CDC Blames Travel From 3 Countries For COVID-19 Spreading Around The World – Study Finds

ATLANTA, Ga. To date, there are more than 18 million confirmed cases of COVID-19 around the world. The virus has spread to every corner of the globe throughout 2020 and tragically caused nearly 700,000 deaths. So how did things get so bad? A new study finds the first cases in at least two-thirds of infected nations are linked to travel involving China, Italy, and Iran.

The U.S. Centers for Disease Control and Prevention says an examination of COVID-19 records during the first 11 weeks of the outbreak reveals a strong connection to the pandemic spreading out of these countries. From Dec. 31, 2019 to March 10, 2020, the first case of coronavirus in 75 of 99 affected nations (outside of China) involves a person traveling to an area where the virus was already spreading.

Of those cases, 27 percent of first infections involve a person traveling to Italy. Another 22 percent start with people visiting China, and 11 percent of nations were affected by contact with Iran.

Our findings suggest that travel from just a few countries with substantial SARS-CoV-2 transmission may have seeded additional outbreaks around the world, says the CDCs Dr. Fatimah Dawood in a media release.

The CDC says this is the first study looking at how international travel spread COVID-19 before the outbreak was officially declared a pandemic. Over 32,000 cases in 99 countries outside of mainland China were recorded during the first 11 weeks of 2020.

Travel to Italy in particular had a devastating impact on several continents and the countries within. Three of the six first cases in Africa have ties to Italy. Over a third 16 of 45 nations in Europe and nearly 40 percent of countries in the Americas link initial infections to Italy.

Exposures linked to mainland China account for nearly all of the first cases in the Western Pacific 10 out of 12 countries. The Chinese city of Wuhan is suspected of being the origin point for SARS-CoV-2, the virus which causes COVID-19.

The scientists also link 44 percent of first cases in the Eastern Mediterranean to travel to and from Iran.

The CDC team says they have in-depth data on 1,200 of the initial coronavirus cases from 68 different countries. From that information, they are creating a picture of how and where the virus was spread in January, February, and March.

Among these early cases, the average age of a COVID-19 patient is 51. Just three percent are younger than 18 years-old and only two percent of the patients are healthcare workers.

During this pre-pandemic period, the CDC study shows the virus was most commonly passed on to others inside a household. These transmissions get an average of 2.6 people sick.The report also reveals faith-based groups and dinner parties played the biggest role in widespread transmission of COVID-19. An average of over 14 people were diagnosed with coronavirus after attending one of these gatherings.

Four large clusters in our analysis, and large outbreaks reported elsewhere, have been linked with transmission in faith-based settings, highlighting the need to partner with faith-based organizations when designing and implementing community mitigation efforts, says co-author Dr. Philip Ricks.

Dr. Ricks also points to several infection clusters in medical facilities, underscoring the need for better infection prevention practices inside hospitals.

The CDC says their report doesnt paint the entire picture of the pandemic because of limited data from low-income countries. Only six out of 46 countries in and around Africa had reported COVID-19 cases by the time the World Health Organization declared COVID-19 a pandemic.

Accurate data from these settings will be needed to assess the full global effect of the COVID-19 pandemic, Dawood explains.

The study appears in The Lancet Infectious Diseases journal.

Like studies? Follow us on Facebook!

Read the original here:

CDC Blames Travel From 3 Countries For COVID-19 Spreading Around The World - Study Finds

At the Library: Can’t travel? There are other ways to see the world – Yakima Herald-Republic

Under more normal circumstances, summer is the time of year when many of us get bitten by the travel bug. In an alternate reality, I spent the first week of May on a road trip to Utah to attend my sisters college graduation; on the way there, a friend and I would have scheduled a stopover to explore Arches National Park.

In that same, unformed reality, Id be juggling the librarys jam-packed Summer Reading event calendar in order to find a few days that I could get away for a long weekend in Chicago; once there, Id happily wait 30 minutes for a table at an always-

bustling breakfast spot in Andersonville. After that, Id find my happy place at the Printers Row Lit Fest and then, perhaps, spend the evening sitting shoulder-to-shoulder in a room full of strangers at an improv comedy show.

Alas, none of those travel plans were meant to be this year and, like many of you, the hiatus is just another example of the gray area in which we currently exist.

But, look, my intent isnt to win the Debbie Downer crown. Ive decided that its perfectly OK to pine for what might have been while also and this part is important finding ways to adapt to the world as it is now.

So, please settle in for my latest round of suggestions about travel destinations virtual tours, and international experiences you can enjoy without leaving home.

Did you know that the British Virgin Islands are made up of four main islands and more than FIFTY smaller islands and cays? Yeah, neither did I. While beach-y locales arent really my vacation go-to, even I can appreciate the palm trees and gem-bright ocean views all of which are viewable, in real-time, via a collection of webcams scattered around the Islands (go to http://www.bvimariner.com/webcams). But if you prefer a bit more action, you can also take a catamaran and sightseeing trip courtesy of The Adventure Travelers. (www.youtube.com/watch?v=jCokzveH8HM)

One of my best friends is obsessed with Greenland and, thanks to this gorgeous, birds-eye view video of Greenlands otherworldly landscape and scenery, I totally understand her fascination now. (www.youtube.com/watch?v=f7hbWvHKns0)

Yellowstone National Park

If youve been reading this column long enough, you might recall that Im not exactly outdoorsy. I admit it: I have a terrible sense of direction and a healthy fear of things that go bump in the night (or in the bushes, during daylight), so, a well-marked nature walk is my idea of roughing it. The good news is that these video walks and virtual tours of Yellowstone National Park are right up my alley: all the stunning, scenic beauty of visiting sites like Dragons Mouth Spring or the Mud Volcano; plus, the availability of a plethora of photographs, sounds and videos mean I can still explore the park without the need for sunblock or bug spray. (www.nps.gov/yell/learn/photosmultimedia/ virtualtours.htm)

If youre anything like me, vacationing isnt just about sightseeing; I also love to learn about a destinations history, art and culture firsthand; and theres perhaps no better place to find all three than in Austria. This walking tour takes you on a lovely, meandering journey with stops at the Love Lock Bridge, Mozarts birthplace, Mirabell Palace and Salzburg Cathedral. (www.youtube.com/watch?v=HhVMMfe6tuo)

I dont know about you, but when I think of Tokyo, in addition to the amazing food, stunning architecture and history, I definitely think of a techie dreamland.

Given, Im only passingly conversational when it comes to the language of gadgets and technology, but the teamLab Borderless exhibit at the MORI Building Digital Art Museum just might win me over. The exhibit is described as a group of artworks (that) move out of rooms, communicate with other works, influence and sometimes intermingle with each other with no boundaries.

Suffice it to say, I cant even begin to describe the jaw-dropping, music- infused, multicolored, immersive nature of this digital artwork luckily, you can see it for yourself via this series of videos from the museum. (https://border less.teamlab.art/#highlight)

Krystal Corbray is programming and marketing librarian for Yakima Valley Libraries. She and other library staffers write this weekly column for SCENE. Learn more at http://www.yvl.org.

Go here to see the original:

At the Library: Can't travel? There are other ways to see the world - Yakima Herald-Republic

University-affiliated group travel prohibited, personal travel ’emphatically discouraged’ in the fall, says U. – – The Daily Princetonian

Students living on campus in the fall are emphatically discouraged from traveling for any reason and to any location outside the immediate Princeton area, read an email to students on Thursday from Associate Provost for International Affairs and Operations Aly Kassam-Remtulla.

Any University-affiliated group travel, including travel organized by student groups, is prohibited, the email explained.

Forbidden group travel will include travel for student activities, research, conferences, faculty-led group, and any other University-related purpose.

The travel guidelines will be in place for the entirety of the fall semester, and will be reassessed and updated at the beginning of each academic semester, according to the email.

Although University-affiliated group travel is prohibited, further guidelines enumerate the procedure for gaining permission for University-sponsored travel. Specifically, all University affiliates must register University-sponsored trips to any destination with the Global Safety & Security (GS&G) unit prior to departure.

Any destination was qualified in the guidelines as outside of Mercer County, New Jersey. The guideline marks a shift from a past requirement for undergraduate students to register their travel outside the New York-to-Philadelphia corridor.

The requirement for registering with GS&G will apply to all faculty members, staff, undergraduate students, and graduate students.

Additionally, when conducting University-sponsored travel, affiliates must comply with University and local, state, and federal public health guidelines, including mask wearing and physical distancing.

With regard to personal travel, undergraduate students who were invited back to live on campus are required to enroll the details of their personal travel outside Mercer County.

The requirement to register personal travel with the University will apply to students invited back who choose to live off campus and visit campus regularly.

Graduate students studying on campus, regardless of whether they live on University property, will also be required to register personal travel.

Faculty and staff members who live and work on campus will not be required, but are encouraged to register any non-routine, overnight personal travel outside of New Jersey.

Those graduate students, faculty members, and staff who commute to campus outside the county do not need to enroll their commutes as travel including in cases when the University subsidizes their commuting costs.

Kassam-Remtulla explained in the email that these determinations on travel policy were made due to the imperative of balancing our communitys need to remain connected to the broader world of research and learning opportunities, with the great risks and uncertainties of any journey during a pandemic.

The risk of bringing infections back to our campus or into the communities we visit took greater priority, and weighed heavily in the Universitys deliberations.

Varying governments responses to the pandemic also created sometimes insurmountable obstacles to the Universitys ability to support travelers in an emergency, read the email.

Kassam-Remtulla also noted that the guidelines were created in collaboration with the Office of the Dean of Undergraduate Students, Office of the Dean of the College, Office of the Dean of the Graduate School, Office of the Dean of the Faculty, Human Resources, the Office of International Programs, the Davis International Center, University Health Services, Environmental Health and Safety, and Finance & Treasury.

