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Start Preamble Notice of can i buy kamagra online amendment. The Secretary issues this amendment pursuant to section 319F-3 of the Public Health Service Act to add additional categories of Qualified Persons and amend the category of disease, health condition, or threat for which he recommends the administration or use of the Covered Countermeasures. This amendment to the can i buy kamagra online Declaration published on March 17, 2020 (85 FR 15198) is effective as of August 24, 2020. Start Further Info Robert P.

Kadlec, MD, MTM&H, MS, Assistant Secretary for Preparedness and Response, Office of the Secretary, Department of Health can i buy kamagra online and Human Services, 200 Independence Avenue SW, Washington, DC 20201. Telephone. 202-205-2882. End Further Info End Preamble Start Supplemental Information The Public Readiness and Emergency Preparedness Act (PREP Act) authorizes the Secretary of Health and Human Services (the Secretary) to issue a Declaration to provide liability immunity to certain individuals and entities (Covered Persons) against any claim of loss caused by, arising out of, relating to, or resulting from the manufacture, distribution, administration, or use of medical countermeasures (Covered Countermeasures), except for claims involving “willful misconduct” as defined in the PREP Act.

Under the PREP Act, a Declaration may be amended as circumstances warrant. The PREP Act was enacted on December 30, 2005, as Public Law 109-148, Division C, § 2. It amended the Public Health Service (PHS) Act, adding section 319F-3, which addresses liability immunity, and section 319F-4, which creates a compensation program. These sections are codified at 42 U.S.C.

247d-6d and 42 U.S.C. 247d-6e, respectively. Section 319F-3 of the PHS Act has been amended by the kamagra and All-Hazards Preparedness Reauthorization Act (PAHPRA), Public Law 113-5, enacted on March 13, 2013 and the erectile dysfunction Aid, Relief, and Economic Security (CARES) Act, Public Law 116-136, enacted on March 27, Start Printed Page 521372020, to expand Covered Countermeasures under the PREP Act. On January 31, 2020, the Secretary declared a public health emergency pursuant to section 319 of the PHS Act, 42 U.S.C.

247d, effective January 27, 2020, for the entire United States to aid in the response of the nation's health care community to the erectile dysfunction treatment outbreak. Pursuant to section 319 of the PHS Act, the Secretary renewed that declaration on April 26, 2020, and July 25, 2020. On March 10, 2020, the Secretary issued a Declaration under the PREP Act for medical countermeasures against erectile dysfunction treatment (85 FR 15198, Mar. 17, 2020) (the Declaration).

On April 10, the Secretary amended the Declaration under the PREP Act to extend liability immunity to covered countermeasures authorized under the CARES Act (85 FR 21012, Apr. 15, 2020). On June 4, the Secretary amended the Declaration to clarify that covered countermeasures under the Declaration include qualified countermeasures that limit the harm erectile dysfunction treatment might otherwise cause. The Secretary now amends section V of the Declaration to identify as qualified persons covered under the PREP Act, and thus authorizes, certain State-licensed pharmacists to order and administer, and pharmacy interns (who are licensed or registered by their State board of pharmacy and acting under the supervision of a State-licensed pharmacist) to administer, any treatment that the Advisory Committee on Immunization Practices (ACIP) recommends to persons ages three through 18 according to ACIP's standard immunization schedule (ACIP-recommended treatments).[] The Secretary also amends section VIII of the Declaration to clarify that the category of disease, health condition, or threat for which he recommends the administration or use of the Covered Countermeasures includes not only erectile dysfunction treatment caused by erectile dysfunction or a kamagra mutating therefrom, but also other diseases, health conditions, or threats that may have been caused by erectile dysfunction treatment, erectile dysfunction, or a kamagra mutating therefrom, including the decrease in the rate of childhood immunizations, which will lead to an increase in the rate of infectious diseases.

Description of This Amendment by Section Section V. Covered Persons Under the PREP Act and the Declaration, a “qualified person” is a “covered person.” Subject to certain limitations, a covered person is immune from suit and liability under Federal and State law with respect to all claims for loss caused by, arising out of, relating to, or resulting from the administration or use of a covered countermeasure if a declaration under subsection (b) has been issued with respect to such countermeasure. €œQualified person” includes (A) a licensed health professional or other individual who is authorized to prescribe, administer, or dispense such countermeasures under the law of the State in which the countermeasure was prescribed, administered, or dispensed. Or (B) “a person within a category of persons so identified in a declaration by the Secretary” under subsection (b) of the PREP Act.

42 U.S.C. 247d-6d(i)(8).[] By this amendment to the Declaration, the Secretary identifies an additional category of persons who are qualified persons under section 247d-6d(i)(8)(B).[] On May 8, 2020, CDC reported, “The identified declines in routine pediatric treatment ordering and doses administered might indicate that U.S. Children and their communities face increased risks for outbreaks of treatment-preventable diseases,” and suggested that a decrease in rates of routine childhood vaccinations were due to changes in healthcare access, social distancing, and other erectile dysfunction treatment mitigation strategies.[] The report also stated that “[p]arental concerns about potentially exposing their children to erectile dysfunction treatment during well child visits might contribute to the declines observed.” [] On July 10, 2020, CDC reported its findings of a May survey it conducted to assess the capacity of pediatric health care practices to provide immunization services to children during the erectile dysfunction treatment kamagra. The survey, which was limited to practices participating in the treatments for Children program, found that, as of mid-May, 15 percent of Northeast pediatric practices were closed, 12.5 percent of Midwest practices were closed, 6.2 percent of practices in the South were closed, and 10 percent of practices in the West were closed.

Most practices had reduced office hours for in-person visits. When asked whether their practices would likely be able to accommodate new patients for immunization services through August, 418 practices (21.3 percent) either responded that this was not likely or the practice was permanently closed or not resuming immunization services for all patients, and 380 (19.6 percent) responded that they were unsure. Urban practices and those in the Northeast were less likely to be able to accommodate new patients compared with rural practices and those in the South, Midwest, or West.[] In response to these troubling developments, CDC and the American Academy of Pediatrics have stressed, “Well-child visits and vaccinations are essential services and help make sure children are protected.” [] The Secretary re-emphasizes that important recommendation to parents and legal guardians here. If your child is due for a well-child visit, contact your pediatrician's or other primary-care provider's office and ask about ways that the office safely offers well-child visits and vaccinations.

Many medical offices are taking extra steps to make sure that well-child visits can occur safely during the erectile dysfunction treatment kamagra, including. Scheduling sick visits and well-child visits during different times of the Start Printed Page 52138day or days of the week, or at different locations. Asking patients to remain outside until it is time for their appointments to reduce the number of people in waiting rooms. Adhering to recommended social (physical) distancing and other -control practices, such as the use of masks.

The decrease in childhood-vaccination rates is a public health threat and a collateral harm caused by erectile dysfunction treatment. Together, the United States must turn to available medical professionals to limit the harm and public health threats that may result from decreased immunization rates. We must quickly do so to avoid preventable s in children, additional strains on our healthcare system, and any further increase in avoidable adverse health consequences—particularly if such complications coincide with additional resurgence of erectile dysfunction treatment. Together with pediatricians and other healthcare professionals, pharmacists are positioned to expand access to childhood vaccinations.

Many States already allow pharmacists to administer treatments to children of any age.[] Other States permit pharmacists to administer treatments to children depending on the age—for example, 2, 3, 5, 6, 7, 9, 10, 11, or 12 years of age and older.[] Few States restrict pharmacist-administered vaccinations to only adults.[] Many States also allow properly trained individuals under the supervision of a trained pharmacist to administer those treatments.[] Pharmacists are well positioned to increase access to vaccinations, particularly in certain areas or for certain populations that have too few pediatricians and other primary-care providers, or that are otherwise medically underserved.[] As of 2018, nearly 90 percent of Americans lived within five miles of a community pharmacy.[] Pharmacies often offer extended hours and added convenience. What is more, pharmacists are trusted healthcare professionals with established relationships with their patients. Pharmacists also have strong relationships with local medical providers and hospitals to refer patients as appropriate. For example, pharmacists already play a significant role in annual influenza vaccination.

In the early 2018-19 season, they administered the influenza treatment to nearly a third of all adults who received the treatment.[] Given the potential danger of serious influenza and continuing erectile dysfunction treatment outbreaks this autumn and the impact that such concurrent outbreaks may have on our population, our healthcare system, and our whole-of-nation response to the erectile dysfunction treatment kamagra, we must quickly expand access to influenza vaccinations. Allowing more qualified pharmacists to administer the influenza treatment to children will make vaccinations more accessible. Therefore, the Secretary amends the Declaration to identify State-licensed pharmacists (and pharmacy interns acting under their supervision if the pharmacy intern is licensed or registered by his or her State board of pharmacy) as qualified persons under section 247d-6d(i)(8)(B) when the pharmacist orders and either the pharmacist or the supervised pharmacy intern administers treatments to individuals ages three through 18 pursuant to the following requirements. The treatment must be FDA-authorized or FDA-approved.

The vaccination must be ordered and administered according to ACIP's standard immunization schedule.[] The licensed pharmacist must complete a practical training program of at least 20 hours that is approved by the Accreditation Council for Pharmacy Education (ACPE). This training Start Printed Page 52139program must include hands-on injection technique, clinical evaluation of indications and contraindications of treatments, and the recognition and treatment of emergency reactions to treatments.[] The licensed or registered pharmacy intern must complete a practical training program that is approved by the ACPE. This training program must include hands-on injection technique, clinical evaluation of indications and contraindications of treatments, and the recognition and treatment of emergency reactions to treatments.[] The licensed pharmacist and licensed or registered pharmacy intern must have a current certificate in basic cardiopulmonary resuscitation.[] The licensed pharmacist must complete a minimum of two hours of ACPE-approved, immunization-related continuing pharmacy education during each State licensing period.[] The licensed pharmacist must comply with recordkeeping and reporting requirements of the jurisdiction in which he or she administers treatments, including informing the patient's primary-care provider when available, submitting the required immunization information to the State or local immunization information system (treatment registry), complying with requirements with respect to reporting adverse events, and complying with requirements whereby the person administering a treatment must review the treatment registry or other vaccination records prior to administering a treatment.[] The licensed pharmacist must inform his or her childhood-vaccination patients and the adult caregivers accompanying the children of the importance of a well-child visit with a pediatrician or other licensed primary-care provider and refer patients as appropriate.[] These requirements are consistent with those in many States that permit licensed pharmacists to order and administer treatments to children and permit licensed or registered pharmacy interns acting under their supervision to administer treatments to children.[] Administering vaccinations to children age three and older is less complicated and requires less training and resources than administering vaccinations to younger children. That is because ACIP generally recommends administering intramuscular injections in the deltoid muscle for individuals age three and older.[] For individuals less than three years of age, ACIP generally recommends administering intramuscular injections in the anterolateral aspect of the thigh muscle.[] Administering injections in the thigh muscle often presents additional complexities and requires additional training and resources including additional personnel to safely position the child while another healthcare professional injects the treatment.[] Moreover, as of 2018, 40% of three-year-olds were enrolled in preprimary programs (i.e.

Preschool or kindergarten programs).[] Preprimary programs are beginning in the coming weeks or months, so the Secretary has concluded that it is particularly important for individuals ages three through 18 to receive ACIP-recommended treatments according to ACIP's standard immunization schedule. All States require children to be vaccinated against certain communicable diseases as a condition of school attendance. These laws often apply to both public and private schools with identical immunization and exemption provisions.[] As nurseries, preschools, kindergartens, and schools reopen, increased access to childhood vaccinations is essential to ensuring children can return. Notwithstanding any State or local scope-of-practice legal requirements, (1) qualified licensed pharmacists are identified as qualified persons to order and administer ACIP-recommended treatments and (2) qualified State-licensed or registered pharmacy interns are identified as qualified persons to administer the ACIP-recommended treatments ordered by their supervising qualified licensed pharmacist.[] Both the PREP Act and the June 4, 2020 Second Amendment to the Declaration define “covered countermeasures” to include qualified kamagra and epidemic products that “limit the harm such kamagra or epidemic might otherwise cause.” [] The troubling decrease in ACIP-recommended childhood vaccinations and the resulting increased risk of associated diseases, adverse health conditions, and other threats are categories of harms otherwise caused by Start Printed Page 52140erectile dysfunction treatment as set forth in Sections VI and VIII of this Declaration.[] Hence, such vaccinations are “covered countermeasures” under the PREP Act and the June 4, 2020 Second Amendment to the Declaration.

Nothing in this Declaration shall be construed to affect the National treatment Injury Compensation Program, including an injured party's ability to obtain compensation under that program. Covered countermeasures that are subject to the National treatment Injury Compensation Program authorized under 42 U.S.C. 300aa-10 et seq. Are covered under this Declaration for the purposes of liability immunity and injury compensation only to the extent that injury compensation is not provided under that Program.

All other terms and conditions of the Declaration apply to such covered countermeasures. Section VIII. Category of Disease, Health Condition, or Threat As discussed, the troubling decrease in ACIP-recommended childhood vaccinations and the resulting increased risk of associated diseases, adverse health conditions, and other threats are categories of harms otherwise caused by erectile dysfunction treatment. The Secretary therefore amends section VIII, which describes the category of disease, health condition, or threat for which he recommends the administration or use of the Covered Countermeasures, to clarify that the category of disease, health condition, or threat for which he recommends the administration or use of the Covered Countermeasures is not only erectile dysfunction treatment caused by erectile dysfunction or a kamagra mutating therefrom, but also other diseases, health conditions, or threats that may have been caused by erectile dysfunction treatment, erectile dysfunction, or a kamagra mutating therefrom, including the decrease in the rate of childhood immunizations, which will lead to an increase in the rate of infectious diseases.

Amendments to Declaration Amended Declaration for Public Readiness and Emergency Preparedness Act Coverage for medical countermeasures against erectile dysfunction treatment. Sections V and VIII of the March 10, 2020 Declaration under the PREP Act for medical countermeasures against erectile dysfunction treatment, as amended April 10, 2020 and June 4, 2020, are further amended pursuant to section 319F-3(b)(4) of the PHS Act as described below. All other sections of the Declaration remain in effect as published at 85 FR 15198 (Mar. 17, 2020) and amended at 85 FR 21012 (Apr.

15, 2020) and 85 FR 35100 (June 8, 2020). 1. Covered Persons, section V, delete in full and replace with. V.

Covered Persons 42 U.S.C. 247d-6d(i)(2), (3), (4), (6), (8)(A) and (B) Covered Persons who are afforded liability immunity under this Declaration are “manufacturers,” “distributors,” “program planners,” “qualified persons,” and their officials, agents, and employees, as those terms are defined in the PREP Act, and the United States. In addition, I have determined that the following additional persons are qualified persons. (a) Any person authorized in accordance with the public health and medical emergency response of the Authority Having Jurisdiction, as described in Section VII below, to prescribe, administer, deliver, distribute or dispense the Covered Countermeasures, and their officials, agents, employees, contractors and volunteers, following a Declaration of an emergency.

(b) any person authorized to prescribe, administer, or dispense the Covered Countermeasures or who is otherwise authorized to perform an activity under an Emergency Use Authorization in accordance with Section 564 of the FD&C Act. (c) any person authorized to prescribe, administer, or dispense Covered Countermeasures in accordance with Section 564A of the FD&C Act. And (d) a State-licensed pharmacist who orders and administers, and pharmacy interns who administer (if the pharmacy intern acts under the supervision of such pharmacist and the pharmacy intern is licensed or registered by his or her State board of pharmacy), treatments that the Advisory Committee on Immunization Practices (ACIP) recommends to persons ages three through 18 according to ACIP's standard immunization schedule. Such State-licensed pharmacists and the State-licensed or registered interns under their supervision are qualified persons only if the following requirements are met.

The treatment must be FDA-authorized or FDA-approved. The vaccination must be ordered and administered according to ACIP's standard immunization schedule. The licensed pharmacist must complete a practical training program of at least 20 hours that is approved by the Accreditation Council for Pharmacy Education (ACPE). This training program must include hands-on injection technique, clinical evaluation of indications and contraindications of treatments, and the recognition and treatment of emergency reactions to treatments.

The licensed or registered pharmacy intern must complete a practical training program that is approved by the ACPE. This training program must include hands-on injection technique, clinical evaluation of indications and contraindications of treatments, and the recognition and treatment of emergency reactions to treatments. The licensed pharmacist and licensed or registered pharmacy intern must have a current certificate in basic cardiopulmonary resuscitation. The licensed pharmacist must complete a minimum of two hours of ACPE-approved, immunization-related continuing pharmacy education during each State licensing period.

The licensed pharmacist must comply with recordkeeping and reporting requirements of the jurisdiction in which he or she administers treatments, including informing the patient's primary-care provider when available, submitting the required immunization information to the State or local immunization information system (treatment registry), complying with requirements with respect to reporting adverse events, and complying with requirements whereby the person administering a treatment must review the treatment registry or other vaccination records prior to administering a treatment. The licensed pharmacist must inform his or her childhood-vaccination patients and the adult caregiver accompanying the child of the importance of a well-child visit with a pediatrician or other licensed primary-care provider and refer patients as appropriate. Nothing in this Declaration shall be construed to affect the National treatment Injury Compensation Program, including an injured party's ability to obtain compensation under that program. Covered countermeasures that are subject to the National treatment Injury Compensation Program authorized under 42 U.S.C.

300aa-10 et seq. Are covered under this Declaration for the purposes of liability immunity and injury compensation only to the extent that injury compensation is not provided under that Program. All other Start Printed Page 52141terms and conditions of the Declaration apply to such covered countermeasures. 2.

Category of Disease, Health Condition, or Threat, section VIII, delete in full and replace with. VIII. Category of Disease, Health Condition, or Threat 42 U.S.C. 247d-6d(b)(2)(A) The category of disease, health condition, or threat for which I recommend the administration or use of the Covered Countermeasures is not only erectile dysfunction treatment caused by erectile dysfunction or a kamagra mutating therefrom, but also other diseases, health conditions, or threats that may have been caused by erectile dysfunction treatment, erectile dysfunction, or a kamagra mutating therefrom, including the decrease in the rate of childhood immunizations, which will lead to an increase in the rate of infectious diseases.

Start Authority 42 U.S.C. 247d-6d. End Authority Start Signature Dated. August 19, 2020.

Alex M. Azar II, Secretary of Health and Human Services. End Signature End Supplemental Information [FR Doc. 2020-18542 Filed 8-20-20.

4:15 pm]BILLING CODE 4150-03-PToday, the U.S. Department of Health and Human Services released Healthy People 2030, the nation's 10-year plan for addressing our most critical public health priorities and challenges. Since 1980, HHS's Office of Disease Prevention and Health Promotion has set measurable objectives and targets to improve the health and well-being of the nation.This decade, Healthy People 2030 features 355 core – or measurable – objectives with 10-year targets, new objectives related to opioid use disorder and youth e-cigarette use, and resources for adapting Healthy People 2030 to emerging public health threats like erectile dysfunction treatment. For the first time, Healthy People 2030 also sets 10-year targets for objectives related to social determinants of health."Healthy People was the first national effort to lay out a set of data-driven priorities for health improvement," said HHS Secretary Alex Azar.

"Healthy People 2030 adopts a more focused set of objectives and more rigorous data standards to help the federal government and all of our partners deliver results on these important goals over the next decade."Healthy People has led the nation with its focus on social determinants of health, and continues to prioritize economic stability, education access and quality, health care access and quality, neighborhood and built environment, and social and community context as factors that influence health. Healthy People 2030 also continues to prioritize health disparities, health equity, and health literacy."Now more than ever, we need programs like Healthy People that set a shared vision for a healthier nation, where all people can achieve their full potential for health and well-being across the lifespan," said ADM Brett P. Giroir, MD, Assistant Secretary for Health. "erectile dysfunction treatment has brought the importance of public health to the forefront of our national dialogue.

Achieving Healthy People 2030's vision would help the United States become more resilient to public health threats like erectile dysfunction treatment."Healthy People 2030 emphasizes collaboration, with objectives and targets that span multiple sectors. A federal advisory committee of 13 external thought leaders and a workgroup of subject matter experts from more than 20 federal agencies contributed to Healthy People 2030, along with public comments received throughout the development process.The HHS Office of Disease Prevention and Health Promotion leads Healthy People in partnership with the National Center for Health Statistics at the Centers for Disease Control and Prevention, which oversees data in support of the initiative.HHS Secretary Alex M. Azar II, ADM Brett P. Giroir, MD, Assistant Secretary for Health, and U.S.

Surgeon General Jerome M. Adams, MD, MPH, and others from HHS and CDC will launch Healthy People 2030 during a webcast on August 18 at 1 pm (EDT) at https://www.hhs.gov/live. No registration is necessary. For more information about Healthy People 2030, visit https://healthypeople.gov..

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Gabriel “Gabe” Gonzalez thought the summer after his senior year discount kamagra review would be spent hanging out with kamagra oral jelly canadian pharmacy friends. But for the past five weeks, he hasn’t seen kamagra oral jelly canadian pharmacy one of them. Gabriel Gonzalez smiles at former teammates and friends.

The 18-year-old is being treated for third-degree burns over 46% of his body.Instead, the Woodcreek High School graduate spends his days undergoing physical therapy (PT) and recovering from third-degree burns over 46% of his body at the Firefighters kamagra oral jelly canadian pharmacy Burn Institute Regional Burn Center at UC Davis Medical Center.“Overall, he’s doing pretty well,” said Coleen Gonzalez, his mom. €œThe doctors and nurses here have been absolutely wonderful. Because he’s young, healthy and strong, everyone has been positive he’ll get through this since day one.”A tragic accidentBefore graduating, kamagra oral jelly canadian pharmacy Gonzalez played right guard for the Woodcreek Timberwolves in Roseville.

