#Outsourcing for Public Health Care Centres

[sillyruinsdaze]

Strengthening Public Healthcare: N Chandrababu Naidu's Focus on Enhancing Healthcare Infrastructure and Services for Public Welfare in Andhra Pradesh

Healthcare is a fundamental right of every citizen, and a robust public healthcare system plays a vital role in ensuring access to quality medical services. Recognizing this, N Chandrababu Naidu, the former Chief Minister of Andhra Pradesh, prioritized the enhancement of healthcare infrastructure and services to uplift the public welfare in the state. With a vision to provide affordable and accessible healthcare to all, his government implemented several initiatives that aimed to strengthen the public healthcare system in Andhra Pradesh. Delve into the TDP website for more initiatives and contributions of N Chandrababu Naidu.

Under N Chandrababu Naidu's leadership, there was a strong focus on expanding healthcare infrastructure across the state. The government invested in the construction of new hospitals, upgrading existing healthcare facilities, and establishing specialized medical centres. This expansion aimed to bridge the gap between urban and rural healthcare facilities, ensuring that people from all regions had access to quality medical services.

Recent news states that several multi-speciality hospitals were set up in different districts, equipped with state-of-the-art infrastructure and advanced medical equipment. These hospitals catered to various medical needs, ranging from primary care to specialized treatments. Additionally, the TDP government established tertiary care centres and super-speciality hospitals to provide advanced medical interventions and treatments to patients.

Recognizing the importance of primary healthcare in preventing and managing diseases, TDP's government took significant steps to revamp the primary healthcare system in Andhra Pradesh. The main agenda of N Chandrababu Naidu was to focus on strengthening primary health centres (PHCs) and sub-centres, ensuring their efficient functioning and availability of basic healthcare services.

Efforts were made to address the shortage of healthcare professionals in rural areas by recruiting and deploying additional medical staff, including doctors, nurses, and paramedical personnel. This not only improved the quality of healthcare services but also reduced the burden on tertiary care facilities by promoting early detection and management of diseases at the primary level.

Timely access to emergency medical services can be crucial in saving lives. The Telugu Desam Political Party government under his leadership recognized this and emphasized the development of emergency medical services (EMS) in Andhra Pradesh. The TDP government established a comprehensive EMS network across the state, equipped with ambulances, trained paramedics, and emergency response systems.

The EMS network ensured that critical patients could receive immediate medical attention and be safely transported to the nearest healthcare facility. The ambulances were equipped with life-saving equipment and had connectivity to hospitals for real-time communication and coordination. This initiative significantly reduced response times and improved outcomes in emergency situations.

To further strengthen the public healthcare system, N Chandrababu Naidu's government encouraged public-private partnerships (PPPs) in healthcare delivery. This collaboration aimed to leverage the expertise and resources of the private sector while ensuring the provision of affordable and quality healthcare services to the public.

Several PPP initiatives were undertaken, such as the establishment of private medical colleges in underserved areas, outsourcing diagnostic services to private laboratories, and partnering with private hospitals to provide specialized treatments. These collaborations not only enhanced the availability of healthcare services but also promoted innovation and efficiency in service delivery. These achievements of TDP show the commitment of NCBN towards public healthcare. 

N Chandrababu Naidu's focus on enhancing healthcare infrastructure and services in Andhra Pradesh demonstrates his commitment to improving public welfare through accessible and affordable healthcare. The expansion of healthcare infrastructure, revamping of primary healthcare, development of emergency medical services, and promotion of public-private partnerships have collectively strengthened the public healthcare system in the state. These initiatives have paved the way for a healthier and more prosperous Andhra Pradesh, ensuring that its citizens have access to quality medical services when they need them the most.

[nikhilseo]

Nara Chandrababu Naidu’s Welfare Schemes During 8 Years Tenure

Janmabhoomi

In the early February of 1996, the then chief minister of Andhra Pradesh Nara Chandrababu Naidu introduced the Janmabhoomi Program. The main objective was to get people involved in rebuilding and revitalizing society. This programme operates on a micro level and intends to identify issues relevant to the people represented through Gram Sabha talks by regional offices from the government sector, particularly in villages, and send project suggestions to the government for consideration. Access to clean water, health care and hospitals and family welfare, education in elementary schools, Community service, and environmental protection via cooperative watershed and forest management initiatives are the main concentrated areas of the Janmabhumi programme. Check our website for more details or the Latest TDP News.

Rythu Bazaar

On 26 January 1999, Nara Chandrababu Naidu introduced the Rythu Bazaar program. In an effort to rein down the escalating cost of fruits and vegetables, the then chief minister of Andhra Pradesh urged farmers to sell their goods directly to customers as part of this scheme in order to cut out the middlemen in the marketing circle and thus keeping a bit more profit to themselves. Later, this initiative went on successfully, and the initial phase is spread to several communities. Prices dropped by 70 to 75 percent as planned by the TDP Government, which helped farmers as well as direct purchasers. This is one of the TDP Achievements which the TDP Leaders and TDP MLAs are proud of.

E-Governance

In order to provide e-governance to the residents of the people in AP, Nara Chandrababu Naidu combined with some of the Top TDP Leaders established many e-Seva centers in 2001 throughout the state for the quick and paperless delivery of results to applicants of every educational and non-educational-sector-and-in-Agricultural-sector-too. These e-Seva centres served as a one-stop solution stops for all government information and services to the public domain through the internet, including the payment of banking services, utility bills, the issuance of birth and death certificates, and the written test for a driver's license, and for the reservation of APSRTC tours and travel companies, the placing of government orders, The government established a framework for outsourcing personnel, who perform government-related tasks accordingly with a contract and are subsequently being recognized as permanent government workers in the state government sector.

Mukhyamantri Prajalato

Mukhyamantri Prajalato is a first-time thing done in the state of Andhra Pradesh under the rule of Shri. Nara Chandrababu Naidu. Mukhyamantri Prajalato is an unusual yet exceptional idea of the then CM of AP Mr. Naidu and some of the Top TDP Leaders in which an initiative that promoted open communication for the general people and The Chief Minister of Andhra Pradesh Mr. Naidu. This used to be a weekly live broadcast in Doordarshan and in India Radio during which the Chief Minister of the state interacted with the callers to learn about the problems of the most rooted areas of the state for the betterment of the people. This is one of the finest ideas in the whole country and there used to be quick responses from the TDP Leaders and the TDP MLAs. This has been the greatest of the TDP Achievements of the TDP Government and was more admiration for the people of Andhra Pradesh.

[wshexperts]

We will help you to get suitable healthcare workers. We will made your work so easy.

[iampikachuhearmeroar]

so this morning, while scrolling through my fb feed, i came across an nyt opinion/advice piece from a 27yo (ie basically me lmao) who is obviously lucky, in a sense, to finally land their “dream job using my (their) skills” etc. like obvs i can’t read it bc of the stupid “you get one free article a month if you either don’t have an account or subscription” (my one free article was used up reading an article about adult adhd like last week)….. thing that nyt does.

but anyway. back on topic lol. the crux of the article in both the headline and the quote snippet was that the advice asker was really dissatisfied with the 40 hour work week that came with her “dream job”. with how having this 40hr workweek gave her no time to do her busy chores like house cleaning or laundry or didn’t even give her time to let her have her hobbies/creative pursuits (whatever they were/are).

however, in the comments on the article (and apparently from those who read the article on the comments, the advice/opinion column writer) a good bunch of like gen Xer’s and baby boomers (im assuming) were ganging up on the asker like “suck it up princess, it’s what life is!!! i work 70+ hours a week and LOVE IT and have just resigned myself to the fact that i have NO time left over to do my “chores”! learn to O U T S O U R C E these life admin tasks to someone else!!! everyone MUST LEARN this in america!!! it makes life so much easier ☺️” and such.

of course, there were plenty of the same bs comments that you see on anything about careers or home ownership towards millennials/gen Z’ers about “learn to go WITHOUT and save save save and squander your time so that you NEVER live and HAVE FUN or TIME FOR HOBBIES! my bet is that your parents did that and they survived just fine while also raising your ungrateful spiteful ass (not including any type of health issues they might have picked up from such long hours/shitty working conditions) so why can’t you just L E A R N to do the same you precious spoilt brat!!! because the reality of Real Life™️ is that you can’t have it both ways!!! then you’ll have early retirement guaranteed, hopefully!!! and know that hobbies really are time wasters most of the time ☺️ or at least they were for me!!! and your precious so-called “creative pursuits” most definitely are time wasters. no one needs THOSE.” and so on so forth.

they also had jibes for her bc the asker wanted to start a family at some point apparently… and apparently it’s “much worse” once you have kids. like. thanks geraldine and henry. you’ve just told us how much you’ve resented having your kids/family in one fell swoop. your opinion which you’ve framed as unhelpful, condescending advice is now voided.

like. i don’t know how rhonda or paul or deandra or philip could miss the point so fucking entirely. why the fuck should anyone- nay everyone (bc that’s what they make it sound like)- learn to outsource their busy chores like laundry/house cleaning/grocery shopping or god knows what else- to someone else???? why is that apparently a standard expected to be learnt in the US???

like why the fuck are you so desperate for people not to have free time to do these things (unless of course they live in some of those shitty nyc or other big city apartment blocks that don’t come with individual private laundries in the self-contained flats or a communal laundry on like the bottom floor or w/e for example) frank????

deidre why the hell are you so bitterly hankering about “be grateful that you have it easier than most and learn that hobbies mean jackshit and just sell your soul and time to your boss!!! when will the generation stopping being “me me me!!!” and “work life balance!” and think about the company’s bottom line!! learn that “work life balance” is never important! work like a slave for 50 years and see if your valuable experience is needed then! that’s when you’ll learn that those hours where you were never being lazy, instead of just expecting life to be handed to you, will have paid off!” or whatever other ridiculously toxic capitalist bullshit they were spitting out.

obviously there were FAR MORE people actually supporting the question asker and echoing the idea that the 40hr workweek is now redundant. they were also putting down the opinion/advice piece writer’s advice to the asker….. that was apparently similar to the all the bitter people on the comments saying that the 27yo was just “asking for too much” and had to “learn to suck it up instead of being a petulant and overly selfish dick!!” etc etc etc. we all know the spiel as thoroughly as the macarena now.

because whats so fucking wrong with wanting time to yourself and wanting time to do your busy chores??? why the fuck should i be outsourcing these to other people (unless of course you’re still living at home and your parents are still like “hey what clothes do you need washed i’m doing a load rn” or you have a partner that works from home or has some type of parental leave etc)???? i want to do my own laundry. i want to do my own gardening (ok lawn mowing or tree lopping (if needed) i’d actually outsource bc i can’t lift or push lawn mowers bc they’re heavy af for me or and i obvs can’t use a chainsaw)… but i want to do my own grocery shopping. i want to do my own cooking (although i would consider the meal kit services once i had job that allowed me to afford like $50 a month for one of those meal kits sub services) i want to do my own cleaning.

