Obesity risk stands out in study of California’s sickest H1N1 patients

first_imgNov 3, 2009 (CIDRAP News) – A study of California’s most severely ill patients during the first 16 weeks of the novel H1N1 pandemic is in line with other recent studies that have shown two unique features of the virus—that it hits young people hard and that obesity appears to be a risk factor.The authors from the California Pandemic (H1N1) Working Group compiled their report on the basis of enhanced surveillance by the California Department of Public Health and 61 local health departments between Apr 23 and Aug 11. Their findings appear today in the Journal of the American Medical Association (JAMA).During that period, California had reports of 1,088 cases of hospitalization or death from pandemic H1N1 flu. The median age was 27, which is similar to the median in other recent studies of severe patients from the US Centers for Disease Control and Prevention (CDC), Mexico, Canada’s Manitoba province, Australia, and New Zealand.Infectious disease experts have pointed out several times that the pandemic virus’s predilection for younger patients sets it apart from seasonal influenza, in which the severest cases are seen in children under age 5 and adults over age 65. For example, in the CDC’s recent study the median age of severely ill patients was 21, and in the Canadian and Mexican studies the median ages were 32 and 44, respectively.The report from California says that 68% of severely ill pandemic H1N1 flu patients had underlying medical conditions that put them at higher risk. For comparison, 81% of the patients in the CDC study had an underlying condition, as did 51% of those in the Canadian study.Obesity as risk factorOver the summer, obesity emerged as a possible risk factor for serious pandemic flu illness, a pattern not seen with seasonal flu. Public health officials aren’t sure why, but some have said that obese patients tend to have other underlying conditions and that carrying extra weight may contribute to breathing compromise.In the California survey, of adults for whom body mass index (BMI) data were available, more than half were obese and about one fourth were morbidly obese. The authors wrote that about 4% of adults in the United States morbidly obese.The most common causes of death in the California patients were viral pneumonia and acute respiratory distress syndrome. Only 4% of patients had secondary bacterial infections—a finding similar to other recent studies and one that also seems to distinguish the pandemic H1N1 clinical picture different from that of seasonal flu. Bacterial pneumonia was seen in 24% of Manitoba’s severely ill flu patients. Few bacterial co-infections were found in the CDC study, but not all of the patients were tested for these infections, and most patients were on antibiotics, which could have reduced test sensitivity.The California investigators also found that though gastrointestinal symptoms are reported in fewer than 5% of adult seasonal flu patients, more than a third in their series had nausea or vomiting, and about one fifth reported diarrhea.Though infants had the highest hospitalization rate, 11.9 per 100,000, adults age 50 and older who were hospitalized were most likely to die, a finding that also stood out in the study of Mexico’s severe cases.At a media briefing today, Thomas Frieden, MD, CDC director, said the California findings are consistent with what the CDC and global investigators have found. He said the studies suggest clinicians should think of pandemic H1N1 flu in all age-groups, not just the young. “It doesn’t change what our recommendations would be for vaccination. Still the [largest] number of people who are affected by H1N1 influenza re people under the age of 65,” he said.Delayed antiviral treatmentOther studies have pointed to delays in the treatment of severely ill people with antiviral medication, and today’s study also highlighted treatment delays. One-fifth of the hospitalized patients never received antivirals, and about half received medication more than 48 hours after illness onset. In the past month public health officials have issued several advisories urging clinicians to start antiviral treatment early, even when rapid tests are negative and before definitive test results are known. Officials have also said it’s never too late to start antiviral therapy.The authors said their findings suggest that BMI data are easy to obtain and may be helpful for quickly identifying some of the patients who may be at greatest risk. They added that clinicians should have a high index of suspicion in patients who are older than 50 who have flu-like symptoms.Louie JK, Acosta M, Winter K, et al. Factors associated with death or hospitalization due to pandemic 2009 influenza A (H1N1) in California. JAMA 2009 Nov 4;302(17):1896-1902 [Abstract]See also:Oct 8 CIDRAP News story “Two reports offer new data on severe H1N1 cases”Oct 12 CIDRAP News story “Studies point up pandemic demand on critical care resources”Nov 3 CDC media briefing transcriptlast_img read more

