West Ham boss Sam Allardyce paid tribute to his players after their 2-1 victory at QPR.First-half goals from Matt Jarvis and Ricardo Vaz Te put the east London side in the driving seat and they were worthy winners despite QPR rallying after the break.“We’ve achieved our first Premier League away win which is no mean feat for a newly promoted team. To come to QPR and dominate the game was great for me to see,” said Allardyce.“Our resilience and defensive qualities came to the fore. We eventually saw the game out to win and I’m absolutely delighted.“It’s a geat result for us and we have 11 points now, are seventh in the league, and it’s a really great start by the players who are going out and playing to their very best.”See also:Struggling Rangers beaten by West HamFollow West London Sport on TwitterFind us on Facebook
There are very few options to curethe deadly XDR-TB strain.(Image: tballiance.org) A doctor examines a TB patient. Several campaigns are currently in placeTo educate the public about TB.(Image: Stoptb.org)Khanyi MagubaneA new, advanced diagnostic method to detect multi-drug-resistant tuberculosis (TB) will now cut the diagnosis time from two to three months, to just a day or two.Health Minister Manto Tshabalala-Msimang launched the new diagnosis tool on 1 July 2008 at a four-day TB conference in South Africa.She says the development of the new diagnostic tool follows a high level Southern African Development Community meeting, hosted by South Africa, where medical researchers were urged to find a quicker way to test for multi-drug-resistant (MDR) and extensively drug-resistant (XDR) TB.“Successful prevention and treatment of multiple-drug-resistant TB has been undermined by conventional drug susceptibility testing that is prone to difficulties and takes a long time before a diagnosis can be made,” Tshabalala-Msimang said.The research initiative was conducted in partnership between the World Health Organisation, the Stop TB Partnership, UNITAID and the Foundation for Innovative New Diagnostics. South African partners included the national Department of Health and Medical Research Council.The new molecular testing method to diagnose MDR-TB, which until now was used only for research purposes in countries including South Africa, will be made available to 16 nations in Africa.The new method, or line probe assays, involves testing the DNA collected from a swab of a patient’s saliva. An accurate diagnosis can then be made within two days.This is a marked improvement on the old method. In most developing countries, TB patients would be tested for MDR-TB only after they had failed to respond to standard TB treatments. Even then, this only happened when the health practitioner suspected MDR-TB, and it used to take about two months or more to confirm the diagnosis.Patients would then have to wait for the test results before they could receive the treatment. During this period they were at risk of spreading the multi-drug-resistant disease to others. Because of the prolonged process in the past, patients often died before results were determined.Heavy costs involvedThe new testing system is not going to come cheap. According to Dr Karin Weyer, team leader for laboratory services at the World Health Organisation, South Africa is expected to start using the method at a cost much higher than initially thought. However, she said it was still cheaper than the current methods used to diagnose MDR-TB and XDR-TB. Weyer added that the quick testing of MDR within one day would accelerate the testing for XDR-TB.The cost per capita of treating TB patients is generally very heavy, as drug-resistant TB is expensive to treat.History of TB in South AfricaAccording to the Health Systems Trust, an organisation supporting health systems development in South Africa, TB arrived in the country with colonialists, settlers and missionaries, many of whom were already infected from the TB epidemic which had swept Europe and North America during the 17th century.When gold mining started on the Reef (presently Gauteng) in the late 1800s, black migrant workers who came in contact with those infected with the disease contracted it.By 1930, it was estimated that over 60% of the black population of South Africa was infected. In 1953, 780 per 100 000 of the population of the northern and eastern parts of the country had the disease.Today, South Africa still has one of the highest TB infection rates in the world. Almost 1 000 South Africans out of every 100 000 are living with the communicable disease.WHO says treatment success rates in South Africa remain low, with death and default being the most frequent negative outcomes. Although case notification continues to increase, with the 70% case detection rate being reached for the first time in South Africa in 2006, the treatment success rate remains low.The prevalence of HIV/Aids has also contributed to the high death rate among those with TB.MDR-TB and XDR-TB explainedExtensively drug-resistant TB is a relatively rare type of MDR-TB. It is resistant to almost all drugs commonly used to treat drug-susceptible or regular TB.TB can usually be treated with a course of four standard drugs known as first-line drugs. If these are taken or prescribed incorrectly, MDR-TB can develop. However, MDR-TB can be treated with second-line drugs, but these are more expensive and often come with more side effects. The treatment process also takes much longer than for regular TB.When second-line drugs are prescribed or taken incorrectly, XDR-TB can develop. At this stage there are very few treatment options available.Useful linksGlobal health reporting Health Systems TrustWorld health organisationFoundation for Innovative New DiagnosticsMedical Research Council Do you have any queries or comments about this article? Email Khanyi Magubane at [email protected]
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About the authorPaul VegasShare the loveHave your say Howe: Bournemouth must rise to Man Utd challengeby Paul Vegas10 months agoSend to a friendShare the loveBournemouth boss Eddie Howe has challenged his players to rise to the test of facing Manchester United.The Dorset club have picked up one point from three games at Old Trafford since being promoted to the top flight. Howe said: “It’s a tough game. Whenever you go to Old Trafford you know you are going to be in for a tough assignment.“We are going to need to rise to that challenge. They have had two really good results and performances. I am sure the atmosphere in the stadium will be good for the players there.“We will look forward to going there as we always have done. We have had some tough encounters and enjoyed our matches in the ground – we will look forward to another tough game.”
