Physicians falter on test of bioterrorism awareness

first_img The authors say their findings suggest that the government should include physician education among its bioterrrorism preparedness priorities. On the diagnosis questions, the average pretraining score was 46.8%. The participants scored 70.5% on anthrax-related questions, 50.7% for smallpox, 49.6% for botulism, and 16.3% for pneumonic plague. After the training, the average diagnostic score improved to 79.0%. The 631 physicians were among 2,407 physicians in 30 internal medicine residency programs in 16 states and Washington, DC, who were invited to participate in the study. Thirty participants (4.8%) were attending physicians, and nearly all the rest were residents. In one common diagnostic error, after reading a description of a rash that was consistent with varicella, 42.6% of participants concluded it was smallpox. On the management side, more than 90% of participants knew the importance of quickly giving botulinum antitoxin for botulism, but 31.4% wrongly opted for giving antibiotics too. The level of training didn’t seem to affect the residents’ scores, as first-, second-, and third-year residents all averaged about the same on the pretraining test, the report says. However, the attending physicians scored significantly higher than the residents, with an average score of 50.0% versus 36.9%. Geographic region had no apparent effect on the scores. “The ability of physicians to distinguish smallpox, anthrax, botulism, and plague from other, more common disorders was poor, as was their ability to manage illness due to bioterrorism agents once a diagnosis had been made,” the report states. One bright spot, however, was that most physicians could distinguish inhalational anthrax from other community-acquired pneumonias, probably because of publicity generated by the anthrax attacks of 2001. Sep 28, 2005 (CIDRAP News) – Hospital residents did poorly on a test of their ability to recognize and manage diseases potentially related to bioterrorism, but they fared much better after taking an online training program, according to a report in Archives of Internal Medicine. But the average scores on both tests rose to 79% after the residents completed the Web-based training program. One limitation of the study was that participants knew they were completing a training module on bioterrorism, which could have affected their diagnostic judgments, the report says. However, they were told that illnesses described might or might not be due to bioterrorism agents. The 631 physicians who participated in the study correctly diagnosed anthrax, smallpox, pneumonic plague, and botulism less than half the time, and they made correct management decisions only a quarter of the time, according to the report by Sara E. Cosgrove and colleagues from the Johns Hopkins University School of Medicine in Baltimore. On the management test, physicians scored an average of only 25.4% before training. They were right 60.2% of the time on botulism questions, but they scored only 14.6% on smallpox, 17.0% on anthrax, and 9.7% on plague. After taking the training, the overall average score soared to 79.1%. The physicians took a multiple-choice test on diagnosis and management of the four diseases before going through the training module. Afterward they took another test, with different questions. Anthrax, smallpox, botulism, and pneumonic plague are four of the six diseases or disease classes that terrorists are considered most likely to try to use. Cosgrove SE, Perl TM, Xiaoyan S, et al. Ability of physicians to diagnose and manage illness due to category A bioterrorism agents. Arch Int Med 2005;165(17):2002-6 [Full text]last_img read more

Delight for drivers as fuel prices decrease

first_imgPetrol and diesel prices are set to decrease further, reaching a price not seen since 2003. This is due to the economic slowdown in China and supply exceeding demand.RTÉ have reported that the price for a barrel of crude oil has plumetted to $30, a fall of 40%. It is not only drivers who will have healthier pockets – homeowners have benefited too as home-heating oil has also fallen.Top Oil claim that prices have nearly halved over the last two years for 1,000 litres of oil; going from €800 to €450.  Delight for drivers as fuel prices decrease was last modified: August 15th, 2016 by Elaine McCalligShare this:Click to share on Facebook (Opens in new window)Click to share on Twitter (Opens in new window)Click to share on LinkedIn (Opens in new window)Click to share on Reddit (Opens in new window)Click to share on Pocket (Opens in new window)Click to share on Telegram (Opens in new window)Click to share on WhatsApp (Opens in new window)Click to share on Skype (Opens in new window)Click to print (Opens in new window) Tags:dieselFUELhome heating oilpetrollast_img read more

UN human rights commissioner warns Indonesia over crackdown on LGBTQ community

first_img(Photo by STR/AFP/Getty Images)Related: UN Human Rights Office ‘concerned’ by floggings, arrests of gay men in IndonesiaIt would make gay sex punishable by up to five years in prison.The Indonesian Supreme Court narrowly blocked a similar measure from passing last month, but it seems that was only a temporary reprieve.Indonesian authorities faced global criticism last month after they arrested 12 transgender women in Aceh and shaved their heads in an effort “to turn them into men”.(Getty)Authorities also dressed the trans women in stereotypically male clothing, in the raid which was called “operasi penyakit masyarakat,” which translates as “community sickness operation”.North Aceh Regency Police Chief Ahmad Untung Surianata said the 12 trans detainees were part of a “social disease” and had been taken to police headquarters, where they would be coached “until they really become men.”Untung said that “the officers also nurtured them by way of having them run for some time and telling them to chant loudly until their male voices came out.”The police chief added that the operation was carried out to stop an increase in LGBT people in Aceh, which he said would be dangerous for the next generation of Indonesians.“There were mothers who came crying to me, worried about their children,” he told Indonesian publication Kompas.“This is not right, and we hope this social disease can be resolved.”Share this:TwitterFacebookLike this:Like Loading… eTN Chatroom for Readers (join us) The UN human rights commissioner has warned Indonesia that it must stop its crackdown on the LGBTQ community and protect the minority from rising intolerance in the country.Speaking in Jakarta, Zeid Ra’ad Al Hussein said that Indonesia had a progressive track record when it came to human rights, but that it’s failures to the LGBTQ community could be damaging.  Zeid Ra’ad Al Hussein (Photo by FABRICE COFFRINI/AFP/Getty Images)Related: 2017 was the year of the homophobic purgeHe said: “The hateful rhetoric against this community that is being cultivated seemingly for cynical political purposes will only deepen their suffering and create unnecessary divisions.“Indonesia has since 1998 managed to transition to democracy and couple it with strong economic growth.“At a time when it is consolidating its democratic gains, we urge Indonesians to move forward – not backwards – on human rights.“There are some dark clouds on the horizon but … I hope the common sense and strong tradition of tolerance of the Indonesian people will prevail over populism and political opportunism,” he added.Al Hussein’s comments after the government carried out a number of raids and arrests on LGBTQ people.(Getty)Related: Indonesia to reject 75 UN human rights concerns over treatment of LGBT peopleLegislation is also being introduced in the country which would make it illegal to have same-sex relations and sex outside of marriage.The proposed amendment to the penal code has been slammed by Al Hussein, who said that the “discriminatory provisions need to be removed”.Currently, homosexuality is legal in Indonesia except for in the Aceh province, where Islamic law is enforced.The bill, which reportedly has support from all 10 of the country’s main political parties, could pass in the next two weeks. Indonesian MP says death penalty should be introduced for LGBTQ peopleUN Human Rights on the Agenda at IGLTA 2018 Convention in TorontoSoutheast Asian leaders beg Indonesia not to criminalize homosexualityPINK NEWS-last_img read more