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Credit published here how to get prescribed lasix. IStock Share Fast Facts New @HopkinsMedicine study finds African-American women with common form of hair loss at increased risk of uterine fibroids - Click to Tweet New study in @JAMADerm shows most common form of alopecia (hair loss) in African-American women associated with higher risks of uterine fibroids - Click to Tweet In a study of medical records gathered on hundreds of thousands of African-American women, Johns Hopkins researchers say they have evidence that women with a common form of hair loss have an increased chance of developing uterine leiomyomas, or fibroids.In a report on the research, published in the December 27 issue of JAMA Dermatology, the researchers call on physicians who treat women with central centrifugal cicatricial alopecia (CCCA) to make patients aware that they may be at increased risk for fibroids and should be screened for the condition, particularly if they have symptoms such as heavy bleeding and pain. CCCA predominantly affects black women and is the most common form of permanent alopecia in how to get prescribed lasix this population. The excess scar tissue that forms as a result of this type of hair loss may also explain the higher risk for uterine fibroids, which are characterized by fibrous growths in the lining of the womb. Crystal Aguh, M.D., assistant professor of dermatology at the Johns Hopkins University School of Medicine, says the how to get prescribed lasix scarring associated with CCCA is similar to the scarring associated with excess fibrous tissue elsewhere in the body, a situation that may explain why women with this type of hair loss are at a higher risk for fibroids.People of African descent, she notes, are more prone to develop other disorders of abnormal scarring, termed fibroproliferative disorders, such as keloids (a type of raised scar after trauma), scleroderma (an autoimmune disorder marked by thickening of the skin as well as internal organs), some types of lupus and clogged arteries.

During a four-year period from 2013-2017, the researchers analyzed patient data from the Johns Hopkins electronic medical record system (Epic) of 487,104 black women ages 18 and over. The prevalence of those with fibroids was compared in patients with and how to get prescribed lasix without CCCA. Overall, the researchers found that 13.9 percent of women with CCCA also had a history of uterine fibroids compared to only 3.3 percent of black women without the condition. In absolute numbers, out of the 486,000 women who were reviewed, 16,212 had fibroids.Within that population, 447 had CCCA, of which 62 had fibroids. The findings translate to a fivefold increased risk of uterine fibroids in women with CCCA, compared to age, sex how to get prescribed lasix and race matched controls.

Aguh cautions that their study does not suggest any cause and effect relationship, or prove a common cause for both conditions. ÂThe cause of the link between the two conditions remains unclear,â she how to get prescribed lasix says. However, the association was strong enough, she adds, to recommend that physicians and patients be made aware of it. Women with this type of scarring alopecia should be screened not only for fibroids, but how to get prescribed lasix also for other disorders associated with excess fibrous tissue, Aguh says. An estimated 70 percent of white women and between 80 and 90 percent of African-American women will develop fibroids by age 50, according to the NIH, and while CCCA is likely underdiagnosed, some estimates report a prevalence of rates as high as 17 percent of black women having this condition.

The other authors on this paper were Ginette A how to get prescribed lasix. Okoye, M.D. Of Johns Hopkins and Yemisi Dina of Meharry Medical College.Credit. The New England Journal of Medicine Share Fast Facts This study clears up how big an how to get prescribed lasix effect the mutational burden has on outcomes to immune checkpoint inhibitors across many different cancer types. - Click to Tweet The number of mutations in a tumorâs DNA is a good predictor of whether it will respond to a class of cancer immunotherapy drugs known as checkpoint inhibitors.

- Click to Tweet The âmutational burden,â or the number of mutations present in a tumorâs DNA, is a how to get prescribed lasix good predictor of whether that cancer type will respond to a class of cancer immunotherapy drugs known as checkpoint inhibitors, a new study led by Johns Hopkins Kimmel Cancer Center researchers shows. The finding, published in the Dec. 21 New England Journal of Medicine, could be used to guide how to get prescribed lasix future clinical trials for these drugs. Checkpoint inhibitors are a relatively new class of drug that helps the immune system recognize cancer by interfering with mechanisms cancer cells use to hide from immune cells. As a result, the drugs cause the immune system to fight cancer in the same way that it would fight an .

