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New policy brief calls on decision-makers to support patients as 1 in 10 report symptoms of “long COVID”

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New policy brief calls on decision-makers to support patients as 1 in 10 report symptoms of “long COVID”

Some 1 in 10 people still experience persistent ill health 12 weeks after having COVID-19, termed “long COVID” or post-COVID conditions. A new policy brief from the European Observatory on Health Systems and Policies documents responses to post-COVID conditions in different countries of the WHO European Region and looks at how sufferers, including medical professionals, are driving some of those responses.

Written for decision-makers, this brief summarizes what is known about the conditions, who and how many people suffer from them, diagnosis and treatment, and how countries are addressing the issue.

Commenting on long COVID, WHO Regional Director for Europe Dr Hans Henri P. Kluge said, “COVID-19 has caused a great deal of suffering among people across the Region, with reports of long COVID an extra cause for concern. It’s important that patients reporting with symptoms of long COVID are included as part of the COVID-19 response to mitigate some of the longer-term health impacts of the pandemic. This policy brief makes clear the need for policy-makers to take the lead on this issue.”

Accessing care

People suffering with post-COVID conditions have reported feeling stigmatized as well as unable to access and navigate services. They have struggled to have their cases taken seriously and get a diagnosis, received disjointed and siloed care, and found specialist care to be mostly inaccessible and variable across countries. There are also real problems with access to sickness and disability benefits.

Patient associations and people experiencing long COVID are calling for recognition of the wide range of impacts – whether medical, psychological or social – and for greater awareness of the condition among all health professionals. The growing presence of online patient communities, including health workers, is highlighting their important role in generating and exchanging knowledge, providing support to one another, and advocating for appropriate care.

Recognition of post-COVID conditions

Long COVID is not yet fully understood, but a considerable number of people are reporting ongoing symptoms at 12 weeks.

Known manifestations of post-COVID conditions include a range of troubling physical symptoms, such as severe fatigue and increased risk of damage to the heart, lungs and brain. Available data indicate that about a quarter of those with COVID-19 suffer from symptoms 4–5 weeks after testing positive, and about 1 in 10 experience symptoms after 12 weeks.

All of this can seriously impact people’s ability to work and enjoy a good quality of life. While research on post-COVID conditions continues apace, much has already been learned that can inform current health policy responses.

Policy implications

The new policy brief highlights areas where policy-makers can take action to meet the challenge of post-COVID conditions based on what is currently known, including by:

  • taking multidisciplinary, multispecialty approaches to assessment and management;
  • developing new care pathways and contextually appropriate guidelines with patients and their families, so that primary care in particular can tailor case management to the manifestations of disease;
  • creating appropriate services, including rehabilitation and online support tools;
  • tackling the wider consequences of post-COVID conditions, including by addressing employment rights, sick pay policies, and access to disability benefits;
  • involving patients to foster self-care and self-help, and to shape awareness of post-COVID conditions and their implications for services and research; and
  • implementing patient registers and other surveillance systems and following up with patients to support the research that is so critical to understanding and treating post-COVID conditions.

Looking ahead

The policy brief stresses the need for coordinated, multidisciplinary, national and international studies to understand the clinical impact of post-COVID conditions. Moreover, it recognizes that this research should be co-created with patients and care providers.

Reaffirming this, the lead author of the policy brief Dr Selina Rajan said, “Long COVID has demonstrated the importance of involving patients in research. However, much remains to be understood about the long-term, multisystem consequences of COVID-19 infections in children and adults, and the interventions required to treat them.”

This is a rapidly changing field where much can be learned from various initiatives being undertaken across Europe. The brief sets out policy options for developing robust and inclusive responses and provides a valuable resource for decision-makers.

Trade wars slash Kentucky bourbon exports by 35%, exports to European Union plunge almost 50%

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Trade wars slash Kentucky bourbon exports by 35%, exports to European Union plunge almost 50%

Tariffs imposed on U.S. spirits as a result of unrelated trade disputes slashed exports of Kentucky Bourbon by 35% in 2020, with shipments to the European Union tumbling by nearly 50%, the Kentucky Distillers’ Association announced Tuesday.