why, if i lived in the US and not australia, am i just expected to learn to outsource all of these tasks even if i don’t have the money for it??? like why the actual fuck are so many of you so fucking weirdly proud of being absolutely worked into the fucking ground for your “great country” (although this is actually bleeding through to australia too and i hate it); working like literally close to 100 hours a week???

because i wasn’t aware you had to be whatever the fuck his name is from 127 hours and cut your fucking limbs off just to fucking survive a job in either corporate america or just let alone any goddamned job in america….. all so they can supposedly “learn to like working for free and devaluing your worth even more to your employer through overworking yourself and always being available!!! mental health is for those who aren’t built for the Real Adult World™️!!! this person is a prime example of the younger generations being weak and dissatisfied with life so often because of their “oh poor little me!!! care for me!!” act. NO ONE CARES FOR YOU today. stop being so over-expectant/demanding and juvenile!!! only YOU care yourself and you should NEVER expect someone else to pick you up from YOUR bootstraps!!! you’re fucking whiny and conceited babies. the lot of you!!!”

because i honestly don’t know who the fuck would enjoy working 70+ hours week with no time to themselves to do what they enjoy doing…. or enjoy having zilch time to catch up on errands and life admin duties or just general house chores; especially if you’ve moved cities or an entire fucking state/s away from your family and support network. let alone doing the same thing on 40 hours a week.

and on top of everything, let’s not even get started on the time spent commuting to and from work or even commuting for life errands/tasks etc etc- especially if you’re like me and you’re nowhere near the capital city’s centre (ie sydney australia for me) for there to be reliable enough public transport and longer commute times to certain places in those cities (that i’ve bitched about plenty before on other posts on here about work/jobs).

get your head out of your asses warren and viola et al and realise that work life balance is literally NOT ASKING FOR MUCH and is asking employers to just have basic respect for their employees time if they work fulltime. it’s literally detrimental to ones health if they have to sacrifice what feels like (or what is literally like) their entire fucking existence to their employer just for meagre pay and just to fucking survive.

because i read a heart-breaking article last night from huffpost (posted by buzzfeed on fb) about a woman in the US who literally hid her having a second baby from her employer for an entire fucking year (literally the entire pregnancy and birth of the baby and the first 6 months post pushing the baby out) during the pandemic all because she was scared she would get demoted or lose her leading of a project and lose her bs “temp” job which had really turned into full time work although the employer never said anything about it being actually full time hours or whatever…. and plus the lady herself was apparently to scared to ask to be put on the books fulltime too for some weird reason.

like honestly. fuck capitalism. fuck thinking that “work life balance is just too hard for employers to add and regulate. it’s an excuse and ploy for workers to be unprofessional, unproductive and lazy!” or whatever the fuck. everyone deserves time to themselves to pursue their interests/hobbies and busy chores/life admin. no one deserves to waste their entire life working 70+ work weeks for those employers who literally have no respect for their employees personal lives and time.

and particularly during the time that is the pandemic as we’ve seen so many companies having to learn to wholeheartedly embrace working from home and more flexible schedules for their workers. worklife balance is absolutely fucking beneficial for everyone involved.

america fix your bullshit work ethic right now lmao.

[cleaning-service-ideas-blog]

Why Health Care Facilities Need To Hire Commercial Cleaning Services

Currently there are many types of commercial cleaning company that provide different types of services. The cleaning companies specialize in cleaning different facilities such as fitness centers, churches, health care facilities, multi-tenant building, medical offices and health care centers. Some facilities require specialized cleaning services. For instance, health care centres need specific kind of cleaning procedures due to their quality of work surrounding. The medical offices need special services such as disaster restoration cleaning services, specialty cleaning, janitorial services, daytime offices among other cleaning services.   The essential services required by all business industries are like vacuuming, restroom cleaning, dusting and trash removal. Medical offices, emergency rooms, and other areas in a hospital are prone to dirt and germs. You need to protect the patients from getting sicker by keeping the hospital clean and sterilized at all times. Note that the healthcare facilities needs are unique compared to other institution needs. The medical facilities need janitorial specialist dedicated to making sure the facility is thoroughly cleaned, disinfected and sanitized. Click to learn more. When looking for commercial cleaning companies ensure you hire a company that specialized in hospital cleaning services. A professional cleaning service provider should be trained to sanitize recovery rooms, exam rooms, X-ray rooms, operating rooms emergency rooms, and exam rooms without tampering with the medical machinery and materials. The services providers ought to maintain the reception, admission stations, public areas as well as waiting rooms. The cleaning company should train their staff to handle infectious diseases and bloodborne pathogens. When you hire professional services you are certain of gaining top-quality services. The outsourced cleaning companies hire a specialist who uses the best practices to clean different types of surfaces. The best thing with working with professional cleaners is that they utilize various cleaning tools and solutions on different surfaces. The risks of cleaning the healthcare offices by yourself is to use wrong cleaning agents and methods that might damage the floor, furniture, appliances, and fixtures.   It might be costly for you to do it yourself since the cost of cleaning mater might be too expensive for you especially when you want to remove tough stains.  But, for commercial cleaners, they have all the things they need to clean the surfaces and make sure they remove all stains. Once they clean the environment they are trained how to handle waste and are aware of the best places to dispose of them safely conserving the environment. Another gains of hiring commercial cleaning services is that their services are affordable.   There are many things that you need to consider before you hire a cleaning company. Make sure you hire a company with trains members and are experienced to work as commercial cleaners. Check out here from health care facility cleaning in Brookhaven.

[the-sbc-giovanni-blog]

Company formation

We are an elite professional team which will help you Set-up your company from start to finish. We will take care of all your documentation work along the process. Just hire us and sit back, relaxing. Types of entities possible in UAE Free zone companyOffshore companyLimited Liability CompanyBranch and representative officesJoint ventureProfessional firmsShareholding companiesMainland business (trade) U.A.E. free zones What are the benefits of UAE free zone? 100% foreign ownership is allowed100% repatriation of capital and profits possibleZero personal or corporate income taxes, customs duties, import/export taxesVery few restrictions on recruiting labourShared services and synergies with other companies No bureaucratic red-tapismState of the art infrastructure Major Free Zones in UAE Dubai Dubai is the business hub for many prestigious free zones among all emirates. The major free zone in Dubai are: Jebel Ali Free Zone (JAFZA)Dubai Media CityDubai Internet CityDubai Silicon Oasis AuthorityDubai Airport Free Zone Besides the above, other free zones available based on the nature of business are: Dubai International Financial CentreDubai Gold & Commodities ExchangeDubai Gold & Diamond ParkInternational Media Production ZoneDubai Studio CityDubai Biotechnology & Research Park.Knowledge Village Dubai Academic CityDubai Multi Commodities Centre & Jumeirah Lake TowersDubai Health care CityInternational Humanitarian CityDubai Outsource ZoneDubai Flower CenterDubai Maritime CityDubai Logistic CityEnparkDubai Textile VillageDubai Cars & Automotive Zone (DUCAMZ)Awir Free ZoneDubai Carpet & Textile CityDubai Sports City Abu Dhabi The major free zone options in Abu Dhabi are Abu Dhabi Airport Free zoneHigher Corporation for Specialized Economic Zones( HCSEZ), also called Zones CorpKhalifa Industrial Zone Abu Dhabi (KIZAD)The Abu Dhabi Media Free Zone which is also called Twofour54 Sharjah Hamriya Free zone Sharjah Media city free zone Sharjah airport free zone RAK The major Free Zone options in Ras Al Khaima are Ras Al Khaimah Free Trade Zone (RAK FTZ)Ras Al Khaimah Investment Authority (RAKIA) Free ZoneRas Al Khaimah Media Free Zone(RMFZ) Fujairah The major Free Zone options in Fujairah are Fujairah Free ZoneFujairah Creative City Ajman The major Free Zone options in Ajman is Ajman Free Zone Sharjah LLC formation Located in Sharjah, and its unique advantage as the only hub with ports on the Arabian Gulf's west and east coasts with direct access to the Indian Ocean and North Africa and an International Airport, Sharjah offers unmatched possibilities for investors. It's trading accounts for more than 45% of the GDP of the Emirates. A limited company may be formed by a minimum of two and a maximum of fifty persons whose liability is limited to their shares in the businesses capital. Most companies with foreign partners have opted for the Limited Liability Company, due to the fact that this is the only option that'll give maximum legal ownership i.e. 49% to the expatriates for a trading license. As it is compulsory to keep one UAE national as a partner in the LLC company, prospective investor has to choose one UAE national (sponsor) as a partner in the company. Entrepreneurs set up a Sharjah LLC because operating costs are lower than in neighbouring regions. Advantages of a Sharjah LLC LLC is the most common company formation in Sharjah.No deposit customs policy for cargo in transit between Sharjah seaports and the SAIF zone, being an advantage for trading LLC’s, unlike other emirates.Unique location advantage with 3 sea ports and an airportLower operating costsWhile foreign equity in the company may not exceed 49%, profit and losses will be shared in a ratio different to that of the share capital ratiosNo specific minimum capital requirementsThe investor becomes the partner in the company.The investor gets the investor visa under which he/her enjoys an investor’s status in Sharjah along with his/her family.The investor can create more branches at different places for his activities.LLC managers can be national, foreign or third party members.The investor can run the business without the day-to-day interference of the local national partner.The assets and capital created will be in the name of the company and not in the name of the local national partner.Easy to open global corporate bank accounts following Sharjah LLC set up Syndicate Business Consultancy will be working on your business set-up from start to finish.  Dubai LLC formation Dubai allows LLCs to come up with flexible, differential profit sharing arrangements. This can give you a great edge as the 51% local equity rule is inflexible in most cases. A limited company may be formed by a minimum of two and a maximum of fifty persons whose liability is limited to their shares in the businesses capital. Most companies with foreign partners have opted for the Limited Liability Company, due to the fact that this is the only option that'll give maximum legal ownership i.e. 49% to the expatriates for a trading license. As it is compulsory to keep one UAE national as a partner in the LLC company, prospective investor has to choose one UAE national (sponsor) as a partner in the company. The time it takes to form a company will be approximately 1-2 weeks from the date of receipt of all documents. The licensing Authority in the Emirate of Dubai is the Department of Economic Development. Advantages of a Dubai LLC While foreign equity in the company may not exceed 49%, profit and losses will be shared in a ratio different to that of the share capital ratiosThe most popular method of establishing a commercial company in DubaiA Dubai LLC offers unrivalled access to Dubai and the wider UAE economyThrough a Dubai LLC, international entrepreneurs obtain Trade Licenses from the Dubai government No specific minimum capital requirementsThe investor becomes the partner in the company.The investor gets the investor visa under which he/her enjoys an investor’s status in Dubai along with his/her family.The investor can create more branches at different places for his activities.The investor can run the business without the day-to-day interference of the local national partner.The assets and capital created will be in the name of the company and not in the name of the local national partner.Only a few restrictions on the activities of a Dubai LLCEasy to open global corporate bank accounts following Dubai LLC set up Syndicate Business Consultancy will be working on your business set-up from start to finish.  Offshore Company formation As “tax-free” business territory, UAE is one of the best jurisdictions in the world for incorporating an offshore company. Going offshore is the most modern popular way of managing business as they offer excellent and tax-efficient strategy for entrepreneurs. What makes an offshore company in UAE unique? UAE is an independent or ‘overseas’ territory and is white-listed.UAE has Double Taxation Avoidance Agreements (DTAA’s) with several countries, currently more than 40. Benefits of UAE offshore company 100% foreign ownership is allowedNo necessity for finding a UAE national a shareholder or sponsor.There is no public register of company officers. Complete anonymity and privacy Company can own real estate properties on approved areas by the AuthorityHold multi-currency bank accountsThe offshore company is exempted from all corporate and income taxes.There are no foreign currency restrictions.Full repatriation of the profits and capital is allowed.The setting-up costs are comparatively less.There is no onshore office and accordingly, there are no employees and related costs.Only minimum capital is required to set-up an offshore company.Minimum of 1 Director / Shareholder Branch and Representative Office formation services We undertake to assist the A to Z procedures relating to Branches and Representative Offices in UAE from Details at a glance A branch office is permitted to promote and market the products of its parent entity.Also, it can enter into transactions and offer services to customers.Representative offices are only allowed to promote/market the business activity of parent company.And cannot enter into a transaction in the name of its company Look after the entire process of establishing your branch or representative offices. We give strategic inputs, help select local sponsors, assist to select locations, on your business plan, and also paperwork and documentation formalities. Useful Tips on Dubai Branch/ Representative Offices No personal income and capital taxesNo corporate taxation100% repatriation of capital and profitsNo currency restrictionsCompetitive import duties (5% with many exemptions).Abundant and inexpensive energy supplySimple staff recruitment proceduresCompetitive freight charges. A Dubai Offshore Company is an excellent corporate structure because: A Dubai Offshore Company is tax-free. No taxation (no capital gains tax, no value added tax, no withholding tax, no personal income tax, no corporate tax)A Dubai Offshore Company portrays a good image to your Clients and suppliers.There is no public register of shareholders and directors.A Dubai Offshore Company is quick to incorporate.Dubai Offshore Company is not obliged to maintain its books and records.Stronger legal system.No residency visa required to set-up the bank account.Only those companies formally registered as offshore entities with Jebel Ali Free Zone Authority (JAFZA) alone, will be considered eligible to register their properties with the Land Department.Dubai Off-shore Company does not need to have a physical office in the U.A.E.Dubai Offshore Company may own shares in other companies in the U.A.E. and worldwideGlobally respected jurisdiction Restrictions on Dubai Offshore Company Dubai Offshore Companies can ideally carry out business activities only outside the U.A.E, unless it has a branch, subsidiary or owns shares in a local company in the U.A.E. It may not be engaged in banking, insurance and re-insurance businesses. Read the full article

