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187days · 10 months ago

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Day One Hundred Four

One of the teachers in our career tech center abruptly resigned. I really don't know what happened, but his classroom was empty today and the rumors were flying. I couldn't ask anyone who'd actually know what's up, though, because they were too busy, I was too busy, or both.

I spent the majority of Block 1 drinking coffee and spending my department's money. Mainly, I was buying textbooks for the American Studies teachers, but I also took the opportunity to restock things like pencils, expo markers, whiteboard erasers, and so on. I also had a handful of parent emails to send, and had to notify the office that one of our state reps was coming in during flex block to speak to one of my APGOV students about taking on an internship.

The actual meeting between the rep and the student went super well, so that's awesome.

And APGOV was incredibly chill. I mean, it was challenging because students were doing FRQ practice, but chill because they weren't getting anxious about it- which tells me I'm doing something right- and instead were just chatting as they worked. They got on the subject of college and college athletics, at one point, and they asked me about my experience (which was very good). And they put down some good answers to the practice questions. A few didn't finish all three, but that's fine, they can take them home or wherever. I'll actually score them on Monday.

I think I had one of my best days yet in Global Studies. Students had read and annotated an article about violence in the DRC, South Sudan, and CAR. So the first thing I did today was ask them to tell me what they'd learned or ask me any questions they had. I do that all the time, but never with quite as strong results across all four sections. I particularly loved their questions because they were so good, and they had so many of them. Class is always going to be really cool when that happens.

I also had students do some research on the use of child soldiers in those conflict zones- which was good for citation practice, too- and one of them discovered that the song I'd been playing during the bell change (I always play music) was being performed by a former child soldier. She was like, "I see what you did there, Miss M!"

And I got to joke around with a couple of boys who are obsessed with the gritty. They asked me- after they were done with their work, not while they should've been working, so we're making progress!- whether or not I thought doing the gritty should be a professional sport. Then they asked if I'd watch. I scoffed and told them, "I'd obviously be competing."

That got me some points.

And, believe it or not, it wasn't the last time the gritty came up in my day. At practice- our last practice before States!- two of the captains decided to have a gritty race (points for style as well as speed) down the hall before the workout. The rest of the team was cheering, and made such a delightful racket that Mr. C came out of his classroom to see what was going on. Our antics made him laugh, and that's a win. Even more of a win, though, is how ready our team is to compete this weekend. A lot of my colleagues came by practice to wish them luck. They all know this group of athletes is special.

#teaching #edublr #teachblr #education #high school #indoor track #post season #coaching #Mr. C #conversations about current events #day one hundred four #department head

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thekaijudude · 4 years ago

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Okay I know asking this is as redundant as trying to put Yapool in the Tier system but, what Tier is Greeza? With all the stuff it’s capable of I’d imagine it’s pretty high up there.

Answered this several times before Z and the same answer has only been further cemented by this point so ill just update my answer with the info we got from Z

In his first/second form (which he seems to already have the ability to change forms in between the two), he's High Tier 4, dude doesn't even bother fighting Mid Tier 3 kaiju as he simply absorbs them almost instantly

And with his spacial anomaly status, you'd need to literally either fight him in a team or literally be fast enough to even stand a chance of touching him. And even so, since the dude is technically neither dead nor alive, it seems that the most you can do to him is pushing him around with him suffering no real damage as seen against DRC

And the only two known ways you can defeat him in this state are:

1. Having the Belial Factor to enter Greeza and retrieve the Space Needle to seal him

2. Xlugger

Both of which have no explanation why they even work in the first place

For 1, Geed is basically 99% Belial Factor but even if he got into Greeza, he literally couldn't even move and was basically on the verge of being absorbed

It seemed that DRC got lucky as well as the peculiar behavior of the Beliarok that being that it literally just floated to him instead of remaining stationary like with Geed is either due to the already mutated Space Needle with the Belial Factor or DRC being also composed of the Belial Atrocious Rise Medal which may have also contributed to the change in behavior of the mutated Space Needle within Greeza (As pointed out very briefly by Z as well that there's just something about Belial that for some reason is able to do this)

And of course the Xlugger, which I've went through numerous times before, is a totally unexplained plot device essentially in which we have no idea why it can just do what it does and give Greeza a physical form, after which you just need to nuke him

So one method requires Belial/Geed (But we're no sure if it actually requires Geed most importantly cause we're still not sure if DRC could've still gotten the Beliarok without Geed mutating it first by accident), and the other we need the Xlugger which no one knows where it really came from, but even if u have it, u need to be fast enough to thrust it into Greeza's core and only X has it

So we have two very specific ways of defeating it so the possibility is really kinda low but technically possible as we've seen

And in his third form, I mean, sure it depends on what he absorbed to get to this point as he'll be able to mimic the capabilites of whatever he absorbed.

But tbh I dont even know how to defeat him at this point.

And all we can look at is the nerfed version of this back in the X series, tbh Exceed X shouldn't even been able to touch him even if his spacial anomaly status was removed cause with so many kaiju (or even ultras) abilities within Greeza, the dude would've been easily obliterated in the first few instances, not to mention just how many varieties of zoning abilities Greeza would have, he would've most definitely have way more hax abilities than his previous forms.

Tbh I think it was really a mistake to make Greeza this broken cause or else there really is no conceivable way for him to be beaten at this point (unless of course Legendary ultras or sth) unless the director decides to do what he did in X and just cheese with plot armor which of course, left a very disgusting taste in everyone's mouth till this day

So Greeza in his third form, definite Tier 5, the dude is basically a more compact and stabilized Beryudora

And yeah I'm not touching on the possibility that his third form may not even be his final form and the dude can just continuously evolve cause its really irrelevant at this point

Thanks for the question!

#ultraman #ultraman z #asks

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juniperpublisherscasestudies · 4 years ago

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Juniper Publishers- Open Access Journal of Case Studies

Treatment if Pericarditis in an HIV-Infected Patient in a Regional Hospital in Thies (Senegal)

Authored by Bammo M

Summary

Pericarditis is a common and serious cardiovascular disease during HIV infection. In sub-Saharan Africa, tuberculosis is the most common etiology; however, other infectious causes of pericarditis pose a problem of diagnosis and treatment. We report the case of a patient living with HIV 1 for 3 years without ARV treatment who developed a purulent pericarditis treated at regional hospital of Thiès.

We highlight the diagnostic difficulties of this condition in the decentralized zone and the means of treatment of this pathology, fatal if it is not treated early.

Keywords: Purulent pericarditis; HIV infection; Diagnostic difficulties

Introduction

HIV seroprevalence in the Thiès region is 0.3% in 2017. The treatment of PLWAs has been decentralized to the regions and health districts since 2013 with free antiretroviral treatment [1].

a) The immunodepression induced by this virus is at the origin of several affections and/or opportunistic infections responsible for morbidity and mortality, among which cardiac involvement with histological lesions in 60% of cases and clinical expression in 30% of cases.

b) The involvement of the pericardium occupies an important part among these cardiac attacks.

c) The etiological factors of pericarditis vary with the course and magnitude of HIV-induced immune deficiency.

Various causes of pericarditis have been reported in the literature but pericarditis of unidentified (idiopathic) cause can reach 45% of cases [2]. We report the case of an HIV-infected patient who developed a purulent greenish pericarditis of unknown etiology. The objective of this case presentation is to highlight the diagnostic difficulties of this condition in a decentralized environment.

Observation

Mr. Y N is a 26-year-old man, who has sex with a well-known man (MSM), single without children, from the city of Thiès. He presented himself in consultation at the hospital of Thiès October 10, 2016 for a quintessential cough with a notion of hemoptysis of low abundance not objectified. A retrosternal thoracic pain rhythmized by the breathing and a dyspnea with orthopnea type evolving since 15days and exacerbated for a few hours. He also complains of a progressive weight loss of 24kilos in 3years.

For only antecedent, this patient was diagnosed infected with HIV 1, asymptomatic, after a voluntary screening 3 years ago without treatment because He cannot be found. At admission, the patient had a fever at 38.3°C, an impairment of general condition, he was sleepy and cachectic weight 42 kg with BMI: 12.8Kg/m2.

Clinical examination revealed NYA grade 4 dyspnea, tachycardia at 108beats/min and arterial hypotension (BP 100/50mmHg). The heart sounds were muffled. Pericardial friction was not perceptible. There was no paradoxical pulse. Crackling rattles were heard on auscultation at the two pulmonary bases

The rest of the examination found diffuse prurigo and oropharyngeal candidiasis.

The electrocardiogram revealed, in addition to sinus tachycardia, a peripheral low voltage with probable right ventricular hypertrophy, while the chest X-ray showed cardiomegaly and bilateral low-grade pleural effusions.

Complementing the exploration, transthoracic echocardiography confirmed the presence of a pericardial effusion of great abundance without fibrin network. The exploratory puncture aims to produce a purulent yellow-greenish liquid. A percutaneous drainage under xiphoidal under local anesthesia was performed, allowing the evacuation of two liters of greenish-yellow pus free with good tolerance without complications.

The biology revealed an inflammatory syndrome with a CRP of 61.76mg/l and an accelerated sedimentation rate at the first and second hours. There was; microcytic hypochromic anemia at 5.5g/dl, 78.7% neutrophil polynucleosis. Cytobacteriological examination of the pericardial fluid identified 65% of lymphocytes, gram-negative bacilli, but the culture on solid medium was negative. GeneXpert MTB/RIF performed on sputum and pericardial fluid was negative.