Real Madrid weigh up bid for Rennes teen Eduardo Camavingaby Carlos Volcanoa month agoSend to a friendShare the loveReal Madrid is weighing up a raid on the French transfer market.Marca says Real are already looking at young talents who are standing out this season.First on the list is midfielder Eduardo Camavinga, who is already featuring for Rennes at 16 years of age.After making his debut last season, he has earned a starting position this year.In August, he was voted player of the month by his peers, winning the Union of French Football Players award.Real Madrid have been scouting several youngsters, but Camavinga has caught the eye the most. TagsTransfersAbout the authorCarlos VolcanoShare the loveHave your say
MONTREAL – Among the items bequeathed by globe-trotting chef, author and TV host Anthony Bourdain was something that most people would never consider.Bourdain, who took his life in early June in France, wrote in his will that his estranged wife should dispose of frequent flyer miles and other possessions in a way she believes he would have wanted.While loyalty points aren’t typically top of mind for bereaved family members, they can be a valuable asset in a person’s estate, especially if the departed shared Bourdain’s passion for travel.The value of unredeemed loyalty points reached $16 billion last year in Canada as memberships have grown by 68 per cent over the past five years to an average of 12.3 cards per person in 2017, according to Bond Brand Loyalty, a leading global customer engagement agency.“Passing along loyalty points is going to be a more common consideration as baby boomers start to age and consider death,” said Queen’s University marketing professor Ken Wong.The onus is on the program member to leave written instructions to their executor dictating what should be done with all their assets, Wong said.“Most people will note their (Guaranteed Investment Certificates), they will note their investments and so on but they won’t talk about loyalty points.”Collectors of loyalty points may decide to switch cards if they discover in the fine print that their rewards die with them, Wong added.“These people worked hard to earn those points and they shouldn’t just disappear when they pass,” added Patrick Sojka, a travel rewards expert and founder of RewardsCanada.ca.With no industry standard, rules differ among programs, he said.Most require the submission of a death certificate, some charge a fee and others state that the rewards are forfeited upon death. The programs also put various time limits on claiming the points and some allow them to be donated.Details are posted online in the terms and conditions of most programs while some require members to contact the operator.Of the major programs surveyed by The Canadian Press, Air Miles, Aeroplan, Esso, WestJet Airlines, Porter Airlines, Hudson’s Bay, the five largest banks and U.S.-based hotel chains Hilton, Marriott and Starwood permit the transfer of points or miles.PC Optimum, Metro&moi, Indigo Plum, Canadian Tire Triangle Rewards, and SAQ (Quebec liquor agency) Inspire do not.Although PC Optimum points are not transferable, the program has in specific cases worked with family members of deceased customers to access accounts and points, said Loblaw spokeswoman Catherine Thomas.She added that the new program allows many people in the family to earn and redeem points.Likewise, grocery rival Metro’s in-house reward program doesn’t transfer points, but they can be used by everyone with a card.Family members can still access points even if programs don’t allow them to be transferred if they use their loved-one’s card and know the password, experts say.It is common practice for tax law experts to discuss loyalty points and digital details such as usernames and passwords with clients to ease administration of the estate left for their executors, said Anisa Diwan, a Tax, Estates and Trusts associate at Borden Ladner Gervais.The Toronto-based law firm also recommends the use of power of attorneys to give access and control of reward miles and points, especially if the person loses their mental capacity before death.“General anecdotal evidence suggests however that many executors may not be dealing in a timely manner with the accumulated rewards points of a deceased person, if at all,” she said.Diwan said executors should contact each loyalty program promptly after death because some may cancel accounts due to inactivity.
“I don’t think many were anticipating a heroic recovery despite the fact that the recession was quite deep. Oil production should grow despite some of the challenges in terms of pipelines. That’ll get us two per cent which is not heroic.”Burleton said Alberta’s economy is within a year of returning “home” _ a term used to characterize full recovery from a recession. However, it could be another two years before the job market fully recovers.“Employment is back to where it was pre-recession, but a lot of the jobs are self-employment, more of a freelance type,” he said.“Employers are kind of slow to bring back hiring and part of that does reflect the lacklustre investment outlook over the next couple of years.”The report also notes that government hiring, primarily in the health and education sectors, rose by nearly 10 per cent. Private sector jobs fell by five per cent during the recession.Burleton said the lack of investment in Alberta, particularly in the oil and gas sector, remains a concern. Late last month the Federal Court of Appeal quashed cabinet approval of the Trans Mountain expansion project.The forecast says there is reason for optimism, including the resiliency of global oil demand and limited supply outside of Alberta, and decreasing production costs. CALGARY, A.B. – TD Bank says Alberta’s battered economy is headed in the right direction, but warns there are still a number of hurdles that could hinder recovery.A report released Thursday by deputy chief economist Derek Burleton is predicting economic growth between two and 2 1/2 per cent for Alberta in the next year which follows an increase of nearly 4.9 per cent in 2017.“It was a nice bounce back last year, but growth is settling down this year and we’re of the mind that you’re gonna get a continued moderate growth run over the next couple of years as the economy kinds of settles down,” Burleton said in an interview. “I think that’s the Achilles heel for recovery so far. It is basically the missing element,” he said.“Investment is not going to be catching fire soon. We’re not anticipating a lot of growth over the next few years and clearly there are some hurdles there.”Burleton said Alberta could reassert itself as a leader in growth, but only if it deals with inadequate pipeline capacity, regulatory hurdles, and eliminating the government’s budget deficit.“We still are of the mind that the economy will reassert itself,” he said. “It may be a bit at odds given the timing of this report just after the Trans Mountain decision and some of the concerns around the oil and gas sector.”