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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_imgMASON CITY, Iowa – Mayor Bill Schickel declared a state of emergency in Mason City in response to the coronavirus (COVID-19). For information about Coronavirus (COVID-19), visit https://cghealth.org or https://masoncity.net. Effective Tuesday, March 17, 2020 the Charles H. MacNider Museum will be closed to the public due to the COVID-19 pandemic. The staff will continue to work and will be available to answer questions during this time via phone and email.  The Charles H. MacNider Art Museum will also discontinue youth and adult activities through April 10.  The ceramics studio will remain closed during this time, as well as the Imagination Playground.  Please follow the Museum online and on Facebook for daily art projects, lessons, and inspiration. The City Hall building will be closed to public access, suspending face-to-face and in-person payment transactions for the protection of residents and city staff. Specifically, City Hall will close at the end of the business day, Tuesday, March 17 and will remain closed until further notice. The Mason City Public Library closed to the public effective March 17 through March 28, 2020 (subject to change). The City of Mason City will continue to monitor the situation and make decisions that support public health and reduce spread of COVID-19. The public will be updated as needed. Listen back to today’s press conference via the audio player below: City staff in these buildings will continue to work and provide services to the public electronically, by phone, by mail, and when necessary, by appointment. At this time there are no confirmed cases of COVID-19 in Cerro Gordo County but the proclamation follows the Iowa Department of Public Health’s (IDPH) notification of community spread of the virus in Iowa and recommendation of the immediate implementation of mitigation measures to slow the spread of the virus.center_img From: Aaron Burnett, City AdministratorDate: March 17, 2020Subject: Mayor Schickel Declares State of Emergency in Mason City Utility Billing payment options during this period include:ACH (Automated Clearing House) and e-check automatic bill payments will continue as regularly scheduled.Payments can be made online at www.masoncity.net, click the ‘Utility Payments’ icon on the left sideChecks can be mailed to: Utility Billing, City Hall, 10 First Street NW, Mason City, IA 50401.Payments can be dropped at the drop box located just west of City Hall.Single use sanitation stickers will not be available to purchase at City Hall and instead will be available at area stores for purchase.Bus passes will not be available for purchase at City Hall until further notice. PROCLAMATIONWHEREAS, one of the most important responsibilities of City Government is theprotection of the citizens it serves; andWHEREAS, on March 9, 2020 a Proclamation of Disaster Emergency was issued tocoordinate the State of Iowa’s response to this outbreak and such disaster continues toexist; andWHEREAS, on March 13, 2020, President Donald J. Trump issued a proclamationdeclaring that the COVID-19 outbreak in the United States constitutes a nationalemergency; andWHEREAS, on March 17, 2020, Governor Reynolds issued a State of Public HealthDisaster Emergency; andWHEREAS, Iowa Department of Public Health and Governor Reynolds hasrecommended immediate implementation of several mitigation measures includingavoiding gatherings of events of more than 10 people, andWHEREAS,  Iowa Code and the Mason City City Code grants the Mayor powers inemergency circumstances when public danger exists to take extraordinary steps to protectthe public health and safety; andNOW, THEREFORE, I, Bill Schickel, Mayor of Mason City, Iowa do hereby proclaimthe following;I hereby determine that a state of emergency or public danger exists and direct that allgatherings of 10 people or more on public property or public right-of-way are herebyprohibited as of midnight tonight and any permits or permissions previously granted arehereby rescinded.This Proclamation of emergency and public danger is part of an ongoing response of theCity of Mason City to protect public health and safety and may be modified orsuperseded with more restrictive proclamations at any time as circumstances warrant.I further ask all citizens to follow the guidelines set out by Centers for Disease Control,the Iowa Department of Public Health, and Cerro Gordo Public Health.Whereupon I subscribe my name and the seal of the City of Mason City on this 17 th dayof March, 2020.___________________Bill Schickel, Mayor The Recreation Business Office located in Southbridge Mall will also be closed until further notice. The childcare services portion will remain open. The Call Center is operating from 8 am-4:30 pm, Monday-Friday for individuals with questions about COVID-19. The phone numbers are (641) 494-3546 or (641) 494-3547. Citizens can also call 2-1-1 for statewide information. Through this proclamation, Mayor Schickel is prohibiting gatherings of 10 or more people on public property or public right-of-way effective at midnight tonight and strongly suggests private gatherings of 10 or more people on private property should be avoided. The proclamation follows a statement last week encouraging social distancing. For information and questions related to City services and programs, please contact the appropriate City department or submit a request through the City’s Citizen Request Center at www.masoncity.net.last_img read more

