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2020.02.12 20:12 stebany CoronavirusUS

USA/Canada specific information on the coronavirus (SARS-CoV-2) that causes coronavirus disease 2019 (COVID-19)
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2015.04.15 20:20 PHealthy Infectious Disease News

Outbreaks, publications, cases, any infectious disease news.
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2008.01.25 08:12 conspiracy

This is a forum for free thinking and for discussing issues which have captured your imagination. Please respect other views and opinions, and keep an open mind. Our goal is to create a fairer and more transparent world for a better future.
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2024.05.16 00:16 Flu_Killer #avianflu #AvianInfluenza #H5N1 #unitedstates đŸ‡ș🇾 Bird flu virus possibly found in a handful of wastewater sites, CDC says

https://www.nbcnews.com/health/health-news/bird-flu-virus-may-found-handful-wastewater-sites-cdc-says-rcna152148
submitted by Flu_Killer to grippeaviaire [link] [comments]


2024.05.16 00:02 Pas-de-Chat Questions for Dairy Farmers about Avian Influenza

Greetings all. A few hopefully respectful questions from a non-farmer, and a mostly plant-based eater.
I have been on a bit of a personal journey to understand more about our food system. Most modern humans outside of farmers and ranchers are entirely separated from the production of both the plants and animals they consume, and this disconnect IMHO is a primary source of societal behavioral distortions and negative impacts that we are seeing all around us -- to human health, to the environment, to animals, & even to our own spirits/morality.
Anyway, long intro, but as a part of this journey I have been following the news on avian influenza. I live in a county in Northern California with deep ag roots, and where we had a major outbreak of avian flu last year.
Then, there came the recent news that avian influenza viral particles have been found in 20% of the milk supply out there on the shelves. I find this pretty alarming...
Even if pasteurization prevents the virus from being viable and makes non-raw milk products "safe" to consume, this striking announcement does mean that avian flu is now spreading - potentially extensively - in the US dairy cow population, not just in poultry farms. Killing the virus in the final product meant for human consumption does nothing to negate the issue that the virus is spreading out there at dairies, and very likely increasing.
Given that the mortality rate of avian flu for humans among known cases in past outbreaks was around 50% (that comes from a WHO publication) it feels like we are playing with fire here.
It's like we haven't learned any of the lessons from the past pandemic -- about better monitoring, reporting, and communicating to the people. Given the average person's lack of agency around their food sourcing, we are expected to trust our regulators, as well as those who are producing our food. But it is not clear the political and personal economic interests operating in the market align with broader public health. Even more troublesome is that we haven't seemed to learn our lesson about the power of zoonotic viruses to seriously f*ck with us if they have the opportunity to mutate.
The more animals out there that are infected (be they cows, farmed birds, wild birds, whatever), and the closer these animals are to each other both physically and genetically (as what happens in industrial animal ag) -- then the chances increase for the avian flu virus to mutate into something much more dangerous. It could become something that more easily hops to humans, it could become deadlier for animals or humans, or even possibly all of the above, god help us.
I have spent a little bit of time on the USDA, CDC, and FDA websites related to avian flu, and I am disappointed & shocked at how little public information about infected cows and herds is available. All that is provided is the state, the type of animal infected, and the date the testing was confirmed by the feds. And what information is there most likely has a significant delay - given all of the bureaucratic hurdles and procedures around testing and reporting and whatnot.
***** Which brings me to my three questions for you milk producers. (Thank you if you have read this far, and thank you in advance for whatever you feel like sharing.)
  1. Testing & Reporting: There is a recent USDA order requiring avian flu testing of dairy cows that are moving between states. But, at least at the federal level, there are no mandatory testing requirements if cows are not being moved from state to state. Also, as I read it, testing isn't even mandatory if a cow appears sick -- in that case the language the USDA uses is around recommended testing and biosecurity guidelines. (I assume that many states have added their own layers of requirements in addition to the Federal, so this is where I need help.).
So, my question here is about what actually happens on the ground, how avian flu testing and reporting happens for the dairy farmers here. Do you voluntarily test periodically? Do you live in a place that requires it? How does reporting work?
  1. Disposal of Infected Milk: Given that milk that has been contaminated by avian flu can't technically be sold, I assume that it in an ideal world it is first pasteurized and then disposed of. Because if it were to be dumped in the environment, it has the potential to be a major vector for the spread of avian flu to lots of other kinds of animals. There are reported cases of other animals dying that drank raw milk infected with avian flu. The USDA, again, like the testing issue, does not require how milk should be disposed of -- it just has recommendations.
So, what do you (or others in your industry) do with infected milk? Do your states have additional requirements the USDA does not?
  1. Overall Industry Feelings about Avian Flu: Finally, I am curious what people who are working in the dairy industry feel about avian flu. Is there increasing concern? Does what I wrote above resonate, or do you think I am overreacting?
Thanks again...
submitted by Pas-de-Chat to dairyfarming [link] [comments]


2024.05.15 22:35 WCInvestor A Physician Disability Insurance Primer - Do You Really Need It?

A Physician Disability Insurance Primer - Do You Really Need It?
The greatest financial risk for physicians is losing the ability to turn the knowledge and skills you spent a decade learning into a huge pile of money by working in your profession for decades. There are risks that could show up in your life that would prevent you from being able to accomplish this task. One of the most common of these risks is an extended or even permanent disability. Insurance companies estimate that as many as one in seven doctors will be disabled at some point during their career. While many imagine this will occur in a sudden traumatic accident, medical illness is actually a more common cause of disability that prevents a doctor from working. Physician disability is a complicated type of insurance. This post will give you the “must-know” information to secure the best protection and help you avoid common disability insurance mistakes.

TL;DR: Key Takeaways: What Doctors Need to Know About Disability Insurance

  1. The best Disability Insurance policy is an individual, portable, own-occupation, specialty-specific policy.
  2. Purchase disability insurance from an independent agent who can show you policies from all of the major companies. We have a list of recommended Disability Insurance agents used by thousands of white coat investors each year.
  3. Buy as much disability insurance as they are willing to sell you as a resident. Include a future purchase option (sometimes called a “benefit purchase rider” or “future increase option”) and a cost of living disability insurance rider.
  4. As an attending, increase your coverage to cover both your living expenses and retirement savings if you were to work to age 65.
  5. You may get sticker shock, but the reason disability insurance is expensive is that it actually gets used. Slightly more than 1 out of 4 adults will experience a disability before they retire. Physician disability insurance agents often use a figure of 1 out of 7 doctors actually using the disability insurance they purchase. Whatever the true statistic may be, it's certainly high enough to insure against.
Do not take the risk of not having disability insurance.

What Is Disability Insurance?

Disability insurance gives you an income to live on if you become so disabled that you can no longer work.
If you become disabled, a long-term disability insurance policy pays a predetermined amount each month until you either recover from your disability or reach age 65-67. (Note: Policies vary. It is possible to buy a policy that pays to age 70 or even, for a very high premium, until death).

Why Do Physicians Need Disability Insurance?

One out of seven doctors end up having to use their disability insurance. Losing the ability to turn the knowledge and skills you spent a decade learning into a pile of money by working in your profession for decades is one of the most expensive risks that physicians face. Your most valuable asset is your ability to work.

How Does Disability Insurance Work?

Disability insurance is a pretty straightforward proposition. You buy a policy and pay your premium monthly or annually. If you become disabled, you (and your doctor) fill out the paperwork to prove it to the satisfaction of the insurance company and then they pay you the promised monthly benefit until you either recover from your disability or the insurance company meets its contractual obligation to pay the benefit.

Short-Term vs. Long-Term Disability

Disability insurance is most commonly divided into short-term and long-term.

Short-Term Disability

A short-term disability policy generally begins paying just as soon as you get disabled and then pays for a maximum period of 3-24 months. These policies are often provided by an employer as an employee benefit. Short-term disability, while inconvenient financially, is not generally a financial catastrophe for a physician saving for retirement with an emergency fund. As a result, many doctors do not buy short-term disability policies at all.

Long-Term Disability

A long-term disability policy generally does not pay immediately, but only begins to pay after a waiting period ranging from 1-24 months (typically 3 months). Then, the policy will continue to pay you a benefit each month until age 65, 67, or 70, depending on the policy. Note that a 3 month waiting period typically means your first check won't come until the end of the first month after the 3 months, so it's really a 4 month waiting period. Since losing your ability to earn a living for the rest of your life is a financial catastrophe, any doctor who is not financially independent should buy a long-term disability insurance policy.

What Does Disability Insurance Cover?

Disability insurance covers all kinds of disabilities. The best (and unfortunately most expensive) policies cover the widest range of potential disabilities.

The Definition of Disability

The most important feature is the definition of disability. Disability insurance differs from life insurance in numerous ways, but none is more significant than in defining exactly when you become disabled (and when you become enabled again). The broader the definition of disability you get in your policy, the more the policy will cost.
Unlike life insurance, where life and death are pretty black and white, disability has 50 shades of gray. You want a policy with a strong, broad definition of disability that will cover any possible type of disability? That means “true own-occupation, specialty-specific” and no limitations on things such as psychiatric conditions or addictions. This is the main difference between the “Big 5” companies and others. Even among the “Big 5,” there are slight differences. It is OK not to purchase the policy with the very best definition of disability, but the weaker the definition, the bigger the discount you should expect.

Own-Occupation, Specialty-Specific

Probably the most important aspect of the definition for doctors is that it be specific to your occupation. For instance, if I lost my left thumb, there are a number of procedures in emergency medicine that I could no longer do. I would be completely disabled from managing a busy emergency department by myself. But I could probably still go do urgent care work. A specialty-specific definition of disability in my policy would provide me with my full disability payments in addition to the money I make at the urgent care. Sometimes, the “specialty-specific” clause is inherent to the policy, and at other times it is an additional rider (a piece of paper added to the policy for which you pay an additional premium). Either way, you almost surely want to get this in your policy. Here are the various definitions, starting with own occupation and progressing to any occupation.

Own-Occupation Definition

Under this definition, your policy will pay if you cannot work in your occupation/specialty, even if you can and do work in another field and make as much money as you want.
Own-occupation policies cover people based on the occupational duties they are performing at the time of claim. If your policy includes an own-occupation definition of total disability and you are exclusively performing the customary duties of your medical specialty or sub-specialty at the time of the claim, the policy will cover you when unable to perform your specialty or sub-specialty. If you have transitioned into a different role or expanded into a new career path that requires much less direct patient contact or procedural duties, you may no longer be considered totally disabled when unable to work in your specialty or sub-specialty. This is because your “occupation(s)” involves additional material and substantial duties, no longer limited to the performance of your medical specialty or sub-specialty. In these instances, you may be considered partially disabled or not disabled at all, depending on the exact circumstances.

Transitional Own-Occupation

Your policy will pay if you cannot work in your occupation/specialty, even if you can and do work in another field. But if you exceed your previous income while you now work in another field, your monthly benefit from the policy would likely be lowered.

Modified Own-Occupation

Your policy will only pay if you can't work in your occupation/specialty AND if you are not working in another field. This definition is also sometimes called “Own-Occupation, Not Engaged” or “Own-Occupation, Not Working.”

Any-Occupation

Your policy will only pay if you cannot work in any occupation based on education, training or experience. Note that some policies are own-occupation for a couple of years and then transition to any-occupation.
One company out there (Northwestern Mutual) sells a policy with a definition that they claim is BETTER than own-occupation. They call it Medical Own-Occupation, but in reality, it is just a form of modified own-occupation. Learn more about the NML Medical Own-Occupation Definition.

