Lassa fever case found in New Jersey

first_img Lassa fever is rarely found outside of West Africa. But the case study published in the Centers for Disease Control and Prevention (CDC) publication points out that the ease of international travel has also made microbes mobile. MMWR recommended that clinicians consider both common and uncommon diseases when evaluating patients who have traveled from Africa. Clinical histories must uncover travel to regions with uncommon endemic diseases, and lab work must be done quickly, the report added. Rats in the genus Mastomys, which live throughout West Africa, host Lassa. The virus can be spread when people kill and eat the rats, when the rats contaminate poorly stored human food, when dust containing virus shed in urine or feces becomes airborne, and through people’s cuts and sores. Lassa fever can also spread through contact with the fluids of a human victim. It kills about 5,000 people a year, CDC said. Estimates place the number of Lassa infections between 100,000 to 300,000 annually, with the caveat that regional surveillance is spotty, according to the report. Seventeen of the 19 plane passengers were from the United Kingdom and two were Americans. Only three passengers could not be contacted. All the contacted passengers were healthy and had not suffered fevers within the 21-day incubation period for Lassa, MMWR reported. Oct 6, 2004 (CIDRAP News) – The first US case of Lassa fever since 1989 is a reminder that physicians need to consider exotic diseases when making diagnoses, noted the Oct 1 edition of Morbidity and Mortality Weekly Report (MMWR). His death and diagnosis prompted an intensive search to find people with whom he had contact while ill. Multiple criteria were used to determine if that contact was high- or low-risk. Hours later the 38-year-old man was hospitalized in Trenton, N.J., for fever, chills, sore throat, diarrhea, and back pain. His temperature was 103.6°F. Physicians initially suspected malaria and typhoid fever, and treated him with antimalarials and antibiotics. Of the 188 people who had contact with the man during his likely infectious period, five were classified as high-risk and 183 as low-risk. Those at risk included family members; nurses, physicians and lab workers at the Trenton hospital; lab workers at commercial laboratories in California and Virginia; and 19 fellow airplane passengers. A Liberian businessman who lived in New Jersey but commuted to farms in Liberia and Sierra Leone fell ill during the final days of a 5-month stint in Africa in August, CDC reports said. Two days later he flew from Freetown, Sierra Leone, through London to Newark, N.J. He rode a train on the last leg of his journey. A few hours after that consultation on Aug 28, the patient died without receiving the ribavirin. Serum antigen detection, reverse transcriptase-polymerase chain reaction, and other tests confirmed he died of Lassa fever, only the 20th imported case to have been noted worldwide, MMWR said. The children of some at-risk patients were kept from school until the incubation period expired on Sep 18, MMWR said. No contacts contracted Lassa-like symptoms.CDC describes Lassa fever as an acute viral illness endemic to West Africa. It is named for the Nigerian town where two missionary nurses died in 1969. The zoonotic virus from the family Arenaviridae is mild or asymptomatic in about 80% of human victims. The other 20%, however, develop a severe, multisymptom disease that can include shock, hemorrhage, seizures, and death. Outbreaks can prompt case-fatality rates as high as 50%. Despite treatment, the man’s condition worsened. By his fourth day in the hospital, he was in respiratory distress. Doctors intubated and ventilated him, and reconsidered the initial diagnoses. This time yellow fever and Lassa fever rose to the top of the list, the report said. After notifying state health officials and consulting CDC, doctors arranged to give the patient ribavirin intravenously, under an investigational new drug protocol. CDC. Imported Lassa fever: New Jersey, 2004. MMWR 2004 Oct 1;53(38):894-7 [Full text]last_img read more

