#6. Disease surveillance

[spartanmemesmedical]

Unveiling the Threat: Understanding the Latest Developments in Bluetongue Disease Research and Control Strategies

Introduction: Bluetongue disease, a viral illness primarily affecting ruminant animals, has garnered increasing attention in recent years due to its global spread and impact on livestock health and agricultural economies. Characterized by fever, lameness, and characteristic blue tongue discoloration, this vector-borne disease poses significant challenges to livestock producers and veterinary…

[13as07]

Master List #1

Keys:

• Romantic

• Smut

• Platonic

• Angst

• Idk What To Tag It As

• In The Works

[——] - Series Part Listed Elsewhere

——————————————————————

Might Gai:

• Similar

Kankuro Sabaku:

• Desert Lily #1

• Desert Lily #2

• Desert Lily #3

• Desert Lily #4

• Choose #1

• Choose #2

Sakura Haruno:

• Uchiha Love #1

• Uchiha Love #2

Jiraiya:

• Attachment

• Patience #1

• Patience #1.5

• Patience #2

• Patience #2.5

• Patience #3

• Patience #3.5

• Patience #4

• Patience #4.5

Kakashi Hatake:

• Motherhood #1

• Motherhood #2

Shikamaru Nara:

• Our #1

• Our #2

• Our #3

• Our #4

• Our #5

• Our #6

• Our #7

• Friends #2

• [Parts 1 & 3 Listed Under Multiple Characters (Master List #2)]

• Shogi Partner #1

• Shogi Partner #2

• Shogi Partner #3

• Shogi Partner #4

• Shogi Partner Prequel #1

• Shogi Partner Prequel #2

Pain/Nagato Uzumaki:

• [Parts 1 - 3 Listed Under Multiple Characters (Master List #2)]

• Object #4

• [Parts 5 - 9 Listed Under Multiple Characters (Master List #2)]

Itachi Uchiha:

• It Hurts

• I’m Not Clingy #1

• I’m Not Clingy #2

• Tiggie #1

• Tiggie #2

• Tiggie #3

• Birthright #1

• Birthright #2

• Birthright #3

• [Part 4 - 6 Listed Under Fugaku Uchiha]

• [Part 7 & 9 Listed Under Multiple Characters (Master List #2)]

• Birthright #8

• Birthright #10

• Birthright #11

Shino Aburame:

• Parasite #1

• Parasite #2

• Hanahaki Disease

• Elegant #1

• Elegant #2

• Outing

• Bruised

Shisui Uchiha:

• Wish

• Crows Breed In The Spring #1

Rock Lee:

• Flower

• Gift

Ino Yamanaka:

• Spitting Image #1

• Spitting Image #2

• [Part 3 - 6 & Prequel Listed Under Gaara Sabaku]

Gaara Sabaku:

• [Part 1 & 2 Listed Under Ino Yamanaka]

• Spitting Image #3

• Spitting Image #4

• Spitting Image #5

• Spitting Image #6

• Spitting Image Prequel

Hinata Hyuga:

• Surveillance

Neji Hyuga:

• Coffee #1

• Coffee #1.5

• Coffee #2

Shikaku Nara:

• Sweet Girl #1

• Sweet Girl #2

• [Part 3 & 4 Listed Under Multiple Characters (Master List #2)]

Kakuzu:

• I Hate You #1

• I Hate You #2

• I Hate You #3

• I Hate You Prequel

Hidan:

• Jashin’s Angel

Kiba Inuzuka:

• Want To Be Boxer

• Cats and Dogs #1

• Cats and Dogs #2

• Cats and Dogs #3

• Cats and Dogs #4

• Cats and Dogs #5

Obito Uchiha:

• Little Lady #1

• Little Lady #2

• Little Lady #3

Fugaku Uchiha:

• [Parts 1 - 3, 8, & 10 - 11 Listed Under Itachi Uchiha]

• Birthright #4

• Birthright #5

• Birthright #6

• [Part 7 & 9 Listed Under Multiple Characters (Master List #2)]

Asuma Sarutobi:

• Stretch Marks

• Duckling #1

• Duckling #2

• Duckling #3

Orochimaru:

• Little Mouse #1

• Little Mouse #2

Sasuke Uchiha:

• My Son

Sasori:

• Just a Thought

——————————————————————

[covid-safer-hotties]

Also preserved in our archive

There are an increasing number of states across the U.S. where "very high" levels of the virus that causes COVID-19 are present in wastewater.

According to the U.S. Centers for Disease Control and Prevention (CDC), Idaho, New Mexico and South Dakota all had "very high" levels of the SARS-CoV-2 virus in their wastewater during the week between November 17 and November 23, 2024.

The week prior, between November 10 and November 16, only New Mexico's wastewater had this level of the virus present.

Arizona, Arkansas, Kentucky, Maine, Massachusetts and New Hampshire currently have "high" levels of COVID-19, while "moderate" levels were detected in Minnesota, Nebraska, Nevada, Oregon, Rhode Island, Utah and Wyoming.

(Follow link for interactive map!)

Nineteen states had "low" levels, while 14 states and D.C. had "minimal" levels of the SARS-CoV-2 virus present in wastewater.

Between November 10 and November 16, "high" levels were detected in Arizona, Kentucky, Minnesota, Oklahoma, Pennsylvania and South Dakota, with "moderate" levels of the virus detected in Colorado, Idaho, Maine, Maryland, Ohio, Oregon, Rhode Island, Utah and Wyoming.

The data from New Hampshire, Mississippi, Oklahoma, and South Dakota all have limited coverage for the most current data, which means it is "based on a small segment (less than 5 percent) of the population and may not be representative of the state/territory," the CDC explains. Additionally, North Dakota has no data for this period.

The CDC monitors COVID-19 levels in wastewater as part of its surveillance strategy to track the spread of the virus in communities. Infected individuals shed the virus in their feces, meaning that monitoring wastewater can reveal increases in infection rates earlier than clinical testing or hospitalizations.

"The wastewater viral activity level indicates whether the amount of virus in the wastewater is minimal, low, moderate, high or very high. The wastewater viral activity levels may indicate the risk of infection in an area," the CDC said.

Wastewater data helps public health officials allocate resources and make informed decisions about mask and vaccination policies.

In the week ending November 23, about 4.5 percent of COVID-19 tests around the country came back positive. This represents a 0.3 percent increase from the week prior. Some regions had rates of up to 6.3 percent, such as Arkansas, Louisiana, New Mexico, Oklahoma and Texas.