Do You Really Need an Own-Occupation, Specialty-Specific Policy?

Some non-procedural physicians argue that they might not need a true own-occupation policy. They reason that if they are so disabled that they cannot practice their specialty, they probably cannot do anything else. So, they accept a less broad definition of disability to save some dollars on the premium. If you choose to do this, make sure you understand the exact circumstances under which your policy will and will not pay out.

Mental Disorders/Substance Abuse

Many policies will only cover mental illness or substance abuse-related disabilities for a period of two years. I know an attorney who couldn't practice law after developing bipolar syndrome in his 30s. It took over a decade to get it under control. He had a policy that covered mental illness indefinitely, which prevented financial catastrophe from striking him and his family.
According to the April 2011 issue of Current Psychiatry Magazine, physicians are not immune to depression and have an increased risk of suicide. Additionally, the lack of distinction between a psychiatric diagnosis and impairment stigmatizes physicians and impedes treatment.
You'll need to decide whether this is a risk you're willing to run. If you want mental illness covered like every other illness, you'll be paying more.

Presumptive Total Disability

As you well know, disability can be defined in many shades of gray. In the event of your disability, you can expect a paperwork fight between you, your physician, the disability insurance company, and maybe even your attorney. However, most policies contain a section that defines “presumptive total disability” where you can be assured there won't be much arguing from the insurance company. Even better, the waiting period will be waived and you'll start getting payments right away.
Anything short of that, and you're going to have to get your doctor to certify your disability and get the insurance company to accept it. At times, this can involve visits to multiple specialists and even hiring an attorney. Note that with some companies, presumptive disability does not need to be permanent.

Cosmetic Surgery/Transplant Surgery

Some policies will cover you if your disability is the result of cosmetic surgery or the result of donating a kidney or other body part to someone else. Others will not. Best to read your policy carefully and know what it does and does not cover.

Disability Insurance Exclusions & Limitations

Disability insurance policies generally exclude any medical conditions you have at the time of applying for insurance. For example, if you already have chronic back pain, the policy will not provide a benefit if you are disabled due to a back condition. In addition, if you admit to participating in dangerous activities such as scuba diving, rock climbing, flying, and sky-diving, the policy will likely be issued with a rider that excludes those activities from coverage. Other exclusions may also apply, such as acts of war, normal pregnancy, and foreign travel. Here is a list of common exclusions:
  • War or Act of War (this could probably be interpreted pretty broadly)
  • Active Military Duty (having served, this is pretty stupid since 95%+ of our military folks are never in any kind of serious danger of being hurt by a combatant)
  • Normal Pregnancy (don't want to work because you're eight months pregnant? Don't bother trying to get disability benefits for that)
  • Foreign Travel (varies by policy, but many don't cover you during that European vacation, much less that humanitarian trip to Sudan—read the fine print)
  • Mental/Nervous Disorder (many companies limit benefits to two years, where they might pay for “physical” disorders until you're 65 years old)
  • Medical Exclusions (any medical conditions you have at the time the policy is issued will likely be excluded, meaning if you have heart disease at the time of issuance and it leads to you being disabled five years later, the policy isn't going to pay. Again, apply when you are young and healthy and/or when you haven't had medical problems for several years to minimize this.)

Residual Disability

Residual disability refers to being only partially disabled. This may occur from the initial injury or illness or be part of the process of recovery. You generally need to buy an additional rider to cover this. Read this rider carefully, it can be a bit complicated.
Imagine developing painful lumbar radiculopathy that keeps you from working more than 20 hours a week. This is the part of your policy that will cover that. This rider will also explain how much you get if you are partially disabled. My old policy says it pays the whole benefit (total disability) if I can't earn at least 20% of my “indexed prior monthly earnings,” which is basically the money I earn at my job. It doesn't count my investments, other disability income policies, rent from a rental property, or my nonvocational activities. It doesn't pay anything if my earnings aren't reduced at least 20%. If I am making between 20%-80% of what I made previously, I get the total disability benefit times the ratio of my loss of income for that month divided by my indexed prior monthly earnings. Note that with some companies, the partial disability rider will kick in at 15%.
Some contracts use “or” in the contract and others use “and” in the contracxt. For instance, a stronger policy would trigger the partial disability rider if you had a loss of income or a loss of time or a loss of duty whereas a weaker contract would require loss of income and loss of time and loss of duty where all of those triggers must be met.

Partial Disability vs. Residual Disability

Partial disability and residual disability are generally considered to be the same thing, but there is a technical difference at some companies. For example, at one company, a partial disability rider requires total disability during the elimination period and the residual disability rider does not. With another company, partial refers to the disability, such as one that only affects one part of the body (such as one arm), while residual refers to a decrease in earnings. Either way, the key is to understand how the residual/partial rider works in the policy you actually purchase.

Recovery Benefits

A physician should consider a contract that will continuing paying them a portion of their benefits upon recovery from a disability if their income continues to be down at least 15%-20%. Most carriers will pay a recovery benefit for the benefit period although one only pays for 12 months. This is especially important for practice owners. Think if a dentist were to be disabled for 6 months and then recovers and goes back to their practice. Many of their patients may have gone elsewhere because the dentist sees his patients twice a year. It could take several years to get back to where he/she was at before becoming disabled.

Recommendations for Physicians on Disability Insurance Riders

Here's an easy cheat card to help you know at a glance what we think about all of the various riders available.
https://preview.redd.it/akf6t5iqfn0d1.png?width=800&format=png&auto=webp&s=3f8b415d0101d729fdfa51bc9147993309147d75

Who Needs Disability Insurance?

Nearly every high-income professional in their first decade or two out of school should own a policy. Your most valuable asset is your ability to work. So, if you do not own a disability insurance policy, you need to go get one, now. If you have an income, it's time to buy a policy, even if money is tight as a resident. The only exception is if you do not rely on your income to live. If you are already financially independent, it's OK not to buy disability insurance. However, even if you are frugal and married to another high earner, you may wish to still have a policy. You could both become disabled, or you could become divorced.

How Much Physician Disability Insurance Do I Need?

As a resident, you typically cannot afford to buy as much as you need, but you should be able to do so even as a brand-new attending. Basically, you need to buy enough disability insurance to cover both your living expenses and your retirement savings if you were to work to age 65 but not your taxes. Physician disability insurance payouts are generally tax-free since they are usually paid with post-tax dollars.
Note that how much you need has little to do with your income and everything to do with what you spend. The less you spend, the less insurance you need to buy. Insurance agents would love to sell you the largest possible policy (which usually works out to be about 2/3 of your gross income, but it is possible to combine two companies to get even more), so you'll need to decide how much you need on your own. Resident physicians typically buy a $5,000 per month benefit and attending physicians typically buy a benefit in the $10,000-$15,000 per month range, but there are plenty of docs who buy both more and less. If your plan in the event of disability is to rely on the income of your spouse, you may not need disability insurance at all.

Average Cost of Disability Insurance for Physicians

Unlike cheaper insurance policies like term life and umbrella policies, physician disability insurance is expensive, although not quite as expensive as your malpractice insurance. The reason it costs so much is it actually gets used. The likelihood of you acquiring a long-term disability during your working years is approximately seven times as high as your risk of dying in those years. A typical policy bought on a healthy doc in their 20s or 30s will cost something between 2%-6% of the benefit. If your monthly benefit is $10,000, expect to spend $200-$600 per month for that. Perhaps the sticker shock you get upon being quoted prices will motivate you to reach financial independence as soon as possible so you can cancel the policy.

Graded vs. Level Premiums

One way to save money on your policy is to get graded premiums. Not all policies offer this feature, but those that do will charge you less in the first few years and more in later years. Level premium policies charge you the same amount in premium every year. A graded premium policy accounts for the fact that you become more likely to become disabled as you go through life. However, it can be very beneficial to you because your need for insurance actually falls continually throughout your career as your build your retirement nest egg.
Once you become financially independent, you can drop the insurance completely. This is a good idea since the total benefits a policy could potentially pay are also dropping throughout your life (since the policy will generally only pay until you are in your mid- to late-60s). Many white coat investors who are great savers hit financial independence by mid-career. If you are one of those, you are likely to come out ahead using graded premiums instead of level premiums.

What Disability Insurance Discounts Are Available for Doctors?

Like other types of insurance, disability insurance is sold by agents who are paid commissions by the insurance companies to sell their products. It is a very competitive business. The insurance companies want agents, especially the independent agents you should be buying from, to preferentially sell their products. To incentivize the agents, they offer discounts that are only available through certain agents. Experienced, high-volume agents can often provide you with the same policy at a cheaper rate than a newer, lower-volume agent. Thus, it pays to use an experienced agent and shop around with two or three of them. Nearly every doctor should qualify for some type of discount on their policy—10%-30% premium discounts are not unusual. Types of discounts include:
  • Unisex discounts
  • Student/Resident/Fellow discounts
  • Multi-life institution discounts
  • Guaranteed Standard Issue (GSI) institution discounts
  • Association discounts
Learn more about physician disability insurance discounts.

How Do I Buy Disability Insurance?

The key to physician disability insurance is the independent agent. The agent is going to be paid a great commission by the insurance company no matter which policy you choose. Assuming policies with similar benefits, the commission isn't going to be all that different. Plus, these agents get plenty of business and none of them are starving, so they have little incentive to sell you an inferior policy for a slightly higher commission. Their reputation is worth far more than a few extra dollars in commission. Since you are (indirectly) paying the agent a very nice commission, don't feel bad about using their time and expertise to fully understand this complicated product.
For most doctors, this is a purchase that is only done once or twice in their life. Have the agent quote you different physician disability policies from each of the “Big 5” companies and show you the strengths and weaknesses of each. If you have a policy from work or your professional association, bring it in with you and have it included in the comparison. Then, you can know you made an educated decision and you can buy it and forget about it. Also, be sure to ask for a discount. The vast majority of doctors will qualify for a 5%-30% association or employer-related discount, and a top-notch agent will help you get that.

What Type of Disability Insurance Should I Buy?

There are two main types of disability policies: individual policies and group policies. As a general rule, individual policies have stronger definitions of disability. Many group policies are not own-occupation policies. Individual policies are also portable, in that you can change jobs and take them with you.

Individual Disability Policy

There are a number of benefits of an individual policy. The main one is that you are in control of all the details. You get to choose how much insurance you want to pay for. You get to choose which of the bells and whistles you are going to pay for. The policy is also “portable,” meaning you still have it if you change employers (or if your employer just decides to change the policy). As a general rule, the policy is also “stronger,” meaning it is more likely to actually pay you if you get disabled.

Group Disability Policy

A group policy provided by your employer is usually not portable, although sometimes you are allowed to take over the entire premium and take it with you. Group policies also frequently have premiums that increase every year or every five years, whereas an individual policy usually has level premiums. Group policies paid for by your employer may also pay a taxable benefit, rather than the tax-free benefit provided by an individual policy. Aside from the lower cost, the main benefit of a group policy is that it may be easier to qualify for. It may not require any sort of medical exam or blood work, and it may not ask any pesky questions about your medical conditions and dangerous hobbies such as rock climbing, skydiving, scuba diving, or flying.

How to Compare Disability Insurance Policies

The most important feature is the definition of disability. You want a policy with a strong, broad definition of disability that will cover any possible type of disability. That usually means “own-occupation, specialty-specific” and no limitations on things such as psychiatric conditions or addictions. This is the main difference between the “Big 5” companies and others.
Since disability is complicated, disability insurance policies are complicated. There are dozens of differences from one policy to another, making them difficult to compare. Use your independent agent for recommendations on what matters most. Just for an example, take a look at this chart of all the differences you could see between one policy and another.