first_imgARCADIA, Calif. (June 26, 2016)–In his 45th career start, venerable 8-year-old gelding Soi Phet rolled to the lead into the Club House turn and dictated terms throughout as he took Sunday’s $75,000 McCann’s Mojave Handicap by 2 ½ lengths while covering a mile and a sixteenth in 1:40.80–thus turning the tables on runner-up Avanti Bello, who defeated him by a nose in the one mile Tiznow Stakes here May 28.Breaking from the number three post position in a field of five California-bred or sired horses three and up, Soi Phet made the lead while well within himself and set fractions of 23.57, 46.75, 1:10.21 and 1:34.48.Called upon by Desormeaux with three sixteenths of a mile to run, Soi Phet responded eagerly and left Avanti Bello in his wake with a furlong to run.The 9-5 favorite, Soi Phet, who is by Tizbud and is out of the Siberian Summer mare Summer Jersey, paid $5.80, $3.20 and $2.10.“The half in 46 and change is pretty much his natural cruising speed, so if he can do it well within himself, I’ll take it,” said Desormeaux, who had piloted Soi Phet to three consecutive second place finishes. “This horse is a pleasure to ride, he knows what he’s doing out there.”As to what might be in store for his resident senior citizen, Powell said, “There’s some grass racing down at Del Mar for Cal-breds, but he’s eight years old now, so we’ll see how he comes out of this. Every year, if you look back, he does really well in the summer. This year, I won’t run him at all in the winter, just summer and early fall.”Avanti Bello, who was ridden by Rafael Bejarano, was second best on the day and finished 5 ½ lengths in front of El Huerfano. Off at 5-2, he paid $3.40 and $2.40.El Huerfano, who was ridden by Flavien Prat, loomed menacingly while three-wide around the far turn, but backed up readily when he straightened for home and finished three quarters of a length in front of Songforjohnmichael. Off at 7-2, El Huerfano paid $2.40 to show.last_img read more

first_imgRelated Posts A few days ago, we got a chance to talk about the state of blogging and social media in Germany with Marcel Weiß, the editor of Netzwertig.com – one of Germany’s most popular blogs. In the interview, Weiß told us that Germany is at least five years behind the U.S. when it comes to social media and its adoption by a larger part of society. Blogs are still considered to be suspect by a large part of the German public and have very little influence, and social news sites and aggregators attract very little attention. With regards to Germany’s Internet startup scene, Weiß argues that, with very few exceptions, most companies are also years behind the U.S. and just aren’t innovative enough to compete.Blogging in Germany: Five Years BehindWeiß argues that blogging and social media adoption in Germany is far behind similar trends in the U.S. and elsewhere in the world. Blogs are still considered suspect and have almost no influence over local or national politics. The mainstream media still likes to describe the Internet as a dangerous place, full of malware, porn, and scammers. While regular newspapers in Germany have also started to feel the pressure from the Internet (and every major German paper has a web site), the absence of a successful Craigslist-type site in the country has given the newspapers a longer lease on life than in America.Unlike the U.S., no political blog has the influence of American sites like DailyKos or Talking Points Memo, though a recent (and misguided) move by German politicians to censor the Internet in Germany in order to combat child pornography led over 130,000 German Internet users to sign a petition against this plan and galvanized the German Internet community in an unprecedented way. It remains to be seen, though, if this sudden rise in Internet activism in Germany will have legs, or if it will just fizzle out quickly. While political blogs in the U.S. also got a push during the Bush years when mainstream media outlets were generally seen as too close to the administration, German news outlets did not suffer from a similar pushback and most Germans still generally trust the mainstream media’s reporting and equate blogging with excessive over-sharers who write Internet diaries about their German Shepherds.In a post that created quite a stir in the German blogosphere (with a focus on blogging about economics), Felix Salmon argued that Germany’s culture was basically the antithesis of what blogging is all about. If this is true, then maybe there is really little hope for blogging in Germany in the near future, but at the same time, there are also a number of news blogs that are doing quite well (Netzwertig is one of them), and there are a lot of passionate German bloggers who are trying to change the current negative perception of blogs. The Absence of Social NewsUnlike in the U.S., the German blogosphere also doesn’t have large social news sites like Digg or Reddit to bring readers to blogs. With