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Trachoma, a disease of the eye caused by a bacteria called Chlamydia trachomatis, is the leading infectious cause of blindness worldwide. Repeated infections cause the eyelid to turn inward, at which point the eyelashes scrape and permanently scar the cornea. At one time, trachoma was endemic in parts of Europe and the United States. Trachoma exams—flipping the eyelids and looking for the characteristics spots (or follicles) —were conducted on European immigrants passing through Ellis Island and other facilities in the early 20th century. With development came improved sanitation, leading to the disappearance of the disease in the United States and Europe in the mid-20th century.
Still, today, 540 million people are at risk in 55 countries, and 84 million people are already infected.
In 1997 the Global Elimination of Trachoma by 2020—GET2020—was established. Successes toward the elimination of trachoma achieved thus far can be credited to proven strategies like surgery to correct advanced disease and antibiotics donated by Pfizer to treat active infection, with over 550 million doses of the donated drug given to date. Facial cleanliness and environmental improvement campaigns are also critical to reduce disease transmission. Knowing where interventions are needed the most has been accomplished through the efforts of the Global Trachoma Mapping Project, the largest disease mapping project ever undertaken. And USAID, now celebrating the 10th anniversary of work in Neglected Tropical Diseases (NTDs), has been a major funding partner for these programs.
While trachoma elimination is still a few years off, it is time to begin anticipating what is needed to ensure sustained elimination. There's no doubt that new lab tools will be a key element.
Moving forward it will be critical to develop surveillance systems that identify re-emergence or re-introduction of trachoma into communities. The 2020 target for trachoma elimination is four years off, but sustaining the gains of the trachoma elimination program requires developing the information and laboratory monitoring systems now. It takes time to develop and test the laboratory tools that are needed for monitoring the success of trachoma programs. After that, these tools will need to be tested in the field before public health officials can rely on the data to detect re-emergence of disease transmission. These concerns prove to be a challenge for global health programs when prioritizing resources and in the face of more immediate needs for getting sight-saving treatment to communities.
With the support of USAID investments, scientists in CDC's Division of Parasitic Diseases and Malaria have turned to the blood as a way to develop tools to determine how much trachoma is in a community. The scientific rationale is that when kids get infected, they should develop an antibody response. And if they get infected again, and again, and again, each of those infections should act as a sort of booster to the previous infection. When there is a lot of trachoma in a community, there should be a lot of kids with a lot of antibody, and when there is little or no trachoma in a community, the kids should have no antibodies.
So far that is exactly what we have found. The proportion of kids with antibodies to the bacteria that causes trachoma decreases as the amount of trachoma in the community decreases. And in communities where trachoma has been eliminated, the percent of kids with antibody responses is virtually zero. This laboratory tool makes it possible to monitor the impact of trachoma elimination programs and identify infections early if trachoma returns.
Using USAID funding, we developed antibody tests for trachoma surveillance at CDC and rapidly transferred the tools for use in endemic countries. CDC staff have since trained laboratory scientists in Ghana, Malawi, and Colombia to use ELISA methods for antibody testing, and we have partnered with these countries to continue testing the tool so that it will be ready for surveillance as countries move toward elimination of trachoma. We have also developed a rapid, hand-held version of the test and recently field-tested it in Nepal. Ethiopia—the country with the heaviest trachoma burden—is set to validate the new handheld test this summer.
The 2020 target for global trachoma elimination is fast approaching. CDC and our partners are committed to providing countries with the right tools to guarantee the continued control and eventual elimination of trachoma and the blindness that it may cause, continuing in our fight to save sight.]]>
"See what is in your hands"
– Nanah Sesay Kamara, National IPC Coordinator, Sierra Leone
Hundreds of millions of patients worldwide are affected by unsafe healthcare each year, and the burden is significantly higher in countries where resources are limited. Hand hygiene is one inexpensive and effective strategy to help ensure safe care. Clean hands prevent the spread of dangerous germs and can save lives. On May 5th, communities around the world put their hands to work for safer healthcare. In the U.S., CDC rolled out a new campaign called Clean Hands Count, which aims to improve hand hygiene adherence, address misconceptions, and empower patients.
A Recovering Nation Celebrates Hand Hygiene
In the wake of an outbreak that has changed the face of healthcare in Sierra Leone, people around the country came together to celebrate the importance of the simple yet powerful practice of hand hygiene.
Twenty-five government hospitals, along with local schools and implementing partners in the community, participated in 2016 World Hand Hygiene Day. Sierra Leone's Deputy Minister of Health, Zuliatu Cooper, and National Infection Prevention and Control Coordinator, Nana Sesay Kamara, led the celebration with healthcare workers in Freetown. Their event included a facilitated discussion about hand hygiene at the right time and stations to practice proper handwashing (pictured above). Healthcare workers and community members received posters, t-shirts, alcohol-based hand rub, and educational materials designed to increase knowledge and awareness of proper hand hygiene practices. The message was reinforced through radio talk shows broadcast throughout the day and local speakers sharing the message and resources with their communities.
In preparation for World Hand Hygiene Day, healthcare facilities conducted hand hygiene self-assessments by using assessment tools from WHO and CDC. Data from these assessments help facilities determine hand hygiene targets for the year, identify resources needed to reach those targets, and effectively work towards providing safer healthcare in facilities. With these programs in place, World Hand Hygiene Day goes beyond one day of the year. The goal is to raise awareness and encourage action for sustainable change in health systems and behavior.
Join the effort!
CDC's International Infection Control Program within the Division of Healthcare Quality Promotion works with ministries of health, WHO, and other partners to provide safer healthcare to patients around the world.
Learn more about CDC's work in the area of international infection prevention and control, contact firstname.lastname@example.com
Visit CDC's Clean Hands Count campaign: http://www.cdc.gov/handhygiene/campaign/
Visit WHO's hand hygiene campaign, Save Lives: Clean your Hands: http://www.who.int/gpsc/5may/background/en/
Allegranzi, B. (2011). Burden of endemic health-care-associated infection in developing countries: systematic review and meta-analysis. The Lancet, 228–41.
CDC. (2014, November 13). Hand Hygiene in West African General (Non-ETU) Healthcare Settings. Retrieved from http://www.cdc.gov/vhf/ebola/hcp/hand-hygiene.html
WHO. (2011). Report on the Burden of Endemic Health Care-Associated Infection Worldwide. Geneva: WHO.]]>
As an IT Specialist working for the CDC Foundation and assigned to the Office on Smoking and Health's Global Tobacco Control Branch (GTCB), I have had the opportunity to travel to many places around the world. We conduct several surveys and I mainly work with the Global Adult Tobacco Survey (GATS). I provide technical support and guidance to countries implementing GATS. The survey is the global standard to systematically monitor adult tobacco use and track key tobacco control indicators. It is a nationally representative household survey of adults 15 years of age or older. GATS is conducted utilizing an electronic data collection system installed on tablets.
Recently, I had the opportunity to travel to the Philippines to conduct a pretest training for the Philippine Ministry of Health and the Philippine Statistics Authority (PSA). The training consisted of 5 days of classroom training and 2 days of fieldwork. We typically conduct fieldwork in both urban and rural settings. I was designated to attend the rural fieldwork in the municipality of Castillejos, about 3 hours northwest of Manila. Castillejos is a small rural area located about 40 minutes northwest of Olongapo city in the province of Zambales.
The research team I accompanied for fieldwork training consisted of 10 field interviewers, 2 field supervisors and a driver. In addition, Erma Aquino, Chief of Statistics for the Philippines Statistics Authority and Mina Kashiwabaram, Regional Surveillance Officer for the WHO Western Pacific Regional Office accompanied me during the trip. Our goal was to interview 50+ households in the barangay (village) of Looc.
The team began our drive out of Manila on Saturday morning in a convoy of cars and vans and arrived a few hours later in Olongapo, at the Statistics Authority office for the Zambales province. There was a home-cooked lunch waiting for us (very delicious!) and we conducted an afternoon briefing with the research staff, who were preparing for the fieldwork the next day.