"SARS-CoV-2, the virus that causes COVID-19, is constantly changing and accumulating mutations in its genetic code over time. New variants of SARS-CoV-2 are expected to continue to emerge. Some variants will emerge and disappear, while others will emerge and continue to spread and may replace previous variants," the CDC said in a statement.

Subvariant KP.3.1.1 made up 37 percent of COVID-19 variants in U.S. wastewater over the two weeks before November 23. The new XEC variant made up 24 percent, KP.3 made up 17 percent, JN.1 made up 8 percent and "other" made up 14 percent.

For the same period, variants detected in positive test samples were slightly different, with KP.3.1.1 making up 44 percent of recorded COVID infections, XEC totaling 38 percent and MC.1 composing 6 percent.

[fipindustries]

ok i think i finally figured out what to do with some OC i had lying around.

worldbuilding concept: the OPs

a world where superpowers exist but only 6 people have them.

their special deal is that each power manifest so absurdly strong that they are each essentially a god. they are scattered across the world and they have inevitably shaped the politics and nature of the world by their mere presence.

the powers in question are super strength, energy manipulation, super speed, mind control, precognition and telekinesis

the idea is that they are completely broken, they are overpowered, every single one of them is "fuck you i win" level of strength, and the different ways in which such a thing would manifest and the different personalities that each would have because of this.

they are walking extinction events, them arriving to a city is as threatening and scary as a kaiju arriving to a city. some of them have taken over entire countries, others are in charge of vast worldwide networks. they are indestructible, unstoppable and wherever they go that region of the world is subject to their whims. some of them are bad, some of them are normal and some of them are unpredictable. let's explore a little how broken each of them are.

Alpha:

the Siberian package, he can nullify all kinetic energy applied to him, he can exert essentially infinite kinetic energy through his body. he is the hydraulic press from the you tube videos. he is both the unstoppable force and the immovable object.

despite his almost limitless capacity for violence he is relatively pacific, he is located in one specific small city in the united states and mostly keeps to himself. whenever he needs food he just goes to a store and takes it. he kept having encounters with cops but there were no amount of bodies, guns, barricades, handcuffs, cop cars, jail cells or tanks that could stop him from calmly walking back towards his house. he would just walk through those things unimpeded without slowing down, leaving behind a trail of bent metal, crushed concrete and pulverized bodies.

this escalated into an all out military encounter until they realized there was no way to make this guy stop, also by this time the other individuals were starting to pop out and cause their own problems so eventually the powers that be deemed him as harmless enough and redirected their attention to those guys.

in a way he is literally the least violent of the group since no violence can ever be enacted on him and he sees no need to ever enact violence on anyone. he tries to be nice and friendly but everyone in the city is too terrified of him to ever respond in kind. he is kind of lonely.

weaknesses: his body is as weak to poison, disease and asphyxiation as a normal human body, although to administer these attacks can prove to be exceedingly difficult since he can extricate himself from any restraint and his body cannot be pierced by any needle.

Bravo:

mind reader, mind controller.

very little can be said or even known about him. Took the strategy early on of erasing all perception of himself from the minds of people wherever he went. he presumably existed for years, although it is impossible to say how many, until he finally decided to allow his existence to be known.

all that is known about him is known because he allowed it to be thought about. all that people feel or think about him is because he either allowed or shaped those thoughts and emotions. there is a possibility you will forget having read this paragraph after finishing it.

he has let out that he has used armies of mind controlled people in the past, there is no knowledge about whether he still does or how big the ranks are, there is no way of knowing if we are already part of those ranks. the only thing that is known is that the other individuals are immune to him, which is small consolation given that they are as impossible to control as he is.

he currently lives under surveillance at the military research installation in [undisclosed location] with Delta. the nature of their relationship is unknown. occasionally cooperates with the few experiments he allows to be suggested to him.

weaknesses: [redacted]

Charlie:

in many ways considered the worst of the group, though not necessarily the most malicious. unstable, unpredictable and highly dangerous, she was know as "the nightmare" during her time in operation in Australia.

she was capable of hyper accelerating her body and her perception of time. because she was not the flash and these were not comic books, wherever she went she was accompanied by a sonic boom and a super heated ball of plasma, a product of the air being hyper compressed by her movements. because of this she caused untold destruction and damage every time she was active.

her personality was best described as erratic and immature, possibly neurodivergent. she would engage in her own private "games" that would result in cities being razed to the ground and people being liquefied around her.

she self destroyed in one of her games, presumably when she tried to push her power to the limits and reach light speed. the result of this was her own instant annihilation as well as the loss of the entire west portion of Australia.

weaknesses: although specific weaknesses in the manifestation of her powers could never be properly measured or observed, her instability and proven capacity for self destruction is unofficially counted as such

Delta:

can generate and nullify all heat, light and electricity within a kilometer. at first people claimed he was a walking atom bomb, although when extrapolating the upper limits of power that the other individuals have shown it wouldn't be out of the question to consider him a walking supernova, possibly even bigger. while his capacity to generate near infinite energy is plenty threatening, the real danger he possesses is his capacity to reduce anything around him to 0° kelvin (-273°C), as well as instantly nullifying all electrochemical reactions inside a human body.

he is currently kept under surveillance at a military research base located in [undisclosed location], cooperating with research and experimentation on the nature of his powers. he cohabitates with Bravo, the nature of their relationship is unclear.

weaknesses: whilst they can neutralize any manifestation of energy near his body , this is a conscious action on their part, as opposed to the automatic neutralization of all kinetic energy possessed by Alpha. they have burned and temporarily blinded themselves out of carelessness in multiple occasions

Echo:

mostly a nomad, wanders across the world carrying out elaborate plans. their knowledge of the future manifests in them being able to simulate the outcomes of any possible action or choice they make. the range of their knowledge extends from a few seconds into the future up to the heat death of the universe (they have confirmed this is how the universe ends) as well as covering the entire extension of the earth. because of this they are essentially omniscient since they can "predict" what is going to happen on any point on earth "within a few seconds". their simulations happen instantaneously and they can absorb and process the information contained within just as fast.

by far the one individual who interacts the most with regular people, usually to perform some cryptic action or to deliver a mysterious message, presumably a step in one of their complex plans to bring about a desired future. when questioned about this they will claim they are "building heaven on earth" and "following the golden path". what this supposed heaven entails is not too clear.