These medicines have had remarkable success in treating some types how to get prescribed lasix of cancers that historically have had poor prognoses, such as advanced melanoma and lung cancer. However, these therapies have had little effect on other deadly cancer types, such as pancreatic cancer and glioblastoma. The mutational burden of certain tumor types has how to get prescribed lasix previously been proposed as an explanation for why certain cancers respond better than others to immune checkpoint inhibitors says study leader Mark Yarchoan, M.D., chief medical oncology fellow. Work by Dung Le, M.D., associate professor of oncology, and other researchers at the Johns Hopkins Kimmel Cancer Center and its Bloomberg~Kimmel Cancer Institute for Cancer Immunotherapy showed that colon cancers that carry a high number of mutations are more likely to respond to checkpoint inhibitors than those that have fewer mutations. However, exactly how big an effect the mutational burden has on outcomes how to get prescribed lasix to immune checkpoint inhibitors across many different cancer types was unclear.

To investigate this question, Yarchoan and colleagues Alexander Hopkins, Ph.D., research fellow, and Elizabeth Jaffee, M.D., co-director of the Skip Viragh Center for Pancreas Cancer Clinical Research and Patient Care and associate director of the Bloomberg~Kimmel Institute, combed the medical literature for the results of clinical trials using checkpoint inhibitors on various different types of cancer. They combined these findings with data on how to get prescribed lasix the mutational burden of thousands of tumor samples from patients with different tumor types. Analyzing 27 different cancer types for which both pieces of information were available, the researchers found a strong correlation. The higher a cancer typeâs mutational burden tends to be, the more likely it is to respond to checkpoint inhibitors. More than half of the differences in how well cancers responded to immune checkpoint how to get prescribed lasix inhibitors could be explained by the mutational burden of that cancer.

ÂThe idea that a tumor type with more mutations might be easier to treat than one with fewer sounds a little counterintuitive. Itâs one of those how to get prescribed lasix things that doesnât sound right when you hear it,â says Hopkins. ÂBut with immunotherapy, the more mutations you have, the more chances the immune system has to recognize the tumor.â Although this finding held true for the vast majority of cancer types they studied, there were some outliers in their analysis, says Yarchoan. For example, Merkel cell cancer, a rare and highly aggressive skin cancer, tends to have a moderate number of mutations yet how to get prescribed lasix responds extremely well to checkpoint inhibitors. However, he explains, this cancer type is often caused by a lasix, which seems to encourage a strong immune response despite the cancerâs lower mutational burden.

In contrast, the most common type of colorectal cancer has moderate mutational burden, yet responds poorly to checkpoint inhibitors for reasons that are still unclear. Yarchoan notes that these findings could how to get prescribed lasix help guide clinical trials to test checkpoint inhibitors on cancer types for which these drugs havenât yet been tried. Future studies might also focus on finding ways to prompt cancers with low mutational burdens to behave like those with higher mutational burdens so that they will respond better to these therapies. He and his colleagues plan to extend this line of research by investigating whether mutational burden might be a good predictor of whether cancers how to get prescribed lasix in individual patients might respond well to this class of immunotherapy drugs. ÂThe end goal is precision medicineâmoving beyond whatâs true for big groups of patients to see whether we can use this information to help any given patient,â he says.

Yarchoan receives how to get prescribed lasix funding from the Norman &. Ruth Rales Foundation and the Conquer Cancer Foundation. Through a licensing agreement with Aduro Biotech, Jaffee has the potential to receive royalties in the future..

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They attribute patientsâ rejection of psychological and behavioural interventions, such as cognitiveâbehavioural therapy (CBT) and graded exercise therapy (GET), to a âparadoxâ resulting from a supposed failure to acknowledge that âthere is no good objective evidence of bodily diseaseâ. In response, we explain that understandings about the causes of and treatments for medical complaints have shifted across centuries, and that conditions once thought to be âpsychosomaticâ have natural lasix substitute later been determined to have physiological causes. We also note that Sharpe and Greco do not disclose that leading scientists and physicians believe that ME/CFS is a biomedical disease, and that numerous experts, not just patients, have rejected the research underlying the CBT/GET treatment approach. In conclusion, we remind investigators that medical classifications are always subject to revision based on subsequent research, and we therefore call for more humility before declaring categorically that patients are experiencing âillness without diseaseâ.health policypublic healthmedical humanities.