Read the rest here:

University-affiliated group travel prohibited, personal travel 'emphatically discouraged' in the fall, says U. - - The Daily Princetonian

Travel – The surprising truth about pavlova’s origins – BBC News

Baking a pav and turning up to a backyard barbecue with the dessert in hand is about as Australian as it gets. On Christmas Day, soon after the last prawn has been peeled, the white meringue cake topped with cream and fruit takes pride of place on tables across the country. Its a dish synonymous with summer celebrations; a refreshing sweet treat on an often hot and sticky day. With many of us being brought up to believe it to be a local invention, its no wonder Australians feel such a strong affinity with pavlova.

The only problem is, New Zealanders feel the same way.

When I was growing up in the 1970s, I remember my mum would make a pavlova and take it to friends houses and parties, said Australian chef Peter Gilmore, who is known for his meringue-based Snow Egg dessert, which found fame in the 2010 series of MasterChef Australia. I think of the Australian variety having tropical fruit, like passionfruit and mangoes. So, when I put my Sydney Opera House-shaped version on the menu at [Sydney Opera House restaurant] Bennelong, passionfruit was the obvious choice for me to feature.

Like many in the industry, Gilmore had long believed the pavlova to be an Australian creation, only recently discovering New Zealand also makes the same claim. The dessert was named after the Russian ballerina Anna Pavlova, who was a megastar when she toured both countries in the 1920s.

On the Australia side, chef Herbert Bert Sachse is said to have created the pavlova at Perth's Esplanade Hotel in 1935, and it was named by the house manager, Harry Nairn, who remarked it was as light as pavlova. In an interview with Womans Day in 1973, Sachse said the proprietress, Elsie Ploughman, and Nairn recruited him to make something different and unique as a cake or sweet. I had always regretted that the meringue cake was invariably too hard and crusty, so I set out to create something that would have a crunchy top and would cut like a marshmallow, he said. After a month of experimentation and many failures I hit upon the recipe, which survives today.

New Zealanders often cite the story of an unnamed chef at a Wellington hotel, who is said to have invented the pavlova during the ballerinas only tour of the country in 1926. But emeritus professor Helen Leach, a New Zealander who specialises in food anthropology at the University of Otago and authored The Pavlova Story: A Slice of New Zealand's Culinary History, was unable to verify this version of events.

Its no surprise that both Australia and New Zealand would want to claim it as something they have given the world

However, Dr Leach found references to three types of dessert called pavlova in her homeland prior to Sachses offering. The first was the brand Davis Gelatines multicoloured, layered jelly in 1926. Next came small coffee and walnut-flavoured meringues, similar to kisses, which appeared in the city of Dunedin in 1928 and became popular throughout the country. Then in 1929, a recipe for a large meringue cake named after the ballerina appeared in the regional publication Dairy Farmers Annual. This third type of pavlova was the one that several decades later became the subject of the pavlova wars, which insist that the pavlova was created or invented and then stolen/falsely claimed by chefs/cooks across the Tasman, Dr Leach said.

US-based food scholar Darra Goldstein became fascinated with pavlova after her daughter moved to Australia in 2014, and later New Zealand, and she began collecting cookbooks from both countries. She included a chapter about it, written by Dr Leach, in the book she edited, The Oxford Companion to Sugar and Sweets.

The author said that the precise origins of pavlova cant be determined, and that, in fact, its misguided to believe that recipes are invented rather, recipes evolve over time, often in more than one location, Goldstein said. When theres a dish as popular as pavlova, its no surprise that both Australia and New Zealand would want to claim it as something they have given the world. Friendly rivalries are always fun, and for some its a matter of national pride.

Thats certainly the case for New Zealander Dr Andrew Paul Wood and Australian Annabelle Utrecht, who met debating pavlovas origins on a mutual friends Facebook post. Both went away determined to prove the other wrong. But after they started digging deeper, they were surprised to find that the history of the pavlova goes back a lot further.

You may also be interested in: Is this the world's best falafel Did the Dutch steal this 'superfood'? The truth about the humble French fry

The pair have spent the past seven years piecing together what Utrecht describes as a culinary jigsaw puzzle, trawling through cookbooks, newspapers, still life paintings and archives from around the world. Originally, they planned to make a short documentary, but when they realised the pavlova story was much bigger than just a trans-Tasman battle, they decided to write a book, which has the working title Beat Until Stiff: The Secret History of the Pavlova and a Social History of Meringue Desserts.

To start with, we undertook a forensic examination of both the Kiwi and Australian legends, and new facts [were] quickly revealed that flip the narrative completely, Utrecht said. By the 18th Century, large meringue constructions incorporating cream and fruit elements could be found in aristocratic kitchens across German-speaking lands, so the thing we call a pavlova today is actually more than two centuries old.

Soon, she said, women in middle-class European kitchens began creating meringue cakes topped with whipped cream, nuts and fruit or fruit preserves. Utrecht said Europe was in turmoil with the Napoleonic wars in the 1800s and when people moved and settled in other lands, the pavlova-like desserts went with them. By 1860 you can find it in Great Britain, Russia and North America, she said. I have made a couple of cakes from 1850 that I have served to guests and asked what it was, and they say pavlova. But I tell them its not, its a schaum torte, which means foam cake in German. Utrecht said recipes for shaum torte arrived in South Australia in the lead-up to World War Two, when there was a large influx of German immigrants.

As power shifted between empires and kingdoms, the meringue went with it

But Utrecht said Sachse produced a sophisticated and highly stable pavlova. I have baked his pavlova a couple of times and guests love his cake because its the closest thing to the pavlova in their minds, she said. When I baked the 1929 New Zealand pavlova I was really surprised; its actually a meringue sandwich, not the pavlova we have today. But the next pavlovas that came out of New Zealand by around 1932 to 1933 were single-level cakes topped with fruit and cream.

As for the name, the pair also discovered hundreds of recipes for sweet and savoury dishes named after Anna Pavlova in the northern hemisphere. They include Strawberries Pavlova, an Edwardian-period glac served with a garnish of raspberries, which appeared in the New Zealand Herald in 1911 but Utrecht believes it was reprinted from England. If you go back even earlier in 1911, there was a pavlova dessert in the United States that included a meringue component that could only be obtained under Pavlovas name for a limited time, she said.

Dr Wood said he was particularly surprised to come across a frogs legs pavlova in New York. Annabelle is really the maestro in the kitchen and she tested just about every recipe that we have dug up, but we have not trialled that one, he said.

Dr Wood was even more astonished to find a recipe in medieval Arabic books, including the 13th-Century Syrian cookbook Kitab al-Wusla il al-Habib fi Wasf al-Tayyibat wa al-Tib (Book of the Bond of Friendship in the Description of Good Dishes and Perfumes) that, while not a meringue, if you squinted at it in the right way is similar to an Italian meringue, which is made by pouring a sugar syrup over the top of egg whites rather than the baked kind that were familiar with.

We think this sort of cooking with meringues and sugar syrup probably passed into Europe via Portuguese-controlled territories in Africa (formerly Arab-held), or through the Moorish occupation of Spain, Sicily and France, he said. The earliest European references turn up in places like Italy and Spain, where there was a large Muslim population in the medieval ages. Sugar was incredibly expensive, so these treats were confections destined for the wealthiest of tables, like that of the Imperial Habsburgs, who also happened to be rich in New World sugar. Baked meringues (petite arrangements) can be found in the Spanish Habsburg's Imperial Madrid kitchen by the late 16th and early 17th Century. By the 18th Century, larger and more sophisticated meringue productions begin to reveal themselves in cookbooks, and by the end of the 1700s, very large and sophisticated meringue cakes can be found in the homes of Habsburg nobles, like that of an Austrian meringue cake, three meringue layers high, filled with fruit preserves. Going into the 1800s, meringue cakes became incredibly popular among the wealthy middle classes too.

But he believes the Australasian-style pavlova, perfected by Sachse, was honed by housewives in Americas Midwest by the late 19th Century. Thats where they started adding things like cornflour, he said. Our pavlova usually has a starch ingredient that makes it stiffer and stronger. But the fruit is the big thing; thats probably the biggest difference between Australian and New Zealand pavlova. The New Zealand pavlova is very much a kiwi fruit thing, whereas in Australia you have passionfruit and occasional atrocities Ive seen, like pineapple. In Britain, its very much about strawberries, while in older versions chopped walnut was a big thing.

The thing we call a pavlova today is actually more than two centuries old

Ultimately, Dr Wood said the pair see the great, great granddaddy of the large meringue cake, as we would understand the pavlova, as being the Spanische Windtorte (souffle cake), which was an Austrian dessert consisting of a meringue shell or layers, filled with whipped cream and fruit. It was the first of its kind, and known to be baked in Habsburg kitchens during the late 1700s, he said.

Identical in nature, baiser torte and schaum torte recipes only began to surface during the 1800s when geopolitical factors motivated nomenclature changes in non-Habsburg kingdoms. A large section of our book is dedicated to examining European geopolitics and why the Windtorte was renamed so often.

Dr Wood said its been fascinating following the social history of pavlova, and the family tree of meringues, looking at how meringue cakes possibly started on the African continent and evolved in the Habsburg and Roman Empires in Central Europe. As power shifted between empires and kingdoms, the meringue went with it, he said.

But he admits eating, breathing and sleeping pavlova for the past few years has taken its toll. We had no idea it was going to be this involved when we started it, he said. Im not interested in making them or eating them anymore. For years my family has asked me to make a big pavlova for Christmas, but now its the last thing I want to do.

Food Wars is a series from BBC Travel that invites you to feel the heat when passions flare around beloved dishes that shape a cultures identity.

Join more than three million BBC Travel fans by liking us onFacebook, or follow us onTwitterandInstagram.

If you liked this story,sign up for the weekly bbc.com features newslettercalled "The Essential List". A handpicked selection of stories from BBC Future, Culture, Worklife and Travel, delivered to your inbox every Friday.

Visit link:

Travel - The surprising truth about pavlova's origins - BBC News

Unique and beautiful lighthouses around the world – USA Today 10Best

Photo courtesy of iStock / j76n

The first lighthouse on record was built between 300 and 280 BC by the Egyptians. Called Pharos of Alexandria,it was used to guide boats to the island of Pharos and was one of the Seven Wonders of the Ancient World. Since then, these beacons of light have helped ships navigate rough waters, rocky coasts and treacherous sailing.