at the beginning of their "career" they used their power to win multiple lotteries and establish companies, non profit orgs and political lobbies, presumably as tools to carry out their plans. and yet as time went on they abandoned each of these institutions one by one, retreating from the public eye. after this they went on to commit target assassinations on key individuals, this also eventually stopped and as of right now their operations are limited to seemingly arbitrary actions (painting a graffiti on a street on zimbawe, giving out a free sandwich to a homeless woman in brussels, saying "fresh phalanges" to a taxi driver in paraguay). when going against them teams have repeatedly encountered all sorts of unexpected delays and obstacles that appear to happen by chance around them giving them a chance to escape on the nick of time or impeeding the team from operating at all. the nature of their power brings uncomfortable philosophical implications regarding predetermination. one time during an interview they claimed to be "the sole living creature to have ever possessed true free will" he went on to say "see my actions are determined acasually, i don't do what i do affected by antecedent causes, i am affected asynchronously by information from the future, i have broken free from the chain of cause and effect, i am the only person who has ever truly made a choice"

weaknesses: they have admitted once that they are of "average intellect" and that their capacity is that of a normal person when it comes to using the information contained in their visions and well as developing plans around them and keeping track of all this data. they can only obtain visual and auditory information from their visions.

Foxtrot:

the most misanthropic individual of the group. she's located in the abandoned city of Moscow. absolute telekinesis, limitless range and limitless weight, as well as a capacity to keep track and move in extremely complicated and delicate ways a near infinite amount of objects at the same time.

she appeared in the borders of russia ten years ago and started carving a path of destruction all the way to the capital, undeterred by all the armies amassed by the russian people. once in the city she killed every person who didn't evacuate on time and took over the kremlin. after this russian military decided to empty most of their nuclear arsenal on her location. rather than stopping the missiles mid air (a feat she had demonstrated she was perfectly capable of by then) she allowed the bombs to explode and protected herself with a telekinetic forcefield.

right now she lives in the kremlin, floating a hundred meters above the radioactive crater that used to be moscow.

her most high profile attack was to change the orbit of the moon after her demands to be left alone hadn't been satisfied by russian authorities. after this russia, as well as the rest of the world, surrendered since she has threatened to do the same with the sun if she is ever interfered with again. because of her extremely aggressive nature very little has been discovered about her personality or her aims. on occasion she will move her floating fortress above a populated city and make a supermarket arise from the ground up to her palace where she will presumably restock on food and water only to then drop the supermarket back into the ground unceremoniously.

weaknesses: while her range and capacity to move things is near infinite she can only grab hold of things within her field of view, once grabbed they can be held indefinitely even if she is no longer seeing them.

[collapsedsquid]

In the U.K., the Health Security Agency recently raised its threat level to 4 out of 6, the stage immediately before large-scale human outbreaks. In Europe, countries are proactively vaccinating dairy and poultry workers against infection, with 15 nations already securing a total of 40 million doses through the European Commission. In the United States, despite having a stockpile of those vaccines, we are not distributing them, instead focusing on standing up voluntary supplies of seasonal flu vaccines to frontline workers. (The hope is that this will prevent animal infections of human flu that might aid in the further mutation of H5N1.) The Centers for Disease Control and Prevention has cited the low number of cases to justify its inaction, but it has also moved remarkably slowly to promote the kind of widespread surveillance testing that could actually identify cases. Only recently has the agency begun to mobilize real funding for a testing push, after a period of months in which various federal groups batted around responsibility and ultimate authority like a hot potato. And as was the case early in the Covid-19 pandemic, the C.D.C.’s preferred test for bird flu “has issues.” Three months into the outbreak, only 45 people had even been tested; six weeks later, the total number of people tested had grown only to “230+.” [...] Most farms aren’t supplying N95 masks, goggles or aprons to protect workers, either, and when Amy Maxmen of KFF News surveyed farm workers to ask why they weren’t getting tested, “no one had heard of bird flu, never mind gotten P.P.E. or offers of tests,” she reported. “One said they don’t get much from their employers, not even water. If they call in sick, they worry about getting fired.” Last month, a crew was deployed to slow the spread of the disease by killing every last chicken of 1.78 million on a large Colorado farm where H5N1 had broken out and six of the workers contracted the virus, partly because the gear they’d been provided was hard to use in the punishing 104-degree heat. In June, Robert Redfield, former director of the C.D.C., echoed many epidemiologists in predicting that “it’s not a question of if, it’s more of a question of when we will have a bird flu pandemic.” In July, Brown’s Jennifer Nuzzo warned that the steady beat of new cases “screams at us that this virus is not going away.” Tulio de Oliveira, a bioinformatician who studies global disease surveillance, marveled that the American effort to track the spread of the disease was absolutely amateurish and the country’s apparent indifference “unbelievable.”

[magz]

Lets Talk Palestine, summary. March 31 to April 5, 2024. Quote:

March 31. Day 177 - Easter

✝️ Israel denied Palestinian Christians — the oldest in the world — access to the old city in Jerusalem

🇫🇷 France to prosecute its citizens serving in IOF for implicated war crimes after video showed French citizen assaulting Palestinian hostages

• 77 Palestinians killed, 108 injured in last 24 hours

🇮🇶 Iraqi group’s drone strikes & damages Israeli naval base in Eilat in southern Palestine, bypassing Jordanian & Israeli air defense to do so (📸 above)

• Another massacre of aid seekers at Kuwaiti roundabout killed 17 & wounded 30. This major aid distribution point now dubbed a “deathtrap”

🏥 Israeli bombing of tents housing displaced Palestinians at al-Aqsa Hospital kills 4, wounds 17 incl. journalist

• IOF abducts 14 in overnight raids in West Bank

🏥 26 patients killed in Israel’s siege of Shifa Hospital. The remaining 107 patients face mass disease spread

🐀 Palestinian Authority President Abbas swears in new unelected gov’t

April 1. Day 178

🏥 IOF withdraws from Shifa Hospital after 2-week siege that completely destroyed the hospital as they set fire to buildings (📸 above). 400+ bodies of Palestinians executed by IOF found, many missing body parts, showing signs of torture

•⁠ 63 killed, 94 injured in Gaza in last 24 hours

•⁠ ⁠Israeli army report admits that IOF executed Palestinians for crossing arbitrary invisible “kill zones” determined by IOF

🇸🇾🇮🇷 Israel strikes & destroys Iranian consulate in Syria, killing 7 in a dangerous regional escalation