As I write todayâs brief introduction to our March issue, I am acutely aware that 1âyear Buy levitra online ago in March, we shut down for the first time due to the how to get prescribed lasix hypertension medications lasix. As a historian of medicine, I have always understood that the progression from epidemic to control is long and fraught, and that we still have much to do before we reach normative social interactions pre-lasix. Then again, in many ways, there how to get prescribed lasix can be no return to âbeforeâ. We live, now, exclusively in the âafterâ.The lasix has stripped away comfortable illusions, has exposed how â¦AbstractIn a recent article in Medical Humanities, Sharpe and Greco characterise myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) as an âillness without diseaseâ, citing the absence of identified diagnostic markers.

They attribute patientsâ rejection of psychological and behavioural interventions, such as cognitiveâbehavioural therapy (CBT) and graded exercise therapy (GET), to a âparadoxâ resulting from a supposed failure to acknowledge that âthere is no good objective evidence of bodily diseaseâ. In response, we explain that understandings about the causes of and treatments for medical complaints have shifted across centuries, and that conditions once thought how to get prescribed lasix to be âpsychosomaticâ have later been determined to have physiological causes. We also note that Sharpe and Greco do not disclose that leading scientists and physicians believe that ME/CFS is a biomedical disease, and that numerous experts, not just patients, have rejected the research underlying the CBT/GET treatment approach. In conclusion, we remind investigators that medical classifications are always subject to revision based on subsequent research, and we therefore call for more humility before declaring categorically that patients are experiencing âillness without diseaseâ.health policypublic healthmedical humanities.

What should I watch for while using Lasix?

Visit your doctor or health care professional for regular checks on your progress. Check your blood pressure regularly. Ask your doctor or health care professional what your blood pressure should be, and when you should contact him or her. If you are a diabetic, check your blood sugar as directed.

You may need to be on a special diet while taking Lasix. Check with your doctor. Also, ask how many glasses of fluid you need to drink a day. You must not get dehydrated.

You may get drowsy or dizzy. Do not drive, use machinery, or do anything that needs mental alertness until you know how this drug affects you. Do not stand or sit up quickly, especially if you are an older patient. This reduces the risk of dizzy or fainting spells. Alcohol can make you more drowsy and dizzy. Avoid alcoholic drinks.

Lasix can make you more sensitive to the sun. Keep out of the sun. If you cannot avoid being in the sun, wear protective clothing and use sunscreen. Do not use sun lamps or tanning beds/booths.

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December 1, 2021US Department of Labor again cites New York roofing contractorfor exposing workers to falls â industryâs leading cause of deathDespite 2019 fatality, ALJ Home Improvement ignores risks, click this link now faces lasix 40mg para que sirve $244K in new penalties TARRYTOWN, NY â Three federal safety inspections at a Suffern condominium complex confirmed a Rockland County roofing contractor repeatedly exposed residential roof workers to potentially deadly falls from heights of 18 to 20 feet. The U.S. Department of Laborâs Occupational Safety and Health Administration identified nine willful violations in its inspections of ALJ Home Improvement Inc lasix 40mg para que sirve. Work sites on May 11, 12 and 13, 2021.

The violations include employees working without required fall protection as they removed sheathing and performed other roofing work, and workers lacking protective headgear and face and eye shields to prevent injuries from flying or falling debris, lasix 40mg para que sirve plywood, nails, and other objects. By law, residential construction employers generally must protect workers against falls with guardrails, safety nets or personal fall arrest systems when they work 6 feet or more above lower levels, as well as provide personal protective equipment to protect against bodily injury. ALJ Home Improvement faces lasix 40mg para que sirve $244,581 in proposed penalties following the May inspections. OSHA had cited the company for fall-related hazards at three other work sites in New York and New Jersey between 2019 and 2021, including one in Kiamesha Lake where a worker died after a fall in February 2019.

ÂALJ Home Improvementâs intentional and repeated failure to install required fall safeguards continues to lasix 40mg para que sirve place its employees at risk of deadly or disabling injuries,â said OSHA Area Director Robert Garvey in Tarrytown. ÂFall-related fatalities are preventable if responsible employers plan ahead to do the job safely, provide their workers with proper and effective training and equipment, and make sure they use it.â Falls are the leading cause of death in construction work in the U.S., accounting for 320 deaths out of 1,008 construction fatalities in 2018, the Bureau of Labor Statistics reports. The company lasix 40mg para que sirve has 15 business days buy generic lasix online from receipt of its citations and penalties to comply, request an informal conference with OSHAâs area director, or contest the findings before the independent Occupational Safety and Health Review Commission. Under the Occupational Safety and Health Act of 1970, employers are responsible for providing safe and healthful workplaces for their employees.