He was with some of his football teammates and other friends at a post-prom party on May 16 when disaster struck.A firepit accident sparked uncontrollable flames. Four people kamagra oral jelly canadian pharmacy were rushed to the hospital. Gonzalez and Jackson Allen required treatment at the burn center.“It was horrible.

Burns all over his hands, arms and kamagra oral jelly canadian pharmacy legs,” his mom recalled.The two survivors kept tabs on each other while both were in the hospital. Allen was discharged in early June. But for Gonzalez, the summer hanging out with friends was put on hold.His kamagra oral jelly canadian pharmacy parents, Coleen and José, are with him every day.

They were there after two surgeries. They are there kamagra oral jelly canadian pharmacy after daily sessions with the physical therapists.A surprise visitThen, on June 24, Gabriel Gonzalez received some new visitors. 40 former teammates and friends surprised him at UC kamagra oral jelly canadian pharmacy Davis Medical Center.

They gathered outside his second-floor window, thinking they would only get to wave to him.Meanwhile inside, Gonzalez thought his therapist was taking him outside for a new PT exercise. When he was wheeled out, the shocked faces — from both the teammates and Gonzalez— could not be contained.Not only was it his kamagra oral jelly canadian pharmacy first time to see friends, but it was also his first trip outside the hospital since May 17. He smiled at a sea of friends dressed in pink t-shirts — his favorite color — donning his jersey number — 67 — and holding posters that read, “Stay strong brotha,” “Gabriel u got this” and “Life is tough, but so are you.”“I had no idea there would be so many of his teammates here.

It really lifted his spirits and he did not want the time with friends and teammates to kamagra oral jelly canadian pharmacy end,” said his mom. €œA huge thank you to everyone at UC Davis for making this happen.”Gonzalez’ therapist rolled his wheelchair in front of the team. Then, to everyone’s surprise, Gonzalez stood and walked roughly 20 feet.Encouraged by his PT team, Gabriel Gonzalez shows his recovery progress by standing and walking, while well-wishers cheer him kamagra oral jelly canadian pharmacy on.

€œIt was great. It felt kamagra oral jelly canadian pharmacy good,” Gonzalez said. €œDefinitely surprised.”The moment felt good for his supporters as well.“It was such a surprise to be able to see and talk to him in person.

The worst kamagra oral jelly canadian pharmacy is over. It is only going to get better from here,” said graduating football teammate Scott Miller. €œGabriel was never in a bad mood during football practice and his same high spirits will help him recover from this.”“The entire Wolf Pack, made up kamagra oral jelly canadian pharmacy of family and friends, is behind Gabriel and has been keeping him in their thoughts and prayers,” added his aunt, Janine Loving.

€œSeeing him for the first time in two months was phenomenal and brought instant tears.”Unexpected supportColleen Gonzalez says this surprise visit is just one more way their family has not felt alone during this ordeal.“All the support from our family and the community has kamagra oral jelly canadian pharmacy been overwhelming. I’m amazed at how much they have come together to help us,” she said. €œAnd the kamagra oral jelly canadian pharmacy team here at UC Davis.

I’ve always heard UC Davis is great, but we had never experienced it, thank goodness, until now. We’re so fortunate to have such a burn unit in our backyard.”Gabriel Gonzalez, third from left, celebrates senior night at Woodcreek High School with his kamagra oral jelly canadian pharmacy brother, Alexander. Mom, Coleen.

And father, José.“Burn care, similar to football, is a kamagra oral jelly canadian pharmacy team effort. The UC Davis burn team united to provide him with state-of-the-art care that will enable him to rejoin his teammates and return to a normal life,” said Tina Louise Palmieri, chief burn surgeon.The tragedy also offered an opportunity to educate young people on the dangers of fire.“Doesn’t take much for a fire to turn life-threatening,” said Kevin Snider, a retired chief — now senior chaplain — of the Sacramento Metropolitan Fire District. €œNever pour any flammable liquid, including gasoline, on kamagra oral jelly canadian pharmacy an open fire.

Fumes can travel and land on clothing of individuals, catching them instantly on fire.”When Gabriel Gonzalez returns to his normal life, he still has a team behind him. A new support group for young adult burn survivors launches in July in collaboration with the Firefighters Burn Institute.“We feel young adults kamagra oral jelly canadian pharmacy face unique challenges during their healing process,” said Lauren Spink, burn outreach coordinator. €œThis group is where burn survivors can support each other no matter where they are in their recovery.”When he’s discharged in the coming weeks, Gabriel Gonzalez looks forward to going back to the gym, starting Sierra College in the fall and yes, hanging out and playing video games with friends..

Gabriel “Gabe” Gonzalez thought the summer after his senior year would be spent hanging out with can i buy kamagra online friends. But for the can i buy kamagra online past five weeks, he hasn’t seen one of them. Gabriel Gonzalez smiles at former teammates and friends. The 18-year-old is being treated for third-degree burns can i buy kamagra online over 46% of his body.Instead, the Woodcreek High School graduate spends his days undergoing physical therapy (PT) and recovering from third-degree burns over 46% of his body at the Firefighters Burn Institute Regional Burn Center at UC Davis Medical Center.“Overall, he’s doing pretty well,” said Coleen Gonzalez, his mom.

€œThe doctors and nurses here have been absolutely wonderful. Because he’s young, healthy and strong, everyone has been positive he’ll get through this since can i buy kamagra online day one.”A tragic accidentBefore graduating, Gonzalez played right guard for the Woodcreek Timberwolves in Roseville. He was with some of his football teammates and other friends at a post-prom party on May 16 when disaster struck.A firepit accident sparked uncontrollable flames. Four people can i buy kamagra online were rushed to the hospital.

Gonzalez and Jackson Allen required treatment at the burn center.“It was horrible. Burns all over his hands, arms and legs,” his mom recalled.The two survivors kept tabs on each other can i buy kamagra online while both were in the hospital. Allen was discharged in early June. But for Gonzalez, the summer hanging out with friends was put on hold.His parents, Coleen and José, are can i buy kamagra online with him every day.

They were there after two surgeries. They are there after daily sessions with can i buy kamagra online the physical therapists.A surprise visitThen, on June 24, Gabriel Gonzalez received some new visitors. 40 former teammates and friends surprised him at UC Davis Medical Center can i buy kamagra online. They gathered outside his second-floor window, thinking they would only get to wave to him.Meanwhile inside, Gonzalez thought his therapist was taking him outside for a new PT exercise.

When he was wheeled out, the shocked faces — from both the teammates and Gonzalez— could not be contained.Not only was it his first time to see friends, but it can i buy kamagra online was also his first trip outside the hospital since May 17. He smiled at a sea of friends dressed in pink t-shirts — his favorite color — donning his jersey number — 67 — and holding posters that read, “Stay strong brotha,” “Gabriel u got this” and “Life is tough, but so are you.”“I had no idea there would be so many of his teammates here. It really lifted his spirits and he did not want the time can i buy kamagra online with friends and teammates to end,” said his mom. €œA huge thank you to everyone at UC Davis for making this happen.”Gonzalez’ therapist rolled his wheelchair in front of the team.

Then, to everyone’s surprise, Gonzalez stood and walked roughly 20 feet.Encouraged by his PT team, Gabriel Gonzalez shows his recovery progress by standing and walking, while well-wishers can i buy kamagra online cheer him on. €œIt was great. It felt good,” Gonzalez can i buy kamagra online said. €œDefinitely surprised.”The moment felt good for his supporters as well.“It was such a surprise to be able to see and talk to him in person.

The worst can i buy kamagra online is over. It is only going to get better from here,” said graduating football teammate Scott Miller. €œGabriel was never in a bad mood during football practice and his same high spirits will help him recover from this.”“The entire Wolf Pack, made up of family and friends, is behind Gabriel and has been keeping him in can i buy kamagra online their thoughts and prayers,” added his aunt, Janine Loving. €œSeeing him for the first time in two can i buy kamagra online months was phenomenal and brought instant tears.”Unexpected supportColleen Gonzalez says this surprise visit is just one more way their family has not felt alone during this ordeal.“All the support from our family and the community has been overwhelming.

I’m amazed at how much they have come together to help us,” she said. €œAnd the can i buy kamagra online team here at UC Davis. I’ve always heard UC Davis is great, but we had never experienced it, thank goodness, until now. We’re so fortunate to have such a burn unit in our backyard.”Gabriel Gonzalez, third from left, celebrates can i buy kamagra online senior night at Woodcreek High School with his brother, Alexander.

Mom, Coleen. And father, can i buy kamagra online José.“Burn care, similar to football, is a team effort. The UC Davis burn team united to provide him with state-of-the-art care that will enable him to rejoin his teammates and return to a normal life,” said Tina Louise Palmieri, chief burn surgeon.The tragedy also offered an opportunity to educate young people on the dangers of fire.“Doesn’t take much for a fire to turn life-threatening,” said Kevin Snider, a retired chief — now senior chaplain — of the Sacramento Metropolitan Fire District. €œNever pour any flammable liquid, including can i buy kamagra online gasoline, on an open fire.

Fumes can travel and land on clothing of individuals, catching them instantly on fire.”When Gabriel Gonzalez returns to his normal life, he still has a team behind him. A new support group for can i buy kamagra online young adult burn survivors launches in July in collaboration with the Firefighters Burn Institute.“We feel young adults face unique challenges during their healing process,” said Lauren Spink, burn outreach coordinator. €œThis group is where burn survivors can support each other no matter where they are in their recovery.”When he’s discharged in the coming weeks, Gabriel Gonzalez looks forward to going back to the gym, starting Sierra College in the fall and yes, hanging out and playing video games with friends..

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Structural, non-technical barriers to innovation http://www.ec-weitbruch.ac-strasbourg.fr/?p=415 are a big reason why technical innovation is so viagra jelly kamagra challenging. The need to quickly integrate viagra jelly kamagra telemedicine, and an opportunity for a better patient care model, caused a digital transformation roadmap to get accelerated. The erectile dysfunction treatment crisis put a laser focus on how apparent it is that data and advanced analytics can be powerful weapons in the fight against kamagras.These are some of the lessons learned by chief information officers during the past year or so as the healthcare industry has been tossed and turned by the erectile dysfunction treatment kamagra.

And the CIOs in this tenth installment of our Health IT Lessons Learned in the erectile dysfunction treatment Era feature series will explain these lessons viagra jelly kamagra and how they are going to apply them moving forward. (Click here to access the portal containing all the feature stories in the series.)The health IT leaders discussing their 2020s and 2021s in this edition of the feature series include:Dr. Bruce Darrow, senior vice president of information technology, deputy CIO and chief medical information officer, at viagra jelly kamagra Mount Sinai Health System in New York City.

(@MountSinaiNYC)Ben Patel, executive vice president and CIO at Cone Health, based in Greensboro, North viagra jelly kamagra Carolina. (@ConeHealth)Scott Richert, CIO of Mercy Technology Services, at Mercy, a health system based in St. Louis, Missouri viagra jelly kamagra.

(@FollowMercy)Dan Waltz, vice president and CIO at MidMichigan Health, based in Midland, Michigan. (@MidMichigan)Structural, non-technical barriers to innovationDarrow of the prominent Mount Sinai Health System said that he and his team learned since early 2020 that viagra jelly kamagra structural, non-technical barriers to innovation are a big reason why technical innovation is so challenging."Telehealth is a great example," he said. "Prior to viagra jelly kamagra 2020, payers didn't want to pay for it, and physicians were largely comfortable with a business model that had patients lined up outside their doors waiting to see them.

Both of those barriers fell by the wayside in March 2020, allowing us to focus on more pertinent issues, such as how we could use the technology to make the experience more reliable and easy for our patients and clinicians."The example of telehealth highlights the importance of advocacy at multiple levels of government to simplify the complex regulations that make it such a challenge to use the technologies that are prevalent in so many other fields of business, he insisted.Between the mandates of the federal government and the individual states, there is so much ambiguity between the origin of a good idea and the realization of a successful initiative, he added."Addressing the technology comfort level of the clinicians about how well they can do their jobs via video is another matter," Darrow observed. "Before 2020, telehealth visits composed a miniscule fraction viagra jelly kamagra of our ambulatory care. Today we have sustained virtual visits at about 15-20% of total.

In many cases, we needed to overcome the barrier of, 'I can only do my job with my patient physically present' with a tolerant combination of, 'In some cases, virtual care may be an appropriate alternative' and 'Perhaps your patients don't want to spend so much time traveling and sitting in your waiting room for the privilege of seeing you.'"Darrow and his team succeeded, he said, by identifying early adopter physician champions and allowing them to endorse both the technology and the workflows.Building equity into the systemOn another note, Darrow said that Mount viagra jelly kamagra Sinai's patients may not all have the same access to the organization's health IT options, and it is the responsibility of the health system to intentionally build equity into the system."When we retrospectively assessed how our patients used telehealth in the spring of 2020, we saw variations on the basis of age, race, ethnicity and preferred language," he explained. "While it's an important first step to provide technology options equally to all of our patients, it is not valid to assume that all patients will take advantage of them at the same rate."We have worked to build in options for translation services viagra jelly kamagra with our telehealth encounters, and as an organization obtained several FCC grants to allow us to provide technology to some of our most vulnerable patients, including patients who are homebound, cancer patients and at-risk pediatric patients," he continued. "We've also established a strong partnership with our organization's Institute for Health Equity Research and Office for Diversity and Inclusion to make sure we incorporate their viewpoints into our initiatives, including the impact of social determinants of health on how our patients embrace technology."The power of focusFor Richert of Mercy, the first lesson he points to is, as he puts it, "the power of focus.""As the kamagra emerged, there were clear objectives on which to focus and agreed-upon metrics by which to measure our progress," he recalled.

"We've had plenty of successes and accomplishments prior to the kamagra, the focus and agility of the entire leadership structure resulted in faster decisions, and alignment between multiple teams focused on the same outcomes."This permeated into our technology response as we developed fast minimally viable products and fast improvement iterations for digital solutions for testing, home care, follow-up and eventually vaccination management," he added.Today, Mercy has maintained much of the leadership and decision framework that was activated during the kamagra."We're still focusing viagra jelly kamagra on clinical quality and operational efficiency objectives with similar focus and urgency," he noted. "The challenge is to maintain that operational agility to solve operational problems quickly, but also keep in mind all of the long-term 'change the game' strategies that we know will be necessary for long-term success."This can be challenging, he added, to balance the urgency of the short-term operational improvement sprints, but also making sure the long-term strategies (technical and otherwise) are being served by the operational improvements, and that investments in long-term objectives don't take a back seat to the urgent, operational objectives."This plays out in governance and resource planning, and has many practical implications in budgeting, architecture and organizational change management," he said.Moving to connected health and telemedicineerectile dysfunction treatment placed tremendous pressures on healthcare provider organizations that did not have enough beds, equipment or personnel to handle infected citizens while still providing emergency and chronic care to other patients. This novel kamagra also endangered exposed healthcare viagra jelly kamagra workers, many of whom became infected."We quickly learned that digital care would be the best method to take care of patients and to comply with CDC guidelines," said Patel of Cone Health.

"We went into execution mode to install enterprise virtual care platforms along with remote monitoring. The goal is to provide e-visits/video visits and become more situationally aware of patients' symptoms and conditions before they become acute viagra jelly kamagra and require hospitalization."The remote monitoring solutions include widespread use of sensors for data collection like heart rate, oxygenation levels, blood pressure and temperature, he added."Our digital transformation roadmap got accelerated due to this lesson and an opportunity for a better patient care model," Patel said. "A digital blueprint has viagra jelly kamagra been developed with key stakeholders.

We are now deploying self-service digital tools such as digital front door, medication adherence and a remote patient monitoring platform. This is in addition to our enterprise virtual care platform for virtual visits to patients and consumers."Recently, Cone Health kicked off an initiative to outline its hospital-at-home care viagra jelly kamagra model. This will help the health system take care of patients in their home or preferred care setting.Telehealth woven into the care modelOver at Mercy, the massive health system has been successfully conducting telemedicine for years."During the kamagra, as we looked for options to solve the clinical and operational challenges and extremes of the kamagra, we found our investments and expertise in virtual care to be extremely valuable," said Richert of Mercy.

"During the kamagra, we learned that virtual care services are most effective when they're completely woven into the fabric of the overall care model – digital, virtual and physical."Going forward, the IT organization will be enhancing viagra jelly kamagra the effectiveness and efficiency of the health system's care model with an extremely high level of virtual care integration."We're discovering the ever-growing harmony we can create with an integrated digital/virtual/physical care model," he explained. "Not just sending patients down one channel or the other, but leveraging digital and virtual woven into inpatient, outpatient and care-at-home population models."Also, thinking viagra jelly kamagra about virtual and digital care beyond the simple concepts of two-way video alternatives to in-person care, which we certainly provide and have increased during the kamagra, but also realizing that building workflow tools that make it easy on the patients and the caregivers to request a virtual service," he continued. "Skills-based routing, request queuing, SMS messaging and surveys, and other 'service-management' type capabilities, become very important when you're scaling virtual services and need to make sure they are easy to request, and that service fulfillment is managed in a service management model."For instance, if an inpatient nursing staff can easily request episodic virtual assistance for something without breaking out of their workflow, and they can depend on reliable service levels, then that virtual service is going to thrive and add value, he added.Authenticity, vulnerability and transparency in placeA whole different kind of lesson comes in the form of building trust in a health system and its leaders.

This was key to Waltz of MidMichigan Health."It would be difficult to build trust after an emergency occurs – in our case, we had the kamagra break out, then the historic Edenville dam flood two months later – so my thinking is that you must have authenticity, vulnerability and transparency in place with your leadership team and viagra jelly kamagra staff prior to an emergency," he observed."A couple of things we did to help was to encourage virtual daily huddles with Teams, weekly management meetings, and all-staff meetings every other week," he added. "We did this for about a month until the staff and leaders asked us to back off a bit."In these meetings, Waltz encouraged leaders to use empathy and transparency – looking to help those who were impacted by remote work and those who had damaged homes or relocations because of the flood."We encouraged teams to help each other whenever they could," he said. "We allowed staff to work viagra jelly kamagra very flexible hours, knowing that schools were going back and forth between on-site, hybrid and remote scheduling.

These situations caused lots of viagra jelly kamagra stress on the teams. Many times staff would get together in remote locations even without their leader to work on issues or to just be together."In routine meetings, leaders and staff focused on business priorities and on what "had" to be done."We had open time to allow team members to ask questions and bring up concerns," he explained. "The teams really appreciated how we managed these challenges and many never worked harder to keep up the great support and project work that had to be done."We routinely discussed the mission of healthcare viagra jelly kamagra before and after the kamagra and flood," Waltz continued.

"We would talk about how working in healthcare is a privilege and having the opportunity to help patients and clinicians during their greatest need helps to keep us all focused. It is truly about the mission."Waltz created a personal goal to have a virtual lunch with a small group of employees twice a week."We have arranged random team members to join me viagra jelly kamagra virtually for lunch," he said. "We talk about vacations, kids, books we've read, and then I will end with a few things that are going on at work and ask if they have any questions.

This has been great for me as I viagra jelly kamagra get to connect with all the team members in my department. I have received positive feedback from the team members and management staff as well."Data and advanced analyticsThe erectile dysfunction treatment crisis has put a laser focus on how apparent it is that data and advanced analytics can be powerful weapons in viagra jelly kamagra the fight against kamagras, said Patel of Cone Health."erectile dysfunction treatment has reinforced the urgency to focus on data strategies and investments to support ongoing containment, mitigation and bio-surveillance activities," he said. "Lesson learned is that data and analytics could have changed the game from detecting the outbreak, to responding to critical shortages of tests, resources, beds and supplies, to helping us be more operationally adaptable."Advanced analytics, artificial intelligence, algorithms, data visualization tools and graph technologies are being applied at Cone Health to understand erectile dysfunction treatment's nature and character."Our enterprise data warehouse platform is leveraged to build the pertinent data marts for the advanced predictive models and forecasting solutions," he explained.

"AI-based predictive models have been developed to forecast viagra jelly kamagra susceptible populations, hospitalizations and PPE needs. Moreover, we incorporated mobility data from Facebook and Google into these predictive models for accuracy."Patel said they need a regional HIE to effectively manage kamagras like this for data sharing and to improve predictive models."Going forward, linking clinical and travel data with personal data collected from social media, such as family history and lifestyle habits, it's possible to create detailed predictive models relative to individual risk profiles and health outcomes," he said. "We need to implement pathogen and disease viagra jelly kamagra surveillance, and advanced warning signal capabilities."Our plan is to be agile by making data accessible, liquid and fluid across our health ecosystem," he concluded.

"And we must execute viagra jelly kamagra an enterprise data architecture that connects interoperability, integration and real-time capabilities."Twitter. @SiwickiHealthITEmail the writer. Bsiwicki@himss.orgHealthcare IT News is a viagra jelly kamagra HIMSS Media publication.The U.S.

Department of Health and Human Services announced this week that the Office of the National Coordinator for Health IT will spearhead development of a new Public Health Informatics &. Technology Workforce Development Program.WHY IT MATTERSFunded to the tune of $80 million drawn from the American Rescue Plan, the PHIT Workforce Program is meant to boost public health through new training and in medical informatics and data science, according to HHS.The agency is inviting colleges and universities – especially Historically Black Colleges and Universities, Tribal Colleges and Universities, Hispanic Serving Institutions, Asian American and Native American Pacific Islander-Serving Institutions and others schools serving minority populations – viagra jelly kamagra to apply for funding."Representation is important – particularly when we are deploying technology to tackle our most pressing health care challenges," said HHS Secretary Xavier Becerra in a statement. "With this funding, we will be able to train and create new opportunities for thousands of minorities long underrepresented in our public health informatics and technology fields."The goal of the PHIT Workforce Program is to viagra jelly kamagra train more than 4,000 individuals over a four-year period through an interdisciplinary approach in public health informatics and technology.

