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first_imgMar 10, 2009 (CIDRAP News) – US public health spending is very uneven from state to state and is eroding in the face of the economic recession, the nonprofit group Trust for America’s Health (TFAH) said in a report released today.State shares of Centers for Disease Control and Prevention (CDC) funds for disease prevention and other public health purposes averaged $17.60 per person in fiscal year 2008, but they ranged all the way from $12.74 for Indiana to $52.78 for Alaska, says the report by the nonpartisan health advocacy group based in Washington, DC.Meanwhile, state and local public health departments shed 11,000 jobs in 2008, said Robert (Bobby) Pestronk, executive director of the National Association of County and City Health Officials (NACCHO), at a press teleconference on the report today.”A survey by NACCHO and CSTE [the Council of State and Territorial Epidemiologists] found that another 10,000 public health jobs may be cut in the next year or two,” Pestronk added.Jeff Levi, executive director of TFAH, said overall public health spending, now about $35 billion a year, is about $20 billion short of what is needed.The report, titled “Shortchanging America’s Health: A State-by-State Look at How Federal Public Health Dollars Are Spent and Key State Health Facts,” was produced in cooperation with the Robert Wood Johnson Foundation.Uneven state sharesLevi said about 75% of the CDC’s budget is distributed to states and communities. For fiscal year 2008, those allocations totaled $5.35 billion, according to the report.”It’s a tiny fraction of what we spend on treating people after they become sick,” Levi said. “Our priorities are upside down.”By region, the Northeast and West received higher shares than the Midwest and South. State per capita amounts averaged $22.49 in the Northeast, $23.94 n the West, $18.43 in the South, and $17.69 in the Midwest.Levi said that for some programs the CDC just doesn’t have enough money to fund every state. “In most cases where states are on the lower end of the scale, it’s because there’s not enough funding to go around and it’s often up to the luck of the draw.” For example, he said only 22 states are funded for school health programs.Because the CDC has limited funds to distribute, it awards some money on the basis of a formula and the rest on a competitive basis, with the result that some states lose out, Jim Pearsol, chief program officer for public health performance at the Association of State and Territorial Health Officials (ASTHO), told CIDRAP News in an interview.The TFAH report shows that state shares of federal health funding streams other than from the CDC also varied considerably. Funds from the Health Resources and Services Administration (HRSA) ranged from $9.96 for Kansas to $70.75 for Alaska, averaging $21.43 per person overall. The national total for 2008 was about $5.72 billion.Allocations for hospital preparedness for public health emergencies averaged $1.43 per person but varied from 72 cents for New York to $2.15 for Wyoming, the report says. The money is distributed by the Office of the Assistant Secretary for Preparedness and Response (ASPR) in the Department of Health and Human Services. The total that went to states in 2008 was $361.6 million.The report also looks at state public health funding and shows wide disparities. It lists median state spending on public health at $33.71 per person, with a range all the way from $3.37 in Nevada to $172.21 in Hawaii. It notes that states allocate and report their budget in different ways and provide varying levels of detail, making comparisons difficult.Health budget cutsThe report says that at least 46 states are facing deficits in their 2009 and/or 2010 budgets.Pestronk said the state and local public health job losses last year and additional expected ones will have noticeable effects: “In the face of the Salmonella outbreak, restaurants won’t be inspected as frequently as they had been.” In addition, surveillance of infectious diseases will be reduced, and officials will sometimes have to decide between immunization and treatment programs, he said.A national survey of 2,422 local health departments in November and December found that more than half had either laid off employees or lost some through attrition, according to the report. It says that 44% of state health departments have a job vacancy rate of 10% or higher.Levi noted that the recently passed economic stimulus bill included $1 billion for public health. He said that includes $650 million for community disease prevention, $300 million to expand immunization programs, and $50 million to battle healthcare-associated infections.”We still don’t know the exact nature of the initiatives the administration will plug these funds into,” he said. The money will make a big difference, he said, adding, “It’s a critical investment but a one-time-only investment.”Pestronk said it appears that the immunization