Aug 23, 2007 (CIDRAP News) – Leaders of Canada, Mexico, and the United States who met at a security summit in Montebello, Quebec, on Aug 21 unveiled a North American pandemic influenza plan designed to share expertise, coordinate public health messages, and overcome anticipated obstacles at national borders.The plan evolved from the Security and Prosperity Partnership of North America, a trilateral effort launched in 2006 to enhance collaboration on security and economic issues. At the 2006 summit, leaders vowed to develop a pandemic plan and establish a senior-level coordinating body to work on preparedness issues, according to a US State Department fact sheet.Though the plan covers traditional areas such as information sharing, surveillance, and medical resources, it emphasizes preserving the three countries’ economies in the event of an influenza pandemic.”Although influenza will not physically damage critical infrastructure, systems may be weakened by the absence of essential personnel in the workplace or the diversion of resources,” the 44-page report states. “The Plan, therefore, extends beyond health and medical sectors to include provisions in relation to critical infrastructure and the movement of goods and services across our borders.”Kim Elliott, deputy director of Trust for America’s Health (TFAH), a nonprofit public health advocacy group based in Washington, DC, said TFAH welcomes the release of the pandemic flu plan. “The flu virus doesn’t respect borders, so it’s incumbent upon every country to plan for coordination,” she told CIDRAP News.A pandemic plan is meaningless unless it stipulates that participants hold exercises to test it, Elliott said. The North American plan includes provisions for bilateral and trilateral pandemic response exercises, with a target date of December 2008.Among the challenges North American pandemic planners will face, Elliott said, is vastly different healthcare systems—particularly Canada with its more centralized approach, and the United States with a more privatized healthcare model. “So it’s good to test operations and different strategies,” she said.The plan spells out the triggers that would prompt one of the three countries to request assistance from its neighbors: when human or material resources are scarce, when a pandemic event in one country threatens the others, and when an outbreak requires robust coordination of responses by all three countries.In several areas, the plan calls on the countries to address obstacles that could hamper outbreak containment. For example, authorities should ensure rapid cross-border movement of diagnostic materials and reagents, as well as specimens, isolates, and vaccines. Also, the document specifies that countries should ease the way for veterinary and medical personnel to respond to emergencies in other countries.Sharing information and best practices is another theme of the plan. For example, it says countries should share information about how they plan to use nonpharmaceutical interventions and communicate public health messages to their citizens.Regarding stockpiling of vaccines and drugs, planners acknowledge that though the countries have different goals, it is useful for them to share their strategies for shelf-life extension, vaccine and antiviral allocation, and mass distribution.Though border restrictions are not a centerpiece of the plan, the document does address international arrivals. The three countries will share and coordinate triggers, criteria, and protocols for screening international travelers, the report says. “These . . . should be balanced against the necessity to maintain the flow of persons, cargo, and trade across North American borders,” it states.The plan advises countries to adopt a layered passenger-screening approach consisting of predeparture, en route, and arrival checks.Because the infrastructures of the three countries are highly interrelated, the plan suggests that infrastructure sectors in each country, such as agriculture, transportation, and utilities, join with their counterparts in the other countries to assess their risks and share their resiliency strategies. The United States has already identified how it would protect critical infrastructure and key resource sectors, and Canada and Mexico are both finalizing similar plans, the report says.Greg Dworkin, MD, one of the editors of the FluWiki, an interactive pandemic planning Web site, told CIDRAP News that one element that seems missing from the North American plan is a strategy to inform citizens of the countries about, and involve them in, for example, community mitigation plans.Dworkin, who is chief of pediatric pulmonology at Danbury Hospital in Danbury, Conn., said a recent study from the Irish Council for Bioethics suggests that global pandemic planners need to do more to teach citizens about their pandemic risks. The study found that 7 in 10 Irish people were unaware of the flu pandemic risk and that three-fourths weren’t fully aware of avian flu risks.
Advertisement Lichtsteiner appears set for an exit from Arsenal (Picture: Getty)Stephan Lichtsteiner has admitted it would be very difficult for him to stay at Arsenal beyond the summer.The Swiss was one of Unai Emery’s first signings as Arsenal boss, but reports last week claimed the Gunners have passed up the chance to keep Lichtsteiner at the club.Lichtsteiner joined Arsenal on a one-year deal and after just 23 appearances this season, the 35-year-old thinks it might be time to move on.‘I see it being quite difficult to stay, but we are going to see what happens,’ he said.ADVERTISEMENT Stephan Lichtsteiner confirms plans to leave Arsenal this summer Advertisement (Picture: Getty)‘I don’t know anything. The only important thing is the Europa League final now.AdvertisementAdvertisement‘I really want to win this cup and bring this club back to the top level, back to the Champions League and winning important titles.’Lichtsteiner has managed just ten Premier League starts this campaign and has failed to make Emery’s matchday squad for Arsenal’s last six Europa League outings. Coral BarryTuesday 14 May 2019 2:29 pmShare this article via facebookShare this article via twitterShare this article via messengerShare this with Share this article via emailShare this article via flipboardCopy link430Shares Lichtsteiner’s contract expires once the season is over (Picture: Getty)Arsenal take on Chelsea in the Europa League final with Champions League qualification, and bragging rights, on the line.A fifth-place finish in the league saw Arsenal miss out on a Champions League spot, but a win over Chelsea would book their place in next season’s competition.Chelsea have already qualified, but will be eager to wreck their local rival’s plans for next season by pipping them to the Europa League trophy.MORE: Arsene Wenger turned down chance to sign Denis Suarez year before loan move to Arsenal Comment
By The Nelson Daily SportsThe Kootenay Ice registered points in the last three games to move into ninth spot in B.C. Hockey Major Midget League standings.Jesse Knowler of Castlegar scored three times leading the Ice to a 6-4 victory over the Thompson Blazers Sunday in Chase.Saturday, the Ice and Blazers played to a 2-2 tie.The Greater Vancouver Canadians lead the 11-team league with a 6-2 record. Vancouver Northwest Giants and Valley West Hawks are tied for second, one point behind the Canadians.Knowler of Castlegar scored two of his three goals during a third-period explosion that saw the visiting Ice outscore the Blazers 4-2.Trail’s Jacob Boyczuk, Carsen Willans of Nelson, finishing with two points, and Cranbrook’s Derek Georgopoulus also scored for Kootenay, improving to 2-3-1 on the season. Dryden Hunt of Nelson added two assists. Saturday, a goal by Trail’s Jake Lucchini early in the third pulled Kootenay into the tie. Thompson had nursed a 2-1 lead after one period before Lucchini tied the game.Knowler had given Kootenay a 1-0 lead before Thompson scored two goals in a span of 11 seconds late in the opening frame. Willans and Joren Johnson of Nelson each added assists.Jarrod Schamerhorn of Kelowna was in goal for Kootenay.The Ice, one point out of seventh spot and only two behind the fourth-place team, look to build on the recent success when the club plays host to the Prince George Cougars Saturday at 5p.m. in the Castlegar and District Community Complex.Sunday the teams meet for game two of the series at 9 a.m. in Castlegar.email@example.com