Here are 15 unique and beautiful lighthouses around the world.

Photo courtesy of E+ / chrisp0

The Cape Reinga Lighthouse is located at the tip of New Zealand where the Pacific Ocean and the Tasman Sea meet. From this vantage point, you can watch as the two sea currents swirl together. When it was built in 1941, it was one of the least accessible lighthouses in the country.

Photo courtesy of iStock / AdamParent

Cape Neddick Light, also known as "Nubble Light," was built in 1879 and is still in use today. Though not accessible to the general public, it can be viewed from the mainland by telescope.

Photo courtesy of iStock / oriba

When the Fingal Head Light was first built in 1872, the lighthouse keeper had to row from the pilot station on Tweed Heads to Fingal every evening to manually light the flame. Today, the light is powered by electricity.

Photo courtesy of iStock / Gerald Zaffuts

The lighthouse on Alcatraz Island was there long before the infamous prison, and, having been built in 1854, it was actually the first lighthouse constructed on the West Coast of the United States. After being damaged in an earthquake, the original was replaced with a new tower in 1909.

Photo courtesy of iStock / jumabufu

The region of Galicia in Spain draws tourists from around the world to see its beautiful lighthouses strewn along rocky coasts. Illa Pancha Lighthouse, pictured here, was built in 1880.

Photo courtesy of iStock / SeanPavonePhoto

George Washington himself commissioned Portland Head Light to be built in 1787, and it was first lit in 1791. It's the oldest lighthouse in the state of Maine and was added to the National Register of Historic Places in 1973.

Photo courtesy of iStock / Ignacio Leonardi

Les Eclaireurs Lighthouse in Beagle Channel is located on a solitary rock that's five nautical miles east of Ushuaia, the provincial capital. Their motto is "end of the world, beginning of everything." And that's exactly what it seems like at this lighthouse located at the southern end of Argentina: the very end of the Earth.

Les Eclaireurs was put into service in 1920.

Photo courtesy of iStock / TonyCataldo

Overlooking a great expanse of the Pacific Ocean, this lighthouse was first built in 1899. After cracks threatened to destroy the integrity of the structure, the tower was rebuilt in 1917. This particularly scenic lighthouse was featured on a U.S. postage stamp in 2007.

Photo courtesy of E+ / PPAMPicture

The beacon with many names, it's been called Hog Island Lighthouse, Paradise Island Lighthouse and Nassau Harbor Lighthouse. It's the oldest lighthouse in the Bahamas, having been built in 1817. The walk to the lighthouse from nearby Atlantis resort can be challenging, and the lighthouse has been neglected, so visitors approach at their own risk.

Photo courtesy of iStock / Ron and Patty Thomas

The name "Marshall Point Light Station" might not be familiar to most, but millions of people saw the lighthouse when it was used as the ending point of Forrest's epic run in "Forrest Gump." The lighthouse was built in 1832.

Photo courtesy of iStock / ChrisBoswell

West Point Light was first built in Seattle in 1881, and it was lit by a kerosene lamp for 44 years before it was finally connected to an electric grid. The best views of the lighthouse are looking south with Mount Rainier towering behind it.

Photo courtesy of iStock / pabradyphoto

Peggy's Point, also known as Peggy's Cove Lighthouse, is the crown jewel of Nova Scotia's "Lighthouse Route." It's noted as one of the most recognizable lighthouses in the world. The structure seen today was built in 1914, replacing the original that was constructed in 1868.

Photo courtesy of iStock / gaspr13

The tiny island of Porer is located just off the coast of Croatia, near the town of Premantura. You can actually spend the night in this lighthouse and do some diving in the surrounding Adriatic Sea.

Photo courtesy of iStock / simonbradfield

Nugget Point is named for the boulders that can be seen in the water right below the point, called "nuggets" by Captain Cook. The lighthouse was built and first lit in 1870. The walk to the point is about 20 minutes and is absolutely stunning.

Photo courtesy of E+ / ejs9

Point Reyes Lighthouse was built in 1870 and has a twin at Cape Mendocino. This 16-sided lighthouse is almost always enveloped in heavy, freezing fog and wind, but visitors who catch it on a clear day are in for an incredible view.

Read the original:

Unique and beautiful lighthouses around the world - USA Today 10Best

The Worm is in the Fruit: A Rising Strategic Foe Inside NATO – RUSI Analysis

The recentnaval incident in the Mediterraneanbetween French and Turkish warships is another dramatic development in an already deteriorated situation involving a neo-Ottoman Turkey with growing geopolitical ambitions colliding with the core security interests of many European countries.

On 10 June, the merchant vesselCirkin sailing under the Tanzanian flag, escorted by Turkish warships and suspected of smuggling weapons into Libya in contravention of the UNSecurity Council Resolution 2473,imposing an arms embargo on all the protagonists in the Libyan war was challenged by the French frigateCourbet, which was taking part in NATOs Operation Sea Guardian, whose task is to work with the Mediterranean to maintain maritime situational awareness, as well as deter and counter terrorism. Earlier in the day, an unsuccessful challenge attempt on theCirkinhad been made by a Greek frigate. This frigate was part of the EUsOperationIrini,whose purpose is to implement the UN-mandated arms embargo.

In reaction to theCourbetgetting closer to theCirkin,the Turkish warships flashed their fire-control radars with crews putting on bulletproof vests and standing behind their light weapons. Even by the standards of Cold War confrontations between Western navies and the then Soviet Navys so-calledMediterranean Eskadra, the Turkish Navys behaviour was extremely aggressive.

Immediately thereafter, France requested a NATO Council meeting to discuss the incident and asked for an official inquiry by the Alliance. Interestingly, whereas 10 NATO members supported Frances demand(Belgium, Germany, Greece, Italy, Luxembourg, Portugal, Slovakia, Slovenia, Spain and the UK), none of the Alliances eastern flank (Slovakia excepted) or Nordic members did.

The perspective of Turkey relenting on its longstanding opposition to approving NATOs defence plans for Poland and the Baltic states may have played a role in those countries official silence, yet none of these considerations apply to the USs astounding silence. It is notable, however, that all of NATOs European Mediterranean countries (except Croatia and Albania) supported Frances request.

France also suspended its participation inSea Guardianand asked for the Alliance to collectively adopt some measures, including:

No one should underestimate the seriousness of the tactical standoff that occurred on 10 June, with its risks of escalation. But the growing strategic divide between NATO members that these events underline is even more concerning for the future of the Alliance.

The situation in 2020 can hardly be compared to the one of 1974, a year which saw Ankara invading the northern part of Cyprus and tensions with Greece spiralling dangerously. At that time, the lethal threat emanating from the Soviet Union was still providing the glue which bound the Allies together. Since then, however, circumstances have dramatically changed: a disastrous Trump presidency has hurt the credibility of the US as a guarantor of decent behaviour within the organisation, and has raised doubts about Washingtons commitment to action in the event of an attack against a NATO member. And notwithstanding NATO summit declarations and Moscows rogue international behaviour, it is a fact that the Russian threat is no longer perceived with similar intensity by all NATO members.

One NATO summit after another, the relevance of NATOs added value on its southern flank is regularly questioned. Even though a paragraph of each official communiqu always religiously includes a nod to the issue by evoking NATOs 360-degree approach to security, the reality is that the slogan still lacks significant substance when one looks at NATOs concrete added value in facing some important risks on its southern flank. Among the three core tasks of the2010 Strategic Concept collective defence, crisis management and cooperative security crisis management is the weaker link, which in turn makes the common denominator of strategic interests more tenuous.

Today, through his active military involvement in support of one of Libyas belligerents and its Islamist proxies, and through his contempt of a UNSCR, Turkeys authoritarian leader Recep Tayyip Erdoanis feeding the image of a resurgent imperialist country whose agenda directly impinges on European security interests.

Last months incident only adds to an already long list of unfriendly if not provocative Turkish actions, which include theacquisitionof the sophisticated S-400 Russian anti-air system, the recurrentthreatto terminate the 6 billion subsidy agreement with the EU and to open the Turkeys borders to millions of Middle Eastern refugees towards Europe, as well as the January 2019 military attack against our Kurdish allies in northern Syria our best and more effective partners in the fight against the Islamic State after the inexplicable green light given by Donald Trump without any previous collective consultation among the Allies.

To this egregious behaviour, one should also add: the 2018 harassment by the Turkish Navy of ENI and Total oil and gas exploration ships in the exclusive economic zone (EEZ) of the Republic of Cyprus; the subsequent deployment of a Turkish research vessel in the same Cypriot waters in 2019; theTurkish claims on Gavdos, a Greek island free of any Turkish heritage, only for the purpose of vastly extending the Turkish EEZ in the south of Crete; and the recent and legally baselessagreementconcluded with the political authorities in the Libyan capital of Tripoli which would result in sharing almost the entire Eastern Mediterranean between the two countries.

To be clear, a resurgence of terrorist entities in northern Syria and a reinforcement of the most radical factions in Libya through the recentexportby Ankara of thousands of Syrian Islamist mercenaries would constitute worrisome scenarios for Paris and most other European capitals. Indeed, this would carry the risk of spreading more instability in the Sahel region.

All this adds acrimony to the obvious divergence on values between Turkey and the rest of Europe. Erdogansattackson Turkish democratic institutions are of another magnitude than the already worrisome trends that we can observe in a few Eastern European democracies. Journalists, judges and lawyers are prosecuted and jailed, while hundreds ofTurkish officerswho have served within NATO commands have been purged from the military and jailed in many cases.

So, what kind of message does Erdoan'sTurkey want to pass to NATO? And what is the critical breaking point when the interests of having Turkey inside NATO are superceded by the blows which it inflicts on Europes geopolitical interests? The answer to this wont be identical in every European country, but that in itself puts NATO at risk.