funds may be used mainly to buy vaccines, but NACCHO hopes the money can also be used to hire staff. “With the kinds of layoffs and cuts we’ve been talking about, the very staff needed to deliver the vaccines are being lost at the same time that funds are being made available to increase the supply,” he said.An analysis by TFAH and the New York Academy of Medicine concluded it would take a total of $55 billion to $60 billion a year, or $187 per person, to adequately fund public health, the report states. Levi said current spending totals about $35 billion.”Based on the current funding model, the federal government should provide 60 percent of this increase ($12 billion more than fiscal year 2005 dollars) and state and local governments should provide 40 percent of this increase ($8 billion annually),” the report says.It acknowledges that states and localities will find it tough to increase funding during the current recession, but suggests that they devise funding strategies to implement once the economy improves. Possible sources of new money include taxes on soda, candy, and tobacco products, it says.State officials’ viewsDavid Sundwall, MD, executive director of the Utah Department of Health, said he welcomed the essential message of the report but attached less importance to the state funding rankings. The report lists Utah as 39th in its share of CDC funding, at $15.73 per person.”Those of us who are state health officials are grateful that there are people looking at this because we’re convinced that public health in general is underfunded,” he told CIDRAP News. “In my view as state health officer, I wouldn’t consider the rankings as useful to me as the message. I’m not going to lose any sleep over the ranking but will use my voice to call for better funding for pubic health, as opposed to medical care and research.”At $2 trillion a year, US healthcare spending has gotten out of balance with the rest of the economy, Sundwall said, adding, “We’ve got to look at what we’re investing in the healthcare complex and get back into things that improve our health, and not just provide services.”Sundwall said he questions the utility of state rankings for health spending. He observed that in evaluations by the United Health Foundation, Utah consistently ranks high for general health indicators, but the state gets “dinged” for relatively low per capita spending on public health.”While I would welcome more money and we’d spend it wisely and well, I’m not sure it’s a fair indicator,” he said. “If I were a legislator and I saw our health rankings and some of the success we do enjoy, I’d probably put it into other competing causes.”Sundwall said public health in Utah is feeling the effects of the recession and resulting budget cuts, even though the economy there is better than in many other places.Last September the Utah Legislature cut $33 million out of the health department’s budget, and the new budget the legislature is working on now would take about another $40 million, he said. “That requires me to lay off people. . . . It’s a sad, hard time to be a manager and have to go through these retrenchments. But we also acknowledge that in this economy, the public sector has to carry some freight just like the private sector.”Craig Acomb, chief financial officer at the Minnesota Department of Health, raised questions about how fully the TFAH report reflects Minnesota’s spending on public health and its share of federal health dollars. The state ranks 40th in CDC funds received, 48th in HRSA funds, and 28th in ASPR funds.While acknowledging that he hadn’t studied the report, he said it probably does not reflect a statewide health improvement program, passed this year, that will provide $47 million over the next 2 years to battle obesity and tobacco use.Also, he said, “A lot of public health in this state is funded at the local level,” with 53 community health boards across the state drawing funds from property taxes. Further, he said the state receives other federal funds for public health purposes not covered in the report, such as Environmental Protection Agency money to protect drinking water.”Even though we may not get the most money from the CDC, we have some of the highest health indicators in our people, with some of the lowest rates of diabetes, infant mortality, obesity,” Acomb said. “We’re certainly making effective use of the resources that we have.”Pearsol, of ASTHO, said he thinks the report “resonates well with what the states are experiencing.” He commented that the wide variation in CDC allocations to states shows that the CDC itself is underfunded, and added, “It’s quite true that the recession is having a devastating impact on general revenue funds in states. . . . Those [public health] job losses are real losses.””The whole point that TFAH is making is that doubling the investment would be more akin to the need from a population-based health perspective,” he said.See also: Mar 10 TFAH news release with link to the full reporthttp://healthyamericans.org/report/61/shortchanging09last_img read more

