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Category: Health

  • MIL-OSI USA: RI Delegation Announces $11.36 Million in State Opioid Response Grants

    Source: United States House of Representatives – Representative Seth Magaziner (RI-02)

    WASHINGTON, DC – In an effort to save lives and better connect Rhode Islanders struggling with opioid use disorder to treatment, recovery, and prevention services, U.S. Senators Jack Reed and Sheldon Whitehouse and U.S. Representatives Seth Magaziner and Gabe Amo today announced $11,363,011 for Rhode Island through the federal State Opioid Response (SOR) grant, administered by the Substance Abuse and Mental Health Services Administration (SAMHSA).

    SOR funding supports evidence-based practices to help states strengthen prevention, treatment, recovery, and harm reduction programs in their communities.  Rhode Island may use the federal grant to fund a wide range of action, including expanding access to the opioid overdose-reversal drug naxolone — better known by its brand-name Narcan — along with recovery support for those struggling with addiction.

    The three–year grant aims to connect more people to services and help prevent opioid addiction statewide; reduce the number of prescription drug/opioid overdoses; and increase access and reduce unmet needs through prevention, treatment, and by gathering data on addiction treatment and recovery resources.  The state has also used federal funding to improve data collection and tracking mechanisms to gauge the effectiveness and reach of its initiatives, creating a public dashboard at PreventOverdoseRI.org (PORI). 

    PORI provides the public with up-to-date resources for overdose prevention supplies, access to treatment, and public events.  According to PORI, using data collected from the Rhode Island Department of Health (RIDOH), accidental overdose deaths in Rhode Island have been trending downward in recent years, from 436 in 2022 to 164 so far in 2024.

    “Too many families have lost loved ones to overdoses and opioid addiction has shattered too many lives.  This federal funding will strengthen the state’s coordinated response to combat addiction, reduce overdose rates, and put recovery within reach for more Rhode Islanders.  It will better connect people in need to services across the continuum of prevention, harm reduction, treatment, and recovery.  This is a needed investment in saving lives, healthier communities, and helping residents affected by opioid addiction get the care and treatment they need,” said Senator Reed, a senior member of the Appropriations Subcommittee on Labor-Health and Human Services (L-HHS), who helped include $1.575 billion for State Opioid Response Grants in the 2024 appropriations law, as well as $2 billion for the Substance Use Prevention, Treatment, and Recovery Services Block Grant.

    “The opioid crisis has taken a heartbreaking toll on families from all walks of life in every corner of our state.  We need to ensure treatment, prevention, and recovery services are reaching the Rhode Islanders who need them,” said Senator Whitehouse, author of the Comprehensive Addiction and Recovery Act, the federal law guiding the federal response to the opioid epidemic.  “This federal funding will help ensure that support is available to anyone seeking out the long, noble road of recovery.”

    “Opioid addiction has impacted far too many Rhode Islanders, and we need to ensure treatment and support is readily available to those struggling with substance use,” said Rep. Seth Magaziner. “This federal funding will save lives by expanding access to services for people in recovery and overdose prevention medication like naloxone.” 

    “Opioid use disorder has impacted countless Rhode Island families,” said Congressman Gabe Amo. “Today, I’m proud to stand with my delegation colleagues as we announce more than $11 million dollars in federal funding to expand prevention, treatment, and recovery programs in our state. Let’s keep going.”

    America’s overdose crisis has been fueled by the presence of fentanyl, a dangerous synthetic opioid that has been linked to a number of overdose fatalities in Rhode Island and nationwide.  Fentanyl, which is mixed with other substances like cocaine or heroin, is dangerously potent.  Last year, 85 percent of overdoses involved any opioid, including fentanyl, while 78 percent involved fentanyl, according to RIDOH. 

    Deaths from accidental overdoses decreased by 7.3 percent last year in Rhode Island (from 436 in 2022 to 404 in 2023), the first time in four years that the number has gone down, according to the Governor’s Overdose Task Force.  Rhode Island’s decrease in overdoses was over twice the national average, with America experiencing a 3 percent decrease in accidental overdose deaths in 2023.

    The U.S. Centers for Disease Control and Prevent (CDC) credits Rhode Island for taking steps to streamlined naloxone distribution: “Based on an assessment of community need, Rhode Island increased the availability of naloxone kits and launched a new central online ordering system to better coordinate the distribution and tracking process. This multi-agency effort streamlined naloxone procurement and distribution across the state. 

    Since 2018, Rhode Island has received over $63.2 million in SOR funding to combat opioids. 
     

    MIL OSI USA News –

    January 23, 2025

  • MIL-OSI USA: Senator Hassan Presses Novo Nordisk to Increase Access to Lower-Cost Medications

    US Senate News:

    Source: United States Senator for New Hampshire Maggie Hassan
    WASHINGTON – U.S. Senator Maggie Hassan pressed the CEO of a major drug manufacturer, Novo Nordisk, on increasing access to lower-cost insulin and obesity medication for Americans at a Health, Education, Labor and Pensions Committee Hearing.
    To watch Senator Hassan’s hearing questions, click here.
    Senator Hassan began by highlighting the impact of Novo Nordisk’s abrupt discontinuation of the insulin drug, Levemir, on Americans with diabetes. Hassan has previously urged Big Pharma companies, including Novo Nordisk, to improve patient access to lower-cost insulin. She asked Mr. Jørgensen, the CEO of Novo Nordisk, to commit to allowing biosimilar access in the U.S. market.
    “Levemir is a critical insulin product… By discontinuing Levemir in January of 2024, Novo Nordisk interrupted the diabetes care plans of millions of Americans with only a few weeks’ notice. Will Novo Nordisk agree to provide any interested company with the necessary information and drug formulation to make Levemir?”
    After Senator Hassan pushed him further, Mr. Jørgensen stated that if a drug company was interested, Novo Nordisk would collaborate with potential manufacturers, but refused to name the specific steps the company would take to identify and help another manufacturer for Levemir.
    Senator Hassan then pressed Mr. Jørgensen on his arguments that Novo Nordisk must keep prices high for its widely used diabetes and weight loss medications Ozempic and Wegovy, because otherwise pharmacy benefit managers (PBMs) would stop covering the medications. Senator Hassan read Mr. Jørgensen statements from the three largest PBMs confirming that they would not limit access to Ozempic and Wegovy and that, in fact, some suggested that lowering the list price would expand access for consumers. “With that in mind, would you please commit to lowering the list price of these drugs?” said Senator Hassan. Mr. Jørgensen refused to commit to lowering the list price and insisted that “less patients have access to our medicines when we have lowered the price.”
    Senator Hassan concluded by noting the importance of allowing other low-cost drug options to go to market. “Lastly, I just want to note that one way of reducing drug prices is encouraging the entry of generic and biosimilar medications, which can provide lower-cost options for patients. So, I will follow up with you to – I hope – get a commitment that Novo Nordisk will not stand in the way of other companies coming up with lower-cost version of these drugs if the companies currently have them in development.”
    Senator Hassan is working to lower prescription drug costs for Americans. Last year’s government funding bill, which is now law, included three bipartisan measures backed by Senator Hassan to increase access to generic and biosimilar medications. In addition, she successfully pushed to cap insulin costs for those on Medicare as part of the Inflation Reduction Act that became law in 2022. Senator Hassan has also introduced bipartisan legislation to close oversight gaps that drug manufacturers take advantage of to keep prescription drug prices high, which will be considered in the HELP Committee tomorrow.

    MIL OSI USA News –

    January 23, 2025

  • MIL-OSI USA: King Introduces Bipartisan Resolution to Designate September as National Recovery Month

    US Senate News:

    Source: United States Senator for Maine Angus King
    WASHINGTON, D.C. — U.S. Senators Angus King (I-ME) and Shelly Moore-Capito (R-WV) have introduced a bipartisan resolution recognizing substance use disorder and the recovery efforts needed to overcome this disease. The challenges posed by substance use disorder have continued to wreak havoc across Maine and the nation. This has been exacerbated in recent years due to limited access to treatment programs and increased isolation.
    However, there have been positive trends with the Centers for Disease Control and Prevention (CDC) reporting that drug overdose deaths nationwide decreased by three percent in 2023 — the first annual decrease since 2018. During that same time period, Maine, saw overdose deaths decrease by nearly 16 percent. This resolution shows a continued commitment to build upon these efforts and further bring down the rates of overdose deaths and substance use disorder.
    “Maine is one big, spread-out community and we have an obligation to one another to ensure we not only survive, but thrive,” said Senator King. “Tragically, we are losing too many of our loved ones to substance use disorder, leaving families scarred by their absence. The good news is we have started to see declines in overdose deaths, but we cannot let up on our efforts to provide quality care and support. This resolution recognizes our commitment to those struggling with substance use disorder and is another step forward in working together to save lives in Maine and across the country.”
    “I am proud to join my colleagues again in designating September as National Recovery Month,” said Senator Capito. “While the number of fatal overdoses thankfully has begun to decline in West Virginia and across the nation, far too many individuals are still being impacted by substance abuse. My hope is that by recognizing those who are in recovery — or on the road to recovery — from drug and alcohol addiction, we are providing a path forward those still living with addiction. In addition, the resolution rightfully highlights the vital role family members, friends, and communities play in this process.”
    Senator King has made combating the opioid crisis one of his highest priorities in Washington. In the 2023 National Defense Authorization Act, King secured significant investments to improve drug shipment interdiction, an area where he has long called for more resources. In the Fiscal Year 2022 budget, he secured new federal investments in our nation’s response to the ongoing opioid and substance use disorder (SUD) epidemic. He also secured nearly $1 million for SUD treatment for Maine through the American Rescue Plan. Senator King has also previously introduced the LifeBOAT Act, legislation that would help combat the opioid epidemic.
    The complete text of the resolution can be read here.

    MIL OSI USA News –

    January 23, 2025

  • MIL-OSI USA: Gosar Introduces Legislation to Sue Big Pharma for Vaccine Injuries

    Source: United States House of Representatives – Congressman Paul A Gosar DDS (AZ-04)

    Washington, D.C.  — Congressman Paul A. Gosar, D.D.S. (AZ-09), issued the following statement after introducing H.R. 9828, the End the Vaccine Carveout Act, a bill that would strip vaccine manufacturers of their unjust liability shields. This carveout has resulted in hundreds of billions of dollars in profits for Big Pharma while leaving tens of thousands of people without the ability to seek legal justice and compensation for injuries caused by vaccines. 

    “Although federal bureaucrats and Big Pharma insist that vaccines are safe, there is an unfortunate lack of science regarding the safety of vaccines.  For example, a review of 12,000 scientific papers by the Institute of Medicine published in 2012 found that 98% of injuries studied were either caused by or may have been caused by a vaccine.  Another government study found that while vaccines caused injuries in 10 percent of cases, only one percent get reported, meaning those injured by vaccines are vastly undercounted.

    Furthermore, according to the Center for Disease Control’s Vaccine Adverse Event Reporting System, nearly 20,000 Americans were reported as having been killed to date by a COVID-19 vaccine, equating to one death for every 14,000 people vaccinated, much higher than the one in a million deaths that is normally cited for dangerous vaccines.

    Government bureaucrats and scientists responsible for approving vaccines are in bed with Big Pharma, often owning pharmaceutical stocks, serving as consultants and receiving lucrative contracts from pharmaceutical companies that pressure them to produce favorable results which is in direct violation of federal law.

    Worse, many scientists and researchers in government agencies develop patents for vaccines that are approved by the very agencies they work for, creating a conflict of interest and raising serious questions about the impartiality of their decisions.

    Under current law, it is nearly impossible to hold vaccine manufacturers liable for injuries caused by vaccines due to a 1986 law that unfairly created a special immunity carveout for Big Pharma, making it very difficult for vaccine-injured victims to win in a court of law. 

    My legislation strips away current immunity provisions unfairly shielding Big Pharma from the harms caused by their products and allows those injured by vaccines to pursue a civil lawsuit in state or federal court.  Big Pharma doesn’t deserve a get-out-of-jail-free card for injuries caused by their harmful vaccines,” concluded Congressman Gosar.

    Children’s Health Defense Founder and Chairman of the Board on Leave Robert F. Kennedy Jr, said: “The four American vaccine makers are criminal enterprises that have paid tens of billions in criminal penalties over the past decade.  By freeing them from liability for negligence, the 1986 statute removed any incentive for these companies to make safe products.  If we want safe and effective vaccines, we need to end the liability shield.”

    Children’s Health Defense President Mary Holland added: “Thank you to Congressman Gosar for introducing this historic and urgently needed legislation.  For over 35 years, parents of children injured and killed by government-recommended vaccines have been left with no meaningful redress — only a complex, sham compensation program that pits grieving families against the government, while Big Pharma enjoys no liability. During that same time, chronic health conditions in children – autism, ADHD, severe allergies, asthma – have skyrocketed. This legislation will help to end Big Pharma’s reign over government. The corrupt public-private partnership of the 1986 National Childhood Vaccine Injury Act has suppressed science, stacked the deck against families, subverted the democratic marketplace of checks and balances, and removed citizens’ rights to a trial by jury. Americans deserve better.”

    Background:

    In 1986, Congress passed the National Childhood Vaccine Injury Act (NVCIA), which shields vaccine manufacturers from the harm caused by their products, making it almost impossible for a person injured by a vaccine to win in court.  The plaintiff must prove that the vaccine manufacturer deliberately “[withheld] information relating to the safety or efficacy of the vaccine,” engaged in “criminal or illegal activity relating to the safety and effectiveness of vaccines,” or “by clear and convincing evidence… failed to exercise due care.” Satisfying these requirements is practically an impossibility.   

    The Centers for Disease Control (CDC) and the National Institutes of Health (NIH) are tasked with approving vaccines.  Sadly, there exists a massive conflict of interest, since the scientists who work at these agencies license the patents to vaccine manufacturers and, in so doing, earn up to $150,000 in royalties. Furthermore, voting members on the boards that advise the CDC and the NIH owned stocks in vaccine manufacturers, engaged in contract work for vaccine manufacturers, and received grants from vaccine manufacturers.

    Current cosponsors (30): 

    Representatives Andy Biggs, Lauren Boebert, Josh Brecheen, Tim Burchett, Eric Burlison, Mike Collins, Eli Crane, Warren Davidson, Byron Donalds, Matt Gaetz, Bob Good, Marjorie Taylor Greene, Harriet Hageman, Andy Harris, Clay Higgins, Ronny Jackson, Anna Paulina Luna, Nancy Mace, Thomas Massie, Mary E. Miller, Cory Mills, Barry Moore, Troy E. Nehls, Ralph Norman, Andy Ogles, Bill Posey, Chip Roy, Keith Self, Victoria Spartz, Randy K. Weber Sr.

    Outside Group Support: 

    American Family Project, Children’s Health Defense, React19

    MIL OSI USA News –

    January 23, 2025

  • MIL-OSI USA: Kaine Statement on Insurance Coverage of IVF For Federal Employees

    US Senate News:

    Source: United States Senator for Virginia Tim Kaine
    WASHINGTON, D.C. – Today, U.S. Senator Tim Kaine (D-VA), a member of the Senate Health, Education, Labor and Pensions (HELP) Committee, released the following statement after the Office of Management and Budget (OMB) announced expanded coverage of in-vitro fertilization (IVF) and other fertility services through the Federal Employee Health Benefits (FEHB) program—a move that Kaine pushed for:
    “If the federal government wants to continue to retain and attract the best civil servants, it must provide employees with comprehensive coverage of IVF and other assisted reproductive technology services. At a time when reproductive freedom is under threat, I’m glad that OMB heeded our calls and announced all federal employees, regardless of where they live, can access coverage for these services. I will continue working to pass my bipartisan Reproductive Freedom for All Act to restore the protections under Roe and safeguard Americans’ freedom to make their own health care decisions without government interference.”
    Kaine is a cosponsor of the Family Building FEHB Fairness Act to require insurance providers in the FEHB program to provide coverage of IVF and assisted reproductive technology (ART) services. The FEHB program is the largest employer-run health insurance program in the U.S. covering more than 8 million federal employees, retirees, and their dependents.
    Kaine has long championed efforts to protect reproductive freedom and IVF. In June and earlier this month, Kaine voted to pass his legislation to protect and expand access to IVF, including for federal employees, but it was blocked by Senate Republicans. In March, Kaine invited Norfolk-born Elizabeth Carr, the first person born in the United States via IVF, to join him as his guest at the State of the Union. Kaine held two roundtables in Norfolk and Arlington to discuss the need to protect IVF. After the Supreme Court struck down Roe v. Wade, Kaine worked across the aisle to introduce the Reproductive Freedom For All Act, a bipartisan bill to protect access to abortion and contraception.

