five military service chiefs (including Joseph F. Dunford Jr., chairman-elect of the Joint Chiefs of Staff) shared their views on U.S. strategy and the United States' position in the world.
As conflicts escalated in Ukraine, Syria, and Iraq, and as West Africa faced the largest Ebola outbreak in history, CFR convened meetings and teleconferences to inform members, the public, and the media. The What to Do About ... series, in which meetings take the form of National Security Council sessions with speakers acting as counselors to the president, brought panels of experts together to propose and defend solutions to some of the world's most vexing problems, including the Islamic State, Iraq, and the Israeli-Palestinian peace process. Other series provided analysis on a broad range of subjects, from influential personalities (Power Profiles) to the policy impact of innovations in technology (Emerging Technologies). The CEO Speaker series brought Michael S. Dell of Dell Inc., Ellen J. Kullman of DuPont, and James P. Gorman of Morgan Stanley to CFR. Conferences and symposia focused on topics such as humanitarian intervention and the end of the Cold War, the latter of which featured a keynote address by former Secretary of State Henry A. Kissinger.
On economics, former Federal Reserve Chairman Alan Greenspan and current Vice Chairman Stanley Fischer deliberated over trade, currency, and global trends, as did central bankers and finance ministers from Germany, Ukraine, and England. International officials, including International Monetary Fund Managing Director Christine Lagarde, World Bank President Jim Yong Kim, former Executive Chairman of the UN Monitoring, Verification, and Inspection Commission Hans Blix, and UN Undersecretary-General for Humanitarian Affairs Valerie Amos, offered their perspectives on issues of global governance.
The National Program provides multiple avenues for members who live outside of New York and Washington to connect with CFR and its resources. More than one hundred National meetings were convened this year in more than a dozen cities. The program also organized a monthly Conference Call series on subjects ranging from corruption in Mexico to the shift in U.S.-Cuba relations, and it offered virtual access to nearly 130 events in New York and Washington. Trips to Atlanta and the San Francisco Bay Area introduced National members to Centers for Disease Control and Prevention Director Thomas Frieden, former Secretary of State George P. Shultz, San Francisco Mayor Ed Lee, and executives at Google, Salesforce, Uber, and Palantir Technologies.
Turkish President Recep Tayyip Erdoğan explains his plan to combat the self-proclaimed Islamic State and outlines the Turkish approach to regional security.
The twentieth annual National Conference featured two and a half days of meetings and events in New York. The conference opened with an address by U.S. Secretary of Health and Human Services Sylvia Mathews Burwell and offered sessions on climate change, the geoeconomics of oil and gas, and efforts to counter violent extremism. U.S. Trade Representative Michael Froman participated in a dinner conversation with CFR President Richard Haass that assessed the U.S. trade agenda. Jami Miscik, former deputy director for intelligence at the CIA, led a special session of the What to Do About … series on North Korea, featuring Burwell B. Bell III, former commander of U.S. forces in the Republic of Korea, and Christopher R. Hill, former ambassador to the Republic of Korea and head of the U.S. delegation to the Six Party Talks on the North Korean nuclear issue. Tom Brokaw moderated a discussion between Assistant Secretary of State Anne C. Richard and International Rescue Committee CEO David Miliband on the humanitarian challenges presented by displaced people and refugees. Former Undersecretary of State R. Nicholas Burns led an overview of the foreign policy challenges facing the United States that featured Representative of the United States to the African Union Reuben E. Brigety II, former Assistant Secretary of Defense Mary Beth Long, and former NATO Supreme Allied Commander James G. Stavridis.
CFR's more than 160 Corporate member companies represent a broad range of industries and are a vital source of insight and support. This year, CFR welcomed thirteen new member companies: the Abraaj Group; Colliers International; DNB Bank ASA; Fitch Ratings; Fluor Corporation; Generali; Glenview Capital Management; KPMG LLP; Newmont Mining Corporation; Noble Energy, Inc.; Thomson Reuters; United Technologies Corporation; and Wells Fargo. In addition, Morgan Stanley and Shell Oil Company upgraded to the top corporate membership tier (Founders), while Zurich upgraded its membership to the President's Circle level.
The program's Senior Executives Breakfast series brought business leaders together for informal policy discussions. Meetings in New York and Washington featured Senior Fellows Adam Segal and Robert K. Knake on cybersecurity, Elizabeth C. Economy on China, Sebastian Mallaby on the global economy, Alyssa Ayres on the U.S.-India relationship, Steven A. Cook and Ray Takeyh on developments in the Middle East, and James M. Lindsay on U.S. politics and foreign policy.
This year's Corporate Conference opened with a conversation between Turkish Prime Minister Ahmet Davutoğlu and CFR President Richard Haass and included plenary sessions on the global economy with former Treasury Secretary and CFR Co-Chairman Robert E. Rubin and former International Monetary Fund Chief Economist Kenneth Rogoff; geopolitical risk with Richard Haass and CNN's Fareed Zakaria; and emerging technologies and cyber governance with CFR Senior Fellow Adam Segal and Craig Mundie, former head of research at Microsoft.
David Rockefeller Studies Program
CFR's scholars published more than sixty papers, reports, and essays on subjects ranging from economics and security to public health and climate change. They also authored four new books. On the complex politics of East Asia, Senior Fellow Sheila A. Smith's Intimate Rivals: Japanese Domestic Politics and a Rising China explored the effect of Japan's internal political dynamics on its relationship with China. The Japan–South Korea Identity Clash: East Asian Security and the United States, by Senior Fellow Scott A. Snyder and Brad Glosserman, executive director of the Pacific Forum at the Center for Strategic and International Studies, looked at the ways that national identity has complicated relations between Japan and South Korea. On energy and economics, Adjunct Fellow Blake Clayton's Market Madness: A Century of Oil Panics, Crises, and Crashes debunked the conventional wisdom on shrinking oil supplies. And Ashley's War: The Untold Story of a Team of Women Soldiers on the Special Ops Battlefield, by Senior Fellow Gayle Tzemach Lemmon, told the story of a team of female soldiers serving alongside special operations forces in Afghanistan. In a first for CFR, the book rights for Ashley's War have been optioned for a feature film. In addition, Senior Fellow Laurie Garrett released an ebook, Ebola: Story of an Outbreak, which recounts the 1995 Ebola outbreak in Zaire.