Medicare proposes requiring nursing homes to give flu shots

first_img To improve the incentive for vaccination, CMS in January increased the average Medicare payment for administering each shot from $8 to $18, in addition to a separate payment for the cost of the vaccine, officials said. Medicare officials hope to raise immunization coverage among nursing home residents for both flu and pneumococcal disease to 90%. A national nursing home survey in 1999 revealed that only 65% of residents had received flu shots and 38% had had a vaccination for bacterial pneumonia, the agency said. In case of a vaccine shortage, state agencies would have the option not to cite nursing homes for failing to comply with the immunization rules, according to the plan. CMS also wants nursing home workers to get flu shots, but will not require that. The agency said research from the last flu season showed that only 36% of all healthcare workers received flu shots, even though immunizing nursing home employees has been shown to reduce death rates among residents of the homes. Nursing homes would have to give the immunizations unless the patient or patient’s family refused or the shots were medically contraindicated, the Center for Medicare and Medicaid Services (CMS) said in a news release. “Vaccines against these diseases are effective in preventing hospitalizations and death,” CMS Administrator Mark B. McClellan, MD, PhD, said in the news release. “However, many people are not getting the vaccines they need. This initiative will be critical to maintaining high-quality care in the nation’s long-term care facilities.”center_img About 2 million Americans live in nursing homes, and people aged 65 and older account for more than 90% of flu-related deaths in the United States, the CMS said. The Centers for Disease Control and Prevention (CDC) estimates that 36,000 people die and 200,000 are hospitalized because of flu and its complications each year. Aug 18, 2005 (CIDRAP News) – Nursing homes that serve Medicare and Medicaid recipients would have to vaccinate residents against influenza and pneumococcal disease to stay in the federal programs, under a plan announced last week. The proposal was to be published Aug 15 in the Federal Register. Because of the approaching flu season, CMS set a comment period of only 15 days. In developing its proposal, CMS received advice from the CDC and two large nursing home industry groups, the American Association of Homes and Services for the Aging and the American Health Care Association.last_img read more