    MIL OSI USA News –

    January 23, 2025

  • MIL-OSI USA: Kaine Underscores Need to Pass His Bipartisan Child Care Legislation Following Century Foundation Report

    US Senate News:

    Source: United States Senator for Virginia Tim Kaine
    WASHINGTON, D.C. – Today, U.S. Senator Tim Kaine (D-VA), a member of the Senate Health, Education, Labor and Pensions (HELP) Committee, reiterated the need to pass his bipartisan legislation to address the child care crisis following a new report released by The Century Foundation. The report found that child care costs in Virginia have increased by 11% since 2019, while child care employment levels fell by 18 percent from 2019 to 2023. In Virginia, the average cost for an infant in a center is $16,397 per year, and the annual cost for two children in a center is 73% more than the average rent payment and 24% more than the average mortgage payment.
    “This report underscores what I hear around Virginia—that child care is unaffordable for many families, and that providers are struggling to retain staff and keep their doors open. This crisis isn’t going to go away on its own, and it’s negatively impacting our economy as many parents aren’t able to enter the workforce. Congress must act to make it easier for parents to access quality, affordable care for their kids. This is an issue that transcends parties and state lines, and I will keep working with my colleagues to garner support for my bipartisan legislation with Senator Britt,” said Kaine.
    The full report can be found here.
    Kaine has long been pushing to expand access to child care. In July 2024, he introduced the bipartisan Child Care Availability and Affordability Act and the Child Care Workforce Act—two pieces of legislation to make child care more affordable and accessible. Last fall, he introduced the Child Care Stabilization Act to expand vital child care funding to help providers keep their doors open. He has also introduced the Child Care for Working Families Act to expand access to child care, raise wages for providers, and lower costs for families by ensuring no family pays more than 7% of their income on child care. He has introduced bipartisan legislation to develop, administer, and evaluate early childhood education apprenticeships.

    MIL OSI USA News –

    January 23, 2025

  • MIL-OSI USA: GIDDY UP-DATE NEWSLETTER: Adventures in Southwestern Colorado

    US Senate News:

    Source: United States Senator for Colorado John Hickenlooper

    Hey folks, 
    In case you missed it, we crisscrossed Southwestern Colorado to hear about local issues and hold a public town hall to meet Coloradans like YOU! Check out our travels below

    First stop: Cortez. 
    Rural critical access hospitals are forced to overcome challenges other health care providers don’t worry about. We visited Southwest Memorial Hospital to discuss these issues and share how we’re fighting to get them resources they need. Read more about our visit HERE! 

    We also held a town hall in Cortez to hear directly from YOU on a range of issues like energy permitting reform, immigration, and public lands. Didn’t get to stop by and ask your question? As always, you can send us your questions HERE. 

    For decades, the federal government forced Native American children into horrific boarding schools that stripped them of their identity. Today, the Kwiyagat Community Academy in Towaoc is leading the way in preserving the indigenous language and culture of the Ute Mountain Ute Tribe. 
    We also met with Ute Mountain Ute Tribal Council members to discuss issues, including water rights and security, and toured the Farm and Ranch Enterprise, the Tribe’s 7,700 acre farm where they produce alfalfa, wheat, and corn! 

    Read the full article in the Durango Herald 
    HERE
    In Durango, we celebrated the CDS funding (over $3 million!) to help convert the former Best Western hotel into 120 new units of affordable housing. Who doesn’t like the sound of that? 

    Fort Lewis College’s new nurse training facility and program is helping solve our rural health care worker shortage through workforce training that the region desperately needs! We toured the construction of the facility to see how our $1.3 million in CDS funding is helping. Pretty neat, right?

    Statewide innovation? Yeah, Colorado has that. Agile Space in Durango is helping to meet the needs of our booming aerospace industry and reinforcing our state as THE leader in the national security sector. 
    Always great to meet with Coloradans in Southwest Colorado, and can’t wait to be back soon! Until next time! 
    Sincerely, 

    Senator John Hickenlooper
    Not signed up for our Giddy Up-date email newsletter? You’re missing out! Sign up HERE!

    MIL OSI USA News –

    January 23, 2025

  • MIL-OSI Translation: Statement from Dr. Theresa Tam, Chief Public Health Officer of Canada, and Dr. Mary Jane Ireland, Chief Veterinarian of Canada, on the release of the Pan-Canadian Action Plan on Antimicrobial Resistance Year One Progress Report

    MIL OSI Translation. Canadian French to English –

    Source: Government of Canada – in French 1

    Statement

    Today, we are pleased to announce the release of the Pan-Canadian Action Plan (PAP) on Antimicrobial Resistance Year One Progress Report. This report provides an overview of the activities underway and the milestones we have achieved with our federal, provincial and territorial partners during the first year of the Pan-Canadian Action Plan.

    September 26, 2024 | Ottawa, Ontario | Public Health Agency of Canada

    Today we are pleased to announce the publication from the first year progress report of the Pan-Canadian Action Plan (PAP) on Antimicrobial Resistance. This report provides an overview of the activities underway and the milestones we have achieved with our federal, provincial and territorial partners during the first year of the Pan-Canadian Action Plan.

    Antimicrobials, which include antibiotics, antifungals, antivirals, and antiparasitics, are essential medicines for preventing and treating infections in humans, animals, plants, and crops. Antimicrobial resistance occurs when microbes evolve and the medicines used to fight infections become less effective. As antimicrobial resistance increases, the ability to successfully treat infections is threatened, which can have serious consequences for the health of people, animals, and plants.

    The report focuses on strengthening capacity to monitor antimicrobial resistance and use in Canada by developing the LNM National Laboratory Surveillance System for Antimicrobial Resistance for human and animal health, by publishing the reserve list of antimicrobial drugs Canadian guide to prescribers on which antimicrobial drugs to use sparingly to preserve their effectiveness, in investing in developing and sharing national guidelines for point-of-care antimicrobial prescribing to reduce unnecessary or inappropriate use of antimicrobials in human health, and in developing the Pilot project to increase the supply of antimicrobials in Canada, which will be launched later this year to improve access to antimicrobials for people in Canada.

    Progress is also being made to support disease prevention and control in animals by facilitating access to alternatives to antimicrobials, such as vaccines, modernizing the Livestock Feed Regulations to support the use of innovative products in commercial livestock feed and to help reduce the need for antimicrobials, and by advancing research and innovation in antimicrobial resistance nationally and internationally, through theGenomics Research and Development Initiative on antimicrobial resistance,Assessment of antimicrobial resistance (AMR) and antimicrobial use (AMU) in food animals of the Canadian Academy of Health Sciences, and current involvement in theJoint Programming Initiative on Antimicrobial Resistance.

    Antimicrobial resistance is a global crisis with far-reaching consequences. We are pleased to participate in this year’s United Nations High-Level Week at the General Assembly to reaffirm Canada’s commitment to combating antimicrobial resistance, share information on our progress, and engage with international health leaders and experts on key global health challenges.

    Through our collective efforts, we can ensure that the antimicrobials we rely on every day remain effective and are available to people and animals when they need them – today and for generations to come.

    To learn more about RAM: Canada.ca/antibiotics

    Dr. Theresa TamChief Public Health Officer

    Dr. Mary Jane IrelandChief Veterinarian

    Contact persons

    Media RelationsPublic Health Agency of Canada613-957-2983 media@hc-sc.gc.ca

    Media RelationsCanadian Food Inspection Agency613-773-6600cfia.media.acia@inspection.gc.ca

    EDITOR’S NOTE: This article is a translation. Apologies should the grammar and/or sentence structure not be perfect.

    MIL Translation OSI

    January 23, 2025

  • MIL-OSI Canada: Statement from Dr. Theresa Tam, Chief Public Health Officer of Canada, and Dr. Mary Jane Ireland, Chief Veterinary Officer for Canada, on the release of the Pan-Canadian Action Plan on Antimicrobial Resistance Year 1 Progress Report

    Source: Government of Canada News

    Statement

    Today, we are pleased to announce the release of the Pan-Canadian Action Plan (PCAP) on Antimicrobial Resistance Year 1 Progress Report. The report provides an overview of the activities underway and milestones we have reached with our federal, provincial and territorial partners during the first year of the Pan-Canadian Action Plan.

    September 26, 2024 | Ottawa, Ontario | Public Health Agency of Canada

    Today, we are pleased to announce the release of the Pan-Canadian Action Plan (PCAP) on Antimicrobial Resistance Year 1 Progress Report. The report provides an overview of the activities underway and milestones we have reached with our federal, provincial and territorial partners during the first year of the Pan-Canadian Action Plan.

    Antimicrobials, which include antibiotics, antifungals, antivirals and antiparasitics, are essential medications for preventing and treating infections in humans, animals, plants and crops. Antimicrobial resistance happens when microbes evolve and the medications used to fight infections become less effective. As resistance to antimicrobials increases, the ability to successfully treat infections is threatened, which can have serious health consequences for people, animals and plants. 

    Key highlights in the report include increasing the ability to monitor antimicrobial resistance and use in Canada through expanding a national AMR laboratory surveillance system for human and animal health; publishing the Canadian reserve list for antimicrobial drugs to guide prescribers on which antimicrobial drugs to use sparingly in order to preserve effectiveness; investing in developing and sharing national antimicrobial prescribing guidelines at point-of-care to reduce unnecessary or inappropriate use of antimicrobials in human health; and developing the Antimicrobial Economic Incentives Pilot Project, which will launch later this year to improve access to antimicrobials for people in Canada.

    Progress is also being made to support disease prevention and control in animals by facilitating access to alternatives to antimicrobials, such as vaccines; modernizing the Feed Regulations to support the use of innovative products in commercial livestock feed and help reduce the need for antimicrobials; and advancing AMR research and innovation domestically and internationally, through the Genomics Research and Development Initiative on AMR, the Canadian Academy of Health Sciences Assessment on Antimicrobial Resistance (AMR) and Antimicrobial Use (AMU) in Food Producing Animals, and current engagement on the Joint Programming Initiative on Antimicrobial Resistance.

    Antimicrobial resistance is a global crisis with far-reaching consequences. We are pleased to participate in the United Nations General Assembly High-Level Week this year to reaffirm Canada’s commitment to combat AMR, share information about our progress and work together with international health leaders and experts on key global health challenges.

    Through our collective efforts, we can help ensure that the antimicrobials we count on every day remain effective and are there for both people and animals when they need them – now and for generations to come.

    Learn more about AMR: Canada.ca/antibiotics

    Dr. Theresa Tam
    Chief Public Health Officer

    Dr. Mary Jane Ireland
    Chief Veterinary Officer

    Contacts

    Media Relations
    Public Health Agency of Canada
    613-957-2983
     media@hc-sc.gc.ca

    Media Relations
    Canadian Food Inspection Agency
    613-773-6600
    cfia.media.acia@inspection.gc.ca

    MIL OSI Canada News –

    January 23, 2025

  • MIL-OSI: Healthcare costs at a post-pandemic high, US employers prioritize affordability and wellbeing

    Source: GlobeNewswire (MIL-OSI)

    NEW YORK, Sept. 26, 2024 (GLOBE NEWSWIRE) — As the cost of healthcare in the U.S. rises to a record high since the COVID-19 pandemic, nearly half of employers expect healthcare costs will exceed budget projections this year. In response, employers are embracing different approaches to safeguard program affordability for their companies as well as for their employees. While focusing on more competitive, cost-effective plan designs to control costs, they are seeking to maintain employee wellbeing, according to a new survey by WTW (NASDAQ: WTW), a leading global advisory, broking and solutions company.

    WTW’s 2024 Best Practices in Healthcare Survey found that U.S. employers project their healthcare costs will increase by 7.7% in 2025, compared with 6.9% in 2024 and 6.5% in 2023. As a result of this uptick in costs, employers are reaching beyond traditional cost-shifting strategies to improve healthcare affordability and employee health. More than half of employers (52%) plan to implement programs that will reduce total costs, and just as many (51%) intend to adopt plan design and network strategies that steer to lower-cost, higher-quality providers and sites of care. Only 34% expect to shift costs to employees through premium contributions, and just 20% will promote account-based health plans or high-deductible health plans.

    “The cost of healthcare has been rising steadily for years. With cost increases reaching a post-pandemic high, companies are concerned about the burden it’s putting on their workforces, especially since it affects decisions about insurance coverage and care,” said Tim Stawicki, chief actuary, Health & Benefits, WTW. “To tackle high prices and other causes driving increased spending, companies are pursuing initiatives that are beyond cost-shifting.”

    These initiatives are focused within the prescription drug space as well, with strong interest in alternative drug channels and pricing. According to the survey, 21% of employers are planning for or considering promoting drug discount cards or direct-to-consumer prescription delivery to lower out-of-pocket costs in the next two years; 18% expect to allow members to purchase drugs through a retail or “cost plus” outlet, and 17% expect to have an acquisition cost pharmacy benefit manager (PBM) contract structure.

    Other proactive efforts to control costs over the next two years include taking vendor/health plans out to bid (43%), evaluating employee assistance programs/mental health programs (38%), and exploring narrow networks (30%) and centers of excellence (25%). Additionally, employers continue to explore new technology-enabled solutions for managing costs, with 54% exploring navigation or technology that shares provider price and quality information with members.

    To support affordability and employee wellbeing, employers’ top focus areas are obesity and weight management (40%), cancer and oncology (34%), cardiovascular health (28%) and women’s health (27%).

    Employers are still contending with the continued demand for high-cost weight loss medications. While most employers are maintaining coverage for obesity medications with some restrictions, those not offering coverage today state cost and safety as the biggest barriers. Employers are eager to consider safe and effective lower-cost alternatives; 48% of employers expressed interest in compounded GLP-1 medications available through certain vendors at much lower costs.

    “To navigate the current healthcare environment, companies need to proactively address cost challenges and implement effective risk management strategies,” said Courtney Stubblefield, managing director, Health & Benefits, WTW. “By doing so, they can mitigate financial risks, support the wellbeing of their workforce and achieve long-term sustainability.”

    Other survey findings:

    • Employers report the greatest opportunities for artificial intelligence in supporting health and benefits are navigation solutions (64%) and communication (58%).
    • More than two-thirds (67%) of employers provide coverage for fertility services beyond diagnosis of infertility, including in vitro fertilization and medications.
    • To lower costs, 73% of employers plan to carve out pharmacy benefits over the next few years, and 27% would consider a smaller PBM that offers alternate pricing models.

    About the survey

    A total of 417 employers participated in the 2024 Best Practices in Healthcare Survey, which was conducted in June and July 2024. Respondents employ 6 million employees.

    About WTW

    At WTW (NASDAQ: WTW), we provide data-driven, insight-led solutions in the areas of people, risk and capital. Leveraging the global view and local expertise of our colleagues serving 140 countries and markets, we help organizations sharpen their strategy, enhance organizational resilience, motivate their workforce and maximize performance.

    Working shoulder to shoulder with our clients, we uncover opportunities for sustainable success—and provide perspective that moves you.

    Media contacts:

    Ileana Feoli
    ileana.feoli@wtwco.com

    Stacy Bronstein
    stacy.bronstein@wtwco.com

    The MIL Network –

    January 23, 2025

  • MIL-OSI USA: Governor Ron DeSantis Issues Updates on Preparedness Efforts Ahead of Hurricane Helene

    Source: US State of Florida

    TALLAHASSEE, Fla.—Today, Governor Ron DeSantis was joined by Major General John D. Haas, Florida Division of Emergency Management (FDEM) Executive Director, and Florida Department of Transportation Secretary Jared Purdue at the State Emergency Operations Center to provide updates ahead of landfall of Hurricane Helene. As of 8:00 am ET, Hurricane Helene’s maximum sustained winds have increased to 100 mph with higher gusts, making it a Category 2 hurricane. Additional strengthening is forecast, and Helene is expected to be a major hurricane when it reaches the Florida Big Bend coast tonight. Sixty-eight shelters are open throughout the state in preparation for severe impacts from Hurricane Helene, including 2 state-operated shelters in Tallahassee and DeFuniak Springs. These shelters have are housing over 2,500 residents from areas that may be severely affected by Hurricane Helene.

    Governor DeSantis issued Executive Order 24-209 on September 24, updating EO 24-208 and declaring a state of emergency for 61 counties. This allows state officials to make critical resources available to communities ahead of any potential storm impacts.

    Following Governor DeSantis’ request, FEMA approved the state’s pre-landfall disaster declaration request. This provides important federal resources and assistance, including personnel, equipment, and supplies, and makes available funding sources for emergency protective measures. The pre-landfall declaration request is for the 41 Florida counties included in Executive Order 24-208.

    Voluntary and mandatory evacuation orders are in effect in multiple counties statewide. Residents need to evacuate if they are under a mandatory evacuation order. Counties under evacuation orders can be found at FloridaDisaster.org/EvacuationOrders.

    Residents in the big bed area needing assistance finding or going to a shelter in the Big Bend region for Hurricane Helene can call (800) 729-3413. FDEM team members are conducting callbacks from messages received last night and accepting new calls today to facilitate shelter coordination. For additional resources and assistance, residents can call the State Assistance Information Line (SAIL) at (800) 342-3557. Assistance is available in English, Spanish, and Haitian-Creole.

    Watches and warnings in effect include:
    Hurricane Warning: Western Alachua, coastal Citrus, Columbia, Dixie, Franklin, Gadsden, Gilchrist, Gulf, Hamilton, coastal Hernando, Jefferson, Lafayette, Leon, Levy, Liberty, Madison, western Marion, coastal Pasco, Suwannee, Taylor and Wakulla counties
    Hurricane Watch: Inland Citrus, inland Hernando, coastal Hillsborough, coastal Manatee, inland Pasco, Pinellas, coastal Sarasota
    Tropical Storm Warning: Central and eastern Alachua, Baker, Bay, Bradford, Brevard, Broward, Calhoun, Charlotte, inland Citrus, Clay, Collier,  DeSoto, Duval, Flagler, Glades, Hardee, Hendry, Highlands, inland Hernando, Hillsborough, Holmes, Indian River, Jackson, Lake, Lee, Miami-Dade, Monroe (including Florida Keys and Dry Tortugas), Manatee, central and eastern Marion, Martin, Nassau, Okeechobee, Orange, Osceola, Palm Beach, inland Pasco, Pinellas, Polk, Putnam, Sarasota, Seminole, St. Johns, St. Lucie, Sumter, Union, Volusia, Walton, Washington
    Storm Surge Warning: Charlotte, Citrus, Collier, Dixie, Franklin, Gulf, Hernando, Hillsborough, Jefferson, Lee, Levy, Manatee, Monroe, Pasco, Pinellas, Sarasota, Taylor and Wakulla counties

    To learn more, residents can visit FloridaDisaster.org/Guide.  For updates on county resources available visit FloridaDisaster.org/Counties for a list of all 67 county emergency management contacts.

