NATO MARCOM Commander Visits Norfolk and the Pentagon

first_img View post tag: europe Authorities Back to overview,Home naval-today NATO MARCOM Commander Visits Norfolk and the Pentagon View post tag: News by topic View post tag: americas View post tag: Norfolk View post tag: NATO View post tag: the Pentagon View post tag: MARCOM View post tag: Commandercenter_img The Commander of NATO Allied Maritime Command (MARCOM), Vice Admiral Peter Hudson CBE, paid official visits to Allied Command Transformation in Norfolk, Virginia, and U.S. Navy leaders in Norfolk and the Pentagon last week to discuss outcomes of the Wales Summit and the specific impact on the maritime domain.During the visit to Norfolk, Vice Admiral Hudson met with Supreme Allied Commander Transformation, General Jean-Paul Paloméros, and his staff, Commander Fleet Forces Command, Admiral Bill Gortney, and Deputy Commander Fleet Forces Command/Combined Joint Operations from the Sea Center of Excellence (CJOS COE) Vice Admiral Nora Tyson, among others.While at the Pentagon, Vice Admiral Hudson met with U.S. defence leaders, including Chief of Naval Operations Admiral Jonathan Greenert, Vice Chief of Naval Operations Admiral Michelle Howard, Deputy Assistant Secretary of Defence for Europe Mr. Jim Townsend, and U.S. State Department officials.Specific subjects of discussion included development of the Very High Readiness Joint Task Force (VJTF), or Spearhead Force; operationalization of the Alliance Maritime Strategy; ballistic missile defence (BMD); maritime reform; and U.S. Navy presence in the European Command (USEUCOM) area of responsibility, to name just a few.“The transatlantic bond between Europe and North America is a critical and defining characteristic of NATO, and is one of our new Secretary General’s three priorities,” said Vice Admiral Hudson. “I had a series of excellent discussions with NATO and U.S. Navy leadership on the western side of the Atlantic that should be of great benefit to Allied maritime operations going forward.”[mappress]Image: NATO MARCOM View post tag: Navy October 15, 2014 NATO MARCOM Commander Visits Norfolk and the Pentagon View post tag: Naval View post tag: usa View post tag: visits Share this articlelast_img read more