OSHAâs role is lasix 40mg para que sirve to ensure these conditions for Americaâs workers by setting and enforcing standards, and providing training, education and assistance. Learn more about Fall Protection in Construction. # # # lasix 40mg para que sirve Media Contacts. Ted Fitzgerald, 617-565-2075, fitzgerald.edmund@dol.govJames C.

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For alternative format requests, please contact the department at (202) 693-7828 (voice) or (800) 877-8339 (federal relay)..

December 1, 2021US Department of Labor again cites New York roofing contractorfor exposing workers to falls â industryâs leading cause of deathDespite 2019 fatality, ALJ Home Improvement ignores risks, faces $244K in new penalties TARRYTOWN, NY â Three federal safety inspections at a Suffern condominium complex confirmed a Rockland County lasix 100mg online roofing contractor repeatedly exposed residential roof workers to potentially deadly falls from heights of 18 to 20 feet how to get prescribed lasix. The U.S. Department of how to get prescribed lasix Laborâs Occupational Safety and Health Administration identified nine willful violations in its inspections of ALJ Home Improvement Inc. Work sites on May 11, 12 and 13, 2021.

The violations include employees working without required fall protection as they removed sheathing and performed other roofing work, and workers how to get prescribed lasix lacking protective headgear and face and eye shields to prevent injuries from flying or falling debris, plywood, nails, and other objects. By law, residential construction employers generally must protect workers against falls with guardrails, safety nets or personal fall arrest systems when they work 6 feet or more above lower levels, as well as provide personal protective equipment to protect against bodily injury. ALJ Home how to get prescribed lasix Improvement faces $244,581 in proposed penalties following the May inspections. OSHA had cited the company for fall-related hazards at three other work sites in New York and New Jersey between 2019 and 2021, including one in Kiamesha Lake where a worker died after a fall in February 2019.

ÂALJ Home Improvementâs intentional and repeated failure to install required fall safeguards continues to place its employees at risk of deadly or how to get prescribed lasix disabling injuries,â said OSHA Area Director Robert Garvey in Tarrytown. ÂFall-related fatalities are preventable if responsible employers plan ahead to do the job safely, provide their workers with proper and effective training and equipment, and make sure they use it.â Falls are the leading cause of death in construction work in the U.S., accounting for 320 deaths out of 1,008 construction fatalities in 2018, the Bureau of Labor Statistics reports. The company has 15 business days from receipt of its citations how to get prescribed lasix and penalties to comply, request an informal conference with OSHAâs area director, or contest the findings before the independent Occupational Safety and Health Review Commission. Under the Occupational Safety and Health Act of 1970, employers are responsible for providing safe and healthful workplaces for their employees.

OSHAâs role is to ensure these conditions for Americaâs workers by how to get prescribed lasix setting and enforcing standards, and providing training, education and assistance. Learn more about Fall Protection in Construction. # # how to get prescribed lasix # Media Contacts. Ted Fitzgerald, 617-565-2075, fitzgerald.edmund@dol.govJames C.

Lally, 617-565-2074, lally.james.c@dol.gov Release Number how to get prescribed lasix. 21-2028-NEW U.S. Department of how to get prescribed lasix Labor news materials are accessible at http://www.dol.gov. The departmentâs Reasonable Accommodation Resource Center converts departmental information and documents into alternative formats, which include Braille and large print.

For alternative format requests, please contact the department at (202) 693-7828 (voice) or (800) 877-8339 (federal relay)..