A consortium that will help develop the curriculum, recruit and train participants, secure paid internship opportunities, and assist in career placement at public health agencies, public health-focused non-profits or public health-focused private sector or clinical settings.Under the PHIT Workforce Program, ONC will award up to $75 million to cooperative agreement recipients and use the remaining $5 million to support the program’s overall administration, officials said. Award recipients will need to ensure their training, certificate, degree, and placement programs are sustainable to create viagra jelly kamagra a continuous pipeline of diverse public health IT professionals.THE LARGER TRENDA major impetus behind this project is to tackle "pervasive health and socioeconomic inequities that have been exacerbated by the kamagra and ensure our healthcare system is better equipped for the next public health emergency," according to HHS.Beyond the fact that the kamagra disproportionately affected minority and underserved communities, the agency notes how the erectile dysfunction treatment crisis exposed gaps in public health reporting and data analysis – particularly with regard to race and ethnicity-specific data."Some of these gaps can be attributed to limited technological infrastructure and chronic underfunding of the staff needed to support public health data reporting at the state and local levels," said HHS officials."Federal efforts to center equity in the erectile dysfunction treatment response and future public health responses will be improved by robust data collection and reporting around , hospitalization, and mortality rates, as well as underlying health and social vulnerabilities, that is disaggregated by race and ethnicity, age, gender, and other key variables."President’s Biden's Executive Order on Ensuring a Sustainable Public Health Workforce for erectile dysfunction treatment and Other Biological Threats has provisions calling for new programs to encourage a public health workforce that can equitably perform community-based testing to improve response to future kamagras and other biological threats.ON THE RECORD"Investing in efforts that create a pipeline of diverse professionals, particularly in high-skilled public health technology fields, will help us better prepare for future public health emergencies," said Becerra."The limited number of public health professionals trained in informatics and technology was one of the key challenges the nation experienced during the erectile dysfunction treatment kamagra," added National Coordinator for Health IT Micky Tripathi. "This new funding will help to address that need by supporting the efforts of minority serving institutions and other colleges and universities across the nation to educate and launch individuals into public health careers."ONC is hosting an information session about the new funding opportunity on June 23 at 2 p.m.

ET.As several huge retail chains have made high-profile forays into virtual care over the past year, many stakeholders have wondered what effect viagra jelly kamagra these moves may have on health services. At the American Telemedicine Association conference and viagra jelly kamagra expo this week, retail leaders sought to assure audiences that such maneuvers can serve to enable care in an often stratified environment. "Let's remember the problem we're all trying to solve for," said Marcus Osborne, senior VP of Walmart Health, during a session on Thursday.

"We know that we as Americans aren't getting the care we need," he said.Too frequently, viagra jelly kamagra Osborne said, people in the United States are forced by the cost of medical services to defer care – "until things explode on us." Now, he pointed out, this problem is systemic, and it can't be solved by telehealth alone. At the same time, he said, it has potential as part of what he called an "omni-channel solution" – a holistic approach to health that relies on several different modalities, including telehealth. Best viagra jelly kamagra Buy Health President Deborah DiSanzo noted, as others have, that the erectile dysfunction kamagra played a major role in shifting the locus of care out of exclusively brick-and-mortar facilities.

"erectile dysfunction treatment has put patients in their home – really surrounding the care around the patient," DiSanzo observed. "Healthcare is becoming increasingly tech focused, and Best Buy is going to be there," viagra jelly kamagra she said. Osborne repeatedly referred to telehealth as an "enabler," both with regard to direct-to-patient offerings and viagra jelly kamagra to provider-to-provider assistance.

He pointed out that Walmart's recent acquisition of MeMD "gives us an opportunity to serve consumers directly," but that clinicians could also use virtual care to enhance their own offerings. "It's going to enable providers to up their game and deliver better viagra jelly kamagra care," he said. He argued that companies aren't competing with each other, so much as with inertia around seeking care.

"We're competing with viagra jelly kamagra non-consumption," he said. "As we think about telehealth it's about recognizing – give people options, give people multiple pathways to engage viagra jelly kamagra care the way they want, and guess what they'll do?. " he said.

"They'll get care." Shez Partovi, chief innovation and strategy officer at viagra jelly kamagra Philips, said in a subsequent session that his company aims to focus more on health technology that "enables an individual to use technology to empower them to understand their health and wellness better.""Instead of moving our experts' atoms, we want to move our experts' electrons," he said – in other words, to not require top-notch clinicians to be face-to-face with patients, especially those in greater need of care. "That idea of combining beautiful mobile technology with moving electrons instead of atoms is a way to shrink the gap," he said. Kat Jercich is senior editor of Healthcare viagra jelly kamagra IT News.Twitter.

@kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.Prior to the first doses of erectile dysfunction treatment being available, Houston Methodist knew it was going to have significant challenges in managing a perceived tsunami of phone calls from patients and the general public.THE PROBLEMWith predictions of increased volume reaching 300-400%, Houston Methodist leadership needed a solution that would manage the flood of treatment-related phone calls without impacting usual operations. Expanding head count in existing call centers could not be achieved in a reasonable amount of time and was financially prohibitive.

Outsourcing to external contract call centers risked losing control of the patient experience and was also financially challenging."We needed a cost-effective solution that could not only manage the flood of treatment-related phone calls without impacting our usual operations, but most importantly, ensure every patient is set on a positive path," said Roberta Schwartz, executive vice president and chief innovation officer at Houston Methodist.PROPOSALHouston Methodist decided to go with the Syllable Voice Assistant, conversational artificial intelligence that answers every call received by a hospital and offers patients automated workflows and self-service options whenever possible.Staff saw the opportunity to use this solution to address three significant needs for Houston Methodist as they sought out a scalable solution to address this impending influx of erectile dysfunction treatment-related calls."First, we would be able to automatically direct eligible patients to schedule a vaccination appointment through a self-service scheduling option," Schwartz said. "Second, it could automate answers to questions we knew we would receive at a high frequency, such as inquiries related to treatment eligibility and safety. Finally, it could dynamically scale to accommodate fluctuations in call volume and answer every call without impacting our usual operations."Syllable also helped the healthcare provider organization standardize its approach."We placed the conversational AI not only in our treatment hotline, but also in all hospital operator or other important patient-facing lines," she noted.

"Whether that's treatment eligibility or self-service Q&A, we were consistent in our patient-facing telephone lines."MEETING THE CHALLENGESyllable integrated with existing platforms for patient authentication and scheduling to create a comprehensive, end-to-end solution that could confirm eligibility and drive conversion, Schwartz said.The health system established a erectile dysfunction treatment hotline, which it shared with treatment-eligible patients through direct outreach efforts. The conversational AI served as frontline triage for all incoming calls to confirm treatment eligibility and address frequently asked questions."The voice assistant identifies eligible callers and enables the caller to immediately schedule their vaccination appointment through a unique self-service scheduling link managed by CareSense, a patient authentication solution," Schwartz explained. "Our scheduling software, BlockIt, subsequently committed the scheduled appointment to our EHR.

Patients also are offered the option to schedule their appointment with a live agent or nurse if they prefer."RESULTSThe Syllable technology increased Houston Methodist's capacity to answer incoming calls without hiring additional staff."We were able to ensure every single call was answered, 24 hours a day, seven days a week," Schwartz noted. "In the first month of treatment distribution, the voice assistant answered about 9,000 calls on a typical weekday and up to 3,500 calls an hour at peak times. 91% of calls received by our erectile dysfunction treatment hotline were resolved by Syllable's automated and self-service workflows."We also saw excellent scheduling conversion," she continued.

"In the first month of deployment, 75% of patients checked their treatment eligibility and were able to schedule a treatment appointment, if eligible. We were quickly able to ramp up treatment delivery, with 4,000 vaccinations delivered per day across the Houston Methodist health system in the first month."Houston Methodist ranked No. 1 in the state of Texas in treatment delivery, providing more treatments than any other health system in the state of Texas, she added."Since launching our erectile dysfunction treatment hotline to the public in January, the voice assistant has answered half a million calls and triaged almost 250,000 eligible patients to scheduling options," she reported.

"Houston Methodist has delivered more than 724,000 treatments to date. We've been thrilled with the results of this program, and recently expanded our work with Syllable."The AI voice assistant now answers all inbound calls to Houston Methodist's main call center and its IT help desk.ADVICE FOR OTHERS"Innovation is at the heart of everything we do at Houston Methodist, and our overarching approach to innovation depends on collaboration with technology companies that value a similar forward-thinking view on patient-centered solutions," Schwartz advised. "Digital technologies aren't meant to solve all the challenges in a hospital setting, but where these applications make sense, where they provide tangible benefits, we want to do what is right for our patients while still maintaining our high level of quality care."One of the tenets of Houston Methodist's Center of Innovation is to 'succeed fast and fail fast,'" she continued.

"We realize we cannot keep up with the fast-paced changes in healthcare if we don't try. I would encourage other healthcare provider organizations exploring a similar technology to challenge what is expected and ask, 'How does this benefit the patient?. '"Digitization and automation – at large, not just in call centers – results in a large influx of data on consumer behaviors and patterns and gives further insights to issues or challenges patients face, she said."Data is valuable only if you can drive insights, but more important, if you can act on it and make patients' lives easier," she concluded.

"Technology enablement is only the start of that journey. You really need to put patients at the center of everything to make an impact."Twitter. @SiwickiHealthITEmail the writer.

Bsiwicki@himss.orgHealthcare IT News is a HIMSS Media publication.Security researchers earlier this spring discovered a database containing more than a billion records, including emails that could be targeted in a phishing attack for social engineering.The database, which was not password-protected, was flagged by the WebsitePlanet research team in cooperation with Jeremiah Fowler.Public access to the data was restricted the same day that CVS Health was notified. "In March of this year, a security researcher notified us of a publicly accessible database that contained non-identifiable CVS Health metadata," said CVS Health in a statement sent to Healthcare IT News. "We immediately investigated and determined that the database, which was hosted by a third-party vendor, did not contain any personally identifiable information of our customers, members or patients," according to the statement."We’ve addressed the issue with the vendor to prevent a recurrence and we thank the researcher who notified us about this matter." WHY IT MATTERS According to CVS Health, the metadata did not contain any personally identifiable information, and there was no risk to patients, customers or members.However, the researchers noted that the records contained email addresses – which could conceivably identify a person's first or last name.

They pointed out, for example, that a Google search for some of the exposed email addresses enabled them to identify the email's operator. The records also contained a "visitor ID" and "session ID." "Hypothetically, it could have been possible to match the Session ID with what they searched for or added to the shopping cart during that session and then try to identify the customer using the exposed emails," wrote Fowler in his blog post.CVS Health did not respond to follow-up questions about this potential connection. Fowler says CVS Health told him that the emails were not from customer account records.

Rather, they were entered into the search bar, which captures and logs everything that is entered into the website’s search function, by visitors themselves – likely in a mistaken attempt to log in to their account using the wrong field. "This could explain how so many email addresses ended up in a database of product searches that was not intended to identify the visitor," said Fowler. Fowler reiterated that email addresses for the visitor's profile or shopping cart were not collected to this database, but that human error was at the heart of both the data exposure and the accidental email address search bar entry.

"The Visitor ID and Session ID alone contained no identifiable data and only when combined with the email addresses could there have been any remote possibility to identify the user," he said. Fowler also noted that any database exposure gives cyber criminals the opportunity to gain insight into potential vulnerabilities."We are not implying any wrongdoing by CVS Health, their contractors, or vendors. We are also not implying that customers, members, patients or website visitors were at risk.

The theories expressed here are based on hypothetical possibilities of how this data could be used," said Fowler. THE LARGER TREND Accidental data exposure may not get as many attention-grabbing headlines as ransomware attacks, but it is certainly still cause for potential concern. Earlier this year, a Wyoming health department employee accidentally uploaded test results from more than a quarter of the state's population to a public-facing website.

And in 2018, a Blue Cross employee uploaded a file containing member information for 16,000 people to a public-facing website. The data remained visible for three months. ON THE RECORD "Cyber criminals and nation states alike use complex methods to collect and exploit the data they find," Fowler wrote.

"Often they use the same methods as legitimate security researchers to identify publicly exposed data. "While we work daily to protect the data we discover there are cyber criminals looking to exploit the data for nefarious purposes," he added. "Each record of information serves as a puzzle piece to provide a larger picture of an organization’s network or data storage methods.".

Structural, non-technical barriers to innovation http://bendwild.com/skyline-forest-ale-from-deschutes-brewery-in-downtown-bend-the-ground-work-for-a-hop-session-style-ale/ are a big reason why technical innovation can i buy kamagra online is so challenging. The need to quickly integrate telemedicine, and an opportunity for a better patient care model, caused a digital transformation roadmap can i buy kamagra online to get accelerated. The erectile dysfunction treatment crisis put a laser focus on how apparent it is that data and advanced analytics can be powerful weapons in the fight against kamagras.These are some of the lessons learned by chief information officers during the past year or so as the healthcare industry has been tossed and turned by the erectile dysfunction treatment kamagra.

And the CIOs in this can i buy kamagra online tenth installment of our Health IT Lessons Learned in the erectile dysfunction treatment Era feature series will explain these lessons and how they are going to apply them moving forward. (Click here to access the portal containing all the feature stories in the series.)The health IT leaders discussing their 2020s and 2021s in this edition of the feature series include:Dr. Bruce Darrow, senior vice president of information technology, deputy CIO and chief medical information officer, at Mount Sinai Health System in New can i buy kamagra online York City.

(@MountSinaiNYC)Ben Patel, executive vice president and CIO at can i buy kamagra online Cone Health, based in Greensboro, North Carolina. (@ConeHealth)Scott Richert, CIO of Mercy Technology Services, at Mercy, a health system based in St. Louis, Missouri can i buy kamagra online.

(@FollowMercy)Dan Waltz, vice president and CIO at MidMichigan Health, based in Midland, Michigan. (@MidMichigan)Structural, non-technical barriers to innovationDarrow of the prominent Mount Sinai Health can i buy kamagra online System said that he and his team learned since early 2020 that structural, non-technical barriers to innovation are a big reason why technical innovation is so challenging."Telehealth is a great example," he said. "Prior to 2020, payers can i buy kamagra online didn't want to pay for it, and physicians were largely comfortable with a business model that had patients lined up outside their doors waiting to see them.

Both of those barriers fell by the wayside in March 2020, allowing us to focus on more pertinent issues, such as how we could use the technology to make the experience more reliable and easy for our patients and clinicians."The example of telehealth highlights the importance of advocacy at multiple levels of government to simplify the complex regulations that make it such a challenge to use the technologies that are prevalent in so many other fields of business, he insisted.Between the mandates of the federal government and the individual states, there is so much ambiguity between the origin of a good idea and the realization of a successful initiative, he added."Addressing the technology comfort level of the clinicians about how well they can do their jobs via video is another matter," Darrow observed. "Before 2020, telehealth visits composed a miniscule fraction can i buy kamagra online of our ambulatory care. Today we have sustained virtual visits at about 15-20% of total.

In many cases, we needed to overcome the barrier of, 'I can only do my job with my patient physically present' with a tolerant combination of, 'In some cases, virtual care may be an appropriate alternative' and 'Perhaps your patients don't want to spend so much time traveling and sitting in your waiting room for the privilege of seeing you.'"Darrow and his team succeeded, he said, by identifying early adopter physician champions and allowing them to endorse both the technology and the workflows.Building equity into the systemOn another note, Darrow said that Mount Sinai's patients may not all have the same access to the organization's health IT options, and it is the responsibility of the health system to intentionally build equity into the system."When we retrospectively assessed how our patients used telehealth in the spring of 2020, we saw variations on the basis of age, can i buy kamagra online race, ethnicity and preferred language," he explained. "While it's an important first step to provide technology options equally to all of our patients, it is not valid to assume that all patients will take advantage of them at the same rate."We have worked to build in options can i buy kamagra online for translation services with our telehealth encounters, and as an organization obtained several FCC grants to allow us to provide technology to some of our most vulnerable patients, including patients who are homebound, cancer patients and at-risk pediatric patients," he continued. "We've also established a strong partnership with our organization's Institute for Health Equity Research and Office for Diversity and Inclusion to make sure we incorporate their viewpoints into our initiatives, including the impact of social determinants of health on how our patients embrace technology."The power of focusFor Richert of Mercy, the first lesson he points to is, as he puts it, "the power of focus.""As the kamagra emerged, there were clear objectives on which to focus and agreed-upon metrics by which to measure our progress," he recalled.

"We've had plenty of successes and accomplishments prior to the kamagra, the focus and agility of the entire leadership structure resulted in faster decisions, and alignment between multiple teams focused on the same outcomes."This permeated into our technology response as we developed fast minimally viable products and fast improvement iterations for digital solutions for testing, home care, follow-up and eventually vaccination management," he added.Today, Mercy has maintained much of the leadership and decision framework that was activated during the kamagra."We're still focusing on clinical quality and operational efficiency objectives with similar focus and urgency," he noted can i buy kamagra online. "The challenge is to maintain that operational agility to solve operational problems quickly, but also keep in mind all of the long-term 'change the game' strategies that we know will be necessary for long-term success."This can be challenging, he added, to balance the urgency of the short-term operational improvement sprints, but also making sure the long-term strategies (technical and otherwise) are being served by the operational improvements, and that investments in long-term objectives don't take a back seat to the urgent, operational objectives."This plays out in governance and resource planning, and has many practical implications in budgeting, architecture and organizational change management," he said.Moving to connected health and telemedicineerectile dysfunction treatment placed tremendous pressures on healthcare provider organizations that did not have enough beds, equipment or personnel to handle infected citizens while still providing emergency and chronic care to other patients. This novel kamagra also endangered exposed healthcare workers, many of whom became infected."We quickly learned that digital care would be the best method to take care of patients and to comply with can i buy kamagra online CDC guidelines," said Patel of Cone Health.

"We went into execution mode to install enterprise virtual care platforms along with remote monitoring. The goal is to provide e-visits/video visits and become more situationally aware of patients' symptoms and conditions before they become acute and require hospitalization."The remote monitoring solutions include widespread use of can i buy kamagra online sensors for data collection like heart rate, oxygenation levels, blood pressure and temperature, he added."Our digital transformation roadmap got accelerated due to this lesson and an opportunity for a better patient care model," Patel said. "A digital blueprint has been developed with can i buy kamagra online key stakeholders.

We are now deploying self-service digital tools such as digital front door, medication adherence and a remote patient monitoring platform. This is in addition to our enterprise virtual care platform for virtual visits to patients and consumers."Recently, Cone Health kicked off an initiative to outline can i buy kamagra online its hospital-at-home care model. This will help the health system take care of patients in their home or preferred care setting.Telehealth woven into the care modelOver at Mercy, the massive health system has been successfully conducting telemedicine for years."During the kamagra, as we looked for options to solve the clinical and operational challenges and extremes of the kamagra, we found our investments and expertise in virtual care to be extremely valuable," said Richert of Mercy.

"During the kamagra, we learned that virtual care services are most effective when they're completely woven into the fabric of the overall care model – digital, virtual and physical."Going forward, the IT organization will be enhancing the effectiveness and efficiency of the health system's care model with an extremely high level of can i buy kamagra online virtual care integration."We're discovering the ever-growing harmony we can create with an integrated digital/virtual/physical care model," he explained. "Not just sending patients down one channel or the other, but leveraging digital and virtual woven into inpatient, outpatient and care-at-home population models."Also, thinking about virtual and digital care beyond the simple concepts of two-way video alternatives to in-person care, which we certainly provide and have increased during the kamagra, but also realizing that building workflow tools that make it easy on the patients and the caregivers to request a can i buy kamagra online virtual service," he continued. "Skills-based routing, request queuing, SMS messaging and surveys, and other 'service-management' type capabilities, become very important when you're scaling virtual services and need to make sure they are easy to request, and that service fulfillment is managed in a service management model."For instance, if an inpatient nursing staff can easily request episodic virtual assistance for something without breaking out of their workflow, and they can depend on reliable service levels, then that virtual service is going to thrive and add value, he added.Authenticity, vulnerability and transparency in placeA whole different kind of lesson comes in the form of building trust in a health system and its leaders.

This was key to Waltz of MidMichigan Health."It would be difficult to build trust after an emergency occurs – in our case, we can i buy kamagra online had the kamagra break out, then the historic Edenville dam flood two months later – so my thinking is that you must have authenticity, vulnerability and transparency in place with your leadership team and staff prior to an emergency," he observed."A couple of things we did to help was to encourage virtual daily huddles with Teams, weekly management meetings, and all-staff meetings every other week," he added. "We did this for about a month until the staff and leaders asked us to back off a bit."In these meetings, Waltz encouraged leaders to use empathy and transparency – looking to help those who were impacted by remote work and those who had damaged homes or relocations because of the flood."We encouraged teams to help each other whenever they could," he said. "We allowed staff to work very flexible hours, knowing can i buy kamagra online that schools were going back and forth between on-site, hybrid and remote scheduling.

These situations caused lots of stress on the teams can i buy kamagra online. Many times staff would get together in remote locations even without their leader to work on issues or to just be together."In routine meetings, leaders and staff focused on business priorities and on what "had" to be done."We had open time to allow team members to ask questions and bring up concerns," he explained. "The teams really appreciated how we managed these challenges and many never worked harder to keep up the great support and project work that had to be done."We routinely discussed the mission of can i buy kamagra online healthcare before and after the kamagra and flood," Waltz continued.