If NATO membership would result in effectively shielding Turkeys threatening actions in the Middle East, the Mediterranean and North Africa from any concrete consequences, this would be seen as less and less acceptable by the government in Paris. And that is the true subtext of what Frances authorities are saying in Brussels.

It would be a mistake to underestimate the magnitude of Frances frustration. Nor should it be forgotten that France ranks as the third contributor to NATOs common budget and, above all, is considered by many analysts as the second most militarily credible member of the Alliance.

The views expressed in this Commentary are the authors, and do not represent those of RUSI or any other institution.

BANNER IMAGE:Turkish President Recep Tayyip Erdoan.Courtesy of US State Department / flickr.

Read more here:

The Worm is in the Fruit: A Rising Strategic Foe Inside NATO - RUSI Analysis

Opinion: To Treat Health Care Inequity, Train More Doctors and Nurses of Color – Times of San Diego

Share This Article:A class at Charles R. Drew University of Medicine and Science in Los Angeles. Courtesy of the universityBy Dr. David M. Carlisle | Special for CalMatters

When I was a young doctor, an older faculty colleague like me, an African-American made a request that I thought was unusual. He asked me to be his personal physician.

Support Times of San Diego's growthwith a small monthly contribution

I said I would but reminded him that, since I was a researcher, it was unlikely, should he need to go to the hospital, that Id be the doctor who would make rounds on him on the floor and manage his day-to-day care.

I asked him why he wanted me to take care of him, and his response stays with me to this day: Because youre theonlyAfrican-American physician here, and if I need a serious, or even life-or-death decision made about my care, I want someone I can trust.

Nearly 50 years after the end of theTuskegee experiments that withheld syphilis treatments from African Americans, mistrust in the health care system by African-Americans and other people of color still persists for good reason. And until we have more physicians, nurses and other health professionals who look like the people theyre treating, it will continue.

Just in case people think were past Tuskegee, there are many recent studies that prove otherwise.A 2016 study of residents our young doctors in training revealed that 50% had false beliefs about African-Americans. For instance, that they had thicker skin or were less sensitive to pain.

A2019 study demonstrated that patients of color presenting in emergency rooms were less likely to get pain medication than white patients: African-Americans 40% less likely, Latinx 25% less likely. Even in the case of a diagnosed bone fracture an extremely painful condition African-Americans were 41% less likely to get pain medication than white people.

Theres plenty of evidence from the coronavirus pandemic that feeds into this distrust, too. According to testing data, African-Americans and Latinxare dying from COVID-19 at disproportionate rates. Social determinants of health, inability to social distance due to cramped living conditions, the economic need to stay at work in low-income, public-facing jobs, and lack of access to health care explain some of it. However, its also due to failures of their interactions with the health care system, even while presenting with COVID-19 symptoms: patients of color being turned away from an ER, not being deemed ill enough for treatment or hospital admission, or simply knowing, based upon experience, that theywouldnt be treated wellin the hospital.

To address this mistrust, we need more health professionals of color: The demographics demand it. California is already a majority-minority state: 39% Latinx, 36% white, 15% Asian, 6.5% African-American. Yet, the percentage ofLatinx and African-American physicians in Californiais very low: 5% Latinx; 5% African-American. Nationally, thefigures are no more impressive: 5.8% of physicians are Latinx, 5% are African-American.

It isnt for simple cultural comfort that we need health practitioners of color though, given our diversity and the history of mistrust and mistreatment, that is a reasonable request of our health care system. It produces better health outcomes.

A 2018 study demonstrated that African-American patients were more likely to follow an African-American physicians orders, particularly on preventive measures, such as flu shots. So, when patients have a cultural rapport with a health provider, they are more inclined to pay attention and do what they are told to do.

All health practitioners need technical competence and good professional judgment to ensure their patients get the best care possible. Thats the essence of the Hippocratic Oath and other oaths that physicians and other health providers swear to uphold.

But in our diverse country, wrestling with both a pandemic and our painful history of systemic racism and gross health disparities, we have an obligation to do all we can to recruit and educate more physicians, nurses and other health professionals of color.

It will be better for everyones health.

Dr. David M. Carlisle is president and CEO of Charles R. Drew University of Medicine and Science in Los Angeles. He wrote this commentary for CalMatters, a public interest journalism venture committed to explaining how Californias state Capitol works and why it matters.

Opinion: To Treat Health Care Inequity, Train More Doctors and Nurses of Color was last modified: August 6th, 2020 by Editor

>> Subscribe to Times of San Diegos free daily email newsletter! Click here

See original here:

Opinion: To Treat Health Care Inequity, Train More Doctors and Nurses of Color - Times of San Diego

Veterans should have access to great health care – Brunswick News

We as a country owe a lot to the men and women who have laid their lives on the line to defend our country. Even when we were just a fledgling group of loosely associated states, citizens rose to the challenge to fight for our freedom.

As the years moved on, soldiers have fought against tyranny around the world in an effort to protect not just our shores, but the entire world.

We owe them a debt greater than we can pay, but we must try to do so anyway.

The most fundamental thing we can do for these brave men and women is to make sure they have access to the proper health care they need. Unfortunately, the system we have set up to do that is more complicated than it should be.

A new Veterans Affair medical center has recently opened in Valdosta. The center wont have much of an impact on our local veterans, though, because of the complex nature of which veterans are sent to which hospital.

If the VA clinic in Brunswick cant treat a veteran, they are sent to Dublin. Hinesville veterans have to go to Macon. Savannah veterans travel up to Charleston. Camden County veterans are sent to Jacksonville.

We echo the thoughts of Bennie Williams, commander of American Legion Post 9 in Brunswick, on the subject: It doesnt make any sense.

Another issue Williams pointed out to The News was how phone calls from veterans trying to reach the Brunswick clinic are automatically routed to the VA hospital in Dublin. Williams said he typically waits 30 to 45 minutes to talk to someone.

The VA has some plans in motion that will benefit area veterans. The administration is currently advertising for land where a new VA clinic for Brunswick will reside. That clinic, Williams said, will offer 60 percent more services than the current one.

We know the people who work at VA clinics and hospitals care about their patients. We also know that Congress hasnt always done its job when it comes to ensuring the agency has what it needs to do its job properly.

The VA is the only access to health care available to some veterans. Those who fought for our freedom deserve to have a system that is well-funded and not overly complicated to navigate.

Lets work together to find a way to make that happen.

See the article here:

Veterans should have access to great health care - Brunswick News

The Line movingly conveys health care workers’ struggles during the pandemic – WSWS

Theater on your personal device By Erik Schreiber 7 August 2020

A major role of art is to examine and clarify social reality. The new play The Lineaddresses the ongoing coronavirus pandemic squarely and with great immediacy. Writer-directors Jessica Blank and Erik Jensen wrote the play using interviews that they had conducted with health care workers in New York City this spring, when the city was the national epicenter of the pandemic. This approach has produced a drama with the impact of a dispatch from the front. The actors performances are all the more impressive for having been given in isolation in front of their computers.

The Line was performed live on YouTube on July 8 and will be available for viewing, free of charge, until September 1. A production of New York Citys Public Theater, the play already has been watched more than 38,000 times.

Blank and Jensen have examined contemporary issues in several previous plays. The Exonerated(2002), which won several theater awards, was based on interviews that they had conducted with exonerated death row inmates. Interviews with Iraqi civilian refugees in Jordan formed the basis of Aftermath(2008).

Although it was amply documented in the media, the catastrophe that health care workers in New York faced this spring is hard for the average person to imagine. Hospitals had staff shortages and reassigned workers to care for infected patients even when they were not qualified to do so. Workers scrambled to obtain personal protective equipment (PPE), ventilators, IV pumps and medicines such as fentanyl and propofol. As hospital beds became occupied, break rooms were used to house patients. The city dug mass graves on Hart Island for unclaimed victims of the pandemic. Health care workers said they felt extreme stress, emotional exhaustion, and abandonment by their unions.

One of the strong points of The Line is that it shows how the pandemic has affected workers in various parts of the health care system. The characters include a first-year intern, an oncology nurse, an emergency room doctor, a paramedic, an emergency medical technician (EMT) and a nurse at a long-term care home for the elderly. The need for isolation and social distancing likely influenced the decision for the actors to perform the play from their homes. This bare-bones staging, born of necessity, creates a documentary feel, as well as a level of intimacy.

The characters address the camera directly in interwoven monologues. We get to know them as they introduce themselves and tell us how they chose their careers. Soon they describe their initial concern after hearing warnings of the novel coronavirus. Each character sees his or her first cases, and these cases quickly become a flood. Pressure mounts as the characters struggle to manage utter chaos, as the doctor puts it. The EMTs number of daily calls swells from 3,000 to 7,000. The paramedic says that adapting to the pandemic was harder than providing medical care in Iraq during the war.

The characters firsthand accounts are more forceful than any news report. Several characters describe the appalling lack of medical supplies that resulted from decades of attacks on health care funding. The geriatric nurse, for example, is told to reuse PPE rather than discarding it after each patient. This instruction violates the guidelines of the Centers for Disease Control and Prevention and those of the World Health Organization. The rules were changing every damn day, says the nurse. She soon becomes infected by the virus.

When her hospital runs out of oxygen, the intern says, I really felt like I was in another country. She and her colleagues rig up bilevel positive airway pressure machines as makeshift ventilators when none of the latter are available. Patients lie in hallways, and medical staff are forced to turn away other sick patients when all the beds are occupied. I felt like I was in a war, and we had no support, says the intern. I felt like nobody cared.

Several characters criticize the way management at their facilities handled the crisis. The geriatric nurse opposed the administrations policies, but, under duress, kept her opinions to herself. The intern recounts her impulse to go to the media to publicize her hospitals desperate state, but management warns her that this act would be grounds for termination. I was so upset, I ended up having to talk to a psychiatrist.

All the characters express their torment and sorrow at having to turn away distraught family members who want to see their dying loved ones for a final time. After the EMT is told to bring bodies directly to the morgue instead of the hospital, he allows family members to assemble around his ambulance for brief, impromptu wakes.