New pandemic vaccine plan keeps focus on critical workers

first_imgJul 23, 2008 (CIDRAP News) – Federal health officials today released their official guidance on allocating vaccine during an influenza pandemic, with few changes from a previous draft that put military personnel, critical health and emergency workers, pregnant women, and small children at the head of the line.The 25-page guidance document is intended to help state and local leaders allocate scarce vaccine supplies in a pandemic, especially the early stages. The goals are to blunt the effects of a pandemic on public health and the economy and to limit general social disruption.The new document, issued by the Department of Health and Human Services (HHS) and the Department of Homeland Security (DHS), is a revision of one that was released in October 2007. It was developed by a federal interagency working group, which gathered two rounds of input from the public and various stakeholders, including business and community organizations.In a news release, HHS Secretary Mike Leavitt called the guidance “the result of a deliberative democratic process.””This guidance was developed to ensure that our nation’s critical infrastructure remains up and running and we address the needs of all of our citizens, enabling the country to recover from a pandemic more quickly,” added Dr. Jeffrey Runge, DHS assistant for health affairs and chief medical officer.Once a pandemic emerges, “it could be on the order of 20 weeks before matched vaccine begins to flow,” and production capacity will be limited, said Dr. William Raub, Leavitt’s science advisor, at a press conference today. “So we need a plan to target the successive batches as fairly as we can. These guidelines are the instrument to do that.”Consensus on four objectivesFederal officials said all the public and stakeholder input produced a consensus on four objectives for vaccine allocation:Protect people who are critical to the pandemic response and care for those who are sick with the fluProtect providers of essential community servicesProtect those at high risk for infection because of their jobsProtect childrenThe working group settled on five tiers, or vaccination priority groups. To facilitate the assignment of people to the different tiers, the authors sorted the population into four broad categories: homeland and national security, healthcare and community support services, critical infrastructures, and the general population. They also defined several “target groups” on the basis of occupation, type of service, age-group, or risk level.In making their recommendations, federal officials looked at three levels of pandemic severity: severe, moderate, and less severe. Some occupational and risk groups move to a higher or lower tier depending on pandemic severity, but tier 1 is the same for all levels of severity. The following classifications assume a severe pandemic.In tier 1—those first in line for vaccine—are several “critical occupations”: deployed military forces, critical healthcare workers, emergency medical services workers, fire fighters, and police. Also included are pregnant women, infants, and toddlers. Those groups total an estimated 24 million people.Among the health workers assigned to tier 1 are an estimated 300,000 public health personnel, 3.2 million hospital employees, 2.5 million outpatient and home healthcare providers, and 1.6 million workers in long-term care facilities.Tier 2, totaling an estimated 15 million people, includes the following occupational groups: military support, border protection, the National Guard, intelligence services, other national security, community services, utilities (energy and water), communications, “critical government” workers, and two groups not previously included in this tier: pharmacists and mortuary workers. Also included in tier 2 are two high-risk groups: contacts of infants, and children with certain medical conditions.Tier 3 includes several more occupational groups: other active duty military; other healthcare workers; other critical infrastructure sectors, including banking and finance, chemical, food and agriculture, pharmaceutical, postal and shipping, and transportation workers; and other government workers. Also in tier 3 are healthy children ages 3 to 18 years. Tier 3 is estimated to include 64 million people.Tier 4, an estimated 74 million people, consists of two high-risk populations: adults between the ages of 19 and 64 who have chronic medical conditions that increase their risk of severe flu, and everyone age 65 or older.Tier 5 is defined as all other healthy adults between 19 and 64 years old who don’t fall into one of the other tiers, estimated at 123 million people.The guidance says that all groups within a given tier should be vaccinated at the same time, but “sub-prioritization” may be necessary if the vaccine supply is very short, which may be the case through the first wave of a pandemic. The guidance gives recommendations about how to rank groups within tier 1 in this situation, putting front-line inpatient and hospital-based healthcare workers first.Another case of sub-prioritization is in tier 4, which includes 19- to 64-year-old adults with medical conditions and adults 65 and older. If the vaccine supply is limited, the 19- to 64-year-olds should be vaccinated first, HHS advises. The reason: elderly people have a lower immune response to flu vaccines, so putting high-risk younger adults first makes better use of the available vaccine.Protecting essential workersThe main reason for vaccinating workers in critical infrastructure sectors, the report says, is not to reduce general absenteeism, but rather to protect workers whose absence would slow or stop critical functions and also to protect workers at especially high occupational risk.At the press conference, Dr. Ben Schwartz of the Centers for Disease Control and Prevention responded to a question about why transportation