•⁠ ⁠4 foreign @ wckitchen aid workers (incl. Australian, British & Polish) & their Palestinian translator killed by Israeli targeted bombing of their car while distributing food

•⁠ Hamas says the Palestinian Authority & Egyptian officials coordinated w/ Israel to infiltrate Gaza via Rafah crossing as an "intelligence plan" disguised as "distributing aid". PA denies the accusation; 6 PA officers were arrested by Hamas. The PA seeks to administer Gaza post-genocide

April 2. Day 179

• 71 Palestinians killed, 102 injured in Gaza in last 24 hours

•⁠ ⁠Netanyahu claims yesterday’s attack killing 7 foreign aid workers (🇦🇺, 🇨🇦, 🇬🇧, 🇺🇸, 🇵🇱) was “unintended”. But the workers were in a deconflicted zone, coordinated movement w/ Israel, & were in clearly marked @ wckitchen cars

👆UK & Australia summon Israeli ambassadors, demanding accountability; but US & Canada accept Israel’s excuse that the killing was unintended

🇺🇸⁠ Alarming level of US intelligence sharing w/ Israel since Oct 7 from Gaza surveillance. US unsure of its intel’s contribution to civilian deaths

• Knesset (Israel Parliament) pass bill paving way to ban Al Jazeera, claims it poses threat to international media & freedom of the press

• Multiple aid orgs incl. @ aneraorg & @ wckitchen halt Gaza operations after yesterday’s attack + aid shipment returns to Cyprus w/ 240 tons of undelivered aid. Due to Israel targeting humanitarian workers

• World Bank: Gaza infrastructure damage estimated at $18.5bn

April 3. Day 180

• After 6 months of genocide, Israel has killed 32,975 Palestinians, not including thousands buried under rubble; incl. 14,500 kids, 140 journalists & 484 medical staff. Starvation & disease are expected to kill even more as Israel prevents aid

🇺🇳 UN Human Rights Council to consider draft motion for arms embargo on Israel to halt arms sales

• 30% of children under 2 in Gaza are ‘acutely malnourished’

🇺🇳 UN suspends night aid deliveries in last 48 hours after Israel’s killing of 7 @ wckitchen aid workers

⚖️ The PA attempted to arrest a Palestinian resistance fighter in Tulkarem (West Bank), and later PA forces killed Motassim Al-Arif of Tulkarem Brigades (local resistance group), making him the 7th Palestinian resistance fighter killed by the PA since Oct 7. This sparked Tulkarem brigades to initiate a state of “civil disobedience” in Tulkarem. The attempted arrest of the Hamas leader occurred in Jenin (West Bank) and is another escalation of clashes between the PA and Palestinian resistance groups in the West Bank

🇬🇧 YouGov Poll: 56% UK voters support ban of arms export to Israel

April 4. Day 181

‼️ Gaza death toll surpasses 33,000 not including thousands under rubble

•⁠ ⁠Israel’s bombing of Gaza is driven by flawed AI software with little human review of the thousands of Palestinians placed on its ‘kill list’. The AI accounts for 5-10 ‘acceptable civilian deaths’ per targeted resistance fighter

[Magz note: This is a part of Israel's various efforts to kill Palestinians / "Hamas" with more efficiency and ease for the IOF. Other examples being robot dogs and high-tech missile launchers and dropping specialized bombs on highly-concentrated "concentration camp" of Gaza. In this case, the machine-learning database is called "Lavender", and 'identifies' targets that 'might' have any connection to Hamas at all, so the IOF directs "dumb bombs" on the targets. The unspoken implications is that the targets' identifications would include potential family members and friends - thus having as many as 37000 target list total for "Hamas", as the dehumanization of Palestinians is to idenitfy them all as inherently "terrorist". ("‘The machine did it coldly’: Israel used AI to identify 37,000 Hamas targets", The Gaurdian article. Article date: April 4, 2024)]

🇮🇷 Israel evacuated several of its embassies abroad, halted deploying combat units & called reservists in response to Iran’s threats of retaliation after Israel killed 7 Iranian personnel in strike on its consulate in Syria. Israel taking Iran’s threat seriously

• Israeli doctor reveals catastrophic conditions for Palestinian captives incl. requiring amputations from being shackled for 24 hours, regularly blindfolded, denied toilet access & surgeries without proper medical care

• IOF strikes homes in ‘safe zone’ Rafah, killing 8+ Palestinians

🇱🇧 2000 acres of Lebanese farmland destroyed by Israeli bombardment

• IOF shot & killed 28-year-old Asad Amr in Jenin in West Bank

April 5. Day 182

•⁠ ⁠On Palestinian Children’s Day, Israel has killed 14,000+ children in Gaza, 117 in West Bank since Oct 7. 31 kids killed by starvation while 50,000+ are acutely malnourished, 200 kids held captive by Israel & 17,000+ unaccompanied or separated from immediate family

⚖️ Colombia follows Nicaragua in requesting to join South Africa in ICJ genocide case against Israel

🇺🇳 UN Human Rights Council passes non-binding motion urging states to halt arms sales to Israel, citing ICJ ruling; US voted against. First time UNHRC takes a position since Oct 7

•⁠ Israel to open Beit Hanoon crossing to north Gaza & Ashdod port temporarily; analysts say it’s inadequate as Gaza subject to ‘catastrophic starvation’ by Israel’s blockade

•⁠ After international outrage, Israel dismisses 2 officers & reprimands 3 for attack killing 6 foreign aid workers, but no criminal trials or real accountability

•⁠ Israeli sniper kills Palestinian while filming an Israeli raid from his rooftop in West Bank

[canichangemyblogname]

The Cass report suggesting that children who want to change their clothing style (often considered a part of “social transitioning” for trans children) be evaluated by psychiatrists is so fucking insidious. And UK feminist and LGBTQ orgs have backed this? Have backed a study that literally proclaims that a child showing a desire not to conform to their sex-prescribed roles and norms is pathological?

“Sorry little girl, you can’t get your hair cut until mummy has you evaluated by a shrink,” because little girls wanting short hair is a sign their brains may be diseased? Hello???

“Sorry little boy, because mummy found you playing with her eyeliner and heels, she’s going to have to take you to a what is essentially conversion therapy because there’s clearly something deeply wrong with your brain.”