When the geriatric nurse recovers from the virus and returns to work, she finds that half of her facilitys residents have died, and her coworkers are traumatized. Weeks later, a manager announces that she will bring a grief counselor to the facility for one day, supposedly for the employees benefit. The geriatric nurse can no longer suppress her anger. Im not going to go, because its been almost a month, and if you really wanted a grief counselor in here, you wouldve had that person come in here when our residents were dying. Right now, what I really feel is that youre just sending that person in so that you could say that you gave us support, right? Its too little. Its too late.

Many of the characters are uneasy about being lauded as heroes, and one rejects the designation outright. The doctor suggests, If you really want to help doctors and show them appreciation, give their patients health care. Referring to the military flyover of New York City, which was allegedly staged to honor health care workers, he adds in exasperation, Dont fly weapons of destruction and death over people who are trying to prevent destruction and death!

Espousing a view promoted by the media and sections of the upper-middle class, the doctor implies that racism is the reason that certain ethnic groups have suffered more from the pandemic than others. It is true that the pandemic has had a disproportionate effect on African-Americans, for example. But African-Americans also are disproportionately poor, and the pandemics heavy toll on underscores the primary effect of class on health outcomes. Various studies have established a correlation between socioeconomic status and vulnerability to the pandemic. Identity politics distorts this reality and elevates race above all other factors.

Blank and Jensen deserve praise for critically examining the health care systems response to the pandemic, and for putting workers experiences in the forefront. The Line is a salutary artistic response to this historic health crisis. It is an indication of the potentially vital new forms that playwrights and actors can create, even without stage or set, during a period of isolation.

Read more from the original source:

The Line movingly conveys health care workers' struggles during the pandemic - WSWS

Editorial: Improve mental health care before forcing it on people – Los Angeles Times

The Los Angeles County Board of Supervisors and a handful of state legislators have been trying to change Californias landmark mental health laws to make it easier to force treatment on people who dont want it. But bills to scrap or change the law that limits forced treatment the Lanterman-Petris-Short Act, signed into law by Gov. Ronald Reagan in 1967 havent made it through the Legislature.

So last year critics tried a different tack: Require an official audit of LPS and how it operates in L.A. and two other counties, presumably to show how badly the act fails, and how outdated the notion is that people should have more say in choosing their own mental health treatments.

Instead, the audit released late last month found that the act gives counties all the authority they need to treat people in crisis. The real problem, the audit found, is not the patients right to self-determination, but the failure of the state and counties to provide sufficient ongoing care and housing after the forced treatment ends. Without those services, patients end up in a dismal and destructive cycle careening from a 72-hour 5150 hold to the street, to another mental health crisis that endangers themselves or others, and back to another three-day hold. Each new breakdown can cause further lasting damage.

Counties sometimes obtain renewable yearlong conservatorships but dont provide sufficient treatment, often because it is unavailable.

Perhaps its time for LPS critics to rethink their approach. The state has to find a way to fund, and counties to provide, ongoing mental health care. Sufficient and humane services (and housing, when needed) that leave patients a voice in important decisions and dont make them feel trapped could go a long way toward meeting the states mental health challenge.

There can be no doubt that California is in the midst of a mental health emergency. Serious mental illness afflicts a significant portion of the states huge homeless population, although contrary to a widespread perception far less than half of the tens of thousands of people on the streets. Between 30% and 40% of jail inmates also suffer a significant mental health condition. Less noticed are the families doing their best to care for a stricken relative. The COVID-19 crisis and the companion isolation and anxiety only exacerbate the condition of people already struggling with psychological problems.

Like other states, California once had a robust but deeply flawed system of mental hospitals that largely kept patients out of public view but too often failed to properly treat them. Forced treatment in warehouse-type institutions was phased out and was to be replaced by community-based outpatient or, when necessary, inpatient treatment.

But the community services never materialized to match the volume of need.

The LPS law, fully implemented in the 1970s, limited the states ability to institutionalize people and to treat them against their will.

Now the debate over mental health care too often breaks down along ideological lines over the question of which is paramount a persons liberty and self-determination, or that persons health and well-being. The results are often surprising. Conservatives might be expected to promote individual rights. If requiring a mask during a pandemic is an unwarranted intrusion on liberty, for example, how much more so is government-enforced psychiatric treatment? Yet many conservatives and other skeptics of government find themselves pressing for re-institutionalization. Liberals who might support masks and government-ordered business closures appear split on compelled mental health treatment.

Beyond ideology, California has a serious shortage of mental health services in any setting. LPS doesnt require the counties or the state to fix that problem. Some county mental health professionals want the act amended to compel them to provide care, because only then, they argue, will counties step up to avoid costly lawsuits.

And there is indeed a crisis, not addressed by LPS, of mentally ill people who are slowly deteriorating but dont recognize their condition (or dont care) and are not undergoing the kind of breakdown that the law deems fair game for a 5150 hold. But Californias priority should be providing people the services they need, not forcing them to use services that are inadequate to keep them out of the street-to-care-to-street cycle.

There will be no way to fix mental health care on the cheap. The need is profound, but its not so much the law standing in the way as it is the failure to live up to the promises of more than half a century ago to provide adequate mental health treatment where it is most effective.

Excerpt from:

Editorial: Improve mental health care before forcing it on people - Los Angeles Times

Opinion: Mercy Health committed to addressing health care inequality – The Cincinnati Enquirer

Dave Fikse, Opinion contributor Published 11:11 a.m. ET Aug. 6, 2020

Mercy Health's headquarters in Bond Hill.(Photo: Provided/Mercy Health)

Cincinnati is not unlike many communities across the country, struggling to make sense out of what has happened to those impacted by racial inequality and injustice and how we will pull together to move forward, to heal and to learn.

Mercy Health has long valued human dignity, diversity and inclusion as ministry priorities. Our mission calls us to improve the health and well-being of our communities and bring good help to those in need. The events of the past weeks must deepen our shared commitment to protect, heal and support the most vulnerable among us, which includes those affected by racial inequality and its associated health disparities, poorer health outcomes and higher rates of mortality and morbidity. Where some seek to divide, we must join together to support our patients, families, associates and providers serving all.

After seeing firsthand the appreciation for human dignity and life of which Cincinnati is capable, it is abundantly clear that changing the narrative about racial injustice means that we all as a health care ministry, a city, a region, a nationand the world, stand together to set a new standard for how we should live. We ask organizations to re-examine their values to ensure they help contribute to the healing of racism in our time. Our founding Sisters have always valued human dignity for all, and while much has been accomplished, there is still much to do.

Heres what Mercy Health-Cincinnati and its parent organization Bon Secours Mercy Health are doing to address racial inequality:

Our Mercy Health Foundation continues to pursue philanthropic partnerships to advance our nonprofit ministrys community health and health equity initiatives. We commit to continuing to address racial inequality in health care and call upon our Divine Physician to heal the wounds of racism in our hearts and throughout our land.

Dave Fikse is the market president for Mercy HealthCincinnati, part of Bon Secours Mercy Health, the fifth-largest Catholic health system in the country.

Dave Fikse is market president for Mercy HealthCincinnati.(Photo: Provided)

Read or Share this story: https://www.cincinnati.com/story/opinion/2020/08/06/opinion-mercy-health-committed-addressing-health-care-inequality/5571776002/

Read the original:

Opinion: Mercy Health committed to addressing health care inequality - The Cincinnati Enquirer

Aurora Health Care has shortage of coronavirus testing kits – WISN Milwaukee

Aurora Health Care has stopped testing patients for COVID-19 prior to certain medical procedures. The medical group said it's facing a shortage of tests. One patient reached out to WISN 12 News Investigates, saying he's concerned for his safety. Continuing Coverage: Coronavirus in Wisconsin"I have COPD. Ive got asthma. I've got heart disease," Alan Hensley said. That's why Hensley considered it important to get checked for COVID-19 prior to a procedure to test for colon cancer.But, as he told WISN 12 News Derrick Rose, he was surprised when his doctor at Aurora Saint Luke's told him they couldnt test him for coronavirus because "we dont have enough testing kits."That's when Hensley contacted WISN 12 News Investigates.Aurora confirmed the shortage, saying it's because their suppliers have redirected tests to other hot spots nationally.As a result, Aurora facilities around Milwaukee have stopped doing COVID-19 tests prior to certain procedures."That makes me even more scared of having the procedure done," Hensley said. "Is it safe for a patient to come in now, knowing they're not going to be getting that COVID-19 test?" WISN 12 News reporter Kent Wainscott asked the chief Aurora Medical Group officer."I'd say in the situations we've created, yes," Dr. Jeff Bahr said. Aurora said it will eliminate testing only for procedures believed to pose a lower risk of COVID-19 transmission and will increase other safety protocols.The testing shortage has also meant a change in location for the hospitals' community test sites, consolidating all of them into one location at Aurora Sinai in downtown Milwaukee. But it's the reduction of preprocedure testing that's raising concerns."Doesn't scaling back on testing increase the risk for patients and staff?" Wainscott asked. "It could if it were done inappropriately, but I don't believe that's the case here," Bahr said. But Hensley is not convinced."They can't test us because they don't have enough testing? That's not right. That's not fair," Hensley said. WISN 12 News also contacted both Froedtert Hospital and the Ascension Medical Group. Both said they have a sufficient supply of COVID-19 tests and are continuing to do testing prior to medical procedures at all of their facilities across the area.Sign up for coronavirus email alerts from WISNGet breaking news alerts with the WISN 12 app.Follow us: Facebook | Twitter | Instagram | YouTube

Aurora Health Care has stopped testing patients for COVID-19 prior to certain medical procedures. The medical group said it's facing a shortage of tests.

One patient reached out to WISN 12 News Investigates, saying he's concerned for his safety.

Continuing Coverage: Coronavirus in Wisconsin

"I have COPD. Ive got asthma. I've got heart disease," Alan Hensley said.