workers were not ranked higher than tier 3.”We certainly recognize the importance of including the transportation system,” he said. “It’s in tier 3 because it’s an infrastructure where it’s likely the overall demand won’t increase in a pandemic and may decrease. Transportation workers are not likely to be highly exposed to ill people, and thereby won’t be at high risk. A truck driver is a pretty solitary worker.”Schwartz also said demand for nonessential commodities may drop during a pandemic, which would allow workers to shift to transporting more essential goods.In other observations, the guidance says that general population groups assume greater priority, relative to occupational groups, in less severe pandemics, ie, those ranking 1 or 2 on HHS’s pandemic severity index.During the 1957 and 1968 pandemics, healthcare and essential services were effectively maintained in the United States, the document says. “Because of this, after tier 1, occupational groups in the health care and community support services and critical infrastructure categories are not specifically prioritized and workers in these groups would be vaccinated based on their age and health status as part of the general population.”Experts welcome the planMany public health experts have praised HHS’ hard work on the pandemic vaccine allocation guidance, particularly that of the interagency working group that spearheaded the project. They have also praised the agency for its leadership role.Jeffrey Levi, PhD, executive director of Trust for America’s Health (TFAH), a nonprofit health advocacy group based in Washington, DC, wrote in an e-mail to CIDRAP News today that the guidance represents a step in the right direction. “HHS is to be commended for the breadth of outreach that was part of developing this guidance,” he said.J. Eline Garrett, JD, assistant director for health policy and public health at the Minnesota Center for Health Care Ethics (MCHCE) in Minneapolis, told CIDRAP News that HHS and other agencies have shown strong leadership. “There’s a whole lot that’s good here. A range of pandemic scenarios and scalability are very important, and we value and agree with the way that multiple tracks and category tiers are used to address the practical and ethical complexities,” she said.The public health community also appreciates federal officials’ recognition that there is a need for vaccine allocation, she said.Some see serious gapsHowever, some experts said the federal guidance still contains some serious gaps and raises a host of questions.Levi said there tier 1 includes a large number of people, which demonstrates the need for more vaccine production capacity and the need to more seriously explore vaccine stockpiles.Garrett said that despite the revisions that followed extensive input from stakeholders, the MCHCE still has a number of concerns about the federal guidance. “This is to be expected. This work is difficult and important,” she said.One of the group’s concerns is that the federal guidance doesn’t explicitly and consistently address vaccine efficacy among the different population groups.In some instances, the guidance lacks rationales for the placement of groups on the priority spectrum, which makes it seem less transparent and more difficult for public health officials to grasp, Garrett said. For example, a high priority is placed on vaccinating children, but prioritization decisions might change if the pandemic virus that emerges threatens a different group.Prioritization of workers in homeland security, healthcare, and community support acknowledges exposure levels, but it doesn’t address the risk of death or serious complications, Garrett said. Allocating vaccine to critical workers who are not at risk could shortchange members of the general population who are at risk, she added.Garrett acknowledged that it’s difficult to balance flexibility with uniformity and equity.Federal officials recommend that states uniformly apply the prioritization guidance, but she said a lack of flexibility might be impractical for some areas and in some situations. For example, authorities plan to distribute vaccine in proportion to each state’s population. However, some critical jobs might not be distributed equally among states.Also, some locations might opt to keep schools open during a pandemic and will need to factor teachers into the vaccination scheme, Garrett said.”These questions haven’t been asked or answered, but they should at least be addressed,” she said.Ignoring economic realities?Michael T. Osterholm, PhD, MPH, director of the University of Minnesota Center for Infectious Disease Research and Policy, which publishes CIDRAP News, said the current federal guidance falls far short of what’s needed to address critical infrastructure and economic realities.During a pandemic, failure to adequately protect workers in sectors such as power, water, food, transportation, and pharmaceuticals could cause collateral damage that could rival deaths from the virus, he said.For example, Osterholm said the transportation sector is incompletely addressed in the vaccine prioritization plan and that coal workers aren’t listed as a priority, even though half of the electricity in the United States is generated by coal.Also, he pointed out that several lifesaving drugs in the United States are generics that are made offshore. Written stakeholder comments that Osterholm and some of his colleagues submitted to HHS suggested that the federal plan should prioritize some offshore workers who help produce goods, such as generic drugs, that are critical to the United States.See also: Jul 23 HHS news releasehttp://www.hhs.gov/news/press/2008pres/07/20080723a.htmlHHS guidance document on allocating vaccinehttp://www.flu.gov/individualfamily/vaccination/allocationguidance.pdfDec 12, 2207, CIDRAP News story on public response to draft HHS planOct 24, 2007, CIDRAP News story on draft HHS guidancelast_img read more