The situation could deteriorate further in June, when the EU expects to double tariffs on American Whiskey to 50%, KDA President Eric Gregory said. The EU had traditionally been Kentucky’s largest global market for Bourbon and whiskey, making up 56% of all exports in 2017. It’s now about 40%.

“Our signature Bourbon industry has sustained significant damage for more than two years because of a trade war that has nothing to do with whiskey,” Gregory said. “And it will get much worse if we can’t deescalate this dispute.

“We are officially asking President Biden and his administration to work with their counterparts overseas, suspend tariffs and settle these ongoing trade disputes before more long-term damage is done. A speedy resolution is in the best interest of our country and our Commonwealth.”

Congressman John Yarmuth (KY-03), Founder and Co-Chair of the bipartisan Congressional Bourbon Caucus, led efforts among members of Congress calling on the previous administration to work to end the dispute and provide certainty to Kentucky’s distilled spirits industry.

Yarmuth and his colleagues, including Bourbon Caucus Co-Chair Andy Barr (KY-06), have already begun working on a letter to incoming Biden administration trade officials reiterating the importance of resolving the dispute that they plan to send upon confirmation of U.S. Trade Representative nominee Katherine Tai.

“This is about standing up for an industry that’s vital to our Commonwealth and promoting American spirits around the world. The production, distribution, and consumption of Bourbon creates and supports thousands of good jobs in my district alone and is a key driver of our local economy,” Rep. Yarmuth said.

“Without change the Bourbon industry faces serious headwinds, so you can be sure that I will be doing all I can to work with the new Biden-Harris Administration to deescalate this unnecessary and unwanted trade dispute and bring stability to the U.S. distilled spirits export market.”

Congressman Andy Barr said, “As Co-Chair of the Bourbon Caucus, I will continue to push for the elimination of tariffs that hurt Bourbon exports and profits in Kentucky. When the United States had a shortage of hand sanitizer, Bourbon distillers stepped up on short notice to meet the demand and help save lives. Now, we need to step up and work with world leaders to support this great Kentucky and American industry to put an end to these disastrous tariffs once and for all.”

Kentucky Bourbon has been one of the world’s greatest success stories for free and fair trade, growing exports by a staggering 98% between 2010 and 2017. In that time, KDA distilleries invested billions of dollars in capital improvements to meet the growing global thirst for America’s only native spirit.

That all changed in 2018 when the U.S. imposed a 25% tariff on steel and aluminum from the EU. The EU imposed a 25% tariff on American Whiskey and other goods in response, which now has escalated into tit-for-tat tariffs on Scotch, Irish Whiskey, rum, brandy, vodka, Cognac, cordials, liqueurs and other spirits.

The damage to Kentucky Bourbon has been devastating, with export values dropping by double digits since the tariffs took effect. Figures provided by the Kentucky Cabinet for Economic Development show:

• Total exports of Kentucky Bourbon and other whiskies were valued at $455 million in 2018. That number plunged to $319 million in 2020, a 35% decrease.

• Export values to the EU have nosedived 48% since the tariffs took effect, from $257 million in 2018 to $135 million last year.

• The United Kingdom had historically been the largest market within the EU for Kentucky whiskey, making up a quarter to a third of exports. Sales have plummeted from $67 million in 2018 to just $33 million last year, a 50% drop. The largest EU export country now is Spain at $49 million.

Distilleries in 36 states exported whiskey in 2020, with Kentucky ranking second behind Tennessee. Total American Whiskey exports reported a similar downturn, declining 29% from 2018 to 2020. U.S. whiskey exports to the EU fell sharply 37% in that time and sank 53% to the U.K.