[skindustrialplotsblog]

Reliance Industrial Plots Jhajjar

Gurgaon has regarding 100 percent of urban center’s population but is type of as dangerous as metropolis in terms of pollution (Delhi is one altogether the foremost impure cities at intervals the globe, and per some estimates, the foremost impure city at intervals the world).

For all the reasons that you simply just scan, consultants square measure vocation South of Gurgaon the rising star of Gurgaon. If you’re interested by living or investment in one altogether India’s wealthiest districts – you may completely not want to miss out on this golden probability. Thus do check it out now…before it’s too late!

Planned location close to Industrial land in Gurgaon

• Gurgaon roads square measure generally overcrowded, notably throughout peak hours

• Gurgaon lacks basic civic facilities such as:

i. Evacuation and waste systems

ii. Public sidewalks

iii. Adequate parking

iv. Tight roads

v. Correct wide system of public transportation

vi. Correct public home appliance system

Gurgaon Industrial space

South of Gurgaon is steady poised to become what Gurgaon need to be compelled to square measure and there lies the twist at intervals the story of Gurgaon’s success. Many cities want to emulate Gurgaon’s growth model – but avoid its haphazard developing with. The Haryana Government is creating a shot to cope with Gurgaon’s infrastructure woes (and which can take time) – it's in addition serving to develop further residential, business and industrial house – amply out there on the south of Gurgaon.

Gurgaon – as you may already grasp – is also a number one cash and industrial hub. It's one altogether the most effective per capita incomes in Asian country and being preparing to it's many blessings.

Close to Gurgaon – The Millennium city

• Simply a 15 klick from Gurgaon’s prime links Extension Road

• Problem free drive from Rajeev Chowk, NH8, Subhash Chowk and Hero Honda Chowk

Well connected to major landmarks

Educational Hubs – preparing faculty|to school|to univarsity} & educational institutes: SCJ World college, GD Goenka World school, Ryan International school, DPS, St. Xavier’s high school, Alpine Convent school, The Heritage school, KR Mangalam University, Ansal University etc.

Health Centers – preparing to hospitals & medical centres: Medanta Medicity, Artemis, Fortis & grievous bodily harm health care etc.

Hospitality – preparing to hotels like: Country hostel, Westin, Crowne Plaza, Vivanta (Taj) etc.

Business Hubs – preparing to prime MNCs like: cognizant, Google, TNS coding system, Huawei, Aricent, Pfizer, Genpact rather additional

Retail & diversion Hubs – Stores like Shopper’s Stop, Big Bazaar, Bharti straightforward Day, Spencer, deity Birla’s further, Food Courts, etc.

Future property

South of Gurgaon’s strategic location (from a residential, business and industrial perspective)is being further bolstered to chop back period of time to completely different NCR cities (or beyond) – via returning comes such as:

• Underground property from HUDA heart, Gurgaon

• Badshahpur Flyover, a combine of klick elevated road for a fast, hassle-free drive

• Orbital Rail passageway connecting with all major cities of the NCR (and beyond)

• Kundli–Manesar–Palwal (KMP) by pass from the facet of South of Gurgaon (under final stages of execution)

• Delhi-Mumbai Freight passageway (DMIC)

Buyers and investors:

• Paid 10-20% less for properties in South city, Gurgaon and Noida

• Paid 10-15% further for properties on South of Gurgaon,It in addition points to a significant trend

Many consultants – also because the govt of Haryana – feel that this positive trend of property appreciation on South of Gurgaon will continue for a minimum of following sixteen years till 2031, by that time:

South of Gurgaon’s population will grow 10-fold to attain the half-dozen, 40,000 marks however in an exceedingly} very further planned manner than Gurgaon

• The outsourcing business, that hires quite 5 hundred thousand people in Gurgaon (directly and indirectly), and over 200,000 workers in factories also as Honda’s and Maruti’s (in or around Gurgaon), will still grow – and fuel the demand for housing that Gurgaon cannot most likely meet.

• Guite 250 of the Fortune 5 hundred corporations, it's derived, have their offices in Gurgaon. These embody corporations like PepsiCo, Coke, Gillette, Google, Dell, Microsoft– to decision some – in conjunction with Maruti, Hero Honda and completely different Indian corporations. As further corporations square measure accessible in, they go to note a less expensive property selection on South of Gurgaon compared to Gurgaon.

• set at intervals the center of Sohna town, by the aspect of a perpendicular rock and additionally the formidable one,483km-long, 100 billion dollar Delhi-Mumbai Industrial passageway (DMIC) runs shut past South of Gurgaon. It's India’s most formidable program to develop new industrial cities pretty much as good Cities – with industrial estates in conjunction with the KMP passageway – which can add hugely to the price of investments (and jobs).

South of Gurgaon cheaper

Gurgaon’s residential material possession market is overcrowded and expensive – like Delhi’s. If you’re in operation in Gurgaon at intervals the Millennium city, chances are high that high that good (pun unintended) that you simply} just won’t notice any selection among your budget – unless you’ve sold or hereditary property.

So investors and patrons have started moving towards following best option–Gurgaon’s outskirts – i.e. the twenty 3 klick stretch on South of Gurgaon. It presents a golden probability in terms of worth, property and infrastructure– as a results of it offers you one issue Gurgaon cannot:

Affordable, high-quality housing at 0.5 the price

South of Gurgaon is that the New Home to best Infrastructure & Facilities

The greatest issue regarding South of Gurgaon is that it provides you with the foremost effective of every worlds at zero.5 the price:

• The posh of living aloof from the chaos of a crowded megacity (Gurgaon)

• Best-in-class amenities, safety and security

For of those reasons, patrons and investors finding out low-cost housing selections or semi permanent investment horizons square measure taking advantage of this opportunity presently before it slips out of hand. As a results of they grasp that once the infrastructure comes and industrial estates square measure up and running, the prices will skyrocket.

At least fourteen belongings you'll begin seeing shortly on or around South of Gurgaon are:

• Wider and better roads

• A sequent, further organized development of housing and business comes

• Additional colleges and hospitals getting ready to residential areas

• A combine of klick elevated road towards Badshahpur Market

• Associate 8-km long, 60-meter wide sector road from links Extension Road (Gurgaon) to Sector 5, Sohna

• A 6-lane, 90-meter wide South of Gurgaon – with National route standing

• Two clover-leaf junctions on the KMP motorway to further enhance accessibility

• A producer Park

• A 1700-acre Industrial Model district (IMT) – thrice the size of IMT Manesar –between Sohna and KMP motorway

• Three Theme Hubs

i. Leisure Hub

ii. Sports Hub

iii. Animal product Hub

Website:- https://www.industryplots.in/industrial-plots/reliance-met-industrial-plots.php

Call Now 9891606264

[freenewstoday]

New Post has been published on https://freenews.today/2020/12/10/covid-19-70-of-test-and-trace-contracts-were-awarded-without-any-competition/

COVID-19: 70% of Test and Trace contracts were awarded without any competition

Seven out of ten contracts signed by Test and Trace were awarded without any competition, the UK’s public spending watchdog has found, raising further concerns about government spending during the pandemic.