    State Preparedness Efforts

    • The Florida Division of Emergency Management (FDEM) activated the State Emergency Operations Center to Level 1 on Tuesday, September 24, and is leading coordination efforts for the State Emergency Response Team.
    • The State Emergency Response Team is engaged in over 1,150 missions to assist counties in their preparation efforts. These missions accomplish vital tasks like staging response resources, protecting critical infrastructure facilities like hospitals and utility stations, and coordinating personnel statewide.
    • There are 35,000 shelf-stable meals staged near the anticipated area of storm impact, ready to deploy for response.
    • Seven Urban search and rescue task forces are ready to deploy.
    • The Florida National Guard (FLNG) has mobilized nearly 3,500 Soldiers and Airmen in preparation for Hurricane Helene and can surge to 5,500 if needed.
    • The FLNG is postured to provide logistics support, law enforcement support, route clearance, search and rescue, commodity distribution, flood mitigation, aviation and other support as needed by the state.
    • The Florida State Guard (FSG) has prepared the following:
      • 250+ Soldiers ready to deploy.
      • 10 shallow water vessel boat teams
      • 7 flat-bottom-flood rescue skiffs
      • 2 amphibious rescue vehicles
      • 12 UTV’s
      • 15 Cut and toss crews
      • 7 search and rescue teams
      • 2 UH-60 Blackhawk for daytime aerial assessment and logistics missions
    • The Florida Department of Law Enforcement (FDLE) has positioned all assets, including aircraft, and is ready to respond for reconnaissance and damage assessments, including all backup satellite and communications systems. Portable towers have been staged for emergency communications.
    • FDLE is prestaging Telecommunication Emergency Response Taskforces for response to ensure continuity of service of the 911 system.
    • FDLE’s Criminal Justice Information Services received permission from the FBI to allow law enforcement agencies to perform criminal history queries on behalf of emergency shelters to determine the suitability of shelter staff who may care for vulnerable populations (children, the elderly, the disabled).
    • Nearly 2,000 Florida Department of Transportation (FDOT) team members work directly on storm response.
    • FDOT encourages drivers to download the FL511 app or visit FL511.com for road and bridge closures and potential detours that may be activated. Remember to always follow the direction of local law enforcement and emergency personnel.
    • FDOT issued an Emergency Order on September 23, lifting weight restrictions and allowing emergency response vehicles, including utility vehicles staging for rapid response, to bypass weigh stations.
    • FDOT Statewide Preparedness Efforts Include:
    • Road Ranger Service has expanded service to 24 hours in the storm impact areas.
      • 890 team members conducting pre-storm preparations.
      • 613 team members working in the field conducting pre-storm preparations.
      • 245 pieces of heavy equipment are being used for pre-storm preparations.
      • 307 team members staged for cut and toss operations
      • 120 bridge inspectors staged for deployment
      • 43 team members staged for UAV (drone) deployment
      • 40 large pumps staged
      • 688 generators staged to assist with traffic signal power
      • 4 ITS trailers are staged.
    • Seaports:
      • Port Key West, Panama City, Port St. Joe, Tampa Bay, SeaPort Manatee, Port St. Pete, Port of Fernandina, JAXPORT, and Port Canaveral are closed waterside.
    • Airports: Some flight cancellations or delays are being reported. Check with airlines directly on specific flight updates. The following airports have suspended service:
      • Tallahassee International Airport (TLH)
      • Tampa International Airport (TPA)
      • St. Pete-Clearwater International Airport (PIE)
    • Railroads:
      • Amtrak: Silver Star and Silver Meteor routes (New York to Miami) will terminate in Jacksonville
      • Amtrak: Silver Star and Silver Meteor routes (Miami to New York) will originate in Jacksonville
      • SunRail service has been suspended.
    • Freight Rail:
      CSX will limit operations in the Tampa area.
    • Florida Gulf & Atlantic will shut down operations except the Pensacola area.
    • Apalachicola Northern and BayLine have suspended operations
      • First Coast Railroad will shut down operations on 9/27 .
    • The following transit providers have made the following schedule modifications.
      • Service Suspended: Lakeland Area Mass Transit (Citrus Connection), Manatee County Area Transit, Sarasota County Area (Breeze) Transit, Lee County (LeeTran), Charlotte County, Jacksonville Transit Authority (JTA) Skyway and St. Johns River Ferry, St. Johns County (Sunshine Line), Bay County (Bayway), StarMetro, Big Bend Transit, Wakulla County Transit, Jackson County (JTrans), Calhoun County Transit, Liberty County Transit, Gulf County ARC suspending, LYNX, Marion County Transit, Key West Lower Key Shuttle, Hillsborough County (HART), Pasco County, Hernando County (The Bus)
    • The Florida Department of Veterans’ Affairs (FDVA) The VISN 8 Clinical Contact Center is operational 24/7/365 for virtual care and tele-emergency care and support to Veterans enrolled for VA Health Care in Florida. 1-877-741-3400. Visit https://department.va.gov/integrated-service-networks/visn-08 for more information.
    • Department of Management Services (DMS) is working to identify potential evacuation shelter sites for special needs and pet-friendly evacuees as far east as Lake City and west as Panama City.


    Health and Human Services

    • The Agency for Persons with Disabilities (APD) is tracking APD-licensed group homes in impacted areas to ensure client safety from Hurricane Helene. APD will provide necessary guidance for re-entry when it is appropriate to do so.
    • The Florida Department of Health’s (DOH) is deploying over 135 emergency response vehicles. Staging is currently in Leon, Liberty, Osceola, and Pinellas counties.
    • DOH has prepared for Special Needs Shelter operations to begin in areas of Helene’s path. A press release has been sent statewide for additional information on special needs shelters. To find a shelter near you, please visit the county emergency management page here.
    • DOH and the Agency for Health Care Administration have initiated Patient Movement Mission to support medical transport and evacuations of health care facilities.
    • The State Surgeon General signed Emergency Order 24-002, which:
      • Waives competitive procurement requirements in order to procure commodities, goods, and services expeditiously in response to the emergency.
      • Permits emergency medical transportation services to operate across county lines.
      • Permits Paramedics, Emergency Medical Technicians, and Medical Directors, as defined by Chapter 401, Florida Statutes, licensed in other U.S. states, territories, or districts to practice in Florida in response to the emergency without penalty.
      • Authorizes a reporting extension for the Prescription Drug Monitoring Program.
      • Authorizes an extension of the upcoming licensure renewal deadlines for Nursing Home Administrators, Radiological Personnel, and Athletic Trainers until October 31, 2024.
    • DOH and the Office of Insurance Regulation (OIR) sent information regarding early prescription refills permitted under Executive Order 24-209. This information was sent to the public, health insurers, managed care organizations, pharmacy benefit managers, pharmacy chains, and health care providers.
    • The Agency for Health Care Administration (AHCA) has activated reporting in the Health Facility Reporting System (HFRS) and has requested that all health care providers report their census, available beds, evacuation status, and generator status information. This information allows AHCA to assist health care providers in transferring patients if needed and ensure that health care providers in impacted areas have the necessary resources and adequate power.
    • AHCA made 537 provider calls for Hurricane Helene preparation ahead of landfall.
    • As of this morning, 80 health care facilities are reporting that they are evacuating.
      • 38 assisted living facilities
      • 26 nursing homes
      • 8 hospitals
      • 4 residential treatment facilities
      • 2 residential treatment centers for children and adolescents
      • 1 adult family care home, and 1 intermediate care facility for developmentally disabled
    • 100% of operating long-term care facilities have a generator on-site. The Generator Status Map for long-term care facilities is available here.
    • The Agency has waived all prior authorization requirements for critical Medicaid services until further notice.

    Infrastructure, Roads and State Closures

    • The Florida Highway Patrol (FHP) is assisting the Florida Department of Corrections with the evacuation of correctional facilities as needed.
    • FHP is assisting with evacuations in Taylor County and in Cedar Key in Levy County.
    • FHP is removing any abandoned or disabled vehicles left along roadways ahead of storm arrival.
    • FHP cut teams, along with FDOT road clearing teams, are staged and ready for post-storm deployment to provide aid to areas impacted by the storm.
    • Florida Department of Highway Safety and Motor Vehicles (FLHSMV) issued Emergency Order 24-05, in support of Executive Order 24-209 which: waives specific requirements for commercial motor vehicles providing emergency relief; and waives the replacement fees for driver’s license and identification credentials, vehicle registrations and titles, vessel registrations and titles and temporary parking permits for impacted individuals.
    • The Department of Children and Families (DCF) is working with the Community-Based Care Lead Agencies to contact foster families and group home providers to ensure preparedness. Two group homes are evacuating to safer locations.
    • DCF has contacted all licensed providers in potentially impacted areas to ensure disaster preparation plans are in place and unmet needs have been addressed.
    • The Department of Elder Affairs (DOEA) contacted all Area Agencies on Aging partners to receive updates on their ongoing preparation efforts and gather the status of any unmet needs.
    • The Florida Department of Education (FDOE) has been in contact with all school districts and state colleges and is ready to provide assistance immediately following Hurricane Helene. Currently, 68 school districts have announced closures in addition to 25 State Colleges and 11 Universities. For more information on school closures, visit fldoe.org/storminfo.
    • In preparation for Hurricane Helene. Currently, 65 school districts have announced closures in addition to 22 State Colleges and 9 Universities. For more information on school closures, visit fldoe.org/storminfo.
    • Following the issuance of the Governor’s Executive Order 24-209, the Florida Department of Environmental Protection (DEP) issued an Emergency Final Order allowing for the activation of disaster debris management sites to store and process storm-generated solid waste and debris.
    • DEP published a storm updates webpage to keep state park visitors updated of closures: FloridaStateParks.org/StormUpdates. Visitors with existing camping and cabin reservations at closed parks have been notified of their reservation status.

    Resources for Employees, Businesses and Consumers

    • The Florida Department of Business and Professional Regulation (DBPR) has partnered with the Florida Restaurant and Lodging Association to encourage more than 71,000 Florida-licensed lodging establishments to relax pet policies and waive pet fees for evacuees.
    • Through this effort, anti-price gouging information and emergency accommodations resources have also been provided.
    • DBPR has proactively communicated with more than 137,000 restaurant and lodging licensees to provide storm preparation and food safety resources.
    • The Florida Disaster Contractors Network has been activated to connect homeowners with licensed contractors and suppliers to perform emergency repairs.
    • DBPR encourages Florida’s licensed contractors who provide post-storm construction-related services to register with its Florida Disaster Contractors Network at DCNOnline.org.
    • FloridaCommerce has activated the private sector hotline at (850) 815-4925, open daily 8:00 a.m. to 5:00 p.m. Inquiries may also be emailed to ESF18@em.myflorida.com.
    • Updates on business closures and business resources are consistently being updated at FloridaDisaster.biz/CurrentDisasterUpdates.
    • VISIT FLORIDA has activated Emergency Accommodation Modules on Expedia and Priceline to provide real-time hotel availability and lodging resources for impacted Floridians and visitors.
    • Sandestin Golf and Beach Resort has crafted special offers for Evacuees and First Responders in need of accommodations during an evacuation. Please see the linked pages below for more information.
    • Rosen Hotels & Resorts activated its Florida Resident Distress Rates* for residents in the 61 counties where Governor Ron DeSantis declared a state of emergency. This initiative provides evacuees with a safe and affordable place to stay as they ride out the storm. For more information see https://www.rosenhotels.com/rosen-hotels-resorts-reduces-pricing-ahead-of-helene/
    • Visit website for CareerSource openings: careersourceflorida.com
    • Comcast has opened more than 52,000 public Xfinity WiFi hotspots in Florida. The free and public hotspots are open for all, including non-Xfinity customers. For more information click here.
    • Walmart is working with state partners to provide needed supplies after the storm has passed.
    • Publix has provided 10 pallets of water for shelters in Leon County.
    • CVS Health is working with state partners to prepare pop-up pharmacies in impacted areas.
    • UBER is providing Floridians free rides up to $35 each way to and from a state-approved shelter in counties under a state of emergency for Hurricane Helene. To get a ride users should use promo code HELENERELIEF.
    • The Florida Department of State, Division of Elections, has contacted the United States Postal Service (USPS) about election information and vote-by-mail ballots. The Division of Elections recommended that Supervisors of Elections t contact their local district USPS to discuss a mitigation plan for ballot mailing, delivery, and return.
    • The Florida Department of Agriculture and Consumer Services (FDACS) worked with Florida’s ports and fuel industry partners to ensure adequate fuel supplies are available, and with Florida’s agricultural partners so producers have adequate resources.
    • The Florida Forest Service staged equipment, like high-water vehicles.
    • The Commissioner of Agriculture, Wilton Simpson, has approved an Emergency Order temporarily suspending the intrastate movement requirements for animal transportation. In addition, the following states have waived their interstate import requirements for Florida pets, horses, and livestock leaving the state: Alabama, Georgia (does not include livestock), Mississippi, North Carolina, and South Carolina.
    • The Department of Revenue (FDOR) has issued Emergency Order 24-001: Taxing Authority Millage and Budget Hearings to assist local taxing authorities with altering their plans for annual budget hearings because of Helene. Department of Revenue bulletin PTO 20-07 provides further instructions for local taxing authorities during declared emergencies.
    • The Florida Fish and Wildlife Conservation Commission (FWC) has high-water vehicles staged to deploy.
    • 72 FWC officers and staff are ready to deploy with specialized equipment, such as:
      • 6 Airboats
      • 8 Shallow draft boats
      • ATVs/Side-by-sides
      • 71 high-water capable four-wheel drive vehicles
      • 3 aerial surveillance drones
      • 12 high-water capable swamp buggies/Fat Truck/UTVs
      • 4 SOG support trailers
      • 4 BERG self-sustainment container units
      • 4 Hygiene trailers
      • 2 Mobile command units
      • 6 Generators
      • 2 Water trailers
      • 1 Fuel trailer
    • The Florida Department of Corrections (FDC) has evacuated 22 satellite facilities and two major facilities and relocated 4,630 inmates into hardened housing units. Inmate visitation has been suspended statewide until Monday, September 30.  The FDC will be posting updates publicly and in real-time at FDC.myflorida.com/weather-updates
    • The Florida Department of Juvenile Justice (DJJ) have finalized storm preparations to ensure the safety and security of staff and youth in our care. This includes fueling all vehicles, moving vehicles in low-lying and flood-prone areas to higher ground, testing and ensuring adequate fuel supplies for generators in the event of loss of power, and ensuring food, medicine, and emergency supplies are stocked and ready.

    For previous updates see below:
    9/24/2024
    9/25/2024

    Follow FDEM on X, Instagram, and Facebook for updates and visit FloridaDisaster.org/Updates for information relating to Hurricane Helene.

    ###

    MIL OSI USA News –

    January 23, 2025

  • MIL-OSI Canada: Manitoba Government Appoints Chair of Winnipeg Regional Health Authority Board

    Source: Government of Canada regional news

    The Manitoba government has appointed Dr. Marcia Anderson as the new chair along with three new members to the Winnipeg Regional Health Authority (WRHA) board of directors, Health, Seniors and Long-Term Care Minister Uzoma Asagwara announced today.

    “Manitobans can put their trust in Dr. Anderson’s leadership,” said Asagwara. “Dr. Anderson has been leading the conversation on health equity and justice in this province. Her compassion, dedication and advocacy will have a tremendous impact on the WRHA and the patients they serve. I want to congratulate Dr. Anderson as the new chairperson of the board and thank all the new, outgoing and continuing directors for their service.”

    Dr. Anderson is the vice-dean of Indigenous Health, Social Justice and Anti-Racism at the University of Manitoba’s Rady Faculty of Health Sciences. During the COVID-19 pandemic, she led the provincial public health response for Manitoba’s First Nations. She was recently honoured with the province’s highest honour, the Order of Manitoba. She replaces Dr. Netha Dyck, who begins a new three-year term as a board member.

    “I am honoured by this opportunity to lead the WRHA board, draw on the strengths of the other board members and support the executive team in the important work ahead of us,” said Anderson. “We have important and pressing challenges in health care. We need to do better in being an employer of choice and providing safe environments for health workers, and at meeting the people we serve where they are at. I am excited to bring my experiences in and commitment to anti-racism, cultural safety, health equity and community-based partnerships to this role as we work to improve the care that the thousands of people we serve everyday receive. I am confident that when we work collaboratively on the broader system issues that impact people’s health and improve the environments our health workers provide service in, that we can fulfil our commitment to provide the best possible health care to those we serve.”