As treatment, the patient received an intravenous administration of Ceftriaxone at a rate of 100mg/kg/day; Metronidazole 30mg/kg/day. It was temporarily (3 days) associated with gentamicin (3mg/kg/day) and Prednisone 20mg/day for 5 days. He had also received Furosemide Injection: 40mg/day, Captopril 25mg daily; Enoxaparin 0.4 per day; DLlysine acetylsalicylate 100mg/day. The evolution was marked on day 6 of treatment by a disappearance of cough and dyspnea as well as apyrexia (37°4).

Cardiac echocardiography on day 14 showed a poor pericardial effusion plate insufficient for surgical drainage. The patient was put on antiretroviral therapy and on cotrimoxazole prophylaxis.

The patient was seen six months after discharge in cardiology for signs of late complication; it was stable, with a weight gain of 12kg. Moreover, the M6 ultrasonography showed a quasi-total regression of the pericardial effusion with a slight thickening of the pericardium.

Discussion

This case of purulent pericarditis is singular by its clinical presentation in a PvVIH lost sight of 3 years

Many HIV-infected patients have cardiac involvement [3]. The prevalence of pericardial lesions is regularly reported in all African clinical series: nearly 28% in the Democratic Republic of Congo (DRC) and 35.3% in Congo Brazzaville [2]. In Senegal, already in 1984, D. SOW et al reported a prevalence of purulent pericarditis of 11% in pediatric hospitalized children [4]. I. Thiam found 2.5% of cases of tuberculosis pericarditis with microscopic discovery [5]. Ngouala G. in a study conducted in a decentralized area (Louga) found 3.7% of pediatric cases of tuberculous pericarditis [6].

Pericarditis remains however a serious and rare entity which is almost always fatal because of a late management. The presence of clinical signs and paraclinical examinations allow rapid diagnosis in order to start early treatment [7]. This patient had advanced dyspnea, febrile chest pain on a febrile deterioration of the general condition that had been evolving for 15 days, and effusions indicating delayed diagnosis [3].

The dominant functional symptomatology in the literature is dyspnea of effort and deterioration of the general state. This finding has been made in Africa by several authors [3,8]. Fever is also a reason for frequent consultation. For Cohen, the presence of fever and dyspnea is suggestive of purulent pericarditis or myocarditis [8].

The deafening of heart sounds and tachycardia were the stethoacoustic signs present in our patient and most found in the Niakara and Pio studies, which reported respectively 43.7% and 47.5% of cases [4,8].

The low rate of pericardial friction reported in the literature may be related to the abundance of pericardial effusion [8,9]. He was not present with our patient. Acute pericarditis can be caused by a wide variety of etiologies, which can be infectious or non-infectious [10].

Possible causes include connective tissue disorders, malignancies, radiation, heart lesions, uremia, and infections (including viral, bacterial, and fungal etiologies) [10,11]. In the majority of cases (45 to 80%), infectious pericarditis is of viral origin [11,12].

Bacterial pericarditis is a rare cause of acute pericarditis in the era of modern antibiotics with an incidence of less than 1% [13,14]. The most common living microorganisms involved are Streptococcus sp, Staphylococcus sp, Haemophilus sp and Mycobacterium tuberculosis [15,16].

Pericarditis in a seropositive person, living in Africa in addition, should first look for a tuberculous etiology [3,5,6]. It occurs most often in the early stage of infection, but can also occur in the AIDS stage [3].

No primary infectious focus was found in our patient; the etiological investigation was difficult in our working conditions in the decentralized zone because of the absence of a performing microbiological laboratory, however the favorable evolution under probabilistic antibiotherapy with broad spectrum allowed us to retain the hypothesis of a cause non-specific bacterial.

Predisposing conditions for bacterial pericarditis are immunosuppression, malignant tumors, pre-existing pericardial effusion, alcoholism, uremia, thoracic trauma, cardiac and thoracic surgery, and the insertion or use of catheters for drain the pericardial fluid [15]. This case of pericarditis occurred on HIV-related immunosuppression. The Niakara study in Ouagadougou had a seroprevalence of HIV of 47% out of 79 cases followed for 75 months from 1993 to 1999, reinforcing the work that established a correlation between HIV infection and pericarditis especially in Black Africa [3]. During HIV infection, the occurrence of pericarditis with pericardial effusion is common.

The mechanisms are multiple; pericarditis may be related to viral infection by HIV or other viruses, bacterial or fungal superinfection in an immunocompromised patient or the presence of Kaposi’s lymphoma or sarcoma [3,10,15]. Laboratory assessment may reveal systemic inflammation with leukocytosis and elevated CRP and SV [15]. The chest X-ray usually shows cardiomegaly with an abnormal heart shape. Pulmonary infiltrates, pleural effusion and mediastinal enlargement may also be present [15,16].

The ECG often makes it possible to evoke the diagnosis, especially in its acute form by the Holtzman stages. The signs that we observed at the ECG have no specificity as demonstrated by a piece of literature [9].

In our case, none of the paraclinical examinations were directed to the diagnosis of pericarditis. Echocardiography remains the first-line imaging examination for the diagnosis of pericardial effusion by specifying abundance and location. The abundance of the effusions facilitates the ultrasonography diagnosis of these pericarditis [3,9], as was the case in our patient; he had significant pericardial effusion without cardiac tamponade.

The treatment is based on probabilistic antibiotherapy in the absence of bacteriological data of pericardial fluid and / or blood culture. Surgical drainage is often necessary [8,9]; it allowed our patient to evacuate two liters of greenish yellow pus without complications. Even under treatment, the rate of complications and deaths remains high, with a lethality rate close to 40% secondary to tamponade, pericardial constriction or sepsis [15- 17].

Conclusion

Although rare, purulent pericarditis usually responds to probabilistic treatment provided that a tuberculosis etiology is eliminated even in a health facility with limited means. Early recognition and rapid intervention are essential to the success of the treatment whose etiological research is confronted with daily technical difficulties in a decentralized environment.

For more articles in Open Access Journal of Case Studies please click on: https://juniperpublishers.com/jojcs/index.php

#JuniperPublishers #Juniper Publishers Contact #Gastrointestinal Surgery #Infectious Diseases #Obstetrics and Gynaecology #Ophthalmology

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unicefniger · 6 years ago

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Le mécanisme de réponse rapide (RRM), en première ligne pour répondre aux besoins humanitaires des populations vulnérables.

©Photo UNICEF/Juan Haro

Au Niger, plus de 2 300 000 personnes ont besoin d’une assistance humanitaire, parmi elles, 1 200 000 sont des enfants.

Le RRM, vise en priorit�� l’amélioration des conditions de vie des populations affectées par un déplacement dû à un conflit armé, des catastrophes naturelles ou encore affectées par des épidémies. Le mécanisme intervient pour répondre aux vulnérabilités les plus aiguës dans des zones souvent difficiles d’accès.

En 2018, sur financement d’ECHO et UK AID, le RRM est mis en œuvre par OCHA, UNICEF, PAM, IRC, ACTED, ACF et DRC dans les régions de Diffa, Tillabéry et Tahoua.

« En venant ici j’ai pu obtenir un abri pour me protéger de la pluie. J’ai aussi bénéficié d’une latrine.»

En octobre 2018, Sahia Wourina, installée sur le site de déplacés de Sarayé, Abala, a rencontré l'équipe du mécanisme RRM afin de leur montrer comment elle utilise les kits qu’elle a reçu, et aussi leur faire part de ses besoins. Avec l’appui de ECHO et UKAID, le RRM a pu apporter, dans les plus brefs délais, une réponse multisectorielle à 2212 personnes déplacés qui étaient dans le besoin dans le site de Sahia.

Adamou, Chef Touareg dans la région de Tillabéry, exprime sa gratitude pour les abris, les latrines, les ustensiles de cuisine, les moustiques et habillements fournis. Sur le terrain, les acteurs RRM travaillent de concert avec les chefs coutumiers pour une meilleure réponse humanitaire.

Dans le département de Sarayé, 84 abris ont été mis à la disposition des femmes chefs de ménage, de personnes âgées de plus de 60 ans, de personnes en situation de handicap physiques et/ou mentaux, d’enfants et d’orphelins par l’équipe RRM suite au déplacement des populations provoqué par le conflit à la frontière malienne.

Concentrés, les populations déplacées de Tangouchmane dans le département de Ayorou, suivent avec attention les démonstrations faites par l’agent du mécanisme RRM sur l’utilisation du produit de traitement de l’eau à domicile. L’utilisation de ce produit est un excellent moyen pour éviter les maladies hydriques surtout pour ces populations qui utilisent souvent des eaux insalubres. Le RRM intervient grâce au concours financier de ECHO et UK AID.

Le financement ECHO et UK AID permet aujourd’hui de répondre aux besoins urgents des populations déplacées dans les zones même les plus reculées. Ici à Tiloa, dans le département de Banibangou, 110 ménages reçoivent du matériel pour installer des abris à la suite des violences qui les ont conduit à fuir leurs villages.

A Agando dans le département de Tilia, à la frontière avec le Mali, c’est le jour de distribution de vivre par le RRM pour soutenir 538 familles déplacées.

