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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

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first_imgAdvertisement Metro Sport ReporterWednesday 6 May 2020 3:25 pmShare this article via facebookShare this article via twitterShare this article via messengerShare this with Share this article via emailShare this article via flipboardCopy link189Shares Comment Henrikh Mkhitaryan sends clear message to Arsenal over his future Advertisement Mkhitaryan was shipped out on loan at the start of this season (Picture: Getty Images)Henrikh Mkhitaryan has made it clear he doesn’t plan on returning to Arsenal and instead wants to make his loan move to Roma permanent in the next transfer window, according to reports in Italy.The Armenian was sent out on a season-long loan to the Serie A side at the start of the campaign after being deemed surplus to requirements at the Emirates Stadium.Despite missing large portions of the season through injury, Mkhitaryan has registered six goals and three assists in just 13 league appearances.His excellent form prompted Roma manager Paulo Fonseca to declare his interest in keeping the 31-year-old at the club after his loan deal expires.AdvertisementAdvertisementADVERTISEMENT‘I want him to stay and he also wants to stay,’ Fonseca told Russian TV programme Great Football last week.‘However, it should be clear that everything is now on hiatus, and we’ll have to talk to Arsenal.‘I want to continue working with him because he’s a great player and a great man.’ Mkhitaryan may not be in Mikel Arteta’s plans (Picture: Getty Images)And according to Italian outlet Corriere dello Sport, Mkhitaryan had the following message for Arsenal when asked about his future plans: ‘My time in London is over, I hope you manage to find an agreement with Rome because my desire is to stay.’The report also states that the Gunners have lowered their asking price for the midfielder from €25.2m (£22m) to around €10m (£8.7m).More: Arsenal FCArsenal flop Denis Suarez delivers verdict on Thomas Partey and Lucas Torreira movesThomas Partey debut? Ian Wright picks his Arsenal starting XI vs Manchester CityArsene Wenger explains why Mikel Arteta is ‘lucky’ to be managing ArsenalThe 31-year-old’s agent, Mino Raiola, is mediating the deal between the two clubs and is said to have explained to Arsenal that selling Mkhitaryan for a more affordable price is a better option than paying his wages to just sit on the bench.The Gunners have also been strongly linked with a move for Atletico Madrid midfielder Thomas Partey, who has a release clause of £43.5m.However, club head of football Raul Sanllehi told staff not to expect any mega-money moves this summer as finances will be severely affected by the ongoing coronavirus crisis.MORE: Mikel Arteta tips Kieran Tierney to become ‘special’ at ArsenalMORE: Atletico Madrid star Thomas Partey warned Arsenal transfer could ‘destroy’ his careerFollow Metro Sport across our social channels, on Facebook, Twitter and Instagram.For more stories like this, check our sport page.last_img read more

first_imgWashington Times 28 Sept 2013Spanking has become taboo in many communities, and the favored method of discipline for unruly children across the country has become the time out. However, when children, especially those troublesome toddlers in the “terrible twos” start disobeying, many parents first result to yelling to communicate their displeasure. A new study conducted at the University of Pittsburgh and published in the journal Child Development finds that yelling at children may be as harmful as hitting.While this may come as a shock to parents, the study finds that children who were frequently yelled at, called names like “lazy,” or cursed at suffered even if the rest of the parent-child relationship was warm and stable. The effects of the negative language were not as visible as physical abuse to the average person, but rather the problems were more emotional and behavioral.Children whose parents reported using harsh language with their children experienced higher behavioral problems in the following year than children who parents did not yell. These children showed increases in the following year in fighting with peers as well as with their parents, doing poorly in school, lying and showing signs of depression. Surprisingly, these effects were the same as with children whose parents used spanking or pushing as a physical discipline approach.While the study group was composed of adolescents ages 13-14, the principles can still be applied to young children. The study said that yelling had such a negative impact because of the developing self-image, and it makes them feel incapable and hurts their self-image.Young children also are developing an important sense of self during the trouble time of toddler-hood and pre-school when they are trying to exert their independence and explore the world around them in new ways. If yelling has such negative consequences on older children who are developing into young adults, think what it can do to the self-esteem and confidence of a young child. The potential is for it to set up a negative cycle of failure and discipline problem for years to come.http://c.washingtontimes.com/neighborhood/parenting-first-time-through/2013/sep/28/yelling-children-harmful-hitting-new-study-finds/last_img read more

first_imgWEST HARRISON, Ind. — An early morning accident claims the life of a Lawrenceburg man.According to the Dearborn County Sheriff’s Department, around midnight, Matthew Schemer, 35, was traveling on Harrison-Brookville road near West Harrison, when for unknown reasons, he traveled off the roadway, overcorrected, and lost control of the vehicle striking a utility pole.When officers arrived on scene, firefighters had already extricated Schemer from the vehicle and had him loaded in the ambulance.Schemer was transported to the hospital where he pronounced dead.Investigation of the accident is still ongoing.last_img read more