"We would talk about how working in healthcare is a privilege and having the opportunity to help patients and clinicians during their greatest need helps to keep us all focused. It is truly about the mission."Waltz created a personal goal to have a virtual lunch with a small group of employees twice a week."We have arranged random team members to join can i buy kamagra online me virtually for lunch," he said. "We talk about vacations, kids, books we've read, and then I will end with a few things that are going on at work and ask if they have any questions.

This has been great for me as I get to connect with all can i buy kamagra online the team members in my department. I have received positive feedback from the team members can i buy kamagra online and management staff as well."Data and advanced analyticsThe erectile dysfunction treatment crisis has put a laser focus on how apparent it is that data and advanced analytics can be powerful weapons in the fight against kamagras, said Patel of Cone Health."erectile dysfunction treatment has reinforced the urgency to focus on data strategies and investments to support ongoing containment, mitigation and bio-surveillance activities," he said. "Lesson learned is that data and analytics could have changed the game from detecting the outbreak, to responding to critical shortages of tests, resources, beds and supplies, to helping us be more operationally adaptable."Advanced analytics, artificial intelligence, algorithms, data visualization tools and graph technologies are being applied at Cone Health to understand erectile dysfunction treatment's nature and character."Our enterprise data warehouse platform is leveraged to build the pertinent data marts for the advanced predictive models and forecasting solutions," he explained.

"AI-based predictive models have been developed to forecast susceptible populations, can i buy kamagra online hospitalizations and PPE needs. Moreover, we incorporated mobility data from Facebook and Google into these predictive models for accuracy."Patel said they need a regional HIE to effectively manage kamagras like this for data sharing and to improve predictive models."Going forward, linking clinical and travel data with personal data collected from social media, such as family history and lifestyle habits, it's possible to create detailed predictive models relative to individual risk profiles and health outcomes," he said. "We need to can i buy kamagra online implement pathogen and disease surveillance, and advanced warning signal capabilities."Our plan is to be agile by making data accessible, liquid and fluid across our health ecosystem," he concluded.

"And we must execute an enterprise data architecture that connects interoperability, integration and real-time can i buy kamagra online capabilities."Twitter. @SiwickiHealthITEmail the writer. Bsiwicki@himss.orgHealthcare IT News is a HIMSS Media can i buy kamagra online publication.The U.S.

Department of Health and Human Services announced this week that the Office of the National Coordinator for Health IT will spearhead development of a new Public Health Informatics &. Technology Workforce Development Program.WHY IT MATTERSFunded to the tune of $80 million drawn from the American Rescue Plan, the PHIT Workforce Program is meant to boost public health through new training and in medical informatics and data science, according to HHS.The agency is inviting colleges and universities – especially Historically Black Colleges and Universities, Tribal Colleges and Universities, Hispanic Serving Institutions, Asian American and Native American Pacific Islander-Serving Institutions and others schools serving minority populations – to apply for funding."Representation is important – particularly can i buy kamagra online when we are deploying technology to tackle our most pressing health care challenges," said HHS Secretary Xavier Becerra in a statement. "With this funding, we will be able to train and create new opportunities for thousands of minorities long underrepresented in our public health informatics and technology fields."The goal of the can i buy kamagra online PHIT Workforce Program is to train more than 4,000 individuals over a four-year period through an interdisciplinary approach in public health informatics and technology.

A consortium that will help develop the curriculum, recruit and train participants, secure paid internship opportunities, and assist in career placement at public health agencies, public health-focused non-profits or public health-focused private sector or clinical settings.Under the PHIT Workforce Program, ONC will award up to $75 million to cooperative agreement recipients and use the remaining $5 million to support the program’s overall administration, officials said. Award recipients will need to ensure their training, certificate, degree, and placement programs are sustainable to create a continuous pipeline of diverse public health IT professionals.THE LARGER TRENDA major impetus behind this project is to tackle "pervasive health and socioeconomic inequities that have been exacerbated by the kamagra and ensure our healthcare system is better equipped for the next public health emergency," according to HHS.Beyond the fact that the kamagra disproportionately affected minority and underserved communities, the agency notes how the erectile dysfunction treatment crisis exposed gaps in public health reporting and data analysis – particularly with regard to race and ethnicity-specific data."Some of these gaps can be attributed to limited technological infrastructure and chronic underfunding of the staff needed to support public health data reporting at the state and local levels," said HHS officials."Federal efforts to center equity in the erectile dysfunction treatment response and future public health responses will be improved by robust data collection and can i buy kamagra online reporting around , hospitalization, and mortality rates, as well as underlying health and social vulnerabilities, that is disaggregated by race and ethnicity, age, gender, and other key variables."President’s Biden's Executive Order on Ensuring a Sustainable Public Health Workforce for erectile dysfunction treatment and Other Biological Threats has provisions calling for new programs to encourage a public health workforce that can equitably perform community-based testing to improve response to future kamagras and other biological threats.ON THE RECORD"Investing in efforts that create a pipeline of diverse professionals, particularly in high-skilled public health technology fields, will help us better prepare for future public health emergencies," said Becerra."The limited number of public health professionals trained in informatics and technology was one of the key challenges the nation experienced during the erectile dysfunction treatment kamagra," added National Coordinator for Health IT Micky Tripathi. "This new funding will help to address that need by supporting the efforts of minority serving institutions and other colleges and universities across the nation to educate and launch individuals into public health careers."ONC is hosting an information session about the new funding opportunity on June 23 at 2 p.m.

ET.As several huge retail chains have made high-profile forays into virtual care over the past year, many stakeholders have can i buy kamagra online wondered what effect these moves may have on health services. At the American Telemedicine Association conference and can i buy kamagra online expo this week, retail leaders sought to assure audiences that such maneuvers can serve to enable care in an often stratified environment. "Let's remember the problem we're all trying to solve for," said Marcus Osborne, senior VP of Walmart Health, during a session on Thursday.

"We know that we as Americans aren't getting the care we need," he said.Too frequently, Osborne said, people in the United States are forced by the cost of medical services to defer care – "until things explode on us." Now, he pointed can i buy kamagra online out, this problem is systemic, and it can't be solved by telehealth alone. At the same time, he said, it has potential as part of what he called an "omni-channel solution" – a holistic approach to health http://www.ee-dambach-ville.site.ac-strasbourg.fr/reglement-interieur-20172018/ that relies on several different modalities, including telehealth. Best Buy Health President Deborah DiSanzo noted, as others have, can i buy kamagra online that the erectile dysfunction kamagra played a major role in shifting the locus of care out of exclusively brick-and-mortar facilities.

"erectile dysfunction treatment has put patients in their home – really surrounding the care around the patient," DiSanzo observed. "Healthcare is becoming increasingly tech focused, can i buy kamagra online and Best Buy is going to be there," she said. Osborne repeatedly referred to telehealth can i buy kamagra online as an "enabler," both with regard to direct-to-patient offerings and to provider-to-provider assistance.

He pointed out that Walmart's recent acquisition of MeMD "gives us an opportunity to serve consumers directly," but that clinicians could also use virtual care to enhance their own offerings. "It's going to enable providers to up their game and can i buy kamagra online deliver better care," he said. He argued that companies aren't competing with each other, so much as with inertia around seeking care.

"We're competing with non-consumption," can i buy kamagra online he said. "As we think about telehealth it's about recognizing – give people options, give people multiple pathways to engage can i buy kamagra online care the way they want, and guess what they'll do?. " he said.

"They'll get care." Shez Partovi, chief innovation and strategy officer can i buy kamagra online at Philips, said in a subsequent session that his company aims to focus more on health technology that "enables an individual to use technology to empower them to understand their health and wellness better.""Instead of moving our experts' atoms, we want to move our experts' electrons," he said – in other words, to not require top-notch clinicians to be face-to-face with patients, especially those in greater need of care. "That idea of combining beautiful mobile technology with moving electrons instead of atoms is a way to shrink the gap," he said. Kat Jercich is senior editor can i buy kamagra online of Healthcare IT News.Twitter.

@kjercichEmail. Kjercich@himss.orgHealthcare IT News is a HIMSS Media publication.Prior to the first doses of erectile dysfunction treatment being available, Houston Methodist knew it was going to have significant challenges in managing a perceived tsunami of phone calls from patients and the general public.THE PROBLEMWith predictions of increased volume reaching 300-400%, Houston Methodist leadership needed a solution that would manage the flood of treatment-related phone calls without impacting usual operations. Expanding head count in existing call centers could not be achieved in a reasonable amount of time and was financially prohibitive.

Outsourcing to external contract call centers risked losing control of the patient experience and was also financially challenging."We needed a cost-effective solution that could not only manage the flood of treatment-related phone calls without impacting our usual operations, but most importantly, ensure every patient is set on a positive path," said Roberta Schwartz, executive vice president and chief innovation officer at Houston Methodist.PROPOSALHouston Methodist decided to go with the Syllable Voice Assistant, conversational artificial intelligence that answers every call received by a hospital and offers patients automated workflows and self-service options whenever possible.Staff saw the opportunity to use this solution to address three significant needs for Houston Methodist as they sought out a scalable solution to address this impending influx of erectile dysfunction treatment-related calls."First, we would be able to automatically direct eligible patients to schedule a vaccination appointment through a self-service scheduling option," Schwartz said. "Second, it could automate answers to questions we knew we would receive at a high frequency, such as inquiries related to treatment eligibility and safety. Finally, it could dynamically scale to accommodate fluctuations in call volume and answer every call without impacting our usual operations."Syllable also helped the healthcare provider organization standardize its approach."We placed the conversational AI not only in our treatment hotline, but also in all hospital operator or other important patient-facing lines," she noted.

"Whether that's treatment eligibility or self-service Q&A, we were consistent in our patient-facing telephone lines."MEETING THE CHALLENGESyllable integrated with existing platforms for patient authentication and scheduling to create a comprehensive, end-to-end solution that could confirm eligibility and drive conversion, Schwartz said.The health system established a erectile dysfunction treatment hotline, which it shared with treatment-eligible patients through direct outreach efforts. The conversational AI served as frontline triage for all incoming calls to confirm treatment eligibility and address frequently asked questions."The voice assistant identifies eligible callers and enables the caller to immediately schedule their vaccination appointment through a unique self-service scheduling link managed by CareSense, a patient authentication solution," Schwartz explained. "Our scheduling software, BlockIt, subsequently committed the scheduled appointment to our EHR.

Patients also are offered the option to schedule their appointment with a live agent or nurse if they prefer."RESULTSThe Syllable technology increased Houston Methodist's capacity to answer incoming calls without hiring additional staff."We were able to ensure every single call was answered, 24 hours a day, seven days a week," Schwartz noted. "In the first month of treatment distribution, the voice assistant answered about 9,000 calls on a typical weekday and up to 3,500 calls an hour at peak times. 91% of calls received by our erectile dysfunction treatment hotline were resolved by Syllable's automated and self-service workflows."We also saw excellent scheduling conversion," she continued.

"In the first month of deployment, 75% of patients checked their treatment eligibility and were able to schedule a treatment appointment, if eligible. We were quickly able to ramp up treatment delivery, with 4,000 vaccinations delivered per day across the Houston Methodist health system in the first month."Houston Methodist ranked No. 1 in the state of Texas in treatment delivery, providing more treatments than any other health system in the state of Texas, she added."Since launching our erectile dysfunction treatment hotline to the public in January, the voice assistant has answered half a million calls and triaged almost 250,000 eligible patients to scheduling options," she reported.

"Houston Methodist has delivered more than 724,000 treatments to date. We've been thrilled with the results of this program, and recently expanded our work with Syllable."The AI voice assistant now answers all inbound calls to Houston Methodist's main call center and its IT help desk.ADVICE FOR OTHERS"Innovation is at the heart of everything we do at Houston Methodist, and our overarching approach to innovation depends on collaboration with technology companies that value a similar forward-thinking view on patient-centered solutions," Schwartz advised. "Digital technologies aren't meant to solve all the challenges in a hospital setting, but where these applications make sense, where they provide tangible benefits, we want to do what is right for our patients while still maintaining our high level of quality care."One of the tenets of Houston Methodist's Center of Innovation is to 'succeed fast and fail fast,'" she continued.

"We realize we cannot keep up with the fast-paced changes in healthcare if we don't try. I would encourage other healthcare provider organizations exploring a similar technology to challenge what is expected and ask, 'How does this benefit the patient?. '"Digitization and automation – at large, not just in call centers – results in a large influx of data on consumer behaviors and patterns and gives further insights to issues or challenges patients face, she said."Data is valuable only if you can drive insights, but more important, if you can act on it and make patients' lives easier," she concluded.

"Technology enablement is only the start of that journey. You really need to put patients at the center of everything to make an impact."Twitter. @SiwickiHealthITEmail the writer.

Bsiwicki@himss.orgHealthcare IT News is a HIMSS Media publication.Security researchers earlier this spring discovered a database containing more than a billion records, including emails that could be targeted in a phishing attack for social engineering.The database, which was not password-protected, was flagged by the WebsitePlanet research team in cooperation with Jeremiah Fowler.Public access to the data was restricted the same day that CVS Health was notified. "In March of this year, a security researcher notified us of a publicly accessible database that contained non-identifiable CVS Health metadata," said CVS Health in a statement sent to Healthcare IT News. "We immediately investigated and determined that the database, which was hosted by a third-party vendor, did not contain any personally identifiable information of our customers, members or patients," according to the statement."We’ve addressed the issue with the vendor to prevent a recurrence and we thank the researcher who notified us about this matter." WHY IT MATTERS According to CVS Health, the metadata did not contain any personally identifiable information, and there was no risk to patients, customers or members.However, the researchers noted that the records contained email addresses – which could conceivably identify a person's first or last name.

They pointed out, for example, that a Google search for some of the exposed email addresses enabled them to identify the email's operator. The records also contained a "visitor ID" and "session ID." "Hypothetically, it could have been possible to match the Session ID with what they searched for or added to the shopping cart during that session and then try to identify the customer using the exposed emails," wrote Fowler in his blog post.CVS Health did not respond to follow-up questions about this potential connection. Fowler says CVS Health told him that the emails were not from customer account records.

Rather, they were entered into the search bar, which captures and logs everything that is entered into the website’s search function, by visitors themselves – likely in a mistaken attempt to log in to their account using the wrong field. "This could explain how so many email addresses ended up in a database of product searches that was not intended to identify the visitor," said Fowler. Fowler reiterated that email addresses for the visitor's profile or shopping cart were not collected to this database, but that human error was at the heart of both the data exposure and the accidental email address search bar entry.

"The Visitor ID and Session ID alone contained no identifiable data and only when combined with the email addresses could there have been any remote possibility to identify the user," he said. Fowler also noted that any database exposure gives cyber criminals the opportunity to gain insight into potential vulnerabilities."We are not implying any wrongdoing by CVS Health, their contractors, or vendors. We are also not implying that customers, members, patients or website visitors were at risk.

The theories expressed here are based on hypothetical possibilities of how this data could be used," said Fowler. THE LARGER TREND Accidental data exposure may not get as many attention-grabbing headlines as ransomware attacks, but it is certainly still cause for potential concern. Earlier this year, a Wyoming health department employee accidentally uploaded test results from more than a quarter of the state's population to a public-facing website.

And in 2018, a Blue Cross employee uploaded a file containing member information for 16,000 people to a public-facing website. The data remained visible for three months. ON THE RECORD "Cyber criminals and nation states alike use complex methods to collect and exploit the data they find," Fowler wrote.

"Often they use the same methods as legitimate security researchers to identify publicly exposed data. "While we work daily to protect the data we discover there are cyber criminals looking to exploit the data for nefarious purposes," he added. "Each record of information serves as a puzzle piece to provide a larger picture of an organization’s network or data storage methods.".

Kamagra oral jelly in mumbai

IntroductionLa Peste (Camus 1947) has served as a basis for several critical works, including some in kamagra oral jelly in mumbai the field of medical humanities (Bozzaro 2018 Best online amoxil. Deudon 1988. Tuffuor and kamagra oral jelly in mumbai Payne 2017). Frequently interpreted as an allegory of Nazism (with the plague as a symbol of the German occupation of France) (Finel-Honigman 1978.

Haroutunian 1964), it has also received philosophical readings beyond the sociopolitical context in which it was written (Lengers 1994). Other scholars, kamagra oral jelly in mumbai on the other hand, have centred their analyses on its literary aspects (Steel 2016).The erectile dysfunction treatment kamagra has increased general interest about historical and fictional epidemics. La Peste, as one of the most famous literary works about this topic, has been revisited by many readers during recent months, leading to an unexpected growth in sales in certain countries (Wilsher 2020. Zaretsky 2020).

Apart from that, commentaries about the novel, especially among health kamagra oral jelly in mumbai sciences scholars, have emerged with a renewed interest (Banerjee et al. 2020. Bate 2020. Vandekerckhove 2020 kamagra oral jelly in mumbai.

Wigand, Becker, and Steger 2020). This sudden curiosity is easy to understand if we consider both La Peste’s literary value, and people’s desire to discover real or fictional situations similar to theirs. Indeed, Oran inhabitants’ experiences are not quite far from our own, even if geographical, kamagra oral jelly in mumbai chronological and, specially, scientific factors (two different diseases occurring at two different stages in the history of medical development) prevent us from establishing too close resemblances between both situations.Furthermore, it will not be strange if erectile dysfunction treatment serves as a frame for fictional works in the near future. Other narrative plays were based on historical epidemics, such as Daniel Defoe’s A Journal of the Plague Year or Giovanni Boccaccio’s Decameron (Wigand, Becker, and Steger 2020.

Withington 2020). The biggest kamagra in the last century, the so-called ‘Spanish Influenza’, has been described as not very fruitful in this sense, even if it produced famous novels such as Katherine A Porter’s Pale Horse, Pale Rider or John O’Hara’s The Doctor Son kamagra oral jelly in mumbai (Honigsbaum 2018. Hovanec 2011). The overlapping with another disaster like World War I has been argued as one of the reasons explaining this scarce production of fictional works (Honigsbaum 2018).

By contrast, we may think that erectile dysfunction treatment is having a global impact hardly overshadowed by other events, and that it will leave a significant mark on the kamagra oral jelly in mumbai collective memory.Drawing on the reading of La Peste, we point out in this essay different aspects of living under an epidemic that can be identified both in Camus’s work and in our current situation. We propose a trip throughout the novel, from its early beginning in Part I, when the Oranians are not aware of the threat to come, to its end in Part V, when they are relieved of the epidemic after several months of ravaging disasters.We think this journey along La Peste may be interesting both to health professionals and to the lay person, since all of them will be able to see themselves reflected in the characters from the novel. We do not skip critique of some aspects related to the authorities’ management of erectile dysfunction treatment, as Camus does concerning Oran’s rulers. However, what we want to foreground is La Peste’s intrinsic value, its suitability to be read now and after erectile dysfunction treatment has passed, when Camus’s novel endures as a solid art work and erectile dysfunction treatment remains only as kamagra oral jelly in mumbai a defeated plight.MethodsWe confronted our own experiences about erectile dysfunction treatment with a conventional reading of La Peste.

A first reading of the novel was used to establish associations between those aspects which more saliently reminded us of erectile dysfunction treatment. In a second reading, we searched for some examples to illustrate those aspects and tried to detect new associations. Subsequent readings of certain parts were done to kamagra oral jelly in mumbai integrate the information collected. Neither specific methods of literary analysis, nor systematic searches in the novel were applied.

Selected paragraphs and ideas from Part I to Part V were prepared in a draft copy, and this manuscript was written afterwards.Part ISome phrases in the novel could be transposed word by word to our situation. This one pertaining to its start, for instance, may make us remember the first months of 2020:By now, it will be easy to accept that nothing could lead the people of our town to expect the events that took place in the kamagra oral jelly in mumbai spring of that year and which, as we later understood, were like the forerunners of the series of grave happenings that this history intends to describe. (Camus 2002, Part I)By referring from the beginning to ‘the people of our town’, Camus is already suggesting an idea which is repeated all along the novel, and which may be well understood by us as erectile dysfunction treatment’s witnesses. Epidemics affect the community as a whole, they are present in everybody’s mind and their joys and sorrows are not individual, but collective.

For example (and we are anticipating Part II), the narrator says:But, once the gates were closed, they all noticed that they were in the same boat, including the narrator himself, and that they had to adjust kamagra oral jelly in mumbai to the fact. (Camus 2002, Part II)Later, he will insist in this opposition between the concepts of ‘individual’, which used to prevail before the epidemic, and ‘collective’:One might say that the first effect of this sudden and brutal attack of the disease was to force the citizens of our town to act as though they had no individual feelings. (Camus 2002, Part II)There were no longer any individual destinies, but a collective history that was the plague, and feelings shared by all. (Camus 2002, Part kamagra oral jelly in mumbai III)This distinction is not trivial, since the story will display a strong confrontation between those who get involved and help their neighbours and those who remain behaving selfishly.

Related to this, Claudia Bozzaro has pointed out that the main topic in La Peste is solidarity and auistic love (Bozzaro 2018). We may add that the disease is so attached to people’s lives that the epidemic becomes the new everyday life:In the morning, they would return to the pestilence, that is to say, to routine. (Camus 2002, kamagra oral jelly in mumbai Part III)Being collective issues does not mean that epidemics always enhance auism and solidarity. As said by Wigand et al, they frequently produce ambivalent reactions, and one of them is the opposition between auism and maximised profit (Wigand, Becker, and Steger 2020).

Therefore, the dichotomy between individualism and collectivism, a central point in the characterisation of national cultures (Hofstede 2015), could play a role in epidemics. In fact, concerning erectile dysfunction treatment, some authors have described a greater impact of the kamagra oral jelly in mumbai kamagra in those countries with higher levels of individualism (Maaravi et al. 2021. Ozkan et al.