©Photo ACF

Pas de perte de temps ! La distribution de bâches et biens non-alimentaires faite par l’équipe du RRM est terminée, les populations déplacées du village de Assageugey, département de Tilia, s’empressent d’installer leurs abris. Vivant auparavant dans des villages frontaliers avec le Mali, elles ont dû fuir les violences.

Au 30 novembre 2018, près de 4.000 ménages ont bénéficié d’abris et de 5.000 ont reçu des biens non-alimentaires, répartis dans les 3 régions du Niger où le mécanisme RRM est mis en œuvre. Par ailleurs, plus de 87.000 personnes ont reçu une assistance alimentaire. Près de 100.000 personnes déplacées, réfugiées et retournées, ont bénéficié de savons et produits de purifications d’eau ainsi que des sensibilisations sur l’hygiène et l’assainissement.

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ebola-chan-love · 6 years ago

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The Ebola outbreak in DRC is now the second largest in history - Vox - Vox

Vox

The Ebola outbreak in DRC is now the second largest in history - Vox Vox GENEVA — An Ebola epidemic that experts are calling “exceptionally dangerous” is unfolding in the Democratic Republic of Congo. So far, there have been ... Ebola Outbreak in DR Congo Is Second Worst In World HistoryFortune US urged to send experts into Ebola hot zonePress Herald The Current Ebola Outbreak in Africa has Become the Second Largest in HistoryGizmodo Reedsburg Times Press -The JAMA Network all 67 news articles »

ebola - Google News http://news.google.com/news/url?sa=t&fd=R&ct2=us&usg=AFQjCNFVhlw08aEI63SOY4tWdAlNG4_rqA&clid=c3a7d30bb8a4878e06b80cf16b898331&cid=52780120400442&ei=Lb8IXLDLNdm-3AHT-q2ICw&url=https://www.vox.com/2018/12/1/18118569/ebola-outbreak-2018-drc

#Ebola #EbolaChan #GoogleNews

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biomedgrid · 3 years ago

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Biomed Grid | Surveillance of the Buruli Ulcer in The Democratic Republic of Congo (Drc): Preliminary Results (2016-2018)

Introduction

Buruli ulcer (BU) poses a real public health problem that is not well known, calling for international mobilization [1-3]. It is an emerging threat to public health in many rural, inter-tropical regions [1-3]. The infection often leads to extensive destruction of the skin and soft tissues, with extensive ulceration usually on the limbs and may result in permanent deformity and disability [1-4]. According to partial data from 13 countries, there were 2206 cases in 2017 against 1920 in 2016 as reported by the global report of the World Health Organization (WHO) [1, 2, 3]. In Africa, about 48% of the affected population are children under 15, while in Australia, they account for only 10% of cases and 19% in Japan [1, 2, 3].

The Democratic Republic of Congo is concerned by this emerging threat to public health. According to the 2014 mapping, there are 17 endemic health zones (3%), 26 are suspected of being endemic (5%) and 472 are non-endemic (92%) [4]. The disease is still largely unknown in DRC and is often considered a marginal disease. However, most cases are reported in Kongo Central Province [4-7]. Thus, early diagnosis and treatment are the only means to minimize morbidity and avoid long-term disability [1, 2, 3]. It is within this framework that the National Institute for Biomedical Research (INRB) has set up a surveillance system for the confirmation of cases by molecular test.

Objective

To confirm cases and document Buruli ulcer in the different provinces of DRC.

Sources and Methods

INRB relies on the various health zones of DRC to carry out surveillance of BU.

Sample Collection and Processing Sites

Samples of BU suspects from different provinces of DRC (Kinshasa, Equateur, Haut Uele, Bas Uele, Maniema and Kongo Central) were included in the study. These samples were registered in the INRB mycobacteria laboratory from January 1, 2016 to December 31, 2018. Samples were analyzed by Ziehl-Nelsen and real-time PCR for case confirmation.

Data Processing

The data were recorded in the laboratory register and then transferred to the Excel software. Data comparison was done using the Chi-square test and the significance level was set at 5% and the 95% confidence interval (CI).

Figure 1: Distribution of samples by age group of patients.

During the three years of surveillance (2016-2018), 984 samples from Buruli ulcer suspects were recorded. Seven hundred and seven samples were from Kongo Central (71.85%), 188 from Kinshasa (19.1%), 52 from Maniema (5.3%), 19 from Equateur (1.9%), 13 from Haut Uélé (1.3%) and 5 from Bas Uélé (0.5%). 43.9% of the samples were from female patients, 50.6% from male, and for 5.5% of patients (p = 0.002) gender was not determined. The sex ratio was 1.2. The average age of patients was 36.75 years with extremes ranging from 1 month to 89 years. The distribution by age group is shown in (Figure 1).

Figure 2: Distribution of positive samples by test.

Figure 3: Positivity by province.

As shown in figure 1, 22.3% of samples came from the 32-47 age group followed by 21.3% from the 16-31 age brackets. The 0-15 and 48-63 age groups had almost the same proportions (19.1% and 18%). The distribution of samples according to the type of sampling showed that 86.1% were swabs, 11.5% were fine needle samples, 1.3% were biopsies and 1.1% were suspensions. After analysis, the overall positivity was 26.2% (258). This positivity by test is shown in (Figure 2) Figure 2 shows that the proportion of Ziehl positive was 7.3% and 25.5% were confirmed by PCR; p = 0.000. The positivity by province is shown in (Figure 3). As can be seen in figure 3, Equateur came in first (57.9%), followed by Maniema (30.8%) and Kongo Central (30.4%). On the other hand, Haut Uélé and Kinshasa had respectively 23.1% and 6.9%.

Discussion

Surveillance of BU is of paramount importance, as people affected with the disease can end up with more or less significant disabilities for life [1, 2, [3, 4, 5, 6, 7, [8, 9, 10]. And so, confirmation of cases by molecular testing appears both as a necessity and a priority [1, 2, [3, 4, 5, 6, 7, [8, 9, 10]. The purpose of the surveillance is to confirm cases and to document the BU in suspected provinces in order to allow a better case management. This surveillance during the three years shows essentially an overall proportion of 26.2% PCR positive samples and in Ziehl - Nelsen, the proportion was low (7.2%). These results corroborate those in the literature which reports that the ZN is less sensitive [1, 2, 3].

The reported case confirmation shows that Buruli ulcer is a growing threat in DRC and this requires good surveillance of the disease for better determination of the extent of the problem in the country and also ensure good case management in order to avoid complications. However, the proportion of 26.2% reported in this series is lower than those of 35.9% and 75%, observed respectively by [5, 7] but it is higher than that obtained by [6]. The difference in frequency can be explained by the size of the sample (97,24 and 175). The distribution of samples by province puts Kongo Central in the lead (71.85%) and this is justified by the fact that the activities of the fight against the disease are well coordinated in this province than in the others in DRC.

The positivity of the samples was very high in Equateur compared to the others provinces which also sent samples for analysis. This can probably be explained by the higher risk of exposure of populations in contact with inappropriate water point in the region and the presence of swampy wetlands [9, 10, [11, 12, 4]. Therefore, the hydrographic factor appears to be the determining factor in the outbreak of the disease in this region [9, 10, [11, 12, 4]. he City of Kinshasa also has marshy parts and we had confirmed the cases although the proportion of positive samples is low (6.9%). That is why we must impose and sustain the campaigns of information and sensitization of communities at all levels to help patients to consult in time and avoid the worst because traditional knowledge of the disease remains dominant and linked to a bad curse.

Our results are in agreement with literature data that report the proximity of streams, swamps, and natural or artificial lakes near Buruli ulcer foci (1.8-11). Both sexes were equally affected with a sex ratio of 1.2 in favor of men. The preponderance of the male sex (50.6%) is statistically significant (p = 0.002) in this survey, but does not agree with the majority of authors who think that the woman would be more exposed although the difference is not more pronounced. in relation to the man given his daily activities [1]. This is the case of [12] who showed in their study that the majority of patients were women (66.7%) [12]. On the other hand, other studies do not reveal significant differences between men and women [13, 14, [15, 12]. For the age group 0-15 years, the proportion reported in this study (19.1%) agree with those of 17.6%, 10% and 19% found respectively in DRC, Australia and Japan (6.1). But, we note that our proportion is small compared to 39.8% reported by Yeboah in Ghana [13].

Although the proportion of attacks is low in this age group in our study, we need to sustain the awareness, training and education of the Congolese population given the chronic evolution and the disabling nature of the disease; disease strike of children leads to a double social problem of school drop-out and reintegration to be solved by the community [14]. Regarding samples analyzed in the laboratory, 86.1% were swabs. This is related to the advanced stage of the disease where we find more ulcerations of different dimensions [5, 10, [11, 12, 13, 14, 15]. Our results are in agreement with those in the literature which show that in many countries where Buruli ulcer is endemic,70 to 100% of patients present with ulcerative lesions and 0 to 30% with non-ulcerous lesions [1, 2]have also reported in their series a predominance of ulcerous lesions [5, 5, [15, 16, 4].

Conclusion

Confirmation of cases using laboratory methods, gene amplification (PCR) or direct examination of smears, is an essential aspect in the overall management of the disease because the results obtained can guide a set of short-term and medium-term actions to limit the adverse effects of the disease on populations.