When to Buy Disability Insurance?

You should buy disability insurance just before you become disabled. Since you don't know when that time could be, earlier is generally better. However, disability insurance is also expensive, and when you are young and poor, you have lots of other great uses for your money. A good compromise is to buy a small policy as you enter residency and then upgrade to a more robust disability insurance plan just before leaving residency. The younger you are, the healthier you are, and the fewer dangerous hobbies you engage in, the cheaper your premiums will be for the same benefit.

Best Disability Insurance for Physicians

I keep a list of those I consider the best disability insurance agents in the country. Save yourself the work of finding a good one you can trust and use the same agents that have been used by thousands of WCI readers in the past. You do not need someone local that you can sit down across the table from. It is better to have someone who has sold policies to hundreds of docs this year working with you by phone, Skype, Zoom, and email than someone you can sit down with who has only sold four policies. In addition, if there is some issue with one of these agents, I can usually help you resolve it quickly.
Information in this space rapidly changes. While we try to keep The White Coat Investor website as up-to-date as possible, our recommended agents are going to be our best source for updated information. I cannot emphasize how strongly I suggest you use them, whether buying your first policy or simply reviewing what you already have.
submitted by WCInvestor to whitecoatinvestor [link] [comments]


2024.05.15 21:35 Ashbin Daily Notes and Daily Covid Count - May 15, 2024

Daily Notes and Daily Covid Count - May 15, 2024
The number of reported Covid cases today was 166.
I'm having to use paywall bypass links for so many stories, the post title may just have the word "bypass" in it instead of "bypass link". Less to type As time goes on, more and more places, even medical study sites, have closed free access to Covid articles.
News is thin today. As to a small surge, I think you should plan that it will happen. Even if the new variants do or do not cause a rise, cases seem to always start increasing as we head towards the massive travel of Memorial Day. Seems to cause an increase most years from about now to peaking just into June a bit.
The USDA has waived restrictions (at least for 180 days) on handling of samples that may contain H5N1 virus. This applies to public health labs and healthcare facilities. This will enable more labs (academic/commercial) to aid in the process of virus identification, diagnosis & sequencing. But caution is needed as handling H5 requires using CDC safety and PPE guidelines.
Stay safe!
submitted by Ashbin to coronavirusVA [link] [comments]


2024.05.15 18:35 Bull_Bear2024 Motley Fool RSV remarks & a BUY recommendation

A 14May24 Motley Fool article (https://www.fool.com/investing/2024/05/14/is-this-a-setback-for-moderna/)

I don't think any of the following is particularly new, however for those hungry for news (like myself!) it's possibly of interest.

"A delay at the FDA [for RSV]: This isn't due to problems with the efficacy or safety of the candidate or any particular questions about the data.. So, this isn't a setback for Moderna, and investors can breathe a sigh of relief.. The FDA aims to finish its review of Moderna's candidate by the end of May, so for now the company is on track to meet its goal of entering the fall vaccine market [Re The CDC & Prevention advisory meeting on 26-27Jun24]. But if the FDA were to fall further behind and Moderna were to miss out on the fall vaccination opportunity, the company truly would be facing a setback.. Is this likely? Probably not. The FDA is aware of that situation and of the need in the RSV market, so it's likely the agency is making a big effort to finish its review of the Moderna RSV candidate in the coming weeks.

"It's also important to remember that Moderna has many late-stage programs in the pipeline and has set a goal of launching 15 new products over the coming five years. So even though it feels like everything is riding on the RSV candidate, that isn't actually the case. Even if Moderna falls short of its product launch goal, it's still likely to become a multiple-product biotech company in the near future. That means that right now, it's a great idea to buy the stock and hold on for the new phase of growth on the horizon."
[FYI: I think it's had a buy recommendation for some time, I don't think this is something new]
submitted by Bull_Bear2024 to ModernaStock [link] [comments]


2024.05.15 18:00 KokoroHealth Why has my blood sugar gone up overnight, if I did not eat anything? The Dawn Effect

The dawn phenomenon, also known as the dawn effect, is a natural increase in blood sugar levels that occurs in the early morning hours, typically between 3:00 a.m. and 8:00 a.m.
It affects people with diabetes and is a common cause of high blood sugar (hyperglycemia) in the morning[2]. The phenomenon occurs due to the release of hormones in the body, such as growth hormone, cortisol, and glucagon. When levels of these hormones increase, your liver is stimulated to release glucose into your bloodstream, providing your body with a boost of energy to prepare you to wake up in the morning[3].
In people with diabetes, the dawn phenomenon can potentially elevate blood sugar to dangerous levels. The main symptom of the dawn phenomenon is high morning blood sugar levels, which can cause increased thirst, increased hunger, and frequent urination[2].
To manage the dawn phenomenon, you can try eating an earlier dinner with fewer carbohydrates, adjusting your medication regimen with the help of your doctor, and engaging in light physical activity after dinner[4]. It's important to monitor your blood sugar levels and consult with your healthcare provider to determine the best course of action for managing the dawn phenomenon[12].
Sources [1] 10 Surprising Things That Can Spike Your Blood Sugar CDC https://www.cdc.gov/diabetes/library/spotlights/blood-sugar.html [2] Dawn Phenomenon: What It Is, Causes, Symptoms & Treatment - Cleveland Clinic https://my.clevelandclinic.org/health/diseases/24553-dawn-phenomenon [3] Dawn Phenomenon: What It Means for People with Diabetes - Healthline https://www.healthline.com/health/diabetes/dawn-phenomenon [4] Tips for Taming the Dawn Phenomenon - OneTouch https://www.onetouch.com/about-diabetes/managing-diabetes/tips-for-taming-dawn-phenomenon [5] Why Is My Blood Sugar High in the Morning? - WebMD https://www.webmd.com/diabetes/morning-high-blood-sugar-levels [6] Somogyi Effect vs. Dawn Phenomenon: The Difference Explained - WebMD https://www.webmd.com/diabetes/dawn-phenomenon-or-somogyi-effect [7] Managing the dawn phenomenon - Diabetes Canada https://www.diabetes.ca/managing-my-diabetes/stories/managing-the-dawn-phenomenon [8] High Morning Blood Glucose ADA - American Diabetes Association https://diabetes.org/diabetes/treatment-care/high-morning-blood-glucose [9] Dawn Phenomenon - StatPearls - NCBI Bookshelf https://www.ncbi.nlm.nih.gov/books/NBK430893/ [10] Why Blood Sugar Levels Rise Overnight GlucernaÂź https://glucerna.com/why-glucerna/why-blood-sugar-levels-rise-overnight [11] The Dawn Phenomenon: Why is my blood sugar high in the morning? - Virta Health https://www.virtahealth.com/blog/dawn-phenomenon [12] The dawn phenomenon: What can you do? - Mayo Clinic https://www.mayoclinic.org/diseases-conditions/diabetes/expert-answers/dawn-effect/faq-20057937 [13] Dawn phenomenon: How to control high morning blood sugars - Medical News Today https://www.medicalnewstoday.com/articles/317351 [14] Somogyi Effect: What It Is, Causes, Symptoms & Treatment - Cleveland Clinic https://my.clevelandclinic.org/health/diseases/11443-somogyi-effect [15] Dawn Phenomenon (Liver Dump) - Diabetes UK https://www.diabetes.co.uk/blood-glucose/dawn-phenomenon.html [16] Why Is My Morning Blood Sugar so High? - Healthline https://www.healthline.com/nutrition/high-morning-blood-sugar [17] High Blood Sugar at Night: Causes, Symptoms, and Prevention - diaTribe https://diatribe.org/high-blood-sugar-night-what-do
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2024.05.15 13:26 zeaqqk BNO News on Twitter: "CDC has released a dashboard for Influenza A in wastewater to look for possible warning signs of H5N1 bird flu. The current data does not show the subtype of Influenza A and can't distinguish between human and animal waste or by-products."

BNO News on Twitter: submitted by zeaqqk to COVID19_Pandemic [link] [comments]


2024.05.15 03:51 TrackingSystemDirect What Are The Best Free Teenage Driving Monitoring Apps?

What Are The Best Free Teenage Driving Monitoring Apps?

5 Free Teenage Driving Monitoring Apps Parents Will Love!

Parents, as your teen is going through the process of becoming a licensed driver, anxiety, and stress can consume you both. You worry about the dangers of distracted teenage driving and the reality of excessive speeding. But don't worry, we have a solution for you! In our article, "Free Teenage Driving Monitoring Apps," we will provide you with a list of apps that allow parents to track their teen drivers and promote safe driving habits. These apps offer both conventional and technological methods to help you monitor your teen driver's driving habits, making it easier for you to instill safe driving practices. Now, let's check out 5 free teenage driving monitoring apps designed to help you monitor your teen driver!
But first, if you want to track your teen driver, we suggest a dedicated monitoring solution like SpaceHawk:
Visit Website: https://spacehawkgps.com
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https://spacehawkgps.com/products/best-hidden-gps-tracker-for-car

TrueMotion Family App

TrueMotion Family is a free driving safety app that tracks and reports on your family's driving behavior. It provides a full view of each family member's driving habits, including texting, phone use, aggressive driving, and speeding.
Key Features:
  • Locate your teen driver and review their driving route.
  • Monitor driving behaviors to see if your teen is texting or using the phone while driving.
  • Create an 'app Family' with other family members and friends to encourage safe driving practices.
  • Compare and rank driving behaviors within your family group.
Parents appreciate TrueMotion Family for its ability to give a comprehensive snapshot of driving safety. The app’s scoring system, which rates driving out of 100, helps identify and reduce risky driving behaviors. For added privacy, you can opt-out of sharing your location by adjusting the settings.
See what WCVB Channel 5 Boston had to say about this driving app.

MamaBear App

MamaBear is an app designed to give parents oversight of their teenagers' driving habits, an aspect of teen safety that's often a significant concern.
Key Features:
  • Speed alerts notify you if your teen exceeds a set speed limit, such as 55 mph.
  • Location tracking allows you to know where your teen is and if they've reached designated 'safe zones' like home or school.
  • The app supports adding multiple children and guardians, making it suitable for families with several teen drivers.
Parents install MamaBear on their smartphones, add their teen's information, and customize alerts for speed and location. The app is compatible with both Android and iPhone, catering to different user preferences. The setup is straightforward, aiming to keep teens accountable for their driving without being overly intrusive.
Pros of MamaBear include its utility in monitoring teen driving speeds and ensuring they stick to safe zones. Teens can also view the family's locations, adding a layer of transparency. The app is free, with an optional paid version for detailed reports and additional tracking features.
Read what a parent had to say about this teen driving app by clicking here.

Hum by Verizon

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Hum by Verizon is a connected car system that enhances driving safety and convenience by keeping you informed about your car's condition and whereabouts.
Key Features:
  • Real-time vehicle location tracking for monitoring your teen's driving.
  • Diagnostic alerts let you know of any issues before they become bigger problems.
  • Crash detection and 24/7 roadside assistance offer added peace of mind.
  • Maintenance reminders keep you up-to-date on routine vehicle service needs.
  • Access to expert mechanics provides professional advice on car issues and repairs.
Parents install the Hum system to ensure their teen's vehicle is running smoothly, reducing the chance of breakdowns or accidents due to car troubles. With Hum, you can understand your car's check engine light with straightforward explanations and get timely reminders for service needs.
Pros of Hum include its comprehensive safety features like pinpoint roadside assistance and crash detection. For parents with teen drivers, Hum provides a tool not only for tracking driving habits but also for ensuring the vehicle used is in top condition, potentially preventing incidents on the road.
See what real users had to say about Verizon Hum on Reddit.