Experts devoted considerable attention to conflicts around the world. In December, the Center for Preventive Action released its annual Preventive Priorities Survey and an accompanying online interactive, the Global Conflict Tracker. The survey aims to help policymakers assess competing priorities in conflict prevention. In his report "Defeating ISIS," Senior Fellow Max Boot urged the United States to intensify air strikes in Syria and Iraq while fostering partnerships with local and regional powers. Senior Fellow John Campbell, former U.S. ambassador to Nigeria, authored U.S. Policy to Counter Nigeria's Boko Haram, in which he advocated cooperating with the Nigerian government to root out sources of extremist support and promote human rights across the country. Also focusing on the country is the Africa program's Nigeria Security Tracker, which maps violence perpetrated by a number of groups, including Boko Haram. Two reports focused on strategies to curb regional unrest: "Political Instability in Zimbabwe," by George F. Ward, coordinator of the Africa program at the Institute for Defense Analyses, proposed ways for the United States to foster stability in a post-Mugabe Zimbabwe; and "Political Crisis in Venezuela," by Patrick Duddy, director of Duke University's Center for Latin American and Caribbean Studies, was updated to reflect rising dysfunction and public frustration in Venezuela.
Valerie Amos, UN undersecretary-general and emergency relief coordinator, shares her perspective on today's most pressing humanitarian challenges at the Sorensen Distinguished Lecture on the United Nations.
Amid plans to rebalance U.S. foreign policy toward Asia, a number of CFR experts focused on Washington's strategy in the region. "Breaking the Stalemate in U.S.-ROK Nuclear Cooperation Negotiations," by Senior Fellow Scott Snyder, recommended a path to resolve the damaging impasse that has arisen between the two countries on whether South Korea can enrich and reprocess nuclear fuel from the United States. Japan's New Politics and the U.S.-Japan Alliance, a report by Senior Fellow Sheila Smith, detailed how more-competitive elections are affecting Japan's relationship with the United States. "Conflict in the South China Sea," a report by Bonnie S. Glaser, senior advisor for Asia at the Center for Strategic and International Studies, offered suggestions to lower the risk of conflict, particularly military incidents between U.S. and Chinese armed forces. And Revising U.S. Grand Strategy Toward China, a report by Senior Fellow Robert D. Blackwill and Ashley J. Tellis, senior associate at the Carnegie Endowment for International Peace, forecasts decades of intensifying competition between Washington and Beijing and recommends that the United States de-emphasize efforts to integrate China into regional and global arrangements and instead focus on limiting its influence.
On economic questions, the timely report "A Paris Club for Europe," by Senior Fellow Robert Kahn, encouraged the development of a functional, rules-based approach to European debt relief. In response to fluctuating energy markets, Senior Fellows Michael A. Levi and Shannon K. O'Neil authored a working paper, "Spillovers From Falling Oil Prices: Risks to Mexico and the United States," with Alexandra Mahler-Haug, a research analyst at NewWorld Capital Group, LLC, that highlighted Mexico's vulnerability to weak energy markets and the effect that has on the United States. In "Rare Earth Elements and National Security," Eugene Gholz, an associate professor at the University of Texas at Austin, analyzed China's presence in the rare earth markets in the context of the economic and national security of the United States. The think tank also debuted a new interactive that constitutes the first effort to build a complete database of the world's central bank currency swap arrangements—little understood cross-border tools of financial crisis management.
Through CFR's Renewing America initiative, experts also continued their examination of the domestic issues underlying U.S. power abroad. Among the initiative's other work, "A Bipartisan Work Plan: Helping America to Work," a report by Adjunct Senior Fellow Matthew J. Slaughter and former World Bank President Robert B. Zoellick, advocated a jobs policy overhaul to support innovation and adaptation in a changing economy. This year also saw the release of two Renewing America Scorecards assessing the government's performance on specific issues: "No Helping Hand: Federal Worker-Retraining Policy" and "Quality Control: Federal Regulation Policy."
The think tank welcomed eleven new fellows this year—scholars and practitioners with diverse backgrounds and a range of experience: Willem H. Buiter, chief economist at Citigroup, to work on macroeconomics and globalization; David P. Fidler, professor of law and senior fellow at the Center for Applied Cybersecurity Research at Indiana University, to examine how international law applies to cyberspace; Philip Gordon, former assistant secretary of state for European and Eurasian affairs and White House coordinator for the Middle East, to write on the Middle East and Europe; Bernard Gwertzman, former editor in chief of the New York Times online, to write a memoir; Jennifer M. Harris, former member of the secretary of state's policy planning staff, to assess the use of economic statecraft for geopolitical ends; Miles Kahler, a former fellow who returns to the Studies Program to focus on issues of global governance; Robert Knake, former director for cybersecurity policy at the National Security Council, to work on innovations in cybersecurity; Farah Pandith, former special representative to Muslim communities for the State Department, to explore strategies to counter violent extremism; Senator John D. Rockefeller IV, former chairman of the Senate Select Committee on Intelligence, to work on Japan, East Asia, and cybersecurity; Kenneth Rogoff, former chief economist at the International Monetary Fund, to work on international economics; and Varun Sivaram, former senior associate at McKinsey & Company, to study the impact of transformative energy technologies on the global economy and geopolitics.
In 2012, CFR launched the Council of Councils (CoC), an international network of think tanks and research institutions that encourages conversation and consensus building among thought leaders from around the world. Composed of more than two dozen policy institutes mostly representing G20 countries, the CoC focuses on global governance. Coinciding with the group's annual U.S. meeting, held this year at CFR's office in Washington, the CoC released its inaugural Report Card on International Cooperation. The Report Card, derived from a survey of experts from CoC member institutions, evaluates progress in ten critical areas, ranging from preventing war within and between countries to promoting global cooperation on climate change, health, and cyberspace.