Read More About this Article: https://biomedgrid.com/fulltext/volume6/surveillance-of-the-buruli-ulcer-in-the-democraticrepublic-of-congo-drc-preliminary-results-2016-2018.001062.php

For more about: Journals on Biomedical Science :Biomed Grid | Current Issue

#biomedgrid #american journal of biomedical science & research #biomedical journal articles #list of open access medical journal

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opedguy · 4 years ago

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G7 Turns to Russia-China Hate-Fest

LOS ANGELES (OnlineColumnist.com), May 5, 2021.--Meeting in London for the anticipated G7 summit, the U.S., U.K, Japan, France, Germany, Italy and Canada, 58-year-old Secretary of State Tony Blinken and 44-year-old Brutish Foreign Secretary Dominic Raab turned the meeting into a roast for Russia and China, accusing both countries of violating international norms, the so-called “rules-based order,” attacking China for what they call genocide on Muslim Uyghurs in Xinjian province, persecution of pro-Democracy activists in Hong Kong and threatening the sovereignty of Taiwan. China rejects any Taiwan independence, insisting that Taiwan, the Democratic Republic of China [DRC] is sovereign territory of Communist China. Since the 1949 end of the Maoist Revolution, Taiwan was recognized as an independent state backed by the United States, becoming one of Asia’s most prosperous and technologically advanced countries.

When it comes to Russia, the G7, led by Blinken and Raab, spent most of the three days ripping Russian President Vladimir Putin for threatening to seize more territory in Ukraine. With Putin and Chinese President Xi Jinping watched Blinken and Raab assemble a coalition of the willing to confront Russia and China, looking to Australia to partner in case of any Chinese incursion into Taiwan. Australia’s media leaked a confidential report from April 2020 from Maj. Gen. Adam Findlay telling Special Forces that he through there was a high probability that they would go to war with China over Taiwan. Using the G7 as a war-mongering platform puts Russia and China on a war footing, knowing that the Western Alliance was busy scheming how to stave off any aggressive move by either Russia and China. Much was made at the G7 of Chinese and Russian propaganda.

Blinken and Raab spend considerable G7 time on how they would confront Russian and Chinese disinformation. Presenting the G7 as a kind of mini-NATO designed to resist Russian and Chinese advances, especially when it came to cyber-warfare and ongoing disinformation campaigns. “I think [China is] more likely to need to, rather that react in anger. It is more likely going to need to take a look in the mirror and understand that its needs to take into account this growing body of opinion that thinks these basic international rules have go to be adhered to,” Raab said. Raab and Blinken are very concerned with China’s interference with maritime shipping in the South and East China Seas and Taiwan Strait. Raab and Blinken see China intimidating its Pacific Rim neighbors building military installation in the shallow waters of the Spratly Islands.

Using primarily an economic meeting to solicit a coalition-of-the-willing to confront Russia and China turned the G7 into an anti-China-Russia free for all. Since 1977, the G7 has been and engine of economic development for the world’s richest countries. “We will work collectively to foster global economic resilience in the face of arbitrary, coercive economic policies and practices,” G7 ministers said about China. Calling attention to tensions in the Taiwan Strait, the G7 ministers blamed China for provocative actions, prompting concerns about possible war with Australia. China has been engaged in naval drills in the Taiwan Strait, flying simulated bombing missions over the region. Taiwan has little recourse except complaining to the U.S. to enforce the 1979 Taiwan Relations Act, assuring Taiwan that the U.S. would commit to defending the island nation from a Chinese invasion.

When it came to Russia, the G7 focused on Russia’s aggressive actions near the border with Eastern Ukraine. “We are deeply concerned that the negative pattern of Russia irresponsible and destabilizing behavior continues,” the G7 ministers, mentioning nothing about Putin withdrawing some 50,000 troops from the border region. No one in the G7 acknowledged the Feb. 22, 2014 CIA-backed coup against 70-year-old former duly elected, Kremlin-backed Ukrainian President Viktor Yanukovych. Putin watched helplessly while he hosted the Sochi Winter Olympics, then pounced on Crimea March 1, only days after the closing ceremonies. Putin has warned the Western Alliance, especially NATO, to stay out of Ukraine or face more consequences, including possible annexation of Russian-speaking territories in the Donbass region of eastern Ukraine. No one in the G7 sees Putin’s point of view.

Turning the G7 into a hate-fest against Russia and China, Blinken and Raab pushed U.S.-Russian-Chinese relations to the brink. When Australia worries about war with China, 78-year-old President Joe Biden and Blinken have done everything to antagonize the world’s two most powerful superpowers, next to the U.S. No mention at all was made of Putin pulling Russian troops out of the border zone between Eastern Ukraine and Russia. Instead us using the G7 for its chartered purpose of economic cooperation, it was used to develop a coalition of the willing to confront China if it makes any move on Taiwan. Only briefly did the G7 take up the paucity of vaccines available in Europe, where the continent lies far behind the U.S. in vaccine availability. G7 ministera missed a golden opportunity to help lower the tensions with Russia and China, instead, made things a lot worse.

About the Author

John M. Curtis writes politically neutral commentary analyzing spin in national and global news. He’s editor of OnlineColumnsit.com and author of Dodging The Bullet and Operation Charisma.

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architectnews · 4 years ago

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African Architecture News: Buildings Designs

African Architecture News 2021, Building Projects, New Construction Design, Property Images

African Architecture News

Contemporary Africa Building Designs – Built Environment Updates

post updated 14 Mar 2021

African Architectural News

Africa Architectural Projects + Key New Property Designs, alphabetical:

African Architecture Designs – chronological list

14 Jan 2021 Circular Economy in Africa : FBW Group news

24 Nov 2020 Mauritius Golf Estate Buildings, Abuja, Nigeria, western Africa Design: Rodriguez Pons / Architects image courtesy of architects Mauritius Golf Estate Buildings Mauritius Golf Estate is located on a green and scenic landscape, a development of 30 houses with a small golf course, which invites you to live a sustainable lifestyle. There are 4.3 hectares that include large recreational areas promoting a calm and elegant environment, which aims at an emotional well-being.

7 Oct 2020 Kingsway Tower, Ikoyi, Lagos, western Africa Architects: SAOTA image courtesy of architects Kingsway Tower, Ikoyi, Lagos A landmark mixed-use building set on a prominent corner on Alfred Rewane Road, an arterial road that bisects the city leading north towards the airport and south to the Victoria Island. The building designed by South African architects SAOTA is 15 storeys high. It has a basement, a two-level retail podium, a parking podium and 12 office floor levels.

6 Aug 2020 US Investment Programme Is An African ‘game-changer’ Leading East African planning, design, architecture and engineering team FBW Group has welcomed the launch of the USA’s Africa Investment Advisor Programme as a potential “game-changer” for the region: USA Africa Investment Advisor Programme

15 July 2020 University of Bambey Building, Diourbel, Senegal, West Africa Design: IDOM image from architects University of Bambey Building In Senegal, shade and water are everything. This lecture-room block project, a close relative of another in Gaston Berger, San Luis, which was commissioned by the Ministry of Education and the World Bank, is set in the city of Bambey, located 120 km west of Dakar. With a population of 20,000, Bambey stands out for its peanut and cattle farming, its scarce urban infrastructures and the surrounding harsh life conditions.

7 Mar 2020 Mercury House on Island of Mahe, Seychelles

28 Jan 2020 Building Green Cities across Africa

3 Jan 2020 The Whale Bar, St Regis Hotel, The Maldives Resort

African Architecture News in 2019

21 Dec 2019 Malawi Creator Centre, Medical Training Building

14 Oct 2019 Keta Sandlanders Football Club, Ghana Design: Inter Urban Studios image from architects Keta Sandlanders Football Club in Ghana As part of volunteer work for Architecture for Humanity London, Inter Urban Studios are delivering a new football pitch and community centre for this sports co-op in Keta, coastal Ghana, that provides local youth a place to foster sporting skills, a place for community activities, as well as guidance on sustainable farming techniques.

14 May 2019 Ngaren: The Museum of Humankind, Kenya, East Africa Design: Studio Libeskind image from architects Ngaren: The Museum of Humankind in The Great Rift Valley Campaign for a new museum dedicated to the story of humans, Ngaren: The Museum of Humankind: the unprecedented project located in Kenya’s Rift Valley is designed by architect Daniel Libeskind, Studio Libeskind, the master plan architect of the World Trade Center site.

21 Mar 2019 Dakar Railway Station, Senegal, western Africa Design: Iglo Architects image from architects Dakar Railway Station Building Iglo Architects have undertaken the consultancy of Dakar Railway Station Project, which is the first one of the railway station projects to be implemented in total 21 different locations in Senegal. Accomplished by the joint works of France, Senegal and Turkey, the opening of the railway station will be held within this month.

19 Mar 2019 Joali Resort, Muravandhoo Island, North Maldives Interior design: Autoban photo from Guralla Joali Resort on The Maldives This new resort focuses on “creating a unique story that joins the flora of a natural wonder of the island”. As another showcase of the studio’s multi-layered design approach,it gives a new meaning to the island life through an unlimited and dynamic experience, with an integral and a unique understanding between interior and exterior spaces, and architecture.