Early the next morning, the research team drove up to Castillejos and out to the barangay of Looc. After arriving, we met with the barangay Captain (each barangay has an elected official who oversees the village's finances and services) at the barangay hall and briefed him on the survey, our methodology, and procedures. After the briefing, he gave us approval to conduct the survey. The team then dispersed through the village to find the households each interviewer was assigned. I accompanied Karen, an interviewer who works for the PSA, on her rounds.
The first home we visited was far from the village hall. Our protocol requires that the interview be conducted in private between the interviewer and the respondent. However, during pretest events, with the approval of the respondent I sometimes have the opportunity to sit in on an interview. This household provided that opportunity as the respondent immediately asked for me to join them and pulled out a stool for me to sit on. We conducted the interview outside the young woman's home as she held her newborn baby. The respondent was very nice and offered us glasses of water, which we accepted as it was very hot that day. As I sat there watching the interplay between Karen and the young woman, I was proud to see the efforts we've put forward to make this survey a success and the impact that it has on the people the teams interview. I was also awed by the intersection between technology and rurality and how our electronic data collection system bridges the gap.
After finishing up with our first household, we continued on to the next house. Finding homes in some countries is not like finding a house in the US. The houses don't have addresses as we know them. In the Philippines, you have a map that is drawn by the country's statistical office (updated during prior censuses or other surveys), which lays out the barangay you are working in. On the map you have head of household names listed, along the areas where homes are located. As an interviewer, you use these maps and walk the paths in the barangay to the location where you believe the home is located. You then ask neighbors about the family name and you will finally be pointed to the right home. We did this for the next 4-5 hours; walking from home to home and completing interviews.
As we walked, we were greeted by people and waved at by young children. I felt like southern hospitality was present in the rural Philippines. At one point, we came across the barangay's school. As I looked inside through glassless windows, I could see and hear the children going through their daily activities. This wasn't like a typical school in the US where children of different ages are in different classrooms. There was only one classroom and all the children, regardless of age, were learning together. As we worked to find the next home, we heard the children start to sing a song together.
We continued to interview respondents on their tobacco use, secondhand smoke exposure, cessation, purchasing habits, exposure to media and knowledge attitudes, and perceptions on tobacco. As I thought about the day so far, I realized how much our work makes a difference in providing data for policy makers to make good decisions on tobacco control.
News gets around fast in a small village. As we continued to walk the area, neighbors were hoping that we stopped at their home to interview them. From the family of 12 who lived in a mud spackled home, to the mother who recently lost her husband, we only found courteous and hospitable people. Many asked about our handheld tablets and how they worked. There was a small child who wanted to play with the tablet because he thought it was a game console.
We ended the day back at the village hall, where the caretakers had cooked us a wonderful late afternoon lunch. Afterwards, we debriefed the barangay Captain and departed the barangay. That evening, we spent the night in Olongapo. In the morning, the research team headed back to Manila to analyze our pretest.
The Global Tobacco Control Branch has a very broad scope; the world is a very large place. The goal of GATS is to obtain national level data needed for each country to understand the burden of tobacco use. To do this, we visit people in their homes, throughout the world, and ask them questions; and they welcome us with open arms. This is such rewarding work. I know this work can help reduce the tobacco burden and save lives. I hope that one day I am able to return to Looc and visit with the people of this wonderful area of the world. And if you are in the area, drop by; I am sure they will welcome you, as they did us.]]>
Vietnam EOC gathered for a briefing about the Zika virus. Along with WHO, CDC experts Anthony Mounts, Trang Do, Michael Johansson, and Leisha Nolen provided consultation during the meeting. CDC Vietnam will enhance surveillance and temperature monitoring at border control areas and alert pregnant women to be aware and report any signs and symptoms. The EOC will reconvene weekly to report updates.
Vietnam confirmed locally transmission of Zika virus in Vietnam, on April 4, 2016, which was not likely linked to the recent outbreaks in South and Central America.
In response to these recent outbreaks and the World Health Organization's (WHO) declaration of Zika as a Public Health Emergency of International Concern, Vietnam convened a national steering committee consisting of national and international experts including CDC and WHO, to prepare for Zika prevention and control in Vietnam. The committee recommended that Vietnam implement enhanced surveillance, which resulted in the recent detection of the two cases.
"A couple months ago, there was no meaningful test for the Zika virus in Vietnam and they were not actively looking for it. The discovery of these two cases is the result of increased surveillance from the advice of CDC and WHO," said Anthony Mounts, MD, CDC Vietnam's country director and director of Global Health Protection. Mounts has been working closely with the government of Vietnam and traveled to Nha Trang, where one of the patients lived.
After the detection of the cases, mosquito control measures have been stepped up in the area where the cases were identified, surveillance has been increased across the country, and communication materials and messages have been widely circulated to warn pregnant women and women of childbearing age to take precautions to protect themselves.
In addition to increased surveillance for priority infectious diseases, CDC's Global Health Security Program in Vietnam has ramped up support to enhance Vietnam's emergency management and outbreak response systems. One of the main CDC Global Health Security activities is establishing a network of EOCs throughout the country that serve as hubs to collect and analyze surveillance data and to quickly contain emerging threats, such as the Zika virus. CDC currently supports a centrally located EOC in Hanoi at the Ministry of Health, and recently built a regional EOC at the National Institute of Hygiene and Epidemiology, responsible for the northern region in Vietnam. Three more EOCs in the central and southern regions of Vietnam are in the pipeline.
Before detecting the first two cases, the Ministry of Health had raised the alert level to "2"— using their EOC to monitor the Zika outbreak in South and Central America (and also previously used to monitor the outbreaks of Ebola and MERS-CoV). With the recent detection of the Zika cases, the regional EOC in Hanoi is being used as a central hub for monitoring the situation and coordinating response.
Tu Anh Tran, MD, a current FETP resident in Vietnam's sixth cohort of FETP in Vietnam, plays an instrumental role in strengthening Vietnam's capacity to better monitor for potential disease outbreaks. He has been leading the way to digitally display the trends and analyses of priority infectious diseases in Vietnam.
Through FETP, a 2-year program to train "disease detectives" to respond to disease outbreaks, Tran participated in hands-on training courses where he learned disease modeling techniques that display and project disease outbreak information and disease trends. The "data dashboard" is currently being deployed in the EOC network for Zika virus, severe viral pneumonia, dengue, avian influenza, and hand foot and mouth disease. It is a critical component of Vietnam's EOC network and enables early disease outbreaks detection, effective outbreak response, and information sharing with national and international partners.
Although Zika virus is likely endemic and transmission is thought to be sporadic, the government of Vietnam is diligently implementing all necessary precautions to increase Zika surveillance and prevention efforts.]]>
A parent hears rumors from other parents about several children bitten by a rabid dog. A teacher sees an unusually high number of children absent from school and hears that they all have similar symptoms. It could be a coincidence. It could be a local disease outbreak. Or it could be the first signs of an epidemic.
Vietnam is bordered by China, Laos, and Cambodia, and is a popular tourist destination, receiving over seven million tourists annually. As with all countries, Vietnam is vulnerable to importation of infectious diseases that may spread throughout the country. One way to decrease this vulnerability is to make sure people in the community know how to recognize and report unusual disease events. That's where Vietnam's event-based surveillance pilot project comes in.
There are two main kinds of disease surveillance, event-based surveillance (EBS) and indicator-based surveillance. Both types of surveillance include collecting, monitoring, assessing, and interpreting data. However, the types of data used are different. Indicator-based surveillance uses reports of specific diseases. These usually come from hospitals or epidemiology studies. EBS uses media or rumors, including social media such as blogs. EBS has advantages that include:
Teachers and village health workers aren't doctors, but they can be taught how to recognize cases or clusters of potential cases of priority diseases like hand, foot, and mouth disease, a viral illness that usually affects infants and children under five. While most children recover, a small number of people develop severe complications that require hospitalization or even cause death. That is why it's important to catch it and other diseases early.