The Independent Task Force Program convenes experts from across the political spectrum to provide findings and policy recommendations intended to influence policymakers and shape public dialogue on every subject as well as on issues where consensus has been elusive.
The Independent Task Force on Noncommunicable Diseases (NCDs), chaired by former Indiana Governor Mitchell E. Daniels Jr. and former National Security Advisor Thomas E. Donilon and directed by Senior Fellow Thomas J. Bollyky, was the first convened by CFR to examine a global health issue. The group's final report, The Emerging Global Health Crisis: Noncommunicable Diseases in Low- and Middle-Income Countries, analyzed NCDs as a threat to national security and international economic development. The Independent Task Force on North America, chaired by General David H. Petraeus and former World Bank President Robert Zoellick and directed by Senior Fellow Shannon O'Neil, issued its report, North America: Time for a New Focus, which offered recommendations to enhance the continent's competitiveness by deepening ties among the United States, Mexico, and Canada. A new Task Force, launched this spring and chaired by former Harvard Kennedy School Dean Joseph R. Nye Jr. and Warburg Pincus CEO Charles Kaye and directed by Senior Fellow Alyssa Ayres, will examine India's foreign and domestic policies as well as U.S.-India relations.
The Academic Outreach Initiative connects students with CFR research and programming and provides professors with teaching tools to facilitate a deeper understanding of international issues in their classrooms. Resources, including classroom guides and the monthly Academic Bulletin newsletter, help teachers and professors introduce complex policy topics to their students, while dedicated events and in-depth briefings provide a forum for the academic community to interact with CFR experts. This year, through the Academic Conference Call series, CFR fellows briefed professors and students on issues ranging from Ebola to U.S.-China relations. More than three hundred students and professors attended the initiative's annual Back-to-School Event for a screening of CFR.org's InfoGuide "The Sunni-Shia Divide" and a panel discussion on the Middle East featuring NPR International Correspondent Deborah Amos and Dean of Johns Hopkins University's Paul H. Nitze School of Advanced International Studies Vali Nasr.
Education is an increasing priority for CFR, and this year the organization formed a dedicated Education department.
Now in its fourth year, the annual College and University Educators Workshop brought more than one hundred professors from three countries and thirty-one states, including representatives from public, private, and community colleges, to CFR for conversations on pressing international concerns with experts and policymakers. The High School Educators Workshop, designed for high school teachers from the Northeast, featured discussions on global issues and teaching methods. In the annual meeting of the Higher Education Working Group, college and university presidents and foundation representatives shared their perspectives on challenges facing higher education in a rapidly changing world. The group's most recent gathering featured sessions led by University of California President Janet Napolitano and former Yale University President Rick Levin.
Education is an increasing priority for CFR, and this year the organization formed a dedicated Education department to focus on developing original content and products for university and high school students and their instructors to help prepare the next generation of citizens for the challenges of a complex world. The curriculum will focus on issues central to international relations and U.S. foreign policy as well as on building skills such as critical thinking and effective speaking and writing.
Washington Outreach
CFR is a rare source of nonpartisan analysis for members of Congress and government officials. CFR experts have been called to testify thirteen times before the 114th Congress since its inauguration in January. The Congress and U.S. Foreign Policy Program arranged meetings with CFR fellows and more than one hundred congressional offices. It also conducted regular meetings for officials from the State Department, the National Security Council, and the Defense Department and held quarterly briefings for members of the intelligence community, while the Diplomatic Program convened meetings with the ambassadors from Belgium, the European Union, Germany, Japan, Mexico, and Nigeria. The biennial Congressional Staff Conference, which attracts hundreds of participants, featured CFR members and fellows who led sessions on the Islamic State, Ukraine, fiscal policy, and trade.
More than 120 participants, ranging from policymakers to congregational leaders, attended the Religion and Foreign Policy Workshop.
Religion and Foreign Policy Initiative
The Religion and Foreign Policy Initiative connects communities of faith with CFR work and serves as a forum for cross-denominational discussion of international issues. Programming highlights this year included a small roundtable with Bechara Boutros al-Rahi, the patriarch of Lebanon, that focused on the future of Christians in the Middle East; meetings on repression in North Korea, discrimination in Uganda, and the role of social media in conflict resolution; and conference calls on subjects ranging from U.S. immigration policy to the intersection of free speech and religious freedom. In May, the ninth annual Religion and Foreign Policy Workshop gathered representatives from thirty faiths at CFR's New York headquarters for two days of discussion on topics including climate change and the role of religion in peace-building.
CFR Online
In the span of several years, CFR.org has grown into a core component of the organization's efforts to educate the public on international issues. This year, as major developments unfolded abroad, CFR.org's editorial team provided breaking analysis on the Ebola epidemic, Hong Kong's protests, nuclear talks with Iran, violence in the Middle East, U.S.-Cuba relations, and the crisis in Ukraine. Most recently, CFR.org hosted essays, interviews, and an interactive timeline and guide on the Greek financial crisis.
The website is also home to dozens of videos and interactives, including the three latest installments of the award-winning InfoGuide Series. "The Sunni-Shia Divide," "The Time of the Kurds," and "The Taliban" all combine accessible reporting with compelling multimedia elements. The website hosts a library of nearly one hundred Backgrounders on issues ranging from U.S. trade policy to Europe's migration crisis. With the recent addition of Net Politics, which tracks digital policy and cyber security issues, CFR.org is now home to sixteen expert blogs. CFR's overall online presence has grown significantly: on each of it's main social media channels—Twitter, Facebook, and YouTube—the organization's following has more than doubled over the past year.
Full PDF of Annual Report (2.2 MB)
2014-2015 Donor Listing