7 Jan 2019 Solar Well, Sambacounda village, Senegal Design: Raoul Vecchio Architect image from architects Solar Well in West Africa The architecture surrounds the well to protect and give value to the water resource. The design is light and delicate, in strong relation with the natural context. Walls don’t create a closed space, but they include the context in the interior space. A system of wooden beams obtained with a local essence, is achieved by overlapping elements bolted to reach the necessary light (6 meters).

African Architecture News 2018

23 Nov 2018 Oceans Paradise, Hulhumale, the Maldives Design: CAA (Core of Architecture & Art) Architects image Courtesy architecture office Maldives Airport Economic Zone Mixed-use Development Architectural competition winning design, utlising rainwater and solar energy harvesting, plus passive cross ventilation and tidal power.

17 Sep 2018 Villa Banalia, Democratic Republic of Congo Architects: BasaboseStudio image Courtesy architects firm Villa in the Democratic Republic of Congo Villa Banalia is both a renovation and an adaptation of an old industrial storage building.

16 Sep 2018 Nyiragongo Villa I, North Kivu province, Congo, Republic of the Congo Architects: BasaboseStudio image Courtesy architecture office Villa in the North Kivu province, Congo Nyiragongo Villa I is the expression of resilience of the city and people of Goma. A city of one million people located on the northern shore of Lake Kivu, in the North Kivu province, DR Congo.

13 Sep 2018 A Blueprint for Africa’s Future Cities A Blueprint for Africa’s Future Cities image Courtesy architecture office Archasm Wilderness Pavilion Kenya Competition Firmly established as Africa’s most progressive business orientated jurisdiction, Mauritius’ forward-thinking and nimble policies have resulted in the island nation riding the wave to the centre of investment and development in Africa.

Wilderness Pavilion Kenya Architecture Competition Archasm Wilderness Pavilion Kenya Competition

26 Jan 2018 Wooden Tower, Ikoyi, Lagos, Nigeria Architects: Hermann Kamte & Associates (HKA) image Courtesy architecture office Lagos’s Wooden Tower Originally designed as a submission for Metsä Wood’s City Above the City competition, Kamte’s design looks to tackle the problem of poorly planned construction in many African cities by pushing the boundaries of contemporary architecture.

Africa Architectural Updates 2017

17 Nov 2017 Bristol Zoological Society Field Research Centre, Ankarafa Forest, Sahamalaza Peninsula, Radama National Park, north western Madagascar Design: Landscape architect Grant Associates ; architect Feilden Clegg Bradley Studios photograph © FCBS Bristol Zoological Society Field Research Centre Building in Madagascar Landscape architect Grant Associates has teamed up with Bristol Zoological Society (BZS) and the Richard Feilden Foundation (RFF), in conjunction with fellow Bath based architect Feilden Clegg Bradley Studios (FCBStudios), in a project to save Madagascar’s critically endangered wildlife, including the blue-eyed black lemur, and their forest habitat.

The Whale Bar, The Maldives Design: WOW Architects | Warner Wong Design image Courtesy architecture office The Whale Bar, St Regis Hotel, The Maldives

27 Jul 2017 British High Commission Project in Accra, Ghana Design: Gilbert-Ash British High Commission Project in Accra, Ghana Award-winning UK construction, refurbishment and fit out contractor, Gilbert-Ash, has been awarded a fit out project on the British Embassy in Accra, Ghana.

3 May 2017 Mashambas Skyscraper, Manyoni, Tanzania Architects: Ggrupa image Courtesy architecture office Mashambas Skyscraper in Manyoni An area of cultivated ground; a plot of land, a small subsistence farm for growing crops and fruit-bearing trees, often including the dwelling of the farmer.

2 May 2017 Nelson Mandela Children’s Hospital, Johannesburg, South Africa Architects: Sheppard Robson image Courtesy architecture office Nelson Mandela Childrens Hospital The concept by London-based architects fulfils Nelson Mandela’s dream of providing a specialised facility for children

18 + 1 Apr 2017 Currency Museum, Luanda, Angola Design: COSTΛLOPES Architects photo © Fabrice Fouillete Currency Museum Luanda Building The Currency Museum, which opened to the public in 2016, can be seen as one of the many steps towards establishing COSTΛLOPES as one of Angola’s leading architecture offices.

18 Mar 2017 Lusanga International Research Centre for Art and Economic Inequality, Democratic Republic of the Congo (DRC) Design: OMA, Architects image © OMA Lusanga International Research Centre for Art and Economic Inequality On April 21–22, a quintessential White Cube will be inaugurated on a former Unilever plantation in Lusanga, 650 km southeast of Kinshasa, D.R. Congo. Designed by OMA, this White Cube is a central element of the Lusanga International Research Centre for Art and Economic Inequality (LIRCAEI).

1 Dec 2016 Grand Plaza Hotel, Cheraga, Algeria Design: DNA Barcelona Architects image Courtesy architecture office Cheraga Hotel Building The hotel has been designed in a manner that perfectly adapts to its environment. The design responds to the existing forms and the urban traces of its surroundings.

29 Oct 2016 New Parliament in Algeria, North Africa Design: Bureau Architecture Méditerranée image Courtesy architecture office New Algerian Parliament The New Algerian Parliament includes the People’s National Assembly, the National Council (Senate), the Chamber (Congress), and a residence for legislators.

23 Jun 2016 Coral Hotel, The Seychelles Design: ARCHITECTS OF INVENTION image Courtesy architecture office Coral Hotel on the Seychelles The project implies construction of an upscale lifestyle community comprised of a professionally serviced apartment complex, located on the reclaimed part of the main island of Seychelles– Sailwin.

18 Jan 2016 Finolhu Villas Hotel, The Maldives Design: Yuji Yamazaki Architecture image Courtesy architecture office New Hotel in the Maldives The world’s first entirely solar powered five-star resort is now open to guests. The Maldives has the lowest average ground level of any nation, which makes for some of the world’s most beautiful beaches.

21 Oct 2015 Le Parc de Mont Choisy Golf and Beach Estate, Grand Baie, Mauritius Design: SAOTA image Courtesy architecture office Mont Choisy Homes in Mauritius The site used to be a sugar plantation and has some wonderful historic buildings and avenues of Banyan and Flamboyant trees that will be retained.

26 Jul 2015 Pediatric Cancer Centre, Kigali, Rwanda Architects: David Adjaye – Adjaye Associates image Courtesy architecture office Pediatric Cancer Centre in Kigali Located in Kigali, Rwanda, on a 4 Hectare site, the pediatric cancer centre will provide a hospital and lodging facility for outpatients who need to reside close to the hospital, as well as residential housing for physicians and nurses.

27 Apr 2015 Disappearing Vernacular African Architecture Article: Jon Twingi Sojkowski Verandah wraps around a home Penganga village Disappearing Vernacular African Architecture The desire to modernize has created a situation in which traditional customs and practices are being abandoned. This is true even in the most remote of villages.

18 Feb 2015 60 sandbags classrooms, Mbera refugee camp, Mauritania Architects: FARE Studio image Courtesy architecture office Sandbags Classrooms in Mauritania In Mauritania between 2012 and 2014 FAREstudio operated at the Mbera Refugee Camp as ‘construction expert’ for Italian NGO INTERSOS, an implementing partner of a UN agency within the framework of a primary education program aimed at improving teaching-and-learning provisions in the camp and nearby communities.

11 Feb 2015 Youths Training Center, Sassara, Central African Republic Architects: FARE Studio image Courtesy architecture office Youths Training Center in Central African Republic FRC is a project that FAREstudio designed and partially managed in a post conflict rural area of Central African Republic of a youths Training Center for the rehabilitation and social reintegration, through training in agricultural and pastoral activities, of children and teenagers with problematic social and cultural backgrounds, including former child soldiers.

18 Nov 2014 The Legson Kayira Community Center & Primary School, Malawi, southeast Africa Design: Architecture for a change image Courtesy architecture office Community Center & Primary School Building in Malawi The Republic of Malawi is a landlocked country. It is bordered by Zambia to the northwest, Tanzania to the northeast, and Mozambique on the east, south and west. The country is separated from Tanzania and Mozambique by Lake Malawi.

More African Architecture News online soon

Location: Africa

African Buildings

African Houses

African Office Buildings

Aging in Africa

African Architecture

Comments / photos for the African Architecture News page welcome

Website: Africa

The post African Architecture News: Buildings Designs appeared first on e-architect.

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solatgif · 4 years ago

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TGIF: ROUNDUP FOR FEBRUARY 26, 2021

We published two articles regarding Ravi Zacharias: Ravi Zacharias’ Failure -- And Mine by Kevin Yi, and Pastors, Please Don’t Forget About Sexual Assault Survivors when Responding to Ravi Zacharias by Soojin Park.

We also released two interviews this week. Moses Y. Lee interviewed Dr. Andrew Ong and Dr. Gray Sutanto on The Theology of Ethnic-Specific Churches. I interviewed Brett McCracken about his new book, The Wisdom Pyramid, and Balancing Our Wisdom Diet in the Internet Age.

Our monthly newsletter is scheduled to be sent out tonight. As a TGIF reader, you can view it now and subscribe today to receive our most popular articles. If you have an article or link to share, reach me on Twitter or Instagram.

ARTICLES FROM AROUND THE WEB

1. Thomas Hwang: Ten Brief Things I've Learned So Far From Being a Lead Pastor

“Despite all the struggles, I’m finding pastoring is truly a good work. Like marriage, it’s far more difficult than you thought, but it’s far more rewarding than you ever imagined.”