That's why Hensley considered it important to get checked for COVID-19 prior to a procedure to test for colon cancer.

But, as he told WISN 12 News Derrick Rose, he was surprised when his doctor at Aurora Saint Luke's told him they couldnt test him for coronavirus because "we dont have enough testing kits."

That's when Hensley contacted WISN 12 News Investigates.

Aurora confirmed the shortage, saying it's because their suppliers have redirected tests to other hot spots nationally.

As a result, Aurora facilities around Milwaukee have stopped doing COVID-19 tests prior to certain procedures.

"That makes me even more scared of having the procedure done," Hensley said.

"Is it safe for a patient to come in now, knowing they're not going to be getting that COVID-19 test?" WISN 12 News reporter Kent Wainscott asked the chief Aurora Medical Group officer.

"I'd say in the situations we've created, yes," Dr. Jeff Bahr said.

Aurora said it will eliminate testing only for procedures believed to pose a lower risk of COVID-19 transmission and will increase other safety protocols.

The testing shortage has also meant a change in location for the hospitals' community test sites, consolidating all of them into one location at Aurora Sinai in downtown Milwaukee.

But it's the reduction of preprocedure testing that's raising concerns.

"Doesn't scaling back on testing increase the risk for patients and staff?" Wainscott asked.

"It could if it were done inappropriately, but I don't believe that's the case here," Bahr said.

But Hensley is not convinced.

"They can't test us because they don't have enough testing? That's not right. That's not fair," Hensley said.

WISN 12 News also contacted both Froedtert Hospital and the Ascension Medical Group.

Both said they have a sufficient supply of COVID-19 tests and are continuing to do testing prior to medical procedures at all of their facilities across the area.

Sign up for coronavirus email alerts from WISN

Get breaking news alerts with the WISN 12 app.Follow us: Facebook | Twitter | Instagram | YouTube

More:

Aurora Health Care has shortage of coronavirus testing kits - WISN Milwaukee

Scientists and artists collide to help health care workers cope with COVID-19 – WISHTV.com

INDIANAPOLIS (WISH) Performance art can help medical professionals grapple with the coronavirus, researchers say.

In a report published by The Lancet, authors liken COVID-19 to tales of ancient Greek tragedies. These stories are fraught with betrayal, anger and fear feelings not unlike what front-line workers are feeling today.

The program is called Theater of War for Frontline Medical Providers and it is a product of Johns Hopkins Berman Institute of Bioethics and Johns Hopkins Program in Arts, Humanities and Health. It is designed to open a dialogue among health care workers to discuss the difficulties they have and will continue to experience during the outbreak.

We have found that presenting scenes from ancient tragedies about complex, ethical situations for frontline medical providers generates an open, non-threatening space in which health personnel can begin to process, interrogate, share and bear witness to experiences of loss, betrayal, grief and other forms of moral suffering during the COVID-19 pandemic, authors wrote in a news release.

Medical workers across the U.S. are struggling with mental health issues and are 30% more likely to experience clinical depression than non-medical workers, according to a recent study.Authors say coping interventions are critical.

What we learned suggests anyone who identifies as a healthcare professional whether its a physician or a support worker in a hospital is at risk for mental health problems that could be devastating if left untreated, said study author of the paper, Mental health challenges of U.S. healthcare professionals during COVID-19, Shevaun Neuper, Ph.D., in a statement.

The findings are alarming, Neupar said, and additional work is needed to understand the depth and complexity of the mental health issues these people are facing. Strategies must be implemented to help them cope, she urged.

The medium of theater invites participants to step back and interrogate the roles they are playing, founders of Theater of War for Frontline Medical Workers say. [They can] process and channel their emotions and experience solidarity of collective purpose and constructive action.

News 8s medical reporter, Dr. Mary Elizabeth Gillis, D.Ed., is a classically trained medical physiologist and biobehavioral research scientist. She has been a health, medical and science reporter for over five years. Her work has been featured in national media outlets.

Read more here:

Scientists and artists collide to help health care workers cope with COVID-19 - WISHTV.com

Political Corruption and Healthcare in Honduras – BORGEN – Borgen Project

TEGUCIGALPA, Honduras The state of healthcare in Honduras points to a larger story of political corruption within the country. The countrys public healthcare system suffers from poor management and a lack of resources, preventing those who rely on it from receiving proper care.

Healthcare in Honduras operates through both a private and public system. Honduras reserves the private system for the wealthy and those who have private insurers, an economic elite that represents roughly 10% of the population. The public system comprises of two institutions: the Ministry of Health and the Honduran Social Security Institute. The Ministry of Health is open to all, though only about half of the population uses it regularly. Meanwhile, the Honduran Social Security Institute only covers 40% of individuals who have employment, totaling around 18% of the population. Between these two healthcare systems, about 17% of the population does not have routine access to healthcare.

Honduras healthcare system has received poor management. The countrys health expenditure as of 2017 has a budget of about 7.86% of its GDP. This lack of funding has led to dwindling resources. According to a CDC report, Honduras has only 0.37 doctors per 1,000 people. Basic medical supplies and hospital beds are also sparse and patients are often on their own to find the medication they need.

The handling of healthcare in Honduras speaks to a larger story of political corruption that has long plagued the countrys government. The current president, Juan Orlando Hernndez, began his second term in 2017 following allegations of conducting a fraudulent election. People have since connected him to a drug trafficking scheme that his brother, Tony Hernndez, orchestrated. In 2014, President Hernndezs campaign funds from his 2013 election had ties to a massive corruption scandal that robbed more than $300 million from the Honduran Social Security Institute, a huge loss for the healthcare system that estimates determine led to 2,800 deaths.

Another corruption scandal came to head in 2015 when The National Anti-Corruption Council revealed: that 49 percent of the public health budget had been diverted to other purposes.

Political corruption and a lack of resources within the healthcare system leaves the people of Honduras to fend for themselves in order to get the care they need. For example, a Honduran immigrant told The Borgen Project that a lack of medical supplies meant that she had to pay for almost everything when her mother got sick, down to the cotton balls and alcohol swabs to administer vaccines. If she had extra supplies leftover, she gave it to the next person in need.

The government doesnt care about the people, she told The Borgen Project, adding that The president has a helicopter; he goes to Italy to see fashion shows It doesnt make sense. And how about the poor people? They dont have medication; they dont have food; they dont have houses.

When asked about the international aid that goes to Honduras government, she expressed her concern, telling The Borgen Project that the lack of financial oversight causes the money to easily go astray in the chain of corruption infiltrating the government. She said that the money never goes to the place it is supposed to go.

The current COVID-19 pandemic has further weakened the already fragile state of healthcare in Honduras. Hospitals have an overabundance of patients and are lacking ventilators. For people who live far from the cities hospitals, access to health care is almost impossible. A shortage of personal protective equipment, including masks, gloves and gowns, leave the doctors who are at the forefront of this pandemic particularly vulnerable.

Given the widespread corruption and lack of transparency, direct aid to the Honduran government can be difficult to monitor. Instead, the best way to help the people of Honduras is to give directly to grassroots organizations.

In 2018, Mdecins Sans Frontires (also known as Doctors Without Borders) conducted 11,000 outpatient consultations and 4,390 individual mental health consultations in Honduras. It also treated 300 people following incidents of sexual violence. In the fight against COVID-19, Mdecins Sans Frontires assembled a team to work with severe cases in an annex of Tegucigalpas National Autonomous University of Honduras.

Central American Medical Outreach is also taking steps to help Honduras. The organization provides on-the-ground care through programs focused on womens health, disabilities, surgery and general medical needs. It also annually ships six to eight 40 foot containers of donated clean and unexpired medical supplies to hospitals and clinics in Honduras. From March to April 2020, the organization served 13,156 patients and collected 1,347 boxes of donated medical supplies and personal protective equipment.

Such work is necessary in order to provide immediate aid to the people of Honduras, especially during the current COVID-19 emergency. However, the countrys broken healthcare system remains a looming threat. The Association for a More Just Society seeks to better Hondurass healthcare system by advocating for transparency, investigating institutions and reporting corruption. Tackling these issues is crucial: the future of healthcare in Honduras relies on an ability to rid the system of corruption, once and for all.

Jessica BlattPhoto: Flickr

See the original post:

Political Corruption and Healthcare in Honduras - BORGEN - Borgen Project

Why the coronavirus is killing so many of Mexico’s healthcare workers – Reuters

MEXICO CITY (Reuters) - When the coronavirus epidemic began to intensify in Mexico at the end of March, Doctor Jose Garcia said his bosses at a public trauma hospital in Mexico City denied his request for masks, gloves and disinfectant.

Jose Armando Garcia and his wife Ana Cristina Sanchez, Mexican doctors who have been infected with COVID-19, speak during an interview with Reuters at their apartment, as the outbreak of the coronavirus disease (COVID-19) continues in Naucalpan de Juarez, Mexico state, Mexico, May 15, 2020. REUTERS/Henry Romero

They argued such protective equipment was only necessary for those working directly with coronavirus patients, Garcia said. Unconvinced, he bought it himself.

The hospitals director disputes this, saying all staff received protective equipment. Either way, Garcia had already contracted the virus and infected his wife and one-year-old daughter.

Garcia is one of over 70,000 medical workers to catch the coronavirus in Mexico, where the pandemic death toll is now the third-highest worldwide, behind the United States and Brazil.

Government data indicates that healthcare workers risk of dying is four times higher than in the United States, and eight times higher than in Brazil.

The coronavirus has hit healthworkers all over the world, but its been especially bad in Mexico, said Alejandro Macias, an epidemiologist who spearheaded Mexicos response to the 2009 swine flu pandemic.

Staff have had to buy their own equipment, often in informal marketplaces and of substandard quality, Macias said.

The government has said there were shortcomings in equipment provision early on but says it has worked hard to protect workers and flown in vital equipment from China and the United States. It also accuses past administrations of letting the health service deteriorate.