Our Pigloo is a wonderfully versatile guinea pig accessory that no piggy or piggy parent should be without.
Pigloos are a great place for your piggies to snuggle and snooze whilst feeling safe, warm and comfortable. Alternatively, it's also a safe and effective way of lifting your piggy out of their house or to use during lap time, it's especially useful for nervous or anxious piggies.
Each pigloo is handmade in the UK using quality fabrics. Pigloos are made using a durable cotton outer, a layer of wadding and a hard wearing fleece inner. Concealed boning is used around the entrance of the pigloo to ensure that it remains open during use. Please note that slight variations in fabric colour and pattern may occur depending on stock.
Pigloos measure approximately 16" long x 13" wide and are available in blue/white and brown/pink colour ways. Our pigloos are generous in size and can accommodate one large piggy (or one who doesn't like to share!) or two average size piggies.
Full care and washing instructions are included with each pigloo.


New Delhi: India's growth is set to pick up and is expected to grow at 7.2 percent in the current fiscal on strengthening consumption, Asian Development Bank said in its flagship report released Wednesday.
"Growth slowed from 7.2 percent in fiscal 2017 to 7 percent in 2018, with weaker agricultural output and consumption growth curtailed by higher global oil prices and lower government expenditure," according to the Asian Development Outlook (ADO) 2019.
It is expected to rebound to 7.2 percent in 2019 and 7.3 percent in 2020 as policy rates are cut and farmers receive income support, bolstering domestic demand, the report stated adding that sub-region wise, southeast Asia will sustain growth at close to 5 percent this year and the next.