2021). However, this finding should be complemented with other national cultures’ aspects before concluding that collectivism itself exerts a protective role against epidemics. Concerning this, it has been shown how ‘power distance’ frequently intersects with collectivism, being only a few countries in which the last one coexists with a small distance to power, namely with a capacity to disobey the power authority (Gupta, Shoja, and Mikalef 2021). Moreover, those countries classically classified as ‘collectivist’ (China, Japan, South Korea, India, Vietnam, etc.) are also characterised by high levels of power distance, and their citizens have been quite often forced to adhere to erectile dysfunction treatment restrictions and punished if not (Gupta, Shoja, and Mikalef 2021).

Thus, it is important to consider that individualism is not always opposed to ‘look after each other’ (Ozkan et al. 2021, 9). For instance, the European region, seen as a whole as highly ‘individualistic’, holds some of the most advanced welfare protection systems worldwide. It is worth considering too that collectivism may hide sometimes a hard institutional authority or a lack in civil freedoms.Coming back to La Peste, we may think that Camus’s Oranians are not particularly ‘collectivist’.

Their initial description highlights that they are mainly interested in their own businesses and affairs:Our fellow-citizens work a good deal, but always in order to make money. They are especially interested in trade and first of all, as they say, they are engaged in doing business. (Camus 2002, Part I)And later, we see some of them trying selfishly to leave the city by illegal methods. By contrast, we observe in the novel some examples of more ‘collectivistic’ attitudes, such as the discipline of those quarantined at the football pitch, and, over all, the main characters’ behaviour, which is generally driven by auism and common goals.Turning to another topic, the plague in Oran and erectile dysfunction treatment are similar regarding their animal origin.

This is not rare since many infectious diseases pass to humans through contact with animal vectors, being rodents, especially rats (through rat fleas), the most common carriers of plague bacteria (CDC. N.d.a, ECDC. N.d, Pollitzer 1954). Concerning erectile dysfunction, even if further research about its origin is needed, the most recent investigations conducted in China by the WHO establish a zoonotic transmission as the most probable pathway (Joint WHO-China Study Team 2021).

In Camus’s novel, the animal’s link to the epidemic seemed very clear since the beginning:Things got to the point where Infodoc (the agency for information and documentation, ‘ all you need to know on any subject’) announced in its free radio news programme that 6,231 rats had been collected and burned in a single day, the 25th. This figure, which gave a clear meaning to the daily spectacle that everyone in town had in front of their eyes, disconcerted them even more. (Camus 2002, Part I)This accuracy in figures is familiar to us. People nowadays have become very used to the statistical aspects of the kamagra, due to the continuous updates in epidemiological parameters launched by the media and the authorities.

Camus was aware about the relevance of figures in epidemics, which always entail:…required registration and statistical tasks. (Camus 2002, Part II)Because of this, the novel is scattered with numbers, most of them concerning the daily death toll, but others mentioning the number of rats picked up, as we have seen, or combining the number of deaths with the time passed since the start of the epidemic:“ Will there be an autumn of plague?. Professor B answers. €˜ No’ ”, “ One hundred and twenty-four dead.

The total for the ninety-fourth day of the plague.” (Camus 2002, Part II)We permit ourselves to introduce here a list of recurring topics in La Peste, since the salience of statistical information is one of them. These topics, some of which will be treated later, appear several times in the novel, in various contexts and stages in the evolution of the epidemic. We synthesise them in Table 1, coupled with a erectile dysfunction treatment parallel example extracted from online press. This ease to find a current example for each topic suggests that they are not exclusive of plague or of Camus’s mindset, but shared by most epidemics.View this table:Table 1 Recurring topics in La Peste.

Each topic is accompanied by two examples from the novel and one concerning erectile dysfunction treatment, extracted from online press.Talking about journalism and the media (one of the topics above), we might say that erectile dysfunction treatment’s coverage is frequently too optimistic when managing good news and too alarming when approaching the bad. Media’s ‘exaggerated’ approach to health issues is not new. It was already a concern for medical journals’ editors a century ago (Reiling 2013) and it continues to be it for these professionals in recent times (Barbour et al. 2008).

It is well known that media tries to attract spectators’ attention by making the news more appealing. However, they deal with the risk of expanding unreliable information, which may be pernicious for the public opinion. Related to the intention of ‘garnishing’ the news, Aslam et al. (2020) have described that 82% of more than 100 000 pieces of information about erectile dysfunction treatment appearing in media from different countries carried an emotional, either negative (52%) or positive (30%) component, with only 18% of them considered as ‘neutral’ (Aslam et al.

2020). Some evidence about this tendency to make news more emotional was described in former epidemics. For instance, a study conducted in Singapore in 2009 during the H1N1 crisis showed how press releases by the Ministry of Health were substantially transformed when passed to the media, by increasing their emotional appeal and by changing their dominant frame or their tone (Lee and Basnyat 2013). In La Peste, this superficial way of managing information by the media is also observed:The newspapers followed the order that they had been given, to be optimistic at any cost.

(Camus 2002, Part IV)At the first stages of the epidemic in Oran, journalists proclaim the end of the dead rats’ invasion as something to be celebrated. Dr Rieux, the character through which Camus symbolises caution (and comparable nowadays to trustful scientists, well-informed journalists or sensible authorities), exposes then his own angle, quite far from suggesting optimism:The vendors of the evening papers were shouting that the invasion of rats had ended. But Rieux found his patient lying half out of bed, one hand on his belly and the other around his neck, convulsively vomiting reddish bile into a rubbish bin. (Camus 2002, Part I)Camus, who worked as a journalist for many years, insists afterwards on this cursory interest that some media devote to the epidemic, more eager to grab the noise than the relevant issues beneath it:The press, which had had so much to say about the business of the rats, fell silent.

This is because rats die in the street and people in their bedrooms. And newspapers are only concerned with the street. (Camus 2002, Part I)By then, Oranians continue rejecting the epidemic as an actual threat, completely immersed in that phase that dominates the beginning of all epidemics and is characterised by ‘denial and disbelief’ (Wigand, Becker, and Steger 2020, 443):A pestilence does not have human dimensions, so people tell themselves that it is unreal, that it is a bad dream which will end. […] The people of our town were no more guilty than anyone else, they merely forgot to be modest and thought that everything was still possible for them, which implied that pestilence was impossible.

They continued with business, with making arrangements for travel and holding opinions. Why should they have thought about the plague, which negates the future, negates journeys and debate?. They considered themselves free and no one will ever be free as long as there is plague, pestilence and famine. (Camus 2002, Part I)Probably to avoid citizens' disapproval, among other reasons, the Oranian Prefecture (health authority in Camus' novel) does not want to go too far when judging the relevance of the epidemic.

While not directly exposed, we can guess in this fragment the tone of the Prefect’s message, his intention to convey confidence despite his own doubts:These cases were not specific enough to be really disturbing and there was no doubt that the population would remain calm. None the less, for reasons of caution which everyone could understand, the Prefect was taking some preventive measures. If they were interpreted and applied in the proper way, these measures were such that they would put a definite stop to any threat of epidemic. As a result, the Prefect did not for a moment doubt that the citizens under his charge would co-operate in the most zealous manner with what he was doing.

(Camus 2002, Part I)The relevant role acquired by health authorities during epidemics is another topic listed in our table. Language use, on the other hand, is an issue linkable both with the media topic and with this one. As in La Peste, during erectile dysfunction treatment we have seen some public figures using words not always truthfully, carrying out a careful selection of words that serves to the goal of conveying certain interests in each moment. Dr Rieux refers in Part I to this language manipulation by the authorities:The measures that had been taken were insufficient, that was quite clear.

As for the ‘ specially equipped wards’, he knew what they were. Two outbuildings hastily cleared of other patients, their windows sealed up and the whole surrounded by a cordon sanitaire. (Camus 2002, Part I)He illustrates the need of frankness, the preference for clarity in language, which is often the clarity in thinking:No. I phoned Richard to say we needed comprehensive measures, not fine words, and that either we must set up a real barrier to the epidemic, or nothing at all.

(Camus 2002, Part I)At the end of this part, his fears about the inadequacy of not taking strict measures are confirmed. Oranian hospitals become overwhelmed, as they are now in many places worldwide due to erectile dysfunction treatment.Part IILeft behind the phases of ‘denial and disbelief’ and of ‘fear and panic’, it appears among the Oranians the ‘acceptance paired with resignation’ (Wigand, Becker, and Steger 2020, 443):Then we knew that our separation was going to last, and that we ought to try to come to terms with time. […] In particular, all of the people in our town very soon gave up, even in public, whatever habit they may have acquired of estimating the length of their separation. (Camus 2002, Part II)In erectile dysfunction treatment as well, even if border closure has not been so immovable as in Oran, many people have seen themselves separated from their loved ones and some of them have not yet had the possibility of reunion.

This is why, in the actual kamagra, the idea of temporal horizons has emerged like it appeared in Camus’s epidemic. In Spain, the general lockdown in March and April 2020 made people establish the summer as their temporal horizon, a time in which they could resume their former habits and see their relatives again. This became partially true, and people were allowed in summer to travel inside the country and to some other countries nearby. However, there existed some reluctance to visit ill or aged relatives, due to the fear of infecting them, and some families living in distant countries were not able to get together.

Moreover, autumn brought an increase in the number of cases (‘the second wave’) and countries returned to limit their internal and external movements.Bringing all this together, many people nowadays have opted to discard temporal horizons. As Oranians, they have noted that the epidemic follows its own rhythm and it is useless to fight against it. Nonetheless, it is in human nature not to resign, so abandoning temporal horizons does not mean to give up longing for the recovery of normal life. This vision, neither maintaining vain hopes nor resigning, is in line with Camus’s philosophy, an author who wrote that ‘hope, contrary to what it is usually thought, is the same to resignation.’ (Camus 1939, 83.

Cited by Haroutunian 1964, 312 (translation is ours)), and that ‘there is not love to human life but with despair about human life.’ (Camus 1958, 112–5. Cited by Haroutunian 1964, 312–3 (translation is ours)).People nowadays deal with resignation relying on daily life pleasures (being not allowed to make further plans or trips) and in company from the nearest ones (as they cannot gather with relatives living far away). Second, they observe the beginning of vaccination campaigns as a first step of the final stage, and summer 2021, reflecting what happened with summer 2020, has been fixed as a temporal horizon. This preference for summers has an unavoidable metaphorical nuance, and their linking to joy, long trips and life in the streets may be the reason for which we choose them to be opposed to the lockdown and restrictions of the kamagra.We alluded previously to the manipulation of language, and figures, as relevant as they are, they are not free from manipulation either.

Tarrou, a close friend to Dr Rieux, points out in this part of the novel how this occurred:Once more, Tarrou was the person who gave the most accurate picture of our life as it was then. Naturally he was following the course of the plague in general, accurately observing that a turning point in the epidemic was marked by the radio no longer announcing some hundreds of deaths per week, but 92, 107 and 120 deaths a day. €˜The newspapers and the authorities are engaged in a battle of wits with the plague. They think that they are scoring points against it, because 130 is a lower figure than 910.’ (Camus 2002, Part II)Tarrou collaborates with the health teams formed to tackle the plague.

Regarding these volunteers and workers, Camus refuses to consider them as heroes, as many essential workers during erectile dysfunction treatment have rejected to be named as that. The writer thinks their actions are the natural behaviour of good people, not heroism but ‘a logical consequence’:The whole question was to prevent the largest possible number of people from dying and suffering a definitive separation. There was only one way to do this, which was to fight the plague. There was nothing admirable about this truth, it simply followed as a logical consequence.

(Camus 2002, Part II)We consider suitable to talk here about two issues which represent, nowadays, a great part of erectile dysfunction treatment fears and hopes, respectively. New genetic variants and treatments. Medical achievements are another recurrent issue included in table 1, and we write about them here because it is in Part II where Camus writes for the first time about treatments, and where it insists on an idea aforementioned in Part I. That the plague bacillus affecting Oran is different from previous variants:…the microbe differed very slightly from the bacillus of plague as traditionally defined.

(Camus 2002, Part II)Related to erectile dysfunction treatment new variants, they represent a challenge because of two main reasons. Their higher transmissibility and/or severity and their higher propensity to skip the effect of natural or treatment-induced immunity. Public health professionals are determining which is the actual threat of all the new variants discovered, such as those first characterised in the UK (Public Health England 2020), South Africa (Tegally et al. 2021) or Brazil (Fujino et al.

2021). In La Peste, Dr Rieux is always suspecting that the current bacteria they are dealing with is different from the one in previous epidemics of plague. Since several genetic variations for the bacillus Yersinia pestis have been characterised (Cui et al. 2012), it could be possible that the epidemic in Oran originated from a new one.

However, we should not forget that we are analysing a literary work, and that scientific accuracy is not a necessary goal in it. In fact, Rieux’s reluctances have to do more with clinical aspects than with microbiological ones. He doubts since the beginning, relying exclusively on the symptoms observed, and continues doing it after the laboratory analysis:I was able to have an analysis made in which the laboratory thinks it can detect the plague bacillus. However, to be precise, we must say that certain specific modifications of the microbe do not coincide with the classic description of plague.

(Camus 2002, Part II)Camus is consistent with this idea and many times he mentions the bacillus to highlight its oddity. Insisting on the literary condition of the work, and among other possible explanations, he is maybe declaring that that in the novel is not a common (biological, natural) bacteria, but the Nazism bacteria.Turning to treatments, they constitute the principal resource that the global community has to defeat the erectile dysfunction treatment kamagra. Vaccination campaigns have started all over the world, and three types of erectile dysfunction treatments are being applied in the European Union, after their respective statements of efficacy and security (Baden et al. 2021.

Polack et al. 2020. Voysey et al. 2021), while a fourth treatment has just recently been approved (EMA 2021a).

Although some concerns regarding the safety of two of these treatments have been raised recently (EMA 2021b. EMA 2021c), vaccination plans are going ahead, being adapted according to the state of knowledge at each moment. Some of these treatments are mRNA-based (Baden et al. 2021.

Polack et al. 2020), while others use a viral vector (Bos et al. 2020. Voysey et al.

2021). They are mainly two-shot treatments, with one exception (Bos et al. 2020), and complete immunity is thought to be acquired 2 weeks after the last shot (CDC. N.d.b, Voysey et al.

2021). Other countries such as China or Russia, on the other hand, were extremely early in starting their vaccination campaigns, and are distributing among their citizens different treatments than the aforementioned (Logunov et al. 2021. Zhang et al.

2021).Even if at least three types of plague treatments had been created by the time the novel takes place (Sun 2016), treatments do not play an important role in La Peste, in which therapeutic measures (the serum) are more important than prophylactic ones. Few times in the novel the narrator refers to prophylactic inoculations:There was still no possibility of vaccinating with preventive serum except in families already affected by the disease. (Camus 2002, Part II)Deudon has pointed out that Camus mixes up therapeutic serum and treatment (Deudon 1988), and in fact there exists a certain amount of confusion. All along the novel, the narrator focuses on the prophylactic goals of the serum, which is applied to people already infected (Othon’s son, Tarrou, Grand…).

However, both in the example above (which can be understood as vaccinating household contacts or already affected individuals) and in others, the differences between treating and vaccinating are not clear:After the morning admissions which he was in charge of himself, the patients were vaccinated and the swellings lanced. (Camus 2002, Part II)In any case, this is another situation in which Camus stands aside from scientific matters, which are to him less relevant in his novel than philosophical or literary ones. The distance existing between the relevance of treatments in erectile dysfunction treatment and the superficial manner with which Camus treats the topic in La Peste exemplifies this.Part IIIIn part III, the plague’s ravages become tougher. The narrator turns his focus to burials and their disturbance, a frequent topic in epidemics’ narrative (table 1).

Camus knew how acutely increasing demands and hygienic requirements affect funeral habits during epidemics:Everything really happened with the greatest speed and the minimum of risk. (Camus 2002, Part III)Like many other processes during epidemics, the burial process becomes a protocol. When protocolised, everything seems to work well and rapidly. But this perfect mechanism is the Prefecture’s goal, not Rieux’s.

He reveals in this moment an aspect in his character barely shown before. Irony.The whole thing was well organized and the Prefect expressed his satisfaction. He even told Rieux that, when all was said and done, this was preferable to hearses driven by black slaves which one read about in the chronicles of earlier plagues. €˜ Yes,’ Rieux said.

€˜ The burial is the same, but we keep a card index. No one can deny that we have made progress.’ (Camus 2002, Part III)Even if this characteristic may seem new in Dr Rieux, we must bear in mind that he is the story narrator, and the narration is ironic from time to time. For instance, speaking precisely about the burials:The relatives were invited to sign a register –which just showed the difference that there may be between men and, for example, dogs. You can keep check of human beings-.

(Camus 2002, Part III)In Camus’s philosophy, the absurd is a core issue. According to Lengers, Rieux is ironic because he is a kind of Sisyphus who has understood the absurdity of plague (Lengers 1994). The response to the absurd is to rebel (Camus 2013), and Rieux does it by helping his fellow humans without questioning anything. He does not pursue any other goal than doing his duty, thus humour (as a response to dire situations) stands out from him when he observes others celebrating irrelevant achievements, such as the Prefect with his burial protocol.

In the field of medical ethics, Lengers has highlighted the importance of Camus’s perspective when considering ‘the immediacy of life rather than abstract values’ (Lengers 1994, 250). Rieux himself is quite sure that his solid commitment is not ‘abstract’, and, even if he falls into abstraction, the importance relies on protecting human lives and not in the name given to that task:Was it truly an abstraction, spending his days in the hospital where the plague was working overtime, bringing the number of victims up to five hundred on average per week?. Yes, there was an element of abstraction and unreality in misfortune. But when an abstraction starts to kill you, you have to get to work on it.

(Camus 2002, Part II)Farewells during erectile dysfunction treatment may have not been particularly pleasant for some families. Neither those dying at nursing homes nor in hospitals could be accompanied by their families as previously, due to corpses management protocols, restrictions of external visitors and hygienic measures in general. However, as weeks passed by, certain efforts were made to ease this issue, allowing people to visit their dying beloved sticking to strict preventive measures. On the other hand, the number of people attending funeral masses and cemeteries was also limited, which affected the conventional development of ceremonies as well.

Hospitals had to deal with daily tolls of deaths never seen before, and the overcrowding of mortuaries made us see rows of coffins placed in unusual spaces, such as ice rinks (transformation of facilities is another topic in table 1).We turn now to two other points which erectile dysfunction treatment has not evaded. s among essential workers and epidemics’ economic consequences. The author links burials with s among essential workers because gravediggers constitute one of the most affected professions, and connects this fact with the economic recession because unemployment is behind the large availability of workers to replace the dead gravediggers:Many of the male nurses and the gravediggers, who were at first official, then casual, died of the plague. […] The most surprising thing was that there was never a shortage of men to do the job, for as long as the epidemic lasted.

[…] When the plague really took hold of the town, its very immoderation had one quite convenient outcome, because it disrupted the whole of economic life and so created quite a large number of unemployed. […] Poverty always triumphed over fear, to the extent that work was always paid according to the risk involved. (Camus 2002, Part III)The effects of the plague over the economic system are one of our recurrent topics (table 1). The plague in Oran, as it forces to close the city, impacts all trading exchanges.

In addition, it forbids travellers from arriving to the city, with the economic influence that that entails:This plague was the ruination of tourism. (Camus 2002, Part II)Oranians, who, as we saw, were very worried about making money, are especially affected by an event which jeopardises it. In erectile dysfunction treatment, for one reason or for another, most of the countries are suffering economic consequences, since the impact on normal life from the epidemic (another recurrent topic) means also an impact on the normal development of trading activities.Part IVIn Part IV we witness the first signals of a stabilisation of the epidemic:It seemed that the plague had settled comfortably into its peak and was carrying out its daily murders with the precision and regularity of a good civil servant. In theory, in the opinion of experts, this was a good sign.

The graph of the progress of the plague, starting with its constant rise, followed by this long plateau, seemed quite reassuring. (Camus 2002, Part IV)At this time, we consider interesting to expand the topic about the transformation of facilities. We mentioned the case of ice rinks during erectile dysfunction treatment, and we bring up now the use of a football pitch as a quarantine camp in Camus’s novel, a scene which has reminded some scholars of the metaphor of Nazism and concentration camps (Finel-Honigman 1978). In Spain, among other measures, a fairground was enabled as a field hospital during the first wave, and it is plausible that many devices created with other purposes were used in tasks attached to healthcare provision during those weeks, as occurred in Oran’s pitch with the loudspeakers:Then the loudspeakers, which in better times had served to introduce the teams or to declare the results of games, announced in a tinny voice that the internees should go back to their tents so that the evening meal could be distributed.

(Camus 2002, Part IV)Related to this episode, we can also highlight the opposition between science and humanism that Camus does. The author alerts us about the dangers of a dehumanised science, of choosing procedures perfectly efficient regardless of their lack in human dignity:The men held out their hands, two ladles were plunged into two of the pots and emerged to unload their contents onto two tin plates. The car drove on and the process was repeated at the next tent.‘ It’s scientific,’ Tarrou told the administrator.‘ Yes,’ he replied with satisfaction, as they shook hands. €˜ It’s scientific.’ (Camus 2002, Part IV)Several cases with favourable outcomes mark Part IV final moments and prepare the reader for the end of the epidemic.

To describe these signs of recovering, the narrator turns back to two elements with a main role in the novel. Rats and figures. In this moment, the first ones reappear and the second ones seem to be declining:He had seen two live rats come into his house through the street door. Neighbours had informed him that the creatures were also reappearing in their houses.

Behind the walls of other houses there was a hustle and bustle that had not been heard for months. Rieux waited for the general statistics to be published, as they were at the start of each week. They showed a decline in the disease. (Camus 2002, Part IV)Part VGiven that we continue facing erectile dysfunction treatment, and that forecasts about its end are not easy, we cannot compare ourselves with the Oranians once they have reached the end of the epidemic, what occurs in this part.