RoadReady

RoadReady is a free mobile app that helps you monitor your new teen driver's progress and practice time. The app tracks your teen's driving hours and provides real-time progress reports. RoadReady also offers coaching tips and driving advice to help promote safe driving. Online reviews say the app has an easy-to-use interface.
Key Features:
  • Simple tracking of driving hours at the click of a button.
  • Educates on safe driving practices and helps monitor various driving conditions.
  • Allows viewing and downloading summaries of driving sessions.
  • Helps set clear goals and provides tips for parents to aid their teen's learning process.
  • Enables editing of drive times and manual entry for past drives.
Parents can use RoadReady to ensure their teens are gaining the necessary experience behind the wheel. The free mobile app serves as a digital logbook, tracking progress, and identifying areas for improvement.
Pros of RoadReady include its focus on safety and education, as well as its convenience in consolidating driving logs. It also encourages sharing progress with friends and family, fostering a supportive learning environment for the teen driver. The app functions best with a strong GPS signal and internet connection, ensuring the most accurate tracking of driving practice.

OnMyWay

OnMyWay is a mobile app that rewards users for not texting while driving and provides roadside assistance. The app tracks your location while driving, and rewards you with OnMyWay Cash for every mile you drive without texting. According to the app's description on the Google Play Store, OnMyWay is heralded as the #1 mobile app for reducing distracted driving in the nation, with a claim of saving over 204 lives and preventing more than 31,319 car crashes.
Key Features:
  • Engages automatically to curb phone use when driving faster than 10 MPH.
  • Supports hands-free calls and pre-activated navigation and music applications.
  • Rewards drivers with cash for miles driven without texting, with added earnings for safe driving by referrals.
Parents seeking to enhance their teens' driving safety can utilize OnMyWay, which ties financial incentives to undistracted driving. This app aligns with teenagers' tech-savvy nature, offering rewards that promote attentive driving.
Overall, these Free Teenage Driving Monitoring Apps can be helpful tools for parents to monitor their teen drivers and promote safe driving habits. However, it's important to remember that these apps should not replace proper driver education and safe driving practices. Parents should also have open and honest conversations with their teen drivers about the dangers of distracted driving and the importance of safe driving habits.
Learn more about this app by reading a review from This Online World.
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Teen Driving Safety - Why Parents Should Be Concerned

Conventional methods for improving teenage driving persist due to their proven practicality and effectiveness. As a parent, you naturally aim to protect your child, especially as they become a teen driver. Despite alarming statistics on teenage driving accidents, research highlights your crucial role in promoting safe driving. You can lead by example, demonstrating responsible driving behaviors. Establish a driving agreement with your teen, detailing acceptable and unacceptable behaviors. Ensure they practice driving for 30-50 hours in diverse conditions. This increases their chances of being a safe, responsible driver.
Still worried about your teen's driving safety? Consider technology solutions like GPS tracking and smartphone apps. These tools monitor and encourage positive driving habits. By installing a GPS tracker in your teen's car, you access vital data: speeds, destinations, and travel times. This information lets you assess their driving safety.
The CDC offers extensive, free resources on teen driving safety on their website. Safe driving is a communal responsibility. Your involvement is key to helping your teen become a safe driver. Remember, we're all in this together!
Related Content: Tips And Tricks For Nerves On Teen Driver Test
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Frequently Asked Questions

Are There Any Online Resources For Parents To Help Their Teens Learn To Drive?

Certainly, one resource worth considering is DriversEd.com. This site offers educational materials for teen and adult drivers, including practice tests and DMV guides. Parents might find it helpful for its no-cost educational content and flexible online study options, which can support a teen's learning at their own pace.

What Are The Benefits Of Using A Teen Driving App?

A driving app can help you monitor your new teen driver, track their driving habits, and promote safe driving practices. Many apps offer features like real-time location tracking, alerts for speeding and phone usage, and rewards for safe driving.

Can Teen Driving Apps Help Reduce Car Insurance Premiums?

Yes, some car insurers offer discounts for using driving apps to monitor your teen driver's behavior. Check with your car insurance provider to see if they offer any discounts or incentives.

Do I Need To Pay For A Teen Driving App?

That depends on what you want! Why? because there are both paid and free driving apps available. Some apps offer more features with a paid subscription, while others provide basic monitoring for free. Check the app's description and reviews to see what features are included with the free version.

What Other Resources Are Available For Promoting Safe Teen Driving Habits?

In addition to driving apps, there are many other resources available for promoting safe driving habits. These include defensive driving courses, driver training and education programs, and resources for distracted driving awareness. Check with your local driving school or DMV for more information.

Free Teenage Driving Monitoring Apps - Disclaimer

We, at Tracking System Direct, want to emphasize that the article "5 Free Teenage Driving Monitoring Apps" serves as an informative resource about various teenage driving monitoring apps. Our aim is to introduce these apps as tools for concerned parents and not to provide reviews or endorsements. We have no affiliations with the mentioned apps and have not received compensation for their inclusion. We encourage you to research and select the app that best suits your needs. While these apps can assist you in monitoring your teen drivers, they should not replace proper driver education and essential conversations between you and your teens about responsible driving practices. Safe driving is a shared responsibility within our communities, and we are dedicated to promoting it through informative resources like this article.
Some images in this article, "Free Teenage Driving Monitoring Apps" were generated using AI
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2024.05.14 22:55 RemoteFit1263 What are some macro/micro plans if (when) 🙄 Project 2025 happens?

Hey all. I’m extremely nervous about recent political news. It seems there’s a conservative playbook out there to “dismantle the administrative state”, and that means doing away with HHS and its subclassifications, such as the CDC, NIH, etc. And that of course includes the DOJ, FBI, EPA, pretty much any policymaking arm of the executive branch.
The way polls are heading, it looks like these agencies are more precarious than we thought

Does anyone know how these federal programs are handling/coping? Is that why there’s been such a massive layoff spree recently? People who work for such programs, are there any preparatory steps being implemented?
If you’re a PH worker and schedule-F is implemented, what do you think your future would look like? How do you feel about these events being a real possibility?
What would the future of PH look like?
I know no one can predict the future, but these are scary times, and people in my circle don’t seem to be aware, or even care, that this is a real possibility. I just want to know what you think.
submitted by RemoteFit1263 to publichealth [link] [comments]


2024.05.14 01:25 DeBlasioDeBlowMe Colorectal cancer incidence climbed 500% from 1999 to 2020 among children aged 10 to 14 years, and 333% among those 15 to 19

These are very small numbers, and widespread screening of younger patients is NOT recommended. Also, this is just one study based on retrospective review of CDC information. Why is this important? Consider that 25 years ago, electronic reporting of health conditions to the CDC was practically unheard of, so there may be a considerable reporting bias. Still, it's worth discussing any concerning symptoms with your provider. Warning signs are: significant change in bowels, weight loss, or unexplained blood in the stool. Concerning factors also include a personal history of polyps, personal history of IBD, family history of polyps, or family history of colon cancer (especially multiple or young family). Anxiety-related or situation symptoms, like stress-related diarrhea, are generally not concerning, The longer your symptoms, the less likely they are to be something ominous (cancers are not slow and indolent).
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2024.05.14 01:21 Dry-Toe-2339 Is this view my boyfriend has a dealbreaker?

I (22F) and my boyfriend (22M) have been together for almost 2 years this July. The relationship has been great, not very many problems, however, recently I have found myself experiencing the “ick” for my boyfriend because of what I’m about to explain.
We were talking about the “man vs. bear” argument a few weeks ago, I was explaining to him the woman’s point of view and why most women would choose the bear over the man. I wasn’t trying to convince him that choosing the bear was the correct answer, I just wanted him to understand the reasoning that a lot of women have for choosing the bear. I pulled up the statistics for sexual assault in the US specifically. He said that he “didn’t agree with those statistics,” so he went looking for his own, and when he found numbers that he didn’t believe were outrageous, he used those and beloved those statistics. (Side note: my statistics were off of websites such as CDC.org, nsvrc.org, etc. My boyfriend obtained his from some random news article written in 2012.)
I’ll put a list below of the outrageous things that he’s said about this to make this easier and more structured:
These are just a few of things he has said, but I found these to be the most outrageous.
I also want to clarify, I have explained to him multiple times over that this argument isn’t saying “all men are bad,” and that the only men who should be offended by the argument are the ones with truly bad intentions, or the ones that haven’t looked into the argument at all.
Fast forward to today, he brought up the argument again briefly with his friends, making fun of it essentially, and I confronted him about it because I thought we had come to a compromise about the entire thing and he understood my point of view. Instead, he just tells me that he didn’t actually remember our conversation about it and is now absolutely bewildered as to why I’m livid with him.
This is just one small instance of many many more things that have happened that I simply just can’t put into a post.
This could be classified as more of a rant, but I NEEDED to get this out somewhere. And I also just have no idea on how to confront him about it, what to do, etc.
EDIT: I want to clarify that my issue right now isn’t about the actual hypothetical itself, my issue is with the comments that have come from my boyfriend while this was being talked about.
TL;DR: My boyfriend is expressing increasingly misogynistic views and doesn’t listen to me when I talk to him about it. Is this a dealbreaker for my relationship?
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2024.05.13 20:24 Truth_Puke "I Could Make It Infectious In Months": Former CDC Director Sounds Alarm Over Bird Flu Experiments

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2024.05.13 04:39 Ok-Calm-Narwhal Foreign National here (born abroad outside Taiwan in the U.S.), and I just got my full Taiwanese citizenship with residency and NWHR passport using the new 2024 citizenship laws for those with parents from Taiwan
 I can vote in Taiwan now!! (Some helpful tips posted here as well)