Winshuttle Composer to be demoed at SAPPHIRE® NOW and ASUG Annual Conference.
Bothell, WA – June 3, 2014 – Winshuttle today announced Winshuttle Composer, the company's new browser-based product to accelerate ERP business process innovation. Winshuttle Composer combines deep ERP integration with rapid development and deployment for a web-based forms and workflow solution that gives non-developers the power to automate key ERP-centric processes including master data governance, finance operations, supply chain management, sales & distribution, and human capital management. The Composer product will be previewed in the Winshuttle booth (#239) during the SAPPHIRE NOW and ASUG Annual Conference, June 3-5, 2014 in Orlando, FL.
Responsive Design: Any form built with Composer can be rendered on multiple devices including smartphones, tablets and desktops, without requiring modification.
Cross-Browser Support: Composer forms can be authored and rendered in all modern web browsers, including Internet Explorer, Safari, Chrome, Opera and Firefox.
Single Authoring Environment: Authors use a single, integrated design environment to create the entire solution, including UI, workflow, validation rules, and data connectivity.
HTML5 forms with responsive design and cross-browser compatibility to support mobile, tablet and desktop environments.
Winshuttle Composer will be generally available in Q3 2014.


The Chapter is from Lisbon, Portugal, and was formed in February 2004 by Gonçalo Carvalho, João Gomes, and Pedro Antunes. Later that same year, Pedro Almeida and Vasco Macau joined the band. In 2006 the band released their first studio work entitled "Into the abyss". Due to personal and professional reasons the project was on standby between 2008 and 2015.
In 2015 Pedro Antunes talked the guys into getting back playing together. The band began to compose their first album, starting the recording sessions in 2016. By this time Pedro Rodrigues and Eurico Mealha were already part of the band. On 30 October of 2017, and with no label, the band released their first album, entitled "Angels and Demons".
The Chapter's sound is a blend of several styles. From Doom to Death Metal with some influences of goth, mixing them together to create a sound of their own. As influences, The Chapter has cited: Moonspell, Opeth, Dark Tranquility, Paradise Lost, Orphaned Land, Katatonia among others.


EVENTS/TICKETS | Yankton Rodeo Association Inc.
The 2018 Extreme Bull Riding Tour will be at Yankton Rodeo Arenas' new location off Old HWY-50 behind the Chamber of Commerce on Auguast 18th.
The Extreme Bull Riding Tour is one of the most respected and award winning tours in the Midwest. Winning 28 Gold Buckles. The Bulls in the "Attack Pack" have won 31 Gold Buckles including 6 Times Bull of the Year, 4 Times Bull of the Finals and 21 go round winners at the Finals and The Prestigious PBR World Finals. Double S Bulls continue to produce Rank Bulls and exciting Gold Buckle Family Entertainment.


Summary: It is crucial for any company that manufactures or works with potent drug substances to have a rigorous and carefully designed plan as to how to handle the compounds safely. Choosing a partner to manufacture potent or highly potent materials requires more consideration than a normal CMO partnership. Karolina Narczykiewicz, Operations EHS Manager, Catalent, outlines the main requirements to look for in a CMO partner.


The concluding chapter summarizes the theoretical approach of the book and provides a stylized overview of the results from the international comparison and the 13 single country studies. It highlights that the major pension system and labor market reforms throughout the last 15 years in Europe, Japan, and the USA have been effective in meeting their goal of delaying retirement. However, it seems as if not all older workers are benefiting from this trend. Vulnerable labor market groups such as the low-skilled, unemployed, long-term sick, and migrants are struggling to meet the requirements of the new active aging policy. Policymakers, trade unions, and employers must recognize the inequalities that the credo of extended working life might cause and keep them in mind when planning new reforms of the welfare state or changes to workplace settings.


text:
Dash Snow (eigentlich Dashiell A. Snow; * 27. Juli 1981 in New York City; † 13. Juli 2009 ebenda) war ein US-amerikanischer Künstler, bekannt für seine Fotografie, Collagen und skulpturalen Installationen.

Leben
Dash Snow war der Sohn von Taya Thurman (einer Halbschwester von Uma Thurman) und deren früheren Ehemann Chris Snow. Als Urenkel  von Dominique de Ménil und John de Ménil stammte er aus einer berühmten amerikanischen Mäzenaten-Dynastie, von der er sich früh abwandte. Er lebte bereits als Jugendlicher auf der Straße.

Wirken
Die im New Yorker Untergrund entstandenen Polaroid-Aufnahmen gelten neben seinem Wirken in der Graffiti-Szene als Beginn seiner Künstlerkarriere. Die sehr spontan wirkenden Aufnahmen zeigen vornehmlich Jugendliche beim Sex, Drogenkonsum oder als Teilnehmer lustvoll inszenierter Gewaltorgien im öffentlichen Raum. Als wichtige Figur der Bowery School aus der New Yorker Lower East Side begann er 2005 seine Fotografien zu verkaufen. Bereits im April 2006 führte das Wall Street Journal sein Werk in einer Liste für vielversprechende Investments im Kunstmarkt. Außerhalb der Vereinigten Staaten stellte er vor allem in Berlin aus.