Fed Cup: Osaka shocked as Spain seize lead over Japan

first_imgRead Also: Tennis: Federer, Nadal play to record crowd in Cape Town“I’m really proud of being able to get the win for the team,” said Williams, who took her perfect record in Fed Cup singles play to 14-0.Elsewhere, world number five Belinda Bencic thrashed Gabriela Dabrowski 6-1, 6-2 to give Switzerland a commanding 2-0 advantage over Canada, Germany grabbed a 2-0 lead over Brazil and Slovakia took a 2-0 lead over Britain in Bratislava.The ties between Belgium and Kazakhstan, Romania and Russia, and the Netherlands and Belarus, were all level at 1-1 after the opening day.FacebookTwitterWhatsAppEmail分享 A tearful Naomi Osaka followed up her Australian Open disappointment with another surprise defeat on Friday when she was beaten 6-0, 6-3 by world number 78 Sara Sorribes Tormo in the Fed Cup. Spain took an unexpected lead over Japan in the tie in Cartagena after Sorribes Tormo capitalised on a careless performance from Osaka, who made an astonishing 50 unforced errors in the 15 games. Naomi Osaka has had a difficult start to the 2020 season Carla Suarez Navarro then made it 2-0 to the hosts after she eased past Misaki Doi 6-3, 6-4. Sorribes Tormo enjoyed the backing of a sizeable home crowd at La Manga Club and her consistency proved too much for Osaka, who has never played her best on clay. “We knew that Sara had the game to make it very uncomfortable for Naomi,” Spain captain Anabel Medina Garrigues said. “She stuck to the game plan perfectly.” The winners of the eight qualifying ties will join four automatic entries, holders France, Australia, Czech Republic and hosts Hungary, in the inaugural Fed Cup Finals in Budapest in April. Osaka, a two-time Grand Slam champion, has endured a shaky start to the year after being knocked out by 15-year-old American sensation Coco Gauff last month in Melbourne, where she had lifted the trophy in 2019. Since claiming her second consecutive major triumph, Osaka has dipped, failing to go past the fourth round in any of the four Grand Slams since. The 22-year-old, who has dropped to number 10 in the world, surrendered the first set to Sorribes Tormo in a swift 27 minutes before putting up more of a fight in the second. Loading… But after Osaka led 2-0, Sorribes Tormo came back and a break midway through proved decisive, with a clearly disappointed Osaka struggling to contain her emotions at the finish. Sorribes Tormo’s second career singles win in Fed Cup gave Spain the perfect start, which was extended by Suarez Navarro’s comfortable victory over Doi. Osaka will now have to beat Suarez Navarro in the reverse singles on Saturday to prevent Spain booking their place in the finals in Budapest. – Serena out-duels Ostapenko – The United States were well on their way to an appearance in the finals after victories for 23-time Grand Slam winner Serena Williams and newly minted Australian Open champion Sofia Kenin. Kenin got the ball rolling for the Americans in Everett, Washington, with a 6-2, 6-2 victory over Anastasija Sevastova and Williams followed with a hard-fought 7-6 (7⁄4), 7-6 (7⁄3) win over former French Open champion Jelena Ostapenko. “I was obviously a little nervous coming in after Australia,” said Kenin, who needed just 68 minutes to subdue Sevastova. “I felt tired, but I tried to get that out of my mind and just represent and do what I do best.” Williams had a tougher time with Ostapenko, but benefitted from the Latvian’s two double faults in the first-set tiebreaker and another double fault to give Williams match point in the second-set decider. Ostapenko also double-faulted to hand Williams a break for a 6-5 lead in the second set. The US veteran couldn’t close out the match however, dropping her own serve and the first two points of the ensuing tiebreaker before storming back with five straight points. Promoted ContentArchaeologists Still Have No Explanation For These Discoveries8 Superfoods For Growing Hair Back And Stimulating Its Growth7 Of The Wealthiest Universities In The World7 Inventions Created To Start Saving The WorldCouples Who Celebrated Their Union In A Unique, Unforgettable Way6 Incredibly Strange Facts About HurricanesRevealed: 6 Hidden Secrets Of The Great Wall Of ChinaThe Models Of Paintings Whom The Artists Were Madly In Love WithCOVID-19 Pandemic Has Significantly Improved Air QualityLook Up At The Most Fascinated Ceilings In The WorldBirds Enjoy Living In A Gallery Space Created For Them5 Of The World’s Most Unique Theme Parkslast_img read more

Solskjaer warned Man Utd rebuild could fail without key transfer rethink

first_img “I’d still go for [Jadon] Sancho if I could, depending on what that will cost, because they still need a calibre of players that’s gonna be challenging – not just the teams in this league, but Real Madrid and Barcelona. “You want the best that you can possibly get to keep the fight in that squad and keep them trying to achieve. “You put [Kalidou] Koulibaly in that squad… Luke Shaw has been in and out of that squad. We know what potential he had and whether or not he’s going to be able to fulfil that, because we’re still not seeing a settled left-back playing the kind of game that you want to see someone do. “Maybe a left-back, a centre-half and that team with a Sancho in it as well which would help with the competition for places.” Elsewhere, former United goalkeeper Mark Bosnich has hailed Bruno Fernandes’ effect on United’s progress. The Red Devils were 17 games unbeaten going into Monday’s clash with Southampton, largely down to the Portugal international’s contributions. Fernandes has scored eight goals and assisted seven others in 15 United appearances. And Bosnich feels he is now an unmissable part of Solskjaer’s team. FacebookTwitterWhatsAppEmail分享 Loading… Ian Wright has said Manchester United may need to bring in a new left-back, with Luke Shaw struggling to fulfil the potential he once showed. United’s concrete spending plans reportedly include a new left-sided defender, a striker and a right-sided player before next season. Ole Gunnar Solskjaer wants to replace the outgoing Marcos Rojo, with Nathan Ake and Tyrone Mings allegedly on his radar. Elsewhere, reports have heavily linked Jadon Sancho with a move, but his price tag could be more than £100million. And while United boss Solskjaer has said he has doubts over his transfer budget, Wright believes only “the best” signings will continue the club’s recent upward trend. And, contrary to the previous reports, Wright believes a left-back should be on Solskjaer’s wish list. “It’s important who they buy now,” Wright said on Optus Sport (via the Daily Mirror). “I think a defender is needed and maybe a left-back. read also:Man Utd make €65m bid for Inter’s SkriniarAdvertisementlast_img read more