For those who are unaware, there was a very recent change (January 1, 2024) in the residency requirements for foreign Taiwanese nationals - people with Taiwanese parent(s). For these people, Taiwan has what is called a National Without Household Registration (NWOHR) Passport. It is green and looks like a normal Taiwan passport, but it doesn’t convey full citizenship rights as it didn’t include residency and household registration. (I posted mine here in the passport sub).
Prior to this year, in order for someone with a NWOHR passport to qualify as a full citizen, they had to first live in Taiwan for 366 days in a row without leaving the country (there were some other options that allowed you to leave for short times involving 2 and 5 years, but also quite impossible for most, unless you were in Covid lockdown or found a job in Taiwan.)
But earlier this year, Taiwan’s government removed this requirement for NWOHR passport holders who had at least one parent with household registration at the time of their birth. Hence, to get your own household residency and full citizenship, you no longer have to live in Taiwan for a year without leaving. You can just go to Taiwan, spend a few weeks there and complete the application process to obtain residency and a National ID, and become a full citizen of Taiwan. Taiwan will also allow you to keep your other citizenship (as long as they allow dual citizenship with Taiwan, which the U.S. does).
I kept really detailed notes and will post below some tips from my experience. The most important one is that what was formerly known as the TARC is now folded into the ćźšć±…è­‰ (permanent resident certificate). So you just skip having to live in Taiwan for a year but provide almost the exact same documents as the old TARC for your ćźšć±…è­‰.
There is a process listed here which says that you can start the permanent residency certificate from outside Taiwan to shorten your time in Taiwan by just exchanging your permit in 3 days. However, when I spoke to people at TECO a few months ago, and then more recently immigration in Taipei, they said I had to start the process in Taiwan. A friend’s parents in Taiwan also called immigration the other day and they told them the same thing. So not sure how one would go about the shortened process that is in on their website. But if anyone has successfully done the shortened process themselves, please post and let us know how you were able to get it done since it would cut the process by 1.5 weeks and help out a lot of folks who can’t spend 2-3 weeks in Taiwan.
This older post in this sub covers military conscription and also has many previous links about what to do if you are male and 18-36 written by FewSandwich6. (This was not applicable for me).
This very helpful post here contains a list of definitions for commonly used terms in Chinese and English that are often used in this process, written by HongKonger85. There is also an image of a ćźšć±…è­‰ (Permanent Residency Certificate) after immigration has issued it to you, and this is what you need to swap for household registration (covered in Part 2 below).
My detailed notes for folks are as follows. Part 1 based on my experience getting my NWOHR passport, and Part 2 getting residency, my National ID, and full citizenship in Taiwan. Some info repeats what has already been mentioned in previous threads, with the difference being the new 2024 rule change. There are probably other ways to get this process done, but just sharing my own recent experience to help others looking to do this now.
In all, I am so glad I did this. I travel a lot to Taiwan to see friends and family but do not work there, so there were minor inconveniences in not having residency. My NWOHR passport was fairly useless in Taiwan, but once I got my èș«ćˆ†è­‰, I can now do things like open a bank account, get a permanent cell phone number, qualify for health insurance (after waiting 6 months), and vote in Taiwan elections. I also have a second passport to travel with if there is a country more hostile to the U.S.. Doing this will also allow any future children of mine to qualify for Taiwanese citizenship if they choose to at some point in their lives. I could also consider retiring in Taiwan or taking a gap year from work in the U.S. and still have health insurance. The total costs from start to finish ran me about $550 (excluding the costs for my trip to Taiwan).
Happy to answer any questions for folks about the process. Cheers! Hopefully my notes below are helpful.
Please note that this was written in May 2024, so things may change over time. Also, there are parts where different forms, documents, or processes may be acceptable instead of what I did, so what I outline here might not be the only possible process.
********

Part 1. Getting the NWOHR Passport:

If you do not have any Taiwanese passport start here. If you already have the NWOHR passport then skip to Part 2 (converting the passport to residency under the new 2024 laws).
The first step is to get what they call a NWOHR (National Without Household Registration) passport. This part is actually not done in Taiwan at all, and are issued by what are de-facto embassies, which in the U.S. are called the Taiwan Economic and Cultural Office (TECO). There are 12 in the US and the U.S. National Office TECRO based in DC. (Other countries have a similar versions of this like the TRO in the UK).
I was told to use the TECO office closest to where you were born and/or where your parents were married. Luckily, this was the same office - the LA branch. If it happens that you were born closer to a different one than where your parents were married, call them and ask what they recommend. One reason for this is that it makes it easier to authenticate documents that the office is familiar with, which tend to be in the areas around it.
So what is authentication? This is a process that involves notarization where someone essentially authenticates your documents and verifies that they are real. For example, you bring a copy of your official birth certificate to TECO, then the TECO office will go through the process of contacting the relevant authorities where you were born to verify that this document is indeed real. Once TECO deems it authentic, they authenticate and notarize that document for you. You need to have this done for your passport application documents.
Here is what you need to submit to your local TECO for the NWOHR passport (these guidelines are from the TECO LA Office). TECO needs to first authenticate your birth certificate and parent’s marriage license. Then they use these for the NWOHR passport application. Documents cost $15 each to authenticate. The passport application for a 10-year passport is $45.
I highly advise you make an appointment with TECO. They even advise you to book two back-to-back appointments if you need both authentication and passport services done - which is what you need to do anyway. They cut off the number of walks ins per day (in LA it was 35 max walk ins).
The authentication of documents are usually done in a few weeks and your passport around 8-10 weeks. LA TECO gave me a pick up date and a receipt (save this to give them when you pick things up). If all goes well, you should have your NWOHR passport in about 2 months! If there are any issues, like inconsistent spelling of names between documents, and something is rejected, TECO will let you know and you will have to get the docs amended before your passport can be issued.
This whole process is done outside of Taiwan. Once you get your NWOHR passport, there is no time limit to complete Part 2 in Taiwan (though if your NWOHR passport expires after 10 years, you do need to renew it).
Congrats! You now have your NWOHR passport and can continue to Part 2 whenever you are ready.

Part 2. Getting household registration, your National ID with full citizenship rights, and converting your NWOHR Passport to a NWHR Passport to finish the process.

There are now two more things you need. A health check and an FBI background check (or other relevant agency of your country; apologies that this is U.S. focused). You will also need to figure out your household registration in Taiwan (more on that later). The FBI background check took about 4-6 weeks to get, and you need to have this authenticated and notarized by TECRO. This was done outside of Taiwan while I was still in the U.S. The FBI check result is valid for one year, while the health check is only valid for 3 months, so plan accordingly.
(I chose to get the health check later in Taiwan since I did not know how to go about getting an acceptable health check done in the U.S. and also did not want to bother having the results translated into Chinese. Doing it in Taiwan also ensured my health check wouldn’t be rejected, delaying my application.)
FBI Background Check
For the FBI check, there are two steps here and it’s kind of confusing.
The first is initiating an FBI background check for yourself through the online request form on the FBI site and getting a secure link and pin. (FBI emails this to you). Get your fingerprints done at a verified USPS, it's super quick and easy. Once your background check is complete and you get your electronic results, you forward that email with the PDF directly to TECRO. The website is not super clear so I emailed them for clarification and they wrote back to me more detailed instructions after I had received the completed PDF of my background check. What they said in their email:
***
For authentication of electronic FBI Report, there are 2 steps:
Step 1:
Please forward the digital FBI Report (.pdf format) and the email of pin number (under FBI email account) to our consular email at [consul.tecro@mofa.gov.tw](mailto:consul.tecro@mofa.gov.tw) directly.
Step 2:
Meanwhile, please prepare and mail the relevant documents listed below to our office for further proceeding:
* fill out the application form for authentication as attached
* a copy of the applicant's passport (including Taiwan passport if have)
* print out the FBI Report and the email of pin number for crossing reference
** For overseas Applicants:
* a US bank draft (çŸŽé‡‘ćŒŻç„š) $15 in Taiwan local banks with payable to TECRO
* a prepaid shipping label from FedEx or USL or DHL (for mailing the authenticated document back to you)
** For domestic Applicants:
* authentication fee: USD 15 (either money order or casher's check with payable to TECRO)
* a stamped self-addressed return envelope (to mail the authenticated documents back to you)
Also, please allow additional time for mail delivery. Thanks
***
In about 4 weeks or so, TECRO will mail you back a physical copy of your TECRO authenticated FBI background check using the self-addressed stamped envelope you sent them. Now that you have your FBI background check, you have one year to get your citizenship done in Taiwan before it expires.
Chinese Translation and Authentication/Notarization of your documents:
For this next part of the process, you need to get all your docs that were submitted for your NWOHR passport and the FBI background check translated and authenticated into Chinese. People on the internet mention that you can do this yourself. I recommend hiring professionals here who know what they are doing and also do the notarizing since you don’t want the translation of your documents to be rejected by immigration, wasting time and money. The docs also need to be formatted in a certain way. Given this, I went with a place in Taipei that charged about 6200 NT (~$200 US) for doing all my docs (background check, birth certificate, and parents marriage license, with notary). I used: ćŁè—ćœ‹éš›æœ‰é™ć…Źćž(çż»è­Ż/ć…Źè­‰ä»ŁèŸŠ) and they took a little over a week to get these translated and notarized for me. (TECO actually told me to save money and do the translation in Taiwan, since places in the LA area were quoted as more, maybe in the $300-400 range, but if others have found cheaper US or Taiwan options please let us know who you used and how much they charged).
Plan a 2-3 week vacation in Taiwan (possibly with your parent(s) whose household registration you will be joining). 2 weeks if your health check is done already and all your docs are translated and notarized, 3 weeks if you need to do a health check in Taiwan. Less than a week might be possible but unclear if anyone has successfully done the 3-day exchange version mentioned here.
Enter Taiwan with your NWOHR passport on the Taiwan resident/citizen side and make sure to get your NWOHR passport physically stamped with your entry date.
Health Check in Taiwan
For my health check, I went to MacKay Memorial Hospital, 16th floor (No.92, Sec.2, Zhongshan N. Rd., Zhongshan Dist., Taipei City). I called all the Taipei hospitals on this approved list of health check hospitals, and MacKay was the shortest guaranteed turnaround at 7 days. Walk-ins only, no appointments, - 8am-11am, 1:30-4pm M-F, and Saturday but only in the morning. Exam fee was 2050 NT, an additional 750 NT if you need a booster shot. The turnaround was 1 week and there was no way to speed this up. Bring passport, face mask (maybe not required now), and money. You can use your U.S. passport for the application and might actually be easier as they don't need stool samples for U.S. applicants. They draw some blood and take a chest x-ray.
After getting all your documents translated and authenticated, the health check, and entering Taiwan on your NWOHR passport, you can begin the 3-step process of getting your full citizenship and new NWHR passport in this order:
  1. ćźšć±…è­‰ (permanent residency certificate) ->
  2. æˆ¶ćŁćç°ż (household registration) and èș«ćˆ†è­‰ (National ID) ->
  3. New NWHR Passport (and leaving Taiwan on it).
1) ćźšć±…è­‰ (Permanent Residency Certificate)
For your ćźšć±…è­‰ (permanent residency certificate), go to a National Immigration Agency office in Taiwan with all the necessary documents that have been authenticated and translated. (I used the one in Taipei on 15 Guangzhou Rd). Once you start this part, you cannot leave Taiwan until you get your new passport, and when you next leave Taiwan, you must do so on your new NWHR passport. In your application, you need to show that you have the ability to establish household residency (easier to do if joining your parents), along with the original and one set of copies of all of your translated/notarized documents and yours and your parents' Taiwan passports. They will also ask for a photocopy of the dated entry stamp in your NWOHR passport. You will also need pictures, and the basement of the Immigration Agency has a booth where you can get 6 photos for 120 NT. Those 6 pictures should be enough for the rest of the process - just keep them with you for each step.
The permanent residency certificate process takes 7 working days, so essentially 10 days. This is the longest part. If someone has successfully done the shorter 3 day exchange, please let us know how you did this, since it would likely help out a lot of people given that this was the longest part necessary in Taiwan.
2) æˆ¶ćŁćç°ż (Household Registration) and èș«ćˆ†è­‰ (National ID)
In 10 days, once you get your ćźšć±…è­‰ permanent residency certificate, to get your household registration you must go to the household registration office in the district you plan to register in. The easiest is to have a parent add you to theirs, but their household registration has to be current and not expired for you to be able to do this, and best updated within the past 3 months (what TECO told us). If you can’t do this, then you need to register a household yourself using a lease/other steps that you should look up how to do.
At the household registration office, you give them the ćźšć±…è­‰ (permanent residency certificate) and other documents they need to establish your residency (parent’s household info or lease etc). Don't forget your picture. Then you get your æˆ¶ćŁćç°ż (household registration). Also remember to get a copy of your æˆ¶ç±èŹ„æœŹïŒˆtranscript of household registration) since you will need it in 6 months to apply for health care if you plan to do that.
Right after this, they will print out your èș«ćˆ†è­‰ (National ID). You get your household registration and èș«ćˆ†è­‰ the same day at the same place (took me about 1-2 hours).
At this point, you are actually considered a citizen of Taiwan. However, when you choose to leave Taiwan, you must get a NWHR Passport and leave on that passport.
3) Getting your NWHR Passport
You now need to go to BOCA to apply for the new passport. I did my household registration and national ID in the late morning, so I still had time to go to BOCA before they closed at 5pm.
Their Taipei office is near the Shandao MRT stop. Bring your national ID, NWOHR passport, 2 pictures, and cash for payment. Normally for a passport there is a 10-day turnaround at 1300 NTD. Expedited next business day service is available for an additional 900 NTD. So I paid 2200 NTD for my passport since I needed mine the next day as my trip to Taiwan was planned for exactly 3 weeks and by now, I had only 2 days left in Taiwan.
Pick up your passport the next day (and they give you your previous NWOHR passport back with the corner clipped off)! Don’t forget, when you eventually leave Taiwan, you must leave Taiwan with your new NWHR Taiwan passport but there is no deadline to leave (and I got mine stamped in case that was required, but not sure if it was or not).
CONGRATS on finishing the entire process, getting full Taiwan Citizenship/Household Residency with your National ID, and your new NWHR passport to allow you to leave Taiwan!
Health Insurance: 6 months after doing this you can qualify for NHI (and is technically mandatory). To apply, go to any district office and bring your æˆ¶ç±èŹ„æœŹ (transcript of household registration), National ID, and a chop stamp. (Yeah, they still use those lol). I found a chop stamp place near my household registration office that did a wood stamp for 100 NTD, and had them do multiple in case I lost one, since any duplicates have to be done at the same time for them to match. Someone else can even apply for you if you are not in Taiwan as long as they have a copy of your ID, æˆ¶ç±èŹ„æœŹ (transcript of household registration), and chop stamp.
If all your income is outside of Taiwan, health insurance payments should be about $25 a month. If you pay monthly, you qualify for full health benefits in Taiwan. You can also suspend your payments if you plan to leave Taiwan for more than 6 months and do not plan on using their health care system. You can also keep coverage and continue to pay into the system even when gone for long periods of time. However, don't forget that your household registration will be suspended if you are gone from Taiwan for more than 2 years, and while you can easily renew it when you come back, this will pause your health coverage.
Total Cost for Taiwan Citizenship
The total cost, was about US $75-100 for the NWOHR passport, depending on if you have to get new copies of your original birth/parental records. The cost for the Part 2 were roughly: FBI check ($32), U.S.P.S. fingerprinting ($50), Health Check ($85, mine was more than the usual $63 because I needed a booster shot for one of my MMR vaccinations), Translations and notarizations ($200), residency permit (~$30), National ID ($5), expedited passport next day ($68). So my out of pocket costs for the residency conversion in Taiwan was roughly $465 or so.
So the entire citizenship process from start to finish was about $550 USD.
You only have to do this once, and now you are a full citizen with all the rights to live and work in Taiwan and can vote! I would have never been able to do this without the new rule change, so really thankful that the process is so much easier now.
Let me know if there are any questions!
(Edits for clarification.)
submitted by Ok-Calm-Narwhal to taiwan [link] [comments]