An interim study by the National Audit Office (NAO) found that Test and Trace spent a total of £5bn on 121 contracts that were awarded directly, without competitive tender, using emergency regulations which allowed the government to bypass normal procurement rules.

A further £1.4bn was spent on contracts awarded under “framework agreements”, which allows the government to make deals with pre-selected suppliers.

Please use Chrome browser for a more accessible video player

November: Leaks reveal failures of Test and Trace

This takes the sum spent on testing and tracing contracts with limited competition to £6.4bn – about half the amount spent on policing by the government every year.

The news follows the revelation that some PPE suppliers were directed to a “high-priority” channel for government contracts, leading to companies with political connections being awarded major contracts despite little apparent experience.

The government defended its award of contracts for Test and Trace, saying that it had used the private sector to scale up operations at speed, but the NAO found that the spending spree had caused “specific risks” including “lack of central oversight” and “conflicts of interest not being comprehensively managed”.

It also found that, in some instances, contracts were only drawn up after the companies had started the work.

The watchdog uncovered problems with the deals made with outsourcing giants Serco and Sitel, who were awarded contracts for contact tracing in England worth up to £720m.

Image: The NAO also criticised the performance of Test and Trace

These contracts were so inflexible, the NAO found, that the Department for Health and Social Care could not change the number of contact tracers working in call centres for three months after the service was established.

Media reports at the time found examples of contact tracers spending all day watching Netflix. According to the NAO, the proportion of time that call handlers worked their paid hours was just 1%, something it said indicated that “they had little work to do”.

Yet although the government “quickly became aware of the possibility of excess capacity”, it could only vary staff numbers after new clauses were introduced from 17 August. At this point it immediately reduced paid-for staff from 18,000 to 12,000.

The NAO said Test and Trace had recognised that it had “insufficient commercial control and understanding” and that it “needed to improve”, but experts questioned why these changes were required after figures from the commercial sector such as Baroness Dido Harding were brought in to lead the programme.

Image: Baroness Dido Harding

“This is a very large proportion of a huge amount of money and the government has almost certainly not received as much value as it could have done,” said Nick Davies, programme director at the Institute for Government.

“It’s not clear why those from outside government were brought into oversee this given that they don’t appear to have improved commercial oversight of this project.”

The NAO also criticised the performance of Test and Trace, saying it missed targets and failed to plan for rises in demand for testing.

It found that not enough test results were delivered within 24 hours, and too few contacts of infected people were being reached and told to self-isolate.

Responding to the study, chairwoman of the Commons Public Accounts Committee Meg Hillier said the government had “tried to reinvent the wheel” by centralising Test and Trace, leaving local public health teams “out in the cold”.

Please use Chrome browser for a more accessible video player

First patient receives coronavirus vaccine

Ms Hillier said: “Speed is of the essence but only two-fifths of tests were turned around within 24 hours. And Test and Trace has only contacted two-thirds of the people it knows were in close contact with someone who tested positive.

“The government needs to urgently work out what’s going wrong at every step of the process.

“Throwing more money at the problem clearly isn’t the answer.

“Testing capacity has risen and it’s easier to get a test locally but Test and Trace’s performance still isn’t good enough.”

The report did not consider the impact of the mass testing programme, which has been extended in recent days, but it noted that Test and Trace’s spending was only going to get bigger, with an estimated 154 contracts worth £16.2bn set to fall between November 2020 and March 2021.

Source

[coolqa1cslondonblog]

Where To Find Exceptional And Unparalleled Washroom Cleaning Service For Your Company In London

During a pandemic where there are much uncertainty and fear surrounding the spread of the virus and germs in general, the cleaning and disinfecting of corporate buildings and areas where people interact daily, have been placed squarely at the centre of our focus.

Nowadays, business managers have a corporate responsibility towards employees to ensure their safety at the workplace, and that includes bathrooms. Amid these uncertain times and in light of the changing climate in the health sector, washroom cleaning services in London have propelled into dominance with more companies hiring or outsourcing these services to comply with Covid-19 protocol.

Many cleaning companies in London now offer reliable, full-spectrum washroom cleaning services at public buildings, universities, schools, office buildings, gyms and shopping malls that includes a meticulous cleaning of the washroom, as well a disinfecting the area properly.

If you require the services of a professional cleaning company in London, it is recommended that you search the internet to find one that guarantees their staff members have undergone Covid-19 safeguarding and awareness training, to provide the suitable risk assessments, along with COSHH data sheets relevant to the task completed.

Having a hygienically clean washroom or bathroom at your workplace is important and many cleaning companies in London offer a wide range of services designed especially for the corporate market. You can visit their websites and find out what they offer and if they can provide free consultations to discuss your needs, no matter if you require a once-off washroom cleaning service or regular full spectrum cleaning services.

When it comes to washroom cleaning services in London, professional cleaners should pay attention to every aspect to ensure your washroom is hygienically cleaned to the highest level of standards. Whether you are responsible for running a school, hotel, hospital, office or a sky-scraper, the company you hire should be able to take care of all your washroom and other cleaning requirements.

Some washroom cleaning services in London apply advanced barcode technology to ensure the quality and promptness of their services are recorded on a computerised system. This is something you may want to consider when choosing a suitable cleaning company. You can also ask the company if their washroom cleaning solutions are designed to rival any industrial or commercial washroom.

Some washroom cleaning service companies in London will offer a cleaning package that includes washroom hygiene products like soap dispensers, air fresheners, sanitisers, medical disposal units, hygiene systems for use in female washrooms, hand towels and other products for the ultimate washroom hygiene services.

Depending on your requirements, you can request a once-off deep cleaning, or opt for contractual cleaning services to keep your office building and washroom area sparkling clean and hygienic at all times.

Taking the environment into consideration and to reduce your carbon footprint, it is also important to ask the company about the chemicals they use during washroom cleaning and if they are safe. The last thing you want is employees having serious allergic reactions to the cleaning products used by the cleaning company.

Take your time and do your homework, and find out everything you can about different washroom cleaning services in London so that you can make an informed decision when it comes to choosing a suitable cleaning company.

The best advice in this regard is to look at reviews by other customers and base your decision not only on that, but also the level of excellence you expect from the cleaning company. If a cleaning company does not offer washroom cleaning services, it means they do not offer a full spectrum of cleaning services and you may want to search opt for another.

About Us: Quadrant A1 Cleaning Services was formed out of a desire to provide thorough, reliable and wide-ranging cleaning services for the corporate market across London. The company is committed to being eco-friendly and carbon neutral wherever possible, and offer a wide range of services across corporate cleaning, surgical & non-surgical medical facilities cleaning services and construction cleaning services maintenance where all legal requirements for work on a building site are met. As a reputable cleaning company, they offer a wide range of cleaning solutions across all platforms to businesses in London and the surrounding areas. Their fully trained and vetted staff members come with a wealth of experience working in the industry and while they specialise in commercial office cleaning, no job is too big or too small for them. They also provide after-hours and weekend cleaning services, but to find out more about the company, visit their website at https://qa1cs.london/.

[coopdigitalnewsletter]

10 June 2020: Could 5G help make shopping centres safe instead of smart? Black lives matter: #teagate

Hello, this is the Co-op Digital newsletter - it looks at what's happening in the internet/digital world and how it's relevant to the Co-op, to retail businesses, and most importantly to people, communities and society. Thank you for reading - send ideas and feedback to @rod on Twitter. Please tell a friend about it!

[Image: Apple Maps, which pushed out a quick edit to their satellite imagery]

Could 5G help make shopping centres safe instead of smart?

“UK's first smart mall blazes a trail for physical retail: Can 5G technology turn shopping centres back into attractive destinations?” The promise in this story is that 5G bandwidth plus augmented reality will transform a Surrey shopping centre’s shops into an exciting physical/virtual hybrid:

“tapping a phone over a product's barcode will trigger an overlay of digital content that can reveal the entire provenance of the supply chain for checking ethical credentials or ingredient detail. [...] It's like squashing the range you would otherwise get in Selfridges into something the size of Clinton cards but still with the ability to pick something up [in store] and have that physical interaction with the assistant"

(Well, stuffing Selfridges into a Clinton Cards is one way of selling the magic.) This idea isn’t new but it is interesting. Argos, Screwfix and shoe shops already separate display from inventory. And online shopping separates both display from inventory and the transaction from possession of the goods. Splitting things apart (or “unbundling”) can be a good way to create some new value. In physical retail, the unbundling value is generally about cost efficiencies. This might be the challenge for smart shopping centres: are they offering the right bundle? And if the value a smarter shopping centre creates is cost efficiency, how does it compete with the modern cost efficiency experts, online shopping? And will it be happy if shoppers “showroom”: inspect the item in the shop, and then use that convenient 5G to see if they can buy it cheaper online? There is a solutioneering feel about that news story - maybe they wondered if a problem could be found to go with the collection of technologies they had in front of them. 

Instead, what if they started with needs? Instead of “smart” or “cost-efficient Selfridges”, what if they’d started with “safe”? Perhaps a shopping centre could make coronashopping very safe by managing queues and distancing really well. Or by providing booked entry times paired with sensible deals. Or by monitoring what percentage of people are currently wearing masks. Or by providing click and collect from mezzanine level 4 to the car park. Safe shopping is going to be a thing as it becomes clearer that the coronavirus is something we’ll live with for a long time. Can 5G help with any of this?

Related: coronavirus is accelerating wealth inequalities in offline retail, with high margin sectors able to offer bespoke, socially-distanced service and lower margin sectors offering queues.

Black lives matter: #teagate

Yorkshire Tea and PG Tips said please don’t buy our tea to some people on Twitter. Hats off to them. Last week we wondered whether brands will all take political positions eventually, because the world’s increased inequality and rate of change will force them to.

However tea isn’t quite as simple as a binary good vs bad though: tea has a complicated colonial history. Race, racism and history are woven into the everyday - read this powerful piece, by Co-op’s Annette Joseph. We have to work at making everything better. 

Amazon as a COVID green zone?

Amazon could spend $300m on developing COVID-19 testing by the summer. And the company says it will spend $4bn total on virus-related efforts in the next financial quarter. Some of that 4bn is going on PPE, testing, social distancing measures etc, like every other retail company is doing. But the wider aim might be a fully “vaccinated supply chain”, a covid-secured organisation and logistics operation in which both employees and customers feel safer. 

You buy from them because it’s reliable, or maybe you even go work for them. (That’s the theory anyway, though Amazon’s history of warehouse worker complaints suggest it’s not going to be quite as easy as that.) What stops others doing this? If only Amazon has the cashflow to do it, then it might create competitive advantage, and even deeper moat for the Everything Store.