Tod
Dash starb an einer Überdosis Heroin im Lafayette House, einem Hotel in Manhattan. Durch seinen Tod im Alter von 27 Jahren wird er manchmal auch zum Klub 27 gezählt.

Weblinks

 Dash Snow-Ausstellungen bei Peres Projects
 [ Dash Snow bei Contemporary Fine Arts]

 Dash Snow im Stammbaum-Wiki

Einzelnachweise

Fotograf (21. Jahrhundert)
Fotograf (New York City)
US-Amerikaner
Geboren 1981
Gestorben 2009
Mann

redpajama_set_name: RedPajamaWikipedia


Aren't we all sick of feeling powerless in front of the TV while our representatives and media act like all is well with this country?
Well, come and get your POWER on! We Milwaukee Impeachers have made a REAL difference in changing the political landscape and our Steering Committee has put together an ACTION PACKED meeting this Monday. We heard your ideas from the last meeting and are now ready to shake off the winter (and Bush/Cheney) blues!
We need the unique energies YOU can bring. There is nothing more rewarding than being a FORCE for GOOD – especially when it's good for the country WE all live in!
Church or organization meetings. Do you belong to a professional organization that would support impeachment?
College outreach: Get students active here and in their home districts.
One of the biggest helps is to get us new venues to announce our activities, such as your email list and organizational web sites, etc.
Tell Congressman James SENSENBRENNER what you feel about impeachment at the Shorewood Village Hall February 2nd at 1:00 pm.
FINALLY, here are some letters to the editor. Kristin's (below) was just sent today. The two below that were in last Saturday's paper (including one from a naysayer).
I was very moved by Tammy Baldwin's courageous editorial of January 19th explaining why it is her duty to uphold the Constitution by calling for articles of impeachment. She truly understands that this is not a partisan issue — in fact, the situation is so dire that Republican Bruce Fein who served in President Reagan's Justice Department is pleading for it too.
Among the charges to be investigated (and impeachment is simply investigation, not conviction) are instituting torture and rendition, unlawful no-bid contracts to political friends, illegal spying on citizens, suspending habeas corpus, politically motivated prosecutions, manipulating intelligence, openly threatening aggression against Iran, and ignoring subpoenas and obstructing justice.
Do we accept these practices from our elected leaders? Do we wish these "powers" to continue with the next administration? Dennis Kucinich said to Congress, "If impeachment is off the table, truth is off the table. If truth is off the table then this body is living a lie." Nixon's impeachment only took 3 months. It is the right thing to do and that is all that matters. Urge those on the Judiciary Committee to do their duty, as our own Tammy Baldwin and Gwen Moore have done.
Baldwin gets it. The cumulative effect of ever-increasing executive power should be a major concern for citizens of all political persuasions. Had President Reagan been impeached for the Iran-Contra fiasco more than 20 years ago, the current administration probably would not have dared to attack Iraq. The Founding Fathers made references to impeachment several times in the Constitution to protect us from an overreaching executive, especially in war.
Although impeachment should not be sought for political reasons, it should be pursued vigorously in light of evidence that shows that an administration has caused great harm to the country.
Unfortunately, most members of Congress still don't get it. It will take nothing short of outrage directed at our representatives to get them to act on our behalf to preserve our and future generations' constitutional rights.
THANKS FOR CARING ABOUT OUR DEMOCRACY AND WE'LL SEE YOU THIS MONDAY!


September 3, 2013 Fedora Uncategorized Comments Off on Nauticon Panel Ahoy!
Nauticon is almost upon us *GASP!* We got this communication this morning from barfleet command. For those sentient folks that don't know what or think we are just a bunch of alcoholics *snicker* we will be having a panel at Nauticon to dispel those scandalous misconceptions and learn more about what we do and why. If you really like us you can learn how you can help.
Ever wonder how the Barfleet came together to help nerds have a good time and stay safe?… Well wonder no more! Want to meet a Commodore and Captain all in one place? Come to our panel, find out the unique mission of the United Barfleet Ship Shameless, learn how they work together to keep people safe while having a good time at pop culture conventions and how you can support them!
On a serious note: The members of the UBS Shameless and the Barfleet as a whole are nerds and pop culture fans, just like the people that attend our party and events. We feel it's our duty as fans and human beings to provide an atmosphere of fun that is safe for all involved. We put a lot of hard work in what we do and many of us take significant time off from there personal life to do it. When your at one of our parties it may look like drunken chaos, but rest assured that there is a large crew of people there to make sure you have a good time and stay safe.