Kentucky Bourbon is one of the Commonwealth’s most historic and treasured industries, an $8.6 billion economic engine that generates more than 20,100 jobs with an annual payroll topping $1 billion each year and attracts visitors from around the world to its fabled Kentucky Bourbon Trail® tourism experiences.

“This non-stop trade war has harmed Kentucky consumers, farm families, cooperages, glass and other suppliers, and our historic, homegrown distilling industry,” Gregory said. “We are hopeful that leaders around the globe will jumpstart negotiations and bring these trade wars to an end before things get worse.

“We’ll be glad to provide the Bourbon if it helps.”

Religion & Spirituality in a Changing Society

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Religion & Spirituality in a Changing Society


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This program looks at the shifts in attitude towards religion and spirituality and what this means for religious institutions.

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Religion, Art & Cultural Heritage

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Among the ways to understand any religion is through its art and cultural heritage. RELIGION, ART & CULTURAL HERITAGE, a CBS Interfaith Special, looks at its importance in understanding faith, identity and history. This special broadcast will air Sunday, Dec. 4 (check local listings) on the CBS Television Network.

Warsaw claims to have the tallest skyscraper in the European Union

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Warsaw claims to have the tallest skyscraper in the European Union
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        <span>Wednesday, <a title="Browse all articles for February 2021" href="/2021/02">February</a> <a title="Browse all articles for February 24th 2021" href="/2021/02/24">24th</a> <a href="/2021" title="Browse all articles for 2021">2021</a>  - 08:20 UTC</span>
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    <figure class="small">&#13;
        <a href="/data/cache/noticias/80296/0x0/warsaw.jpg" class="gallery" title="The 310 meters high skyscraper, expected to open in early 2022, is supposed to have a special viewing deck and two high-speed glass elevators "><img src="/data/cache/noticias/80296/300x190/warsaw.jpg" alt="The 310 meters high skyscraper, expected to open in early 2022, is supposed to have a special viewing deck and two high-speed glass elevators "/></a>&#13;
        <span>The 310 meters high skyscraper, expected to open in early 2022, is supposed to have a special viewing deck and two high-speed glass elevators </span>        </figure>


    Warsaw claims to have the tallest skyscraper in the European Union after workers mounted an 80-meter  needle bringing the total height of the building to over 310 meters, developer HB Reavis said.

    But, despite its unique architecture and the fact that it is now taller than London's Shard and Frankfurt's Commerzbank Tower, some of the building's ambitions have been hampered due to the coronavirus pandemic, the developer added.

The skyscraper, expected to open in early 2022, is supposed to have a special viewing deck and two high-speed glass elevators that will transport guests at the speed of 8 meters per second, according to press material.

There will also be space for restaurants and bars overlooking Warsaw’s city centre, on top of rental office space. But construction and rentals have both slowed down or been put on hold amidst the spread of COVID-19.

“As with the whole economy, the office rental space industry had a tough time last year. Many potential decisions by renters were suspended or postponed until later,” Maciej Olczyk, the construction project manager, said.

He added that the pandemic hit hardest during the first wave, when many services were put on hold, but that adjustments have since been made to facilitate a safe work environment.

Adjustments to office spaces include additional ventilation and more regular cleanings of ventilation systems, protective screens at reception desks, contactless solutions like motion sensor lights and doors and frequent cleanings of common areas, the company said.

Olczyk said that he was optimistic companies would still rent out spaces in the “architecturally unique” Varso Tower, especially once the pandemic passes.

“Companies are still treating this as a temporary situation,” Olczyk said. “I think everyone is looking to return to normalcy, like it was before the pandemic.”

MAGA has become political religion

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building during day

To the editor, Donald Trump could have joined the Capital rioters (as he promised) and stabbed Sens. Cruz and Hawley in the back with a Trump flagpole, and those senators would have still voted to acquit Trump. I find it amazing that Christian Republicans haven’t seen what Trump does to people after he uses them. Mike Pence was nearly hanged for doing his constitutional duty.