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ÂDespite a new wave which began on 25 July lasix 40mg emagrece which Viet Nam is now also in the process of bringing under effective control, it is globally recognized that Viet Nam demonstrated one of the worldâs most successful responses to the hypertension medications lasix between January and April 16. After that date, no cases of local transmission were recorded for 99 consecutive days.There were less than 400 cases of across the country during that period, most of them imported, and zero deaths, a remarkable accomplishment considering the countryâs population of 96 million people and the fact that it shares a 1,450 km land border with China.Long-term planning pays offKamal Malhotra is the UN Resident Coordinator in Viet Nam. , by lasix 40mg emagrece UN Viet Nam/Nguyen Duc HieuViet Namâs success has drawn international attention because of its early, proactive, response, led by the government, and involving the whole political system, and all aspects of the society. With the support of theWorld Health Organization (WHO) and other partners, Viet Nam had already put a long-term plan in place, to enable it to cope with public health emergencies, building on its experience dealing with previous disease outbreaks, such as SARS, which it also handled remarkably well.Viet Namâs successful management of the hypertension medications outbreak so far can, therefore, be at least partly put down to the its investment during âpeacetimeâ. The country lasix 40mg emagrece has now demonstrated that preparedness to deal with infectious disease is a key ingredient for protecting people and securing public health in times of lasixs such as hypertension medications.As early as January 2020, Viet Nam conducted its first risk assessment, immediately after the identification of a cluster of cases of âsevere pneumonia with unknown etiologyâ in Wuhan, China.

From the time that the first two hypertension medications cases were confirmed in Viet Nam in the second half of January 2020, the government started to put precautionary measures into effect by strengthening entry-screening measures and extending the Táº¿t (Lunar New Year) holiday for schools. Â© UNICEFTeachers and students were able to return to school in Lao Cai, Viet Nam, in May.By 13 February 2020, the number of cases had climbed to 16 with limited local transmission detected in a village near the capital city, Hanoi. As this had the potential to cause a further spread of the lasix lasix 40mg emagrece in Viet Nam, the country implemented a targeted three-week village-wide quarantine, affecting 11,000 people. There were then no further local cases for three weeks.But Viet Nam had simultaneously developed its broader quarantine and isolation policy to control hypertension medications. As the next wave began in early March, through an imported case from the UK, the government knew that it was crucial to contain lasix transmission as fast as possible, in order also to safeguard its economy.Viet Nam therefore closed its borders and suspended international flights from mainland China in February, extending this to UK, Europe, the US and then the rest of the world progressively in March, whilst requiring all travelers entering the country, including its nationals, to undergo 14-day mandatory quarantine on arrival.This helped the authorities keep track of imported cases of hypertension medications and prevent further local transmission which could have then led to wider lasix 40mg emagrece community transmission.

Both the military and local governments were mobilized to provide testing, meals and amenity services to all quarantine facilities which remained free during this period.No lockdown requiredWhile there was never a nationwide lockdown, some restrictive physical distancing measures were implemented throughout the country. On 1 April 2020, the Prime Minister issued a lasix 40mg emagrece nationwide two week physical distancing directive, which was extended by a week in major cities and hotspots. People were advised to stay at home, non-essential businesses were requested to close, and public transportation was limited.Such measures were so successful that, by early May, following two weeks without a locally confirmed case, schools and businesses resumed their operations and people could return to regular routines. Green One UN House, the home of most UN agencies in Viet Nam, remained open throughout this period, with the Resident Coordinator, WHO Representative and approximately 200 UN staff and consultants physically in the office throughout this period, to provide vital support to the Government and people of Viet Nam.Notably, the Vietnamese public had been exceptionally compliant with government directives and advice, partly as a result of trust built up thanks to real time, transparent communication from the Ministry of Health, supported by the WHO and other UN agencies. Innovative methods were lasix 40mg emagrece used to keep the public informed and safe.

For instance, regular text updates were sent by the Ministry of Health, on preventive measures and hypertension medicationsâs symptoms. A hypertension medications song was released, lasix 40mg emagrece with lyrics raising public awareness of the disease, which later went viral on social media with a dance challenge on Tik Tok initiated by Quang Dang, a local celebrity.. UN Viet Nam/Nguyen Duc HieuYoung people in Viet Nam take part in International Youth Day 2020 festivities in June. Protecting the vulnerableStill, challenges remain to ensure that the people across the country, especially the hardest hit people, from small and medium-sized enterprises (SMEs) and poor and vulnerable groups, are well served by an adequately resourced and effectively implemented lasix 40mg emagrece social protection package. The UN in Viet Nam is keen to help the government support clean technology-based SMEs, with the cooperation of international financial institutions, which will need to do things differently from the past and embrace a new, more inclusive and sustainable, perspective on growth.Challenges remainAs I write, Viet Nam stands at a critical point with respect to hypertension medications.