In Vietnam, community members will be taught to report suspected outbreaks to local public health officials through a telephone hotline. After receiving a community report, public health professionals investigate to determine if the reported event appears to be an actual disease outbreak. Laboratory tests may be conducted to identify or confirm the disease. At that point, the ministry of health can make an informed decision about how to respond.
This project is a partnership between CDC, PATH, and the Government of Vietnam. It will train people at every administrative level (national, provincial, district and commune) to identify potential outbreaks, standardize reporting mechanisms, and shorten response times. Community members from different sectors will be involved, including teachers, pharmacists, laboratorians, reporters, and many more.
The results of this project will inform the development of national guidelines for EBS, which will then be integrated into routine disease surveillance activities at all levels. EBS will serve as a community-based source of information that feeds into Vietnam's network of emergency operations centers, significantly enhancing Vietnam's capacity for early warning and response of potential disease outbreaks.
This story illustrates Vietnam's commitment to implementing the Global Health Security Agenda (GHSA), which aims to improve the world's ability to prevent, detect, and respond to infectious disease threats.
Vietnam's investments in event-based surveillance will help them meet the GHSA Real-Time Surveillance target, which aims to strengthen the surveillance systems that detect events of significance for public health, animal health and health security. CDC is partnering with 31 countries around the world, including Vietnam, to reach the goals of the GHSA.]]>
I have called Ethiopia home for the past five years – it is a country that is very close to my heart. I was moved to humanitarian work by images of the famine when I was in college and subsequently adopted my daughter from here. As we face our worst drought in 50 years, I am worried. But I am also heartened by the change taking place around me and by the knowledge that I work closely with some of the most passionate and innovative people I have ever met. On any given day, I bounce between fearful reminders of the country's struggles and bright hope for its future.
Today's Ethiopia is not the same country that faced the horrible famine of the 1980's. Over the past decade, Ethiopia has seen astonishing economic growth of around 10% per year. Furthermore, the country has been investing in solutions to maximize its food security, including amassing food stocks and putting early warning systems into place. They are building systems to try and prevent the mass malnutrition caused by previous droughts.
I have been working as an advisor within one of these systems: Ethiopia's Field Epidemiology Training Program (FETP). FETPs train disease detectives through hands-on experience in the field. FETP residents and graduates have the skills to collect and analyze public health data and – most importantly – to turn it into action. These disease detectives are our boots on the ground when health threats strike. In Ethiopia, they are making a very real difference.
Ethiopia is one of many countries around the world to invest in an FETP, a decision that is paying off now, as crisis looms. The Ethiopian Ministry of Health has vigorously embraced the FETP model, taking a single program with 18 residents in Addis Ababa and replicating it in seven other universities all across the country. CDC is assisting with shaping this expansion into a full FETP pyramid model, which involves three levels of training – frontline, intermediate, and advanced – ranging from six months to two years.
Ethiopia now has 180 first- and second-year trainees in the field. The sheer number of residents and trainees is allowing them to address problems of malnutrition in ways they never could before.
All 180 trainees are currently deployed throughout the country to "hot spots" – communities with the highest levels of malnutrition. These communities have been identified through a surveillance system that has been developed with FETP over the past six years. It's a unique situation – you might find a community that's had crop failure for a year and a half near a community that's fine.
Trainees are doing active surveillance for cases of malnutrition and trying to overcome challenges. Not all families bring their children in or know where to bring their children in; they don't know that help is available. Much outpatient feeding is done through health centers, and inpatient centers are being developed for the most severely malnourished. To help find information about where help is needed most, trainees are collecting and analyzing the data from every health facility to see if the number of malnourished people is going up or down, or if people are moving from being severely to moderately malnourished – or in the other direction.
International partners are bringing in large supplies of food, and specific supplements are being provided. Trainees are matching their data to logistics to get this food where it is most urgently needed. They are constantly re-evaluating the situation and making adjustments using an evaluation tool that looks at seven pillars of response: surveillance, case management, supplies and logistics, coordination, human resources, communication, and social mobilization.
The trainees feel like they're changing Ethiopia. For the first time, Ethiopia is developing the expertise to identify and respond to public health emergencies. This makes the residents and trainees feel proud.
When I came to Ethiopia, my main goal as FETP Resident Advisor was to grow the program. And grow, it has. Ethiopia has come a long way in the past decade, becoming more interconnected with the global health community. FETP has been integral to this process. We're not just training people; we're watching whole systems evolve.
The most critical time is yet to come as harvest approaches and existing supplies get depleted. The country is mustering all its resources and has reached out for help from the international community. It's too early to know if any amount of intervention can overcome nature's wrath and avoid a humanitarian catastrophe – the next few months will tell. But we do know that, thanks to forward-thinking policies and investments, hope for Ethiopia remains stronger than ever.]]>
This blog originally appeared on The Huffington Post on April 29, 2016
Four score and seven years ago, my mother was born into an America swarming with pathogens. Many were simply known as diseases of childhood; not all children survived them.
My mother remembers how her family suffered when a cousin died during infancy from meningitis.
Even closer to home was the scare when her younger brother developed encephalitis from the measles virus.
My mother began having children of her own in the 1950s—my brothers and sister and I were born before the breakthrough measles, mumps and rubella vaccines came out the next decade.
Our family was spared the terrible wave of congenital rubella that struck thousands of Americans in the 1960s. It resulted in 20,000 infants born with birth defects or deafness – on top of 2,000 cases of encephalitis, 11,250 fetal losses, and 2,100 newborn deaths. Watching the Zika virus spread in Latin America, I can't help imagine how frightening that earlier epidemic of virus-induced birth defects must have been for families in America.I came to the CDC in 1988. That year, the World Health Assembly announced a commitment to eradicate polio—which every day paralyzed 1,000 children. Today polio is on the brink of extinction, clinging to existence in only two nations.
The year I came to CDC, the Haemophilus influenzae b (Hib) conjugate vaccine was just beginning to be used to prevent life-threatening meningitis and sepsis. Now Hib disease is nearly eliminated in the U.S., and the Vaccines for Children program makes sure vaccines are available to every child in America, and the GAVI Alliance has helped Hib vaccine be introduced in the poorest countries of the world.
Other things have changed since I came to CDC. Soon after I arrived, the U.S. experienced a major measles outbreak—55,000 cases and 123 deaths—and 1.9 million children worldwide were estimated to die from measles each year. By the year 2000, measles was eliminated from the U.S. And by 2014, worldwide measles deaths had declined to 115,000, with efforts in Africa and Asia accounting for most of the progress.
Twenty-five years ago, I made my first trip to West Africa to look for places to test a meningococcal A conjugate vaccine. In the past five years, 235 million people in the African meningitis belt have lined up to get the low-cost MenAfriVac developed by the Meningitis Vaccine Project. Today, epidemic group A meningococcal meningitis is gone.
Of course it's not all smooth sailing now. We can't take lifesaving vaccines for granted. In parts of Europe, we've seen many people forgo having their children immunized. The result: large outbreaks of measles that have been very difficult to control, including cases imported to the U.S. The progress in Africa is fragile — there've been very large measles outbreaks in the same countries that experienced Ebola, a result of interrupted health services and a tragic consequence of the Ebola epidemic.
Working with global partners and national governments, it is crucial we prevent, detect and respond to outbreaks before they spread; finish the job of polio eradication and secure its legacy through resilient immunization systems and sustained high coverage of measles vaccine.
Now I've reached the "mature" stage of my CDC career, and we are fighting a new threat called Zika. Our Ebola response showed we could move candidate vaccines from pre-clinical testing into large-scale field trials faster than ever. Zika, with its link to birth defects and miscarriage, provides an echo of the terrible rubella outbreak of the '60s. Improvements in science and global collaboration can help vaccine development against Zika advance even more rapidly.