However, we can analyse our current situation, characterised by a widespread, though cautious, confidence motivated by the beginning of vaccination campaigns, referring it to the events narrated in Part V.Even more than the Oranians, since we feel further than them from the end of the problem, we are cautious about not to anticipate celebrations. From time to time, however, we lend ourselves to dream relying on what the narrator calls ‘a great, unadmitted hope’. erectile dysfunction treatment took us by surprise and everyone wants to ‘reorganise’ their life, as Oranians do, but patience is an indispensable component to succeed, as fictional and historical epidemics show us.Although this sudden decline in the disease was unexpected, the towns-people were in no hurry to celebrate. The preceding months, though they had increased the desire for liberation, had also taught them prudence and accustomed them to count less and less on a rapid end to the epidemic.

However, this new development was the subject of every conversation and, in the depths of people’s hearts, there was a great, unadmitted hope. […] One of the signs that a return to a time of good health was secretly expected (though no one admitted the fact) was that from this moment on people readily spoke, with apparent indifference, about how life would be reorganized after the plague. (Camus 2002, Part V)We put our hope on vaccination. Social distancing and other hygienic measures have proved to be effective, but treatments would bring us a more durable solution without compromising so hardly many economic activities and social habits.

As we said, a more important role of scientific aspects is observed in erectile dysfunction treatment if compared with La Peste (an expected fact if considered that Camus’s story is an artistic work, that he skips sometimes the most complex scientific issues of the plague and that health sciences have evolved substantially during last decades). Oranians, in fact, achieve the end of the epidemic not through clearly identified scientific responses but with certain randomness:All one could do was to observe that the sickness seemed to be going as it had arrived. The strategy being used against it had not changed. It had been ineffective yesterday, and now it was apparently successful.

One merely had the feeling that the disease had exhausted itself, or perhaps that it was retiring after achieving all its objectives. In a sense, its role was completed. (Camus 2002, Part V)They receive the announcement made by the Prefecture of reopening the town’s gates in 2 weeks time with enthusiasm. Dealing with concrete dates gives them certainty, helps them fix the temporal horizons we wrote about.

This is also the case when they are told that preventive measures would be lifted in 1 month. Camus shows us then how the main characters are touched as well by this positive atmosphere:That evening Tarrou and Rieux, Rambert and the rest, walked in the midst of the crowd, and they too felt they were treading on air. Long after leaving the boulevards Tarrou and Rieux could still hear the sounds of happiness following them… (Camus 2002, Part V)Then, Tarrou points out a sign of recovery coming from the animal world. In a direct zoological chain, infected fleas have vanished from rats, which have been able again to multiply across the city, making the cats abandon their hiding places and to go hunting after them again.

At the final step of this chain, Tarrou sees the human being. He remembers the old man who used to spit to the cats beneath his window:At a time when the noise grew louder and more joyful, Tarrou stopped. A shape was running lightly across the dark street. It was a cat, the first that had been seen since the spring.

It stopped for a moment in the middle of the road, hesitated, licked its paw, quickly passed it across its right ear, then carried on its silent way and vanished into the night. Tarrou smiled. The little old man, too, would be happy. (Camus 2002, Part V)Unpleasant things as a town with rats running across its streets, or a man spending his time spitting on a group of cats, constitute normality as much as the reopening of gates or the reboot of commerce.

However, when Camus speaks directly about normality, he highlights more appealing habits. He proposes common leisure activities (restaurants, theatres) as symbols of human life, since he opposes them to Cottard’s life, which has become that of a ‘wild animal’:At least in appearance he [ Cottard ] retired from the world and from one day to the next started to live like a wild animal. He no longer appeared in restaurants, at the theatre or in his favourite cafés. (Camus 2002, Part V)We do not disclose why Cottard’s reaction to the end of the epidemic is different from most of the Oranians’.

In any case, the narrator insists later on the assimilation between common pleasures and normality:‘ Perhaps,’ Cottard said, ‘ Perhaps so. But what do you call a return to normal life?. €™ ‘ New films in the cinema,’ said Tarrou with a smile. (Camus 2002, Part V)Cinema, as well as theatre, live music and many other cultural events have been cancelled or obliged to modify their activities due to erectile dysfunction treatment.

Several bars and restaurants have closed, and spending time in those who remain open has become an activity which many people tend to avoid, fearing contagion. Thus, normality in our understanding is linked as well to these simple and pleasant habits, and the complete achievement of them will probably signify for us the desired defeat of the kamagra.In La Peste, love is also seen as a simple good to be fully recovered after the plague. While Rieux goes through the ‘reborn’ Oran, it is lovers’ gatherings what he highlights. Unlike them, everyone who, during the epidemic, sought for goals different from love (such as faith or money, for instance) remain lost when the epidemic has ended:For all the people who, on the contrary, had looked beyond man to something that they could not even imagine, there had been no reply.

(Camus 2002, Part V)And this is because lovers, as the narrator says:If they had found that they wanted, it was because they had asked for the only thing that depended on them. (Camus 2002, Part V)We have spoken before about language manipulation, hypocrisy and public figures’ roles during epidemics. Camus, during Dr Rieux’s last visit to the old asthmatic man, makes this frank and humble character criticise, with a point of irony, the authorities’ attitude concerning tributes to the dead:‘ Tell me, doctor, is it true that they’re going to put up a monument to the victims of the plague?. €™â€˜ So the papers say.

A pillar or a plaque.’‘ I knew it!. And there’ll be speeches.’The old man gave a strangled laugh.‘ I can hear them already. €œ Our dead…” Then they’ll go and have dinner.’ (Camus 2002, Part V)The old man illustrates wisely the authorities’ propensity for making speeches. He knows that most of them usually prefer grandiloquence rather than common words, and seizes perfectly their tone when he imitates them (‘Our dead…’).

We have also got used, during erectile dysfunction treatment, to these types of messages. We have also heard about ‘our old people’, ‘our youth’, ‘our essential workers’ and even ‘our dead’. Behind this tone, however, there could be an intention to hide errors, or to falsely convey carefulness. Honest rulers do not usually need nice words.

They just want them to be accurate.We have seen as well some tributes to the victims during erectile dysfunction treatment, some of which we can doubt whether they serve to victims’ relief or to authorities’ promotion. We want rulers to be less aware of their own image and to stress truthfulness as a goal, even if this is a hard requirement not only for them, but for every single person. Language is essential in this issue, we think, since it is prone to be twisted and to become untrue. The old asthmatic man illustrates it with his ‘There’ll be speeches’ and his ‘Our dead…’, but this is not the only time in the novel in which Camus brings out the topic.

For instance, he does so when he equates silence (nothing can be thought as further from wordiness) with truth:It is at the moment of misfortune that one becomes accustomed to truth, that is to say to silence. (Camus 2002, Part II)or when he makes a solid statement against false words:…I understood that all the misfortunes of mankind came from not stating things in clear terms. (Camus 2002, Part IV)The old asthmatic, in fact, while praising the deceased Tarrou, remarks that he used to admire him because ‘he didn’t talk just for the sake of it.’ (Camus 2002, Part V).Related to this topic, what the old asthmatic says about political authorities may be transposed in our case to other public figures, such as scholars and researchers, media leaders, businessmen and women, health professionals… and, if we extend the scope, to every single citizen. Because hypocrisy, language manipulation and the fact of putting individual interests ahead of collective welfare fit badly with collective issues such as epidemics.

Hopefully, also examples to the contrary have been observed during erectile dysfunction treatment.The story ends with the fireworks in Oran and the depiction of Dr Rieux’s last feelings. While he is satisfied because of his medical performance and his activity as a witness of the plague, he is concerned about future disasters to come. When erectile dysfunction treatment will have passed, it will be time for us as well to review our life during these months. For now, we are just looking forward to achieving our particular ‘part V’..

IntroductionLa Peste (Camus 1947) has served as a basis for several critical works, can i buy kamagra online including Best online amoxil some in the field of medical humanities (Bozzaro 2018. Deudon 1988. Tuffuor and can i buy kamagra online Payne 2017).

Frequently interpreted as an allegory of Nazism (with the plague as a symbol of the German occupation of France) (Finel-Honigman 1978. Haroutunian 1964), it has also received philosophical readings beyond the sociopolitical context in which it was written (Lengers 1994). Other scholars, on the other hand, have centred their can i buy kamagra online analyses on its literary aspects (Steel 2016).The erectile dysfunction treatment kamagra has increased general interest about historical and fictional epidemics.

La Peste, as one of the most famous literary works about this topic, has been revisited by many readers during recent months, leading to an unexpected growth in sales in certain countries (Wilsher 2020. Zaretsky 2020). Apart from that, commentaries about the novel, can i buy kamagra online especially among health sciences scholars, have emerged with a renewed interest (Banerjee et al.

2020. Bate 2020. Vandekerckhove 2020 can i buy kamagra online.

Wigand, Becker, and Steger 2020). This sudden curiosity is easy to understand if we consider both La Peste’s literary value, and people’s desire to discover real or fictional situations similar to theirs. Indeed, Oran inhabitants’ experiences are not quite far from our own, even if geographical, chronological and, specially, scientific factors (two different diseases occurring at two different stages in the history of medical development) prevent us from establishing too close resemblances between both situations.Furthermore, it will not be strange if erectile dysfunction treatment serves as a frame for fictional works in the near future can i buy kamagra online.

Other narrative plays were based on historical epidemics, such as Daniel Defoe’s A Journal of the Plague Year or Giovanni Boccaccio’s Decameron (Wigand, Becker, and Steger 2020. Withington 2020). The biggest kamagra in the last century, the so-called can i buy kamagra online ‘Spanish Influenza’, has been described as not very fruitful in this sense, even if it produced famous novels such as Katherine A Porter’s Pale Horse, Pale Rider or John O’Hara’s The Doctor Son (Honigsbaum 2018.

Hovanec 2011). The overlapping with another disaster like World War I has been argued as one of the reasons explaining this scarce production of fictional works (Honigsbaum 2018). By contrast, we may think that erectile dysfunction treatment is having a global impact hardly overshadowed by other events, and that it will leave a significant mark on the collective memory.Drawing on the reading of La Peste, we point out in this essay different aspects of living under an epidemic that can be identified both can i buy kamagra online in Camus’s work and in our current situation.

We propose a trip throughout the novel, from its early beginning in Part I, when the Oranians are not aware of the threat to come, to its end in Part V, when they are relieved of the epidemic after several months of ravaging disasters.We think this journey along La Peste may be interesting both to health professionals and to the lay person, since all of them will be able to see themselves reflected in the characters from the novel. We do not skip critique of some aspects related to the authorities’ management of erectile dysfunction treatment, as Camus does concerning Oran’s rulers. However, what we want to foreground is La Peste’s intrinsic value, its suitability to be read now and after erectile dysfunction treatment has passed, when Camus’s novel endures as a solid art work and erectile dysfunction treatment remains only as a defeated plight.MethodsWe confronted our own experiences about erectile dysfunction treatment with a conventional reading of La Peste can i buy kamagra online.

A first reading of the novel was used to establish associations between those aspects which more saliently reminded us of erectile dysfunction treatment. In a second reading, we searched for some examples to illustrate those aspects and tried to detect new associations. Subsequent readings of certain can i buy kamagra online parts were done to integrate the information collected.

Neither specific methods of literary analysis, nor systematic searches in the novel were applied. Selected paragraphs and ideas from Part I to Part V were prepared in a draft copy, and this manuscript was written afterwards.Part ISome phrases in the novel could be transposed word by word to our situation. This one pertaining to its start, for instance, may make us remember the first months of 2020:By now, it will be easy to accept that nothing could lead the people of our town to expect the events that took place in the spring of that year and which, as can i buy kamagra online we later understood, were like the forerunners of the series of grave happenings that this history intends to describe.

(Camus 2002, Part I)By referring from the beginning to ‘the people of our town’, Camus is already suggesting an idea which is repeated all along the novel, and which may be well understood by us as erectile dysfunction treatment’s witnesses. Epidemics affect the community as a whole, they are present in everybody’s mind and their joys and sorrows are not individual, but collective. For example (and we are anticipating Part II), the narrator says:But, once the gates were closed, they all noticed that they were in the same boat, including can i buy kamagra online the narrator himself, and that they had to adjust to the fact.

(Camus 2002, Part II)Later, he will insist in this opposition between the concepts of ‘individual’, which used to prevail before the epidemic, and ‘collective’:One might say that the first effect of this sudden and brutal attack of the disease was to force the citizens of our town to act as though they had no individual feelings. (Camus 2002, Part II)There were no longer any individual destinies, but a collective history that was the plague, and feelings shared by all. (Camus 2002, Part III)This distinction can i buy kamagra online is not trivial, since the story will display a strong confrontation between those who get involved and help their neighbours and those who remain behaving selfishly.

Related to this, Claudia Bozzaro has pointed out that the main topic in La Peste is solidarity and auistic love (Bozzaro 2018). We may add that the disease is so attached to people’s lives that the epidemic becomes the new everyday life:In the morning, they would return to the pestilence, that is to say, to routine. (Camus 2002, Part III)Being collective issues does not can i buy kamagra online mean that epidemics always enhance auism and solidarity.

As said by Wigand et al, they frequently produce ambivalent reactions, and one of them is the opposition between auism and maximised profit (Wigand, Becker, and Steger 2020). Therefore, the dichotomy between individualism and collectivism, a central point in the characterisation of national cultures (Hofstede 2015), could play a role in epidemics. In fact, concerning erectile dysfunction treatment, some authors have described a greater impact of the kamagra in those countries with can i buy kamagra online higher levels of individualism (Maaravi et al.

However, this finding should be complemented with other national cultures’ aspects before concluding that collectivism itself exerts a protective role against epidemics. Concerning this, it has been shown how ‘power distance’ frequently intersects with collectivism, being only a few countries in which the last one coexists with a small distance to power, namely with a capacity to disobey the power authority (Gupta, Shoja, and Mikalef 2021). Moreover, those countries classically classified as ‘collectivist’ (China, Japan, South Korea, India, Vietnam, etc.) are also characterised by high levels of power distance, and their citizens have been quite often forced to adhere to erectile dysfunction treatment restrictions and punished if not (Gupta, Shoja, and Mikalef 2021).

Thus, it is important to consider that individualism is not always opposed to ‘look after each other’ (Ozkan et al. 2021, 9). For instance, the European region, seen as a whole as highly ‘individualistic’, holds some of the most advanced welfare protection systems worldwide.

It is worth considering too that collectivism may hide sometimes a hard institutional authority or a lack in civil freedoms.Coming back to La Peste, we may think that Camus’s Oranians are not particularly ‘collectivist’. Their initial description highlights that they are mainly interested in their own businesses and affairs:Our fellow-citizens work a good deal, but always in order to make money. They are especially interested in trade and first of all, as they say, they are engaged in doing business.

(Camus 2002, Part I)And later, we see some of them trying selfishly to leave the city by illegal methods. By contrast, we observe in the novel some examples of more ‘collectivistic’ attitudes, such as the discipline of those quarantined at the football pitch, and, over all, the main characters’ behaviour, which is generally driven by auism and common goals.Turning to another topic, the plague in Oran and erectile dysfunction treatment are similar regarding their animal origin. This is not rare since many infectious diseases pass to humans through contact with animal vectors, being rodents, especially rats (through rat fleas), the most common carriers of plague bacteria (CDC.

N.d.a, ECDC. N.d, Pollitzer 1954). Concerning erectile dysfunction, even if further research about its origin is needed, the most recent investigations conducted in China by the WHO establish a zoonotic transmission as the most probable pathway (Joint WHO-China Study Team 2021).

In Camus’s novel, the animal’s link to the epidemic seemed very clear since the beginning:Things got to the point where Infodoc (the agency for information and documentation, ‘ all you need to know on any subject’) announced in its free radio news programme that 6,231 rats had been collected and burned in a single day, the 25th. This figure, which gave a clear meaning to the daily spectacle that everyone in town had in front of their eyes, disconcerted them even more. (Camus 2002, Part I)This accuracy in figures is familiar to us.

People nowadays have become very used to the statistical aspects of the kamagra, due to the continuous updates in epidemiological parameters launched by the media and the authorities. Camus was aware about the relevance of figures in epidemics, which always entail:…required registration and statistical tasks. (Camus 2002, Part II)Because of this, the novel is scattered with numbers, most of them concerning the daily death toll, but others mentioning the number of rats picked up, as we have seen, or combining the number of deaths with the time passed since the start of the epidemic:“ Will there be an autumn of plague?.

Professor B answers. €˜ No’ ”, “ One hundred and twenty-four dead. The total for the ninety-fourth day of the plague.” (Camus 2002, Part II)We permit ourselves to introduce here a list of recurring topics in La Peste, since the salience of statistical information is one of them.

These topics, some of which will be treated later, appear several times in the novel, in various contexts and stages in the evolution of the epidemic. We synthesise them in Table 1, coupled with a erectile dysfunction treatment parallel example extracted from online press. This ease to find a current example for each topic suggests that they are not exclusive of plague or of Camus’s mindset, but shared by most epidemics.View this table:Table 1 Recurring topics in La Peste.

Each topic is accompanied by two examples from the novel and one concerning erectile dysfunction treatment, extracted from online press.Talking about journalism and the media (one of the topics above), we might say that erectile dysfunction treatment’s coverage is frequently too optimistic when managing good news and too alarming when approaching the bad. Media’s ‘exaggerated’ approach to health issues is not new. It was already a concern for medical journals’ editors a century ago (Reiling 2013) and it continues to be it for these professionals in recent times (Barbour et al.

2008). It is well known that media tries to attract spectators’ attention by making the news more appealing. However, they deal with the risk of expanding unreliable information, which may be pernicious for the public opinion.

Related to the intention of ‘garnishing’ the news, Aslam et al. (2020) have described that 82% of more than 100 000 pieces of information about erectile dysfunction treatment appearing in media from different countries carried an emotional, either negative (52%) or positive (30%) component, with only 18% of them considered as ‘neutral’ (Aslam et al. 2020).

Some evidence about this tendency to make news more emotional was described in former epidemics. For instance, a study conducted in Singapore in 2009 during the H1N1 crisis showed how press releases by the Ministry of Health were substantially transformed when passed to the media, by increasing their emotional appeal and by changing their dominant frame or their tone (Lee and Basnyat 2013). In La Peste, this superficial way of managing information by the media is also observed:The newspapers followed the order that they had been given, to be optimistic at any cost.

(Camus 2002, Part IV)At the first stages of the epidemic in Oran, journalists proclaim the end of the dead rats’ invasion as something to be celebrated. Dr Rieux, the character through which Camus symbolises caution (and comparable nowadays to trustful scientists, well-informed journalists or sensible authorities), exposes then his own angle, quite far from suggesting optimism:The vendors of the evening papers were shouting that the invasion of rats had ended. But Rieux found his patient lying half out of bed, one hand on his belly and the other around his neck, convulsively vomiting reddish bile into a rubbish bin.

(Camus 2002, Part I)Camus, who worked as a journalist for many years, insists afterwards on this cursory interest that some media devote to the epidemic, more eager to grab the noise than the relevant issues beneath it:The press, which had had so much to say about the business of the rats, fell silent. This is because rats die in the street and people in their bedrooms. And newspapers are only concerned with the street.

(Camus 2002, Part I)By then, Oranians continue rejecting the epidemic as an actual threat, completely immersed in that phase that dominates the beginning of all epidemics and is characterised by ‘denial and disbelief’ (Wigand, Becker, and Steger 2020, 443):A pestilence does not have human dimensions, so people tell themselves that it is unreal, that it is a bad dream which will end. […] The people of our town were no more guilty than anyone else, they merely forgot to be modest and thought that everything was still possible for them, which implied that pestilence was impossible. They continued with business, with making arrangements for travel and holding opinions.

Why should they have thought about the plague, which negates the future, negates journeys and debate?. They considered themselves free and no one will ever be free as long as there is plague, pestilence and famine. (Camus 2002, Part I)Probably to avoid citizens' disapproval, among other reasons, the Oranian Prefecture (health authority in Camus' novel) does not want to go too far when judging the relevance of the epidemic.

While not directly exposed, we can guess in this fragment the tone of the Prefect’s message, his intention to convey confidence despite his own doubts:These cases were not specific enough to be really disturbing and there was no doubt that the population would remain calm. None the less, for reasons of caution which everyone could understand, the Prefect was taking some preventive measures. If they were interpreted and applied in the proper way, these measures were such that they would put a definite stop to any threat of epidemic.

As a result, the Prefect did not for a moment doubt that the citizens under his charge would co-operate in the most zealous manner with what he was doing. (Camus 2002, Part I)The relevant role acquired by health authorities during epidemics is another topic listed in our table. Language use, on the other hand, is an issue linkable both with the media topic and with this one.

As in La Peste, during erectile dysfunction treatment we have seen some public figures using words not always truthfully, carrying out a careful selection of words that serves to the goal of conveying certain interests in each moment. Dr Rieux refers in Part I to this language manipulation by the authorities:The measures that had been taken were insufficient, that was quite clear. As for the ‘ specially equipped wards’, he knew what they were.

Two outbuildings hastily cleared of other patients, their windows sealed up and the whole surrounded by a cordon sanitaire. (Camus 2002, Part I)He illustrates the need of frankness, the preference for clarity in language, which is often the clarity in thinking:No. I phoned Richard to say we needed comprehensive measures, not fine words, and that either we must set up a real barrier to the epidemic, or nothing at all.

(Camus 2002, Part I)At the end of this part, his fears about the inadequacy of not taking strict measures are confirmed. Oranian hospitals become overwhelmed, as they are now in many places worldwide due to erectile dysfunction treatment.Part IILeft behind the phases of ‘denial and disbelief’ and of ‘fear and panic’, it appears among the Oranians the ‘acceptance paired with resignation’ (Wigand, Becker, and Steger 2020, 443):Then we knew that our separation was going to last, and that we ought to try to come to terms with time. […] In particular, all of the people in our town very soon gave up, even in public, whatever habit they may have acquired of estimating the length of their separation.