In the 60s, my grandmother found my dad playing in the backyard dirt while wearing his sister’s tutu. He told her that he wanted to be fluffy. In the UK today, his moment of “non conformity” would place him— a cis het kid— under surveillance under the suspicion he might be trans and thus something might be “wrong” with him. Back in the 60s, my grandmother simply laughed.

In the 70s, my grandparents sighed my mother— at 6 yrs/o— up for T-ball under the name “Ken” because girls were not allowed to play sports. This was a couple months shy of Title 9. In the UK today, that change of name and her wearing the team’s uniform would need to be evaluated by a shrink.

The Cass report was influenced and motivated by transphobia and it’s primary target is trans kids, but fuck if it doesn’t have wide sweeping implications.

Transphobic policies only work by constantly inspecting every member of the public for the smallest signs of non conformity. And the only way to try and “protect” yourself is to present as the absolute most stereotypical version of your sex at all times.

[doctentaclesrpg]

Mylitas, the Eyes of Orabilis

Demon of the First Circle

[PDF Version]

These curious demons drift through the twisted streets of Malfeas, their kaleidoscopic innards refracting Ligier’s harsh light into an array of scintillating patterns. Each motion sends them bobbing and sloshing gently, their gelatinous bodies quivering with each shift. When a Mylitas beholds a sight of profound beauty, it halts, trembling, and weeps thick, gelatinous tears, utterly overcome by the sublime vision before it.

Mylitas have a poor reputation in Hell, widely considered little more than prettily-decorated spies. However, few demons dare move against them directly for fear of provoking Orabilis’s wrath. Instead, demons decorate places they wish to keep secret with exquisite art or build their homes by great vistas to try to distract the Mylitas' gaze.

Summoners and Princes call upon Mylitas to observe rivals from afar, provide surveillance and warning against assassinations, or critique works of art. Mylitas possess refined tastes, though their standards are unusual, and their kaleidoscopic flashes communicate with scathing wit.

Essence: 2; Willpower: 6; Join Battle: 6 dice

Personal Motes: 70

Health Levels: −0x5/−1x2/−2x1/−4/Incap.

Intimacies: Defining (“I must gaze upon and critique beauty.”), Major (Aesthetics are morality.)

Actions: Senses: 10 Dice; Linguistic Expression: 8 Dice; Resist Disease/Poison: 6 Dice

Resolve 3, Guile 3

Combat

Attack: (Squirt Vitreous) 10 Dice at Short Range: (Damage 6); Tags; Piercing

Combat Movement: 10 dice

Evasion: 4, Parry: 2

Soak/Hardness: 4/0

Merits 

Natural Flight: Mylitas bob above the ground, suspended by their vitreous fluid–they ignore difficult terrain.

Ever-Vigilant: Mylitas can see around them even when asleep or incapacitated in every direction, and double 9s on all visual perception rolls.

Prismspeak: Mylitas can communicate with other Mylitas within Long Range with a unique language of complicated prismatic pictograms, as long as there is a source of light. This language relies on colors beyond the perception of most other beings, so even if learned, full understanding is difficult.

Offensive Charms

Blinding Florescence (14m, 6i, Simple, Instant, Decisive-Only, Essence 2): The Mylitas makes a special Decisive Gambit against all targets within Short Range, flashing with sickening colors. They roll a single pool of 10 Dice against a (Stamina + Resistance) pool of all targets–any who fail are blinded, suffering a -3 penalty to all rolls that rely on sight, for a number of rounds equal to the Mylitas’s overflow successes.

Corrosive Aquous  (8m, 4i, 1lhl, Simple, Instant, Decisive-Only, Essence 2): The Mylitas sprays corrosive eye-brine from its innards at a target within Short Range, making a special Gambit with a 10-dice pool. If it succeeds, the target’s soak is reduced by (lower of Overflow successes or 2) for the scene.

Miscellaneous Charm

Keen Eye for Beauty (6m, Supplemental, Instant, Essence 2): The Mylitas adds (Target’s Appearance) in dice to a roll based on visual perception.

Scathing Critic (6m, Supplemental, Instant, Essence 2) The Mylitas doubles 9s on a profile roll if it has viewed a target’s art or writing, or on a social attempt that incorporates criticism of the target’s art or appearance.

Materialize (35m, 1wp; Simple; Instant; Essence 1): A Mylitas appears with a kaleidoscope flash and gurgle of vitreous.

Hurry Home (10m, 1wp; Simple; Instant; Essence 1): A Mylitas fades away and vanishes on its next turn, drawn instantly to its summoner’s side. (Unavailable unless bound.)

Measure the Wind (5m; Simple; Instant; Essence 1): A Mylitas can discern the nature of anyone who’s art they have previously studied.

Editing credit @brian-the-elementalist

[darkmaga-returns]

The full study results were obtained via a FOIA request because Pfizer and the health authorities won't voluntarily disclose it. You're about to find out why.

Steve Kirsch

Dec 17, 2024

Executive summary

Normally, when Pfizer’s own study shows their vaccines increase your risk of serious adverse events and those effects are both large and statistically significant, you would think that would be reported by The New York Times, right?

But for some reason, which I still can’t figure out, they missed it. Again.

So it’s up to your friendly neighborhood misinformation spreaders (such as myself) to bring this to your attention.

The Pfizer study results (CONFIDENTIAL)

Interim Report 5 of the Pfizer Post-Authorization Safety Study (PASS) aka Post Conditional Approval Active Surveillance Study Among Individuals in Europe Receiving the Pfizer-BioNTech Coronavirus Disease 2019 (COVID-19) Vaccine.

Full study This is marked Pfizer Confidential so it’s important that you don’t tell anyone. We’ll save lives by keeping this quiet, apparently.

Confidential Abstract This is marked Pfizer Confidential so it’s important that you don’t tell anyone. We’ll save lives by keeping this quiet, apparently.

What the study said

The study compared vaccinated people vs. matched unvaxxed controls at 6 different sites and looked at 37 AESIs in more than 12 million vaccinated individuals and 12 million matched unvaccinated controls.

Table 16 of the full study summaries the findings.

First of all, you should note that the unvaccinated are in general far less healthy and die at over 2X the rate that the vaccinated do (see the Deaths (any causes) and Sudden death lines).

So when we look at hazard ratios between vaccinated and unvaccinated and find that they are the same or higher (i.e., >=1), we should be VERY concerned.