Antonia Urlić new director of the Sector for Tourism of the Croatian Chamber of Commerce

first_imgToday for the director HGK Tourism Sector she was named Antonia Urlić. Urlić graduated in marketing at the Faculty of Economics in Zagreb, and gained rich experience in tourism working for prominent companies from the public and private sectors.In 20 years of her professional career, she was the head of the Promotion Service in Croatia Airlines, where she was in charge of managing marketing communications departments and improving sales and company design, and then in Valamaru was a marketing and brand manager. In the Chamber, she has been the assistant director of the Tourism Department of the Croatian Chamber of Commerce since 2016 Leile Krešić-Jurić, which leaves this function at its own request after more than five years.Urlić pointed out the lack of labor force in tourism, excessive tax burden on the sector and deficient regulations as three key problems that she will deal with in her mandate. “Croatia has one of the biggest tax burdens in tourism, which puts us at the very bottom compared to competing countries. Achieving the goals of the tourism development strategy in Croatia until 2020 and further development of the industry requires tax relief in tourism, including lowering the VAT rate. The issue of lack of qualified staff for tourism is a threat to all participants in achieving business goals, so through the work of chamber associations I will fight for the implementation of measures that will improve working conditions, and if necessary open the labor market, including increasing employability bases.”, Said Urlić, noting that it is necessary that these changes are accompanied by new legislation fully harmonized with the needs and requirements of the profession, especially regarding the Law on Maritime Property and Seaports and the Law on Tourist Land, without which the growth of tourism is not possible. sector as a whole.By the way, the Department of Tourism at the Croatian Chamber of Commerce is one of the few positive examples that brings together tourism professionals through various tourism sections, organizes various workshops, trainings and forums, proactively works through meetings of all sections where the whole market is analyzed. climate in tourism. Of course, it can always be better, but the fact is that the Department of Tourism at the Croatian Chamber of Commerce has always been a proactive and extended hand to the tourism sector.Danijela Čavlović, new president of the Family Accommodation Association at the Croatian Chamber of CommerceAt the session of the Council of the Family Tourism Association at the Croatian Chamber of Commerce, held on September 19, the current president Nedo Pinezić was relieved of his duties at his own request. He was replaced by Danijela Čavlović, vice president and current president of the ZOT Section of the City of Zagreb. The new vice president is Martina Nimac, president of the ZOT Section of the Split-Dalmatia County.Related news:DANIJELA ČAVLOVIĆ ELECTED PRESIDENT OF THE FAMILY TOURISM COMMUNITY AT THE Croatian Chamber of CommerceFINALLY FOUND SOLUTION AGAINST LACK OF LABOR IN TOURISM<br />
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Ten world-famous bloggers and influencers are coming to Slavonia to be followed by more than a million fans a day