Some Republican evangelical Christians made a deal with the orange devil. Your appointed Christian judges will likely rule in favor of Christians, but what will be the cost? Christians win and non-Christians lose. What is the recourse for the losing side when the lawmakers and judges take their liberty?

MAGA has become a political religion. Trump is worshiped beyond Jesus. The belief is that America was great when White people owned Black people, women couldn’t vote, or own property. Workers were treated worse than livestock by their employers. Jews and other non-Protestant believers were subjected to violent discrimination.

Some Christians got what they wished or prayed for. In mixing politics with religious fanaticism, our society has been torn open and is bleeding. Roads, sewers, schools, hospitals, and public health are not religion. They are services provided by a secular government authorized and paid for by its citizens. Trumpism isn’t a religion to be forced on citizens through mob violence and biased political courts. Capital rioters used Trumpism to violently promote white nationalism with a religious twist.

You don’t wear a mask because you think Jesus will protect you, so why do you need body armor and guns? They’re not racist, so why did they burn Black churches? Why did White Christians vote for Trump and Black Christians vote for Biden? Trumpism is racist and is treasonous after Jan. 6. Trump is the anti-Christ of national politics.

-Pete Scobby

Newport

Strategy for EU data: what MEPs want

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European strategy for data: what MEPs want | News | European Parliament

Find out how MEPs want to shape the EU’s rules for non-personal data sharing to boost innovation and the economy while protecting privacy.

Data is at the heart of the EU’s digital transformation that is influencing all aspects of society and the economy. It is necessary for the development of artificial intelligence, which is one of the EU’s priorities, and presents significant opportunities for innovation, recovery after the Covid-19 crisis and growth, for example in health and green technologies.

Read more about big data opportunities and challenges

Responding to the European Commission’s European Strategy for Data, the Parliament called for legislation focussed on people based on European values of privacy and transparency that will enable Europeans and EU-based companies to benefit from the potential of industrial and public data in a report adopted on 25 March 2021.

The benefits of an EU data economy

MEPs said that the crisis has shown the need for efficient data legislation that will support research and innovation. Large quantities of quality data, notably non-personal – industrial, public, and commercial – already exist in the EU and their full potential is yet to be explored. In the coming years, much more data will be generated. MEPs expect data legislation to help tap into this potential and make data available to European companies, including small and medium-sized enterprises, and researchers.

Enabling data flow between sectors and countries will help European businesses of all sizes to innovate and thrive in Europe and beyond and help establish the EU as a leader in the data economy.

The Commission projects that the data economy in the EU could grow from €301 billion in 2018 to €829 billion in 2025, with the number of data professionals rising from 5.7 to 10.9 million.

Europe’s global competitors, such as the US and China, are innovating quickly and applying their ways of data access and use. To become a leader in the data economy, the EU should find a European way to unleash potential and set standards.

Rules to protect privacy, transparency and fundamental rights

MEPs said rules should be based on privacy, transparency and respect for fundamental rights. The free sharing of data must be limited to non-personal data or irreversibly anonymised data. Individuals must be in full control of their data and be protected by EU data protection rules, notably the General Data Protection Regulation (GDPR).

The Parliament called on the Commission and EU countries to work with other countries on global standards to promote EU values and principles and ensure the Union’s market remains competitive.

Rules to protect privacy, transparency and fundamental rights

MEPs said rules should be based on privacy, transparency and respect for fundamental rights. The free sharing of data must be limited to non-personal data or irreversibly anonymised data. Individuals must be in full control of their data and be protected by EU data protection rules, notably the General Data Protection Regulation (GDPR).

The Parliament called on the Commission and EU countries to work with other countries on global standards to promote EU values and principles and ensure the Union’s market remains competitive.

Rules to protect privacy, transparency and fundamental rights

MEPs said rules should be based on privacy, transparency and respect for fundamental rights. The free sharing of data must be limited to non-personal data or irreversibly anonymised data. Individuals must be in full control of their data and be protected by EU data protection rules, notably the General Data Protection Regulation (GDPR).