Yigg.de Germany has its own Digg clone, but it’s not only hampered by a rather unpleasant design, but even the top stories there hardly get more than 20 votes. In addition, a headline on Yigg or similar services like Webnews.de barely drives any traffic to a site.With regards, to blog monetization, things obviously also look equally bleak. Weiß told us that most companies still don’t quite get that they could find a very targeted audience on blogs – but of course, the fact that blogs are still struggling to find a large enough readership doesn’t exactly help matters here.StartupsTo some degree, the same is also true for the German startup scene, where, as Weiß argued, too many companies simply try to copy popular concepts that were developed elsewhere. The prime example for this is obviously StudiVZ, a blatant Facebook clone. Yet, while StudiVZ was able to quickly grow in Germany while Facebook was still ignoring most of the market outside of America, development of the site has now mostly come to a standstill and while Facebook is turning itself into a platform, the team behind StudiVZ has no interest in making any platform play whatsoever. Indeed, as Weiß told us, very few German startups are actually interested in the platform business and providing APIs for developers is still seen as unnecessary.That doesn’t mean that there aren’t some interesting and successful German startups, of course. Xing is a good example for a service that gets things right, and SoundCloud, a very cool music service based in Berlin is another one (though the founders are actually from Sweden). It’s important to note, though, that Germany never really had much of a startup scene and that there are a lot of cultural and bureaucratic barriers that would hold even some of the most determined founders from starting their own businesses. Outlook: Bleak – But With a Silver LiningThere are multiple reasons why blogging in Germany just isn’t taking off, but there is a chance that things might turn around this year. The upcoming election in Germany, for example, will give political blogs a chance to shine, especially if they manage to capitalize on the current discussion around Internet censorship. And while Twitter isn’t quite a mainstream phenomenon yet, the discussion around its use in Iran during the current controversy around the elections there, also brought Twitter into the spotlight in Germany.A number of Germany newspapers have also started to run blogs on their own sites, and with Rivva.de, the German blogosphere also has a very interesting meme-tracker that looks and feels similar to Techmeme and Memeorandum, and which provides a central focal point for the German blogosphere.Of course, in a piece like this, we can only touch upon a small number of examples and have to rely on some sweeping generalizations. Feel free to take issue with our (and Marcel’s) assessment of the German Internet scene and leave a comment.CC-Licensed image used courtesy of Flickr user Will Palmer. 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first_imgPanelo: Duterte ‘angry’ with SEA Games hosting hassles Cayetano: Senate, Drilon to be blamed for SEA Games mess Tyron Chan led CEU with 16 points, seven rebounds, and four steals.Sports Related Videospowered by AdSparcRead Next Duterte wants probe of SEA Games mess MOST READ MANILA, Philippines—SMDC-National University came back from a 19-point deficit and stunned Centro Escolar University, 74-67, in the 2019 PBA D-League Thursday at Ynares Sports Arena in Pasig.ADVERTISEMENT Don’t miss out on the latest news and information. Hontiveros presses for security audit of national power grid DA eyes importing ‘galunggong’ anew Private companies step in to help SEA Games hosting Trending Articles PLAY LIST 00:50Trending Articles00:50Trending Articles00:50Trending Articles02:42PH underwater hockey team aims to make waves in SEA Games01:44Philippines marks anniversary of massacre with calls for justice01:19Fire erupts in Barangay Tatalon in Quezon City01:07Trump talks impeachment while meeting NCAA athletes02:49World-class track facilities installed at NCC for SEA Games02:11Trump awards medals to Jon Voight, Alison Krauss Philippine Arena Interchange inaugurated LATEST STORIES Petron turns back Cignal, barges into PSL Grand Prix finals Dave Ildefonso sparked the comeback, scoring the Bulldogs’ last nine points in the fourth period as they notched their second straight win in the Foundation Group while snapping the Scorpions’ unbeaten start of six games.Issa Gaye finished with a double-double for SMDC-NU with 10 points and 15 rebounds including a crucial layup that gave the Bulldogs the 65-64 lead with 4:24 remaining,FEATURED STORIESSPORTSPrivate companies step in to help SEA Games hostingSPORTSPalace wants Cayetano’s PHISGOC Foundation probed over corruption chargesSPORTSSingapore latest to raise issue on SEA Games food, logistics“Two straight wins after the Holy Week but it’s been like three months that we’re suffering,” said Bulldogs head coach Jamike Jarin in Filipino. “I think it’s time for us to resurrect ourselves.”SMDC-NU kept their playoff hopes alive with a 2-5 record while the Scorpions dropped to 6-1. SEA Games hosting troubles anger Duterte View commentslast_img read more