As I reflect on the 1960s when my parents were busy with five young children, it amazes me to consider what a different world their great-granddaughter Maya will inherit, and just what kind of future she can expect. She has a greater chance than ever to grow and thrive, free of vaccine-preventable diseases and complications like vaccine-preventable cancers caused by human papillomavirus. She can grow up in a world that is free of polio for every generation to come. A world where no child dies from measles – anywhere.
Nature will continue to pose new and unexpected disease threats. But thanks to strong partnerships and political will, we are today, and can be tomorrow, better prepared to overcome them. And thanks to the voices of immunization champions, we can hear the voices of parents around the world and imagine prospects for their children as if they were our own.
Government is a creature of numbers and statistics, a generator of such vast quantities of data and reports that it's hard to appreciate sometimes the full human dimension of what it takes to protect everyone from vaccine-preventable diseases.
That reality comes to mind as this year's World Immunization Week arrives, marking fifty years since the United States launched an ambitious global immunization effort. The anniversary is a major milestone in our efforts to protect and improve people's health around the world.
This anniversary, together with World Immunization Week, is the perfect moment to reflect on the remarkable progress that's been made to protect people in the United States and around the world from vaccine-preventable diseases such as measles and polio. But we must also acknowledge the distance that remains to ensure that everyone, everywhere, has access to life saving vaccines.
What's been accomplished to date by the US Centers for Disease Control and Prevention and partners ranging from ministries of health, universities, other US agencies, international organizations such as the World Health Organization, and non-profits like Rotary International and Gates Foundation, among others, is impressive. There are plenty of facts that tell the story.
Global Immunization: 50 Years of Work, Humanity, and Success. #WorldImmunizationWeek #VaccinesWork
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Here are a few.
Smallpox has been eradicated.
Measles, though still one of the leading causes of death in children child outside of the United States, is down 90 percent globally.
The number of polio cases worldwide has been slashed by 99.9 percent. Africa has been free of wild poliovirus for over a year. The legacy of that work has a larger echo too, one that radiates additional benefits. The healthcare infrastructure that's been so meticulously constructed over the last few decades, for example, is being used to provide maternal and child health care, and to detect and respond to outbreaks of diseases such as Ebola and Yellow Fever.
Even better, we can use the tools and systems, lessons learned, and practices from our work to defeat polio to protect people – especially children – from diseases like measles and rubella. The "machinery" and trained workforce of our polio immunization efforts have also provided a crucial head start on our efforts to fulfill the promise of the Global Health Security Agenda by strengthening public health laboratories and infectious disease surveillance. The Global Health Security Agenda is also improving the ability to generate, interpret, and use surveillance data to detect and respond to outbreaks.
Highlighting these achievements is important because without them, it's all too easy to forget the astonishing successes we've realized with something so simple and unambiguous as giving a child a vaccine. We wouldn't know that the world today has the fewest wild polio cases in the fewest places – ever. Afghanistan and Pakistan are the last remaining holdouts for wild polio with those two countries accounting for all eleven cases this year.
It wasn't that long ago – 1988 in fact – when there were more than 350,000 cases of wild polio each year worldwide. Now there are eleven confined to only two countries. It's the reason that in much of the world and especially the United States, people aged 50 and younger have almost no concept of a disease once so dreaded it once ranked only behind nuclear war as a prevailing public threat. In fact, most physicians working today in the United States will never treat a case of polio.
That's the goal – a world where the memory of vaccine-preventable diseases is vague and fading.
Although much hard work remains, we are informed and emboldened by history. A key part of that effort is CDC's updated action plan, called the Strategic Framework for Global Immunization, 2016-2020.
The plan builds on and refines our work, and it articulates CDC's vision of a world populated with healthy people protected from vaccine-preventable disease, disability, and death. At its core, the updated strategy focuses on eradicating polio using the tools and practices and expertise from that effort towards achieving a world free of vaccine preventable diseases, including measles and rubella.
That means CDC will continue working closely with governments and ministries of health in countries where disease takes a heavy toll and where immunization systems have gaps. Working together with governments, CDC will do what it has been doing since its founding in 1946 – making available its highly trained experts, its networks of laboratories and public health training programs to help eliminate disease where it is stubbornly entrenched.
At the same time, CDC will continue to conduct research and share best practices to ensure governments can detect and respond to infectious disease threats before they become national, regional or international crises.
Can it be done? Yes.
Will it be easy? No.
This year we are building on our role as the lead of the global polio oversight board to focus efforts at transitioning the resources of polio to end other childhood disease like measles. We all have a stake in this effort. And we are guided by what we've achieved so far, the indisputable need of what's left to be done, and the understanding that CDC, working arm-in-arm with ministries of health and an array of other partners, won't stop until the job is finished.
Rebecca Martin, PhD, is the new Director of the U.S. Centers for Disease Control and Prevention's Center for Global Health, the CDC center charged with leading CDC's global efforts to protect and improve health through science, policy, partnership, and evidence-based public health action in more than 60 countries. Martin has more than 18 years of experience in international health and previously served as Director of CDC's Global Immunization Division.]]>
CDC works with Haiti and the Dominican Republic to eliminate malaria by 2020. #endmalaria #WMD2016
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The town of Dame Marie on the southwestern tip of Haiti, is 225 miles from the country's teeming, chaotic capital Port-au-Prince. But getting there by car—on a good day—can easily take eight hard-fought, kidney-bashing, hairpin-turning hours.
That may seem like a random or irrelevant fact until you understand this: Dame Marie is a malaria hotspot and time matters since my job at CDC is to work with the countries of Haiti and the Dominican Republic to eliminate malaria by 2020.
As we celebrate World Malaria Day, my experiences in Haiti can highlight hard-won achievements which are even more precious in a challenging environment. But at the same time, they also serve as a sobering reminder of what's left to do.
That's why the drive to Dame Marie is useful.
And as far as metaphors go, it's a good one to suggest what we confront in the effort to eliminate malaria. The drive takes longer than it should; for comparison's sake the distance between Atlanta and Charlotte, NC, is 250 miles and that trip by car usually takes four hours. There's a lot of other traffic going in the same direction for the same purpose but not always in a manner that's efficient and cohesive. And there are detours, both literally and figuratively. Most of all, you're never sure what you might encounter along the way.
Yet we all know that, with persistence, we'll get there; eventually.
That begins to paint a picture of our efforts to eliminate endemic malaria from Hispaniola, malaria's last major holdout in the Caribbean. While Hispaniola includes the Dominican Republic and Haiti, Haiti is the frontline. Of the 17,500 cases of malaria on the island, Haiti is home to 17,000.
Anybody who pays attention to global health knows the terrible scourge that is malaria. Nearly half of the world's population is at risk for getting the disease, with the vast majority living in countries that are poor and ill-equipped to respond. It's not an overstatement to say that a mosquito, which carries and spreads malaria, is the most lethal "animal" on earth. In 2015, for example, there were 214 million new cases and 438,000 deaths worldwide.
By those standards, the raw number of cases in Haiti isn't large. But the fact that Hispaniola (the island shared by Haiti and the DR) is the last holdout in the Caribbean means that eliminating malaria there holds symbolic importance and will provide refined practices and tools that will help fight malaria in other places.
For those reasons and others, an ambitious group has come together to achieve the goal. It even has an official name: Malaria Zero: The Alliance for A Malaria-Free Haiti.
Malaria Zero supports the leadership of the Ministries of Public Health in Haiti and the Dominican Republic in their malaria elimination efforts, and is led by the U.S. Centers for Disease Control and Prevention (CDC), and includes the Pan American Health Organization, The Carter Center, the Clinton Health Access Initiative, the London School of Hygiene & Tropical Medicine, Tulane University School of Public Health and Tropical Medicine and the CDC Foundation.
One other critical partner is the Bill and Melinda Gates Foundation, which provided a $29.9 million grant last year that was used to build this partnership and launch the effort.
Even with so many strong and capable partners, strong commitment from the countries, and the Gates Foundation's generosity, getting Haiti to zero malaria cases is not easy. Maybe, that's because we are trying to accelerate the timeline – instead of taking the ten or twenty years to get there, Malaria Zero intends to finish the job by 2020.