first_imgThe Jakarta Police have uncovered a ring of alleged illegal mask manufacturers seeking to tap into the recent skyrocketing price of masks following fears of a global spread of the novel coronavirus. The Jakarta Police raided a warehouse in Cilincing, North Jakarta, on Thursday where investigators seized 60 boxes containing 3,000 masks. Local residents tipped off police about a building allegedly being used as a storehouse to hoard masks. The activity was the main cause of the increasing price of masks in the capital over the past two months, Jakarta Police spokesman Sr. Comr. Yusri Yunus said.The police later found that the warehouse was not only being used to stockpile masks but also functioned as a mask production facility. Investigators discovered that the company, whose name was not disclosed, could produce 850 boxes of masks every day.“The company was… LOG INDon’t have an account? Register here Google Facebook Log in with your social account coronavirus COVID-19 Jakarta-police mask North-Jakarta Topics : Linkedin Forgot Password ?last_img read more

first_imgImage Courtesy: Instagram(@virat.kohli)/APAdvertisement In his 12 year long international career, Virat Kohli has attained almost all possible achievements and broken numerous records. From three ICC ODI player of the year awards to becoming the fastest cricketer ever to score 20000 international runs, the commander-in chief-of Team India’s list of accomplishments goes on. Regarded as one of the greatest cricketers of all time, the superstar batsman has now become the first Indian to attain a staggering 50 million followers on Instagram!Advertisement Image Courtesy: Instagram(@virat.kohli)/APCurrently at 50.1 million followers, Virat Kohli is the first one from his country to achieve the record. Indian actress and singer Priyanka Chopra Jonas is the second most followed Indian celebrity on the website, at a follower count of 49.9 million. Superstar Bollywood actress Deepika Padukone is the third highest followed Indian on Instagram at 44.2 million followers. Superstar actress and Kohli’s better half Anushka Sharma is at 32.6 million followers.Upon reaching this stunning feat today, the Men in Blue skipper released a video on his official Instagram account to express his gratitude towards his followers, and added the caption: “5️⃣0️⃣ Million strong on @instagram 💪🏼. Thank you guys for all the love and support. 🙏🏼😇“. Check it out below-Advertisement View this post on InstagramAdvertisement 5⃣0⃣ Million strong on @instagram 💪🏼 Thank you guys for all the love and support. 🙏🏼😇A post shared by Virat Kohli (@virat.kohli) on Feb 17, 2020 at 10:45pm PST“Hi guys, so we have reached 50 million on Instagram. Its quite surreal, to know that so many people love and support me and they admire what I do,” the 31 year old said in the video.“So yeah, I’m feeling very grateful, very thankful and God’s been kind and thank you so much for all the love and support over so many years, I really, really appreciate it.” he added.Kohli is very active on his social media handles, with regular posts across his official Instagram, Twitter and FaceBook accounts. He has 932 posts on Instagram since joining theCurrently, Kohli is the 46th most followed human on Instagram, one place below the legendary Brazillian footballer Ronaldinho who is at 51.3 million followers. The list is topped by none other than Cristiano Ronaldo, who crossed an astounding follower count of 200 million last month, and is currently at 204 million followers.However, Instagram’s own account is the highest followed on the photo sharing platform, with a stellar 333 million followers. Also read-Read which milestone Cristiano Ronaldo becomes the first human being ever to reach! Advertisementlast_img read more

first_img“We have made many early season mistakes but learn everyday,” Mace added.The lone games have come against Mead Panthers of Spokane.LVR,0-5 to start the season played a doubleheader against the Spokane powerhouse in mid-March.The Bombers travel to Priest River, Idaho for its next game Tuesday (April 9).To help offset the expensive costs of travelling the Bombers joined forces with Scotia Bank employeesto raise more than $3900 during a car wash fundraiser March 24 at the Nelson Car Wash on Nelson Avenue.Following the Nelson tournament, the Bombers have two road trips to Grand Forks and Lethbridge, Alta., to conclude the spring high school season. The boys of summer have began quest for the Major League Baseball title and so have the L.V. Rogers Bombers on the High School Baseball circuit.The Bombers have been playing teams south of the 49th parallel to prepare for the annual LVR Invitational April 19-20 at Queen Elizabeth Park in Fairview.”So far the only days the team has been outside on a field is when we have played in Spokane,” said Bomber head coach Ron Mace.last_img read more