    Three additional board members have been appointed for three-year terms:

    • Mary Jane Brownscombe (vice-chair);
    • Tessa Blaikie Whitecloud;
    • Mala Sachdeva.

    Newly appointed members join others with ongoing terms: Adekunle Ajisebutu, Dr. Netha Dyck, Brenda McInnes, Jeff Neufeld, Patricia Ramage, Mark Stewart and Carole Urias. Board members can serve for a maximum of six consecutive years.

    The WRHA board is accountable to the health minister and responsible for the mandate, resources and performance of the organization. The board must ensure the organization complies with applicable legislation, regulations and provincial policies.

    For more information about the WRHA, visit https://wrha.mb.ca/about/board/.

    – 30 –

     

    BACKGROUND INFORMATION ATTACHED

    MIL OSI Canada News –

    January 23, 2025

  • MIL-OSI Canada: Province Enhances Maternal Mental Health Supports

    Source: Government of Canada regional news

    Released on September 26, 2024

    The Government of Saskatchewan is working with the University of Regina (U of R) to help new and expecting parents who are experiencing mental health difficulties, such as depression or anxiety.

    The province is providing $280,000 to the university’s Online Therapy Unit to create the Well-Being for Expecting and New Mothers Course. A Non-Birthing Parents Resource will also be developed for partners of those who have had babies.

    “It is important that new mothers feel supported in their mental health and wellbeing,” Mental Health and Addictions Minister Tim McLeod said. “At a busy time with infants, having virtual options can make care easier to access. I am proud that we can work with the U of R to bring internet-delivered therapy to moms across our province.” 

    The new mothers’ course is expected to launch by the end of March, while the partner resource is expected to be available in 2026. 

    “We are honoured to be working on this vital project, which will provide a new mental health care option for expecting and new birthing and non-birthing parents across Saskatchewan,” University of Regina’s Online Therapy Unit Psychology Professor and Director Dr. Heather Hadjistavropoulos said. “By offering internet-delivered therapy, we hope to make a real difference for families navigating mental health challenges before and after birth.” 

    Internet-delivered Cognitive Behavioural Therapy (ICBT) was developed at the U of R to help Saskatchewan residents experiencing depression, anxiety, substance use, or difficulties coping with chronic health conditions and is delivered in partnership with the Saskatchewan Health Authority (SHA). Adults complete educational modules with therapist support. Since 2015, more than 13,000 Saskatchewan residents have sought ICBT services. This fiscal year, the province is providing over $1.6 million to support this important service.

    The province is also boosting annual funding to HealthLine 811 by $3 million, some of which will support new nurse and counsellor positions for mental health, addictions and maternal mental health calls. The Ministry of Health will also work with the SHA to establish a maternal mental health coordinator position at 811. 

    Under the province’s Action Plan for Mental Health and Addictions, the Ministry of Health committed to develop a new provincial approach to maternal mental health. The goal is to better support new and expectant mothers throughout their pregnancy and after delivery for the wellbeing of mothers, their children and their families. 

    Additional work is underway to develop and coordinate maternal mental health supports. This work has also received valuable insight from the Maternal Mental Health Saskatchewan Advisory Group (MMHSAG) and various community-based organizations.

    -30-

    For more information, contact:

    MIL OSI Canada News –

    January 23, 2025

  • MIL-OSI Global: Ketamine: what you need to know about the UK’s growing drug problem

    Source: The Conversation – UK – By Ian Hamilton, Honorary Fellow, Department of Health Sciences, University of York

    There is growing awareness of the problems caused by the use of a fast-acting drug called ketamine. Often referred to as K or ket, it was made a class B drug in the UK in 2014 and is illegal to buy or sell. Possessing the drug can lead to a maximum five-year prison sentence and supplying the drug up to 14 years in prison.

    Ketamine is an effective anaesthetic and plays an important part in battlefield and emergency medicine. It is used to treat pain in end-of-life care and could treat some forms of depression. However, it is its non-medical use that is causing concern among some doctors and specialist drug-treatment providers.

    On the illicit market, ketamine is cheaper than cocaine and MDMA (ecstasy), costing about £20 a gram. Police forces report large seizures of the drug, but global rates of production are high, and the wholesale price of a kilogram of ketamine is believed to have fallen from £8,000 to £5,000. This makes it an attractive drug for young people and those with a limited income.

    Ketamine typically takes about 15 minutes to work and induces euphoria, relaxation and a slight sense of detachment. However, with higher doses it can also cause dissociation. This can be confusing and can cause panic attacks and memory loss. It can increase blood pressure and affect breathing and heart function.

    Effects can also be fatal. The Friends actor Matthew Perry died in 2023 as a result of using the drug.

    Some urologists have also expressed concern about an increase in bladder problems (so-called “ketamine bladder”) as a result of prolonged and heavy use of the drug. Although national data about the number of people with ketamine bladder is not available, there are other sources about the use of ketamine.

    Ketamine first became popular as a recreational drug in the early 1990s. Use among people aged 16-24 in England and Wales rose from 0.9% in 2006-07 to 3.8% in 2022-23 – which is about 220,000 people.

    There has been an increase in young people attending specialist treatment services with problems related to ketamine use: 512 during 2021-22 rising to 719 in 2022-23.

    The increase is concerning as few services and interventions are available that specifically address ketamine use. An increase in people seeking treatment has not been helped by historic cuts to drug-treatment funding, which is only beginning to be addressed, and a lack of meaningful drug education and early intervention responses.

    This increase in young people seeking treatment is also seen in adults. Rising from 1,551 in 2021-22 to 2,211 during 2022-23. There has been a fivefold increase in adult treatment since 2014.

    Self-medicating

    There is a suggestion from experts that part of the increase in the use of ketamine is due to some people who have mental health problems that are unable to access treatment because of long waiting lists.

    Rather than wait for specialist treatment some people turn to drugs like ketamine that offer some reprieve from their symptoms. Ketamine can create a sense of detachment in users, this will be a desirable state for those who are seeking to escape invasive mental health symptoms of troubling thoughts and feelings.

    In effect, they are finding their own solutions by self-medicating with the drug. Given that ketamine is easily available, relatively cheap and fast-acting it is easy to see why this drug is appealing, particularly as there are no long waiting lists or invasive assessments to undergo.

    Ketamine doesn’t induce the same type of hangover that alcohol and other drugs do. This makes it appealing to those who need to be at work the day after using it. Likewise, it is appealing to those on zero-hour contracts who are asked to work at short notice.

    However, many people will use other substances alongside ketamine – typically alcohol. Mixing alcohol and ketamine can cause significant harm, ranging from slowed breathing to coma and even fatal overdose.

    Paradoxically ketamine is being investigated as a treatment for those who are dependent on alcohol, including those who haven’t responded to more traditional forms of therapy.

    As with the promise that other drugs, such as psychedelics, might help treat mental health problems, current evidence suggests that these drugs are only effective when given alongside therapy.

    It’s not clear whether the UK has reached peak ketamine use. Most drugs fall in and out of fashion. It is clear that originally banning the drug in 2005, and increasing punishments in 2014 has failed to halt its rising popularity. What could have helped was investment into prevention, education and harm reduction services, but this didn’t happen and we are seeing some of the consequences now.

    Preventing the use of ketamine is the only way to be sure that it won’t cause harm. But if we accept that young people and adults will continue to use it then we should be aiming to reduce the potential for harm. There are useful resources already available, but reducing drug-related harm requires a more active response – one that doesn’t rely on people visiting websites or reading a leaflet.

    We should put effort and resources into providing public health messaging that reaches those who are at the most risk from harm due to ketamine. At the same time, investing in and providing timely mental health support would reduce the need for those who are self-medicating with the drug.

    With a new government in the UK, commanding a sizeable majority in parliament, could this Labour government adopt a policy shift that could reduce suffering and save lives?

    Harry Sumnall receives funding from public grant awarding bodies for alcohol and other drugs research, and fees from (international) not-for-profit organisations and government departments for consultation work. He is an unpaid steering group member of the Anti-Stigma Network, an unpaid member of the Scientific Advisory Group of the International Society of Substance Use Professionals (ISSUP), an unpaid member of the Scientific Advisory Board of the Mind Foundation, an unpaid advisor to the UK Drug Education Forum, and an unpaid co-opted member of UK Government Advisory Council on the Misuse of Drugs (ACMD) Working Groups on cocaine, and prevention.

    Ian Hamilton does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    – ref. Ketamine: what you need to know about the UK’s growing drug problem – https://theconversation.com/ketamine-what-you-need-to-know-about-the-uks-growing-drug-problem-239412

    MIL OSI – Global Reports –

    January 23, 2025

  • MIL-OSI Global: Workplace wellbeing programmes often don’t work – but here’s how to make them better

    Source: The Conversation – UK – By Jolanta Burke, Senior Lecturer, Centre for Positive Health Sciences, RCSI University of Medicine and Health Sciences

    Research shows wellbeing programmes often have little impact. Lucky Business/ Shutterstock

    The World Health Organization (WHO) has just published alarming statistics showing that employee mental health issues result in a US$1 trillion (£747 billion) loss in productivity each year. The WHO has called on employers to take urgent action by introducing comprehensive wellbeing programmes to tackle the escalating mental health crisis in the workplace.

    But the problem is that many workplace wellbeing programmes don’t work. A UK study which looked at 46,336 employees from 233 organisations found there was no evidence that a range of common workplace wellbeing initiatives – including mindfulness and stress management classes, one-to-one mental health coaching, wellbeing apps or volunteering work – improved employee wellbeing.

    So despite companies investing over US$60 billion annually worldwide in wellbeing programmes, they appear to make little impact.

    There are a number of reasons why these programmes don’t work – and understanding them is the only way companies will be able to make these programmes effective.

    Motivation

    Organisations often opt for easy-to-implement initiatives, such as hosting wellbeing talks or offering mindfulness or yoga classes. They then complain that employees don’t attend or don’t appreciate them.

    Many employees say they don’t attend these activities because they find them irrelevant, unhelpful or they don’t value them enough to attend – meaning their workplace has failed in identifying their needs.

    Understanding what motivates people to participate in wellbeing programmes is crucial in improving its effectiveness. For example, one survey found employees were more interested in learning about healthy lifestyles than having a discussion about stress management. Although not directly related to mental wellbeing, prioritising these kinds of talks would have a greater effect on improving wellbeing in the end.

    Content matters

    Wellbeing programmes tend to be more effective for people whose wellbeing is average or below average. So when people with high levels of wellbeing participate in such programmes, they often see little benefit. This can make it appear the programme isn’t effective – when in reality, it still is for those who need it most.

    This is why it’s so important to determine what type of help employees need most when designing wellbeing programmes.

    For employees who aren’t experiencing poor mental health, a programme that primarily addresses depression or anxiety may be less effective as they’re probably already practising many of the strategies such programmes would discuss. But if the wellbeing programme goes beyond reducing symptoms and focuses on promoting flourishing, meaning and purpose in life, it could provide value to a broader audience.

    This is where a programme designed by an expert in positive psychology would be beneficial in workplaces. Positive psychology is the science of wellbeing. It focuses on building on the positive aspects of life that make life worth living – rather than solely addressing symptoms of mental ill health which only affect 10-20% of the population.But positive psychology measures still have a positive impact on those who experience mental health issues at the same time. They include such activities as identifying and using your character strengths at work, re-thinking your past events positively, learning optimism or practising gratitude.

    The content of workplace wellbeing programmes is crucial. Avoiding generic self-help approaches will enhance their overall impact.

    Everyone is different

    Factors such as whether or not an employee enjoys a specific wellbeing activity or programme, whether they believe that wellbeing can be changed or their level of distress when starting a programme can all affect whether or not workplace wellbeing initiatives work.

    Even a person’s genetics can significantly affect whether such programmes have any impact. Research shows that people who have a higher genetic predisposition towards change are more likely to benefit disproportionately from these programmes – and their positive effect tends to last longer.

    All of these factors should be carefully considered when designing a workplace wellbeing programme. And given how difficult this will make it to design one that’s effective, it’s important employee wellbeing programmes are actually developed by experts in the field – not consultants who lack in-depth knowledge of psychology.

    Implementation

    The way a wellbeing programme is implemented is just as important as its content – though this aspect is often overlooked by wellbeing consultants.

    For instance, overusing gratitude exercises can lead to disengagement from a programme. Similarly, offering too many wellbeing activity options can overwhelm participants and result in them discontinuing the programme.

    To maximise the impact a wellbeing programme has in the workplace requires careful attention not only to the content but also how it’s implemented.

    There are many nuances involved in designing a workplace wellbeing programme. Employers must ensure the programmes they offer not only promote wellbeing but also avoid causing unintended harm to others in the process. Consulting experts who know the nuances of psychology and of wellbeing programmes is key, as they will ensure programmes will be effective and helpful. Programmes that combine positive psychology and lifestyle medicine (which focus on helping people improve their health and fitness) may be particularly beneficial in workplaces.

    Jolanta Burke does not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and has disclosed no relevant affiliations beyond their academic appointment.

    – ref. Workplace wellbeing programmes often don’t work – but here’s how to make them better – https://theconversation.com/workplace-wellbeing-programmes-often-dont-work-but-heres-how-to-make-them-better-239040

    MIL OSI – Global Reports –

    January 23, 2025

  • MIL-OSI Global: South Africa has a good childhood vaccination system – what’s stopping it from being great

    Source: The Conversation – Africa – By Susan Goldstein, Associate Professor in the SAMRC Centre for Health Economics and Decision Science – PRICELESS SA (Priority Cost Effective Lessons in Systems Strengthening South Africa), University of the Witwatersrand

    The two public health interventions that have had the greatest impact on the world’s health are clean water and vaccines. Professors Susan Goldstein and Haroon Saloojee assess South Africa’s child vaccination programme.

    Why are childhood vaccinations so important? What are some essential ones?

    A recent study published in The Lancet estimated that since 1974, 154 million lives have been saved by immunisation, most of them children.

    A 2016 study of low- and middle-income countries found that for every dollar invested in vaccines, the return on investment was estimated to be US$44, considering broader social and economic benefits.

    Childhood vaccines are most effective when they are administered to children at the right age, and with the recommended dosage, as children are susceptible to certain diseases at certain ages.

    As an example, polio occurs most frequently in children below the age of five. Five doses of polio vaccinations are recommended, starting at birth.

    As the most contagious and fast-moving of the vaccine-preventable diseases, measles is often described as the “canary in the coalmine”: a warning of other disease outbreaks that might spring up where there are gaps in vaccination coverage.

    How does South Africa fare?

    A case study done in 2011/2012 found South Africa spent US$131 million on basic child vaccine procurement, less than 1%-1.5% of public health expenditure and comparable to Latin American countries known for early vaccine adoption. In 2023 new vaccines were included in the routine Expanded Programme on Immunisation to the value of US$194 million.

    We do spend appropriately on vaccines.

    South Africa has an excellent immunisation schedule with protection offered against 11 diseases.

    According to the District Health Barometer, national coverage for children under one year was 82.2% in 2022/3.

    In 2019, a national household immunisation survey, the first such survey done in two decades, provided the most detailed picture of South Africa’s vaccination programme that we have. The survey screened almost 2 million households and found 84% of babies had received all their shots by the time they turned one.

    Although these rates may seem good, they fall short of the 90% target set by the United Nations. They are also lower than in several other sub-Saharan countries, as this graph shows.

    A greater concern, however, is the disparity at the district level. For instance, Sekhukhune in Limpopo province had a coverage rate of just 53%, meaning almost one in two children were not fully immunised. Ten other districts had coverage rates below 75%, meaning that at least a quarter of the children were not fully protected.

    What is preventing the country from achieving the 90% target?

    In the national survey the main reasons for children not being fully immunised were related to the health service:

    • the vaccine was out of stock (29%)

    • the child was ill and not offered a vaccine (12%)

    • caregivers did not know that the child was due for immunisation (19%)

    • the caregiver forgot that the child had a scheduled immunisation visit (6%)

    • there was no-one to take the child to the clinic (9%).

    Other factors include:

    • negative interactions with healthcare workers – these can deter caregivers from taking children for their vaccines

    • waiting times

    • the dynamics within families – for example, adolescent mothers and elderly caregivers might have difficulty getting children to clinics.

    Vaccine refusal by parents for religious or other reasons existed, but this was infrequent (3%).

    What needs to be done?

    To protect children better, Unicef’s Immunization Agenda 2030 recommends a “people-centred” approach:

    • ensuring all healthcare workers are skilled at administering inoculations, and not missing opportunities to vaccinate a child whenever they visit a health service

    • avoiding vaccine shortages by electronically linking central pharmacies to facilities

    • listening to communities to understand their attitudes towards vaccines and their experiences with health workers at clinics, both good and bad.

    In South Africa districts with low coverage warrant special attention, such as increasing access to immunisation services. This could mean opening clinics on weekends or evenings so that working parents could bring their children to be vaccinated.

    Vaccinations are the safest method to protect children from life-threatening diseases. We need to ensure that every child gets them.

    The authors do not work for, consult, own shares in or receive funding from any company or organisation that would benefit from this article, and have disclosed no relevant affiliations beyond their academic appointment.