We do have some advantages that will make our work a little easier. The mosquito that transmits malaria on Hispaniola is highly inefficient compared to other mosquito species that carry and spread malaria in other areas of the world. Best of all, the mosquitoes in Haiti remain vulnerable to almost all insecticides.
We're also benefitting from new ways of thinking about malaria elimination and applying better tools and technology, such as using GPS to map areas of malaria transmission and new laboratory methods to identify people who are infected with the malaria parasites and have no symptoms, but who still contribute to ongoing transmission. An example of the exciting opportunities we have to use the latest scientific innovations to reach the countries' 2020 goal, is the use of new serology lab techniques that can help us identify communities of people that have a higher risk for malaria transmission. Being able to map where people are most likely getting infected is especially important in a country like Haiti where zooming in on these "malaria hotpots" will allow us to focus our efforts and resources.
But challenges persist. Even with the new technology and practices, we still don't have the complete surveillance system that we need. It's why there are still "hotspots" in Haiti where transmission rates are high. And because Haiti has very limited resources, the health care system is stretched thin which adds to the gaps in our knowledge that we must close if we are going to end malaria for good. All of these are real life challenges in a country that is the poorest in the western hemisphere.
That's not to say we can't do anything about it. We are constantly finding ways to have impact despite the constraints. One example of how we're doing this is by making sure that diagnostic tests for malaria are available and in use at all the clinics and hospitals across the country. We worked with our Ministry colleagues in Haiti to adopt the use of malaria rapid diagnostic tests – simple tests that can be used in settings without a laboratory. We worked together to do a field trial of the tests, and then developed a sound national policy using this local experience along with the best evidence from global studies. Now, we see that most people are getting tested for malaria at the clinics and not simply getting treated based on symptoms alone. In fact, we saw a 65% drop in the use of chloroquine—the main medication to treat patients suspected to have malaria—because the clinicians could more readily diagnose people with malaria, and therefore didn't need to treat everyone who had a fever (the most common sign of malaria and many other diseases). In the end, people get the right treatment, and our surveillance for malaria hotspots is much improved.
This is all hard work that takes time, commitment, and partnership. As hard as it is, as incremental as success might be, seeing the impact on people who no longer have to live with and fear malaria instantly removes any doubt about why we're doing this work. This effort demands our attention, pure and simple.
Because we know that successfully eliminating malaria from Hispaniola will lead to a better life for people who live there, not just a healthier life. Eliminating malaria will help the Dominican Republic and especially Haiti to grow their economies and attract foreign investment. It will erase malaria from the last place in the Caribbean, which means we will be one step close to the ultimate goal—eliminating this terrible disease everywhere.
These are inspiring thoughts to have on World Malaria Day and every day, and it's something that will sustain me on those long and bumpy drives to Dame Marie.]]>
Today on World TB Day – more than a century after the scientific discovery of the bacteria that causes tuberculosis (TB), TB continues to be one of the world's most deadly infectious diseases and among the leading causes of death worldwide. That TB is preventable and virtually curable makes this all the more unacceptable. The numbers tell a tragic story. An astonishing 2 billion people – that's one third of the world's population – are infected with TB with nearly 10 million active cases occurring each year. At least a third of active cases go undiagnosed every year, which means millions of individuals continue to transmit the infection, become ill, risk disease progression and even death. In fact, TB claims 1.5 million lives every year.
The global health community has called for an End to TB by 2035. But turning the tide worldwide on this deadly disease will require greater political will and investments from all corners of the global public health community.
Here at CDC, our mandate is to protect Americans 24/7 from public health threats at home and abroad. Recent public health crises such as Ebola and Zika drive home the fact that, in this interconnected world, infectious disease knows no borders. TB is an airborne disease that can spread from person to person regardless of borders or nationalities. The reality is that TB anywhere is TB everywhere. CDC's domestic TB control efforts have long acknowledged that, if we are to be effective, this disease must be fought on two fronts – both at home and abroad.
CDC is working side by side with ministries of health to find, cure, and prevent TB worldwide, through a combination of on-the-ground interventions in more than 25 countries. Our efforts are focused on reducing TB, including multi-drug resistant TB, especially among those who are most vulnerable such as people living with HIV, children and those battling chronic diseases like diabetes. We have long recognized that eliminating TB in the United States, requires that we pair our efforts domestically with redoubled efforts to combat TB in the highest burden countries.
CDC is also driving innovation to end TB as a global public health threat – conducting leading-edge research to optimize new tools for diagnosing TB, developing new treatment regimens for TB and drug-resistant TB worldwide and establishing best practices to end TB transmission in health care facilities. Our efforts to combat TB happen every day through the efforts of leading global experts like Dr. Peter Cegielski in our Division of Global HIV and TB whose groundbreaking research on the prevention and treatment of TB and drug-resistant TB is laying the foundation for the next wave of TB control strategies. Our goal is to find innovative solutions to the most intractable challenges facing TB and MDR TB. For example, in India, we are equipping local disease detectives with the epidemiological and public health tools to help create solutions tailored to their local epidemics. In Haiti, we are working with partners to scale-up access to critical services for those co-infected with HIV and TB. And in Nigeria, we are working alongside the Ministry of Health to arm frontline healthcare workers with the knowledge and skills they need to stop TB in its tracks.
But CDC – or any other single institution – can't do it alone. It will take us all – civil society, the private sector, government and international partners – working together to Unite to End TB.
CDC is proud to have a lead technical role in the President's National Action Planfor Combating MDR TB, and is working through the Global Health Security Agendawith ministries of health, multilateral agencies and the private sector to stop this deadly disease. We're also leveraging our strong partnerships and experience in the U.S. President's Emergency Plan for AIDS Relief (PEPFAR) to tackle HIV and TB together to have the greatest impact.
Ultimately TB is a global problem and as a global community we have achieved remarkable progress over the past 15 years – saving more than 43 million lives since 2000. But we urgently need to do even more.
It's critical that we continue to use every strategy and tool currently at our disposal and also move to develop new prevention and treatment measures: better, faster diagnostics; shorter, less toxic, more effective treatment options; and an effective vaccine – to stop the spread of all forms of TB.
If we are to see an end to TB in our lifetime, we must continue to work together to fight this epidemic on multiple fronts, and stop the suffering associated with this deadly disease, here at home – and around the world.
To learn more about CDC's on-the-ground efforts to fight TB around the world, visit the Global TB Web site.
This post is part of the 'The Isolation of Airborne Cancer' series produced by The Huffington Post for World TB Day. This series will look at the devastating issues surrounding tuberculosis, the number one infectious killer. To follow the conversation on Twitter, view #WorldTBDay.]]>


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Conspiracy Theories Debunked ...
When financial markets go berserk (just in case you needed a proof that markets are NOT efficient)
One of the defining traits of the past few years' "recovery" has been the torrent of money flowing from big banks to favored clients, and from there into trophy properties like high-end real estate, superyachts, and fine art. This might be the first financial bubble to completely bypass the 99%. And now it's ending...
As technology continues to fragment communication and the spread of ideas, people will continue to pursue their own individual interests with the effect of further cultural divergence. We are heading toward a world where we can build our own echo chambers and shut off anything we find offensive or unpleasant. In other words, if you think that cultural fragmentation is bad now — or that the Trump supporters are suggesting extreme measures in order to reimpose a degree of cultural hegemony - you ain't seen nothing yet. The decentralization of warfare through the adptation of drone technology and things like 3-D printed guns and bullets means that many skirmishes will likely be fought over this stuff again.
As one sharp Florida realtor explained..."The problem is that investors are no longer buying, and now they're going to be looking to sell..."