first_imgThe team of Diony McArthur and Loretta Bulfone fired a round of 82 to capture the Low Gross prize at the recent Tournament of Roses at the Granite Pointe at Nelson Course.The Tournament of Roses is an 18-hole team affair with players playing with a partner to determine the top winner in Low Net and Low Gross categories. McArthur and Loretta Bulfone edged out the Granite Pointe duo of Dorothy Garland and Sue Moisey by one stroke for the Low Gross title.Morven Douglas and Rose Donaldson of Granite Pointe finished third at 86.Granite Pointe pair of Tammy Avis and Sherry McIvor won the Low Net title with a round of 64.The score was one shot better than Myrna Bauline and Kim Soon Im.Bev Poole and Laurie Hepple took third with a 68.The tournament scores were very close, highlighted by ten tie-breaking situations.  FLIGHT ONE WINNERS     First Low Gross – Dorothy Garland and Sue Moisey ( 84 )     First Low Net – Myrna Bauline and Kim Soon Im ( 65 )     Second Low Gross – Morven Douglas and Rose Donaldson ( 86 )     Second Low Net – Bev Poole and Laurie Hepple ( 68 )     Third Low Gross – Roma Crispin and Carol Reay ( 87 )     Third Low Net – Shirley Wolbaum and Lynne Foster ( 68 )     Fourth Low Gross – Ann Renee Pettyjohn and Michelle Palm ( 91 )     Fourth Low Net – Becky Allen and Sherry Hartridge ( 71 )  FLIGHT TWO WINNERS     First Low Gross – Ruth O’Bryan and Kathy Tencza ( 91 )     First Low Net – Marcia Marinas and Loril Harding ( 66 )     Second Low Gross – Kathy King and Barb Pyett ( 96 )     Second Low Net – April Biscaro and Darlene Jones ( 67 )     Third Low Gross – Gerry Mowatt and Bev Stevens ( 96 )     Third Low Net – Lynne Cranna and Roxy Stevenson ( 68 )     Fourth Low Gross – Gwen Acres and Karen McGinnis ( 98 )     Fourth Low Net – Ann Smithson and Lorraine May ( 68 )last_img read more

first_imgARCADIA, Calif. (Dec. 29, 2016)–Fingers crossed, there will be plenty of fireworks on New Year’s Day at Santa Anita, as Breeders’ Cup Classic Champion Arrogate was entered this morning to run in Sunday’s Grade II, $200,000 San Pasqual Stakes at 1 1/16 miles, which will serve as a tune-up for an epic rematch at a mile and one eighth with California Chrome in the inaugural $12 million Pegasus World Cup Invitational Jan. 28 at Gulfstream Park.The San Pasqual, for 4-year-olds and up, will be run for the 80th time on Sunday and has traditionally served as a steppingstone to the Grade I Santa Anita Handicap in March. This year’s San Pasqual has attracted a field of five, and trainer John Sadler’s Accelerate, trainer Phil D’Amato’s Midnight Storm and trainer Cliff Sise’s Prospect Park would all appear to be contenders for the trifecta.Third, beaten 4 ¼ lengths in the Grade I Breeders’ Cup Dirt Mile here Nov. 4, Hronis Racing’s Accelerate will hope to make his presence felt late, while Midnight Storm, who comes off a rousing gate to wire triumph in the Grade III, 1 1/8 miles Native Diver Stakes at Del Mar Nov. 27, has never been better and can be expected to contest the early lead with Rafael Bejarano up.Pam and Martin Wygod’s 5-year-old Prospect Park, a graded stakes winner on turf and a multiple graded stakes placed runner on dirt, has been idle since running a solid second in a seven furlong main track allowance on Dec. 1 at Del Mar and can be expected to be on or near the early lead as he adds blinkers on Sunday under Norberto Arroyo, Jr. Prospect Park–Norberto Arroyo, Jr.–120Accelerate–Tyler Baze–125Dalmore–Kent Desormeaux–122Midnight Storm–Rafael Bejarano–125Arrogate–Mike Smith–125First post time on New Year’s Day at Santa Anita is at 12:30 p.m. Admission gates will open at 10:30 a.m. For scratches, changes and complete morning line information, please visit santaanita.com. ARROGATE: Trained by Bob Baffert and owned by Juddmonte Farms, this soon to be 4-year-old son of Unbridled’s Song rendered the racing world spellbound with a record shattering win in Saratoga’s iconic Grade I Travers Stakes on Aug. 27, as he won gate to wire by 13 ½ lengths while covering a mile and a quarter in 1:59.36–his final quarter mile accomplished in 23.84! Baffert then trained Arrogate up to the BC Classic at Santa Anita on Nov. 5 and he responded with a devastating stretch run under Mike Smith, reeling in California Chrome late en route to a convincing half length win. A true physical specimen, Arrogate, following a third place maiden finish in his debut at Los Alamitos April 17, has rattled off five consecutive victories, with three of them coming at The Great Race Place. With Smith set to man the controls for the third consecutive time, Arrogate enters the San Pasqual with five wins from six starts and earnings of $4,084,600. THE GRADE II SAN PASQUAL STAKES WITH JOCKEYS AND WEIGHTS IN POST POSITION ORDERRace 8 of 9                                                                                                          Approximate post time 4 p.m. PDT BAFFERT SUPERSTAR TO PREP FOR REMATCH WITH CALIFORNIA CHROME JAN. 28 AT GULFSTREAM PARKlast_img read more