first_img Loading… Dutch legend, Wesley Sneijder, is dusting off his boots to come out of retirement at the age of 36. According to RTV Utrecht, The former Real Madrid and Inter Milan star is set to begin training with amateur side DHSC on July 27 in the Netherlands. The Holland hero will build up his fitness with the fifth-tier side based in Utrecht. He quit the pro game back in August after finishing his career with spells at Galatasaray, Nice and Qatari outfit Al-Gharafa. His decision to come out of retirement comes just weeks after old international team-mate Arjen Robben sensationally performed his own career U-turn. Robben, also 36, made an emotional return to boyhood club FC Groningen, the side where he started his career, after being persuaded to make the move by his wife. Sneijder, capped a record 134 times by his country, is believed to be interested in a return to top-flight football with FC Utrecht in the Eredivisie.Advertisement He has a great relationship with the club and the former playmaker is often spotted at Stadion Galgenwaard watching home games from a box. Sneijder was born in Utrecht but never played for his hometown team, instead of bursting onto the scene via the Ajax academy. But that could be set to change as technical director Jordy Zuidam admitted the club are interested in a deal provided Sneijder is in good shape. read also:Sneijder: Inter Milan can win Coppa The midfielder has piled on the pounds in retirement and recently spoke about his booze hell as vodka became his “best friend”. He confessed to becoming a party boy in the Spanish capital and has seen two marriages collapse amid his battle with the bottle. FacebookTwitterWhatsAppEmail分享 last_img read more

first_imgRelatedPosts COVID-19: NCAA to revoke erring airlines licence over non-compliance FRSC to Schools: We’ll arrest, prosecute drivers who flout COVID-19 rules Sanwo-Olu: We’re committed to fulfilling promises to Lagosians Abia Warriors goalkeeper Charles Tambe is currently receiving treatment at the University College Hospital, Ibadan after he was shot by thugs on Friday. Tambe returned to Ibadan to reunite with his family following the suspension of the Nigeria Professional Football League due to the coronavirus pandemic. The Club on its Twitter handle: @AbiaWarriors, said: “Our Goal Keeper Charles Tambe was shot this morning by hoodlums in Ibadan. “Tambe is in the hospital at UCH in Ibadan, receiving treatment. “Our Club management is following up on the tragedy. We will keep you updated.” According to the statement issued by Abia Warriors’ Sporting Director, Patrick Ngwaogwu, the former Shooting Stars and Lobi Stars goalkeeper was shot on his way for his morning exercise routine. “He is not a rascal. He went for his morning walk out at about 07:00 this morning in Apata area, Ibadan where he stays with his family,” Ngwaogwu said. “They accosted him and collected his wristwatch and handset. And shot him on the hand. “He is presently in UCH, receiving treatment. The club is very much on top of the situation.” Tambe joined the Umuahia-based outfit last September, and he recently appeared in a video posted by the club urging fans to stay safe amid the COVID-19 pandemic.Tags: Abia Warriors FCmCharles TambeCOVID-19Nigerian Professional Football LeaguePatrick NgwaogwuUniversity College Hospitallast_img read more

first_img Thanks to their seventh-place finish under David Moyes, United did not qualify for Europe last year for the first time in almost a quarter of a century. United have been well behind their rivals in the transfer market this summer too despite the appointment of manager Louis van Gaal. Press Association New boys Luke Shaw, Ander Herrera and Marcos Rojo all have potential, but they are currently not in the same league as the likes of Cesc Fabregas, Toni Kroos and Diego Costa, who have all gone to United’s rivals in the transfer window. More signings are expected before the window shuts, but former Red Devils striker Cole thinks United will struggle to sign the very best players. “I know a lot of people have been complaining about the club not bringing enough players in, but it gets tougher when you don’t have European football because if you want to try and bring in the best, you have to entice them with European football,” said Cole, who was speaking at the launch of Manchester United and Apollo Tyre’s Go The Distance Pitch at Old Trafford. “Like it or not, every top player wants to play in Europe, and this year we aren’t playing in it.” Cole’s former team-mate Paul Scholes said he thinks the club needs to sign five new players to stop them slipping into the “wilderness”. United have been linked with a number of other players, including Angel di Maria, Kevin Strootman and Daley Blind. And Cole believes reinforcements are required quickly. “I think we need to buy more players,” said the former United hitman, who scored 121 times in 275 appearances for the club. “We need to improve competition for places. If you are going to get stronger you need to buy players. “And if you want to finish in a higher position you have got to bring in better players. “You have to make sure your football club does that. I think it has been tough for them.” Cole enjoyed a glittering six-year spell at Old Trafford, winning the Barclays Premier League five times as well as the Champions League. Despite last weekend’s defeat to Swansea, the former England frontman believes Van Gaal will enjoy a successful debut season at Old Trafford. Cole even thinks the title is not beyond United’s reach this term. “Nothing is above Manchester United,” he said. “Many years ago Alan Hansen said you’ll never win anything with kids and we won the Premier League that year. Anything is possible.” Andrew Cole thinks the best players in the world will not want to sign for Manchester United while they are out of the Champions League. last_img read more