(Camus 2002, Part II)In erectile dysfunction treatment as well, even if border closure has not been so immovable as in Oran, many people have seen themselves separated from their loved ones and some of them have not yet had the possibility of reunion. This is why, in the actual kamagra, the idea of temporal horizons has emerged like it appeared in Camus’s epidemic. In Spain, the general lockdown in March and April 2020 made people establish the summer as their temporal horizon, a time in which they could resume their former habits and see their relatives again.

This became partially true, and people were allowed in summer to travel inside the country and to some other countries nearby. However, there existed some reluctance to visit ill or aged relatives, due to the fear of infecting them, and some families living in distant countries were not able to get together. Moreover, autumn brought an increase in the number of cases (‘the second wave’) and countries returned to limit their internal and external movements.Bringing all this together, many people nowadays have opted to discard temporal horizons.

As Oranians, they have noted that the epidemic follows its own rhythm and it is useless to fight against it. Nonetheless, it is in human nature not to resign, so abandoning temporal horizons does not mean to give up longing for the recovery of normal life. This vision, neither maintaining vain hopes nor resigning, is in line with Camus’s philosophy, an author who wrote that ‘hope, contrary to what it is usually thought, is the same to resignation.’ (Camus 1939, 83.

Cited by Haroutunian 1964, 312 (translation is ours)), and that ‘there is not love to human life but with despair about human life.’ (Camus 1958, 112–5. Cited by Haroutunian 1964, 312–3 (translation is ours)).People nowadays deal with resignation relying on daily life pleasures (being not allowed to make further plans or trips) and in company from the nearest ones (as they cannot gather with relatives living far away). Second, they observe the beginning of vaccination campaigns as a first step of the final stage, and summer 2021, reflecting what happened with summer 2020, has been fixed as a temporal horizon.

This preference for summers has an unavoidable metaphorical nuance, and their linking to joy, long trips and life in the streets may be the reason for which we choose them to be opposed to the lockdown and restrictions of the kamagra.We alluded previously to the manipulation of language, and figures, as relevant as they are, they are not free from manipulation either. Tarrou, a close friend to Dr Rieux, points out in this part of the novel how this occurred:Once more, Tarrou was the person who gave the most accurate picture of our life as it was then. Naturally he was following the course of the plague in general, accurately observing that a turning point in the epidemic was marked by the radio no longer announcing some hundreds of deaths per week, but 92, 107 and 120 deaths a day.

€˜The newspapers and the authorities are engaged in a battle of wits with the plague. They think that they are scoring points against it, because 130 is a lower figure than 910.’ (Camus 2002, Part II)Tarrou collaborates with the health teams formed to tackle the plague. Regarding these volunteers and workers, Camus refuses to consider them as heroes, as many essential workers during erectile dysfunction treatment have rejected to be named as that.

The writer thinks their actions are the natural behaviour of good people, not heroism but ‘a logical consequence’:The whole question was to prevent the largest possible number of people from dying and suffering a definitive separation. There was only one way to do this, which was to fight the plague. There was nothing admirable about this truth, it simply followed as a logical consequence.

(Camus 2002, Part II)We consider suitable to talk here about two issues which represent, nowadays, a great part of erectile dysfunction treatment fears and hopes, respectively. New genetic variants and treatments. Medical achievements are another recurrent issue included in table 1, and we write about them here because it is in Part II where Camus writes for the first time about treatments, and where it insists on an idea aforementioned in Part I.

That the plague bacillus affecting Oran is different from previous variants:…the microbe differed very slightly from the bacillus of plague as traditionally defined. (Camus 2002, Part II)Related to erectile dysfunction treatment new variants, they represent a challenge because of two main reasons. Their higher transmissibility and/or severity and their higher propensity to skip the effect of natural or treatment-induced immunity.

Public health professionals are determining which is the actual threat of all the new variants discovered, such as those first characterised in the UK (Public Health England 2020), South Africa (Tegally et al. 2021) or Brazil (Fujino et al. 2021).

In La Peste, Dr Rieux is always suspecting that the current bacteria they are dealing with is different from the one in previous epidemics of plague. Since several genetic variations for the bacillus Yersinia pestis have been characterised (Cui et al. 2012), it could be possible that the epidemic in Oran originated from a new one.

However, we should not forget that we are analysing a literary work, and that scientific accuracy is not a necessary goal in it. In fact, Rieux’s reluctances have to do more with clinical aspects than with microbiological ones. He doubts since the beginning, relying exclusively on the symptoms observed, and continues doing it after the laboratory analysis:I was able to have an analysis made in which the laboratory thinks it can detect the plague bacillus.

However, to be precise, we must say that certain specific modifications of the microbe do not coincide with the classic description of plague. (Camus 2002, Part II)Camus is consistent with this idea and many times he mentions the bacillus to highlight its oddity. Insisting on the literary condition of the work, and among other possible explanations, he is maybe declaring that that in the novel is not a common (biological, natural) bacteria, but the Nazism bacteria.Turning to treatments, they constitute the principal resource that the global community has to defeat the erectile dysfunction treatment kamagra.

Vaccination campaigns have started all over the world, and three types of erectile dysfunction treatments are being applied in the European Union, after their respective statements of efficacy and security (Baden et al. 2021. Polack et al.

2020. Voysey et al. 2021), while a fourth treatment has just recently been approved (EMA 2021a).

Although some concerns regarding the safety of two of these treatments have been raised recently (EMA 2021b. EMA 2021c), vaccination plans are going ahead, being adapted according to the state of knowledge at each moment. Some of these treatments are mRNA-based (Baden et al.

2021. Polack et al. 2020), while others use a viral vector (Bos et al.

They are mainly two-shot treatments, with one exception (Bos et al. 2020), and complete immunity is thought to be acquired 2 weeks after the last shot (CDC. N.d.b, Voysey et al.

2021). Other countries such as China or Russia, on the other hand, were extremely early in starting their vaccination campaigns, and are distributing among their citizens different treatments than the aforementioned (Logunov et al. 2021.

Zhang et al. 2021).Even if at least three types of plague treatments had been created by the time the novel takes place (Sun 2016), treatments do not play an important role in La Peste, in which therapeutic measures (the serum) are more important than prophylactic ones. Few times in the novel the narrator refers to prophylactic inoculations:There was still no possibility of vaccinating with preventive serum except in families already affected by the disease.

(Camus 2002, Part II)Deudon has pointed out that Camus mixes up therapeutic serum and treatment (Deudon 1988), and in fact there exists a certain amount of confusion. All along the novel, the narrator focuses on the prophylactic goals of the serum, which is applied to people already infected (Othon’s son, Tarrou, Grand…). However, both in the example above (which can be understood as vaccinating household contacts or already affected individuals) and in others, the differences between treating and vaccinating are not clear:After the morning admissions which he was in charge of himself, the patients were vaccinated and the swellings lanced.

(Camus 2002, Part II)In any case, this is another situation in which Camus stands aside from scientific matters, which are to him less relevant in his novel than philosophical or literary ones. The distance existing between the relevance of treatments in erectile dysfunction treatment and the superficial manner with which Camus treats the topic in La Peste exemplifies this.Part IIIIn part III, the plague’s ravages become tougher. The narrator turns his focus to burials and their disturbance, a frequent topic in epidemics’ narrative (table 1).

Camus knew how acutely increasing demands and hygienic requirements affect funeral habits during epidemics:Everything really happened with the greatest speed and the minimum of risk. (Camus 2002, Part III)Like many other processes during epidemics, the burial process becomes a protocol. When protocolised, everything seems to work well and rapidly.

But this perfect mechanism is the Prefecture’s goal, not Rieux’s. He reveals in this moment an aspect in his character barely shown before. Irony.The whole thing was well organized and the Prefect expressed his satisfaction.

He even told Rieux that, when all was said and done, this was preferable to hearses driven by black slaves which one read about in the chronicles of earlier plagues. €˜ Yes,’ Rieux said. €˜ The burial is the same, but we keep a card index.

No one can deny that we have made progress.’ (Camus 2002, Part III)Even if this characteristic may seem new in Dr Rieux, we must bear in mind that he is the story narrator, and the narration is ironic from time to time. For instance, speaking precisely about the burials:The relatives were invited to sign a register –which just showed the difference that there may be between men and, for example, dogs. You can keep check of human beings-.

(Camus 2002, Part III)In Camus’s philosophy, the absurd is a core issue. According to Lengers, Rieux is ironic because he is a kind of Sisyphus who has understood the absurdity of plague (Lengers 1994). The response to the absurd is to rebel (Camus 2013), and Rieux does it by helping his fellow humans without questioning anything.

He does not pursue any other goal than doing his duty, thus humour (as a response to dire situations) stands out from him when he observes others celebrating irrelevant achievements, such as the Prefect with his burial protocol. In the field of medical ethics, Lengers has highlighted the importance of Camus’s perspective when considering ‘the immediacy of life rather than abstract values’ (Lengers 1994, 250). Rieux himself is quite sure that his solid commitment is not ‘abstract’, and, even if he falls into abstraction, the importance relies on protecting human lives and not in the name given to that task:Was it truly an abstraction, spending his days in the hospital where the plague was working overtime, bringing the number of victims up to five hundred on average per week?.

Yes, there was an element of abstraction and unreality in misfortune. But when an abstraction starts to kill you, you have to get to work on it. (Camus 2002, Part II)Farewells during erectile dysfunction treatment may have not been particularly pleasant for some families.

Neither those dying at nursing homes nor in hospitals could be accompanied by their families as previously, due to corpses management protocols, restrictions of external visitors and hygienic measures in general. However, as weeks passed by, certain efforts were made to ease this issue, allowing people to visit their dying beloved sticking to strict preventive measures. On the other hand, the number of people attending funeral masses and cemeteries was also limited, which affected the conventional development of ceremonies as well.

Hospitals had to deal with daily tolls of deaths never seen before, and the overcrowding of mortuaries made us see rows of coffins placed in unusual spaces, such as ice rinks (transformation of facilities is another topic in table 1).We turn now to two other points which erectile dysfunction treatment has not evaded. s among essential workers and epidemics’ economic consequences. The author links burials with s among essential workers because gravediggers constitute one of the most affected professions, and connects this fact with the economic recession because unemployment is behind the large availability of workers to replace the dead gravediggers:Many of the male nurses and the gravediggers, who were at first official, then casual, died of the plague.

[…] The most surprising thing was that there was never a shortage of men to do the job, for as long as the epidemic lasted. […] When the plague really took hold of the town, its very immoderation had one quite convenient outcome, because it disrupted the whole of economic life and so created quite a large number of unemployed. […] Poverty always triumphed over fear, to the extent that work was always paid according to the risk involved.

(Camus 2002, Part III)The effects of the plague over the economic system are one of our recurrent topics (table 1). The plague in Oran, as it forces to close the city, impacts all trading exchanges. In addition, it forbids travellers from arriving to the city, with the economic influence that that entails:This plague was the ruination of tourism.

(Camus 2002, Part II)Oranians, who, as we saw, were very worried about making money, are especially affected by an event which jeopardises it. In erectile dysfunction treatment, for one reason or for another, most of the countries are suffering economic consequences, since the impact on normal life from the epidemic (another recurrent topic) means also an impact on the normal development of trading activities.Part IVIn Part IV we witness the first signals of a stabilisation of the epidemic:It seemed that the plague had settled comfortably into its peak and was carrying out its daily murders with the precision and regularity of a good civil servant. In theory, in the opinion of experts, this was a good sign.

The graph of the progress of the plague, starting with its constant rise, followed by this long plateau, seemed quite reassuring. (Camus 2002, Part IV)At this time, we consider interesting to expand the topic about the transformation of facilities. We mentioned the case of ice rinks during erectile dysfunction treatment, and we bring up now the use of a football pitch as a quarantine camp in Camus’s novel, a scene which has reminded some scholars of the metaphor of Nazism and concentration camps (Finel-Honigman 1978).

In Spain, among other measures, a fairground was enabled as a field hospital during the first wave, and it is plausible that many devices created with other purposes were used in tasks attached to healthcare provision during those weeks, as occurred in Oran’s pitch with the loudspeakers:Then the loudspeakers, which in better times had served to introduce the teams or to declare the results of games, announced in a tinny voice that the internees should go back to their tents so that the evening meal could be distributed. (Camus 2002, Part IV)Related to this episode, we can also highlight the opposition between science and humanism that Camus does. The author alerts us about the dangers of a dehumanised science, of choosing procedures perfectly efficient regardless of their lack in human dignity:The men held out their hands, two ladles were plunged into two of the pots and emerged to unload their contents onto two tin plates.

The car drove on and the process was repeated at the next tent.‘ It’s scientific,’ Tarrou told the administrator.‘ Yes,’ he replied with satisfaction, as they shook hands. €˜ It’s scientific.’ (Camus 2002, Part IV)Several cases with favourable outcomes mark Part IV final moments and prepare the reader for the end of the epidemic. To describe these signs of recovering, the narrator turns back to two elements with a main role in the novel.

Rats and figures. In this moment, the first ones reappear and the second ones seem to be declining:He had seen two live rats come into his house through the street door. Neighbours had informed him that the creatures were also reappearing in their houses.

Behind the walls of other houses there was a hustle and bustle that had not been heard for months. Rieux waited for the general statistics to be published, as they were at the start of each week. They showed a decline in the disease.

(Camus 2002, Part IV)Part VGiven that we continue facing erectile dysfunction treatment, and that forecasts about its end are not easy, we cannot compare ourselves with the Oranians once they have reached the end of the epidemic, what occurs in this part. However, we can analyse our current situation, characterised by a widespread, though cautious, confidence motivated by the beginning of vaccination campaigns, referring it to the events narrated in Part V.Even more than the Oranians, since we feel further than them from the end of the problem, we are cautious about not to anticipate celebrations. From time to time, however, we lend ourselves to dream relying on what the narrator calls ‘a great, unadmitted hope’.

erectile dysfunction treatment took us by surprise and everyone wants to ‘reorganise’ their life, as Oranians do, but patience is an indispensable component to succeed, as fictional and historical epidemics show us.Although this sudden decline in the disease was unexpected, the towns-people were in no hurry to celebrate. The preceding months, though they had increased the desire for liberation, had also taught them prudence and accustomed them to count less and less on a rapid end to the epidemic. However, this new development was the subject of every conversation and, in the depths of people’s hearts, there was a great, unadmitted hope.

[…] One of the signs that a return to a time of good health was secretly expected (though no one admitted the fact) was that from this moment on people readily spoke, with apparent indifference, about how life would be reorganized after the plague. (Camus 2002, Part V)We put our hope on vaccination. Social distancing and other hygienic measures have proved to be effective, but treatments would bring us a more durable solution without compromising so hardly many economic activities and social habits.

As we said, a more important role of scientific aspects is observed in erectile dysfunction treatment if compared with La Peste (an expected fact if considered that Camus’s story is an artistic work, that he skips sometimes the most complex scientific issues of the plague and that health sciences have evolved substantially during last decades). Oranians, in fact, achieve the end of the epidemic not through clearly identified scientific responses but with certain randomness:All one could do was to observe that the sickness seemed to be going as it had arrived. The strategy being used against it had not changed.

It had been ineffective yesterday, and now it was apparently successful. One merely had the feeling that the disease had exhausted itself, or perhaps that it was retiring after achieving all its objectives. In a sense, its role was completed.

(Camus 2002, Part V)They receive the announcement made by the Prefecture of reopening the town’s gates in 2 weeks time with enthusiasm. Dealing with concrete dates gives them certainty, helps them fix the temporal horizons we wrote about. This is also the case when they are told that preventive measures would be lifted in 1 month.

Camus shows us then how the main characters are touched as well by this positive atmosphere:That evening Tarrou and Rieux, Rambert and the rest, walked in the midst of the crowd, and they too felt they were treading on air. Long after leaving the boulevards Tarrou and Rieux could still hear the sounds of happiness following them… (Camus 2002, Part V)Then, Tarrou points out a sign of recovery coming from the animal world. In a direct zoological chain, infected fleas have vanished from rats, which have been able again to multiply across the city, making the cats abandon their hiding places and to go hunting after them again.

At the final step of this chain, Tarrou sees the human being. He remembers the old man who used to spit to the cats beneath his window:At a time when the noise grew louder and more joyful, Tarrou stopped. A shape was running lightly across the dark street.

It was a cat, the first that had been seen since the spring. It stopped for a moment in the middle of the road, hesitated, licked its paw, quickly passed it across its right ear, then carried on its silent way and vanished into the night. Tarrou smiled.

The little old man, too, would be happy. (Camus 2002, Part V)Unpleasant things as a town with rats running across its streets, or a man spending his time spitting on a group of cats, constitute normality as much as the reopening of gates or the reboot of commerce. However, when Camus speaks directly about normality, he highlights more appealing habits.

He proposes common leisure activities (restaurants, theatres) as symbols of human life, since he opposes them to Cottard’s life, which has become that of a ‘wild animal’:At least in appearance he [ Cottard ] retired from the world and from one day to the next started to live like a wild animal. He no longer appeared in restaurants, at the theatre or in his favourite cafés. (Camus 2002, Part V)We do not disclose why Cottard’s reaction to the end of the epidemic is different from most of the Oranians’.

In any case, the narrator insists later on the assimilation between common pleasures and normality:‘ Perhaps,’ Cottard said, ‘ Perhaps so. But what do you call a return to normal life?. €™ ‘ New films in the cinema,’ said Tarrou with a smile.

(Camus 2002, Part V)Cinema, as well as theatre, live music and many other cultural events have been cancelled or obliged to modify their activities due to erectile dysfunction treatment. Several bars and restaurants have closed, and spending time in those who remain open has become an activity which many people tend to avoid, fearing contagion. Thus, normality in our understanding is linked as well to these simple and pleasant habits, and the complete achievement of them will probably signify for us the desired defeat of the kamagra.In La Peste, love is also seen as a simple good to be fully recovered after the plague.

While Rieux goes through the ‘reborn’ Oran, it is lovers’ gatherings what he highlights. Unlike them, everyone who, during the epidemic, sought for goals different from love (such as faith or money, for instance) remain lost when the epidemic has ended:For all the people who, on the contrary, had looked beyond man to something that they could not even imagine, there had been no reply. (Camus 2002, Part V)And this is because lovers, as the narrator says:If they had found that they wanted, it was because they had asked for the only thing that depended on them.

(Camus 2002, Part V)We have spoken before about language manipulation, hypocrisy and public figures’ roles during epidemics. Camus, during Dr Rieux’s last visit to the old asthmatic man, makes this frank and humble character criticise, with a point of irony, the authorities’ attitude concerning tributes to the dead:‘ Tell me, doctor, is it true that they’re going to put up a monument to the victims of the plague?. €™â€˜ So the papers say.

A pillar or a plaque.’‘ I knew it!. And there’ll be speeches.’The old man gave a strangled laugh.‘ I can hear them already. €œ Our dead…” Then they’ll go and have dinner.’ (Camus 2002, Part V)The old man illustrates wisely the authorities’ propensity for making speeches.

He knows that most of them usually prefer grandiloquence rather than common words, and seizes perfectly their tone when he imitates them (‘Our dead…’). We have also got used, during erectile dysfunction treatment, to these types of messages. We have also heard about ‘our old people’, ‘our youth’, ‘our essential workers’ and even ‘our dead’.

Behind this tone, however, there could be an intention to hide errors, or to falsely convey carefulness. Honest rulers do not usually need nice words. They just want them to be accurate.We have seen as well some tributes to the victims during erectile dysfunction treatment, some of which we can doubt whether they serve to victims’ relief or to authorities’ promotion.

We want rulers to be less aware of their own image and to stress truthfulness as a goal, even if this is a hard requirement not only for them, but for every single person. Language is essential in this issue, we think, since it is prone to be twisted and to become untrue. The old asthmatic man illustrates it with his ‘There’ll be speeches’ and his ‘Our dead…’, but this is not the only time in the novel in which Camus brings out the topic.

For instance, he does so when he equates silence (nothing can be thought as further from wordiness) with truth:It is at the moment of misfortune that one becomes accustomed to truth, that is to say to silence. (Camus 2002, Part II)or when he makes a solid statement against false words:…I understood that all the misfortunes of mankind came from not stating things in clear terms. (Camus 2002, Part IV)The old asthmatic, in fact, while praising the deceased Tarrou, remarks that he used to admire him because ‘he didn’t talk just for the sake of it.’ (Camus 2002, Part V).Related to this topic, what the old asthmatic says about political authorities may be transposed in our case to other public figures, such as scholars and researchers, media leaders, businessmen and women, health professionals… and, if we extend the scope, to every single citizen.

Because hypocrisy, language manipulation and the fact of putting individual interests ahead of collective welfare fit badly with collective issues such as epidemics. Hopefully, also examples to the contrary have been observed during erectile dysfunction treatment.The story ends with the fireworks in Oran and the depiction of Dr Rieux’s last feelings. While he is satisfied because of his medical performance and his activity as a witness of the plague, he is concerned about future disasters to come.

When erectile dysfunction treatment will have passed, it will be time for us as well to review our life during these months. For now, we are just looking forward to achieving our particular ‘part V’..

