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Lloyd’s Underwrites Ebola Indemnity Coverage

A new class of insurance is now being offered to address the occupational hazards faced by healthcare workers and first responders who are in jeopardy of contracting blood-borne pathogens such as Ebola, HIV, Hepatitis B and Hepatitis C.

Underwritten by Lloyd’s of London and distributed by Specialty Insurance Advisors, Essential Professional Insurance Coverage (EPIC) is the first such indemnity coverage available to individuals, including administrators who check in patients, doctors and nurses treating patients and patrolmen and women responding to 911 calls. The coverage goes beyond workers compensation and disability insurance to protect these individuals, EPIC said.

According to the Occupational Safety and Hazards Association (OSHA), up to 800,000 needle sticks occur each year, of which 16,000 are likely to be contaminated with HIV. The risk of acquiring Hepatitis B or C from a needle stick is even higher than HIV.

EPIC President Richard Kosinski said in an online interview with Fox Business, “We provide the ability for a health care worker or law enforcement professional to buy very inexpensive coverage in the event they get infected with Ebola, HIV or Hepatitis B or C.

For a nominal amount of 9 per year they can get 0,000 of coverage if the worst case happens and they get infected with Ebola or some other type of blood pathogen.

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While the coverage has been available for more than a year, primarily through unions, to large health care hospitals and other institutions, “We have just announced the ability for an individual to buy a policy,” Kosinski said. Centinela Hospital Medical Center in Inglewood, California was one of the first hospitals in the United States to offer EPIC to its healthcare workers, and the first to add Ebola infection coverage, according to EPIC.

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The plan provides a safety net that can help defray some of the costs, Kosinski explained, adding that otherwise, “No one is going to pay the cost for the average health care worker to be flown by a private jet to a specific CDC facility to get Ebola care.”

How is it possible to write this coverage? “Because this is Lloyd’s of London, which has a 500 year history of writing specialty risks,” Kosinski said.

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“We understand the risk, how to price it correctly and how the claims will be paid out.”

Time to Get Serious About Climate Change Risks

While arguments from climate change deniers have subsided, there is still discussion about the cause of climate change—natural or man made? But these arguments are mere time-wasters. Right now it’s critical to put the focus on managing this risk.

Insurers have it right. For years they have been pointing to the urgent need to deal with the issues surrounding climate change. Insurers know this global risk needs to be dealt with now—and in the future—and they can’t afford to get it wrong.

Johnny Chan, Ph.D., director of the Guy Carpenter Asia-Pacific Climate Impact Center said it best: “The debate on climate change and global warming has been intensely polarized. A great deal of this ‘noise’ has clouded the very real and emerging issues that we as an industry and society need to address. In order to adapt to climate change and the changing risk landscape, it is necessary to cut through this noise and focus on objective decisions to mitigate both the financial and social risks associated with climate change.”

Guy Carpenter said in a study on the risks of global warming that the biggest threat is rising sea-levels. According to the report, the greatest concern is coastal flooding, projected to increase as sea levels rise at least one to two feet by the end of the century. In other words, storms such as Superstorm Sandy on the U.S. East Coast and Cyclone Nilam in Eastern India are expected with greater frequency and severity.

Post-Sandy, we’ve seen how far-reaching the effects of a mega-storm can be. In fact, 25 miles or so away from the New York/New Jersey shoreline, northward along the Hudson River where I live, homes, businesses and communities were devastated by the storm surge. A number of businesses have closed and damaged homes still stand boarded and empty.

Bloomberg Businessweek reported that as the Federal Emergency Management Agency moves forward with its plans to update flood maps nationally, 350 coastal counties—and 32,000 homes—will be impacted. Homeowners and business owners are reeling from the price of flood insurance, which will escalate even more in designated areas unless they raise structures. One couple in Old Greenwich, Conn., will pay $300,000 to raise their home 15.5 feet, according to the article. Residents of towns that elect not to adopt the maps will not be eligible for National Flood Insurance Program coverage.

Hard-hit New York and New Jersey are taking the threat of rising seas seriously with announcements that a number of coastal structures will need to be raised. New York City Mayor Michael Bloomberg in June declared a sweeping plan to help combat future flooding. The plan, which would include building flood walls, levees and bulkheads along 520 miles of coast, was projected to initially cost $20 billion.

Guy Carpenter’s report recommends that coastal areas re-examine their flood strategies including dykes and seawalls. Inland urban communities aren’t immune, as winds and heavy rains can cause flooding. These areas need to have storm water management infrastructure in place to accommodate larger volumes of rainwater and should upgrade codes and standards for infrastructure and land use that permits rainwater catchment basins.