first_imgRELATED NEWS: 1. Ellie Dyduch from Poland (www.elliedyduch.com) – born in Poland but living in London (UK). Her site generates more than 200.000 impressions on a weekly basis alone. She is also very popular on Instagram (@dy_ellie) and is also actively involved in photography. She rarely stays in one place since traveling and discovering new destinations and cultures are her passion.  2. Ida Josefin Eriksson from Sweden (www.adarasblogazine.com) – her blog has been active since 2011 and has more than 45.000 visitors, and is also widely followed on social networks. The blog is primarily dedicated to the travel and lifestyle segment, and is run by her husband Simon Eriksson. Escape from the usual things is in their focus when realizing travel and processing fashion topics, but also when writing articles in which they want to bring unreal experiences and experiences closer to their readers. 3. Wojciech Tyluś from Poland (www.crolove.pl) – together with his wife he edits a blog completely dedicated to Croatia and makes more than 150.000 visits on a weekly basis. This is the best Polish blog dedicated to Croatia, which is confirmed by winning the Golden Pen Grand Prix in 2015. Apart from the blog, they also have a large number of fans on social networks who want to present the best of Croatia at any time, which they consider their second home, and perhaps their future permanent address.  4. Ewa Chojnowska from Poland (www.szpilkiwplecaku.pl) – a blogger who is in love with travel, fashion, and also works as a tour guide. Her blog is very readable and is characterized by attractive photos that guarantee extra great visibility.5. Jessica Henze from Germany (Instagram profile of Mavieestbelle_jessi) – Jessica is a famous German influencer. Her posts garner more than 250.000 views and views on a weekly basis, and she is followed by more than 127.000 fans on Instagram. 6. Fanny Csajkowski from Germany (www.lesberlinettes.com) – a blogger who is a top connoisseur and lover of eno-gastronomy, and also deals with topics from the domain of nature, beaches and travel in general. Her social media profiles and blog posts receive more than half a million visits.7. Pim Nicolaas Cornelis Bouman from Belgium / Netherlands (www.blvd.nl & www.misterdaily.nl) – is the author of two very popular and widely read blogs in the markets of Belgium and the Netherlands, which together receive a visit on a weekly basis that exceeds the number of 140.000 visitors.8. Yuya Matsuo from Japan (www.yuyamatsuo.com) – an active world traveler, who has stayed in Croatia several times, to which he gladly returns because he believes that this is a destination where he always discovers something new. Yuya has a large number of followers on social networks such as Instagram, Twitter and Facebook, and also deals with quality photography.  The Croatian National Tourist Board has created a special promotional project “Visit Slavonia, Share Slavonia“, Which will be carried out on social networks under the hashtag #VisitSlavonia i #ShareSlavonia. It is a promotion focused on blogs and social networks Facebook, Instagram and Twitter, so Slavonia, its tourist sites, customs and delicacies will be experienced from July 6 to 10 by world-famous bloggers and influencers from key broadcasting markets. “We want to bring the Croatian continental offer closer to the world, especially Slavonia, which has great potential for the development of year-round tourism. In the heart of the tourist year, we bring world-famous bloggers, vloggers and influencers from all over the world to show that in this part of Croatia there is very interesting content for an unforgettable holiday full of experiences. “, said director Staničić, adding that the promotional value of this project is extremely high because it is estimated that the announcements from Slavonia will be followed by more than a million fans a day. Slavonian tourist boards and the Zagreb Tourist Board are participating in the implementation of the project, where influencers have started their stay in Croatia.The program features some of the most popular bloggers and influencers in the markets of Germany, Poland, the UK, Sweden, Belgium and the Netherlands, while one of the bloggers even comes from faraway Japan. He is also a blogger Wojciech Tylus from Poland, who together with his wife edits the CroLove blog. It is a blog that is completely dedicated to Croatia and which receives more than 150.000 visits on a weekly basis. The authors of the blog also have a large number of fans on social networks where they promote the best of Croatia, which they consider their second home, and perhaps a future permanent address.Iz Germany has arrived famous and very popular on social networks Jessica Henze whose posts garner more than 250.000 views on a weekly basis, and are followed by almost 140.000 fans on Instagram. Additional promotion of Croatia and Slavonia in the distance Japan the blogger will contribute Yuya Matsuo, who has already stayed in Croatia several times and to which he gladly returns because he believes that this is a destination where he always discovers something new. Yuya has a large number of followers on the social networks Instagram, Twitter and Facebook, and she is also involved in photography.The travel program begins today at Zagreb where bloggers, accompanied by a guide, will get acquainted with the history and sights of the Croatian capital, and during the day they will visit other attractions such as the Museum of Broken Relationships, Zrinjevac and Maksimir Parks and the Summer on the Strauss event. The four-day stay in Slavonia starts tomorrow at Osijek where the program includes sightseeing of the city with a walk on the pedestrian bridge, also known as the Bridge of Youth, a visit to the Fortress, tasting top wines, but also beer from the first Croatian brewery. The program of the second day of stay in Slavonia includes a visit and a tour Search, and one of the activities includes the magical Kopački rit where they will experience canoeing and thus have unique opportunities to photograph the rich flora and fauna. The focus will also be on the presentation of rich eno-gastronomy, so the program includes a visit to the Josić winery, agritourism Ivica and Marica and Baranja House, and the activities include golf in Popovac. The third day includes a visit Đakovo i Vinkovci where they will visit the city museums, and experience other localities and beauties through cycling, but also by boat on the rivers Bosut and Spačva. The last day is reserved for Cardiff where the program, among other things, includes a tour of Vukovar-Vučedol-Ilok, European Destinations of Excellence (EDEN), but also a visit to the Museum of Vučedol Culture, wine tasting and a ride on the Danube.       The CNTB points out that the entire program was created on the basis of 218 experiences from the EpicWeek campaign, as part of which Croatia was presented on social media as a destination where everyone can find something for themselves. Also, the travel and stay of bloggers in Slavonia will be broadcast live on CNTB social networks, and the additional promotional significance of the project lies in the fact that all bloggers, in addition to travel topics, specialize in other topics such as eno-gastronomy, culture or fashion. It is estimated that more than a million fans will see blog posts from Slavonia on a daily basis.  Participating bloggerslast_img read more