Note: The lower death rate of the vaccinated is selection bias: vaccinated people are generally more health conscious and have higher socio-economic status. It has nothing to do with the COVID vaccine saving lives (there is no plausible mechanism of action causing lower death rates; if there was, I’d be the first one to get my shots).

[burnsoregonphotoblog]

1965. Evergreen spray helicopter taking off. Burns Douglas-fir tussock moth control project. Oregon.

Credit: USDA Forest Service, Region 6, State and Private Forestry, Forest Health Protection. Collection: Region 6, Forest Health Protection historical files located at the Mt. Hood National Forest in Sandy, Oregon.

Image provided by USDA Forest Service, Pacific Northwest Region, State and Private Forestry, Forest Health Protection: www.fs.usda.gov/main/r6/forest-grasslandhealth

Note: "During the period of June 10 to July 1 , 1965, a total of 65,945 acres were sprayed with DDT for control of early-instar larvae (Perkins and Dolph 1967). Application was by helicopter and at the rate of 0. 75 pound DDT in 1 gallon of fuel oil formulation per acre. Because of public concern at this time about side effects of DDT in the environment, impact of the spray on other resources, including fish, water, soil, forage, and cattle, was evaluated by scientists working independently of the project (Crouch and Perkins 1968, Tarrant et al. 1972). In addition, a small test was made of two other candidate insecticides, Dursban, an organic phosphate, and Zectran, a carbamate." From: Wickman, B.E.; R.R. Mason; and C.G. Thompson. 1973. Major Outbreaks of the Douglas-fir Tussock Moth in Oregon and California. GTR-PNW-5. USDA Forest Service, Pacific Northwest Forest and Range Experiment Station. 18 p. www.fs.fed.us/pnw/pubs/pnw_gtr005.pdf

See also: Crouch, G. L., and R, F. Perkins. 1968, Surveillance report, 1965 Burns Project, Douglas-fir tussock moth control. Malheur and Ochoco National Forests. USDA Forest Service. Pacific Northwest Region, Insect and Disease Control Branch, Division of Timber Manage. 20 p.

[fetznerdeathrecords]

Ancient Malignity - Dehumanization Dawn

Black/Death Metal from Sparks, Nevada, U.S.

Like a lost relic from the mid-to-late '90s, Ancient Malignity's second album surges and slices with both palpitating precision and gangrenous gnarliness. Those maniacs out there who hold high the torch of such old gods as Order From Chaos, Imprecation, Sacramentary Abolishment, America's Crucifier, old Vital Remains, and earliest Kataklysm should find red-eyed solace in the blitzed & bleary decibels on display across Dehumanization Dawn. Even the production itself sounds era-authentic - dank, dingy, and dungeoned, but no less muscular - and while tones and ​textures can form a solid foundation for many a death metal record, it's the hands of those who build that ​noble foundation that matter most: Ancient Malignity thus duly excel at the art of labyrinthine-yet-linear songwriting, making Dehumanization Dawn a most enticing spelunk among ancient corridors.

Themes: Evil, Death, Hate, Violence, Disease, Apocalypse, War

1. Dehumanization Dawn 2. Indoctrination Terror Offense 3. Abomination Experiment 4. Pedoswine Obsolescence 5. The Extortion Epoch 6. Dystopian Subjection 7. Pernicious Fixation 8. Algorithmic Brainwash Entity 9. Intrusive Surveillance Mechanism 10. Viral Hysteria Infliction

Release date: October 1st, 2024 via @ihaproductions

[mariacallous]

This year in the United States, 14 people have tested positive for avian influenza, or bird flu. Nine of those became infected after coming into contact with poultry, and four got the virus from exposure to dairy cows. The source of the remaining, most recent case remains a mystery.

The Centers for Disease Control and Prevention confirmed the case on September 6. Initially detected by the Missouri Department of Health and Senior Services, it is the first known case of human bird flu in the country with no known exposure to a sick or infected animal. On Thursday, health officials said they hadn’t determined how the person acquired the virus.

“Right now, evidence points to this being a one-off case,” said Nirav Shah, the CDC’s principal deputy director, during a news briefing.

Yet the case is troubling, because it raises the possibility of an alternate source of transmission, either from a person or an unknown source. Health officials say there is no evidence of person-to-person spread at this time. The CDC says its surveillance system has not picked up any unusual flu activity in the country, and the risk to the general public remains low.

“Our influenza surveillance system is designed to find needles in haystacks,” Shah said in the briefing. “In this case, we found such a needle, but we don’t know how it got there.”

The Missouri case is the first to be detected through the country’s national flu surveillance system as opposed to targeted testing of animals. This year, the H5N1 flu virus has been responsible for wiping out poultry flocks across the country and infecting 200 dairy herds in 14 states—the latest in California. It is increasingly spilling over to other mammals, including foxes, mice, raccoons, and domestic cats. With more animals harboring the virus, there is greater potential for human infection.

It’s not known whether that happened in the Missouri case, but it is one avenue health officials say they are investigating.

“Regardless of the source, it’s concerning, because it suggests that there’s a lot of the virus out there,” says David Boyd, a virologist at UC Santa Cruz who studies influenza. “This indicates that there is widespread transmission among animal sources.”

On August 22, an adult patient was hospitalized in Missouri for reasons related to underlying medical conditions and happened to also test positive for influenza. The patient’s specimen was then sent to the Missouri State Public Health Laboratory, which determined that it didn’t match the currently circulating seasonal flu viruses.

That triggered additional testing by the CDC, which last week confirmed it was a type of bird flu, or H5. The agency was conducting additional testing to determine the virus subtype—the “N” part of H5N1. On Thursday, health officials said the patient had a very low concentration of viral genetic material and, because of this, they have not been able to generate a full genome, including the N part of the virus. However, their data shows that the specimen is closely related to the H5 virus circulating in dairy cows.

Having a full genome sequence of the virus can be helpful in making an epidemiological link to an animal source. Because viruses change and mutate when they are transmitted to new hosts, the genetic sequence of the virus can give clues about where it’s been. Scientists would also be able to use a full genome sequence to identify potential genetic mutations that could make human-to-human transmission more likely.

The patient has since recovered and has been discharged. Hospital staff and state epidemiologists conducted contact tracing of potentially exposed individuals, and no additional cases have been identified.

Missouri’s health department says there has been no increase in emergency room visits for flu and no increase in lab-confirmed human flu cases in the state. Bird flu outbreaks in cattle have not been reported in Missouri, but outbreaks have been reported in commercial and backyard poultry flocks this year. Wild birds in the state have also tested positive for bird flu.