Clapping robots will deliver more Co-op grocery orders

Co-op is expanding same-day robot-delivered groceries to more stores and communities near Milton Keynes:

“The number of customers using robot deliveries has more than doubled since the start of lockdown, with the value of transactions increasing four-fold as shopping habits change. In response to the rising demand, the service has been made available in eight Co-op Group stores, with six new stores added since March.

“Starship has also waived its delivery charge for NHS workers during the lockdown period - and programmed the robots to pause to “clap and cheer” at 8pm on Thursday evenings in recognition of carers and key workers.” [!]

Content writerbots and content moderation farms

Microsoft sacks journalists to replace them with robots gathering stories for MSN.com: “I spend all my time reading about how automation and AI is going to take all our jobs, and here I am – AI has taken my job.” You didn’t need to be a neural network to predict what would happen next: Microsoft's robot editor confuses mixed-race Little Mix singers. And it sounds as if the remaining journohumans at MSN are struggling to control the AI’s driving need to publish stories about its own bias. “Now is not the time to be making mistakes”, says a Microsoft staff member. (Oh! Or maybe this is an elaborate scheme to keep journalists in work, battling their AI colleagues?)

So far content moderation has been difficult to automate, so social media cos typically outsource content moderation to contractors. A new report says that reliance of contractors has led to poor working conditions and a lack of attention to real-world harms caused by inflammatory or deceptive content. Content moderation should be brought in house, it recommends. (More on outsourced content moderation, though that can be a difficult read.)

Various things

Big salute to Doteveryone, which is stopping work after five years of fighting for better tech, for everyone.

Behavioural insurance startup Lemonade will go public.

Ploipailin Flynn wrote a powerful month note for Projects by IF about anti-racism.

Zoom says free users won’t get end-to-end encryption so FBI and police can access calls - that seems a really bad way to think about who deserves privacy, but sadly you’ll probably see more of it in future.

Co-op Digital news

We’re using ‘behaviour modes’ to keep users at the centre of decisions.

Co-op Group’s annual general meeting.

The Federation House team is running weekly drop-in chats for the community every Wednesday at 10am: Join us here. See our online events.

Free of charge 

Andy’s Man Club – Gentleman's Peer to Peer Mental Health Meet Up – Mondays 7pm 

Self-Care – Online Workshops – Various dates/times in June 

Virtual Cloud Native + Kubernetes – Meet Up – 10 June – 6pm  

Northern Azure User Group – Meet Up – 10 June – 7pm  

Let’s Talk Service Design – Lightning Talks – 25 June – 12pm 

 Paid for 

Mental Health – 2 Day Training Course – 15/16 June – All Day 

Cariad Yoga – Online Yoga – Various Dates & Times in June 

Invisible Cities - Online Tours of Manchester or Edinburgh – Various Dates & Times 

Thank you for reading

Thank you, beloved readers and contributors. Please continue to send ideas, questions, corrections, improvements, etc to the newsletter’s typist @rod on Twitter. If you have enjoyed reading, please tell a friend!

If you want to find out more about Co-op Digital, follow us @CoopDigital on Twitter and read the Co-op Digital Blog. Previous newsletters.

[alexsmitposts]

BC: US-funded “Disinformation Oversight” of Bio Weapons Prevention Programmes in Georgia BC stands for NEO’s Banned Classic. This article was originally published by our journal on 09.10.18  For some reason, this article is missing from Google search results. Since this article remains pretty relevant to those geopolitical events that are taking place on the geopolitical stage today, we deem it possible to present it to our readers once again. Should it go missing again, you may be confident that you will see it republished by NEO once more, should it still remain relevant by that time. The Richard Lugar Lab is fast becoming a topic of household conversation in both Georgia and the Russian Federation, because increasing numbers of people care that it is not a public health facility, as claimed, but a threat to the population and humanity as we know it. The Caucasus region is an ideal location for the United States to outsource its ‘grey zone’ research to. Many of the most ‘attractive’ viruses and bacteria for weaponisation occur naturally in this region, so they can be studied in their natural habitat. The region is also known for its thriving black market economy and trafficking, as the lack of democracy and a civil society makes it easier to hide things from the world. But what is now concerning US officials is the attention Russia is paying to the topic of bio weapons and other related medical programmes. What has been uncovered so far demonstrates that the question is NOT whether the US is in violation of the 1972 Biological Weapons Treaty BUT to what degree. The US has long tried to deflect attention from these programmes. American journalist and Bureau Chief for Veterans Today in Georgia, Jeffrey Silverman, a long time resident of Georgia, is again the cross fire for his articles and series of recent TV interviews, having endured a long series of indignities, and downright illegal acts, at the hands of his own government and embassy. But the new attacks on Silverman coincide with recent revelations in the Russian media. Igor Giorgadze, the former State Security Minister of Georgia, dropped a bombshell in mid September when he leaked documents containing information about “a laboratory located near Tbilisi named after US Senator Richard Lugar”, and how some experiments had turned deadly. Various media groups describe such breaking stories as recurring disinformation, and further claim that there is no factual evidence that the US is building biological laboratories in the Caucasus region in order to use it as a testing site. The same media groups also denied that the US was losing the Vietnam War and declared the well documented CIA human rights abuses in places like Paraguay weren’t happening either. But Giorgadze, a former Georgian State Security Minister, and Silverman beg to differ. They claim that such labs and related medical projects may have secretly conducted experiments on people, some of which have had fatal outcomes. Right or Wrong Person to Ask? Giorgadze has asked Donald Trump to launch an investigation into the experiments conducted by the laboratory. This really has some in Georgia concerned, as Trump is no fan of Big Pharma. He recently stated that the much touted flu shot is the greatest scam in medical history, created by Big Pharma to make money off vulnerable people and make them sick. US-government funded media watchdogs and strong-arm agencies have fought back by using Homeland Security to harass Silverman when he travelled to and from the United States earlier this year, when he was finally allowed to make his first trip home in over 14 years. On both arrival and departure he was subjected to repeated body and bag searches, including seizures of his phone and personal documents, in direct violation of the 4th Amendment to the US Constitution. Such frontal attacks on this journalist date back to when the first stories about the Lugar lab, and the nefarious research linked with it, broke in Georgia in 2013. As he has since backed up many of his allegations with actual documents, there has been a concerted effort to discredit him, not only in Georgia but in the international media. Silverman continues to publish in the Georgian language media, and has described how the concentration camp patients of Nazi Doctor Joseph Mengele can be compared to the civilians residing close to the Lugar laboratory, as they [too] did not understand the threat they were under until they were placed in the medical experiment section death camps—when it was too late. “I am warning those who live near the Lugar Laboratory that they are under a big risk. The locals who settled there were misled that this was an ordinary laboratory and nothing else.” Georgy Iremidze, head of the Georgian based Patriot news agency, which is labelled pro Russian by the same detractors, adds to the debate: “On paper, the lab is run by the Georgian government, or rather the Ministry of Health. But in reality, it is operated by the American government. The idea is that, if something goes wrong, the Georgian government will take the blame so that the American government can stay under the radar”. A Lot for Nothing The United States has provided a total of USD 350 million for the construction and technical equipping of the laboratory. In 2013 the laboratory was allegedly subordinated to the National Center for Disease Control and Public Health (NCDC), and from 2018 the Government of Georgia will assume responsibility for the full funding and operation of the Lugar center and laboratory network, or so we are told. However it is only the US which has an interest in building such laboratories. Other countries would face sanctions from more powerful neighbours, who can build worse facilities of their own, for doing so. The US wants to flout the Biological Weapons Convention and then claim, if caught, that this is something only dubious, less-developed, “ignorant” countries do, as it usually does when questions are asked in places like Syria and Iraq. The Lugar Laboratory is located not far from Tbilisi International Airport. This means that loading weaponised agents and moving viruses and bacteria around the world is expedited. It is conceivable that the United States may be trying to continue its losing battle in Syria by using biological and chemical weapons, as military planes, which are based at NATO airfields, have been landing at the airport with increasing regularity for no other apparent reason. The same deadly and especially dangerous pathogens could also be targeted, as an aggressive act, against Turkey and the Russian Federation. The US has a history of doing this, and we might recall the Swine Flu outbreak in Russia 12 years ago. Even unsuspecting humans could be weaponized and board civilian fights, just as was described in Station 11, a work of fiction, and how the Georgian flu killed over 95 percent of the world’s population. Emily St. John Mandel’s fourth novel, “Station Eleven,” begins with a spectacular tragedy on a considerably vaster scale arrives in the form of a flu pandemic so lethal that, within weeks, most of the world’s population has been killed. It is standard medical practice that nothing that is injected into the body should be used past its expiration date. But the US military, and other organisations like MARFOREUR, USAMRIID, ClinicalRM, WRAIR, and DTRA, are being accused of giving many such preparations to allied countries as “aid”. They have been widely used on the general population in Georgia, even children, without the victims’ full knowledge and informed consent. When questions are asked, it funnels this aid not through medical bodies but TMC Global Professional Services. This company has overseas offices in nine countries throughout Eastern Europe and Central Asia, and two offices in the US, in Virginia and New Mexico. Most of its work is as a US Government contractor on Defense Threat Reduction Agency (DTRA) programmes, with national laboratories and other DoD customers. For example, it manages an international project at the Chernobyl Nuclear Power Plant site (ChNPP). Too Many Roads Lead to Rome The Myth Detector claims to have debunked “disinformation” spread around the Hepatitis C elimination programme on several occasions—but it fails to mention the nexus of this programme to TMC. Nor does it give, or investigate, the technical backgrounds of those doing the debunking, who just post pre-written statements provided by their Embassy contacts or PR staff working in the Lugar lab. It is not difficult to expose those actually working in these military projects at the management level. Silverman was once hired by International Crisis Group, ICG, and the French government to look at the links of these researchers. He soon discovered how the Lugar and partner projects are connected to American, European and other scientific centres. All the highly skilled professionals in the TMC office in Georgia left in 2010 to form a new organisation, Sigma. The most high profile of these was Richard Mah, who had worked at Los Alamos. You do not leave the golden handcuffs, and diamond pension, of a USD defence contractor to start a company from scratch unless you feel too compromised to stay with that contractor. But nobody is interviewing Mah, or the main TMC person in Georgia nowadays, Giorgi Begiashvili, before claiming “disinformation”. Day Late and Fact Short The US can get away with violations of treaty law because what it addresses has been superceded by new developments and changed beyond recognition. It has often been observed that when a certain narcotic is made illegal, another one comes along which is equally deadly but gets round the laws as written. Claims that any treaty violations are accidental are difficult to disprove because such violations are so widespread as to be unavoidable. The US bio weapons legislation is codified in Section 817 of the Patriot Act. It effectively gives the US immunity from violating its own bioweapons laws, despite the fact that such a national law cannot override an international treaty that country is bound by. Specifically, it states that “the prohibitions contained in this section shall NOT apply to any duly authorised US governmental activity.” Prior to enactment of the Patriot Act, federal law proscribed the use of biological agents or toxins as weapons, in 18 U.S.C. 175. This outlaws possession of a type or quantity of biological agents or toxins that cannot be justified for peaceful purposes. In short, what is being done for the purpose of military use, offensive, is now being justified under the guise of peaceful purposes. Regardless of the ledger of truth and innocence, a public debate has begun which is cross cultural and beyond borders. As a result of it, some of what goes on behind closed doors, under the flimsy disguise of public health protection and non-proliferation of bio weapons and especially dangerous pathogens, is now out in the open. One only needs to look more closely at what has been done in Georgia at various DOD funded labs and medical project. There is a long list to explore, including deaths from experimental TB antibiotics, a succession of dodgy programmes doctors refuse to talk about, and various experimental treatments on what is often an unsuspecting population. If you do not wish to believe Silverman or the Russian media, enough can be gleaned from open sourced academic materials which clearly demonstrate that proper procedures for informed consent are not being implemented. These shine light on what appear to be “backhanders” paid by and to various funding agencies, the UN, the US State Department, Big Pharma and various partner organisations, including the Ministry of Health, various American universities and the Center for Disease Control in Atlanta Georgia. Information is now being shared with the Congressional Oversight Budget Office, about the apparent planting of false and misleading information. However, all this demonstrate is that US-funded disinformation oversight is in fact blatant disinformation itself, as anyone who has lived in a country on which the US has an “official narrative”, such as Georgia, has always known. Not only are some of these new generation bacteria agents and especially dangerous pathogens so evolved that there is no antibiotic or other treatment that can save a patient. Often the cure is only available in the form of bacteriophage preparations, as also is being produced in Tbilisi Georgia on the first floor of Building B at Eliava Institute. It comes as no coincidence that the US Department of Defense and other agencies have also poured money into improvement of infrastructure at the laboratories on the second and third floors, where the planned production area is housed. These laboratories are used to produce bacteriophage on short notice and will be used for phage concentrate production that is used in the final phage product Founded in 1923, the Eliava Institute is a world known institution working in the field of Applied Microbiology, Virology and Infectious Immunology. Bacteriophage research and application is its main direction.