Primosten plans to build an underwater panoramic tunnel

first_imgPhoto: Google Maps, Illustration: HrTurizam.hr The panoramic tunnel would stretch from Nova Riva over the entire Porat bay, it would be made of Plexiglas, and at the entrance and exit the planned catering facilities would have gallery spaces. The investment is worth 1,5 million euros. Primosten Municipal Council approved a budget cost of 335 thousand kuna for the project documentation of the panoramic pedestrian submarine tunnel in the bay Porat in Primosten, writes the portal Šibenski.hr Thus, after the magnificent monument to Our Lady of Loreto on the hill Gaj, Primosten should get an underwater tunnel as a new tourist attraction. By the way, last year over 100 thousand tourists and pilgrims visited the monument of Our Lady in Primošten. “It is a panoramic pedestrian tunnel with transparent walls, 60 meters long and up to six meters wide, which would be located 18 meters below the sea surface at the deepest part of the seabed in Porto.” he told the portal Šibenik.in, Mayor of Primosten, Stipe Petrina. When such a tourist attraction and investment in Primosten is already planned, we might consider expanding the entire project, in order to enable the realization of the first Croatian underwater restaurant. One of the most famous underwater restaurants in the world are certainly those in Dubai and the Maldives. . Cover photo: Restaurant under the sea, HURAWALHI Maldiveslast_img read more

Boris Žgomba’s new term as president of the Association of Travel Agencies of the Croatian Chamber of Commerce

first_img“The challenges for our industry are becoming more intense day by day, from current events in the country and in the most important emitting markets for us, to the search for innovative tourism products and the application of new technologies that will bring our offer closer to both existing and new consumers. In order to meet these requirements, it is necessary to harmonize domestic business conditions as soon as possible, first of all the adoption of a more flexible Labor Law, lowering the VAT rate in tourism in line with our competing Mediterranean countries and adequate regulation of special taxation of travel agencies.”, Pointed out Žgomba.  At today’s election session of the Association of Travel Agencies of the Croatian Chamber of Commerce held in the Croatian Chamber of Commerce, the Split County Chamber, he was elected president of the Association for the second time. Boris Žgomba, CEO of Uniline. He was elected vice president Jurica Glavina, director of the Split company Eklata, while she was elected secretary of the Association Saša Zrnić from the Sector for Tourism of the Croatian Chamber of Commerce.  Also, Žgomba said that the Croatian Chamber of Commerce is the right place for dialogue on these issues and the development of the best proposals to facilitate state institutions to pass the highest quality laws in the field of day-to-day operations of travel agencies. He also called on all members to be actively involved in the work of the Association for the Benefit of Croatian Tourism and all its stakeholders.  The Association of Travel Agencies of the Croatian Chamber of Commerce has 1768 members, is a member of the European Association of Travel Agencies and Tour Operators (ECTAA), where Boris Žgomba also serves as a member of the Management Board. center_img In addition to the elections, the key topic of the session was changes in the insurance regulations of travel agencies. The parts of these regulations concerning agencies were presented to the audience by a HANFA representative.  Some of the key activities of the Association in the last year were trainings to adapt to legal changes that occurred in the amendments to the Law on Provision of Services in Tourism, preparations for the implementation of the EU Directive on Package and Related Arrangements, GDPR and activities related to special taxation of travel agencies. om.last_img read more