The 4 faces of bird flu

first_img(CIDRAP Source Weekly Briefing) – Bird flu is 4 problems, not 1. Keeping them straight is a prerequisite to sensible risk communication—and sensible preparedness.Vocabulary lessons are a pain. But sloppy language use has encouraged sloppy thinking, greatly compounding our preparedness problems. Millions of people think flu pandemics come from birds. Millions think Asia already has a pandemic. Millions think when the pandemic gets here the only people it will endanger are those who get the flu. These mistakes are grounded in confusion about the 4 faces of bird flu.So grit your teeth for a crucial vocabulary primer.1. The ongoing epizootic.A widespread infectious disease outbreak in a nonhuman species is called an epizootic.An epizootic of the influenza strain called H5N1 is currently wreaking havoc among birds in parts of Asia and Africa. This strain of H5N1 is incredibly infectious and incredibly deadly to domestic poultry. It is the worst bird flu in recorded history. Even if it never becomes a serious human health problem, it will remain a big deal for farmers and veterinarians.Many experts think H5N1 is already widespread enough to be considered a panzootic (worldwide outbreak) instead of an epizootic; others think that’s premature, since it hasn’t been found yet in the western hemisphere.For decades, animal outbreaks have routinely been called epidemics and pandemics instead of epizootics and panzootics by professionals who know better. It’s probably too late to cure them of this bad habit. But readers of this newsletter shouldn’t follow them into it. Distinguish the current animal epizootic from the possible future human pandemic. (The experts defend their longstanding historical misuse of the technical vocabulary—all the while ridiculing the media and the public for getting confused. Wouldn’t it be neat if businesspeople were to start using the terminology correctly?)2. The occasional zoonotic infection.From time to time a disease that’s common in animals passes to an unlucky human or two. That’s called a zoonotic infection.As of Jan 24, H5N1 has infected 269 people that we know about, out of millions of people exposed to infected poultry. H5N1 passes easily from bird to bird. But so far it passes from bird to human only with great difficulty—and from human to human with greater difficulty still.What’s scary is this: While very few people have become infected with H5N1, a huge percentage of that tiny number—roughly 60% —have died. That compares to a US case fatality rate of about 2½% for the infamous 1918 flu pandemic, and far below 1% for the typical seasonal flu.A 60% case fatality rate is terrifying. But H5N1 is still a minor public health problem. Even poultry farmers whose flocks contract the disease face a surprisingly small risk to their health—so small that they rightly smell a rat when authorities say they need to kill their birds to keep themselves healthy (rather than to keep the disease from spreading to nearby flocks). The zoonotic risk faced by chicken consumers and other non-farmers is immeasurably small.For zoonotic infections to become a major problem, the virus would have to mutate in a way that enabled it to pass easily from birds to humans. Nobody talks much about that possibility. Most experts are guessing that it’s probably less likely than the possibility they talk about incessantly: that H5N1 may mutate so it passes easily from humans to humans.3. The mild pandemic.If H5N1 ever “learns” efficient human-to-human transmission, we will have a pandemic. By then H5N1 probably won’t be bird flu anymore. It will have mutated (or reassorted) into a human flu—a new human flu to which we have no natural resistance and for which we have (at the start) no vaccine. At that point, unless zoonotic infections become common for the first time in influenza history, birds will cease to be an issue. We’ll be worrying about catching the disease from each other. The pandemic risk in places where the birds are healthy will be exactly the same as the risk in places where they’re infected.Of the 4 “faces” of bird flu, in other words, 2 of them aren’t bird flu all; they are possible pandemic descendents. Phrases like “bird flu pandemic” are intrinsically confusing. Such phrases confuse the 2 bird flu problems we have now (bird-to-bird and bird-to-human) with the 2 pandemic, human-to-human problems we’re worried about.Why 2 pandemic problems? Because not all pandemics are the same.Do you have vivid memories of the pandemics of 1957 (H2N2) and 1968 (H3N2)? Neither do I. They were serious enough to kill significantly more people than the typical flu season kills. They were serious enough to lead to some hospital surge capacity problems and even some business absenteeism problems. But unless you were paying close attention or happened to know someone who became sick, they were easy to miss.If H5N1 causes a pandemic like those 2, it will be something of an anticlimax. Companies worried enough about pandemic preparedness to subscribe to this newsletter will presumably cope better with a mild pandemic than non-subscribers. But non-subscribers will get through it okay, too. And both will wonder a bit what all the fuss was about.4. The severe pandemic.By contrast, the 1918 pandemic (H1N1) killed more people than World War 1. It was the mother of all flu pandemics. If H5N1 causes a pandemic like 1918’s, nobody is going to think it anticlimactic.Nor is 1918 the worst-case scenario. What if H5N1 acquires efficient human-to-human transmission without becoming less fatal in the process? Imagine a disease that’s as contagious as a bad flu season (infecting, say, 30% of the population) and as deadly as H5N1 is today (killing 60% of those it infects). It would be an unprecedented human health catastrophe. Since a flu pandemic that bad has never happened before, most experts figure it probably won’t happen this time. But H5N1 has already broken a lot of influenza records. And things that have never happened before happen all the time.Medically, 2 factors determine the severity of a pandemic: what percentage of the population gets sick, and what percentage of those who get sick die. But there’s a third factor that’s at least as important as those 2: how much the pandemic disrupts society’s infrastructure. Does the power go off? Does the water treatment plant run out of chlorine? Do the supermarkets run out of food? Are diabetes patients unable to replenish their supplies of insulin and syringes? Are there riots and looting? Does your company stop performing even its most essential functions?What sort of pandemic a society prepares for depends on who’s in charge of preparing. To most departments of health, pandemic preparedness is about social distancing, about quarantine and hygiene strategies, and about having enough medicine, ventilators, and nurses to cope with the influx of flu patients. In other words, health departments are preparing mostly for a mild pandemic. Departments of emergency management, on the other hand, are thinking about keeping the power going and the water potable. They’re worried about infrastructure resilience and social stability. They’re preparing for a severe pandemic.Smart companies are preparing for both—and being clear about the difference.An internationally renowned expert in risk communication and crisis communication, Peter Sandman speaks and consults widely on communication aspects of pandemic preparedness. Dr. Sandman, Deputy Editor, contributes an original column to CIDRAP Source Weekly Briefing every other week. Most of his risk communication writing is available without charge at the Peter Sandman Risk Communication Web Site (www.psandman.com/). For an index of pandemic-related writing on the site, see http://www.psandman.com/index-infec.htm. For more on the vocabulary of bird flu, see www.psandman.com/col/poultry.htm#two (written with Jody Lanard).last_img read more