[operonstrategist98]

Effective phases of Medical Device Development

Medical Device Development :

High-risk medical devices are not easy to launch as of layers of regulations. The main purpose of launching a medical device is to ultimately profit others while keeping the end-user and patient safety with less risk involved.

Medical device professionals can assist explain regulations that are usually lawyers as of the immense amount of the involvement of legislation.

The medical device development 5 stages have become widely popular as well as complex in the coming years.  Inflexible regulatory needs and the ever-rising importance of repayment decisions for a successful device need careful strategy setting and planning, consistent medical device development process as well as coordinated decisions. The model design and it’s application often captured with standard operating procedures and development designs have become the more determinant reason behind every successful device,  while so many other models may exist in the medical device industry without any comprehensive model development published. This device model reviews old model presentations and represents a comprehensive model that contains all aspects of medical device development as well as commercialization.

The stage-gate process consists of 5 major stages: Below image specifies all the stages

While in so many ways to medical device product  development, All the medical product development have work by some unique challenges, including:

Variations in complication- Almost all medical devices have so many constituent parts, including software, hardware as well as medicine components.

Very different purposes- all drugs are almost therapeutic, while some devices might be monitoring, surgical, supportive, diagnostic, therapeutic, etc.  Rules and regulations regarding device development must tailor to and be accountable for all these possibilities.

Much longer Timelines- There are some drugs that do have long-term effects and from them mostly metabolized by the body steadily. Implanted medical devices might undergo dynamic changes in safety and function over the decades.

Above mentioned actors have a great impact on the high-risk medical device development loop, which can be split down into five basic categories. The output of each state has a straight impact on subsequent ones. Furthermore, less than optimal outputs might lead to few backtracking to the first step in place of complete abandoning the project.

1- Initiation

The first and basic stage of medical product development is its discovery.  Thinking about market strategy and funding.  Mostly each market comes with its own challenges and regulation.  If you are making a new product, file for a patient. Do you require clinical trials for your device or are there similar products available already in the market. The foundation of any project is QMS. ISO 13485 is standard mostly used internationally for the purpose of medical services. QMS includes forms, procedures and templates that assist you to control all the activity in the company itself.

2- Preclinical research

Amid this stage, you will have a working device which demonstrates your thought. Notwithstanding a working device, you will require a market position and monetarily attainable and suitable item.

Think about the customer requirement and risk prior to this stage. Because at this stage listening to the customer’s voice is important and take their feedback.  Make the use of customer surveys and feedback with the help of competitor analytics as well as market research to assist design your product.

At this stage, a device experiences prototyping not yet for human utilize. These models are then tried in controlled lab settings utilizing as a part of Vitro and in vivo techniques. From these tests, primer information with respect to the device’s wellbeing and viability are accumulated. With regards to medicinal devices, this stage is generally centred around the assessment of wellbeing and biocompatibility. For instance, commonplace measures incorporate hereditary and regenerative toxicology screens that search for conceivable cancer-causing nature or unintended effects on contraceptive wellbeing.

3- Clinical Research

Presently your device is starting to come to fruition, you have a model, you have done a few preliminaries however you haven’t generally put the plan through hell, you are going to go into approval and check of your device and demonstrate that it will truly withstand every one of the weights of this present reality. Ensure you recognize what your acknowledgement criteria are for each test. Thoroughly consider this.

A decent method for doing this is by setting up a framework, called an outline to follow lattice which will guarantee you have not forgotten about your client prerequisites. You should make an interpretation of this into building necessities i.e in what capacity will you really influence the client prerequisite to happen, what method of testing to check and approve, what forms do you require, what test hardware will you require? Have you begun to consider an assembling and quality arrangement? Or then again will you outsource this?

You should get into your Risk administration at this stage. Get out all the potential disappointments of what can turn out badly because of the awful outline, poor process or awful assembling, client disappointments by predictable abuse. What measures will you set up to control the damages from these disappointments? Is it accurate to say that we are taking a gander at hurts that can prompt demise? Or then again would we say we are taking a gander at bothering to the client? Mental damage? Be sensible and thoroughly consider this.

I can’t accentuation doing this altogether enough, as your device won’t make it showcase if the device apparently is a hazard to understanding well-being. Keep in mind the awful news toward the beginning of this article? The controls are set up to build quiet well-being and limit chance.

Guarantee you know the administrative prerequisites of the item and the administrative necessities of the nation/locale you are going to offer in. The necessities in the US vary to those in Europe despite the fact that there is an extremely solid cover, the entries procedure is unique. Your statistical surveying ought to have figured out which area you wish to dispatch your item in first, so centre.

In the event that you had decided before that you required Clinical preliminaries for your item, you should start your Clinical arrangement and utilize the item for the preliminaries from your plan solidify through real use in a clinical situation. Additionally take a look at what outside endorsements you will require, for example, an Ethics Committee.

Post-approval thinks about proceed after a device has been discharged to the general population. They assess long haul security and viability information. For devices like lasting prosthetic inserts, the discoveries of these investigations are the most clinically valuable however may take a very long time to accumulate.

Amid the clinical research organize, it’s vital to decide if any unfavourable occasions that happen amid a clinical preliminary could be ascribed to the device being tried. For administrative purposes, these are called genuine unfavourable device impacts. All device lacks ought to be accounted for in the proper administrative body.

4- Regulatory view

Now you are just about to reach on the final stage, it’s time to begin planning about branding and marketing now, however, be careful what you include in your marketing literature, it should be backed by evidence.

Data created and compiled at the time of the clinical research stage is shown to the best regulatory authority. Then from there, the device is either get approval or send to market or get denied approval. In latter conditions, creators of the devices might go back to the earlier stages to create a more robust app for the resubmission.

We must be collecting all the data now, All the verification and validation of our products should have qualified! So we should be collecting all our claim of testing- electrical safety, biocompatibility etc.

Perform all the testing, stability, trial as it is often seen that companies get to this level to only know they don’t complete all the checking and testing as they didn’t have an idea about regulatory needs for the product. Do not skip the test stage.

Now you have to complete your technical document. Collecting together a file containing all the evidence needed to put in the open front of a competent authority which will audit your file for checking the completeness against their assumption.

Post-Marketing Surveillance

As long as the device is in use, it’s development could never get over. In this Post-marketing monitoring is considered as a long extension of clinical research. At this time, developers of the devices supervise constant monitoring as well as data collection after a device has been launched to the public. Such data might be utilized  to guide all clinical decisions and the development of the future medical device

Once the product introduced to market keep tabs on a review records and quality auditing system against user feedback.

For a Quality product:

Follow your QMS

Do not cut the corners during production

Make changes as per your change control system

Follow your complaints system and customer’s feedback

Update tech documents as needed

Constantly improve your design, product, process, and controls.

Creating a medical device is solving daily health issues and financially rewarding. Influencing a medical device can be both fiscally fulfilling and solve complex everyday medical issues. In no way, shape or form should the procedure be surged as the specialists will be careful about cautiousness, following regulations and observations to norms as vital.

[labourpress]

Andrew Gwynne speech to Labour Party Conference

Andrew Gwynne MP, Shadow Secretary of State for Communities and Local Government,��speaking at the Labour Party Conference in Brighton today, said:

 ***CHECK AGAINST DELIVERY***

 I’m delighted to respond to the ‘Protecting Communities’ debate as Labour’s new Shadow Secretary of  State for Communities and Local Government.

 I want to begin by thanking my immediate predecessors, Graeme Morris and Theresa Pearce, and to introduce our new CLG team in Parliament - Yvonne Fovargue, Jim McMahon, Roy Kennedy, Jeremy Beecham and my PPS Stephen Morgan, the first Labour MP for Portsmouth South, in the seat’s 99 year history.

 I served for 12 years as a councillor in Greater Manchester.  In fact all of the Labour CLG team began our political journeys in local government. And I want to thank our Labour councillors who do an outstanding job across the country.

 I also want to thank Councillor Nick Forbes for his leadership of the LGA Labour group. Nick has long campaigned against the “scissors of doom” forced onto local authorities by this Tory Government. Thank  you Nick and the LGA Labour Group team.

 Let’s also pay tribute to the emergency services, the volunteers and the community who rushed to the aid of Grenfell residents on the 14th June.

 The support that has been shown by the community in response to this incident has continued to show how sorely lacking the response has been from Government.