Health officials are considering several potential routes of exposure, including contact with wild or agricultural animals, consumption of milk or undercooked meat, household travel, and attendance at public gatherings. Shah says the CDC’s investigation is also looking into the use of bird feeders, recent yard work, gardening, and lawn mowing.

Stephen Morse, an epidemiologist and influenza researcher at Columbia University, says that this case being identified underscores the importance of the country’s influenza surveillance. “But the fact that this case was found fortuitously and took several weeks to identify shows that our surveillance system still needs to be more agile and systematic,” he says.

The US has limited capacity for bird flu testing, but that could soon get a boost. On Thursday, the CDC also announced that it is partnering with five commercial laboratories and has awarded them an initial $5 million to start developing their own bird flu tests.

[covid-safer-hotties]

also preserved on our archive

By Korin Miller

Many COVID-19 variants have come and gone since the pandemic began, but some get more buzz than others. Now, there’s another new variant getting attention from the infectious disease community. It’s called XEC, and it’s currently spreading in Europe.

XEC is an Omicron variant that descended from subvariants KS.1.1 and FLiRT variant KP.3.3, according to Scripps Research’s Outbreak.info. XEC has several spike mutations, which is what the virus uses to infect you��and it might be more infectious that previous strains because of it.

So, will the new variant hit the U.S.? What symptoms should be on your radar? Here’s the deal.

Meet the experts: Amy Edwards, MD, associate professor at Case Western Reserve University and director of the Pediatric COVID Recovery Clinic at UH Rainbow Babies and Children’s Hospital; Mark Cameron, PhD, an associate professor in the Department of Population and Quantitative Health Sciences at the Case Western Reserve University School of Medicine. Emily Smith, ScD, MPH, is an epidemiologist and an assistant professor at the George Washington University Milken Institute School of Public Health.

What symptoms should I watch for? XEC is a pretty new variant and, with that, there isn’t a ton of information right now on symptoms people have experienced with it. However, early reports don’t suggest that it causes dramatically different symptoms from other strains of COVID-19.

According to the Centers for Disease Control and Prevention (CDC), symptoms may include:

Fever or chills

Cough

Shortness of breath or difficulty breathing

Sore throat

Congestion or runny nose

New loss of taste or smell

Fatigue

Muscle or body aches

Headache

Nausea or vomiting

Diarrhea

When will the new variant hit the U.S.? While the XEC variant is getting a lot of attention in Europe, it’s already hit the U.S. As of Sept. 3, data show that there have been 23 cases of COVID-19 caused by the XEC variant in the U.S., with three happening in California.

The virus was first detected here on July 14, but hasn’t been detected since Aug. 16. That doesn’t mean it’s no longer here, though. Because so many people do home tests (or don’t test at all) when they have symptoms of COVID-19, it can be tricky to get information on different strains of COVID-19.

Will it become the dominant COVID variant? That’s not clear. As of this second, XEC isn’t even a blip on the CDC’s radar. The CDC’s variant surveillance system shows that KP.3.1.1 is the dominant strain in the U.S., followed by KP.2.3, and LB.1. XEC isn’t even listed on the surveillance.

That doesn’t mean it won’t spread, though.

“Just like JN.1 emerged from BA.2.86 late last year to drive new COVID infections through last fall and winter, XEC may have similar potential,” says Mark Cameron, PhD, an associate professor in the Department of Population and Quantitative Health Sciences at the Case Western Reserve University School of Medicine. “But we need to know more about the XEC variant and perhaps those still to come.”

But lately we’ve seen several variants circulate heavily at the same time, points out Amy Edwards, MD, associate professor at Case Western Reserve University and director of the Pediatric COVID Recovery Clinic at UH Rainbow Babies and Children’s Hospital. “Dominant is a strong word,” she says. “With so many very contagious variants, I think the days of having one dominant variant is gone.”

How can I protect myself? The CDC currently recommends that everyone aged 6 months and up get the updated COVID-19 vaccine, making that a good place to start. “As yet another Omicron family member, being up to date on the latest COVID-19 booster is a protective measure we can take right now,” Cameron says.

"The main thing we can do to slow a new variant or new wave is to get our booster shots this fall," says Emily Smith, ScD, MPH, an epidemiologist and an assistant professor at the George Washington University Milken Institute School of Public Health. "Generally, we find the boosters give us broad protection, even against new variants."

It’s also a good idea to wear a mask in crowded indoor areas when levels of COVID-19 are high in your area, especially if you’re consider high risk for complications of the virus. And, of course, if you develop symptoms of the virus, it’s a good idea to test yourself to see if you have the virus so you can lower the odds you’ll spread it to others.

If you do, in fact, have COVID-19 and are considered high risk for serious complications from the virus, you may want to contact your primary care physician about taking an antiviral medication like Paxlovid.

[asrielmerrymoon]

HOLY HECK OKAY UHM. UHM

1. By when you say most organs, what do they lack?

2. Do the cloned tissues and cells come from anything specific? Like. The original cell it's cloned from, what is it?

3. Since biosynths without a visor can't move or see, only hear and feel, if scientists ever had to capture/move a synth, would the visor be removed for that?

4. Are synths refusing to eat and sleep as like. An act of defiance? Not an uncommon thing with how you think of them?

5. Is there anyway for a scientist to control a synth? Like. Is there a way for the brain to be co-piloted in some way (the electrical augmentation and mechanical voicebox connected to the brain got me thinking)

6. Is there a way that synths could be built missing parts? Like you said before synths through faults of scientists could be build on tissues that aren't fully ready, would that be the same situation if a synth was say missing a voice box?

7. How are the parts getting pieced together for a synth chosen? If there is any method- or is it just random choice?

They don’t have gallbladders

They kinda mishmashed the original cells and kept the result (not scientific I know)

They need to already be held still to remove their visor, so not likely. And a synth with its visor off too long in an unsterile environment is at risk of disease. They actually move them in padded dog carriers.

No, but they can turn off their voicebox, or shut them down. (They only do the second when they’re about to “scrap” a synth)

I guess someone tasked with building could forget a voicebox, but they’re pretty surveilent about the process

I forgot 4 so yes, occasionally. or if they’re just sick. the staff don’t care to check which.

Its usually for a certain aesthetic or to be sure certain traits can coexist.