FlixBus continues to connect destinations in the south of Dalmatia

first_imgBy the way, the increase in the number of tourists arriving from abroad by FlixBus buses, from season to season, grew by up to 80% according to certain destinations. The FlixBus green bus network extends to 29 European countries and connects 2000 destinations with 350.000 daily lines. RanjemThe opening of the first lines clearly showed us the great demand and need for passenger migration within Croatia. Consequently, it was decided to take bus lines to the extreme south of Croatia˝ said Ante Grbeša, director of FlixBus CEE South region. From 28 May, the connection of the southern part of Croatia continues, ie green buses will be able to travel all the way to Omis, Makarska, Ploče, Opuzen, Metković and Dubrovnik. After the relaxation of security measures of the Civil Protection Headquarters of the Republic of Croatia and the adoption of new measures and instructions on behavior in public inter-county passenger transport, FlixBus returned to the roads on 11 May 5 and connected Zagreb and Varaždin with cities such as Zadar, Split and Trogir.  “Bus transport of passengers even after the coronavirus situation should remain an important part of a sustainable and affordable way of traveling. The permitted capacity on existing FlixBus bus lines is mostly full. We expect further easing of the measures of the Civil Protection Headquarters in order to continue with unhindered traffic throughout Croatia and enable passengers to realize their planned tourist or business trips.˝  Grbeša added.last_img read more

As of today, we have the Ministry of Tourism and Sports

first_imgGovernment of the Republic of Croatia In the new mandate, the Government of the Republic of Croatia will have 16 ministries and a total of 18 members, while the Ministry of Tourism will also have sports, ie from now on it will be called the Ministry of Tourism and Sports. It is certainly good that the Ministry of Tourism remained separate, ie that it did not merge with any of the other ministries, because by doing so, knowing our social and political context, it would significantly lose its importance and influence. Although it is already “known” who will be the new Minister of Tourism, (it is never too late in politics for last minute changes), we are still waiting for the official announcement of new ministers in the Government of the Republic of Croatia, including the person who will lead the ministry. GDP. Next week, as announced by Andrej Plenković, there will be a constituent session of the new Parliament.center_img Ultimately, form is the least important, what we need is the efficiency and productivity of the entire country, including the Ministry of Tourism (Ministry of Tourism and Sports) and the CNTB. And it’s all down to people and politics. Less policy and more market development.last_img read more

In the previous part of August, 70 percent of last year’s result achieved in the same period was achieved

