2003 WNV activity by state One reason to stay vigilant is that researchers are learning more about how serious West Nile is in people, O’Leary added. Ongoing studies of neuroinvasive cases show some patients suffer “lingering neurologic problems months or even years after the initial disease.” Although the epidemic’s severity dropped in 2004, O’Leary urged people to continue to use precautions against West Nile. Sep 8, 2004, CIDRAP News story on lingering effects of West Nile fever The hardest-hit states this year were in the West and Southwest, as measured by the numbers of neuroinvasive cases. California had 154 cases, Arizona 128, Texas 105, and Colorado 39. In contrast, last year California and Arizona had only 2 and 7 neuroinvasive cases respectively, while Colorado had 621. Texas was about the same last year, with 108 cases. Because West Nile fever is less severe, and because reporting of fever won’t be nationally mandated until 2005, experts focus on the neuroinvasive cases, explained Dan O’Leary, DVM, a medical epidemiologist in CDC’s Division of Vector-Borne Infectious Diseases in Fort Collins, Colo. Dec 29, 2004 (CIDRAP News) West Nile virus continued its relentless blanketing of the United States in 2004, marching westward but leaving far fewer dead and ill people in its wake than it did last year. Once a state has the virus, it remains endemic from season to season, O’Leary said. Only Washington state has reported finding the virus in animals (a bird and a horse in 2002) without seeing any subsequent animal or human cases. Cooler weather appears to reduce the spread of the virus, which may contribute to Washington’s situation, he added. 2004 WNV activity by state Only about 20% of people infected with the virus get sick and only about 1 in 150 infected people has neurologic involvement, according to information on CDC’s Web site. A mosquito-borne pathogen, West Nile virus was discovered in New York City in 1999 and spread steadily westward in the ensuing years. Now some 55 species of mosquito carry the virus, although Culex mosquitoes are considered the primary vectors, O’Leary said. Although the epidemic had as broad a geographic reach this year as last year, the 2004 case total represented a sharp drop from last year’s 9,862 cases. The 2003 total included 6,830 fever cases, 2,866 cases of neuroinvasive disease, and 166 unspecified cases. There were 264 deaths. A total of 2,448 cases have been reported to the Centers for Disease Control and Prevention (CDC) in Atlanta so far this year. That includes 87 deaths, 888 cases of neuroinvasive disease (West Nile meningitis and West Nile encephalitis), 1,011 West Nile fever cases, and 549 other clinical or unspecified cases. “States where the virus has occurred previously and continues to occur, there is ongoing human risk. People shouldn’t let down their guard because it wasn’t a big epidemic,” he said. He recommended checking local West Nile activity on state health department Web sites and remembering to use effective mosquito sprays for outdoor activities. As in past years, some severe localized outbreaks occurred this year, often on the leading edge of the West Nile wave or in places where the virus arrived within the past year, O’Leary said. Last year Colorado had a severe epidemic with 2,947 total cases, but this year the center of West Nile activity moved west, he said. Phoenix, Ariz., and Riverside, San Bernardino, and Los Angeles counties in California saw more than 100 cases each. However, Mesa County, Colo., had about 125 cases this year, he said. See also: Aside from the change in the number of people afflicted, other aspects of the disease this year were generally consistent with past years. The 87 deaths this year represent a case-fatality rate for neuroinvasive disease of about 9.8%, compared with a rate of about 9.2% in 2003. O’Leary said the neuroinvasive case-fatality rate has remained steady at about 9% to 10% since the virus landed on US soil.
Last Updated: 23rd December, 2019 15:17 IST MTB 6th Edition Commences At Mananthavady In Kerala MTB is organised by Kerala Tourism and it is the first mountain bike race in India to be featured in the MTB race calendar of Union Cycliste Internationale Video Player is loading.Play VideoPlayMuteCurrent Time 0:00Loaded: 0%Duration 0:00Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -0:00 Playback Rate1xChaptersChaptersDescriptionsdescriptions off, selectedSubtitlessubtitles settings, opens subtitles settings dialogsubtitles off, selectedAudio TrackQuality LevelsFullscreenThis is a modal window. This video is restricted from playing on your current domain Error Code: PLAYER_ERR_DOMAIN_RESTRICTED First Published: 23rd December, 2019 15:17 IST Session ID: 2020-09-09:35c7451895ba7b54ed0f3ab Player Element ID: video_player_5f58243dc7251 OK Close Modal DialogBeginning of dialog window. Escape will cancel and close the window.TextColorWhiteBlackRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentBackgroundColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyOpaqueSemi-TransparentTransparentWindowColorBlackWhiteRedGreenBlueYellowMagentaCyanTransparencyTransparentSemi-TransparentOpaqueFont Size50%75%100%125%150%175%200%300%400%Text Edge StyleNoneRaisedDepressedUniformDropshadowFont FamilyProportional Sans-SerifMonospace Sans-SerifProportional SerifMonospace SerifCasualScriptSmall CapsReset restore all settings to the default valuesDoneClose Modal DialogEnd of dialog window.Close Modal DialogThis is a modal window. This modal can be closed by pressing the Escape key or activating the close button.Close Modal DialogThis is a modal window. This modal can be closed by pressing the Escape key or activating the close button.PlayMuteCurrent Time 0:00/Duration 0:00Loaded: 0%Stream Type LIVESeek to live, currently playing liveLIVERemaining Time -0:00 Playback Rate1xFullscreen SUBSCRIBE TO US Digital Desk LIVE TV COMMENT Written By WATCH US LIVE FOLLOW US The sixth edition of Mountain Terrain Bike (MTB) was held at the Priyadarshini Tea Environs in Mananthavady, Kerala starting December 21. It is a two-day mega mountain biking event where the riders will cycle through a five-km stretch at an altitude of 3,000 ft that encompasses terrains containing dirt, rock, and water.