The best entertainment for your guests with Total (no) Tv solution

first_imgDo you have everything you need for the new tourist season?Do you care about tourists and their domicile programs?Do you have the best pay TV Slovenian, German, Polish, British and Italian programs available in your apartments?Have you ever asked tourists what they and their children like to do when it rains or when the weather conditions are not favorable for outdoor activities?Is your facility completely covered by a stable TV and internet signal?These are just some of the questions you have to face, and your only wish is a satisfied guest?Nowadays, the guest is becoming more demanding in terms of using tourist services, and television is considered the most important basic offer in any accommodation. Today’s guest knows what he wants, is educated and will look for all the benefits without hesitation. That is why it is good to provide the largest selection of programs as well as stable and fast internet to meet the needs of all guest profilesTotal TV in its offer for the tourism sector offers the possibility of watching over 300 satellite programs http://totaltv.tv/hr/Televizija/TV-Programi from foreign, domestic, sports, music, children’s to adult programs. The crystal clear HD quality picture is breathtaking, and the Dolby stereo digital system allows you to feel the real sound of the content.Total TV has proven to be the best solution for the user who knows what he wants and for whom the quality of the picture and the offer of the program are important, and the fact that the service can be used in the most inaccessible places further facilitates the purchase decision. Careful selection of the program range as well as special benefits is devoted to a lot of time to meet the needs of everyday users to seasonal renters.Are you ready for ALL IN ONE?ALL IN ONE is a premium package intended for renters and small and medium hoteliers.ALL IN ONE offers the possibility of watching the most attractive program content in each room on the most modern HDTV devices from 40 kuna per month per room.ALL IN ONE is a postpaid service tailored to your tourist season lasting 3, 6 or 9 monthsALL IN ONE offer is compatible with the requirements and lifestyle of your guests and immediately leaves a good impression, and this is exactly what you want!Don’t miss the opportunity to become the best player of the season and contract ALL IN ONE package on prodaja@totaltv.hrMake your guests feel at home because we offer you smart solutions at the best prices!Download your free e-book copy HERElast_img read more

How to get an interest rate of only 1 percent? Join the Kvarner family quality label program

first_imgThe project of awarding the quality label “Kvarner Family” was initiated by the Primorje-Gorski Kotar County, and is implemented by the Kvarner Tourist Board in cooperation with member tourist boards, and Kvarner family is certainly the most successful labeling program in Croatia.Also, for years, the Primorje-Gorski Kotar County has been subsidizing loans for family accommodation hosts in the Kvarner family program, and the goal of the program is to improve service and raise the quality of accommodation in facilities that provide catering services in the Primorje-Gorski Kotar County.Interest for hosts in family accommodation from 1 to 2% Primorje-Gorski Kotar County subsidizes interest on approved loans with five (5) percentage points for investments in the area of ​​Gorski Kotar and small islands of Primorje-Gorski Kotar County (Unije, Susak, Ilovik, Vele and Mala Srakane), so that the interest for end users ultimately can amount to 1% per year. For the remaining areas of the Primorje-Gorski Kotar County, the County subsidizes the interest with four (4) percentage points so that the interest for the end user can be the highest 2% per year.Preference when approving a loan is given to hosts who already have the “Kvarner Family” quality label and want to create conditions for obtaining sub-brands, ie additional quality labels of the “Kvarner Family” brand such as “Pet Friendly” – intended for tourists with pets; “Bike Friendly” – intended for cyclo tourists; “Hike Friendly” – intended for hikers and other standards of special offer conducted by the Kvarner Tourist Board.Landlords interested in submitting an application for the Kvarner Family 2015 Loan Program in the Primorje-Gorski Kotar County may submit a Public Invitation and a loan application form and a list of documentation located here.Proof of how it can be if we care about development Labeling programs such as Kvarner family can be started by any county tourist board to raise the quality of accommodation and services in family accommodation, of course it is necessary to create a good enough motive for the hosts to activate and participate in a particular labeling program. Of course. The market is free and no one has to learn a labeling program, but that’s why it’s important to combine a series of motives, and where will you get a better motive than 1% interest on the loan, which you can’t get in the market?Also, this is just one of the great motives for the hosts to get involved in the program, and we can list hundreds more. From giving free towel sets, education, study trips, advertising, apartment photography, etc.… continue the series… This is a concrete example of how to raise the level of service and quality of accommodation in family accommodation, of course only if we care about strategic development. This is exactly how we can raise our entire tourism, and there has always been and always will be a market as the best regulator of the successful and the less successful. There are other labeling programs in Istria, Šibenik-Knin County and Zadar County, but unfortunately the whole story is developing too slowly.The story of branding family accommodation starts with those who need to develop and brand tourist destinations, and these are tourist boards. The labeling program is such a broad story that connects all the essence of family accommodation. People are not to blame for poor development, the system is to blame for the fact that we are not developing strategically, both tourism and tourist destinations.Opportunities and successful models are there, and it’s up to you to take advantage of them. Of course if you care, although it is the duty and obligation of tourist boards because the system is not an end in itself, but exists for tourism workers as a kind of DMC or management and platform that connects and develops a tourist destination in every sense.last_img read more