While these preparations should be a priority for governments, they also compete with the need to replace aging infrastructures everywhere. Bridges, roads and water systems need repairs or replacement in every corner of the country. But many communities, crippled by debt and shrinking workforces, no doubt are focusing on needs as they arise. Hopefully the two can go hand-in-hand so that risk managers can build in flood control and other upgrades as they make the improvements so badly needed.

What to Know About the New Avian Flu Outbreak

It’s hard to know what to think about this new bird flu. In one respect, this new strain, H7N9, is deeply concerning since it has never been seen before. On the other, these types of things tend to never be covered properly in the mainstream media so the constant, panicked, hype-fueled reaction does little good in terms of helping people prepare for a potentially serious public health emergency.

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Fortunately, Wired is here.

In a great primer, they delve into all the relevant information that any organization should know.

By now you’ve no doubt heard that international health authorities are deeply concerned about a new flu strain that has surfaced in China: H7N9, which so far has sickened at least 16 people and killed six of them. The outbreak has a number of features that are troubling. It emerged rapidly; the first cases were announced five days ago, and the first death apparently occurred on Feb. 27. It is widely distributed: Confirmed cases have been found in three adjoining provinces that wrap around Shanghai, and also in Shanghai municipality itself.

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And it is novel: H7N9 has never been recorded in humans before.

For infectious-disease geeks, it’s that last aspect that raises a particular nervous thrill. Most of the time, most people take flu for granted, to the point of not bothering to be vaccinated against it because they assume it will not make them very sick. But every once in a while, flu defies expectations, and roars up into a pandemic: worldwide spread, high numbers of cases, high rates of death. When a pandemic occurs, almost definitionally, it is because of a new strain to which humans have no prior immunity.

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In human terms, H7N9 is a new strain.

This is all made more confusing because it is happening in China, an infinitely complex place with an ambivalent and contradictory attitude toward transparency. Public health has never quite recovered from the realization, 10 years ago, that the Chinese government had attempted to conceal the beginning of the SARS epidemic, which was exposed — and transmitted to the world — because a doctor from a town in southern China traveled (some say fled) to Hong Kong to attend a family wedding (some say to seek treatment he could not have gotten at home).

In the years since, some parts of Chinese public health have seemed to open up enormously: The government has threatened sellers of spoiled and counterfeit food with prosecution, and researchers have been allowed to investigate the spread of antibiotic-resistant bacteria around the country’s new mega-farms. And yet, just before this new outbreak broke open, China was being challenged for not giving clear answers to why thousands of dead pigs were showing up in its rivers.

This is just the beginning.

Head over and read the rest to get the best take I’ve seen thus far on the largest health threat, both to individuals and business continuity, that the globe has seen in several years. Wired also offers a great list of resources to follow as this potential crisis continues to evolve. Worth bookmarking.

Bird-Flu-Proof and Delicious

The Black Death. Smallpox. Cholera.

The names alone are enough to send shivers down spines. There’s just something frightening and sinister about diseases that can spread like wildfire and quietly kill millions. It comes as no surprise, then, that whenever the possibility of a pandemic is even whispered these days, countries are thrown into states of frenzy. Who could forget the SARS scare of 2003 or even the recent concerns about swine flu? The news isn’t all bad though. Scientists in the UK have unveiled new genetically modified (GM) chickens that can’t spread bird flu to their other feathered friends.

H5N1 influenza, more commonly known as bird flu and the subject of a July 2006 Risk Management cover story, has a history of wreaking havoc among people and poultry alike. In the past decade, outbreaks of H5N1 in Southeast Asia have claimed hundreds of human lives. Millions of chicken flocks have also been destroyed as health organizations attempt to stem the spread of the disease. Bird flu, therefore, presents challenges from both economic and health standpoints.

The genetically engineered chickens can ensure greater food security, as well as protect poultry farmers from economic losses, in areas where bird flu is prevalent. Furthermore, eliminating the transmission of H5N1 between birds also reduces the risk of the disease being passed on from chicken to human, thus lowering the risk of flu epidemics. The secret lies in a special decoy molecule in the GM chickens that prevents the virus from replicating and spreading.

Don’t expect GM chicken to be on Sunday night’s dinner menu though. There are a number of political and economic obstacles that must be surpassed before these chickens can be bred on commercial farms, not to mention that the public is still wary about food that has been scientifically tampered with. The British scientists predict that it will cost about $79,000 just to produce a few chickens that can be bred. Although feasible for affluent nations, the price tag is too high for the developing countries that need the most protection from bird flu. The ultimate goal, however, is to engineer a chicken that will be resistant to the H5N1 disease completely.

While prospects look good, don’t count your chickens just yet.