Thank you, John Healey and Emma Dent-Coad, for your work following this tragedy. We will not stop until every resident of Grenfell tower has a safe place to live, and the support they need to rebuild their lives.

 Conference, we know the difference Labour in local government can make.

In Bristol, Labour has pushed the social care crisis into the spotlight - leading the call for city leaders to come together to lobby central government over cuts.

 South Tyneside has developed a purpose-built facility to support integrated health and care services, designed to support the needs of those with varying stages of dementia.

 In London, Sadiq Khan, has called an end to Boris’s vanity projects, instead prioritising the development of new affordable housing.

 In Greater Manchester and Merseyside, our Metro Mayors, Andy Burnham and Steve Rotheram, understand that ‘a Northern Powerhouse’ is one built by local people, and by investing in our communities - and not through slogans alone.

 And after one of our darkest nights this year, as Manchester woke to find children, young people and their families had lost their lives, Andy offered the unifying leadership that was needed .

 Labour in local government will continue to innovate to make a real difference to people’s lives. But I also know the very difficult decisions that councillors have had to make over the past seven years as this Tory government sneakily attempts to devolve the blame for their cuts away from Whitehall - to local councillors in town halls.

 Conference, we won’t be fooled. Police cuts. Fire Service cuts. SureStart closures. The crisis in social care.

 They all have the same root cause: a Tory dogmatic vision of a smaller state.

 Austerity is a political choice. And we also know their cuts have hit the poorest communities the hardest.

 But it doesn’t have to be this way. This was the simple message that our leader Jeremy Corbyn took to the country in June’s Election.

 If, like me, you went to see Jeremy speak, you would have seen the very real desperation for change that greeted him. The emotion in the eyes of those who, for the first time in years, felt hope.  People who don’t accept this country – the fifth richest in the world – should be defined by growing unfairness and inequality.

 That’s why a vote for Labour will always be a vote for a fairer Britain .

 But conference, we cannot empower our communities if we impoverish them.

That’s why we have promised to put council funding on a sustainable footing.

Councils would be £1.5bn better off under a Labour Government next year.

But seven years of savage cuts has created a hole in our public services that demands more from us than increased investment; it demands that we consider fresh ideas and approaches.

 A generation of outsourcing and forced privatisation of public services, has hollowed out the capacity of our councils to deliver for our communities. For the past 3 decades, we’ve been told that outsourcing delivers better value for money.

 But, all too often, when savings are made, it is because services are cut back, charges are introduced, and the pay and conditions of our valued public service workforce are attacked. Meanwhile, those decisions are hidden behind a cloak of commercial confidentiality.

 And we know what else happens when our local services are handed over to private companies.

 Our councils continue to have responsibility for local services, but they lose the ability to deliver them. So that when you report a pothole or complain about street cleansing, it is to someone in a call centre far away who doesn’t know your area, and has never walked down your streets – that’s if you’re lucky enough to speak to someone at all. And with every contract that’s outsourced, our democratic institutions lose dedicated, qualified staff.

 Across the country Labour councils are already showing that it doesn’t have to be this way. Labour Councils in North Tyneside, Islington, Stockport, and many others, have shown that local services can be delivered better and more efficiently in-house.

Austerity demanded innovation from the sector – and the ideas and innovations from Labour Councils must not be forgotten as we plan for Government.

 So, today I can announce Labour’s radical plan to renew faith in local services and deliver a renaissance of local government. Building on the work of my colleague, Jon Trickett, the next Labour Government will deliver a Bill to rebuild our local services.

In it, we will give councils greater powers to deliver services themselves; because our services should be run for our local communities alone.

 We’ll extend transparency and Freedom of Information rules, so that communities know where their money is going. And we’ll end the two tier workforce with a “Fair Wage” clause. Taken together, this will be some of the largest set of reforms to local government in modern times.

Empowering communities and rebuilding local institutions and local services.

Because they’re our public services - and we should always put people first. It’s about strengthening society.  It’s about putting our values – our socialism – into practice.

 We understand that it is by the strength of our common endeavour that we achieve more together than we do alone. And it is communities  – properly empowered and renewed – that are at the forefront of delivering that Labour vision of a better, fairer, more equal society. We are so close to having the chance to make our vision a reality.

 So let’s make it our sole mission - a Labour Government. Standing up for our neighbourhoods, protecting our communities. For the many, not the few. Let’s get to it.

[jamaicaismyplayground]

Dr Germaine Spencer, an obstetrician, gynaecologist and surgeon, is not satisfied with being just a medical practitioner, when there is money to be made from quality health facilities.

The medico with a taste for business specialises in female oncology, that is, cancer prevention, treatment and care for women; minimally invasive abdominal or laparoscopic surgery; and vaginoplasty or cosmetic vaginal surgery. He identifies the latter as a booming area of a generally profitable health business.

Spencer, 38, has outfitted and operates three private health centres in Montego Bay and is now investing in excess of US$2 million, or over $260 million in local currency, in a new private hospital set to open in the western city by next January. For the past year, he has also invested in a restaurant and sports bar in the western city.

Baywest Hospital takes up space formerly occupied by MoBay Hope at Half Moon Shopping Village in Rose Hall. Hospiten Group, the Spanish owners of MoBay Hope, rebranded the facility and relocated just across the road where it now operates as Hospiten Montego Bay. That 27-bed hospital, reported to have been built at a cost of $2.3 billion, was opened in October 2015.

Spencer is taking a slightly different market focus than rival Hospiten and is banking on the encouragement of corporate clients, including major hotels, large business process outsourcing firms, cruise lines and international insurance providers to drive business his way.

"The market is there for the taking," he told the Financial Gleaner.

The 10-bed Baywest Hospital will be equipped with an operating theatre, a maternity suite, clinics and a full range of imaging services, and will be serviced by a staff of nearly 30, including 20 doctors. The hospital joins three other Baywest health facilities all located in Montego Bay - at Baywest Shopping Centre; on Barnett Street; and a 24-hour operation at the Fairview commercial centre in the expanding Bogue suburbs.

These businesses grew out of one office in Baywest Centre, started in 2011, which itself has undergone major expansion and now occupies some three rented shops, one utilised as an operating theatre. Baywest Medical partners with ambulances service providers Life Call and EMed air ambulance.

The tenacious entrepreneur also operates E-Shore Medical, which provides medical services on location in the Montego Bay Free Zone for call centre workers.

Last year, spurred by the perceived need among young professionals for a safe space to relax downtown, Spencer decided to enter the food service business. He opened 876 Legends restaurant and sports bar at the fast-developing Fairview Town Centre on the Montego Bay outskirts.

The 876 investment, to date, is in excess of $30 million. Spencer said he is still learning the restaurant business and is yet to determine whether to maintain a long-term footprint in that industry.

The entrepreneur says his business expansion is being financed largely by bank loans with savings, reinvestment of earnings and support from one family member who assisted in purchasing some equipment in the early stages. He and wife, Kerene, who oversees the finances full-time, were coy about disclosing the total investments to date, which they admit is sizable.

All the businesses combined employ close to 50 people.

Self-sufficient centre

In his core area of competence, medicine, Spencer's central business idea is to create a "wide network of full-service, urgent-care medical facilities throughout western Jamaica", with these centres also providing referrals to the Baywest Hospital.

These centres are intended to be self-sufficient, providing services including general practitioner, physician, obstetrician/gynaecologist, internist, surgeon, dentist, laboratory, ultrasound, X-ray and other imaging services. His network of urgent-care health facilities is also expected to be supported by a services locator mobile app with the capacity to deliver medical advice from trained paramedics, security and roadside assistance. The GPS-enabled app has been in development for a few years but is expected to be launched soon, pending the expected signing of a major health insurance provider.

Spencer plans to grow his holdings nationally, eventually, but first wants to perfect his business model before stepping beyond western Jamaica.

For now, the evolution of his business is driven by "gut feeling" and his knowledge of the health-care environment.

Spencer says he is not worried about the competition from the various medical centres and doctors' offices dotting the landscape in Montego Bay. He cites the full-service nature of the Baywest medical centres, a down-to-earth service culture, and "less-than-market benchmark" fees as competitive advantages. The three locations together are said to see up to 180 patients on a good day.

As he puts it, the state of public health facilities and services, handicapped by the lack of resources stemming from the Government's no-user-fee policy, is providing a lucrative, growing market for medical entrepreneurship.

"There is 'x' number of patients any human being can see per day without getting flustered. The clinics are backed up. The surgery list is backing up," said Spencer. The 'no-user -fee' policy "created a lull for us initially, but business went back to what it was before," he said.

Spencer's first foray into business was in 2010 on his return to Jamaica from Trinidad and India, where he pursued advanced studies following his degree studies in medicine and surgery at the University of the West Indies, Mona.

Building from failure

He tasted failure when his initial medical centre business partnership established at Fairview in Montego Bay went sour after a year, while he worked full-time in the government health service for three years. But he decided to treat it as a positive development, an opportunity to do better on his next venture.

He has a protracted court battle that ended a year ago to thank for the recovery of some of his initial investment, which saved him from total loss on the venture.

The Jamaica College graduate credits his uncle, Dr Howard Spencer, a retired cardiothoracic surgeon, professor emeritus of cardiothoracic surgery at the University of the West Indies and registrar of the Medical Council of Jamaica and the Caribbean Association of Medical Councils, for having encouraged him into medicine and guiding him professionally.

But credit for his entrepreneurial side, he said, goes to his mother Yvette Griffiths.

Both his mother and father, Goldstone Spencer, have been involved in garment manufacturing.

"My mother is a strong woman," he said, recalling the challenging times when her business was seriously and adversely affected in the financial sector meltdown and Finsac bailouts of the 1990s and she struggled to keep the venture afloat, pay staff and put food on the family table.

Spencer notes that he tries to match his mother's tenacity in his own business pursuits.

"I love business. Medicine is my route to business," he said.

[fitnesshealthyoga-blog]

New Post has been published on https://fitnesshealthyoga.com/hiv-cases-in-larkana-put-a-question-mark-on-sindhs-healthcare-system-pakistan/

HIV cases in Larkana put a question mark on Sindh’s healthcare system - Pakistan

HYDERABAD: The recent surge in detection of HIV-positive cases in just one taluka of Larkana district has painted a bleak picture of the existing healthcare system in Sindh, where a number of bodies exist to fight HIV and other diseases but the situation has turned alarming.

Larkana is considered to be the political capital of the ruling Pakistan Peoples Party (PPP) and increasing number of such ailments indeed reflects poorly as far as its tall claims of good governance are concerned. This situation calls for a thorough audit of the healthcare system and related aspects.