Winemakers in trouble: For the first six months, wine sales fell by up to 80 percent

first_imgReduced consumption, stocks at their highest level since 2009, additional import duties on European wines in the US as the main EU market and the pandemic have significantly destabilized the EU wine market, and this has been reflected in the Croatian market. The reduction in general demand, the blockade of the HORECA channel and the absence of a real tourist season as a significant generator of consumption, as well as difficulties in placement in EU member states and third countries, will drastically reduce wine consumption. Therefore, the Croatian Chamber of Commerce proposed to the relevant Ministry of Agriculture changes to the National Program for Assistance to the Wine Sector, the so-called wine envelopes. A survey conducted by the Chamber within the Wine Association of the Croatian Chamber of Commerce shows that the placement of 50 to 60 percent of wine stocks is currently problematic, and sales are expected to fall by up to 80 percent in the first six months. The European Commission has amended the legislative framework that allows for the application of emergency measures for viticulture and viticulture. “The Chamber proposed that most of the 43 million kuna aid be directed to reducing stocks through the distillation of surplus wine, with a support of five kuna per liter on the basis of 11 percent alcohol. The minimum application for distillation would be five thousand liters, the maximum up to 30 percent of the stock. The rest would be used for crisis storage,”Said the vice president of the Croatian Chamber of Commerce for agriculture and tourism Dragan Kovacevic, noting that the proposal also includes a favorable credit line for winemakers through HBOR and Hamag Bicro, with acceptable collateral and interest instruments, a maturity of five years and a grace period of one year. Almost all wineries realize over 70 percent of their sales through the tourist season.center_img Likvidnost vinara i vinogradara ubrzano slabi, što dovodi u pitanje financiranje tekuće proizvodnje vina i grožđa te otkup grožđa berbe 2020. od kooperanata. “For the first six months of this year, sales are estimated to fall by about 80 percent, which will not be possible to compensate in the second half of the year” ističe Kovačević te dodaje kako bi se brojne vinarije mogle naći na rubu održivosti zbog pada cijena i blokade prodaje te bez pomoći države. The National Program is a basic document that determines how and why the funds intended for the wine and viticulture sector from the European Agricultural Guarantee Fund are used, they conclude from the Croatian Chamber of Commerce. Izmjenama Nacionalnog programa pomoći sektoru vina 2019.-2023. godina omogućila bi se primjena izvanrednih mjera potpore za stabilizaciju tržišta vina – Distillation of wine in case of crisis and Support for crisis storage of wine. The crisis caused by the coronavirus has strongly affected the viticulture, ie wine sector. At the moment, wine stocks are accumulating, which is especially pronounced in larger and large wine producers, which is why there is a lack of storage capacity. last_img read more

