Derek Evans

Welcome to Evans Travel Health
Welcome to Evans Travel Health
Blog posted on Wednesday 4th August 2021
How to prepare for Travel Medicine post-Covid
Blog posted on Wednesday 4th August 2021
How to prepare for Travel Medicine post-Covid
"We are all aware of that the impact of Covid infections has had on travel and continues to do. With the advent of vaccination programs and sophisticated testing and recording systems in place travel is starting to increase.
However the types of travel such as short haul continues to expand according to the determination of national governments whilst long haul remains dormant. The traveller groups have changed and the emphasis on routine vaccinations being sought by first time travellers going to exotic destinations has shifted to business and essential workers.
With this in mind the marketing of any specific travel medicine services will need to understand these changes. Following lockdowns and extended restrictions many travellers are now attempting to visit families and friends (VFRs) who they have only seen through video links. These VFRs will be a key target group during the revival of travel medicine demands and services.
A key part of the practitioners will be the flexibility to react to short time departures and supply necessary vaccines and medication where required. This parallels with the quick turn around that Covid tests are required for entry into another country before departure from the UK. It seems that a mix of PCR and rapid antigen tests are required within a range of departure times from 24 to 96 hours before departure.
The underlying point here is that this increased cost needs to be allowed for during any travel consultation and also the returning costs of testing and/or isolation. It is unlikely that these costs will be removed in the short term and certainly Covid will become another disease to be routinely covered during a travel medicine risk assessment."
Blog
Lest we forget...
Posted on June 10, 2020 at 10:50 AM |
Whilst the world is focussed on the covid 19 virus and the impact on society; little has been discussed regarding other virus infections which we already know more about. Last year we were all aware of the issue of dengue infection, the poor performance of the Denvaxia vaccine and the increasing number of areas reporting raised levels of infection despite increasing public health responses.
Coming forward 12 months from the traditional rainy season in SE Asia we have reports of Aedes infections bringing with them the traditional infections of dengue, chikungunya and zika. Even countries such as Singapore with high healthcare standards are reporting high levels of dengue with 9000 cases so far this year and a weekly reporting of over 700 cases. Other countries such as Thailand are reporting infections from all 77 provinces with a country total so far of +14000 cases.
So why are we seeing the continued rise. One of the possible answers comes from scientists in India who have identified that the Aedes mosquito has adapted its egg laying to the sides of water containers.
Originally mosquito eggs were considered to be laid in a raft on the water surface before maturing and some such as Anopheles and Culex continue to do so. The Indian discovery was that Aedes now lays its eggs on the side of the water containers so they can mature in wet or dry conditions as the water levels adjust up and down, surviving for up to 9 months in dry conditions.
The virus itself enters the eggs and develops inside these cells during the lean period so they are available to be released at day 1 of the maturation.
If this research is confirmed then it may require new guidance to be issued, this will include the wiping and cleaning out of water containers every 2-3 days and not just emptying them.
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This also reminds me of a precept by Sir Edwin Sandys, a politician who helped establish Jamestown, Virginia.
Finally, Actions speak louder than words is another classic example.
The original saying was, Eat an apple on going to bed, and you’ll keep the doctor from earning his bread.
Not only that, but you can use aphorisms in your writing to summarize your central theme.
But one key difference is that for a phrase to be truly aphoristic, it needs to be a short statement.
Early to bed and early to rise makes a man healthy, wealthy, and wise.
Another aphorism that’s adapted is, Don’t count your chickens before they hatch.
Luke’s having a tough time, and he’s discouraged.
Like George Washington, Sandys believed that telling the truth is always the way to go.
Sometimes, though.
It meant that the person was versatile and adept at many things.
Your stories can benefit from this method too.
How do aphorisms differ from adages and proverbs.
The early bird gets the worm.
Another aphorism that’s adapted is, Don’t count your chickens before they hatch.

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Et parmi ces derniers, les noms marquants ne manquent pas. Qu'il peut ensuite exécuter la tâche apprise : traduire un document, établir des liens entre deux phénomènes ou décrire une image. La modélisation en sciences cognitives a paatrniv révélé l’existence de plusieurs mécanismes, autres que l’association par continuité, qui sont autant de composantes de l’intelligence humaine. Parce que leur expertise est entièrement précalculée, ils ne peuvent pas raisonner dans le temps pour décider qu’un animal mort reste mort, ou pour comprendre le sens de la phrase il n’est toujours pas mort et la bizarrerie de cette autre phrase : « il n’est pas toujours mort ». La seule prédigestion de grandes quantités de données ne leur permet pas non plus de repérer les structures inédites si évidentes pour nous, comme les groupes de nombres identiques dans la suite. Leur stratégie du presque-par-cœur est aussi aveugle aux anomalies inédites.
Dabords on pense immédiatement à des aptitudes impliquant notre intuition ou notre créativité. Pas de chance, l’IA prétend nous attaquer sur ces terrains-là également. Pour preuve, le fait que des œuvres créées par liens solides programmes se sont vendues fort cher, certaines atteignant presque le demi-million de dollars. Côté musique, chacun se fera bien sûr son opinion, mais on peut déjà reconnaître du bluegrass acceptable ou du quasi Rachmaninoff dans les imitations du programme MuseNet. Notre sélection vous permettra de distinguer les différences techniques entre tous ces services, de connaître les tarifs pratiqués et les formules disponibles mais également savoir enfin où est visible cette série dont tout le monde parle.
Alors mais avec l’IA, on ne fabrique pas une créature. L’IA n’est pas autonome, elle n’est en fait qu’un automate. Dans un de ses livres, écrit avec Mar
cel Duchamp, l’écrivain Michel Carrouges parlait paatrniv des machines célibataires, qui évoluent seules, sans souci des hommes ni du bien commun. En santé, les machines ne doivent pas être célibataires, mais partenaires. Bien que l’approche de l’apprentissage profond soit innovante et qu’elle permette certaines avancées dans les années 90, elle n’attire pas, à l’époque, toute l’attention de la communauté scientifique. Beaucoup croient que les chercheurs qui s’y attardent font fausse route. Si on fournit à l’ordinateur une quantité massive de données (sons, images ou textes) et le résultat qu’on attend de lui, l’ordinateur ajuste graduellement ses paramètres internes. Avec Stranger Things, La Casa de Papel, House of Cards, Mindhunter, Orange is the New Black, Narcos, The Crown ou encore The Witcher, le service compte des centaines de séries dont certaines sont devenues des phénomènes de société.

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