In his latest letter to investors, OakTree Capital's Howard Marks goes political (slamming Trump's tariffs and Bernie's minimum wage machinations), shedding some blinding light on the economic reality of America, the dismal failure (and increasing impotence) of central bankers, and the ongoing "tryanny of the majority" warning that if everyone wants to tax-the-rich, soon there will be no rich to tax. As he concludes, short-term fixes simply cannot create wealth out of thin air (see Venezuela), as Churchill once said "for a nation to try to tax [or stimulate or devalue] itself into prosperity is like a man standing in a bucket and trying to lift himself up by the handle."
For all those currently enrolled in healthcare plans administered in the following states, this is how much, on average, your plans will go up by.
Officials from 11 U.S. states sued the Obama administration on Wednesday to overturn a directive telling schools to let transgender students use bathrooms matching their gender identity, decrying the policy as "a massive social experiment." Joining Texas in the lawsuit was Alabama, Georgia, Louisiana, Oklahoma, Tennessee, Utah, West Virginia and Wisconsin, plus Arizona's Department of Education and Maine's governor. "We are willing to fight this all the way to the Supreme Court if we have to," Republican Texas Attorney General Ken Paxton told reporters in Austin.
A buck's a buck, or is it?!
Two days after Donald Trump released a clip in which he hinted at Bill Clinton's sexual transgressions by featuring two women - Kathleen Willey and Juanita Broaddrick - who have made rape accusations against the former president, and then promptly escalated his attacks on the Clintons in an interview with WaPo in which Trump called the circumstances of Vincent Foster's death "very fishy", Trump accidentally revealed what his next attack on Hillary will be.
A month ago, Virgina governor Terry McAuliffe signed a controversial order into law which restored voting rights to more than 200,000 convicted felons in Virginia. At the time we noted McAuliffe's close relationship with Hillary, and opposition comments that his action "doesn't speak of mercy. Rather, it speaks of political opportunism," and African American support in the state. All of which is by way of background as CNN reports today that McAuliffe is now being probed over questionable donations made to his campaign (from a Chinese businessman) during his time as a board member of The Clinton Global Initiative. We have three simple words: quid pro quo?
In a one-two punch that will likely only end up boosting Trump's approval rating as has been the case every time a member of the establishment, especially one as disgraced as Anthony Wiener, disparages the presumptive republican presidential nominee, yesterday morning Former Rep. Anthony Weiner also known as Carlos Danger, took a page from comedian Jon Stewart's joke book, when the husband of Hillary Clinton aide Huma Abedin lashed out at Donald Trump calling the presumptive Republican presidential nominee "Fuckface Von Clownstick."
ABC, Fox News, and Rasmussen now have polls suggesting Donald Trump leads Hillary Clinton nationally and for the first time during this campaign RealClearPolitics 'tracker' has Trump with a 0.2pt lead - the unofficial "death cross" of Clinton's campaign as Wayne Allyn Root right remarks "Hillary is sinking faster than the Titanic." Voters are putting their money where their polls are too as bookies odds of a Hillary victory in November are tumbling.
In Operation Stampede, what is being called the largest food-stamp trafficking takedown in history in terms of financial loss, law enforcement agencies filed federal charges last week against 22 Florida store owners or operators, including one convenience-store owner, in connection with schemes to illegally redeem food-stamp benefits for cash. the defendants fraudulently obtained more than $13 million dollars in EBT deposits for transactions in which the stores did not provide food.
"The bread shops are empty...I'm close to robbing. This man [Maduro] has to fix things or he should go... It's best that others step in to govern -- but not those squalid bastards, not them either,"
"We're becoming like a third-world country. This is how it feels to be sold out by your country. We're going to have nothing left but fast food... Fast food and hedge funds. That's where we're going."
The classified 28-pages of the 9/11 report have made global headlines lately as a handful of lawmakers battle to release them to the public. Those pages are believed by activists and members of Congress — who have seen them — to expose the role of Saudi Arabia, including government officials, in the terrorist attacks. But according to a new report based on years of investigative journalism, it turns out there are far more than 28 classified pages on Saudi Arabia and 9/11 — there are 80,000 kept secret by the FBI.
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Malo Newswire
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My time in Africa: Lessons, experiences and concessions w/Photo
This photo was taken when we went up into the Lesotho highlands looking for Chinese shopkeepers - there were Chinese supermarkets almost every village we went through We've paid off the six armed guards who've been protecting us, haggled over excess baggage, and I'm now writing this in a small plane heading south from the sun-baked Somali port of Bosaso, across the vast, yellow-brown plains of the Horn of Africa, towards Nairobi. Comment?
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When Amazon overlord Jeff Bezos unveiled his prototype flying delivery drone a couple Christmases ago, it was criticized as a publicity ploy, which it was, of course. But it also was the future, and not the far-flung one suggested by many observers. The aviation aspect presented profound difficulties with safety and legislation, but flight, while very useful, wasn't an absolutely necessary aspect required to disrupt the delivery industry.
In England and the U.S., Starship Technologies is ready to test its app-friendly, self-driving "ground drones," which putter along at four miles per hour but get the job done. From John Bacon at USA Today:
A British invasion of "ground drone" delivery robots that could easily be mistaken for rolling toilet bowls is set to begin this spring.
Starship Technologies, based in England and Estonia, plans to start trial bot deliveries in London next month. U.S. trial runs are set for April.
Starship CEO Ahti Heinla says the company's bots are compact, safe, environmentally sound "and best of all, earthbound." And he said they can deliver packages and groceries at a fraction of the cost of vehicles that require drivers.
"Our vision revolves around three zeroes — zero cost, zero waiting time and zero environmental impact," Heinla said. "We want to do to local deliveries what Skype did to telecommunications."
The ground drones are capable of carrying the equivalent of two grocery bags, and customers set the time for the delivery. Fully loaded, they weigh about 40 pounds and travel at a speed of about 4 miles an hour, the equivalent of a brisk walk or slow jog.•
"I am here to deliver."


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Miramar Hotel, Luzon
- Free parking
Main amenities
- 40 guestrooms
- Restaurant
- Breakfast available
- WiFi in the lobby
- Business center
- Airport shuttle
- 24-hour front desk
- Air conditioning
- Laundry service
- Meeting rooms
- Free newspapers in the lobby
What's around
- In Ermita
- Rizal Park (0.3 mi / 0.5 km)
- Baywalk (0.7 mi / 1.1 km)
- San Agustin Church (0.8 mi / 1.3 km)
- Children's Museum (0.1 mi / 0.1 km)
- Plaza Nuestra Senora de Guia (0.1 mi / 0.2 km)
For families
- Refrigerator
- Private bathroom
- Television
- Free toiletries
- Hair dryer
- Coffee/tea maker
Miramar Hotel, Luzon
Hotel Info: 866-539-8117from $40
- Superior Twin Room, 2 Single Beds
- Executive Double Room, 1 Queen Bed
- Executive Twin Room, 2 Single Beds
- Superior Double Room, 1 Queen Bed
Also popular with travelers from the USA
At a glance
Key facts
Hotel size
- This hotel has 40 rooms
- This hotel is arranged over 5 floors
- Check-in time starts at 2 PM
- Check-out time is noon
Required at check in
- Credit card or cash deposit required
- Government-issued photo ID required
Travelling with others
- No cribs (infant beds)
- No pets or service animals allowed
- WiFi and wired Internet access in public areas *
- WiFi and wired Internet access in rooms *
- Airport shuttle at scheduled times *
- Free self parking
Nearby Two Star Luzon hotels
In the hotel
- Continental breakfast daily (surcharge)
- Restaurant
- Room service (during limited hours)
- Business center
- Number of meeting rooms - 4
- Meeting rooms
- 24-hour front desk
- Dry cleaning/laundry service
- Free newspapers in lobby
- Number of buildings/towers - 1
- Elevator/lift
In the room
- Air conditioning
- Minibar
- Coffee/tea maker
- Private bathroom
- Shower only
- Free toiletries
- Hair dryer
- Cable TV channels
- DVD player
- WiFi (surcharge)
- Phone
- Refrigerator
Top Luzon hotels
Recently reviewed hotels in Luzon
- Aruga by Rockwell HotelFrom
"We stayed 3 nights in a Executive Suite room, overall experience was excellent, staff, service , information, location are ideal for tourists, the mall Power Plant with access in…"Jun 17, 2016
- Hyatt City of Dreams ManilaFrom
"Arrived at the hotel and check in was quick and painless room was nice size and bed was comfortable. Bathroom was nice size also. Shower had 2 different shower heads and water…"Jun 17, 2016
- Manila HotelFrom
"I am a returning customer because of the hotel's proximity to the USA Embassy. I feel safer in this location more so than on any location in this crime-ridden city of Manila. "Jun 17, 2016
- The Bayleaf IntramurosFrom
"We arrived early at 7am and we waited for 2 hrs. for room available. A lovely staff name Kat with a friendly and polite allowed us to check in early.We had a good.break fast at 9…"Jun 17, 2016
Nearby hotels
Special features
DiningBistro Michelle - This restaurant serves breakfast, lunch, and dinner.