Istra Outdoor Experience once again showed how our tourism should be developed

first_img“In most cases, people are against such partnerships because they think they are in competition. But we are not competitors, we are partners. I don’t have horses and I will never have them, he has no quads and he certainly has no intention of ever buying them. Everyone works in their own segment, no one interferes in anyone’s business, but if we work together, we all get better. The guests are very satisfied because that way they get an all-day activity and can try out all the activities. It is not clear to us why everyone is surprised by this. We have been doing this for more than 10 years. We have set a fair and correct agreement at the start and that is why our cooperation is of high quality and we believe that it will work for many years to come.Says Draguzet. What does the IOE team do that others don’t? – The answer to this question is a new tourist product. And this through the provision of outdoor activities; wine, brandy, liqueur tastings, as well as organizing and serving food in small groups directly in nature outdoors, thus giving the guest a complete destination experience and safety again due to the current health situation. Another important lesson for all those involved in tourism. We don’t need one giant, for example “Agrokor”, where everything has one, but we need 100 little ones who ultimately make up the same story. But with one significant difference. The distribution of money goes down to the local level to hundreds of families. Local workforce. Local family farms. keep going down it’s sustainable development. Everyone lives directly or indirectly from tourism. They all earn well and have a high quality of life. Just turn the story around, that only one has all 15 RES services and products. Namely, the representatives of the Istra Outdoor Experience team gathered last Thursday at the Multimedia Center Barban with the aim of developing a program for launching tourism in the post-crisis period. 1 + 1 is not 2, but 15 Istra Outdoor Experience (IOE) is one of the best correct examples in Croatia of how tourism should be developed. This is a story of strategic development, synergy, micro-entrepreneurship and smart thinking about tourism and destination development. This is exactly the meaning of tourism. Offer quality, different and authentic content. This is exactly the “holy grail” of how to extend the tourist season. And the most important thing is to increase tourist consumption, which does not encourage imports, but quite the opposite – goes down to the local economy. Not to one, but to as many micro-entrepreneurs as possible. This closes this magical sustainable tourist circle. So people stay on their land and in rural areas. So we have a unique tourism product. “Through all the years of our cooperation, we concluded that together we are “stronger” and we managed to raise tourism in the Barban region to a higher level and influence the extension of the tourist season, because in the pre-season and post-season it is not enough to offer only “sun and sea”, but in combination with all these activities, these seasons are ideal for such activities because Istria has an ideal climate because the winters are not too cold, so we can work practically all year round, which is a rarity in other parts. Our motto is: MORE, BETTER, STRONGER!”Concludes Draguzet. Encouraging innovation in tourism, elaboration of marketing strategies and business networking were just some of the topics of the Anti-corona meeting, by which the IOE team wants to revive the numb tourism sector caused by the corona situation. Therefore, at the meeting of Istra Outdoor Experience, they especially emphasized the additional networking and connection of all activities in tourism in the Istrian County and approaching users through digital channels as the best solution to the new situation. Moreover, at the meeting they expanded their cooperation with new partners. Istra Adventure, Glavani Park, Ranch Barba Tone, Konoba Vorichi, Camp Dvor and Travel Istria, as the founders of this informal organization, say that the opportunity should be taken out of the post-crisis situation as it was at the very beginning of their partnership 10 years ago. it is a challenge to provide of a different tourist product due to an uncertain period. Balm for my ears, and the key word is – to act. Yes, we all have to start from ourselves and act. And not waiting for a “miracle”. This is the first prerequisite for starting some things from the deadlock. If anyone needs to get all possible support (from the Ministry of Tourism, CNTB, the system of tourist boards, counties, etc. u) in our tourism, it is the team around RES. IOEs are proof that synergy is possible in the destination among micro-entrepreneurs (“competitors”) and an example of tourism as it should be in Croatia. We must certainly emphasize once again, as every year the IOE invites travel agencies and private renters to meet them and join them in their story, so that together they can all be stronger and offer a better and most importantly – a sustainable and complete tourist product. . Also, not everyone can learn in the entire IOE network or association, and the only criteria are quality, synergy and whether they want to work with everyone under the same conditions.center_img “As the above-mentioned situation is changing day by day not only in the Republic of Croatia, but also in the European Union and the rest of the world, we must act, primarily reasonably and not only expect economic change, but do everything in our power to create the preconditions to make that change happen. We won’t get anything from waiting”Pointed out Mladen Draguzet from Istra Outdoor Experience. Taught by good experience when the Tourist Board of the Municipality of Žminj, Mljekara Latus, Pršutana Jelenić, OPG Žminjski gušti and the Tourist Board of the Municipality of Marčana from Krnica Boat Excursions and Konoba Da Rocco, Istra Outdoor joined the team in January this year. The experience team decided expand cooperation with new partners – OPG Frane, In Sylvis wines and Beach bar Cadena who expressed interest in working in a team. Responding to changing trends in the tourism sector is certainly easier through joint action. Therefore, a positive step in the work of this team is the conclusion of new collaborations with partners who perform various activities and the creation of a new tourism product. And in this crisis, I could not expect the status quo from the IOE, but again something different and proactive. And they did not disappoint, in fact, they delighted me again. / / / ISTRIA OUTDOOR EXPERIENCE EXAMPLE OF TOURISM DEVELOPING STRATEGICALLY. THE MAGIC WORD IS SYNERGY I can give many examples, but here’s a plastic one all clear. One grows wheat, the other has a mill, the third makes bread, the fourth buys this homemade bread, the fifth makes pasta, the sixth makes sauce, the seventh grows mushrooms, the eighth grows cows, the ninth “continue the series”. Such a value chain is imperative today. Of course, big capital does not see interest here, because logically and quite justifiably, it wants to consolidate everything under one cap in order to reduce costs, be more efficient and to complete the whole process. But, in this story, it is much more efficient for the development of the local community and even the state, and not the individual. The positive impact can be concretely measured through various factors, from economic to immigration from rural areas. But we will do that in more detail on another occasion. “By enriching the tourist offer and networking, the Istra Outdoor Experience team strengthens the recognition and position of Istria as a destination in all European and world markets. “Concludes Draguzet. So logical, natural, sustainable and simple. It is the base and skeleton of tourism. Certainly an example as a positive case study for all students of tourism management, in fact, as well as a practice for students to experience in a practical way which means the strategic development of the destination. “Now we have gathered all the partners, in fact we have expanded our cooperation with new partners, and we have all made programs that can be carried out outdoors as much as possible. So, in addition to adrenaline content, we also have lunch with our partners in the olive grove, dinner in the vineyard and all tastings in the open air ” Draguzet pointed out. Istra Outdoor Experience is an informal association of companies in the municipality of Barban that offer active holidays, and bring together 15 partners, and thus together make a unique quality tourist product in Croatia. PS Hotels, agencies, renters… you have excellent quality tourist content. Content that is crucial for extending the tourist season, raising tourist spending (which remains at the local level) and raising the level of tourist satisfaction with our destination. An example of RES is the base, foundation and skeleton, and the rest is an upgrade. Just like when we build a house, we need to have a strong and healthy foundation. In conclusion, as always, it’s all up to ourselves. We must not look only at ourselves, but we must look at the bigger picture. Either we want to develop tourism strategically and sustainably or not.last_img read more