    – ref. South Africa has a good childhood vaccination system – what’s stopping it from being great – https://theconversation.com/south-africa-has-a-good-childhood-vaccination-system-whats-stopping-it-from-being-great-237336

    MIL OSI – Global Reports –

    January 23, 2025

  • MIL-OSI Africa: South Africa has a good childhood vaccination system – what’s stopping it from being great

    Source: The Conversation – Africa – By Susan Goldstein, Associate Professor in the SAMRC Centre for Health Economics and Decision Science – PRICELESS SA (Priority Cost Effective Lessons in Systems Strengthening South Africa), University of the Witwatersrand

    The two public health interventions that have had the greatest impact on the world’s health are clean water and vaccines. Professors Susan Goldstein and Haroon Saloojee assess South Africa’s child vaccination programme.

    Why are childhood vaccinations so important? What are some essential ones?

    A recent study published in The Lancet estimated that since 1974, 154 million lives have been saved by immunisation, most of them children.

    A 2016 study of low- and middle-income countries found that for every dollar invested in vaccines, the return on investment was estimated to be US$44, considering broader social and economic benefits.

    Childhood vaccines are most effective when they are administered to children at the right age, and with the recommended dosage, as children are susceptible to certain diseases at certain ages.

    As an example, polio occurs most frequently in children below the age of five. Five doses of polio vaccinations are recommended, starting at birth.

    As the most contagious and fast-moving of the vaccine-preventable diseases, measles is often described as the “canary in the coalmine”: a warning of other disease outbreaks that might spring up where there are gaps in vaccination coverage.

    How does South Africa fare?

    A case study done in 2011/2012 found South Africa spent US$131 million on basic child vaccine procurement, less than 1%-1.5% of public health expenditure and comparable to Latin American countries known for early vaccine adoption. In 2023 new vaccines were included in the routine Expanded Programme on Immunisation to the value of US$194 million.

    We do spend appropriately on vaccines.

    South Africa has an excellent immunisation schedule with protection offered against 11 diseases.

    According to the District Health Barometer, national coverage for children under one year was 82.2% in 2022/3.

    National immunisation coverage for children under 1 year. District Health Barometer.

    In 2019, a national household immunisation survey, the first such survey done in two decades, provided the most detailed picture of South Africa’s vaccination programme that we have. The survey screened almost 2 million households and found 84% of babies had received all their shots by the time they turned one.

    Although these rates may seem good, they fall short of the 90% target set by the United Nations. They are also lower than in several other sub-Saharan countries, as this graph shows.

    South African vaccine coverage of one-year-olds compared to other sub-Saharan countries. Unicef 2023

    A greater concern, however, is the disparity at the district level. For instance, Sekhukhune in Limpopo province had a coverage rate of just 53%, meaning almost one in two children were not fully immunised. Ten other districts had coverage rates below 75%, meaning that at least a quarter of the children were not fully protected.

    What is preventing the country from achieving the 90% target?

    In the national survey the main reasons for children not being fully immunised were related to the health service:

    • the vaccine was out of stock (29%)

    • the child was ill and not offered a vaccine (12%)

    • caregivers did not know that the child was due for immunisation (19%)

    • the caregiver forgot that the child had a scheduled immunisation visit (6%)

    • there was no-one to take the child to the clinic (9%).

    Other factors include:

    • negative interactions with healthcare workers – these can deter caregivers from taking children for their vaccines

    • waiting times

    • the dynamics within families – for example, adolescent mothers and elderly caregivers might have difficulty getting children to clinics.

    Vaccine refusal by parents for religious or other reasons existed, but this was infrequent (3%).

    What needs to be done?

    To protect children better, Unicef’s Immunization Agenda 2030 recommends a “people-centred” approach:

    • ensuring all healthcare workers are skilled at administering inoculations, and not missing opportunities to vaccinate a child whenever they visit a health service

    • avoiding vaccine shortages by electronically linking central pharmacies to facilities

    • listening to communities to understand their attitudes towards vaccines and their experiences with health workers at clinics, both good and bad.

    In South Africa districts with low coverage warrant special attention, such as increasing access to immunisation services. This could mean opening clinics on weekends or evenings so that working parents could bring their children to be vaccinated.

    Vaccinations are the safest method to protect children from life-threatening diseases. We need to ensure that every child gets them.

    – South Africa has a good childhood vaccination system – what’s stopping it from being great
    – https://theconversation.com/south-africa-has-a-good-childhood-vaccination-system-whats-stopping-it-from-being-great-237336

    MIL OSI Africa –

    January 23, 2025

  • MIL-OSI USA: NCDHHS Livestream Fireside Chat and Tele-Town Hall: Understanding Seasonal Vaccines and Respiratory Health In North Carolina

    Source: US State of North Carolina

    Headline: NCDHHS Livestream Fireside Chat and Tele-Town Hall: Understanding Seasonal Vaccines and Respiratory Health In North Carolina

    NCDHHS Livestream Fireside Chat and Tele-Town Hall: Understanding Seasonal Vaccines and Respiratory Health In North Carolina
    rmbeck
    Wed, 09/25/2024 – 15:35

    The North Carolina Department of Health and Human Services will host a live fireside chat and tele-town hall on Thursday, Oct. 3, from 6 to 7 p.m., to discuss how seasonal vaccines, including flu, COVID-19 and RSV, help protect communities against severe illness, hospitalization and long-term health complications. The event will be moderated by Elizabeth Cuervo Tilson, M.D., NCDHHS’ State Health Director and Chief Medical Officer.

    The 2024-2025 respiratory virus season is here and everyone ages 6 months and up is due for their flu shot and COVID-19 vaccine. Seasonal vaccines are the best to way to prevent people from experiencing severe cases of flu and COVID-19, especially for those who are at a higher risk of complications from the viruses. This includes people who are under 5, 65 and older, pregnant and/or living with chronic medical conditions. Last year, 95% of people in the United States hospitalized due to COVID-19 had not had the most recent COVID vaccine , and people who skipped their flu shot were twice as likely to need medical help for the flu.

    Fireside chat and tele-town hall panelists will discuss the following: 

    • How to get your seasonal flu and COVID-19 vaccines 
    • What to know about RSV protection, including respiratory syncytial virus (RSV) vaccines
    • Ways to find a health provider near you and access care 
    • Steps to protect yourself and your household against seasonal illness
    • How to access free vaccines for children

    During the 2023-2024 respiratory season, North Carolina experienced its highest number of pediatric flu deaths (16) since public health reporting began in 2004, with 81% of the flu deaths occurring in children who did not get a flu shot last year.

    In addition to flu and COVID-19 vaccines, RSV vaccines are also now available for older adults and those who are pregnant. Some babies and children under two may also need to receive an immunization to help build protection against RSV. It’s important for individuals of all ages to be up to date on all recommended vaccines before enjoying seasonal activities, sporting events or celebrations with loved ones.

    Everyone should test for COVID-19 right away if they feel sick or have symptoms to help prevent the virus from spreading to others around them. Free, at-home COVID-19 tests are  available at more than 300  local organizations statewide.  To find free tests near you visit MySpot.nc.gov/tests.

    The fireside chat will stream live from the NCDHHS Facebook and YouTube accounts, where viewers can submit questions. The event also includes a tele-town hall, which invites people by phone to listen in and submit questions. People can dial into the event by calling 855-756-7520 Ext. 111990#.

    Visit MySpot.nc.gov for information, guidance and resources on seasonal vaccines and how they support respiratory health.

    El Departamento de Salud y Servicios Humanos de Carolina del Norte (NCDHHS) presentará un “Fireside Chat”, una conversación virtual y telefónica en vivo el jueves 3 de octubre, de 6 a 7 p.m., para hablar sobre cómo las vacunas estacionales, incluidas las de la gripe (influenza), el COVID-19 y el virus respiratorio sincitial (VRS), ayudan a proteger a las comunidades contra enfermedades graves, hospitalizaciones y complicaciones de salud a largo plazo. El evento será moderado por la Dra. Elizabeth Cuervo Tilson, directora de Salud del Estado y jefa médica del NCDHHS.

    La temporada de virus respiratorios de 2024 a 2025 ha comenzado, y todas las personas de 6 meses en adelante deben vacunarse contra la gripe y el COVID-19. Las vacunas estacionales son la mejor manera de prevenir casos graves de gripe y COVID-19, especialmente para quienes tienen mayor riesgo de complicaciones por los virus. Esto incluye a personas menores de 5 años, mayores de 65 años, personas embarazadas y/o con condiciones médicas crónicas. El año pasado, el 95% de las personas hospitalizadas en los Estados Unidos debido al COVID-19 no habían recibido la vacuna más reciente contra el COVID-19, y las personas que no se vacunaron contra la gripe tuvieron el doble de probabilidades de necesitar atención médica por la gripe.

    Los panelistas del evento virtual y telefónico hablarán sobre los siguientes temas:

    •    Cómo recibir las vacunas estacionales contra la gripe (influenza) y el COVID-19
    •    Lo que necesitas saber sobre la protección contra el VRS, incluidas las vacunas 
    •    Maneras de encontrar un proveedor de salud cercano y acceder a atención médica
    •    Pasos para protegerse y proteger a sus familiares contra las enfermedades estacionales
    •    Cómo acceder a vacunas gratuitas para niños

    Durante la temporada de virus respiratoria de 2023-2024, Carolina del Norte experimentó el mayor número de muertes pediátricas por gripe (16) desde que se comenzó a reportar públicamente en 2004, con el 81 % de las muertes ocurridas en niños que no recibieron la vacuna contra la gripe el año pasado.

    Además de las vacunas contra la gripe y el COVID-19, las vacunas contra el VRS también están disponibles ahora para adultos mayores y personas embarazadas. Algunos bebés y niños menores de dos años también pueden necesitar recibir una inmunización para ayudar a desarrollar protección contra el VRS. Es importante que personas de todas las edades estén al día con todas las vacunas recomendadas antes de disfrutar de actividades estacionales, eventos deportivos o celebraciones con seres queridos.

    Todos deben hacerse la prueba de COVID-19 de inmediato si se sienten enfermos o tienen síntomas, para ayudar a prevenir la propagación del virus a otras personas. Pruebas caseras gratuitas de COVID-19 están disponibles en más de 300 organizaciones locales en todo el estado. Para encontrar pruebas gratuitas cerca de usted, visite Vacunate.nc.gov/pruebas.

    El evento virtual será transmitido en vivo desde las cuentas de Facebook y YouTube del NCDHHS, donde los espectadores pueden enviar preguntas. El evento incluirá una opción de telecomunicación, que invita a las personas a escuchar y enviar preguntas por teléfono. Los participantes también pueden llamar al evento al 855-756-7520 Ext. 111990#.

    Visite Vacunate.nc.gov para obtener información, orientación y recursos sobre las vacunas estacionales y cómo apoyan la salud respiratoria.

    Sep 26, 2024

    MIL OSI USA News –

    January 23, 2025

  • MIL-OSI Canada: Government of Canada Announces over $5 Million for Indigenous Child Maltreatment and Youth Dating Violence Prevention Projects

    Source: Government of Canada News

    Today, the Honourable Ya’ara Saks, Minister of Mental Health and Addictions and Associate Minister of Health, announced an investment of over $5 million in funding over five years for five Indigenous focused projects aimed at promoting child development and preventing, recognizing and responding safely to child maltreatment and youth dating violence. These projects will serve over 1,270 Indigenous children, youth and their families across Canada.

    September 26, 2024 | Ottawa, Ontario | Public Health Agency of Canada

    As part of the Government of Canada’s ongoing commitment to reconciliation and the well-being of Indigenous Peoples, the Government of Canada is investing in initiatives that promote cultural identity, values, and healing.

    Today, the Honourable Ya’ara Saks, Minister of Mental Health and Addictions and Associate Minister of Health, announced an investment of over $5 million in funding over five years for five Indigenous focused projects aimed at promoting child development and preventing, recognizing and responding safely to child maltreatment and youth dating violence. These projects will serve over 1,270 Indigenous children, youth and their families across Canada.

    Colonization, racism, and the impacts of the Indian Residential School system have devastating effects on First Nations, Inuit, and Métis in Canada. As a result, Indigenous communities face multiple and intersecting forms of discrimination and high rates of violence. There is a need to build the evidence-base of effective, culturally appropriate resources and support systems to address these challenges, to help heal and prevent ongoing cycles of violence and trauma.

    This funding will support the development, delivery, and testing of health promotion interventions that promote resilience, healthy relationships, and cultural connection. The funded projects will provide Indigenous children, youth, and their families, as well as service providers, with the tools and knowledge to build safe, supportive relationships and reduce the prevalence of violence in their lives. This investment aligns with Canada’s broader efforts to advance reconciliation and promote the health and well-being of Indigenous Peoples.

    Quotes

    “We are committed to supporting Indigenous Peoples to address violence and promote healing. By investing in these projects, we are helping ensure that Indigenous children, youth, and their families are empowered with culturally appropriate supports to foster healthy relationships and help prevent violence. This is part of our broader commitment to reconciliation.”

    The Honourable Ya’ara Saks
    Minister of Mental Health and Addictions and Associate Minister of Health

    “Projects like this saves lives. It is no secret by now that Indigenous Peoples have faced disproportionate rates of violence. When people are in crisis, they need a safe place and safe people to turn to. This funding will help support the many groups that provide these services day in and day out.”

    The Honourable Patty Hajdu
    Minister of Indigenous Services

    Quick Facts

    • As part of the federal Gender-based Violence Strategy, the Government of Canada has invested over $800 million, with $44 million per year ongoing in preventing gender-based violence (including family violence), supporting survivors, and promoting responsive legal and justice systems.
    • Specifically, the Public Health Agency of Canada is investing up to $18 million per year until 2026, and over $9 million ongoing to support projects that promote safe relationships, prevent youth dating violence, family violence and child maltreatment, and equip health professionals and service providers to recognize and respond safely to gender-based violence.
    • In addition, Budget 2022 committed $539.3 million over five years (2022 to 2027), to support provinces and territories in their efforts to implement the National Action Plan to End Gender-Based Violence.

    Yuval Daniel
    Director of Communications
    Office of the Honourable Ya’ara Saks
    Minister of Mental Health and Addictions and Associate Minister of Health
    819-360-6927

    MIL OSI Canada News –

    January 23, 2025

  • MIL-OSI United Kingdom: Celebrating 40 years of Oxford’s Ice Rink

    Source: City of Oxford

    Published: Thursday, 26 September 2024

    This October sees Oxford’s Ice Rink hit the big 4-0, as it celebrates four decades of skating fun by hosting a Back to the 80s Gala on Saturday 5th October.

    Ice skating fans will get two chances to see this retro fun-fest, with shows at 2.30pm and 6pm, featuring the cream of the city’s skating talent from the Oxford School of Skating and Oxford Ice Academy.  

    The Back to the 80s Gala will see skaters dressed in retro fashions, dancing to songs that were big hits in the year the rink opened, 1984. People attending the show are guaranteed to feel like they’ve stepped back into the 80s! 

    The gala coincides with a Big Open Weekend at the ice rink, with free public skating sessions and taster lessons on Saturday and Sunday, and even a Saturday night disco. 

    “We are really excited to celebrate this major milestone for the Ice Rink! In August, we completed an extensive renovation, including a brand-new ice pad with updated logos and hockey lines, and a roof replacement. So, we are looking forward to showing it off.

    To book a ticket to the skating show, please visit our website. We are excited to have you celebrate the Ice Rink’s birthday with us!” “

    Jane De Lange, Skate School Co-ordinator at Oxford Ice Rink

    “For 40 years, Oxford Ice Rink has been at the heart of our community, offering fun, fitness, and a space where people of all ages can come together. With its recent upgrades, the rink is now better than ever, ensuring it continues to provide a fantastic experience for everyone from first-time skaters to seasoned pros. We’re looking forward to welcoming everyone to the Back to the 80s Gala and the Big Open Weekend to celebrate this exciting milestone.” 

    Cllr Chewe Munkonge, Cabinet Member for a Healthy Oxford, Oxford City Council 

    In partnership with Serco Leisure, More Community Leisure Trust manage five Oxford facilities, including the ice rink, Ferry Leisure Centre and Hinksey Outdoor Pool on behalf of Oxford City Council.

    MIL OSI United Kingdom –

    January 23, 2025

  • MIL-OSI United Kingdom: Non-executive chair reappointment at Government Actuary’s Department

    Source: United Kingdom – Executive Government & Departments

    The Government Actuary’s Department (GAD) announces the reappointment of Les Philpott as non-executive director and Management Board chair.

    Les is an experienced Non-Executive Director, having held a diverse range of non-executive roles in the public, private and charity sectors, including at Chair level. He has a background in public management at senior executive levels. Spanning a combined total of eleven years, Les formerly held the role of Chief Executive at the Office for Nuclear Regulation and previously held senior positions in the Health and Safety Executive.

    Commenting on the reappointment Fiona Dunsire, Government Actuary, said:

    With his business understanding, non-executive director experience at chair level, Les has been an insightful and inspirational presence in the Board of GAD. I look forward to working further with him during his second term.

    Les also commented and said:

    I am proud to have been reappointed to this role and to continue to be a part of GAD’s work and the next steps in its overall strategy.

    Notes:

    Les will continue to support GAD’s Management Board as the Non-Executive Chair, for a further three years, ending in September 2027.

    This reappointment has been made in accordance with the process and principles outlined in the Governance Code on Public Appointments. All appointments to the GAD are made on merit.

    He confirmed that he has not undertaken any political activity within the previous five years.