The Parliament called on the Commission and EU countries to work with other countries on global standards to promote EU values and principles and ensure the Union’s market remains competitive.

European data spaces and big data infrastructure

Calling for the free flow of data to be the guiding principle, MEPs urged the Commission and EU countries to create sectoral data spaces that will enable the sharing of data while following common guidelines, legal requirements and protocols. In light of the pandemic, MEPs said that special attention should be given to the Common European Health Data Space.

As the success of the data strategy depends largely on information and communication technology infrastructure, MEPs called for accelerating technological developments in the EU, such as cybersecurity technology, optical fibres, 5G and 6G, and welcomed proposals to advance Europe’s role in supercomputing and quantum computing. They warned that the digital divide between regions should be tackled to ensure equal possibilities, especially in light of the post-Covid recovery.

Environmental footprint of big data

While data has the potential to support green technologies and the EU’s goal to become climate neutral by 2050, the digital sector is responsible for more than 2% of global greenhouse gas emissions. As it grows, it must focus on lowering its carbon footprint and reducing E-waste, MEPs said.

EU data sharing legislation

The Commission presented a European strategy for data in February 2020. The strategy and the White paper on artificial intelligence are the first pillars of the Commission’s digital strategy.

Read more about artificial intelligence opportunities and what the Parliament wants

See more: Whatsapp fined with record fine for failing to meet EU data protection standards

European Union adds 19 senior Venezuelan officials to its list of sanctions

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European Union adds 19 senior Venezuelan officials to its list of sanctions
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        <span>Tuesday, <a title="Browse all articles for February 2021" href="/2021/02">February</a> <a title="Browse all articles for February 23rd 2021" href="/2021/02/23">23rd</a> <a href="/2021" title="Browse all articles for 2021">2021</a>  - 08:37 UTC</span>
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        <span>Venezuelan foreign minister Jorge Arreaza said in a statement posted on Twitter that the sanctions were based on “false arguments about honorable citizens”</span>        </figure>


    The European Union on Monday imposed sanctions on 19 senior Venezuelan officials, lawmakers and members of the security forces in response to December's legislative election that the bloc said was rigged in favor of President Nicolas Maduro.

    Allies of Maduro won almost all of the legislature's seats in a vote that was also disavowed by the United States and seen in the West as a way for the president to take control of the only lever of power not already in his grasp.

EU foreign ministers approved the sanctions on Monday, taking the number of Venezuelans blacklisted by the bloc to 55.

Like the United States, the EU has escalated sanctions on Maduro over the past two years, arguing that his 2018 re-election was a sham, though the measures have yet to achieve their stated aim of bringing about new presidential elections.

“The individuals added to the list are responsible … for undermining the opposition’s electoral rights and the democratic functioning of the National Assembly, and for serious violations of human rights and restrictions of fundamental freedoms,” the EU said in a statement.

Venezuelan foreign minister Jorge Arreaza said in a statement posted on Twitter that the sanctions were based on “false arguments about honorable citizens”. He said it was a sign the EU was frustrated by the ineffectiveness of its actions to force a change of government in Venezuela.

Those sanctioned included two lawmakers of what the EU called the non-democratically elected National Assembly: Bernabe Gutierrez and Jose Brito, who are recognized by Venezuela’s government as leaders of two opposition parties.

The parties have disavowed Gutierrez and Brito, saying they are collaborating with the government.

The EU also sanctioned Omar Prieto, governor of the state of Zulia, Remigio Ceballos Ichaso, the armed forces operational commander, and three officials of the Electoral Council, including its president, Indira Maira Alfonzo Izaguirre.

The new travel bans and asset freezes also targeted supreme court justices and marked a toughening of the EU’s approach by targeting political leaders who describe themselves as opposition members but are seen as being allied to Maduro.

Press Conference by EP President Sassoli on EU summit and COVID-19

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News | European Parliament

Following his address to heads of state or government during the EU summit, President Sassoli will hold a press conference on Thursday at 15.30.