2. Clarissa Moll: 4 Ways to Love Someone Blindsided By Loss

“Jesus’s death reminds us of his intimate understanding and presence with us in suffering. Grieving people see their sorrows when they look at the cross.”

3. Joe Rigney: How Porn Weaponizes the Body

“Pornography rewires the brain. But by the grace of God, it’s possible to wire it back again.”

BOOKS, PODCASTS, MUSIC, AND MORE

1. The Pursuit with Richard Lee: Cassandra & Edison Lee - Justice Risin‪g‬

“Cassandra and Edison are co-founders of Justice Rising, an organization that is Educating children living in war zones, empowering them to break the cycle of war and build a culture of peace. They do this by building schools and empowering communities in places like the DRC, Iraq & Syria. In other words, they are working in some of the hardest places in the world, on the ground, to invest in local leaders to build a future of peace.”

2. Ordinary Folk: The Gospel Animated: The Greatest News in the World in 2 Minutes

“Blending every kind of animation we know from cel to 3d, it’s been one of the most challenging projects we’ve worked on to date....” Per Justin Taylor, the video is narrated by Pastor Thabiti Anyabwile.

3. Aaron Lee: Related Works

Book Reviews: Morning & Evening by C. H. Spurgeon; Corporate Worship by Matt Merker; Conspicuous in His Absence by Chloe T. Sun. Our TGIF playlist is available on Spotify. Join my Asian American Worship Leaders Facebook group.

FEATURED THIS WEEK ON SOLA NETWORK

1. Aaron Lee: Balancing Our Wisdom Diet in the Internet Age: An Interview with Brett McCracken

“Wisdom is eternal. We believe as Christians that wisdom really is God. God is wisdom incarnate. Everything that is wisdom comes from him, and he is an eternal kind of fount of wisdom.”

2. Moses Y. Lee: The Theology of Ethnic-Specific Churches: A Conversation with Dr. Andrew Ong and Dr. Gray Sutanto

A conversation on the theology of Abraham Kuyper and Herman Bavinck, the catholicity of the church, and the church as seen in Revelation 7.

3. Soojin Park: Pastors, Please Don’t Forget About Sexual Assault Survivors when Responding to Ravi Zacharias

“This is not just a matter of guarding gender roles but fighting for the faith of countless women, particularly those who are victims of abuse, and helping God’s people see the beauty of his goodness even in this broken world.”

4. Kevin Yi: Ravi Zacharias’ Failure -- And Mine

“Our hope is not in charismatic church leaders, but Christ alone, who leads and guides his church.”

5. TGIF: Roundup for February 19, 2021

Women Are Not the Problem / ‘Minari’: Searching for Eden in Arkansas / If God Rescued Me, He Can Rescue Anyone

General disclaimer: Our link roundups are not endorsements of the positions or lives of the authors.

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10-ways-to-make-money-in-crowd1 · 4 years ago

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Can You Make Money in Crowd1- 8 Ways on Making Money in C1

You can make money in crowd1 in as short as 6 to 8 months. Making money in crowd1 is easy if you build a team as fast as possible. Your team is very key to your success in crowd1. Since the company is in digital marketing industry, the turnover in sales is very high and you can make a lot of money in crowd1.

Crowd1 is making money for people in countries like Saudi Arabia, Dubai, Abu Dhabi, Oman, Estonia, Bulgaria, Croatia, Romania, Belarus, Qatar, Italy, Greece, Ghana, Ethiopia, Togo, Kenya, Uganda, Nigeria, Tanzania, Hungary, Russia, Nepal, Burundi, south Africa, UK, Vietnam, Germany, Zambia, Belgium, Sweden, Portugal, India, Bangladesh, Sri Lanka, Pakistan, Rwanda, Ivory Coast, Papua New Guinea, France, Cameroon, DRC, South Sudan, Philippines, China and others.

Here are 8 Ways on how to make money in crowd1 online marketing business that you need to know.

· Sell Digital Mobile Apps

· Build Your Network

· Get Paid Commissions on Recruiting

· Make Monthly Residual Income

· Get Paid Dividends

· Make A 10% commission

· Claim your Crowd1 Rewards

· Work for Fear of Loss

1. Sell Digital Mobile Apps

In crowd1, you will make money from the direct sales of mobile applications from third party partners like Lifetrnds, safer, tribute and others. Crowd1 has several digital products that you as a member can promote and whenever you make a sale, you earn a certain percentage of commission from 10% to 15%. An example is the ongoing promotion of the new Miggster social gaming platform. Miggster allows you to recruit 100 gamers who pay 12 month subscription of 69 Euro each; you will stand to make 86 Euros per month as residual income commission.

2. Build Your Network

One of the fastest ways to make alot of money in crowd1 is to build a network as fast as possible. Building a network means that you invite people to join your team and work together. Whenever you introduce people to the business and they buy an education membership package, you will earn points. The number of points depends of the type of package the new client buys. These points will be added together and they contribute to your ranking up the levels of leadership or network levels. There are 21 levels in crowd1 including Team leader, coordinator, manager, director, president, senior president, ambassador. Each of these network levels has 1, 2 and 3 star levels. You will start to make very good total income (approx. USD 2k to 5k a month) from the level of Manager which can take you 2 months or 3. At director level you will make USD 10k to 20k monthly). At president level the money is crazy from USD 50K too 150k Monthly). Senior president and ambassador level, the money is just too much to handle.

3. Get Paid Commissions Daily on Recruiting Team

Making money in crowd1 from recruitment commissions is the most lucrative way. This uses the binary compensation system and you need to place downlines on the left and right of your binary system. You are paid a commission in euros whenever you or your team recruits new members in your team. You will be paid the following amounts depending on the package bought as below. White package pay you Euro 36; Black package pays you 54 Euro; Gold package pays you 144 Euro and Titanium Package pays you 900 Euro. This is where you can be paid the most money if you concentrate in building your team and binary structure in the first 2 to 3 months in the business. The larger your team grows, the more money you will make in binary bonus payouts since you get whenever a member of your team recruits. In crowd1 you will get paid even while you sleep since your team in a different country with a different time zone is working you are asleep and vice versa.

4. Make Monthly Residual Income

Another Money Making way is that in crowd1 you are also paid monthly residual income. This is a first in network marketing to ever be paid out by any MLM company. The monthly residual income payout makes crowd1 stand out above the other network companies. As more products get launched by crowd1, the more the money you will make. This is because residual income is paid depending on how much revenues were generated in the previous month’s sales of mobile apps. This single payout is what, in a few short years will make crowd1 the most sort after network marketing company in the world. Most of the people joining crowd1 now, when its only 2 years old, will be making so much money from residual income in 2 years that it will cause a stampede into the company. For this one payout, it is more than enough reason to join crowd1 when you consider its potential earnings in the near future.

5. Get Paid Dividends Every 3 Months

In crowd1 you make money from quarterly dividends which are paid every 3 months. Crowd1 pays 40% of its quarterly income to its members every 3 months from product sales. This is another source of income that making members a lot of money. The dividend due to you is calculated based on the revenues generated in the last 3 months and the number of shares or crowd1 rewards that you hold in the company. So the more crowd 1 rewards the more dividend payouts you should expect. To make sure you increase your crowd1 rewards or shares, you need to keep claiming your C1 rewards every Wednesday and also keep building your network to earn more. In short, crowd1 gives you many ways to increase your stake in the company daily, weekly and even from sales of products. If you work hard in crowd1 to build your network and to sell the digital products, very soon you will be making obscene amounts of money.

6. Work for the Fear of Loss Bonus

To make money quickly in crowd1, you have the Fear of Loss (FoL) bonus which allows you to earn back your investment money within 14 days of joining. FoL is the only bonus that is time limited and you will need to qualify for it in 14 days of joining. Crowd1 realizes that you are fearful of losing your money when you are paying for your membership. The company gives you an immediate chance to make back your money and much more in the first 2 weeks. Crowd1, tells you that you can make as much as 3150 euro in 14 days if you refer 4 people on a titanium package each worth 2,499 Euro; You can make 1,005 euro in 14 days is you refer 4 people on a gold package each worth 799 Euro; You can make 375 euro if you refer 4 persons on a black package each worth 299 euro; Finally its tells you that you can earn 125 euro in the first 14 days if you refer 4 people on a white package each worth 99 euro. 1 euro = approx. 1.17USD. (So multiply the above figures by 1.17 to get their dollar equivalent). This is a one-time bonus which if you don’t manage to qualify simply passes on and does not affect the rest of your business. Once you join crowd1, you can make as much as USD 3,685 in the first 2 weeks.

7. Claim your Crowd1 Rewards Weekly

This unique way to make money in crowd1 is also an industry first. Crowd 1 allows you to grow your stake in the company as more and more people join the company. It realizes that some people who join early should benefit from people who are coming in later. You are given more shares every week to claim called crowd1 rewards. Every Wednesday of the week, all crowd1 members have to claim their crowd1 rewards to increase their shares in the company. This is a huge bonus in company shares and it is particularly important because these crowd1 rewards are used to determine your 3 month dividends. The more crowd1 rewards (shares) you have in crowd1, the more dividends you will earn every quarter (3 months). This is one of the most awesome benefits in crowd1 as it recognizes those people that joined early. It means that, the time for joining crowd1 is now. The company is at 21 million members today and the target is 100 million members, so it’s still early to earn your Crowd1 rewards weekly.