The conditions at the primary and secondary level of health facilities are enough to make one worry.

Just a couple of years ago, close to 100 people, out of 13,600 measles patients, died in seven districts of upper Sindh after the Expanded Programme of Immunisation (EPI) had failed to achieve required vaccination coverage.

Editorial: Without immediate and proper attention, the HIV emergence can develop into full-blown cases of AIDS

Also, quackery apparently is the leading cause behind the current outbreak of HIV-positive cases in Larkana, as quacks reused syringes for patients.

So far, 128 persons have been tested positive for HIV in Larkana

If community screening is carried out elsewhere, as carried out in villages of Hyderabad district (140 HIV-positive cases since last year) by Peoples Primary Healthcare Initiative (PPHI), it would end up in more HIV cases.

Sindh Health Minister Dr Azra Pechuho in her recent policy statement in the Sindh Assembly had said that “screening everyone” for HIV in the province was difficult.

She disclosed that Hyderabad district was another high-risk area for HIV/AIDS in Sindh. Initially, Sindh’s AIDS Control Programme manager Dr Sikandar Memon had claimed 10,000 HIV cases were there in Sindh.

Police probe under way

In Larkana, a doctor, who himself tested positive for HIV during screening, has been arrested. He was accused by the Larkana deputy commissioner “of infecting 15 children” but health services director general Dr Masood Solangi disputed the DC’s statement and termed the doctor “insane”.

A case has been registered against the said doctor, but there is no explanation whether the 15 children were infected by him. Till May 3, 128 persons, out of 3,483, tested positive for HIV in Larkana, showing that the disease remains prevalent while health authorities are in a state of denial.

In response to a request of DIG Larkana Irfan Ali Baloch names of three senior professors — two from Dow University and one from the Sindh Institute of Urology and Transplantation (SIUT) — have been notified to assist the police in a probe against the held doctor.

The DIG, however, rejected the claim that the arrested doctor was “insane”. “We have found him normal,” he told Dawn.

Bodies like the Sindh Blood Transfusion Authority (SBTA), Sindh Healthcare Commission (SHCC) and the AIDS Control Programme apparently work in isolation. “We need to expand the scope of screening to other districts,” an SBTA official said.

The Sindh Health Care Commission (SHCC) is a relatively new set-up that became functional only last year. It has prepared a roadmap as to how to ban quackery besides improving quality healthcare in public and private sectors. It got 41 clinics sealed and issued notices to 100 for questionable practices in Larkana.

“In the last 70 years we have not been able to have the data of healthcare. We have planned geo-mapping of public and private healthcare establishments in Sindh through a questionnaire. Its trial run will begin in Karachi by mid-May,” said SHCC chief Dr Minhaj Qidwai.

He added: “There is a ‘rent-seeking behaviour’ among doctors in Sindh. The tendency among doctors to outsource their premises to dispensers results in increasing quackery. We will be having doctors’ registration re-verified with the Pakistan Medical and Dental Council.”

The SBTA’s task is to curb unsafe blood transfusion through unregistered blood banks. However, over the last several years it failed to make its presence felt effectively until it was headed by Dr Zahid Ansari. The authority had even declined to run German-funded blood centres in Sindh.

Now, it has got Dr Dur-e-Naz Jamal as its new head. She visited Larkana against the backdrop of HIV-positive cases and got some unregulated facilities closed.

The AIDS Control Programme has not been able to reduce HIV burden and it is not sharing correct statistics of the disease that may otherwise enable government to combat AIDS, lest it attains epidemic proportions in other parts of Sindh, too.

Govt outsources 53pc health facilities

According to one estimate, the Sindh health department has outsourced around 53 per cent of its health facilities. The PPHI owns around 90pc (1,135) of the basic health units (BHUs). Substantial number of rural health centres (RHCs) and taluka hospitals are outsourced. The health department practically deals with tertiary level, district headquarters hospitals and dispensaries.

Reports said that the World Health Organisation (WHO)-recommended kits for blood screening were not used even at the privatised health facilities.

“No third-party evaluation is done in respect of the BHUs so far run by the PPHI to see what qualitative change it had brought about. More facilities are privatised to other entities. The government paid Rs21 billion in three years to the PPHI. Why we are bent upon privatising our health infrastructure?” asked Pakistan Medical Association (PMA) general secretary Pir Manzoor.

The government has even outsourced one of four German-funded Regional Blood Centres (RBC) of Jamshoro to a private party. It was despite the fact that the Liaquat University of Medical and Health Sciences (LUMHS) had requested the Sindh government to hand the facility to it for safe blood supplies. But the government declined the offer.

The very RBC provides blood (packed cells) to a patient for Rs2,800-3,000, which is around 400pc more compared to the LUMHS’s current cost of Rs700 for the same blood.

Under the German funding, four RBCs were to be set up in Sukkur, Jamshoro, Benazirabad and Karachi. Out of Rs1.77bn funding, Sindh got a share of Rs637 million. Other provincial governments were running it in public sector universities.

“I think soon the Sindh health department will exist only on paper because we will have nothing to look after,” quipped a senior health source.

He said that while services were being privatised, the much-talked about change in the delivery of qualitative healthcare still remained a distant dream.

Published in Dawn, May 5th, 2019

Source link

[toldnews-blog]

New Post has been published on https://toldnews.com/world/metoo-in-india-the-women-left-behind/

#MeToo in India: The women left behind

Image copyright Puneet Barnala

Image caption Domestic maids and other women in India’s informal sectors are particularly vulnerable

India’s #MeToo campaign has taken off in fits and starts but it has still not touched the lives of millions of poor, vulnerable women who work in informal jobs, writes professor Sreeparna Chattopadhyay.

Meena (her name has been changed on request) is a 45-year-old domestic worker in the southern city of Bangalore. And she is a survivor of sexual harassment in the workplace.

She cooks and cleans in three different homes, earning around 6,000 rupees ($84; $64) a month. She used to earn nearly three times as much. But she lost her job in several homes after she accused one of her employers of sexually harassing her.

Bhanwari Devi: The rape that led to India’s sexual harassment law

Meena said the harassment started after she borrowed 100,000 rupees for her older daughter’s wedding from a couple in their early 70s. She had been working in their house for three years by then.

She alleged the man would initially try and brush past her while she was sweeping or mopping the floor. Sometimes, she said, he would try and touch her casually or even tug on her sari.

Image copyright Puneet Barnala

Image caption Scattered surveys of female workers in different parts of the country tell an incomplete but important story

His wife, Meena said, was often asleep and didn’t seem to know about her husband’s inappropriate behaviour.

Meena said she tried to resist his advances.

But one evening his wife locked herself in the bedroom and went to sleep. That day, she alleged, he grabbed her and tried to pull her onto the sofa.

Despite his age he was strong she said, but fortunately not stronger than her. She managed to push him away, and flee the house never to return.

Maid in India: Will new law help domestic workers?

Why India’s domestic help are joining job sites

Meena did not file a police complaint because she assumed no-one would believe her. But then the couple started pressurising her to return the money she had borrowed, failing which they wanted her to return to work to pay off her debt. At first, they threatened her over the phone. Then, she alleged, they sent men to her home to intimidate her.

The wife also blamed her for dressing “provocatively” and “tempting” her husband.

Image copyright Puneet Barnala

Image caption Given their economic and social vulnerability, informal workers are less likely to report offences against them

Meena said she was scared, depressed and did not know what to do. She could not pay off her debt in full and returning to work in their home was not an option.

In one of the other houses that she worked in, she felt comfortable enough to share her experience. This employer put her in touch with a domestic workers’ union and another organisation that works on violence against women in Bangalore.

The union representative spoke to the elderly couple and threatened police action if they did not stop harassing Meena.

Meena had some money saved and decided to use it to pay off as much of the debt as she could.

Image copyright Getty Images

Image caption Domestic workers’ groups have been protesting for years for more benefits

Her tribulations ended but she still struggles. Her daughter suffers from cerebral palsy and needs constant care, so she spends a significant portion of her savings taking her to school every day because she can’t walk by herself. She is entitled to a disability allowance from the government but the payments are not regular.

The incident also scarred Meena – she had nightmares, was afraid to take a job near the home of her previous employers and experienced shame and guilt.

Informal workers like Meena – women employed as domestic workers, construction labour, garment workers and vendors – make up 94% of India’s female workforce. But their experiences of sexual harassment or assault rarely come to light.

And data is also hard to come by – scattered surveys of female workers in different parts of the country tell an incomplete but important story.

Read more about the #MeToo movement in India

A 2012 study by Oxfam of formal and informal workers in eight Indian cities showed that 17% of women were sexually harassed at work – the most vulnerable being female labourers (29%) and domestic workers (23%).

A survey of domestic workers in 2018 in and around India’s capital, Delhi, found that 29% of them were sexually harassed at work.

These figures are low compared to studies from the formal sector where rates of reported harassment range from 88% in the BPO (Business Process Outsourcing) sector to 57% in the health sector.

But this is because given their economic and social vulnerability, informal workers are less likely to report offences. Even if they do, these cases may never lead to justice for the victims because they may be eventually withdrawn fearing reprisals.

Media playback is unsupported on your device

Media captionBollywood actress who began India #MeToo firestorm

There have been a few cases that have grabbed national attention.

In 2017 for instance, domestic workers and their families stormed a posh apartment complex in Delhi alleging that a domestic worker had been beaten up by her employers; in 2011, a Bollywood actor was convicted for raping his maid.

But these examples are few and far between.

The #MeToo movement in India, which was preceded by LoSha (a crowd sourced list of Indian male academics who allegedly harassed students or colleagues), has named several high-profile figures, including filmmakers, actors, artists and journalists.

But the face of #MeToo – both in India and globally – has been an urban, educated, articulate and privileged woman; the experiences of marginalised women are notably absent.

While some of the more critical voices have pointed to the fact that Dalit (formerly known as untouchables) women and poor women have been left out of this movement, these voices have remained on the fringe.

Image copyright Courtesy: Vividha

Image caption Bhanwari Devi (centre) was raped by upper caste men in 1992

This is ironic because it was the gang rape of a Dalit development worker, Bhanwari Devi, in Rajasthan state that led to India’s first law against sexual harassment at the workplace.

India’s sexual harassment laws mandate that in the absence of organisations, a Local Complaints Committee (LCC) headed by a district magistrate should address these complaints. But most cities or districts have no such committees.

The #MeToo movement in India has several supporters with social, economic and cultural capital and has now found a voice in mainstream media. But we are yet to see them aligning closely with informal workers’ rights groups.

It is time for us to move from #MeToo to #UsAll.

Sreeparna Chattopadhyay is a senior research scientist the the Public Heath Foundation of India.