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    Updates to this page

    Published 26 September 2024

    MIL OSI United Kingdom –

    January 23, 2025

  • MIL-OSI: Cegedim: Revenue and EBITDA both increased in the first half of 2024

    Source: GlobeNewswire (MIL-OSI)

         
     

    PRESS RELEASE

    First-half financial information at June 30, 2024
    IFRS – Regulated information – Audited

    Cegedim: Revenue and EBITDA both increased in the first half of 2024

    • Revenue grew 6.0% as reported and 4.6% LFL to €319.0 million
    • EBITDA rose 6.9% to €52.2 million
    • Recurring operating income(1) (REBIT) fell 3.4% to €10.3 million

    Boulogne-Billancourt, France, September 26, 2024, after the market close

    Cegedim generated consolidated H1 2024 revenues of €319.0 million, a 6.0% year-on-year increase as reported, and EBITDA of €52.2 million, a €3.4 million or 6.9% increase. Recurring operating income fell €0.4 million, or 3.4%, to €10.3 million.

      H1 2024 H1 2023 Change
      in €m (in %) (in €m) (in %) (in €m) in %
    Revenues 319.0 100.0% 301.0 100.00% 18.0 6.0%
    EBITDA(1) 52.2 16.4% 48.8 +16.2% 3.4 6.9%
    Depreciation & amortization -41.9   -38.1   -3.8 -9.8%
    Recurring operating income(1) 10.3 3.2% 10.7 3.6% -0.4 -3.4%
    Other non-recurring operating income and expenses(1) -2.6   -1.4   -1.2 -88.8%
    Operating income 7.7 2.4% 9.3 3.1% -1.6 -17.1%
    Financial result -5.0   -5.6   0.6 10.8%
    Total tax -2.9   -12.4   9.5 76.8%
    Share of net profit (loss) of equity method companies 0.1   -0.5   0.6 110.3%
    Consolidated net profit -0.1 0.0% -9.2 -3.1% 9.1 99.0%
    Non-controlling interests -0.7   -0.4   -0.3 -69.3%
    Group share 0.6 0.2% -8.8 -2.9% 9.4 107.2%
    Recurring earnings per share(2) (in euros) 0.0 – -0.6 –    
    Earnings per share (in euros) 0.0 – -0.6 –    

    Consolidated revenues rose €18.0 million, or 6.0%, to €319.0 million in H1 2024 compared with €301.0 million in 2023. The positive scope effect of €3.7 million, or 1.2%, was attributable to the first-time consolidation in Cegedim’s accounts of Visiodent starting March 1, 2024. The positive currency impact was €0.5 million, or 0.2%, chiefly owing to appreciation of the pound sterling against the euro. In like-for-like terms(2), revenues rose 4.6% in the first half, in line with the Group’s announced outlook. The performance was attributable to seasonality and the non-recurrence of Ségur public health investments in 2024.

    EBITDA(1) rose €3.4 million between the first half of 2023 and 2024, or 6.9%. The improvement is the result of good management of personnel costs and external costs, in moderate growth as a percentage of revenues even though the amount of R&D capitalization fell and the Group had an additional quarter of start-up costs for its biggest BPO contract.

    ————-
    (1)    Alternative performance indicator See pages 112-113 of the 2023 Universal Registration Document.
    (2)   At constant scope and exchange rates.

    Depreciation and amortization expenses rose €3.7 million, chiefly due to a €3.1 million increase in R&D amortization (€22.7 million at June 30, 2024 compared with €19.7 million a year earlier) driven by development efforts in recent years.

    Recurring operating income(1) fell €0.4 million to €10.3 million in H1 2024 compared with €10.7 million in 2023.  It amounted to 3.2% of 2024 revenue compared with 3.6% in 2023. The fine EBITDA performance did not drop through to recurring operating income solely because of higher depreciation and amortization. Excluding the impact of Ségur subsidies and at comparable levels of amortization of capitalized R&D, Recurring operating income would have more than doubled.

    Other non-current operating costs(1) amounted to €2.6 million in H1 2024 compared with €1.4 million in the same period in 2023.  The principal items in 2024 were restructuring costs related to the Group’s decision to refocus software for doctors in the UK on Scotland and fees related to the Visiodent acquisition.

    Taking these elements into account, operating income came to €7.7 million at June 30, 2024, compared with €9.3 million a year earlier.

    Financial result was a loss of €5.0 million compared with a €5.6 million loss in H1 2023. Dividend income over the period more than offset the increase in the cost of financial debt.

    Tax was back to normal levels at €2.6 million in H1 2024 compared with €12.4 million in H1 2023. As a reminder, in 2023 the Group made a non-cash adjustment that caused it to record a deferred tax charge corresponding to the downward revision of its estimated remaining deferred tax assets.

    Analysis of business trends by division

    in millions of euros Total Software & Services Flow Data & Marketing BPO Cloud & Support
    Revenue            
    2023 reported

    2023 reclassified (*)

    		 301.0

    301.0

    		 161.5

    150.6

    		 48.2

    46.8

    		 54.9

    54.9

    		 32.8

    32.8

    		 3.5

    15.8
    2024 319.0 152.1 49.5 59.3 39.9 18.1
    Change 6.0% 1.0% 5.8% 8.0% 21.6% 14.5%
                 
    Recurring operating income            
    2023 reported

    2023 reclassified (*)

    		 10.7

    10.7

    		 -2.0

    -2.5

    		 5.6

    5.2

    		 6.6

    6.6

    		 1.4

    1.4

    		 -0.9

    0.0
    2024 10.3 -1.4 5.9 5.3 1.9 -1.3
    Change -3.4% 42.4% 12.8% -19.8% 36.0% na
                 
    Recurring operating margin (as a % of revenues)

    2023 reported

    		  

    3.6%

    		  

    -1.2%

    		  

    11.7%

    		  

    11.9%

    		  

    4.3%

    		  

    -24.7%
    2023 reclassified (*) 3.6% -1.7% 11.1% 11.9% 4.3% 0.3%
    2024 3.2% -1.0% +11.8% 8.9% 4.8% -7.0%
                 

    (*) As of January 1, 2024, our Cegedim Outsourcing and Audiprint subsidiaries—which were previously housed in the Software & Services division—as well as BSV—formerly of the Flow division—have been moved to the Cloud & Support division in order to capitalize on operating synergies between cloud activities and IT solutions integration.

    • Software & Services: H1 2024 revenues posted a €1.5 million increase, and recurring operating income (REBIT)(1) improved by €1.1 million to a loss of €1.4 million, compared with a €2.5 million loss a year earlier.

    ————-
    (1)    Alternative performance indicator See pages 112-113 of the 2023 Universal Registration Document.

    Software & Services First half Change

    2024 / 2023
    in millions of euros 2024 2023
    Revenues 152.1 150.6 1.5 1.0%
    Cegedim Santé 38.9 39.8 -1.0 -2.4%
    Insurance, HR, Pharmacies, and other services 86.7 84.5 2.3 2.7%
    International businesses 26.5 26.3 0.2 0.6%
    Recurring operating income(1) -1.4 -2.5 1.1 42.4%
    Cegedim Santé -1.6 -1.4 -0.2 -11.8%
    Insurance, HR, Pharmacies, and other services 3.4 3.3 0.1 3.5%
    International businesses -3.3 -4.4 1.1 25.6%

    As expected, Cegedim Santé felt the impact of increased R&D amortization (nearly €1 million) and a demanding comparison owing to the non-recurrence of Ségur public health investments (€4.4 million in H1 2023 revenues). The consolidation of Visiodent starting March 1, 2024, only partly offset those two items. Recurring operating income was nearly stable over the first half, but EBITDA increased as expected.

    The other businesses in the division posted REBIT(1) of €1.2 million. A solid performance by HR solutions, which managed to keep costs under control during a phase of strong growth, compensated for slower pharmacy equipment sales post-Ségur. The international businesses got a boost from dynamic sales for doctors in Spain and for insurers in the UK. As we shift our operations, narrowing the focus of our UK doctor’s software business to Scotland continued to generate costs in the first half.

    • Flow: Revenues rose 5.8%, driven by Cegedim e-business (process digitalization and electronic data flows), both of whose businesses made positive contributions; by Invoicing & Procurement, which rebounded in France and is benefiting from the upcoming reform in Germany; and by Healthcare Flow Management, which has dynamic new offerings for hospitals to make their drug purchasing secure. Over the same period, Third-party payer systems posted 3.6% growth. As a result, REBIT(1) rose 12.8%, with Third-party payer systems making the biggest contribution, as Cegedim e-business recorded a large R&D amortization charge.
    • Data & Marketing: Trends differed at this division—Marketing is still going strong, with 20% growth, whereas Data revenues fell 2.8%, particularly abroad. REBIT(1) of €6.6 million was down €1.3 million over the first half owing to high fixed costs in Data and increased depreciation and amortization costs at C-Media (+€1 million) due to heavy investments in updating its digital signage equipment.
    • BPO: Revenue jumped more than 21% over the first half, buoyed notably by a full six months of the contract with Allianz, which started on April 1, 2023, and is expected to generate losses in the early years. But the division reined in those losses so well that REBIT(1) rose €0.5 million in the first half of 2024 to reach €1.9 million, also getting a boost from the HR BPO and digitalization businesses.
    • Cloud & Support: H1 2024 REBIT(1) was a loss of €1.3 million, compared with breakeven a year earlier. The drop was due to surcharges related to the launch of a new cloud offering and recruitment of new offshore teams.

    ———

    (1) Alternative performance indicator See pages 112-113 of the 2023 Universal Registration Document.

    Highlights

    Apart from the items cited below, to the best of the company’s knowledge, there were no events or changes during H1 2024 that would materially alter the Group’s financial situation.

    • Acquisition of Visiodent

    On February 15, 2024, Cegedim Santé acquired Visiodent, a leading French publisher of management software for dental practices and health clinics. Visiodent launched the market’s first 100% SaaS solution, Veasy, at a time when it was significantly expanding its organization. Its users now include the country’s largest nation-wide networks of health clinics, both cooperative and privately owned, as well as several thousand dental surgeons in private practice. Visiodent generated revenue of c.€10 million in 2023 and began contributing to Cegedim Group’s consolidation scope on March 1, 2024.

    Cegedim S.A. has been subject to two tax audits since 2018, which have resulted in reassessments relating to the use of tax-loss carryforwards contested by the tax authorities. Cegedim, in consultation with its lawyers, believes that the reassessments are unfounded in light of the applicable tax law and jurisprudence. The Company has therefore taken, and continues to take, all possible avenues of contestation.

    As these appeals are not suspensive, Cegedim has paid the amounts reassessed over time (a total of 23 million euros already paid, including 10.9 million euros disbursed in February 2024). The remaining risk of future disbursements in respect of this dispute thus amounts to only 5 million euros at June 30, 2024.

    However, these disbursements have never given rise to the recognition of a tax charge in the P&L, since the Company considers that these sums will be recoverable at the end of the proceedings (they are recognized as advances paid on the assets side of the balance sheet). Should the outcome be unfavorable, a charge of 28 million euros (of which 23 million has already been paid) would have to be recorded in the consolidated income statement.

    In addition, the consolidated balance sheet must show the future tax savings still realizable in respect of tax loss carryforwards. This “deferred tax asset” amounted to 6.9 million euros at June 30, 2024.
    Should the outcome be unfavorable, the probability of realizing these future savings would become nil, and an adjustment of 6.9 million euros would have to be recorded in the consolidated income statement (with no cash impact, since these gains have never yet been realized).

    Consequently, the risk associated with this dispute is not (or very little) in terms of cash, but rather in terms of a possible adjustment to the consolidated income. The maximum P&L adjustment risk is known: it amounts to 34.9 million euros and will remain unchanged. Only its breakdown varies at each closing: the amount of disputed tax savings (28 million to date) will continue to increase, and that of remaining future savings (6.9 million to date) will decrease accordingly until exhausted.

    In the last quarter of 2023, the Company referred this dispute to the administrative court, which is likely to continue for several years.

    Significant transactions and events post June 30, 2024

    Apart from the items cited below, to the best of the company’s knowledge, there were no post-closing events or changes after June 30, 2024, that would materially alter the Group’s financial situation.

    • New financing arrangement

    On July 31, 2024, Cegedim announced that it had secured a new financing arrangement consisting of a €230 million syndicated loan. The arrangement is split into €180 million of lines drawn upon closing to refinance the Group’s existing debt (RCF and Euro PP, which were to mature in October 2024 and October 2025 respectively) and an additional, undrawn revolving credit facility (RCF) of €50 million. This new financing arrangement will bolster the Group’s liquidity and extend the maturity of its debt to, respectively, 5 years (€30 million, payments every six months); 6 years (€60 million, repayable upon maturity); and 7 years (€90 million, repayable upon maturity).

    Outlook

    Based on the currently available information, the Group expects 2024 like-for-like(2) revenue growth to be in the range of 5-8% relative to 2023. Recurring operating income should continue to improve, following a similar trajectory as in 2023.  

    Recurring operating income(1) is expected to grow, notably thanks to the initial returns on investments made in Cegedim Santé and refocusing international activities.

    These targets may need to be revised in the event of unexpected developments (pandemic, etc.) and/or a significant worsening of geopolitical and macroeconomic risks. The Group reiterates that it has no activities or exposed assets in Russia or Ukraine.

    —————

    The Audit Committee met on September 25, 2024. The Board of Directors, chaired by Jean-Claude Labrune, met on September 26, 2024, and approved the consolidated financial statements at June 30, 2024, of which the statutory auditors have conducted a limited review. The Interim Financial Report will be available in a few days’ time, in French and in English, on our website.

    2024 financial calendar

    2024 October 24 after the close Q3 2024 revenues

    Financial calendar: https://www.cegedim.fr/finance/agenda/Pages/default.aspx

    Disclaimer
    This press release is available in French and in English. In the event of any difference between the two versions, the original French version takes precedence. This press release may contain inside information. It was sent to Cegedim’s authorized distributor on September 26, 2024, no earlier than 5:45 pm Paris time.
    The figures cited in this press release include guidance on Cegedim’s future financial performance targets. This forward-looking information is based on the opinions and assumptions of the Group’s senior management at the time this press release is issued and naturally entails risks and uncertainty. For more information on the risks facing Cegedim, please refer to Chapter 7, “Risk management”, section 7.2, “Risk factors and insurance”, and Chapter 3, “Overview of the financial year”, section 3.6, “Outlook”, of the 2023 Universal Registration Document filled with the AMF on April 3, 2024, under number D.24-0233.

    About Cegedim:
    Founded in 1969, Cegedim is an innovative technology and services group in the field of digital data flow management for healthcare ecosystems and B2B, and a business software publisher for healthcare and insurance professionals. Cegedim employs more than 6,500 people in more than 10 countries and generated revenue of €616 million in 2023.

    Cegedim SA is listed in Paris (EURONEXT: CGM).
    To learn more please visit: http://www.cegedim.fr
    And follow Cegedim on X: @CegedimGroup, LinkedIn, and Facebook.

    Aude Balleydier
    Cegedim
    Media Relations
    and Communications Manager

    Tel.: +33 (0)1 49 09 68 81
    aude.balleydier@cegedim.fr

    		 Damien Buffet
    Cegedim
    Head of Financial Communication

    Tel.: +33 (0)7 64 63 55 73
    damien.buffet@cegedim.com

    		 Céline Pardo
    Becoming RP Agency
    Media Relations Consultant

    Tel.:        +33 (0)6 52 08 13 66
    cegedim@becoming-group.com

    		  

    ———

    (1) Alternative performance indicator See pages 112-113 of the 2023 Universal Registration Document.
    (2) At constant scope and exchange rates.