2024.05.12 21:25 fverdeja Medical advise

Medical advise submitted by fverdeja to twittermoment [link] [comments]


2024.05.12 14:17 defileyourself Sexual violence is abhorrent. But has the fear of it been manipulated to keep female readers coming back? Has the fear become disproportionate to the actual threat?

Fear has always been the most effective means of gathering people together under one banner. From ancient times, when uniting against an outside threat such as another tribe could be the only way to survive, to modern times where the threat is often more ideological - communism or socialism have been represented as threats for political purposes. Terrorism is the most obvious example. Fear appeals to our most basic instincts, and it makes us want to know more about the threat that we face to better prepare ourselves and maintain our safety.
However, fear is easily manipulated. Sensationalist news coverage of crime for example leads to an increase in the public's fear of crime and also in their belief that crime is rising, even when the facts show that crime is in fact going down. We are susceptible to repeated messaging, and this in turn has an impact on how we view people. Believing that crime is rampant in your area leads to a decrease in the trust people have in each other.
Sexual violence is inexcusable. It can destroy people, traumatize them, and leave them with lasting mental and physical problems. This is beyond dispute. The only question then: is sexual violence more prevalent nowadays, or are we just talking more about it, which makes it seem omnipresent and makes people more afraid of it?
Feminism has morphed many times over the years, influenced by both internal and external pressures. It was monumental in bringing legal and societal parity to women in the Global North, but I believe recently it’s also been hijacked in ways that push an agenda of fear.
Since—#MeToo, while groundbreaking and in my view essential, an intense fear of sexual violence among women has now become more commonplace, coloring everyday interactions with men.
Media platforms and social groups like "Are we dating the same guy?" on Facebook perpetuate this fear, constantly hammering in the threat of male violence. Despite statistics suggesting less than 1% of men are sexual offenders, the portrayal is often vastly different, painting a grim picture of an epidemic of rape and a "hellscape" of dating. Mistrust of men is the natural result, which is how we get the ridiculous responses to the man vs bear meme, one indicator of how widespread the fear has become.
All this is compounded by the misuse of terms like "patriarchy." Once a term describing a specific societal structure (which we used to have), now it’s thrown around to broadly accuse modern society an ethical fault — with men labeled as the perennial oppressors. This narrative can foster a siege mentality among people who buy into this worldview, who come to view women as heroic victims in a deeply misogynistic world. The truth is of couse that we live in a heteronormative complex, with a patriarchy, a matricarchy and a significant queer component. All of us have agency, few are perennial victims. This results in an implicit misandrist bias which men have to deal with while being labelled as potential threats and reminded not to rape - as if any decent person needs to be told that. Imagine repeatedly telling young boys not to rape - before they are even fully aware of what their sexuality truly is, they are taught to fear it. Some women may say this is necessary to ensure the safety of the girls those young boys will encounter - but they miss the point. Treating boys as animals that need to be pre-emptively coached out of their raping conveys the message that rape is an inherent part of masculinity. Worse, it teaches boys that they can only be rapists, not victims, leading them to be ashamed of themselves when things do happen to them.
Subtle digs at men in phrases like "happy wife, happy life" or the toxic "all men are trash," are broadly tolerated, contrasting sharply with how we condemn similar statements about women or other groups. The lack of challenge these views receive in the main stream feeds into a dogmatic certainty that feminism is an essential shield against the inherent danger posed by men.
We must fight against real injustices without letting fear distort our perception and drive a wedge through society. I don't think it's unfair to say that men understand fear, we face much higher rates of actual violence and we must contend with that every day without letting it overwhelm us, and our better selves. We can't mistrust everyone, this makes us unhappy and leads to a breakdown in the social contract. We need to maintain a balanced dialogue that treats the problem of sexual violence as abhorrent but not rampant.
A final thought- statistics say 1 in 5 women get raped in their lifetime in the USA. This number is inexcusable. We stand by all victims of rape, regardless of who they are. In that light, it is important to note that according to the National Intimate Partner and Sexual Violence Survey (NISVS) conducted by the Centers for Disease Control and Prevention (CDC), when considering forms of sexual violence including being made to penetrate someone else, sexual coercion, and unwanted sexual contact, approximately 1 in 6 men have experienced some form of contact sexual violence in their lifetime. There are victims of all genders, their gender is not what makes them victims. There are also rapists of all genders. My fight is with the rapists, regardless of gender, colour or creed. I hope you feel the same.
Looking forward to the responses.
submitted by defileyourself to LeftWingMaleAdvocates [link] [comments]


2024.05.12 12:58 LastWeekInCollapse Last Week in Collapse: May 5-11, 2024

Russian forces are making a push, animal testing ramps up for H5N1, and over 365 days of temperature records

Last Week in Collapse: May 5-11, 2024
This is Last Week in Collapse, a weekly newsletter compiling some of the most important, timely, useful, soul-crushing, ironic, stunning, exhausting, or otherwise must-see/can’t-look-away moments in Collapse.
This is the 124th newsletter. You can find the April 28-May 4 edition here if you missed it last week. You can also receive these posts (with images) every Sunday in your email inbox with Substack.
——————————
Earth experienced its largest CO2 concentration increase over a 12-month period, scientists say, from March 2023-2024. It was a jump of 4.7ppm more of carbon dioxide, blamed on deforestation, fossil fuels, and El Niño. Experts are saying that El Niño has peaked, and will transition to La Niña within a few months. La Niña lasts about 1-3 years, and it generally cools the Pacific Ocean, and brings more rain to India & Bangladesh, among other changes. Earth also experienced its greatest atmospheric moisture for the month of April.
Venezuela has lost its last glacier, the Humboldt, which was reclassified into an “ice field.” It is the first modern nation to lose all its glaciers. Scientists believe Indonesia, Mexico, and Slovenia are next in line to see the extinction of their glaciers. Colombia is also rapidly losing its remaining 6 glaciers.
Wildfires in Chile have killed about a hundred people, and injured & displaced thousands. Flooding in Afghanistan. And climate change is ruining cotton crops, and livestock, in Chad. Plus, flooding struck the DRC, overflowing rivers and latrines—affecting some 500,000 people. And some climatologists think we have been underestimating how much climate change is driving greater rainfall & flooding; the worst is yet to come.
The first week of May saw so many temperature records broken; some are claiming that it might be the “most record breaking month in climatic history”—until June, that is. Earth has been seeing 13 months of monthly records being broken for global sea surface temperatures. Literally 365 days of record-breaking ocean temperatures.
A study in PNAS examined North Pacific “warm blob” heat waves from 2010-2020, and concluded that China’s reduction in aerosols, which cleaned the air but also removed the sun-reflective particles, incidentally probably caused marine heat waves which killed fish and resulted in algae blooms.
Bees are having difficulty acclimatizing their nests to rising temperatures. The dugong, while still rarely seen in parts of the world, has been declared extinct inside China, having gone 24 years without a known sighting. In Florida, the suburbification of land under development is pushing the Florida panther closer to extinction; some 100 panthers remain in the sunshine state.
Siberia’s Batagaika crater—I prefer its alternative title, “megaslump”—is expanding by about 1M cubic meters, every year. Scientists naturally blame the rapid permafrost melting on climate change.
A cruise ship entered New York City with an endangered 44 ft {13.4m} dead sea whale stuck on its bow (front). Investigators are looking into whether it was already dead when the ship hit it. A study in Conservation Letters looked at the 100 largest Marine Protected Areas (MPAs)—which cover 7.3% of all ocean area—and found that almost 60% of this area is not in range of meeting the 2030 preservation goals.
Part of India broke May records already; the Maldives, too. Eastern Ukraine ended a far warmer & wetter April than usual. And a heat wave in Mexico scorched previous May temperature records across 10 cities, as well as small regional blackouts. North America felt its all-time hottest May temperature...
——————————
AstraZeneca is pulling its COVID vaccine from the EU over a rare blood clooting side effect. Nevertheless, some experts claim that vaccine saved over 6M lives. Whatever U.S. CDC data on COVID is still available points to “a small rise” in cases later this summer, mostly from the growing KP.2 “FLiRT” variant.
COVID patients and immunocompromised individuals are still using lots of healthcare resources, and the rise of resistant superbugs is developing alarmingly fast. According to the article, “It only takes about a year on average for bacteria to grow resistant to treatment, when they used to take 21 years to evolve back in the 1960s.”
Engineers and medical professionals remain concerned about nanoplastics, between 1-1,000 nanometers wide. One grain of sand is about 500,000 nanometers, and one strand of DNA is about 2.5 nanometers. A single wavelength of light ranges from 400-700 nanometers.
South Africa’s water shortage is projected to worsen through at least 2025. Nairobi’s water shortage continues, despite the city’s dams being filled with floodwater. Costa Rica is facing a Drought so bad it’s rationing electricity. Mexico City—the second-most-populous city (by metro area: 21.8M; São Paolo is #1, at 22M) in North America— is seeing more than 20% of freshwater sources exhausted, and rationing is not enough. It’s almost like we’re living at unsustainable levels of consumption