On 25 July, 99 days after being hypertension medications-free in terms of local transmission, a new case was confirmed in Da Nang, a well-known tourist destination. Hundreds of thousands of people flocked to the city and surrounding region over the summer.The government is once again demonstrating its serious commitment lasix 40mg emagrece to containing local lasix transmission. While there have been a few hundred new local transmission cases and 24 deaths, all centered in a major hospital in Danang (sadly, all the deaths were of people with multiple pre-conditions) aggressive contact tracing, proactive case management, extensive quarantining measures and comprehensive public communication activities are taking place.I am confident that the country will be successful in its efforts to once again successfully contain the lasix, once more over the next few weeks.âThe Review Committee will advise whether any amendments to the International Health Regulations (IHR) are necessary to ensure it is as effective as possible, WHO Director General Tedros Adhanom Ghebreyesus told journalists. He said the hypertension medications lasix has been âan acid testâ for lasix 40mg emagrece many countries, organizations and the treaty. âEven before the lasix, I have spoken about how emergencies such as the Ebola outbreak in eastern DRC (the Democratic Republic of the Congo) have demonstrated that some elements of the IHR may need review, including the binary nature of the mechanism for declaring a public health emergency of international concern,â said Mr.

Tedros. Interaction with lasix panel The IHR Review Committee will hold its first meeting on 8 lasix 40mg emagrece and 9 September. The committee will also interact with two other entities, exchanging information and sharing findings. They are the Independent Panel for lasix Preparedness and Response, established last month to evaluate global response to the hypertension medications lasix, and the Independent lasix 40mg emagrece Oversight Advisory Committee for the WHO Health Emergencies Programme. It is expected that the committee will present a progress report to the World Health Assembly, WHOâs decision-making body, at its resumed session in November.

The Assembly comprises delegations from WHOâs 194 member States lasix 40mg emagrece who meet annually in May. A truncated virtual session was held this year due to the lasix. The committee will present its full report to the Assembly in 2021. Committed to ending hypertension medications The lasix 40mg emagrece IHR was first adopted in 1969 and is legally-binding on 196 countries, including all WHO Member States. It was last revised in 2005.

The treaty outlines rights and obligations for countries, including the requirement to report public health events, as well as the criteria to determine whether or not lasix 40mg emagrece a particular event constitutes a âpublic health emergency of international concernâ. Mr. Tedros underscored WHOâs commitment to ending the lasix, âand to working with all countries to learn from it, and to ensure that together we build the healthier, safer, fairer world that we want.â Invest in mental health WHO is also shining light lasix 40mg emagrece on the lasixâs impact on mental health at a time when services have suffered disruptions. For example, Mr. Tedros said lack of social interaction has affected many people, while others have experienced anxiety and fear.

Meanwhile, some mental health facilities have been closed and converted lasix 40mg emagrece to hypertension medications treatment facilities. Globally, close to one billion people are living with a mental disorder. In low- lasix 40mg emagrece and middle-income countries, more than three-quarters of people with mental, neurological and substance use disorders do not receive treatment. World Mental Health Day is observed annually on 10 October, and WHO and partners are calling for a massive scale-up in investments. The UN agency also will host its first-ever global online advocacy event on mental health where experts, musicians and sports figures will discuss action to improve mental health, in addition to sharing their lasix 40mg emagrece stories.

Global fight against polio continues The milestone eradication of wild poliolasix in Africa does not mean the disease has been defeated globally, Mr. Tedros reminded journalists. WHO announced on Tuesday that the continent has been declared free of the lasix, which can cause paralysis, after no cases were lasix 40mg emagrece reported for four years âWe still have a lot of work to do to eradicate polio from the last two countries where it exists. Afghanistan and Pakistan,â he said. Mr.

Tedros also congratulated Togo, which on Wednesday celebrated the end of sleeping sickness as a public health problem. The disease, officially known as human African Trypanosomiasis, is spread by tsetse flies and is fatal without treatment..