8. Make a 10% Commission on all Your Direct Downline Earnings

One of the most lucrative ways to make money in crowd1 is called the matching bonus. Matching bonus is a payout that you get for developing leaders in your network. Crowd1 recognizes your efforts to build leaders and pays you 10% of any earnings that your downlines make up to 5 generations below. That means that you will make money whenever anyone below you in your network earns money up to 5 levels down. Matching bonus is one of the payouts that crowd1 members are making the most money out of all the other bonuses. Your phone keeps making this ‘kanchink’ sound every half a second whenever money hits your account. So you keep hearing the most reassuring sound in the world going kachink, kachink, kachink, kachink every second. You sometimes have to put your phone on silent to allow you to conduct meetings. Otherwise the sound can be a bit disconcerting at times due to its high frequency.

Read more on how to join this new and amazingly lucrative Network marketing business: Benefits of Joining Crowd1

You will thank me later!!!

#networking #slaes #business #how to #sales #work at home #mlm

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adyeri · 4 years ago

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Discounted Primates Safaris this Festive Season in Uganda

The Coronavirus Pandemic may have turned our lives upside down but it hasn’t managed to kill the inner wanderlust to those who truly desire to track primates and encounter our closest cousins in their natural habitat. And with Adyeri Creations we are delighted to introduce you discounted primates safaris this festive season, make memories this coming festive season with the mountain gorillas, chimpanzees, golden monkey, olive baboon, red tailed monkey, black and white colobus, L’hoest’s monkey, blue monkey, patas monkey, vervet monkey in their natural domain, Uganda is a primate capital of the world, there are many places where visitors can track primates in their natural habitats namely Bwindi Impenetrable National Park, Mgahinga Gorilla National Park, Kibale National Park, Kyambura Gorge, Semuliki National Park and Bugoma Forest Reserve. Tracking primates in their natural habitat is arguably the biggest draw!

Best Places to see Primates in Uganda

Bwindi Impenetrable National Park Bwindi Impenetrable Forest National Park is best known for its Mountain Gorilla populations and gorilla tracking although, it also offers some of the finest montane forest birding in Africa and is a key destination for any birders doing a Safari to Uganda. With over 347 species of forest birds recorded in the Park, at least 70 out of 78 montane forest bird species occurring in the Albertine Rift region are found in the forest, and 22 of the 36 endemics.

Bwindi Impenetrable National Park is located in south-western Uganda, at the junction of the plain and mountain forests; the Park covers 32,000 ha and is also known for its exceptional biodiversity, with more than 160 species of trees and over 100 species of ferns.

Due to its various habitats ranging from 1,160 to 2,706 m in altitude, location at the intersection of the Albertine, Congo Basin and Eastern Africa ecological zones, Bwindi has the highest miscellany of tree species (over 200 species including 10 endemics) and ferns in East Africa, and maybe the most important forest in Africa for montane forest butterflies with 202 species (84% of the country’s total), including eight Albertine endemics.

Mgahinga Gorilla National Park

At the extreme south western tip of Uganda on the borders with Rwanda and the Democratic Republic of Congo - Uganda’s smallest national park covering 33.7 square kilometers, home to one habituated gorilla family and troops of golden monkeys. The Park was established in 1991 is also one of Uganda’s newest national parks. It is an integral part of the Virunga Conservation Area and is contiguous with Parc National Des Volcanos in Rwanda and Parc National Des Virunga in the Democratic Republic of Congo (DRC).

Three extinct volcanoes lie within the park: Mount Muhabura at 4,127 meters; Mount Gahinga at 3,475 meters; and Mount Sanbinyo at 3,645 whose peak lies along Uganda’s border with Rwanda and the Democratic Republic of Congo. Mgahinga is afro montane tropical rainforest, and the vegetation is typical of this terrain, with a montane forest belt, a bamboo zone, and an alpine zone.

Mountain Gorilla Sectors in Uganda

There are 4 Gorilla Sectors in Bwindi Impenetrable National Park namely Buhoma, Ruhija, Rushaga and Nkuringo. Bwindi alone has a total of 14 habituated gorilla families active for gorilla tracking every day and 1 habituated gorilla family at Mgahinga Gorilla National Park. 15 habituated mountain gorilla families are open to tourism in 5 different sectors of Uganda namely Nyakagezi, Rushaga, Buhoma, Ruhija and Nkuringo in southwestern Uganda. There are 120 gorilla permits available every day, 8 of these are for Mgahinga Gorilla National Park and 112 permits are for Bwindi Impenetrable National Park.

Kibale National Park

Kibale National Park is arguably the best place in the whole world where tourists can track Chimpanzees in their natural habitat. Uganda’s top chimpanzee trekking destination also protects the countries densest and the most varied monkey population and an array of forest birds.

The Park is dominated by rainforest but this is intercepted with tracts of grassland and swamps. Spanning altitudes of 1100-1590m, Kibale boasts a floral composition transitional to typical eastern Afro-montane and western lowland forest with more than 200 tree species recorded in total and approximately 1200 habituated Chimpanzee live in Kibale National Park. Areas of mature forest are still liberally endowed with large buttressed mahoganies, tall fruit figs and other hardwood trees whose canopy is up to 60m above the ground.

Discounted Primates Permits in Uganda

The Uganda Wildlife Authority has reduced Gorilla tracking permits in Uganda this festive season effective 1st December 2020 to 31st March 2021 from USD 700 to USD 400 for foreign non residents, USD 600 to USD 300 for foreign residents and East African Citizen gorilla permit from UGX 250,000 to UGX 150,000.

Chimpanzee tracking permits this festive season have been reduced as well; foreign non residents’ chimpanzee tracking permits reduced from USD 200 to USD 150, foreign residents’ chimpanzee tracking permits from USD 150 to USD 100 and East African Citizens chimpanzee tracking permits from UGX 150,000 to UGX 100,000. For more info about primates safaris in Uganda kindly contact Adyeri Creations Limited so we can tailor your remarkable encounter with our mighty cousins in the Pearl of Africa.

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adalidda · 4 years ago

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Illustration Photo: Community nursery for reforestation in Yanonge, Congo DRC (credits: Axel Fassio/CIFOR / Flickr Creative Commons Attribution-NonCommercial-NoDerivs 2.0 Generic (CC BY-NC-ND 2.0))

Reforestation Grants to Support Communities in Forest Restoration

The Reforestation Grant Program focuses on supporting communities in regaining ecological integrity and enhancing human well-being in deforested and degraded landscapes through forest restoration and reforestation.

EFN is looking for organizations that will use this workshop opportunity to connect corridors, create buffer zones, improve degraded lands, restore watersheds, and expand forest cover while also allowing local stakeholders to connect with nature and become a vested part of a larger conservation program.

Funding Information

A detailed project budget (not exceeding USD$15,000).

Eligibility Criteria

To be eligible for a Reforestation Grant, an organization must meet the following criteria: Applicant's organization must be legally registered in an eligible country. Applicant's organization must have a bank account. Applicant's organization must conduct reforestation/restoration activities in a WWF-US priority area. Applicant's organization must submit all required documents by the application deadline.

APPLICATION PROCESS EFN requires all applicants to complete an online application and provide a clear and compelling proposal that must include:

A summary of the organization’s work to date and major accomplishments An overview of the need for the reforestation project including a description of the reforestation site with photos, conservation objectives, and other related project goals A detailed description of the proposed reforestation activity including: expected number of trees to be planted and hectares to be restored, tree species selected and why, how climate projections are being taken into account in the research, stakeholder participation, long-term tree stewardship/maintenance plans, and expected conservation gains A detailed description about the training program A project timeline Expected outcomes including: short-term (6 –12 months) and long-term expectations (1+ years) Method of evaluation—describe how you will measure the expected outcomes A CV for the main trainer A detailed project budget (not exceeding US $15,000)

Application deadline: November 25, 2020

Check more https://adalidda.com/posts/ex6zPdt7CJJRWq2zX/reforestation-grants-to-support-communities-in-forest

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newscheckz · 4 years ago

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DRC Ebola cases rise, surpasses previous outbreak

New Post has been published on https://newscheckz.com/drc-ebola-cases-rise-surpasses-previous-outbreak/

DRC Ebola cases rise, surpasses previous outbreak

Ebola outbreak in the Democratic Republic of the Congo’s (DRC) Equateur Province continues to grow, causing major concern as the World Health Organization (WHO) and partners face critical funding gaps.

Confirmed cases have now surpassed the total number recorded during the province’s last outbreak in 2018.

The latest outbreak, DRC’s 11th, was declared on 1 June 2020 after a cluster of cases was detected in Mbandaka area of Equateur Province. The outbreak has since spread to six health zones, with 56 cases recorded.

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The city of Mbandaka and its surroundings were also the site of the country’s 9th Ebola outbreak which lasted from May to July 2018 and in which 54 cases were confirmed. Of the 56 cases reported so far, 53 are confirmed and three are probable. In the last three weeks alone, 28 cases have been confirmed.

“Responding to Ebola in the midst of the ongoing COVID-19 pandemic is complex, but we must not let COVID-19 distract us from tackling other pressing health threats,” said Dr Matshidiso Moeti, WHO Regional Director for Africa.