Matt Nagy on pulling Mitchell Trubisky because of his “hip injury” tonight Bears. Nagy later added, he noticed an issue when Trubisky was opening up to his left & trying to throw. pic.twitter.com/dUIRNjT65C— ig: josinaanderson (@JosinaAnderson) November 18, 2019Trubisky said in his own postgame press conference that he began feeling the stiffness at the end of the second quarter. He acknowledged it was affecting his throwing but that he still tried to “fight through” what he was feeling.”I just couldn’t move around like I wanted to,” he said. “Just throwing with a lot of arm.”Mitchell Trubisky explains how his hip injury affected his play. pic.twitter.com/fgv2j3IKaa— SportsCenter (@SportsCenter) November 18, 2019Trubisky finished the game completing 24 of 43 passes for 190 yards with one touchdown and one interception. He also rushed once for 4 yards and was sacked once. Bears coach Matt Nagy said Sunday night that quarterback Mitchell Trubisky wasn’t healthy enough to finish the team’s 17-7 loss to the Rams in Los Angeles.Trubisky was trying to play through soreness in his right hip, Nagy told reporters in his postgame press conference. Nagy replaced Trubisky with Chase Daniel with 3:31 remaining in the fourth quarter. “It was all based off of he just wasn’t feeling right. His hip was hurting him,” Nagy said. “We knew it a few series earlier that something wasn’t right.” Per the Chicago Sun-Times, Trubisky said he alerted quarterbacks coach Dave Ragone earlier in the second half and that Ragone later informed Nagy. With Trubisky struggling to throw properly, Nagy said, he told Trubisky on the sideline that the quarterback needed to “be honest” about the injury.Matt Nagy talking to Mitchell Trubisky, shortly before benching him for backup QB Chase Daniel #CHIvsLAR pic.twitter.com/ykUi36hlJc— Kevin Boilard (@247KevinBoilard) November 18, 2019NFL PLAYOFF PICTURE: Bears in big trouble “Trying to play through that was what he was doing,” Nagy said, adding later that Trubisky did not want to leave the game.
In the few short weeks since the beginning of January, here are just two of the headlines that have appeared in respected business publications: “Is Your Boss a Psychopath?” and “A Survivor’s Guide to Bullies, Backstabbers and Bastards.” Words like “toxic, destructive, revenge, screaming, crying, and storming” fill the paragraphs. Books on the subject include “Snakes in Suits” and “Sociopaths at Work.” And of course there are the films, “The Devil Wears Prada” and “The Wolf of Wall Street,” which depict these not-so-fictional antisocial behaviors that are epidemic in today’s workplace. There is a plethora of information about what to do if you work for one of these tyrants, but how about if you are the workplace bully inflicting all this pain and suffering?This blog post is for you.Answer these five questions to determine if you are a bully.Have you yelled at someone today and on most days?Do you slam doors when you are angry?Have you publicly humiliated and demoralized co-workers by calling them morons, idiots, and other disparaging epithets?Do you throw things, stamp your feet, and pound your fist on the table to make your point?Do you make fun of co-workers with mean-spirited insults?Recent stats: Thirty-five percent of the American workforce has been bullied. Seven out 10 employees leave their jobs because of a bully.If three out of five answers were “Yes,” here are five reasons to alter your behavior right now.Because you lead by intimidation and fear, most everyone is afraid of speaking with you at all, never mind telling you important truths about your business. There is a lot that you are not being told about what is going on. No one seeks to be the dead messenger.Co-workers who are respected and valued produce better work, are loyal, and go above and beyond when problems arise. The converse is true for colleagues who are disrespected, demeaned, and not acknowledged for the experience and talents that they were hired for in the first place. Your colleagues may be physically there, but not really there. The term is “presenteeism.”Your co-workers may be at their desks but many of them are busy looking for the exit – and they are doing it on the company dime.Perhaps you are bullying only one person? It is true that bullying takes the biggest toll on the victim but the witnesses of bullying also pay a high price, and they too will also look to quit. Have you heard of survivor’s guilt?Costs for employee sick time, litigation, and replacing staff are skyrocketing. The word has gone around about how you treat people, so new staffers receive “combat pay” just to take the job. Plus, bottom line profits are directly impacted by the job satisfaction levels of employees. Bullying is very expensive.Convinced to turn things around? Here are five things to do about it.Hire a counselor or coach who specializes in bullying behaviors.Have one on ones with your most valuable co-workers and give them permission to tell you the truth. Really. Take notes.Apologize to those you have hurt. Sincerity counts.Speak with your HR department to set realistic and actionable policies regarding bullying. Involve your co-workers in the creation of these policies and then work with HR to post them on your website.Encourage your co-workers to openly communicate with you as often as needed. Emphasize that they will not receive retribution.The bad news is that you have been a bully. The good news is that you made it to the end of this blog post in the hopes of finding the reasons to make a change. If you are still in doubt about whether you are a bully, just ask your co-workers. Their eyes will say it all.