Addresses and telephone numbers of tourist clinics

first_imgIstrian County Tourist clinic – Opatija, Stubište Dr. Vande Ekl 1, Tel .: +385 51 271 227Tourist clinic – Mošćenička Draga, Barba Rike 5a (Public building) Tel .: +385 51 737 894Tourist clinic – Čavle, Čavle bb, Phone: +385 51 259 624Tourist clinic – Crikvenica, Kotorska bb, Phone: +385 51 445 185 Tourist clinic Poliklinika Katunar, Dr. Ivana Kostrenčića 10, Phone: +385 51 785 132Tourist clinic – Novi Vinodolski, Kralja Tomislava 24, Tel .: 091/6014133 Zadar County In case the guest develops symptoms of COVID-19 disease, follow the instructions available HERE. Lika-Senj County Procedure in case of illness in a guest in a tourist accommodation TOURIST CLINIC IN TOURIST COMPANIES: Porec1. Hotel Pical, Porec2. Hotel Mediteran, Porec3. Tourist settlement Lanterna, Tar4. Auto camp Orsera and Autocamp Funtana (Ambulance Vrsar)Rovinj5. Camp Polari Rovinj6. Camp Valalta RovinjLabin7. Tourist settlement Rabac – Valamar, house Mediteran, RabacUmag8. Tourist settlement Park Umag9. Tourist settlement Stelamaris Umag (in formation)10. Tourist settlement Katoro UmagPula11. Tourist settlement Belvedere Pula12. Tourist settlement Bi Village PulaISTRIAN HEALTH CENTERS: TOURIST CLINICSTourist clinic Labin Svetog Mikule 2, LabinTourist clinic Poreč, Mauro Gioseffi 2, PorečTourist clinic Pula, Flanatička 27, PulaRovinj Tourist Clinic, Matteo Benussi 6, 52210 RovinjOTHERPrivate tourist clinic, Trg na lokvi 1, Rovinj All other important numbers are available HERE. Primorsko-goranska županija We bring you the contact addresses and telephone numbers of available tourist clinics on the Adriatic. Dubrovnik-Neretva County Numbers and addresses of tourist clinics: Tourist clinic Grad Androvičeva bb, 20000 Dubrovnik 020 / 641-676Touristic clinic Mljet Goveđari, 20226 Mljet 020 / 744-060Tourist clinic Ston, Put Braće Mihanovića7, 20230 Ston 020 / 641-699Tourist clinic Trpanj, Put dubokog doca 1,20240 Trpanj 020 / 743-404 Hospital 1, 53291, Novalja, 053 741 190 Tourist clinic – Krk, Vinogradska bb, Phone: +385 51 221 143Tourist clinic – Njivice, Primorska bb (hotel Jadran), Phone: +385 51 846 048Tourist clinic – Šilo, Nova cesta bb, Phone: +385 51 852 354Tourist clinic – Baška, Ul. Emila Geistlicha 39 (on the ground floor of the Hotel Corinthia II), Tel .: +385 99 609 407Tourist clinic – Cres, Turion 26, Phone: +385 51 572 214 Tourist clinic – Martinšćica, Martinšćica 92 (A / C Slatina), Phone: +385 51 574 127Tourist clinic – Mali Lošinj, Priko 69, Phone: +385 51 231 804Tourist clinic – Nerezine, Vladimira Gortana bb, Phone: +385 51 237 098Tourist clinic – Punta Križa, Punta Križa bb, Phone: +385 51 235 684 Tourist clinic – Rab, Palit 143 a, Phone: +385 51 776 980 Tourist clinic – Lopar, Lopar bb, Phone: +385 51 775 165 Tourist clinic Mrkopalj, Školska 4, Phone: +385 51 833 233 In the area of ​​Zadar County during the tourist season, ZZHM has additional teams for the area of ​​Zadar, Vir, Biograd and Pag. Photo: Pixabay.comlast_img read more