Thursday 25 February at 15.30

President David Sassoli is set to convey Parliament’s position and answer journalists’ questions regarding the EU’s response to the COVID-19 pandemic, particularly on the production and rollout of vaccines as well as on lessons learnt from the pandemic. He will also comment on the

 

A Georgian doctor reimagines his country’s health-care system – virtual rooms of real patients. Empowerment through Digital Health

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Specialists from all over the country can drop into virtual clinics

“There was a crisis of information flow between the system and the patients at home,” says Dr Davit Mrelashvili, a neurologist from Georgia, referring to the pressure on his country’s health-care system when COVID-19 took hold. “As the country’s hospitals filled up, it was hard for stay-at-home patients to get timely, expert advice, and the 911 emergency system clogged up for those who truly needed it.”

Based in the United States of America, Dr Mrelashvili decided to return to his home country to try to address the problem and replicate some of the teleworking solutions that he had seen successfully employed in the United States.

He created virtual clinics that could accommodate as many patients as necessary without absorbing hours of doctors’ time. The initiative, named Project Atlas, links up 1 senior doctor, voluntary medical specialists, 2 junior doctors, medical students and patients in a series of virtual, cloud-based chat rooms.

“Individual patients can contact a doctor via their smartphone for tailored medical feedback, while general, protocol-based advice can be uploaded by medical students operating the system,” explains Dr Mrelashvili. “Before, doctors had to make phone calls, write notes and repeat the same basic messages to each patient individually. Now, the doctor’s time is freed up to respond to the most urgent requests.”

This is an example of the European Programme of Work 2020–2025 in action through one of its flagship initiatives, Empowerment through Digital Health. It shows how digital health can accelerate and improve the quality of and access to health services, making them more responsive to people’s needs.

Creating a task-force hierarchy

Project Atlas began with just 10–14 medical personnel, including medical students who were enlisted via a callout on social media. Working together, each clinic could carry around 1500 patients, reports Dr Mrelashvili, and by the end of December 2020, over 5000 COVID-19 patients had been “seen” by doctors.

With the support of Georgia’s National Centre for Disease Control (NCDC), the project received a list of new COVID-19 patients every morning, who were then contacted by medical students and invited to join a virtual room. The small minority of patients without smartphones were contacted with traditional calls and still placed in one of the virtual rooms with a doctor.

“We have created a task-force hierarchy, where it is medical students and junior doctors who obtain case histories and complete initial patient screenings, and senior doctors, while screening and monitoring all of them, respond in depth to the most critical cases that need urgent interventions,” explains Dr Mrelashvili.

If a doctor posts a voice message on the forum to say that a patient needs further monitoring, or to be transported to a hospital, the system operators arrange for a pulse oximeter to be delivered to the patient’s door or for an ambulance to collect them.

At the same time, all the messages to patients and protocol-based communication by junior personnel are monitored and quality-controlled by the licensed senior doctor who oversees all the rooms. That, however, takes exponentially less time than the same tasks being done by the senior doctor him or herself, who represents the scarcest resource in the pandemic.

Teleporting into the emergency room

Dr Mrelashvili explains that one of the benefits of Project Atlas is that it can be scaled up very rapidly, even at the unprecedented level needed to respond to COVID-19. It can also provide a platform to train the next generation of doctors, who learn from observing the recommendations and decisions made by leading physicians.

Project Atlas began with a virtual clinic in Georgia’s Kakheti region, and hopes to expand to other regions of the country with support from local governments and the NCDC. Voluntary specialists from all over the country in areas such as cardiology, pulmonology and paediatrics have been dropping into the clinics whenever needed to give their professional opinions.

“As doctors, we can teleport into different emergency rooms and make a decision in 30 seconds using this system,” reports Dr Mrelashvili, “so, why go and visit a doctor in person?” He hopes that the initiative will carry on in the future to optimize and improve health care and medical education in Georgia and elsewhere in the world.