Miramar Hotel, Luzon's small print
Also known as
- Miramar Hotel
- Miramar Hotel Manila
- Miramar Manila
Mandatory fees
Deposit: PHP 2000 per stay
Optional extras
Rollaway beds are available for an additional charge
Breakfast costs between PHP 250 and PHP 550 per person (approximately)
Airport shuttle service is offered for an extra charge of PHP 1000 per vehicle (roundtrip)
WiFi is available in guestrooms for PHP 1500 per 24-hour period (rates may vary)
WiFi is available in public areas for PHP 1500 per 24-hour period (rates may vary)
High-speed Internet access (wired) is available in guestrooms for PHP 1500 per 24-hour period (rates may vary)
High-speed Internet access (wired) is available in public areas for PHP 1500 per 24-hour period (rates may vary)
We have included all charges provided to us by this hotel. However, charges can vary, for example, based on length of stay or the room you book.
Recent reviews
Good 3.3 /5 from 62 reviews
Right on the street hear the traffic 24/7. The elevator was out of service and I was on the 5th floor. Hotel is old and out of style. Will not repeat
It was nice. But it was business.
This hotel needs a major upgrade. You have to go up the stairs for the elevator. Too bad & too old. Elevator located on 2nd floor. Carpets are filthy. Water is either too hot or too cold, for some reason it's hard to adjust the temp.
The hotel staff were pretty helpful and my stay was good overall. The hotel is pretty old and the creaks and sounds make it a little weird.
The hotel is a historic hotel from pre WWII Manila. Consequently the elevator did not work for part of our stay and we had to ascend the stairs to the fourth floor. The staff was nice. I asked about the fee for late check out and was informed it was the same as the daily rate I paid for the room and the staff was given no flexibility to change that so we checked out on time. Nice for the US Embassy area
Is the description of this hotel not correct? Tell us


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PEBBLE BEACH, Calif. (AP) - Sung Kang didn't know anything about his amateur partner until he went on the Internet and looked up actor Ray Romano. He didn't realize the par at Monterey Peninsula was 71 until he scrambled for par on his final hole and realized while signing his card Friday that he set the course record with a career-low 60.
TORONTO (AP) - Kobe Bryant answered questions in Spanish and Italian, raved about Canadian hospitality, showed off knowledge of both Greek basketball and English soccer. He announced plans to go to the Philippines and Taiwan, thanked fans from Japan and even asked a reporter how to say a phrase in Mandarin.
LOS ANGELES (AP) - After four years of measuring every workout, every race with stopwatches, the elite runners competing Saturday in the U.S. Olympic Team Marathon Trials might find their fate determined by the thermometer.
DAYTONA BEACH, Fla. (AP) - Injured NASCAR star Tony Stewart is out of bed and walking again, entertaining fans while live-streaming from a treadmill Friday.
GENEVA (AP) - Jerome Valcke, Sepp Blatter's long-time right-hand man, was banned from all soccer-related activity for 12 years Friday for misconduct during his term as FIFA secretary general.
SAN FRANCISCO (AP) - If the San Francisco Giants had any lingering concerns about Matt Cain's health, the veteran pitcher helped ease their minds with one impressive swing - on the golf course.
NEW YORK (AP) - Mets reliever Jenrry Mejia became the first player to receive a lifetime ban under Major League Baseball's drug agreement after testing positive for a performance-enhancing substance for the third time.
SAN JOSE (AP) - Juri Hudler scored the winning goal in the shootout, leading the Calgary Flames past the San Jose Sharks 6-5 on Thursday night.
DAYTONA BEACH, Fla. (AP) - Jeff Gordon will be in the booth and Tony Stewart in a bed when the NASCAR season begins.
TORONTO (AP) - Of all the goodies Kobe Bryant collects in his farewell season, one this weekend might be particularly useful.
TORONTO (AP) - Shaquille O'Neal should be a lock. Yao Ming and Allen Iverson could join him.
PEBBLE BEACH (AP) - Justin Rose, a U.S. Open champion and the No. 7 player in the world, shot a 6-under 66 his first time playing Spyglass Hill and spent a gorgeous day listening to the fans call out his name. Except they weren't calling for him, and he knew it.
OAKLAND (AP) - Four weeks after being stymied in their effort to move to Los Angeles, the Raiders agreed to a one-year extension lease extension on Thursday to remain at the Oakland Coliseum through the 2016 season - and possibly beyond.
CLEVELAND (AP) - Kobe Bryant remembers giving a pair of his sneakers to LeBron James as a gift and offering the teenager some advice.
MIAMI (AP) - San Antonio's first play of the 2008-09 season was designed and executed perfectly. Spurs' center Tim Duncan didn't bother jumping for the opening tap, conceding it to Phoenix's Shaquille O'Neal. Five seconds later, Michael Finley wrapped his arms around O'Neal for an intentional foul.
Page 36 of 774
OAKLAND (AP) - Klay Thompson knew Golden State had to come together, that every player needed to raise his game with Stephen Curry sidelined.
OAKLAND (AP) - As Steve Kerr tried to cope with the headaches, nausea, pain and other concerning symptoms, there were times he wondered whether he would ...
OAKLAND (AP) - Draymond Green is going to tell it like it is, and he insists these Golden State Warriors have few issues when it comes ...
SAN JOSE (AP) - The San Jose Sharks are happy to wait a little longer before finding out their second-round playoff opponent.
TORONTO (AP) - DeMar DeRozan scored 34 points and the Toronto Raptors held on for a 102-99 victory over the Indiana Pacers and a 3-2 lead ...
LOS ANGELES (AP) - Blake Griffin is out for the rest of the playoffs after aggravating his left quadriceps tendon and Chris Paul had right hand ...
DALLAS (AP) - An attorney for former Cleveland Browns quarterback Johnny Manziel calls the indictment against him "incredible" and said Tuesday that the way it's ...
DETROIT (AP) - Bob Melvin had no major concerns about sending left-hander Rich Hill to the mound against Detroit's lineup of righty sluggers.
SAN FRANCISCO (AP) - Johnny Cueto pitched a seven-hitter for his seventh career shutout to outwork James Shields, and the San Francisco Giants beat the San ...
Page 33 of 33
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Toshiba shows off nuclear radiation proof robot
For work in areas that are too risky for people to enter
JAPANESE INDUSTRIAL GIANT Toshiba has unveiled what it claims is a "nuclear radiation proof" robot designed to enter highly radioactive locations such as damaged nuclear plants to find out what's happening inside.
The four-legged robot has been built to carry out investigative and recovery work in locations that are too risky for people to enter, such as Tokyo Electric Power's damaged Fukushima No. 1 nuclear power plant.
The new 65kg machine measures one metre tall and can carry another 20kg. It has a TV camera and dosimeter and can investigate the condition of nuclear power plants by remote-controlled operation.
"The multiple joints of its legs are controlled by a dedicated movement algorithm that enables the robot to walk on uneven surfaces, avoid obstacles and climb stairs, securing access into areas that [are] challenging to be reached by wheeled robots or crawlers," Toshiba said in a blog post.