As Latin America warms (and suffers flooding), disease is becoming more common—as well as heat stroke & serious hunger. Benin is refusing Niger the permission to use its port to export oil, as a result of a border dispute.
A paywalled study in Nature Water tested a new method for removing PFAS foam particles in water, with “near-complete destruction of PFAS in various water samples contaminated by the foams.” The process involves “ultra-violet (UV) light, sulfite, and a process called electrochemical oxidation” and does not require heat or high pressure. The number of U.S. states phasing out PFAS is growing.
As forcible repatriations of thousands of Afghans continue, millions of Afghans are suffering from lack of humanitarian aid—aggravated by recent deadly flash floods in the beleaguered, landlocked, failed state.
Yeasty superfungus Candida Auris infections were detected in 77 cases in Germany last year, authorities say. Candida Auris was only identified 15 years ago, but its three separate genetic variants (each on a different continent) have stealthily and stubbornly grown to pose a stealth threat to humankind. It is incredibly resistant to antifungal drugs, and it survives at higher temperatures than most other fungi. The WHO has listed it on a shortlist of top fungal pathogen dangers.
3 cats died from H5N1 in the United States last week. Some health professionals are getting more worried about a future H5N1 jump to become human-to-human transmissible, and claim that we are not ready as a species. Experts say we are not doing enough testing, and may already be in the prologue of a much more devastating pandemic. Scientists still say it is unlikely that a strain will make the critical mutation necessary, but the similarities between human and cow (and other mammal) flu receptors present potential complications.
The world is supposedly being divided into three general trade blocs: U.S., China, and the non-aligned states. For better or worse, globalization is crumbling, and governments are imposing tariffs, attempting to reshore industries, and restructure debt & credit flows. What will happen when the people, long-trained to expect high returns, find their profits wanting?
——————————
Two camps for internally displaced people near Goma, DRC were bombed, killing 12+ and injuring 20+. The perpetrators and their motives are unclear.
Rising crime. Drinking water. Closing the Darien Gap. These were the issues propelling Panama’s president-elect to a victory last Sunday. The arrival of rain is also improving conditions on the Drought-choken Panama Canal, expected to return to normal for at least a month or two.
A wave of Chinese espionage, much of it several years old, is sweeping Europe. Of particular concern is a hack of British military personnel information uncovered on Tuesday—which China denies. Similar espionage against the U.S. has reportedly cost the economy hundreds of billions per year.
Kenya’s mission to stabilize Haiti is inching forward slowly. The Pentagon has ordered its 1,000 troops to leave Niger. At least one Saudi villager was killed to make room for The Line, and reports claim Saudi forces have been given the green light to clear other people who get in the way of the development. Germany’s Defence Ministry is seriously considering recommending conscription for its 18-year olds later this summer.
Displacement in Myanmar has spiked over the past six months—and now counts 3M+ people since the February 2021 coup which sparked more open resistance.
Tunisia ejected ~400 migrants into Libya. Kazakhstan is expelling Tajik migrants in far-ranging sweeps. In Lebanon, vigilante attacks against Syrians have become more common. Mauritania is conducting military drills along part of its border with Mali, after reports emerged of Malian soldiers attacking border settlements.
In Sudan, over 200 witnesses corroborated reports of a massacre last June, where RSF insurgents piled up and shot” at least 17 people, most of whom were children. A lengthy report from Human Rights Watch, complete with timelines, testimony, war crimes, and other horrors from Sudan is over 150 pages. I did not have the fortitude to skim much of it.
A Hamas attack on Sunday, which killed 4 Israeli soldiers, reportedly pushed the Rafah invasion ahead of schedule. The IDF took over the Egypt-Gaza border, and is scaling up operations in southern Gaza. In response, the U.S. paused arms transfers to Israel. Any chance of a ceasefire, if there was ever really a credible chance, will have to wait. Diarrhea is soaring in Gaza, due in large part to a critical water shortage, caused by the destruction of wastewater treatment plants, the damage to water infrastructure, and large-scale displacement. A new evacuation order has commanded over 1M people in Gaza to leave before a more comprehensive invasion of Rafah begins.
A day after President Putin was inaugurated for his fifth term, he ordered a wide strike at Ukrainian infrastructure across seven oblasts. Most of the missiles and drones were shot down. And another plot to assassinate Zelenskyy was foiled. Lithuania is considering sending military trainers into Ukraine. Putin announced that Russian forces would target Western soldiers deployed in Ukraine, and begin drills simulating nuclear weapons if Britain’s involvement grows. Already, Belarus conducted a military drill with missiles & planes capable of using nukes.
In addition to extending Ukraine’s mobilization by another 90 days, the government has also allowing some convicts to fight on the battlefield in exchange for reduced sentences. Poland is allegedly considering repatriating thousands of draft-eligible Ukrainian men, and Germany is emphasizing the need for Ukrainian refugees to work.
Japan is boosting investment in a hypersonic missile interceptor project with the United States. A large-scale Russian offensive has begun across the front-lines, particularly around Kharkiv. And Russia’s Ministry of Foreign Affairs is beginning talk of a “genocide” in Moldova, which could provide the pretext for another special military operation in Transnistria—and perhaps beyond.
——————————
Things to watch out for next week include:
↠ The IDMC is releasing their 2024 report on Internally Displaced People (IDPs) on Tuesday, with estimates for total figures by nation & region.
Select comments/threads from the subreddit last week suggest:
-High temperatures are going to ruin food—and a lot of people’s health. This thread about the contamination of bánh mi in Vietnam sheds some light on the interconnectivity of our problems. Add in some heat wave-induced power outages, loose government regulation, and hospital problems, and you can imagine how this slow-moving disaster can cripple a community.
-“Microforests” may help mitigate some of the effects of ecosystem collapse and desertification—as well as boosting your property value, judging by this thread and its comments.
-One Collapsenik published a free ebook & audiobook satirizing American Collapse—and I’m not just linking because this newsletter was apparently a source of Doom inspiration. If you write an 80,000 word novel about Collapse, featuring some 300 references, I’ll share it too. Maybe one day I’ll have the time to write one

Got any feedback, questions, comments, complaints, upvotes, movie recommendations, good off-grid land deals, locust broth, etc.? Check out the Last Week in Collapse SubStack if you don’t want to check collapse every Sunday, you can receive this newsletter sent to your (or someone else’s) email inbox every weekend. What did I forget this week?
submitted by LastWeekInCollapse to collapse [link] [comments]


2024.05.12 09:40 Icc0ld Destroying the Defensive Gun Use argument: Guns are used in crimes more than defense

The Argument

The gun crowd will often repeat the same lie over and over in an attempt to suppress the truth and the lie is simple. They will say "Guns save more lives than they take" and by all the data we have when making the comparison this is false. Some will try to muddy the waters and say things like "guns are used to defend than in crime". In all cases they will try to make the comparison that gun ownership and gun use is a net good for society because guns stop criminals.
Putting aside the feasibility of can guns stop crime (they don't) we are left to the comparison of "good" gun use vs "bad" gun use. We are not going to bother discussing the effectiveness of said Defensive Gun Use and for arguments sake here we will just assume they are all real, all good and effective in preventing harm despite the evidence of the last 20 years showing that this is not the case

Comparison of Defensive Gun Use

Defensive gun use is a nebulous term and it's important to nail down exactly what that is. This case our term will be "the use or presentation of a firearm for self-defense, defense of others. I don't consider defense of property legitimate Defensive Gun Use because the only reason you should draw a firearm is if your life is in danger. Outside of this criteria you step into vigilantism, vengeance, opportunistic murder and various state laws. Consistently a right to self defense has been consistently recognized at the federal level and should not be confused with the less historically consistent right to own a firearm for self defense (see DC vs Heller "not a right to keep and carry any weapon whatsoever in any manner whatsoever and for whatever purpose").
With that established a legitimate Defensive Gun Use does not need to be a victim killing an offender, nor does it need to even involve the shooting of the weapon. It can be as simple as the threat of, showing of etc. something that everyone can agree on. Defensive gun use does not necessitate injury or death.
With that out of the way, the same is true of a gun used in a crime: A gun can be used in or enable a crime without injury or death to the victim. It's a pretty obvious fact, one I'm sure the progun side will dance around but this behavior is ingrained in pop culture with numerous robberies, kidnappings and plays out every single day. Crime is perpetrated with gun use and can be used to enable it.
The Number of crimes committed with guns
Number of Violent Victimizations 1993-2022 (Category Firearm)
Source: https://ncvs.bjs.ojp.gov/multi-year-trends/crimeType
According to the National Crime Victimization survey over the last 10 years we have between 350,000 to 640,000 crimes being committed with firearms.
The Number of Self-protective behaviors of victims (Threatened/attacked with a firearm)
Self-protective behaviors of victims, by type of crime, 2014–18
Source: https://bjs.ojp.gov/content/pub/pdf/tpfv9318.pdf
Over a 4 year period (2014-18) guns were used by a victim of a crime in defense of a violent crime 166,900 times. Assuming the same number of DGUs happen every year (unlikely) our rough figure is 41,500 DGUs per year

FINAL TOTAL: 41,500 DGUS VS AVERAGE OF 424,000 CRIMES COMMITED WITH A GUN A YEAR (2014-2018)

Some basic math tells us that for every single DGU we will be getting at least 10 crimes and our defensive gun use. Crime has won out against the law abiding citizen

Comparison of justified homicide

The other side of this coin is to look at the number of justified homicides vs the number of murders. This is incredibly easy and slightly more up to date. The pro gun side however will rarely if ever concede that the only legitimate DGU is a justified homicide. We will only count firearms in the name of consistency.
The Number of Justified Homicides (Firearms)
Justifiable Homicide by Weapon, Private Citizen,1 2015–2019
The number by private citizens is between 268 and 334 from 2015 to 2019 on a yearly basis
The Number of Homicides (Firearms)
Murder Victims by Weapon, 2015–2019
The number is 13,847 to 15,355 from 2015 to 2019 on a yearly basis

FINAL TOTAL: 334 HIGH OF JUSTIFIED HOMICIDES WITH FIREARM VS 15,355 HIGH OF MURDERS WITH FIREARM A YEAR (2015–2019)

Once again the crime has won out against the law abiding citizen
If that's all you're here for you can move on now. The evidence clearly rests in our favor with modern reliable sources coming straight from the stats themselves. I'll be tackling some of the attempts to distract/ dissuade and rebut this robust comparison and providing sources and easy arguments and could be added to.