McCarthy lied about impact of casino

first_imgCategories: Letters to the Editor, Opinion Our casino-cheerleading Mayor Gary McCarthy tried to convince Schenectady residents that a casino will help the local economy and small businesses and lower property taxes. It’s becoming clear that the mayor was untruthful about the benefits of the casino, and he was trivializing and ignoring its negative impacts. The mayor lied to property owners about their increasing property taxes and signed a worthless resolution pledging an 18 percent property tax reduction from the casino money. This year, however, he offered a measly 1 percent that was annulled by the increase in water/sewer charges.For people who demanded that the mayor sign a host community agreement with the developer, he bluntly refused and declared that Schenectady will be receiving $14 million annually of casino money, and that our zero-dollar deal is better than what other towns have signed with their casino developers. In addition to the money other towns are getting from the state, they are also receiving millions each year in direct payments from their casinos to pay for the impacts on their towns. Schenectady is only receiving what the state is releasing to it from the casino dollars that it collects. As for property owners who can no longer afford their property taxes, McCarthy will continue doing what he has done best since becoming mayor — repossess their properties, let them rot for a few years and then sell them for a fraction of what they’re actually worth, or demolish them if they don’t sell and take them permanently off the tax roll.Mohamed HafezSchenectadyMore from The Daily Gazette:Motorcyclist injured in Thursday afternoon Schenectady crashSchenectady, Saratoga casinos say reopening has gone well; revenue down 30%EDITORIAL: Find a way to get family members into nursing homesSchenectady man dies following Cutler Street dirt bike crashEDITORIAL: Thruway tax unfair to working motoristslast_img read more

McCarthy lied about impact of casino

first_imgOur casino-cheerleading Mayor Gary McCarthy tried to convince Schenectady residents that a casino will help the local economy and small businesses and lower property taxes. It’s becoming clear that the mayor was untruthful about the benefits of the casino, and he was trivializing and ignoring its negative impacts. The mayor lied to property owners about their increasing property taxes and signed a worthless resolution pledging an 18 percent property tax reduction from the casino money. This year, however, he offered a measly 1 percent that was annulled by the increase in water/sewer charges.For people who demanded that the mayor sign a host community agreement with the developer, he bluntly refused and declared that Schenectady will be receiving $14 million annually of casino money, and that our zero-dollar deal is better than what other towns have signed with their casino developers. In addition to the money other towns are getting from the state, they are also receiving millions each year in direct payments from their casinos to pay for the impacts on their towns. Schenectady is only receiving what the state is releasing to it from the casino dollars that it collects. As for property owners who can no longer afford their property taxes, McCarthy will continue doing what he has done best since becoming mayor — repossess their properties, let them rot for a few years and then sell them for a fraction of what they’re actually worth, or demolish them if they don’t sell and take them permanently off the tax roll.Mohamed HafezSchenectadyMore from The Daily Gazette:Schenectady police reform sessions pivot to onlineSchenectady, Saratoga casinos say reopening has gone well; revenue down 30%EDITORIAL: Find a way to get family members into nursing homesSchenectady NAACP calls for school layoff freeze, reinstatement of positionsEDITORIAL: Urgent: Today is the last day to complete the census Categories: Letters to the Editor, Opinionlast_img read more