Mexicos deputy health minister and coronavirus czar, Hugo Lopez-Gatell, said in July that many of the nurses and doctors who died of the virus had pre-existing medical conditions, and that some did not use protective gear in optimal fashion.

In Mexico, 19% of confirmed infections are of medical staff, almost three times the global average, according to figures from the International Council of Nurses and the Mexican National Association of Doctors and Nurses.

The plight of healthworkers is complicating efforts to contain the outbreak, which has killed close to 50,000 people in Mexico, battered the economy and cost millions of jobs.

Garcia, 48, said in an interview that he believes he was one of about a dozen medical staff indirectly infected by a patient who arrived at the Lomas Verdes hospital with coronavirus symptoms and later died.

Theyve been very irresponsible with us, he said, referring to his employer and its alleged failure to provide protective equipment.

The hospitals director, Gilberto Meza, said that 213 Lomas Verdes staff had contracted the virus. Citing an epidemiological study he said the hospital had conducted, he said that all were infected outside the facility.

He said all staff had received goggles, face shields and masks. He declined to say when they were provided.

Garcia and his family survived and he is now back at work. But the two weeks they had coronavirus symptoms were, he said, hell: headaches, fever, diarrhea and shortness of breath.

As of July 24, 72,980 Mexican medical staff had caught the coronavirus, and 978 died, government figures show.

In the United States, which has a population 2.5 times that of Mexico, 123,738 medical personnel have tested positive for coronavirus and 598 have died, according to the most recent Centers for Disease Control and Prevention (CDC) figures.

The health ministry of Brazil, which is about two-thirds more populous than Mexico, had reported 189 deaths of medical practitioners by end-July. Some private data in Brazil give higher figures, but still well below Mexico.

Over a dozen nurses and doctors interviewed by Reuters said they got the virus in part because they did not receive timely information or protective equipment.

Many have protested about having to reuse disposable gear and launched petitions for better kit.

In one public hospital in northern Mexico, medical workers told Reuters in April their managers told them not to wear protective masks to avoid unsettling patients.

Zoe Robledo, head of Mexicos main public health service, IMSS, said in April that it had suffered equipment shortages, as well as delays, oversights, and errors that needed correcting.

Mexicos spending on health as a share of gross domestic product (GDP) is one of the lowest in the 37-member Organisation for Economic Co-operation and Development (OECD).

A recent study by the OECD put Mexicos health spending at 5.5% of GDP, compared to 9.1% in Chile and 7.3% in Colombia in 2019. In Brazil it was 9.4%, though the latest data available were from 2017.

Nurses often work in multiple hospitals to supplement wages of about 8,500 pesos ($377) per month, according to Mexico Citys government. Movement between hospitals heightens the contagion risk, said Oliva Lopez, the citys health minister.

Our health personnel combine multiple jobs and are exposed in multiple spaces, Lopez told Reuters, saying her ministry had gone to great lengths to get staff protective equipment, and blaming previous governments for pauperizing the profession.

More than 600 nurses had died by the end of June in some 30 countries surveyed by the Geneva-based International Council of Nurses. Mexico accounted for 160 of the deaths, or over a quarter.

Speaking on condition of anonymity, one nurse at a Mexico City public hospital said she felt abandoned by authorities.

But we cant say: Now I cant work, or dont want to, she said. This is what we trained for.

Reporting by Diego Ore; Additional reporting by Alberto Fajardo; Writing by Drazen Jorgic; Editing by Dave Graham, Christian Plumb and Rosalba O'Brien

See the original post here:

Why the coronavirus is killing so many of Mexico's healthcare workers - Reuters

MyMedicalShopper Adds Healthcare and Communications Industry Leader to Executive Team – The Laconia Daily Sun

PORTSMOUTH, N.H., Aug. 6, 2020 /PRNewswire/ -- Dr. Amnon Gavish, an entrepreneur, digital health executive, and thought leader with decades of experience in technology and strategy development, has joined MyMedicalShopper as Executive Vice President of Corporate Development and Strategy.

"Dr. Gavish brings years of expertise and knowledge to our team," said Mark Galvin, co-founder and CEO of MyMedicalShopper. "We're excited to have someone who can help us leverage our Big Data analytics and price transparency platform in a rapidly-evolving healthcare landscape."

Prior to joining MyMedicalShopper, Dr. Gavish held leadership roles with telehealth pioneers Vidyo, AmWell, and Tytocare, which are currently spearheading digital health efforts during the COVID-19 pandemic. Dr. Gavish also served on the board of the American Telemedicine Association and chaired their Industry Council.

"We bring a truly disruptive solution that can solve one of the fundamental problems with our economy: a broken healthcare system," Dr. Gavish said. "Digital health has always been about empowering the healthcare consumer, and leveraging price transparency in that space will be a game-changer. It's time to return medical care to the consumer, and I look forward working with the team and our partners to make that happen."

About MMS Analytics, Inc. (www.MyMedicalShopper.com)MMS Analytics, Inc. dba MyMedicalShopper delivers innovative technology, products, and services to eliminate wasteful spending from group health plans and provide meaningful savings to their participants. The company's mission, to fix the broken employer-sponsored healthcare marketplace, was founded on the following principles; alignment of financial incentives between employer and employee; radical medical price and medical quality transparency; empowered, engaged healthcare consumers; and the reduction of administrative overhead with employer group knowledge transfer and collaborative change management. With unprecedented access to the secretive prices negotiated between insurance networks and medical facilities, the company enables employers and their employees with the ability to navigate to care based on three universal consumer forces - price, quality, and convenience. Leveraging big data, machine learning, deep analytics, and intuitive user experiences, MyMedicalShopper equips group health plans with the tools and education necessary to develop knowledgeable healthcare consumers. These informed participants can now recapture a meaningful portion of the 41% average over-spend experienced by employer groups as a result of wasted healthcare dollars on ineffective providers of medical tests and procedures.

See more here:

MyMedicalShopper Adds Healthcare and Communications Industry Leader to Executive Team - The Laconia Daily Sun

Tim Birchard never stops the music – The Durango Herald

Write, record and release. Thats the pattern for local musician Tim Birchard, a pattern hes followed for the past decade or so with regards to his music career career being a loose term as Birchard doesnt make music to pay the bills. Nor does he set foot on local stages, route potential tours or seek out a record label. But he pursues music as a full-time endeavor outside his full-time job as director of the TRIO STEM3 Program at Fort Lewis College, working at a feverish pace releasing music filed under rock n roll, with hints of metal, surf, ska and reggae, ambient dub, trance or experimental pop music.

Hes put out two records already in 2020. March saw the release of Love Stories, and Covid Romance dropped in May, both found along with numerous other Birchard original records and singles via his Bandcamp page. Its a nonstop production schedule that includes round-the-clock writing.

Theres always something new cooking, he said. Usually, after a couple albums there might be a little break, like right now Im in that in-between time. But theres already new stuff cooking.

Birchards love affair with music, like many a youngster, started with the discovery of KISS. It was the mid-1970s, and the makeup-wearing, heavy-merchandising rock n roll quartet was making its rounds in and on multiple media platforms, providing both ear and eye candy.

I didnt know what it was, but I sure loved it, he said. I remember shortly after that I got the single of Shock Me and Strutter. I didnt know what they were talking about, I just knew it was heavy guitars and that just really made me happy. So if you finished your homework early, you could go in the backroom and sit on the big carpet and listen to your own records with headphones. So I was back there listening to KISS. And I loved it.

Soon after, Birchard had a guitar made from a kit, something that resembled a lute, and he proceeded to break strings, learn chords and write songs. He now knows his chords, writes plenty and probably still breaks a string or two.

His two latest releases were an effort to explore songwriting and musical diversity. Birchard handled all the instruments for Love Stories, a laid-back rock record that hints around psychedelic pop, an effort where Birchard was trying to craft the perfect three-and-a-half-minute pop tune. Covid Romance found Birchard exploring genres, taking the kind of liberties you can when the skys the limit on your art. With moments of reggae, Judas Priest-inspired rock and even a Norteno song, its an exploration in styles.

Covid Romance also came along as the world started to fall apart. Unlike Love Stories, where Birchard was the only musician, this record found him reaching out to musician friends nationwide to be part of his record in an effort of musical communication and collaboration.

I didnt even care what we wrote, I just wanted to write as many songs with as many of my friends as I could, from all over the country, to see what their experience was of this, back then, brand-new thing of feeling so isolated, he said. A lot of my friends were expressing that a swift lack of connection was really rocking their boats, so this seemed like a good way to help bring people together.

The package is very DIY. Birchard makes music to be heard thus, its easy availability via Bandcamp. Sure, hell take a donation when you download a record, but even then that price remains a suggestion.

Ive had some people, which is pretty cool, knowing they can get it for free, sometimes theyll throw down a few dollars. And thats always a lovely surprise, he said. But its more about creating something and connection. If people are interested in hearing it, Im all for it.

Bryant Liggett is a freelance writer and KDUR station manager. Reach him at liggett_b@fortlewis.edu.

See the original post here:

Tim Birchard never stops the music - The Durango Herald

Swedish EDM Artists Currently Making Waves in the Scene – One EDM

This article aims to give you a summary of the different Swedish EDM artists who are currently making waves on the scene. With all the different artists that are currently playing the EDM genre, it can get confusing which one is the real thing and which one will be your next party.

One of the first things you need to know about Swedish EDM artists is that they have a huge range of music to play on the various dance floors in your club. There are techno, progressive, and trance artists available, just to name a few. As you can imagine, there are also a lot of other genres in the electronic music world.

The biggest problem with some of these Swedish EDM artists is that many of them are still relatively unknown, although this is starting to change as more people become familiar with them. Its really quite simple though if you look good, its hard not to keep people coming back to see you again. So its really important that they know who you are. Luckily, it seems like everyone is trying to get in on this huge craze.

The first thing that you should look at when looking for the name of any particular Swedish DJs name is the label he is signed to. You want to be careful though, because some labels like to pretend that the Swedish artists that are on their label are actually Swedish artists in their own right.