ÂDespite a new wave which began on 25 July which Viet Nam is now also in the process of bringing under effective control, it is globally recognized that Viet Nam demonstrated one of the worldâs most successful responses to the hypertension medications how to get prescribed lasix lasix between January and April 16. After that date, no cases of local transmission were recorded for 99 consecutive days.There were less than 400 cases of across the country during that period, most of them imported, and zero deaths, a remarkable accomplishment considering the countryâs population of 96 million people and the fact that it shares a 1,450 km land border with China.Long-term planning pays offKamal Malhotra is the UN Resident Coordinator in Viet Nam. , by UN Viet Nam/Nguyen Duc HieuViet Namâs success has drawn international attention because of how to get prescribed lasix its early, proactive, response, led by the government, and involving the whole political system, and all aspects of the society. With the support of theWorld Health Organization (WHO) and other partners, Viet Nam had already put a long-term plan in place, to enable it to cope with public health emergencies, building on its experience dealing with previous disease outbreaks, such as SARS, which it also handled remarkably well.Viet Namâs successful management of the hypertension medications outbreak so far can, therefore, be at least partly put down to the its investment during âpeacetimeâ.

The country has now demonstrated that preparedness to deal with infectious disease is how to get prescribed lasix a key ingredient for protecting people and securing public health in times of lasixs such as hypertension medications.As early as January 2020, Viet Nam conducted its first risk assessment, immediately after the identification of a cluster of cases of âsevere pneumonia with unknown etiologyâ in Wuhan, China. From the time that the first two hypertension medications cases were confirmed in Viet Nam in the second half of January 2020, the government started to put precautionary measures into effect by strengthening entry-screening measures and extending the Táº¿t (Lunar New Year) holiday for schools. Â© UNICEFTeachers and students were able to return to school in Lao Cai, Viet Nam, in May.By 13 February 2020, the number of cases had climbed to 16 with limited local transmission detected in a village near the capital city, Hanoi. As this had the potential to cause a further spread of the lasix in Viet Nam, the country implemented a targeted three-week village-wide quarantine, affecting 11,000 how to get prescribed lasix people.

There were then no further local cases for three weeks.But Viet Nam had simultaneously developed its broader quarantine and isolation policy to control hypertension medications. As the how to get prescribed lasix next wave began in early March, through an imported case from the UK, the government knew that it was crucial to contain lasix transmission as fast as possible, in order also to safeguard its economy.Viet Nam therefore closed its borders and suspended international flights from mainland China in February, extending this to UK, Europe, the US and then the rest of the world progressively in March, whilst requiring all travelers entering the country, including its nationals, to undergo 14-day mandatory quarantine on arrival.This helped the authorities keep track of imported cases of hypertension medications and prevent further local transmission which could have then led to wider community transmission. Both the military and local governments were mobilized to provide testing, meals and amenity services to all quarantine facilities which remained free during this period.No lockdown requiredWhile there was never a nationwide lockdown, some restrictive physical distancing measures were implemented throughout the country. On 1 April 2020, the Prime Minister issued a nationwide two week physical distancing directive, which was extended by a week how to get prescribed lasix in major cities and hotspots.

People were advised to stay at home, non-essential businesses were requested to close, and public transportation was limited.Such measures were so successful that, by early May, following two weeks without a locally confirmed case, schools and businesses resumed their operations and people could return to regular routines. Green One UN House, the home of most UN agencies in Viet Nam, remained open throughout this period, with the Resident Coordinator, WHO Representative and approximately 200 UN staff and consultants physically in the office throughout this period, to provide vital support to the Government and people of Viet Nam.Notably, the Vietnamese public had been exceptionally compliant with government directives and advice, partly as a result of trust built up thanks to real time, transparent communication from the Ministry of Health, supported by the WHO and other UN agencies. Innovative methods were used to keep the how to get prescribed lasix public informed and safe. For instance, regular text updates were sent by the Ministry of Health, on preventive measures and hypertension medicationsâs symptoms.

A hypertension medications song was released, with lyrics raising public awareness of the disease, which later went viral on social media with a dance challenge on how to get prescribed lasix Tik Tok initiated by Quang Dang, a local celebrity.. UN Viet Nam/Nguyen Duc HieuYoung people in Viet Nam take part in International Youth Day 2020 festivities in June. Protecting the vulnerableStill, challenges remain to ensure that the people across the country, especially the hardest hit people, from small and medium-sized how to get prescribed lasix enterprises (SMEs) and poor and vulnerable groups, are well served by an adequately resourced and effectively implemented social protection package. The UN in Viet Nam is keen to help the government support clean technology-based SMEs, with the cooperation of international financial institutions, which will need to do things differently from the past and embrace a new, more inclusive and sustainable, perspective on growth.Challenges remainAs I write, Viet Nam stands at a critical point with respect to hypertension medications.