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“The current Ebola outbreak is running into headwinds because cases are scattered across remote areas in dense rain forests. This makes for a costly response as ensuring that responders and supplies reach affected populations is extremely challenging.”

The ongoing Ebola response is also facing funding shortfalls. So far WHO has mobilized US$ 1.75 million, which will last only a few more weeks. Additional support is needed to rapidly scale up the efforts by WHO, the DRC health authorities and partners to ensure all the affected communities receive key services including health education and community engagement, vaccination, testing, contact tracing and treatment.

Significant achievements have been made since the outbreak began. In six weeks, more than 12 000 people have been vaccinated. During the 2018 outbreak in Equateur, it took two weeks to start vaccinations. This time around vaccinations started within four days of the outbreak being declared.

The current response builds on lessons learned from the country’s previous Ebola outbreaks, which underscored the importance of working closely with communities. Around 90% of the vaccinators in the ongoing outbreak are from the local communities.

ALSO READ: Smile Train Partners Resume Life-Saving Cleft Surgeries in Africa

The response has also been able to tap into the expertise of laboratory technicians trained during the 2018 outbreak, with 26 laboratory technicians currently supporting diagnostics. Working with local responders is inspiring trust between communities and health workers and making the emergency response more effective.

WHO, along with the Ministry of Health and partners, has been engaging with communities to increase understanding of the virus and local support for response activities.

More than 40 000 households have been visited by community health workers and more than 273 000 people have been provided with health and safety information.

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ladystylestores · 4 years ago

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Global coronavirus cases top 13 million: Live updates | News

The World Health Organization has warned the pandemic could get far worse if countries around the world do not follow basic healthcare precautions. “The virus remains public enemy number one,” WHO Director-General Tedros Adhanom Ghebreyesus told a virtual briefing from WHO headquarters in Geneva.

More than 13 million people around the world have been diagnosed with COVID-19 and nearly 572,000 have died, according to data from the Johns Hopkins University. The United States, Brazil, the United Kingdom, Mexico and Italy have recorded the most deaths.

Here are the latest updates.

Tuesday, July 14

05:15 GMT – Debt-relief measures failing to help Cambodian poor

Human Rights Watch says debt relief measures by micro-loan providers in Cambodia are failing to help alleviate the financial burden on families struggling with the impact of the COVID-19 pandemic who risk being forced to sell land and housing to survive.

The rights group says the National Bank of Cambodia and the government should suspend debt collection and interest accruals for micro-loan borrowers who can no longer meet their payments because of the pandemic.

“Many Cambodians fear losing their lands more than catching the coronavirus because they can’t pay back their loans and the government has done little to help them,” HRW’s Asia Director Phil Robertson said in a statement, urging the government to order a freeze on debt collection and interest accruals.

HRW says Cambodians have the world’s highest average amount of micro-loans at $3,804 per capita.

Strong statement from Human Rights Watch detailing how MFIs in Cambodia threaten land tenure security and human rights, especially during COVID-19. European development banks and IFC still investing in sector without any enhanced borrower protection. https://t.co/KIIsMmK6gO

— Brendan O’Byrne (@BrendanOByrne) July 14, 2020

05:00 GMT – Worse than dismal: Singapore Q2 GDP plunges 41.2 percent

Singapore’s economy suffered a coronavirus-induced record contraction in the second quarter, putting it on course for its worst-ever slump this year.

Gross domestic product (GDP) plunged by a record 41.2 percent in the three months ended March, on a quarter-on-quarter annualised basis, preliminary data from the Ministry of Trade and Industry showed on Tuesday. Economists polled by Reuters were expcting 37.4 percent decline.

“We were expecting these numbers to look quite dismal, although this is worse than what we had expected,” Steve Cochrane, economist at Moody’s Analytics, told the news agency.

04:45 GMT – Tokyo theatregoers asked to come forward for testing

Some 800 Tokyo theatregoers are being asked to come forward for testing after at least 20 coronavirus cases were traced back to a production involving a Japanese boy band.

Health officials are focusing on the Theatre Moliere, a 190-seat theatre in the Shinjuku area of the capital, which put on the show ‘Werewolf’ for six days earlier this month.

The first case was reported on July 6 and involved a cast member.

04:30 GMT – DRC facing new Ebola outbreak as tries to control COVID, measles

Ebola is spreading in western Democratic Republic of Congo, with nearly 50 known cases across a large region bordering the Republic of Congo and the Central African Republic, according to the World Health Organization (WHO).

Mike Ryan, the WHO’s top emergencies expert, says the outbreak, first detected on June 1, remains “very active” and of great concern.

“In the era of COVID it is very important that we do not take our eyes off these other emerging diseases,” he said.

DR Congo is also dealing with a measles epidemic that has killed more than 6,000 people and COVID-19, which has infected more than 3,000 and killed 188.

You can read more on that story here.

FILE PHOTO: Mwamini Kahindo, an Ebola survivor working as a caregiver to babies who are confirmed Ebola cases, holds an infant outside the red zone at the Ebola treatment centre in Butembo, Democratic Republic of Congo, March 25, 2019. REUTERS/Baz Ratner/File Photo [Reuters]

03:45 GMT – Malaysia and Singapore ease some border restrictions

Malaysia and Singapore are to ease border restrictions between the two countries to support essential business and official traffic, as well as residents who have long-term work permits for the other country.

The rules will include a ‘Reciprocal Green Lane’ for essential business and official purposes with all travellers having to undergo a PCR swab test before travel and submit a detailed itinerary for the duration of the visit.

The ‘Periodic Commuting Agreement’ will apply to residents with long term work permits for the other country and allow them to return for ‘home leave’ after three months of working.

The new measures are expected to come into force on August 10, the two countries’ governments said in a joint statement on Tuesday. The details of the arrangements – including health protocols and the application process – will be announced ten days before that.

Joint Press Statement by FM Dato’ Seri @HishammuddinH2O and Singapore FM Dr. @VivianBala on the implementation of the

reciprocal green lane & periodic commuting agreement. pic.twitter.com/vjQ0F3sSIY

— Wisma Putra (@MalaysiaMFA) July 14, 2020

03:30 GMT – Hong Kong prepares for toughest-ever coronavirus curbs

People in Hong Kong are preparing for the toughest curbs yet to control the coronavirus with the authorities warning that the risk of a large-scale outbreak in the territory is “extremely high”.

The new measures come into force at midnight (16:00 GMT). They include mandatory face masks on public transport, and a limit on the size of gatherings to just four people.

You can read more on that story here.

Masks will be mandatory on all public transport in Hong Kong under measures that come into force at midnight [Tyrone Siu/Reuters]

02:30 GMT – Mystery of Argentine sailors who caught virus while at sea

Argentina is trying to solve the mystery of how 57 sailors managed to come down with the coronavirus while they were at sea even though all had tested negative and spent 14 days in quarantine in a hotel before the voyage began.

The health ministry for the southern province of Tierra del Fuego says the fishing trawler is now back in port after 35 days at sea, with 57 of the 61 crew diagnosed with the virus after a new test. Two are now in hospital.

A team is trying to establish the “chronology of contagion” among the crew.

“This is a case that escapes all description in publications because an incubation period this long has not been described anywhere,” said Leandro Ballatore, the head of the infectious diseases department at Ushuaia Regional Hospital. “We cannot yet explain how the symptoms appeared.”

01:25 GMT – No new cases confirmed in Beijing for eighth day

The wave of coronavirus cases connected with Beijing’s wholesale market that began in June appears to have been brought under control with no new cases of the disease reported in the Chinese capital for eight successive days.

China’s National Health Commission reported five new cases on the mainland on Tuesday, all among people returning from overseas.

#Beijing sees zero locally transmitted #COVID19 cases for the eighth consecutive day. On Monday, 21 people recovered and were discharged from hospitals, lowering the number of active cases in Beijing to 205. pic.twitter.com/W5fNQkEsWe

— CGTN (@CGTNOfficial) July 14, 2020

01:00 GMT – Nearly 1,000 workers at US immigration detention centres have COVID-19

More than 930 people working for four private companies that run detention centres for US immigration have tested positive for coronavirus, according to executives speaking at a congressional hearing.

The four firms are CoreCivic (554 cases), the GEO Group (167 cases), Management & Training Corp (73 cases) and LaSalle Corrections (144 cases). US immigration has reported 45 cases amongst its own staff.

Lawmakers are concerned about the spread of the virus across the US’ nearly 70 detention centres. More than 3,000 detainees have tested positive for the disease and two have died. There are currently about 22,580 people in immigration custody.

00:00 GMT – UK to make masks mandatory in shops

The British government will announce on Tuesday that people will have to wear masks when they go into a shop from July 24.

“There is growing evidence that wearing a face covering in an enclosed space helps protect individuals and those around them from coronavirus,” a statement from the prime minister’s office said.

Masks have been required on public transport since June 15.

23:45 GMT (Monday) – Worldwide cases surpass 13 million

More than 13 million people around the world have now been confirmed to have had the coronavirus, according to data compiled by Johns Hopkins University.

Below are the five most-affected countries.

United States – 3,361,042

Brazil – 1,884,967

India – 878,254

Russia – 732,547

Peru – 330,123

—-

Hello and welcome to Al Jazeera’s continuing coverage of the coronavirus pandemic. I’m Kate Mayberry in Kuala Lumpur.

Read all the updates from yesterday (July 13) here.

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