Today in my post - I am contemplating military life. Yesterday my husbands bff came over here to Korea to start his year long tour without his family. His wife, also active duty is pregnant with their 2nd child and he has to be away the entire pregnancy. This breaks my heart. I know what they are going through, and I know how much he misses his family. So while trolling the internet, I came across this post - and I felt I had to re-post here. The list is so relevant. As the "war" rolls into it's 8th year, it seems that the sacrifices of the military family become less and less appreciated and even noticed by those on the outside of the military community.
Every day a military family struggles with a deployment. Every day a mom, and a dad sit in the sand box, or in locations that might not seem to some as important - like Saudi or Korean, but they are still separated from their family waiting and wanting to come home. This is not a pity post - We do it because we STRONGLY believe in what we are doing. My husband and his friend, they are lifers, in for over 15 years. This is not their first separation and it will most likely not be the last, but while they are apart there are so many things that you and others can do for them. Offer to mow the grass, watch the kids so that the parent at home has a quite evening. Bring over a cooked dinner. Do these things in the middle of the deployment, not the beginning or just at the end. So many others say they will help and then never follow through. If you really want to help, call your local Army National Guard or Air Guard or Marine Detachment and tell them you want to help out the families and ask to speak to the FRG or the Key Spouse. These are the ladies that are in charge of the families while the unit id deployed. Ask them what you or your church group can do to help - simple things like mowing the lawn. This will make the guys (and gals) over there fell so much better about their families at home - they will know that they are being taken care of.
If you want to say anything, say thank you.


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Home » Vaping » Medical marijuana may be key to treating COVID – VAPES
Medical marijuana may be key to treating COVID – VAPES
The COVID-19 pandemic is not showing signs of slowing down in the near future, and the vaccines are still several months away from being readily available on the public. Furthermore, many people – especially in the United States – seem to be under the mistaken impression of what precisely vaccines are.
Vaccines are preventative measures. They are not a cure.
With so many healthcare professionals anxious to find some miracle pharmaceutical drug that can rid the body of the deadly virus, many scientists are looking towards more holistic alternatives found in nature. Health Europa is now suggesting that medicinal marijuana may hold the key to an effective treatment for managing COVID symptoms, if not an ultimate cure.
What does COVID-19 do to the body?
The coronavirus has a rather unusual surface that contains lots of little spikes that attach themselves to ACE2 receptors in the respiratory system. If the virus happens to drill its way inside these ACE2 receptors, the virus can seize control of the healthy cell and eventually kill it.
COVID-19 typically invades the body by way of the nose, throat, or mouth before working its way down the esophagus and into the lungs. Unfortunately, the deeper the virus travels, the greater the number of ACE2 receptors. And with more receptors comes an exponentially greater risk that the virus has more opportunities to breed and multiply.
Related Article: Scientists now researching how CBD can help autism patients
This diabolical capability is what makes COVID-19 so potentially deadly. As the virus multiplies faster and faster after entering into the deep recesses of the lungs, a patient's ability to breath becomes increasingly and steadily more laborious.
For about 80 percent of people who contract the virus, the symptoms will be mild – usually involving a slight cough and perhaps a fever. For the other 20 percent, the infection can become lethal if it is not caught early and treated properly. In some of the most severe coronavirus cases, the symptoms begin to appear within five to seven days after infection only to increase dramatically a few days later into full-blown acute respiratory distress syndrome (ARDS).
How might cannabis help COVID patients?
CBD oils, otherwise known as cannabidiol, contains cannabinoids which are essential in regulating pain and inflammation. The human body produces many of these cannabinoids naturally, such as endocannabinoids and phyto-cannabinoids. The cannabinoid found in cannabis – THC or delta-9-tetrahydrocannabinol – is also considered to be an excellent anti-inflammatory and pain management treatment.
When the COVID virus attacks the respiratory system, the body's ability to produce these essential cannabinoids can become severely hampered. Scientists in Europe are now theorizing that the cannabinoid of THC in marijuana can act as a sort of replacement therapy while simultaneously reducing the lung inflammation symptoms of the virus. In theory, cannabis-based oils might improve the patient's ability to breathe easier by reducing its capacity to replicate.
Related Article: Research shows arthritis suffers turning to vaping CBD, cannabis for pain relief
Several marijuana-related COVID studies are occurring around the world, but scientists' inability to quickly obtain government approval for testing is often slowing their progress. In Australia, for example, there are strict regulations regarding research involving THC. Aussie scientists are currently relegated to only using CBD oils instead, but Australian CBD does not contain the much-desired cannabinoid THC and is still considered a Schedule 9 drug despite having no psychoactive properties.
In the United States where the government restrictions are less severe, researchers at the University of South Carolina are following a similar experimental path. In a recent study published in June 2020 in the medical journal Frontiers of Pharmacology, the co-authors have determined that THC therapies help prevent the onset of ARDS in mice by substantially increasing the production of healthy lung bacteria essential to combating the coronavirus.
"It's like a car where you're putting on a lot of accelerator, but the brakes aren't working," co-author of the study Prakash Nagarkatti told The State. "Basically what's going to happen is your car is going to crash because you can't stop it. And that's basically what's happening with ARDS." After conducting dozens of experiments using medical marijuana, "100% of the mice given THC survived," said Nagarkatti.
While the final analysis involving medical cannabis as a possible treatment for COVID may take several months or even years, the knowledge could be essentially in fighting future outbreaks of new respiratory viruses in the future. And since COVID-19 is only the 2019 version of this strange virus (the 19 in COVID-19 stands for 2019), the likelihood of another strain coming down the pike at some3 point in the future is almost certain.
Related Article: Is there a difference between vaping isolate and full spectrum CBD?
(Image courtesy of Shutterstock)
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Contest recognises a positive side to youth
Published: 12:31 PM June 22, 2006
A CONTEST aimed at showing the positive side of young people has been widened. This year organiser Tony Gearing will be running separate contests in both North Herts and East Herts. Mr Gearing said: Everywhere you look nowadays young people are being con
A CONTEST aimed at showing the positive side of young people has been widened.
This year organiser Tony Gearing will be running separate contests in both North Herts and East Herts.
Mr Gearing said: "Everywhere you look nowadays young people are being condemned. It's almost as though every one of them is a binge-drinking, drug-taking violent hoody."
But the description was proved wrong last year when Mr Gearing ran the Royston Young Person of the Year contest.
Then a dozen or so youngsters proved that they were playing a vital role in the community - and Mr Gearing hopes that this year, too, he will be able to demonstrate the positive side of young people.
He has widened the contest to include one for North Herts and one for East Herts.
Mr Gearing said that young people who are playing a positive role seem to "live in the shadow of the well-publicised anti-social minority."
In North Herts, Royston-based property company St John Spencer Estates and Developments will be the leading sponsor along with Johnson Matthey, accountants Hardcastle Burton, of Royston, and Altro of Letchworth.
The giant company GlaxoSmithKline and BAA Stansted will sponsor the contest in East Herts.
Cllr Clare Short, chairman of North Herts District Council, described the contest as a "brilliant initiative".
She said: "Too often you only hear negatives about what young people are up to. This contest does the opposite and recognises the positive contribution of young people."
The district council, too, is playing a role in sponsoring the contest in North Herts.
Cllr Allen Burton, chairman of East Herts District Council, said: "This contest is a valuable opportunity to highlight the contribution of young people."
Oliver Heald, the MP for North East Herts, said: "The contest provides communities with a good opportunity to applaud the efforts of some remarkable young people in our midst."
The contests are open to young people aged from 10 to 25 years who live, work or study in the area.
The winner of the senior category will receive £1,000 - £500 for themselves and £500 for a supporting organisation.
The junior prize will be £500 and there will be two runners-up prizes of £250, all shared equally with not-for-profit organisations that work with young people.
To enter or make a nomination, visit the website at www.yopey.org or write to Young Person of the Year Award, PO Box 103, Hare Street, Ware SG9 0XD.