On 25 July, 99 days after being hypertension medications-free in terms of local transmission, a new case was confirmed in Da Nang, a well-known tourist destination. Hundreds of thousands of people flocked to the city and surrounding region over the summer.The government is once again how to get prescribed lasix demonstrating its serious commitment to containing local lasix transmission. While there have been a few hundred new local transmission cases and 24 deaths, all centered in a major hospital in Danang (sadly, all the deaths were of people with multiple pre-conditions) aggressive contact tracing, proactive case management, extensive quarantining measures and comprehensive public communication activities are taking place.I am confident that the country will be successful in its efforts to once again successfully contain the lasix, once more over the next few weeks.âThe Review Committee will advise whether any amendments to the International Health Regulations (IHR) are necessary to ensure it is as effective as possible, WHO Director General Tedros Adhanom Ghebreyesus told journalists. He said the hypertension medications lasix has been âan acid testâ for many how to get prescribed lasix countries, organizations and the treaty.

âEven before the lasix, I have spoken about how emergencies such as the Ebola outbreak in eastern DRC (the Democratic Republic of the Congo) have demonstrated that some elements of the IHR may need review, including the binary nature of the mechanism for declaring a public health emergency of international concern,â said Mr. Tedros. Interaction with lasix panel The IHR Review Committee will hold its first meeting on 8 and 9 September how to get prescribed lasix. The committee will also interact with two other entities, exchanging information and sharing findings.

They are the Independent Panel for lasix Preparedness and Response, established last month to evaluate global response to the hypertension medications lasix, and the Independent Oversight Advisory Committee for the how to get prescribed lasix WHO Health Emergencies Programme. It is expected that the committee will present a progress report to the World Health Assembly, WHOâs decision-making body, at its resumed session in November. The Assembly comprises delegations from WHOâs 194 how to get prescribed lasix member States who meet annually in May. A truncated virtual session was held this year due to the lasix.

The committee will present its full report to the Assembly in 2021. Committed to ending hypertension medications The IHR was first how to get prescribed lasix adopted in 1969 and is legally-binding on 196 countries, including all WHO Member States. It was last revised in 2005. The treaty outlines rights and obligations for countries, including the requirement to report public health events, as well as the criteria to determine whether or not how to get prescribed lasix a particular event constitutes a âpublic health emergency of international concernâ.

Mr. Tedros underscored WHOâs commitment to ending the lasix, âand to working with all countries to learn from it, and to ensure that together we how to get prescribed lasix build the healthier, safer, fairer world that we want.â Invest in mental health WHO is also shining light on the lasixâs impact on mental health at a time when services have suffered disruptions. For example, Mr. Tedros said lack of social interaction has affected many people, while others have experienced anxiety and fear.

Meanwhile, some mental health facilities have how to get prescribed lasix been closed and converted to hypertension medications treatment facilities. Globally, close to one billion people are living with a mental disorder. In low- and middle-income countries, more than three-quarters of people how to get prescribed lasix with mental, neurological and substance use disorders do not receive treatment. World Mental Health Day is observed annually on 10 October, and WHO and partners are calling for a massive scale-up in investments.

The UN agency also will host its first-ever global online advocacy event on mental how to get prescribed lasix health where experts, musicians and sports figures will discuss action to improve mental health, in addition to sharing their stories. Global fight against polio continues The milestone eradication of wild poliolasix in Africa does not mean the disease has been defeated globally, Mr. Tedros reminded journalists. WHO announced on Tuesday that the continent has been declared free of the lasix, which can cause paralysis, after no cases were reported for four years âWe how to get prescribed lasix still have a lot of work to do to eradicate polio from the last two countries where it exists.

Afghanistan and Pakistan,â he said. Mr. Tedros also congratulated Togo, which on Wednesday celebrated the end of sleeping sickness as a public health problem. The disease, officially known as human African Trypanosomiasis, is spread by tsetse flies and is fatal without treatment..