    Annexes

    Consolidated financial statements at June 30, 2024

    • Assets au 30 juin 2024
    In thousands of euros 6/30/2024 12/31/2023
    Goodwill 234,955 199,787
    Development costs 29,706 1,562
    Other intangible fixed assets 177,834 192,616
    Intangible non-current assets 207,541 194,178
    Land 594 544
    Buildings 1,556 1,660
    Other property, plant, and equipment 53,006 45,829
    Advances and non-current assets in progress 901 831
    Rights of use 86,092 89,718
    Tangible fixed assets 142,149 138,582
    Equity investments 0 0
    Loans 16,332 15,332
    Other long-term investments 7,120 5,230
    Long-term investments – excluding equity shares in equity method companies 23,452 20,563
    Equity shares in equity method companies 19,086 22,065
    Deferred tax assets 18,209 19,747
    Prepaid expenses: long-term portion 0 0
    Non-current assets 645,390 594,922
    Goods 6,072 5,498
    Advances and deposits received on orders 1,396 3,703
    Accounts receivables: short-term portion 182,907 175,199
    Other receivables: short-term portion 59,070 59,563
    Current tax credits 27,262 16,495
    Cash equivalents 0 0
    Cash 35,414 46,606
    Prepaid expenses: short-term portion 26,138 22,082
    Current assets 338,260 329,146
    Total assets 983,651 924,068
    • Liabilities et shareholders’ equity at June 30, 2024
    In thousands of euros 6/30/2024 12/31/2023
    Share capital 13,432 13,337
    Consolidated retained earnings 276,449 282,521
    Group exchange gains/losses -11,848 -12,275
    Group earnings 630 -7,407
    Shareholders’ equity, Group share 278,663 276,175
    Minority interest 17,550 18,381
    Shareholders’ equity 296,213 294,556
    Non-current financial liabilities 187,714 188,546
    Non-current lease liabilities 76,267 78,761
    Deferred tax liabilities 5,949 5,600
    Post-employment benefit obligations 30,632 31,007
    Non-current provisions 2,147 2,521
    Non-current liabilities 302,710 306,435
    Current financial liabilities 61,570 3,006
    Current lease liabilities 14,661 14,789
    Trade payables and related accounts 57,225 61,734
    Current tax liabilities 192 235
    Tax and social security liabilities 113,884 121,371
    Non-current provisions 1,660 1,730
    Other current liabilities 135,538 120,212
    Current liabilities 384,728 323,077
    Total liabilities 983,651 924,068
    • Income statement at June 30, 2024
    In thousands of euros 6/30/2024 6/30/2023
    Revenues 318,995 301,011
    Purchases used -14,045 -14,739
    External expenses -72,687 -66,371
    Taxes -3,961 -4,291
    Payroll costs -173,240 -163,623
    Impairment of trade receivables and other receivables and on contract assets -872 -2,041
    Allowances to and reversals of provisions -2,440 -1,830
    Other operating expenses -690 108
    Share of profit (loss) from affiliates on the income statement 1,146 603
    EBITDA (1) 52,207 48,827
    Depreciation expenses other than right-of-use assets -33,140 -29,030
    Depreciation expenses of right-of-use assets -8,733 -9,097
    Recurring operating income(1) 10,334 10,700
    Non-recurring operating income and expenses -2,616 -1,385
    Other non-recurring operating income and expenses(1) -2,616 -1,385
    Operating income 7,718 9,315
    Income from cash and cash equivalents 326 180
    Cost of gross financial debt -7,121 -5,633
    Other financial income and expenses 1,813 -136
    Net financial income (expense) -4,983 -5,589
    Income taxes -1,226 -1,841
    Deferred income taxes -1,652 -10,588
    Tax -2,878 -12,429
    Share of profit (loss) from affiliates 53 -515
    Consolidated net profit -90 -9,219
    Group share 630 -8,793
    Income from equity-accounted affiliates -721 -426
    Average number of shares excluding treasury stock 13,695,317 13,658,348
    Recurring earnings per share (in euros) 0.0 -0.6
    Earnings per share (in euros) 0.0 -0.6
    • Cash flow statement as of June 30, 2024
    In thousands of euros 6/30/2024 6/30/2023
    Consolidated net profit -90 -9,219
    Share of profit (loss) from affiliates -1,199 -88
    Depreciation and amortization expenses and provisions 40,531 37,972
    Capital gains or losses on disposals of operating assets -52 -798
    Cash flow after cost of net financial debt and taxes 39,190 27,867
    Cost of net financial debt 4,983 5,589
    Tax expenses 2,878 12,429
    Cash flow from operating activities before tax and interest 47,051 45,885
    Tax paid -11,634 -378
    Impact of change in working capital requirements -13,206 -18,032
    Cash flow generated from operating activities after tax paid and change in

    working capital requirements

    		 22,211 27,476
    Acquisitions of intangible fixed assets -29,879 -29,550
    Acquisitions of tangible fixed assets -15,935 -11,759
    Acquisitions of long-term investments 0 -36
    Disposals of property, plant, and equipment and of intangible assets 553 2,575
    Disposals of long-term investments 934 805
    Change in deposits received or paid -860 -156
    Impact of changes in consolidation scope -35,454 -2,172
    Dividends received from outside the Group 4,073 30
    Net cash from (used in) investing activities -76,568 -40,264
    Capital increase 985 –
    Dividends paid to minority shareholders of consolidated cos. 0 –
    Dividends paid to shareholders of the parent company -1 –
    Debt issuance 55,000 –
    Debt repayments -219 -193
    Employee profit sharing 145 129
    Repayment of lease liabilities -8,152 -11,353
    Interest paid on loans -972 -117
    Other financial income received 718 596
    Other financial expenses paid -3,612 -3,492
    Net cash flow used in financing activities 43,892 -14,430
    Change in net cash excluding currency impact -10,465 -27,218
    Impact of changes in foreign currency exchange rates -728 -456
    Change in net cash -11,194 -27,674
    Opening cash 46,606 55,553
    Closing cash 35,412 27,879
    • Financial covenants

    The Group complied with all its covenants as of June 30, 2024.

    (1) Alternative performance indicator

    Attachment

    • Cegedim_Earnings_1H2024_ENG

    The MIL Network –

    January 23, 2025

  • MIL-OSI Translation: Biographical notice

    MIL OSI Translation. Canadian French to English –

    Source: Government of Canada – in French 2

    Mylène Paradis (BA [communications], Université Laval, 1991; MA [journalism], Université Laval, 1993) joined the Department of Foreign Affairs and International Trade in 2002.

    Mylène Paradis (BA [communications], Université Laval, 1991; MA [journalism], Université Laval, 1993) joined the Department of Foreign Affairs and International Trade in 2002. At headquarters, she held positions with the Stabilization and Reconstruction Task Force and the Central America and Caribbean Bureau. She was Chief of Staff to the Deputy Minister of International Development and Director of the Global Health and Nutrition Branch. Abroad, she was posted to Madrid from 2005 to 2008. Throughout her career, she has held secondments to various departments, including the Privy Council Office, Citizenship and Immigration Canada and Health Canada. Most recently, she was Director General of Canadian Partnerships for Health and Social Development at Global Affairs Canada.

    Marianick Tremblay (BBA [civil and international law], Université de Sherbrooke, 1989; LL.B. Université de Sherbrooke, 1990) was called to the Quebec Bar in 1990 and joined External Affairs and International Trade Canada in 1993. At headquarters, she served as senior counsel in the Environmental Law Division, coordinator of the Human Security Program, and senior counsel for small arms. Ms. Tremblay also served as deputy director of the Brazil and Southern Cone Section, and then as director of Hemispheric Affairs, which included relations with the Organization of American States and coordination of the Canadian delegation’s participation in the Summit of the Americas. From 2018 to 2021, she served as director general of the Mobilization of Canadians in the Partnerships for Development Innovation Sector. She has served in various overseas postings, including Mexico (1995–1998), Morocco (2001–2005), Chile (2007–2010), and as Ambassador to El Salvador (2010–2012), Ecuador (2015–2018), and Colombia (2021–2024).

    Craig Weichel (BA Honours [History], Wilfrid Laurier University, 1994; MA [History], McMaster University, 1996) joined the Department of Foreign Affairs and International Trade in 1998. At headquarters, he worked in the U.S. General Relations, Northern Europe, Non-Proliferation and Disarmament (Nuclear), and United Nations divisions. He also headed the Natural Disaster Response and Civilian Security Policy Division and the North Korea Task Force. From 2007 to 2009, he was President of the Professional Association of Foreign Service Officers. Abroad, he served in New York with the Permanent Mission of Canada to the United Nations; in Vienna with the Canadian Delegation to the Organization for Security and Co-operation in Europe; in Rome and, more recently, in Washington, where he directed the embassy’s environment and energy program.

    Brenda Wills (Hons BComm, University of Manitoba, 2003; MSc [Sustainable Development], University of Sussex, 2021) is a Métis from Red River, Manitoba who joined the Department of Foreign Affairs and International Trade in 2004. Her first posting abroad was in Washington, D.C. as Second Secretary (Trade Policy). She subsequently served as First Secretary (Trade) in Chile, Senior Trade Commissioner and Counsellor (Trade) in Colombia, and Counsellor (Trade Policy) in Mexico City. At Headquarters, she worked in the Trade Policy and Negotiations Branch, first on negotiations with the European Union and the European Free Trade Association, and then on the Trans-Pacific Partnership negotiations as Deputy Director of Communications and Stakeholder Engagement. She also served as Chief of Staff to the Assistant Deputy Minister of International Business Development and Canada’s Chief Trade Commissioner. Most recently, she served as Senior Trade Commissioner and Counsellor (Commercial Affairs) in Singapore.

    EDITOR’S NOTE: This article is a translation. Apologies should the grammar and/or sentence structure not be perfect.

    MIL Translation OSI

    January 23, 2025

  • MIL-OSI Translation: Health insurance premiums to increase by 6.4% on average in 2025

    MIL OSI Translation. Government of the Republic of France statements from French to English –

    Source: Swiss Canton of Vaud – news in French

    Breadcrumbs

    vd.ch
    News
    Health insurance premiums to increase by 6.4% on average in 2025

    Published on 26.09.2024

    In the canton of Vaud, the average increase is equivalent to 6.4% (compared to 9.9% in 2024), which corresponds to 25.60 francs per month.

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    EDITOR’S NOTE: This article is a translation. Apologies should the grammar and/or sentence structure not be perfect.

    MIL Translation OSI

    January 23, 2025

  • MIL-OSI USA: Blumenauer Proposes Overhaul to Hospice Benefit

    Source: United States House of Representatives – Congressman Earl Blumenauer (OR-03)

    If enacted, the legislation would be the single most significant update to the hospice benefit and payment structure since its inception in 1982.

     WASHINGTON, D.C — Today, Congressman Earl Blumenauer (D-OR), a senior member of the Ways and Means Committee, introduced the Hospice Care Accountability, Reform and Enforcement Act (Hospice CARE Act) to modernize Medicare’s hospice benefit, which has remained largely unchanged since its inception in 1982. The proposal comes as egregious reportsof fraud and abuse within the benefit persist, despite action from Centers for Medicare & Medicaid Services (CMS). The legislation is the product of years of collaboration between stakeholders, lawmakers, and industry leaders. It builds on Blumenauer’s decades-long commitment to ensure the federal government supports families at a time of great stress and vulnerability: the end of life. 

    “The United States spends significantly more on health care than other developed nations for worse outcomes. Nowhere is this more egregious than in the hospice industry,” said Congressman Earl Blumenauer. “Patients and families deserve better. We need a reset. It is past time for Congress to act to end the fraud, waste, and abuse within the hospice benefit and bring it into the 21st century.”

    To protect patients and taxpayers, the Hospice CARE Act would institute a number of long overdue reforms to crackdown on fraud while incentivizing high-quality care. Critically, it would:

    • Reform the payment structure: The underlyinghospice per-diem payment structure—which generally pays hospices for each day of care regardless of if care is provided on a given day—rewards bad actors who exploit the benefit for financial gain. The legislation revises the payment structure to ensure that providers are incentivized to deliver high-quality care and meet the current needs of individuals and their families.

    • Bolster program integrity: Additional safeguards and oversight is needed to prevent fraudulent providers from enrolling in Medicare, especially for new hospices. That includes temporarily preventing new hospices from enrolling in Medicare, with exceptions where additional access to care is needed, increasing survey frequency, and increasing ownership transparency

    A one-page fact sheet can be found here. Bill text here. 

    “The hospice benefit, while unique, is ripe for change. This legislation is a first-of-its-kind opportunity to improve it,” said Katie Smith Sloan, president and CEO, LeadingAge, the association of nonprofit providers of aging services, including hospice, on the Hospice Care Accountability, Reform and Enforcement (CARE) Act of 2024. “Revising a benefit that has not been altered significantly since its creation in 1982 is a formidable undertaking – but a necessary one. Done right, changes will expand the benefit to support the realities of modern-day hospice care and address vulnerabilities that are currently being exploited.  There is more work to do and we look forward to continuing our productive partnership to ensure this bill achieves these goals.” 

     “The National Partnership for Healthcare and Hospice Innovation (NPHI) is thankful for the work of Congressman Blumenauer, his staff, and the Ways and Means Committee staff who worked with the hospice and advanced illness community to put forward the Hospice Care Accountability, Reform, and Enforcement (CARE) Act. This legislation is an encouraging and unique opportunity to consider reforms that would strengthen the Medicare hospice benefit by ensuring it continues to support patients, families, and the non-profit providers who were the original foundation of hospice care,” said Tom Koutsoumpas, CEO and founder of NPHI. “We look forward to continuing to work closely with Congress and relevant stakeholders on efforts to modernize the hospice benefit and improve care of those at the end-of-life.

    “The Coalition to Transform Advanced Care (C-TAC), truly appreciates the introduction of the Hospice Care Accountability, Reform, and Enforcement (Hospice CARE) Act. We commend Representative Earl Blumenauer (D-OR-3rd) for this important work and for his decades of support for compassionate end-of-life care and for bringing policies to the national stage with bi-partisan support,” stated Jon Broyles, C-TAC CEO.  “We have had the privilege to work with the Congressman, his staff, Ways & Means Committee staff and other advocates on this bill and it is an important starting point for ideas that will lead to modernizing the hospice program and improving the lives of people with serious illness and their family caregivers.”

     

    MIL OSI USA News –

    January 23, 2025

  • MIL-OSI United Kingdom: Gaston questions Health Minister on award of £576 million contract to Fujitsu

    Source: Traditional Unionist Voice – Northern Ireland

    Statement by TUV North Antrim MLA Timothy Gaston:

    “I am amazed to read that Fujitsu, the company at the heart of the Post Office Horizon scandal, has been placed on a government contract worth up to £576 million by the Department of Heath.

    “Such a decision is inexplicable given the role of the company in a scandal which has shocked the whole of the UK.

    “In the wake of the Grenfell findings, Westminster announced that companies which were found to have fallen short would be removed from government contracts. It would seem obvious to me that a similar approach should be taken with Fujitsu given its role in events which have resulted in at least one suicide.”

    Note to editors

    The question tabled today by Mr Gaston as a two day priory is as follows:

    To ask the Minister of Health, in light of the Post Office Horizon IT scandal, to detail why Fujitsu have been placed on a government contract worth up to £576 million.

    MIL OSI United Kingdom –

    January 23, 2025

  • MIL-OSI Banking: A year of DAX Copilot: Healthcare innovation that refocuses on the clinician-patient connection

    Source: Microsoft

    Headline: A year of DAX Copilot: Healthcare innovation that refocuses on the clinician-patient connection

    In 2012, a child’s drawing of her appointment with a physician was published in the Journal of the American Medical Association (JAMA). In the brightly colored sketch, the girl is sitting on the exam table accompanied by her mother and siblings. To those of us working in healthcare, her doctor is the most notable part of the image. He is sitting at his desk, typing on the computer — with his back to the patient.

    This drawing, published alongside an article titled “The Cost of Technology,” is emblematic of the unintended consequences of healthcare innovation. With more tools for physicians to use and greater demands on their time, technology can easily become a barrier between the clinician and the patient. For example, in 2023 approximately 53% of physicians surveyed by Medscape reported feeling burned out, and 23% reported feeling depressed. Long working hours, bureaucratic demands and loss of work-life balance due to administrative requirements are leading causes. Our mission has always been to help clinicians turn their chairs around by providing the support they need to fully focus their attention on delivering care.

    Fast-forward to today, and we’ve translated that goal into reality. After establishing the ambient technology category, we introduced DAX Copilot, the first generative AI voice-enabled solution, which has been generally available for one year, and we’re seeing remarkable momentum. Part of a proven and extensible platform, DAX Copilot leverages health systems’ existing investments in the trusted family of Dragon Medical solutions, which is used by more than 600,000 clinicians worldwide.

    DAX Copilot combines proven conversational and ambient AI with generative AI to automatically convert multiparty conversations into specialty-specific standardized draft clinical summaries that integrate with existing workflows. DAX Copilot was the first ambient solution to be integrated into the Epic electronic health record (EHR) workflow and allows clinicians to seamlessly document patient visits directly within the EHR. Across the country, more than 400 organizations have already embraced its revolutionary capabilities, streamlining administrative tasks and lightening clinicians’ documentation workloads.

    This transformative year has highlighted many of the ways we’re helping empower healthcare teams today and bringing joy back to practicing medicine for thousands of clinicians.

    Improving Access to Care — and Enhancing Documentation Quality

    DAX Copilot is helping Northwestern Medicine in Chicago improve patient access to care, with physicians using the solution in at least 50% of patient encounters and able to see an average of 11.3 additional patients per month. DAX Copilot users at Northwestern Medicine also report spending an average of 24% less time on notes and a 17% decrease in ‘pajama time,’ working on administrative tasks late into the night.

    “Northwestern Medicine is committed to providing a superior work environment that promotes well-being, and implementing DAX Copilot will allow our physicians to spend more quality time with our patients, focusing on their needs rather than on paperwork and data entry,” says Dr. Gaurava Agarwal, chief wellness executive, Northwestern Medicine.

    Overlake Medical Center & Clinics in Bellevue, Washington, deployed DAX Copilot to help reduce after-hours documentation time and equip its clinicians with tools to manage escalating demands. A pilot with 30 Overlake clinicians saw a significant reduction in time spent on notes outside of scheduled hours. Users also reported other important benefits: 81% said DAX Copilot had reduced their cognitive burden and 77% said the solution had improved the quality of their documentation.

    At Atrium Health, “DAX Copilot is enabling a better clinician experience,” says Dr. Matthew Anderson, senior medical director of primary care at Atrium Health. “Most of our surveyed users are reporting a positive impact on their day-to-day schedule, being able to increase the number of patients they are able to see and even spending more time with them.”

    Enhancing Clinician Well-being

    Atrium Health isn’t alone in finding that the time saved on documentation with DAX Copilot is having a positive impact on clinicians’ quality of life. “I finally have weekends back,” says Dr. Christy Chan, a family medicine physician at Overlake. “I used to always have to worry that there was something I had to do — get back onto the EMR, log back in — but I actually have some weekends back.”