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Thomas and Skhumba: What should happen to those who refuse to vaccinate?
Image: RF._.studio from Pexels
Business for South Africa (B4SA) has called on our government to quickly restrict access to public indoor areas such as supermarkets and specific services to vaccinated South Africans.
B4SA is an alliance of South African volunteers working with the South African government, other social partners, and various stakeholders to mobilise business resources and capacity to combat the Covid-19 pandemic.
In its current form, B4SA is focused on supporting the government-led national vaccine programme with an ultimate objective of reducing, and untimely removing, the impact of the pandemic and returning to a fully functional economy.
The call to the government comes after the World Health Organization discovered a new Covid-19 variant named Omicron.
"We need to rapidly move to a situation where only vaccinated individuals should be allowed to travel in buses, taxis, and airplanes, or to eat and drink in indoor establishments such as restaurants and taverns," chair of B4SA Martin Kingston was quoted by news24.
In today's Morning Show, Thomas and Skhumba asked Kaya 959 listeners to share their thoughts on what Business for South Africa proposed. Should SA ban unvaccinated individuals from certain public places/facilities?
A listener shared, "I don't think anyone should be forced; it should be a personal decision."
Another listener said that banning people from public places is a form of discrimination. "I don't think they should be banned from public places because that is just discrimination," he expressed.
From the voice notes received, a Kaya listener said that everyone should be allowed to decide whether they should get vaccinated.
"People are allowed to vaccinate, but I don't have a problem with those who don't want to get vaccinated."
Read Also: Mandatory vaccines: President Ramaphosa sets up task team
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The idea was to do something for self-love on Valentines.There was no guidance other than the title so we could do anything from GRWM to Look Books to Show and Tells.This is my take on it a different kind of look for Valentine's day.
As for the rest of the lovely ladies, you can find them at the links below. Of I've missed you, just let me know and I'll add you to the list.
PS. Did you know today is Self-Love day?


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