Some of the more popular names on the label are: Black Tiger, Armani, and Bassjackers. These artists are all well known, but they are not necessarily the best. So it is worth paying a little bit more attention to these names than others.

The next thing that you need to look out for when you are looking for Swedish EDM artists is the kind of music that they are playing. As mentioned before, there are many genres in electronic music. However, one must know that some of these genres are quite difficult to play on the dance floors of clubs because they require the musicians to have a very high degree of skill. There needs to be an awareness that these styles are becoming increasingly popular amongst the general population.

If you want to find a Swedish DJs name that you can trust, then it is certainly worth doing a bit of research. Check online for his or her background, check out his or her records, and try to get in touch with the person that produces the music. For example, if you want to be able to listen to the producer who has produced some of his or her tracks you can try looking up his or her name on the internet, as this way youll be able to hear what he or she does.

Swedish EDM has been very successful in the last couple of years because it has taken the traditional styles and turned them into something that is very exciting and hip hop and funky. If you do not have a clue about the music style that your club is playing, then why not give it a go? Swedish DJs are definitely the ones you should be listening to.

When you find an English DJ you fancy, then you need to remember that its going to take time for them to reach your local clubs. So do not expect them to be there just now. Instead, wait a couple of months or even a year for them to get to where they want to be.

You may think that it is impossible to know about a Swedish EDM artist, but it does not have to be that way. However, you should always remember that the online world is the place where you can find all kinds of information, about the latest styles, the newest and most popular records, and producers. Importantly, you can also find the people that make the magic happen as well. You should never rule out online forums.

Its actually not easy to find information about a Swedish DJ on the Internet. When you do find one, you might just find that the person you were looking for is far away from his or her home country. This is because the person might be putting out a lot of records at a time. What this means is that there are no records released in that country. If this happens, you could be stuck with a Swedish DJ from a different country instead of one from your own.

Read more:

Swedish EDM Artists Currently Making Waves in the Scene - One EDM

An Open Letter To The WSOP: Why Mixed Games Are Good For Poker Player Development – Poker News – CardPlayer.com

Dear Powers That Be,

When the World Series of Poker Online schedule was released this year, I couldnt help but notice that there was only one, single, mixed-game event. One solitary, lonely, Omaha eight-or-better event that was originally, incorrectly listed as its degenerate cousin with a gambling addiction, pot-limit Omaha.

The schedule didnt even have a stud eight-or-better event, and I know you have the software capacity to run it. I live in New Jersey and have seen your Stud tab. There have even been rumors of the occasional stud cash game running on the site. To say I was disappointed about the lack of mixed games is an understatement.

I implore you to reconsider your sentiments towards mix games. Now, I understand that mix games may not have the allure and big prizes as no-limit holdem. I even understand that the clientele may not be desirable. I know the mix game community has its fair share of complainers, but I promise you they mean well. Since you already muted the chat, you wont have to hear them complain anyway.

The whole point of this open letter is to lay out why I think it is a mistake not to give poker players the opportunity to compete in other disciplines outside of big bet games.

But seriously, are you f#%ing kidding me? Only one mix game? Surely you can do better than this, and heres why you should.

Learning More Games Opens Up More Opportunities

At the beginning of my career, my goal was to be able to play whatever the best game in the room was. That meant any game, whether it be $50-$100 no-limit holdem or $400-$800 stud. At the time, I only knew how to play limit holdem. Thats only 20 percent of H.O.R.S.E., let alone any game in the room. I knew I had a long way to go. but I was determined.

Fast forward five years. I learned eight more games and was on my way to being able to accomplish this goal. I was always playing in the best game on the right side of Borgatas poker room, but that side of the room was dedicated to the limit games. I still was unable to play any game.

I started coming in on my days off to play $2-$5 no-limit holdem. I needed experience to learn the game that would one day allow me to play with one of the biggest celebrities on the planet. Fast forward another few years and now its 2018. I was playing on the right side of the room when I heard that Kevin Hart was on his way to play no-limit holdem. I quit my game of $80-$160 OE to secure a seat at $10-$25.

I had to wait. And wait some more. But sure enough, in walked Kevin Hart, along with four security guards. This was it, the moment I had been waiting for. I could without a doubt say that I was playing in the best game in the room.

The game escalated quickly. It started out with blinds of $10-$25, but it wasnt long before half the table had blinds out and we were playing $10-$25-$50-$100.

I wish I could tell you I crushed this session or even that I booked a win, sadly I cannot. While being able to play the best game in the room is making the most positive expected value decisions for your bankroll, it doesnt guarantee youll come out a winner

Mix Games Are Good For Development

I could very easily make the argument that mix games prepare players for the future of poker. Every year a new game comes out that threatens the stronghold no-limit holdem has on poker.

If there is even the slightest chance that players will like the new game, you learn it. I know its tough to remember because the internet wasnt really around back then, but there was a time when limit holdem was the most popular game in poker rooms. Before that, it was stud. You cannot stop poker evolution, you can only grow with it.

Right now, the game of choice is clearly no-limit holdem. Its been like that for nearly two decades. Thanks Moneymaker. Maybe try winning a limit tournament next time. However, there is no reason to believe no-limit holdem will reign supreme forever. At some point, you either learn the new game or watch the game pass you by. Youll still have solitaire though if nobody wants to play no-limit with you.

Each new game expands a players perspective on poker. Even after 15 years of playing professionally, I still find spots Ive never seen. I truly believe that learning these games has allowed me to develop my overall poker strategy into a profitable creative one.

Learning on the fly and being prepared to take on new challenges is a life skill that not many poker games offer.

Mix Games Develop Reliable Poker Instincts

Mix game players are forced to evolve with the game. We are constantly challenged to not only learn new games but learn them faster than everyone else. Kids these days are spoiled by solvers and charts. In some of the newer, more complex games, equities are almost impossible to calculate. I can find a basic no-limit holdem odds calculator with a simple google search. I dare you to find one for badeucy.

As games become more complex games as specialists evolve, players must trust their natural poker instincts. With no answer in the back of the book, poker becomes a battleground for heuristic math and poker intuition.

Playing one game becomes monotonous and players become complacent. No one wants to be that person who used to be good but got passed over by the game. If you play mixed games, fear not this fate.

Mix Games Develop Self Awareness

All players that excel in poker, will do so in at least one variant. The specialists, however, learn that one game and stick with it. They become the best player in the game and they grind out a solid win rate.

Few will ever know how it feels to be out-classed. They study all the different spots in one game and they make sure that their game is solid. They will be very hard to exploit in their game of choice.

Mixed games, on the other hand, can and will humble almost any player. No mix is created equally. If you get a seat at a table that is playing a mix of games, instead of just one, you will sometimes find yourself in a mix that is not your best but is still favorable.

Three other players will have more experience and more volume in 70 percent of the games. The two fun players bring the game to an acceptable level of profitability to play, but still, you will find yourself in gross spots versus the professionals. It is a feeling of humility that is arguably necessary for a player to truly reach their potential.

Mix Games Build Character

Live mix games players are forced to overcome obstacles other players will never face. There is no ladder to move up and hone your skills while building a bankroll. If you want to play bigger, you must either take shots at bigger games or build a bridge between stakes.

To build a bridge between stakes means you must bring players together and form a new limit. Building a bridge between stakes requires networking and hard work. It requires focus and determination. Mix games teach you at an early age that a good personality and some polite manners will get you into the games you want to be in.

There are no micro-stakes for mix games. To be perfectly honest there arent even mid-stakes for mix games. It takes a certain amount of fortitude, character, and just enough gamble to get to the top with that landscape. The players that are able to get to the top had to take huge risks along the way and certainly deserve to be there.

Promoting mix games online can provide another avenue to players who are interested in learning mix games. Online poker allows players to play more hands per hour, thus allowing them to gain experience faster than in a live environment. No-limit holdem has already shown that this path of volume leads to the breeding of new legends every day.

WSOP, please. I fear for the future of poker players. Please consider shifting a minimum amount of focus to mix games. I promise it will be good for both your bottom line and the poker world.

Every renowned poker room has a big limit mixed game. If you are trying to become the premier online poker site that boasts WSOP bracelets and prestige, wouldnt you want to follow the same business model?

Lastly and certainly not least, mix game players have a vicious reputation for being degenerates. No one peels cards harder than a 2-7 triple draw player holding 2-3-4-5 and peeling a three spotter (6-7-8) on the third draw. If you run more online events, we might go off in your casino. Think about it.

Sincerely,

Melissa Burrrrrberry Burr

Melissa Burr is a seasoned high-stakes mix game professional. In her spare time she enjoys the occasional 30-minute craps roll, sports betting, and short reasonable walks on the beach. Find more adventures on her twitter @burrrrrberry.

Read the rest here:

An Open Letter To The WSOP: Why Mixed Games Are Good For Poker Player Development - Poker News - CardPlayer.com

Liberty secures two more wide receiver commitments – Lynchburg News and Advance

Liberty enjoyed a stellar recruiting day Wednesday with the addition of two more three-star wide receiver prospects.

Bobby Ezzard announced his commitment Wednesday afternoon to become the 16th verbal commit in the 2021 recruiting class, and DaQon Stewart followed suit early in the evening and is expected to enroll in time for the fall semester.

Ezzard, a 6-foot-1, 178-pound recruit, is rated three stars by Rivals and chose Liberty over reported offers from Kentucky and Appalachian State. He is a rising senior at North Gwinnett High School in Suwanee, Georgia, and joins fellow three-star wide receiver prospects Corey Barnes and Gamarion Carter from Georgia.

Ezzard is the sixth commitment in the recruiting class from Georgia.

Stewart boasts a three-star rating according to 247Sports composite rankings. The 6-foot, 195-pound prospect recently graduated from North Mecklenburg High School in Huntersville, North Carolina, and chose Liberty over offers from South Carolina, Penn State, Syracuse, West Virginia, Georgia Tech, Coastal Carolina and others.

See more here:

Liberty secures two more wide receiver commitments - Lynchburg News and Advance