Common attempts at refuting this comparison

Gary Kleck's numbers (DGUs into the millions)
Gary Kleck's DGU study can be debunked so thoroughly it would triple the size of this post. Boiled down to the most obvious and glaring flairs of this vs our more robust Defensive Gun Use numbers is this
The Kleck Survey has only ever been conducted once in 1992 and published in 1994 and our numbers come from a more recent and modern time and to make informed policy decisions we should try to use the most up to date and reliable data. This is why the NCVS will always be superior having been done since Kleck's own survey and nearly every single year since. As a last note the Kleck survey (via telephone) was done in 1 town in 1 state with 5000 people asked and only 66 respondents claiming to have a DGU. Kleck simply multiplied this rate out to the entire population at the time. I highly recommend focusing on this one.
The Kleck survey itself is not comprehensive and opens itself to blatant over recording through the social bias of gun owners who simply love to over report DGUs or even falsify them. Kleck made no controls for this, his survey's first question is not about establishing a victim of a crime, it is qualifying solely off if a gun owner would identify themselves as such. If someone is not a victim of a crime they can't be involved in a DGU. For more info about how social desirability can distort survey findings I suggest reading this one about how men report having sex more than women and straight from the 90s in Kleck's time too or you could look up how people respond to surveys about Alien abductions.
We have Kleck himself who later discredited his findings who posited that what he found were not DGUs but in fact crimes something that was actually later confirmed in a more detailed study that used the same survey questions as Kleck but took more detailed accounts of the claimed DGU and presented them to a panel of experts who would judge the legality of the act. The results were that most of them were describing themselves committing a crime
Anyone spouting DGUs into the millions should be immediately asked for a source btw. An up to date one. The CDC removed Kleck's DGU estimate from it's website a while ago thanks in part to efforts from this subs community so do watch out for anyone trying to cryptocite Kleck's DGU figure. More info on that found here
Attempts to compare Defensive Gun Use to Gun Murder etc.
This one is especially common and what prompted this take down in the first place and often they'll quote whatever DGU number is all the craze (usually Kleck) and put it next to a murder number of some kind.
The break down is important because a Defensive Gun Use is in response to a crime. A murder is a type of crime. DGUs happen in response to all kinds of crime, not just murder, attempted murder. It's therefore important to compare a reaction that can happen in a crime to all crimes that could happen to a person. Once we've established this it's now down to focusing on the relevant. Defensive Gun Use requires a crime and gun therefore we should compare to crimes committed with firearms which also require a crime and a gun and murder is a small part of that. The comparison is valid above all and focusing on gun murder is denying the existence of the full picture of what having firearms in a society does to that society.
If someone only wants to look at gun murders then they are admitting that by their standards the only legitimate DGUs are Justified homicides and thus you should provide the source accordingly.
Attempts to discredit the NCVS
This is a pretty weak tactic and can range from anything from denying the credibility of the stats to attacks on the legitimacy of the organization or survey itself.
Some important info to keep in mind is that National Crime Victimization Survey is run by the Bureau of Justice Statistics which has been going since 1979 and has run through Republican and Democrat Administrations for 44 years and the Survey itself is designed by a host of statistical experts and provides data for policy makers and academics alike.
A last note is that sometimes dumb gunnits will attempt to discredit this just because it's a survey. All DGU credible numbers come from surveys, even Gary Klecks. The important thing however is that the NCVS establishes that a crime actually happened before looking at defensive gun behavior.
It asks a lot of questions and goes into quite a bit of detailed info because this isn't just a quick survey, it's a full on interview and these sorts of things take a lot of time and produce a lot data, not just about defensive gun use, but all self defense actions, the incident itself, the number of people involved. It really goes on and on and on.
Attempts to cite alternative DGU surveys
This one is pretty sad but also hilarious but sometimes people will just cite random online DGU surveys or old magazine ones in an attempt to add more credibility to the crazy number they want to spout. These can be pretty easily dismissed as we have with the NCVS a repeated, yearly, bipartsian Federal Government Agency preforming the same survey (with minor changes) and they want to compare it some unknown one off likely coming from a organization with an agenda to grind. It's not a contest. It's the Undertaker throwing Mankind off a cage into a table and they are the table.
Some people will post DGU and go "look! All these DGUs". Honestly point and laugh at these people. That sub is lucky to get 4 posts a day even if they did that every single day for a year they'd only get 1460 of the supposed 40,000 DGUs we are supposed to get a year.
Why didn't you include property crime?
Property crime is defined as a crime where there is no physical threat to the safety of the victim. If there is a physical threat to the safety of the victim it becomes a violent crime and until that point there is justifiable cause for violence/threats of violence at a criminal. Ask any gun coach you like, they will all tell you the only time you should us a firearm is if your safety is at risk.
Besides, we can include it since it's in the source I use anyway. It's 183,300 over the same 4 years which is 45,825 per year assuming they have the exact same amount every single year. That brings our grand total up to 87,325 "DGUs" a year which is still well sort of even our lowest range of the same 4 years. Also if we really want to get judgey about what is and isn't a DGU well that means a whole can of worms because even with NCVS more robust methods it is still exceedingly likely that the NCVS numbers are over recording and capturing DGUs that didn't happen or were falsified and that DGU number can only go down.
What about bystanders/Family friends you defend?
What about them? They exist but what are the numbers? Without some robust numbers there's no argument to be made here. The vast majority of firearm crimes and DGUs do not take place in the context of mass shootings so unless you have some wild criteria combined with a reliable comparable source to the NCVS you will not be able to make a definitive claim.
The bringing up of personal anecdotes (AKA I used a gun in self defence)
Imagine that I tell you that the majority of people write with their right hands and you respond with “well I’m left handed!!”. That’s how dumb this sounds but let’s be a little nicer.
So you had a DGU? Cool, or not cool. Whatever. Where did this happen? When did this happen? Who did you tell? Did you report this to the police? Did you file a report of a crime? Do you have the proof? And even if you do all this, did it all legit, even got your face in the news and your post archived in DGU so fucking what?
This is statistics, it already happened we already measured it and even if we go back and you had the most legit DGU that ever happened on Reddit and it happened in our measured range we get 41,501 in our brand new figure. To get the impact you want you’d need to have every single DGU subscriber submitting their own DGU and even if retroactively added them to our figure you still won’t exceed our crimes total. And I sincerely doubt that even 1/4 of reddit gun owners have had a real life DGU and if you believe you’re still right that then I have a cryptocurrency to sell you. Might as well make money over how gullible you are with the upcoming DGU coin I’m making
TLDR: 41,500 Defensive Gun uses a year vs 424,000 crimes that are committed with a gun or 334 justified homicides a year vs 15,355 murders committed with a firearm a year. Make your choice. Guns are used in crimes more than they are in defense of them. Getting rid of the guns will be a net benefit for society.
I reserve the right to edit this post and add more details/ arguments/ updated sources etc.
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2024.05.12 02:41 With_The_Ghosts Boccherlism is a sickness

Boccherlism is a sickness submitted by With_The_Ghosts to BocchiTheRock [link] [comments]


2024.05.11 15:17 Tookie313 EbonyPrince 2K24 follows only media outlets and one artist (KDot)👌

EbonyPrince 2K24 follows only media outlets and one artist (KDot)👌
We see you Mr.Morale your deep fake skills. Well done sir 👑
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2024.05.11 05:34 shawn19 Dogs brought into US must be healthy, chipped and vaccinated, CDC says - ABC News

Dogs brought into US must be healthy, chipped and vaccinated, CDC says - ABC News submitted by shawn19 to Health2020 [link] [comments]


2024.05.11 01:32 shallah Highly Pathogenic Avian Influenza Preparedness and Resources- Michigan Health&Hospital ssociation

Highly Pathogenic Avian Influenza Preparedness and Resources- Michigan Health&Hospital ssociation
Michigan Health & Hospital Association
Highly Pathogenic Avian Influenza Preparedness and Resources
May 10, 2024 Member News
News of Highly Pathogenic Avian Influenza (HPAI) H5N1, commonly referred to as bird flu, is spreading across the country with concerns for animal-to-human transmission. The MHA and its partners are monitoring the situation closely with data and resources available:
HPAI was confirmed in Michigan on March 29, 2024, and has been detected within 10 cattle farms and six poultry facilities across the state. Only one human case of HPAI has been identified so far, in an individual in Texas, and transmission risk remains low risk to the general public.
Natasha Bagdasarian, chief medical executive for the State of Michigan, released a Public Health Bulletin on May 6 with information about the current situation, five action items and additional resources.
https://www.michigan.gov/mdhhs/-/media/Project/Websites/mdhhs/Keeping-Michigan-Healthy/Communicable-and-Chronic-Diseases/HPAI_Update_May_2024.pdf?rev=a6284d4fc3b24dda900f65003c4f69c3&hash=9608C91F32E4136A10B843113618AF8B
According to the USDA, commercial dairy products remain safe for consumption due to the pasteurization process. There is limited information available about whether HPAI can be transmitted through consumption of raw milk, however it is understood that unpasteurized milk can pose serious health risks to consumers due to the presence of other dangerous microorganisms such as Campylobacter, E. coli and Salmonella. The Michigan Department of Health and Human Services released a Raw Milk Risks document, which can be printed and shared.
Members should refer to the April 24 MI HAN “Clinical Recommendations: Highly Pathogenic Avian Influenza A(H5N1) Virus” for more information, as well as the April 5 CDC Health Advisory. Hospital infection prevention and control and infectious disease providers are encouraged to use the new HPAI Playbook released by the Association for Professionals in Infection Control and Epidemiology for additional information on identification, patient care, occupational health, outreach considerations and other supplemental resources.
Members with questions may contact Kelsey Ostergren at the MHA.
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2024.05.10 20:30 ddgr815 DIA taking submissions for its annual Ofrendas: Celebrating el DĂ­a de Muertos exhibition

DIA taking submissions for its annual Ofrendas: Celebrating el DĂ­a de Muertos exhibition
A grandmother who became a nurse so she could care for the wounded during World WAr II.
An uncle who used his skills as a carpenter to make wooden toys for children of little means and family support.
A mother who raised her family before starting a career of her own or a good friend who died too young.
Everyone knows someone who died, and if you’ve always wanted to create a heartfelt homage to this cherished departed soul, here’s your chance.
The Detroit Institute of Arts (DIA) has teamed up with the Consulate of Mexico in Detroit, the Southwest Detroit Business Association, and the Mexicantown Community Development Corporation (CDC), for the 12th annual Ofrendas: Celebrating el Día de Muertos exhibition and they’re looking for submissions.
Got an idea for a tribute to your loved one?
This annual event gives artists and community members a wonderful opportunity to celebrate the lives of close relatives, friends or community members who have passed away.
In accordance with the rich traditions of DĂ­a de Muertos, community members are invited to design and propose an ofrenda (Spanish for offering) that reflects the memory and spirit of those being commemorated.
Your proposal should express clear intent, embody artistic and creative merit, and resonate with the traditional values associated with DĂ­a de Muertos.
“Each year, the Ofrendas exhibition provides a unique platform for personal expression and cultural connectivity,” said Julie McFarland, executive director of public affairs and community engagement for the DIA, in a news release. “This is not just an exhibition; it’s a gathering of stories, memories, and artistic expression that honors the past while enriching our present.”
Proposals must be submitted by May 24.
Artists and community members can enter their proposals via the submission form available online. This application includes additional information and a list of required materials, both available in English and Spanish.
Once received proposals will be reviewed by a committee consisting of exhibition partners, community leaders, and DIA staff,
Selected Ofrenda artists will be notified by early July.
Important dates:
  • ‱ May 24: Submission deadline.
  • ‱ July: Ofrenda selections are made and artists are notified
  • ‱ Sept. 10-13: Installation of ofrendas at the DIA.
  • ‱ Sept. 28: Opening of the exhibition.
  • ‱ Nov. 3: Closing of the exhibition with an artist talk and reception.
Each selected artist or group will be provided a stipend of $500 to support their participation.
The exhibition will be on view from Sept. 28 through Nov. 3, in the Special Exhibitions Galleries located off of Rivera Court.
For more information visit dia.org/events/exhibitions/ofrendas-celebrating-el-dia-de-muertos-2024
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