    Clinicians at Novant Health are experiencing similar benefits. “DAX Copilot has done an amazing thing for the physicians and clinicians who are currently using it,” says Dr. Aram Alexanian, a family physician at Novant Health. “When you hear a comment like ‘I am now able to do things with my daughter in the evenings and weekends that I couldn’t do before,’ nothing satisfies us more than knowing the impact DAX is having on our clinicians.”

    DAX Copilot can accurately identify different voices in the room during pediatric visits, differentiating between parents and children to accurately capture the patient exam note for the physician to review and approve.

    Community Health Network places a major focus on clinician well-being and implementing DAX Copilot has had a major impact on its clinicians’ ability to close notes before they leave for the day. “Since we have implemented DAX Copilot, I have not left clinic with an open note,” says Dr. Patrick McGill, chief transformation officer for Community Health Network. “We have seen improved access, improved numbers of patients, but overall, it’s really the clinician satisfaction that we’ve seen. In one word, DAX Copilot is transformative. It transforms how we’re able to deliver care and how we’re able to document it. It also transforms the patient experience.”

    “DAX Copilot has made my professional life easier. My patients have also benefited from my using Nuance DAX during our appointments. I can be right there with the patient and not furiously writing notes. I cannot thank you enough,” said Anita M. Kelsey, M.D., Duke Health.

    Transforming the Patient Experience 

    Dr. Dominick Lanzo, an orthopedic surgeon at Greater Baltimore Medical Center, agrees. “Once I introduced the DAX Copilot program, it completely transformed the patient experience, and it’s turned out to be incredibly accurate with regards to the history of present illness and the physical exam,” he says. “It’s made my practice much more efficient. I can see more patients, my notes are more accurate, and they’re done in a timely fashion by the end of the afternoon.”

    For Dr. Alison Pomykala, an internal medicine specialist at Baptist Medical Group, the integration of DAX Copilot with the Epic EHR is particularly valuable. “The thing I like most about DAX Copilot embedded in the Epic workflow is I’m able to focus more on the patient and I’m spending less time in the exam room typing on the computer,” she says.

    “I think the interface is wonderful with Epic. It has been great to see the notes coming up basically in real time on the Epic system. That’s also helped with other things: where we needed to generate a note quickly for referrals, for insurance pre-certifications, for imaging studies, or to have a complete note ready for a patient that we’re sending to the hospital.”

    “At our academic health system, integrating DAX Copilot has revolutionized patient care,” says Dr. Anthony Mazzarelli, co-president and CEO at Cooper University Health Care. “By automating clinical documentation through ambient voice technology, it has significantly reduced administrative workloads. This allows our physicians to focus on real-time patient interactions, leading to better care outcomes and increased job satisfaction. DAX Copilot has not only improved efficiency but has also empowered our team to spend more time where it matters most — caring for patients.”

    It’s a privilege to see this industry-leading solution make a meaningful difference for the clinicians who are already on board — but the work never stops. The Microsoft healthcare team is determined to continue solving some of the industry’s most complex challenges, and harnessing the power and potential of AI is how we’ll achieve that. We will continue to be leaders in innovation, collaborating across our ecosystem of incredible customers, partners and Microsoft researchers to bring real impact to clinical settings.

    DAX Copilot is an innovative solution that goes beyond documentation, offering unique features such as orders, problem-based charting and pre-charting capabilities. For example, recent updates to DAX Copilot include a robust set of features, such as the ability to customize documentation style and formatting, as well as automatically create referral letters, diagnostic evidence, after-visit summaries and encounter summaries. The solution also now offers AI coaching to help users improve the quality and completeness of their notes. Also, the new Summarized Evidence capability offers a comprehensive and sophisticated approach that helps clinicians validate and trust the note output by combining insights that go beyond evidence linking, helping clinicians validate the note.

    Importantly, when creating technologies that can change the world, Microsoft believes organizations need to ensure that the technology is used responsibly. Microsoft is committed to creating responsible AI by design that is guided by a core set of principles: fairness, reliability and safety, privacy and security, inclusiveness, transparency and accountability.

    DAX Copilot is helping restore the human connection at the heart of medicine. We’re excited to drive this solution forward and expand its reach to more clinicians over the coming year and beyond.

    Today, the solution can be used across ambulatory specialties, in-office primary care and urgent care, telehealth and emergency medicine. And we are scaling the solution’s availability and capabilities to even more care settings, such as nursing and geographies.

    If you’d like to learn how DAX Copilot can help transform healthcare at your organization, please visit: the DAX Copilot website.

    Tags: AI, Copilot, Dax Copilot, Dragon Medical solutions, Generative AI, Microsoft Partners, Responsible AI

    MIL OSI Global Banks –

    January 23, 2025

  • MIL-OSI Translation: Government of Canada launches Autism Canada Framework, Autism Canada Strategy, and call for applications for National Autism Network

    MIL OSI Translation. Canadian French to English –

    Source: Government of Canada – in French 1

    The Government of Canada is committed to meeting the needs of all persons with disabilities in Canada, including people with neurodevelopmental disorders such as autism, and those who care for them.

    September 26, 2024 | Ottawa, Ontario | Public Health Agency of Canada

    The Government of Canada is committed to meeting the needs of all persons with disabilities in Canada, including people with neurodevelopmental disorders such as autism, and those who care for them.

    The Honourable Mark Holland, Minister of Health, tabled in Parliament today: Autism Framework in Canada (Framework). The Framework describes the principles and benchmark practices that will guide autism policy, programs and activities in Canada. It leverages the Government of Canada’s leadership role in advancing best practices to support autistic people of all ages, their families and caregivers.

    The Public Health Agency of Canada (PHAC) has also launched the Autism Strategy in Canada(Strategy). The Strategy is a multi-year action plan that supports the federal government’s implementation of the Framework. It outlines short- and medium-term initiatives specific to the federal government and builds on existing programs and measures to address key priority areas. The Strategy will be updated regularly, based on the evolving needs and priorities of autistic people of all ages living in Canada.

    The Framework and Strategy were developed by the Federal-Provincial-Territorial Working Group in collaboration with autistic people, their families, caregivers, provinces, territories, Indigenous organizations and other stakeholders. Implementation will require coordinated efforts from governments across Canada, as well as many partners, organizations and individuals whose work touches on autism initiatives. The Government of Canada will continue to work with provinces and territories to address the needs of autistic people in Canada.

    Finally, today we officially launched the process of creating a National Autism Network. This Network is intended to bring together the skills and resources of organizations and stakeholders in the field of autism, including people with lived experience, in order to support the implementation of activities guided by the Framework and the Strategy. We invite eligible organizations to respond to the call for applications linked to the Network by November 25, 2024.

    This sets out a vision to improve screening, diagnosis and services across Canada; strengthen economic inclusion; improve data collection, public health surveillance and research; increase public awareness, understanding and acceptance; and facilitate access to evidence-based autism resources and tools.

    “Through this Framework and Strategy, our government is taking concrete steps to break down the barriers faced by persons with disabilities in Canada. In the spirit of ‘Nothing Without Us,’ we are working with the autism community to create a strategy that meets the diverse needs of the community, which will better support and equip autistic persons, their families and caregivers.”

    The Honourable Kamal KheraMinister of Diversity, Inclusion and Persons with Disabilities

    Autism (also known as autism spectrum disorder or ASD) is a neurodevelopmental disorder that lasts throughout life. People with autism may communicate and connect with others differently, have differences in sensory processing, or focus intensely on certain interests or activities. People with autism may also have other physical, intellectual, learning, or mental health conditions that can create additional complexities and challenges.

    It is estimated that 1 in 50 children and youth aged 1 to 17 years have been diagnosed with autism spectrum disorder in Canada. The Government of Canada is exploring options to measure and report on autism in adults living in Canada. This information will help build the evidence base needed to inform public health actions to improve the health and well-being of people with autism across the lifespan.

    Since 2018, the Canadian Institutes of Health Research has invested approximately $88 million in autism research. This research increases our understanding of autism and guides the development of innovative tools and more effective ways to support people on the autism spectrum and their families.

    Budget 2021 provided an investment of $15.4 million over two years for PHAC to work collaboratively with provinces, territories, families and stakeholders to create an autism strategy.

    In 2022, the Canadian Academy of Health Sciences published aevaluation reporton autism in which she highlights gaps in knowledge about the needs and situation of autistic adults, particularly with regard to quality of life, daily activities, loneliness and mental health.

    The Framework is aligned with other disability-related activities, such as the Action Plan for the Inclusion of People with Disabilities (DIAP), which was presented on October 7, 2022. The DIAP is a comprehensive, whole-of-government approach to disability inclusion that integrates disability considerations into government programs while identifying targeted investments in important areas to drive change.

    The National Autism Network will be a not-for-profit organization, working independently from the Government of Canada to share expertise, knowledge and resources, supporting key autism priorities and providing a forum for ongoing engagement on federal policies and programs. The Network will work directly with provinces and territories on specific provincial/territorial initiatives and will coordinate and integrate autism investments, while bringing together the knowledge and experience of local autism organizations and partners, as well as the perspectives of people with lived experience of autism. It will also lead targeted national public awareness campaigns and provide sustainable, accessible and culturally relevant resources (available online and elsewhere) to support autistic people in Canada, their families and caregivers.

    PHAC hosted two national autism conferences in November 2022 and August 2024. The first to bring together people from across Canada to identify potential short-, medium- and long-term priority actions for an autism strategy and the second to discuss the five priority areas of the Framework and the actions needed to advance them.

    There Act respecting a federal framework relating to autism spectrum disorder received Royal Assent on March 30, 2023. This Act sets out a commitment to the development of a federal framework to support autistic people in Canada, as well as their families and caregivers.

    Matthew KronbergPress SecretaryOffice of the Honourable Mark HollandMinister of Health343-552-5654

    Media RelationsHealth Canada and the Public Health Agency of Canada613-957-2983media@hc-sc.gc.ca

    EDITOR’S NOTE: This article is a translation. Apologies should the grammar and/or sentence structure not be perfect.

    MIL Translation OSI

    January 23, 2025

  • MIL-OSI USA: Scientists discover gene responsible for rare, inherited eye disease

    Source: US Department of Health and Human Services – 2

    News Release

    Thursday, September 26, 2024

    NIH-supported findings pave the way for genetic testing, clinical trials, and therapy development.

    Scientists at the National Institutes of Health (NIH) and their colleagues have identified a gene responsible for some inherited retinal diseases (IRDs), which are a group of disorders that damage the eye’s light-sensing retina and threatens vision. Though IRDs affect more than 2 million people worldwide, each individual disease is rare, complicating efforts to identify enough people to study and conduct clinical trials to develop treatment. The study’s findings published today in JAMA Ophthalmology.

    In a small study of six unrelated participants, researchers linked the gene UBAP1L to different forms of retinal dystrophies, with issues affecting the macula, the part of the eye used for central vision such as for reading (maculopathy), issues affecting the cone cells that enable color vision (cone dystrophy) or a disorder that also affects the rod cells that enable night vision (cone-rod dystrophy). The patients had symptoms of retinal dystrophy starting in early adulthood, progressing to severe vision loss by late adulthood.

    “The patients in this study showed symptoms and features similar to other IRDs, but the cause of their condition was uncertain,” said Bin Guan, Ph.D., chief of the Ophthalmic Genomics Laboratory at NIH’s National Eye Institute (NEI) and a senior author of the report. “Now that we’ve identified the causative gene, we can study how the gene defect causes disease and, hopefully, develop treatment.”

    Identifying the UBAP1L gene’s involvement adds to the list of more than 280 genes responsible for this heterogeneous disease.

    “These findings highlight the importance of providing genetic testing to our patients with retinal dystrophy, and the value of the clinic and lab working together to better understand retinal diseases,” said co-senior author on the paper, Laryssa A. Huryn, M.D., an ophthalmologist at the NEI, part of the National Institutes of Health.

    Genetic evaluation of the six patients revealed four variants in the UBAP1L gene, which encodes for a protein that is abundantly expressed in retina cells, including retinal pigment epithelium cells and photoreceptors. More research is needed to understand the UBAP1L gene’s exact function, but scientists were able to determine that the identified variants likely cause the gene to produce protein that lacks function.

    Future studies will also be informed by the fact that variants appear to be distinctive to geographic regions. Five of the six families in this study were from South or Southeastern Asia, or Polynesia, regions that have been underrepresented in genetic studies.

    The research was co-led by investigators at Moorfields Eye Hospital and University College London.

    The study was funded by the Intramural Research Program at the NEI, and by NEI grants R01EY022356 and R01EY020540. Researchers at the University of Liverpool (UK), and Baylor College of Medicine, Houston, Tx also contributed to this report.

    This press release describes a basic research finding. Basic research increases our understanding of human behavior and biology, which is foundational to advancing new and better ways to prevent, diagnose, and treat disease. Science is an unpredictable and incremental process— each research advance builds on past discoveries, often in unexpected ways. Most clinical advances would not be possible without the knowledge of fundamental basic research. To learn more about basic research, visit https://www.nih.gov/news-events/basic-research-digital-media-kit.

    NEI leads the federal government’s research on the visual system and eye diseases. NEI supports basic and clinical science programs to develop sight-saving treatments and address special needs of people with vision loss. For more information, visit https://www.nei.nih.gov.

    About the National Institutes of Health (NIH): NIH, the nation’s medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit http://www.nih.gov.

    NIH…Turning Discovery Into Health®

    Reference

    Ullah E, Lin S, Lu J, Bender C, Webster AR, Malka S, Madusudhan S, Rees E, Williams D, Agather AR, Cukras CA, Hufnagel RB, Chen R, Huryn LA, Arno G, Guan B. “Biallelic loss-of-function variants in UBAP1L and nonsyndromic retinal dystrophies,” September 26, 2024, JAMA Ophthalmology. https://doi.org/10.1001/jamaophthalmol.2024.3836

    ###

    MIL OSI USA News –

    January 23, 2025

  • MIL-OSI United Kingdom: National recognition for local partnership working

    Source: Scotland – City of Aberdeen

    Three improvement projects that are part of Aberdeen’s Local Outcome Improvement Plan (LOIP) have gained national recognition for their impressive partnership working to help improve people’s lives across the city. 

    Details were shared at the meeting of the Community Planning Aberdeen (CPA) Board yesterday (Wednesday 25 September).

    Aberdeen City Council Co-Leader Councillor Christian Allard, CPA chair, said: “The successful delivery of the updated Local Outcome Improvement Plan depends on Community Planning partners working together for the benefit of all people living in the city.  

    “National recognition of the positive impact our improvement projects are having highlights how by working together we can all play a part in helping to make Aberdeen a place where everyone can prosper.” 

    The Employment Support for People Leaving Prison project aims to increase the number of prison leavers engaging with employability support by 50% by 2026. 

    It’s success to date saw Aberdeen City Council receive the COSLA’s 2024 Excellence Award for Achieving Better Outcomes For The Most Vulnerable in Partnership.

    The partnership between the Scottish Prison Service (SPS), pub company and brewer Greene King, Skills Development Scotland (SDS), and the Council sought to improve people’s chances of successfully reintegrating into their communities upon leaving prison, reduce reoffending rates, and help mitigate recruitment challenges for the hospitality sector.

    The 12-week academy programme saw people in custody trained to work in a replica Greene King kitchen, by professional chefs. Equipment for the kitchen was funded by Aberdeen City Council’s ABZWorks. 

    The Business Start Up project led by Business Gateway, has seen 193 referrals of individuals in receipt of universal credits consider starting a business since the start of the programme with 91 individuals starting a business.  A total of 58 businesses have been referred for the Council’s Seed Funds with ABZWorks to date.  

    The Business Start Up project was a finalist for the Best Collaborative Working Initiative (with other public sector or third sector) Award at the Association for Public Service Excellence (APSE) Awards 2024. 

    The Reaching Out to People at Risk and Removing Barriers to Accessing Drug Support improvement project led by Aberdeen City Health and Social Care Partnership (ACHSCP) is a collaboration between Aberdeen City Council, ACHSCP, Alcohol and Drugs Action, Alcohol and Drugs Partnership, Police Scotland, and NHS Grampian. The project aims to reduce by 20% the number of drug related deaths in the city’s priority neighbourhoods by increasing the distribution of Naloxone by 25% year-on-year by 2026.

    A new Naloxone App was formally launched on 30 August. The app allows people to find the nearest stockists of Naloxone, videos on how to use Naloxone and respond to an overdose and links to support services. 

    All secondary schools have staff trained in administering Naloxone in addition to Level 6 first aid, giving them a qualification as well as the ability to save someone’s life. 

    The project was a finalist for COSLA’s 2024 Excellence Awards for Tackling Inequalities and Improving Health and Wellbeing Award.  

    The reports that went before Community Planning Aberdeen today can be viewed here.  

    Community Planning Aberdeen is the name for the local partnership of public, private and third sector organisations and communities working together to improve people’s lives across Aberdeen.  

     

    Photo: Aberdeen City Council wins the COSLA 2024 Excellence Award for Achieving Better Outcomes For The Most Vulnerable in Partnership.  Co-Leader Councillor Christian Allard (second from left) and members of the winning partnership project accept the prestigious award on behalf of the Council.

    MIL OSI United Kingdom –

    January 23, 2025
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