first_img… will join elite ranks including Hooper, Harper, GibbsBy Clifton RossJAGUARS bowling wizard Veerasammy Permaul could be the next Guyanese spinner to achieve 500 first-class wickets, thus joining an elite panel of legends to achieve such a feat.With 486 wickets from his 113 Regional 4-Day games played, to date, the 30-year-old is among the leading bowlers in the Region and one of the most successful spinners to come from Guyana.Heading into today’s start of the 2020 Regional 4-Day tournament, Permaul could easily break the 500-wicket mark, given his customary knack of taking a number of wickets, coupled with his personal record his 26 5-wicket and 5 10-wicket career hauls.The out-of-favour Windies Test/ODI bowler ended a modest last season with 42 wickets from the 10 rounds played, second overall behind leading wicket-taker Rakeem Cornwall (54). With just 14 needed to reach 500 wickets, it is likely that the former Guyana skipper could join the ranks of some of Guyana and West Indies’ most legendary bowlers in no time.The Berbician is already miles ahead of the contemporary spin duo of Neil McGarrell and Mahendra Nagamootoo, both of whom represented Guyana and West Indies with much pride and passion during the 90s into the 2000s.Nagamootoo, the leg-spinner ended with 370 wickets from his 102 1st class matches played while McGarrell, a left-arm spinner, similar to Permaul, ended with just 276 wickets from 84 games.Already Guyana’s most successful spinner within the last 5 years, Permaul’s rampage over the past few seasons has also allowed him to surpass spin-partner in Devendra Bishoo, who currently sits on 382 wickets and could be another Guyanese to end with a career 500 victims before he hangs up the boots.Going into the archives of the spin-bowling legends, however, Permaul has even managed to eclipse former Guyana and Windies off-spinner Clyde Butts.Butts, who played 7 Tests for the West Indies in the 80s, snapped up 348 wickets at the Regional first- class level.Despite his annual returns of 40 wickets or more, dating back to the last 5 seasons, the former Windies Test spinner now eyes elite company as he approaches the magical 500 tally. Should he reach his landmark, Permaul will sit among the likes of Carl Hooper, Lance Gibbs and Roger Harper as the other spinners to have 500 or more wickets at that level.Hooper, a former Guyana and Windies all-rounder, yielded 555 1st class wickets from his right-arm off-break when he ended his career. Harper, Guyana’s ex-captain and one of the premier limited overs off-spinners during the 80s, ended with 146 international wickets; 46 from Test and 100 from ODIs.Harper, the current Windies Chief Selector captured 567 wickets from his 200 games played. Meanwhile Gibbs, arguably Guyana’s greatest spinner and the first bowler to reach 300 Test wickets, wreaked havoc during his days in operation as he bagged a whopping 1 024 wickets by the time his playing days were over in the 70s.Outside of the legends, Jamaica Scorpion’s Nikita Miller (538 wickets) and former Windies and Windward Volcanoes off-spinner Shane Shillingford (572 wickets) who was banned from bowling domestically in January of 2019 for illegal action; are the only two active spinners leading Permaul with regard to wickets taken.Meanwhile, given Permaul’s youth and being one of the fittest players in the Jaguars squad and Caribbean, it is likely that the Guyanese spin ace will find himself in the 500 Club by the end of the 2020 first-class season.last_img read more

first_imgReacting to the NFF ‘ no promotion, no relegation,’ decision, he said that, it was the wisest way to go, adding that it would give everybody the motivation and strength to move forward for the next season.‘Importantly, though, we are playing in the Nationwide League, as a young club, our primary objective is to expose our players to competitive football starting from the bottom, and if you have been following the club progress you know where our future is. Most remarkable, we are ready to keep creating opportunities that will add value to the society and better the world,’ Gonzalo Dibiasi explained.Commenting on the club’s achievement and readiness for the next season, the club’s spokesperson, Ms. Ekamen Wushishi, said as a young club, FC Bulmaro, had taken part in youth club competition in Barcelona, Spain, playing with the kids of global football giants and beating a few of them. We missed this year’s tournament due to the global pandemic. We are ever ready. Our players are young, full of energy and very focused. It is always the joy of our stakeholders to see them do exploit. It is the only club from this part of the world that is participating in the championship.‘We do not wish to sound boastful, no team in the cadre is our match in anyway. Our drive and bond is solely pulled towards changing lives of those who genuinely cross our path. For us to achieve this goal we are open to partnership that would be of immense value to our young population, ‘ she said.She also revealed that a prominent foreign body was meeting with the promoters of the young team seeking ways to ride on the back of the club, as a platform to develop and empower young football talents in the country from the grassroots.This development the club stakeholders believe would surely change the football industry for the better and inspire effective leadership in the game of football in the country.Share this:FacebookRedditTwitterPrintPinterestEmailWhatsAppSkypeLinkedInTumblrPocketTelegram By Kunle AdewaleHead Coach, FC Bulmaro, Gonzalo Dibiasi has hailed the Nigeria Football Federation, NFF on its decision over the possibility of starting a new football season in September.Dibiasi commended the NFF for its boldness and unshaken commitment to ensure that a new season begin as stated after a long rest because of the global pandemic which has affected the sporting world.last_img read more