first_imgAccording to the first preliminary data of the system eVisitor, which contains tourist traffic realized in commercial and non – commercial segment and nautical charter, in Croatia In the previous part of August (from 1 to 9 August) more than 1 million arrivals i 7.2 million overnight stays which is about 70 percent of last year’s result achieved in the same period. During the last weekend alone (from 7 to 9 August), more than 323.000 arrivals and 2.3 million overnight stays were realized in Croatia. Although we have to wait until the end of August for the overall results, we are still happy with the current data of the first weekend in August, which give a little optimism to the tourism sector. We know how difficult autumn will be and how difficult it can be to expect a good post-season, because there are no groups, agencies or congresses, so at the moment every kuna earned literally means life. By the way, about 60 percent of last year’s result was achieved in July. The highest number of overnight stays in the same period was realized in Istria (1.7 million overnight stays), Kvarner (1.4 million overnight stays), Split-Dalmatia (1.3 million overnight stays), Zadar (1.3 million overnight stays), Šibenik-Knin (578.000 overnight stays), Dubrovnik-Dalmatia Neretva County (392.000 overnight stays) and Lika-Senj County (271.000 overnight stays).   So far in August, most tourist arrivals have come from the market Germany, about 225.000 of them, which is compared to the same period last year growth of 6 percent. Then follows local market from which 178.000 arrivals were made which represents growth of 18 percent, market Slovenian from which 133.000 arrivals were made which represents growth of 10 percent and market Poland from which 109.000 arrivals were made which represents growth of 16 percent over the same period last year. Looking at destinations, in the previous part of August, the highest number of arrivals was in Rovinj, Poreč, Medulin, Crikvenica, Umag, Split, Dubrovnik, Zadar, Pula and Novalja. “After an excellent July in which we achieved about 60 percent of last year’s result, we are recording even better tourist trends in August and we are currently at about 70 percent of last year’s result. The markets that reacted best are territorially closer markets for which Croatian destinations are easily accessible by road, such as Germany, Slovenia, Austria, Poland, the Czech Republic, Slovakia and Hungary. We have directed our promotional and information campaigns towards these markets all the time, communicating that Croatia is a safe and well-prepared tourist destination. Also, with the increase in the number of airlines, tourist traffic in the southern parts of Dalmatia intensified “, said Croatian Tourist Board director Kristjan Stanicic, adding that Dubrovnik and London, for example, are currently connected by 44 flights a week.last_img read more

Send a message to both political parties

first_imgCategories: Letters to the Editor, OpinionBravo to Jim Schlembach for his well-written and articulate Jan. 22 letter. He correctly notes that the criticism of the POTUS and other GOP leaders is excessive. He’s also spot-on when he states that leaders solicit donations from the ultra-wealthy to win votes, manipulate others and broadcast propaganda and lies.However, Mr. Schlembach’s assessment is incomplete: the villain he’s describing doesn’t sit only on one side of the political aisle. While the GOP is singled out in his letter, an identical letter could have been written to describe the Democrats in office. Both parties can be equally described as the “party of greed, opportunism and propaganda.”Unquestionably, the majority of U.S. voters are disgusted by the excessive egos, unapologetic greed, hostility and deplorable behavior on display in Washington, D.C., (and broadcast with bias by the media). Open debate and the art of compromise has devolved into an environment where the biggest ego, the loudest voice, the best sound bite or the most clever Twitter hashtag wins the day. Democrats and Republicans are more interested in scoring political points than solving our nation’s problems. The recent federal government shutdown provides perfect evidence.Mr. Schlembach’s assessment again falls short when he states that the 2018 midterm elections will be an opportunity to send the GOP a message on what it has become. In truth, it should be an opportunity for us all to send a message to both parties that we aren’t pleased with what Washington has become.John McGuinnessGlenvilleMore from The Daily Gazette:EDITORIAL: Find a way to get family members into nursing homesEDITORIAL: Urgent: Today is the last day to complete the censusFoss: Should main downtown branch of the Schenectady County Public Library reopen?EDITORIAL: Thruway tax unfair to working motoristsEDITORIAL: Beware of voter intimidationlast_img read more

Nottinghamshire industrial Rise in interest rate casts a cloud

first_imgWould you like to read more?Register for free to finish this article.Sign up now for the following benefits:Four FREE articles of your choice per monthBreaking news, comment and analysis from industry experts as it happensChoose from our portfolio of email newsletters To access this article REGISTER NOWWould you like print copies, app and digital replica access too? SUBSCRIBE for as little as £5 per week.last_img