[killed-by-choice]

“Gloria Roe,” 35 (USA 1976)

This tragic case of a mother killed by a “safe and legal” abortion was preventable every step of the way. “Gloria Roe” should never have been pushed into the unwanted, unnecessary and unsafe abortion that took her baby’s life and her own.

Gloria had 6 surviving children and had suffered 2 previous miscarriages. Sometime in 1976, she went to the doctor with abdominal pain and nausea. Her doctor diagnosed her with either gastritis or a peptic ulcer and gave her antacids. X-rays of her gall bladder and upper gastrointestinal tract were run 3 days later, with nothing abnormal detected. Gloria’s doctor apparently didn’t notice that his patient was pregnant. She herself didn’t know because her last period had been only two weeks before.

Two months later, Gloria went back to the doctor with what was recognized as morning sickness. The unidentified doctor informed her that she was 10 weeks pregnant and allegedly “counseled on the potential risk of her previous x-ray exposure to the fetus.” Only after this did Gloria agree to an abortion. There is no record of any tests ever being run to see if her child had actually been harmed.

Gloria was referred to an abortionist, but she was likely conflicted because she didn’t actually go for another month. When she eventually did, the abortion was scheduled for 10 days later.

At 15 weeks pregnant, Gloria underwent the abortion. The abortionist used the prostaglandin instillation method that was routine for him, even though this was in an outpatient facility and even the prostaglandin manufacturers warned that the chemical should only be administered in hospitals due to the danger.

About 5 minutes after the prostaglandin was injected, Gloria vomited. Then she collapsed with no pulse. CPR was attempted, but the abortion facility was not equipped to deal with emergencies like this.

Gloria was brought to the ER comatose and had no palpable pulse or blood pressure. She was immediately intubated, and full resuscitation measures were taken. An electrocardiogram detected ventricular fibrillation. Resuscitation was continued for 90 minutes, and her rhythm eventually converted to sinus tachycardia. The serum potassium level, drawn after resuscitation, was 3.A mEq/1.

On the second day in the hospital, Gloria expelled her dead child. Gloria herself was not far from dying. She was in terrible condition with permanent and severe brain damage that never improved. She was unable to move her legs at all, but still felt and responded to her pain.

5 months after the abortion, she died from her injuries. The autopsy identified her cause of death as a pulmonary embolism, along with severe anoxic brain damage suffered during a cardiorespiratory arrest occurring after intrauterine instillation of PGF2a.

The CDC identified several preventable aspects in Gloria’s case.

Gloria was pressured into an abortion she didn’t want. She died without ever knowing that (according to modern research from the American College of Radiology) no single diagnostic x-ray has a radiation dose significant enough to cause adverse effects in a developing embryo or fetus. Her baby was likely fine.

Centers For Disease Control, Abortion Surveillance, Annual Summary 1976, Issued August 1978

[mcatmemoranda]

Abdominal aortic aneurysm – Abdominal aortic aneurysm (AAA) is a common and potentially life-threatening condition. Approximately 7000 deaths per year are attributed to ruptured AAA in the United States. Without repair, ruptured AAA is nearly uniformly fatal. For asymptomatic patients, elective repair of the aneurysm is the most effective management to prevent rupture.

●Asymptomatic small AAA – For most patients with asymptomatic infrarenal AAA <5.5 cm, we recommend conservative management (watchful waiting) rather than elective AAA repair (Grade 1A). The risk of aneurysm rupture does not exceed the risk of repair until the aneurysm diameter reaches 5.5 cm. However, there are situations for which elective repair of asymptomatic AAA <5.5 cm may also be appropriate. These may include rapidly expanding AAA (>0.5 cm in six months or >1 cm per year), coexistent aneurysm/peripheral artery disease, and female sex.

●Conservative management – Conservative management consists of periodic clinical evaluation and imaging surveillance to identify AAA that exceeds the threshold for repair or is rapidly expanding. Medical therapies for patients with AAA focus on the management of modifiable risk factors for AAA and cardiovascular disease with the goals of reducing the need for intervention due to aneurysm expansion or rupture, reducing morbidity and mortality associated with AAA repair, and reducing cardiovascular morbidity and mortality.

•Smoking cessation – For patients with AAA who smoke, we recommend smoking cessation (Grade 1A). Smoking is strongly associated with AAA expansion and rupture and is the most important modifiable risk factor. Even though reduced aneurysm expansion and rupture risk have not been clearly demonstrated among those who have stopped smoking, smoking cessation has other clear benefits.

•No medical therapies proven to limit AAA expansion – Although many pharmacologic therapies aimed at limiting AAA expansion and preventing rupture have been tried, no therapy has been proven successful at achieving these goals, and as such, we suggest not implementing any of the pharmacologic therapies discussed above for the sole purpose of treating AAA (Grade 2C).

●Asymptomatic large AAA – For good-risk surgical candidates (open or endovascular repair) with AAA >5.5 cm, we recommend elective AAA repair (Grade 1A). For patients with AAA >5.5 cm who have a short life expectancy (<2 years) due to advanced comorbidities, particularly cardiopulmonary disease or malignancy, we suggest no repair over endovascular aneurysm repair (Grade 2B). For these patients and others who elect not to undergo repair, ongoing AAA surveillance is not needed. The patient should be encouraged to create an advanced directive detailing their wishes for no repair of any kind in the event of rupture. Family members or other caretakers should be made aware of these wishes, given that the patient may not be able to report their wishes at the time of aneurysm rupture.

●AAA repair – The primary goals of aneurysm repair are to prevent rupture while minimizing morbidity and mortality associated with repair. We agree with guidelines from major medical and surgical societies that emphasize an individualized approach when choosing between an open or endovascular approach to AAA repair, accounting for aortic anatomy, patient age, life expectancy, and risk factors for perioperative morbidity and mortality. For patients with favorable anatomy for endovascular repair (as defined by the instructions for use of a given device) and a high level of perioperative risk, we recommend endovascular repair, rather than open surgical repair (Grade 1B).

●Surveillance schedule for unrepaired AAA – The optimal surveillance schedule for patients who are not undergoing AAA repair is not known for certain. The Society for Vascular Surgery (SVS) recommends surveillance every 6 to 12 months using ultrasound or CT for medium-sized aneurysms (4 to 5.4 cm in diameter) but less frequent intervals for smaller aneurysms. We frequently perform surveillance on small aneurysms annually to minimize imaging variability and alleviate patient anxieties. Annual clinical examination and risk reduction assessment can also be performed concurrently with AAA surveillance.