"The robot also has a folding arm that can release a companion smaller robot that mounts a second camera."
This smaller robot can be launched from the main robot and positioned to take images of narrow places and any equipment behind them, and tubes and other places that are too small for the robot to enter. It is connected to the main robot via a cable.
Toshiba said that although the robot is just in the prototype stages, the company will continue research and development on the robot's capabilities and operation so as to enable it to position and install shielding, stop flows of water and remove obstacles.
However on the specifications sheet Toshiba said the battery in the robot lasts for only two hours, which doesn't really sound like very long considering that it will need to complete complex tasks. Nevertheless, the clever robot represents the growing Japanese interest in using robots to perform human tasks such as making food and doing factory work. µ
INQ Latest
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WILLAMINA, Ore. - Diane (Pundsack) Lou, 66, died May 9, 2012 at her home in Willamina, Ore.
RIO RANCHO, N.M. - Dwight E. Nicolet, 92, passed away peacefully May 6, 2012 at an assisted living residential care facility in Rio Rancho, N.M. after a short battle with pancreatic cancer.
GREAT BEND - Peggy A. Stambaugh, 78, passed away at River Bend Assisted Living in Great Bend May 10, 2012.
PRATT - Norma Sue Huffman, 74, died May 8 at South Wind Hospice in Pratt. Born Jan. 26, 1938, in Geneseo, she was the daughter of Arthur and Ruth Black. A former resident of Lyons, she worked for Alco, moving to Pratt three years ago. On April 17, 2009, she married Harold Huffman in Liberal. He survives of the home.
TEMPE, Ariz. - Eugene (Gene) Louis Meyer died May 5 at his home in Tempe, Ariz. Born July 11, 1928, in Lorraine, he was the son of Harvey and Delia (Mehl) Meyer. On Jan. 1, 1950, he married LorRetta Keyser at Holyrood. She died April 17, 1995. On April 11, 1999, he married Gladys Whitcombe at Tempe, Ariz. He was a Holyrood area farmer, and an accountant and Realtor in the Phoenix, Ariz., area.
GREAT BEND -- Elizabeth Lula Rose "Betty" Straub, 79, died on May 7 at her home in Great Bend. Born Aug. 10, 1932 in Coodys Bluff, Okla. she was the daughter of Victor and Goldia (Adamson) Coker. She was a graduate of Claflin High School. On Nov. 24, 1952 she married Robert F. Hickey in Hoisington. He died on April 8, 1972. On May 31, 1974 she married Walter Joseph Straub in Hoisington. He died on Jan. 19, 2011. A lifetime resident of Barton County, she was a homemaker.
PLAINVILLE - Bo Vincent Brown, 23, of Plainville, passed away Monday, May 7, 2012 at his home.
LAWRENCE - Nell Thalheim, 101, entered into eternal rest on Friday, May 4, 2012 at Brandon Woods Retirement Center, Lawrence.
Alice J. McDonald, 91, died May 6 at Presbyterian Manor, Emporia. She was born May 1, 1921 at Heizer, the daughter of George V. and Winnie (Whaley) LeRoy.
Elizabeth "Betty Straub, 79, died at her home in Great Bend. Services are pending with Bryant Funeral Home.
LARNED - Leora D. Hammond Kristufek, 98, died May 5 at the Golden Living Center in Wilson. Born Jan. 25, 1914 in Grigston, she was the daughter of William and Ina Fay Watson Nulf. On April 26, 1930 she married C.G. Hammond. He died on Nov. 21, 1971. On Sept. 21, 1977 she married Carl Kristufek in Dillon, Mont. He died on Feb. 27, 1988. A longtime area resident, she owned and operated the Hammond Holiday Home.
Maurice L. "Maurie" Claassen, 91, died May 5 at Via Christi St. Francis Regional Medical Center in Wichita. Born Feb. 9, 1921 in Newton, he was the son of Cornelius and Addie (Lander) Claassen. After meeting Ruth McIlrath at the University of Kansas, Maurie and Ruth were married on Nov. 25, 1945 in Great Bend. Ruth died on July 14, 1982. A longtime resident of Great Bend, he worked in the insurance industry initially for McIlrath Insurance Agency and retiring from Thurman Morrison and Associates.
ELLINWOOD - Kathryn Bernice Lamb, 66, died May 7 at her home in Ellinwood. Born Nov. 7, 1945 in San Bernardino, Calif., she was the daughter of Elmo John and Mildred Bernice (McKinney) Riddle. On Feb. 10, 1963 she married Ron Lamb in Great Bend. A resident of Ellinwood since 1958, coming from Wichita, she was a beautician and was co-owner of Ron Lamb's Color Clinic for thirty-one years. She was a self-taught artist.
LA CROSSE - Lloyd R. Rodie, 91, died May 2 at his home in La Crosse. Born Aug. 25, 1920, in rural Timken, he was the son of John and Carrie (Kaiser) Rodie. A lifelong resident of Rush County, he was a farmer and stockman before his retirement.
Page 196 of 297
SAN JOSE, Calif. - Sara S. Dale, 86, died Feb. 13, 2016.
HAYS - Mont Lee Burton, age 61, of Hays passed away Thursday, June 16, 2016 at Hays Medical Center.
Kenneth Morris Warner, 90, died June 16, 2016 at Almost Home, Inc., in Great Bend. He was born Sept. 21, 1925, the son of Albert ...
LARNED - Ronald F. Scranton, 70, died June 15, 2016, at his home in Larned. Born Sept. 8, 1945, in the Hays Hospital, he was the ...
HUTCHINSON - Roberta J. "Bert" Fiedler, 52, died June 13, 2016, at Hutchinson Regional Medical Center. Born Sept. 19, 1963, in Ellinwood, she was the daughter ...
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Last week, National Public Radio aired a story on my Pharma Wars series, which chronicles an epic battle between men who ran two competing cybercrime empires that used spam to pimp online pharmacy sites. As I was working with the NPR reporter on the story, I was struck by how much spam has decreased over the past couple of years. Below is a graphic that's based on spam data collected by Symantec's MessageLabs. It shows that global spam volumes fell and spiked fairly regularly, from highs of 6 trillion messages sent per month to just below 1 trillion. I produced this graph based on Symantec's raw spam data.Read the full article
IDG Live Webinar: Use mobile working to deliver better customer service - in partnership with Citrix Speakers: - Steve Vamos, Non-Executive Director, Telstra - Tim Sheedy, Principal Analyst, Forrester Research - Andrew Clowes, Head if IT Australia - Jones Lang LaSalle - MC Anthony Caruana
CSO Live Webinar - How to defend against Email Fraud - in partnership with Proofpoint Speakers: - Scott Brown, Senior Technical Advisor, CERT Australia - Mark Guntrip, Group Manager, Email Protection, Proofpoint - Scott Mellis, Team Leader, Cybercrime Operations, AFP - MC/Moderator Anthony Caruana
CSO Live Webinar in partnership with ForgeRock: Trusted digital identities matter – and everyone from the C-suite to the customer needs to know why
CSO Perspectives Roadshow 2016 - International Keynote Robert Lentz, President, Cyber Security Strategies & CISO former US Department of Defense
CSO Perspectives Roadshow 2016 - International Keynote Graham Cluley, Security Analyst, GrahamCluley.com


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Lissie Announces New Album, "Back to Forever"
Out Sept. 10
Singer/songwriter Lissie Maurus, a.k.a. Lissie, has announced the upcoming release of her sophomore album Back to Forever. The follow-up to her 2010 debut Catching a Tiger, the new 12-track collection was recorded late last year across various California studios. In the lead-up to the record's upcoming release the young musical artist has premiered a music video for LP's lead single "Shameless," a song Maurus says "was written just as much about my insecurities and me feeling defensive as it was about making a statement against what I don't want to be." Click below to watch and listen. Back to Forever comes out Sept. 10 on Fat Possum.
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