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SOBRE NOTICIAS buy super kamagra uk can you get kamagra over the counter EN ESPAÑOLNoticias en español es una sección de Kaiser Health News que contiene traducciones de artículos de gran interés para la comunidad hispanohablante, y contenido original enfocado en la población hispana que vive en los Estados Unidos. Use Nuestro buy super kamagra uk Contenido Este contenido puede usarse de manera gratuita (detalles). Al menos la mitad de los votantes prefiere el enfoque de la atención médica del ex vicepresidente Joe Biden al del presidente Donald Trump, lo que sugiere que la preocupación por reducir los costos y manejar la pandemia podría influir en el resultado de esta elección, según revela una nueva encuesta. Los hallazgos, de la encuesta mensual de KFF, indican que los votantes no confían en las garantías del presidente de que protegerá a las personas con condiciones preexistentes de las compañías de seguros si la Corte Suprema anulara la Ley de Cuidado de Salud a Bajo Precio (ACA).Un mes antes de que el tribunal escuche los argumentos de los fiscales generales republicanos y la administración Trump a favor de revocar buy super kamagra uk la ley, la encuesta muestra que el 79% del público no quiere que el Supremo cancele las protecciones de cobertura para los estadounidenses con afecciones preexistentes.

La mayoría de los republicanos, el 66%, dijo que no quiere que se anulen esas garantías.Además de dejar a unos 21 millones de estadounidenses sin seguro, revocar ACA podría permitir a las compañías de seguros cobrar más o negar cobertura a las personas porque tienen condiciones preexistentes, una práctica común antes que se estableciera la ley, y que un análisis del gobierno reveló en 2017 que podría afectar hasta a 133 millones de estadounidenses.Casi 6 de cada 10 personas dijeron que tenían un familiar con una condición preexistente o crónica, como diabetes, hipertensión, o cáncer, y aproximadamente la mitad dijo que les preocupa que un ser querido no pueda pagar la cobertura, o la pierda por completo, si se anulara la ley.La encuesta revela una preferencia sorprendente por Biden sobre Trump cuando se trata de proteger a las personas con condiciones preexistentes, un tema que el 94% de los votantes dijo que ayudaría a decidir por quién votar. Biden tiene buy super kamagra uk una ventaja de 20 puntos. Un 56% prefiere su enfoque, contra un 36% para Trump.De hecho, el sondeo muestra una preferencia por Biden en todos los problemas de atención médica que se plantean, incluso entre los mayores de 65 años y en temas que Trump ha dicho que eran sus prioridades mientras estuviera en el cargo, lo que indica que los votantes no están satisfechos con el trabajo del presidente para reducir los costos de la atención médica, en particular. El apoyo a los esfuerzos de Trump para reducir el precio de los medicamentos recetados ha disminuido, y los votantes ahora prefieren el enfoque de Biden, del 50% al buy super kamagra uk 43%.La mayoría de los votantes dijeron que prefieren el plan de Biden para lidiar con el brote de erectile dysfunction treatment, 55% a 39%, y para desarrollar y distribuir una vacuna para erectile dysfunction treatment, 51% a 42%.

Trump ha delegado en gran medida la gestión de la pandemia a los funcionarios estatales y locales, al tiempo que prometió que los científicos buy super kamagra uk desafiarían las expectativas y producirían una vacuna antes del día de las elecciones.Cuando se les preguntó qué tema era más importante para decidir por quién votar, la mayoría de los encuestados señaló a la atención médica. El 18% eligió el brote de erectile dysfunction treatment y el 12% mencionó el cuidado de salud en general. Casi una proporción igual, el 29%, optó por la economía.La encuesta se realizó del 7 al 12 de octubre, después del primer debate presidencial y el anuncio de Trump de que buy super kamagra uk había dado positivo para erectile dysfunction treatment. El margen de error es más o menos 3 puntos porcentuales para la muestra completa y 4 puntos porcentuales para los votantes.(KHN es un programa editorialmente independiente de KFF).

Emmarie Huetteman buy super kamagra uk. ehuetteman@kff.org, @emmarieDC Related Topics Courts Elections Health Care Costs Noticias En Español The Health Law erectile dysfunction treatment KFF Polls Preexisting ConditionsIn March, Sue Williams-Ward took a new job, with a $1-an-hour raise.The employer, a home health care agency called Together We Can, was paying a premium — $13 an hour — after it started losing aides when erectile dysfunction treatment safety concerns mounted.Williams-Ward, a 68-year-old Indianapolis native, was a devoted caregiver who bathed, dressed and fed clients as if they were family. She was known to entertain clients with some of her own 26 grandchildren, even buy super kamagra uk inviting her clients along on charitable deliveries of Thanksgiving turkeys and Christmas hams. Explore Our Database KHN and The Guardian are tracking health care workers who died from erectile dysfunction treatment and writing about their lives and what happened in their final days.

Without her, the city’s buy super kamagra uk most vulnerable would have been “lost, alone or mistreated,” said her husband, Royal Davis.Despite her husband’s fears for her health, Williams-Ward reported to work on March 16 at an apartment with three elderly women. One was blind, buy super kamagra uk one was wheelchair-bound, and the third had a severe mental illness. None had been diagnosed with erectile dysfunction treatment but, Williams-Ward confided in Davis, at least one had symptoms of fatigue and shortness of breath, now associated with the kamagra.Even after a colleague on the night shift developed pneumonia, Williams-Ward tended to her patients — without protective equipment, which she told her husband she’d repeatedly requested from the agency. Together We Can did not respond to multiple phone and email requests for comment about the PPE available to its workers.Still, Davis said, “Sue did all the little, unseen, everyday buy super kamagra uk things that allowed them to maintain their liberty, dignity and freedom.”He said that within three days Williams-Ward was coughing, too.

After six weeks in a hospital and weeks on a ventilator, she died of erectile dysfunction treatment. Hers is one of more than 1,200 buy super kamagra uk health worker erectile dysfunction treatment deaths that KHN and The Guardian are investigating, including those of dozens of home health aides.During the kamagra, home health aides have buttressed the U.S. Health care system by keeping the most vulnerable patients — seniors, the disabled, the infirm — out of hospitals. Yet even as they’ve put themselves at risk, this workforce of 2.3 million — of whom 9 in 10 are women, nearly two-thirds are minorities and almost one-third buy super kamagra uk are foreign-born — has largely been overlooked.Home health providers scavenged for their own face masks and other protective equipment, blended disinfectant and fabricated sanitizing wipes amid widespread shortages.

They’ve often done it all on poverty wages, without overtime pay, hazard pay, sick leave and health insurance. And they’ve buy super kamagra uk gotten sick and died — leaving little to their survivors. Email buy super kamagra uk Sign-Up Subscribe to KHN’s free Morning Briefing. Speaking out about their work conditions during the kamagra has triggered retaliation by employers, according to representatives of the Service Employees International Union in Massachusetts, California and Virginia.

€œIt’s been shocking, egregious and unethical,” said buy super kamagra uk David Broder, president of SEIU Virginia 512.The kamagra has laid bare deeply ingrained inequities among health workers, as Broder puts it. €œThis is exactly what structural racism looks like today in our health care system.”Every worker who spoke with KHN for this article said they felt intimidated by the prospect of voicing their concerns. All have seen colleagues fired for doing so buy super kamagra uk. They agreed to talk candidly about their work environments on the condition their full names not be used.***Tina, a home health provider, said she has faced these challenges in Springfield, Massachusetts, one of the nation’s poorest cities.Like many of her colleagues — 82%, according to a survey by the National Domestic Workers Alliance — Tina has lacked protective equipment throughout the kamagra.

Her employer is a family-owned company that gave buy super kamagra uk her one surgical mask and two pairs of latex gloves a week to clean body fluids, change wound dressings and administer medications to incontinent or bedridden clients.When Tina received the company’s do-it-yourself blueprints — to make masks from hole-punched sheets of paper towel reinforced with tongue depressors and gloves from garbage bags looped with rubber bands — she balked. €œIt felt like I was in a Third World country,” she said.The home health agencies that Tina and others in this article work for declined to comment on work conditions during the kamagra.In other workplaces — hospitals, mines, factories — employers are responsible for the conditions in which their employees operate. Understanding the plight of home health providers begins with American labor law.The Fair Labor Standards Act, which forms the basis of protections in the American workplace, was passed in an era dually marked by President Franklin Delano Roosevelt’s New Deal changes and marred by the barriers of buy super kamagra uk the Jim Crow era. The act buy super kamagra uk excluded domestic care workers — including maids, butlers and home health providers — from protections such as overtime pay, sick leave, hazard pay and insurance.

Likewise, standards set by the Occupational Safety and Health Administration three decades later carved out “domestic household employment activities in private residences.”“A deliberate decision was made to discriminate against colored people — mostly women — to unburden distinguished elderly white folks from the responsibility of employment,” said Ruqaiijah Yearby, a law professor at St. Louis University.In 2015, several of buy super kamagra uk these exceptions were eliminated, and protections for health providers became “very well regulated on paper,” said Nina Kohn, a professor specializing in civil rights law at Syracuse University. €œBut the reality is, noncompliance is a norm and the penalties for noncompliance are toothless.”Burkett McInturff, a civil rights lawyer working on behalf of home health workers, said, “The law itself is very clear. The problem lies in the ability to hold these companies accountable.”The Occupational buy super kamagra uk Safety and Health Administration has “abdicated its responsibility for protecting workers” in the kamagra, said Debbie Berkowitz, a director at the National Employment Law Project.

Berkowitz is also a former OSHA chief. In her buy super kamagra uk view, political and financial decisions in recent years have hollowed out the agency. It now has the fewest inspectors and conducts the fewest inspections per year in its history.Furthermore, some home health care agencies have classified home health providers as contractors, akin to gig workers such as Uber drivers. This loophole protects them from the responsibilities of employers, said buy super kamagra uk Seema Mohapatra, an Indiana University associate professor of law.

Furthermore, she said, buy super kamagra uk “these workers are rarely in a position to question, or advocate or lobby for themselves.”Should workers contract erectile dysfunction treatment, they are unlikely to receive remuneration or damages.Demonstrating causality — that a person caught the erectile dysfunction on the job — for workers’ compensation has been extremely difficult, Berkowitz said. As with other health care jobs, employers have been quick to point out that workers might have caught the kamagra at the gas station, grocery store or home.Many home health providers care for multiple patients, who also bear the consequences of their work conditions. €œIf you think about perfect vectors for transmission, unprotected individuals going buy super kamagra uk from house to house have to rank at the top of list,” Kohn said. €œEven if someone didn’t care at all about these workers, we need to fix this to keep Grandma and Grandpa safe.”Nonetheless, caregivers like Samira, in Richmond, Virginia, have little choice but to work.

Samira — who makes $8.25 an hour with one client and $9.44 an hour with another, and owes tens of thousands of dollars in hospital bills from previous work injuries — has no buy super kamagra uk other option but to risk getting sick.“I can’t afford not to work. And my clients, they don’t have anybody but me,” she said. €œSo I just buy super kamagra uk pray every day I don’t get it.” Eli Cahan. emcahan@stanford.edu, @emcahan Related Topics Aging Health Industry Public Health erectile dysfunction treatment Home Health Care Lost On The Frontline.

SOBRE NOTICIAS EN ESPAÑOLNoticias en español es una sección de Kaiser Health check News que contiene traducciones de artículos de gran interés para la comunidad hispanohablante, y contenido original enfocado en la población hispana que vive can i buy kamagra online en los Estados Unidos. Use Nuestro Contenido Este can i buy kamagra online contenido puede usarse de manera gratuita (detalles). Al menos la mitad de los votantes prefiere el enfoque de la atención médica del ex vicepresidente Joe Biden al del presidente Donald Trump, lo que sugiere que la preocupación por reducir los costos y manejar la pandemia podría influir en el resultado de esta elección, según revela una nueva encuesta.

Los hallazgos, de la encuesta mensual de KFF, indican que los votantes no confían en las garantías del presidente de que protegerá a las personas con condiciones preexistentes de las compañías de seguros si can i buy kamagra online la Corte Suprema anulara la Ley de Cuidado de Salud a Bajo Precio (ACA).Un mes antes de que el tribunal escuche los argumentos de los fiscales generales republicanos y la administración Trump a favor de revocar la ley, la encuesta muestra que el 79% del público no quiere que el Supremo cancele las protecciones de cobertura para los estadounidenses con afecciones preexistentes. La mayoría de los republicanos, el 66%, dijo que no quiere que se anulen esas garantías.Además de dejar a unos 21 millones de estadounidenses sin seguro, revocar ACA podría permitir a las compañías de seguros cobrar más o negar cobertura a las personas porque tienen condiciones preexistentes, una práctica común antes que se estableciera la ley, y que un análisis del gobierno reveló en 2017 que podría afectar hasta a 133 millones de estadounidenses.Casi 6 de cada 10 personas dijeron que tenían un familiar con una condición preexistente o crónica, como diabetes, hipertensión, o cáncer, y aproximadamente la mitad dijo que les preocupa que un ser querido no pueda pagar la cobertura, o la pierda por completo, si se anulara la ley.La encuesta revela una preferencia sorprendente por Biden sobre Trump cuando se trata de proteger a las personas con condiciones preexistentes, un tema que el 94% de los votantes dijo que ayudaría a decidir por quién votar. Biden tiene can i buy kamagra online una ventaja de 20 puntos.

Un 56% prefiere su enfoque, contra un 36% para Trump.De hecho, el sondeo muestra una preferencia por Biden en todos los problemas de atención médica que se plantean, incluso entre los mayores de 65 años y en temas que Trump ha dicho que eran sus prioridades mientras estuviera en el cargo, lo que indica que los votantes no están satisfechos con el trabajo del presidente para reducir los costos de la atención médica, en particular. El apoyo a los esfuerzos de Trump para reducir el precio de los medicamentos recetados ha disminuido, y los votantes ahora prefieren el enfoque de Biden, del 50% al 43%.La mayoría de los votantes dijeron que prefieren el plan de Biden para lidiar con el brote de erectile dysfunction treatment, 55% a 39%, y para desarrollar y distribuir una can i buy kamagra online vacuna para erectile dysfunction treatment, 51% a 42%. Trump ha delegado can i buy kamagra online en gran medida la gestión de la pandemia a los funcionarios estatales y locales, al tiempo que prometió que los científicos desafiarían las expectativas y producirían una vacuna antes del día de las elecciones.Cuando se les preguntó qué tema era más importante para decidir por quién votar, la mayoría de los encuestados señaló a la atención médica.

El 18% eligió el brote de erectile dysfunction treatment y el 12% mencionó el cuidado de salud en general. Casi una proporción igual, el 29%, optó por la economía.La encuesta se realizó del 7 al 12 de octubre, después del primer debate presidencial y el anuncio de Trump de que había can i buy kamagra online dado positivo para erectile dysfunction treatment. El margen de error es más o menos 3 puntos porcentuales para la muestra completa y 4 puntos porcentuales para los votantes.(KHN es un programa editorialmente independiente de KFF).

Emmarie can i buy kamagra online Huetteman. ehuetteman@kff.org, @emmarieDC Related Topics Courts Elections Health Care Costs Noticias En Español The Health Law erectile dysfunction treatment KFF Polls Preexisting ConditionsIn March, Sue Williams-Ward took a new job, with a $1-an-hour raise.The employer, a home health care agency called Together We Can, was paying a premium — $13 an hour — after it started losing aides when erectile dysfunction treatment safety concerns mounted.Williams-Ward, a 68-year-old Indianapolis native, was a devoted caregiver who bathed, dressed and fed clients as if they were family. She was known to entertain clients with some of her own 26 grandchildren, even inviting her clients along on charitable deliveries of Thanksgiving turkeys can i buy kamagra online and Christmas hams.

Explore Our Database KHN and The Guardian are tracking health care workers who died from erectile dysfunction treatment and writing about their lives and what happened in their final days. Without her, the city’s most vulnerable would have been “lost, alone or mistreated,” said can i buy kamagra online her husband, Royal Davis.Despite her husband’s fears for her health, Williams-Ward reported to work on March 16 at an apartment with three elderly women. One was blind, one was wheelchair-bound, and the third had can i buy kamagra online a severe mental illness.

None had been diagnosed with erectile dysfunction treatment but, Williams-Ward confided in Davis, at least one had symptoms of fatigue and shortness of breath, now associated with the kamagra.Even after a colleague on the night shift developed pneumonia, Williams-Ward tended to her patients — without protective equipment, which she told her husband she’d repeatedly requested from the agency. Together We Can did not respond to multiple phone and email requests for comment about the PPE available to its workers.Still, Davis said, “Sue did all the little, unseen, everyday things that allowed them to maintain their liberty, can i buy kamagra online dignity and freedom.”He said that within three days Williams-Ward was coughing, too. After six weeks in a hospital and weeks on a ventilator, she died of erectile dysfunction treatment.

Hers is one of more than 1,200 health worker erectile dysfunction treatment deaths that KHN and can i buy kamagra online The Guardian are investigating, including those of dozens of home health aides.During the kamagra, home health aides have buttressed the U.S. Health care system by keeping the most vulnerable patients — seniors, the disabled, the infirm — out of hospitals. Yet even as they’ve put themselves at risk, this workforce of 2.3 million — of whom 9 in 10 are women, nearly two-thirds are minorities and almost one-third are foreign-born — has largely been can i buy kamagra online overlooked.Home health providers scavenged for their own face masks and other protective equipment, blended disinfectant and fabricated sanitizing wipes amid widespread shortages.

They’ve often done it all on poverty wages, without overtime pay, hazard pay, sick leave and health insurance. And they’ve gotten sick and died — leaving little to their survivors can i buy kamagra online. http://cxnclinical.com/home-five/ Email can i buy kamagra online Sign-Up Subscribe to KHN’s free Morning Briefing.

Speaking out about their work conditions during the kamagra has triggered retaliation by employers, according to representatives of the Service Employees International Union in Massachusetts, California and Virginia. €œIt’s been shocking, egregious and unethical,” said David Broder, president of SEIU Virginia 512.The kamagra has laid bare deeply ingrained inequities can i buy kamagra online among health workers, as Broder puts it. €œThis is exactly what structural racism looks like today in our health care system.”Every worker who spoke with KHN for this article said they felt intimidated by the prospect of voicing their concerns.

All have seen can i buy kamagra online colleagues fired for doing so. They agreed to talk candidly about their work environments on the condition their full names not be used.***Tina, a home health provider, said she has faced these challenges in Springfield, Massachusetts, one of the nation’s poorest cities.Like many of her colleagues — 82%, according to a survey by the National Domestic Workers Alliance — Tina has lacked protective equipment throughout the kamagra. Her employer is a family-owned company that gave her one surgical mask and can i buy kamagra online two pairs of latex gloves a week to clean body fluids, change wound dressings and administer medications to incontinent or bedridden clients.When Tina received the company’s do-it-yourself blueprints — to make masks from hole-punched sheets of paper towel reinforced with tongue depressors and gloves from garbage bags looped with rubber bands — she balked.

€œIt felt like I was in a Third World country,” she said.The home health agencies that Tina and others in this article work for declined to comment on work conditions during the kamagra.In other workplaces — hospitals, mines, factories — employers are responsible for the conditions in which their employees operate. Understanding the plight of home health providers begins with American labor law.The Fair Labor Standards Act, which forms the basis of protections in the American workplace, was passed in an era dually marked by President Franklin Delano Roosevelt’s New Deal changes and marred by the barriers of the Jim can i buy kamagra online Crow era. The act excluded domestic care workers — including maids, butlers and home health providers — from protections such as overtime pay, sick leave, hazard can i buy kamagra online pay and insurance.

Likewise, standards set by the Occupational Safety and Health Administration three decades later carved out “domestic household employment activities in private residences.”“A deliberate decision was made to discriminate against colored people — mostly women — to unburden distinguished elderly white folks from the responsibility of employment,” said Ruqaiijah Yearby, a law professor at St. Louis University.In 2015, several of these exceptions were eliminated, and protections for health providers became “very well regulated on paper,” said Nina Kohn, a can i buy kamagra online professor specializing in civil rights law at Syracuse University. €œBut the reality is, noncompliance is a norm and the penalties for noncompliance are toothless.”Burkett McInturff, a civil rights lawyer working on behalf of home health workers, said, “The law itself is very clear.

The problem lies in the ability to hold can i buy kamagra online these companies accountable.”The Occupational Safety and Health Administration has “abdicated its responsibility for protecting workers” in the kamagra, said Debbie Berkowitz, a director at the National Employment Law Project. Berkowitz is also a former OSHA chief. In her view, political can i buy kamagra online and financial decisions in recent years have hollowed out the agency.

It now has the fewest inspectors and conducts the fewest inspections per year in its history.Furthermore, some home health care agencies have classified home health providers as contractors, akin to gig workers such as Uber drivers. This loophole protects them from the responsibilities of employers, said Seema Mohapatra, an Indiana University associate professor of law. Furthermore, she said, “these workers are rarely in a position to question, or advocate or lobby for themselves.”Should workers contract erectile dysfunction treatment, they are unlikely to receive remuneration or damages.Demonstrating causality — that a person caught the erectile dysfunction on the job — for workers’ compensation has been extremely difficult, Berkowitz said.

As with other health care jobs, employers have been quick to point out that workers might have caught the kamagra at the gas station, grocery store or home.Many home health providers care for multiple patients, who also bear the consequences of their work conditions. €œIf you think about perfect vectors for transmission, unprotected individuals going from house to house have to rank at the top of list,” Kohn said. €œEven if someone didn’t care at all about these workers, we need to fix this to keep Grandma and Grandpa safe.”Nonetheless, caregivers like Samira, in Richmond, Virginia, have little choice but to work.

Samira — who makes $8.25 an hour with one client and $9.44 an hour with another, and owes tens of thousands of dollars in hospital bills from previous work injuries — has no other option but to risk getting sick.“I can’t afford not to work. And my clients, they don’t have anybody but me,” she said. €œSo I just pray every day I don’t get it.” Eli Cahan.

emcahan@stanford.edu, @emcahan Related Topics Aging Health Industry Public Health erectile dysfunction treatment Home Health Care Lost On The Frontline.

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